Price Transparency 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

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR

Plattsburgh, NY · CCN 330250 · Rates published

28,847 distinct procedures filed
37 distinct payers
1,097,381 rate rows
2026-05-23 last MRF observed
Data quality

939,229 of 1,097,381 rate rows are consumer-grade (85.6%)

158,152 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 153,939
per-diem day rate — not a per-procedure price 1,628
placeholder amount (≤ $0.02) — excluded from medians 1,191
exceeds 10× this hospital's gross charge — excluded from medians 849
template filing: same amount across many unrelated codes — excluded 422
percent-of-charges filed in the dollar field — excluded from medians 92
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uvmhealth.org/sites/default/files/141338471_champlain-valley-physicians-hospital_standardcharges.csv
Found on page https://www.uvmhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint c7d77042684bc98c… · 171,782,425 bytes · first seen 2026-05-09

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
24
APR_DRG 		Heart &/or Lung Transplant 7 $229,325.68 $972,062.04 $515,982.78 nat. median
$234,738
outlier · 2.2×
3
CPT 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $343,817.04 $747,428.36 $511,004.95 —
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $380,332.57 $903,900.39 $402,298.04 nat. median
$370,174
1.1× median
5834
APR_DRG 		Neonate W Ecmo 7 $168,974.64 $1,698,802.92 $380,192.94 nat. median
$309,665
1.2× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $166,015.32 $692,924.68 $373,534.47 nat. median
$182,736
outlier · 2.0×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $166,015.32 $1,040,616.70 $373,534.47 nat. median
$246,434
1.5× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $151,901.06 $725,511.20 $341,777.39 nat. median
$207,730
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $284,076.54 $675,137.81 $300,482.91 nat. median
$265,286
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $127,608.45 $682,164.98 $287,119.01 nat. median
$164,279
1.7× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $127,149.64 $593,935.44 $286,086.69 nat. median
$145,336
2.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $127,149.64 $509,087.52 $286,086.69 nat. median
$124,573
outlier · 2.3×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $123,439.19 $645,274.58 $277,738.18 nat. median
$160,267
1.7× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $119,071.98 $546,592.76 $267,911.96 nat. median
$105,658
outlier · 2.5×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 7 $115,357.60 $541,059.20 $259,554.60 nat. median
$129,535
outlier · 2.0×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $114,902.07 $599,776.42 $258,529.66 nat. median
$151,838
1.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $239,243.79 $568,588.07 $253,060.92 nat. median
$206,368
1.2× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 7 $105,255.94 $724,896.36 $236,825.86 nat. median
$162,982
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $216,137.10 $513,672.59 $228,619.74 nat. median
$202,986
1.1× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $99,733.20 $451,907.40 $224,399.70 nat. median
$118,620
1.9× median
23
APR_DRG 		Heart &/or Lung Transplant 7 $99,387.12 $529,377.24 $223,621.02 nat. median
$93,528
outlier · 2.4×
5833
APR_DRG 		Neonate W Ecmo 7 $96,264.60 $967,450.74 $216,595.35 nat. median
$244,017
0.9× median
5831
APR_DRG 		Neonate W Ecmo 7 $94,475.90 $666,793.98 $212,570.77 nat. median
$145,122
1.5× median
5832
APR_DRG 		Neonate W Ecmo 7 $94,475.90 $743,034.14 $212,570.77 nat. median
$156,126
1.4× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 7 $91,921.65 $330,476.50 $206,823.71 nat. median
$109,499
1.9× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 $91,002.07 $380,585.96 $204,754.66 nat. median
$68,217
outlier · 3.0×
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $89,877.99 $438,688.34 $202,225.48 nat. median
$108,996
1.9× median
950
CPT 		Extensive Procedure Unrelated To Principal Diagnosis 12 $135,062.52 $1,057,179.99 $201,839.33 —
22
APR_DRG 		Heart &/or Lung Transplant 7 $84,816.67 $400,875.68 $190,837.51 nat. median
$78,029
outlier · 2.4×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $81,538.15 $349,229.12 $183,460.84 nat. median
$95,507
1.9× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 7 $80,777.19 $632,362.94 $181,748.68 nat. median
$150,721
1.2× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 7 $80,183.36 $485,108.76 $180,412.56 nat. median
$89,790
outlier · 2.0×
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 7 $80,183.36 $485,108.76 $180,412.56 nat. median
$93,260
1.9× median
21
APR_DRG 		Heart &/or Lung Transplant 7 $79,929.05 $354,455.26 $179,840.36 nat. median
$65,130
outlier · 2.8×
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $78,059.07 $514,621.08 $175,632.91 nat. median
$102,636
1.7× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $96,595.60 $217,340.10 $166,556.38 nat. median
$66,693
outlier · 2.5×
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $73,781.01 $313,875.82 $166,007.27 nat. median
$86,492
1.9× median
5932
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $73,649.92 $352,918.16 $165,712.32 nat. median
$86,258
1.9× median
870
CPT 		Septicemia Or Severe Sepsis With Mv >96 Hours 12 $97,465.42 $211,881.35 $164,015.42 —
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $72,862.08 $441,455.12 $163,939.68 nat. median
$81,294
outlier · 2.0×
3034
APR_DRG 		Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 $72,027.05 $278,522.52 $162,060.86 nat. median
$84,162
1.9× median
5931
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $71,426.01 $268,685.08 $160,708.52 nat. median
$29,713
outlier · 5.4×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 7 $69,529.16 $697,228.56 $156,440.61 nat. median
$122,924
1.3× median
4404
APR_DRG 		Kidney Transplant 7 $68,681.68 $273,911.22 $154,533.78 nat. median
$79,034
2.0× median
34
APR_DRG 		Bone Marrow Transplant 6 $147,506.32 $331,889.22 $151,193.98 nat. median
$209,067
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $142,500.67 $338,667.84 $150,730.56 nat. median
$133,176
1.1× median
43
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $66,626.87 $376,896.92 $149,910.46 nat. median
$69,926
outlier · 2.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $65,796.43 $416,554.10 $148,041.97 nat. median
$97,957
1.5× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $65,112.80 $568,112.16 $146,503.80 nat. median
$119,796
1.2× median
6022
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 7 $62,782.05 $250,854.72 $141,259.61 nat. median
$69,988
outlier · 2.0×
1624
APR_DRG 		Cardiac Valve Procedures W Ami Or Complex Pdx 7 $62,131.20 $279,752.20 $139,795.20 nat. median
$81,790
1.7× median

Other procedures at this hospital

Browse this hospital's 28,847 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 10 — — $284,076.54 $675,137.81 $300,482.91 2026-02-19
10 MS_DRG Pancreas Transplant 13 10 — — $80,407.50 $191,096.86 $85,051.30 2026-02-19
11 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $41,016.83 $190,600.40 $92,287.87 2026-02-19
12 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $41,016.83 $217,038.52 $92,287.87 2026-02-19
1204 APR_DRG Major Respiratory & Chest Procedures 19 7 — — $40,541.63 $170,310.68 $91,218.67 2026-02-19
1214 APR_DRG Other Respiratory & Chest Procedures 19 7 — — $40,320.75 $142,642.88 $90,721.69 2026-02-19
13 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $55,457.50 $280,981.88 $124,779.38 2026-02-19
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 19 7 — — $28,668.97 $126,964.46 $64,505.18 2026-02-19
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 19 7 — — $40,423.65 $168,158.74 $90,953.21 2026-02-19
14 APR_DRG Liver Transplant &/or Intestinal Transplant 19 7 — — $115,357.60 $541,059.20 $259,554.60 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 14 11 — — $132,131.30 $314,023.94 $139,762.32 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 11 — — $60,871.90 $144,668.45 $64,387.45 2026-02-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 7 — — $31,950.77 $193,059.76 $71,889.23 2026-02-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 7 — — $65,796.43 $416,554.10 $148,041.97 2026-02-19
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $26,931.40 $418,091.20 $60,595.65 2026-02-19
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $40,782.83 $418,091.20 $91,761.37 2026-02-19
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $65,112.80 $568,112.16 $146,503.80 2026-02-19
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 19 7 — — $151,901.06 $725,511.20 $341,777.39 2026-02-19
1622 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 19 7 — — $29,997.55 $154,632.26 $67,494.49 2026-02-19
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 19 7 — — $38,220.71 $204,741.72 $85,996.60 2026-02-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 19 7 — — $62,131.20 $279,752.20 $139,795.20 2026-02-19
163 CPT Major Chest Procedures With Mcc 26 12 $135,048.46 — $52,803.95 $140,156.06 $108,038.76 2026-05-23
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 19 7 — — $30,413.76 $176,151.66 $68,430.96 2026-02-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 19 7 — — $46,808.96 $245,013.74 $105,320.16 2026-02-19
1652 APR_DRG Coronary Bypass W Ami Or Complex Pdx 19 7 — — $26,490.29 $131,883.18 $59,603.15 2026-02-19
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 19 7 — — $32,483.64 $163,547.44 $73,088.19 2026-02-19
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 19 7 — — $47,002.97 $220,112.72 $105,756.68 2026-02-19
166 CPT Other Respiratory System O.r. Procedures With Mcc 26 12 $233,658.23 — $67,542.08 $198,609.49 $94,125.53 2026-05-23
1663 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 19 7 — — $26,941.23 $143,872.56 $60,617.77 2026-02-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 19 7 — — $41,461.87 $196,133.96 $93,289.21 2026-02-19
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 19 7 — — $44,083.63 $215,501.42 $99,188.17 2026-02-19
169 CPT Major Abdominal Vascular Procedures 26 12 $128,072.37 — $45,909.91 $108,861.51 $70,998.73 2026-05-23
1694 APR_DRG Major Abdominal Vascular Procedures 19 7 — — $47,699.70 $174,921.98 $107,324.32 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 11 — — $60,871.90 $144,668.45 $64,387.45 2026-02-19
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 19 7 — — $32,163.13 $144,179.98 $72,367.04 2026-02-19
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 19 7 — — $39,709.22 $117,434.44 $83,370.05 2026-02-19
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 19 7 — — $32,806.77 $132,805.44 $73,815.23 2026-02-19
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 19 7 — — $42,139.60 $110,978.62 $86,386.18 2026-02-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 11 — — $380,332.57 $903,900.39 $402,298.04 2026-02-19
1804 APR_DRG Other Circulatory System Procedures 19 7 — — $32,206.39 $118,356.70 $72,464.38 2026-02-19
1813 APR_DRG Lower Extremity Arterial Procedures # 19 7 — — $27,429.53 $98,989.24 $61,716.44 2026-02-19
1814 APR_DRG Lower Extremity Arterial Procedures # 19 7 — — $43,987.28 $143,872.56 $98,971.38 2026-02-19
1824 APR_DRG Other Peripheral Vascular Procedures # 19 7 — — $41,729.29 $124,505.10 $88,389.71 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 10 — — $79,946.62 $190,001.53 $84,563.80 2026-02-19
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 19 7 — — $27,606.50 $98,681.82 $62,114.62 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 10 — — $111,133.38 $264,120.17 $117,551.70 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 11 — — $81,295.97 $193,208.44 $85,991.08 2026-02-19
204 APR_DRG Craniotomy For Trauma 19 7 — — $44,469.03 $165,391.96 $100,055.32 2026-02-19
207 CPT Other Circulatory System Diagnoses 26 12 $254,269.70 — $90,152.54 $216,129.24 $114,983.66 2026-05-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 11 — — $65,221.55 $155,005.85 $68,988.31 2026-02-19
21 APR_DRG Heart &/or Lung Transplant 19 7 — — $79,929.05 $354,455.26 $179,840.36 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 11 — — $109,864.70 $261,105.00 $116,209.75 2026-02-19
213 APR_DRG Craniotomy Except For Trauma 19 7 — — $29,013.08 $133,112.86 $65,279.43 2026-02-19
214 APR_DRG Craniotomy Except For Trauma 19 7 — — $48,083.13 $189,370.72 $108,187.04 2026-02-19
215 MS_DRG Other Heart Assist System Implant 14 11 — — $106,848.28 $253,936.17 $113,019.12 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $97,331.08 $231,317.56 $102,952.27 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $65,127.74 $154,782.95 $68,889.08 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 11 — — $59,998.53 $142,592.82 $63,463.64 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 11 — — $78,032.48 $185,452.40 $82,539.12 2026-02-19
22 APR_DRG Heart &/or Lung Transplant 19 7 — — $84,816.67 $400,875.68 $190,837.51 2026-02-19
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 19 7 — — $47,075.72 $167,543.90 $105,920.37 2026-02-19
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 19 7 — — $36,892.13 $124,197.68 $83,007.29 2026-02-19
2234 APR_DRG Other Small & Large Bowel Procedures 19 7 — — $37,183.81 $118,664.12 $83,663.57 2026-02-19
224 APR_DRG Ventricular Shunt Procedures 19 7 — — $35,931.91 $147,869.02 $80,846.80 2026-02-19
2244 APR_DRG Peritoneal Adhesiolysis 19 7 — — $37,118.92 $116,819.60 $82,933.56 2026-02-19
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 19 7 — — $35,186.02 $119,278.96 $79,168.54 2026-02-19
2284 APR_DRG Inguinal, Femoral & Umbilical Hernia Procedures 19 7 — — $29,825.17 $98,681.82 $67,106.63 2026-02-19
2294 APR_DRG Other Digestive System & Abdominal Procedures 19 7 — — $38,549.09 $123,582.84 $86,735.45 2026-02-19
23 APR_DRG Heart &/or Lung Transplant 19 7 — — $99,387.12 $529,377.24 $223,621.02 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 11 — — $57,535.79 $136,739.84 $60,858.67 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 11 — — $85,459.06 $203,102.44 $90,394.61 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 11 — — $61,606.07 $146,413.32 $65,164.03 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 11 — — $78,828.19 $187,343.48 $83,380.78 2026-02-19
233 APR_DRG Spinal Procedures 19 7 — — $28,780.40 $118,971.54 $64,755.90 2026-02-19
234 APR_DRG Spinal Procedures 19 7 — — $53,593.43 $172,462.62 $120,585.22 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 11 — — $59,341.99 $141,032.51 $62,769.19 2026-02-19
24 APR_DRG Heart &/or Lung Transplant 19 7 — — $229,325.68 $972,062.04 $515,982.78 2026-02-19
240 CPT Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 26 12 $130,166.13 — $46,759.13 $110,641.21 $63,193.79 2026-05-23
242 CPT Major Esophageal Disorders 26 12 $147,299.09 — $57,510.14 $125,204.23 $75,620.59 2026-05-23
244 APR_DRG Extracranial Vascular Procedures 19 7 — — $45,148.07 $114,667.66 $90,959.78 2026-02-19
252 CPT Malfunction, Reaction & Complication Of Gi Device Or Procedure 26 12 $123,864.82 — $48,431.14 $105,285.10 $61,124.54 2026-05-23
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 19 7 — — $49,296.36 $176,459.08 $110,916.81 2026-02-19
2614 APR_DRG Major Biliary Tract Procedures 19 7 — — $40,868.04 $164,162.28 $91,953.09 2026-02-19
264 APR_DRG Other Nervous System & Related Procedures 19 7 — — $41,754.85 $134,342.54 $93,948.41 2026-02-19
264 CPT Other Circulatory System O.r. Procedures 26 12 $63,166.91 — $24,698.26 $80,563.60 $59,530.66 2026-05-23
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 19 7 — — $40,959.80 $139,876.10 $92,159.55 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 11 — — $60,417.04 $143,587.49 $63,906.33 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 11 — — $67,242.57 $159,809.04 $71,126.05 2026-02-19
269 CPT Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 26 12 $91,199.87 — $35,659.15 $124,316.73 $77,519.89 2026-05-23
270 CPT Other Major Cardiovascular Procedures With Mcc 26 12 $57,943.42 — $22,655.88 $149,427.18 $92,041.87 2026-05-23
272 CPT Other Major Cardiovascular Procedures Without Cc/mcc 26 12 $137,958.94 — $40,605.48 $117,265.10 $61,478.40 2026-05-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 11 — — $71,270.49 $169,381.86 $75,386.60 2026-02-19
276 CPT Cardiac Defibrillator Implant With Mcc 26 12 $164,913.99 — $64,481.37 $181,648.35 $135,382.36 2026-05-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 11 — — $62,470.35 $148,467.38 $66,078.22 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 14 11 — — $61,311.59 $145,713.46 $64,852.54 2026-02-19
288 CPT Acute And Subacute Endocarditis With Mcc 26 12 $82,755.86 — $32,357.54 $77,358.94 $63,389.37 2026-05-23
3 CPT Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 12 $879,327.48 — $343,817.04 $747,428.36 $511,004.95 2026-05-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 11 — — $216,137.10 $513,672.59 $228,619.74 2026-02-19
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $29,589.21 $121,738.32 $66,575.72 2026-02-19
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $35,282.37 $140,490.94 $79,385.33 2026-02-19
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $46,422.25 $193,367.18 $104,450.06 2026-02-19
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 19 7 — — $72,027.05 $278,522.52 $162,060.86 2026-02-19
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 19 7 — — $35,539.30 $144,794.82 $79,963.43 2026-02-19
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 19 7 — — $60,803.93 $196,441.38 $136,808.84 2026-02-19
3054 APR_DRG Amputation Of Lower Limb Except Toes 19 7 — — $41,924.61 $117,434.44 $85,945.45 2026-02-19
3084 APR_DRG Hip And Femur Fracture Repair 19 7 — — $38,431.11 $95,607.62 $75,840.46 2026-02-19
3094 APR_DRG Other Significant Hip And Femur Surgery 19 7 — — $38,275.77 $121,430.90 $86,120.48 2026-02-19
3104 APR_DRG Intervertebral Disc Excision & Decompression 19 7 — — $45,466.61 $113,437.98 $89,984.34 2026-02-19
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 19 7 — — $30,296.43 $104,215.38 $68,166.97 2026-02-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 19 7 — — $59,624.80 $169,695.84 $122,230.84 2026-02-19
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 19 7 — — $43,035.58 $122,045.74 $88,222.94 2026-02-19
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 19 7 — — $34,266.44 $119,586.38 $77,099.49 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 11 — — $62,389.66 $148,275.64 $65,992.87 2026-02-19
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 19 7 — — $42,030.79 $108,519.26 $86,082.58 2026-02-19
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 19 7 — — $33,415.68 $113,437.98 $75,185.28 2026-02-19
321 CPT Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 26 12 $99,831.00 — $39,033.92 $84,856.35 $68,900.81 2026-05-23
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 19 7 — — $46,921.69 $147,869.02 $104,976.42 2026-02-19
329 CPT Major Small And Large Bowel Procedures With Mcc 26 12 $143,565.82 — $56,134.24 $134,564.00 $110,264.27 2026-05-23
33 APR_DRG Bone Marrow Transplant 10 6 — — $78,113.47 $175,755.31 $80,066.30 2026-02-19
34 APR_DRG Bone Marrow Transplant 10 6 — — $147,506.32 $331,889.22 $151,193.98 2026-02-19
3464 APR_DRG Connective Tissue Disorders 19 7 — — $32,569.50 $93,455.68 $66,767.48 2026-02-19
356 CPT Other Digestive System O.r. Procedures With Mcc 26 12 $310,534.61 — $71,218.96 $263,954.42 $117,508.35 2026-05-23
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 19 7 — — $63,545.64 $165,084.54 $130,268.56 2026-02-19
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 19 7 — — $35,419.36 $94,685.36 $72,609.69 2026-02-19
37 CPT Extracranial Procedures With Mcc 26 12 $89,342.78 — $34,933.03 $98,736.30 $73,588.08 2026-05-23
3814 APR_DRG Major Skin Disorders 19 7 — — $39,309.40 $89,766.64 $71,207.12 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 11 — — $142,500.67 $338,667.84 $150,730.56 2026-02-19
4014 APR_DRG Pituitary & Adrenal Procedures 19 7 — — $46,420.28 $156,169.36 $104,445.63 2026-02-19
4034 APR_DRG Procedures For Obesity 19 7 — — $43,726.42 $138,031.58 $97,992.54 2026-02-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 19 7 — — $55,599.08 $140,183.52 $111,200.16 2026-02-19
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $47,737.06 $166,621.64 $107,408.38 2026-02-19
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $47,737.06 $240,709.86 $107,408.38 2026-02-19
4234 APR_DRG Inborn Errors Of Metabolism 19 7 — — $36,264.88 $116,819.60 $81,595.98 2026-02-19
424 APR_DRG Degenerative Nervous System Disorders Exc Mult Sclerosis 9 5 — — $50,206.88 $79,929.20 $63,759.80 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $105,644.12 $251,074.39 $111,745.42 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 11 — — $71,630.54 $170,237.51 $75,767.44 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 11 — — $84,114.71 $199,907.50 $88,972.62 2026-02-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $66,626.87 $376,896.92 $149,910.46 2026-02-19
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 19 7 — — $39,407.06 $126,657.04 $88,665.88 2026-02-19
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 19 7 — — $119,071.98 $546,592.76 $267,911.96 2026-02-19
4402 APR_DRG Kidney Transplant 19 7 — — $31,067.89 $158,628.72 $69,902.75 2026-02-19
4403 APR_DRG Kidney Transplant 19 7 — — $37,799.27 $186,296.52 $85,048.36 2026-02-19
4404 APR_DRG Kidney Transplant 19 7 — — $68,681.68 $273,911.22 $154,533.78 2026-02-19
4414 APR_DRG Major Bladder Procedures 19 7 — — $44,949.47 $154,017.42 $101,136.31 2026-02-19
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 19 7 — — $42,410.29 $130,960.92 $92,972.88 2026-02-19
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 19 7 — — $33,836.47 $111,900.88 $76,132.06 2026-02-19
4444 APR_DRG Renal Dialysis Access Device Procedure Only 19 7 — — $41,164.95 $123,275.42 $87,516.73 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 11 — — $67,616.73 $160,698.25 $71,521.82 2026-02-19
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 19 7 — — $50,634.11 $131,575.76 $103,799.93 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $85,411.65 $202,989.79 $90,344.46 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 11 — — $57,881.69 $137,561.94 $61,224.55 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 11 — — $61,888.44 $147,084.43 $65,462.70 2026-02-19
4624 APR_DRG Nephritis & Nephrosis 19 7 — — $26,956.30 $84,540.50 $60,017.71 2026-02-19
464 CPT Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 12 $93,331.23 — $36,492.51 $87,514.05 $71,710.66 2026-05-23
467 CPT Revision Of Hip Or Knee Replacement With Cc 26 12 $99,203.75 — $38,788.67 $105,377.03 $79,363.00 2026-05-23
468 CPT Revision Of Hip Or Knee Replacement Without Cc/mcc 26 12 $73,556.97 — $28,760.78 $80,509.73 $60,003.83 2026-05-23
480 CPT Hip And Femur Procedures Except Major Joint With Mcc 26 12 $87,242.45 — $34,111.80 $86,672.14 $69,793.96 2026-05-23
4834 APR_DRG Testes & Scrotal Procedures 19 7 — — $28,659.80 $122,660.58 $64,484.55 2026-02-19
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 19 7 — — $39,733.47 $100,833.76 $79,986.08 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 10 — — $107,398.91 $255,244.82 $113,601.55 2026-02-19
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 19 7 — — $35,663.18 $117,127.02 $80,242.15 2026-02-19
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $37,954.60 $96,837.30 $76,815.90 2026-02-19
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 19 7 — — $41,430.41 $149,098.70 $93,218.42 2026-02-19
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 19 7 — — $49,800.39 $142,642.88 $102,090.80 2026-02-19
5134 APR_DRG Uterine & Adnexa Procedures For Non-malignancy Except Leiomyoma 19 7 — — $32,091.69 $120,201.22 $72,206.30 2026-02-19
5184 APR_DRG Other Female Reproductive System & Related Procedures 19 7 — — $39,801.64 $123,275.42 $87,516.73 2026-02-19
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 19 7 — — $40,266.35 $120,816.06 $85,770.76 2026-02-19
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $38,921.38 $184,144.58 $87,573.10 2026-02-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $61,134.93 $276,370.58 $137,553.59 2026-02-19
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 19 7 — — $91,002.07 $380,585.96 $204,754.66 2026-02-19
56 CPT Degenerative Nervous System Disorders With Mcc 26 12 $167,803.11 — $39,848.13 $142,632.64 $63,198.80 2026-05-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 11 — — $62,105.27 $147,599.74 $65,692.06 2026-02-19
579 CPT Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 26 12 $112,388.42 — $43,943.87 $95,530.16 $77,822.90 2026-05-23
5831 APR_DRG Neonate W Ecmo 19 7 — — $94,475.90 $666,793.98 $212,570.77 2026-02-19
5832 APR_DRG Neonate W Ecmo 19 7 — — $94,475.90 $743,034.14 $212,570.77 2026-02-19
5833 APR_DRG Neonate W Ecmo 19 7 — — $96,264.60 $967,450.74 $216,595.35 2026-02-19
5834 APR_DRG Neonate W Ecmo 19 7 — — $168,974.64 $1,698,802.92 $380,192.94 2026-02-19
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $127,149.64 $509,087.52 $286,086.69 2026-02-19
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $127,149.64 $593,935.44 $286,086.69 2026-02-19
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $166,015.32 $692,924.68 $373,534.47 2026-02-19
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 19 7 — — $166,015.32 $1,040,616.70 $373,534.47 2026-02-19
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 19 7 — — $80,183.36 $485,108.76 $180,412.56 2026-02-19
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 19 7 — — $80,183.36 $485,108.76 $180,412.56 2026-02-19
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 19 7 — — $29,458.78 $485,108.76 $66,282.26 2026-02-19
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $58,884.80 $132,490.80 $74,377.30 2026-02-19
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $72,862.08 $441,455.12 $163,939.68 2026-02-19
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $78,059.07 $514,621.08 $175,632.91 2026-02-19
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 19 7 — — $127,608.45 $682,164.98 $287,119.01 2026-02-19
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $71,426.01 $268,685.08 $160,708.52 2026-02-19
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $73,649.92 $352,918.16 $165,712.32 2026-02-19
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $89,877.99 $438,688.34 $202,225.48 2026-02-19
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 19 7 — — $114,902.07 $599,776.42 $258,529.66 2026-02-19
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $43,175.85 $186,911.36 $97,145.66 2026-02-19
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $62,782.05 $250,854.72 $141,259.61 2026-02-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $73,781.01 $313,875.82 $166,007.27 2026-02-19
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $99,733.20 $451,907.40 $224,399.70 2026-02-19
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 19 7 — — $45,835.63 $152,787.74 $103,130.17 2026-02-19
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 19 7 — — $59,468.80 $187,218.78 $132,911.94 2026-02-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 19 7 — — $91,921.65 $330,476.50 $206,823.71 2026-02-19
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $40,216.53 $127,886.72 $90,487.19 2026-02-19
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $49,636.53 $178,918.44 $111,682.19 2026-02-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $60,586.98 $239,480.18 $136,320.70 2026-02-19
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 19 7 — — $81,538.15 $349,229.12 $183,460.84 2026-02-19
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 19 7 — — $37,888.41 $118,971.54 $84,461.28 2026-02-19
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 19 7 — — $45,344.70 $171,847.78 $102,025.57 2026-02-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 19 7 — — $47,696.42 $199,208.16 $107,316.95 2026-02-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 19 7 — — $48,356.45 $251,469.56 $108,802.01 2026-02-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 19 7 — — $105,255.94 $724,896.36 $236,825.86 2026-02-19
61 APR_DRG Pancreas Transplant 19 7 — — $33,755.19 $163,240.02 $75,949.18 2026-02-19
61 CPT Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 26 12 $74,919.03 — $29,293.34 $81,981.90 $61,101.04 2026-05-23
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 19 7 — — $27,066.42 $95,300.20 $60,899.44 2026-02-19
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 19 7 — — $41,688.65 $154,939.68 $93,799.46 2026-02-19
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 19 7 — — $54,455.99 $290,511.90 $122,525.98 2026-02-19
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $30,443.25 $110,978.62 $68,497.31 2026-02-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $42,194.65 $158,628.72 $94,937.96 2026-02-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $56,159.48 $228,720.48 $126,358.83 2026-02-19
6132 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 19 7 — — $27,018.57 $91,611.16 $60,791.78 2026-02-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 19 7 — — $33,704.73 $155,554.52 $75,835.64 2026-02-19
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 19 7 — — $34,559.42 $287,745.12 $77,758.70 2026-02-19
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 19 7 — — $33,628.69 $129,731.24 $75,664.55 2026-02-19
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 19 7 — — $33,628.69 $192,137.50 $75,664.55 2026-02-19
616 CPT Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 12 $57,693.84 — $22,558.29 $112,937.18 $72,087.47 2026-05-23
62 APR_DRG Pancreas Transplant 19 7 — — $33,755.19 $234,868.88 $75,949.18 2026-02-19
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 19 7 — — $26,695.44 $112,823.14 $60,064.74 2026-02-19
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 19 7 — — $45,138.24 $224,416.60 $101,561.04 2026-02-19
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $34,499.78 $148,483.86 $77,624.51 2026-02-19
63 APR_DRG Pancreas Transplant 19 7 — — $48,560.30 $272,374.12 $109,260.68 2026-02-19
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 19 7 — — $39,458.19 $348,614.28 $88,780.93 2026-02-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 19 7 — — $80,777.19 $632,362.94 $181,748.68 2026-02-19
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 19 7 — — $32,579.33 $205,049.14 $73,303.49 2026-02-19
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 19 7 — — $69,529.16 $697,228.56 $156,440.61 2026-02-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 19 7 — — $35,711.69 $228,413.06 $80,351.30 2026-02-19
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 19 7 — — $27,057.24 $138,339.00 $60,878.79 2026-02-19
64 APR_DRG Pancreas Transplant 19 7 — — $50,688.51 $353,533.00 $114,049.15 2026-02-19
6504 APR_DRG Splenectomy 19 7 — — $37,999.83 $129,731.24 $85,499.62 2026-02-19
659 CPT Kidney And Ureter Procedures For Non-neoplasm With Mcc 26 12 $269,807.92 — $43,092.24 $229,336.73 $71,673.59 2026-05-23
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 19 7 — — $33,247.88 $81,773.72 $64,866.76 2026-02-19
6614 APR_DRG Coagulation & Platelet Disorders 19 7 — — $30,548.12 $79,929.20 $62,623.65 2026-02-19
673 CPT Other Kidney And Urinary Tract Procedures With Mcc 26 12 $127,209.57 — $49,738.94 $108,128.13 $85,699.98 2026-05-23
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 19 7 — — $59,257.75 $203,204.62 $133,329.94 2026-02-19
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 19 7 — — $59,420.95 $170,003.26 $121,812.95 2026-02-19
6903 APR_DRG Acute Leukemia 19 7 — — $40,358.76 $122,660.58 $87,080.23 2026-02-19
6904 APR_DRG Acute Leukemia 19 7 — — $57,991.44 $181,685.22 $128,983.50 2026-02-19
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 19 7 — — $42,127.80 $114,360.24 $86,361.99 2026-02-19
6954 APR_DRG Chemotherapy For Acute Leukemia # 19 7 — — $49,036.15 $167,236.48 $110,331.34 2026-02-19
6964 APR_DRG Other Chemotherapy # 19 7 — — $29,422.73 $89,766.64 $63,727.89 2026-02-19
7 MS_DRG Lung Transplant 13 10 — — $131,798.51 $313,233.00 $139,410.31 2026-02-19
710 CPT Infectious & Parasitic Diseases Including HIV W O.r. Procedure 26 12 $177,849.91 — $69,539.32 $151,172.43 $109,201.86 2026-05-23
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 19 7 — — $42,046.52 $139,568.68 $94,604.67 2026-02-19
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 19 7 — — $40,181.79 $135,879.64 $90,409.03 2026-02-19
7403 APR_DRG Mental Illness Diagnosis W O.r. Procedure 9 5 — — $49,820.68 $79,314.36 $63,269.34 2026-02-19
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 9 5 — — $108,137.90 $172,155.20 $137,328.80 2026-02-19
7524 APR_DRG Disorders Of Personality & Impulse Control 9 5 — — $52,331.02 $83,310.82 $66,457.33 2026-02-19
7574 APR_DRG Organic Mental Health Disturbances 9 5 — — $55,999.99 $89,151.80 $71,116.70 2026-02-19
7584 APR_DRG Behavioral Disorders 9 5 — — $61,986.19 $98,681.82 $78,718.83 2026-02-19
7594 APR_DRG Eating Disorders 9 5 — — $65,462.05 $104,215.38 $83,132.97 2026-02-19
7754 APR_DRG Alcohol Abuse & Dependence 9 5 — — $48,468.95 $77,162.42 $61,552.73 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 11 — — $59,953.16 $142,484.97 $63,415.66 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 11 — — $58,717.73 $139,548.89 $62,108.87 2026-02-19
835 CPT Acute Leukemia Without Major O.r. Procedures With Cc 26 12 $172,948.56 — $37,209.90 $147,006.28 $60,197.14 2026-05-23
840 CPT Lymphoma And Non-acute Leukemia With Mcc 26 12 $141,148.85 — $52,018.95 $119,976.52 $74,643.06 2026-05-23
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $35,796.24 $137,416.74 $80,541.54 2026-02-19
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $47,037.71 $137,416.74 $97,556.05 2026-02-19
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $96,595.60 $217,340.10 $166,556.38 2026-02-19
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 19 7 — — $123,439.19 $645,274.58 $277,738.18 2026-02-19
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 19 7 — — $29,220.20 $146,024.50 $65,745.45 2026-02-19
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 19 7 — — $57,235.06 $361,218.50 $128,778.88 2026-02-19
8444 APR_DRG Partial Thickness Burns Without Skin Graft 19 7 — — $33,914.47 $78,084.68 $61,940.44 2026-02-19
846 CPT Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 26 12 $314,247.44 — $40,680.38 $267,110.32 $67,913.87 2026-05-23
850 MS_DRG Acute Leukemia With Other Procedures 14 11 — — $92,901.76 $220,790.82 $98,267.15 2026-02-19
850 CPT Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 26 12 $99,069.59 — $38,736.21 $94,691.03 $77,591.61 2026-05-23
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 19 7 — — $50,608.55 $189,370.72 $113,869.24 2026-02-19
853 CPT Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 12 $199,218.85 — $77,894.57 $169,336.02 $118,379.19 2026-05-23
8633 APR_DRG Neonatal Aftercare 19 7 — — $27,830.66 $145,409.66 $62,618.99 2026-02-19
8634 APR_DRG Neonatal Aftercare 19 7 — — $35,351.85 $284,056.08 $79,541.66 2026-02-19
870 CPT Septicemia Or Severe Sepsis With Mv >96 Hours 26 12 $249,272.17 — $97,465.42 $211,881.35 $164,015.42 2026-05-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 11 — — $70,156.12 $166,733.39 $74,207.87 2026-02-19
876 CPT O.r. Procedures With Principal Diagnosis Of Mental Illness 26 12 $183,946.40 — $62,110.82 $156,354.44 $89,436.59 2026-05-23
894 APR_DRG Major Cranial/facial Bone Procedures 19 7 — — $45,311.93 $165,084.54 $101,951.84 2026-02-19
901 CPT Wound Debridements For Injuries With Mcc 26 12 $222,542.30 — $72,036.23 $189,160.96 $103,728.71 2026-05-23
904 APR_DRG Major Larynx & Trachea Procedures 10 6 — — $74,228.68 $167,014.53 $76,084.39 2026-02-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 19 7 — — $47,697.08 $209,045.60 $107,318.43 2026-02-19
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 19 7 — — $43,160.12 $198,900.74 $97,110.27 2026-02-19
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 19 7 — — $50,280.17 $184,759.42 $113,130.38 2026-02-19
914 APR_DRG Other Major Head & Neck Procedures 19 7 — — $27,772.98 $192,444.92 $62,489.21 2026-02-19
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 19 7 — — $48,817.23 $157,399.04 $109,838.77 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 11 — — $239,243.79 $568,588.07 $253,060.92 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 11 — — $67,356.53 $160,079.88 $71,246.59 2026-02-19
950 CPT Extensive Procedure Unrelated To Principal Diagnosis 26 12 $1,243,741.16 — $135,062.52 $1,057,179.99 $201,839.33 2026-05-23
9503 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 19 7 — — $26,800.97 $98,681.82 $60,302.18 2026-02-19
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 19 7 — — $53,804.48 $164,162.28 $116,543.47 2026-02-19
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 19 7 — — $41,749.61 $128,808.98 $91,445.16 2026-02-19
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 19 7 — — $39,498.17 $117,127.02 $83,151.80 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 11 — — $68,863.22 $163,660.69 $72,840.30 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 11 — — $75,276.25 $178,901.95 $79,623.70 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 11 — — $63,780.40 $151,580.82 $67,463.93 2026-02-19
981 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 $401,144.42 — $78,903.96 $340,972.76 $127,915.31 2026-05-23
982 CPT Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 26 12 $122,676.25 — $41,379.47 $104,274.81 $60,063.33 2026-05-23
984 APR_DRG Other Ear, Nose, Mouth & Throat Procedures 19 7 — — $27,896.21 $119,278.96 $62,766.47 2026-02-19
987 CPT Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 12 $124,542.93 — $48,696.28 $105,861.49 $79,768.30 2026-05-23
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