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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

SUNY/STONY BROOK UNIVERSITY HOSPITAL

Stony Brook, NY · CCN 330393 · Rates published

9,499 distinct procedures filed
80 distinct payers
671,245 rate rows
2026-08-01 last MRF observed
Data quality

478,105 of 671,245 rate rows are consumer-grade (71.2%)

193,140 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 170,666
template filing: same amount across many unrelated codes — excluded 10,011
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,696
exceeds 10× this hospital's gross charge — excluded from medians 4,533
per-diem day rate — not a per-procedure price 3,200
placeholder amount (≤ $0.02) — excluded from medians 28
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.stonybrookmedicine.edu/sites/default/files/113243405_StonyBrookUniversityHospital_standardcharges.csv
Found on page https://www.stonybrookmedicine.edu/patientcare/oon/charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-14
Content fingerprint 4faadd6513b6a085… · 2,429,842 bytes · first seen 2026-05-05

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
J1413
HCPCS 		Elevidys 12 $3,321,376.50 $4,317,789.45 $3,321,376.50 nat. median
$3,324,572
1.0× median
C9309
HCPCS 		Itvisma 12 $2,664,228.50 $3,463,497.05 $2,664,228.50 nat. median
$2,664,229
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 12 $33,011.00 $722,447.10 $555,728.54 nat. median
$370,165
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $531,849.12 $1,063,698.24 $531,849.12 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $489,290.59 $978,581.18 $489,290.59 nat. median
$577,541
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 12 $33,011.00 $469,019.41 $360,784.16 nat. median
$261,939
1.4× median
589X
OTHER 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 $327,869.69 $327,869.69 $327,869.69 nat. median
$327,870
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $7,762.00 $357,452.99 $274,963.84 nat. median
$205,166
1.3× median
3
MS_DRG 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 12 $33,011.00 $355,358.25 $273,352.50 nat. median
$199,832
1.4× median
14
OTHER 		Allogeneic Bone Marrow Transplant 4 $103,185.61 $277,267.38 $233,746.94 nat. median
$114,463
outlier · 2.0×
548
OTHER 		Septic Arthritis With Comorbity 4 $211,936.08 $211,936.08 $211,936.08 nat. median
$15,993
outlier · 13.3×
457
OTHER 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 4 $183,782.71 $183,782.71 $183,782.71 nat. median
$52,802
outlier · 3.5×
588X
OTHER 		Neonate Bwt <1500g W Major Procedure 7 $180,104.86 $234,990.72 $180,104.94 nat. median
$180,105
1.0× median
4
MS_DRG 		Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 12 $33,011.00 $232,082.44 $178,524.95 nat. median
$132,706
1.3× median
4
OTHER 		Trach With Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 6 $81,244.84 $244,532.32 $173,870.66 nat. median
$141,447
1.2× median
790
OTHER 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 $132,074.19 $297,875.14 $173,524.43 nat. median
$6,957
outlier · 24.9×
7
MS_DRG 		Lung Transplant 12 $33,011.00 $217,016.11 $166,935.47 nat. median
$122,690
1.4× median
3
OTHER 		Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck With Maj O.r. 6 $71,743.55 $1,302,635.53 $160,790.98 nat. median
$206,020
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $33,011.00 $201,429.86 $154,946.05 nat. median
$114,305
1.4× median
005X
OTHER 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 $39,590.82 $190,280.65 $152,608.20 nat. median
$152,608
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $33,011.00 $189,959.56 $146,122.74 nat. median
$108,240
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 12 $33,011.00 $189,742.24 $145,955.57 nat. median
$96,134
1.5× median
426
MS_DRG 		Non-hypovolemic Sodium Disorders 12 $33,011.00 $184,766.95 $142,128.42 nat. median
$96,835
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $33,011.00 $182,307.72 $140,236.71 nat. median
$100,978
1.4× median
591X
OTHER 		Neonate Birthwt 500-749g Without Major Procedure 4 $138,137.29 $138,137.29 $138,137.29 nat. median
$138,137
1.0× median
841X
OTHER 		Extensive 3Rd Degree Burns W Skin Graft 4 $134,084.34 $134,084.34 $134,084.34 nat. median
$134,084
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 12 $33,011.00 $172,885.39 $132,988.76 nat. median
$99,646
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 13 $33,011.00 $257,602.56 $129,727.15 nat. median
$98,002
1.3× median
216
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 13 $33,011.00 $199,999.98 $127,464.55 nat. median
$92,900
1.4× median
96
OTHER 		Bacterial & Tuberculous Infections Of Nervous System Without Complication/comorb… 3 $123,220.63 $123,220.63 $123,220.63 nat. median
$24,509
outlier · 5.0×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $33,011.00 $151,136.86 $116,259.12 nat. median
$81,124
1.4× median
850
MS_DRG 		Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 13 $33,011.00 $145,283.87 $111,756.82 nat. median
$81,364
1.4× median
456
MS_DRG 		Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 12 $108,463.33 $202,887.00 $110,632.60 nat. median
$80,459
1.4× median
004X
OTHER 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 $47,295.87 $129,363.82 $109,959.20 nat. median
$109,959
1.0× median
713
OTHER 		Transurethral Prostatectomy With Complication/comorbity 3 $109,552.79 $109,552.79 $109,552.79 nat. median
$12,805
outlier · 8.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $33,011.00 $141,445.39 $108,804.15 nat. median
$79,040
1.4× median
602X
OTHER 		Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom 5 $80,408.76 $218,814.12 $108,460.46 nat. median
$108,460
1.0× median
215
OTHER 		Other Heart Assist System Implant 8 $61,801.59 $157,848.60 $105,415.59 nat. median
$76,591
1.4× median
20
MS_DRG 		Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 12 $33,011.00 $132,064.88 $101,588.37 nat. median
$77,385
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Comorbity 12 $33,011.00 $410,449.24 $99,371.37 nat. median
$71,485
1.4× median
219
MS_DRG 		Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 12 $33,011.00 $128,880.06 $99,138.51 nat. median
$74,472
1.3× median
143
OTHER 		Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 $98,746.70 $98,746.70 $98,746.70 nat. median
$29,170
outlier · 3.4×
233
MS_DRG 		Coronary Bypass With Cardiac Cath With Comorbity 13 $33,011.00 $128,326.69 $98,712.84 nat. median
$73,475
1.3× median
268
OTHER 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 4 $98,415.44 $98,415.44 $98,415.44 nat. median
$65,442
1.5× median
933
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hrs Without Skin Graft 4 $24,934.52 $314,067.45 $97,217.76 nat. median
$33,213
outlier · 2.9×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $33,011.00 $215,355.03 $94,159.01 nat. median
$66,640
1.4× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 13 $7,762.00 $120,427.40 $93,562.83 nat. median
$62,911
1.5× median
10
MS_DRG 		Pancreas Transplant 12 $33,011.00 $120,477.55 $92,675.04 nat. median
$67,750
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 $33,011.00 $119,790.46 $92,146.51 nat. median
$69,153
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 $33,011.00 $119,720.25 $92,092.50 nat. median
$68,581
1.3× median

Other procedures at this hospital

Browse this hospital's 9,499 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
             
J1413 HCPCS Elevidys 12 12 $3,840,000.00 $3,840,000.00 $3,321,376.50 $4,317,789.45 $3,321,376.50 2026-08-01
602X OTHER Neonate Bwt 1000-1249g W Resp Dist Synd/Oth Maj Resp Or Maj Anom 5 5 $1,857,952.44 $1,857,952.44 $80,408.76 $218,814.12 $108,460.46 2026-07-15
588X OTHER Neonate Bwt <1500g W Major Procedure 7 7 $1,737,854.90 $1,737,854.90 $180,104.86 $234,990.72 $180,104.94 2026-07-15
591X OTHER Neonate Birthwt 500-749g Without Major Procedure 4 4 $1,604,158.60 $1,604,158.60 $138,137.29 $138,137.29 $138,137.29 2026-07-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 13 $1,510,740.00 $1,510,740.00 $531,849.12 $1,063,698.24 $531,849.12 2026-08-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 13 $1,386,000.00 $1,386,000.00 $489,290.59 $978,581.18 $489,290.59 2026-08-01
004X OTHER Tracheostomy W Mv 96+ Hours W Extensive Procedure 7 7 $1,196,630.91 $1,196,630.91 $47,295.87 $129,363.82 $109,959.20 2026-07-15
C9309 HCPCS Itvisma 12 12 $1,034,651.88 $1,034,651.88 $2,664,228.50 $3,463,497.05 $2,664,228.50 2026-08-01
3 OTHER Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck With Maj O.r. 6 6 $1,017,151.10 $1,017,151.10 $71,743.55 $1,302,635.53 $160,790.98 2026-07-15
589X OTHER Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 $1,012,584.22 $1,012,584.22 $327,869.69 $327,869.69 $327,869.69 2026-07-15
548 OTHER Septic Arthritis With Comorbity 4 4 $967,145.36 $967,145.36 $211,936.08 $211,936.08 $211,936.08 2026-07-15
162X OTHER Cardiac Valve Procedures W Ami Or Complex Pdx 5 5 $964,766.59 $964,766.59 $33,083.16 $41,971.57 $37,527.37 2026-07-15
405X OTHER Other Procedures For Endocrine, Nutritional & Metabolic Disorders 4 4 $914,209.19 $914,209.19 $60,755.88 $60,755.88 $60,755.88 2026-07-15
593X OTHER Neonate Birthwt 750-999g Without Major Procedure 4 4 $894,817.51 $894,817.51 $87,736.32 $87,736.32 $87,736.32 2026-07-15
4 OTHER Trach With Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 6 6 $782,516.58 $782,516.58 $81,244.84 $244,532.32 $173,870.66 2026-07-15
607X OTHER Neonate Bwt 1250-1499g W Resp Dist Synd/Oth Maj Resp Or Maj Anom 6 6 $713,088.58 $713,088.58 $58,256.41 $66,147.28 $64,617.63 2026-07-15
14 OTHER Allogeneic Bone Marrow Transplant 4 4 $689,135.18 $689,135.18 $103,185.61 $277,267.38 $233,746.94 2026-07-15
987 OTHER Non-extensive O.r. Proc Unrelated To Principal Diagnosis With Comorbity 5 5 $642,088.82 $642,088.82 $25,999.49 $58,283.81 $42,141.65 2026-07-15
609X OTHER Neonate Bwt 1500-2499g W Major Procedure 7 7 $620,260.73 $620,260.73 $52,927.30 $114,430.00 $88,100.47 2026-07-15
312X OTHER Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 4 $614,972.45 $614,972.45 $67,575.14 $67,575.14 $67,575.14 2026-07-15
910X OTHER Craniotomy For Multiple Significant Trauma 4 4 $585,129.12 $585,129.12 $52,214.58 $52,214.58 $52,214.58 2026-07-15
841X OTHER Extensive 3Rd Degree Burns W Skin Graft 4 4 $584,511.28 $584,511.28 $134,084.34 $134,084.34 $134,084.34 2026-07-15
611X OTHER Neonate Birthwt 1500-1999g W Major Anomaly 5 5 $580,864.66 $580,864.66 $45,278.84 $59,520.29 $52,399.57 2026-07-15
630X OTHER Neonate Birthwt >2499g W Major Cardiovascular Procedure 5 5 $575,395.46 $575,395.46 $2,182.86 $76,805.49 $39,494.18 2026-07-15
003X OTHER Bone Marrow Transplant 4 4 $557,046.21 $557,046.21 $35,620.00 $92,452.99 $50,766.74 2026-07-15
628 OTHER Other Endocrine, Nutrit & Metab O.r. Proc With Comorbity 4 4 $554,206.96 $554,206.96 $57,801.97 $57,801.97 $57,801.97 2026-07-15
665 OTHER Prostatectomy With Comorbity 4 4 $549,820.96 $549,820.96 $88,095.94 $88,095.94 $88,095.94 2026-07-15
933 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hrs Without Skin Graft 4 4 $527,714.32 $527,714.32 $24,934.52 $314,067.45 $97,217.76 2026-07-15
653 OTHER Major Bladder Procedures With Comorbity 3 3 $527,653.64 $527,653.64 $48,832.81 $48,832.81 $48,832.81 2026-07-15
005X OTHER Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 $522,914.36 $522,914.36 $39,590.82 $190,280.65 $152,608.20 2026-07-15
790 OTHER Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 4 $522,073.58 $522,073.58 $132,074.19 $297,875.14 $173,524.43 2026-07-15
215 OTHER Other Heart Assist System Implant 8 8 $490,738.80 $490,738.80 $61,801.59 $157,848.60 $105,415.59 2026-07-15
690X OTHER Acute Leukemia 6 6 $479,016.41 $479,016.41 $44,282.59 $63,341.76 $47,459.13 2026-07-15
650 OTHER Kidney Transplant With Hemodialysis With Mcc 3 3 $474,592.40 $474,592.40 $40,909.44 $40,909.44 $40,909.44 2026-07-15
981 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 10 10 $467,945.67 $467,945.67 $20,465.38 $79,986.55 $54,662.84 2026-07-15
20 OTHER Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 7 7 $467,277.28 $467,277.28 $40,824.17 $126,032.27 $91,771.36 2026-07-15
823 OTHER Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 6 6 $462,854.32 $462,854.32 $37,142.14 $66,738.13 $47,413.52 2026-07-15
680X OTHER Major O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 4 4 $460,840.90 $460,840.90 $85,726.14 $85,726.14 $85,726.14 2026-07-15
681X OTHER Other O.r. Procedures For Lymphatic/Hematopoietic/Other Neoplasms 3 3 $455,380.04 $455,380.04 $68,370.29 $68,370.29 $68,370.29 2026-07-15
28 OTHER Spinal Procedures With Comorbity 5 5 $454,399.07 $454,399.07 $34,939.89 $92,657.95 $58,138.92 2026-07-15
834 OTHER Acute Leukemia Without Major O.r. Procedure With Comorbity 6 6 $447,146.68 $447,146.68 $48,280.75 $176,557.90 $77,233.80 2026-07-15
612X OTHER Neonate Bwt 1500-1999g W Resp Dist Synd/Oth Maj Resp Cond 6 6 $426,559.10 $426,559.10 $36,740.43 $51,298.53 $40,067.96 2026-07-15
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Comorbity 6 6 $425,032.53 $425,032.53 $46,511.08 $60,958.46 $56,393.95 2026-07-15
270 OTHER Other Major Cardiovascular Procedures With Comorbity 9 9 $423,700.74 $423,700.74 $41,387.96 $120,298.58 $59,641.17 2026-07-15
219 OTHER Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 7 7 $420,149.92 $420,149.92 $37,975.61 $223,511.98 $77,556.63 2026-07-15
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 7 7 $414,598.41 $414,598.41 $50,678.79 $149,540.98 $74,296.35 2026-07-15
459 OTHER Spinal Fusion Except Cervical With Comorbity 6 6 $410,145.43 $410,145.43 $57,034.70 $63,117.87 $59,058.84 2026-07-15
907 OTHER Other O.r. Procedures For Injuries With Comorbity 7 7 $404,617.80 $404,617.80 $33,520.77 $82,315.19 $43,348.35 2026-07-15
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 10 10 $400,567.45 $400,567.45 $44,896.45 $189,759.76 $87,086.77 2026-07-15
169X OTHER Major Abdominal Vascular Procedures 4 4 $394,230.95 $394,230.95 $35,940.94 $52,217.44 $48,148.32 2026-07-15
222 OTHER Cardiac Defib Implant With Cardiac Cath With Ami/hf/shock With Comorbity 6 6 $393,448.16 $393,448.16 $63,852.31 $65,796.08 $65,449.07 2026-07-15
161X OTHER Implantable Heart Assist Systems 6 6 $390,829.87 $390,829.87 $44,740.98 $164,040.52 $82,156.42 2026-07-15
11 OTHER Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 4 4 $388,565.00 $388,565.00 $64,339.60 $64,339.60 $64,339.60 2026-07-15
225 OTHER Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock Without Comorbity 4 4 $385,146.07 $385,146.07 $58,636.45 $58,636.45 $58,636.45 2026-07-15
840 OTHER Lymphoma & Non-acute Leukemia With Comorbity 8 8 $372,036.53 $372,036.53 $30,322.61 $84,286.93 $51,009.14 2026-07-15
283 OTHER Acute Myocardial Infarction, Expired With Comorbity 4 4 $364,584.31 $364,584.31 $17,293.63 $51,506.17 $42,953.04 2026-07-15
239 OTHER Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 7 7 $362,941.96 $362,941.96 $40,210.53 $52,875.98 $49,862.74 2026-07-15
521 OTHER Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 6 $360,576.92 $360,576.92 $28,958.69 $76,622.83 $49,031.56 2026-07-15
477 OTHER Biopsies Of Musculoskeletal System & Connective Tissue With Comorbity 6 6 $357,067.11 $357,067.11 $26,834.98 $119,145.76 $64,691.57 2026-07-15
130X OTHER Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 7 $356,549.20 $356,549.20 $31,647.08 $43,925.04 $38,386.74 2026-07-15
216 OTHER Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 11 11 $353,868.28 $353,868.28 $56,735.78 $133,511.00 $86,285.01 2026-07-15
912X OTHER Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 $353,077.96 $353,077.96 $44,951.00 $46,408.01 $46,165.16 2026-07-15
223 OTHER Cardiac Defib Implant With Cardiac Cath With Ami/hf/shock Without Comorbity 4 4 $352,392.46 $352,392.46 $66,062.62 $66,062.62 $66,062.62 2026-07-15
631X OTHER Neonate Birthwt >2499g W Other Major Procedure 5 5 $350,503.58 $350,503.58 $11,577.16 $75,812.93 $75,812.89 2026-07-15
500 OTHER Soft Tissue Procedures With Comorbity 4 4 $343,984.62 $343,984.62 $61,769.56 $61,769.56 $61,769.56 2026-07-15
217 OTHER Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 5 5 $340,585.13 $340,585.13 $4,822.00 $81,616.54 $46,160.41 2026-07-15
474 OTHER Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 5 5 $329,984.80 $329,984.80 $54,568.21 $60,306.03 $57,437.12 2026-07-15
950X OTHER Extensive Procedure Unrelated To Principal Diagnosis 6 6 $316,769.54 $316,769.54 $28,183.80 $130,869.16 $46,920.24 2026-07-15
853 OTHER Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 14 14 $310,859.80 $310,859.80 $2,194.46 $320,275.93 $78,525.68 2026-07-15
224 OTHER Cardiac Defib Implant With Cardiac Cath Without Ami/hf/shock With Comorbity 6 6 $307,351.54 $307,351.54 $16,638.18 $100,571.38 $84,581.90 2026-07-15
226 OTHER Cardiac Defibrillator Implant Without Cardiac Cath With Comorbity 6 6 $303,653.39 $303,653.39 $55,059.51 $76,038.34 $58,556.31 2026-07-15
23 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 13 13 $303,420.03 $303,420.03 $41,708.81 $218,350.12 $54,612.61 2026-07-15
231 OTHER Coronary Bypass With Ptca With Comorbity 4 4 $302,947.00 $302,947.00 $72,019.34 $72,019.34 $72,019.34 2026-07-15
326 OTHER Stomach, Esophageal & Duodenal Proc With Comorbity 7 7 $301,294.10 $301,294.10 $41,678.92 $127,919.82 $82,281.17 2026-07-15
233 OTHER Coronary Bypass With Cardiac Cath With Comorbity 4 4 $289,639.35 $289,639.35 $64,800.92 $64,800.92 $64,800.92 2026-07-15
956 OTHER Limb Reattachment, Hip & Femur Proc For Multiple Significant Trauma 5 5 $288,279.89 $288,279.89 $22,274.79 $154,940.61 $77,446.65 2026-07-15
652 OTHER Kidney Transplant 7 7 $287,216.78 $287,216.78 $25,368.54 $107,880.18 $51,559.69 2026-07-15
264 OTHER Other Circulatory System O.r. Procedures 7 7 $275,767.35 $275,767.35 $13,202.73 $86,621.47 $42,811.81 2026-07-15
963 OTHER Other Multiple Significant Trauma With Comorbity 5 5 $275,222.01 $275,222.01 $38,965.62 $57,758.71 $48,362.17 2026-07-15
090X OTHER Major Larynx & Trachea Procedures 3 3 $270,263.30 $270,263.30 $17,264.95 $110,321.04 $69,439.25 2026-07-15
25 OTHER Craniotomy & Endovascular Intracranial Procedures With Comorbity 12 12 $269,823.17 $269,823.17 $37,325.99 $206,092.31 $50,277.93 2026-07-15
463 OTHER Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis With Comorbity 5 5 $265,165.86 $265,165.86 $53,362.30 $64,954.34 $54,733.08 2026-07-15
235 OTHER Coronary Bypass Without Cardiac Cath With Comorbity 6 6 $263,322.89 $263,322.89 $7,198.11 $63,547.95 $46,867.50 2026-07-15
303X OTHER Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 7 $261,604.22 $261,604.22 $4,462.91 $85,551.36 $64,045.82 2026-07-15
227 OTHER Cardiac Defibrillator Implant Without Cardiac Cath Without Comorbity 5 5 $259,300.38 $259,300.38 $41,584.32 $71,925.65 $55,122.63 2026-07-15
829 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 4 4 $255,445.20 $255,445.20 $46,234.14 $46,234.14 $46,234.14 2026-07-15
319 OTHER Other Endovascular Cardiac Valve Procedures With Comorbity 4 4 $253,298.30 $253,298.30 $51,529.29 $51,529.29 $51,529.29 2026-07-15
440X OTHER Kidney Transplant 5 5 $250,904.76 $250,904.76 $36,665.39 $40,239.01 $37,969.81 2026-07-15
166 OTHER Other Resp System O.r. Procedures With Comorbity 4 4 $246,174.56 $246,174.56 $45,889.66 $45,889.66 $45,889.66 2026-07-15
710X OTHER Infectious & Parasitic Diseases Including HIV W O.r. Procedure 9 9 $245,432.67 $245,432.67 $19,048.58 $80,249.31 $44,338.66 2026-07-15
266 OTHER Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 9 9 $243,381.89 $243,381.89 $32,742.97 $83,916.19 $58,103.98 2026-07-15
329 OTHER Major Small & Large Bowel Procedures With Comorbity 10 10 $240,658.21 $240,658.21 $38,696.94 $386,541.20 $62,851.31 2026-07-15
515 OTHER Other Musculoskelet Sys & Conn Tiss O.r. Proc With Comorbity 4 4 $240,170.50 $240,170.50 $47,779.23 $47,779.23 $47,779.23 2026-07-15
273 OTHER Percutaneous Intracardiac Procedures With Comorbity 6 6 $238,414.83 $238,414.83 $30,213.44 $45,395.71 $41,076.76 2026-07-15
958 OTHER Other O.r. Procedures For Multiple Significant Trauma With Complication 5 5 $235,950.21 $235,950.21 $33,784.08 $47,330.90 $40,557.49 2026-07-15
308X OTHER Hip & Femur Fracture Repair 6 6 $235,636.94 $235,636.94 $14,207.66 $209,821.77 $78,538.77 2026-07-15
089X OTHER Major Cranial/Facial Bone Procedures 7 7 $230,875.34 $230,875.34 $16,647.43 $227,290.36 $57,672.28 2026-07-15
837 OTHER Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 6 6 $229,036.93 $229,036.93 $40,511.68 $84,246.24 $63,420.96 2026-07-15
40 OTHER Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 6 6 $226,388.54 $226,388.54 $35,865.31 $222,054.82 $44,021.77 2026-07-15
512X OTHER Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 5 5 $225,993.30 $225,993.30 $17,656.28 $80,725.82 $49,191.05 2026-07-15
234 OTHER Coronary Bypass With Cardiac Cath Without Comorbity 7 7 $224,550.21 $224,550.21 $42,142.83 $174,841.84 $45,897.10 2026-07-15
356 OTHER Other Digestive System O.r. Procedures With Comorbity 6 6 $224,122.49 $224,122.49 $33,720.37 $48,132.05 $40,263.21 2026-07-15
180 OTHER Respiratory Neoplasms With Comorbity 8 8 $223,937.29 $223,937.29 $14,280.77 $291,490.75 $48,160.23 2026-07-15
070X OTHER Orbital Procedures 6 6 $216,645.53 $216,645.53 $9,799.64 $48,693.66 $39,070.97 2026-07-15
673 OTHER Other Kidney & Urinary Tract Procedures With Comorbity 4 4 $214,455.00 $214,455.00 $64,459.70 $66,376.95 $65,897.64 2026-07-15
457 OTHER Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 4 4 $207,089.08 $207,089.08 $183,782.71 $183,782.71 $183,782.71 2026-07-15
34 OTHER Carotid Artery Stent Procedure With Comorbity 5 5 $204,334.12 $204,334.12 $34,623.69 $51,877.91 $43,250.80 2026-07-15
826 OTHER Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 4 4 $203,423.95 $203,423.95 $62,986.22 $62,986.22 $62,986.22 2026-07-15
228 OTHER Other Cardiothoracic Procedures With Comorbity 5 5 $200,622.10 $200,622.10 $42,627.47 $56,598.05 $49,612.76 2026-07-15
143 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 4 4 $198,837.24 $198,837.24 $98,746.70 $98,746.70 $98,746.70 2026-07-15
951X OTHER Moderately Extensive Procedure Unrelated To Principal Diagnosis 8 8 $198,716.01 $198,716.01 $25,545.50 $130,994.35 $42,104.76 2026-07-15
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Comorbity 4 4 $198,174.62 $198,174.62 $71,403.03 $71,403.03 $71,403.03 2026-07-15
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 4 4 $197,070.79 $197,070.79 $40,169.68 $40,169.68 $40,169.68 2026-07-15
110X OTHER Ear, Nose, Mouth, Throat, Cranial/Facial Malignancies 5 5 $193,395.38 $193,395.38 $13,830.57 $66,784.47 $40,307.52 2026-07-15
454 OTHER Combined Anterior/posterior Spinal Fusion With Complication 3 3 $192,547.28 $192,547.28 $48,612.54 $130,091.41 $89,351.98 2026-07-15
405 OTHER Pancreas, Liver & Shunt Procedures With Comorbity 7 7 $191,443.09 $191,443.09 $19,523.18 $111,406.21 $48,723.84 2026-07-15
24 OTHER Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 8 8 $191,067.46 $191,067.46 $31,322.85 $326,783.41 $40,248.26 2026-07-15
163 OTHER Major Chest Procedures With Comorbity 8 8 $188,339.35 $188,339.35 $36,293.99 $98,278.48 $49,540.92 2026-07-15
023X OTHER Spinal Procedures 6 6 $187,857.82 $187,857.82 $16,887.22 $291,226.17 $66,248.23 2026-07-15
269 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 7 7 $187,224.79 $187,224.79 $36,989.01 $50,764.23 $42,030.00 2026-07-15
242 OTHER Permanent Cardiac Pacemaker Implant With Comorbity 7 7 $187,001.67 $187,001.67 $29,883.45 $54,149.83 $39,093.82 2026-07-15
220 OTHER Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 7 7 $185,903.09 $185,903.09 $43,211.03 $63,766.20 $51,062.83 2026-07-15
271 OTHER Other Major Cardiovascular Procedures With Complication 8 8 $184,351.68 $184,351.68 $24,335.62 $64,668.05 $42,323.17 2026-07-15
713 OTHER Transurethral Prostatectomy With Complication/comorbity 3 3 $183,745.27 $183,745.27 $109,552.79 $109,552.79 $109,552.79 2026-07-15
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 5 5 $183,180.77 $183,180.77 $50,407.00 $109,855.86 $80,131.43 2026-07-15
96 OTHER Bacterial & Tuberculous Infections Of Nervous System Without Complication/comorb… 3 3 $182,205.45 $182,205.45 $123,220.63 $123,220.63 $123,220.63 2026-07-15
236 OTHER Coronary Bypass Without Cardiac Cath Without Comorbity 10 10 $181,029.81 $181,029.81 $32,241.39 $96,114.69 $38,109.46 2026-07-15
21 OTHER Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 4 4 $173,962.54 $173,962.54 $59,238.36 $59,238.36 $59,238.36 2026-07-15
616 OTHER Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis With Comorbity 5 5 $168,842.56 $168,842.56 $37,579.84 $145,832.04 $47,253.94 2026-07-15
253 OTHER Other Vascular Procedures With Complication 9 9 $167,436.38 $167,436.38 $21,371.49 $87,816.23 $46,128.08 2026-07-15
592 OTHER Skin Ulcers With Comorbity 4 4 $164,105.30 $164,105.30 $60,319.21 $60,319.21 $60,319.21 2026-07-15
268 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 4 4 $159,565.21 $159,565.21 $98,415.44 $98,415.44 $98,415.44 2026-07-15
791 OTHER Prematurity With Major Problems 6 6 $158,798.28 $158,798.28 $3,363.73 $111,233.73 $55,384.86 2026-07-15
460 OTHER Spinal Fusion Except Cervical Without Comorbity 9 9 $154,984.91 $154,984.91 $31,244.59 $88,051.34 $43,495.36 2026-07-15
471 OTHER Cervical Spinal Fusion With Comorbity 3 3 $151,549.09 $151,549.09 $39,779.77 $39,779.77 $39,779.77 2026-07-15
890X OTHER HIV W Multiple Major HIV Related Conditions 4 4 $151,388.67 $151,388.67 $28,155.05 $81,736.70 $41,550.46 2026-07-15
757X OTHER Organic Mental Health Disturbances 6 6 $150,922.01 $150,922.01 $11,977.44 $152,787.47 $41,975.85 2026-07-15
466 OTHER Revision Of Hip Or Knee Replacement With Comorbity 3 3 $150,355.51 $150,355.51 $46,167.33 $46,167.33 $46,167.33 2026-07-15
842X OTHER Burns W Skin Graft Except Extensive 3Rd Degree Burns 5 5 $150,027.92 $150,027.92 $19,268.77 $47,155.54 $37,121.64 2026-07-15
447X OTHER Other Kidney, Urinary Tract & Related Procedures 5 5 $147,307.73 $147,307.73 $38,742.39 $55,389.22 $47,065.81 2026-07-15
518 OTHER Back & Neck Proc Exc Spinal Fusion With Comorbity Or Disc Device/neurostim 5 5 $145,166.20 $145,166.20 $28,311.77 $75,926.77 $45,955.90 2026-07-15
221 OTHER Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 6 6 $144,952.52 $144,952.52 $36,638.73 $56,279.43 $46,526.29 2026-07-15
274 OTHER Percutaneous Intracardiac Procedures Without Comorbity 11 11 $143,162.52 $143,162.52 $26,259.79 $96,395.21 $37,358.74 2026-07-15
33270 CPT Ins/rep Subq Defibrillator 59 52 $142,688.00 $142,688.00 $4,958.00 $77,980.46 $41,117.73 2026-08-01
846 OTHER Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Comorbity 4 4 $141,160.28 $141,160.28 $56,831.14 $56,831.14 $56,831.14 2026-07-15
A9543 HCPCS Y90 Ibritumomab, Rx 13 13 $140,545.00 $140,545.00 $56,824.55 $113,649.10 $56,824.55 2026-08-01
267 OTHER Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 7 7 $138,210.46 $138,210.46 $44,805.52 $153,974.18 $61,012.29 2026-07-15
042X OTHER Degenerative Nervous System Disorders Exc Mult Sclerosis 5 5 $135,985.50 $135,985.50 $9,528.43 $112,278.47 $51,228.87 2026-07-15
31 OTHER Ventricular Shunt Procedures With Comorbity 3 3 $135,841.35 $135,841.35 $81,022.87 $81,022.87 $81,022.87 2026-07-15
472 OTHER Cervical Spinal Fusion With Complication 5 5 $134,943.45 $134,943.45 $24,961.28 $80,856.08 $47,911.45 2026-07-15
33231 CPT Insrt Pulse Gen W/mult Leads 48 44 $134,218.00 $134,218.00 $4,958.00 $77,980.46 $41,117.73 2026-08-01
335 OTHER Peritoneal Adhesiolysis With Comorbity 4 4 $131,729.87 $131,729.87 $31,976.29 $67,194.80 $40,780.92 2026-07-15
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 57 53 $125,437.00 $125,437.00 $4,822.00 $77,980.46 $41,117.73 2026-08-01
22 OTHER Intracranial Vascular Procedures With Pdx Hemorrhage Without Complication/comorb… 3 3 $120,263.71 $120,263.71 $38,778.47 $38,778.47 $38,778.47 2026-07-15
512 OTHER Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc Without Complication/comor… 3 3 $115,258.86 $115,258.86 $40,684.37 $40,684.37 $40,684.37 2026-07-15
27 OTHER Craniotomy & Endovascular Intracranial Procedures Without Complication/comorbity 11 11 $113,942.05 $113,942.05 $20,297.17 $77,166.11 $40,284.22 2026-07-15
455 OTHER Combined Anterior/posterior Spinal Fusion Without Complication/comorbity 5 5 $110,452.75 $110,452.75 $37,832.12 $118,989.07 $78,410.60 2026-07-15
749 OTHER Other Female Reproductive System O.r. Procedures With Complication/comorbity 3 3 $106,964.98 $106,964.98 $71,034.35 $71,034.35 $71,034.35 2026-07-15
33289 CPT Insertion Of Wireless Pressure Sensor Into Lung Artery Through Tube With Review … 101 49 $106,234.00 $106,234.00 $4,958.00 $71,259.06 $37,757.03 2026-08-01
468 OTHER Revision Of Hip Or Knee Replacement Without Complication/comorbity 4 4 $103,633.75 $103,633.75 $22,976.16 $76,173.07 $62,873.85 2026-07-15
140 OTHER Major Head And Neck Procedures With Mcc 5 5 $100,485.11 $100,485.11 $7,843.24 $97,290.07 $52,566.66 2026-07-15
341 OTHER Appendectomy Without Complicated Principal Diag With Comorbity 3 3 $98,271.26 $98,271.26 $38,707.07 $38,707.07 $38,707.07 2026-07-15
742 OTHER Uterine & Adnexa Proc For Non-malignancy With Complication/comorbity 5 5 $94,747.06 $94,747.06 $25,226.73 $44,974.90 $37,513.12 2026-07-15
073X OTHER Orbit & Eye Procedures 5 5 $93,500.12 $93,500.12 $27,460.40 $94,736.00 $40,344.74 2026-07-15
049X OTHER Bacterial & Tuberculous Infections Of Nervous System 3 3 $91,019.09 $91,019.09 $45,854.00 $56,716.33 $51,285.17 2026-07-15
0571T CPT Insj/rplcmt Icds Ss Eltrd 48 44 $90,601.00 $90,601.00 $5,417.00 $77,980.46 $41,117.73 2026-08-01
0408T CPT Insertion Or Replacement Of Pulse Generator And Electrodes Of Heart Contractilit… 96 44 $90,601.00 $90,601.00 $5,417.00 $77,980.46 $41,117.73 2026-08-01
38240 CPT Transplt Allo Hct/donor 19 17 $86,639.00 $86,639.00 $4,958.00 $156,267.42 $78,133.71 2026-08-01
802 OTHER Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 5 5 $85,686.13 $85,686.13 $22,298.22 $66,690.37 $44,494.30 2026-07-15
047X OTHER Transient Ischemia 4 4 $82,825.10 $82,825.10 $18,488.66 $70,236.28 $46,979.51 2026-07-15
876 OTHER O.r. Procedure With Principal Diagnoses Of Mental Illness 4 4 $79,103.98 $79,103.98 $51,958.46 $51,958.46 $51,958.46 2026-07-15
144 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 3 3 $78,611.26 $78,611.26 $47,361.78 $47,361.78 $47,361.78 2026-07-15
36 OTHER Carotid Artery Stent Procedure Without Complication/comorbity 5 5 $76,384.83 $76,384.83 $15,840.57 $63,511.75 $39,676.16 2026-07-15
793 OTHER Full Term Neonate With Major Problems 6 6 $76,177.90 $76,177.90 $18,579.00 $110,550.53 $38,512.19 2026-07-15
046X OTHER Nonspecific Cva & Precerebral Occlusion Without Infarct 7 7 $74,837.30 $74,837.30 $9,163.18 $190,335.89 $70,401.94 2026-07-15
J9029 HCPCS Adstiladrin 39 13 $73,080.00 $73,080.00 $64,282.30 $128,564.60 $64,282.30 2026-08-01
258 OTHER Cardiac Pacemaker Device Replacement With Comorbity 3 3 $69,926.43 $69,926.43 $56,216.60 $56,216.60 $56,216.60 2026-07-15
838 OTHER Chemo With Acute Leukemia As Sdx With Complication Or High Dose Chemo Agent 4 4 $66,561.83 $66,561.83 $38,321.57 $38,321.57 $38,321.57 2026-07-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 60 49 $65,444.00 $65,444.00 $2,391.00 $76,660.86 $40,457.93 2026-08-01
J9226 HCPCS Supprelin La 48 44 $58,520.84 $58,520.84 $41,173.43 $82,346.86 $43,300.93 2026-08-01
620 OTHER O.r. Procedures For Obesity With Complication 4 4 $45,370.02 $45,370.02 $43,237.57 $43,237.57 $43,237.57 2026-07-15
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 97 44 $35,098.00 $35,098.00 $4,958.00 $76,660.86 $40,457.93 2026-08-01
69930 CPT Insertion Of Cochlear Device 150 50 $28,133.00 $28,133.00 $1,324.11 $81,913.78 $43,084.39 2026-08-01
64568 CPT Insertion Of Cranial Nerve Neurostimulator Electrode And Generator 48 24 $25,745.00 $25,745.00 $4,958.00 $109,965.02 $54,982.51 2026-08-01
61885 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To Single Electr… 52 48 $18,382.00 $18,382.00 $4,958.00 $76,660.86 $40,457.93 2026-08-01
61886 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele… 52 48 $12,076.50 $12,076.50 $4,822.00 $76,660.86 $40,457.93 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 13 12 — — $33,011.00 $722,447.10 $555,728.54 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist Systemwithcomorbity 13 12 — — $33,011.00 $469,019.41 $360,784.16 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 13 — — $7,762.00 $357,452.99 $274,963.84 2026-08-01
3 MS_DRG Ecmo Or Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck With Maj O.r. 13 12 — — $33,011.00 $355,358.25 $273,352.50 2026-08-01
4 MS_DRG Trach With Mv >96 Hrs Or Pdx Exc Face; Mouth & Neck Without Maj O.r. 13 12 — — $33,011.00 $232,082.44 $178,524.95 2026-08-01
7 MS_DRG Lung Transplant 13 12 — — $33,011.00 $217,016.11 $166,935.47 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 13 12 — — $33,011.00 $201,429.86 $154,946.05 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 12 — — $33,011.00 $189,959.56 $146,122.74 2026-08-01
209 MS_DRG Complex Aortic Arch Procedures 13 12 — — $33,011.00 $189,742.24 $145,955.57 2026-08-01
426 MS_DRG Non-hypovolemic Sodium Disorders 13 12 — — $33,011.00 $184,766.95 $142,128.42 2026-08-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 12 — — $33,011.00 $182,307.72 $140,236.71 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 12 — — $33,011.00 $172,885.39 $132,988.76 2026-08-01
215 MS_DRG Other Heart Assist System Implant 14 13 — — $33,011.00 $257,602.56 $129,727.15 2026-08-01
216 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Comorbity 14 13 — — $33,011.00 $199,999.98 $127,464.55 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 12 — — $33,011.00 $151,136.86 $116,259.12 2026-08-01
850 MS_DRG Procedure With Diagnosis Of Rehabilitation; Aftercare Or Other Contact With Heal… 14 13 — — $33,011.00 $145,283.87 $111,756.82 2026-08-01
456 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Comorbity 13 12 — — $108,463.33 $202,887.00 $110,632.60 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 12 — — $33,011.00 $141,445.39 $108,804.15 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Comorbity 13 12 — — $33,011.00 $132,064.88 $101,588.37 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Comorbity 14 12 — — $33,011.00 $410,449.24 $99,371.37 2026-08-01
219 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Comorbity 13 12 — — $33,011.00 $128,880.06 $99,138.51 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Cath With Comorbity 14 13 — — $33,011.00 $128,326.69 $98,712.84 2026-08-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 12 — — $33,011.00 $215,355.03 $94,159.01 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhal Inj With Complication/comorbity 14 13 — — $7,762.00 $120,427.40 $93,562.83 2026-08-01
10 MS_DRG Pancreas Transplant 13 12 — — $33,011.00 $120,477.55 $92,675.04 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 12 — — $33,011.00 $119,790.46 $92,146.51 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 12 — — $33,011.00 $119,720.25 $92,092.50 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 12 — — $33,011.00 $116,065.68 $89,281.29 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Comorbity 13 12 — — $33,011.00 $115,498.94 $88,845.34 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 12 — — $33,011.00 $113,044.72 $86,957.48 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 12 — — $33,011.00 $112,299.07 $86,383.90 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 12 — — $33,011.00 $112,217.17 $86,320.90 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 12 — — $33,011.00 $110,440.06 $84,953.89 2026-08-01
217 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc With Card Cath With Complication 13 12 — — $33,011.00 $110,440.06 $84,953.89 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 12 — — $33,011.00 $110,040.48 $84,646.52 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 12 — — $33,011.00 $108,089.48 $83,145.75 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures With Comorbity 14 13 — — $33,011.00 $202,186.18 $79,998.77 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 12 — — $33,011.00 $102,850.02 $79,115.40 2026-08-01
457 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus With Complication 15 13 — — $77,080.95 $150,306.92 $78,622.57 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Comorbity 13 12 — — $33,011.00 $101,868.66 $78,360.51 2026-08-01
28 MS_DRG Spinal Procedures With Comorbity 13 12 — — $33,011.00 $100,960.89 $77,662.22 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 12 — — $33,011.00 $100,932.47 $77,640.36 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome; Neonate 15 13 — — $33,011.00 $2,641,145.89 $76,828.89 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Complication/comorbity Or T-cell Immunoth… 13 12 — — $33,011.00 $99,646.83 $76,651.41 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Cath With Comorbity 13 12 — — $33,011.00 $98,625.38 $75,865.68 2026-08-01
820 MS_DRG Lymphoma & Leukemia With Major O.r. Procedure With Comorbity 13 12 — — $33,011.00 $98,561.84 $75,816.80 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Comorbity Or … 14 12 — — $33,011.00 $145,464.32 $74,827.99 2026-08-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 12 — — $33,011.00 $96,928.49 $74,560.38 2026-08-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 13 12 — — $33,011.00 $95,922.06 $73,786.20 2026-08-01
463 MS_DRG Wnd Debrid & Skn Grft Exc Hand; For Musculo-conn Tiss Dis With Comorbity 13 12 — — $33,011.00 $95,798.35 $73,691.04 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 12 — — $71,421.23 $106,709.00 $72,849.65 2026-08-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 12 — — $33,011.00 $94,502.71 $72,694.39 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 12 — — $33,011.00 $94,211.81 $72,470.62 2026-08-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 12 — — $33,011.00 $93,569.81 $71,976.78 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Cath Without Comorbity 14 13 — — $33,011.00 $289,051.38 $71,352.23 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Comorbity 13 12 — — $33,011.00 $92,294.24 $70,995.57 2026-08-01
405 MS_DRG Pancreas; Liver & Shunt Procedures With Comorbity 13 12 — — $33,011.00 $91,969.90 $70,746.08 2026-08-01
11 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Comorbity 13 12 — — $33,011.00 $91,695.72 $70,535.17 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 12 — — $33,011.00 $91,331.28 $70,254.83 2026-08-01
220 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath With Complication 13 12 — — $33,011.00 $89,667.81 $68,975.24 2026-08-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 12 — — $33,011.00 $89,614.32 $68,934.09 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Comorbity 14 12 — — $33,011.00 $188,698.30 $68,931.16 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Comorbity 13 12 — — $67,336.87 $110,446.00 $68,683.61 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Complication 13 12 — — $33,011.00 $89,015.81 $68,473.70 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 13 12 — — $33,011.00 $87,387.47 $67,221.13 2026-08-01
221 MS_DRG Cardiac Valve & Oth Maj Cardiothoracic Proc Without Card Cath Without Complicati… 13 12 — — $33,011.00 $84,776.13 $65,212.41 2026-08-01
326 MS_DRG Stomach; Esophageal & Duodenal Proc With Comorbity 13 12 — — $33,011.00 $83,893.38 $64,533.37 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Comorbity 13 12 — — $33,011.00 $83,224.69 $64,018.99 2026-08-01
853 MS_DRG Infectious & Parasitic Diseases With O.r. Procedure With Comorbity 14 13 — — $4,887.58 $83,077.57 $63,905.82 2026-08-01
458 MS_DRG Spinal Fus Exc Cerv With Spinal Curv/malig/infec Or Ext Fus Without Complication… 13 12 — — $54,055.01 $112,853.00 $55,136.11 2026-08-01
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe With Comorbity 45 41 — — $33,011.00 $82,795.01 $46,817.43 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 45 41 — — $33,011.00 $82,452.28 $46,632.88 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Comorbity 45 41 — — $33,011.00 $81,240.24 $45,980.25 2026-08-01
837 MS_DRG Chemo With Acute Leukemia As Sdx Or With High Dose Chemo Agent With Comorbity 45 41 — — $33,011.00 $80,832.32 $45,760.60 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement & Supplement Procedures Without Comorbity 45 41 — — $33,011.00 $161,812.14 $45,369.01 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 46 41 — — $33,011.00 $79,112.02 $44,834.28 2026-08-01
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Comorbity 45 41 — — $33,011.00 $78,951.55 $44,747.87 2026-08-01
826 MS_DRG Myeloprolif Disord Or Poorly Diff Neopl With Maj O.r. Proc With Comorbity 45 41 — — $33,011.00 $78,717.47 $44,621.83 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 44 40 — — $33,011.00 $78,035.39 $44,254.56 2026-08-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 42 38 — — $33,011.00 $77,726.09 $44,088.01 2026-08-01
329 MS_DRG Major Small & Large Bowel Procedures With Comorbity 45 41 — — $33,011.00 $77,358.29 $43,889.96 2026-08-01
823 MS_DRG Lymphoma & Non-acute Leukemia With Other Proc With Comorbity 45 41 — — $33,011.00 $77,162.71 $43,784.65 2026-08-01
245 MS_DRG Aicd Generator Procedures 45 41 — — $33,011.00 $76,788.20 $43,583.00 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Proc With Comorbity 45 41 — — $33,011.00 $76,559.17 $43,459.67 2026-08-01
25 MS_DRG Craniotomy & Endovascular Intracranial Procedures With Comorbity 45 41 — — $33,011.00 $76,525.74 $43,441.67 2026-08-01
799 MS_DRG Splenectomy With Comorbity 45 41 — — $33,011.00 $76,228.15 $43,281.43 2026-08-01
163 MS_DRG Major Chest Procedures With Comorbity 45 41 — — $33,011.00 $160,620.19 $42,857.44 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Comorbity 45 41 — — $33,011.00 $75,419.01 $42,845.74 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Comorbity 45 41 — — $33,011.00 $75,124.76 $42,687.29 2026-08-01
356 MS_DRG Other Digestive System O.r. Procedures With Comorbity 45 41 — — $33,011.00 $73,952.81 $42,056.25 2026-08-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 42 38 — — $33,011.00 $72,859.46 $41,467.52 2026-08-01
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis With Comorbity 45 41 — — $33,011.00 $72,282.68 $41,156.94 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 45 41 — — $33,011.00 $71,821.31 $40,908.51 2026-08-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 36 — — $33,011.00 $71,411.68 $40,687.94 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Comorbity 45 41 — — $33,011.00 $71,117.46 $40,529.52 2026-08-01
12 MS_DRG Tracheostomy For Face; Mouth & Neck Diagnoses Or Laryngectomy With Complication 45 41 — — $33,011.00 $70,997.07 $40,464.69 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Complication 45 41 — — $33,011.00 $70,961.96 $40,445.79 2026-08-01
673 MS_DRG Other Kidney & Urinary Tract Procedures With Comorbity 45 41 — — $33,011.00 $70,756.35 $40,335.07 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 45 41 — — $33,011.00 $70,672.73 $40,290.05 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Cath Without Comorbity 45 41 — — $33,011.00 $70,542.34 $40,219.84 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 41 37 — — $18,111.16 $126,366.60 $40,047.01 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Comorbity 45 41 — — $33,011.00 $69,943.85 $39,897.57 2026-08-01
273 MS_DRG Percutaneous Intracardiac Procedures With Comorbity 45 41 — — $33,011.00 $69,484.09 $39,650.01 2026-08-01
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Comorbity 45 41 — — $34,602.89 $74,110.00 $39,290.50 2026-08-01
791 MS_DRG Prematurity With Major Problems 41 37 — — $33,011.00 $68,372.33 $39,051.37 2026-08-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 36 — — $33,011.00 $67,728.70 $38,704.80 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Com… 45 41 — — $38,582.50 $72,694.00 $38,582.50 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Complication 45 41 — — $38,574.50 $72,678.00 $38,574.50 2026-08-01
802 MS_DRG Other O.r. Proc Of The Blood & Blood Forming Organs With Comorbity 45 41 — — $33,011.00 $67,120.14 $38,377.11 2026-08-01
24 MS_DRG Cranio With Major Dev Impl/acute Complex Cns Pdx Without Comorbity 45 41 — — $33,011.00 $255,177.71 $37,727.17 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 42 39 — — $7,762.00 $65,617.19 $37,567.83 2026-08-01
34 MS_DRG Carotid Artery Stent Procedure With Comorbity 45 41 — — $33,011.00 $65,224.30 $37,356.28 2026-08-01
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 46 42 — — $33,011.00 $65,127.36 $37,304.08 2026-08-01
40 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc With Comorbity 45 41 — — $33,011.00 $65,065.52 $37,270.78 2026-08-01
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