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

ST CHARLES HOSPITAL

Port Jefferson, NY · CCN 330246 · Rates published

30,084 distinct procedures filed
78 distinct payers
4,798,357 rate rows
2026-05-28 last MRF observed
Data quality

4,215,854 of 4,798,357 rate rows are consumer-grade (87.9%)

582,503 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 503,130
template filing: same amount across many unrelated codes — excluded 33,873
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 22,393
per-diem day rate — not a per-procedure price 15,369
exceeds 10× this hospital's gross charge — excluded from medians 4,737
placeholder amount (≤ $0.02) — excluded from medians 2,224
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 769
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/CHSLI/111871039_st-charles-hospital_standardcharges.json
Found on page https://www.catholichealthli.org/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint ebdabb24211c9a21… · 725,179,779 bytes · first seen 2026-05-13

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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 31 $4,302,460.29 $4,829,292.16 $4,390,265.60 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 34 $2,505,981.34 $4,861,613.50 $4,390,265.60 nat. median
$3,710,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 34 $3,847,929.75 $4,323,949.71 $3,930,863.37 nat. median
$3,324,572
1.2× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 31 $3,702,899.11 $4,912,009.02 $3,778,468.48 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 33 $3,441,968.23 $4,917,097.47 $3,512,212.48 nat. median
$2,997,086
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 43 $2,688,396.00 $4,977,274.66 $2,872,598.52 nat. median
$2,460,273
1.2× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 33 $2,704,403.61 $4,829,292.16 $2,759,595.52 nat. median
$2,405,851
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 75 $596,653.81 $2,044,290.00 $933,279.34 nat. median
$691,418
1.3× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 75 $592,128.13 $2,028,783.63 $909,675.26 nat. median
$631,793
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 75 $565,853.81 $1,938,761.25 $871,715.51 nat. median
$610,161
1.4× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 75 $553,202.38 $1,895,414.13 $852,201.85 nat. median
$624,417
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 75 $524,700.69 $1,797,760.00 $807,703.30 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 75 $524,700.69 $1,797,760.00 $805,284.99 nat. median
$577,541
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 75 $192,996.52 $685,116.00 $382,166.38 nat. median
$199,832
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 51 $18,030.00 $875,351.80 $348,924.88 nat. median
$370,165
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 51 $246,528.91 $653,814.41 $261,622.50 nat. median
$261,939
1.0× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 14 $255,696.14 $582,166.56 $255,738.56 nat. median
$243,231
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 53 $18,030.00 $584,346.00 $244,691.50 nat. median
$205,166
1.2× median
5834
APR_DRG 		Neonate With Ecmo, Severe 14 $188,256.28 $428,666.69 $188,298.70 nat. median
$311,018
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 14 $184,949.36 $421,139.84 $184,991.80 nat. median
$180,995
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 14 $184,949.36 $421,139.84 $184,991.80 nat. median
$254,667
0.7× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $148,466.00 $200,523.44 $181,010.60 nat. median
$58,534
outlier · 3.1×
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $127,308.26 $200,523.44 $180,745.50 nat. median
$40,712
outlier · 4.4×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $142,364.00 $192,278.32 $173,315.00 nat. median
$51,048
outlier · 3.4×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $123,338.80 $192,278.32 $173,315.00 nat. median
$45,104
outlier · 3.8×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 14 $169,177.23 $385,240.91 $169,219.66 nat. median
$209,486
0.8× median
90288
CPT 		Xrx Prochlorperazine 25 Mg Re Supp 54 $79,695.00 $398,475.00 $161,382.38 nat. median
$52,716
outlier · 3.1×
Q0480
HCPCS 		Dme Pos 75 $63,732.09 $224,999.80 $144,365.95 nat. median
$111,503
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 14 $142,031.22 $323,453.88 $142,073.66 nat. median
$168,361
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 $18,030.00 $507,492.00 $141,579.50 nat. median
$132,706
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 14 $141,518.52 $322,286.91 $141,560.95 nat. median
$147,847
1.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 14 $141,518.52 $322,286.91 $141,560.95 nat. median
$120,928
1.2× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 14 $137,372.24 $312,849.56 $137,414.67 nat. median
$165,646
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 14 $132,492.06 $301,741.81 $132,534.48 nat. median
$127,600
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 73 $54,136.72 $209,737.58 $131,937.15 nat. median
$97,404
1.4× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 14 $128,341.39 $292,294.44 $128,383.82 nat. median
$137,901
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 14 $127,832.35 $291,135.84 $127,874.78 nat. median
$156,285
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 51 $95,362.44 $304,105.88 $121,243.80 nat. median
$114,305
1.1× median
7
MS_DRG 		Lung Transplant 51 $96,426.05 $303,339.92 $120,938.41 nat. median
$122,690
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 14 $117,053.19 $266,601.38 $117,095.62 nat. median
$168,174
0.7× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $89,485.00 $146,579.68 $114,400.46 nat. median
$38,383
outlier · 3.0×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $89,485.00 $144,134.58 $113,676.63 nat. median
$46,826
outlier · 2.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 $18,030.00 $328,668.56 $113,663.69 nat. median
$108,240
1.1× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 $110,881.74 $252,554.56 $110,924.17 nat. median
$123,690
0.9× median
23
APR_DRG 		Heart And/Or Lung Transplant, Major 14 $110,495.02 $251,674.34 $110,537.45 nat. median
$116,111
1.0× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Major 14 $107,375.61 $244,574.25 $107,418.04 nat. median
$64,013
1.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 14 $107,005.73 $243,732.38 $107,048.16 nat. median
$250,089
outlier · 0.4×
5832
APR_DRG 		Neonate With Ecmo, Moderate 14 $105,006.93 $239,182.91 $105,049.36 nat. median
$169,230
0.6× median
5831
APR_DRG 		Neonate With Ecmo, Minor 14 $105,006.93 $239,182.91 $105,049.36 nat. median
$154,685
0.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 75 $54,601.62 $190,311.00 $104,345.29 nat. median
$62,218
1.7× median

Other procedures at this hospital

Browse this hospital's 30,084 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 45 31 — — $4,302,460.29 $4,829,292.16 $4,390,265.60 2026-02-19
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 68 34 — — $2,505,981.34 $4,861,613.50 $4,390,265.60 2026-02-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 66 34 — — $3,847,929.75 $4,323,949.71 $3,930,863.37 2026-02-19
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 46 31 — — $3,702,899.11 $4,912,009.02 $3,778,468.48 2026-02-19
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 56 33 — — $3,441,968.23 $4,917,097.47 $3,512,212.48 2026-02-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 113 43 — — $2,688,396.00 $4,977,274.66 $2,872,598.52 2026-02-19
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 57 33 — — $2,704,403.61 $4,829,292.16 $2,759,595.52 2026-02-19
Q2042 HCPCS Tisagenlecleucel Car-pos T 181 75 — — $596,653.81 $2,044,290.00 $933,279.34 2026-02-19
Q2056 HCPCS Ciltacabtagene Car-pos T 181 75 — — $592,128.13 $2,028,783.63 $909,675.26 2026-02-19
Q2055 HCPCS Idecabtagene Vicleucel Car 181 75 — — $565,853.81 $1,938,761.25 $871,715.51 2026-02-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 181 75 — — $553,202.38 $1,895,414.13 $852,201.85 2026-02-19
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 180 75 — — $524,700.69 $1,797,760.00 $807,703.30 2026-02-19
Q2053 HCPCS Brexucabtagene Car Pos T 180 75 — — $524,700.69 $1,797,760.00 $805,284.99 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 163 75 — — $192,996.52 $685,116.00 $382,166.38 2026-02-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 110 51 — — $18,030.00 $875,351.80 $348,924.88 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 109 51 — — $246,528.91 $653,814.41 $261,622.50 2026-02-19
24 APR_DRG Heart And/Or Lung Transplant, Severe 81 14 — — $255,696.14 $582,166.56 $255,738.56 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 124 53 — — $18,030.00 $584,346.00 $244,691.50 2026-02-19
5834 APR_DRG Neonate With Ecmo, Severe 81 14 — — $188,256.28 $428,666.69 $188,298.70 2026-02-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 81 14 — — $184,949.36 $421,139.84 $184,991.80 2026-02-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 81 14 — — $184,949.36 $421,139.84 $184,991.80 2026-02-19
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 2 — — $148,466.00 $200,523.44 $181,010.60 2026-02-19
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 2 — — $127,308.26 $200,523.44 $180,745.50 2026-02-19
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 2 — — $142,364.00 $192,278.32 $173,315.00 2026-02-19
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 2 — — $123,338.80 $192,278.32 $173,315.00 2026-02-19
1614 APR_DRG Implantable Heart Assist Systems, Severe 81 14 — — $169,177.23 $385,240.91 $169,219.66 2026-02-19
90288 CPT Xrx Prochlorperazine 25 Mg Re Supp 82 54 $398,475.00 — $79,695.00 $398,475.00 $161,382.38 2026-02-19
Q0480 HCPCS Dme Pos 185 75 — — $63,732.09 $224,999.80 $144,365.95 2026-02-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 81 14 — — $142,031.22 $323,453.88 $142,073.66 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 138 58 — — $18,030.00 $507,492.00 $141,579.50 2026-02-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 81 14 — — $141,518.52 $322,286.91 $141,560.95 2026-02-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 81 14 — — $141,518.52 $322,286.91 $141,560.95 2026-02-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 81 14 — — $137,372.24 $312,849.56 $137,414.67 2026-02-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 81 14 — — $132,492.06 $301,741.81 $132,534.48 2026-02-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 128 73 — — $54,136.72 $209,737.58 $131,937.15 2026-02-19
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 81 14 — — $128,341.39 $292,294.44 $128,383.82 2026-02-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 81 14 — — $127,832.35 $291,135.84 $127,874.78 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 109 51 — — $95,362.44 $304,105.88 $121,243.80 2026-02-19
7 MS_DRG Lung Transplant 109 51 — — $96,426.05 $303,339.92 $120,938.41 2026-02-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 81 14 — — $117,053.19 $266,601.38 $117,095.62 2026-02-19
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 2 — — $89,485.00 $146,579.68 $114,400.46 2026-02-19
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 2 — — $89,485.00 $144,134.58 $113,676.63 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 109 51 — — $18,030.00 $328,668.56 $113,663.69 2026-02-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $110,881.74 $252,554.56 $110,924.17 2026-02-19
23 APR_DRG Heart And/Or Lung Transplant, Major 81 14 — — $110,495.02 $251,674.34 $110,537.45 2026-02-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 81 14 — — $107,375.61 $244,574.25 $107,418.04 2026-02-19
5833 APR_DRG Neonate With Ecmo, Major 81 14 — — $107,005.73 $243,732.38 $107,048.16 2026-02-19
5831 APR_DRG Neonate With Ecmo, Minor 81 14 — — $105,006.93 $239,182.91 $105,049.36 2026-02-19
5832 APR_DRG Neonate With Ecmo, Moderate 81 14 — — $105,006.93 $239,182.91 $105,049.36 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 163 75 — — $54,601.62 $190,311.00 $104,345.29 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 123 53 — — $9,539.74 $252,858.31 $103,985.36 2026-02-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 81 14 — — $102,152.65 $232,686.30 $102,195.08 2026-02-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 81 14 — — $101,125.06 $230,347.38 $101,167.49 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 51 — — $16,487.66 $243,144.51 $100,260.22 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 109 51 — — $94,158.89 $247,183.22 $99,923.72 2026-02-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 81 14 — — $99,868.94 $227,488.33 $99,911.37 2026-02-19
215 MS_DRG Other Heart Assist System Implant 124 53 — — $17,505.00 $245,915.90 $98,328.63 2026-02-19
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 38 21 — — $80,616.39 $201,722.55 $96,657.40 2024-12-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 128 73 — — $39,173.98 $151,768.49 $95,471.24 2026-02-19
22 APR_DRG Heart And/Or Lung Transplant, Moderate 81 14 — — $94,213.12 $214,615.13 $94,255.55 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 124 53 — — $87,063.69 $332,940.00 $93,491.01 2026-02-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $90,549.51 $206,276.39 $90,591.94 2026-02-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 81 14 — — $89,699.16 $204,340.91 $89,741.59 2026-02-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 81 14 — — $89,035.58 $202,830.55 $89,078.01 2026-02-19
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 81 14 — — $89,035.58 $202,830.55 $89,078.01 2026-02-19
21 APR_DRG Heart And/Or Lung Transplant, Minor 81 14 — — $88,751.40 $202,183.70 $88,793.83 2026-02-19
850 MS_DRG Acute Leukemia With Other Procedures 85 51 — — $77,878.55 $213,817.41 $88,202.94 2026-02-19
Q2043 HCPCS Xrx Prochlorperazine 25 Mg Re Supp 181 75 $431,958.00 $431,958.00 $51,363.25 $431,958.00 $88,153.99 2026-02-19
J9029 HCPCS Instill Adstiladrin, Tx Dose 185 75 — — $43,000.21 $168,811.74 $87,609.11 2026-02-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 81 14 — — $86,661.78 $197,427.53 $86,704.21 2026-02-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $81,881.22 $186,546.48 $81,923.65 2026-02-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 81 14 — — $81,734.73 $186,213.06 $81,777.16 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 124 53 — — $57,589.49 $196,578.60 $81,638.42 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 124 53 — — $48,100.58 $272,239.00 $80,965.28 2026-02-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 81 14 — — $80,854.35 $184,209.23 $80,896.78 2026-02-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 81 14 — — $79,921.24 $182,085.38 $79,963.67 2026-02-19
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor 81 14 — — $79,249.60 $180,556.66 $79,292.03 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 124 53 — — $18,030.00 $226,948.84 $78,464.81 2026-02-19
A9543 HCPCS Y90 Ibritumomab, Rx 126 48 — — $56,687.15 $190,695.52 $78,000.94 2026-02-19
G0251 HCPCS Linear Accelerator Based Stereotactic Radiosurgery, Delivery Including Collimato… 1 1 — — $77,487.00 $77,487.00 $77,487.00 2024-12-13
G0173 HCPCS Linear Accelerator Based Stereotactic Radiosurgery, Complete Course Of Therapy I… 1 1 — — $77,487.00 $77,487.00 $77,487.00 2024-12-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 85 51 — — $18,030.00 $193,593.67 $77,183.75 2026-02-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 81 14 — — $77,129.95 $175,732.13 $77,172.38 2026-02-19
4404 APR_DRG Kidney Transplant, Severe 81 14 — — $76,182.92 $173,576.59 $76,225.35 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 124 53 — — $63,715.42 $257,565.00 $75,606.07 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 124 53 — — $61,761.94 $259,924.00 $74,845.91 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 110 51 — — $71,443.28 $184,000.56 $74,483.84 2026-02-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 81 14 — — $73,886.75 $168,350.30 $73,929.18 2026-02-19
10 MS_DRG Pancreas Transplant 113 54 — — $43,791.61 $185,061.30 $73,442.70 2026-02-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 81 14 — — $72,958.77 $166,238.09 $73,001.20 2026-02-19
J9226 HCPCS Xrx Prochlorperazine 25 Mg Re Supp 181 75 $346,254.00 $311,737.00 $41,773.14 $346,254.00 $72,713.34 2026-02-19
1613 APR_DRG Implantable Heart Assist Systems, Major 81 14 — — $72,194.84 $164,499.34 $72,237.27 2026-02-19
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 81 14 — — $70,443.61 $160,513.34 $70,486.04 2026-02-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $69,590.33 $158,571.20 $69,632.76 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 124 53 — — $18,030.00 $173,251.55 $69,476.02 2026-02-19
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $69,426.10 $69,426.10 $69,426.10 2024-12-13
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 81 14 — — $68,863.02 $156,915.78 $68,905.45 2026-02-19
C9293 HCPCS Xrx Prochlorperazine 25 Mg Re Supp 117 56 $298,308.00 — $339.06 $298,308.00 $68,610.84 2026-02-19
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $68,594.01 $68,594.01 $68,594.01 2024-12-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 123 53 — — $52,872.23 $214,331.00 $67,926.89 2026-02-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 81 14 — — $67,749.73 $154,381.81 $67,792.16 2026-02-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 81 14 — — $67,379.86 $153,539.94 $67,422.29 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 149 74 — — $44,204.98 $165,617.55 $67,374.08 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 149 74 — — $49,981.58 $132,876.05 $67,374.08 2026-02-19
L7181 HCPCS Dme Pos 185 75 — — $28,346.19 $106,225.36 $67,285.77 2026-02-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $67,137.42 $152,988.14 $67,179.85 2026-02-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 110 72 — — $9,391.48 $127,755.67 $67,104.84 2026-02-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 110 72 — — $18,030.00 $126,975.78 $66,714.89 2026-02-19
C1825 HCPCS Orms&d Barostim Ne02 System 88 56 $221,375.00 — $39,847.50 $221,375.00 $66,412.50 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 149 74 — — $18,030.00 $126,005.56 $66,229.78 2026-02-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 81 14 — — $66,062.22 $150,540.88 $66,104.65 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 124 53 — — $27,933.30 $155,023.95 $66,003.04 2026-02-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 81 14 — — $65,887.90 $150,144.09 $65,930.33 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 149 74 — — $18,030.00 $125,558.57 $65,908.30 2026-02-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 81 14 — — $65,834.43 $150,022.41 $65,876.86 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 149 74 — — $48,624.26 $125,988.64 $65,842.15 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 51 — — $12,359.86 $164,860.77 $65,728.24 2026-02-19
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 81 14 — — $65,652.06 $149,607.30 $65,694.49 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 124 53 — — $18,030.00 $161,467.32 $65,397.88 2026-02-19
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 81 14 — — $65,235.30 $148,658.73 $65,277.73 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 149 74 — — $47,287.77 $123,487.16 $64,970.58 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 85 51 — — $60,569.02 $155,622.79 $64,895.37 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 149 74 — — $18,030.00 $125,244.23 $64,734.69 2026-02-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 38 21 — — $53,021.07 $147,833.98 $64,647.00 2024-12-13
6904 APR_DRG Acute Leukemia, Severe 81 14 — — $64,237.00 $146,386.50 $64,279.43 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 124 53 — — $18,030.00 $152,358.67 $63,799.31 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 124 53 — — $12,251.06 $154,761.66 $63,633.14 2026-02-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 81 14 — — $63,391.78 $144,462.69 $63,434.21 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 124 53 — — $18,030.00 $158,491.67 $63,331.24 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 124 53 — — $18,030.00 $151,159.33 $63,297.09 2026-02-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 110 72 — — $46,589.71 $119,538.97 $62,996.49 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 149 74 — — $38,287.71 $118,250.76 $62,352.38 2026-02-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $62,189.86 $141,727.02 $62,232.29 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 149 74 — — $39,231.97 $117,888.67 $62,171.33 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 124 53 — — $42,642.85 $220,523.00 $62,044.47 2026-02-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 81 14 — — $61,563.64 $140,301.66 $61,606.07 2026-02-19
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 38 21 — — $55,642.90 $135,592.25 $61,522.58 2024-12-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 81 14 — — $61,405.43 $139,941.56 $61,447.86 2026-02-19
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $61,414.72 $61,414.72 $61,414.72 2024-12-13
L7180 HCPCS Dme Pos 185 75 — — $25,720.58 $97,078.43 $61,399.50 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 149 74 — — $18,030.00 $117,026.74 $61,060.69 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 149 74 — — $18,030.00 $116,085.17 $60,331.96 2026-02-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 81 14 — — $60,286.28 $137,394.27 $60,328.71 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 149 74 — — $18,030.00 $125,128.13 $60,098.10 2026-02-19
245 MS_DRG Aicd Generator Procedures 149 74 — — $41,224.31 $118,947.80 $59,940.75 2026-02-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 81 14 — — $59,558.25 $135,737.19 $59,600.68 2026-02-19
234 APR_DRG Spinal Procedures, Severe 81 14 — — $59,322.40 $135,200.38 $59,364.83 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 85 51 — — $55,908.35 $143,592.53 $59,331.31 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 149 74 — — $39,927.00 $110,844.13 $58,649.07 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 124 53 — — $54,117.26 $198,473.00 $58,448.99 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 124 53 — — $40,064.19 $135,141.41 $58,237.32 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 124 53 — — $18,030.00 $154,736.64 $57,983.42 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 124 53 — — $18,030.00 $142,937.98 $57,926.39 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 153 74 — — $18,030.00 $112,742.79 $57,872.25 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 123 53 — — $18,030.00 $221,719.00 $57,693.97 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 110 51 — — $54,397.02 $140,099.27 $57,341.96 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 110 51 — — $18,030.00 $147,895.47 $57,341.96 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 149 74 — — $17,505.00 $113,011.17 $57,087.36 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 124 53 — — $49,100.05 $195,094.00 $56,990.25 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 124 53 — — $51,825.59 $179,074.00 $56,931.54 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 124 53 — — $18,030.00 $141,111.27 $56,844.54 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 153 74 — — $18,030.00 $109,924.29 $56,719.07 2026-02-19
L2006 HCPCS Dme Pos 185 75 — — $24,815.24 $88,279.18 $56,547.21 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 153 74 — — $18,030.00 $107,276.52 $56,406.76 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 124 53 — — $18,030.00 $142,617.48 $56,397.86 2026-02-19
64 APR_DRG Pancreas Transplant, Severe 81 14 — — $56,076.28 $127,811.88 $56,118.71 2026-02-19
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 81 14 — — $56,015.49 $127,673.51 $56,057.92 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 153 74 — — $17,505.00 $116,911.49 $56,049.47 2026-02-19
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 81 14 — — $55,986.92 $127,608.50 $56,029.35 2026-02-19
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 81 14 — — $55,619.98 $126,773.29 $55,662.41 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 153 74 — — $29,898.14 $104,718.75 $55,586.38 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 40 — — $5,963.55 $123,373.08 $55,540.29 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 153 74 — — $18,030.00 $110,342.77 $55,313.46 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 153 74 — — $39,144.62 $104,094.37 $55,274.18 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 124 53 — — $51,390.48 $132,421.08 $55,255.47 2026-02-19
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 42 24 — — $41,899.34 $104,973.44 $55,255.22 2024-12-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 153 74 — — $34,688.47 $103,806.56 $55,130.28 2026-02-19
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 81 14 — — $55,083.84 $125,552.98 $55,126.27 2026-02-19
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $54,900.73 $125,136.21 $54,943.16 2026-02-19
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 81 14 — — $54,520.60 $124,271.00 $54,563.03 2026-02-19
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 81 14 — — $54,229.83 $123,609.17 $54,272.26 2026-02-19
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 81 14 — — $53,985.19 $123,052.36 $54,027.62 2026-02-19
63 APR_DRG Pancreas Transplant, Major 81 14 — — $53,698.08 $122,398.87 $53,740.51 2026-02-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 81 14 — — $53,470.30 $121,880.40 $53,512.73 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 153 74 — — $39,107.29 $109,941.86 $53,339.55 2026-02-19
214 APR_DRG Open Craniotomy Except Trauma, Severe 81 14 — — $53,164.87 $121,185.23 $53,207.30 2026-02-19
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 81 14 — — $52,778.15 $120,305.01 $52,820.58 2026-02-19
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 81 14 — — $52,778.15 $120,305.01 $52,820.58 2026-02-19
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 81 14 — — $52,736.40 $120,209.99 $52,778.83 2026-02-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 81 14 — — $52,733.47 $120,203.32 $52,775.90 2026-02-19
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 81 14 — — $52,732.74 $120,201.65 $52,775.17 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 153 74 — — $26,414.19 $99,011.16 $52,732.58 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 153 74 — — $18,030.00 $108,615.87 $52,669.81 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 139 72 — — $21,484.22 $106,940.04 $52,621.04 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 152 74 — — $18,030.00 $116,131.60 $52,209.81 2026-02-19
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 81 14 — — $52,039.13 $118,622.93 $52,081.56 2026-02-19
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 81 14 — — $51,996.65 $118,526.24 $52,039.08 2026-02-19
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 81 14 — — $51,957.83 $118,437.88 $52,000.26 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 124 53 — — $18,030.00 $129,392.04 $51,982.06 2026-02-19
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 81 14 — — $51,867.01 $118,231.16 $51,909.44 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 153 74 — — $20,080.41 $97,268.02 $51,861.01 2026-02-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 81 14 — — $51,741.03 $117,944.43 $51,783.46 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 134 72 — — $18,030.00 $126,293.37 $51,627.69 2026-02-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 81 14 — — $51,308.90 $116,960.85 $51,351.33 2026-02-19
4014 APR_DRG Adrenal Procedures, Severe 81 14 — — $51,306.70 $116,955.85 $51,349.13 2026-02-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 124 53 — — $42,556.79 $175,908.00 $51,120.68 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 153 74 — — $18,030.00 $101,961.28 $51,117.98 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 149 74 — — $4,708.02 $96,574.01 $51,071.49 2026-02-19
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $50,988.29 $50,988.29 $50,988.29 2024-12-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 153 74 — — $36,797.47 $95,392.57 $50,923.29 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 153 74 — — $35,567.78 $95,250.98 $50,852.49 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 153 74 — — $18,030.00 $102,836.34 $50,740.00 2026-02-19
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 81 14 — — $50,653.37 $115,468.81 $50,695.80 2026-02-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 110 72 — — $18,030.00 $94,782.12 $50,618.06 2026-02-19
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 81 14 — — $50,241.02 $114,530.24 $50,283.45 2026-02-19
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 81 14 — — $50,104.79 $114,220.17 $50,147.22 2026-02-19
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 81 14 — — $50,068.16 $114,136.81 $50,110.59 2026-02-19
244 APR_DRG Open Extracranial Vascular Procedures, Severe 81 14 — — $49,885.06 $113,720.04 $49,927.49 2026-02-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 81 14 — — $49,874.07 $113,695.04 $49,916.50 2026-02-19
4414 APR_DRG Major Bladder Procedures, Severe 81 14 — — $49,663.13 $113,214.92 $49,705.56 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 153 74 — — $27,583.55 $100,431.68 $49,681.97 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 153 74 — — $32,899.21 $92,400.67 $49,427.33 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 152 74 — — $18,030.00 $98,864.93 $49,310.10 2026-02-19
204 APR_DRG Open Craniotomy For Trauma, Severe 81 14 — — $49,126.26 $111,992.95 $49,168.69 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 153 74 — — $35,759.49 $91,583.64 $49,018.82 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 153 74 — — $18,030.00 $93,543.67 $48,924.82 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 153 74 — — $18,030.00 $94,408.42 $48,887.74 2026-02-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 81 14 — — $48,695.59 $111,012.70 $48,738.02 2026-02-19
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 81 14 — — $48,587.92 $110,767.64 $48,630.35 2026-02-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 110 72 — — $10,015.03 $90,806.07 $48,630.04 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 153 74 — — $35,441.16 $90,761.97 $48,607.99 2026-02-19
L8701 HCPCS Ewh S/d Uprt Micro Sensor 128 73 — — $19,911.09 $77,139.99 $48,525.54 2026-02-19
4034 APR_DRG Procedures For Obesity, Severe 81 14 — — $48,296.42 $110,104.14 $48,338.85 2026-02-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 153 74 — — $29,623.20 $89,619.99 $48,037.00 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 153 74 — — $28,202.85 $89,957.37 $47,911.65 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 124 53 — — $2,965.13 $119,142.06 $47,870.12 2026-02-19
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $47,681.18 $108,703.79 $47,723.61 2026-02-19
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 81 14 — — $47,663.60 $108,663.78 $47,706.03 2026-02-19
266T OTHER Implt/rpl Crtd Sns Dev Total 130 49 — — $3,398.00 $119,816.53 $47,662.19 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 153 74 — — $34,650.74 $90,769.42 $47,587.86 2026-02-19
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 81 14 — — $47,524.44 $108,347.04 $47,566.87 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 138 72 — — $18,030.00 $112,554.78 $47,146.70 2026-02-19
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 81 14 — — $47,070.33 $107,313.45 $47,112.76 2026-02-19
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 81 14 — — $46,825.70 $106,756.64 $46,868.13 2026-02-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 153 74 — — $17,505.00 $86,855.56 $46,654.78 2026-02-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 153 74 — — $18,030.00 $89,710.52 $46,637.62 2026-02-19
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $46,584.73 $106,208.17 $46,627.16 2026-02-19
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement, Severe 81 14 — — $46,523.21 $106,068.14 $46,565.64 2026-02-19
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 81 14 — — $46,510.02 $106,038.13 $46,552.45 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 124 53 — — $3,285.84 $122,904.09 $46,549.43 2026-02-19
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 81 14 — — $46,419.20 $105,831.41 $46,461.63 2026-02-19
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 81 14 — — $46,401.62 $105,791.40 $46,444.05 2026-02-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 153 74 — — $18,030.00 $90,260.62 $46,438.10 2026-02-19
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 81 14 — — $46,282.97 $105,521.34 $46,325.40 2026-02-19
264 APR_DRG Other Nervous System And Related Procedures, Severe 81 14 — — $46,093.27 $105,089.56 $46,135.70 2026-02-19
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 81 14 — — $46,087.41 $105,076.23 $46,129.84 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 153 74 — — $18,030.00 $92,465.66 $46,109.86 2026-02-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 81 14 — — $46,064.71 $105,024.55 $46,107.14 2026-02-19
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 81 14 — — $46,019.30 $104,921.19 $46,061.73 2026-02-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 153 74 — — $18,030.00 $88,241.26 $46,008.88 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 123 53 — — $42,109.79 $178,104.00 $45,949.54 2026-02-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 81 14 — — $45,765.88 $104,344.38 $45,808.31 2026-02-19
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 81 14 — — $45,730.72 $104,264.36 $45,773.15 2026-02-19
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 153 74 — — $26,791.74 $84,689.98 $45,571.99 2026-02-19
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 81 14 — — $45,434.09 $103,589.19 $45,476.52 2026-02-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 153 74 — — $18,030.00 $87,554.21 $45,449.36 2026-02-19
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 81 14 — — $45,268.56 $103,212.43 $45,310.99 2026-02-19
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 81 14 — — $45,268.56 $103,212.43 $45,310.99 2026-02-19
335 MS_DRG Peritoneal Adhesiolysis With Mcc 153 74 — — $18,030.00 $85,920.89 $45,278.37 2026-02-19
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 81 14 — — $45,204.84 $103,067.39 $45,247.27 2026-02-19
2614 APR_DRG Major Biliary Tract Procedures, Severe 81 14 — — $45,102.30 $102,834.00 $45,144.73 2026-02-19
1612 APR_DRG Implantable Heart Assist Systems, Moderate 81 14 — — $45,007.08 $102,617.28 $45,049.51 2026-02-19
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 42 24 — — $33,277.66 $86,298.52 $45,030.80 2024-12-13
C1824 HCPCS Orms&d Optimizer Smart Ipg 176 56 $132,250.00 $132,250.00 $23,805.00 $149,500.00 $44,850.00 2026-02-19
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 81 14 — — $44,737.55 $102,003.79 $44,779.98 2026-02-19
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 81 14 — — $44,605.71 $101,703.72 $44,648.14 2026-02-19
265 MS_DRG Aicd Lead Procedures 153 74 — — $32,148.78 $82,798.28 $44,626.14 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 124 53 — — $35,427.32 $152,379.00 $44,605.14 2026-02-19
6903 APR_DRG Acute Leukemia, Major 81 14 — — $44,533.20 $101,538.68 $44,575.63 2026-02-19
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 81 14 — — $44,490.72 $101,441.99 $44,533.15 2026-02-19
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 81 14 — — $44,429.93 $101,303.62 $44,472.36 2026-02-19
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 81 14 — — $44,374.26 $101,176.92 $44,416.69 2026-02-19
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 81 14 — — $44,335.44 $101,088.57 $44,377.87 2026-02-19
33276 CPT Hc Insj Phrnc Nrv Stim Sys 232 77 $178,530.00 — $2,616.80 $178,530.00 $44,312.42 2026-02-19
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 153 74 — — $18,030.00 $106,323.67 $44,199.06 2026-02-19
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 153 74 — — $18,161.03 $81,716.65 $44,085.32 2026-02-19
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 153 74 — — $18,030.00 $83,202.15 $44,048.29 2026-02-19
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 81 14 — — $43,910.63 $100,121.66 $43,953.06 2026-02-19
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 153 74 — — $31,577.19 $81,326.70 $43,890.35 2026-02-19
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 153 74 — — $26,908.65 $81,301.17 $43,877.58 2026-02-19
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 81 14 — — $43,834.46 $99,948.28 $43,876.89 2026-02-19
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 153 74 — — $31,763.34 $82,517.45 $43,861.33 2026-02-19
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 81 14 — — $43,807.36 $99,886.60 $43,849.79 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 153 74 — — $18,030.00 $97,244.81 $43,758.98 2026-02-19
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 81 14 — — $43,571.52 $99,349.80 $43,613.95 2026-02-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 81 14 — — $43,526.84 $99,248.11 $43,569.27 2026-02-19
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 153 74 — — $18,030.00 $83,206.79 $43,513.68 2026-02-19
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 81 14 — — $43,469.71 $99,118.08 $43,512.14 2026-02-19
332 MS_DRG Rectal Resection With Mcc 153 74 — — $31,261.36 $91,365.73 $43,483.00 2026-02-19
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 153 74 — — $18,400.54 $80,423.79 $43,438.89 2026-02-19
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