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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

PHELPS HOSPITAL

Sleepy Hollow, NY · CCN 330261 · Rates published

56,725 distinct procedures filed
17 distinct payers
3,170,373 rate rows
2026-03-31 last MRF observed
Data quality

3,158,823 of 3,170,373 rate rows are consumer-grade (99.6%)

11,550 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
placeholder amount (≤ $0.02) — excluded from medians 7,704
template filing: same amount across many unrelated codes — excluded 3,846
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/Phelps_Hospital_StandardCharges.zip
Found on page https://www.northwell.edu/billing-and-insurance/price-estimator-tools
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 0887a2a876d5b527… · 32,193,078 bytes · first seen 2026-05-18

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $348,257.28 $1,332,054.00 $1,085,073.00 nat. median
$370,174
outlier · 2.9×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $260,169.06 $994,933.00 $810,458.00 nat. median
$265,286
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $219,140.59 $837,913.00 $682,552.00 nat. median
$206,368
outlier · 3.3×
44007080
CDM 		Zoledronic Acid 5mg/100ml Inj 15 $250,967.16 $865,836.70 $596,047.01 nat. median
$596,047
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 $197,994.62 $818,592.00 $524,080.00 nat. median
$202,986
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $121,117.12 $462,769.00 $376,965.00 nat. median
$117,303
outlier · 3.2×
7
MS_DRG 		Lung Transplant 15 $120,812.56 $461,603.00 $376,016.00 nat. median
$122,708
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $101,900.98 $389,227.00 $317,059.00 nat. median
$108,660
outlier · 2.9×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 $130,606.60 $539,773.00 $315,926.00 nat. median
$133,176
outlier · 2.4×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $100,739.95 $384,783.00 $313,439.00 nat. median
$102,358
outlier · 3.1×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $98,483.40 $376,147.00 $306,405.00 nat. median
$100,136
outlier · 3.1×
215
MS_DRG 		Other Heart Assist System Implant 15 $97,979.48 $374,219.00 $304,834.00 nat. median
$99,019
outlier · 3.1×
24
APR_DRG 		Heart &/or Lung Transplant 8 $265,649.50 $1,147,724.00 $300,254.39 nat. median
$234,738
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $89,269.88 $340,887.00 $267,974.00 nat. median
$93,672
outlier · 2.9×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $78,361.87 $299,141.00 $237,931.00 nat. median
$81,118
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $74,595.43 $284,726.00 $231,934.00 nat. median
$77,576
outlier · 3.0×
5834
APR_DRG 		Neonate W Ecmo 8 $195,826.14 $844,862.00 $231,340.81 nat. median
$309,665
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 15 $78,405.24 $299,307.00 $230,340.00 nat. median
$79,312
outlier · 2.9×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $192,402.34 $830,011.00 $227,310.32 nat. median
$182,736
1.2× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $192,402.34 $830,011.00 $227,310.32 nat. median
$246,434
0.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 $71,608.85 $273,296.00 $222,623.00 nat. median
$74,915
outlier · 3.0×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $69,086.51 $263,643.00 $204,836.00 nat. median
$72,138
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 $65,420.67 $274,538.00 $203,332.00 nat. median
$68,887
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 $72,337.03 $276,083.00 $202,318.00 nat. median
$73,807
outlier · 2.7×
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 8 $176,072.79 $759,181.00 $199,283.53 nat. median
$207,730
1.0× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 15 $63,217.66 $241,182.00 $196,464.00 nat. median
$64,732
outlier · 3.0×
34
APR_DRG 		Bone Marrow Transplant 8 $170,988.29 $737,126.00 $193,552.28 nat. median
$209,067
0.9× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 $61,838.81 $235,905.00 $192,165.00 nat. median
$64,027
outlier · 3.0×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 $61,734.52 $235,506.00 $191,840.00 nat. median
$65,950
outlier · 2.9×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 15 $59,884.98 $228,428.00 $186,074.00 nat. median
$62,134
outlier · 3.0×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 $57,367.26 $218,792.00 $178,225.00 nat. median
$59,099
outlier · 3.0×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 $57,033.16 $217,514.00 $177,184.00 nat. median
$59,793
outlier · 3.0×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $59,799.16 $228,099.00 $175,892.00 nat. median
$64,510
outlier · 2.7×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 8 $147,967.36 $637,272.00 $175,001.46 nat. median
$164,279
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 8 $147,436.54 $634,969.00 $174,376.58 nat. median
$145,336
1.2× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/mcc 15 $55,904.43 $213,194.00 $173,665.00 nat. median
$53,805
outlier · 3.2×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 15 $55,904.43 $213,194.00 $173,665.00 nat. median
$56,920
outlier · 3.1×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 $55,488.19 $256,878.00 $172,367.00 nat. median
$60,726
outlier · 2.8×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 $55,105.17 $210,135.00 $171,173.00 nat. median
$61,920
outlier · 2.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 15 $64,400.84 $245,711.00 $168,497.00 nat. median
$66,526
outlier · 2.5×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 $53,933.07 $205,649.00 $167,519.00 nat. median
$56,697
outlier · 3.0×
28
MS_DRG 		Spinal Procedures With Mcc 15 $56,306.82 $214,734.00 $166,593.00 nat. median
$57,823
outlier · 2.9×
44001313
CDM 		Ribociclib Succinate 200mg Tab 15 $70,100.10 $241,845.34 $166,487.74 nat. median
$166,488
1.0× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $53,167.96 $214,008.00 $165,134.00 nat. median
$58,024
outlier · 2.8×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $52,851.40 $201,510.00 $164,147.00 nat. median
$55,929
outlier · 2.9×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 8 $138,091.07 $594,433.00 $163,375.09 nat. median
$105,658
1.5× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 8 $143,143.72 $616,349.00 $162,165.89 nat. median
$160,267
1.0× median
653
MS_DRG 		Major Bladder Procedures With Mcc 15 $51,646.99 $196,900.00 $160,392.00 nat. median
$51,418
outlier · 3.1×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 15 $56,576.32 $215,765.00 $159,164.00 nat. median
$59,899
outlier · 2.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 $51,210.45 $205,200.00 $159,031.00 nat. median
$54,066
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 56,725 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 47 15 — $933,786.00 $260,169.06 $994,933.00 $810,458.00 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 47 15 — $179,057.00 $49,997.73 $190,589.00 $128,200.00 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 47 15 — $136,231.00 $38,071.74 $144,947.00 $118,072.00 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 47 15 — $88,052.00 $24,655.23 $93,601.00 $76,246.00 2026-03-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 25 8 — $637,883.00 $64,492.06 $275,193.00 $73,509.73 2026-03-31
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 47 15 — $80,134.00 $22,450.38 $85,162.00 $69,372.00 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 47 15 — $447,475.00 $121,117.12 $462,769.00 $376,965.00 2026-03-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 25 8 — $1,020,198.00 $133,793.70 $575,793.00 $151,626.54 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 47 15 — $140,390.00 $39,230.01 $149,380.00 $121,683.00 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 47 15 — $109,657.00 $30,671.75 $116,626.00 $95,002.00 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 47 15 — $206,270.00 $55,904.43 $213,194.00 $173,665.00 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 25 8 — $545,763.00 $76,453.72 $327,078.00 $86,992.91 2026-03-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 25 8 — $374,573.00 $75,662.79 $323,647.00 $86,101.38 2026-03-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 25 8 — $646,180.00 $176,072.79 $759,181.00 $199,283.53 2026-03-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 25 8 — $649,169.00 $72,213.22 $308,684.00 $82,213.02 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 47 15 — $152,984.00 $42,737.11 $162,802.00 $132,616.00 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 47 15 — $83,644.00 $23,427.75 $88,903.00 $68,664.00 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 47 15 — $127,833.00 $35,733.06 $135,996.00 $97,187.00 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 47 15 — $206,270.00 $55,904.43 $213,194.00 $173,665.00 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 47 15 — $101,925.00 $28,518.58 $108,386.00 $88,290.00 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 47 15 — $1,287,608.00 $348,257.28 $1,332,054.00 $1,085,073.00 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 47 15 — $365,443.00 $101,900.98 $389,227.00 $317,059.00 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 47 15 — $267,388.00 $74,595.43 $284,726.00 $231,934.00 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 15 — $220,993.00 $59,884.98 $228,428.00 $186,074.00 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 47 15 — $91,841.00 $24,967.18 $94,794.00 $77,218.00 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 47 15 — $183,412.00 $51,210.45 $205,200.00 $159,031.00 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 47 15 — $361,273.00 $100,739.95 $384,783.00 $313,439.00 2026-03-31
215 MS_DRG Other Heart Assist System Implant 47 15 — $351,360.00 $97,979.48 $374,219.00 $304,834.00 2026-03-31
215352 CDM Generator Aspire Sr Model 106 56 14 — $53,146.31 $40,881.78 $98,116.26 $69,499.02 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 15 — $350,238.00 $89,269.88 $340,887.00 $267,974.00 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 15 — $214,254.00 $59,799.16 $228,099.00 $175,892.00 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 15 — $197,398.00 $55,105.17 $210,135.00 $171,173.00 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 15 — $256,663.00 $71,608.85 $273,296.00 $222,623.00 2026-03-31
22 APR_DRG Heart &/or Lung Transplant 25 8 — $1,026,264.00 $98,459.26 $422,528.00 $111,797.56 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 47 15 — $117,230.00 $32,780.64 $126,643.00 $101,577.00 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 15 — $175,770.00 $49,082.19 $187,085.00 $152,397.00 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 47 15 — $152,434.00 $42,583.90 $162,215.00 $132,138.00 2026-03-31
222700 CDM Imp Stimulator Neuro 56 14 — $62,551.13 $48,116.25 $115,479.00 $81,797.62 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 47 15 — $165,383.00 $46,189.76 $176,015.00 $143,380.00 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 47 15 — $103,175.00 $28,866.53 $109,718.00 $89,374.00 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 47 15 — $189,305.00 $52,851.40 $201,510.00 $164,147.00 2026-03-31
23 APR_DRG Heart &/or Lung Transplant 25 8 — $1,450,340.00 $115,316.60 $495,647.00 $130,799.15 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 47 15 — $281,069.00 $78,405.24 $299,307.00 $230,340.00 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 47 15 — $202,681.00 $56,576.32 $215,765.00 $159,164.00 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 47 15 — $276,384.00 $72,337.03 $276,083.00 $202,318.00 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 15 — $176,548.00 $49,299.08 $187,915.00 $137,477.00 2026-03-31
234 APR_DRG Spinal Procedures 25 8 — $270,061.00 $62,335.41 $265,839.00 $71,078.76 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 47 15 — $195,241.00 $54,504.36 $207,836.00 $158,541.00 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 47 15 — $136,509.00 $38,149.26 $145,243.00 $118,313.00 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 47 15 — $167,159.00 $46,684.44 $177,908.00 $123,722.00 2026-03-31
24 APR_DRG Heart &/or Lung Transplant 25 8 — $1,971,100.00 $265,649.50 $1,147,724.00 $300,254.39 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 47 15 — $126,222.00 $35,284.52 $134,280.00 $109,383.00 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 47 15 — $96,742.00 $27,075.13 $102,862.00 $73,921.00 2026-03-31
241796 CDM Generator Sentiva 56 14 — $59,793.99 $45,995.38 $110,388.90 $78,192.14 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 47 15 — $112,643.00 $31,503.31 $119,809.00 $97,595.00 2026-03-31
242603 CDM Neurostimulator Rns-320m-k 56 14 — $53,844.38 $41,418.75 $99,405.00 $70,411.88 2026-03-31
243124 CDM Stim Sentiva Vagus Nerve 56 14 — $59,793.99 $45,995.38 $110,388.90 $78,192.14 2026-03-31
245 MS_DRG Aicd Generator Procedures 47 15 — $162,185.00 $45,299.13 $227,345.00 $140,603.00 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 47 15 — $158,860.00 $41,473.63 $157,966.00 $121,816.00 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 47 15 — $113,916.00 $31,857.72 $121,165.00 $93,519.00 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 47 15 — $84,837.00 $23,760.00 $90,175.00 $73,455.00 2026-03-31
254963 CDM Kit Impella 5.5 Aic Pump 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 47 15 — $86,942.00 $24,346.06 $92,417.00 $75,282.00 2026-03-31
255502 CDM Sys Imp Mitrl Pascal G180266 Study Only 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 47 15 — $93,206.00 $26,090.38 $99,093.00 $80,720.00 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 47 15 — $106,823.00 $28,426.29 $108,033.00 $81,904.00 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 47 15 — $113,114.00 $31,634.37 $120,310.00 $95,580.00 2026-03-31
263 MS_DRG Vein Ligation And Stripping 47 15 — $89,116.00 $24,951.49 $94,734.00 $77,169.00 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 47 15 — $116,060.00 $32,454.84 $123,450.00 $100,561.00 2026-03-31
265 MS_DRG Aicd Lead Procedures 47 15 — $118,450.00 $33,120.26 $125,997.00 $91,109.00 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 47 15 — $198,774.00 $55,488.19 $256,878.00 $172,367.00 2026-03-31
266565 CDM Vlv Tric Evoque G190289/s013 44mm For Study Only 56 14 — $58,045.00 $44,650.00 $107,160.00 $75,905.00 2026-03-31
266566 CDM Vlv Tric Evoque G190289/s013 48mm For Study Only 56 14 — $58,045.00 $44,650.00 $107,160.00 $75,905.00 2026-03-31
266567 CDM Vlv Tric Evoque G190289/s013 52mm For Study Only 56 14 — $63,634.73 $44,650.00 $107,160.00 $75,905.00 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 47 15 — $156,149.00 $43,618.50 $210,130.00 $135,364.00 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 47 15 — $221,204.00 $61,734.52 $235,506.00 $191,840.00 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 47 15 — $138,120.00 $38,597.80 $146,960.00 $119,712.00 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 47 15 — $87,715.00 $22,973.67 $87,165.00 $73,609.00 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 47 15 — $170,344.00 $47,571.37 $181,303.00 $139,844.00 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 47 15 — $114,380.00 $31,986.92 $121,660.00 $99,102.00 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 47 15 — $83,154.00 $23,291.16 $88,380.00 $71,993.00 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 47 15 — $129,821.00 $36,286.82 $138,116.00 $109,739.00 2026-03-31
273011 CDM Membrane Maci Final Assembled 56 14 — $70,818.76 $49,690.75 $119,257.80 $84,474.27 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 47 15 — $96,634.00 $29,002.19 $110,237.00 $88,146.00 2026-03-31
274868 CDM Membrane Maci Autologous Cultured Chondrocytes On Porcine Co 56 14 — $64,597.98 $49,690.75 $119,257.80 $84,474.27 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 47 15 — $234,441.00 $65,420.67 $274,538.00 $203,332.00 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 47 15 — $205,521.00 $57,367.26 $218,792.00 $178,225.00 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 47 15 — $204,477.00 $43,131.20 $191,474.00 $151,578.00 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 47 15 — $166,046.00 $46,374.34 $176,722.00 $143,955.00 2026-03-31
278207 CDM Sys Imp Pascal G180266 Study Only 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
278209 CDM Sys Imp Pascal Ace G180266 Study Only 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
278928 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x100mm 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 47 15 — $106,426.00 $29,771.91 $113,183.00 $92,197.00 2026-03-31
279002 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x150mm 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
279026 CDM Stent Graft Thoraflex Hybrid Dvc 30x36x150mm 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
279059 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x10mm 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
279092 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x150mm 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 47 15 — $201,713.00 $56,306.82 $214,734.00 $166,593.00 2026-03-31
280356 CDM Vlv Pulm Sapien 3 And Alterra Adapt Present With Del Sys 29mm 56 14 — $63,391.25 $48,762.50 $117,030.00 $82,896.25 2026-03-31
282727 CDM Sys Imp Pascal Prec G180266 Study Only 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
283735 CDM Device Vent Assist Impella 5.5 56 14 — $62,627.50 $48,175.00 $115,620.00 $81,897.50 2026-03-31
284577 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
284709 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 20mm 56 14 — $56,936.34 $39,950.00 $95,880.00 $67,915.00 2026-03-31
284710 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 23mm 56 14 — $56,936.34 $39,950.00 $95,880.00 $67,915.00 2026-03-31
284711 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 26mm 56 14 — $56,936.34 $39,950.00 $95,880.00 $67,915.00 2026-03-31
284712 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 29mm 56 14 — $56,936.34 $39,950.00 $95,880.00 $67,915.00 2026-03-31
284858 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
285856 CDM Generator Dual Sentive Dual Pin Receptacle 10cc 56 14 — $59,793.99 $45,995.38 $110,388.90 $78,192.14 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 47 15 — $93,469.00 $25,407.42 $96,479.00 $78,591.00 2026-03-31
288239 CDM Sys Proclaim DRG 3 Lead Perm 56 14 — $59,221.18 $45,554.75 $109,331.40 $77,443.08 2026-03-31
288240 CDM Sys Proclaim DRG 4 Lead Perm 56 14 — $60,905.14 $42,734.75 $102,563.40 $72,649.08 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 47 15 — $111,474.00 $31,177.52 $118,562.00 $92,937.00 2026-03-31
291719 CDM Vlv Evoque G190289/s013 56mm For Study Only 56 14 — $63,634.73 $44,650.00 $107,160.00 $75,905.00 2026-03-31
293968 CDM Thoraflex Hybrid Anteflo 150 30x38mm 56 14 — $53,462.50 $41,125.00 $98,700.00 $69,912.50 2026-03-31
293969 CDM Thoraflex Hybrid Anteflo 150 30x40 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
294738 CDM Sys Del Triclip G4 Nt 56 14 — $65,309.33 $45,825.00 $109,980.00 $77,902.50 2026-03-31
294740 CDM Sys Del Triclip G4 Ntw 56 14 — $59,572.50 $45,825.00 $109,980.00 $77,902.50 2026-03-31
294742 CDM Sys Del Triclip G4 Xt 56 14 — $59,572.50 $45,825.00 $109,980.00 $77,902.50 2026-03-31
294744 CDM Sys Del Triclip G4 Xtw 56 14 — $59,572.50 $45,825.00 $109,980.00 $77,902.50 2026-03-31
295289 CDM Stent Graft Thoraflex Hybrid Ante Flo 32x40x150mm 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
298890 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x100mm 56 14 — $58,610.94 $41,125.00 $98,700.00 $69,912.50 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 47 15 — $897,416.00 $197,994.62 $818,592.00 $524,080.00 2026-03-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 25 8 — $957,481.00 $83,662.26 $358,345.00 $95,118.38 2026-03-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 25 8 — $449,913.00 $70,677.63 $302,024.00 $80,482.11 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 47 15 — $139,111.00 $38,873.76 $148,016.00 $120,572.00 2026-03-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 25 8 — $626,238.00 $69,313.42 $296,106.00 $78,944.38 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 47 15 — $145,812.00 $40,739.91 $155,158.00 $126,390.00 2026-03-31
32 APR_DRG Bone Marrow Transplant 25 8 — $424,672.00 $59,897.43 $255,264.00 $68,330.66 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 47 15 — $84,644.00 $26,471.55 $100,552.00 $77,209.00 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 47 15 — $141,391.00 $39,508.73 $150,446.00 $122,551.00 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 47 15 — $106,118.00 $29,686.07 $112,854.00 $91,929.00 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 47 15 — $95,081.00 $26,612.75 $101,092.00 $82,348.00 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 47 15 — $168,554.00 $47,072.99 $179,395.00 $146,133.00 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 47 15 — $174,726.00 $42,577.44 $162,190.00 $132,775.00 2026-03-31
33 APR_DRG Bone Marrow Transplant 25 8 — $656,659.00 $90,703.97 $388,889.00 $103,055.80 2026-03-31
330 MS_DRG Major Small And Large Bowel Procedures With Cc 47 15 — $88,937.00 $22,012.91 $83,488.00 $68,346.00 2026-03-31
332 MS_DRG Rectal Resection With Mcc 47 15 — $115,186.00 $32,211.19 $122,518.00 $99,801.00 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 47 15 — $120,313.00 $33,638.95 $127,982.00 $104,252.00 2026-03-31
34 APR_DRG Bone Marrow Transplant 25 8 — $795,388.00 $170,988.29 $737,126.00 $193,552.28 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 47 15 — $129,105.00 $36,087.46 $137,353.00 $109,338.00 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 47 15 — $89,527.00 $25,065.93 $95,172.00 $77,526.00 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 47 15 — $78,666.00 $22,041.52 $83,598.00 $68,098.00 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 47 15 — $80,386.00 $22,520.51 $85,431.00 $69,591.00 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 47 15 — $97,431.00 $27,267.10 $103,596.00 $79,076.00 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 47 15 — $141,600.00 $39,566.88 $150,669.00 $115,417.00 2026-03-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 25 8 — $120,670.00 $73,849.66 $315,783.00 $84,057.63 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 47 15 — $110,287.00 $30,847.12 $117,298.00 $95,549.00 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 47 15 — $82,345.00 $23,065.97 $87,518.00 $71,291.00 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 47 15 — $591,749.00 $130,606.60 $539,773.00 $315,926.00 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 47 15 — $125,241.00 $35,011.33 $133,234.00 $108,531.00 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 47 15 — $180,144.00 $50,300.45 $191,747.00 $147,889.00 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 25 8 — $494,750.00 $64,655.85 $275,904.00 $73,694.36 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 47 15 — $93,302.00 $26,117.14 $99,195.00 $76,596.00 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 47 15 — $116,266.00 $32,512.06 $123,669.00 $100,739.00 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 47 15 — $90,915.00 $25,452.64 $96,652.00 $78,732.00 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 47 15 — $116,349.00 $32,535.14 $123,758.00 $100,811.00 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 47 15 — $78,988.00 $22,131.04 $83,940.00 $68,377.00 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 47 15 — $117,201.00 $32,772.32 $124,665.00 $101,551.00 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 47 15 — $135,028.00 $37,736.72 $143,665.00 $117,027.00 2026-03-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 25 8 — $408,777.00 $77,414.50 $331,245.00 $91,946.63 2026-03-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 25 8 — $471,763.00 $138,091.07 $594,433.00 $163,375.09 2026-03-31
44001313 CDM Ribociclib Succinate 200mg Tab 64 15 — $166,487.74 $70,100.10 $241,845.34 $166,487.74 2026-03-31
44007080 CDM Zoledronic Acid 5mg/100ml Inj 64 15 — $596,047.01 $250,967.16 $865,836.70 $596,047.01 2026-03-31
4404 APR_DRG Kidney Transplant 25 8 — $424,813.00 $79,791.82 $341,557.00 $90,755.62 2026-03-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 25 8 — $449,001.00 $58,911.62 $250,988.00 $67,219.46 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 47 15 — $280,913.00 $78,361.87 $299,141.00 $237,931.00 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 47 15 — $190,442.00 $53,167.96 $214,008.00 $165,134.00 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 47 15 — $143,333.00 $40,049.56 $189,132.00 $124,237.00 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 47 15 — $203,609.00 $56,834.73 $216,754.00 $157,941.00 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 47 15 — $95,138.00 $26,628.44 $101,152.00 $82,397.00 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 15 — $179,226.00 $50,044.79 $190,769.00 $155,398.00 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 47 15 — $97,948.00 $27,411.07 $104,148.00 $84,837.00 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 47 15 — $169,071.00 $47,216.96 $179,946.00 $145,069.00 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 47 15 — $113,744.00 $31,809.72 $120,981.00 $98,550.00 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 47 15 — $75,894.00 $24,408.82 $99,315.00 $69,227.00 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 47 15 — $75,894.00 $30,365.35 $115,454.00 $69,227.00 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 47 15 — $161,207.00 $45,026.87 $171,565.00 $135,586.00 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 47 15 — $75,573.00 $26,936.69 $102,332.00 $68,935.00 2026-03-31
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 47 15 — $75,573.00 $22,047.06 $83,619.00 $68,115.00 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 47 15 — $148,858.00 $41,588.07 $158,404.00 $113,514.00 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 47 15 — $114,201.00 $31,937.08 $121,469.00 $98,947.00 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 47 15 — $97,696.00 $27,340.94 $103,879.00 $84,618.00 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 47 15 — $84,678.00 $23,715.70 $90,005.00 $73,317.00 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 47 15 — $106,920.00 $29,909.42 $113,709.00 $92,626.00 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 47 15 — $117,920.00 $32,972.60 $125,432.00 $102,175.00 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 47 15 — $116,906.00 $32,690.18 $124,351.00 $101,295.00 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 47 15 — $83,906.00 $23,500.66 $89,182.00 $72,646.00 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 47 15 — $353,170.00 $98,483.40 $376,147.00 $306,405.00 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 47 15 — $105,243.00 $29,442.43 $111,922.00 $91,170.00 2026-03-31
503 MS_DRG Foot Procedures With Mcc 47 15 — $87,939.00 $24,623.85 $93,481.00 $76,148.00 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 47 15 — $94,949.00 $26,575.83 $100,951.00 $82,233.00 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 47 15 — $102,714.00 $28,738.23 $109,227.00 $82,506.00 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 47 15 — $96,825.00 $27,098.21 $102,950.00 $83,862.00 2026-03-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 25 8 — $479,558.00 $105,615.48 $453,568.00 $125,144.82 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 47 15 — $86,485.00 $23,519.12 $89,253.00 $72,704.00 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 47 15 — $85,706.00 $3,488.00 $88,447.00 $72,048.00 2026-03-31
570 MS_DRG Skin Debridement With Mcc 47 15 — $99,990.00 $27,979.60 $106,323.00 $86,609.00 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 47 15 — $204,322.00 $57,033.16 $217,514.00 $177,184.00 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 47 15 — $115,060.00 $32,176.12 $122,384.00 $99,692.00 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 47 15 — $179,037.00 $49,992.19 $190,567.00 $136,674.00 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 47 15 — $88,476.00 $24,773.37 $94,053.00 $76,614.00 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 47 15 — $108,249.00 $30,279.51 $115,125.00 $81,862.00 2026-03-31
5833 APR_DRG Neonate W Ecmo 25 8 — $1,740,359.00 $111,703.99 $479,978.00 $132,312.21 2026-03-31
5834 APR_DRG Neonate W Ecmo 25 8 — $1,776,012.00 $195,826.14 $844,862.00 $231,340.81 2026-03-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 25 8 — $1,223,568.00 $147,436.54 $634,969.00 $174,376.58 2026-03-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 25 8 — $1,667,808.00 $192,402.34 $830,011.00 $227,310.32 2026-03-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 25 8 — $1,784,497.00 $192,402.34 $830,011.00 $227,310.32 2026-03-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 25 8 — $1,340,299.00 $93,098.73 $399,276.00 $105,755.17 2026-03-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 25 8 — $208,616.00 $93,098.73 $399,276.00 $105,755.17 2026-03-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 8 — $2,234,416.00 $84,628.35 $362,536.00 $96,207.36 2026-03-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 8 — $1,783,133.00 $90,641.03 $388,616.00 $102,984.85 2026-03-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 25 8 — $2,066,070.00 $147,967.36 $637,272.00 $175,001.46 2026-03-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 8 — $836,273.00 $85,539.85 $366,489.00 $97,234.80 2026-03-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 8 — $1,330,301.00 $104,314.97 $447,927.00 $123,613.86 2026-03-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 25 8 — $1,416,264.00 $133,266.67 $573,507.00 $157,695.81 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 47 15 — $160,938.00 $44,952.12 $171,279.00 $139,521.00 2026-03-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 8 — $858,634.00 $72,966.23 $311,951.00 $83,061.81 2026-03-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 8 — $1,025,038.00 $85,691.51 $367,147.00 $101,690.33 2026-03-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 8 — $677,508.00 $115,716.99 $497,384.00 $137,036.32 2026-03-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 25 8 — $1,212,463.00 $106,679.39 $458,183.00 $126,397.26 2026-03-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 8 — $920,571.00 $70,426.63 $300,935.00 $80,199.18 2026-03-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 25 8 — $1,353,314.00 $94,666.17 $406,075.00 $107,521.98 2026-03-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 25 8 — $1,648,397.00 $122,106.55 $525,099.00 $144,558.12 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 47 15 — $92,510.00 $25,148.07 $95,487.00 $77,782.00 2026-03-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 25 8 — $599,407.00 $63,333.35 $270,167.00 $72,203.64 2026-03-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 25 8 — $685,524.00 $65,304.21 $278,716.00 $74,425.19 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 47 15 — $128,320.00 $35,868.73 $136,516.00 $111,204.00 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 47 15 — $90,587.00 $25,361.27 $96,303.00 $78,447.00 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 47 15 — $124,243.00 $34,733.53 $132,171.00 $107,665.00 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 47 15 — $95,247.00 $26,658.90 $101,269.00 $82,492.00 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 47 15 — $130,994.00 $36,613.52 $139,366.00 $94,708.00 2026-03-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 25 8 — $1,028,782.00 $93,785.76 $402,256.00 $106,529.59 2026-03-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 25 8 — $1,366,874.00 $80,772.32 $345,810.00 $95,899.46 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 47 15 — $152,921.00 $42,719.57 $162,734.00 $132,561.00 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 47 15 — $115,311.00 $32,246.26 $122,652.00 $99,911.00 2026-03-31
652 MS_DRG Kidney Transplant 47 15 — $102,018.00 $28,544.42 $108,485.00 $88,370.00 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 47 15 — $184,980.00 $51,646.99 $196,900.00 $160,392.00 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 47 15 — $93,756.00 $26,243.58 $99,679.00 $74,416.00 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 47 15 — $108,202.00 $30,266.60 $115,076.00 $93,739.00 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 47 15 — $85,875.00 $24,048.87 $91,280.00 $74,355.00 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 47 15 — $103,616.00 $28,989.27 $110,187.00 $89,757.00 2026-03-31
665 MS_DRG Prostatectomy With Mcc 47 15 — $114,022.00 $31,887.24 $121,278.00 $98,792.00 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 47 15 — $96,878.00 $27,112.97 $103,007.00 $83,908.00 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 47 15 — $139,078.00 $38,864.53 $147,981.00 $89,282.00 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 25 8 — $481,501.00 $68,888.77 $294,264.00 $78,465.71 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 25 8 — $172,847.00 $69,077.59 $295,083.00 $78,678.54 2026-03-31
6904 APR_DRG Acute Leukemia 25 8 — $165,178.00 $67,423.70 $287,910.00 $76,814.28 2026-03-31
7 MS_DRG Lung Transplant 47 15 — $433,354.00 $120,812.56 $461,603.00 $376,016.00 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 47 15 — $130,726.00 $36,538.77 $139,080.00 $113,293.00 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 47 15 — $132,161.00 $36,938.39 $140,609.00 $114,538.00 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 47 15 — $86,017.00 $24,088.56 $91,432.00 $69,634.00 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 47 15 — $157,810.00 $44,080.88 $167,944.00 $136,805.00 2026-03-31
800 MS_DRG Splenic Procedures With Cc 47 15 — $96,795.00 $27,089.90 $102,918.00 $83,836.00 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 47 15 — $119,033.00 $33,282.71 $126,619.00 $94,987.00 2026-03-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 47 15 — $84,244.00 $23,594.80 $89,542.00 $72,940.00 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 47 15 — $79,429.00 $21,611.44 $81,952.00 $66,757.00 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 47 15 — $193,189.00 $53,933.07 $205,649.00 $167,519.00 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 47 15 — $155,314.00 $43,385.92 $165,285.00 $115,135.00 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 47 15 — $158,496.00 $44,271.93 $168,675.00 $137,401.00 2026-03-31
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 47 15 — $78,437.00 $21,977.84 $83,354.00 $67,899.00 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 47 15 — $102,429.00 $28,658.87 $108,923.00 $88,727.00 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 47 15 — $188,908.00 $51,210.45 $195,230.00 $159,031.00 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 47 15 — $171,153.00 $46,410.33 $176,859.00 $144,067.00 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 47 15 — $109,086.00 $29,629.78 $112,639.00 $91,754.00 2026-03-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 25 8 — $1,455,120.00 $143,143.72 $616,349.00 $162,165.89 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 25 8 — $515,755.00 $66,548.61 $284,114.00 $75,827.87 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 47 15 — $87,403.00 $23,767.38 $90,203.00 $73,478.00 2026-03-31
849 MS_DRG Radiotherapy 47 15 — $91,407.00 $24,849.97 $94,346.00 $76,853.00 2026-03-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 25 8 — $379,252.00 $58,882.04 $250,860.00 $67,186.13 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 47 15 — $173,310.00 $46,355.89 $176,651.00 $130,553.00 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 47 15 — $149,750.00 $41,836.34 $159,354.00 $122,328.00 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 47 15 — $237,696.00 $64,400.84 $245,711.00 $168,497.00 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 47 15 — $130,461.00 $36,464.94 $138,797.00 $113,062.00 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 47 15 — $147,062.00 $41,087.85 $156,490.00 $127,474.00 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 47 15 — $128,191.00 $35,832.73 $136,378.00 $111,092.00 2026-03-31
904 APR_DRG Major Larynx & Trachea Procedures 25 8 — $1,007,799.00 $77,461.11 $369,394.00 $96,489.46 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 47 15 — $132,254.00 $36,964.24 $140,708.00 $114,619.00 2026-03-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 25 8 — $373,385.00 $58,502.13 $249,212.00 $66,757.88 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 47 15 — $786,452.00 $219,140.59 $837,913.00 $682,552.00 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 47 15 — $221,579.00 $61,838.81 $235,905.00 $192,165.00 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 47 15 — $105,631.00 $29,550.41 $112,335.00 $91,506.00 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 47 15 — $147,930.00 $40,131.70 $152,830.00 $124,494.00 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 47 15 — $105,418.00 $29,491.35 $112,109.00 $91,322.00 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 47 15 — $124,779.00 $33,872.45 $128,876.00 $104,980.00 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 47 15 — $82,057.00 $22,322.09 $84,672.00 $68,972.00 2026-03-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 25 8 — $325,052.00 $62,579.59 $266,898.00 $71,354.00 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 47 15 — $226,530.00 $63,217.66 $241,182.00 $196,464.00 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 47 15 — $126,908.00 $35,475.56 $135,011.00 $109,978.00 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 47 15 — $247,605.00 $69,086.51 $263,643.00 $204,836.00 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 47 15 — $136,433.00 $38,128.04 $145,162.00 $118,247.00 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 47 15 — $87,850.00 $24,598.93 $93,385.00 $76,070.00 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 47 15 — $82,057.00 $22,322.09 $84,672.00 $68,972.00 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 47 15 — $92,964.00 $25,270.82 $95,957.00 $78,165.00 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 47 15 — $209,827.00 $58,566.13 $223,381.00 $155,119.00 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 47 15 — $122,591.00 $33,280.85 $126,612.00 $103,136.00 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 47 15 — $88,161.00 $24,685.70 $93,717.00 $76,341.00 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 47 15 — $102,163.00 $27,758.10 $105,476.00 $85,919.00 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 47 15 — $157,780.00 $44,072.57 $167,913.00 $118,342.00 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 47 15 — $81,367.00 $22,793.70 $86,476.00 $68,321.00 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 47 15 — $116,312.00 $32,524.98 $123,719.00 $85,178.00 2026-03-31
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