Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ST CATHERINE OF SIENA HOSPITAL

Smithtown, NY · CCN 330401 · Rates published

37,687 distinct procedures filed
78 distinct payers
4,809,616 rate rows
2026-05-28 last MRF observed
Data quality

4,253,305 of 4,809,616 rate rows are consumer-grade (88.4%)

556,311 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 504,931
template filing: same amount across many unrelated codes — excluded 34,270
per-diem day rate — not a per-procedure price 10,204
exceeds 10× this hospital's gross charge — excluded from medians 4,683
placeholder amount (≤ $0.02) — excluded from medians 2,223
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/CHSLI/061562701_st-catherine-of-siena-hospital_standardcharges.json
Found on page https://www.catholichealthli.org/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 363309a6c7f8446a… · 728,124,558 bytes · first seen 2026-05-13

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
CPT 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 19 $4,331,256.00 $4,861,613.50 $4,419,649.00 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 31 $1,458.52 $4,829,292.16 $4,390,265.60 nat. median
$3,710,000
1.2× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 30 $4,302,460.29 $4,829,292.16 $4,390,265.60 nat. median
$3,710,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 31 $1,559.17 $4,323,949.71 $3,930,863.37 nat. median
$3,325,455
1.2× median
J1413
CPT 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 19 $3,847,929.75 $4,319,105.00 $3,926,459.00 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 30 $3,702,899.11 $4,912,009.02 $3,778,468.48 nat. median
$3,286,000
1.1× median
J3399
CPT 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 26 $2,688,396.00 $4,463,736.00 $3,576,066.00 nat. median
$2,469,189
1.4× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 33 $3,441,968.23 $4,917,097.47 $3,512,212.48 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 33 $9.10 $4,977,274.66 $2,844,156.95 nat. median
$2,469,189
1.2× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 33 $2,704,403.61 $4,829,292.16 $2,759,595.52 nat. median
$2,448,600
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 73 $655,949.90 $1,506,007.42 $1,080,978.66 nat. median
$754,974
1.4× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 73 $639,359.91 $1,467,918.16 $1,053,639.03 nat. median
$675,122
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 73 $612,680.12 $1,406,663.55 $1,009,671.83 nat. median
$625,184
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 73 $598,965.06 $1,375,174.89 $987,069.97 nat. median
$674,188
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 73 $567,689.51 $1,303,368.77 $935,529.14 nat. median
$634,511
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 73 $565,989.82 $1,299,466.42 $932,728.12 nat. median
$620,080
1.5× median
Q2042
CPT 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 26 $596,653.81 $2,044,290.00 $843,269.63 nat. median
$754,974
1.1× median
Q2056
CPT 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 26 $592,128.13 $2,028,783.63 $836,873.25 nat. median
$675,122
1.2× median
Q2055
CPT 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 26 $565,853.81 $1,938,761.25 $799,739.00 nat. median
$625,184
1.3× median
Q2054
CPT 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 26 $553,202.38 $1,895,414.13 $781,858.31 nat. median
$674,188
1.2× median
C1833
CPT 		Monitor, Cardiac, Including Intracardiac Lead And All System Components (implant… 17 $750,900.00 $750,900.00 $750,900.00 nat. median
$9,621
outlier · 78.0×
Q2041
CPT 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 26 $524,700.69 $1,797,760.00 $741,576.00 nat. median
$634,511
1.2× median
Q2053
CPT 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 26 $524,700.69 $1,797,760.00 $741,576.00 nat. median
$620,080
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 75 $176,925.53 $637,565.00 $367,455.38 nat. median
$202,986
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 51 $294,908.83 $892,209.42 $326,350.45 nat. median
$370,174
0.9× median
0024
APR_DRG 		6 $273,006.53 $614,264.69 $273,006.53 nat. median
$372,987
0.7× median
24
APR_DRG 		14 $272,946.15 $614,128.84 $272,946.15 nat. median
$234,738
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 75 $119,829.48 $465,913.00 $254,057.40 nat. median
$133,176
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 51 $224,876.48 $666,405.64 $243,756.43 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 53 $201,181.23 $595,601.19 $231,570.48 nat. median
$206,368
1.1× median
5834
APR_DRG 		14 $201,048.38 $452,494.69 $201,108.77 nat. median
$309,665
0.6× median
5884
APR_DRG 		14 $197,522.87 $444,562.31 $197,583.25 nat. median
$246,434
0.8× median
5883
APR_DRG 		14 $197,522.87 $444,562.31 $197,583.25 nat. median
$182,736
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $148,466.00 $200,523.44 $181,010.60 nat. median
$63,570
outlier · 2.8×
1614
APR_DRG 		14 $180,708.17 $406,729.25 $180,768.55 nat. median
$207,730
0.9× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 $127,308.26 $200,523.44 $180,745.50 nat. median
$44,728
outlier · 4.0×
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $123,338.80 $192,278.32 $173,315.00 nat. median
$48,649
outlier · 3.6×
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 $142,364.00 $192,278.32 $173,315.00 nat. median
$54,196
outlier · 3.2×
Q0480
CPT 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 26 $97,999.91 $224,999.80 $161,499.86 nat. median
$111,989
1.4× median
90288
CPT 		Xrx (nicu) Bevacizumab Intravitreal Injection 25 Mg/ml 54 $79,695.00 $398,475.00 $161,382.38 nat. median
$55,037
outlier · 2.9×
5914
APR_DRG 		14 $151,767.75 $341,613.28 $151,828.13 nat. median
$164,279
0.9× median
5881
APR_DRG 		14 $151,221.16 $340,383.47 $151,281.55 nat. median
$124,573
1.2× median
5882
APR_DRG 		14 $151,221.16 $340,383.47 $151,281.55 nat. median
$145,336
1.0× median
8414
APR_DRG 		14 $146,800.80 $330,437.66 $146,861.19 nat. median
$160,267
0.9× median
Q0480
HCPCS 		Dme Pos 73 $63,732.09 $224,999.80 $144,365.95 nat. median
$111,989
1.3× median
0044
APR_DRG 		6 $141,658.42 $318,731.44 $141,658.42 nat. median
$195,681
0.7× median
44
APR_DRG 		14 $141,598.04 $318,595.59 $141,598.04 nat. median
$105,658
1.3× median
0014
APR_DRG 		6 $137,233.38 $308,775.09 $137,233.38 nat. median
$190,591
0.7× median
14
APR_DRG 		14 $137,173.00 $308,639.24 $137,173.00 nat. median
$129,535
1.1× median
5934
APR_DRG 		14 $136,630.31 $307,554.06 $136,690.69 nat. median
$151,838
0.9× median

Other procedures at this hospital

Browse this hospital's 37,687 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
G0173 CPT Linear Accelerator Based Stereotactic Radiosurgery, Complete Course Of Therapy I… 1 1 — — $77,487.00 $77,487.00 $77,487.00 2024-12-13
G0251 CPT Linear Accelerator Based Stereotactic Radiosurgery, Delivery Including Collimato… 1 1 — — $77,487.00 $77,487.00 $77,487.00 2024-12-13
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $69,426.10 $69,426.10 $69,426.10 2024-12-13
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $68,594.01 $68,594.01 $68,594.01 2024-12-13
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $61,414.72 $61,414.72 $61,414.72 2024-12-13
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $50,988.29 $50,988.29 $50,988.29 2024-12-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 2 — — $148,466.00 $200,523.44 $181,010.60 2026-02-19
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 10 2 — — $127,308.26 $200,523.44 $180,745.50 2026-02-19
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 2 — — $142,364.00 $192,278.32 $173,315.00 2026-02-19
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 10 2 — — $123,338.80 $192,278.32 $173,315.00 2026-02-19
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 10 2 — — $89,485.00 $146,579.68 $114,400.46 2026-02-19
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 10 2 — — $89,485.00 $144,134.58 $113,676.63 2026-02-19
J1411 CPT Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 21 19 — — $4,331,256.00 $4,861,613.50 $4,419,649.00 2024-12-13
J1413 CPT Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 21 19 — — $3,847,929.75 $4,319,105.00 $3,926,459.00 2024-12-13
0024 APR_DRG — 29 6 — — $273,006.53 $614,264.69 $273,006.53 2024-12-13
0044 APR_DRG — 29 6 — — $141,658.42 $318,731.44 $141,658.42 2024-12-13
0014 APR_DRG — 29 6 — — $137,233.38 $308,775.09 $137,233.38 2024-12-13
0023 APR_DRG — 29 6 — — $118,207.33 $265,966.50 $118,207.33 2024-12-13
0054 APR_DRG — 29 6 — — $108,217.99 $243,490.48 $108,217.99 2024-12-13
0022 APR_DRG — 29 6 — — $100,849.17 $226,910.63 $100,849.17 2024-12-13
0021 APR_DRG — 29 6 — — $95,026.41 $213,809.44 $95,026.41 2024-12-13
0043 APR_DRG — 29 6 — — $79,179.19 $178,153.17 $79,179.19 2024-12-13
0053 APR_DRG — 29 6 — — $72,636.49 $163,432.11 $72,636.49 2024-12-13
0013 APR_DRG — 29 6 — — $65,872.82 $148,213.84 $65,872.82 2024-12-13
0234 APR_DRG — 29 6 — — $63,652.10 $143,217.23 $63,652.10 2024-12-13
0064 APR_DRG — 29 6 — — $60,191.40 $135,430.66 $60,191.40 2024-12-13
0924 APR_DRG — 29 6 — — $57,962.09 $130,414.71 $57,962.09 2024-12-13
0063 APR_DRG — 29 6 — — $57,656.00 $129,726.00 $57,656.00 2024-12-13
0214 APR_DRG — 29 6 — — $57,087.55 $128,446.98 $57,087.55 2024-12-13
0041 APR_DRG — 29 6 — — $56,675.26 $127,519.34 $56,675.26 2024-12-13
0042 APR_DRG — 29 6 — — $56,675.26 $127,519.34 $56,675.26 2024-12-13
0894 APR_DRG — 29 6 — — $53,786.14 $121,018.81 $53,786.14 2024-12-13
0244 APR_DRG — 29 6 — — $53,590.93 $120,579.59 $53,590.93 2024-12-13
0204 APR_DRG — 29 6 — — $52,781.97 $118,759.44 $52,781.97 2024-12-13
0264 APR_DRG — 29 6 — — $49,548.50 $111,484.12 $49,548.50 2024-12-13
0011 APR_DRG — 29 6 — — $48,669.27 $109,505.85 $48,669.27 2024-12-13
0012 APR_DRG — 29 6 — — $48,669.27 $109,505.85 $48,669.27 2024-12-13
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 38 21 — — $73,535.92 $201,722.55 $88,168.07 2024-12-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 38 21 — — $53,021.07 $149,863.45 $58,969.11 2024-12-13
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 38 21 — — $50,755.84 $138,203.91 $58,904.51 2024-12-13
C1833 CPT Monitor, Cardiac, Including Intracardiac Lead And All System Components (implant… 40 17 — — $750,900.00 $750,900.00 $750,900.00 2024-12-13
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 42 24 — — $38,219.36 $104,973.44 $52,649.12 2024-12-13
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 44 30 — — $4,302,460.29 $4,829,292.16 $4,390,265.60 2026-02-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 45 31 — — $1,559.17 $4,323,949.71 $3,930,863.37 2026-02-19
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 45 30 — — $3,702,899.11 $4,912,009.02 $3,778,468.48 2026-02-19
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 47 31 — — $1,458.52 $4,829,292.16 $4,390,265.60 2026-02-19
24 APR_DRG — 53 14 — — $272,946.15 $614,128.84 $272,946.15 2026-02-19
44 APR_DRG — 53 14 — — $141,598.04 $318,595.59 $141,598.04 2026-02-19
14 APR_DRG — 53 14 — — $137,173.00 $308,639.24 $137,173.00 2026-02-19
23 APR_DRG — 53 14 — — $118,146.95 $265,830.64 $118,146.95 2026-02-19
54 APR_DRG — 53 14 — — $108,157.61 $243,354.63 $108,157.61 2026-02-19
22 APR_DRG — 53 14 — — $100,788.79 $226,774.77 $100,788.79 2026-02-19
21 APR_DRG — 53 14 — — $94,966.03 $213,673.58 $94,966.03 2026-02-19
43 APR_DRG — 53 14 — — $79,118.81 $178,017.31 $79,118.81 2026-02-19
53 APR_DRG — 53 14 — — $72,576.11 $163,296.26 $72,576.11 2026-02-19
13 APR_DRG — 53 14 — — $65,812.44 $148,078.00 $65,812.44 2026-02-19
234 APR_DRG — 53 14 — — $63,591.72 $143,081.38 $63,591.72 2026-02-19
64 APR_DRG — 53 14 — — $60,131.02 $135,294.80 $60,131.02 2026-02-19
924 APR_DRG — 53 14 — — $57,901.71 $130,278.85 $57,901.71 2026-02-19
63 APR_DRG — 53 14 — — $57,595.62 $129,590.15 $57,595.62 2026-02-19
214 APR_DRG — 53 14 — — $57,027.17 $128,311.13 $57,027.17 2026-02-19
41 APR_DRG — 53 14 — — $56,614.88 $127,383.48 $56,614.88 2026-02-19
42 APR_DRG — 53 14 — — $56,614.88 $127,383.48 $56,614.88 2026-02-19
894 APR_DRG — 53 14 — — $53,725.76 $120,882.96 $53,725.76 2026-02-19
244 APR_DRG — 53 14 — — $53,530.55 $120,443.73 $53,530.55 2026-02-19
204 APR_DRG — 53 14 — — $52,721.59 $118,623.59 $52,721.59 2026-02-19
264 APR_DRG — 53 14 — — $49,488.12 $111,348.27 $49,488.12 2026-02-19
11 APR_DRG — 53 14 — — $48,608.89 $109,370.00 $48,608.89 2026-02-19
12 APR_DRG — 53 14 — — $48,608.89 $109,370.00 $48,608.89 2026-02-19
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 55 33 — — $3,441,968.23 $4,917,097.47 $3,512,212.48 2026-02-19
J3399 CPT Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 56 26 — — $2,688,396.00 $4,463,736.00 $3,576,066.00 2024-12-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 56 33 — — $2,704,403.61 $4,829,292.16 $2,759,595.52 2026-02-19
Q2053 CPT Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 56 26 — — $524,700.69 $1,797,760.00 $741,576.00 2024-12-13
Q2041 CPT Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 56 26 — — $524,700.69 $1,797,760.00 $741,576.00 2024-12-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 57 33 — — $9.10 $4,977,274.66 $2,844,156.95 2026-02-19
Q2042 CPT Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 57 26 — — $596,653.81 $2,044,290.00 $843,269.63 2024-12-13
Q2056 CPT Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 57 26 — — $592,128.13 $2,028,783.63 $836,873.25 2024-12-13
Q2055 CPT Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 57 26 — — $565,853.81 $1,938,761.25 $799,739.00 2024-12-13
Q2054 CPT Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 57 26 — — $553,202.38 $1,895,414.13 $781,858.31 2024-12-13
Q0480 CPT Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 57 26 — — $97,999.91 $224,999.80 $161,499.86 2024-12-13
A9543 CPT Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 57 26 — — $56,687.15 $190,695.52 $108,036.36 2024-12-13
Q2043 CPT Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 57 26 $431,958.00 $431,958.00 $51,363.25 $213,706.64 $88,153.99 2024-12-13
J9029 CPT Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 57 26 — — $72,148.68 $103,069.54 $87,609.11 2024-12-13
L7181 CPT Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 57 26 — — $45,182.66 $103,735.71 $74,459.18 2024-12-13
J9226 CPT Histrelin Implant (supprelin La), 50 Mg 57 26 $311,737.00 $311,737.00 $41,773.14 $178,303.77 $73,550.30 2024-12-13
L7180 CPT Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device 57 26 — — $41,292.05 $94,803.17 $68,047.61 2024-12-13
L2006 CPT Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 57 26 — — $37,549.30 $86,210.12 $61,879.71 2024-12-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 67 34 — — $166.89 $168,811.74 $75,027.44 2026-02-19
A9543 HCPCS Y90 Ibritumomab, Rx 70 40 — — $596.73 $151,298.78 $67,243.90 2026-02-19
5834 APR_DRG — 82 14 — — $201,048.38 $452,494.69 $201,108.77 2026-02-19
5884 APR_DRG — 82 14 — — $197,522.87 $444,562.31 $197,583.25 2026-02-19
5883 APR_DRG — 82 14 — — $197,522.87 $444,562.31 $197,583.25 2026-02-19
1614 APR_DRG — 82 14 — — $180,708.17 $406,729.25 $180,768.55 2026-02-19
90288 CPT Xrx (nicu) Bevacizumab Intravitreal Injection 25 Mg/ml 82 54 $398,475.00 — $79,695.00 $398,475.00 $161,382.38 2026-02-19
5914 APR_DRG — 82 14 — — $151,767.75 $341,613.28 $151,828.13 2026-02-19
5881 APR_DRG — 82 14 — — $151,221.16 $340,383.47 $151,281.55 2026-02-19
5882 APR_DRG — 82 14 — — $151,221.16 $340,383.47 $151,281.55 2026-02-19
8414 APR_DRG — 82 14 — — $146,800.80 $330,437.66 $146,861.19 2026-02-19
5934 APR_DRG — 82 14 — — $136,630.31 $307,554.06 $136,690.69 2026-02-19
6094 APR_DRG — 82 14 — — $125,138.63 $281,697.78 $125,199.01 2026-02-19
6024 APR_DRG — 82 14 — — $118,559.24 $266,894.13 $118,619.62 2026-02-19
8413 APR_DRG — 82 14 — — $114,821.34 $258,483.86 $114,881.72 2026-02-19
5833 APR_DRG — 82 14 — — $114,427.01 $257,596.63 $114,487.39 2026-02-19
5832 APR_DRG — 82 14 — — $112,296.09 $252,802.05 $112,356.47 2026-02-19
5831 APR_DRG — 82 14 — — $112,296.09 $252,802.05 $112,356.47 2026-02-19
6034 APR_DRG — 82 14 — — $109,253.14 $245,955.41 $109,313.52 2026-02-19
5933 APR_DRG — 82 14 — — $106,818.47 $240,477.41 $106,878.85 2026-02-19
6074 APR_DRG — 82 14 — — $96,883.01 $218,122.63 $96,943.39 2026-02-19
6304 APR_DRG — 82 14 — — $95,976.45 $216,082.86 $96,036.83 2026-02-19
5892 APR_DRG — 82 14 — — $95,269.00 $214,491.11 $95,329.38 2026-02-19
5891 APR_DRG — 82 14 — — $95,269.00 $214,491.11 $95,329.38 2026-02-19
5913 APR_DRG — 82 14 — — $92,738.29 $208,797.00 $92,798.67 2026-02-19
6023 APR_DRG — 82 14 — — $87,641.72 $197,329.72 $87,702.10 2026-02-19
5932 APR_DRG — 82 14 — — $87,485.55 $196,978.34 $87,545.93 2026-02-19
5912 APR_DRG — 82 14 — — $86,546.97 $194,866.55 $86,607.35 2026-02-19
3034 APR_DRG — 82 14 — — $85,552.18 $192,628.27 $85,612.56 2026-02-19
5931 APR_DRG — 82 14 — — $84,836.15 $191,017.19 $84,896.53 2026-02-19
6314 APR_DRG — 82 14 — — $82,576.38 $185,932.72 $82,636.76 2026-02-19
4404 APR_DRG — 82 14 — — $81,566.75 $183,661.05 $81,627.13 2026-02-19
1604 APR_DRG — 82 14 — — $78,129.48 $175,927.19 $78,189.86 2026-02-19
1613 APR_DRG — 82 14 — — $77,315.06 $174,094.73 $77,375.44 2026-02-19
3614 APR_DRG — 82 14 — — $75,448.06 $169,893.98 $75,508.44 2026-02-19
6022 APR_DRG — 82 14 — — $74,538.37 $167,847.20 $74,598.75 2026-02-19
1624 APR_DRG — 82 14 — — $73,763.00 $166,102.59 $73,823.38 2026-02-19
3044 APR_DRG — 82 14 — — $72,181.79 $162,544.88 $72,242.17 2026-02-19
6073 APR_DRG — 82 14 — — $71,923.33 $161,963.34 $71,983.71 2026-02-19
3124 APR_DRG — 82 14 — — $70,777.05 $159,384.22 $70,837.43 2026-02-19
6033 APR_DRG — 82 14 — — $70,591.21 $158,966.06 $70,651.59 2026-02-19
6814 APR_DRG — 82 14 — — $70,534.21 $158,837.81 $70,594.59 2026-02-19
6804 APR_DRG — 82 14 — — $70,339.78 $158,400.34 $70,400.16 2026-02-19
5911 APR_DRG — 82 14 — — $69,895.48 $157,400.69 $69,955.86 2026-02-19
6904 APR_DRG — 82 14 — — $68,831.19 $155,006.02 $68,891.57 2026-02-19
8424 APR_DRG — 82 14 — — $67,930.09 $152,978.56 $67,990.47 2026-02-19
6124 APR_DRG — 82 14 — — $66,648.73 $150,095.48 $66,709.11 2026-02-19
4054 APR_DRG — 82 14 — — $65,981.11 $148,593.34 $66,041.49 2026-02-19
6114 APR_DRG — 82 14 — — $64,619.31 $145,529.31 $64,679.69 2026-02-19
9504 APR_DRG — 82 14 — — $63,843.15 $143,782.95 $63,903.53 2026-02-19
4474 APR_DRG — 82 14 — — $60,066.21 $135,284.83 $60,126.59 2026-02-19
8504 APR_DRG — 82 14 — — $60,035.76 $135,216.31 $60,096.14 2026-02-19
9124 APR_DRG — 82 14 — — $59,644.56 $134,336.11 $59,704.94 2026-02-19
5124 APR_DRG — 82 14 — — $59,072.98 $133,050.06 $59,133.36 2026-02-19
6072 APR_DRG — 82 14 — — $58,877.77 $132,610.83 $58,938.15 2026-02-19
2604 APR_DRG — 82 14 — — $58,472.51 $131,699.00 $58,532.89 2026-02-19
6954 APR_DRG — 82 14 — — $58,162.51 $131,001.51 $58,222.89 2026-02-19
6093 APR_DRG — 82 14 — — $57,352.78 $129,179.61 $57,413.16 2026-02-19
1694 APR_DRG — 82 14 — — $56,570.37 $127,419.20 $56,630.75 2026-02-19
9104 APR_DRG — 82 14 — — $56,567.25 $127,412.17 $56,627.63 2026-02-19
6084 APR_DRG — 82 14 — — $56,566.47 $127,410.41 $56,626.85 2026-02-19
2204 APR_DRG — 82 14 — — $55,827.01 $125,746.63 $55,887.39 2026-02-19
8412 APR_DRG — 82 14 — — $55,781.72 $125,644.73 $55,842.10 2026-02-19
1654 APR_DRG — 82 14 — — $55,740.34 $125,551.61 $55,800.72 2026-02-19
3214 APR_DRG — 82 14 — — $55,643.51 $125,333.76 $55,703.89 2026-02-19
1634 APR_DRG — 82 14 — — $55,509.21 $125,031.57 $55,569.59 2026-02-19
3033 APR_DRG — 82 14 — — $55,048.51 $123,995.00 $55,108.89 2026-02-19
4014 APR_DRG — 82 14 — — $55,046.17 $123,989.73 $55,106.55 2026-02-19
6032 APR_DRG — 82 14 — — $54,349.65 $122,422.58 $54,410.03 2026-02-19
3104 APR_DRG — 82 14 — — $53,910.04 $121,433.44 $53,970.42 2026-02-19
6083 APR_DRG — 82 14 — — $53,764.80 $121,106.66 $53,825.18 2026-02-19
6214 APR_DRG — 82 14 — — $53,518.84 $120,553.23 $53,579.22 2026-02-19
4414 APR_DRG — 82 14 — — $53,293.95 $120,047.25 $53,354.33 2026-02-19
1674 APR_DRG — 82 14 — — $52,262.46 $117,726.38 $52,322.84 2026-02-19
1814 APR_DRG — 82 14 — — $52,147.67 $117,468.12 $52,208.05 2026-02-19
4034 APR_DRG — 82 14 — — $51,836.90 $116,768.87 $51,897.28 2026-02-19
6021 APR_DRG — 82 14 — — $51,180.99 $115,293.08 $51,241.37 2026-02-19
9114 APR_DRG — 82 14 — — $51,162.25 $115,250.91 $51,222.63 2026-02-19
3134 APR_DRG — 82 14 — — $51,013.89 $114,917.10 $51,074.27 2026-02-19
5104 APR_DRG — 82 14 — — $50,529.76 $113,827.83 $50,590.14 2026-02-19
4424 APR_DRG — 82 14 — — $50,268.96 $113,241.02 $50,329.34 2026-02-19
6123 APR_DRG — 82 14 — — $50,012.06 $112,663.00 $50,072.44 2026-02-19
1774 APR_DRG — 82 14 — — $49,946.47 $112,515.42 $50,006.85 2026-02-19
6914 APR_DRG — 82 14 — — $49,932.42 $112,483.80 $49,992.80 2026-02-19
7104 APR_DRG — 82 14 — — $49,835.59 $112,265.94 $49,895.97 2026-02-19
3174 APR_DRG — 82 14 — — $49,816.85 $112,223.78 $49,877.23 2026-02-19
3054 APR_DRG — 82 14 — — $49,690.36 $111,939.16 $49,750.74 2026-02-19
9514 APR_DRG — 82 14 — — $49,481.87 $111,470.07 $49,542.25 2026-02-19
1824 APR_DRG — 82 14 — — $49,457.67 $111,415.60 $49,518.05 2026-02-19
6113 APR_DRG — 82 14 — — $49,409.25 $111,306.68 $49,469.63 2026-02-19
1664 APR_DRG — 82 14 — — $49,139.08 $110,698.79 $49,199.46 2026-02-19
5114 APR_DRG — 82 14 — — $49,101.60 $110,614.46 $49,161.98 2026-02-19
4444 APR_DRG — 82 14 — — $48,785.36 $109,902.91 $48,845.74 2026-02-19
2644 APR_DRG — 82 14 — — $48,540.95 $109,353.00 $48,601.33 2026-02-19
C9293 HCPCS Xrx (nicu) Bevacizumab Intravitreal Injection 25 Mg/ml 83 55 $298,308.00 — $349.23 $298,308.00 $119,323.20 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 51 — — $16,487.66 $247,827.01 $94,275.62 2026-02-19
850 MS_DRG Acute Leukemia With Other Procedures 85 51 — — $77,878.55 $217,935.13 $82,904.48 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 85 51 — — $70,732.47 $197,321.91 $75,168.37 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 51 — — $12,359.86 $168,035.68 $63,922.28 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 85 51 — — $56,859.22 $158,619.79 $60,920.59 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 85 51 — — $52,463.77 $146,357.85 $56,211.18 2026-02-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 51 — — $9,391.48 $130,216.00 $49,535.33 2026-02-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 85 51 — — $45,931.13 $129,421.09 $49,232.94 2026-02-19
C1825 HCPCS Orms&d Barostim Ne02 System 89 56 $221,375.00 — $725.52 $221,375.00 $66,412.50 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 91 46 — — $5,963.55 $136,005.13 $51,443.76 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 109 51 — — $224,876.48 $666,405.64 $243,756.43 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 109 51 — — $95,107.75 $309,962.38 $113,377.38 2026-02-19
7 MS_DRG Lung Transplant 109 51 — — $96,426.05 $309,181.67 $113,091.81 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 109 51 — — $93,452.58 $328,668.56 $103,680.71 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 109 51 — — $85,888.99 $251,943.51 $92,155.36 2026-02-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 110 51 — — $294,908.83 $892,209.42 $326,350.45 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 110 51 — — $66,333.69 $187,544.06 $69,971.46 2026-02-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 110 72 — — $43,675.43 $121,841.07 $64,147.54 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 110 51 — — $51,187.46 $142,797.32 $53,314.25 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 110 51 — — $40,781.93 $147,895.47 $53,276.74 2026-02-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 110 72 — — $34,630.13 $96,607.44 $51,530.72 2026-02-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 110 72 — — $10,015.03 $92,554.83 $49,504.42 2026-02-19
10 MS_DRG Pancreas Transplant 113 54 — — $39,945.44 $188,625.23 $68,994.93 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 123 53 — — $9,539.74 $257,727.89 $96,156.58 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 123 53 — — $52,872.23 $214,331.00 $62,556.71 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 123 53 — — $30,589.09 $221,719.00 $55,216.13 2026-02-19
Q2042 HCPCS Tisagenlecleucel Car-pos T 124 73 — — $655,949.90 $1,506,007.42 $1,080,978.66 2026-02-19
Q2056 HCPCS Ciltacabtagene Car-pos T 124 73 — — $639,359.91 $1,467,918.16 $1,053,639.03 2026-02-19
Q2055 HCPCS Idecabtagene Vicleucel Car 124 73 — — $612,680.12 $1,406,663.55 $1,009,671.83 2026-02-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 124 73 — — $598,965.06 $1,375,174.89 $987,069.97 2026-02-19
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 124 73 — — $567,689.51 $1,303,368.77 $935,529.14 2026-02-19
Q2053 HCPCS Brexucabtagene Car Pos T 124 73 — — $565,989.82 $1,299,466.42 $932,728.12 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 124 53 — — $201,181.23 $595,601.19 $231,570.48 2026-02-19
215 MS_DRG Other Heart Assist System Implant 124 53 — — $17,505.00 $250,651.78 $94,204.15 2026-02-19
Q2043 HCPCS Xrx (nicu) Bevacizumab Intravitreal Injection 25 Mg/ml 124 73 $431,958.00 — $52,904.15 $431,958.00 $90,711.18 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 124 53 — — $80,538.99 $332,940.00 $87,274.74 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 124 53 — — $48,100.58 $272,239.00 $76,079.36 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 124 53 — — $57,589.49 $200,364.33 $75,400.72 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 124 53 — — $68,362.17 $226,948.84 $74,794.12 2026-02-19
J9226 HCPCS Xrx (nicu) Bevacizumab Intravitreal Injection 25 Mg/ml 124 73 $346,254.00 — $43,026.33 $346,254.00 $72,713.34 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 124 53 — — $63,715.42 $257,565.00 $70,176.28 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 124 53 — — $61,761.94 $259,924.00 $69,467.90 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 124 53 — — $54,151.00 $176,588.04 $67,014.20 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 124 53 — — $57,797.90 $164,576.88 $62,456.02 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 124 53 — — $50,539.25 $161,543.92 $61,748.21 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 124 53 — — $27,933.30 $158,009.42 $60,686.16 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 124 53 — — $12,251.06 $157,742.08 $60,474.78 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 124 53 — — $53,633.23 $155,293.27 $60,378.21 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 124 53 — — $52,042.29 $154,070.83 $59,902.93 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 124 53 — — $42,642.85 $220,523.00 $57,979.55 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 124 53 — — $51,600.62 $145,690.70 $55,460.82 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 124 53 — — $49,364.18 $198,473.00 $55,015.21 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 124 53 — — $34,104.70 $154,736.64 $54,587.94 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 124 53 — — $36,093.09 $143,828.81 $54,056.15 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 124 53 — — $44,204.98 $165,617.55 $53,954.37 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 124 53 — — $47,273.80 $179,074.00 $53,579.39 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 124 53 — — $48,672.99 $142,617.48 $53,373.66 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 124 53 — — $40,064.19 $137,743.97 $53,122.40 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 124 53 — — $48,799.88 $195,094.00 $52,828.83 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 124 53 — — $47,042.27 $134,971.26 $51,367.38 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 124 53 — — $29,661.06 $131,883.89 $50,049.21 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 124 53 — — $46,463.04 $132,876.05 $50,002.14 2026-02-19
Q0480 HCPCS Dme Pos 128 73 — — $63,732.09 $224,999.80 $144,365.95 2026-02-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 128 73 — — $54,136.72 $209,737.58 $131,937.15 2026-02-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 128 73 — — $39,173.98 $151,768.49 $95,471.24 2026-02-19
L7181 HCPCS Dme Pos 128 73 — — $28,346.19 $106,225.36 $67,285.77 2026-02-19
L7180 HCPCS Dme Pos 128 73 — — $25,720.58 $97,078.43 $61,399.50 2026-02-19
L2006 HCPCS Dme Pos 128 73 — — $24,815.24 $88,279.18 $56,547.21 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 134 72 — — $43,663.98 $128,725.54 $61,793.78 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 138 72 — — $40,138.79 $114,722.37 $57,415.79 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 139 72 — — $21,484.22 $108,999.50 $53,317.57 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 149 74 — — $38,977.03 $128,432.18 $67,443.09 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 149 74 — — $45,803.19 $127,976.97 $67,115.43 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 149 74 — — $42,789.32 $127,656.20 $67,055.10 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 149 74 — — $45,754.85 $128,415.33 $67,048.01 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 149 74 — — $43,134.53 $125,865.29 $66,159.65 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 149 74 — — $38,287.71 $120,528.05 $63,491.03 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 149 74 — — $39,231.97 $120,158.98 $63,306.49 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 149 74 — — $39,472.43 $125,128.13 $62,457.17 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 149 74 — — $38,501.25 $118,320.76 $62,387.38 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 149 74 — — $41,813.42 $117,894.91 $62,174.46 2026-02-19
245 MS_DRG Aicd Generator Procedures 149 74 — — $37,603.61 $118,947.80 $61,032.96 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 149 74 — — $35,766.70 $114,914.00 $60,684.00 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 149 74 — — $36,420.25 $112,978.78 $59,716.39 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 149 74 — — $17,505.00 $113,011.17 $59,471.53 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 149 74 — — $4,708.02 $98,433.84 $52,001.40 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 152 74 — — $26,495.39 $118,368.07 $61,513.01 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 152 74 — — $34,355.60 $100,768.89 $53,611.44 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 153 74 — — $17,505.00 $119,162.98 $61,022.05 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 153 74 — — $39,337.99 $112,467.77 $59,460.89 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 153 74 — — $37,358.81 $110,707.61 $58,580.81 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 153 74 — — $32,407.79 $109,924.29 $57,749.22 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 153 74 — — $31,690.86 $108,635.17 $57,544.58 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 153 74 — — $29,898.14 $106,735.43 $56,594.71 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 153 74 — — $35,706.58 $106,099.03 $56,276.51 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 153 74 — — $34,688.47 $105,805.67 $56,129.83 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 153 74 — — $32,858.40 $104,816.77 $55,635.39 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 153 74 — — $36,197.03 $103,924.86 $55,189.43 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 153 74 — — $36,618.80 $109,941.86 $54,304.62 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 153 74 — — $26,414.19 $100,917.93 $53,685.96 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 153 74 — — $20,080.41 $99,141.21 $52,797.61 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 153 74 — — $24,113.21 $99,117.56 $52,489.41 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 153 74 — — $33,565.59 $97,229.65 $51,841.82 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 153 74 — — $33,234.48 $97,085.33 $51,769.67 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 153 74 — — $32,454.42 $96,226.55 $51,340.28 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 153 74 — — $25,015.26 $94,246.37 $50,350.18 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 153 74 — — $30,009.70 $94,180.13 $50,317.07 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 153 74 — — $33,314.14 $93,347.37 $49,900.68 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 153 74 — — $29,354.16 $93,543.67 $49,804.87 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 153 74 — — $32,339.08 $92,509.88 $49,481.94 2026-02-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 153 74 — — $32,375.58 $91,998.86 $49,226.43 2026-02-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 153 74 — — $19,935.07 $91,438.17 $48,946.08 2026-02-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 153 74 — — $27,021.42 $91,345.90 $48,899.95 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 153 74 — — $28,202.85 $91,690.05 $48,772.20 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 153 74 — — $25,160.91 $102,365.80 $48,676.09 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 163 75 — — $176,925.53 $637,565.00 $367,455.38 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 163 75 — — $119,829.48 $465,913.00 $254,057.40 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 163 75 — — $54,601.62 $171,655.00 $103,520.47 2026-02-19
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