Hospital

WHITE PLAINS HOSPITAL CENTER

White Plains, NY · CCN 330304 · Rates published

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You selected 93306 (CPT)

Tte w doppler complete

This hospital’s price: $682 across 24 payers · range $209-$29,019

Source: https://www.wphospital.org/clientfiles/getfile/131740130_white-plains-hospital_standardcharges.csv · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

68,659 distinct procedures filed

27 distinct payers

536,887 rate rows

2026-04-01 last MRF observed

Data quality

411,404 of 536,887 rate rows are consumer-grade (76.6%)

125,483 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	124,164
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	811
per-diem day rate — not a per-procedure price	360
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	99
placeholder amount (≤ $0.02) — excluded from medians	47
exceeds 10× this hospital's gross charge — excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://www.wphospital.org/clientfiles/getfile/131740130_white-plains-hospital_standardcharges.csv
Found on page	https://www.wphospital.org/patients-visitors/patients/billing-information/standard-charges//
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-08-01
Content fingerprint	0e1b1ac93b2e8508… · 147,120,478 bytes · first seen 2026-06-15

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	1	$4,862,951.12	$4,862,951.12	$4,862,951.12	nat. median $3,703,693 1.3× median
J3389 HCPCS	Topi Adm Prad Zami Per Treat	1	$4,401,833.32	$4,401,833.32	$4,401,833.32	nat. median $3,335,820 1.3× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	1	$4,376,289.95	$4,376,289.95	$4,376,289.95	nat. median $3,324,572 1.3× median
J3394 HCPCS	Inj Lovotibeglogene Autotem	1	$4,286,537.22	$4,286,537.22	$4,286,537.22	nat. median $3,286,000 1.3× median
J3387 HCPCS	Inj Elivaldogene Autotemecel	1	$4,077,457.70	$4,077,457.70	$4,077,457.70	nat. median $3,180,000 1.3× median
J3393 HCPCS	Inj Betibeglogene Autotemce	1	$3,887,097.17	$3,887,097.17	$3,887,097.17	nat. median $2,994,107 1.3× median
J3399 HCPCS	Inj Onase Abepar Xioi Treat	1	$3,239,679.50	$3,239,679.50	$3,239,679.50	nat. median $2,466,282 1.3× median
J3392 HCPCS	Inj Exagamglogene Autotem	1	$3,077,226.98	$3,077,226.98	$3,077,226.98	nat. median $2,401,960 1.3× median
Q2042 HCPCS	Tisagenlecleucel Car Pos T	3	$780,821.54	$1,349,007.22	$1,349,007.22	nat. median $738,272 1.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car	3	$703,632.19	$1,215,648.97	$1,215,648.97	nat. median $608,101 2.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	18	$932,143.34	$2,080,845.24	$960,390.11	nat. median $809,217 1.2× median
Q2056 HCPCS	Ciltacabtagene Car Pos T	1	$746,701.19	$746,701.19	$746,701.19	nat. median $646,415 1.2× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$742,306.04	$742,306.04	$742,306.04	nat. median $640,950 1.2× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$735,417.58	$735,417.58	$735,417.58	nat. median $622,245 1.2× median
18 MS_DRG	Chimeric Antigen Receptor Car T Cell And Other Immunotherapies	20	$298,399.35	$2,837,428.58	$666,123.79	nat. median $359,358 1.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$645,669.53	$645,669.53	$645,669.53	nat. median $591,650 1.1× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	$222,879.63	$2,119,324.44	$497,539.38	nat. median $249,124 2.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft	20	$187,717.59	$1,784,974.64	$419,046.34	nat. median $198,433 outlier · 2.1×
3 MS_DRG	Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R	20	$169,576.34	$1,612,472.54	$378,549.20	nat. median $190,557 2.0× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	18	$336,571.71	$751,336.84	$346,770.85	nat. median $319,951 1.1× median
J3403 HCPCS	Revakinagene Per Implant	1	$339,788.14	$339,788.14	$339,788.14	nat. median $265,000 1.3× median
24 APR_DRG	Heart Or Lung Transplant	11	$259,921.95	$1,051,407.93	$275,835.54	nat. median $241,915 1.1× median
J3402 HCPCS	Inj Remestemcel L Rknd Td	1	$271,355.46	$271,355.46	$271,355.46	nat. median $209,753 1.3× median
4 MS_DRG	Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R	20	$111,803.02	$1,063,115.87	$249,580.47	nat. median $126,722 2.0× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	20	$103,666.91	$985,751.02	$231,418.05	nat. median $110,192 outlier · 2.1×
7 MS_DRG	Lung Transplant	20	$103,405.79	$983,268.00	$230,835.14	nat. median $117,894 2.0× median
5834 APR_DRG	Neonate W Ecmo	11	$191,333.52	$773,961.51	$203,047.82	nat. median $307,273 0.7× median
5884 APR_DRG	Neonate Bwt 1500g W Major Procedure	11	$187,970.29	$760,356.91	$199,478.67	nat. median $247,214 0.8× median
5883 APR_DRG	Neonate Bwt 1500g W Major Procedure	11	$187,970.29	$760,356.91	$199,478.67	nat. median $175,429 1.1× median
2 MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	$87,198.46	$829,155.29	$194,655.14	nat. median $103,967 1.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	20	$86,196.68	$819,629.52	$192,418.84	nat. median $97,414 2.0× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	20	$84,261.96	$801,232.61	$188,099.93	nat. median $94,964 2.0× median
215 MS_DRG	Other Heart Assist System Implant	20	$83,831.50	$797,139.39	$187,139.00	nat. median $93,917 2.0× median
426 MS_DRG	Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev	20	$82,940.50	$788,667.03	$185,150.00	nat. median $93,270 2.0× median
1614 APR_DRG	Cardiac Defibrillator Heart Assist Implant	11	$171,929.55	$695,470.67	$182,455.85	nat. median $202,993 0.9× median
219 MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc	20	$61,222.58	$618,944.53	$178,957.92	nat. median $72,473 outlier · 2.5×
34 APR_DRG	Bone Marrow Transplant	11	$166,934.98	$675,267.16	$177,155.49	nat. median $241,408 0.7× median
216 MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc	20	$76,363.24	$726,125.05	$170,467.44	nat. median $90,581 1.9× median
974 MS_DRG	Ms-DRG 974	1	$169,597.00	$169,597.00	$169,597.00	nat. median $27,536 outlier · 6.2×
850 MS_DRG	Acute Leukemia With Other Procedures	20	$72,888.66	$693,085.85	$162,711.05	nat. median $78,262 outlier · 2.1×
5914 APR_DRG	Neonate Birthwt 500 749g W O Major Procedure	11	$144,321.22	$583,792.43	$153,157.21	nat. median $162,514 0.9× median
5881 APR_DRG	Neonate Bwt 1500g W Major Procedure	11	$143,799.78	$581,683.19	$152,603.85	nat. median $120,505 1.3× median
5882 APR_DRG	Neonate Bwt 1500g W Major Procedure	11	$143,799.78	$581,683.19	$152,603.85	nat. median $145,061 1.1× median
231 MS_DRG	Coronary Bypass With Ptca With Mcc	20	$67,049.68	$637,564.04	$149,676.56	nat. median $77,043 1.9× median
456 MS_DRG	Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc	20	$67,011.70	$637,202.87	$149,591.78	nat. median $77,696 1.9× median
8414 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	11	$139,582.89	$564,625.47	$148,128.79	nat. median $156,153 0.9× median
429 MS_DRG	Combine Anterior And Posterior Cervical Spinal Fusion With Mcc	20	$65,994.09	$627,526.62	$147,320.15	nat. median $78,037 1.9× median
44 APR_DRG	Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo	11	$134,619.60	$544,548.52	$142,861.62	nat. median $122,016 1.2× median
20 MS_DRG	Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc	20	$63,782.42	$606,496.20	$142,382.98	nat. median $74,460 1.9× median
10 MS_DRG	Pancreas Transplant	20	$63,086.87	$599,882.34	$140,830.28	nat. median $64,903 outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 68,659 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	1	1	—	—	$4,862,951.12	$4,862,951.12	$4,862,951.12	2026-04-01
J3389	HCPCS	Topi Adm Prad Zami Per Treat	1	1	—	—	$4,401,833.32	$4,401,833.32	$4,401,833.32	2026-04-01
J1413	HCPCS	Inj Delandistrogene Mox Rokl	1	1	—	—	$4,376,289.95	$4,376,289.95	$4,376,289.95	2026-04-01
J3394	HCPCS	Inj Lovotibeglogene Autotem	1	1	—	—	$4,286,537.22	$4,286,537.22	$4,286,537.22	2026-04-01
J3387	HCPCS	Inj Elivaldogene Autotemecel	1	1	—	—	$4,077,457.70	$4,077,457.70	$4,077,457.70	2026-04-01
J3393	HCPCS	Inj Betibeglogene Autotemce	1	1	—	—	$3,887,097.17	$3,887,097.17	$3,887,097.17	2026-04-01
J3399	HCPCS	Inj Onase Abepar Xioi Treat	1	1	—	—	$3,239,679.50	$3,239,679.50	$3,239,679.50	2026-04-01
J3392	HCPCS	Inj Exagamglogene Autotem	1	1	—	—	$3,077,226.98	$3,077,226.98	$3,077,226.98	2026-04-01
Q2042	HCPCS	Tisagenlecleucel Car Pos T	3	3	—	—	$780,821.54	$1,349,007.22	$1,349,007.22	2026-04-01
Q2041	HCPCS	Axicabtagene Ciloleucel Car	3	3	—	—	$703,632.19	$1,215,648.97	$1,215,648.97	2026-04-01
Q2057	HCPCS	Afamitresgene Autoleucel	21	18	—	—	$932,143.34	$2,080,845.24	$960,390.11	2026-04-01
Q2056	HCPCS	Ciltacabtagene Car Pos T	1	1	—	—	$746,701.19	$746,701.19	$746,701.19	2026-04-01
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	1	1	—	—	$742,306.04	$742,306.04	$742,306.04	2026-04-01
Q2055	HCPCS	Idecabtagene Vicleucel Car	1	1	—	—	$735,417.58	$735,417.58	$735,417.58	2026-04-01
18	MS_DRG	Chimeric Antigen Receptor Car T Cell And Other Immunotherapies	31	20	—	—	$298,399.35	$2,837,428.58	$666,123.79	2026-04-01
Q2053	HCPCS	Brexucabtagene Car Pos T	1	1	—	—	$645,669.53	$645,669.53	$645,669.53	2026-04-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	31	20	—	—	$222,879.63	$2,119,324.44	$497,539.38	2026-04-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns W Mv 96 Hours W Skin Graft	31	20	—	—	$187,717.59	$1,784,974.64	$419,046.34	2026-04-01
3	MS_DRG	Ecmo Or Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W Maj O R	31	20	—	—	$169,576.34	$1,612,472.54	$378,549.20	2026-04-01
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	21	18	—	—	$336,571.71	$751,336.84	$346,770.85	2026-04-01
J3403	HCPCS	Revakinagene Per Implant	1	1	—	—	$339,788.14	$339,788.14	$339,788.14	2026-04-01
24	APR_DRG	Heart Or Lung Transplant	36	11	—	—	$259,921.95	$1,051,407.93	$275,835.54	2026-04-01
J3402	HCPCS	Inj Remestemcel L Rknd Td	1	1	—	—	$271,355.46	$271,355.46	$271,355.46	2026-04-01
4	MS_DRG	Trach W Mv 96 Hrs Or Pdx Exc Face Mouth Neck W O Maj O R	31	20	—	—	$111,803.02	$1,063,115.87	$249,580.47	2026-04-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	31	20	—	—	$103,666.91	$985,751.02	$231,418.05	2026-04-01
7	MS_DRG	Lung Transplant	31	20	—	—	$103,405.79	$983,268.00	$230,835.14	2026-04-01
5834	APR_DRG	Neonate W Ecmo	36	11	—	—	$191,333.52	$773,961.51	$203,047.82	2026-04-01
5883	APR_DRG	Neonate Bwt 1500g W Major Procedure	36	11	—	—	$187,970.29	$760,356.91	$199,478.67	2026-04-01
5884	APR_DRG	Neonate Bwt 1500g W Major Procedure	36	11	—	—	$187,970.29	$760,356.91	$199,478.67	2026-04-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	31	20	—	—	$87,198.46	$829,155.29	$194,655.14	2026-04-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	31	20	—	—	$86,196.68	$819,629.52	$192,418.84	2026-04-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	31	20	—	—	$84,261.96	$801,232.61	$188,099.93	2026-04-01
215	MS_DRG	Other Heart Assist System Implant	31	20	—	—	$83,831.50	$797,139.39	$187,139.00	2026-04-01
426	MS_DRG	Mult Lvl Comb Ant Pst Spin Fsn Exc Cerv W Mcc Or Cust Anat Des Fus Dev	31	20	—	—	$82,940.50	$788,667.03	$185,150.00	2026-04-01
1614	APR_DRG	Cardiac Defibrillator Heart Assist Implant	36	11	—	—	$171,929.55	$695,470.67	$182,455.85	2026-04-01
219	MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Mcc	32	20	—	—	$61,222.58	$618,944.53	$178,957.92	2026-04-01
34	APR_DRG	Bone Marrow Transplant	36	11	—	—	$166,934.98	$675,267.16	$177,155.49	2026-04-01
216	MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Mcc	31	20	—	—	$76,363.24	$726,125.05	$170,467.44	2026-04-01
974	MS_DRG	Ms-DRG 974	1	1	—	—	$169,597.00	$169,597.00	$169,597.00	2026-04-01
850	MS_DRG	Acute Leukemia With Other Procedures	31	20	—	—	$72,888.66	$693,085.85	$162,711.05	2026-04-01
5914	APR_DRG	Neonate Birthwt 500 749g W O Major Procedure	36	11	—	—	$144,321.22	$583,792.43	$153,157.21	2026-04-01
5882	APR_DRG	Neonate Bwt 1500g W Major Procedure	36	11	—	—	$143,799.78	$581,683.19	$152,603.85	2026-04-01
5881	APR_DRG	Neonate Bwt 1500g W Major Procedure	36	11	—	—	$143,799.78	$581,683.19	$152,603.85	2026-04-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	31	20	—	—	$67,049.68	$637,564.04	$149,676.56	2026-04-01
456	MS_DRG	Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Mcc	31	20	—	—	$67,011.70	$637,202.87	$149,591.78	2026-04-01
8414	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	36	11	—	—	$139,582.89	$564,625.47	$148,128.79	2026-04-01
429	MS_DRG	Combine Anterior And Posterior Cervical Spinal Fusion With Mcc	31	20	—	—	$65,994.09	$627,526.62	$147,320.15	2026-04-01
44	APR_DRG	Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo	36	11	—	—	$134,619.60	$544,548.52	$142,861.62	2026-04-01
20	MS_DRG	Intracranial Vascular Procedures With Pdx Hemorrhage W Mcc	31	20	—	—	$63,782.42	$606,496.20	$142,382.98	2026-04-01
10	MS_DRG	Pancreas Transplant	31	20	—	—	$63,086.87	$599,882.34	$140,830.28	2026-04-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	31	20	—	—	$62,723.67	$596,428.69	$140,019.50	2026-04-01
14	APR_DRG	Liver Transplant Or Intestinal Transplant	36	11	—	—	$130,398.24	$527,472.71	$138,381.80	2026-04-01
233	MS_DRG	Coronary Bypass With Cardiac Cath Or Open Ablation With Mcc	31	20	—	—	$61,846.12	$588,084.24	$138,060.53	2026-04-01
5934	APR_DRG	Neonate Birthwt 750 999g W O Major Procedure	36	11	—	—	$129,880.53	$525,378.54	$137,832.39	2026-04-01
957	MS_DRG	Other O R Procedures For Multiple Significant Trauma With Mcc	31	20	—	—	$59,059.96	$561,591.18	$131,840.93	2026-04-01
6094	APR_DRG	Neonate Bwt 1500 2499g W Major Procedure	36	11	—	—	$118,917.80	$481,033.27	$126,198.48	2026-04-01
427	MS_DRG	Multiple Level Comb Ant Pst Spinal Fusion Except Cervical With Cc	31	20	—	—	$56,171.74	$534,127.48	$125,393.48	2026-04-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	31	20	—	—	$55,916.94	$531,704.66	$124,824.69	2026-04-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv 96 Hours	31	20	—	—	$55,046.51	$523,427.93	$122,881.61	2026-04-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	31	20	—	—	$54,028.90	$513,751.68	$120,609.98	2026-04-01
6024	APR_DRG	Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$112,641.24	$455,644.05	$119,537.64	2026-04-01
23	APR_DRG	Heart Or Lung Transplant	36	11	—	—	$112,247.94	$454,053.08	$119,120.26	2026-04-01
447	MS_DRG	Mult Lvl Spin Fus Exc Cerv W Mcc Or Vust Anatom Des Interbody Fus Dev	31	20	—	—	$53,050.07	$504,444.12	$118,424.91	2026-04-01
928	MS_DRG	Full Thickness Burn W Skin Graft Or Inhalation Injury W Cc Mcc	31	20	—	—	$52,846.71	$502,510.38	$117,970.95	2026-04-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon W Mcc	31	20	—	—	$52,757.30	$501,660.13	$117,771.34	2026-04-01
8413	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	36	11	—	—	$109,075.39	$441,219.86	$115,753.48	2026-04-01
5833	APR_DRG	Neonate W Ecmo	36	11	—	—	$108,699.22	$439,698.20	$115,354.27	2026-04-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support 96 Hours	31	20	—	—	$51,178.65	$486,649.15	$114,247.30	2026-04-01
217	MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W Cardiac Cath W Cc	31	20	—	—	$51,097.16	$485,874.15	$114,065.37	2026-04-01
5832	APR_DRG	Neonate W Ecmo	36	11	—	—	$106,666.38	$431,475.17	$113,196.97	2026-04-01
5831	APR_DRG	Neonate W Ecmo	36	11	—	—	$106,666.38	$431,475.17	$113,196.97	2026-04-01
969	MS_DRG	HIV With Extensive O R Procedures With Mcc	31	20	—	—	$50,040.78	$475,829.21	$111,707.19	2026-04-01
6034	APR_DRG	Neonate Birthwt 1000 1249g W Or W O Other Significant Condition	36	11	—	—	$103,763.49	$419,732.73	$110,116.35	2026-04-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulators	31	20	—	—	$49,012.88	$466,055.14	$109,412.59	2026-04-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	31	20	—	—	$48,949.58	$465,453.20	$109,271.28	2026-04-01
54	APR_DRG	Tracheostomy W Mv 96 Hours W O Extensive Procedure	36	11	—	—	$102,718.39	$415,505.21	$109,007.26	2026-04-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	31	20	—	—	$48,726.43	$463,331.35	$108,773.15	2026-04-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc	31	20	—	—	$48,559.47	$461,743.72	$108,400.43	2026-04-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	31	20	—	—	$48,334.74	$459,606.82	$107,898.76	2026-04-01
5933	APR_DRG	Neonate Birthwt 750 999g W O Major Procedure	36	11	—	—	$101,440.88	$410,337.58	$107,651.54	2026-04-01
28	MS_DRG	Spinal Procedures With Mcc	31	20	—	—	$48,103.68	$457,409.72	$107,382.97	2026-04-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc Mcc	31	20	—	—	$47,758.68	$454,129.13	$106,612.81	2026-04-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc Mcc	31	20	—	—	$47,758.68	$454,129.13	$106,612.81	2026-04-01
266	MS_DRG	Endovascular Cardiac Valve Replacement Supplement Procedure W Mcc	31	20	—	—	$47,401.80	$450,735.67	$105,816.15	2026-04-01
218	MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W Card Cath W O Cc Mcc	31	20	—	—	$47,075.00	$447,628.13	$105,086.61	2026-04-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	31	20	—	—	$46,558.28	$442,714.76	$103,933.14	2026-04-01
820	MS_DRG	Lymphoma And Leukemia With Major O R Procedures With Mcc	31	20	—	—	$46,068.47	$438,057.22	$102,839.72	2026-04-01
22	APR_DRG	Heart Or Lung Transplant	36	11	—	—	$95,688.74	$387,069.65	$101,547.24	2026-04-01
457	MS_DRG	Spinal Fusion Exc Cerv W Spinal Curv Malig Infec Ext Fusion W Cc	31	20	—	—	$45,412.49	$431,819.58	$101,375.35	2026-04-01
23	MS_DRG	Craniot W Maj Dev Impl Acute Cns Pdx W Mcc Or Chemo Epilep W Neuros	31	20	—	—	$45,141.07	$429,238.74	$100,769.46	2026-04-01
653	MS_DRG	Major Bladder Procedures With Mcc	31	20	—	—	$44,108.43	$419,419.53	$98,464.27	2026-04-01
21	MS_DRG	Intracranial Vascular Procedures With Pdx Hemorrhage W Cc	31	20	—	—	$43,737.31	$415,890.63	$97,635.81	2026-04-01
834	MS_DRG	Acute Leukemia With Mcc	31	20	—	—	$43,734.14	$415,860.54	$97,628.74	2026-04-01
6074	APR_DRG	Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$91,962.74	$371,997.62	$97,593.11	2026-04-01
428	MS_DRG	Multiple Level Comb Ant Pst Spinal Fusion Except Cervical W O Cc Mcc	31	20	—	—	$43,562.44	$414,227.76	$97,245.44	2026-04-01
6304	APR_DRG	Neonate Birthwt 2499g W Major Cardiovascular Procedure	36	11	—	—	$91,097.91	$368,499.29	$96,675.33	2026-04-01
430	MS_DRG	Combine Anterior And Posterior Cervical Spinal Fusion Without Mcc	31	20	—	—	$43,284.69	$411,586.73	$96,625.42	2026-04-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	31	20	—	—	$43,052.84	$409,382.11	$96,107.86	2026-04-01
5891	APR_DRG	Neonate Bwt 500g Or Ga 24 Weeks	36	11	—	—	$90,423.02	$365,769.33	$95,959.12	2026-04-01
5892	APR_DRG	Neonate Bwt 500g Or Ga 24 Weeks	36	11	—	—	$90,423.02	$365,769.33	$95,959.12	2026-04-01
405	MS_DRG	Pancreas Liver And Shunt Procedures With Mcc	31	20	—	—	$42,954.71	$408,449.10	$95,888.81	2026-04-01
21	APR_DRG	Heart Or Lung Transplant	36	11	—	—	$90,134.00	$364,600.21	$95,652.40	2026-04-01
463	MS_DRG	Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Mcc	31	20	—	—	$42,735.53	$406,364.87	$95,399.51	2026-04-01
11	MS_DRG	Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Mcc	31	20	—	—	$42,695.18	$405,981.13	$95,309.43	2026-04-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	31	20	—	—	$42,689.63	$405,928.46	$95,297.06	2026-04-01
234	MS_DRG	Coronary Bypass With Cardiac Cath Or Open Ablation Without Mcc	31	20	—	—	$42,096.17	$400,285.24	$93,972.25	2026-04-01
220	MS_DRG	Cardiac Valve Oth Maj Cardiothoracic Proc W O Cardiac Cath W Cc	31	20	—	—	$41,909.41	$398,509.50	$93,555.36	2026-04-01
33	APR_DRG	Bone Marrow Transplant	36	11	—	—	$88,070.62	$356,253.65	$93,462.70	2026-04-01
5913	APR_DRG	Neonate Birthwt 500 749g W O Major Procedure	36	11	—	—	$88,008.79	$356,003.55	$93,397.08	2026-04-01
450	MS_DRG	Sing Lvl Spin Fus Exc Cerv W Mcc Or Cust Anatom Design Inter Fus Dev	31	20	—	—	$40,749.38	$387,478.88	$90,965.79	2026-04-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	31	20	—	—	$40,615.65	$386,207.27	$90,667.26	2026-04-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	31	20	—	—	$40,311.00	$383,310.41	$89,987.18	2026-04-01
326	MS_DRG	Stomach Esophageal And Duodenal Procedures With Mcc	31	20	—	—	$40,187.56	$382,136.62	$89,711.61	2026-04-01
239	MS_DRG	Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Mcc	31	20	—	—	$39,853.63	$378,961.37	$88,966.18	2026-04-01
904	APR_DRG	Major Larynx Trachea Procedures	36	11	—	—	$83,655.58	$338,394.41	$88,777.35	2026-04-01
837	MS_DRG	Chemo W Acute Leukemia As Sdx Or W High Dose Chemo Agent W Mcc	31	20	—	—	$39,618.61	$376,726.65	$88,441.55	2026-04-01
278	MS_DRG	US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W Mcc	31	20	—	—	$39,587.75	$376,433.20	$88,372.66	2026-04-01
853	MS_DRG	Infectious And Parasitic Diseases With O R Procedures With Mcc	31	20	—	—	$39,576.68	$376,327.86	$88,347.93	2026-04-01
6023	APR_DRG	Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$83,146.82	$336,336.40	$88,237.43	2026-04-01
5932	APR_DRG	Neonate Birthwt 750 999g W O Major Procedure	36	11	—	—	$82,997.83	$335,733.76	$88,079.33	2026-04-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	31	20	—	—	$39,429.49	$374,928.34	$88,019.37	2026-04-01
5912	APR_DRG	Neonate Birthwt 500 749g W O Major Procedure	36	11	—	—	$82,102.46	$332,111.89	$87,129.14	2026-04-01
245	MS_DRG	Aicd Generator Procedures	31	20	—	—	$38,666.69	$367,674.92	$86,316.54	2026-04-01
3034	APR_DRG	Dorsal Lumbar Fusion Proc For Curvature Of Back	36	11	—	—	$81,153.45	$328,273.07	$86,122.02	2026-04-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	31	20	—	—	$38,433.26	$365,455.25	$85,795.45	2026-04-01
6	MS_DRG	Liver Transplant Without Mcc	31	20	—	—	$38,369.15	$364,845.78	$85,652.35	2026-04-01
5931	APR_DRG	Neonate Birthwt 750 999g W O Major Procedure	36	11	—	—	$80,470.38	$325,509.97	$85,397.13	2026-04-01
826	MS_DRG	Myeloprolif Disord Or Poorly Diff Neopl W Maj O R Proc W Mcc	31	20	—	—	$37,785.97	$359,300.37	$84,350.51	2026-04-01
799	MS_DRG	Splenic Procedures With Mcc	31	20	—	—	$37,622.18	$357,742.84	$83,984.86	2026-04-01
981	MS_DRG	Extensive O R Procedures Unrelated To Principal Diagnosis W Mcc	31	20	—	—	$37,620.59	$357,727.79	$83,981.33	2026-04-01
J9029	HCPCS	Instill Adstiladrin Tx Dose	1	1	—	—	$83,584.30	$83,584.30	$83,584.30	2026-04-01
6314	APR_DRG	Neonate Birthwt 2499g W Other Major Procedure	36	11	—	—	$78,314.62	$316,789.77	$83,109.40	2026-04-01
267	MS_DRG	Endovascular Cardiac Valve Replace Supplement Procedure W O Mcc	31	20	—	—	$37,225.73	$353,973.17	$83,099.87	2026-04-01
823	MS_DRG	Lymphoma And Non Acute Leukemia With Other Procedures With Mcc	31	20	—	—	$37,026.33	$352,077.05	$82,654.73	2026-04-01
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	31	20	—	—	$36,812.67	$350,045.48	$82,177.79	2026-04-01
4404	APR_DRG	Kidney Transplant	36	11	—	—	$77,351.47	$312,893.70	$82,087.27	2026-04-01
163	MS_DRG	Major Chest Procedures With Mcc	31	20	—	—	$36,470.05	$346,787.46	$81,412.93	2026-04-01
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	31	20	—	—	$36,455.01	$346,644.50	$81,379.36	2026-04-01
221	MS_DRG	Cardiac Valve Oth Maj Cardiothorac Proc W O Card Cath W O Cc Mcc	31	20	—	—	$36,338.69	$345,538.43	$81,119.71	2026-04-01
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	31	20	—	—	$36,333.94	$345,493.28	$81,109.10	2026-04-01
856	MS_DRG	Postoperative Or Post Traumatic Infections W O R Procedures W Mcc	31	20	—	—	$35,697.74	$339,443.75	$79,688.89	2026-04-01
43	APR_DRG	Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo	36	11	—	—	$75,016.20	$303,447.32	$79,609.02	2026-04-01
474	MS_DRG	Amputation For Musculoskeletal Syst Connective Tissue Dis W Mcc	31	20	—	—	$35,484.89	$337,419.71	$79,213.74	2026-04-01
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	31	20	—	—	$35,386.76	$336,486.70	$78,994.68	2026-04-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	36	11	—	—	$74,072.41	$299,629.59	$78,607.45	2026-04-01
901	MS_DRG	Wound Debridements For Injuries With Mcc	31	20	—	—	$35,056.00	$333,341.54	$78,256.32	2026-04-01
1613	APR_DRG	Cardiac Defibrillator Heart Assist Implant	36	11	—	—	$73,295.47	$296,486.83	$77,782.95	2026-04-01
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	31	20	—	—	$34,757.68	$330,504.88	$77,590.38	2026-04-01
933	MS_DRG	Extensive Burns Or Full Thick Burns W Mv 96 Hours W O Skin Graft	31	20	—	—	$34,237.01	$325,553.89	$76,428.08	2026-04-01
458	MS_DRG	Spinal Fus Exc Cerv W Spinal Curv Malig Infec Ext Fusion W O Cc Mcc	31	20	—	—	$34,165.79	$324,876.70	$76,269.09	2026-04-01
3614	APR_DRG	Skin Graft For Skin Subcutaneous Tissue Diagnoses	36	11	—	—	$71,514.41	$289,282.27	$75,892.85	2026-04-01
356	MS_DRG	Other Digestive System O R Procedures With Mcc	31	20	—	—	$33,751.94	$320,941.49	$75,345.24	2026-04-01
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	31	20	—	—	$33,702.89	$320,474.99	$75,235.74	2026-04-01
6022	APR_DRG	Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$70,646.59	$285,771.89	$74,971.89	2026-04-01
140	MS_DRG	Major Head And Neck Procedures With Mcc	31	20	—	—	$33,463.91	$318,202.65	$74,702.27	2026-04-01
1624	APR_DRG	Cardiac Valve Procedures W Ami Or Complex Pdx	36	11	—	—	$69,906.91	$282,779.78	$74,186.92	2026-04-01
31	MS_DRG	Ventricular Shunt Procedures With Mcc	31	20	—	—	$33,157.68	$315,290.74	$74,018.67	2026-04-01
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	31	20	—	—	$33,155.31	$315,268.17	$74,013.36	2026-04-01
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon W O Mcc	31	20	—	—	$32,921.08	$313,040.98	$73,490.50	2026-04-01
53	APR_DRG	Tracheostomy W Mv 96 Hours W O Extensive Procedure	36	11	—	—	$68,774.66	$278,199.72	$72,985.35	2026-04-01
Q2043	HCPCS	Sipuleucel T Auto Cd54	1	1	—	—	$72,935.46	$72,935.46	$72,935.46	2026-04-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	31	20	—	—	$32,536.52	$309,384.17	$72,632.03	2026-04-01
958	MS_DRG	Other O R Procedures For Multiple Significant Trauma With Cc	31	20	—	—	$32,518.31	$309,211.11	$72,591.38	2026-04-01
3044	APR_DRG	Dorsal Lumbar Fusion Proc Except For Curvature Of Back	36	11	—	—	$68,398.48	$276,678.05	$72,586.14	2026-04-01
12	MS_DRG	Tracheostomy For Face Mouth Neck Diagnoses Or Laryngectomy W Cc	31	20	—	—	$32,470.04	$308,752.13	$72,483.62	2026-04-01
6073	APR_DRG	Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$68,151.91	$275,680.68	$72,324.48	2026-04-01
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	31	20	—	—	$32,310.20	$307,232.22	$72,126.82	2026-04-01
423	MS_DRG	Other Hepatobiliary Or Pancreas O R Procedures With Mcc	31	20	—	—	$32,182.80	$306,020.81	$71,842.41	2026-04-01
3124	APR_DRG	Skin Graft Except Hand For Musculoskeletal Connective Tissue Diagnoses	36	11	—	—	$67,058.40	$271,257.30	$71,164.02	2026-04-01
6033	APR_DRG	Neonate Birthwt 1000 1249g W Or W O Other Significant Condition	36	11	—	—	$66,881.11	$270,540.16	$70,975.87	2026-04-01
6814	APR_DRG	Other O R Procedures For Lymphatic Hematopoietic Other Neoplasms	36	11	—	—	$66,826.73	$270,320.20	$70,918.17	2026-04-01
A9543	HCPCS	Y90 Ibritumomab Rx	21	18	—	—	$68,735.08	$153,438.91	$70,817.96	2026-04-01
6804	APR_DRG	Major O R Procedures For Lymphatic Hematopoietic Other Neoplasms	36	11	—	—	$66,641.25	$269,569.91	$70,721.33	2026-04-01
987	MS_DRG	Ms-DRG 987	1	1	—	—	$70,592.00	$70,592.00	$70,592.00	2026-04-01
907	MS_DRG	Other O R Procedures For Injuries With Mcc	31	20	—	—	$31,521.28	$299,730.49	$70,365.69	2026-04-01
739	MS_DRG	Uterine Adnexa Proc For Non Ovarian Non Adnexal Malignancy W Mcc	31	20	—	—	$31,499.13	$299,519.81	$70,316.23	2026-04-01
5911	APR_DRG	Neonate Birthwt 500 749g W O Major Procedure	36	11	—	—	$66,217.40	$267,855.40	$70,271.53	2026-04-01
628	MS_DRG	Other Endocrine Nutritional And Metabolic O R Procedures With Mcc	31	20	—	—	$31,226.92	$296,931.45	$69,708.57	2026-04-01
736	MS_DRG	Uterine Adnexa Procedures For Ovarian Or Adnexal Malignancy W Mcc	31	20	—	—	$31,155.71	$296,254.26	$69,549.61	2026-04-01
402	MS_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Exc Cervical	31	20	—	—	$31,091.60	$295,644.80	$69,406.51	2026-04-01
6904	APR_DRG	Acute Leukemia	36	11	—	—	$65,202.10	$263,748.41	$69,194.07	2026-04-01
81416	CPT	Exome Sequence Analysis	4	2	—	—	$28,080.00	$118,771.02	$69,166.96	2026-04-01
273	MS_DRG	Percutaneous And Other Intracardiac Procedures With Mcc	31	20	—	—	$30,939.68	$294,200.13	$69,067.36	2026-04-01
34	MS_DRG	Carotid Artery Stent Procedures With Mcc	31	20	—	—	$30,769.55	$292,582.41	$68,687.57	2026-04-01
8424	APR_DRG	Burns With Skin Graft Except Extensive 3rd Degree Burns	36	11	—	—	$64,342.48	$260,271.18	$68,281.82	2026-04-01
616	MS_DRG	Amputation Lower Limb For Endocrine Nutrit Metabolic Disord W Mcc	31	20	—	—	$30,582.80	$290,806.67	$68,270.70	2026-04-01
904	MS_DRG	Skin Grafts For Injuries With Cc Mcc	31	20	—	—	$30,551.15	$290,505.70	$68,200.05	2026-04-01
166	MS_DRG	Other Respiratory System O R Procedures With Mcc	31	20	—	—	$30,472.81	$289,760.79	$68,025.17	2026-04-01
956	MS_DRG	Limb Reattachment Hip Femur Proc For Multiple Significant Trauma	31	20	—	—	$30,244.92	$287,593.79	$67,516.43	2026-04-01
24	MS_DRG	Craniotomy W Major Device Implant Or Acute Complex Cns Pdx W O Mcc	31	20	—	—	$30,080.33	$286,028.74	$67,149.02	2026-04-01
6124	APR_DRG	Neonate Bwt 1500 1999g W Resp Dist Synd Oth Maj Resp Cond	36	11	—	—	$63,120.09	$255,326.52	$66,984.59	2026-04-01
40	MS_DRG	Peripheral Cranial Nerve And Other Nervous System Procedures W Mcc	31	20	—	—	$29,846.10	$283,801.55	$66,626.15	2026-04-01
4054	APR_DRG	Other Procedures For Endocrine Nutritional Metabolic Disorders	36	11	—	—	$62,483.20	$252,750.23	$66,308.70	2026-04-01
13	APR_DRG	Liver Transplant Or Intestinal Transplant	36	11	—	—	$62,322.31	$252,099.38	$66,137.96	2026-04-01
622	MS_DRG	Skin Grafts Wound Debride For Endocrine Nutrit Metab Disord W Mcc	31	20	—	—	$29,626.13	$281,709.79	$66,135.09	2026-04-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome Neonate	25	16	—	—	$47,042.55	$475,588.11	$65,574.47	2026-04-01
6114	APR_DRG	Neonate Birthwt 1500 1999g W Major Anomaly	36	11	—	—	$61,184.10	$247,495.21	$64,930.06	2026-04-01
94	MS_DRG	Bacterial And Tuberculous Infections Of Nervous System With Mcc	31	20	—	—	$28,869.65	$274,516.56	$64,446.38	2026-04-01
9504	APR_DRG	Extensive Procedure Unrelated To Principal Diagnosis	36	11	—	—	$60,443.67	$244,500.09	$64,144.30	2026-04-01
335	MS_DRG	Peritoneal Adhesiolysis With Mcc	31	20	—	—	$28,675.78	$272,673.11	$64,013.60	2026-04-01
234	APR_DRG	Spinal Procedures	36	11	—	—	$60,203.80	$243,529.84	$63,889.74	2026-04-01
97	MS_DRG	Non Bacterial Infect Of Nervous Syst Except Viral Meningitis W Mcc	31	20	—	—	$28,366.38	$269,731.11	$63,322.93	2026-04-01
802	MS_DRG	Other O R Procedures Of The Blood And Blood Forming Organs W Mcc	31	20	—	—	$28,364.80	$269,716.06	$63,319.40	2026-04-01
518	MS_DRG	Back Neck Proc Exc Spinal Fusion W Mcc Or Disc Device Neurostim	31	20	—	—	$28,358.47	$269,655.86	$63,305.27	2026-04-01
265	MS_DRG	Aicd Lead Procedures	31	20	—	—	$28,224.74	$268,384.26	$63,006.75	2026-04-01
492	MS_DRG	Lower Extremity Humerus Procedures Exc Hip Foot And Femur W Mcc	31	20	—	—	$28,098.92	$267,187.89	$62,725.88	2026-04-01
22	MS_DRG	Intracranial Vascular Procedures With Pdx Hemorrhage W O Cc Mcc	31	20	—	—	$27,935.92	$265,637.89	$62,362.00	2026-04-01
420	MS_DRG	Hepatobiliary Diagnostic Procedures With Mcc	31	20	—	—	$27,926.42	$265,547.60	$62,340.81	2026-04-01
495	MS_DRG	Local Excision Removal Inter Fixation Dev Exc Hip Femur W Mcc	31	20	—	—	$27,856.00	$264,877.93	$62,183.59	2026-04-01
988	MS_DRG	Ms-DRG 988	2	1	—	—	$59,069.49	$64,925.78	$61,997.63	2026-04-01
414	MS_DRG	Cholecystectomy Except By Laparoscope Without C D E With Mcc	31	20	—	—	$27,723.85	$263,621.37	$61,888.60	2026-04-01
408	MS_DRG	Biliary Tract Proc Except Only Cholecystect W Or W O C D E W Mcc	31	20	—	—	$27,704.07	$263,433.27	$61,844.44	2026-04-01
264	MS_DRG	Other Circulatory System O R Procedures	31	20	—	—	$27,655.01	$262,966.76	$61,734.91	2026-04-01
32	APR_DRG	Bone Marrow Transplant	36	11	—	—	$57,808.94	$233,842.40	$61,348.26	2026-04-01
651	MS_DRG	Kidney Transplant With Hemodialysis Without Mcc	31	20	—	—	$27,475.38	$261,258.74	$61,333.93	2026-04-01
332	MS_DRG	Rectal Resection With Mcc	31	20	—	—	$27,446.11	$260,980.35	$61,268.58	2026-04-01
574	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Cc	31	20	—	—	$27,416.04	$260,694.42	$61,201.46	2026-04-01
271	MS_DRG	Other Major Cardiovascular Procedures With Cc	31	20	—	—	$27,255.40	$259,166.99	$60,842.87	2026-04-01
477	MS_DRG	Biopsies Of Musculoskeletal System And Connective Tissue With Mcc	31	20	—	—	$27,211.09	$258,745.63	$60,743.95	2026-04-01
665	MS_DRG	Prostatectomy With Mcc	31	20	—	—	$27,168.36	$258,339.32	$60,648.57	2026-04-01
252	MS_DRG	Other Vascular Procedures With Mcc	31	20	—	—	$27,143.04	$258,098.54	$60,592.03	2026-04-01
467	MS_DRG	Revision Of Hip Or Knee Replacement With Cc	31	20	—	—	$27,101.10	$257,699.75	$60,498.42	2026-04-01
64	APR_DRG	Pancreas Transplant	36	11	—	—	$56,902.40	$230,175.33	$60,386.21	2026-04-01
4474	APR_DRG	Other Kidney Urinary Tract Related Procedures	36	11	—	—	$56,840.57	$229,925.24	$60,320.60	2026-04-01
8504	APR_DRG	Procedure W Diag Of Rehab Aftercare Or Oth Contact W Health Service	36	11	—	—	$56,811.51	$229,807.72	$60,289.77	2026-04-01
260	MS_DRG	Cardiac Pacemaker Revision Except Device Replacement With Mcc	31	20	—	—	$26,957.88	$256,337.85	$60,178.70	2026-04-01
242	MS_DRG	Permanent Cardiac Pacemaker Implant With Mcc	31	20	—	—	$26,840.76	$255,224.26	$59,917.25	2026-04-01
9124	APR_DRG	Musculoskeletal Other Procedures For Multiple Significant Trauma	36	11	—	—	$56,438.32	$228,298.11	$59,893.72	2026-04-01
J9226	HCPCS	Supprelin La Implant	1	1	—	—	$59,407.70	$59,407.70	$59,407.70	2026-04-01
5124	APR_DRG	Uterine Adnexa Procedures For Non Ovarian Non Adnexal Malig	36	11	—	—	$55,893.05	$226,092.45	$59,315.07	2026-04-01
29	MS_DRG	Spinal Procedures With Cc Or Spinal Neurostimulators	31	20	—	—	$26,559.86	$252,553.13	$59,290.19	2026-04-01
6072	APR_DRG	Neonate Bwt 1250 1499g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$55,706.83	$225,339.15	$59,117.45	2026-04-01
2604	APR_DRG	Major Pancreas Liver Shunt Procedures	36	11	—	—	$55,320.22	$223,775.30	$58,707.17	2026-04-01
37	MS_DRG	Extracranial Procedures With Mcc	31	20	—	—	$26,276.57	$249,859.43	$58,657.80	2026-04-01
6954	APR_DRG	Chemotherapy For Acute Leukemia	34	11	—	—	$55,024.49	$126,331.74	$58,393.33	2026-04-01
143	MS_DRG	Other Ear Nose Mouth And Throat O R Procedures With Mcc	31	20	—	—	$26,126.22	$248,429.81	$58,322.17	2026-04-01
876	MS_DRG	O R Procedures With Principal Diagnosis Of Mental Illness	30	19	—	—	$31,093.19	$295,659.84	$58,260.46	2026-04-01
924	APR_DRG	Facial Bone Procedures Except Major Cranial Facial Bone Procedures	36	11	—	—	$54,775.70	$221,572.65	$58,129.32	2026-04-01
63	APR_DRG	Pancreas Transplant	36	11	—	—	$54,483.69	$220,391.47	$57,819.43	2026-04-01
469	MS_DRG	Maj Hip Knee Jnt Replace Reattach Low Extrem W Mcc Or Tot Ank Repl	31	20	—	—	$25,863.51	$245,931.75	$57,735.72	2026-04-01
6093	APR_DRG	Neonate Bwt 1500 2499g W Major Procedure	36	11	—	—	$54,252.03	$219,454.37	$57,573.58	2026-04-01
579	MS_DRG	Other Skin Subcutaneous Tissue And Breast Procedures With Mcc	31	20	—	—	$25,789.13	$245,224.46	$57,569.68	2026-04-01
656	MS_DRG	Kidney And Ureter Procedures For Neoplasm With Mcc	31	20	—	—	$25,778.06	$245,119.12	$57,544.95	2026-04-01
214	APR_DRG	Craniotomy Except For Trauma	36	11	—	—	$53,941.41	$218,197.86	$57,243.94	2026-04-01
485	MS_DRG	Knee Procedures With Principal Diagnosis Of Infection With Mcc	31	20	—	—	$25,508.22	$242,553.33	$56,942.59	2026-04-01
41	APR_DRG	Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo	36	11	—	—	$53,548.09	$216,606.90	$56,826.55	2026-04-01
42	APR_DRG	Tracheostomy W Mv 96 Hours W Extensive Procedure Or Ecmo	36	11	—	—	$53,548.09	$216,606.90	$56,826.55	2026-04-01
1694	APR_DRG	Major Abdominal Vascular Procedures	36	11	—	—	$53,505.64	$216,435.14	$56,781.49	2026-04-01
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	36	11	—	—	$53,502.66	$216,423.09	$56,778.33	2026-04-01
6084	APR_DRG	Neonate Bwt 1250 1499g W Or W O Other Significant Condition	36	11	—	—	$53,501.91	$216,420.08	$56,777.54	2026-04-01
279	MS_DRG	US Accelerated Other Thrombolysis Of Peripheral Vasc Structures W O Mcc	31	20	—	—	$25,354.71	$241,093.62	$56,599.91	2026-04-01
324	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc	31	20	—	—	$25,281.91	$240,401.39	$56,437.39	2026-04-01
840	MS_DRG	Lymphoma And Non Acute Leukemia With Mcc	31	20	—	—	$25,237.59	$239,980.02	$56,338.47	2026-04-01
929	MS_DRG	Full Thickness Burn W Skin Graft Or Inhalation Injury W O Cc Mcc	31	20	—	—	$25,164.80	$239,287.79	$56,175.97	2026-04-01
64654	CPT	1st Opn Implt Bat Modulj Sys	27	19	—	—	$13,375.00	$147,902.95	$56,082.16	2026-04-01
939	MS_DRG	O R Procedure W Diagnoses Of Other Contact W Health Services W Mcc	31	20	—	—	$25,114.15	$238,806.23	$56,062.90	2026-04-01
2204	APR_DRG	Major Stomach Esophageal Duodenal Procedures	36	11	—	—	$52,796.49	$213,566.58	$56,028.93	2026-04-01
8412	APR_DRG	Extensive 3rd Degree Burns W Skin Graft	36	11	—	—	$52,753.28	$213,391.81	$55,983.07	2026-04-01
500	MS_DRG	Soft Tissue Procedures With Mcc	31	20	—	—	$25,072.22	$238,407.45	$55,969.29	2026-04-01
1654	APR_DRG	Coronary Bypass W Ami Or Complex Pdx	36	11	—	—	$52,713.81	$213,232.11	$55,941.18	2026-04-01
3214	APR_DRG	Cervical Spinal Fusion Other Back Neck Proc Exc Disc Excis Decomp	36	11	—	—	$52,621.43	$212,858.47	$55,843.15	2026-04-01
1634	APR_DRG	Cardiac Valve Procedures W O Ami Or Complex Pdx	36	11	—	—	$52,493.31	$212,340.20	$55,707.18	2026-04-01
3033	APR_DRG	Dorsal Lumbar Fusion Proc For Curvature Of Back	36	11	—	—	$52,053.82	$210,562.42	$55,240.79	2026-04-01
4014	APR_DRG	Pituitary Adrenal Procedures	36	11	—	—	$52,051.58	$210,553.38	$55,238.42	2026-04-01
274	MS_DRG	Percutaneous And Other Intracardiac Procedures Without Mcc	31	20	—	—	$24,694.77	$234,818.35	$55,126.70	2026-04-01
662	MS_DRG	Minor Bladder Procedures With Mcc	31	20	—	—	$24,683.69	$234,713.01	$55,101.97	2026-04-01
0620T	OTHER	Evasc Ven Artlz Tibl Prnl Vn	34	19	—	—	$12,590.00	$121,511.35	$54,982.51	2026-04-01
33276	CPT	Insj Phrnc Nrv Stim Sys	36	21	—	—	$3,485.00	$147,902.95	$54,982.51	2026-04-01
64568	CPT	Opn Impltj Crnl Nrv Nea Pg	35	20	—	—	$3,485.00	$147,902.95	$54,982.51	2026-04-01
229	MS_DRG	Other Cardiothoracic Procedures Without Mcc	31	20	—	—	$24,578.45	$233,712.28	$54,867.05	2026-04-01
515	MS_DRG	Other Musculoskeletal System Connective Tissue O R Proc W Mcc	31	20	—	—	$24,468.45	$232,666.40	$54,621.50	2026-04-01
6032	APR_DRG	Neonate Birthwt 1000 1249g W Or W O Other Significant Condition	36	11	—	—	$51,387.13	$207,865.60	$54,533.29	2026-04-01
451	MS_DRG	Single Level Spinal Fusion Except Cervical Without Mcc	31	20	—	—	$24,417.82	$232,184.85	$54,508.46	2026-04-01
829	MS_DRG	Myeloprolif Disord Or Poorly Diff Neopl W Oth Proc W Cc Mcc	31	20	—	—	$24,400.41	$232,019.31	$54,469.60	2026-04-01
652	MS_DRG	Kidney Transplant	31	20	—	—	$24,302.28	$231,086.30	$54,250.55	2026-04-01
173	MS_DRG	Ultrasound Accelerated And Oth Thrombolysis With Pdx Pulmonary Embolism	31	20	—	—	$24,280.13	$230,875.62	$54,201.09	2026-04-01
3104	APR_DRG	Intervertebral Disc Excision Decompression	36	11	—	—	$50,967.75	$206,169.17	$54,088.23	2026-04-01
26	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Cc	31	20	—	—	$24,201.00	$230,123.19	$54,024.44	2026-04-01
6083	APR_DRG	Neonate Bwt 1250 1499g W Or W O Other Significant Condition	36	11	—	—	$50,829.20	$205,608.72	$53,941.19	2026-04-01
894	APR_DRG	Major Cranial Facial Bone Procedures	36	11	—	—	$50,791.95	$205,458.06	$53,901.66	2026-04-01
244	APR_DRG	Extracranial Vascular Procedures	36	11	—	—	$50,605.73	$204,704.76	$53,704.04	2026-04-01
6214	APR_DRG	Neonate Bwt 2000 2499g W Major Anomaly	36	11	—	—	$50,594.56	$204,659.56	$53,692.18	2026-04-01
4414	APR_DRG	Major Bladder Procedures	36	11	—	—	$50,380.03	$203,791.76	$53,464.52	2026-04-01
570	MS_DRG	Skin Debridement With Mcc	31	20	—	—	$23,821.18	$226,511.53	$53,176.58	2026-04-01
204	APR_DRG	Craniotomy For Trauma	36	11	—	—	$49,834.01	$201,583.08	$52,885.07	2026-04-01
1674	APR_DRG	Other Cardiothoracic Thoracic Vascular Procedures	36	11	—	—	$49,396.01	$199,811.32	$52,420.25	2026-04-01
31	APR_DRG	Bone Marrow Transplant	36	11	—	—	$49,354.29	$199,642.58	$52,375.99	2026-04-01
1814	APR_DRG	Lower Extremity Arterial Procedures	34	11	—	—	$49,286.50	$113,157.79	$52,304.04	2026-04-01
7914	APR_DRG	O R Procedure For Other Complications Of Treatment	36	11	—	—	$49,243.30	$199,193.61	$52,258.20	2026-04-01
2214	APR_DRG	Major Small Large Bowel Procedures	36	11	—	—	$49,225.42	$199,121.30	$52,239.22	2026-04-01
464	MS_DRG	Wnd Debride Skn Grft Exc Hand For Musculoskel Conn Tis Dis W Cc	31	20	—	—	$23,332.16	$221,861.51	$52,084.93	2026-04-01
4034	APR_DRG	Procedures For Obesity	36	11	—	—	$48,990.03	$198,169.12	$51,989.42	2026-04-01
480	MS_DRG	Hip And Femur Procedures Except Major Joint With Mcc	31	20	—	—	$23,272.02	$221,289.66	$51,950.67	2026-04-01
353	MS_DRG	Hernia Procedures Except Inguinal And Femoral With Mcc	31	20	—	—	$23,207.13	$220,672.67	$51,805.83	2026-04-01
668	MS_DRG	Transurethral Procedures With Mcc	31	20	—	—	$23,074.99	$219,416.11	$51,510.83	2026-04-01
521	MS_DRG	Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc	31	20	—	—	$23,063.12	$219,303.25	$51,484.34	2026-04-01
800	MS_DRG	Splenic Procedures With Cc	31	20	—	—	$23,055.20	$219,228.00	$51,466.66	2026-04-01
240	MS_DRG	Amputation For Circulatory Sys Disorders Exc Upper Limb Toe W Cc	31	20	—	—	$23,042.55	$219,107.62	$51,438.41	2026-04-01
6021	APR_DRG	Neonate Bwt 1000 1249g W Resp Dist Synd Oth Maj Resp Or Maj Anom	36	11	—	—	$48,364.31	$195,638.04	$51,325.40	2026-04-01
9114	APR_DRG	Extensive Abdominal Thoracic Procedures For Mult Significant Trauma	36	11	—	—	$48,346.44	$195,565.72	$51,306.43	2026-04-01

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