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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

30,082 distinct procedures filed
78 distinct payers
4,209,964 rate rows
2026-05-28 last MRF observed
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 · 2026-09-21
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
$3,508,750
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 34 $2,505,981.34 $4,861,613.50 $4,390,265.60 nat. median
$3,685,267
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 34 $3,847,929.75 $4,323,949.71 $3,930,863.37 nat. median
$3,325,455
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
$3,248,446
1.2× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 33 $3,441,968.23 $4,917,097.47 $3,512,212.48 nat. median
$2,968,000
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
$2,455,111
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
$2,332,000
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 75 $596,653.81 $2,044,290.00 $933,279.34 nat. median
$621,313
1.5× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 75 $592,128.13 $2,028,783.63 $909,675.26 nat. median
$599,737
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 75 $565,853.81 $1,938,761.25 $871,715.51 nat. median
$574,037
1.5× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 75 $553,202.38 $1,895,414.13 $852,201.85 nat. median
$579,571
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 75 $524,700.69 $1,797,760.00 $807,703.30 nat. median
$562,501
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 75 $524,700.69 $1,797,760.00 $805,284.99 nat. median
$513,770
1.6× 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
$168,055
outlier · 2.1×
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
$186,516
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 $192,996.52 $685,116.00 $256,655.46 nat. median
$145,435
1.8× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 14 $255,696.14 $582,166.56 $255,738.56 nat. median
$225,531
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
$131,925
1.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 14 $188,256.28 $428,666.69 $188,298.70 nat. median
$390,362
outlier · 0.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 14 $184,949.36 $421,139.84 $184,991.80 nat. median
$286,698
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
$173,134
1.1× 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
$2,024
outlier · 89.4×
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
$2,024
outlier · 89.3×
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
$2,024
outlier · 85.6×
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
$2,024
outlier · 85.6×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 14 $169,177.23 $385,240.91 $169,219.66 nat. median
$202,242
0.8× median
90288
CPT 		Xrx Prochlorperazine 25 Mg Re Supp 54 $79,695.00 $398,475.00 $161,382.38 nat. median
$43,548
outlier · 3.7×
Q0480
HCPCS 		Dme Pos 75 $63,732.09 $224,999.80 $144,365.95 nat. median
$108,243
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
$171,497
0.8× 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
$152,383
0.9× 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
$130,862
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 $18,030.00 $507,492.00 $137,826.79 nat. median
$97,418
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 14 $137,372.24 $312,849.56 $137,414.67 nat. median
$173,018
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
$135,630
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 73 $54,136.72 $209,737.58 $131,937.15 nat. median
$95,583
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
$136,566
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
$168,439
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 51 $95,362.44 $304,105.88 $121,243.80 nat. median
$72,715
1.7× median
7
MS_DRG 		Lung Transplant 51 $96,426.05 $303,339.92 $120,938.41 nat. median
$70,649
1.7× 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
$198,578
0.6× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 $89,485.00 $146,579.68 $114,400.46 nat. median
$2,024
outlier · 56.5×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 $89,485.00 $144,134.58 $113,676.63 nat. median
$2,024
outlier · 56.2×
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
$65,418
1.7× 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
$124,731
0.9× median
23
APR_DRG 		Heart And/Or Lung Transplant, Major 14 $110,495.02 $251,674.34 $110,537.45 nat. median
$117,894
0.9× median
8413
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Major 14 $107,375.61 $244,574.25 $107,418.04 nat. median
$54,727
2.0× median
5833
APR_DRG 		Neonate With Ecmo, Major 14 $107,005.73 $243,732.38 $107,048.16 nat. median
$268,208
outlier · 0.4×
5832
APR_DRG 		Neonate With Ecmo, Moderate 14 $105,006.93 $239,182.91 $105,049.36 nat. median
$201,678
0.5× median
5831
APR_DRG 		Neonate With Ecmo, Minor 14 $105,006.93 $239,182.91 $105,049.36 nat. median
$173,909
0.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 53 $9,539.74 $252,858.31 $103,985.36 nat. median
$74,509
1.4× median

Other procedures at this hospital

Browse this hospital's 30,082 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
             
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
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
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 134 55 — — $192,996.52 $685,116.00 $256,655.46 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
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
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
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
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 134 55 — — $18,030.00 $507,492.00 $137,826.79 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
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
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
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
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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 134 55 — — $54,601.62 $190,311.00 $73,651.82 2026-02-19
10 MS_DRG Pancreas Transplant 109 51 — — $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
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
C1825 HCPCS Orms&d Barostim Ne02 System 88 56 $221,375.00 — $39,847.50 $221,375.00 $66,412.50 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
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
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
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
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 123 53 — — $17,309.16 $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
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
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
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
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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 124 53 — — $44,204.98 $165,617.55 $59,149.41 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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 110 51 — — $18,030.00 $147,895.47 $57,341.96 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
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
L2006 HCPCS Dme Pos 185 75 — — $24,815.24 $88,279.18 $56,547.21 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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 40 — — $5,963.55 $123,373.08 $55,540.29 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
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
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 124 53 — — $48,624.26 $125,988.64 $54,735.40 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
834 MS_DRG Acute Leukemia With Mcc 124 53 — — $49,981.58 $132,876.05 $54,315.24 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
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
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 51 — — $9,391.48 $127,755.67 $52,820.28 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 124 53 — — $18,030.00 $125,558.57 $52,576.92 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
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
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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 124 53 — — $47,287.77 $123,487.16 $51,310.88 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 124 53 — — $18,030.00 $126,005.56 $51,105.54 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
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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 85 51 — — $18,030.00 $126,975.78 $50,623.90 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 109 51 — — $18,030.00 $126,293.37 $50,351.83 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
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 124 53 — — $18,030.00 $125,244.23 $50,239.05 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
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 124 53 — — $38,287.71 $118,250.76 $49,953.48 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
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 85 51 — — $46,589.71 $119,538.97 $49,491.40 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 124 53 — — $39,231.97 $117,888.67 $49,133.79 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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 122 52 — — $18,030.00 $119,142.06 $48,107.04 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 124 53 — — $18,030.00 $117,026.74 $47,275.29 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
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 124 53 — — $18,030.00 $116,085.17 $47,098.68 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 122 52 — — $42,584.58 $122,904.09 $47,002.46 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
245 MS_DRG Aicd Generator Procedures 124 53 — — $41,224.31 $118,947.80 $46,816.73 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
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 124 53 — — $17,505.00 $116,911.49 $46,611.37 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
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
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 124 53 — — $18,030.00 $125,128.13 $46,363.99 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
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 123 53 — — $18,030.00 $116,131.60 $46,300.44 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
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
799 MS_DRG Splenic Procedures With Mcc 124 53 — — $17,505.00 $113,011.17 $45,994.25 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 124 53 — — $39,927.00 $110,844.13 $45,757.17 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 124 53 — — $18,030.00 $112,742.79 $45,707.36 2026-02-19
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 38 21 — — $41,899.34 $104,973.44 $45,530.33 2024-12-13
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 81 14 — — $45,434.09 $103,589.19 $45,476.52 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
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
6 MS_DRG Liver Transplant Without Mcc 109 51 — — $18,030.00 $112,554.78 $44,901.62 2026-02-19
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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 124 53 — — $18,030.00 $110,342.77 $44,834.56 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
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
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
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
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
163 MS_DRG Major Chest Procedures With Mcc 124 53 — — $18,030.00 $109,924.29 $43,757.01 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 124 53 — — $39,107.29 $109,941.86 $43,639.24 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
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 124 53 — — $18,030.00 $108,615.87 $43,588.57 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
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
3814 APR_DRG Major Skin Disorders, Severe 81 14 — — $43,360.58 $98,869.68 $43,403.01 2026-02-19
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $43,321.61 $43,321.61 $43,321.61 2024-12-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 124 53 — — $39,144.62 $104,094.37 $43,299.57 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 124 53 — — $29,898.14 $104,718.75 $43,164.93 2026-02-19
C1604 HCPCS Hc Ss Impl Detour Sys Byps Sys (si-h & Ntap),c1604 89 56 $143,750.00 — $25,875.00 $143,750.00 $43,125.00 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 124 53 — — $18,030.00 $107,276.52 $43,054.91 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 124 53 — — $34,688.47 $103,806.56 $43,044.07 2026-02-19
J9266 HCPCS Pegaspargase Injection 181 75 $128,350.00 $128,350.00 $19,717.46 $103,125.84 $42,998.12 2026-02-19
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 81 14 — — $42,926.98 $97,882.77 $42,969.41 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 110 51 — — $21,484.22 $106,940.04 $42,952.98 2026-02-19
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 81 14 — — $42,510.96 $96,935.87 $42,553.39 2026-02-19
3084 APR_DRG Hip And Femur Fracture Repair, Severe 81 14 — — $42,379.12 $96,635.79 $42,421.55 2026-02-19
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 81 14 — — $42,205.54 $96,240.69 $42,247.97 2026-02-19
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 81 14 — — $42,144.01 $96,100.66 $42,186.44 2026-02-19
6504 APR_DRG Splenectomy, Severe 81 14 — — $41,897.19 $95,538.85 $41,939.62 2026-02-19
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 81 14 — — $41,846.65 $95,423.83 $41,889.08 2026-02-19
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 81 14 — — $41,772.67 $95,255.45 $41,815.10 2026-02-19
4403 APR_DRG Kidney Transplant, Major 81 14 — — $41,673.06 $95,028.73 $41,715.49 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 124 53 — — $18,030.00 $102,836.34 $41,464.38 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 124 53 — — $18,030.00 $101,961.28 $41,352.78 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 124 53 — — $26,414.19 $99,011.16 $41,352.67 2026-02-19
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 1 1 — — $41,137.08 $41,137.08 $41,137.08 2024-12-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 81 14 — — $40,985.31 $93,463.34 $41,027.74 2026-02-19
2244 APR_DRG Peritoneal Adhesiolysis, Severe 81 14 — — $40,912.80 $93,298.30 $40,955.23 2026-02-19
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 81 14 — — $40,659.38 $92,721.49 $40,701.81 2026-02-19
L5856 HCPCS Dme Pos 185 75 — — $17,007.45 $63,930.85 $40,469.15 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 122 52 — — $37,692.81 $96,574.01 $40,385.16 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 124 53 — — $27,583.55 $100,431.68 $40,356.28 2026-02-19
0266T CPT Insertion Or Replacement Of Carotid Sinus Baroreflex Activation Device 66 23 — — $3,398.00 $120,618.45 $40,352.51 2024-12-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 124 53 — — $20,080.41 $97,268.02 $40,125.72 2026-02-19
L6880 HCPCS Dme Pos 185 75 — — $16,906.94 $63,341.91 $40,124.43 2026-02-19
4234 APR_DRG Inborn Errors Of Metabolism, Severe 81 14 — — $39,958.45 $91,126.09 $40,000.88 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 123 53 — — $18,030.00 $98,864.93 $39,777.33 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 124 53 — — $36,797.47 $95,392.57 $39,704.79 2026-02-19
224 APR_DRG Ventricular Shunt Procedures, Severe 81 14 — — $39,586.37 $90,279.21 $39,628.80 2026-02-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 124 53 — — $36,764.73 $133,578.00 $39,610.08 2026-02-19
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 81 14 — — $39,449.41 $89,967.47 $39,491.84 2026-02-19
C1822 HCPCS Orms&d Ipg Kit 440 56 $140,875.00 $131,462.25 $1,764.67 $155,250.00 $39,438.67 2026-02-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 81 14 — — $39,340.28 $89,719.07 $39,382.71 2026-02-19
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 81 14 — — $39,286.08 $89,595.71 $39,328.51 2026-02-19
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 81 14 — — $39,147.65 $89,280.63 $39,190.08 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 124 53 — — $35,567.78 $95,250.98 $39,151.93 2026-02-19
140 MS_DRG Major Head And Neck Procedures With Mcc 124 53 — — $4,232.54 $98,163.96 $39,136.93 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 124 53 — — $28,202.85 $89,957.37 $39,081.73 2026-02-19
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