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

MONTEFIORE ST LUKE'S CORNWALL

Newburgh, NY · CCN 330264 · Rates published

76,654 distinct procedures filed
33 distinct payers
1,168,295 rate rows
2026-04-01 last MRF observed
Data quality

651,091 of 1,168,295 rate rows are consumer-grade (55.7%)

517,204 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 514,373
template filing: same amount across many unrelated codes — excluded 1,805
per-diem day rate — not a per-procedure price 702
placeholder amount (≤ $0.02) — excluded from medians 253
exceeds 10× this hospital's gross charge — excluded from medians 71
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.montefioreslc.org/141340054_st-lukes-cornwall-hospital_standardcharges.csv
Found on page https://www.montefioreslc.org/patients/billing-insurance-information/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 48513cf2f2fda519… · 564,196,408 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Inj Hemgenix Per Tx Dose 3 $4,502,732.52 $4,862,951.12 $4,502,732.52 nat. median
$3,710,000
1.2× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 3 $4,075,771.59 $4,401,833.32 $4,075,771.59 nat. median
$3,335,820
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $4,052,120.32 $4,376,289.95 $4,052,120.32 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj Lovotibeglogene Autotem 3 $3,969,015.94 $4,286,537.22 $3,969,015.94 nat. median
$3,286,000
1.2× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 3 $3,775,423.80 $4,077,457.70 $3,775,423.80 nat. median
$3,180,000
1.2× median
J3393
HCPCS 		Inj Betibeglogene Autotemce 4 $3,599,164.05 $4,858,871.47 $3,743,130.61 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar Xioi Treat 4 $2,999,703.24 $4,049,599.37 $3,119,691.37 nat. median
$2,469,189
1.3× median
J3392
HCPCS 		Inj Exagamglogene Autotem 4 $2,849,284.24 $3,846,533.72 $2,963,255.61 nat. median
$2,448,600
1.2× median
C9301
HCPCS 		HCPCS C9301 1 $2,349,900.00 $2,349,900.00 $2,349,900.00 nat. median
$459,112
outlier · 5.1×
C9098
HCPCS 		HCPCS C9098 1 $2,081,340.00 $2,081,340.00 $2,081,340.00 nat. median
$57,174
outlier · 36.4×
C9081
HCPCS 		HCPCS C9081 1 $1,877,682.00 $1,877,682.00 $1,877,682.00 nat. median
$30,475
outlier · 61.6×
C9076
HCPCS 		HCPCS C9076 1 $1,836,502.80 $1,836,502.80 $1,836,502.80 nat. median
$30,475
outlier · 60.3×
C9073
HCPCS 		HCPCS C9073 1 $1,669,548.00 $1,669,548.00 $1,669,548.00 nat. median
$29,278
outlier · 57.0×
Q2057
HCPCS 		Afamitresgene Autoleucel 19 $753,247.14 $3,254,052.00 $941,558.93 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car Pos T 3 $722,982.91 $1,019,405.90 $722,982.91 nat. median
$754,974
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car Pos T 3 $691,389.99 $974,859.89 $691,389.99 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $687,320.41 $969,121.78 $687,320.41 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $680,942.20 $960,128.50 $680,942.20 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car 3 $651,511.29 $918,630.92 $651,511.29 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $597,842.16 $842,957.45 $597,842.16 nat. median
$620,080
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad Rep 1 $395,831.07 $395,831.07 $395,831.07 nat. median
$111,989
outlier · 3.5×
J3403
HCPCS 		Revakinagene Per Implant 5 $314,618.65 $1,988,389.87 $382,261.66 nat. median
$265,000
1.4× median
K1007
HCPCS 		HCPCS K1007 1 $347,698.29 $347,698.29 $347,698.29 nat. median
$96,983
outlier · 3.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 19 $271,977.14 $2,349,900.00 $339,971.42 nat. median
$324,450
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 24 $295,385.21 $3,016,778.29 $322,512.42 nat. median
$370,174
0.9× median
J3402
HCPCS 		Inj Remestemcel L Rknd Td 5 $251,255.06 $1,587,931.98 $305,274.90 nat. median
$209,753
1.5× median
24
APR_DRG 		Heart Or Lung Transplant 12 $43,826.11 $1,235,191.47 $271,026.46 nat. median
$234,738
1.2× median
L8702
HCPCS 		HCPCS L8702 1 $251,598.42 $251,598.42 $251,598.42 nat. median
$70,825
outlier · 3.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $220,628.32 $2,253,283.83 $240,890.11 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 24 $185,821.46 $1,897,800.28 $202,886.69 nat. median
$206,368
1.0× median
5834
APR_DRG 		Neonate W Ecmo 12 $32,261.24 $909,248.09 $199,507.77 nat. median
$309,665
0.6× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $31,694.16 $893,265.45 $196,000.85 nat. median
$182,736
1.1× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $31,694.16 $893,265.45 $196,000.85 nat. median
$246,434
0.8× median
3
MS_DRG 		Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 24 $167,863.45 $1,714,394.57 $183,279.48 nat. median
$202,986
0.9× median
1614
APR_DRG 		Cardiac Defibrillator Heart Assist Implant 12 $28,989.48 $817,037.24 $179,274.81 nat. median
$207,730
0.9× median
L7181
HCPCS 		HCPCS L7181 1 $176,098.04 $176,098.04 $176,098.04 nat. median
$50,598
outlier · 3.5×
34
APR_DRG 		Bone Marrow Transplant 12 $28,147.34 $793,302.21 $174,066.86 nat. median
$209,067
0.8× median
L7180
HCPCS 		HCPCS L7180 1 $160,934.47 $160,934.47 $160,934.47 nat. median
$49,027
outlier · 3.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $2,666.43 $312,299.47 $157,482.95 nat. median
$76,377
outlier · 2.1×
5914
APR_DRG 		Neonate Birthwt 500 749g W O Major Procedure 12 $24,334.37 $685,837.93 $150,486.98 nat. median
$164,279
0.9× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $24,246.45 $683,360.00 $149,943.27 nat. median
$145,336
1.0× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $24,246.45 $683,360.00 $149,943.27 nat. median
$124,573
1.2× median
L2006
HCPCS 		HCPCS L2006 1 $146,347.26 $146,347.26 $146,347.26 nat. median
$39,823
outlier · 3.7×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 12 $23,535.43 $663,320.62 $145,546.22 nat. median
$160,267
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 12 $22,698.56 $639,734.27 $140,370.89 nat. median
$105,658
1.3× median
C9273
HCPCS 		HCPCS C9273 1 $138,756.00 $138,756.00 $138,756.00 nat. median
$138,704
1.0× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 12 $21,986.78 $619,673.65 $135,969.17 nat. median
$129,535
1.0× median
5934
APR_DRG 		Neonate Birthwt 750 999g W O Major Procedure 12 $21,899.49 $617,213.42 $135,429.35 nat. median
$151,838
0.9× median
L8701
HCPCS 		HCPCS L8701 1 $127,880.96 $127,880.96 $127,880.96 nat. median
$35,999
outlier · 3.6×
6094
APR_DRG 		Neonate Bwt 1500 2499g W Major Procedure 12 $20,051.04 $565,116.72 $123,998.26 nat. median
$162,982
0.8× median

Other procedures at this hospital

Browse this hospital's 76,654 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
             
J1411 HCPCS Inj Hemgenix Per Tx Dose 3 3 — $4,502,732.52 $4,502,732.52 $4,862,951.12 $4,502,732.52 2026-04-01
J3389 HCPCS Topi Adm Prad Zami Per Treat 3 3 — $4,075,771.59 $4,075,771.59 $4,401,833.32 $4,075,771.59 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 3 3 — $4,052,120.32 $4,052,120.32 $4,376,289.95 $4,052,120.32 2026-04-01
J3394 HCPCS Inj Lovotibeglogene Autotem 3 3 — $3,969,015.94 $3,969,015.94 $4,286,537.22 $3,969,015.94 2026-04-01
J3387 HCPCS Inj Elivaldogene Autotemecel 3 3 — $3,775,423.80 $3,775,423.80 $4,077,457.70 $3,775,423.80 2026-04-01
J3393 HCPCS Inj Betibeglogene Autotemce 4 4 — $3,599,164.05 $3,599,164.05 $4,858,871.47 $3,743,130.61 2026-04-01
J3399 HCPCS Inj Onase Abepar Xioi Treat 4 4 — $2,999,703.24 $2,999,703.24 $4,049,599.37 $3,119,691.37 2026-04-01
J3392 HCPCS Inj Exagamglogene Autotem 4 4 — $2,849,284.24 $2,849,284.24 $3,846,533.72 $2,963,255.61 2026-04-01
C9301 HCPCS HCPCS C9301 1 1 — — $2,349,900.00 $2,349,900.00 $2,349,900.00 2026-04-01
C9098 HCPCS HCPCS C9098 1 1 — — $2,081,340.00 $2,081,340.00 $2,081,340.00 2026-04-01
C9081 HCPCS HCPCS C9081 1 1 — — $1,877,682.00 $1,877,682.00 $1,877,682.00 2026-04-01
C9076 HCPCS HCPCS C9076 1 1 — — $1,836,502.80 $1,836,502.80 $1,836,502.80 2026-04-01
C9073 HCPCS HCPCS C9073 1 1 — — $1,669,548.00 $1,669,548.00 $1,669,548.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 28 19 — $941,558.93 $753,247.14 $3,254,052.00 $941,558.93 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car Pos T 3 3 — $722,982.91 $722,982.91 $1,019,405.90 $722,982.91 2026-04-01
Q2056 HCPCS Ciltacabtagene Car Pos T 3 3 — $691,389.99 $691,389.99 $974,859.89 $691,389.99 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 3 — $687,320.41 $687,320.41 $969,121.78 $687,320.41 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 3 — $680,942.20 $680,942.20 $960,128.50 $680,942.20 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car 3 3 — $651,511.29 $651,511.29 $918,630.92 $651,511.29 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 3 — $597,842.16 $597,842.16 $842,957.45 $597,842.16 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad Rep 2 1 — — $395,831.07 $395,831.07 $395,831.07 2026-04-01
J3403 HCPCS Revakinagene Per Implant 6 5 — $314,618.65 $314,618.65 $1,988,389.87 $382,261.66 2026-04-01
K1007 HCPCS HCPCS K1007 1 1 — — $347,698.29 $347,698.29 $347,698.29 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 29 19 — $339,971.42 $271,977.14 $2,349,900.00 $339,971.42 2026-04-01
18 MS_DRG Chimeric Antigen Receptor Car T Cell And Other Immunotherapies 45 24 — $443,460.96 $295,385.21 $3,016,778.29 $322,512.42 2026-04-01
J3402 HCPCS Inj Remestemcel L Rknd Td 6 5 — $251,255.06 $251,255.06 $1,587,931.98 $305,274.90 2026-04-01
24 APR_DRG Heart Or Lung Transplant 47 12 — — $43,826.11 $1,235,191.47 $271,026.46 2026-04-01
L8702 HCPCS HCPCS L8702 1 1 — — $251,598.42 $251,598.42 $251,598.42 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 24 — $287,941.12 $220,628.32 $2,253,283.83 $240,890.11 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft 45 24 — $219,476.62 $185,821.46 $1,897,800.28 $202,886.69 2026-04-01
5834 APR_DRG Neonate W Ecmo 47 12 — — $32,261.24 $909,248.09 $199,507.77 2026-04-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 47 12 — — $31,694.16 $893,265.45 $196,000.85 2026-04-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 47 12 — — $31,694.16 $893,265.45 $196,000.85 2026-04-01
3 MS_DRG Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R 45 24 — $218,191.14 $167,863.45 $1,714,394.57 $183,279.48 2026-04-01
1614 APR_DRG Cardiac Defibrillator Heart Assist Implant 47 12 — — $28,989.48 $817,037.24 $179,274.81 2026-04-01
L7181 HCPCS HCPCS L7181 1 1 — — $176,098.04 $176,098.04 $176,098.04 2026-04-01
34 APR_DRG Bone Marrow Transplant 47 12 — — $28,147.34 $793,302.21 $174,066.86 2026-04-01
L7180 HCPCS HCPCS L7180 1 1 — — $160,934.47 $160,934.47 $160,934.47 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $2,666.43 $312,299.47 $157,482.95 2026-04-01
5914 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 47 12 — — $24,334.37 $685,837.93 $150,486.98 2026-04-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 47 12 — — $24,246.45 $683,360.00 $149,943.27 2026-04-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 47 12 — — $24,246.45 $683,360.00 $149,943.27 2026-04-01
L2006 HCPCS HCPCS L2006 1 1 — — $146,347.26 $146,347.26 $146,347.26 2026-04-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 47 12 — — $23,535.43 $663,320.62 $145,546.22 2026-04-01
44 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 47 12 — — $22,698.56 $639,734.27 $140,370.89 2026-04-01
C9273 HCPCS HCPCS C9273 1 1 — — $138,756.00 $138,756.00 $138,756.00 2026-04-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 47 12 — — $21,986.78 $619,673.65 $135,969.17 2026-04-01
5934 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 47 12 — — $21,899.49 $617,213.42 $135,429.35 2026-04-01
L8701 HCPCS HCPCS L8701 1 1 — — $127,880.96 $127,880.96 $127,880.96 2026-04-01
6094 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 47 12 — — $20,051.04 $565,116.72 $123,998.26 2026-04-01
4 MS_DRG Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R 45 24 — $142,541.03 $110,673.69 $1,130,313.87 $120,837.60 2026-04-01
6024 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $18,992.73 $535,289.52 $117,453.56 2026-04-01
23 APR_DRG Heart Or Lung Transplant 47 12 — — $18,926.41 $533,420.45 $117,043.45 2026-04-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 47 12 — — $18,391.48 $518,344.02 $113,735.36 2026-04-01
5833 APR_DRG Neonate W Ecmo 47 12 — — $18,328.05 $516,556.37 $113,343.11 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 45 24 — $123,730.60 $102,619.77 $1,048,058.90 $112,044.03 2026-04-01
7 MS_DRG Lung Transplant 45 24 — $133,295.36 $102,361.28 $1,045,418.93 $111,761.81 2026-04-01
5832 APR_DRG Neonate W Ecmo 47 12 — — $17,985.29 $506,895.98 $111,223.42 2026-04-01
5831 APR_DRG Neonate W Ecmo 47 12 — — $17,985.29 $506,895.98 $111,223.42 2026-04-01
6034 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 47 12 — — $17,495.83 $493,100.99 $108,196.53 2026-04-01
L6700 HCPCS HCPCS L6700 1 1 — — $107,914.72 $107,914.72 $107,914.72 2026-04-01
54 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 47 12 — — $17,319.61 $488,134.51 $107,106.77 2026-04-01
L5856 HCPCS HCPCS L5856 1 1 — — $105,983.14 $105,983.14 $105,983.14 2026-04-01
5933 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 47 12 — — $17,104.21 $482,063.58 $105,774.69 2026-04-01
L6880 HCPCS HCPCS L6880 1 1 — — $105,006.81 $105,006.81 $105,006.81 2026-04-01
22 APR_DRG Heart Or Lung Transplant 47 12 — — $16,134.32 $454,728.47 $99,776.81 2026-04-01
6074 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $15,506.07 $437,021.89 $95,891.62 2026-04-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 47 12 — — $15,360.25 $432,912.07 $94,989.84 2026-04-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 47 12 — — $15,246.46 $429,704.92 $94,286.12 2026-04-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 47 12 — — $15,246.46 $429,704.92 $94,286.12 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 24 — $116,691.69 $86,317.67 $881,564.98 $94,244.80 2026-04-01
21 APR_DRG Heart Or Lung Transplant 47 12 — — $15,197.73 $428,331.44 $93,984.74 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 45 24 — $111,996.01 $85,326.00 $871,437.11 $93,162.06 2026-04-01
33 APR_DRG Bone Marrow Transplant 47 12 — — $14,849.81 $418,525.92 $91,833.21 2026-04-01
5913 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 47 12 — — $14,839.39 $418,232.11 $91,768.75 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 45 24 — $106,213.86 $83,410.83 $851,877.35 $91,071.01 2026-04-01
215 MS_DRG Other Heart Assist System Implant 45 24 — $102,587.19 $82,984.71 $847,525.41 $90,605.76 2026-04-01
426 MS_DRG Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev 45 24 — $113,505.15 $82,102.71 $838,517.52 $89,642.76 2026-04-01
904 APR_DRG Major Larynx Trachea Procedures 47 12 — — $14,105.38 $397,544.93 $87,229.56 2026-04-01
6023 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $14,019.60 $395,127.18 $86,699.05 2026-04-01
5932 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 47 12 — — $13,994.48 $394,419.20 $86,543.71 2026-04-01
L8614 HCPCS HCPCS L8614 1 1 — — $85,790.34 $85,790.34 $85,790.34 2026-04-01
5912 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 47 12 — — $13,843.51 $390,164.24 $85,610.08 2026-04-01
3034 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 47 12 — — $13,683.49 $385,654.41 $84,620.53 2026-04-01
5931 APR_DRG Neonate Birthwt 750 999g W O Major Procedure 47 12 — — $13,568.32 $382,408.32 $83,908.27 2026-04-01
216 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc 45 24 — $100,800.00 $75,591.90 $772,022.35 $82,534.01 2026-04-01
Q0483 HCPCS Monitor Elec Vad Rep 2 1 — — $82,403.46 $82,403.46 $82,403.46 2026-04-01
L5858 HCPCS HCPCS L5858 1 1 — — $81,681.41 $81,681.41 $81,681.41 2026-04-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 47 12 — — $13,204.83 $372,163.85 $81,660.42 2026-04-01
4404 APR_DRG Kidney Transplant 47 12 — — $13,042.43 $367,586.76 $80,656.12 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 45 24 — $89,275.72 $72,152.41 $736,894.79 $78,778.65 2026-04-01
43 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 47 12 — — $12,648.67 $356,489.17 $78,221.07 2026-04-01
J9029 HCPCS Instill Adstiladrin Tx Dose 18 11 — $77,392.87 $62,087.67 $489,122.94 $77,392.87 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 47 12 — — $12,489.54 $352,004.12 $77,236.96 2026-04-01
L5973 HCPCS HCPCS L5973 1 1 — — $76,489.17 $76,489.17 $76,489.17 2026-04-01
1613 APR_DRG Cardiac Defibrillator Heart Assist Implant 47 12 — — $12,358.54 $348,312.00 $76,426.83 2026-04-01
3614 APR_DRG Skin Graft For Skin Subcutaneous Tissue Diagnoses 47 12 — — $12,058.23 $339,848.10 $74,569.68 2026-04-01
6022 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $11,911.90 $335,724.12 $73,664.80 2026-04-01
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 47 12 — — $11,787.18 $332,209.00 $72,893.50 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 24 — $86,920.20 $66,372.41 $677,863.53 $72,467.84 2026-04-01
456 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc 45 24 — $86,648.31 $66,334.82 $677,479.53 $72,426.79 2026-04-01
53 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 47 12 — — $11,596.27 $326,828.35 $71,712.88 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 1 1 — — $71,616.00 $71,616.00 $71,616.00 2026-04-01
L6975 HCPCS HCPCS L6975 1 1 — — $71,542.93 $71,542.93 $71,542.93 2026-04-01
A9543 HCPCS Y90 Ibritumomab Rx 37 19 — $69,429.37 $55,543.50 $495,745.34 $71,512.25 2026-04-01
Q0489 HCPCS Pwr Pck Base Combo Vad Rep 2 1 — — $71,439.27 $71,439.27 $71,439.27 2026-04-01
429 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion With Mcc 45 24 — $92,867.51 $65,327.49 $667,191.66 $71,326.95 2026-04-01
3044 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 47 12 — — $11,532.84 $325,040.70 $71,320.63 2026-04-01
6073 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $11,491.27 $323,868.99 $71,063.54 2026-04-01
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses 47 12 — — $11,306.89 $318,672.42 $69,923.30 2026-04-01
6033 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 47 12 — — $11,277.00 $317,829.92 $69,738.44 2026-04-01
6814 APR_DRG Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms 47 12 — — $11,267.83 $317,571.51 $69,681.74 2026-04-01
6804 APR_DRG Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms 47 12 — — $11,236.55 $316,690.07 $69,488.33 2026-04-01
5911 APR_DRG Neonate Birthwt 500 749g W O Major Procedure 47 12 — — $11,165.09 $314,675.87 $69,046.37 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc 45 24 — $81,163.71 $63,138.16 $644,831.94 $68,936.56 2026-04-01
10 MS_DRG Pancreas Transplant 45 24 — $74,052.98 $62,449.63 $637,800.03 $68,184.80 2026-04-01
6904 APR_DRG Acute Leukemia 47 12 — — $10,993.89 $309,850.99 $67,987.70 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 45 24 — $73,631.30 $62,090.10 $634,128.07 $67,792.25 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 47 12 — — $10,848.95 $305,765.94 $67,091.36 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc 45 24 — $78,869.72 $61,221.41 $625,256.18 $66,843.79 2026-04-01
219 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc 45 24 — $79,209.29 $60,604.17 $618,952.26 $66,169.86 2026-04-01
6124 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 47 12 — — $10,642.84 $299,956.97 $65,816.74 2026-04-01
L6970 HCPCS HCPCS L6970 1 1 — — $65,295.29 $65,295.29 $65,295.29 2026-04-01
4054 APR_DRG Other Procedures For Endocrine Nutritional Metabolic Disorders 47 12 — — $10,535.45 $296,930.35 $65,152.65 2026-04-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 47 12 — — $10,508.32 $296,165.73 $64,984.87 2026-04-01
Q0481 HCPCS Microprcsr Cu Elec Vad Rep 2 1 — — $63,862.64 $63,862.64 $63,862.64 2026-04-01
957 MS_DRG Other O R Procedures For Multiple Significant Trauma With Mcc 45 24 — $78,610.16 $58,463.40 $597,088.54 $63,832.49 2026-04-01
6114 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 47 12 — — $10,316.41 $290,756.77 $63,798.03 2026-04-01
L5859 HCPCS HCPCS L5859 1 1 — — $63,768.01 $63,768.01 $63,768.01 2026-04-01
L6965 HCPCS HCPCS L6965 1 1 — — $63,449.43 $63,449.43 $63,449.43 2026-04-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 47 12 — — $10,191.56 $287,238.11 $63,025.97 2026-04-01
234 APR_DRG Spinal Procedures 47 12 — — $10,151.12 $286,098.26 $62,775.86 2026-04-01
427 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc 45 24 — $74,493.09 $55,604.35 $567,888.90 $60,710.87 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 24 — $73,588.23 $55,352.12 $565,312.93 $60,435.48 2026-04-01
32 APR_DRG Bone Marrow Transplant 47 12 — — $9,747.31 $274,717.48 $60,278.68 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv 96 Hours 45 24 — $71,345.55 $54,490.49 $556,513.04 $59,494.72 2026-04-01
64 APR_DRG Pancreas Transplant 47 12 — — $9,594.46 $270,409.42 $59,333.40 2026-04-01
4474 APR_DRG Other Kidney Urinary Tract Related Procedures 47 12 — — $9,584.03 $270,115.61 $59,268.94 2026-04-01
8504 APR_DRG Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service 47 12 — — $9,579.14 $269,977.55 $59,238.65 2026-04-01
9124 APR_DRG Musculoskeletal Other Procedures For Multiple Significant Trauma 47 12 — — $9,516.21 $268,204.06 $58,849.51 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 45 24 — $69,491.68 $53,483.16 $546,225.17 $58,394.88 2026-04-01
5124 APR_DRG Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig 47 12 — — $9,424.27 $265,612.86 $58,280.94 2026-04-01
6072 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $9,392.87 $264,727.88 $58,086.76 2026-04-01
2604 APR_DRG Major Pancreas Liver Shunt Procedures 47 12 — — $9,327.68 $262,890.67 $57,683.64 2026-04-01
447 MS_DRG Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev 45 24 — $68,983.84 $52,514.21 $536,329.30 $57,336.95 2026-04-01
928 MS_DRG Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc 45 24 — $74,022.19 $52,312.91 $534,273.32 $57,117.16 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Facial Bone Procedures 47 12 — — $9,235.87 $260,303.01 $57,115.85 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc 45 24 — $70,997.74 $52,224.40 $533,369.33 $57,020.51 2026-04-01
63 APR_DRG Pancreas Transplant 47 12 — — $9,186.64 $258,915.37 $56,811.37 2026-04-01
6093 APR_DRG Neonate Bwt 1500 2499g W Major Procedure 47 12 — — $9,147.57 $257,814.46 $56,569.81 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 39 12 — — $52,457.40 $122,947.02 $56,282.41 2026-04-01
214 APR_DRG Craniotomy Except For Trauma 47 12 — — $9,095.20 $256,338.32 $56,245.92 2026-04-01
Q2043 HCPCS Sipuleucel T Auto Cd54 30 14 — $67,532.83 $53,914.93 $95,221.29 $55,840.46 2026-04-01
41 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 47 12 — — $9,028.88 $254,469.25 $55,835.80 2026-04-01
42 APR_DRG Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo 47 12 — — $9,028.88 $254,469.25 $55,835.80 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 47 12 — — $9,021.72 $254,267.48 $55,791.53 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 47 12 — — $9,021.22 $254,253.32 $55,788.42 2026-04-01
6084 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 47 12 — — $9,021.09 $254,249.78 $55,787.64 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support 96 Hours 45 24 — $66,450.81 $50,661.70 $517,409.53 $55,314.30 2026-04-01
217 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc 45 24 — $67,893.29 $50,581.02 $516,585.54 $55,226.22 2026-04-01
2204 APR_DRG Major Stomach Esophageal Duodenal Procedures 47 12 — — $8,902.15 $250,897.49 $55,052.09 2026-04-01
J9226 HCPCS Supprelin La Implant 18 11 — $55,007.13 $44,443.22 $347,645.06 $55,007.13 2026-04-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 47 12 — — $8,894.87 $250,692.18 $55,007.03 2026-04-01
64654 CPT 1st Opn Implt Bat Modulj Sys 28 19 — $54,982.51 $14,024.00 $347,489.46 $54,982.51 2026-04-01
64568 CPT Opn Impltj Crnl Nrv Nea Pg 48 26 — $54,982.51 $1,500.00 $347,489.46 $54,982.51 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl Prnl Vn 44 25 — — $1,500.00 $347,489.46 $54,982.51 2026-04-01
33276 CPT Insj Phrnc Nrv Stim Sys 44 25 — $54,982.51 $1,500.00 $347,489.46 $54,982.51 2026-04-01
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 47 12 — — $8,888.21 $250,504.56 $54,965.87 2026-04-01
3214 APR_DRG Cervical Spinal Fusion Other Back Neck Proc Exc Disc Excis Decomp 47 12 — — $8,872.64 $250,065.62 $54,869.56 2026-04-01
1634 APR_DRG Cardiac Valve Procedures W O Ami Or Complex Pdx 47 12 — — $8,851.03 $249,456.75 $54,735.95 2026-04-01
3033 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 47 12 — — $8,776.93 $247,368.21 $54,277.69 2026-04-01
4014 APR_DRG Pituitary Adrenal Procedures 47 12 — — $8,776.55 $247,357.59 $54,275.36 2026-04-01
969 MS_DRG HIV With Extensive O R Procedures With Mcc 45 24 — $63,235.56 $49,535.32 $505,905.68 $54,084.48 2026-04-01
L6960 HCPCS HCPCS L6960 1 1 — — $53,928.49 $53,928.49 $53,928.49 2026-04-01
6032 APR_DRG Neonate Birthwt 1000 1249g W Or W O Other Significant Condition 47 12 — — $8,664.52 $244,200.00 $53,582.52 2026-04-01
L6955 HCPCS HCPCS L6955 1 1 — — $53,469.96 $53,469.96 $53,469.96 2026-04-01
3104 APR_DRG Intervertebral Disc Excision Decompression 47 12 — — $8,593.80 $242,207.04 $53,145.23 2026-04-01
6083 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 47 12 — — $8,570.44 $241,548.62 $53,000.75 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators 44 24 — $62,058.80 $48,517.80 $495,513.81 $52,973.52 2026-04-01
894 APR_DRG Major Cranial Facial Bone Procedures 47 12 — — $8,564.16 $241,371.62 $52,961.92 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 45 24 — $69,034.13 $48,455.14 $494,873.81 $52,905.10 2026-04-01
244 APR_DRG Extracranial Vascular Procedures 47 12 — — $8,532.76 $240,486.65 $52,767.73 2026-04-01
6214 APR_DRG Neonate Bwt 2000 2499g W Major Anomaly 47 12 — — $8,530.88 $240,433.55 $52,756.08 2026-04-01
Q0479 HCPCS Power Module Combo Vad Rep 2 1 — — $52,724.67 $52,724.67 $52,724.67 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 45 24 — $67,648.07 $48,234.25 $492,617.84 $52,663.92 2026-04-01
4414 APR_DRG Major Bladder Procedures 47 12 — — $8,494.70 $239,414.06 $52,532.38 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 45 24 — $57,097.42 $48,068.97 $490,929.86 $52,483.47 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 24 — $62,633.34 $47,846.51 $488,657.89 $52,240.58 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 45 24 — $62,076.25 $47,617.79 $486,321.92 $51,990.85 2026-04-01
204 APR_DRG Craniotomy For Trauma 47 12 — — $8,402.64 $236,819.31 $51,963.04 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc Mcc 45 24 — $56,166.90 $47,276.27 $482,833.96 $51,617.97 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc Mcc 45 24 — $61,269.87 $47,276.27 $482,833.96 $51,617.97 2026-04-01
1674 APR_DRG Other Cardiothoracic Thoracic Vascular Procedures 47 12 — — $8,328.79 $234,737.85 $51,506.32 2026-04-01
31 APR_DRG Bone Marrow Transplant 47 12 — — $8,321.75 $234,539.61 $51,462.83 2026-04-01
7914 APR_DRG O R Procedure For Other Complications Of Treatment 47 12 — — $8,303.04 $234,012.17 $51,347.10 2026-04-01
2214 APR_DRG Major Small Large Bowel Procedures 47 12 — — $8,300.02 $233,927.21 $51,328.45 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc 45 24 — $63,308.38 $46,923.00 $479,226.01 $51,232.25 2026-04-01
4034 APR_DRG Procedures For Obesity 47 12 — — $8,260.34 $232,808.60 $51,083.01 2026-04-01
218 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc 45 24 — $67,893.29 $46,599.49 $475,922.05 $50,879.04 2026-04-01
L7191 HCPCS HCPCS L7191 1 1 — — $50,564.85 $50,564.85 $50,564.85 2026-04-01
6021 APR_DRG Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $8,154.83 $229,835.09 $50,430.56 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 39 12 — — $46,987.10 $110,126.03 $50,413.25 2026-04-01
9114 APR_DRG Extensive Abdominal Thoracic Procedures For Mult Significant Trauma 47 12 — — $8,151.82 $229,750.13 $50,411.92 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome Neonate 40 22 — $61,411.45 $46,567.38 $196,714.11 $50,368.79 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 24 — $60,643.04 $46,088.00 $470,698.12 $50,320.57 2026-04-01
3134 APR_DRG Knee Lower Leg Procedures Except Foot 47 12 — — $8,127.95 $229,077.55 $50,264.34 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O R Procedures With Mcc 45 24 — $60,604.04 $45,603.13 $465,746.18 $49,791.18 2026-04-01
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy Other Radical GYN Procs 47 12 — — $8,050.08 $226,882.81 $49,782.77 2026-04-01
4424 APR_DRG Kidney Urinary Tract Procedures For Malignancy 47 12 — — $8,008.13 $225,700.48 $49,523.34 2026-04-01
6123 APR_DRG Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond 47 12 — — $7,966.81 $224,535.86 $49,267.80 2026-04-01
1774 APR_DRG Cardiac Pacemaker Defibrillator Revision Except Device Replacement 47 12 — — $7,956.26 $224,238.51 $49,202.56 2026-04-01
6914 APR_DRG Lymphoma Myeloma Non Acute Leukemia 47 12 — — $7,954.00 $224,174.79 $49,188.57 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 50 27 — $53,839.05 $39,903.82 $407,538.91 $49,188.48 2026-04-01
7104 APR_DRG Infectious Parasitic Diseases Including HIV W O R Procedure 47 12 — — $7,938.42 $223,735.84 $49,092.26 2026-04-01
457 MS_DRG Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc 45 24 — $61,612.54 $44,953.78 $459,114.26 $49,082.18 2026-04-01
3174 APR_DRG Tendon Muscle Other Soft Tissue Procedures 47 12 — — $7,935.41 $223,650.88 $49,073.62 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 47 12 — — $7,915.06 $223,077.42 $48,947.79 2026-04-01
L7186 HCPCS HCPCS L7186 1 1 — — $48,906.86 $48,906.86 $48,906.86 2026-04-01
23 MS_DRG Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros 45 24 — $59,224.17 $44,685.10 $456,370.30 $48,788.83 2026-04-01
264 APR_DRG Other Nervous System Related Procedures 47 12 — — $7,882.53 $222,160.58 $48,746.62 2026-04-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 47 12 — — $7,881.53 $222,132.26 $48,740.40 2026-04-01
6113 APR_DRG Neonate Birthwt 1500 1999g W Major Anomaly 47 12 — — $7,869.84 $221,803.05 $48,668.16 2026-04-01
1664 APR_DRG Coronary Bypass W O Ami Or Complex Pdx 47 12 — — $7,826.39 $220,578.25 $48,399.41 2026-04-01
5114 APR_DRG Uterine Adnexa Procedures For Ovarian Adnexal Malignancy 47 12 — — $7,820.36 $220,408.33 $48,362.14 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 47 12 — — $7,769.49 $218,974.67 $48,047.56 2026-04-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 47 12 — — $7,741.10 $218,174.66 $47,872.02 2026-04-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 47 12 — — $7,741.10 $218,174.66 $47,872.02 2026-04-01
2644 APR_DRG Other Hepatobiliary Pancreas Abdominal Procedures 47 12 — — $7,730.18 $217,866.69 $47,804.44 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 39 12 — — $44,540.64 $104,392.13 $47,788.40 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 47 12 — — $7,712.59 $217,371.10 $47,695.70 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 45 24 — $53,746.71 $43,662.89 $445,930.43 $47,672.75 2026-04-01
1612 APR_DRG Cardiac Defibrillator Heart Assist Implant 47 12 — — $7,696.27 $216,910.91 $47,594.73 2026-04-01
1204 APR_DRG Major Respiratory Chest Procedures 47 12 — — $7,650.04 $215,608.23 $47,308.89 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage W Cc 45 24 — $54,745.97 $43,295.52 $442,178.47 $47,271.64 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 45 24 — $56,757.84 $43,292.38 $442,146.47 $47,268.21 2026-04-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96 Hours 47 12 — — $7,627.44 $214,971.05 $47,169.09 2026-04-01
6903 APR_DRG Acute Leukemia 47 12 — — $7,615.00 $214,620.60 $47,092.19 2026-04-01
428 MS_DRG Multiple Level Comb Ant Pst Spinal Fusion Except Cervical W O Cc Mcc 45 24 — $58,113.09 $43,122.41 $440,410.49 $47,082.63 2026-04-01
1214 APR_DRG Other Respiratory Chest Procedures 47 12 — — $7,607.72 $214,415.28 $47,047.14 2026-04-01
3014 APR_DRG Hip Joint Replacement 47 12 — — $7,603.45 $214,294.93 $47,020.73 2026-04-01
2624 APR_DRG Cholecystectomy Except Laparoscopic 47 12 — — $7,603.32 $214,291.39 $47,019.96 2026-04-01
5194 APR_DRG Uterine Adnexa Procedures For Leiomyoma 47 12 — — $7,597.29 $214,121.47 $46,982.67 2026-04-01
6071 APR_DRG Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom 47 12 — — $7,587.75 $213,852.44 $46,923.64 2026-04-01
7114 APR_DRG Post Op Post Trauma Other Device Infections W O R Procedure 47 12 — — $7,581.09 $213,664.82 $46,882.47 2026-04-01
430 MS_DRG Combine Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 24 — $59,601.71 $42,847.47 $437,602.53 $46,782.44 2026-04-01
L6945 HCPCS HCPCS L6945 1 1 — — $46,687.29 $46,687.29 $46,687.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 45 24 — $57,934.59 $42,617.97 $435,258.56 $46,531.86 2026-04-01
5184 APR_DRG Other Female Reproductive System Related Procedures 47 12 — — $7,508.24 $211,611.68 $46,431.97 2026-04-01
405 MS_DRG Pancreas Liver And Shunt Procedures With Mcc 45 24 — $56,558.80 $42,520.83 $434,266.57 $46,425.80 2026-04-01
494 APR_DRG Bacterial Tuberculous Infections Of Nervous System 47 12 — — $7,495.18 $211,243.53 $46,351.19 2026-04-01
1714 APR_DRG Perm Cardiac Pacemaker Implant W O Ami Heart Failure Or Shock 47 12 — — $7,490.53 $211,112.56 $46,322.45 2026-04-01
463 MS_DRG Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Mcc 45 24 — $58,908.16 $42,303.86 $432,050.60 $46,188.90 2026-04-01
11 MS_DRG Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Mcc 45 24 — $56,390.54 $42,263.91 $431,642.60 $46,145.29 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 45 24 — $50,718.16 $42,258.42 $431,586.61 $46,139.30 2026-04-01
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 47 12 — — $7,450.09 $209,972.71 $46,072.34 2026-04-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 47 12 — — $7,442.43 $209,756.77 $46,024.97 2026-04-01
434 APR_DRG Multiple Sclerosis Other Demyelinating Diseases 47 12 — — $7,432.63 $209,480.66 $45,964.38 2026-04-01
3814 APR_DRG Major Skin Disorders 47 12 — — $7,413.92 $208,953.22 $45,848.65 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Cath Or Open Ablation Without Mcc 45 24 — $56,478.77 $41,670.95 $425,586.68 $45,497.88 2026-04-01
52 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 47 12 — — $7,339.56 $206,857.60 $45,388.82 2026-04-01
220 MS_DRG Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Cc 45 24 — $55,146.08 $41,486.09 $423,698.70 $45,296.03 2026-04-01
L7190 HCPCS HCPCS L7190 1 1 — — $45,094.10 $45,094.10 $45,094.10 2026-04-01
2294 APR_DRG Other Digestive System Abdominal Procedures 47 12 — — $7,268.22 $204,846.93 $44,947.64 2026-04-01
3084 APR_DRG Hip And Femur Fracture Repair 47 12 — — $7,245.61 $204,209.75 $44,807.84 2026-04-01
L6950 HCPCS HCPCS L6950 1 1 — — $44,646.27 $44,646.27 $44,646.27 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 47 12 — — $7,215.85 $203,370.79 $44,623.75 2026-04-01
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 47 12 — — $7,205.30 $203,073.44 $44,558.50 2026-04-01
Q4244 HCPCS HCPCS Q4244 1 1 — — $44,312.40 $44,312.40 $44,312.40 2026-04-01
6504 APR_DRG Splenectomy 47 12 — — $7,162.97 $201,880.50 $44,296.75 2026-04-01
51 APR_DRG Tracheostomy W Mv 96 Hours W O Extensive Procedure 47 12 — — $7,154.30 $201,636.24 $44,243.16 2026-04-01
6082 APR_DRG Neonate Bwt 1250 1499g W Or W O Other Significant Condition 47 12 — — $7,141.62 $201,278.71 $44,164.70 2026-04-01
4403 APR_DRG Kidney Transplant 47 12 — — $7,124.53 $200,797.29 $44,059.07 2026-04-01
450 MS_DRG Sing Lvl Spin Fus Exc Cerv W Mcc Or Cust Anatom Design Inter Fus Dev 45 24 — $55,113.25 $40,337.77 $411,970.85 $44,042.26 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 45 24 — $54,566.43 $40,205.39 $410,618.87 $43,897.72 2026-04-01
326 MS_DRG Stomach Esophageal And Duodenal Procedures With Mcc 45 24 — $51,602.53 $39,781.62 $406,290.92 $43,435.03 2026-04-01
2234 APR_DRG Other Small Large Bowel Procedures 47 12 — — $7,006.60 $197,473.32 $43,329.72 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 47 12 — — $6,994.16 $197,122.87 $43,252.83 2026-04-01
239 MS_DRG Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Mcc 45 24 — $50,928.49 $39,451.07 $402,914.96 $43,074.12 2026-04-01
L5991 HCPCS HCPCS L5991 1 1 — — $42,986.57 $42,986.57 $42,986.57 2026-04-01
2224 APR_DRG Other Stomach Esophageal Duodenal Procedures 47 12 — — $6,950.70 $195,898.07 $42,984.08 2026-04-01
837 MS_DRG Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc 45 24 — $49,724.05 $39,218.42 $400,538.99 $42,820.12 2026-04-01
278 MS_DRG US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W Mcc 45 24 — $57,540.61 $39,187.88 $400,227.00 $42,786.76 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O R Procedures With Mcc 45 24 — $51,101.85 $39,176.91 $400,115.00 $42,774.79 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 24 — $51,192.17 $39,031.21 $398,627.02 $42,615.71 2026-04-01
3024 APR_DRG Knee Joint Replacement 47 12 — — $6,836.16 $192,669.68 $42,275.70 2026-04-01
4234 APR_DRG Inborn Errors Of Metabolism 47 12 — — $6,830.50 $192,510.38 $42,240.75 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 47 12 — — $6,766.70 $190,712.11 $41,846.18 2026-04-01
245 MS_DRG Aicd Generator Procedures 45 24 — $47,242.32 $38,276.11 $390,915.11 $41,791.27 2026-04-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 47 12 — — $6,740.70 $189,979.35 $41,685.39 2026-04-01
L6940 HCPCS HCPCS L6940 1 1 — — $41,641.76 $41,641.76 $41,641.76 2026-04-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 47 12 — — $6,724.50 $189,522.71 $41,585.19 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 45 24 — $49,974.38 $38,045.04 $388,555.14 $41,538.97 2026-04-01
504 APR_DRG Non Bacterial Infections Of Nervous System Exc Viral Meningitis 47 12 — — $6,715.20 $189,260.75 $41,527.71 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 45 24 — $48,007.66 $37,981.59 $387,907.15 $41,469.69 2026-04-01
3043 APR_DRG Dorsal Lumbar Fusion Proc Except For Curvature Of Back 47 12 — — $6,691.47 $188,591.71 $41,380.91 2026-04-01
3644 APR_DRG Other Skin Subcutaneous Tissue Related Procedures 47 12 — — $6,668.48 $187,943.91 $41,238.77 2026-04-01
8634 APR_DRG Neonatal Aftercare 47 12 — — $6,655.54 $187,579.30 $41,158.77 2026-04-01
69930 CPT Implant Cochlear Device 48 26 — $41,158.57 $1,500.00 $260,122.16 $41,158.57 2026-04-01
3032 APR_DRG Dorsal Lumbar Fusion Proc For Curvature Of Back 47 12 — — $6,642.23 $187,204.07 $41,076.44 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal Femoral Umbilical 47 12 — — $6,623.77 $186,683.71 $40,962.25 2026-04-01
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