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.

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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
             
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
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 47 12 — — $31,694.16 $893,265.45 $196,000.85 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
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
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 47 12 — — $24,246.45 $683,360.00 $149,943.27 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
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
5831 APR_DRG Neonate W Ecmo 47 12 — — $17,985.29 $506,895.98 $111,223.42 2026-04-01
5832 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
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 47 12 — — $15,246.46 $429,704.92 $94,286.12 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
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
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
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
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
33276 CPT Insj Phrnc Nrv Stim Sys 44 25 — $54,982.51 $1,500.00 $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
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
0620T HCPCS Evasc Ven Artlz Tibl Prnl Vn 44 25 — — $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
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
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
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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