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

NICHOLAS H NOYES MEMORIAL HOSPITAL

Dansville, NY · CCN 330238 · Rates published

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You selected 93306 (CPT)

Tte w/doppler complete

This hospital’s price: $183 across 46 payers · range $49-$1,622

Source: https://www.urmc.rochester.edu/getmedia/016bb4df-9b94-41b6-a803-c44ad94a879c/160743979-NICHOLAS-H-NOYES-MEMORIAL-HOSPITAL-standardcharges.csv · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

14,383 distinct procedures filed
49 distinct payers
427,690 rate rows
2026-01-01 last MRF observed
Data quality

394,224 of 427,690 rate rows are consumer-grade (92.2%)

33,466 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 30,837
per-diem day rate — not a per-procedure price 1,261
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 626
template filing: same amount across many unrelated codes — excluded 612
placeholder amount (≤ $0.02) — excluded from medians 130
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.urmc.rochester.edu/getmedia/016bb4df-9b94-41b6-a803-c44ad94a879c/160743979-NICHOLAS-H-NOYES-MEMORIAL-HOSPITAL-standardcharges.csv
Found on page https://www.urmc.rochester.edu/pay-a-bill/cost-estimates-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint a2f821ace950f635… · 106,532,366 bytes · first seen 2026-05-06

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $231,243.89 $607,452.45 $403,594.29 nat. median
$359,358
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $114,331.93 $300,337.48 $199,842.83 nat. median
$198,433
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $113,660.95 $298,574.89 $198,673.45 nat. median
$190,557
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 12 $152,789.09 $443,088.37 $193,781.29 nat. median
$155,833
1.2× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 12 $152,789.09 $443,088.37 $193,781.29 nat. median
$155,877
1.2× median
5834
APR_DRG 		Neonate W Ecmo 17 $127,459.87 $466,497.54 $177,711.39 nat. median
$307,273
0.6× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 12 $137,760.71 $399,506.05 $174,720.89 nat. median
$140,530
1.2× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 12 $137,760.71 $399,506.05 $174,720.89 nat. median
$140,545
1.2× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 17 $125,225.95 $458,308.69 $174,591.06 nat. median
$247,214
0.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 17 $125,225.95 $458,308.69 $174,591.06 nat. median
$175,429
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 17 $114,571.42 $419,252.47 $159,708.87 nat. median
$202,993
0.8× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 12 $122,732.32 $355,923.73 $155,660.51 nat. median
$120,722
1.3× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 12 $122,732.32 $355,923.73 $155,660.51 nat. median
$120,722
1.3× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 12 $107,703.93 $312,341.41 $136,600.11 nat. median
$105,940
1.3× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 12 $107,703.93 $312,341.41 $136,600.11 nat. median
$105,940
1.3× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 17 $96,233.50 $352,031.31 $134,094.56 nat. median
$162,514
0.8× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 17 $95,887.16 $350,761.72 $133,610.79 nat. median
$120,505
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 17 $95,887.16 $350,761.72 $133,610.79 nat. median
$145,061
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $74,174.25 $194,847.64 $129,856.95 nat. median
$126,722
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 17 $93,086.22 $340,494.36 $129,698.46 nat. median
$156,153
0.8× median
4-Apr
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 17 $89,789.52 $328,409.68 $125,093.65 nat. median
$97,258
1.3× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 12 $95,180.28 $276,022.81 $120,716.45 nat. median
$96,908
1.2× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 12 $95,180.28 $276,022.81 $120,716.45 nat. median
$97,104
1.2× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 17 $86,641.75 $316,870.92 $120,696.85 nat. median
$151,838
0.8× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 17 $79,360.12 $290,178.70 $110,525.90 nat. median
$165,000
0.7× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 12 $85,161.36 $246,967.93 $108,009.52 nat. median
$86,882
1.2× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 12 $85,161.36 $246,967.93 $108,009.52 nat. median
$86,858
1.2× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $60,612.17 $159,221.56 $106,221.28 nat. median
$92,655
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 $75,191.13 $274,896.46 $104,702.68 nat. median
$118,589
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $59,018.53 $155,035.22 $103,443.91 nat. median
$93,270
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $58,230.81 $152,965.96 $102,071.09 nat. median
$97,414
1.0× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 17 $72,822.63 $266,214.28 $101,394.38 nat. median
$61,012
1.7× median
5833
APR_DRG 		Neonate W Ecmo 17 $72,572.77 $265,298.36 $101,045.37 nat. median
$244,017
outlier · 0.4×
5832
APR_DRG 		Neonate W Ecmo 17 $71,222.52 $260,348.77 $99,159.36 nat. median
$159,249
0.6× median
5831
APR_DRG 		Neonate W Ecmo 17 $71,222.52 $260,348.77 $99,159.36 nat. median
$146,591
0.7× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 17 $69,294.38 $253,280.78 $96,466.12 nat. median
$107,657
0.9× median
4-May
OTHER 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 17 $68,600.20 $250,736.16 $95,496.51 nat. median
$74,402
1.3× median
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 12 $75,142.43 $217,913.05 $95,302.60 nat. median
$76,661
1.2× median
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 12 $75,142.43 $217,913.05 $95,302.60 nat. median
$76,639
1.2× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 17 $67,751.66 $247,625.67 $94,311.27 nat. median
$108,798
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $53,319.74 $140,065.12 $93,512.19 nat. median
$93,917
1.0× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $52,386.89 $137,614.65 $91,886.46 nat. median
$90,581
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 15 $51,940.67 $150,627.95 $88,679.19 nat. median
$68,423
1.3× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 17 $61,456.12 $224,548.15 $85,517.69 nat. median
$96,883
0.9× median
38240
CPT 		Transplt Allo Hct/donor 17 $645.00 $186,716.88 $84,799.93 nat. median
$12,855
outlier · 6.6×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 17 $60,881.68 $222,442.44 $84,715.32 nat. median
$154,011
0.6× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $48,246.41 $126,738.04 $84,670.51 nat. median
$78,037
1.1× median
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 17 $60,433.42 $220,799.23 $84,089.18 nat. median
$93,998
0.9× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 17 $60,433.42 $220,799.23 $84,089.18 nat. median
$89,188
0.9× median
1582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 12 $65,123.51 $188,858.17 $82,595.67 nat. median
$66,440
1.2× median

Other procedures at this hospital

Browse this hospital's 14,383 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 12 — — $231,243.89 $607,452.45 $403,594.29 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 12 — — $114,331.93 $300,337.48 $199,842.83 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 12 — — $113,660.95 $298,574.89 $198,673.45 2026-01-01
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 14 12 — — $152,789.09 $443,088.37 $193,781.29 2026-01-01
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 14 12 — — $152,789.09 $443,088.37 $193,781.29 2026-01-01
5834 APR_DRG Neonate W Ecmo 26 17 — — $127,459.87 $466,497.54 $177,711.39 2026-01-01
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 14 12 — — $137,760.71 $399,506.05 $174,720.89 2026-01-01
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 14 12 — — $137,760.71 $399,506.05 $174,720.89 2026-01-01
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 26 17 — — $125,225.95 $458,308.69 $174,591.06 2026-01-01
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 26 17 — — $125,225.95 $458,308.69 $174,591.06 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 26 17 — — $114,571.42 $419,252.47 $159,708.87 2026-01-01
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 14 12 — — $122,732.32 $355,923.73 $155,660.51 2026-01-01
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 14 12 — — $122,732.32 $355,923.73 $155,660.51 2026-01-01
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 14 12 — — $107,703.93 $312,341.41 $136,600.11 2026-01-01
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 14 12 — — $107,703.93 $312,341.41 $136,600.11 2026-01-01
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 26 17 — — $96,233.50 $352,031.31 $134,094.56 2026-01-01
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 26 17 — — $95,887.16 $350,761.72 $133,610.79 2026-01-01
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 26 17 — — $95,887.16 $350,761.72 $133,610.79 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 12 — — $74,174.25 $194,847.64 $129,856.95 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 26 17 — — $93,086.22 $340,494.36 $129,698.46 2026-01-01
4-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 26 17 — — $89,789.52 $328,409.68 $125,093.65 2026-01-01
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 14 12 — — $95,180.28 $276,022.81 $120,716.45 2026-01-01
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 14 12 — — $95,180.28 $276,022.81 $120,716.45 2026-01-01
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 26 17 — — $86,641.75 $316,870.92 $120,696.85 2026-01-01
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 26 17 — — $79,360.12 $290,178.70 $110,525.90 2026-01-01
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 14 12 — — $85,161.36 $246,967.93 $108,009.52 2026-01-01
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 14 12 — — $85,161.36 $246,967.93 $108,009.52 2026-01-01
209 MS_DRG Complex Aortic Arch Procedures 12 12 — — $60,612.17 $159,221.56 $106,221.28 2026-01-01
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $75,191.13 $274,896.46 $104,702.68 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $59,018.53 $155,035.22 $103,443.91 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 12 — — $58,230.81 $152,965.96 $102,071.09 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 26 17 — — $72,822.63 $266,214.28 $101,394.38 2026-01-01
5833 APR_DRG Neonate W Ecmo 26 17 — — $72,572.77 $265,298.36 $101,045.37 2026-01-01
5831 APR_DRG Neonate W Ecmo 26 17 — — $71,222.52 $260,348.77 $99,159.36 2026-01-01
5832 APR_DRG Neonate W Ecmo 26 17 — — $71,222.52 $260,348.77 $99,159.36 2026-01-01
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 26 17 — — $69,294.38 $253,280.78 $96,466.12 2026-01-01
4-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 26 17 — — $68,600.20 $250,736.16 $95,496.51 2026-01-01
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 14 12 — — $75,142.43 $217,913.05 $95,302.60 2026-01-01
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 14 12 — — $75,142.43 $217,913.05 $95,302.60 2026-01-01
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 26 17 — — $67,751.66 $247,625.67 $94,311.27 2026-01-01
215 MS_DRG Other Heart Assist System Implant 12 12 — — $53,319.74 $140,065.12 $93,512.19 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $52,386.89 $137,614.65 $91,886.46 2026-01-01
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 15 — — $51,940.67 $150,627.95 $88,679.19 2026-01-01
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $61,456.12 $224,548.15 $85,517.69 2026-01-01
38240 CPT Transplt Allo Hct/donor 19 17 — — $645.00 $186,716.88 $84,799.93 2026-01-01
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 26 17 — — $60,881.68 $222,442.44 $84,715.32 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 12 — — $48,246.41 $126,738.04 $84,670.51 2026-01-01
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 26 17 — — $60,433.42 $220,799.23 $84,089.18 2026-01-01
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 26 17 — — $60,433.42 $220,799.23 $84,089.18 2026-01-01
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 14 12 — — $65,123.51 $188,858.17 $82,595.67 2026-01-01
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 14 12 — — $65,123.51 $188,858.17 $82,595.67 2026-01-01
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 26 17 — — $58,829.84 $214,921.03 $81,849.32 2026-01-01
5244 OTHER Level 4 Blood Product Exchange And Related Services 14 12 — — $64,385.13 $186,716.88 $81,659.19 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 12 12 — — $46,371.62 $121,813.19 $81,403.18 2026-01-01
A9543 HCPCS Y90 Ibritumomab, Rx 17 15 — — $46,596.13 $135,128.78 $79,554.37 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 12 — — $45,142.11 $118,583.40 $79,260.42 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $45,000.21 $118,210.63 $79,013.11 2026-01-01
904 APR_DRG Major Larynx & Trachea Procedures 26 17 — — $55,938.37 $204,321.76 $77,810.52 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 15 — — $45,323.31 $131,437.59 $77,381.25 2026-01-01
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $55,600.43 $203,083.01 $77,338.49 2026-01-01
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 26 17 — — $55,501.48 $202,720.27 $77,200.27 2026-01-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 15 — — $45,085.66 $130,748.41 $76,975.52 2026-01-01
64654 CPT 1st Opn Implt Bat Modulj Sys 17 15 — — $45,085.66 $130,748.41 $76,975.52 2026-01-01
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 26 17 — — $54,906.76 $200,540.20 $76,369.57 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 26 17 — — $54,276.41 $198,229.55 $75,489.11 2026-01-01
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 26 17 — — $53,822.70 $196,566.38 $74,855.36 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 12 — — $42,137.42 $110,690.41 $74,023.92 2026-01-01
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 26 17 — — $52,390.82 $191,317.54 $72,855.32 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $41,117.30 $108,010.65 $72,246.06 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 12 — — $40,940.05 $107,545.03 $71,937.15 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 12 — — $40,804.56 $107,189.13 $71,701.04 2026-01-01
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 14 12 — — $55,104.58 $159,803.29 $69,888.74 2026-01-01
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 14 12 — — $55,104.58 $159,803.29 $69,888.74 2026-01-01
3-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 26 17 — — $50,199.94 $183,286.47 $69,795.12 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 26 17 — — $49,573.06 $180,988.51 $68,919.49 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 26 17 — — $49,057.01 $179,096.83 $68,198.67 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $38,655.60 $101,544.05 $67,955.88 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 12 — — $38,409.81 $100,898.37 $67,527.51 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 12 — — $38,183.29 $100,303.34 $67,132.75 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 26 17 — — $47,874.00 $174,760.27 $66,546.24 2026-01-01
717 OTHER Instill Adstiladrin, Tx Dose 14 12 — — $51,940.67 $150,627.95 $65,875.97 2026-01-01
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $47,297.58 $172,647.31 $65,741.11 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 12 — — $37,012.69 $97,228.29 $65,092.65 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 26 17 — — $46,806.27 $170,846.30 $65,054.85 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 12 — — $36,831.15 $96,751.42 $64,776.27 2026-01-01
3-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 26 17 — — $46,054.21 $168,089.48 $64,004.38 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 26 17 — — $45,804.34 $167,173.56 $63,655.37 2026-01-01
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $45,640.57 $166,573.23 $63,426.61 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $36,045.04 $94,686.38 $63,406.25 2026-01-01
J9226 HCPCS Supprelin La Implant 17 15 — — $36,916.93 $107,059.11 $63,028.91 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 12 — — $35,806.21 $94,059.00 $62,990.02 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 12 — — $35,779.97 $93,990.07 $62,944.29 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 26 17 — — $44,914.24 $163,910.72 $62,412.07 2026-01-01
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 26 17 — — $44,796.48 $163,479.05 $62,247.60 2026-01-01
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 26 17 — — $44,760.36 $163,346.65 $62,197.14 2026-01-01
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 26 17 — — $44,637.16 $162,895.04 $62,025.06 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $35,210.73 $92,494.75 $61,952.24 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 12 — — $35,210.73 $92,494.75 $61,952.24 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $35,082.75 $92,158.54 $61,729.19 2026-01-01
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 26 17 — — $44,355.64 $161,863.05 $61,631.82 2026-01-01
6904 APR_DRG Acute Leukemia 26 17 — — $43,681.26 $159,390.97 $60,689.85 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 12 12 — — $34,457.82 $90,516.92 $60,640.08 2026-01-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 26 17 — — $43,110.28 $157,297.96 $59,892.32 2026-01-01
0686T CPT Histotripsy Mal Hepatcel Tis 17 15 — — $35,066.74 $101,693.53 $59,870.04 2026-01-01
64568 CPT Opn Impltj Crnl Nrv Nea&pg 19 17 — — $336.00 $130,748.41 $59,381.11 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 19 17 — — $645.00 $130,748.41 $59,381.11 2026-01-01
1643 OTHER Y90 Ibritumomab, Rx 14 12 — — $46,596.13 $135,128.78 $59,097.53 2026-01-01
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 26 17 — — $42,298.35 $154,321.68 $58,758.22 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 26 17 — — $41,875.32 $152,770.97 $58,167.32 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 12 — — $32,817.58 $86,208.20 $57,781.51 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 12 — — $32,779.56 $86,108.33 $57,715.25 2026-01-01
9273 OTHER Sipuleucel-t Auto Cd54+ 14 12 — — $45,323.31 $131,437.59 $57,483.21 2026-01-01
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 14 12 — — $45,085.66 $130,748.41 $57,181.81 2026-01-01
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 14 12 — — $45,085.66 $130,748.41 $57,181.81 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 12 — — $32,465.22 $85,282.59 $57,167.43 2026-01-01
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 26 17 — — $41,012.43 $149,607.88 $56,962.04 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 12 12 — — $32,174.45 $84,518.76 $56,660.67 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 12 — — $32,165.34 $84,494.84 $56,644.80 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 26 17 — — $40,520.62 $147,805.06 $56,275.09 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $31,932.40 $83,882.93 $56,238.84 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 11 — — $31,827.44 $56,055.92 $56,055.92 2026-01-01
234 APR_DRG Spinal Procedures 26 17 — — $40,361.30 $147,221.05 $56,052.56 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 12 — — $31,426.35 $82,553.60 $55,356.91 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 12 — — $31,406.00 $82,500.14 $55,321.45 2026-01-01
0408T CPT Insj/rplc Cardiac Modulj Sys 17 15 — — $32,129.42 $93,175.31 $54,855.10 2026-01-01
0571T CPT Insj/rplcmt Icds Ss Eltrd 17 15 — — $32,129.42 $93,175.31 $54,855.10 2026-01-01
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 17 15 — — $32,129.42 $93,175.31 $54,855.10 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 12 — — $30,882.82 $81,125.80 $54,409.65 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 12 — — $30,685.76 $80,608.13 $54,066.22 2026-01-01
64656 CPT Revj/rplcmt Bat Mod Sys Pg 17 15 — — $31,585.72 $91,598.59 $53,926.84 2026-01-01
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 17 15 — — $31,585.72 $91,598.59 $53,926.84 2026-01-01
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 17 15 — — $31,585.72 $91,598.59 $53,926.84 2026-01-01
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 17 15 — — $31,585.72 $91,598.59 $53,926.84 2026-01-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 12 — — $30,560.45 $80,278.96 $53,847.83 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 12 — — $30,520.82 $80,174.87 $53,778.77 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 12 — — $30,105.81 $79,084.67 $53,055.50 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 26 17 — — $38,127.38 $139,032.19 $52,932.23 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 26 17 — — $38,108.09 $138,961.46 $52,905.28 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 26 17 — — $37,860.20 $138,052.79 $52,559.04 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 12 — — $29,807.00 $78,299.74 $52,534.74 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 12 — — $29,575.66 $77,692.04 $52,131.57 2026-01-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 26 17 — — $37,498.03 $136,725.17 $52,053.15 2026-01-01
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $37,374.33 $136,271.74 $51,880.37 2026-01-01
834 MS_DRG Acute Leukemia With Mcc 12 12 — — $29,398.41 $77,226.42 $51,822.67 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 12 — — $29,294.53 $76,953.52 $51,641.61 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 12 — — $29,252.76 $76,843.80 $51,568.82 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 26 17 — — $37,117.54 $135,330.43 $51,521.69 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 12 — — $29,206.71 $76,722.82 $51,488.56 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia # 26 17 — — $36,921.12 $134,610.39 $51,247.32 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 26 17 — — $36,755.86 $134,004.62 $51,016.50 2026-01-01
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 26 17 — — $36,408.03 $132,729.58 $50,530.65 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $28,557.14 $75,016.50 $50,356.52 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 12 — — $28,540.01 $74,971.48 $50,326.66 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 26 17 — — $36,201.71 $131,973.27 $50,242.46 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 12 — — $28,348.30 $74,467.88 $49,992.55 2026-01-01
2-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 26 17 — — $35,940.47 $131,015.64 $49,877.56 2026-01-01
1-Apr OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 26 17 — — $35,940.47 $131,015.64 $49,877.56 2026-01-01
1694 APR_DRG Major Abdominal Vascular Procedures 26 17 — — $35,912.27 $130,912.26 $49,838.16 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 26 17 — — $35,910.29 $130,905.00 $49,835.40 2026-01-01
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 26 17 — — $35,909.79 $130,903.19 $49,834.71 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 12 — — $28,254.59 $74,221.71 $49,829.23 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 26 17 — — $35,441.24 $129,185.61 $49,180.24 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 12 — — $27,874.92 $73,224.36 $49,167.55 2026-01-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 26 17 — — $35,412.54 $129,080.42 $49,140.15 2026-01-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 26 17 — — $35,386.32 $128,984.29 $49,103.52 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 12 12 — — $27,826.72 $73,097.76 $49,083.56 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 26 17 — — $35,324.97 $128,759.40 $49,017.82 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 26 17 — — $35,239.87 $128,447.44 $48,898.96 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 26 17 — — $34,947.95 $127,377.36 $48,491.21 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 26 17 — — $34,946.46 $127,371.91 $48,489.13 2026-01-01
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 26 17 — — $34,505.12 $125,754.09 $47,872.67 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 12 — — $26,990.27 $70,900.49 $47,625.81 2026-01-01
3104 APR_DRG Intervertebral Disc Excision & Decompression 26 17 — — $34,226.56 $124,732.98 $47,483.58 2026-01-01
0956T CPT Prt Crn Ch Cr&tun Elt S-sclp 17 15 — — $27,774.19 $80,545.15 $47,419.35 2026-01-01
22558 CPT Arthrd Ant Ntrbd Min Dsc Lum 17 15 — — $27,774.19 $80,545.15 $47,419.35 2026-01-01
0960T CPT Rpl S-sclp Eltr Ra Rcvr&tlmt 17 15 — — $27,774.19 $80,545.15 $47,419.35 2026-01-01
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 26 17 — — $34,134.53 $124,395.63 $47,355.04 2026-01-01
894 APR_DRG Major Cranial/facial Bone Procedures 26 17 — — $34,109.79 $124,304.95 $47,320.48 2026-01-01
244 APR_DRG Extracranial Vascular Procedures 26 17 — — $33,986.10 $123,851.52 $47,147.71 2026-01-01
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 26 17 — — $33,978.68 $123,824.32 $47,137.34 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 12 — — $26,707.53 $70,157.76 $47,133.05 2026-01-01
C9760 HCPCS Non-blind Interatrial Shunt 17 15 — — $27,552.54 $79,902.37 $47,040.93 2026-01-01
4414 APR_DRG Major Bladder Procedures 26 17 — — $33,836.18 $123,301.97 $46,938.30 2026-01-01
1142 OTHER Supprelin La Implant 14 12 — — $36,916.93 $107,059.11 $46,821.48 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 12 — — $26,493.33 $69,595.08 $46,759.75 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 12 — — $26,446.20 $69,471.29 $46,677.62 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 12 — — $26,355.70 $69,233.55 $46,519.90 2026-01-01
204 APR_DRG Craniotomy For Trauma 26 17 — — $33,473.51 $121,972.53 $46,431.73 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 12 — — $26,245.93 $68,945.18 $46,328.58 2026-01-01
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 26 17 — — $33,182.58 $120,906.07 $46,025.35 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures # 26 17 — — $33,109.85 $120,639.46 $45,923.76 2026-01-01
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 26 17 — — $33,081.15 $120,534.27 $45,883.68 2026-01-01
2214 APR_DRG Major Small & Large Bowel Procedures 26 17 — — $33,069.28 $120,490.74 $45,867.10 2026-01-01
93656 CPT Compre Ep Eval Abltj Atr Fib 17 15 — — $26,754.52 $77,588.12 $45,678.46 2026-01-01
93654 CPT Compre Ep Eval Tx Vt 17 15 — — $26,754.52 $77,588.12 $45,678.46 2026-01-01
93653 CPT Compre Ep Eval Tx Svt 17 15 — — $26,754.52 $77,588.12 $45,678.46 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 12 12 — — $25,857.69 $67,925.32 $45,651.97 2026-01-01
4034 APR_DRG Procedures For Obesity 26 17 — — $32,912.93 $119,917.61 $45,648.71 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 12 — — $25,727.03 $67,582.09 $45,424.26 2026-01-01
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $32,497.32 $118,394.10 $45,068.18 2026-01-01
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 26 17 — — $32,485.44 $118,350.57 $45,051.59 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 12 — — $25,494.08 $66,970.17 $45,018.29 2026-01-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 26 17 — — $32,391.43 $118,005.97 $44,920.29 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 26 17 — — $32,084.67 $116,881.47 $44,491.80 2026-01-01
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 14 12 — — $35,066.74 $101,693.53 $44,474.88 2026-01-01
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 14 12 — — $35,066.74 $101,693.53 $44,474.88 2026-01-01
69930 CPT Implant Cochlear Device 19 17 — — $959.00 $97,875.08 $44,451.26 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 12 — — $25,124.59 $65,999.55 $44,374.34 2026-01-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 26 17 — — $31,919.42 $116,275.70 $44,260.97 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 12 — — $25,049.62 $65,802.61 $44,243.69 2026-01-01
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 26 17 — — $31,756.64 $115,678.99 $44,033.60 2026-01-01
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 26 17 — — $31,715.07 $115,526.64 $43,975.54 2026-01-01
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 26 17 — — $31,706.17 $115,493.99 $43,963.10 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 26 17 — — $31,644.82 $115,269.09 $43,877.41 2026-01-01
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 26 17 — — $31,632.94 $115,225.57 $43,860.82 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 26 17 — — $31,552.79 $114,931.75 $43,748.87 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 12 — — $24,732.07 $64,968.44 $43,690.26 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 26 17 — — $31,424.64 $114,462.00 $43,569.87 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 26 17 — — $31,420.68 $114,447.49 $43,564.34 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures # 26 17 — — $31,405.34 $114,391.26 $43,542.92 2026-01-01
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 26 17 — — $31,374.67 $114,278.81 $43,500.07 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 12 — — $24,614.26 $64,658.97 $43,484.95 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 12 — — $24,551.60 $64,494.38 $43,375.76 2026-01-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 26 17 — — $31,203.47 $113,651.27 $43,260.95 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 26 17 — — $31,179.73 $113,564.22 $43,227.78 2026-01-01
245 MS_DRG Aicd Generator Procedures 12 12 — — $24,431.65 $64,179.28 $43,166.71 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 12 — — $24,358.29 $63,986.56 $43,038.85 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 12 — — $24,347.58 $63,958.43 $43,020.19 2026-01-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 26 17 — — $30,979.34 $112,829.67 $42,947.88 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 12 12 — — $24,252.26 $63,708.04 $42,854.07 2026-01-01
5166 OTHER Cochlear Implant Procedure 14 12 — — $33,750.03 $97,875.08 $42,804.92 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 26 17 — — $30,824.48 $112,261.98 $42,731.57 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 26 17 — — $30,755.21 $112,008.06 $42,634.81 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 26 17 — — $30,690.89 $111,772.28 $42,544.96 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 12 12 — — $24,000.04 $63,045.48 $42,414.50 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 12 — — $23,993.08 $63,027.19 $42,402.37 2026-01-01
33231 CPT Insrt Pulse Gen W/mult Leads 19 17 — — $493.00 $93,175.31 $42,316.79 2026-01-01
33270 CPT Ins/rep Subq Defibrillator 19 17 — — $870.00 $93,175.31 $42,316.79 2026-01-01
33249 CPT Insj/rplcmt Defib W/lead(s) 19 17 — — $870.00 $93,175.31 $42,316.79 2026-01-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 19 17 — — $959.00 $93,175.31 $42,316.79 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 26 17 — — $30,508.81 $111,104.84 $42,290.64 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 12 — — $23,898.83 $62,779.61 $42,238.12 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 26 17 — — $30,419.75 $110,778.37 $42,166.24 2026-01-01
6903 APR_DRG Acute Leukemia 26 17 — — $30,370.76 $110,598.82 $42,097.82 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 26 17 — — $30,342.07 $110,493.62 $42,057.74 2026-01-01
3014 APR_DRG Hip Joint Replacement 26 17 — — $30,325.25 $110,431.96 $42,034.24 2026-01-01
2624 APR_DRG Cholecystectomy Except Laparoscopic 26 17 — — $30,324.75 $110,430.14 $42,033.55 2026-01-01
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 26 17 — — $30,301.00 $110,343.09 $42,000.38 2026-01-01
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 26 17 — — $30,263.40 $110,205.24 $41,947.85 2026-01-01
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 26 17 — — $30,237.17 $110,109.12 $41,911.22 2026-01-01
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 19 17 — — $634.00 $91,598.59 $41,600.70 2026-01-01
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 19 17 — — $645.00 $91,598.59 $41,600.70 2026-01-01
61885 CPT Insrt/redo Neurostim 1 Array 19 17 — — $448.00 $91,598.59 $41,600.70 2026-01-01
61886 CPT Implant Neurostim Arrays 19 17 — — $448.00 $91,598.59 $41,600.70 2026-01-01
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 19 17 — — $645.00 $91,598.59 $41,600.70 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 12 — — $23,523.44 $61,793.52 $41,583.90 2026-01-01
5184 APR_DRG Other Female Reproductive System & Related Procedures 26 17 — — $29,950.20 $109,057.17 $41,510.39 2026-01-01
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 26 17 — — $29,898.75 $108,868.55 $41,438.51 2026-01-01
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 26 17 — — $29,880.44 $108,801.44 $41,412.94 2026-01-01
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 26 17 — — $29,721.12 $108,217.43 $41,190.41 2026-01-01
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 26 17 — — $29,690.94 $108,106.79 $41,148.25 2026-01-01
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 26 17 — — $29,652.35 $107,965.32 $41,094.35 2026-01-01
3814 APR_DRG Major Skin Disorders 26 17 — — $29,578.63 $107,695.08 $40,991.36 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 12 — — $23,173.23 $60,873.54 $40,973.55 2026-01-01
5232 OTHER Level 2 Icd And Similar Procedures 14 12 — — $32,129.42 $93,175.31 $40,749.51 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 12 — — $22,988.48 $60,388.22 $40,651.58 2026-01-01
2-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 26 17 — — $29,285.72 $106,621.37 $40,582.24 2026-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 12 12 — — $22,840.68 $59,999.98 $40,394.00 2026-01-01
2294 APR_DRG Other Digestive System & Abdominal Procedures 26 17 — — $29,004.69 $105,591.19 $40,189.69 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 12 — — $22,709.48 $59,655.33 $40,165.35 2026-01-01
3084 APR_DRG Hip And Femur Fracture Repair 26 17 — — $28,915.63 $105,264.73 $40,065.29 2026-01-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 14 12 — — $31,585.72 $91,598.59 $40,059.93 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 12 — — $22,615.24 $59,407.75 $40,001.10 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 12 — — $22,576.68 $59,306.47 $39,933.91 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 12 — — $22,565.43 $59,276.93 $39,914.31 2026-01-01
3094 APR_DRG Other Significant Hip And Femur Surgery 26 17 — — $28,798.36 $104,834.88 $39,901.50 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 26 17 — — $28,756.80 $104,682.53 $39,843.45 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 12 — — $22,499.57 $59,103.91 $39,799.52 2026-01-01
J9266 HCPCS Pegaspargase Injection 17 15 — — $23,307.73 $67,592.41 $39,793.68 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 12 12 — — $22,472.79 $59,033.57 $39,752.85 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 12 — — $22,431.02 $58,923.85 $39,680.06 2026-01-01
6504 APR_DRG Splenectomy 26 17 — — $28,590.06 $104,071.31 $39,610.54 2026-01-01
1-May OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 26 17 — — $28,555.92 $103,946.17 $39,562.86 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 12 — — $22,344.27 $58,695.96 $39,528.87 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 11 11 — — $22,328.21 $39,500.87 $39,500.87 2026-01-01
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 26 17 — — $28,505.95 $103,762.98 $39,493.06 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 12 — — $22,239.32 $58,420.25 $39,345.95 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 12 — — $22,092.05 $58,033.41 $39,089.31 2026-01-01
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 17 15 — — $22,768.37 $66,028.26 $38,872.82 2026-01-01
0515T CPT Insj Wcs Lv Compl Sys 17 15 — — $22,768.37 $66,028.26 $38,872.82 2026-01-01
0409T CPT Insj/rplc Car Modulj Pls Gn 17 15 — — $22,768.37 $66,028.26 $38,872.82 2026-01-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 17 15 — — $22,768.37 $66,028.26 $38,872.82 2026-01-01
0916T CPT Insj Perm Ccm-d Sys Pg Only 17 15 — — $22,768.37 $66,028.26 $38,872.82 2026-01-01
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 17 15 — — $22,768.37 $66,028.26 $38,872.82 2026-01-01
2234 APR_DRG Other Small & Large Bowel Procedures 26 17 — — $27,974.06 $101,813.25 $38,750.12 2026-01-01
2244 APR_DRG Peritoneal Adhesiolysis 26 17 — — $27,925.08 $101,633.70 $38,681.71 2026-01-01
33289 CPT Tcat Impl Wrls P-art Prs Snr 19 17 — — $645.00 $85,144.22 $38,669.37 2026-01-01
791 MS_DRG Prematurity With Major Problems 11 11 — — $21,735.94 $38,468.69 $38,468.69 2026-01-01
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 26 17 — — $27,753.89 $101,006.16 $38,442.58 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 12 — — $21,529.78 $56,556.37 $38,109.39 2026-01-01
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