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

UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER

Syracuse, NY · CCN 330241 · Rates published

19,156 distinct procedures filed
19 distinct payers
506,461 rate rows
2025-07-23 last MRF observed
Data quality

496,989 of 506,461 rate rows are consumer-grade (98.1%)

9,472 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 4,794
placeholder amount (≤ $0.02) — excluded from medians 1,550
per-diem day rate — not a per-procedure price 961
template filing: same amount across many unrelated codes — excluded 925
exceeds 10× this hospital's gross charge — excluded from medians 656
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 586
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.upstate.edu/hospital/files/161469571_upstate-university-hospital_standardcharges.csv
Found on page https://www.upstate.edu/hospital/patients-families/billing/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b3d80667d9684884… · 288,933,969 bytes · first seen 2026-05-05

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
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 12 $1,190,000.00 $4,823,020.67 $2,463,545.21 nat. median
$2,468,984
1.0× median
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $416,199.85 $1,150,871.49 $434,928.84 nat. median
$370,174
1.2× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $310,918.99 $859,720.23 $324,910.34 nat. median
$265,286
1.2× median
24
APR_DRG 		Apr-DRG V34: 002-4: Heart &/or Lung Transplant 9 $244,667.12 $734,001.36 $278,920.52 nat. median
$234,729
1.2× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 10 $261,882.77 $613,737.09 $273,667.49 nat. median
$206,474
1.3× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 4 $194,257.28 $319,839.12 $254,789.76 nat. median
$98,894
outlier · 2.6×
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 10 $236,609.62 $654,022.17 $247,257.05 nat. median
$202,976
1.2× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 4 $170,716.56 $281,079.99 $223,913.52 nat. median
$83,470
outlier · 2.7×
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $154,590.24 $254,528.46 $202,762.08 nat. median
$82,711
outlier · 2.5×
5654
APR_DRG 		Apr-DRG V34: 565-4: False Labor 8 $7,393.55 $405,639.07 $180,284.03 nat. median
$5,573
outlier · 32.4×
34
APR_DRG 		Apr-DRG V34: 003-4: Bone Marrow Transplant 8 $157,381.41 $437,656.67 $179,414.80 nat. median
$209,067
0.9× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 4 $131,605.60 $216,684.90 $172,615.20 nat. median
$68,090
outlier · 2.5×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 10 $156,069.12 $436,237.00 $163,092.23 nat. median
$133,161
1.2× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 4 $124,191.20 $204,477.30 $162,890.40 nat. median
$63,724
outlier · 2.6×
1444
APR_DRG 		Apr-DRG V34: 144-4: Respiratory Signs, Symptoms & Minor Diagnoses 9 $33,209.88 $486,209.28 $162,069.76 nat. median
$14,115
outlier · 11.5×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 10 $144,727.55 $318,487.20 $151,240.29 nat. median
$117,357
1.3× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 10 $144,363.52 $398,883.33 $150,859.88 nat. median
$122,708
1.2× median
317
MS_DRG 		Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $114,737.84 $188,912.61 $150,491.28 nat. median
$60,691
outlier · 2.5×
8414
APR_DRG 		Apr-DRG V34: 841-4: Extensive 3rd Degree Burns W Skin Graft 9 $131,706.35 $395,119.05 $150,145.24 nat. median
$160,267
0.9× median
44
APR_DRG 		Apr-DRG V34: 004-4: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 9 $127,047.38 $381,142.14 $144,834.02 nat. median
$105,658
1.4× median
14
APR_DRG 		Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 9 $123,084.83 $369,254.49 $140,316.71 nat. median
$129,535
1.1× median
5834
APR_DRG 		Apr-DRG V34: 583-4: Neonate W Ecmo 9 $122,598.87 $501,150.29 $139,762.71 nat. median
$309,665
outlier · 0.5×
5814
APR_DRG 		Apr-DRG V34: 581-4: Neonate, Transferred < 5 Days Old, Born Here 9 $11,183.23 $408,462.48 $136,154.16 nat. median
$4,370
outlier · 31.2×
428
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 4 $101,948.00 $167,854.50 $133,716.00 nat. median
$54,210
outlier · 2.5×
430
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 $101,391.92 $166,938.93 $132,986.64 nat. median
$54,592
outlier · 2.4×
6024
APR_DRG 		Apr-DRG V34: 602-4: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj… 9 $112,308.29 $336,924.87 $128,031.45 nat. median
$118,620
1.1× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $121,760.89 $286,878.60 $127,240.13 nat. median
$108,660
1.2× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 10 $120,373.25 $332,351.91 $125,790.04 nat. median
$102,358
1.2× median
450
MS_DRG 		Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 4 $95,460.40 $157,172.85 $125,206.80 nat. median
$51,319
outlier · 2.4×
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 10 $117,676.29 $325,027.35 $122,971.72 nat. median
$100,136
1.2× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 10 $117,074.02 $323,196.21 $122,342.35 nat. median
$99,019
1.2× median
5884
APR_DRG 		Apr-DRG V34: 588-4: Neonate Bwt <1500g W Major Procedure 9 $106,416.56 $492,397.97 $121,314.88 nat. median
$246,434
outlier · 0.5×
23
APR_DRG 		Apr-DRG V34: 002-3: Heart &/or Lung Transplant 9 $106,047.37 $318,142.11 $120,894.00 nat. median
$93,528
1.3× median
81100002
CDM 		Kidney/Pancreas Acquis-live Donor 10 $61,875.80 $278,441.10 $120,657.81 nat. median
$82,672
1.5× median
8413
APR_DRG 		Apr-DRG V34: 841-3: Extensive 3rd Degree Burns W Skin Graft 9 $103,069.35 $309,208.05 $117,499.06 nat. median
$66,693
1.8× median
64
APR_DRG 		Apr-DRG V34: 006-4: Pancreas Transplant 9 $54,095.21 $162,285.63 $116,304.70 nat. median
$91,009
1.3× median
81200002
CDM 		Kidney/Pancreas Acquisition-cadaver 10 $58,450.60 $263,027.70 $113,978.67 nat. median
$56,338
outlier · 2.0×
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 10 $106,664.50 $294,508.35 $111,464.40 nat. median
$93,672
1.2× median
63
APR_DRG 		Apr-DRG V34: 006-3: Pancreas Transplant 9 $51,824.80 $155,474.40 $111,423.32 nat. median
$64,159
1.7× median
54
APR_DRG 		Apr-DRG V34: 005-4: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 9 $97,102.11 $291,306.33 $110,696.40 nat. median
$68,217
1.6× median
5833
APR_DRG 		Apr-DRG V34: 583-3: Neonate W Ecmo 9 $95,902.93 $287,708.79 $109,329.34 nat. median
$244,017
outlier · 0.4×
22
APR_DRG 		Apr-DRG V34: 002-2: Heart &/or Lung Transplant 9 $90,503.47 $271,510.41 $103,173.96 nat. median
$77,804
1.3× median
5653
APR_DRG 		Apr-DRG V34: 565-3: False Labor 8 $7,393.55 $231,111.52 $102,716.23 nat. median
$5,482
outlier · 18.7×
5651
APR_DRG 		Apr-DRG V34: 565-1: False Labor 8 $6,299.80 $226,818.07 $100,808.03 nat. median
$4,366
outlier · 23.1×
5652
APR_DRG 		Apr-DRG V34: 565-2: False Labor 8 $7,302.10 $226,818.07 $100,808.03 nat. median
$5,337
outlier · 18.9×
448
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 4 $75,626.88 $124,517.52 $99,192.96 nat. median
$41,164
outlier · 2.4×
5914
APR_DRG 		Apr-DRG V34: 591-4: Neonate Birthwt 500-749g Without Major Procedure 9 $87,005.91 $378,807.68 $99,186.74 nat. median
$164,289
0.6× median
5894
APR_DRG 		Apr-DRG V34: 589-4: Neonate Bwt <500g Or Ga <24 Weeks 9 $4,212.92 $294,249.39 $98,083.13 nat. median
$7,264
outlier · 13.5×
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 10 $93,679.37 $258,495.93 $97,894.94 nat. median
$79,312
1.2× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 10 $93,627.53 $258,495.93 $97,840.77 nat. median
$81,118
1.2× median

Other procedures at this hospital

Browse this hospital's 19,156 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
             
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 20 12 — — $1,190,000.00 $4,823,020.67 $2,463,545.21 2025-07-23
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 10 — — $416,199.85 $1,150,871.49 $434,928.84 2025-07-23
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $310,918.99 $859,720.23 $324,910.34 2025-07-23
24 APR_DRG Apr-DRG V34: 002-4: Heart &/or Lung Transplant 18 9 — — $244,667.12 $734,001.36 $278,920.52 2025-07-23
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 16 10 — — $261,882.77 $613,737.09 $273,667.49 2025-07-23
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 5 4 — — $194,257.28 $319,839.12 $254,789.76 2025-07-23
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 16 10 — — $236,609.62 $654,022.17 $247,257.05 2025-07-23
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 5 4 — — $170,716.56 $281,079.99 $223,913.52 2025-07-23
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $154,590.24 $254,528.46 $202,762.08 2025-07-23
5654 APR_DRG Apr-DRG V34: 565-4: False Labor 16 8 — — $7,393.55 $405,639.07 $180,284.03 2025-07-23
34 APR_DRG Apr-DRG V34: 003-4: Bone Marrow Transplant 16 8 — — $157,381.41 $437,656.67 $179,414.80 2025-07-23
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 5 4 — — $131,605.60 $216,684.90 $172,615.20 2025-07-23
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 16 10 — — $156,069.12 $436,237.00 $163,092.23 2025-07-23
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 5 4 — — $124,191.20 $204,477.30 $162,890.40 2025-07-23
1444 APR_DRG Apr-DRG V34: 144-4: Respiratory Signs, Symptoms & Minor Diagnoses 18 9 — — $33,209.88 $486,209.28 $162,069.76 2025-07-23
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 16 10 — — $144,727.55 $318,487.20 $151,240.29 2025-07-23
7 MS_DRG Ms-DRG 42.00: Lung Transplant 16 10 — — $144,363.52 $398,883.33 $150,859.88 2025-07-23
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $114,737.84 $188,912.61 $150,491.28 2025-07-23
8414 APR_DRG Apr-DRG V34: 841-4: Extensive 3rd Degree Burns W Skin Graft 18 9 — — $131,706.35 $395,119.05 $150,145.24 2025-07-23
44 APR_DRG Apr-DRG V34: 004-4: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 18 9 — — $127,047.38 $381,142.14 $144,834.02 2025-07-23
14 APR_DRG Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 18 9 — — $123,084.83 $369,254.49 $140,316.71 2025-07-23
5834 APR_DRG Apr-DRG V34: 583-4: Neonate W Ecmo 18 9 — — $122,598.87 $501,150.29 $139,762.71 2025-07-23
5814 APR_DRG Apr-DRG V34: 581-4: Neonate, Transferred < 5 Days Old, Born Here 18 9 — — $11,183.23 $408,462.48 $136,154.16 2025-07-23
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 5 4 — — $101,948.00 $167,854.50 $133,716.00 2025-07-23
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 4 — — $101,391.92 $166,938.93 $132,986.64 2025-07-23
6024 APR_DRG Apr-DRG V34: 602-4: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 18 9 — — $112,308.29 $336,924.87 $128,031.45 2025-07-23
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $121,760.89 $286,878.60 $127,240.13 2025-07-23
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 16 10 — — $120,373.25 $332,351.91 $125,790.04 2025-07-23
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 5 4 — — $95,460.40 $157,172.85 $125,206.80 2025-07-23
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 16 10 — — $117,676.29 $325,027.35 $122,971.72 2025-07-23
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 16 10 — — $117,074.02 $323,196.21 $122,342.35 2025-07-23
5884 APR_DRG Apr-DRG V34: 588-4: Neonate Bwt <1500g W Major Procedure 18 9 — — $106,416.56 $492,397.97 $121,314.88 2025-07-23
23 APR_DRG Apr-DRG V34: 002-3: Heart &/or Lung Transplant 18 9 — — $106,047.37 $318,142.11 $120,894.00 2025-07-23
81100002 CDM Kidney/Pancreas Acquis-live Donor 16 10 $309,379.00 — $61,875.80 $278,441.10 $120,657.81 2025-07-23
8413 APR_DRG Apr-DRG V34: 841-3: Extensive 3rd Degree Burns W Skin Graft 18 9 — — $103,069.35 $309,208.05 $117,499.06 2025-07-23
64 APR_DRG Apr-DRG V34: 006-4: Pancreas Transplant 21 9 — — $54,095.21 $162,285.63 $116,304.70 2025-07-23
81200002 CDM Kidney/Pancreas Acquisition-cadaver 16 10 $292,253.00 — $58,450.60 $263,027.70 $113,978.67 2025-07-23
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 16 10 — — $106,664.50 $294,508.35 $111,464.40 2025-07-23
63 APR_DRG Apr-DRG V34: 006-3: Pancreas Transplant 21 9 — — $51,824.80 $155,474.40 $111,423.32 2025-07-23
54 APR_DRG Apr-DRG V34: 005-4: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 18 9 — — $97,102.11 $291,306.33 $110,696.40 2025-07-23
5833 APR_DRG Apr-DRG V34: 583-3: Neonate W Ecmo 18 9 — — $95,902.93 $287,708.79 $109,329.34 2025-07-23
22 APR_DRG Apr-DRG V34: 002-2: Heart &/or Lung Transplant 18 9 — — $90,503.47 $271,510.41 $103,173.96 2025-07-23
5653 APR_DRG Apr-DRG V34: 565-3: False Labor 16 8 — — $7,393.55 $231,111.52 $102,716.23 2025-07-23
5651 APR_DRG Apr-DRG V34: 565-1: False Labor 16 8 — — $6,299.80 $226,818.07 $100,808.03 2025-07-23
5652 APR_DRG Apr-DRG V34: 565-2: False Labor 16 8 — — $7,302.10 $226,818.07 $100,808.03 2025-07-23
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $75,626.88 $124,517.52 $99,192.96 2025-07-23
5914 APR_DRG Apr-DRG V34: 591-4: Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $87,005.91 $378,807.68 $99,186.74 2025-07-23
5894 APR_DRG Apr-DRG V34: 589-4: Neonate Bwt <500g Or Ga <24 Weeks 18 9 — — $4,212.92 $294,249.39 $98,083.13 2025-07-23
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 16 10 — — $93,679.37 $258,495.93 $97,894.94 2025-07-23
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 16 10 — — $93,627.53 $258,495.93 $97,840.77 2025-07-23
4404 APR_DRG Apr-DRG V34: 440-4: Kidney Transplant 21 9 — — $45,263.92 $204,528.78 $97,317.43 2025-07-23
21 APR_DRG Apr-DRG V34: 002-1: Heart &/or Lung Transplant 18 9 — — $85,289.30 $255,867.90 $97,229.80 2025-07-23
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 5 4 — — $72,475.76 $119,329.29 $95,059.92 2025-07-23
33 APR_DRG Apr-DRG V34: 003-3: Bone Marrow Transplant 16 8 — — $83,352.43 $232,423.79 $95,021.77 2025-07-23
6224 APR_DRG Apr-DRG V34: 622-4: Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $86,194.11 $258,582.33 $94,883.82 2025-07-23
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 10 — — $89,125.96 $245,983.14 $93,136.63 2025-07-23
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 17 10 — — $88,154.18 $218,866.00 $92,561.89 2025-07-23
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 10 — — $87,650.07 $242,015.67 $92,032.57 2025-07-23
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 16 10 — — $86,426.79 $238,658.58 $90,315.99 2025-07-23
5883 APR_DRG Apr-DRG V34: 588-3: Neonate Bwt <1500g W Major Procedure 18 9 — — $78,730.51 $492,397.97 $89,752.78 2025-07-23
5832 APR_DRG Apr-DRG V34: 583-2: Neonate W Ecmo 18 9 — — $78,590.67 $280,816.51 $89,593.36 2025-07-23
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 16 10 — — $85,556.48 $236,217.06 $89,406.52 2025-07-23
3014 APR_DRG Apr-DRG V34: 301-4: Hip Joint Replacement 16 8 — — $76,859.37 $172,933.58 $87,619.68 2025-07-23
5831 APR_DRG Apr-DRG V34: 583-1: Neonate W Ecmo 18 9 — — $76,218.18 $280,816.51 $86,888.73 2025-07-23
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 10 — — $82,541.84 $227,671.74 $86,256.22 2025-07-23
5802 APR_DRG Apr-DRG V34: 580-2: Neonate, Transferred <5 Days Old, Not Born Here 18 9 — — $9,196.94 $256,681.80 $85,560.60 2025-07-23
5801 APR_DRG Apr-DRG V34: 580-1: Neonate, Transferred <5 Days Old, Not Born Here 18 9 — — $7,713.62 $256,681.80 $85,560.60 2025-07-23
5813 APR_DRG Apr-DRG V34: 581-3: Neonate, Transferred < 5 Days Old, Born Here 18 9 — — $7,148.46 $249,883.17 $83,294.39 2025-07-23
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 10 — — $78,160.51 $215,769.33 $81,677.73 2025-07-23
43 APR_DRG Apr-DRG V34: 004-3: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 18 9 — — $71,098.41 $213,295.23 $81,052.18 2025-07-23
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 16 10 — — $76,941.64 $212,412.24 $80,404.01 2025-07-23
824 APR_DRG Apr-DRG V34: 082-4: Eye Disorders Except Major Infections 18 9 — — $21,431.12 $237,624.27 $79,208.09 2025-07-23
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 16 10 — — $75,527.53 $208,444.77 $78,926.27 2025-07-23
5812 APR_DRG Apr-DRG V34: 581-2: Neonate, Transferred < 5 Days Old, Born Here 18 9 — — $5,535.28 $233,250.57 $77,750.19 2025-07-23
61 APR_DRG Apr-DRG V34: 006-1: Pancreas Transplant 21 9 — — $36,030.57 $143,403.00 $77,465.73 2025-07-23
62 APR_DRG Apr-DRG V34: 006-2: Pancreas Transplant 21 9 — — $36,030.57 $143,403.00 $77,465.73 2025-07-23
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 16 10 — — $73,879.56 $203,866.92 $77,204.14 2025-07-23
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 16 10 — — $73,754.91 $203,561.73 $77,073.89 2025-07-23
5882 APR_DRG Apr-DRG V34: 588-2: Neonate Bwt <1500g W Major Procedure 18 9 — — $66,996.72 $377,450.73 $76,376.26 2025-07-23
1604 APR_DRG Apr-DRG V34: 160-4: Major Cardiothoracic Repair Of Heart Anomaly 18 9 — — $66,302.38 $198,907.14 $75,584.71 2025-07-23
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $57,276.24 $94,303.71 $75,124.08 2025-07-23
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 16 10 — — $71,544.41 $197,457.93 $74,763.91 2025-07-23
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 16 10 — — $71,441.82 $197,152.74 $74,656.70 2025-07-23
53 APR_DRG Apr-DRG V34: 005-3: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 18 9 — — $65,239.55 $195,718.65 $74,373.09 2025-07-23
6234 APR_DRG Apr-DRG V34: 623-4: Neonate Bwt 2000-2499g W Congenital/perinatal Infection 18 9 — — $59,295.08 $222,583.80 $74,194.60 2025-07-23
3024 APR_DRG Apr-DRG V34: 302-4: Knee Joint Replacement 16 8 — — $64,886.44 $145,994.49 $73,970.54 2025-07-23
5913 APR_DRG Apr-DRG V34: 591-3: Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $64,654.99 $232,262.90 $73,706.69 2025-07-23
4244 APR_DRG Apr-DRG V34: 424-4: Other Endocrine Disorders 18 9 — — $53,039.90 $219,871.50 $73,290.50 2025-07-23
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 16 10 — — $69,968.14 $192,880.08 $73,116.71 2025-07-23
3094 APR_DRG Apr-DRG V34: 309-4: Other Significant Hip And Femur Surgery 18 9 — — $63,628.52 $190,885.56 $72,536.51 2025-07-23
5893 APR_DRG Apr-DRG V34: 589-3: Neonate Bwt <500g Or Ga <24 Weeks 18 9 — — $63,462.11 $190,386.33 $72,346.80 2025-07-23
6614 APR_DRG Apr-DRG V34: 661-4: Coagulation & Platelet Disorders 18 9 — — $63,411.06 $190,233.18 $72,288.61 2025-07-23
6604 APR_DRG Apr-DRG V34: 660-4: Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & … 18 9 — — $63,236.95 $189,710.85 $72,090.12 2025-07-23
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 16 10 — — $68,535.27 $188,912.61 $71,619.35 2025-07-23
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $68,135.98 $187,997.04 $71,202.10 2025-07-23
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 16 10 — — $67,898.81 $182,808.81 $70,954.26 2025-07-23
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 16 10 — — $67,589.96 $186,471.09 $70,631.51 2025-07-23
3494 APR_DRG Apr-DRG V34: 349-4: Malfunction, Reaction, Complic Of Orthopedic Device Or Proce… 18 9 — — $67,457.91 $203,433.96 $70,616.95 2025-07-23
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 16 10 — — $67,267.88 $185,555.52 $70,294.93 2025-07-23
1434 APR_DRG Apr-DRG V34: 143-4: Other Respiratory Diagnoses Except Signs, Symptoms & Minor D… 18 9 — — $39,772.33 $210,637.44 $70,212.48 2025-07-23
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 17 10 — — $66,786.94 $197,691.00 $70,126.29 2025-07-23
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 17 10 — — $66,786.94 $197,691.00 $70,126.29 2025-07-23
8424 APR_DRG Apr-DRG V34: 842-4: Burns With Skin Graft Except Extensive 3rd Degree Burns 18 9 — — $61,079.13 $183,237.39 $69,630.21 2025-07-23
1443 APR_DRG Apr-DRG V34: 144-3: Respiratory Signs, Symptoms & Minor Diagnoses 18 9 — — $17,943.22 $208,449.54 $69,483.18 2025-07-23
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 16 10 — — $66,289.47 $182,808.81 $69,272.49 2025-07-23
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 16 10 — — $65,831.70 $181,588.05 $68,794.12 2025-07-23
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 24 14 $214,860.80 — $54,425.77 $193,374.72 $68,594.31 2025-07-23
6074 APR_DRG Apr-DRG V34: 607-4: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 18 9 — — $59,931.69 $242,552.46 $68,322.13 2025-07-23
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 16 10 — — $65,113.62 $179,451.72 $68,043.73 2025-07-23
81100001 CDM Kidney Acquis-live Donor 16 10 $173,633.00 — $34,726.60 $156,269.70 $67,716.87 2025-07-23
13 APR_DRG Apr-DRG V34: 001-3: Liver Transplant &/or Intestinal Transplant 18 9 — — $59,182.81 $177,548.43 $67,468.40 2025-07-23
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 10 — — $64,430.82 $177,620.58 $67,330.21 2025-07-23
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $6,181.00 $181,282.86 $67,097.70 2025-07-23
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 16 10 — — $63,516.38 $175,179.06 $66,374.62 2025-07-23
6034 APR_DRG Apr-DRG V34: 603-4: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 18 9 — — $58,114.39 $273,262.17 $66,250.40 2025-07-23
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 16 10 — — $63,138.04 $174,263.49 $65,979.25 2025-07-23
9504 APR_DRG Apr-DRG V34: 950-4: Extensive Procedure Unrelated To Principal Diagnosis 18 9 — — $57,419.35 $172,258.05 $65,458.06 2025-07-23
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 28 14 $168,000.00 — $0.20 $185,977.20 $65,304.10 2025-07-23
234 APR_DRG Apr-DRG V34: 023-4: Spinal Procedures 18 9 — — $57,194.20 $171,582.60 $65,201.39 2025-07-23
6624 APR_DRG Apr-DRG V34: 662-4: Sickle Cell Anemia Crisis 18 9 — — $61,886.04 $185,658.12 $65,044.17 2025-07-23
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 16 10 — — $61,698.56 $169,990.83 $64,474.99 2025-07-23
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 16 10 — — $61,176.80 $162,971.46 $63,929.76 2025-07-23
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 16 10 — — $61,176.80 $168,770.07 $63,929.76 2025-07-23
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 17 10 — — $60,225.97 $259,397.00 $63,237.27 2025-07-23
5811 APR_DRG Apr-DRG V34: 581-1: Neonate, Transferred < 5 Days Old, Born Here 18 9 — — $4,633.59 $188,517.27 $62,839.09 2025-07-23
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 16 10 — — $60,089.22 $184,784.49 $62,793.24 2025-07-23
32 APR_DRG Apr-DRG V34: 003-2: Bone Marrow Transplant 16 8 — — $54,946.17 $153,672.23 $62,638.63 2025-07-23
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 16 10 — — $59,783.65 $164,802.60 $62,473.92 2025-07-23
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 16 10 — — $59,727.41 $164,802.60 $62,415.15 2025-07-23
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 10 — — $59,720.79 $164,802.60 $62,408.23 2025-07-23
8504 APR_DRG Apr-DRG V34: 850-4: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health… 18 9 — — $54,009.90 $162,029.70 $61,571.29 2025-07-23
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 16 10 — — $58,892.40 $162,361.08 $61,542.56 2025-07-23
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 16 10 — — $58,633.18 $161,750.70 $61,271.68 2025-07-23
9124 APR_DRG Apr-DRG V34: 912-4: Musculoskeletal & Other Procedures For Multiple Significant … 18 9 — — $53,659.59 $160,978.77 $61,171.93 2025-07-23
4034 APR_DRG Apr-DRG V34: 403-4: Procedures For Obesity 22 9 — — $13,440.00 $178,001.55 $61,113.87 2025-07-23
81200001 CDM Kidney Acquis-cadaver 16 10 $156,507.00 — $31,301.40 $140,856.30 $61,037.73 2025-07-23
5104 APR_DRG Apr-DRG V34: 510-4: Pelvic Evisceration, Radical Hysterectomy & Other Radical Gy… 18 9 — — $53,147.75 $159,443.25 $60,588.43 2025-07-23
5912 APR_DRG Apr-DRG V34: 591-2: Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $52,972.94 $216,892.53 $60,389.15 2025-07-23
6904 APR_DRG Apr-DRG V34: 690-4: Acute Leukemia 18 9 — — $52,332.45 $172,911.84 $59,659.00 2025-07-23
904 APR_DRG Apr-DRG V34: 090-4: Major Larynx & Trachea Procedures 16 8 — — $52,098.90 $220,934.30 $59,392.74 2025-07-23
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 16 10 — — $56,827.48 $156,562.47 $59,384.71 2025-07-23
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 16 10 — — $56,403.90 $155,341.71 $58,942.08 2025-07-23
6023 APR_DRG Apr-DRG V34: 602-3: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 18 9 — — $51,607.34 $219,610.31 $58,832.37 2025-07-23
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 16 10 — — $56,231.83 $155,036.52 $58,762.26 2025-07-23
214 APR_DRG Apr-DRG V34: 021-4: Craniotomy Except For Trauma 18 9 — — $51,315.76 $153,947.28 $58,499.96 2025-07-23
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 16 10 — — $55,767.44 $153,815.76 $58,276.97 2025-07-23
41 APR_DRG Apr-DRG V34: 004-1: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 18 9 — — $50,946.57 $152,839.71 $58,079.09 2025-07-23
42 APR_DRG Apr-DRG V34: 004-2: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 18 9 — — $50,946.57 $152,839.71 $58,079.09 2025-07-23
1664 APR_DRG Apr-DRG V34: 166-4: Coronary Bypass Without Ami Or Complex Pdx 18 9 — — $50,906.71 $152,720.13 $58,033.65 2025-07-23
9104 APR_DRG Apr-DRG V34: 910-4: Craniotomy For Multiple Significant Trauma 18 9 — — $50,903.92 $152,711.76 $58,030.46 2025-07-23
5934 APR_DRG Apr-DRG V34: 593-4: Neonate Birthwt 750-999g Without Major Procedure 18 9 — — $50,903.22 $341,227.92 $58,029.67 2025-07-23
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 16 10 — — $55,439.86 $152,900.19 $57,934.65 2025-07-23
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 16 10 — — $55,396.83 $152,595.00 $57,889.68 2025-07-23
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 10 — — $55,374.77 $152,595.00 $57,866.64 2025-07-23
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 16 10 — — $55,176.19 $151,984.62 $57,659.12 2025-07-23
8114 APR_DRG Apr-DRG V34: 811-4: Allergic Reactions 18 9 — — $45,323.35 $172,258.05 $57,419.35 2025-07-23
2064 APR_DRG Apr-DRG V34: 206-4: Malfunction,reaction,complication Of Cardiac/vasc Device Or … 18 9 — — $50,241.05 $150,723.15 $57,274.79 2025-07-23
8412 APR_DRG Apr-DRG V34: 841-2: Extensive 3rd Degree Burns W Skin Graft 18 9 — — $50,200.49 $150,601.47 $57,228.56 2025-07-23
1624 APR_DRG Apr-DRG V34: 162-4: Cardiac Valve Procedures W Ami Or Complex Pdx 18 9 — — $50,163.43 $185,155.41 $57,186.31 2025-07-23
3174 APR_DRG Apr-DRG V34: 317-4: Tendon, Muscle & Other Soft Tissue Procedures 18 9 — — $50,076.73 $150,230.19 $57,087.48 2025-07-23
1614 APR_DRG Apr-DRG V34: 161-4: Cardiac Defibrillator & Heart Assist Implant 18 9 — — $49,956.46 $450,654.31 $56,950.37 2025-07-23
A9543 HCPCS Y-90 - Zevalin Per Dose Ndc 68152-103-03 29 15 $84,781.00 — $22,507.82 $166,683.45 $56,824.55 2025-07-23
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 16 10 — — $54,111.76 $149,237.91 $56,546.79 2025-07-23
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 16 10 — — $53,786.37 $148,322.34 $56,206.76 2025-07-23
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 16 10 — — $53,697.02 $173,603.00 $56,113.39 2025-07-23
27800114 CDM Impella 2.5 Catheter Set 14 8 $151,899.00 — $30,379.80 $136,709.10 $56,043.14 2025-07-23
5892 APR_DRG Apr-DRG V34: 589-2: Neonate Bwt <500g Or Ga <24 Weeks 18 9 — — $48,918.10 $238,545.58 $55,766.64 2025-07-23
3084 APR_DRG Apr-DRG V34: 308-4: Hip And Femur Fracture Repair 18 9 — — $48,524.43 $145,573.29 $55,317.85 2025-07-23
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 16 10 — — $52,884.08 $145,880.82 $55,263.86 2025-07-23
5933 APR_DRG Apr-DRG V34: 593-3: Neonate Birthwt 750-999g Without Major Procedure 18 9 — — $48,394.38 $267,217.93 $55,169.60 2025-07-23
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 16 10 — — $52,655.73 $144,965.25 $55,025.24 2025-07-23
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 16 10 — — $52,645.80 $144,965.25 $55,014.86 2025-07-23
244 APR_DRG Apr-DRG V34: 024-4: Extracranial Vascular Procedures 18 9 — — $48,184.61 $144,553.83 $54,930.46 2025-07-23
6114 APR_DRG Apr-DRG V34: 611-4: Neonate Birthwt 1500-1999g W Major Anomaly 18 9 — — $48,174.12 $162,455.57 $54,918.50 2025-07-23
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 16 10 — — $52,103.10 $143,439.30 $54,447.74 2025-07-23
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 10 — — $51,825.14 $142,828.92 $54,157.28 2025-07-23
204 APR_DRG Apr-DRG V34: 020-4: Craniotomy For Trauma 18 9 — — $47,460.20 $142,380.60 $54,104.63 2025-07-23
4454 APR_DRG Apr-DRG V34: 445-4: Other Bladder Procedures 18 9 — — $46,940.18 $162,111.51 $54,037.17 2025-07-23
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 16 10 — — $51,520.71 $141,913.35 $53,839.15 2025-07-23
1654 APR_DRG Apr-DRG V34: 165-4: Coronary Bypass W Ami Or Complex Pdx 18 9 — — $47,049.06 $141,147.18 $53,635.93 2025-07-23
31 APR_DRG Apr-DRG V34: 003-1: Bone Marrow Transplant 16 8 — — $47,009.90 $131,670.26 $53,591.29 2025-07-23
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 17 10 — — $51,028.72 $140,692.59 $53,580.16 2025-07-23
1774 APR_DRG Apr-DRG V34: 177-4: Cardiac Pacemaker & Defibrillator Revision Except Device Rep… 18 9 — — $46,946.27 $140,838.81 $53,518.74 2025-07-23
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 16 10 — — $51,049.70 $140,692.59 $53,346.93 2025-07-23
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 16 10 — — $50,866.59 $140,082.21 $53,155.58 2025-07-23
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 16 10 — — $50,858.86 $140,082.21 $53,147.51 2025-07-23
81200003 CDM Pancreas Acquis-cadaver 16 10 $135,746.00 — $27,149.20 $122,171.40 $52,940.94 2025-07-23
3854 APR_DRG Apr-DRG V34: 385-4: Other Skin, Subcutaneous Tissue & Breast Disorders 18 9 — — $46,667.98 $140,003.94 $52,741.24 2025-07-23
2534 APR_DRG Apr-DRG V34: 253-4: Other & Unspecified Gastrointestinal Hemorrhage 18 9 — — $45,409.31 $157,830.12 $52,610.04 2025-07-23
5881 APR_DRG Apr-DRG V34: 588-1: Neonate Bwt <1500g W Major Procedure 18 9 — — $46,080.62 $377,450.73 $52,531.90 2025-07-23
9114 APR_DRG Apr-DRG V34: 911-4: Extensive Abdominal/thoracic Procedures For Mult Significant… 18 9 — — $46,063.84 $138,191.52 $52,512.78 2025-07-23
3104 APR_DRG Apr-DRG V34: 310-4: Intervertebral Disc Excision & Decompression 18 9 — — $45,930.99 $137,792.97 $52,361.33 2025-07-23
7214 APR_DRG Apr-DRG V34: 721-4: Post-operative, Post-traumatic, Other Device Infections 18 9 — — $46,905.71 $140,717.13 $52,287.08 2025-07-23
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 16 10 — — $49,973.10 $137,640.69 $52,221.89 2025-07-23
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 16 10 — — $49,676.38 $136,725.12 $51,911.82 2025-07-23
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 16 10 — — $49,539.61 $136,419.93 $51,768.89 2025-07-23
6073 APR_DRG Apr-DRG V34: 607-3: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 18 9 — — $45,033.87 $180,588.30 $51,338.61 2025-07-23
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 16 10 — — $49,078.54 $135,199.17 $51,287.07 2025-07-23
1754 APR_DRG Apr-DRG V34: 175-4: Percutaneous Coronary Intervention Without Ami 18 9 — — $44,975.14 $134,925.42 $51,271.66 2025-07-23
6924 APR_DRG Apr-DRG V34: 692-4: Radiotherapy 18 9 — — $44,875.85 $134,627.55 $51,158.47 2025-07-23
3154 APR_DRG Apr-DRG V34: 315-4: Shoulder, Upper Arm & Forearm Procedures Except Joint Replac… 18 9 — — $44,859.06 $134,577.18 $51,139.32 2025-07-23
3034 APR_DRG Apr-DRG V34: 303-4: Dorsal & Lumbar Fusion Proc For Curvature Of Back 18 9 — — $44,745.79 $214,422.88 $51,010.20 2025-07-23
3013 APR_DRG Apr-DRG V34: 301-3: Hip Joint Replacement 16 8 — — $48,533.24 $111,473.80 $50,885.00 2025-07-23
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $48,662.69 $133,978.41 $50,852.51 2025-07-23
264 APR_DRG Apr-DRG V34: 026-4: Other Nervous System & Related Procedures 18 9 — — $44,564.69 $133,694.07 $50,803.75 2025-07-23
9514 APR_DRG Apr-DRG V34: 951-4: Moderately Extensive Procedure Unrelated To Principal Diagno… 18 9 — — $44,559.09 $133,677.27 $50,797.37 2025-07-23
1804 APR_DRG Apr-DRG V34: 180-4: Other Circulatory System Procedures 18 9 — — $44,537.42 $133,612.26 $50,772.65 2025-07-23
6033 APR_DRG Apr-DRG V34: 603-3: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 18 9 — — $44,494.07 $177,281.22 $50,723.24 2025-07-23
1634 APR_DRG Apr-DRG V34: 163-4: Cardiac Valve Procedures Without Ami Or Complex Pdx 18 9 — — $44,252.13 $139,839.10 $50,447.43 2025-07-23
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 16 10 — — $47,935.75 $132,147.27 $50,092.86 2025-07-23
4424 APR_DRG Apr-DRG V34: 442-4: Kidney & Urinary Tract Procedures For Malignancy 18 9 — — $43,935.38 $131,806.14 $50,086.33 2025-07-23
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 16 10 — — $47,837.59 $131,842.08 $49,990.28 2025-07-23
4254 APR_DRG Apr-DRG V34: 425-4: Electrolyte Disorders Except Hypovolemia Related 18 9 — — $47,697.39 $143,918.22 $49,937.19 2025-07-23
12 APR_DRG Apr-DRG V34: 001-2: Liver Transplant &/or Intestinal Transplant 18 9 — — $43,777.35 $131,332.05 $49,906.18 2025-07-23
11 APR_DRG Apr-DRG V34: 001-1: Liver Transplant &/or Intestinal Transplant 18 9 — — $43,777.35 $131,332.05 $49,906.18 2025-07-23
2624 APR_DRG Apr-DRG V34: 262-4: Cholecystectomy Except Laparoscopic 16 8 — — $43,716.52 $120,582.04 $49,836.83 2025-07-23
2074 APR_DRG Apr-DRG V34: 207-4: Other Circulatory System Diagnoses 18 9 — — $46,888.93 $140,666.79 $49,710.19 2025-07-23
3844 APR_DRG Apr-DRG V34: 384-4: Contusion, Open Wound & Other Trauma To Skin & Subcutaneous … 18 9 — — $35,785.11 $148,625.43 $49,541.81 2025-07-23
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 16 10 — — $47,260.70 $130,316.13 $49,387.43 2025-07-23
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 24 14 $136,548.64 — $40,759.77 $132,766.44 $49,335.36 2025-07-23
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 16 10 — — $47,191.22 $130,010.94 $49,314.82 2025-07-23
1204 APR_DRG Apr-DRG V34: 120-4: Major Respiratory & Chest Procedures 18 9 — — $43,144.55 $129,433.65 $49,184.79 2025-07-23
2604 APR_DRG Apr-DRG V34: 260-4: Major Pancreas, Liver & Shunt Procedures 18 9 — — $43,010.30 $147,195.70 $49,031.74 2025-07-23
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 16 10 — — $46,858.09 $129,095.37 $48,966.70 2025-07-23
5911 APR_DRG Apr-DRG V34: 591-1: Neonate Birthwt 500-749g Without Major Procedure 18 9 — — $42,923.59 $175,554.02 $48,932.90 2025-07-23
6944 APR_DRG Apr-DRG V34: 694-4: Lymphatic & Other Malignancies & Neoplasms Of Uncertain Beha… 18 9 — — $42,886.53 $128,659.59 $48,890.64 2025-07-23
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 16 10 — — $46,432.30 $127,874.61 $48,521.75 2025-07-23
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 16 10 — — $46,421.28 $127,874.61 $48,510.24 2025-07-23
2544 APR_DRG Apr-DRG V34: 254-4: Other Digestive System Diagnoses 18 9 — — $43,618.63 $130,855.89 $48,473.64 2025-07-23
5144 APR_DRG Apr-DRG V34: 514-4: Female Reproductive System Reconstructive Procedures 18 9 — — $42,480.98 $127,442.94 $48,428.32 2025-07-23
804 APR_DRG Apr-DRG V34: 080-4: Acute Major Eye Infections 16 8 — — $26,865.08 $108,808.67 $48,359.41 2025-07-23
484 APR_DRG Apr-DRG V34: 048-4: Peripheral, Cranial & Autonomic Nerve Disorders 18 9 — — $42,408.26 $127,224.78 $48,345.42 2025-07-23
1694 APR_DRG Apr-DRG V34: 169-4: Major Abdominal Vascular Procedures 18 9 — — $42,382.39 $142,473.52 $48,315.93 2025-07-23
1154 APR_DRG Apr-DRG V34: 115-4: Other Ear, Nose, Mouth,throat & Cranial/facial Diagnoses 18 9 — — $43,034.77 $129,104.31 $48,283.64 2025-07-23
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 16 10 — — $46,102.52 $126,959.04 $48,177.14 2025-07-23
9524 APR_DRG Apr-DRG V34: 952-4: Nonextensive Procedure Unrelated To Principal Diagnosis 18 9 — — $42,157.24 $126,471.72 $48,059.26 2025-07-23
6223 APR_DRG Apr-DRG V34: 622-3: Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $42,114.58 $126,343.74 $48,010.62 2025-07-23
2834 APR_DRG Apr-DRG V34: 283-4: Other Disorders Of The Liver 18 9 — — $43,011.00 $129,033.00 $47,977.24 2025-07-23
3644 APR_DRG Apr-DRG V34: 364-4: Other Skin, Subcutaneous Tissue & Related Procedures 18 9 — — $41,955.86 $125,867.58 $47,829.68 2025-07-23
8134 APR_DRG Apr-DRG V34: 813-4: Other Complications Of Treatment 18 9 — — $42,157.24 $126,471.72 $47,734.78 2025-07-23
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 16 10 — — $45,566.41 $125,433.09 $47,616.90 2025-07-23
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 16 10 — — $45,541.06 $125,433.09 $47,590.40 2025-07-23
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 16 10 — — $45,473.76 $125,127.90 $47,520.08 2025-07-23
52 APR_DRG Apr-DRG V34: 005-2: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 18 9 — — $41,541.91 $124,625.73 $47,357.78 2025-07-23
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 15 10 — — $5,640.00 $127,264.23 $47,134.81 2025-07-23
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 10 — — $45,073.35 $124,212.33 $47,101.65 2025-07-23
6634 APR_DRG Apr-DRG V34: 663-4: Other Anemia & Disorders Of Blood & Blood-forming Organs 18 9 — — $44,962.55 $134,887.65 $47,068.34 2025-07-23
1144 APR_DRG Apr-DRG V34: 114-4: Dental & Oral Diseases & Injuries 18 9 — — $43,270.41 $129,811.23 $47,000.72 2025-07-23
2274 APR_DRG Apr-DRG V34: 227-4: Hernia Procedures Except Inguinal, Femoral & Umbilical 18 9 — — $41,144.75 $123,434.25 $46,905.01 2025-07-23
3044 APR_DRG Apr-DRG V34: 304-4: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 18 9 — — $41,018.89 $181,229.95 $46,761.54 2025-07-23
3054 APR_DRG Apr-DRG V34: 305-4: Amputation Of Lower Limb Except Toes 18 9 — — $40,853.17 $125,393.39 $46,572.61 2025-07-23
1603 APR_DRG Apr-DRG V34: 160-3: Major Cardiothoracic Repair Of Heart Anomaly 18 9 — — $40,794.43 $122,383.29 $46,505.65 2025-07-23
6344 APR_DRG Apr-DRG V34: 634-4: Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $40,558.79 $121,676.37 $46,237.02 2025-07-23
51 APR_DRG Apr-DRG V34: 005-1: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 18 9 — — $40,510.55 $121,531.65 $46,182.03 2025-07-23
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 16 10 — — $44,150.08 $121,465.62 $46,136.83 2025-07-23
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 16 10 — — $44,119.20 $121,465.62 $46,104.57 2025-07-23
5932 APR_DRG Apr-DRG V34: 593-2: Neonate Birthwt 750-999g Without Major Procedure 18 9 — — $40,439.92 $219,222.61 $46,101.51 2025-07-23
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 15 10 — — $6,181.00 $123,907.14 $45,890.43 2025-07-23
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 16 10 — — $43,730.93 $120,550.05 $45,698.82 2025-07-23
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 16 10 — — $43,641.59 $120,244.86 $45,605.46 2025-07-23
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 16 10 — — $43,553.33 $119,939.67 $45,513.23 2025-07-23
5004 APR_DRG Apr-DRG V34: 500-4: Malignancy, Male Reproductive System 18 9 — — $35,823.52 $136,492.38 $45,497.46 2025-07-23
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 16 10 — — $43,340.47 $119,329.29 $45,290.79 2025-07-23
2214 APR_DRG Apr-DRG V34: 221-4: Major Small & Large Bowel Procedures 16 8 — — $39,688.25 $131,334.90 $45,244.60 2025-07-23
2224 APR_DRG Apr-DRG V34: 222-4: Other Stomach, Esophageal & Duodenal Procedures 18 9 — — $39,619.03 $118,857.09 $45,165.69 2025-07-23
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 16 10 — — $43,102.20 $118,718.91 $45,041.80 2025-07-23
2204 APR_DRG Apr-DRG V34: 220-4: Major Stomach, Esophageal & Duodenal Procedures 18 9 — — $39,377.09 $140,628.06 $44,889.89 2025-07-23
8124 APR_DRG Apr-DRG V34: 812-4: Poisoning Of Medicinal Agents 18 9 — — $42,126.26 $133,677.27 $44,805.84 2025-07-23
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 16 10 — — $42,840.77 $118,108.53 $44,768.60 2025-07-23
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 16 10 — — $42,797.76 $117,803.34 $44,723.66 2025-07-23
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 16 10 — — $42,678.63 $117,498.15 $44,599.17 2025-07-23
5014 APR_DRG Apr-DRG V34: 501-4: Male Reproductive System Diagnoses Except Malignancy 18 9 — — $41,142.25 $132,655.71 $44,396.01 2025-07-23
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 16 10 — — $42,370.88 $116,582.58 $44,277.57 2025-07-23
2844 APR_DRG Apr-DRG V34: 284-4: Disorders Of Gallbladder & Biliary Tract 18 9 — — $38,739.39 $116,218.17 $44,162.90 2025-07-23
4214 APR_DRG Apr-DRG V34: 421-4: Malnutrition, Failure To Thrive & Other Nutritional Disorder… 18 9 — — $38,707.93 $116,123.79 $44,127.04 2025-07-23
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 16 10 — — $42,142.55 $115,972.20 $44,038.96 2025-07-23
4403 APR_DRG Apr-DRG V34: 440-3: Kidney Transplant 21 9 — — $20,369.90 $134,834.00 $43,795.28 2025-07-23
224 APR_DRG Apr-DRG V34: 022-4: Ventricular Shunt Procedures 18 9 — — $38,352.72 $115,058.16 $43,722.10 2025-07-23
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 16 10 — — $41,816.04 $115,056.63 $43,697.76 2025-07-23
5174 APR_DRG Apr-DRG V34: 517-4: Dilation & Curettage For Non-obstetric Diagnoses 18 9 — — $41,458.67 $128,930.19 $43,653.25 2025-07-23
8411 APR_DRG Apr-DRG V34: 841-1: Extensive 3rd Degree Burns W Skin Graft 18 9 — — $38,207.98 $114,623.94 $43,557.10 2025-07-23
1442 APR_DRG Apr-DRG V34: 144-2: Respiratory Signs, Symptoms & Minor Diagnoses 18 9 — — $12,542.18 $130,583.19 $43,527.73 2025-07-23
6254 APR_DRG Apr-DRG V34: 625-4: Neonate Bwt 2000-2499g W Other Significant Condition 18 9 — — $38,117.78 $114,353.34 $43,454.27 2025-07-23
494 APR_DRG Apr-DRG V34: 049-4: Bacterial & Tuberculous Infections Of Nervous System 18 9 — — $38,066.04 $118,912.99 $43,395.29 2025-07-23
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 16 10 — — $41,484.01 $114,141.06 $43,350.79 2025-07-23
3023 APR_DRG Apr-DRG V34: 302-3: Knee Joint Replacement 16 8 — — $37,933.88 $85,351.23 $43,244.62 2025-07-23
3624 APR_DRG Apr-DRG V34: 362-4: Mastectomy Procedures 18 9 — — $37,805.92 $113,417.76 $43,098.74 2025-07-23
6623 APR_DRG Apr-DRG V34: 662-3: Sickle Cell Anemia Crisis 18 9 — — $30,316.40 $129,225.99 $43,075.33 2025-07-23
8634 APR_DRG Apr-DRG V34: 863-4: Neonatal Aftercare 18 9 — — $37,733.90 $113,201.70 $43,016.65 2025-07-23
2254 APR_DRG Apr-DRG V34: 225-4: Appendectomy 16 8 — — $37,557.00 $84,503.25 $42,814.98 2025-07-23
0620T HCPCS Endovascular Venous Arterialization Tibl/Prnl Vn 25 13 $55,532.00 — $11,106.40 $121,491.98 $42,660.74 2025-07-23
C9293 HCPCS Glucarpidase 1000 Units IV Solr 14 8 $115,287.20 — $23,057.44 $103,758.48 $42,535.21 2025-07-23
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 10 — — $40,454.86 $111,394.35 $42,275.32 2025-07-23
6084 APR_DRG Apr-DRG V34: 608-4: Neonate Bwt 1250-1499g W Or Without Other Significant Condition 18 9 — — $36,888.53 $142,463.82 $42,052.93 2025-07-23
5891 APR_DRG Apr-DRG V34: 589-1: Neonate Bwt <500g Or Ga <24 Weeks 18 9 — — $36,861.26 $238,545.58 $42,021.84 2025-07-23
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 16 10 — — $40,175.79 $110,478.78 $41,983.70 2025-07-23
6124 APR_DRG Apr-DRG V34: 612-4: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 18 9 — — $36,824.90 $167,493.74 $41,980.38 2025-07-23
3134 APR_DRG Apr-DRG V34: 313-4: Knee & Lower Leg Procedures Except Foot 18 9 — — $36,575.97 $128,679.15 $41,696.61 2025-07-23
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 16 10 — — $39,750.02 $109,258.02 $41,538.77 2025-07-23
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 16 10 — — $39,747.82 $109,258.02 $41,536.47 2025-07-23
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