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

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You selected 29806 (CPT)

ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY

This hospital’s price: $9,130 across 10 payers · range $4,350-$24,797

Source: https://www.upstate.edu/hospital/files/161469571_upstate-university-hospital_standardcharges.csv · observed 2026-09-05

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.

11,016 distinct procedures filed
19 distinct payers
416,024 rate rows
2026-09-05 last MRF observed
Data quality

407,460 of 416,024 rate rows are consumer-grade (97.9%)

8,564 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 3,746
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,305
placeholder amount (≤ $0.02) — excluded from medians 1,096
per-diem day rate — not a per-procedure price 961
template filing: same amount across many unrelated codes — excluded 918
exceeds 10× this hospital's gross charge — excluded from medians 529
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 9
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 success · 2026-11-02
Content fingerprint 353e35de2a220251… · 301,202,218 bytes · first seen 2026-11-02

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
$2,467,989
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 $437,009.84 nat. median
$360,195
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 $326,464.94 nat. median
$247,805
1.3× 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
$243,231
1.1× 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 $274,976.91 nat. median
$197,664
1.4× 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
$93,094
outlier · 2.7×
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 $248,440.10 nat. median
$190,274
1.3× 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
$78,028
outlier · 2.9×
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
$77,933
outlier · 2.6×
5654
APR_DRG 		Apr-DRG V34: 565-4: False Labor 8 $7,393.55 $405,639.07 $180,284.03 nat. median
$5,553
outlier · 32.5×
34
APR_DRG 		Apr-DRG V34: 003-4: Bone Marrow Transplant 8 $157,381.41 $437,656.67 $179,414.80 nat. median
$241,408
0.7× 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
$63,446
outlier · 2.7×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 10 $156,069.12 $436,237.00 $163,872.58 nat. median
$126,240
1.3× 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
$60,364
outlier · 2.7×
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
$13,986
outlier · 11.6×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 10 $144,727.55 $318,487.20 $151,963.93 nat. median
$109,875
1.4× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 10 $144,363.52 $398,883.33 $151,581.70 nat. median
$117,943
1.3× 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
$57,570
outlier · 2.6×
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
$160,390
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
$122,016
1.2× 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
$137,215
1.0× 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
$4,320
outlier · 31.5×
850
OTHER 		Acute Leukemia With Other Procedures 1 $134,786.24 $134,786.24 $134,786.24 nat. median
$396
outlier · 340.3×
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
$50,495
outlier · 2.6×
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
$51,145
outlier · 2.6×
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
$119,800
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 $127,848.93 nat. median
$103,911
1.2× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 10 $120,373.25 $332,351.91 $126,391.91 nat. median
$97,029
1.3× 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
$48,240
outlier · 2.6×
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 10 $117,676.29 $325,027.35 $123,560.10 nat. median
$94,844
1.3× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 10 $117,074.02 $323,196.21 $122,927.72 nat. median
$93,531
1.3× 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
$249,123
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
$111,079
1.1× 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
$61,290
1.9× median
64
APR_DRG 		Apr-DRG V34: 006-4: Pancreas Transplant 9 $54,095.21 $162,285.63 $116,304.70 nat. median
$92,076
1.3× median
81200002
CDM 		Kidney/Pancreas Acquisition-cadaver 9 $62,493.00 $281,218.50 $115,283.96 nat. median
$59,411
1.9× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 10 $106,664.50 $294,508.35 $111,997.73 nat. median
$90,525
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
$74,184
1.5× 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
$82,146
1.3× median
81100002
CDM 		Kidney/Pancreas Acquis-live Donor 9 $59,301.00 $266,854.50 $109,395.52 nat. median
$85,771
1.3× 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
$93,125
1.1× median
5653
APR_DRG 		Apr-DRG V34: 565-3: False Labor 8 $7,393.55 $231,111.52 $102,716.23 nat. median
$5,209
outlier · 19.7×
5651
APR_DRG 		Apr-DRG V34: 565-1: False Labor 8 $6,299.80 $226,818.07 $100,808.03 nat. median
$3,866
outlier · 26.1×
5652
APR_DRG 		Apr-DRG V34: 565-2: False Labor 8 $7,302.10 $226,818.07 $100,808.03 nat. median
$4,867
outlier · 20.7×
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
$38,939
outlier · 2.5×
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
$165,334
0.6× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 10 $93,679.37 $258,495.93 $98,363.34 nat. median
$76,979
1.3× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 10 $93,627.53 $258,495.93 $98,308.91 nat. median
$77,595
1.3× median

Other procedures at this hospital

Browse this hospital's 11,016 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 2026-09-05
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $416,199.85 $1,150,871.49 $437,009.84 2026-09-05
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $310,918.99 $859,720.23 $326,464.94 2026-09-05
24 APR_DRG Apr-DRG V34: 002-4: Heart &/or Lung Transplant 18 9 — — $244,667.12 $734,001.36 $278,920.52 2026-09-05
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 15 10 — — $261,882.77 $613,737.09 $274,976.91 2026-09-05
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 2026-09-05
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 15 10 — — $236,609.62 $654,022.17 $248,440.10 2026-09-05
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 5 4 — — $170,716.56 $281,079.99 $223,913.52 2026-09-05
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 2026-09-05
5654 APR_DRG Apr-DRG V34: 565-4: False Labor 16 8 — — $7,393.55 $405,639.07 $180,284.03 2026-09-05
34 APR_DRG Apr-DRG V34: 003-4: Bone Marrow Transplant 16 8 — — $157,381.41 $437,656.67 $179,414.80 2026-09-05
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 2026-09-05
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 15 10 — — $156,069.12 $436,237.00 $163,872.58 2026-09-05
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 2026-09-05
1444 APR_DRG Apr-DRG V34: 144-4: Respiratory Signs, Symptoms & Minor Diagnoses 18 9 — — $33,209.88 $486,209.28 $162,069.76 2026-09-05
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 15 10 — — $144,727.55 $318,487.20 $151,963.93 2026-09-05
7 MS_DRG Ms-DRG 42.00: Lung Transplant 15 10 — — $144,363.52 $398,883.33 $151,581.70 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
14 APR_DRG Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 18 9 — — $123,084.83 $369,254.49 $140,316.71 2026-09-05
5834 APR_DRG Apr-DRG V34: 583-4: Neonate W Ecmo 18 9 — — $122,598.87 $501,150.29 $139,762.71 2026-09-05
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 2026-09-05
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $134,786.24 $134,786.24 $134,786.24 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $121,760.89 $286,878.60 $127,848.93 2026-09-05
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 15 10 — — $120,373.25 $332,351.91 $126,391.91 2026-09-05
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 2026-09-05
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $117,676.29 $325,027.35 $123,560.10 2026-09-05
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 15 10 — — $117,074.02 $323,196.21 $122,927.72 2026-09-05
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 2026-09-05
23 APR_DRG Apr-DRG V34: 002-3: Heart &/or Lung Transplant 18 9 — — $106,047.37 $318,142.11 $120,894.00 2026-09-05
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 2026-09-05
64 APR_DRG Apr-DRG V34: 006-4: Pancreas Transplant 21 9 — — $54,095.21 $162,285.63 $116,304.70 2026-09-05
81200002 CDM Kidney/Pancreas Acquisition-cadaver 14 9 $312,465.00 — $62,493.00 $281,218.50 $115,283.96 2026-09-05
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 15 10 — — $106,664.50 $294,508.35 $111,997.73 2026-09-05
63 APR_DRG Apr-DRG V34: 006-3: Pancreas Transplant 21 9 — — $51,824.80 $155,474.40 $111,423.32 2026-09-05
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 2026-09-05
81100002 CDM Kidney/Pancreas Acquis-live Donor 14 9 $296,505.00 — $59,301.00 $266,854.50 $109,395.52 2026-09-05
5833 APR_DRG Apr-DRG V34: 583-3: Neonate W Ecmo 18 9 — — $95,902.93 $287,708.79 $109,329.34 2026-09-05
22 APR_DRG Apr-DRG V34: 002-2: Heart &/or Lung Transplant 18 9 — — $90,503.47 $271,510.41 $103,173.96 2026-09-05
5653 APR_DRG Apr-DRG V34: 565-3: False Labor 16 8 — — $7,393.55 $231,111.52 $102,716.23 2026-09-05
5651 APR_DRG Apr-DRG V34: 565-1: False Labor 16 8 — — $6,299.80 $226,818.07 $100,808.03 2026-09-05
5652 APR_DRG Apr-DRG V34: 565-2: False Labor 16 8 — — $7,302.10 $226,818.07 $100,808.03 2026-09-05
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 2026-09-05
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 2026-09-05
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 15 10 — — $93,679.37 $258,495.93 $98,363.34 2026-09-05
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 15 10 — — $93,627.53 $258,495.93 $98,308.91 2026-09-05
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 2026-09-05
4404 APR_DRG Apr-DRG V34: 440-4: Kidney Transplant 21 9 — — $45,263.92 $204,528.78 $97,317.43 2026-09-05
21 APR_DRG Apr-DRG V34: 002-1: Heart &/or Lung Transplant 18 9 — — $85,289.30 $255,867.90 $97,229.80 2026-09-05
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 2026-09-05
33 APR_DRG Apr-DRG V34: 003-3: Bone Marrow Transplant 16 8 — — $83,352.43 $232,423.79 $95,021.77 2026-09-05
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 2026-09-05
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $94,500.30 $94,500.30 $94,500.30 2026-09-05
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 16 10 — — $88,154.18 $218,866.00 $93,884.20 2026-09-05
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 15 10 — — $89,125.96 $245,983.14 $93,582.26 2026-09-05
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 10 — — $87,650.07 $242,015.67 $93,347.33 2026-09-05
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 15 10 — — $86,426.79 $238,658.58 $90,748.13 2026-09-05
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $90,446.28 $90,446.28 $90,446.28 2026-09-05
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 15 10 — — $85,556.48 $236,217.06 $89,834.30 2026-09-05
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 2026-09-05
5832 APR_DRG Apr-DRG V34: 583-2: Neonate W Ecmo 18 9 — — $78,590.67 $280,816.51 $89,593.36 2026-09-05
3014 APR_DRG Apr-DRG V34: 301-4: Hip Joint Replacement 16 8 — — $76,859.37 $172,933.58 $87,619.68 2026-09-05
5831 APR_DRG Apr-DRG V34: 583-1: Neonate W Ecmo 18 9 — — $76,218.18 $280,816.51 $86,888.73 2026-09-05
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $82,541.84 $227,671.74 $86,668.93 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 24 14 $225,603.70 — $55,536.50 $203,043.33 $82,191.46 2026-09-05
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $78,160.51 $215,769.33 $82,068.54 2026-09-05
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 2026-09-05
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $76,941.64 $212,412.24 $80,788.72 2026-09-05
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 15 10 — — $75,527.53 $208,444.77 $79,303.91 2026-09-05
824 APR_DRG Apr-DRG V34: 082-4: Eye Disorders Except Major Infections 18 9 — — $21,431.12 $237,624.27 $79,208.09 2026-09-05
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $78,660.79 $78,660.79 $78,660.79 2026-09-05
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 2026-09-05
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 15 10 — — $73,879.56 $203,866.92 $77,573.54 2026-09-05
62 APR_DRG Apr-DRG V34: 006-2: Pancreas Transplant 21 9 — — $36,030.57 $143,403.00 $77,465.73 2026-09-05
61 APR_DRG Apr-DRG V34: 006-1: Pancreas Transplant 21 9 — — $36,030.57 $143,403.00 $77,465.73 2026-09-05
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 15 10 — — $73,754.91 $203,561.73 $77,442.66 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $71,544.41 $197,457.93 $75,121.63 2026-09-05
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 15 10 — — $71,441.82 $197,152.74 $75,013.91 2026-09-05
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 2026-09-05
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 2026-09-05
3024 APR_DRG Apr-DRG V34: 302-4: Knee Joint Replacement 16 8 — — $64,886.44 $145,994.49 $73,970.54 2026-09-05
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 2026-09-05
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 15 10 — — $69,968.14 $192,880.08 $73,466.55 2026-09-05
4244 APR_DRG Apr-DRG V34: 424-4: Other Endocrine Disorders 18 9 — — $53,039.90 $219,871.50 $73,290.50 2026-09-05
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 2026-09-05
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 2026-09-05
6614 APR_DRG Apr-DRG V34: 661-4: Coagulation & Platelet Disorders 18 9 — — $63,411.06 $190,233.18 $72,288.61 2026-09-05
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 2026-09-05
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 15 10 — — $68,535.27 $188,912.61 $71,962.03 2026-09-05
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $68,135.98 $187,997.04 $71,542.78 2026-09-05
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 15 10 — — $67,898.81 $182,808.81 $71,293.75 2026-09-05
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 16 10 — — $66,786.94 $197,691.00 $71,128.10 2026-09-05
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 16 10 — — $66,786.94 $197,691.00 $71,128.10 2026-09-05
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 15 10 — — $67,589.96 $186,471.09 $70,969.46 2026-09-05
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 15 10 — — $67,267.88 $185,555.52 $70,631.27 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 15 10 — — $66,289.47 $182,808.81 $69,603.94 2026-09-05
1443 APR_DRG Apr-DRG V34: 144-3: Respiratory Signs, Symptoms & Minor Diagnoses 18 9 — — $17,943.22 $208,449.54 $69,483.18 2026-09-05
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 15 10 — — $65,831.70 $181,588.05 $69,123.29 2026-09-05
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $65,113.62 $179,451.72 $68,369.30 2026-09-05
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 2026-09-05
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $64,430.82 $177,620.58 $67,652.36 2026-09-05
13 APR_DRG Apr-DRG V34: 001-3: Liver Transplant &/or Intestinal Transplant 18 9 — — $59,182.81 $177,548.43 $67,468.40 2026-09-05
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 9 — — $6,181.00 $181,282.86 $67,426.61 2026-09-05
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 15 10 — — $63,516.38 $175,179.06 $66,692.20 2026-09-05
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 15 10 — — $63,138.04 $174,263.49 $66,294.94 2026-09-05
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 2026-09-05
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 2026-09-05
234 APR_DRG Apr-DRG V34: 023-4: Spinal Procedures 18 9 — — $57,194.20 $171,582.60 $65,201.39 2026-09-05
6624 APR_DRG Apr-DRG V34: 662-4: Sickle Cell Anemia Crisis 18 9 — — $61,886.04 $185,658.12 $65,044.17 2026-09-05
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 15 10 — — $61,698.56 $169,990.83 $64,783.49 2026-09-05
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 15 10 — — $61,176.80 $168,770.07 $64,235.64 2026-09-05
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 15 10 — — $61,176.80 $162,971.46 $64,235.64 2026-09-05
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 16 10 — — $60,225.97 $259,397.00 $64,140.66 2026-09-05
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 27 13 $42,000.00 — $0.20 $185,977.20 $63,402.04 2026-09-05
81200001 CDM Kidney Acquis-cadaver 14 9 $171,119.00 — $34,223.80 $154,007.10 $63,134.35 2026-09-05
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $60,089.22 $184,784.49 $63,093.68 2026-09-05
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 2026-09-05
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 15 10 — — $59,783.65 $164,802.60 $62,772.83 2026-09-05
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 15 10 — — $59,727.41 $164,802.60 $62,713.78 2026-09-05
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $59,720.79 $164,802.60 $62,706.83 2026-09-05
32 APR_DRG Apr-DRG V34: 003-2: Bone Marrow Transplant 16 8 — — $54,946.17 $153,672.23 $62,638.63 2026-09-05
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 15 10 — — $58,892.40 $162,361.08 $61,837.02 2026-09-05
27800114 CDM Impella 2.5 Catheter Set 14 8 $167,089.00 — $33,417.80 $150,380.10 $61,647.49 2026-09-05
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 2026-09-05
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 15 10 — — $58,633.18 $161,750.70 $61,564.84 2026-09-05
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 2026-09-05
4034 APR_DRG Apr-DRG V34: 403-4: Procedures For Obesity 22 9 — — $13,440.00 $178,001.55 $61,113.87 2026-09-05
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 2026-09-05
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 2026-09-05
J0567 HCPCS Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 25 9 $100,447.20 — $28,416.51 $180,804.96 $59,966.98 2026-09-05
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 15 10 — — $56,827.48 $156,562.47 $59,668.85 2026-09-05
6904 APR_DRG Apr-DRG V34: 690-4: Acute Leukemia 18 9 — — $52,332.45 $172,911.84 $59,659.00 2026-09-05
904 APR_DRG Apr-DRG V34: 090-4: Major Larynx & Trachea Procedures 16 8 — — $52,098.90 $220,934.30 $59,392.74 2026-09-05
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $56,403.90 $155,341.71 $59,224.10 2026-09-05
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $56,231.83 $155,036.52 $59,043.42 2026-09-05
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 2026-09-05
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 15 10 — — $55,767.44 $153,815.76 $58,555.81 2026-09-05
214 APR_DRG Apr-DRG V34: 021-4: Craniotomy Except For Trauma 18 9 — — $51,315.76 $153,947.28 $58,499.96 2026-09-05
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 15 10 — — $55,439.86 $152,900.19 $58,211.85 2026-09-05
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 15 10 — — $55,396.83 $152,595.00 $58,166.67 2026-09-05
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $55,374.77 $152,595.00 $58,143.51 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
9104 APR_DRG Apr-DRG V34: 910-4: Craniotomy For Multiple Significant Trauma 18 9 — — $50,903.92 $152,711.76 $58,030.46 2026-09-05
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 2026-09-05
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 15 10 — — $55,176.19 $151,984.62 $57,935.00 2026-09-05
8114 APR_DRG Apr-DRG V34: 811-4: Allergic Reactions 18 9 — — $45,323.35 $172,258.05 $57,419.35 2026-09-05
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 2026-09-05
81100001 CDM Kidney Acquis-live Donor 14 9 $155,160.00 — $31,032.00 $139,644.00 $57,246.28 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
1614 APR_DRG Apr-DRG V34: 161-4: Cardiac Defibrillator & Heart Assist Implant 18 9 — — $49,956.46 $450,654.31 $56,950.37 2026-09-05
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 2026-09-05
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 15 10 — — $54,111.76 $149,237.91 $56,817.35 2026-09-05
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 15 10 — — $53,786.37 $148,322.34 $56,475.69 2026-09-05
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 15 10 — — $53,697.02 $173,603.00 $56,381.87 2026-09-05
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 2026-09-05
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 15 10 — — $52,884.08 $145,880.82 $55,528.28 2026-09-05
3084 APR_DRG Apr-DRG V34: 308-4: Hip And Femur Fracture Repair 18 9 — — $48,524.43 $145,573.29 $55,317.85 2026-09-05
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 15 10 — — $52,655.73 $144,965.25 $55,288.52 2026-09-05
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 15 10 — — $52,645.80 $144,965.25 $55,278.09 2026-09-05
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 2026-09-05
244 APR_DRG Apr-DRG V34: 024-4: Extracranial Vascular Procedures 18 9 — — $48,184.61 $144,553.83 $54,930.46 2026-09-05
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 2026-09-05
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 24 14 $140,508.54 — $41,941.80 $132,766.44 $54,798.33 2026-09-05
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 15 10 — — $52,103.10 $143,439.30 $54,708.25 2026-09-05
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $51,825.14 $142,828.92 $54,416.40 2026-09-05
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 16 10 — — $51,028.72 $140,692.59 $54,345.59 2026-09-05
204 APR_DRG Apr-DRG V34: 020-4: Craniotomy For Trauma 18 9 — — $47,460.20 $142,380.60 $54,104.63 2026-09-05
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 15 10 — — $51,520.71 $141,913.35 $54,096.75 2026-09-05
4454 APR_DRG Apr-DRG V34: 445-4: Other Bladder Procedures 18 9 — — $46,940.18 $162,111.51 $54,037.17 2026-09-05
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 2026-09-05
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 15 10 — — $51,049.70 $140,692.59 $53,602.18 2026-09-05
31 APR_DRG Apr-DRG V34: 003-1: Bone Marrow Transplant 16 8 — — $47,009.90 $131,670.26 $53,591.29 2026-09-05
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 2026-09-05
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 15 10 — — $50,866.59 $140,082.21 $53,409.92 2026-09-05
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 15 10 — — $50,858.86 $140,082.21 $53,401.80 2026-09-05
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 2026-09-05
2534 APR_DRG Apr-DRG V34: 253-4: Other & Unspecified Gastrointestinal Hemorrhage 18 9 — — $45,409.31 $157,830.12 $52,610.04 2026-09-05
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 2026-09-05
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 2026-09-05
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 15 10 — — $49,973.10 $137,640.69 $52,471.75 2026-09-05
3104 APR_DRG Apr-DRG V34: 310-4: Intervertebral Disc Excision & Decompression 18 9 — — $45,930.99 $137,792.97 $52,361.33 2026-09-05
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 2026-09-05
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 15 10 — — $49,676.38 $136,725.12 $52,160.20 2026-09-05
81200003 CDM Pancreas Acquis-cadaver 14 9 $141,346.00 — $28,269.20 $127,211.40 $52,149.60 2026-09-05
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $49,539.61 $136,419.93 $52,016.59 2026-09-05
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 15 10 — — $49,078.54 $135,199.17 $51,532.47 2026-09-05
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 2026-09-05
1754 APR_DRG Apr-DRG V34: 175-4: Percutaneous Coronary Intervention Without Ami 18 9 — — $44,975.14 $134,925.42 $51,271.66 2026-09-05
6924 APR_DRG Apr-DRG V34: 692-4: Radiotherapy 18 9 — — $44,875.85 $134,627.55 $51,158.47 2026-09-05
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 2026-09-05
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $48,662.69 $133,978.41 $51,095.82 2026-09-05
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 2026-09-05
3013 APR_DRG Apr-DRG V34: 301-3: Hip Joint Replacement 16 8 — — $48,533.24 $111,473.80 $50,885.00 2026-09-05
264 APR_DRG Apr-DRG V34: 026-4: Other Nervous System & Related Procedures 18 9 — — $44,564.69 $133,694.07 $50,803.75 2026-09-05
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 2026-09-05
1804 APR_DRG Apr-DRG V34: 180-4: Other Circulatory System Procedures 18 9 — — $44,537.42 $133,612.26 $50,772.65 2026-09-05
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 2026-09-05
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 2026-09-05
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 15 10 — — $47,935.75 $132,147.27 $50,332.54 2026-09-05
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 15 10 — — $47,837.59 $131,842.08 $50,229.47 2026-09-05
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 2026-09-05
4254 APR_DRG Apr-DRG V34: 425-4: Electrolyte Disorders Except Hypovolemia Related 18 9 — — $47,697.39 $143,918.22 $49,937.19 2026-09-05
11 APR_DRG Apr-DRG V34: 001-1: Liver Transplant &/or Intestinal Transplant 18 9 — — $43,777.35 $131,332.05 $49,906.18 2026-09-05
12 APR_DRG Apr-DRG V34: 001-2: Liver Transplant &/or Intestinal Transplant 18 9 — — $43,777.35 $131,332.05 $49,906.18 2026-09-05
2624 APR_DRG Apr-DRG V34: 262-4: Cholecystectomy Except Laparoscopic 16 8 — — $43,716.52 $120,582.04 $49,836.83 2026-09-05
2074 APR_DRG Apr-DRG V34: 207-4: Other Circulatory System Diagnoses 18 9 — — $46,888.93 $140,666.79 $49,710.19 2026-09-05
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 15 10 — — $47,260.70 $130,316.13 $49,623.74 2026-09-05
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 15 10 — — $47,191.22 $130,010.94 $49,550.78 2026-09-05
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 2026-09-05
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 15 10 — — $46,858.09 $129,095.37 $49,200.99 2026-09-05
1204 APR_DRG Apr-DRG V34: 120-4: Major Respiratory & Chest Procedures 18 9 — — $43,144.55 $129,433.65 $49,184.79 2026-09-05
2604 APR_DRG Apr-DRG V34: 260-4: Major Pancreas, Liver & Shunt Procedures 18 9 — — $43,010.30 $147,195.70 $49,031.74 2026-09-05
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 2026-09-05
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 2026-09-05
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $48,765.28 $48,765.28 $48,765.28 2026-09-05
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 15 10 — — $46,432.30 $127,874.61 $48,753.92 2026-09-05
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 15 10 — — $46,421.28 $127,874.61 $48,742.34 2026-09-05
2544 APR_DRG Apr-DRG V34: 254-4: Other Digestive System Diagnoses 18 9 — — $43,618.63 $130,855.89 $48,473.64 2026-09-05
5144 APR_DRG Apr-DRG V34: 514-4: Female Reproductive System Reconstructive Procedures 18 9 — — $42,480.98 $127,442.94 $48,428.32 2026-09-05
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 15 10 — — $46,102.52 $126,959.04 $48,407.65 2026-09-05
804 APR_DRG Apr-DRG V34: 080-4: Acute Major Eye Infections 16 8 — — $26,865.08 $108,808.67 $48,359.41 2026-09-05
484 APR_DRG Apr-DRG V34: 048-4: Peripheral, Cranial & Autonomic Nerve Disorders 18 9 — — $42,408.26 $127,224.78 $48,345.42 2026-09-05
1694 APR_DRG Apr-DRG V34: 169-4: Major Abdominal Vascular Procedures 18 9 — — $42,382.39 $142,473.52 $48,315.93 2026-09-05
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 2026-09-05
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 2026-09-05
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 2026-09-05
2834 APR_DRG Apr-DRG V34: 283-4: Other Disorders Of The Liver 18 9 — — $43,011.00 $129,033.00 $47,977.24 2026-09-05
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 15 10 — — $45,566.41 $125,433.09 $47,844.73 2026-09-05
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 2026-09-05
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $45,541.06 $125,433.09 $47,818.11 2026-09-05
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 15 10 — — $45,473.76 $125,127.90 $47,747.45 2026-09-05
8134 APR_DRG Apr-DRG V34: 813-4: Other Complications Of Treatment 18 9 — — $42,157.24 $126,471.72 $47,734.78 2026-09-05
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 2026-09-05
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 10 — — $45,073.35 $124,212.33 $47,327.02 2026-09-05
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 2026-09-05
1144 APR_DRG Apr-DRG V34: 114-4: Dental & Oral Diseases & Injuries 18 9 — — $43,270.41 $129,811.23 $47,000.72 2026-09-05
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 2026-09-05
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 2026-09-05
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 14 9 — — $5,640.00 $127,264.23 $46,672.71 2026-09-05
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 2026-09-05
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 2026-09-05
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 15 10 — — $44,150.08 $121,465.62 $46,357.58 2026-09-05
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 15 10 — — $44,119.20 $121,465.62 $46,325.16 2026-09-05
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 2026-09-05
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 2026-09-05
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 14 9 — — $6,181.00 $123,907.14 $46,115.38 2026-09-05
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 2026-09-05
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 15 10 — — $43,730.93 $120,550.05 $45,917.48 2026-09-05
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 15 10 — — $43,641.59 $120,244.86 $45,823.67 2026-09-05
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 15 10 — — $43,553.33 $119,939.67 $45,731.00 2026-09-05
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 15 10 — — $43,340.47 $119,329.29 $45,507.49 2026-09-05
5004 APR_DRG Apr-DRG V34: 500-4: Malignancy, Male Reproductive System 18 9 — — $35,823.52 $136,492.38 $45,497.46 2026-09-05
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 15 10 — — $43,102.20 $118,718.91 $45,257.31 2026-09-05
2214 APR_DRG Apr-DRG V34: 221-4: Major Small & Large Bowel Procedures 16 8 — — $39,688.25 $131,334.90 $45,244.60 2026-09-05
2224 APR_DRG Apr-DRG V34: 222-4: Other Stomach, Esophageal & Duodenal Procedures 18 9 — — $39,619.03 $118,857.09 $45,165.69 2026-09-05
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 15 10 — — $42,840.77 $118,108.53 $44,982.81 2026-09-05
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 15 10 — — $42,797.76 $117,803.34 $44,937.65 2026-09-05
2204 APR_DRG Apr-DRG V34: 220-4: Major Stomach, Esophageal & Duodenal Procedures 18 9 — — $39,377.09 $140,628.06 $44,889.89 2026-09-05
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 15 10 — — $42,678.63 $117,498.15 $44,812.56 2026-09-05
8124 APR_DRG Apr-DRG V34: 812-4: Poisoning Of Medicinal Agents 18 9 — — $42,126.26 $133,677.27 $44,805.84 2026-09-05
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 15 10 — — $42,370.88 $116,582.58 $44,489.42 2026-09-05
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 2026-09-05
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 15 10 — — $42,142.55 $115,972.20 $44,249.68 2026-09-05
2844 APR_DRG Apr-DRG V34: 284-4: Disorders Of Gallbladder & Biliary Tract 18 9 — — $38,739.39 $116,218.17 $44,162.90 2026-09-05
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 2026-09-05
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 15 10 — — $41,816.04 $115,056.63 $43,906.84 2026-09-05
4403 APR_DRG Apr-DRG V34: 440-3: Kidney Transplant 21 9 — — $20,369.90 $134,834.00 $43,795.29 2026-09-05
224 APR_DRG Apr-DRG V34: 022-4: Ventricular Shunt Procedures 18 9 — — $38,352.72 $115,058.16 $43,722.10 2026-09-05
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 2026-09-05
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 15 10 — — $41,484.01 $114,141.06 $43,558.21 2026-09-05
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 2026-09-05
1442 APR_DRG Apr-DRG V34: 144-2: Respiratory Signs, Symptoms & Minor Diagnoses 18 9 — — $12,542.18 $130,583.19 $43,527.73 2026-09-05
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 2026-09-05
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 2026-09-05
3023 APR_DRG Apr-DRG V34: 302-3: Knee Joint Replacement 16 8 — — $37,933.88 $85,351.23 $43,244.62 2026-09-05
3624 APR_DRG Apr-DRG V34: 362-4: Mastectomy Procedures 18 9 — — $37,805.92 $113,417.76 $43,098.74 2026-09-05
6623 APR_DRG Apr-DRG V34: 662-3: Sickle Cell Anemia Crisis 18 9 — — $30,316.40 $129,225.99 $43,075.33 2026-09-05
8634 APR_DRG Apr-DRG V34: 863-4: Neonatal Aftercare 18 9 — — $37,733.90 $113,201.70 $43,016.65 2026-09-05
2254 APR_DRG Apr-DRG V34: 225-4: Appendectomy 16 8 — — $37,557.00 $84,503.25 $42,814.98 2026-09-05
0620T OTHER Endovascular Venous Arterialization Tibl/Prnl Vn 25 13 $61,085.00 — $12,217.00 $121,491.98 $42,660.74 2026-09-05
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 10 — — $40,454.86 $111,394.35 $42,477.60 2026-09-05
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 15 10 — — $40,175.79 $110,478.78 $42,184.58 2026-09-05
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 2026-09-05
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