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

Long Island Jewish Valley Stream

Valley Stream, NY · CCN 330372 · Rates published

Your selected procedure

You selected 29916 (CPT)

Hip arthro w/labral repair

This hospital’s price: $8,189 across 17 payers · range $4,094-$20,886

Source: https://www.northwell.edu/sites/northwell.edu/files/machine-readable-files/Long_Island_Jewish_Valley_Stream_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.

59,405 distinct procedures filed
17 distinct payers
3,359,033 rate rows
2026-03-31 last MRF observed
Data quality

3,352,330 of 3,359,033 rate rows are consumer-grade (99.8%)

6,703 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 6,702
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/Long_Island_Jewish_Valley_Stream_StandardCharges.zip
Found on page https://www.northwell.edu/billing-and-insurance/price-estimator-tools
Discovered viaCMS hospital list
Last fetch success · 2026-10-11
Content fingerprint f2610c4717e67321… · 30,769,501 bytes · first seen 2026-10-11

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 $401,006.92 $1,377,158.00 $1,072,627.00 nat. median
$359,244
outlier · 3.0×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $299,625.28 $1,028,622.00 $801,163.00 nat. median
$248,541
outlier · 3.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 $252,405.21 $866,285.00 $674,724.00 nat. median
$198,115
outlier · 3.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 $228,068.09 $928,215.00 $615,689.00 nat. median
$190,359
outlier · 3.2×
43025936
CDM 		Antithymocy Glo Eq 50mg/ml Inj 15 $162,041.40 $810,207.00 $384,848.32 nat. median
$384,848
1.0× median
7
MS_DRG 		Lung Transplant 14 $139,238.47 $477,233.00 $371,703.00 nat. median
$117,977
outlier · 3.2×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 $150,510.53 $749,206.00 $364,912.00 nat. median
$126,461
outlier · 2.9×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 14 $139,589.00 $462,769.00 $355,660.50 nat. median
$110,084
outlier · 3.2×
24
APR_DRG 		Heart &/or Lung Transplant 7 $288,360.55 $857,666.03 $355,421.42 nat. median
$241,734
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 14 $112,959.66 $386,890.00 $327,194.00 nat. median
$93,787
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $102,935.68 $362,260.00 $315,685.00 nat. median
$90,512
outlier · 3.5×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 $117,472.94 $402,406.00 $313,422.00 nat. median
$103,938
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 14 $116,136.70 $397,813.00 $309,844.00 nat. median
$97,137
outlier · 3.2×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 14 $113,539.62 $388,884.00 $302,890.00 nat. median
$94,943
outlier · 3.2×
5834
APR_DRG 		Neonate W Ecmo 7 $212,437.52 $632,326.47 $268,863.40 nat. median
$307,273
0.9× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $208,714.63 $621,276.93 $264,164.36 nat. median
$175,429
1.5× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $208,714.63 $621,276.93 $264,164.36 nat. median
$247,815
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 14 $90,431.47 $309,441.00 $261,732.00 nat. median
$76,979
outlier · 3.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $90,381.54 $309,270.00 $261,587.00 nat. median
$77,487
outlier · 3.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 $86,046.71 $322,806.00 $248,991.00 nat. median
$74,298
outlier · 3.4×
43029389
CDM 		Pomalidomide 1mg Cap 15 $103,224.39 $516,121.97 $245,157.93 nat. median
$245,158
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 $83,447.51 $285,870.00 $240,048.00 nat. median
$71,737
outlier · 3.3×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 $82,609.43 $282,550.00 $239,003.00 nat. median
$72,247
outlier · 3.3×
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $190,958.55 $568,576.89 $236,978.69 nat. median
$202,649
1.2× median
34
APR_DRG 		Bone Marrow Transplant 7 $185,429.87 $695,966.90 $228,815.87 nat. median
$241,408
0.9× median
43031388
CDM 		Teplizum Mzwv 1mg/ml2ml Inj Jw 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
43031387
CDM 		Teplizum Mzwv 1mg/ml2ml Inj 15 $93,450.10 $467,250.52 $221,944.00 nat. median
$221,944
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 $75,487.38 $314,568.00 $218,308.00 nat. median
$66,584
outlier · 3.3×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 7 $160,397.87 $477,872.80 $203,178.96 nat. median
$163,528
1.2× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 7 $159,820.68 $476,159.69 $202,450.43 nat. median
$145,061
1.4× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 $69,017.53 $235,823.00 $199,508.00 nat. median
$61,995
outlier · 3.2×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 14 $74,313.65 $254,031.00 $199,127.00 nat. median
$62,577
outlier · 3.2×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 14 $72,951.91 $249,349.00 $194,211.00 nat. median
$61,660
outlier · 3.1×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 7 $155,152.85 $505,030.36 $191,574.88 nat. median
$158,104
1.2× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 $66,218.64 $241,266.00 $191,375.00 nat. median
$56,633
outlier · 3.4×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 $71,364.99 $243,893.00 $189,961.00 nat. median
$61,263
outlier · 3.1×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 $71,244.96 $243,481.00 $189,640.00 nat. median
$63,829
outlier · 3.0×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $149,658.80 $445,999.23 $189,624.10 nat. median
$122,016
1.6× median
28
MS_DRG 		Spinal Procedures With Mcc 14 $64,998.17 $222,005.00 $187,829.00 nat. median
$54,377
outlier · 3.5×
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 14 $65,308.33 $223,071.00 $187,456.00 nat. median
$57,798
outlier · 3.2×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 $64,055.99 $292,361.00 $185,091.00 nat. median
$58,220
outlier · 3.2×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 14 $69,116.31 $239,811.00 $183,940.00 nat. median
$59,324
outlier · 3.1×
43028846
CDM 		Isoproterenol 0.2mg/ml 1ml Inj 15 $77,265.90 $386,329.50 $183,506.51 nat. median
$183,507
1.0× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 7 $144,412.95 $430,429.55 $183,002.79 nat. median
$151,838
1.2× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 14 $67,598.43 $230,944.00 $182,938.00 nat. median
$58,234
outlier · 3.1×
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 $65,605.74 $216,754.00 $182,738.00 nat. median
$53,342
outlier · 3.4×
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 14 $62,923.69 $214,873.00 $181,801.00 nat. median
$55,425
outlier · 3.3×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 7 $144,986.02 $572,955.37 $179,069.60 nat. median
$137,051
1.3× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 $61,385.62 $246,714.00 $177,332.00 nat. median
$55,110
outlier · 3.2×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 $61,021.29 $332,162.00 $176,273.00 nat. median
$53,419
outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 59,405 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 — $1,460,631.00 $401,006.92 $1,377,158.00 $1,072,627.00 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 46 14 — $1,059,255.00 $299,625.28 $1,028,622.00 $801,163.00 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 46 14 — $892,120.00 $252,405.21 $866,285.00 $674,724.00 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 46 14 — $1,017,604.00 $228,068.09 $928,215.00 $615,689.00 2026-03-31
43025936 CDM Antithymocy Glo Eq 50mg/ml Inj 68 15 — $384,848.32 $162,041.40 $810,207.00 $384,848.32 2026-03-31
7 MS_DRG Lung Transplant 46 14 — $491,566.00 $139,238.47 $477,233.00 $371,703.00 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 46 14 — $670,990.00 $150,510.53 $749,206.00 $364,912.00 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 46 14 — $507,584.00 $139,589.00 $462,769.00 $355,660.50 2026-03-31
24 APR_DRG Heart &/or Lung Transplant 24 7 — $1,971,100.00 $288,360.55 $857,666.03 $355,421.42 2026-03-31
215 MS_DRG Other Heart Assist System Implant 46 14 — $398,553.00 $112,959.66 $386,890.00 $327,194.00 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $397,146.00 $102,935.68 $362,260.00 $315,685.00 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 14 — $414,527.00 $117,472.94 $402,406.00 $313,422.00 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 14 — $409,798.00 $116,136.70 $397,813.00 $309,844.00 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 46 14 — $400,605.00 $113,539.62 $388,884.00 $302,890.00 2026-03-31
5834 APR_DRG Neonate W Ecmo 24 7 — $1,776,012.00 $212,437.52 $632,326.47 $268,863.40 2026-03-31
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,667,808.00 $208,714.63 $621,276.93 $264,164.36 2026-03-31
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,784,497.00 $208,714.63 $621,276.93 $264,164.36 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 46 14 — $318,814.00 $90,431.47 $309,441.00 $261,732.00 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $318,637.00 $90,381.54 $309,270.00 $261,587.00 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 14 — $303,294.00 $86,046.71 $322,806.00 $248,991.00 2026-03-31
43029389 CDM Pomalidomide 1mg Cap 68 15 — $245,157.93 $103,224.39 $516,121.97 $245,157.93 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 46 14 — $313,399.00 $83,447.51 $285,870.00 $240,048.00 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $291,128.00 $82,609.43 $282,550.00 $239,003.00 2026-03-31
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $646,180.00 $190,958.55 $568,576.89 $236,978.69 2026-03-31
34 APR_DRG Bone Marrow Transplant 24 7 — $795,388.00 $185,429.87 $695,966.90 $228,815.87 2026-03-31
43031388 CDM Teplizum Mzwv 1mg/ml2ml Inj Jw 68 15 — $221,944.00 $93,450.10 $467,250.52 $221,944.00 2026-03-31
43031387 CDM Teplizum Mzwv 1mg/ml2ml Inj 68 15 — $243,317.21 $93,450.10 $467,250.52 $221,944.00 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 46 14 — $265,920.00 $75,487.38 $314,568.00 $218,308.00 2026-03-31
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,066,070.00 $160,397.87 $477,872.80 $203,178.96 2026-03-31
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 24 7 — $1,223,568.00 $159,820.68 $476,159.69 $202,450.43 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $243,020.00 $69,017.53 $235,823.00 $199,508.00 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 46 14 — $269,611.00 $74,313.65 $254,031.00 $199,127.00 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 14 — $256,945.00 $72,951.91 $249,349.00 $194,211.00 2026-03-31
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 24 7 — $1,455,120.00 $155,152.85 $505,030.36 $191,574.88 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 14 — $233,113.00 $66,218.64 $241,266.00 $191,375.00 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 46 14 — $251,328.00 $71,364.99 $243,893.00 $189,961.00 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 46 14 — $250,904.00 $71,244.96 $243,481.00 $189,640.00 2026-03-31
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $1,685,569.00 $149,658.80 $445,999.23 $189,624.10 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 46 14 — $228,793.00 $64,998.17 $222,005.00 $187,829.00 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 14 — $229,891.00 $65,308.33 $223,071.00 $187,456.00 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 46 14 — $225,458.00 $64,055.99 $292,361.00 $185,091.00 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 14 — $250,663.00 $69,116.31 $239,811.00 $183,940.00 2026-03-31
43028846 CDM Isoproterenol 0.2mg/ml 1ml Inj 68 15 — $183,506.51 $77,265.90 $386,329.50 $183,506.51 2026-03-31
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,416,264.00 $144,412.95 $430,429.55 $183,002.79 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 14 — $237,997.00 $67,598.43 $230,944.00 $182,938.00 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 14 — $230,944.00 $65,605.74 $216,754.00 $182,738.00 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 14 — $221,450.00 $62,923.69 $214,873.00 $181,801.00 2026-03-31
14 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $1,020,198.00 $144,986.02 $572,955.37 $179,069.60 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $216,006.00 $61,385.62 $246,714.00 $177,332.00 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — $214,717.00 $61,021.29 $332,162.00 $176,273.00 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 14 — $231,752.00 $65,834.11 $224,879.00 $175,152.00 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 46 14 — $233,962.00 $64,535.05 $322,456.00 $171,673.00 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 46 14 — $233,962.00 $64,535.05 $322,456.00 $171,673.00 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 14 — $208,032.00 $59,132.70 $243,178.00 $170,785.00 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 46 14 — $223,898.00 $63,615.18 $217,251.00 $169,210.00 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 14 — $204,325.00 $58,085.37 $198,240.00 $167,742.00 2026-03-31
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 7 — $1,648,397.00 $132,277.90 $394,412.71 $167,685.92 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 14 — $219,123.00 $62,266.19 $212,613.00 $165,598.00 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $199,362.00 $56,683.27 $193,420.00 $163,668.00 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 14 — $200,246.00 $56,932.89 $194,278.00 $162,878.00 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 14 — $203,069.00 $57,730.59 $197,020.00 $160,725.00 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 46 14 — $204,477.00 $49,834.21 $218,737.00 $159,728.00 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 $125,330.15 $373,791.81 $158,916.48 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 14 — $193,208.00 $54,944.45 $209,781.00 $158,615.00 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 46 14 — $209,811.00 $59,635.12 $203,568.00 $158,553.00 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 14 — $191,764.00 $54,536.56 $186,040.00 $157,430.00 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 46 14 — $214,266.00 $59,132.70 $276,615.00 $157,207.00 2026-03-31
23 APR_DRG Heart &/or Lung Transplant 24 7 — $1,450,340.00 $124,894.78 $456,654.11 $154,357.22 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 14 — $196,522.00 $53,545.52 $183,812.00 $154,179.00 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 46 14 — $187,580.00 $53,354.33 $182,054.00 $153,995.00 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — $203,284.00 $57,791.14 $197,228.00 $153,615.00 2026-03-31
5833 APR_DRG Neonate W Ecmo 24 7 — $1,740,359.00 $120,966.58 $360,840.71 $153,408.79 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 14 — $203,092.00 $57,736.97 $197,042.00 $152,115.00 2026-03-31
245 MS_DRG Aicd Generator Procedures 46 14 — $183,952.00 $52,329.31 $254,622.00 $151,016.00 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 46 14 — $182,843.00 $52,015.96 $177,374.00 $150,106.00 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 14 — $179,767.00 $51,147.08 $179,853.00 $147,581.00 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 14 — $189,595.00 $53,923.67 $183,932.00 $146,651.00 2026-03-31
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 24 7 — $1,212,463.00 $115,503.04 $344,624.94 $146,512.71 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 46 14 — $177,105.00 $50,395.04 $238,314.00 $145,396.00 2026-03-31
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 7 — $818,227.00 $114,346.18 $341,191.39 $145,052.52 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 14 — $191,178.00 $54,370.85 $185,470.00 $144,457.00 2026-03-31
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $1,330,301.00 $112,932.06 $336,994.28 $143,267.62 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 46 14 — $180,136.00 $47,926.50 $201,955.00 $143,174.00 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 14 — $280,853.00 $79,706.44 $272,570.00 $143,035.00 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 14 — $194,126.00 $53,608.20 $201,692.00 $142,415.00 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 14 — $188,332.00 $53,566.77 $182,706.00 $142,304.00 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 46 14 — $172,891.00 $49,204.32 $167,708.00 $141,936.00 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 14 — $178,955.00 $50,917.65 $173,598.00 $140,315.00 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 46 14 — $169,845.00 $48,343.94 $164,750.00 $139,436.00 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 46 14 — $182,538.00 $51,929.92 $177,078.00 $137,921.00 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 46 14 — $176,158.00 $50,127.37 $170,881.00 $136,573.00 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 46 14 — $178,989.00 $50,927.21 $173,631.00 $135,236.00 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — $162,567.00 $46,287.52 $214,343.00 $133,460.00 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 46 14 — $168,834.00 $48,058.20 $163,768.00 $132,843.00 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 46 14 — $160,600.00 $45,731.99 $155,771.00 $131,846.00 2026-03-31
22 APR_DRG Heart &/or Lung Transplant 24 7 — $1,026,264.00 $106,564.81 $318,096.27 $131,811.21 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 14 — $198,126.00 $49,196.88 $180,722.00 $131,360.50 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 46 14 — $173,515.00 $49,380.64 $168,314.00 $131,095.00 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 14 — $173,443.00 $49,360.47 $168,245.00 $131,041.00 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 46 14 — $156,653.00 $44,616.68 $151,936.00 $128,605.00 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 46 14 — $154,510.00 $44,011.23 $149,855.00 $126,846.00 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 $102,440.36 $305,854.90 $126,738.10 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 46 14 — $166,796.00 $47,482.49 $161,789.00 $126,012.00 2026-03-31
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 24 7 — $1,028,782.00 $101,483.04 $303,013.59 $125,560.60 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 46 14 — $165,379.00 $47,082.04 $160,412.00 $124,940.00 2026-03-31
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $208,616.00 $100,735.99 $300,796.34 $124,641.71 2026-03-31
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 24 7 — $1,340,299.00 $100,735.99 $300,796.34 $124,641.71 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 46 14 — $167,782.00 $46,382.05 $158,005.00 $123,066.00 2026-03-31
43029390 CDM Pomalidomide 2mg Cap 68 15 — $122,578.97 $51,612.20 $258,060.98 $122,578.97 2026-03-31
33 APR_DRG Bone Marrow Transplant 24 7 — $656,659.00 $98,132.03 $347,946.51 $121,438.82 2026-03-31
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $1,783,133.00 $98,063.59 $292,864.66 $121,354.64 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 14 — $160,364.00 $45,665.08 $155,541.00 $121,146.00 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 46 14 — $147,239.00 $41,956.94 $142,792.00 $120,876.00 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 46 14 — $159,228.00 $45,344.29 $154,438.00 $120,287.00 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 46 14 — $146,427.00 $41,727.49 $142,004.00 $120,210.00 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 46 14 — $143,934.00 $41,023.26 $244,038.00 $119,474.50 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 46 14 — $157,777.00 $44,934.27 $153,028.00 $119,189.00 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 $92,681.69 $276,891.17 $117,707.60 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 46 14 — $154,826.00 $44,100.45 $150,162.00 $116,956.00 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 46 14 — $154,739.00 $44,076.02 $150,078.00 $116,891.00 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 46 14 — $153,145.00 $43,625.65 $148,529.00 $115,685.00 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 14 — $144,983.00 $41,319.61 $140,601.00 $114,902.00 2026-03-31
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 24 7 — $836,273.00 $92,516.78 $276,401.71 $114,532.01 2026-03-31
904 APR_DRG Major Larynx & Trachea Procedures 24 7 — $1,007,799.00 $93,244.86 $278,562.67 $114,495.12 2026-03-31
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 24 7 — $2,234,416.00 $91,525.65 $273,460.06 $113,312.92 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 46 14 — $149,998.00 $42,736.59 $145,473.00 $113,304.00 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 46 14 — $149,893.00 $42,706.84 $145,371.00 $113,225.00 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 46 14 — $148,570.00 $42,332.95 $144,085.00 $112,225.00 2026-03-31
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 7 — $957,481.00 $90,475.16 $270,342.20 $112,020.82 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 46 14 — $148,265.00 $42,246.91 $143,789.00 $111,993.00 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 46 14 — $147,964.00 $42,161.93 $143,497.00 $111,766.00 2026-03-31
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 24 7 — $1,366,874.00 $87,332.77 $261,015.56 $110,956.18 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 46 14 — $135,001.00 $38,499.47 $130,906.00 $110,830.00 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 14 — $145,536.00 $41,475.76 $141,138.00 $109,928.00 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 46 14 — $145,389.00 $41,434.33 $140,996.00 $109,817.00 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 46 14 — $132,956.00 $37,921.64 $151,025.00 $109,151.00 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 14 — $143,156.00 $40,803.38 $235,411.00 $108,128.00 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 46 14 — $142,043.00 $40,488.97 $137,746.00 $107,286.00 2026-03-31
265 MS_DRG Aicd Lead Procedures 46 14 — $134,339.00 $38,312.53 $130,263.00 $107,090.00 2026-03-31
4404 APR_DRG Kidney Transplant 24 7 — $424,813.00 $86,266.61 $302,689.54 $106,844.26 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 46 14 — $157,739.00 $44,923.66 $152,992.00 $106,744.00 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 46 14 — $129,722.00 $37,008.14 $125,779.00 $106,496.00 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 46 14 — $140,911.00 $40,169.25 $136,647.00 $106,430.00 2026-03-31
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $408,777.00 $83,681.61 $250,178.94 $106,347.69 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 46 14 — $129,196.00 $36,859.43 $125,268.00 $106,064.00 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 46 14 — $129,001.00 $36,804.21 $126,651.00 $105,904.00 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 14 — $128,286.00 $36,602.39 $124,384.00 $105,317.00 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 46 14 — $126,425.00 $36,076.59 $122,577.00 $103,790.00 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 46 14 — $141,519.00 $39,178.22 $133,240.00 $103,776.00 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 14 — $136,452.00 $38,909.48 $132,316.00 $103,057.00 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 7 — $545,763.00 $82,636.90 $247,078.22 $102,379.68 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 46 14 — $139,037.00 $38,497.35 $130,899.00 $101,953.00 2026-03-31
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 7 — $374,573.00 $81,776.88 $244,525.69 $101,899.12 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 46 14 — $133,738.00 $38,142.57 $129,679.00 $101,003.00 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 14 — $131,914.00 $37,627.41 $127,908.00 $100,768.00 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 46 14 — $132,922.00 $37,912.07 $128,887.00 $100,386.00 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 46 14 — $132,587.00 $37,817.54 $128,562.00 $100,133.00 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 46 14 — $131,956.00 $37,639.09 $127,948.00 $99,655.00 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 46 14 — $131,862.00 $37,612.54 $127,857.00 $99,584.00 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 46 14 — $131,629.00 $37,546.68 $127,631.00 $99,408.00 2026-03-31
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 7 — $266,563.00 $79,805.36 $238,674.21 $98,896.86 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 46 14 — $130,779.00 $37,306.62 $126,805.00 $98,765.00 2026-03-31
332 MS_DRG Rectal Resection With Mcc 46 14 — $130,636.00 $37,266.26 $126,667.00 $98,657.00 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 46 14 — $130,493.00 $37,225.90 $126,528.00 $98,549.00 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 14 — $129,519.00 $36,950.79 $125,582.00 $97,812.00 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 $78,844.74 $235,823.12 $97,715.30 2026-03-31
665 MS_DRG Prostatectomy With Mcc 46 14 — $129,316.00 $36,893.42 $125,385.00 $97,658.00 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 14 — $122,767.00 $35,043.08 $119,024.00 $96,825.00 2026-03-31
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 24 7 — $649,169.00 $78,025.95 $233,392.95 $96,708.18 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 46 14 — $127,752.00 $36,451.55 $123,866.00 $96,475.00 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 46 14 — $121,131.00 $32,910.18 $180,336.00 $96,454.00 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 46 14 — $117,011.00 $33,416.85 $123,381.00 $96,061.00 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 46 14 — $116,488.00 $33,269.20 $112,925.00 $95,632.00 2026-03-31
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 7 — $548,732.00 $76,356.22 $228,437.18 $94,654.40 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 46 14 — $125,079.00 $35,696.33 $121,269.00 $94,453.00 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 $76,083.29 $227,627.13 $94,318.70 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 14 — $124,365.00 $35,494.51 $120,575.00 $93,913.00 2026-03-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 7 — $626,238.00 $74,872.84 $294,647.38 $92,829.83 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 46 14 — $122,714.00 $35,028.20 $118,972.00 $92,664.00 2026-03-31
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $469,129.00 $74,616.40 $223,273.38 $92,514.40 2026-03-31
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 24 7 — $481,501.00 $74,411.08 $222,664.01 $92,261.87 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 46 14 — $121,259.00 $34,617.14 $117,559.00 $91,563.00 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 14 — $111,082.00 $31,741.76 $107,674.00 $91,194.00 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 46 14 — $120,699.00 $34,458.87 $117,015.00 $91,140.00 2026-03-31
43031030 CDM Givosiran 189mg/ml Inj 68 15 — $99,863.83 $38,354.40 $191,772.00 $91,091.70 2026-03-31
43029376 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
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 46 14 — $120,350.00 $34,360.08 $116,675.00 $90,875.00 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 46 14 — $110,496.00 $31,576.06 $107,104.00 $90,712.00 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 46 14 — $123,717.00 $34,295.29 $121,116.00 $90,702.00 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 46 14 — $119,797.00 $34,203.93 $116,139.00 $90,457.00 2026-03-31
6904 APR_DRG Acute Leukemia 24 7 — $492,338.00 $72,818.03 $217,935.83 $90,302.39 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 46 14 — $119,556.00 $34,135.96 $115,905.00 $90,275.00 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 46 14 — $119,357.00 $34,079.67 $115,711.00 $90,124.00 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 24 7 — $515,755.00 $71,866.49 $228,740.28 $89,131.99 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 46 14 — $117,511.00 $33,558.12 $113,918.00 $88,728.00 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 46 14 — $107,894.00 $30,841.02 $162,652.00 $88,576.00 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 46 14 — $116,165.00 $33,177.86 $112,611.00 $87,709.00 2026-03-31
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 24 7 — $685,524.00 $70,513.39 $211,095.65 $87,467.67 2026-03-31
652 MS_DRG Kidney Transplant 46 14 — $115,699.00 $33,046.14 $112,158.00 $87,357.00 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 46 14 — $106,326.00 $30,398.08 $103,055.00 $87,289.00 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 46 14 — $115,594.00 $33,016.40 $112,056.00 $87,277.00 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 46 14 — $109,714.00 $31,355.11 $106,345.00 $87,179.00 2026-03-31
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 46 14 — $105,811.00 $30,252.56 $102,554.00 $86,866.00 2026-03-31
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 7 — $494,750.00 $69,808.39 $209,003.21 $86,600.52 2026-03-31
13 APR_DRG Liver Transplant &/or Intestinal Transplant 24 7 — $637,883.00 $69,630.28 $289,780.06 $86,381.44 2026-03-31
570 MS_DRG Skin Debridement With Mcc 46 14 — $113,398.00 $32,396.08 $109,923.00 $85,616.00 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 46 14 — $115,864.00 $32,141.14 $109,047.00 $84,934.00 2026-03-31
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 24 7 — $599,407.00 $68,370.35 $204,735.13 $84,831.72 2026-03-31
273011 CDM Membrane Maci Final Assembled 56 14 — $64,597.98 $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
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 24 7 — $425,374.00 $67,550.74 $202,302.51 $83,823.58 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 46 14 — $110,796.00 $31,661.04 $107,396.00 $83,648.00 2026-03-31
234 APR_DRG Spinal Procedures 24 7 — $477,510.00 $67,285.23 $201,514.48 $83,497.01 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 46 14 — $109,868.00 $31,398.67 $106,495.00 $82,945.00 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 14 — $109,808.00 $31,381.68 $106,436.00 $82,900.00 2026-03-31
280356 CDM Vlv Pulm Sapien 3 And Alterra Adapt Present With Del Sys 29mm 56 14 — $63,391.25 $48,762.50 $195,050.00 $82,896.25 2026-03-31
800 MS_DRG Splenic Procedures With Cc 46 14 — $109,774.00 $31,372.11 $106,403.00 $82,874.00 2026-03-31
43025884 CDM Carmustine 7.7mg Wafer Impl 69 15 — $82,833.04 $34,877.07 $174,385.35 $82,833.04 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 46 14 — $100,337.00 $28,705.99 $97,237.00 $82,372.00 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 — $62,551.13 $48,116.25 $192,465.00 $81,797.62 2026-03-31
43029391 CDM Pomalidomide 3mg Cap 68 15 — $81,719.31 $34,408.13 $172,040.65 $81,719.31 2026-03-31
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 46 14 — $99,463.00 $26,634.70 $100,443.00 $81,653.00 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 46 14 — $108,018.00 $30,876.07 $104,698.00 $81,546.00 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 46 14 — $107,830.00 $30,822.96 $104,515.00 $81,404.00 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 46 14 — $107,680.00 $30,780.47 $104,369.00 $81,290.00 2026-03-31
32 APR_DRG Bone Marrow Transplant 24 7 — $424,672.00 $64,634.27 $257,055.50 $80,236.31 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 46 14 — $97,547.00 $27,917.85 $94,528.00 $80,082.00 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 46 14 — $105,702.00 $30,221.75 $102,448.00 $79,794.00 2026-03-31
253 MS_DRG Other Vascular Procedures With Cc 46 14 — $96,209.00 $27,539.70 $93,228.00 $78,983.00 2026-03-31
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 24 7 — $449,001.00 $63,562.34 $190,464.95 $78,917.83 2026-03-31
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 24 7 — $315,251.00 $63,530.19 $190,369.50 $78,878.27 2026-03-31
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 46 14 — $96,028.00 $27,488.72 $97,965.00 $78,835.00 2026-03-31
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 24 7 — $373,385.00 $63,117.08 $189,143.41 $78,370.15 2026-03-31
243124 CDM Stim Sentiva Vagus Nerve 56 14 — $65,552.15 $45,995.38 $183,981.50 $78,192.14 2026-03-31
241796 CDM Generator Sentiva 56 14 — $59,793.99 $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
294738 CDM Sys Del Triclip G4 Nt 56 14 — $65,309.33 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294744 CDM Sys Del Triclip G4 Xtw 56 14 — $59,572.50 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294742 CDM Sys Del Triclip G4 Xt 56 14 — $59,572.50 $45,825.00 $183,300.00 $77,902.50 2026-03-31
294740 CDM Sys Del Triclip G4 Ntw 56 14 — $59,572.50 $45,825.00 $183,300.00 $77,902.50 2026-03-31
164 MS_DRG Major Chest Procedures With Cc 46 14 — $94,855.00 $27,157.31 $91,913.00 $77,872.00 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 46 14 — $103,104.00 $29,487.77 $99,925.00 $77,829.00 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 46 14 — $106,001.00 $29,435.73 $99,746.00 $77,689.00 2026-03-31
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 24 7 — $199,166.00 $62,513.50 $187,351.99 $77,627.74 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 46 14 — $102,732.00 $29,382.61 $394,486.20 $77,547.00 2026-03-31
288239 CDM Sys Proclaim DRG 3 Lead Perm 56 14 — $59,221.18 $45,554.75 $182,219.00 $77,443.08 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 46 14 — $94,299.00 $27,000.10 $94,915.00 $77,415.00 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 $62,307.36 $186,740.17 $77,374.19 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 46 14 — $105,428.00 $29,278.52 $127,112.00 $77,268.00 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 46 14 — $104,913.00 $29,137.24 $98,720.00 $76,890.00 2026-03-31
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 7 — $459,197.00 $61,879.42 $185,470.02 $76,847.82 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 46 14 — $101,529.00 $29,042.71 $98,395.00 $76,637.00 2026-03-31
6954 APR_DRG Chemotherapy For Acute Leukemia # 24 7 — $309,196.00 $61,552.07 $184,498.44 $76,445.17 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 46 14 — $104,154.00 $28,929.06 $98,004.00 $76,333.00 2026-03-31
263 MS_DRG Vein Ligation And Stripping 46 14 — $101,063.00 $28,911.00 $97,942.00 $76,284.00 2026-03-31
849 MS_DRG Radiotherapy 46 14 — $103,662.00 $28,794.16 $97,541.00 $75,971.00 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 — $58,045.00 $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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 46 14 — $96,634.00 $33,573.00 $113,970.00 $75,805.50 2026-03-31
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 46 14 — $92,273.00 $26,427.58 $89,405.00 $75,752.00 2026-03-31
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 24 7 — $500,573.00 $49,661.01 $183,681.05 $75,493.65 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 46 14 — $99,980.00 $28,605.09 $96,891.00 $75,465.00 2026-03-31
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 24 7 — $760,181.00 $60,697.00 $181,960.60 $75,393.43 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 46 14 — $99,856.00 $28,570.03 $96,770.00 $75,371.00 2026-03-31
503 MS_DRG Foot Procedures With Mcc 46 14 — $99,728.00 $28,533.92 $96,646.00 $75,275.00 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 46 14 — $99,626.00 $28,505.24 $96,547.00 $75,198.00 2026-03-31
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 46 14 — $91,513.00 $26,213.01 $88,667.00 $75,128.00 2026-03-31
214 APR_DRG Craniotomy Except For Trauma 24 7 — $458,101.00 $60,353.15 $180,940.08 $74,970.50 2026-03-31
43027865 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
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $51,344.00 $59,917.79 $179,647.91 $74,435.00 2026-03-31
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 7 — $325,975.00 $59,917.79 $179,647.91 $74,435.00 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 46 14 — $98,596.00 $28,214.20 $95,547.00 $74,418.00 2026-03-31
1694 APR_DRG Major Abdominal Vascular Procedures 24 7 — $388,158.00 $59,870.79 $179,508.41 $74,377.18 2026-03-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 24 7 — $596,523.00 $59,867.49 $179,498.62 $74,373.12 2026-03-31
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 46 14 — $90,494.00 $25,925.16 $87,677.00 $74,292.00 2026-03-31
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 46 14 — $97,386.00 $27,872.17 $94,371.00 $73,503.00 2026-03-31
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 24 7 — $692,351.00 $59,085.81 $177,178.58 $73,411.65 2026-03-31
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 24 7 — $550,738.00 $58,994.28 $176,906.94 $73,299.08 2026-03-31
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 24 7 — $352,897.00 $58,892.03 $176,603.48 $73,173.32 2026-03-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 24 7 — $536,830.00 $58,750.21 $192,584.51 $72,998.87 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 46 14 — $84,644.00 $30,660.44 $106,560.00 $72,749.50 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
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 46 14 — $99,119.00 $27,548.20 $93,257.00 $72,635.00 2026-03-31
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 7 — $235,175.00 $58,263.72 $174,738.64 $72,400.48 2026-03-31
4014 APR_DRG Pituitary & Adrenal Procedures 24 7 — $353,092.00 $58,261.25 $174,731.29 $72,397.43 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 46 14 — $88,148.00 $25,262.35 $85,399.00 $72,366.00 2026-03-31
43030542 CDM Tagraxofusp-erzs 100mcg Inj 69 15 — $72,154.95 $30,381.03 $151,905.15 $72,154.95 2026-03-31
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 46 14 — $95,536.00 $21,628.00 $92,574.00 $72,103.00 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 46 14 — $98,078.00 $27,262.46 $92,275.00 $71,870.00 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 46 14 — $95,152.00 $27,241.22 $92,202.00 $71,813.00 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 46 14 — $97,195.00 $3,750.00 $91,442.00 $71,222.00 2026-03-31
3104 APR_DRG Intervertebral Disc Excision & Decompression 24 7 — $304,113.00 $57,061.51 $171,170.48 $70,921.76 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 14 — $282,431.00 $5,824.00 $257,621.00 $70,909.14 2026-03-31
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 24 7 — $288,358.00 $56,908.14 $170,715.29 $70,733.11 2026-03-31
894 APR_DRG Major Cranial/facial Bone Procedures 24 7 — $562,547.00 $56,866.91 $170,592.92 $70,682.39 2026-03-31
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 46 14 — $85,907.00 $24,629.27 $83,222.00 $70,526.00 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 46 14 — $93,382.00 $26,740.93 $90,482.00 $70,474.00 2026-03-31
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