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 →

Export CSV
Hospital

BELLEVUE HOSPITAL CENTER

New York, NY · CCN 330204 · Rates published

60,495 distinct procedures filed
31 distinct payers
3,879,745 rate rows
2025-09-05 last MRF observed
Data quality

2,308,059 of 3,879,745 rate rows are consumer-grade (59.5%)

1,571,686 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 1,182,652
professional (physician) fee — not the facility price 328,845
template filing: same amount across many unrelated codes — excluded 20,131
exceeds 10× this hospital's gross charge — excluded from medians 19,710
placeholder amount (≤ $0.02) — excluded from medians 13,680
per-diem day rate — not a per-procedure price 3,170
percent-of-charges filed in the dollar field — excluded from medians 3,167
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 331
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://nychh.pt.panaceainc.com/MRFDownload/nychh/bellevue
Found on page https://www.nychealthandhospitals.org/paying-for-your-health-care/facility-charges/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 0fe5d7c49a7cd2a4… · 53,447,875 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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 9 $2,884,000.00 $4,609,778.88 $4,390,265.60 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 11 $2,938,320.00 $4,579,047.02 $4,129,415.50 nat. median
$3,710,000
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 12 $2,628,800.00 $4,929,000.00 $3,859,357.05 nat. median
$3,286,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $2,660,363.81 $4,990,739.82 $3,853,944.37 nat. median
$3,324,572
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 12 $2,374,400.00 $4,452,000.00 $3,491,724.58 nat. median
$2,997,086
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 16 $1,910,891.38 $4,352,603.27 $2,901,735.52 nat. median
$2,460,273
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 13 $1,865,600.00 $4,139,393.28 $2,759,595.52 nat. median
$2,405,851
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 17 $755,207.60 $1,823,841.77 $911,920.88 nat. median
$809,151
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $423,354.29 $1,368,732.35 $684,366.18 nat. median
$691,418
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 20 $421,698.74 $1,309,692.74 $654,846.37 nat. median
$631,793
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 20 $413,380.86 $1,281,899.95 $640,949.97 nat. median
$624,417
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $421,270.07 $1,281,011.93 $640,505.97 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 20 $391,564.77 $1,261,642.77 $630,821.38 nat. median
$588,565
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 20 $368,424.32 $1,159,030.12 $579,515.06 nat. median
$577,541
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $17,861.00 $1,029,220.02 $501,584.02 nat. median
$370,165
1.4× median
24
APR_DRG 		Heart &/or Lung Transplant 12 $267,152.07 $876,243.06 $394,272.92 nat. median
$243,231
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $17,861.00 $768,741.08 $378,992.97 nat. median
$261,939
1.4× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $319,950.96 $639,901.92 $332,749.00 nat. median
$302,242
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $17,861.00 $647,418.93 $321,894.27 nat. median
$205,166
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $17,861.00 $584,889.80 $292,465.73 nat. median
$199,832
1.5× median
5834
APR_DRG 		Neonate W Ecmo 12 $197,211.26 $645,019.29 $291,518.62 nat. median
$311,018
0.9× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 12 $193,781.71 $633,681.23 $286,480.06 nat. median
$180,995
1.6× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 12 $193,781.71 $633,681.23 $286,480.06 nat. median
$254,667
1.1× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 12 $177,424.69 $579,605.04 $262,448.97 nat. median
$209,486
1.3× median
34
APR_DRG 		Bone Marrow Transplant 12 $172,331.63 $562,767.45 $254,966.45 nat. median
$241,408
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 12 $149,271.98 $486,532.44 $221,088.12 nat. median
$168,361
1.3× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 12 $148,740.27 $484,774.60 $220,306.95 nat. median
$120,928
1.8× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 12 $148,740.27 $484,774.60 $220,306.95 nat. median
$147,847
1.5× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 12 $144,440.22 $470,558.70 $213,989.49 nat. median
$165,646
1.3× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 12 $139,379.07 $453,826.57 $206,553.85 nat. median
$127,600
1.6× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 12 $135,074.48 $439,595.60 $200,229.71 nat. median
$137,901
1.5× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 12 $134,546.56 $437,850.32 $199,454.10 nat. median
$156,285
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $17,861.00 $385,621.83 $198,682.84 nat. median
$132,706
1.5× median
C1833
HCPCS 		Cardiac Monitor Sys 1 $187,725.00 $187,725.00 $187,725.00 nat. median
$10,762
outlier · 17.4×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 21 $17,861.00 $357,561.22 $185,476.48 nat. median
$114,305
1.6× median
7
MS_DRG 		Lung Transplant 21 $17,861.00 $356,660.62 $185,052.62 nat. median
$122,690
1.5× median
E0766NU
OTHER 		Elec Stim Cancer Treatment 1 $185,002.22 $185,002.22 $185,002.22 nat. median
$185,002
1.0× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 12 $123,367.67 $400,892.99 $183,030.52 nat. median
$168,174
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 12 $116,967.35 $379,733.61 $173,627.43 nat. median
$123,690
1.4× median
23
APR_DRG 		Heart &/or Lung Transplant 12 $116,566.29 $378,407.70 $173,038.21 nat. median
$116,111
1.5× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 12 $113,331.19 $367,712.50 $168,285.33 nat. median
$64,013
outlier · 2.6×
5833
APR_DRG 		Neonate W Ecmo 12 $112,947.60 $366,444.34 $167,721.77 nat. median
$250,089
0.7× median
5831
APR_DRG 		Neonate W Ecmo 12 $110,874.68 $359,591.28 $164,676.31 nat. median
$154,685
1.1× median
5832
APR_DRG 		Neonate W Ecmo 12 $110,874.68 $359,591.28 $164,676.31 nat. median
$169,230
1.0× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 12 $107,914.56 $349,805.13 $160,327.42 nat. median
$109,499
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $17,861.00 $300,738.63 $158,733.66 nat. median
$108,240
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 21 $17,861.00 $297,305.42 $157,117.86 nat. median
$100,978
1.6× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 12 $105,546.15 $341,975.21 $156,847.85 nat. median
$112,711
1.4× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $17,861.00 $290,632.78 $153,977.46 nat. median
$99,646
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 21 $17,861.00 $289,142.69 $153,276.17 nat. median
$98,002
1.6× median

Other procedures at this hospital

Browse this hospital's 60,495 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 10 9 — — $2,884,000.00 $4,609,778.88 $4,390,265.60 2025-09-05
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 16 11 — — $2,938,320.00 $4,579,047.02 $4,129,415.50 2025-09-05
J3394 HCPCS Inj, Lovotibeglogene Autotem 14 12 — — $2,628,800.00 $4,929,000.00 $3,859,357.05 2025-09-05
J1413 HCPCS Inj Delandistrogene Mox Rokl 20 14 — — $2,660,363.81 $4,990,739.82 $3,853,944.37 2025-09-05
J3393 HCPCS Inj, Betibeglogene Autotemce 14 12 — — $2,374,400.00 $4,452,000.00 $3,491,724.58 2025-09-05
J3399 HCPCS Inj Onase Abepar-xioi Treat 22 16 — — $1,910,891.38 $4,352,603.27 $2,901,735.52 2025-09-05
J3392 HCPCS Inj, Exagamglogene Autotem 14 13 — — $1,865,600.00 $4,139,393.28 $2,759,595.52 2025-09-05
Q2057 HCPCS Afamitresgene Autoleucel 31 17 — — $755,207.60 $1,823,841.77 $911,920.88 2025-09-05
Q2042 HCPCS Tisagenlecleucel Car-pos T 38 20 — — $423,354.29 $1,368,732.35 $684,366.18 2025-09-05
Q2056 HCPCS Ciltacabtagene Car-pos T 38 20 — — $421,698.74 $1,309,692.74 $654,846.37 2025-09-05
Q2054 HCPCS Lisocabtagene Mara Car Pos T 38 20 — — $413,380.86 $1,281,899.95 $640,949.97 2025-09-05
Q2055 HCPCS Idecabtagene Vicleucel Car 38 20 — — $421,270.07 $1,281,011.93 $640,505.97 2025-09-05
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 20 — — $391,564.77 $1,261,642.77 $630,821.38 2025-09-05
Q2053 HCPCS Brexucabtagene Car Pos T 38 20 — — $368,424.32 $1,159,030.12 $579,515.06 2025-09-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 21 — — $17,861.00 $1,029,220.02 $501,584.02 2025-09-05
24 APR_DRG Heart &/or Lung Transplant 50 12 — — $267,152.07 $876,243.06 $394,272.92 2025-09-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 21 — — $17,861.00 $768,741.08 $378,992.97 2025-09-05
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 8 — — $319,950.96 $639,901.92 $332,749.00 2025-09-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 20 — — $17,861.00 $647,418.93 $321,894.27 2025-09-05
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 21 — — $17,861.00 $584,889.80 $292,465.73 2025-09-05
5834 APR_DRG Neonate W Ecmo 50 12 — — $197,211.26 $645,019.29 $291,518.62 2025-09-05
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 50 12 — — $193,781.71 $633,681.23 $286,480.06 2025-09-05
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 50 12 — — $193,781.71 $633,681.23 $286,480.06 2025-09-05
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 50 12 — — $177,424.69 $579,605.04 $262,448.97 2025-09-05
34 APR_DRG Bone Marrow Transplant 50 12 — — $172,331.63 $562,767.45 $254,966.45 2025-09-05
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 50 12 — — $149,271.98 $486,532.44 $221,088.12 2025-09-05
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 50 12 — — $148,740.27 $484,774.60 $220,306.95 2025-09-05
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 50 12 — — $148,740.27 $484,774.60 $220,306.95 2025-09-05
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 50 12 — — $144,440.22 $470,558.70 $213,989.49 2025-09-05
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 50 12 — — $139,379.07 $453,826.57 $206,553.85 2025-09-05
14 APR_DRG Liver Transplant &/or Intestinal Transplant 50 12 — — $135,074.48 $439,595.60 $200,229.71 2025-09-05
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 50 12 — — $134,546.56 $437,850.32 $199,454.10 2025-09-05
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 21 — — $17,861.00 $385,621.83 $198,682.84 2025-09-05
C1833 HCPCS Cardiac Monitor Sys 1 1 — — $187,725.00 $187,725.00 $187,725.00 2025-09-05
14 MS_DRG Allogeneic Bone Marrow Transplant 35 21 — — $17,861.00 $357,561.22 $185,476.48 2025-09-05
7 MS_DRG Lung Transplant 35 21 — — $17,861.00 $356,660.62 $185,052.62 2025-09-05
E0766NU OTHER Elec Stim Cancer Treatment 3 1 — — $185,002.22 $185,002.22 $185,002.22 2025-09-05
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 50 12 — — $123,367.67 $400,892.99 $183,030.52 2025-09-05
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $116,967.35 $379,733.61 $173,627.43 2025-09-05
23 APR_DRG Heart &/or Lung Transplant 50 12 — — $116,566.29 $378,407.70 $173,038.21 2025-09-05
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 50 12 — — $113,331.19 $367,712.50 $168,285.33 2025-09-05
5833 APR_DRG Neonate W Ecmo 50 12 — — $112,947.60 $366,444.34 $167,721.77 2025-09-05
5831 APR_DRG Neonate W Ecmo 50 12 — — $110,874.68 $359,591.28 $164,676.31 2025-09-05
5832 APR_DRG Neonate W Ecmo 50 12 — — $110,874.68 $359,591.28 $164,676.31 2025-09-05
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 50 12 — — $107,914.56 $349,805.13 $160,327.42 2025-09-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 21 — — $17,861.00 $300,738.63 $158,733.66 2025-09-05
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 35 21 — — $17,861.00 $297,305.42 $157,117.86 2025-09-05
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 50 12 — — $105,546.15 $341,975.21 $156,847.85 2025-09-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 21 — — $17,861.00 $290,632.78 $153,977.46 2025-09-05
215 MS_DRG Other Heart Assist System Implant 35 21 — — $17,861.00 $289,142.69 $153,276.17 2025-09-05
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 60 12 — — $2,548.00 $346,281.92 $152,770.71 2025-09-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $141,120.60 $285,884.14 $151,742.58 2025-09-05
22 APR_DRG Heart &/or Lung Transplant 50 12 — — $99,680.59 $322,583.72 $148,230.40 2025-09-05
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $95,881.13 $310,022.70 $142,648.37 2025-09-05
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 50 12 — — $94,999.24 $307,107.20 $141,352.73 2025-09-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 22 — — $17,861.00 $263,388.17 $141,155.14 2025-09-05
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 50 12 — — $94,311.05 $304,832.05 $140,341.68 2025-09-05
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 50 12 — — $94,311.05 $304,832.05 $140,341.68 2025-09-05
21 APR_DRG Heart &/or Lung Transplant 50 12 — — $94,016.32 $303,857.71 $139,908.69 2025-09-05
33 APR_DRG Bone Marrow Transplant 50 12 — — $91,912.26 $296,901.68 $136,817.47 2025-09-05
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 50 12 — — $91,849.21 $296,693.25 $136,724.85 2025-09-05
850 MS_DRG Acute Leukemia With Other Procedures 30 18 — — $126,028.01 $251,401.96 $135,513.99 2025-09-05
904 APR_DRG Major Larynx & Trachea Procedures 50 12 — — $87,410.17 $282,017.80 $130,203.18 2025-09-05
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $86,891.37 $280,302.65 $129,440.98 2025-09-05
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 50 12 — — $86,739.45 $279,800.41 $129,217.79 2025-09-05
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 50 12 — — $85,826.42 $276,781.95 $127,876.40 2025-09-05
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 50 12 — — $84,858.70 $273,582.68 $126,454.66 2025-09-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 37 22 — — $17,861.00 $231,261.20 $126,035.00 2025-09-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 21 — — $17,861.00 $231,132.94 $125,974.63 2025-09-05
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 50 12 — — $84,162.15 $271,279.91 $125,431.32 2025-09-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 30 18 — — $115,620.27 $227,623.31 $124,322.87 2025-09-05
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 12 — — $120,918.00 $175,207.71 $123,385.71 2025-09-05
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 50 12 — — $81,963.90 $264,012.50 $122,201.74 2025-09-05
4404 APR_DRG Kidney Transplant 50 12 — — $80,981.75 $260,765.51 $120,758.80 2025-09-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 21 — — $17,861.00 $219,995.48 $120,732.93 2025-09-05
10 MS_DRG Pancreas Transplant 35 21 — — $17,861.00 $217,591.14 $119,601.36 2025-09-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 35 21 — — $17,861.00 $216,343.94 $119,014.38 2025-09-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 37 22 — — $17,861.00 $213,317.37 $117,589.97 2025-09-05
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 50 12 — — $78,600.44 $252,892.90 $117,260.26 2025-09-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 22 — — $17,861.00 $211,164.11 $116,576.56 2025-09-05
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 50 12 — — $77,638.04 $249,711.21 $115,846.34 2025-09-05
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 50 12 — — $76,845.79 $247,092.03 $114,682.40 2025-09-05
B1904 HCPCS Guillain-barr? M <38.50 18 12 — — $111,847.89 $162,065.31 $114,130.50 2025-09-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 20 — — $17,861.00 $203,705.48 $113,066.26 2025-09-05
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 50 12 — — $75,029.60 $241,087.75 $112,014.13 2025-09-05
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $74,144.68 $238,162.20 $110,714.04 2025-09-05
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 50 12 — — $73,390.41 $235,668.58 $109,605.88 2025-09-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $100,833.47 $193,839.79 $108,423.09 2025-09-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 21 — — $17,861.00 $192,865.50 $107,964.56 2025-09-05
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 50 12 — — $71,852.23 $230,583.40 $107,346.07 2025-09-05
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $71,600.81 $229,752.19 $106,976.68 2025-09-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 21 — — $17,861.00 $189,849.84 $106,545.28 2025-09-05
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 50 12 — — $70,485.73 $226,065.75 $105,338.46 2025-09-05
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 50 12 — — $70,304.95 $225,468.09 $105,072.86 2025-09-05
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 50 12 — — $70,249.50 $225,284.77 $104,991.40 2025-09-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 20 — — $17,861.00 $186,351.14 $104,898.66 2025-09-05
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 50 12 — — $70,060.36 $224,659.48 $104,713.52 2025-09-05
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 50 12 — — $69,628.15 $223,230.61 $104,078.54 2025-09-05
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 60 12 — — $2,548.00 $231,851.56 $103,837.57 2025-09-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 30 18 — — $96,079.34 $182,977.97 $103,311.12 2025-09-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 20 — — $17,861.00 $182,273.86 $102,979.74 2025-09-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 21 — — $17,861.00 $181,965.47 $102,834.60 2025-09-05
6904 APR_DRG Acute Leukemia 50 12 — — $68,592.83 $219,807.84 $102,557.48 2025-09-05
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 50 12 — — $67,716.27 $216,909.92 $101,269.66 2025-09-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 22 — — $17,861.00 $176,242.55 $100,761.95 2025-09-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 21 — — $17,861.00 $176,496.36 $100,260.63 2025-09-05
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 50 12 — — $66,469.77 $212,789.04 $99,438.38 2025-09-05
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 12 — — $96,958.88 $140,491.43 $98,937.63 2025-09-05
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 50 12 — — $65,820.32 $210,641.96 $98,484.23 2025-09-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 20 — — $17,861.00 $172,596.47 $98,425.20 2025-09-05
13 APR_DRG Liver Transplant &/or Intestinal Transplant 50 12 — — $65,656.26 $210,099.54 $98,243.18 2025-09-05
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 3 — — $35,858.53 $122,219.08 $97,904.99 2025-09-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc 35 21 — — $17,861.00 $169,051.37 $96,756.75 2025-09-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 30 18 — — $89,888.21 $168,833.04 $96,653.99 2025-09-05
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 50 12 — — $64,495.60 $206,262.43 $96,537.99 2025-09-05
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 12 — — $94,466.55 $136,880.10 $96,394.44 2025-09-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 21 — — $17,861.00 $168,063.44 $96,291.79 2025-09-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 21 — — $17,861.00 $167,476.68 $96,015.64 2025-09-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 21 — — $17,861.00 $166,712.53 $95,656.00 2025-09-05
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 50 12 — — $63,740.56 $203,766.30 $95,428.73 2025-09-05
28 MS_DRG Spinal Procedures With Mcc 35 21 — — $17,861.00 $165,915.63 $95,280.95 2025-09-05
234 APR_DRG Spinal Procedures 50 12 — — $63,495.98 $202,957.69 $95,069.39 2025-09-05
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 12 — — $92,966.99 $134,707.28 $94,864.28 2025-09-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 35 21 — — $17,861.00 $164,725.75 $94,720.95 2025-09-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 35 21 — — $17,861.00 $164,725.75 $94,720.95 2025-09-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 21 — — $17,861.00 $163,494.92 $94,141.67 2025-09-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 21 — — $17,861.00 $162,362.35 $93,608.64 2025-09-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 30 20 — — $17,861.00 $132,842.19 $93,550.84 2025-09-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 37 22 — — $17,861.00 $160,585.70 $92,772.49 2025-09-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 21 — — $17,861.00 $158,896.39 $91,977.43 2025-09-05
32 APR_DRG Bone Marrow Transplant 50 12 — — $61,053.90 $195,204.83 $91,481.57 2025-09-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 21 — — $17,861.00 $156,633.97 $90,912.65 2025-09-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 21 — — $17,861.00 $155,697.88 $90,472.10 2025-09-05
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 12 — — $88,626.86 $128,418.51 $90,435.57 2025-09-05
64 APR_DRG Pancreas Transplant 50 12 — — $60,129.47 $192,322.01 $90,123.45 2025-09-05
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 50 12 — — $60,066.43 $192,125.41 $90,030.82 2025-09-05
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 50 12 — — $60,036.80 $192,033.02 $89,987.30 2025-09-05
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $67,727.85 $111,750.95 $89,739.40 2025-09-05
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 50 12 — — $59,656.25 $190,846.26 $89,428.20 2025-09-05
653 MS_DRG Major Bladder Procedures With Mcc 35 21 — — $17,861.00 $152,136.41 $88,795.94 2025-09-05
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 50 12 — — $59,100.23 $189,112.32 $88,611.32 2025-09-05
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $58,910.33 $188,520.12 $88,332.33 2025-09-05
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 35 21 — — $17,861.00 $150,845.54 $88,188.41 2025-09-05
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 21 — — $17,861.00 $150,845.54 $88,188.41 2025-09-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 30 18 — — $81,738.09 $150,212.39 $87,890.42 2025-09-05
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 50 12 — — $58,516.11 $187,290.72 $87,753.15 2025-09-05
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 12 — — $85,799.26 $124,321.38 $87,550.27 2025-09-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 30 18 — — $81,336.74 $149,295.42 $87,458.86 2025-09-05
6954 APR_DRG Chemotherapy For Acute Leukemia # 50 12 — — $58,214.55 $186,350.31 $87,310.11 2025-09-05
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 18 12 — — $85,341.87 $123,658.63 $87,083.54 2025-09-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 35 21 — — $17,861.00 $148,493.06 $87,081.24 2025-09-05
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 50 12 — — $57,960.84 $185,559.14 $86,937.39 2025-09-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 35 21 — — $17,861.00 $148,154.65 $86,921.97 2025-09-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 35 21 — — $17,861.00 $147,398.69 $86,566.19 2025-09-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 21 — — $17,861.00 $147,259.51 $86,500.69 2025-09-05
63 APR_DRG Pancreas Transplant 50 12 — — $57,663.08 $184,630.59 $86,499.93 2025-09-05
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 35 21 — — $17,861.00 $147,243.13 $86,492.98 2025-09-05
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 37 22 — — $17,861.00 $144,552.24 $86,206.49 2025-09-05
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 50 12 — — $57,426.84 $183,893.90 $86,152.87 2025-09-05
214 APR_DRG Craniotomy Except For Trauma 50 12 — — $57,110.10 $182,906.10 $85,687.51 2025-09-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 37 22 — — $17,861.00 $145,193.58 $85,528.38 2025-09-05
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 50 12 — — $56,709.03 $181,655.39 $85,098.29 2025-09-05
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 50 12 — — $56,709.03 $181,655.39 $85,098.29 2025-09-05
1694 APR_DRG Major Abdominal Vascular Procedures 50 12 — — $56,665.74 $181,520.37 $85,034.68 2025-09-05
9104 APR_DRG Craniotomy For Multiple Significant Trauma 50 12 — — $56,662.70 $181,510.90 $85,030.21 2025-09-05
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 50 12 — — $56,661.94 $181,508.51 $85,029.09 2025-09-05
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 50 12 — — $55,942.61 $179,265.29 $83,972.28 2025-09-05
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 50 12 — — $55,898.55 $179,127.90 $83,907.55 2025-09-05
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 50 12 — — $55,858.29 $179,002.35 $83,848.40 2025-09-05
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 50 12 — — $55,764.11 $178,708.61 $83,710.02 2025-09-05
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 50 12 — — $55,633.45 $178,301.18 $83,518.07 2025-09-05
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 18 12 — — $81,737.21 $118,435.55 $83,405.32 2025-09-05
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 30 18 — — $77,509.54 $140,551.38 $83,343.59 2025-09-05
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 35 21 — — $17,861.00 $140,084.70 $83,123.96 2025-09-05
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 50 12 — — $55,185.30 $176,903.60 $82,859.65 2025-09-05
4014 APR_DRG Pituitary & Adrenal Procedures 50 12 — — $55,183.02 $176,896.51 $82,856.32 2025-09-05
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 35 21 — — $17,861.00 $139,036.73 $82,630.74 2025-09-05
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 35 21 — — $17,861.00 $138,610.99 $82,430.37 2025-09-05
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 22 — — $17,861.00 $135,999.24 $82,419.21 2025-09-05
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 35 21 — — $17,861.00 $137,462.04 $81,889.63 2025-09-05
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 50 12 — — $54,505.46 $174,783.56 $81,860.89 2025-09-05
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 35 21 — — $17,861.00 $136,651.50 $81,508.16 2025-09-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 21 — — $17,861.00 $136,545.06 $81,458.07 2025-09-05
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 35 21 — — $17,861.00 $136,490.48 $81,432.38 2025-09-05
3104 APR_DRG Intervertebral Disc Excision & Decompression 50 12 — — $54,077.82 $173,449.91 $81,232.60 2025-09-05
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 50 12 — — $53,936.54 $173,009.32 $81,025.02 2025-09-05
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 50 12 — — $53,697.26 $172,263.15 $80,673.49 2025-09-05
4414 APR_DRG Major Bladder Procedures 50 12 — — $53,478.50 $171,580.95 $80,352.10 2025-09-05
C1904 HCPCS Guillain-barr? M <38.50 18 12 — — $78,738.10 $114,089.90 $80,345.00 2025-09-05
245 MS_DRG Aicd Generator Procedures 37 22 — — $17,861.00 $133,365.66 $79,961.73 2025-09-05
471 MS_DRG Cervical Spinal Fusion With Mcc 35 21 — — $17,861.00 $132,560.57 $79,582.82 2025-09-05
6 MS_DRG Liver Transplant Without Mcc 35 21 — — $17,861.00 $132,339.52 $79,478.79 2025-09-05
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 50 12 — — $52,475.07 $168,451.79 $78,877.92 2025-09-05
31 APR_DRG Bone Marrow Transplant 50 12 — — $52,432.54 $168,319.13 $78,815.42 2025-09-05
1814 APR_DRG Lower Extremity Arterial Procedures # 50 12 — — $52,363.42 $168,103.58 $78,713.88 2025-09-05
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 50 12 — — $52,319.36 $167,966.19 $78,649.15 2025-09-05
2214 APR_DRG Major Small & Large Bowel Procedures 50 12 — — $52,301.13 $167,909.33 $78,622.36 2025-09-05
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 35 21 — — $17,861.00 $130,328.17 $78,532.17 2025-09-05
4034 APR_DRG Procedures For Obesity 50 12 — — $52,061.10 $167,160.80 $78,269.73 2025-09-05
799 MS_DRG Splenic Procedures With Mcc 35 21 — — $17,861.00 $129,763.25 $78,266.30 2025-09-05
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 20 — — $17,861.00 $129,738.68 $78,254.74 2025-09-05
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 12 — — $76,612.22 $111,009.54 $78,175.73 2025-09-05
894 APR_DRG Major Cranial/facial Bone Procedures 60 12 — — $2,548.00 $172,890.88 $77,913.78 2025-09-05
244 APR_DRG Extracranial Vascular Procedures 60 12 — — $2,548.00 $172,298.70 $77,645.33 2025-09-05
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 35 21 — — $17,861.00 $128,395.97 $77,622.80 2025-09-05
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $51,423.04 $165,171.02 $77,332.31 2025-09-05
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 50 12 — — $51,404.81 $165,114.16 $77,305.52 2025-09-05
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 21 — — $17,861.00 $127,708.23 $77,299.13 2025-09-05
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 50 12 — — $51,260.49 $164,664.09 $77,093.49 2025-09-05
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 35 21 — — $17,861.00 $126,955.00 $76,944.63 2025-09-05
204 APR_DRG Craniotomy For Trauma 60 12 — — $2,548.00 $169,844.63 $76,532.81 2025-09-05
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 50 12 — — $50,789.55 $163,195.45 $76,401.60 2025-09-05
163 MS_DRG Major Chest Procedures With Mcc 35 21 — — $17,861.00 $125,789.68 $76,396.19 2025-09-05
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 35 21 — — $17,861.00 $125,737.82 $76,371.78 2025-09-05
B0106 HCPCS Stroke M <41.50 And A <84.50 18 12 — — $74,764.41 $108,332.10 $76,290.21 2025-09-05
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 21 — — $17,861.00 $125,336.65 $76,182.97 2025-09-05
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 35 21 — — $17,861.00 $125,317.54 $76,173.98 2025-09-05
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 50 12 — — $50,535.84 $162,404.28 $76,028.87 2025-09-05
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 50 12 — — $50,285.94 $161,624.95 $75,661.72 2025-09-05
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 50 12 — — $50,222.13 $161,425.98 $75,567.99 2025-09-05
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 50 12 — — $50,208.46 $161,383.34 $75,547.89 2025-09-05
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 50 12 — — $50,114.27 $161,089.61 $75,409.51 2025-09-05
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 50 12 — — $50,096.04 $161,032.75 $75,382.73 2025-09-05
3054 APR_DRG Amputation Of Lower Limb Except Toes 50 12 — — $49,972.98 $160,649.01 $75,201.95 2025-09-05
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 35 21 — — $17,861.00 $123,126.08 $75,142.60 2025-09-05
J9029 HCPCS Instill Adstiladrin, Tx Dose 39 21 — — $50,683.82 $150,123.53 $75,061.77 2025-09-05
264 APR_DRG Other Nervous System & Related Procedures 50 12 — — $49,776.26 $160,035.50 $74,912.92 2025-09-05
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 50 12 — — $49,770.18 $160,016.54 $74,903.98 2025-09-05
1824 APR_DRG Other Peripheral Vascular Procedures # 50 12 — — $49,746.63 $159,943.12 $74,869.40 2025-09-05
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 50 12 — — $49,699.54 $159,796.24 $74,800.20 2025-09-05
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 35 21 — — $17,861.00 $122,391.95 $74,797.09 2025-09-05
B1903 HCPCS Guillain-barr? M >=38.50 And M <51.50 18 12 — — $71,481.08 $106,046.30 $74,680.49 2025-09-05
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 35 21 — — $17,861.00 $122,053.54 $74,637.82 2025-09-05
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 50 12 — — $49,436.72 $158,976.65 $74,414.08 2025-09-05
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 50 12 — — $49,400.26 $158,862.94 $74,360.51 2025-09-05
901 MS_DRG Wound Debridements For Injuries With Mcc 34 20 — — $17,861.00 $120,912.78 $74,100.94 2025-09-05
4444 APR_DRG Renal Dialysis Access Device Procedure Only 50 12 — — $49,092.62 $157,903.58 $73,908.54 2025-09-05
12 APR_DRG Liver Transplant &/or Intestinal Transplant 50 12 — — $48,920.95 $157,368.24 $73,656.34 2025-09-05
11 APR_DRG Liver Transplant &/or Intestinal Transplant 50 12 — — $48,920.95 $157,368.24 $73,656.34 2025-09-05
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 35 21 — — $17,861.00 $119,883.90 $73,616.71 2025-09-05
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 50 12 — — $48,854.87 $157,162.16 $73,559.26 2025-09-05
2614 APR_DRG Major Biliary Tract Procedures 50 12 — — $48,748.53 $156,830.54 $73,403.02 2025-09-05
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 50 12 — — $48,649.79 $156,522.58 $73,257.93 2025-09-05
B0205 HCPCS Traumatic Brain Injury M <35.50 18 12 — — $71,593.76 $103,737.90 $73,054.86 2025-09-05
1204 APR_DRG Major Respiratory & Chest Procedures 50 12 — — $48,370.25 $155,650.88 $72,847.27 2025-09-05
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 34 20 — — $17,861.00 $118,085.43 $72,770.28 2025-09-05
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 21 — — $17,861.00 $117,842.54 $72,655.97 2025-09-05
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 50 12 — — $48,233.52 $155,224.49 $72,646.39 2025-09-05
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 12 — — $71,118.17 $103,048.78 $72,569.56 2025-09-05
6903 APR_DRG Acute Leukemia 50 12 — — $48,158.32 $154,989.99 $72,535.92 2025-09-05
1214 APR_DRG Other Respiratory & Chest Procedures 50 12 — — $48,114.27 $154,852.58 $72,471.18 2025-09-05
3014 APR_DRG Hip Joint Replacement 50 12 — — $48,088.44 $154,772.06 $72,433.24 2025-09-05
2624 APR_DRG Cholecystectomy Except Laparoscopic 50 12 — — $48,087.68 $154,769.69 $72,432.13 2025-09-05
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 50 12 — — $48,051.22 $154,655.98 $72,378.56 2025-09-05
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 50 12 — — $47,993.50 $154,475.96 $72,293.75 2025-09-05
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 50 12 — — $47,953.24 $154,350.41 $72,234.60 2025-09-05
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 35 21 — — $17,861.00 $116,415.22 $71,984.22 2025-09-05
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 35 21 — — $17,861.00 $116,243.29 $71,903.30 2025-09-05
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 18 12 — — $70,166.98 $101,670.52 $71,598.96 2025-09-05
5184 APR_DRG Other Female Reproductive System & Related Procedures 50 12 — — $47,512.67 $152,976.51 $71,587.35 2025-09-05
140 MS_DRG Major Head And Neck Procedures With Mcc 35 21 — — $17,861.00 $115,419.10 $71,515.41 2025-09-05
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 50 12 — — $47,433.68 $152,730.16 $71,471.29 2025-09-05
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 50 12 — — $47,405.57 $152,642.52 $71,430.00 2025-09-05
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 50 12 — — $47,160.98 $151,879.77 $71,070.66 2025-09-05
31 MS_DRG Ventricular Shunt Procedures With Mcc 35 21 — — $17,861.00 $114,365.66 $71,019.62 2025-09-05
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 35 21 — — $17,861.00 $114,338.37 $71,006.78 2025-09-05
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 50 12 — — $47,114.65 $151,735.28 $71,002.58 2025-09-05
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 50 12 — — $47,055.40 $151,550.51 $70,915.54 2025-09-05
793 MS_DRG Full Term Neonate With Major Problems 30 20 — — $17,861.00 $100,481.27 $70,761.46 2025-09-05
3814 APR_DRG Major Skin Disorders 50 12 — — $46,942.22 $151,197.57 $70,749.27 2025-09-05
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 18 12 — — $69,296.35 $100,409.00 $70,710.56 2025-09-05
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 35 21 — — $17,861.00 $113,549.66 $70,635.58 2025-09-05
D1904 HCPCS Guillain-barr? M <38.50 18 12 — — $69,023.47 $100,013.60 $70,432.11 2025-09-05
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 12 — — $68,854.55 $99,768.83 $70,259.74 2025-09-05
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 12 — — $17,861.00 $107,242.71 $70,215.85 2025-09-05
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 37 22 — — $17,861.00 $112,223.32 $70,011.36 2025-09-05
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 34 20 — — $17,861.00 $112,160.55 $69,981.82 2025-09-05
A1904 HCPCS Guillain-barr? M <38.50 18 12 — — $68,563.47 $99,347.06 $69,962.72 2025-09-05
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 21 — — $17,861.00 $111,994.08 $69,903.47 2025-09-05
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 30 18 — — $64,768.93 $111,442.80 $69,644.01 2025-09-05
2294 APR_DRG Other Digestive System & Abdominal Procedures 50 12 — — $46,061.09 $148,449.78 $69,454.75 2025-09-05
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 35 21 — — $17,861.00 $111,003.41 $69,437.22 2025-09-05
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 18 12 — — $67,981.32 $98,503.54 $69,368.69 2025-09-05
791 MS_DRG Prematurity With Major Problems 30 20 — — $17,861.00 $98,464.06 $69,340.89 2025-09-05
3084 APR_DRG Hip And Femur Fracture Repair 50 12 — — $45,924.37 $148,023.38 $69,253.87 2025-09-05
3094 APR_DRG Other Significant Hip And Femur Surgery 50 12 — — $45,744.34 $147,461.99 $68,989.39 2025-09-05
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 50 12 — — $45,680.54 $147,263.02 $68,895.65 2025-09-05
A9543 HCPCS Y90 Ibritumomab, Rx 28 18 — — $11,819.79 $134,487.80 $68,588.78 2025-09-05
6504 APR_DRG Splenectomy 50 12 — — $45,424.56 $146,464.72 $68,519.57 2025-09-05
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 18 12 — — $67,113.29 $97,245.79 $68,482.95 2025-09-05
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 18 12 — — $67,092.50 $97,215.66 $68,461.73 2025-09-05
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 50 12 — — $45,372.14 $146,301.28 $68,442.57 2025-09-05
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 34 20 — — $17,861.00 $108,719.16 $68,362.17 2025-09-05
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 50 12 — — $45,295.43 $146,062.04 $68,329.86 2025-09-05
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 35 21 — — $17,861.00 $108,642.74 $68,326.20 2025-09-05
4403 APR_DRG Kidney Transplant 50 12 — — $45,192.13 $145,739.88 $68,178.09 2025-09-05
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 35 21 — — $17,861.00 $107,682.10 $67,874.09 2025-09-05
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 35 21 — — $17,861.00 $107,461.04 $67,770.05 2025-09-05
B0105 HCPCS Stroke M <41.50 And A >=84.50 18 12 — — $66,380.41 $96,183.86 $67,735.11 2025-09-05
C0106 HCPCS Stroke M <41.50 And A <84.50 18 12 — — $66,315.43 $96,089.71 $67,668.81 2025-09-05
See an error in this hospital's data? Submit a correction