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

Claxton-hepburn Medical Center

Heuvelton, NY · CCN 330211 · Rates published

15,111 distinct procedures filed
16 distinct payers
520,445 rate rows
2025-01-28 last MRF observed · ⚠ 17 mo old
Data quality

378,176 of 520,445 rate rows are consumer-grade (72.7%)

142,269 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
professional (physician) fee — not the facility price 139,364
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,938
template filing: same amount across many unrelated codes — excluded 708
per-diem day rate — not a per-procedure price 170
exceeds 10× this hospital's gross charge — excluded from medians 47
placeholder amount (≤ $0.02) — excluded from medians 42

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8209/150559686_claxton-hepburn-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ClaxtonHepburnMedicalCenter/8209
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f5356a0170073241… · 245,359,077 bytes · first seen 2026-05-08

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 $3,524,500.00 $4,081,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 9 $3,524,500.00 $4,081,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,155,692.43 $3,653,959.66 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,033,350.00 $3,512,300.00 $3,193,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,819,600.00 $3,264,800.00 $2,968,000.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,283,285.81 $2,643,804.63 $2,403,458.75 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,215,400.00 $2,565,200.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $537,342.65 $622,186.22 $565,623.84 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $523,752.42 $606,450.17 $551,318.34 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $501,896.81 $581,143.67 $528,312.43 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $490,661.67 $568,134.57 $516,485.97 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $465,041.29 $538,468.87 $489,517.15 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $463,648.93 $536,856.66 $488,051.51 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $184,302.45 $432,939.98 $393,581.80 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $137,658.48 $323,502.82 $294,093.47 nat. median
$265,286
1.1× median
24
APR_DRG 		Heart &/or Lung Transplant 6 $260,306.86 $312,368.23 $260,306.86 nat. median
$234,729
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $115,933.32 $272,530.73 $247,755.21 nat. median
$206,474
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 $104,736.23 $246,259.84 $223,872.58 nat. median
$202,976
1.1× median
5834
APR_DRG 		Neonate W Ecmo 6 $191,616.86 $229,940.23 $191,616.86 nat. median
$309,665
0.6× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $188,248.65 $225,898.38 $188,248.65 nat. median
$246,434
0.8× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $188,248.65 $225,898.38 $188,248.65 nat. median
$182,665
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $172,184.15 $206,620.98 $172,184.15 nat. median
$207,730
0.8× median
34
APR_DRG 		Bone Marrow Transplant 6 $167,182.18 $200,618.62 $167,182.18 nat. median
$209,067
0.8× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $69,053.31 $162,539.75 $147,763.41 nat. median
$133,161
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $144,534.93 $173,441.92 $144,534.93 nat. median
$164,289
0.9× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $144,012.73 $172,815.28 $144,012.73 nat. median
$145,336
1.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $144,012.73 $172,815.28 $144,012.73 nat. median
$124,573
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $139,789.59 $167,747.51 $139,789.59 nat. median
$160,267
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $64,028.50 $150,750.40 $137,045.82 nat. median
$117,357
1.2× median
7
MS_DRG 		Lung Transplant 10 $63,867.23 $150,372.04 $136,701.85 nat. median
$122,708
1.1× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 $134,818.95 $161,782.74 $134,818.95 nat. median
$105,658
1.3× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 6 $130,591.33 $156,709.60 $130,591.33 nat. median
$129,535
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $130,072.86 $156,087.43 $130,072.86 nat. median
$151,838
0.9× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $119,093.89 $142,912.67 $119,093.89 nat. median
$162,982
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $53,853.27 $126,877.07 $115,342.79 nat. median
$108,660
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $53,238.49 $125,434.65 $114,031.50 nat. median
$102,358
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 $112,808.04 $135,369.65 $112,808.04 nat. median
$118,620
1.0× median
23
APR_DRG 		Heart &/or Lung Transplant 6 $112,414.15 $134,896.98 $112,414.15 nat. median
$93,528
1.2× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 9 $106,267.00 $123,046.00 $111,860.00 nat. median
$96,983
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $52,043.62 $122,631.21 $111,482.92 nat. median
$100,136
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 10 $51,776.79 $122,005.17 $110,913.79 nat. median
$99,019
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $51,193.28 $120,636.12 $109,669.20 nat. median
$98,894
1.1× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $109,236.91 $131,084.29 $109,236.91 nat. median
$66,693
1.6× median
5833
APR_DRG 		Neonate W Ecmo 6 $108,860.18 $130,632.22 $108,860.18 nat. median
$244,017
outlier · 0.4×
5831
APR_DRG 		Neonate W Ecmo 6 $106,824.33 $128,189.20 $106,824.33 nat. median
$144,745
0.7× median
5832
APR_DRG 		Neonate W Ecmo 6 $106,824.33 $128,189.20 $106,824.33 nat. median
$156,126
0.7× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 $103,917.14 $124,700.57 $103,917.14 nat. median
$109,499
0.9× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 $102,870.50 $123,444.60 $102,870.50 nat. median
$68,217
1.5× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $101,591.10 $121,909.32 $101,591.10 nat. median
$108,996
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $47,164.93 $111,184.71 $101,077.01 nat. median
$93,672
1.1× median

Other procedures at this hospital

Browse this hospital's 15,111 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 9 — — $3,524,500.00 $4,081,000.00 $3,710,000.00 2025-01-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 12 9 — — $3,524,500.00 $4,081,000.00 $3,710,000.00 2025-01-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 9 — — $3,155,692.43 $3,653,959.66 $3,321,781.51 2025-01-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 9 — — $3,033,350.00 $3,512,300.00 $3,193,000.00 2025-01-28
J3393 HCPCS Inj, Betibeglogene Autotemce 12 9 — — $2,819,600.00 $3,264,800.00 $2,968,000.00 2025-01-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 9 — — $2,283,285.81 $2,643,804.63 $2,403,458.75 2025-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 12 9 — — $2,215,400.00 $2,565,200.00 $2,332,000.00 2025-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 9 — — $537,342.65 $622,186.22 $565,623.84 2025-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 12 9 — — $523,752.42 $606,450.17 $551,318.34 2025-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 12 9 — — $501,896.81 $581,143.67 $528,312.43 2025-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 9 — — $490,661.67 $568,134.57 $516,485.97 2025-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 9 — — $465,041.29 $538,468.87 $489,517.15 2025-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 12 9 — — $463,648.93 $536,856.66 $488,051.51 2025-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 10 — — $184,302.45 $432,939.98 $393,581.80 2025-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 10 — — $137,658.48 $323,502.82 $294,093.47 2025-01-28
24 APR_DRG Heart &/or Lung Transplant 7 6 — — $260,306.86 $312,368.23 $260,306.86 2025-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 10 — — $115,933.32 $272,530.73 $247,755.21 2025-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 14 10 — — $104,736.23 $246,259.84 $223,872.58 2025-01-28
5834 APR_DRG Neonate W Ecmo 7 6 — — $191,616.86 $229,940.23 $191,616.86 2025-01-28
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 7 6 — — $188,248.65 $225,898.38 $188,248.65 2025-01-28
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 7 6 — — $188,248.65 $225,898.38 $188,248.65 2025-01-28
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 6 — — $172,184.15 $206,620.98 $172,184.15 2025-01-28
34 APR_DRG Bone Marrow Transplant 7 6 — — $167,182.18 $200,618.62 $167,182.18 2025-01-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 14 10 — — $69,053.31 $162,539.75 $147,763.41 2025-01-28
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 6 — — $144,534.93 $173,441.92 $144,534.93 2025-01-28
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 7 6 — — $144,012.73 $172,815.28 $144,012.73 2025-01-28
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 7 6 — — $144,012.73 $172,815.28 $144,012.73 2025-01-28
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 7 6 — — $139,789.59 $167,747.51 $139,789.59 2025-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 14 10 — — $64,028.50 $150,750.40 $137,045.82 2025-01-28
7 MS_DRG Lung Transplant 14 10 — — $63,867.23 $150,372.04 $136,701.85 2025-01-28
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 6 — — $134,818.95 $161,782.74 $134,818.95 2025-01-28
14 APR_DRG Liver Transplant &/or Intestinal Transplant 7 6 — — $130,591.33 $156,709.60 $130,591.33 2025-01-28
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 6 — — $130,072.86 $156,087.43 $130,072.86 2025-01-28
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 6 — — $119,093.89 $142,912.67 $119,093.89 2025-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 10 — — $53,853.27 $126,877.07 $115,342.79 2025-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 10 — — $53,238.49 $125,434.65 $114,031.50 2025-01-28
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $112,808.04 $135,369.65 $112,808.04 2025-01-28
23 APR_DRG Heart &/or Lung Transplant 7 6 — — $112,414.15 $134,896.98 $112,414.15 2025-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 9 — — $106,267.00 $123,046.00 $111,860.00 2025-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 10 — — $52,043.62 $122,631.21 $111,482.92 2025-01-28
215 MS_DRG Other Heart Assist System Implant 14 10 — — $51,776.79 $122,005.17 $110,913.79 2025-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $51,193.28 $120,636.12 $109,669.20 2025-01-28
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 7 6 — — $109,236.91 $131,084.29 $109,236.91 2025-01-28
5833 APR_DRG Neonate W Ecmo 7 6 — — $108,860.18 $130,632.22 $108,860.18 2025-01-28
5831 APR_DRG Neonate W Ecmo 7 6 — — $106,824.33 $128,189.20 $106,824.33 2025-01-28
5832 APR_DRG Neonate W Ecmo 7 6 — — $106,824.33 $128,189.20 $106,824.33 2025-01-28
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 6 — — $103,917.14 $124,700.57 $103,917.14 2025-01-28
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 6 — — $102,870.50 $123,444.60 $102,870.50 2025-01-28
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 6 — — $101,591.10 $121,909.32 $101,591.10 2025-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $47,164.93 $111,184.71 $101,077.01 2025-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 9 — — $94,999.99 $109,999.99 $99,999.99 2025-01-28
850 MS_DRG Acute Leukemia With Other Procedures 14 10 — — $45,018.56 $106,148.83 $96,498.94 2025-01-28
22 APR_DRG Heart &/or Lung Transplant 7 6 — — $95,830.44 $114,996.53 $95,830.44 2025-01-28
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $92,098.92 $110,518.70 $92,098.92 2025-01-28
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 6 — — $91,232.80 $109,479.36 $91,232.80 2025-01-28
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 6 — — $90,556.92 $108,668.30 $90,556.92 2025-01-28
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 7 6 — — $90,556.92 $108,668.30 $90,556.92 2025-01-28
21 APR_DRG Heart &/or Lung Transplant 7 6 — — $90,267.47 $108,320.96 $90,267.47 2025-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 10 — — $41,411.95 $97,686.94 $88,806.31 2025-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $41,388.98 $97,633.05 $88,757.32 2025-01-28
33 APR_DRG Bone Marrow Transplant 7 6 — — $88,201.04 $105,841.25 $88,201.04 2025-01-28
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 6 — — $88,139.12 $105,766.94 $88,139.12 2025-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 10 — — $40,760.51 $96,158.51 $87,416.83 2025-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 10 — — $39,394.60 $92,953.77 $84,503.43 2025-01-28
904 APR_DRG Major Larynx & Trachea Procedures 7 6 — — $83,779.46 $100,535.35 $83,779.46 2025-01-28
10 MS_DRG Pancreas Transplant 14 10 — — $38,964.05 $91,943.62 $83,585.11 2025-01-28
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $83,269.94 $99,923.93 $83,269.94 2025-01-28
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 6 — — $83,120.73 $99,744.88 $83,120.73 2025-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 10 — — $38,740.72 $91,419.63 $83,108.75 2025-01-28
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 6 — — $82,224.04 $98,668.85 $82,224.04 2025-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 10 — — $38,198.75 $90,148.05 $81,952.77 2025-01-28
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 6 — — $81,273.62 $97,528.34 $81,273.62 2025-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $37,813.16 $89,243.39 $81,130.35 2025-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 9 — — $76,896.03 $89,037.51 $80,943.19 2025-01-28
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 7 6 — — $80,589.54 $96,707.45 $80,589.54 2025-01-28
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 7 6 — — $78,430.59 $94,116.71 $78,430.59 2025-01-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 10 — — $36,477.55 $86,109.72 $78,281.56 2025-01-28
4404 APR_DRG Kidney Transplant 7 6 — — $77,466.01 $92,959.21 $77,466.01 2025-01-28
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 6 — — $75,127.28 $90,152.74 $75,127.28 2025-01-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $34,710.89 $81,964.76 $74,513.42 2025-01-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 6 — — $74,182.09 $89,018.51 $74,182.09 2025-01-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 10 — — $34,536.43 $81,555.43 $74,141.30 2025-01-28
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 6 — — $73,404.01 $88,084.81 $73,404.01 2025-01-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 14 10 — — $33,996.42 $80,288.45 $72,989.50 2025-01-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 10 — — $33,369.90 $78,818.50 $71,653.18 2025-01-28
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 7 6 — — $71,620.31 $85,944.37 $71,620.31 2025-01-28
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $70,751.21 $84,901.45 $70,751.21 2025-01-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 10 — — $32,765.87 $77,401.30 $70,364.82 2025-01-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 10 — — $32,639.78 $77,105.47 $70,095.88 2025-01-28
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 7 6 — — $70,010.43 $84,012.52 $70,010.43 2025-01-28
38240 CPT Transplt Allo Hct/Donor 15 9 — — $617.00 $244,199.47 $69,986.67 2025-01-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 10 — — $32,584.56 $76,975.91 $69,978.10 2025-01-28
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 6 — — $68,876.50 $82,651.80 $68,876.50 2025-01-28
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 6 — — $68,499.76 $82,199.71 $68,499.76 2025-01-28
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $68,252.83 $81,903.40 $68,252.83 2025-01-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 14 10 — — $31,605.21 $74,678.14 $67,889.22 2025-01-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $31,559.76 $74,571.50 $67,792.27 2025-01-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 7 6 — — $67,157.70 $80,589.24 $67,157.70 2025-01-28
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 6 — — $66,980.15 $80,376.18 $66,980.15 2025-01-28
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 6 — — $66,925.69 $80,310.83 $66,925.69 2025-01-28
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 6 — — $66,739.93 $80,087.92 $66,739.93 2025-01-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 10 — — $30,906.85 $73,039.62 $66,399.65 2025-01-28
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 7 6 — — $66,315.46 $79,578.55 $66,315.46 2025-01-28
6904 APR_DRG Acute Leukemia 7 6 — — $65,298.65 $78,358.38 $65,298.65 2025-01-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 10 — — $30,272.03 $71,550.20 $65,045.64 2025-01-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 10 — — $30,232.94 $71,458.46 $64,962.24 2025-01-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $30,095.12 $71,135.14 $64,668.31 2025-01-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 10 — — $29,990.05 $70,888.61 $64,444.19 2025-01-28
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 6 — — $64,437.76 $77,325.31 $64,437.76 2025-01-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 10 — — $29,853.22 $70,567.56 $64,152.33 2025-01-28
28 MS_DRG Spinal Procedures With Mcc 14 10 — — $29,710.52 $70,232.76 $63,847.96 2025-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 9 — — $60,231.94 $69,742.24 $63,402.04 2025-01-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 10 — — $29,497.44 $69,732.85 $63,393.50 2025-01-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 10 — — $29,497.44 $69,732.85 $63,393.50 2025-01-28
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 6 — — $63,213.56 $75,856.27 $63,213.56 2025-01-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 10 — — $29,277.04 $69,215.72 $62,923.38 2025-01-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 7 6 — — $62,575.73 $75,090.88 $62,575.73 2025-01-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $29,074.23 $68,739.89 $62,490.81 2025-01-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $3,740.00 $68,688.29 $62,443.90 2025-01-28
13 APR_DRG Liver Transplant &/or Intestinal Transplant 7 6 — — $62,414.59 $74,897.51 $62,414.59 2025-01-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 10 — — $28,756.09 $67,993.45 $61,812.23 2025-01-28
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 6 — — $61,274.69 $73,529.63 $61,274.69 2025-01-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 10 — — $28,453.58 $67,283.70 $61,167.00 2025-01-28
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 6 — — $60,533.16 $72,639.79 $60,533.16 2025-01-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $28,048.45 $66,333.18 $60,302.89 2025-01-28
234 APR_DRG Spinal Procedures 7 6 — — $60,292.95 $72,351.54 $60,292.95 2025-01-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $27,880.82 $65,939.90 $59,945.36 2025-01-28
653 MS_DRG Major Bladder Procedures With Mcc 14 10 — — $27,243.07 $64,443.60 $58,585.09 2025-01-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 10 — — $27,011.92 $63,901.23 $58,092.03 2025-01-28
834 MS_DRG Acute Leukemia With Mcc 14 10 — — $27,011.92 $63,901.23 $58,092.03 2025-01-28
32 APR_DRG Bone Marrow Transplant 7 6 — — $57,894.54 $69,473.45 $57,894.54 2025-01-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 10 — — $26,898.54 $63,635.22 $57,850.20 2025-01-28
L7181 HCPCS Electronic Elbo Simultaneous 12 9 — — $54,733.78 $63,375.96 $57,614.51 2025-01-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 10 — — $26,734.33 $63,249.97 $57,499.97 2025-01-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 10 — — $26,590.66 $62,912.87 $57,193.52 2025-01-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $26,530.06 $62,770.70 $57,064.27 2025-01-28
64 APR_DRG Pancreas Transplant 7 6 — — $56,986.65 $68,383.98 $56,986.65 2025-01-28
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 7 6 — — $56,924.73 $68,309.68 $56,924.73 2025-01-28
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 7 6 — — $56,895.64 $68,274.77 $56,895.64 2025-01-28
A9543 HCPCS Y90 Ibritumomab, Rx 12 9 — — $53,983.32 $62,507.01 $56,824.55 2025-01-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 10 — — $26,394.69 $62,453.07 $56,775.52 2025-01-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 10 — — $26,369.76 $62,394.63 $56,722.39 2025-01-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $26,366.83 $62,387.73 $56,716.12 2025-01-28
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 7 6 — — $56,521.89 $67,826.27 $56,521.89 2025-01-28
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 7 6 — — $55,975.81 $67,170.97 $55,975.81 2025-01-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 10 — — $25,999.82 $61,526.63 $55,933.30 2025-01-28
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $55,789.31 $66,947.17 $55,789.31 2025-01-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $25,884.97 $61,257.19 $55,688.35 2025-01-28
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 7 6 — — $55,402.14 $66,482.57 $55,402.14 2025-01-28
6954 APR_DRG Chemotherapy For Acute Leukemia # 7 6 — — $55,105.97 $66,127.16 $55,105.97 2025-01-28
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 7 6 — — $54,856.81 $65,828.17 $54,856.81 2025-01-28
63 APR_DRG Pancreas Transplant 7 6 — — $54,564.37 $65,477.24 $54,564.37 2025-01-28
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 7 6 — — $54,332.36 $65,198.83 $54,332.36 2025-01-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 10 — — $25,168.54 $59,576.25 $54,160.23 2025-01-28
214 APR_DRG Craniotomy Except For Trauma 7 6 — — $54,021.28 $64,825.54 $54,021.28 2025-01-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 10 — — $25,084.97 $59,380.21 $53,982.01 2025-01-28
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 6 — — $53,627.39 $64,352.87 $53,627.39 2025-01-28
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 6 — — $53,627.39 $64,352.87 $53,627.39 2025-01-28
1694 APR_DRG Major Abdominal Vascular Procedures 7 6 — — $53,584.86 $64,301.83 $53,584.86 2025-01-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 6 — — $53,581.88 $64,298.26 $53,581.88 2025-01-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 10 — — $24,897.31 $58,939.90 $53,581.73 2025-01-28
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 6 — — $53,581.13 $64,297.36 $53,581.13 2025-01-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 10 — — $24,821.07 $58,761.03 $53,419.12 2025-01-28
33276 CPT Insj Phrnc Nrv Stim Sys 12 9 — — $50,589.20 $58,576.97 $53,251.79 2025-01-28
0266T CPT Implt/rpl Crtd Sns Dev Total 13 9 — — $437.00 $58,576.97 $53,251.79 2025-01-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $24,615.33 $58,278.31 $52,980.28 2025-01-28
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 7 6 — — $52,874.67 $63,449.60 $52,874.67 2025-01-28
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 7 6 — — $52,831.40 $63,397.68 $52,831.40 2025-01-28
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 7 6 — — $52,791.86 $63,350.23 $52,791.86 2025-01-28
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 7 6 — — $52,699.36 $63,239.23 $52,699.36 2025-01-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 10 — — $24,470.19 $57,937.78 $52,670.71 2025-01-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 10 — — $24,451.13 $57,893.07 $52,630.06 2025-01-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 10 — — $24,441.35 $57,870.13 $52,609.21 2025-01-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 6 — — $52,571.04 $63,085.25 $52,571.04 2025-01-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 10 — — $24,353.39 $57,663.73 $52,421.57 2025-01-28
L7180 HCPCS Electronic Elbow Sequential 12 9 — — $49,664.01 $57,505.69 $52,277.90 2025-01-28
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 6 — — $52,130.90 $62,557.08 $52,130.90 2025-01-28
4014 APR_DRG Pituitary & Adrenal Procedures 7 6 — — $52,128.66 $62,554.39 $52,128.66 2025-01-28
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 6 — — $51,463.22 $61,755.86 $51,463.22 2025-01-28
245 MS_DRG Aicd Generator Procedures 14 10 — — $23,881.79 $56,557.27 $51,415.70 2025-01-28
471 MS_DRG Cervical Spinal Fusion With Mcc 14 10 — — $23,737.63 $56,219.04 $51,108.22 2025-01-28
3104 APR_DRG Intervertebral Disc Excision & Decompression 7 6 — — $51,043.22 $61,251.86 $51,043.22 2025-01-28
6 MS_DRG Liver Transplant Without Mcc 14 10 — — $23,698.04 $56,126.14 $51,023.76 2025-01-28
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 6 — — $50,904.47 $61,085.36 $50,904.47 2025-01-28
894 APR_DRG Major Cranial/facial Bone Procedures 7 6 — — $50,867.17 $61,040.60 $50,867.17 2025-01-28
244 APR_DRG Extracranial Vascular Procedures 7 6 — — $50,680.66 $60,816.79 $50,680.66 2025-01-28
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 7 6 — — $50,669.47 $60,803.36 $50,669.47 2025-01-28
4414 APR_DRG Major Bladder Procedures 7 6 — — $50,454.62 $60,545.54 $50,454.62 2025-01-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 — — $23,337.87 $55,281.11 $50,255.55 2025-01-28
799 MS_DRG Splenic Procedures With Mcc 14 10 — — $23,236.71 $55,043.75 $50,039.77 2025-01-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 10 — — $23,232.31 $55,033.43 $50,030.39 2025-01-28
204 APR_DRG Craniotomy For Trauma 7 6 — — $49,907.80 $59,889.36 $49,907.80 2025-01-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 10 — — $22,991.87 $54,469.31 $49,517.55 2025-01-28
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 7 6 — — $49,469.15 $59,362.98 $49,469.15 2025-01-28
31 APR_DRG Bone Marrow Transplant 7 6 — — $49,427.37 $59,312.84 $49,427.37 2025-01-28
1814 APR_DRG Lower Extremity Arterial Procedures # 7 6 — — $49,359.49 $59,231.39 $49,359.49 2025-01-28
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 7 6 — — $49,316.22 $59,179.46 $49,316.22 2025-01-28
2214 APR_DRG Major Small & Large Bowel Procedures 7 6 — — $49,298.31 $59,157.97 $49,298.31 2025-01-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 10 — — $22,868.72 $54,180.37 $49,254.88 2025-01-28
4034 APR_DRG Procedures For Obesity 7 6 — — $49,062.58 $58,875.10 $49,062.58 2025-01-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 10 — — $22,733.84 $53,863.91 $48,967.19 2025-01-28
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $22,525.16 $53,374.32 $48,522.11 2025-01-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 10 — — $22,515.88 $53,352.52 $48,502.29 2025-01-28
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $48,435.93 $58,123.12 $48,435.93 2025-01-28
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 7 6 — — $48,418.03 $58,101.64 $48,418.03 2025-01-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 10 — — $22,444.04 $53,183.99 $48,349.08 2025-01-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 10 — — $22,440.62 $53,175.96 $48,341.78 2025-01-28
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 7 6 — — $48,276.29 $57,931.55 $48,276.29 2025-01-28
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 7 6 — — $47,813.76 $57,376.51 $47,813.76 2025-01-28
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 7 6 — — $47,564.60 $57,077.52 $47,564.60 2025-01-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 10 — — $22,048.19 $52,255.23 $47,504.75 2025-01-28
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 7 6 — — $47,319.16 $56,782.99 $47,319.16 2025-01-28
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 7 6 — — $47,256.50 $56,707.80 $47,256.50 2025-01-28
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 7 6 — — $47,243.07 $56,691.68 $47,243.07 2025-01-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 10 — — $21,916.73 $51,946.77 $47,224.34 2025-01-28
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 7 6 — — $47,150.56 $56,580.67 $47,150.56 2025-01-28
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 7 6 — — $47,132.66 $56,559.19 $47,132.66 2025-01-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 10 — — $21,856.13 $51,804.62 $47,095.11 2025-01-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 6 — — $47,011.81 $56,414.17 $47,011.81 2025-01-28
264 APR_DRG Other Nervous System & Related Procedures 7 6 — — $46,818.59 $56,182.31 $46,818.59 2025-01-28
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 6 — — $46,812.62 $56,175.14 $46,812.62 2025-01-28
1824 APR_DRG Other Peripheral Vascular Procedures # 7 6 — — $46,789.50 $56,147.40 $46,789.50 2025-01-28
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 7 6 — — $46,743.24 $56,091.89 $46,743.24 2025-01-28
901 MS_DRG Wound Debridements For Injuries With Mcc 14 10 — — $21,651.85 $51,325.35 $46,659.41 2025-01-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 6 — — $46,485.13 $55,782.16 $46,485.13 2025-01-28
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 7 6 — — $46,449.32 $55,739.18 $46,449.32 2025-01-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 10 — — $21,467.61 $50,893.07 $46,266.43 2025-01-28
4444 APR_DRG Renal Dialysis Access Device Procedure Only 7 6 — — $46,147.19 $55,376.63 $46,147.19 2025-01-28
12 APR_DRG Liver Transplant &/or Intestinal Transplant 7 6 — — $45,978.59 $55,174.31 $45,978.59 2025-01-28
11 APR_DRG Liver Transplant &/or Intestinal Transplant 7 6 — — $45,978.59 $55,174.31 $45,978.59 2025-01-28
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 7 6 — — $45,913.69 $55,096.43 $45,913.69 2025-01-28
2614 APR_DRG Major Biliary Tract Procedures 7 6 — — $45,809.24 $54,971.09 $45,809.24 2025-01-28
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 6 — — $45,712.26 $54,854.71 $45,712.26 2025-01-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 14 10 — — $21,145.56 $50,137.45 $45,579.50 2025-01-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 10 — — $21,102.07 $50,035.43 $45,486.75 2025-01-28
1204 APR_DRG Major Respiratory & Chest Procedures 7 6 — — $45,437.73 $54,525.28 $45,437.73 2025-01-28
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 6 — — $45,303.45 $54,364.14 $45,303.45 2025-01-28
J9226 HCPCS Supprelin La Implant 12 9 — — $42,998.71 $49,787.98 $45,261.80 2025-01-28
6903 APR_DRG Acute Leukemia 7 6 — — $45,229.60 $54,275.52 $45,229.60 2025-01-28
1214 APR_DRG Other Respiratory & Chest Procedures 7 6 — — $45,186.33 $54,223.60 $45,186.33 2025-01-28
3014 APR_DRG Hip Joint Replacement 7 6 — — $45,160.97 $54,193.16 $45,160.97 2025-01-28
2624 APR_DRG Cholecystectomy Except Laparoscopic 7 6 — — $45,160.22 $54,192.26 $45,160.22 2025-01-28
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 7 6 — — $45,124.41 $54,149.29 $45,124.41 2025-01-28
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 6 — — $45,067.71 $54,081.25 $45,067.71 2025-01-28
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 7 6 — — $45,028.18 $54,033.82 $45,028.18 2025-01-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $20,846.48 $49,435.75 $44,941.59 2025-01-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 10 — — $20,815.69 $49,363.50 $44,875.91 2025-01-28
5184 APR_DRG Other Female Reproductive System & Related Procedures 7 6 — — $44,595.49 $53,514.59 $44,595.49 2025-01-28
140 MS_DRG Major Head And Neck Procedures With Mcc 14 10 — — $20,668.10 $49,017.23 $44,561.12 2025-01-28
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 7 6 — — $44,517.91 $53,421.49 $44,517.91 2025-01-28
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 6 — — $44,490.31 $53,388.37 $44,490.31 2025-01-28
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 7 6 — — $44,250.09 $53,100.11 $44,250.09 2025-01-28
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 6 — — $44,204.59 $53,045.51 $44,204.59 2025-01-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 10 — — $20,479.46 $48,574.65 $44,158.77 2025-01-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 10 — — $20,474.58 $48,563.17 $44,148.34 2025-01-28
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 7 6 — — $44,146.40 $52,975.68 $44,146.40 2025-01-28
3814 APR_DRG Major Skin Disorders 7 6 — — $44,035.24 $52,842.29 $44,035.24 2025-01-28
793 MS_DRG Full Term Neonate With Major Problems 14 11 — — $3,740.00 $48,344.19 $43,949.26 2025-01-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 10 — — $20,333.34 $48,231.82 $43,847.11 2025-01-28
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 6 — — $43,593.61 $52,312.33 $43,593.61 2025-01-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 10 — — $20,095.83 $47,674.57 $43,340.52 2025-01-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 10 — — $20,084.59 $47,648.21 $43,316.55 2025-01-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 10 — — $20,054.78 $47,578.25 $43,252.95 2025-01-28
2294 APR_DRG Other Digestive System & Abdominal Procedures 7 6 — — $43,169.88 $51,803.86 $43,169.88 2025-01-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 10 — — $19,956.06 $47,346.63 $43,042.39 2025-01-28
3084 APR_DRG Hip And Femur Fracture Repair 7 6 — — $43,035.59 $51,642.71 $43,035.59 2025-01-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 10 — — $19,877.38 $47,162.03 $42,874.57 2025-01-28
3094 APR_DRG Other Significant Hip And Femur Surgery 7 6 — — $42,858.79 $51,430.55 $42,858.79 2025-01-28
791 MS_DRG Prematurity With Major Problems 14 11 — — $3,740.00 $47,076.04 $42,796.40 2025-01-28
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 7 6 — — $42,796.13 $51,355.36 $42,796.13 2025-01-28
6504 APR_DRG Splenectomy 7 6 — — $42,544.72 $51,053.66 $42,544.72 2025-01-28
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 6 — — $42,493.25 $50,991.90 $42,493.25 2025-01-28
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 7 6 — — $42,417.90 $50,901.48 $42,417.90 2025-01-28
4403 APR_DRG Kidney Transplant 7 6 — — $42,316.44 $50,779.73 $42,316.44 2025-01-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 10 — — $19,468.34 $46,202.33 $42,002.12 2025-01-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 10 — — $19,454.66 $46,170.23 $41,972.94 2025-01-28
2234 APR_DRG Other Small & Large Bowel Procedures 7 6 — — $41,615.94 $49,939.13 $41,615.94 2025-01-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 10 — — $19,282.64 $45,766.62 $41,606.02 2025-01-28
2244 APR_DRG Peritoneal Adhesiolysis 7 6 — — $41,542.09 $49,850.51 $41,542.09 2025-01-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 10 — — $19,243.05 $45,673.75 $41,521.59 2025-01-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 10 — — $19,203.96 $45,582.02 $41,438.20 2025-01-28
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 9 — — $39,347.28 $45,560.01 $41,418.19 2025-01-28
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 7 6 — — $41,283.97 $49,540.76 $41,283.97 2025-01-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 10 — — $19,118.92 $45,382.50 $41,256.82 2025-01-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 10 — — $19,109.64 $45,360.72 $41,237.02 2025-01-28
L8701 HCPCS Ewh S/d Uprt Micro Sensor 12 9 — — $39,084.26 $45,255.46 $41,141.33 2025-01-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 10 — — $19,004.08 $45,113.06 $41,011.87 2025-01-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 — — $18,888.26 $44,841.32 $40,764.84 2025-01-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 10 — — $18,869.20 $44,796.60 $40,724.18 2025-01-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 10 — — $18,816.42 $44,672.76 $40,611.60 2025-01-28
3024 APR_DRG Knee Joint Replacement 7 6 — — $40,603.61 $48,724.33 $40,603.61 2025-01-28
4234 APR_DRG Inborn Errors Of Metabolism 7 6 — — $40,570.04 $48,684.05 $40,570.04 2025-01-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 10 — — $18,680.07 $44,352.88 $40,320.80 2025-01-28
224 APR_DRG Ventricular Shunt Procedures 7 6 — — $40,191.07 $48,229.28 $40,191.07 2025-01-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 10 — — $18,578.91 $44,115.52 $40,105.02 2025-01-28
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 7 6 — — $40,036.65 $48,043.98 $40,036.65 2025-01-28
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 7 6 — — $39,940.42 $47,928.50 $39,940.42 2025-01-28
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 7 6 — — $39,885.21 $47,862.25 $39,885.21 2025-01-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 10 — — $18,434.25 $43,776.13 $39,796.48 2025-01-28
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 6 — — $39,744.22 $47,693.06 $39,744.22 2025-01-28
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