Price Transparencybeta 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

PLAINVIEW HOSPITAL

Plainview, NY · CCN 330331 · Rates published

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You selected 29806 (CPT)

Sho arthrs srg capsulorraphy

This hospital’s price: $7,484 across 17 payers · range $3,732-$15,974

Source: https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/Plainview_Hospital_StandardCharges.zip · observed 2026-03-31

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.

59,697 distinct procedures filed
17 distinct payers
3,378,751 rate rows
2026-03-31 last MRF observed
Data quality

3,371,567 of 3,378,751 rate rows are consumer-grade (99.8%)

7,184 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
placeholder amount (≤ $0.02) — excluded from medians 7,183
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/Plainview_Hospital_StandardCharges.zip
Found on page https://www.northwell.edu/billing-and-insurance/price-estimator-tools
Discovered viaDiscovered by HANK
Last fetch success · 2026-11-02
Content fingerprint d94584f70b3f2c92… · 30,899,459 bytes · first seen 2026-11-02

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 $350,212.29 $1,332,054.00 $939,501.00 nat. median
$360,195
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $261,579.22 $994,933.00 $701,729.00 nat. median
$247,805
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $220,296.99 $837,913.00 $590,982.00 nat. median
$197,664
outlier · 3.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $199,020.22 $818,592.00 $524,080.00 nat. median
$190,274
outlier · 2.8×
64401664
CDM 		Antithymocy Glo Eq 50mg/ml Inj 15 $162,041.40 $810,207.00 $384,848.32 nat. median
$384,848
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $121,667.22 $462,769.00 $326,392.00 nat. median
$109,875
outlier · 3.0×
7
MS_DRG 		Lung Transplant 14 $121,360.77 $461,603.00 $325,570.00 nat. median
$117,943
outlier · 2.8×
24
APR_DRG 		Heart &/or Lung Transplant 7 $284,808.44 $783,857.93 $325,366.53 nat. median
$243,231
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $131,215.39 $577,991.00 $310,406.00 nat. median
$126,240
outlier · 2.5×
215
MS_DRG 		Other Heart Assist System Implant 14 $98,386.46 $374,219.00 $289,192.50 nat. median
$93,531
outlier · 3.1×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $102,332.21 $389,227.00 $274,523.00 nat. median
$103,911
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $101,164.00 $384,783.00 $271,389.00 nat. median
$97,029
outlier · 2.8×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $98,893.50 $376,147.00 $265,298.00 nat. median
$94,844
outlier · 2.8×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $89,622.99 $340,887.00 $264,112.00 nat. median
$90,525
outlier · 2.9×
5834
APR_DRG 		Neonate W Ecmo 7 $209,812.72 $577,919.68 $246,903.83 nat. median
$309,665
0.8× median
64304785
CDM 		Pomalidomide 1mg Cap 15 $103,224.39 $516,121.97 $245,157.93 nat. median
$245,158
1.0× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $206,135.30 $567,821.50 $242,588.74 nat. median
$249,123
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $206,135.30 $567,821.50 $242,588.74 nat. median
$177,531
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $78,647.51 $299,141.00 $231,191.50 nat. median
$77,595
outlier · 3.0×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $78,691.16 $299,307.00 $228,289.00 nat. median
$76,979
outlier · 3.0×
64323991
CDM 		Teplizum Mzwv 1mg/ml2ml Inj Jw 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
64323983
CDM 		Teplizum Mzwv 1mg/ml2ml Inj 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $74,857.77 $284,726.00 $220,055.50 nat. median
$74,260
outlier · 3.0×
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $188,596.09 $519,658.82 $215,696.39 nat. median
$202,660
1.1× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $71,852.73 $273,296.00 $211,225.50 nat. median
$72,153
outlier · 2.9×
34
APR_DRG 		Bone Marrow Transplant 7 $183,134.94 $547,174.36 $209,471.35 nat. median
$241,408
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $69,314.78 $263,643.00 $203,768.00 nat. median
$67,850
outlier · 3.0×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $72,585.41 $276,083.00 $201,417.50 nat. median
$71,672
outlier · 2.8×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $65,626.27 $274,538.00 $192,930.00 nat. median
$66,553
outlier · 2.9×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $158,408.68 $436,764.19 $186,586.33 nat. median
$165,334
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $157,838.54 $435,198.58 $185,917.32 nat. median
$145,336
1.3× median
64300452
CDM 		Isoproterenol 0.2mg/ml 1ml Inj 15 $77,265.90 $386,329.50 $183,506.51 nat. median
$183,507
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $153,227.72 $422,537.26 $175,380.82 nat. median
$160,390
1.1× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $59,969.98 $228,099.00 $175,315.00 nat. median
$61,992
outlier · 2.8×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $147,800.77 $407,634.88 $174,139.01 nat. median
$122,016
1.4× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $63,409.62 $241,182.00 $170,107.00 nat. median
$61,601
outlier · 2.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $57,523.04 $218,792.00 $169,119.00 nat. median
$56,565
outlier · 3.0×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $142,618.99 $393,405.71 $168,058.71 nat. median
$152,569
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $64,600.13 $245,711.00 $166,824.00 nat. median
$62,605
outlier · 2.7×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $62,022.25 $235,905.00 $166,385.00 nat. median
$61,444
outlier · 2.7×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $61,917.32 $235,506.00 $166,103.00 nat. median
$63,874
outlier · 2.6×
28
MS_DRG 		Spinal Procedures With Mcc 14 $56,456.05 $214,734.00 $165,984.00 nat. median
$54,301
outlier · 3.1×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 7 $143,185.06 $450,325.84 $163,933.45 nat. median
$137,215
1.2× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $55,632.36 $256,878.00 $163,563.50 nat. median
$58,153
outlier · 2.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $60,056.34 $228,428.00 $161,111.00 nat. median
$59,289
outlier · 2.7×
64496193
CDM 		Sipuleucel T 250ml Inj 15 $66,921.12 $334,605.60 $158,937.66 nat. median
$158,938
1.0× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $56,727.21 $215,765.00 $157,747.00 nat. median
$57,665
outlier · 2.7×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $52,979.26 $201,510.00 $157,137.00 nat. median
$53,315
outlier · 2.9×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $54,642.43 $207,836.00 $157,130.00 nat. median
$55,354
outlier · 2.8×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $53,297.77 $214,008.00 $156,703.50 nat. median
$55,148
outlier · 2.8×

Other procedures at this hospital

Browse this hospital's 59,697 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 46 14 — $1,287,608.00 $350,212.29 $1,332,054.00 $939,501.00 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 46 14 — $933,786.00 $261,579.22 $994,933.00 $701,729.00 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 14 — $786,452.00 $220,296.99 $837,913.00 $590,982.00 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 14 — $897,416.00 $199,020.22 $818,592.00 $524,080.00 2026-03-31
64401664 CDM Antithymocy Glo Eq 50mg/ml Inj 68 15 — $384,848.32 $162,041.40 $810,207.00 $384,848.32 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 46 14 — $447,475.00 $121,667.22 $462,769.00 $326,392.00 2026-03-31
7 MS_DRG Lung Transplant 46 14 — $433,354.00 $121,360.77 $461,603.00 $325,570.00 2026-03-31
24 APR_DRG Heart &/or Lung Transplant 24 7 — $1,971,100.00 $284,808.44 $783,857.93 $325,366.53 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 14 — $591,749.00 $131,215.39 $577,991.00 $310,406.00 2026-03-31
215 MS_DRG Other Heart Assist System Implant 46 14 — $351,360.00 $98,386.46 $374,219.00 $289,192.50 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 14 — $365,443.00 $102,332.21 $389,227.00 $274,523.00 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 14 — $361,273.00 $101,164.00 $384,783.00 $271,389.00 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 14 — $353,170.00 $98,893.50 $376,147.00 $265,298.00 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $350,238.00 $89,622.99 $340,887.00 $264,112.00 2026-03-31
5834 APR_DRG Neonate W Ecmo 24 7 — $1,776,012.00 $209,812.72 $577,919.68 $246,903.83 2026-03-31
64304785 CDM Pomalidomide 1mg Cap 68 15 — $268,766.64 $103,224.39 $516,121.97 $245,157.93 2026-03-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,784,497.00 $206,135.30 $567,821.50 $242,588.74 2026-03-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,667,808.00 $206,135.30 $567,821.50 $242,588.74 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $280,913.00 $78,647.51 $299,141.00 $231,191.50 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 14 — $281,069.00 $78,691.16 $299,307.00 $228,289.00 2026-03-31
64323991 CDM Teplizum Mzwv 1mg/ml2ml Inj Jw 68 15 — $221,944.00 $93,450.10 $467,250.52 $221,944.00 2026-03-31
64323983 CDM Teplizum Mzwv 1mg/ml2ml Inj 68 15 — $221,944.00 $93,450.10 $467,250.52 $221,944.00 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 14 — $267,388.00 $74,857.77 $284,726.00 $220,055.50 2026-03-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $68,216.00 $188,596.09 $519,658.82 $215,696.39 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $256,663.00 $71,852.73 $273,296.00 $211,225.50 2026-03-31
34 APR_DRG Bone Marrow Transplant 24 7 — $795,388.00 $183,134.94 $547,174.36 $209,471.35 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 14 — $247,605.00 $69,314.78 $263,643.00 $203,768.00 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 14 — $276,384.00 $72,585.41 $276,083.00 $201,417.50 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 14 — $234,441.00 $65,626.27 $274,538.00 $192,930.00 2026-03-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,066,070.00 $158,408.68 $436,764.19 $186,586.33 2026-03-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,223,568.00 $157,838.54 $435,198.58 $185,917.32 2026-03-31
64300452 CDM Isoproterenol 0.2mg/ml 1ml Inj 68 15 — $201,178.19 $77,265.90 $386,329.50 $183,506.51 2026-03-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 7 — $1,455,120.00 $153,227.72 $422,537.26 $175,380.82 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $214,254.00 $59,969.98 $228,099.00 $175,315.00 2026-03-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $1,156,763.00 $147,800.77 $407,634.88 $174,139.01 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 14 — $226,530.00 $63,409.62 $241,182.00 $170,107.00 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 14 — $205,521.00 $57,523.04 $218,792.00 $169,119.00 2026-03-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,416,264.00 $142,618.99 $393,405.71 $168,058.71 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 14 — $237,696.00 $64,600.13 $245,711.00 $166,824.00 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 46 14 — $221,579.00 $62,022.25 $235,905.00 $166,385.00 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 14 — $221,204.00 $61,917.32 $235,506.00 $166,103.00 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 46 14 — $201,713.00 $56,456.05 $214,734.00 $165,984.00 2026-03-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $1,020,198.00 $143,185.06 $450,325.84 $163,933.45 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 14 — $198,774.00 $55,632.36 $256,878.00 $163,563.50 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 14 — $220,993.00 $60,056.34 $228,428.00 $161,111.00 2026-03-31
64496193 CDM Sipuleucel T 250ml Inj 68 15 — $174,243.36 $66,921.12 $334,605.60 $158,937.66 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 14 — $202,681.00 $56,727.21 $215,765.00 $157,747.00 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — $189,305.00 $52,979.26 $201,510.00 $157,137.00 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 14 — $195,241.00 $54,642.43 $207,836.00 $157,130.00 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $190,442.00 $53,297.77 $214,008.00 $156,703.50 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 14 — $203,609.00 $56,987.23 $216,754.00 $155,123.50 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 14 — $209,827.00 $58,729.33 $223,381.00 $154,429.00 2026-03-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 7 — $1,648,397.00 $130,632.16 $360,489.86 $153,993.36 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 14 — $204,322.00 $57,186.88 $217,514.00 $153,413.00 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 14 — $183,412.00 $51,328.15 $205,200.00 $150,916.00 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 46 14 — $206,270.00 $56,051.17 $213,194.00 $150,366.00 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 46 14 — $206,270.00 $56,051.17 $213,194.00 $150,366.00 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $197,398.00 $55,246.97 $210,135.00 $148,209.00 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 14 — $180,144.00 $50,412.53 $191,747.00 $146,908.00 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 14 — $204,477.00 $43,198.93 $191,474.00 $146,353.00 2026-03-31
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $677,508.00 $123,769.27 $341,644.37 $145,940.45 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 14 — $193,189.00 $54,067.61 $205,649.00 $145,045.00 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $175,770.00 $49,186.74 $187,085.00 $144,623.50 2026-03-31
23 APR_DRG Heart &/or Lung Transplant 24 7 — $1,450,340.00 $123,339.22 $357,789.96 $141,311.65 2026-03-31
5833 APR_DRG Neonate W Ecmo 24 7 — $1,740,359.00 $119,459.00 $329,808.35 $140,882.77 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 14 — $170,344.00 $47,666.57 $181,303.00 $139,423.00 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 14 — $169,071.00 $47,309.97 $179,946.00 $139,109.00 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 46 14 — $184,980.00 $51,767.40 $196,900.00 $138,874.00 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 46 14 — $188,908.00 $51,328.15 $233,393.00 $137,696.00 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 14 — $176,548.00 $49,404.97 $187,915.00 $136,253.00 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 14 — $165,383.00 $46,276.41 $176,015.00 $136,072.00 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 14 — $179,037.00 $50,102.37 $190,567.00 $135,458.00 2026-03-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 7 — $1,212,463.00 $114,062.19 $314,988.73 $134,550.15 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — $179,226.00 $50,155.29 $190,769.00 $134,550.00 2026-03-31
245 MS_DRG Aicd Generator Procedures 46 14 — $162,185.00 $45,380.28 $227,345.00 $133,732.00 2026-03-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 7 — $1,002,917.00 $112,919.46 $311,850.80 $133,209.29 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 46 14 — $161,207.00 $45,106.34 $171,565.00 $132,633.50 2026-03-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,330,301.00 $111,522.61 $308,015.04 $131,570.21 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 14 — $158,496.00 $44,346.71 $168,675.00 $130,401.50 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 14 — $173,310.00 $46,443.56 $176,651.00 $129,511.00 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 14 — $156,149.00 $43,689.24 $210,130.00 $128,469.50 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 14 — $179,057.00 $50,107.94 $190,589.00 $127,629.50 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 14 — $168,554.00 $47,165.10 $179,395.00 $126,528.00 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $152,434.00 $42,648.25 $162,215.00 $125,410.50 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 14 — $171,153.00 $46,498.35 $176,859.00 $124,739.00 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 14 — $166,046.00 $46,462.13 $176,722.00 $124,642.00 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 14 — $167,159.00 $46,774.15 $177,908.00 $123,171.50 2026-03-31
64304793 CDM Pomalidomide 2mg Cap 68 15 — $134,383.32 $51,612.20 $258,060.98 $122,578.97 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 46 14 — $149,750.00 $41,896.06 $159,354.00 $121,239.00 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 46 14 — $160,938.00 $45,031.11 $171,279.00 $120,803.00 2026-03-31
22 APR_DRG Heart &/or Lung Transplant 24 7 — $1,026,264.00 $105,233.13 $290,744.12 $120,672.94 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 14 — $174,726.00 $42,641.75 $162,190.00 $119,926.50 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 46 14 — $157,810.00 $44,154.49 $167,944.00 $118,452.00 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 14 — $158,860.00 $41,531.11 $157,966.00 $118,337.00 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $143,333.00 $40,098.23 $189,132.00 $117,917.50 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 14 — $157,780.00 $44,146.13 $167,913.00 $117,650.50 2026-03-31
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $1,353,314.00 $101,159.05 $279,556.71 $116,029.00 2026-03-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 7 — $1,028,782.00 $100,213.43 $276,960.04 $114,951.10 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 46 14 — $152,984.00 $42,802.41 $162,802.00 $114,824.00 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 14 — $152,921.00 $42,784.76 $162,734.00 $114,777.00 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 14 — $155,314.00 $43,455.23 $165,285.00 $114,622.50 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 14 — $141,600.00 $39,612.56 $150,669.00 $114,390.00 2026-03-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $1,340,299.00 $99,475.50 $274,933.69 $114,109.96 2026-03-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $208,616.00 $99,475.50 $274,933.69 $114,109.96 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 14 — $138,120.00 $38,637.50 $146,960.00 $113,625.50 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 46 14 — $148,858.00 $41,646.26 $158,404.00 $112,504.00 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 14 — $136,231.00 $38,108.18 $144,947.00 $112,070.00 2026-03-31
33 APR_DRG Bone Marrow Transplant 24 7 — $656,659.00 $96,903.35 $271,722.97 $111,178.02 2026-03-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $1,783,133.00 $96,835.74 $267,684.91 $111,100.96 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 46 14 — $147,062.00 $41,142.94 $156,490.00 $110,373.00 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 14 — $145,812.00 $40,792.85 $155,158.00 $109,433.00 2026-03-31
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $1,025,038.00 $91,519.57 $253,086.71 $108,098.65 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 14 — $147,930.00 $40,180.88 $152,830.00 $107,792.00 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 14 — $129,821.00 $36,312.21 $138,116.00 $106,792.50 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 46 14 — $129,105.00 $36,111.63 $137,353.00 $106,203.50 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 14 — $141,391.00 $39,554.06 $150,446.00 $106,110.00 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 46 14 — $140,390.00 $39,273.61 $149,380.00 $105,358.00 2026-03-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $836,273.00 $91,356.68 $252,639.38 $104,855.51 2026-03-31
904 APR_DRG Major Larynx & Trachea Procedures 24 7 — $1,007,799.00 $83,386.63 $254,614.30 $104,754.54 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 46 14 — $139,111.00 $38,915.16 $148,016.00 $104,396.00 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 14 — $126,908.00 $35,495.94 $135,011.00 $104,394.50 2026-03-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,234,416.00 $90,377.66 $249,951.01 $103,739.54 2026-03-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 7 — $957,481.00 $89,340.00 $247,101.59 $102,556.75 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 14 — $136,509.00 $38,186.18 $145,243.00 $102,441.00 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 46 14 — $136,433.00 $38,164.82 $145,162.00 $102,383.00 2026-03-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 24 7 — $1,366,874.00 $86,235.98 $238,577.96 $101,898.88 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 46 14 — $135,028.00 $37,771.09 $143,665.00 $101,327.00 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 14 — $132,254.00 $36,993.82 $140,708.00 $99,242.00 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 46 14 — $132,161.00 $36,967.83 $140,609.00 $99,172.00 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 46 14 — $130,726.00 $36,565.73 $139,080.00 $98,093.00 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 14 — $130,461.00 $36,491.43 $138,797.00 $97,894.00 2026-03-31
4404 APR_DRG Kidney Transplant 24 7 — $424,813.00 $85,182.85 $235,930.39 $97,818.10 2026-03-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $408,777.00 $82,629.43 $228,674.35 $97,666.96 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 46 14 — $117,230.00 $32,784.34 $126,643.00 $96,426.50 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 14 — $127,833.00 $35,755.04 $135,996.00 $96,322.00 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 14 — $128,320.00 $35,891.54 $136,516.00 $96,285.00 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 46 14 — $128,191.00 $35,855.32 $136,378.00 $96,188.00 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — $126,222.00 $35,303.72 $134,280.00 $94,708.00 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 46 14 — $130,994.00 $36,640.94 $139,366.00 $94,286.50 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 46 14 — $119,033.00 $33,289.52 $126,619.00 $94,141.00 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 14 — $114,380.00 $31,985.72 $121,660.00 $94,079.50 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 46 14 — $125,241.00 $35,028.84 $133,234.00 $93,971.00 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 7 — $545,763.00 $81,597.47 $225,840.60 $93,731.21 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 14 — $113,744.00 $31,807.43 $120,981.00 $93,556.00 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 46 14 — $124,243.00 $34,749.33 $132,171.00 $93,221.00 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 14 — $113,114.00 $31,630.99 $120,310.00 $93,037.50 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 46 14 — $113,916.00 $31,855.72 $121,165.00 $92,930.00 2026-03-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $374,573.00 $80,747.96 $223,507.84 $92,762.88 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 14 — $111,474.00 $31,171.32 $118,562.00 $91,686.50 2026-03-31
64320856 CDM Givosiran 189mg/ml Inj 68 15 — $91,091.70 $38,354.40 $191,772.00 $91,091.70 2026-03-31
64486210 CDM Foscarnet 2.4mg/0.1ml Oph Inj 68 15 — $99,708.23 $38,294.64 $191,473.20 $90,949.77 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 46 14 — $124,779.00 $33,882.92 $128,876.00 $90,896.00 2026-03-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 7 — $82,390.00 $78,800.51 $218,160.16 $90,543.04 2026-03-31
265 MS_DRG Aicd Lead Procedures 46 14 — $118,450.00 $33,126.08 $125,997.00 $90,298.00 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 14 — $120,313.00 $33,647.97 $127,982.00 $90,266.00 2026-03-31
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $858,634.00 $77,851.63 $215,554.53 $89,461.43 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 46 14 — $122,591.00 $33,287.66 $126,612.00 $89,300.00 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 14 — $139,078.00 $38,905.88 $147,981.00 $88,885.00 2026-03-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 7 — $649,169.00 $77,042.84 $213,333.60 $88,539.51 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 46 14 — $117,920.00 $32,977.50 $125,432.00 $88,467.00 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 14 — $117,201.00 $32,775.98 $124,665.00 $87,927.00 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 46 14 — $116,906.00 $32,693.34 $124,351.00 $87,705.00 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 46 14 — $116,349.00 $32,537.33 $123,758.00 $87,287.00 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 46 14 — $116,266.00 $32,514.11 $123,669.00 $87,224.00 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 46 14 — $116,060.00 $32,456.54 $123,450.00 $87,070.00 2026-03-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 7 — $424,514.00 $75,393.50 $208,804.51 $86,659.47 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 46 14 — $115,311.00 $32,246.67 $122,652.00 $86,507.00 2026-03-31
332 MS_DRG Rectal Resection With Mcc 46 14 — $115,186.00 $32,211.39 $122,518.00 $86,412.00 2026-03-31
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $920,571.00 $75,123.91 $208,064.20 $86,352.16 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 46 14 — $115,060.00 $32,176.09 $122,384.00 $86,318.00 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 14 — $114,201.00 $31,935.58 $121,469.00 $85,672.00 2026-03-31
665 MS_DRG Prostatectomy With Mcc 46 14 — $114,022.00 $31,885.43 $121,278.00 $85,538.00 2026-03-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 7 — $626,238.00 $73,928.24 $230,066.62 $84,989.24 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 14 — $103,175.00 $28,846.03 $109,718.00 $84,854.00 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 14 — $116,312.00 $32,527.11 $123,719.00 $84,799.00 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $468,787.00 $73,674.93 $204,085.32 $84,700.51 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 14 — $112,643.00 $31,499.13 $119,809.00 $84,502.00 2026-03-31
273011 CDM Membrane Maci Final Assembled 56 14 — $70,818.76 $49,690.75 $198,763.00 $84,474.27 2026-03-31
274868 CDM Membrane Maci Autologous Cultured Chondrocytes On Porcine Co 56 14 — $64,597.98 $49,690.75 $198,763.00 $84,474.27 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $243,438.00 $73,472.12 $203,528.40 $84,469.33 2026-03-31
280356 CDM Vlv Pulm Sapien 3 And Alterra Adapt Present With Del Sys 29mm 56 14 — $69,495.83 $48,762.50 $195,050.00 $82,896.25 2026-03-31
64477458 CDM Carmustine 7.7mg Wafer Impl 69 15 — $90,809.86 $34,877.07 $174,385.35 $82,833.04 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 46 14 — $110,287.00 $30,838.87 $117,298.00 $82,730.00 2026-03-31
6904 APR_DRG Acute Leukemia 24 7 — $492,338.00 $71,898.53 $199,207.32 $82,675.64 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 14 — $109,657.00 $30,662.43 $116,626.00 $82,257.00 2026-03-31
283735 CDM Device Vent Assist Impella 5.5 56 14 — $62,627.50 $48,175.00 $192,700.00 $81,897.50 2026-03-31
222700 CDM Imp Stimulator Neuro 56 14 — $68,574.80 $48,116.25 $192,465.00 $81,797.62 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 46 14 — $102,714.00 $28,716.95 $109,227.00 $81,771.00 2026-03-31
64304801 CDM Pomalidomide 3mg Cap 68 15 — $81,719.31 $34,408.13 $172,040.65 $81,719.31 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 24 7 — $515,755.00 $70,958.61 $196,626.29 $81,604.24 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 46 14 — $106,823.00 $28,403.07 $108,033.00 $81,175.00 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 46 14 — $108,202.00 $30,254.75 $115,076.00 $81,163.00 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 14 — $108,249.00 $30,267.76 $115,125.00 $81,133.00 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — $97,948.00 $27,381.58 $104,148.00 $80,551.00 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 46 14 — $106,920.00 $29,895.37 $113,709.00 $80,199.00 2026-03-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 7 — $685,524.00 $69,622.03 $192,956.05 $80,080.71 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 14 — $106,426.00 $29,757.01 $113,183.00 $79,828.00 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 14 — $106,118.00 $29,670.65 $112,854.00 $79,596.00 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 46 14 — $109,086.00 $29,614.01 $112,639.00 $79,444.00 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 7 — $28,572.00 $68,925.64 $191,043.77 $79,286.91 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 46 14 — $105,631.00 $29,534.14 $112,335.00 $79,230.00 2026-03-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $637,883.00 $68,749.72 $226,429.30 $79,086.38 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 46 14 — $105,418.00 $29,474.71 $112,109.00 $79,071.00 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 46 14 — $105,243.00 $29,425.49 $111,922.00 $78,939.00 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 46 14 — $97,431.00 $27,236.72 $103,596.00 $78,372.00 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 46 14 — $95,138.00 $26,594.10 $106,873.00 $78,237.00 2026-03-31
243124 CDM Stim Sentiva Vagus Nerve 56 14 — $59,793.99 $45,995.38 $183,981.50 $78,192.14 2026-03-31
241796 CDM Generator Sentiva 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
285856 CDM Generator Dual Sentive Dual Pin Receptacle 10cc 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
294744 CDM Sys Del Triclip G4 Xtw 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294740 CDM Sys Del Triclip G4 Ntw 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294738 CDM Sys Del Triclip G4 Nt 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294742 CDM Sys Del Triclip G4 Xt 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 46 14 — $103,616.00 $28,969.54 $110,187.00 $77,715.00 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 14 — $249,092.00 $5,416.00 $227,213.00 $77,668.00 2026-03-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 7 — $599,407.00 $67,505.18 $187,143.17 $77,667.75 2026-03-31
288239 CDM Sys Proclaim DRG 3 Lead Perm 56 14 — $64,924.17 $45,554.75 $182,219.00 $77,443.08 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 46 14 — $102,429.00 $28,637.09 $108,923.00 $76,824.00 2026-03-31
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 24 7 — $146,637.00 $66,695.57 $184,919.99 $76,744.91 2026-03-31
652 MS_DRG Kidney Transplant 46 14 — $102,018.00 $28,521.93 $108,485.00 $76,515.00 2026-03-31
234 APR_DRG Spinal Procedures 24 7 — $477,510.00 $66,433.31 $184,199.82 $76,445.96 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 46 14 — $101,925.00 $28,495.94 $108,386.00 $76,445.00 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 46 14 — $93,302.00 $26,079.64 $99,195.00 $75,967.00 2026-03-31
266565 CDM Vlv Tric Evoque G190289/s013 44mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266567 CDM Vlv Tric Evoque G190289/s013 52mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
291719 CDM Vlv Evoque G190289/s013 56mm For Study Only 56 14 — $63,634.73 $44,650.00 $178,600.00 $75,905.00 2026-03-31
266566 CDM Vlv Tric Evoque G190289/s013 48mm For Study Only 56 14 — $58,045.00 $44,650.00 $178,600.00 $75,905.00 2026-03-31
570 MS_DRG Skin Debridement With Mcc 46 14 — $99,990.00 $27,953.61 $106,323.00 $74,990.00 2026-03-31
64490121 CDM Treprostinil 0.6 Mg/ml Inh Sol 68 15 — $74,478.16 $31,359.23 $156,796.13 $74,478.16 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 46 14 — $102,163.00 $27,730.74 $105,476.00 $74,392.00 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 46 14 — $93,756.00 $26,206.86 $99,679.00 $73,753.00 2026-03-31
32 APR_DRG Bone Marrow Transplant 24 7 — $424,672.00 $63,814.73 $200,356.63 $73,461.10 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 46 14 — $97,696.00 $27,311.00 $103,879.00 $73,266.00 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 46 14 — $96,742.00 $27,043.56 $102,862.00 $73,263.00 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 46 14 — $88,476.00 $24,727.56 $94,053.00 $72,752.00 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 46 14 — $96,878.00 $27,081.63 $103,007.00 $72,651.00 2026-03-31
288240 CDM Sys Proclaim DRG 4 Lead Perm 56 14 — $55,555.18 $42,734.75 $170,939.00 $72,649.08 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 14 — $96,825.00 $27,066.77 $102,950.00 $72,611.00 2026-03-31
800 MS_DRG Splenic Procedures With Cc 46 14 — $96,795.00 $27,058.42 $102,918.00 $72,589.00 2026-03-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 24 7 — $449,001.00 $62,755.89 $174,101.62 $72,254.15 2026-03-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 24 7 — $315,251.00 $62,724.12 $174,014.40 $72,217.95 2026-03-31
64316110 CDM Tagraxofusp-erzs 100mcg Inj 69 15 — $79,103.47 $30,381.03 $151,905.15 $72,154.95 2026-03-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 24 7 — $373,385.00 $62,316.07 $172,893.86 $71,752.82 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 46 14 — $95,247.00 $26,624.74 $101,269.00 $71,425.00 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 46 14 — $95,081.00 $26,578.31 $101,092.00 $71,301.00 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 46 14 — $94,949.00 $26,541.17 $100,951.00 $71,201.00 2026-03-31
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 24 7 — $199,166.00 $61,719.86 $171,256.69 $71,073.21 2026-03-31
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 24 7 — $708,421.00 $61,516.24 $170,697.54 $70,841.11 2026-03-31
242603 CDM Neurostimulator Rns-320m-k 56 14 — $53,844.38 $41,418.75 $165,675.00 $70,411.88 2026-03-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 7 — $459,197.00 $61,093.52 $169,536.75 $70,359.26 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 46 14 — $84,644.00 $26,436.23 $100,552.00 $70,260.00 2026-03-31
6954 APR_DRG Chemotherapy For Acute Leukemia # 24 7 — $309,196.00 $60,770.17 $168,648.82 $69,990.68 2026-03-31
254963 CDM Kit Impella 5.5 Aic Pump 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
298890 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x100mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
284577 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
284858 CDM Stent Graft Thoraflex Hybrid Dvc 28x30x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
282727 CDM Sys Imp Pascal Prec G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279092 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279002 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278928 CDM Stent Graft Thoraflex Hybrid Dvc 26x28x100mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279026 CDM Stent Graft Thoraflex Hybrid Dvc 30x36x150mm 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
279059 CDM Stent Graft Thoraflex Hybrid Dvc 30x32x10mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
293968 CDM Thoraflex Hybrid Anteflo 150 30x38mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278209 CDM Sys Imp Pascal Ace G180266 Study Only 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
295289 CDM Stent Graft Thoraflex Hybrid Ante Flo 32x40x150mm 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
255502 CDM Sys Imp Mitrl Pascal G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
278207 CDM Sys Imp Pascal G180266 Study Only 56 14 — $58,610.94 $41,125.00 $164,500.00 $69,912.50 2026-03-31
293969 CDM Thoraflex Hybrid Anteflo 150 30x40 56 14 — $53,462.50 $41,125.00 $164,500.00 $69,912.50 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 46 14 — $93,206.00 $26,052.71 $99,093.00 $69,891.00 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 46 14 — $84,837.00 $23,707.91 $90,175.00 $69,756.00 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 46 14 — $84,678.00 $23,663.34 $90,005.00 $69,625.00 2026-03-31
215352 CDM Generator Aspire Sr Model 106 56 14 — $53,146.31 $40,881.78 $163,527.10 $69,499.02 2026-03-31
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 24 7 — $500,573.00 $34,729.87 $167,901.80 $69,075.60 2026-03-31
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 7 — $760,181.00 $59,925.54 $166,329.48 $69,027.91 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 46 14 — $86,017.00 $24,038.51 $91,432.00 $69,014.00 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 14 — $96,634.00 $28,982.53 $110,237.00 $68,737.50 2026-03-31
214 APR_DRG Craniotomy Except For Trauma 24 7 — $458,101.00 $59,585.90 $165,396.82 $68,640.76 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 46 14 — $83,154.00 $23,236.18 $88,380.00 $68,370.00 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 46 14 — $90,915.00 $25,411.02 $96,652.00 $68,169.00 2026-03-31
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $51,344.00 $59,155.85 $164,215.91 $68,150.55 2026-03-31
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $325,975.00 $59,155.85 $164,215.91 $68,150.55 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 24 7 — $388,158.00 $59,109.42 $164,088.42 $68,097.63 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 24 7 — $596,523.00 $59,106.16 $164,079.48 $68,093.93 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 46 14 — $83,644.00 $23,373.62 $88,903.00 $68,053.00 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 46 14 — $93,469.00 $25,365.52 $96,479.00 $68,047.00 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 46 14 — $90,587.00 $25,319.09 $96,303.00 $67,923.00 2026-03-31
284711 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 26mm 56 14 — $51,935.00 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284710 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 23mm 56 14 — $51,935.00 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284712 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 29mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
284709 CDM Vlv Trans Cath W/comm Sys Sapien 3 Ultra 20mm 56 14 — $56,936.34 $39,950.00 $159,800.00 $67,915.00 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 46 14 — $92,964.00 $25,228.09 $107,635.00 $67,678.00 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 46 14 — $87,715.00 $22,916.73 $87,165.00 $67,534.00 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 46 14 — $92,510.00 $25,104.57 $95,487.00 $67,347.00 2026-03-31
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 24 7 — $245,916.00 $58,334.03 $161,959.19 $67,213.79 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 46 14 — $89,527.00 $25,021.93 $95,172.00 $67,125.00 2026-03-31
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 24 7 — $550,738.00 $58,243.62 $161,710.93 $67,110.73 2026-03-31
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 24 7 — $352,897.00 $58,142.62 $161,433.60 $66,995.60 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 14 — $81,367.00 $22,735.64 $86,476.00 $66,899.00 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 46 14 — $91,841.00 $24,922.57 $94,794.00 $66,859.00 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 24 7 — $536,830.00 $58,002.53 $161,048.90 $66,835.92 2026-03-31
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