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

Your selected procedure

You selected 93350 (HCPCS)

Echo,Transthoracic,Real-Time 2d,W/WO M-Mode,Complete Rest/Stress

This hospital’s price: $1,127 across 7 payers · range $569-$2,191

Source: https://www.upstate.edu/hospital/files/161469571_upstate-university-hospital_standardcharges.csv · observed 2025-07-23

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.

19,147 distinct procedures filed
10 distinct payers
298,260 rate rows
2025-07-23 last MRF observed · ⚠ 15 mo old
Data quality

291,176 of 298,260 rate rows are consumer-grade (97.6%)

7,084 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 4,643
placeholder amount (≤ $0.02) — excluded from medians 972
per-diem day rate — not a per-procedure price 607
template filing: same amount across many unrelated codes — excluded 506
exceeds 10× this hospital's gross charge — excluded from medians 342
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 15 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://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 · 2026-10-12
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 7 $1,190,000.00 $4,823,020.67 $2,403,458.75 nat. median
$2,466,282
1.0× median
24
APR_DRG 		Apr-DRG V34: 002-4: Heart &/or Lung Transplant 4 $244,667.12 $734,001.36 $538,267.67 nat. median
$241,915
outlier · 2.2×
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $416,199.85 $970,768.53 $449,495.84 nat. median
$359,358
1.3× median
34
APR_DRG 		Apr-DRG V34: 003-4: Bone Marrow Transplant 3 $157,381.41 $437,656.67 $346,239.10 nat. median
$241,408
1.4× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $310,918.99 $725,180.31 $335,792.51 nat. median
$249,124
1.3× median
8414
APR_DRG 		Apr-DRG V34: 841-4: Extensive 3rd Degree Burns W Skin Graft 4 $131,706.35 $395,119.05 $289,753.97 nat. median
$156,153
1.9× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 4 $261,882.77 $517,691.73 $282,833.39 nat. median
$198,433
1.4× median
44
APR_DRG 		Apr-DRG V34: 004-4: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $127,047.38 $381,142.14 $279,504.23 nat. median
$122,016
outlier · 2.3×
14
APR_DRG 		Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 4 $123,084.83 $369,254.49 $270,786.62 nat. median
$136,728
2.0× median
5834
APR_DRG 		Apr-DRG V34: 583-4: Neonate W Ecmo 4 $122,598.87 $501,150.29 $269,717.52 nat. median
$307,273
0.9× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 4 $236,609.62 $523,593.00 $255,538.39 nat. median
$190,557
1.3× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 2 $194,257.28 $269,786.64 $254,789.76 nat. median
$93,270
outlier · 2.7×
6024
APR_DRG 		Apr-DRG V34: 602-4: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj… 4 $112,308.29 $336,924.87 $247,078.23 nat. median
$118,589
outlier · 2.1×
5884
APR_DRG 		Apr-DRG V34: 588-4: Neonate Bwt <1500g W Major Procedure 4 $106,416.56 $492,397.97 $234,116.43 nat. median
$247,214
0.9× median
23
APR_DRG 		Apr-DRG V34: 002-3: Heart &/or Lung Transplant 4 $106,047.37 $318,142.11 $233,304.21 nat. median
$111,046
outlier · 2.1×
8413
APR_DRG 		Apr-DRG V34: 841-3: Extensive 3rd Degree Burns W Skin Graft 4 $103,069.35 $309,208.05 $226,752.57 nat. median
$61,012
outlier · 3.7×
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 2 $170,716.56 $237,093.03 $223,913.52 nat. median
$78,262
outlier · 2.9×
54
APR_DRG 		Apr-DRG V34: 005-4: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 $97,102.11 $291,306.33 $213,624.65 nat. median
$81,668
outlier · 2.6×
5833
APR_DRG 		Apr-DRG V34: 583-3: Neonate W Ecmo 4 $95,902.93 $287,708.79 $210,986.45 nat. median
$244,017
0.9× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 $154,590.24 $214,696.62 $202,762.08 nat. median
$78,037
outlier · 2.6×
22
APR_DRG 		Apr-DRG V34: 002-2: Heart &/or Lung Transplant 4 $90,503.47 $271,510.41 $199,107.64 nat. median
$92,229
outlier · 2.2×
5914
APR_DRG 		Apr-DRG V34: 591-4: Neonate Birthwt 500-749g Without Major Procedure 4 $87,005.91 $378,807.68 $191,413.01 nat. median
$162,514
1.2× median
21
APR_DRG 		Apr-DRG V34: 002-1: Heart &/or Lung Transplant 4 $85,289.30 $255,867.90 $187,636.46 nat. median
$73,922
outlier · 2.5×
5654
APR_DRG 		Apr-DRG V34: 565-4: False Labor 3 $7,393.55 $405,639.07 $187,495.39 nat. median
$5,553
outlier · 33.8×
33
APR_DRG 		Apr-DRG V34: 003-3: Bone Marrow Transplant 3 $83,352.43 $232,423.79 $183,375.35 nat. median
$129,958
1.4× median
5883
APR_DRG 		Apr-DRG V34: 588-3: Neonate Bwt <1500g W Major Procedure 4 $78,730.51 $492,397.97 $173,207.12 nat. median
$175,429
1.0× median
5832
APR_DRG 		Apr-DRG V34: 583-2: Neonate W Ecmo 4 $78,590.67 $280,816.51 $172,899.48 nat. median
$159,249
1.1× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 2 $131,605.60 $182,775.30 $172,615.20 nat. median
$63,648
outlier · 2.7×
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 4 $156,069.12 $436,237.00 $168,554.65 nat. median
$126,722
1.3× median
1444
APR_DRG 		Apr-DRG V34: 144-4: Respiratory Signs, Symptoms & Minor Diagnoses 4 $33,209.88 $486,209.28 $168,552.55 nat. median
$13,983
outlier · 12.1×
5831
APR_DRG 		Apr-DRG V34: 583-1: Neonate W Ecmo 4 $76,218.18 $280,816.51 $167,679.99 nat. median
$146,591
1.1× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 2 $124,191.20 $172,478.10 $162,890.40 nat. median
$60,543
outlier · 2.7×
43
APR_DRG 		Apr-DRG V34: 004-3: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $71,098.41 $213,295.23 $156,416.50 nat. median
$74,757
outlier · 2.1×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 4 $144,727.55 $318,487.20 $156,305.75 nat. median
$110,192
1.4× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 4 $144,363.52 $336,461.01 $155,912.60 nat. median
$117,894
1.3× median
317
MS_DRG 		Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 $114,737.84 $159,349.17 $150,491.28 nat. median
$57,560
outlier · 2.6×
5882
APR_DRG 		Apr-DRG V34: 588-2: Neonate Bwt <1500g W Major Procedure 4 $66,996.72 $377,450.73 $147,392.79 nat. median
$145,061
1.0× median
1604
APR_DRG 		Apr-DRG V34: 160-4: Major Cardiothoracic Repair Of Heart Anomaly 4 $66,302.38 $198,907.14 $145,865.24 nat. median
$98,624
1.5× median
53
APR_DRG 		Apr-DRG V34: 005-3: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 $65,239.55 $195,718.65 $143,527.01 nat. median
$50,489
outlier · 2.8×
5913
APR_DRG 		Apr-DRG V34: 591-3: Neonate Birthwt 500-749g Without Major Procedure 4 $64,654.99 $232,262.90 $142,240.98 nat. median
$101,541
1.4× median
5814
APR_DRG 		Apr-DRG V34: 581-4: Neonate, Transferred < 5 Days Old, Born Here 4 $11,183.23 $408,462.48 $141,600.33 nat. median
$4,250
outlier · 33.3×
64
APR_DRG 		Apr-DRG V34: 006-4: Pancreas Transplant 4 $54,095.21 $162,285.63 $136,656.00 nat. median
$91,239
1.5× median
63
APR_DRG 		Apr-DRG V34: 006-3: Pancreas Transplant 4 $51,824.80 $155,474.40 $135,913.72 nat. median
$73,635
1.8× median
8424
APR_DRG 		Apr-DRG V34: 842-4: Burns With Skin Graft Except Extensive 3rd Degree Burns 4 $61,079.13 $183,237.39 $134,374.09 nat. median
$82,002
1.6× median
428
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 2 $101,948.00 $141,586.50 $133,716.00 nat. median
$50,590
outlier · 2.6×
430
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 $101,391.92 $140,814.21 $132,986.64 nat. median
$51,243
outlier · 2.6×
6074
APR_DRG 		Apr-DRG V34: 607-4: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj… 4 $59,931.69 $242,552.46 $131,849.71 nat. median
$96,883
1.4× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $121,760.89 $241,984.20 $131,501.76 nat. median
$103,967
1.3× median
13
APR_DRG 		Apr-DRG V34: 001-3: Liver Transplant &/or Intestinal Transplant 4 $59,182.81 $177,548.43 $130,202.18 nat. median
$73,704
1.8× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 4 $120,373.25 $280,341.27 $130,003.11 nat. median
$97,414
1.3× median

Other procedures at this hospital

Browse this hospital's 19,147 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 11 7 — — $1,190,000.00 $4,823,020.67 $2,403,458.75 2025-07-23
24 APR_DRG Apr-DRG V34: 002-4: Heart &/or Lung Transplant 8 4 — — $244,667.12 $734,001.36 $538,267.67 2025-07-23
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 4 — — $416,199.85 $970,768.53 $449,495.84 2025-07-23
34 APR_DRG Apr-DRG V34: 003-4: Bone Marrow Transplant 6 3 — — $157,381.41 $437,656.67 $346,239.10 2025-07-23
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 7 4 — — $310,918.99 $725,180.31 $335,792.51 2025-07-23
8414 APR_DRG Apr-DRG V34: 841-4: Extensive 3rd Degree Burns W Skin Graft 8 4 — — $131,706.35 $395,119.05 $289,753.97 2025-07-23
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 7 4 — — $261,882.77 $517,691.73 $282,833.39 2025-07-23
44 APR_DRG Apr-DRG V34: 004-4: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $127,047.38 $381,142.14 $279,504.23 2025-07-23
14 APR_DRG Apr-DRG V34: 001-4: Liver Transplant &/or Intestinal Transplant 8 4 — — $123,084.83 $369,254.49 $270,786.62 2025-07-23
5834 APR_DRG Apr-DRG V34: 583-4: Neonate W Ecmo 8 4 — — $122,598.87 $501,150.29 $269,717.52 2025-07-23
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 7 4 — — $236,609.62 $523,593.00 $255,538.39 2025-07-23
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 3 2 — — $194,257.28 $269,786.64 $254,789.76 2025-07-23
6024 APR_DRG Apr-DRG V34: 602-4: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $112,308.29 $336,924.87 $247,078.23 2025-07-23
5884 APR_DRG Apr-DRG V34: 588-4: Neonate Bwt <1500g W Major Procedure 8 4 — — $106,416.56 $492,397.97 $234,116.43 2025-07-23
23 APR_DRG Apr-DRG V34: 002-3: Heart &/or Lung Transplant 8 4 — — $106,047.37 $318,142.11 $233,304.21 2025-07-23
8413 APR_DRG Apr-DRG V34: 841-3: Extensive 3rd Degree Burns W Skin Graft 8 4 — — $103,069.35 $309,208.05 $226,752.57 2025-07-23
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 3 2 — — $170,716.56 $237,093.03 $223,913.52 2025-07-23
54 APR_DRG Apr-DRG V34: 005-4: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $97,102.11 $291,306.33 $213,624.65 2025-07-23
5833 APR_DRG Apr-DRG V34: 583-3: Neonate W Ecmo 8 4 — — $95,902.93 $287,708.79 $210,986.45 2025-07-23
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $154,590.24 $214,696.62 $202,762.08 2025-07-23
22 APR_DRG Apr-DRG V34: 002-2: Heart &/or Lung Transplant 8 4 — — $90,503.47 $271,510.41 $199,107.64 2025-07-23
5914 APR_DRG Apr-DRG V34: 591-4: Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $87,005.91 $378,807.68 $191,413.01 2025-07-23
21 APR_DRG Apr-DRG V34: 002-1: Heart &/or Lung Transplant 8 4 — — $85,289.30 $255,867.90 $187,636.46 2025-07-23
5654 APR_DRG Apr-DRG V34: 565-4: False Labor 6 3 — — $7,393.55 $405,639.07 $187,495.39 2025-07-23
33 APR_DRG Apr-DRG V34: 003-3: Bone Marrow Transplant 6 3 — — $83,352.43 $232,423.79 $183,375.35 2025-07-23
5883 APR_DRG Apr-DRG V34: 588-3: Neonate Bwt <1500g W Major Procedure 8 4 — — $78,730.51 $492,397.97 $173,207.12 2025-07-23
5832 APR_DRG Apr-DRG V34: 583-2: Neonate W Ecmo 8 4 — — $78,590.67 $280,816.51 $172,899.48 2025-07-23
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 3 2 — — $131,605.60 $182,775.30 $172,615.20 2025-07-23
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 7 4 — — $156,069.12 $436,237.00 $168,554.65 2025-07-23
1444 APR_DRG Apr-DRG V34: 144-4: Respiratory Signs, Symptoms & Minor Diagnoses 8 4 — — $33,209.88 $486,209.28 $168,552.55 2025-07-23
5831 APR_DRG Apr-DRG V34: 583-1: Neonate W Ecmo 8 4 — — $76,218.18 $280,816.51 $167,679.99 2025-07-23
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 3 2 — — $124,191.20 $172,478.10 $162,890.40 2025-07-23
43 APR_DRG Apr-DRG V34: 004-3: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $71,098.41 $213,295.23 $156,416.50 2025-07-23
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 7 4 — — $144,727.55 $318,487.20 $156,305.75 2025-07-23
7 MS_DRG Ms-DRG 42.00: Lung Transplant 7 4 — — $144,363.52 $336,461.01 $155,912.60 2025-07-23
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 2 — — $114,737.84 $159,349.17 $150,491.28 2025-07-23
5882 APR_DRG Apr-DRG V34: 588-2: Neonate Bwt <1500g W Major Procedure 8 4 — — $66,996.72 $377,450.73 $147,392.79 2025-07-23
1604 APR_DRG Apr-DRG V34: 160-4: Major Cardiothoracic Repair Of Heart Anomaly 8 4 — — $66,302.38 $198,907.14 $145,865.24 2025-07-23
53 APR_DRG Apr-DRG V34: 005-3: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $65,239.55 $195,718.65 $143,527.01 2025-07-23
5913 APR_DRG Apr-DRG V34: 591-3: Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $64,654.99 $232,262.90 $142,240.98 2025-07-23
5814 APR_DRG Apr-DRG V34: 581-4: Neonate, Transferred < 5 Days Old, Born Here 8 4 — — $11,183.23 $408,462.48 $141,600.33 2025-07-23
64 APR_DRG Apr-DRG V34: 006-4: Pancreas Transplant 11 4 — — $54,095.21 $162,285.63 $136,656.00 2025-07-23
63 APR_DRG Apr-DRG V34: 006-3: Pancreas Transplant 11 4 — — $51,824.80 $155,474.40 $135,913.72 2025-07-23
8424 APR_DRG Apr-DRG V34: 842-4: Burns With Skin Graft Except Extensive 3rd Degree Burns 8 4 — — $61,079.13 $183,237.39 $134,374.09 2025-07-23
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 3 2 — — $101,948.00 $141,586.50 $133,716.00 2025-07-23
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $101,391.92 $140,814.21 $132,986.64 2025-07-23
6074 APR_DRG Apr-DRG V34: 607-4: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $59,931.69 $242,552.46 $131,849.71 2025-07-23
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 4 — — $121,760.89 $241,984.20 $131,501.76 2025-07-23
13 APR_DRG Apr-DRG V34: 001-3: Liver Transplant &/or Intestinal Transplant 8 4 — — $59,182.81 $177,548.43 $130,202.18 2025-07-23
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 7 4 — — $120,373.25 $280,341.27 $130,003.11 2025-07-23
4404 APR_DRG Apr-DRG V34: 440-4: Kidney Transplant 11 4 — — $45,263.92 $204,528.78 $128,489.00 2025-07-23
6034 APR_DRG Apr-DRG V34: 603-4: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 8 4 — — $58,114.39 $273,262.17 $127,851.66 2025-07-23
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 7 4 — — $117,676.29 $274,162.95 $127,090.39 2025-07-23
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 7 4 — — $117,074.02 $272,618.37 $126,439.94 2025-07-23
9504 APR_DRG Apr-DRG V34: 950-4: Extensive Procedure Unrelated To Principal Diagnosis 8 4 — — $57,419.35 $172,258.05 $126,322.57 2025-07-23
234 APR_DRG Apr-DRG V34: 023-4: Spinal Procedures 8 4 — — $57,194.20 $171,582.60 $125,827.24 2025-07-23
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 3 2 — — $95,460.40 $132,576.45 $125,206.80 2025-07-23
32 APR_DRG Apr-DRG V34: 003-2: Bone Marrow Transplant 6 3 — — $54,946.17 $153,672.23 $120,881.58 2025-07-23
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 4 — — $87,650.07 $204,141.99 $120,826.28 2025-07-23
8504 APR_DRG Apr-DRG V34: 850-4: Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health… 8 4 — — $54,009.90 $162,029.70 $118,821.78 2025-07-23
9124 APR_DRG Apr-DRG V34: 912-4: Musculoskeletal & Other Procedures For Multiple Significant … 8 4 — — $53,659.59 $160,978.77 $118,051.10 2025-07-23
5104 APR_DRG Apr-DRG V34: 510-4: Pelvic Evisceration, Radical Hysterectomy & Other Radical Gy… 8 4 — — $53,147.75 $159,443.25 $116,815.38 2025-07-23
3014 APR_DRG Apr-DRG V34: 301-4: Hip Joint Replacement 6 3 — — $76,859.37 $172,933.58 $116,721.57 2025-07-23
5912 APR_DRG Apr-DRG V34: 591-2: Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $52,972.94 $216,892.53 $116,540.47 2025-07-23
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 7 4 — — $106,664.50 $248,419.95 $115,197.66 2025-07-23
6904 APR_DRG Apr-DRG V34: 690-4: Acute Leukemia 8 4 — — $52,332.45 $172,911.84 $115,131.39 2025-07-23
904 APR_DRG Apr-DRG V34: 090-4: Major Larynx & Trachea Procedures 6 3 — — $52,098.90 $220,934.30 $114,617.58 2025-07-23
6023 APR_DRG Apr-DRG V34: 602-3: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $51,607.34 $219,610.31 $113,536.15 2025-07-23
214 APR_DRG Apr-DRG V34: 021-4: Craniotomy Except For Trauma 8 4 — — $51,315.76 $153,947.28 $112,894.67 2025-07-23
42 APR_DRG Apr-DRG V34: 004-2: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $50,946.57 $152,839.71 $112,082.46 2025-07-23
41 APR_DRG Apr-DRG V34: 004-1: Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 4 — — $50,946.57 $152,839.71 $112,082.46 2025-07-23
1664 APR_DRG Apr-DRG V34: 166-4: Coronary Bypass Without Ami Or Complex Pdx 8 4 — — $50,906.71 $152,720.13 $111,994.76 2025-07-23
9104 APR_DRG Apr-DRG V34: 910-4: Craniotomy For Multiple Significant Trauma 8 4 — — $50,903.92 $152,711.76 $111,988.62 2025-07-23
5934 APR_DRG Apr-DRG V34: 593-4: Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $50,903.22 $341,227.92 $111,987.08 2025-07-23
3094 APR_DRG Apr-DRG V34: 309-4: Other Significant Hip And Femur Surgery 8 4 — — $63,628.52 $190,885.56 $110,908.32 2025-07-23
8412 APR_DRG Apr-DRG V34: 841-2: Extensive 3rd Degree Burns W Skin Graft 8 4 — — $50,200.49 $150,601.47 $110,441.08 2025-07-23
1624 APR_DRG Apr-DRG V34: 162-4: Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $50,163.43 $185,155.41 $110,359.54 2025-07-23
3174 APR_DRG Apr-DRG V34: 317-4: Tendon, Muscle & Other Soft Tissue Procedures 8 4 — — $50,076.73 $150,230.19 $110,168.80 2025-07-23
1614 APR_DRG Apr-DRG V34: 161-4: Cardiac Defibrillator & Heart Assist Implant 8 4 — — $49,956.46 $450,654.31 $109,904.21 2025-07-23
81100002 CDM Kidney/Pancreas Acquis-live Donor 11 6 $309,379.00 — $61,875.80 $238,221.83 $109,489.23 2025-07-23
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 8 4 — — $88,154.18 $193,766.64 $108,495.76 2025-07-23
5892 APR_DRG Apr-DRG V34: 589-2: Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $48,918.10 $238,545.58 $107,619.82 2025-07-23
5653 APR_DRG Apr-DRG V34: 565-3: False Labor 6 3 — — $7,393.55 $231,111.52 $106,824.88 2025-07-23
5933 APR_DRG Apr-DRG V34: 593-3: Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $48,394.38 $267,217.93 $106,467.64 2025-07-23
244 APR_DRG Apr-DRG V34: 024-4: Extracranial Vascular Procedures 8 4 — — $48,184.61 $144,553.83 $106,006.14 2025-07-23
3084 APR_DRG Apr-DRG V34: 308-4: Hip And Femur Fracture Repair 8 4 — — $48,524.43 $145,573.29 $105,987.93 2025-07-23
6114 APR_DRG Apr-DRG V34: 611-4: Neonate Birthwt 1500-1999g W Major Anomaly 8 4 — — $48,174.12 $162,455.57 $105,983.07 2025-07-23
3024 APR_DRG Apr-DRG V34: 302-4: Knee Joint Replacement 6 3 — — $64,886.44 $145,994.49 $105,213.74 2025-07-23
5651 APR_DRG Apr-DRG V34: 565-1: False Labor 6 3 — — $6,299.80 $226,818.07 $104,840.35 2025-07-23
5652 APR_DRG Apr-DRG V34: 565-2: False Labor 6 3 — — $7,302.10 $226,818.07 $104,840.35 2025-07-23
204 APR_DRG Apr-DRG V34: 020-4: Craniotomy For Trauma 8 4 — — $47,460.20 $142,380.60 $104,412.44 2025-07-23
1654 APR_DRG Apr-DRG V34: 165-4: Coronary Bypass W Ami Or Complex Pdx 8 4 — — $47,049.06 $141,147.18 $103,507.93 2025-07-23
81200002 CDM Kidney/Pancreas Acquisition-cadaver 11 6 $292,253.00 — $58,450.60 $225,034.81 $103,428.34 2025-07-23
31 APR_DRG Apr-DRG V34: 003-1: Bone Marrow Transplant 6 3 — — $47,009.90 $131,670.26 $103,421.78 2025-07-23
1774 APR_DRG Apr-DRG V34: 177-4: Cardiac Pacemaker & Defibrillator Revision Except Device Rep… 8 4 — — $46,946.27 $140,838.81 $103,281.79 2025-07-23
5894 APR_DRG Apr-DRG V34: 589-4: Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $4,212.92 $294,249.39 $102,006.46 2025-07-23
5881 APR_DRG Apr-DRG V34: 588-1: Neonate Bwt <1500g W Major Procedure 8 4 — — $46,080.62 $377,450.73 $101,377.36 2025-07-23
9114 APR_DRG Apr-DRG V34: 911-4: Extensive Abdominal/thoracic Procedures For Mult Significant… 8 4 — — $46,063.84 $138,191.52 $101,340.45 2025-07-23
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 7 4 — — $93,679.37 $218,043.21 $101,173.72 2025-07-23
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 7 4 — — $93,627.53 $218,043.21 $101,117.73 2025-07-23
3104 APR_DRG Apr-DRG V34: 310-4: Intervertebral Disc Excision & Decompression 8 4 — — $45,930.99 $137,792.97 $101,048.18 2025-07-23
6224 APR_DRG Apr-DRG V34: 622-4: Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $86,194.11 $258,582.33 $100,056.04 2025-07-23
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $75,626.88 $105,031.44 $99,192.96 2025-07-23
6073 APR_DRG Apr-DRG V34: 607-3: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $45,033.87 $180,588.30 $99,074.52 2025-07-23
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 8 4 — — $60,225.97 $191,786.00 $98,650.67 2025-07-23
3034 APR_DRG Apr-DRG V34: 303-4: Dorsal & Lumbar Fusion Proc For Curvature Of Back 8 4 — — $44,745.79 $214,422.88 $98,440.74 2025-07-23
264 APR_DRG Apr-DRG V34: 026-4: Other Nervous System & Related Procedures 8 4 — — $44,564.69 $133,694.07 $98,042.32 2025-07-23
9514 APR_DRG Apr-DRG V34: 951-4: Moderately Extensive Procedure Unrelated To Principal Diagno… 8 4 — — $44,559.09 $133,677.27 $98,029.99 2025-07-23
6033 APR_DRG Apr-DRG V34: 603-3: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 8 4 — — $44,494.07 $177,281.22 $97,886.96 2025-07-23
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 8 4 — — $66,786.94 $164,388.00 $97,604.95 2025-07-23
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 8 4 — — $66,786.94 $164,388.00 $97,604.95 2025-07-23
1634 APR_DRG Apr-DRG V34: 163-4: Cardiac Valve Procedures Without Ami Or Complex Pdx 8 4 — — $44,252.13 $139,839.10 $97,354.68 2025-07-23
4424 APR_DRG Apr-DRG V34: 442-4: Kidney & Urinary Tract Procedures For Malignancy 8 4 — — $43,935.38 $131,806.14 $96,657.84 2025-07-23
6604 APR_DRG Apr-DRG V34: 660-4: Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & … 8 4 — — $63,236.95 $189,710.85 $96,458.07 2025-07-23
12 APR_DRG Apr-DRG V34: 001-2: Liver Transplant &/or Intestinal Transplant 8 4 — — $43,777.35 $131,332.05 $96,310.17 2025-07-23
11 APR_DRG Apr-DRG V34: 001-1: Liver Transplant &/or Intestinal Transplant 8 4 — — $43,777.35 $131,332.05 $96,310.17 2025-07-23
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 7 4 — — $89,125.96 $207,488.58 $96,256.04 2025-07-23
3154 APR_DRG Apr-DRG V34: 315-4: Shoulder, Upper Arm & Forearm Procedures Except Joint Replac… 8 4 — — $44,859.06 $134,577.18 $96,236.93 2025-07-23
2624 APR_DRG Apr-DRG V34: 262-4: Cholecystectomy Except Laparoscopic 6 3 — — $43,716.52 $120,582.04 $96,176.35 2025-07-23
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 3 2 — — $72,475.76 $100,655.13 $95,059.92 2025-07-23
1204 APR_DRG Apr-DRG V34: 120-4: Major Respiratory & Chest Procedures 8 4 — — $43,144.55 $129,433.65 $94,918.01 2025-07-23
2604 APR_DRG Apr-DRG V34: 260-4: Major Pancreas, Liver & Shunt Procedures 8 4 — — $43,010.30 $147,195.70 $94,622.66 2025-07-23
62 APR_DRG Apr-DRG V34: 006-2: Pancreas Transplant 11 4 — — $36,030.57 $143,403.00 $94,600.27 2025-07-23
61 APR_DRG Apr-DRG V34: 006-1: Pancreas Transplant 11 4 — — $36,030.57 $143,403.00 $94,600.27 2025-07-23
5911 APR_DRG Apr-DRG V34: 591-1: Neonate Birthwt 500-749g Without Major Procedure 8 4 — — $42,923.59 $175,554.02 $94,431.90 2025-07-23
1754 APR_DRG Apr-DRG V34: 175-4: Percutaneous Coronary Intervention Without Ami 8 4 — — $44,975.14 $134,925.42 $94,325.12 2025-07-23
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 7 4 — — $86,426.79 $201,310.26 $93,340.93 2025-07-23
1694 APR_DRG Apr-DRG V34: 169-4: Major Abdominal Vascular Procedures 8 4 — — $42,382.39 $142,473.52 $93,241.26 2025-07-23
1804 APR_DRG Apr-DRG V34: 180-4: Other Circulatory System Procedures 8 4 — — $44,537.42 $133,612.26 $93,016.89 2025-07-23
9524 APR_DRG Apr-DRG V34: 952-4: Nonextensive Procedure Unrelated To Principal Diagnosis 8 4 — — $42,157.24 $126,471.72 $92,745.93 2025-07-23
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 7 4 — — $85,556.48 $199,250.82 $92,401.00 2025-07-23
3644 APR_DRG Apr-DRG V34: 364-4: Other Skin, Subcutaneous Tissue & Related Procedures 8 4 — — $41,955.86 $125,867.58 $92,302.89 2025-07-23
52 APR_DRG Apr-DRG V34: 005-2: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $41,541.91 $124,625.73 $91,392.21 2025-07-23
2274 APR_DRG Apr-DRG V34: 227-4: Hernia Procedures Except Inguinal, Femoral & Umbilical 8 4 — — $41,144.75 $123,434.25 $90,518.45 2025-07-23
3044 APR_DRG Apr-DRG V34: 304-4: Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 8 4 — — $41,018.89 $181,229.95 $90,241.55 2025-07-23
3054 APR_DRG Apr-DRG V34: 305-4: Amputation Of Lower Limb Except Toes 8 4 — — $40,853.17 $125,393.39 $89,876.98 2025-07-23
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 4 — — $82,541.84 $192,042.78 $89,145.19 2025-07-23
51 APR_DRG Apr-DRG V34: 005-1: Tracheostomy W Mv 96+ Hours Without Extensive Procedure 8 4 — — $40,510.55 $121,531.65 $89,123.21 2025-07-23
5802 APR_DRG Apr-DRG V34: 580-2: Neonate, Transferred <5 Days Old, Not Born Here 8 4 — — $9,196.94 $256,681.80 $88,983.02 2025-07-23
5801 APR_DRG Apr-DRG V34: 580-1: Neonate, Transferred <5 Days Old, Not Born Here 8 4 — — $7,713.62 $256,681.80 $88,983.02 2025-07-23
5932 APR_DRG Apr-DRG V34: 593-2: Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $40,439.92 $219,222.61 $88,967.83 2025-07-23
6614 APR_DRG Apr-DRG V34: 661-4: Coagulation & Platelet Disorders 8 4 — — $63,411.06 $190,233.18 $88,698.91 2025-07-23
1603 APR_DRG Apr-DRG V34: 160-3: Major Cardiothoracic Repair Of Heart Anomaly 8 4 — — $40,794.43 $122,383.29 $88,636.52 2025-07-23
2214 APR_DRG Apr-DRG V34: 221-4: Major Small & Large Bowel Procedures 6 3 — — $39,688.25 $131,334.90 $87,314.15 2025-07-23
2224 APR_DRG Apr-DRG V34: 222-4: Other Stomach, Esophageal & Duodenal Procedures 8 4 — — $39,619.03 $118,857.09 $87,161.87 2025-07-23
2204 APR_DRG Apr-DRG V34: 220-4: Major Stomach, Esophageal & Duodenal Procedures 8 4 — — $39,377.09 $140,628.06 $86,629.60 2025-07-23
5813 APR_DRG Apr-DRG V34: 581-3: Neonate, Transferred < 5 Days Old, Born Here 8 4 — — $7,148.46 $249,883.17 $86,626.17 2025-07-23
5893 APR_DRG Apr-DRG V34: 589-3: Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $63,462.11 $190,386.33 $85,568.11 2025-07-23
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 11 7 $214,860.80 — $55,536.50 $165,442.82 $85,084.88 2025-07-23
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 4 — — $78,160.51 $182,003.01 $84,413.35 2025-07-23
224 APR_DRG Apr-DRG V34: 022-4: Ventricular Shunt Procedures 8 4 — — $38,352.72 $115,058.16 $84,375.99 2025-07-23
8411 APR_DRG Apr-DRG V34: 841-1: Extensive 3rd Degree Burns W Skin Graft 8 4 — — $38,207.98 $114,623.94 $84,057.56 2025-07-23
494 APR_DRG Apr-DRG V34: 049-4: Bacterial & Tuberculous Infections Of Nervous System 8 4 — — $38,066.04 $118,912.99 $83,745.29 2025-07-23
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 7 4 — — $76,941.64 $179,171.28 $83,096.97 2025-07-23
8634 APR_DRG Apr-DRG V34: 863-4: Neonatal Aftercare 8 4 — — $37,733.90 $113,201.70 $83,014.58 2025-07-23
824 APR_DRG Apr-DRG V34: 082-4: Eye Disorders Except Major Infections 8 4 — — $21,431.12 $237,624.27 $82,376.42 2025-07-23
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 4 — — $75,527.53 $175,824.69 $81,569.73 2025-07-23
6084 APR_DRG Apr-DRG V34: 608-4: Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 4 — — $36,888.53 $142,463.82 $81,154.76 2025-07-23
5891 APR_DRG Apr-DRG V34: 589-1: Neonate Bwt <500g Or Ga <24 Weeks 8 4 — — $36,861.26 $238,545.58 $81,094.77 2025-07-23
6124 APR_DRG Apr-DRG V34: 612-4: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $36,824.90 $167,493.74 $81,014.78 2025-07-23
5812 APR_DRG Apr-DRG V34: 581-2: Neonate, Transferred < 5 Days Old, Born Here 8 4 — — $5,535.28 $233,250.57 $80,860.20 2025-07-23
3134 APR_DRG Apr-DRG V34: 313-4: Knee & Lower Leg Procedures Except Foot 8 4 — — $36,575.97 $128,679.15 $80,467.13 2025-07-23
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 7 4 — — $73,879.56 $171,963.24 $79,789.92 2025-07-23
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 7 4 — — $73,754.91 $171,705.81 $79,655.30 2025-07-23
8444 APR_DRG Apr-DRG V34: 844-4: Partial Thickness Burns Without Skin Graft 8 4 — — $36,200.49 $108,601.47 $79,641.08 2025-07-23
4414 APR_DRG Apr-DRG V34: 441-4: Major Bladder Procedures 8 4 — — $36,117.28 $134,339.57 $79,458.01 2025-07-23
6083 APR_DRG Apr-DRG V34: 608-3: Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 4 — — $35,976.73 $135,508.49 $79,148.80 2025-07-23
6093 APR_DRG Apr-DRG V34: 609-3: Neonate Bwt 1500-2499g W Major Procedure 8 4 — — $35,895.62 $144,415.89 $78,970.36 2025-07-23
6094 APR_DRG Apr-DRG V34: 609-4: Neonate Bwt 1500-2499g W Major Procedure 8 4 — — $35,895.62 $312,699.02 $78,970.36 2025-07-23
6344 APR_DRG Apr-DRG V34: 634-4: Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $40,558.79 $121,676.37 $78,666.06 2025-07-23
2254 APR_DRG Apr-DRG V34: 225-4: Appendectomy 6 3 — — $37,557.00 $84,503.25 $78,591.10 2025-07-23
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 7 4 — — $71,544.41 $166,557.21 $77,267.96 2025-07-23
6234 APR_DRG Apr-DRG V34: 623-4: Neonate Bwt 2000-2499g W Congenital/perinatal Infection 8 4 — — $59,295.08 $222,583.80 $77,162.39 2025-07-23
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 7 4 — — $71,441.82 $166,299.78 $77,157.17 2025-07-23
1714 APR_DRG Apr-DRG V34: 171-4: Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Sho… 8 4 — — $35,018.79 $118,841.26 $77,041.34 2025-07-23
1623 APR_DRG Apr-DRG V34: 162-3: Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $34,674.07 $114,438.93 $76,282.96 2025-07-23
4244 APR_DRG Apr-DRG V34: 424-4: Other Endocrine Disorders 8 4 — — $53,039.90 $219,871.50 $76,222.12 2025-07-23
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 7 4 — — $69,968.14 $162,695.76 $75,565.59 2025-07-23
1674 APR_DRG Apr-DRG V34: 167-4: Other Cardiothoracic & Thoracic Vascular Procedures 8 4 — — $34,332.14 $131,778.81 $75,530.71 2025-07-23
5114 APR_DRG Apr-DRG V34: 511-4: Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 8 4 — — $34,255.93 $123,931.76 $75,363.04 2025-07-23
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $57,276.24 $79,545.87 $75,124.08 2025-07-23
6394 APR_DRG Apr-DRG V34: 639-4: Neonate Birthwt >2499g W Other Significant Condition 8 4 — — $35,489.37 $106,468.11 $74,284.25 2025-07-23
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 7 4 — — $68,535.27 $159,349.17 $74,018.09 2025-07-23
3434 APR_DRG Apr-DRG V34: 343-4: Musculoskeletal Malignancy & Pathol Fracture D/t Muscskel Ma… 8 4 — — $34,765.67 $104,297.01 $73,666.30 2025-07-23
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 4 — — $68,135.98 $158,576.88 $73,586.86 2025-07-23
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 7 4 — — $67,898.81 $154,200.57 $73,330.71 2025-07-23
1434 APR_DRG Apr-DRG V34: 143-4: Other Respiratory Diagnoses Except Signs, Symptoms & Minor D… 8 4 — — $39,772.33 $210,637.44 $73,020.98 2025-07-23
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 7 4 — — $67,589.96 $157,289.73 $72,997.16 2025-07-23
3494 APR_DRG Apr-DRG V34: 349-4: Malfunction, Reaction, Complic Of Orthopedic Device Or Proce… 8 4 — — $67,457.91 $203,433.96 $72,850.41 2025-07-23
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 7 4 — — $67,267.88 $156,517.44 $72,649.31 2025-07-23
1443 APR_DRG Apr-DRG V34: 144-3: Respiratory Signs, Symptoms & Minor Diagnoses 8 4 — — $17,943.22 $208,449.54 $72,262.51 2025-07-23
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 7 4 — — $66,289.47 $154,200.57 $71,592.63 2025-07-23
6072 APR_DRG Apr-DRG V34: 607-2: Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $32,497.36 $148,201.78 $71,494.19 2025-07-23
1613 APR_DRG Apr-DRG V34: 161-3: Cardiac Defibrillator & Heart Assist Implant 8 4 — — $32,465.89 $193,973.65 $71,424.96 2025-07-23
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 7 4 — — $65,831.70 $153,170.85 $71,098.24 2025-07-23
6223 APR_DRG Apr-DRG V34: 622-3: Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $42,114.58 $126,343.74 $70,609.26 2025-07-23
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 7 4 — — $65,113.62 $151,368.84 $70,322.71 2025-07-23
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 8 4 — — $51,028.72 $118,675.23 $70,280.99 2025-07-23
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 4 — — $64,430.82 $149,824.26 $69,585.29 2025-07-23
1764 APR_DRG Apr-DRG V34: 176-4: Cardiac Pacemaker & Defibrillator Device Replacement 8 4 — — $34,378.29 $103,134.87 $69,578.85 2025-07-23
6914 APR_DRG Apr-DRG V34: 691-4: Lymphoma, Myeloma & Non-acute Leukemia 8 4 — — $31,408.66 $125,994.33 $69,099.05 2025-07-23
8423 APR_DRG Apr-DRG V34: 842-3: Burns With Skin Graft Except Extensive 3rd Degree Burns 8 4 — — $31,192.59 $93,577.77 $68,623.70 2025-07-23
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 7 4 — — $63,516.38 $147,764.82 $68,597.69 2025-07-23
2264 APR_DRG Apr-DRG V34: 226-4: Anal Procedures 8 4 — — $31,837.98 $95,513.94 $68,480.62 2025-07-23
484 APR_DRG Apr-DRG V34: 048-4: Peripheral, Cranial & Autonomic Nerve Disorders 8 4 — — $42,408.26 $127,224.78 $68,320.51 2025-07-23
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 7 4 — — $63,138.04 $146,992.53 $68,189.08 2025-07-23
213 APR_DRG Apr-DRG V34: 021-3: Craniotomy Except For Trauma 8 4 — — $30,971.64 $92,914.92 $68,137.61 2025-07-23
233 APR_DRG Apr-DRG V34: 023-3: Spinal Procedures 8 4 — — $30,723.41 $92,170.23 $67,591.50 2025-07-23
6624 APR_DRG Apr-DRG V34: 662-4: Sickle Cell Anemia Crisis 8 4 — — $61,886.04 $185,658.12 $67,139.43 2025-07-23
2064 APR_DRG Apr-DRG V34: 206-4: Malfunction,reaction,complication Of Cardiac/vasc Device Or … 8 4 — — $50,241.05 $150,723.15 $66,817.27 2025-07-23
5931 APR_DRG Apr-DRG V34: 593-1: Neonate Birthwt 750-999g Without Major Procedure 8 4 — — $30,359.81 $212,645.28 $66,791.58 2025-07-23
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 7 4 — — $61,698.56 $143,388.51 $66,634.44 2025-07-23
1602 APR_DRG Apr-DRG V34: 160-2: Major Cardiothoracic Repair Of Heart Anomaly 8 4 — — $32,021.88 $96,065.64 $66,564.90 2025-07-23
6944 APR_DRG Apr-DRG V34: 694-4: Lymphatic & Other Malignancies & Neoplasms Of Uncertain Beha… 8 4 — — $42,886.53 $128,659.59 $66,382.12 2025-07-23
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 7 4 — — $61,176.80 $137,467.62 $66,070.94 2025-07-23
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 7 4 — — $61,176.80 $142,358.79 $66,070.94 2025-07-23
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 4 — — $6,181.00 $71,044.62 $65,782.06 2025-07-23
8633 APR_DRG Apr-DRG V34: 863-3: Neonatal Aftercare 8 4 — — $29,710.22 $89,130.66 $65,362.49 2025-07-23
5811 APR_DRG Apr-DRG V34: 581-1: Neonate, Transferred < 5 Days Old, Born Here 8 4 — — $4,633.59 $188,517.27 $65,352.65 2025-07-23
894 APR_DRG Apr-DRG V34: 089-4: Major Cranial/facial Bone Procedures 8 4 — — $29,648.69 $135,411.56 $65,227.12 2025-07-23
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 7 4 — — $60,089.22 $184,784.49 $64,896.36 2025-07-23
6254 APR_DRG Apr-DRG V34: 625-4: Neonate Bwt 2000-2499g W Other Significant Condition 8 4 — — $38,117.78 $114,353.34 $64,741.38 2025-07-23
1203 APR_DRG Apr-DRG V34: 120-3: Major Respiratory & Chest Procedures 8 4 — — $30,604.54 $91,813.62 $64,734.90 2025-07-23
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 7 4 — — $59,783.65 $139,012.20 $64,566.34 2025-07-23
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 7 4 — — $59,727.41 $139,012.20 $64,505.60 2025-07-23
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 4 — — $59,720.79 $139,012.20 $64,498.45 2025-07-23
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 16 7 $168,000.00 — $0.20 $185,977.20 $64,353.07 2025-07-23
4034 APR_DRG Apr-DRG V34: 403-4: Procedures For Obesity 11 4 — — $13,440.00 $178,001.55 $64,080.56 2025-07-23
2234 APR_DRG Apr-DRG V34: 223-4: Other Small & Large Bowel Procedures 8 4 — — $29,085.81 $111,372.22 $63,988.78 2025-07-23
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 7 4 — — $58,892.40 $136,952.76 $63,603.79 2025-07-23
6032 APR_DRG Apr-DRG V34: 603-2: Neonate Birthwt 1000-1249g W Or Without Other Significant Condit… 8 4 — — $28,894.92 $136,960.42 $63,568.82 2025-07-23
6082 APR_DRG Apr-DRG V34: 608-2: Neonate Bwt 1250-1499g W Or Without Other Significant Condition 8 4 — — $28,843.88 $113,456.11 $63,456.54 2025-07-23
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 7 4 — — $58,633.18 $136,437.90 $63,323.83 2025-07-23
4474 APR_DRG Apr-DRG V34: 447-4: Other Kidney, Urinary Tract & Related Procedures 8 4 — — $28,777.45 $151,152.18 $63,310.39 2025-07-23
1633 APR_DRG Apr-DRG V34: 163-3: Cardiac Valve Procedures Without Ami Or Complex Pdx 8 4 — — $28,761.37 $91,349.46 $63,275.01 2025-07-23
4214 APR_DRG Apr-DRG V34: 421-4: Malnutrition, Failure To Thrive & Other Nutritional Disorder… 8 4 — — $38,707.93 $116,123.79 $62,989.49 2025-07-23
9503 APR_DRG Apr-DRG V34: 950-3: Extensive Procedure Unrelated To Principal Diagnosis 8 4 — — $28,611.73 $85,835.19 $62,945.81 2025-07-23
6113 APR_DRG Apr-DRG V34: 611-3: Neonate Birthwt 1500-1999g W Major Anomaly 8 4 — — $28,499.16 $124,695.53 $62,698.15 2025-07-23
1622 APR_DRG Apr-DRG V34: 162-2: Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $28,280.30 $90,118.51 $62,216.66 2025-07-23
9123 APR_DRG Apr-DRG V34: 912-3: Musculoskeletal & Other Procedures For Multiple Significant … 8 4 — — $28,199.89 $84,599.67 $62,039.76 2025-07-23
1621 APR_DRG Apr-DRG V34: 162-1: Cardiac Valve Procedures W Ami Or Complex Pdx 8 4 — — $28,185.90 $84,557.70 $62,008.98 2025-07-23
6233 APR_DRG Apr-DRG V34: 623-3: Neonate Bwt 2000-2499g W Congenital/perinatal Infection 8 4 — — $34,776.15 $104,328.45 $61,554.07 2025-07-23
5144 APR_DRG Apr-DRG V34: 514-4: Female Reproductive System Reconstructive Procedures 8 4 — — $42,480.98 $127,442.94 $61,554.07 2025-07-23
6924 APR_DRG Apr-DRG V34: 692-4: Radiotherapy 8 4 — — $44,875.85 $134,627.55 $61,527.69 2025-07-23
81100001 CDM Kidney Acquis-live Donor 11 6 $173,633.00 — $34,726.60 $133,697.41 $61,448.72 2025-07-23
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 7 4 — — $56,827.48 $132,061.59 $61,373.68 2025-07-23
9103 APR_DRG Apr-DRG V34: 910-3: Craniotomy For Multiple Significant Trauma 8 4 — — $27,791.54 $83,374.62 $61,141.38 2025-07-23
4403 APR_DRG Apr-DRG V34: 440-3: Kidney Transplant 11 4 — — $20,369.90 $134,834.00 $61,109.70 2025-07-23
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 7 4 — — $56,403.90 $131,031.87 $60,916.21 2025-07-23
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 7 4 — — $56,231.83 $130,774.44 $60,730.38 2025-07-23
3124 APR_DRG Apr-DRG V34: 312-4: Skin Graft, Except Hand, For Musculoskeletal & Connective Ti… 8 4 — — $27,567.08 $177,742.59 $60,647.57 2025-07-23
6314 APR_DRG Apr-DRG V34: 631-4: Neonate Birthwt >2499g W Other Major Procedure 8 4 — — $27,492.26 $207,035.26 $60,482.97 2025-07-23
1704 APR_DRG Apr-DRG V34: 170-4: Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or … 8 4 — — $27,453.81 $96,523.31 $60,398.38 2025-07-23
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 7 4 — — $55,767.44 $129,744.72 $60,228.84 2025-07-23
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 7 4 — — $55,439.86 $128,972.43 $59,875.05 2025-07-23
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 7 4 — — $55,396.83 $128,715.00 $59,828.58 2025-07-23
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 4 — — $55,374.77 $128,715.00 $59,804.75 2025-07-23
8904 APR_DRG Apr-DRG V34: 890-4: HIV W Multiple Major HIV Related Conditions 8 4 — — $27,158.03 $81,474.09 $59,747.67 2025-07-23
8114 APR_DRG Apr-DRG V34: 811-4: Allergic Reactions 8 4 — — $45,323.35 $172,258.05 $59,716.12 2025-07-23
3093 APR_DRG Apr-DRG V34: 309-3: Other Significant Hip And Femur Surgery 8 4 — — $32,340.73 $97,022.19 $59,610.04 2025-07-23
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 7 4 — — $55,176.19 $128,200.14 $59,590.29 2025-07-23
9101 APR_DRG Apr-DRG V34: 910-1: Craniotomy For Multiple Significant Trauma 8 4 — — $26,968.54 $80,905.62 $59,330.79 2025-07-23
9102 APR_DRG Apr-DRG V34: 910-2: Craniotomy For Multiple Significant Trauma 8 4 — — $26,968.54 $80,905.62 $59,330.79 2025-07-23
1663 APR_DRG Apr-DRG V34: 166-3: Coronary Bypass Without Ami Or Complex Pdx 8 4 — — $26,660.88 $81,079.28 $58,653.93 2025-07-23
A9543 HCPCS Y-90 - Zevalin Per Dose Ndc 68152-103-03 13 8 $84,781.00 — $22,507.82 $166,683.45 $58,529.29 2025-07-23
2844 APR_DRG Apr-DRG V34: 284-4: Disorders Of Gallbladder & Biliary Tract 8 4 — — $38,739.39 $116,218.17 $58,523.12 2025-07-23
2634 APR_DRG Apr-DRG V34: 263-4: Laparoscopic Cholecystectomy 8 4 — — $26,588.16 $79,764.48 $58,493.95 2025-07-23
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 7 4 — — $54,111.76 $125,883.27 $58,440.70 2025-07-23
1612 APR_DRG Apr-DRG V34: 161-2: Cardiac Defibrillator & Heart Assist Implant 8 4 — — $26,553.90 $122,016.53 $58,418.58 2025-07-23
243 APR_DRG Apr-DRG V34: 024-3: Extracranial Vascular Procedures 8 4 — — $26,485.37 $79,456.11 $58,267.82 2025-07-23
893 APR_DRG Apr-DRG V34: 089-3: Major Cranial/facial Bone Procedures 8 4 — — $26,445.52 $79,336.56 $58,180.15 2025-07-23
1653 APR_DRG Apr-DRG V34: 165-3: Coronary Bypass W Ami Or Complex Pdx 8 4 — — $26,421.74 $97,471.24 $58,127.83 2025-07-23
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 7 4 — — $53,786.37 $125,110.98 $58,089.28 2025-07-23
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 7 4 — — $53,697.02 $173,603.00 $57,992.78 2025-07-23
2614 APR_DRG Apr-DRG V34: 261-4: Major Biliary Tract Procedures 8 4 — — $26,341.33 $122,268.53 $57,950.93 2025-07-23
7914 APR_DRG Apr-DRG V34: 791-4: O.r. Procedure For Other Complications Of Treatment 6 3 — — $26,231.55 $131,381.42 $57,709.41 2025-07-23
9304 APR_DRG Apr-DRG V34: 930-4: Multiple Significant Trauma Without O.r. Procedure 8 4 — — $26,231.55 $78,694.65 $57,709.41 2025-07-23
3624 APR_DRG Apr-DRG V34: 362-4: Mastectomy Procedures 8 4 — — $37,805.92 $113,417.76 $57,383.44 2025-07-23
2244 APR_DRG Apr-DRG V34: 224-4: Peritoneal Adhesiolysis 8 4 — — $26,056.04 $111,180.31 $57,323.29 2025-07-23
974 APR_DRG Apr-DRG V34: 097-4: Tonsil & Adenoid Procedures 8 4 — — $26,047.65 $80,272.87 $57,304.83 2025-07-23
3854 APR_DRG Apr-DRG V34: 385-4: Other Skin, Subcutaneous Tissue & Breast Disorders 8 4 — — $46,667.98 $140,003.94 $57,213.91 2025-07-23
7204 APR_DRG Apr-DRG V34: 720-4: Septicemia & Disseminated Infections 8 4 — — $25,998.01 $77,994.03 $57,195.62 2025-07-23
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 7 4 — — $52,884.08 $123,051.54 $57,114.81 2025-07-23
6123 APR_DRG Apr-DRG V34: 612-3: Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 8 4 — — $25,894.52 $126,192.06 $56,967.94 2025-07-23
1673 APR_DRG Apr-DRG V34: 167-3: Other Cardiothoracic & Thoracic Vascular Procedures 8 4 — — $25,874.94 $77,624.82 $56,924.87 2025-07-23
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 7 4 — — $52,655.73 $122,279.25 $56,868.19 2025-07-23
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 7 4 — — $52,645.80 $122,279.25 $56,857.46 2025-07-23
6022 APR_DRG Apr-DRG V34: 602-2: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $25,819.70 $187,080.34 $56,803.34 2025-07-23
5444 APR_DRG Apr-DRG V34: 544-4: D&c, Aspiration Curettage Or Hysterotomy For Obstetric Diagn… 6 3 — — $30,802.42 $69,305.44 $56,759.93 2025-07-23
3464 APR_DRG Apr-DRG V34: 346-4: Connective Tissue Disorders 8 4 — — $25,653.99 $97,725.18 $56,438.78 2025-07-23
6021 APR_DRG Apr-DRG V34: 602-1: Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj … 8 4 — — $25,628.11 $129,093.99 $56,381.85 2025-07-23
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 9 5 — — $22,811.98 $111,290.55 $56,359.63 2025-07-23
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 9 5 — — $22,811.98 $111,290.55 $56,359.63 2025-07-23
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 9 5 — — $22,811.98 $111,290.55 $56,359.63 2025-07-23
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 7 4 — — $52,103.10 $120,992.10 $56,271.35 2025-07-23
69930 CPT Cochlear Device Implantation, With Or Without Mastoidectomy 9 5 — — $23,937.77 $110,409.71 $56,220.93 2025-07-23
4454 APR_DRG Apr-DRG V34: 445-4: Other Bladder Procedures 8 4 — — $46,940.18 $162,111.51 $56,198.65 2025-07-23
1744 APR_DRG Apr-DRG V34: 174-4: Percutaneous Coronary Intervention W Ami 8 4 — — $25,512.04 $77,454.29 $56,126.49 2025-07-23
7214 APR_DRG Apr-DRG V34: 721-4: Post-operative, Post-traumatic, Other Device Infections 8 4 — — $46,905.71 $140,717.13 $56,013.96 2025-07-23
203 APR_DRG Apr-DRG V34: 020-3: Craniotomy For Trauma 8 4 — — $25,451.21 $76,353.63 $55,992.66 2025-07-23
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