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.

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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
             
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
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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 47 31 — — $1,458.52 $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
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
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 45 30 — — $3,702,899.11 $4,912,009.02 $3,778,468.48 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
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 HCPCS Inj Onase Abepar-xioi Treat 57 33 — — $9.10 $4,977,274.66 $2,844,156.95 2026-02-19
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 56 33 — — $2,704,403.61 $4,829,292.16 $2,759,595.52 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
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
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
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
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
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
0024 APR_DRG — 29 6 — — $273,006.53 $614,264.69 $273,006.53 2024-12-13
24 APR_DRG — 53 14 — — $272,946.15 $614,128.84 $272,946.15 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
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
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
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
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
1614 APR_DRG — 82 14 — — $180,708.17 $406,729.25 $180,768.55 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
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
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
Q0480 HCPCS Dme Pos 128 73 — — $63,732.09 $224,999.80 $144,365.95 2026-02-19
0044 APR_DRG — 29 6 — — $141,658.42 $318,731.44 $141,658.42 2024-12-13
44 APR_DRG — 53 14 — — $141,598.04 $318,595.59 $141,598.04 2026-02-19
0014 APR_DRG — 29 6 — — $137,233.38 $308,775.09 $137,233.38 2024-12-13
14 APR_DRG — 53 14 — — $137,173.00 $308,639.24 $137,173.00 2026-02-19
5934 APR_DRG — 82 14 — — $136,630.31 $307,554.06 $136,690.69 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
6094 APR_DRG — 82 14 — — $125,138.63 $281,697.78 $125,199.01 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
6024 APR_DRG — 82 14 — — $118,559.24 $266,894.13 $118,619.62 2026-02-19
0023 APR_DRG — 29 6 — — $118,207.33 $265,966.50 $118,207.33 2024-12-13
23 APR_DRG — 53 14 — — $118,146.95 $265,830.64 $118,146.95 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
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
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
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
0054 APR_DRG — 29 6 — — $108,217.99 $243,490.48 $108,217.99 2024-12-13
54 APR_DRG — 53 14 — — $108,157.61 $243,354.63 $108,157.61 2026-02-19
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
5933 APR_DRG — 82 14 — — $106,818.47 $240,477.41 $106,878.85 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
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
0022 APR_DRG — 29 6 — — $100,849.17 $226,910.63 $100,849.17 2024-12-13
22 APR_DRG — 53 14 — — $100,788.79 $226,774.77 $100,788.79 2026-02-19
6074 APR_DRG — 82 14 — — $96,883.01 $218,122.63 $96,943.39 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
6304 APR_DRG — 82 14 — — $95,976.45 $216,082.86 $96,036.83 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
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
0021 APR_DRG — 29 6 — — $95,026.41 $213,809.44 $95,026.41 2024-12-13
21 APR_DRG — 53 14 — — $94,966.03 $213,673.58 $94,966.03 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
215 MS_DRG Other Heart Assist System Implant 124 53 — — $17,505.00 $250,651.78 $94,204.15 2026-02-19
5913 APR_DRG — 82 14 — — $92,738.29 $208,797.00 $92,798.67 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
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
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
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
6023 APR_DRG — 82 14 — — $87,641.72 $197,329.72 $87,702.10 2026-02-19
J9029 CPT Injection, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 57 26 — — $72,148.68 $103,069.54 $87,609.11 2024-12-13
5932 APR_DRG — 82 14 — — $87,485.55 $196,978.34 $87,545.93 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
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
850 MS_DRG Acute Leukemia With Other Procedures 85 51 — — $77,878.55 $217,935.13 $82,904.48 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
0043 APR_DRG — 29 6 — — $79,179.19 $178,153.17 $79,179.19 2024-12-13
43 APR_DRG — 53 14 — — $79,118.81 $178,017.31 $79,118.81 2026-02-19
1604 APR_DRG — 82 14 — — $78,129.48 $175,927.19 $78,189.86 2026-02-19
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
1613 APR_DRG — 82 14 — — $77,315.06 $174,094.73 $77,375.44 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
3614 APR_DRG — 82 14 — — $75,448.06 $169,893.98 $75,508.44 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
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
J9029 HCPCS Instill Adstiladrin, Tx Dose 67 34 — — $166.89 $168,811.74 $75,027.44 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
6022 APR_DRG — 82 14 — — $74,538.37 $167,847.20 $74,598.75 2026-02-19
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
1624 APR_DRG — 82 14 — — $73,763.00 $166,102.59 $73,823.38 2026-02-19
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
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
0053 APR_DRG — 29 6 — — $72,636.49 $163,432.11 $72,636.49 2024-12-13
53 APR_DRG — 53 14 — — $72,576.11 $163,296.26 $72,576.11 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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 110 51 — — $66,333.69 $187,544.06 $69,971.46 2026-02-19
5911 APR_DRG — 82 14 — — $69,895.48 $157,400.69 $69,955.86 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
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
10 MS_DRG Pancreas Transplant 113 54 — — $39,945.44 $188,625.23 $68,994.93 2026-02-19
6904 APR_DRG — 82 14 — — $68,831.19 $155,006.02 $68,891.57 2026-02-19
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
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
8424 APR_DRG — 82 14 — — $67,930.09 $152,978.56 $67,990.47 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
L7181 HCPCS Dme Pos 128 73 — — $28,346.19 $106,225.36 $67,285.77 2026-02-19
A9543 HCPCS Y90 Ibritumomab, Rx 70 40 — — $596.73 $151,298.78 $67,243.90 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
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
6124 APR_DRG — 82 14 — — $66,648.73 $150,095.48 $66,709.11 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
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
4054 APR_DRG — 82 14 — — $65,981.11 $148,593.34 $66,041.49 2026-02-19
0013 APR_DRG — 29 6 — — $65,872.82 $148,213.84 $65,872.82 2024-12-13
13 APR_DRG — 53 14 — — $65,812.44 $148,078.00 $65,812.44 2026-02-19
6114 APR_DRG — 82 14 — — $64,619.31 $145,529.31 $64,679.69 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
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
9504 APR_DRG — 82 14 — — $63,843.15 $143,782.95 $63,903.53 2026-02-19
0234 APR_DRG — 29 6 — — $63,652.10 $143,217.23 $63,652.10 2024-12-13
234 APR_DRG — 53 14 — — $63,591.72 $143,081.38 $63,591.72 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
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
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
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
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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 134 72 — — $43,663.98 $128,725.54 $61,793.78 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
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
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 1 1 — — $61,414.72 $61,414.72 $61,414.72 2024-12-13
L7180 HCPCS Dme Pos 128 73 — — $25,720.58 $97,078.43 $61,399.50 2026-02-19
245 MS_DRG Aicd Generator Procedures 149 74 — — $37,603.61 $118,947.80 $61,032.96 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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 149 74 — — $35,766.70 $114,914.00 $60,684.00 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
0064 APR_DRG — 29 6 — — $60,191.40 $135,430.66 $60,191.40 2024-12-13
64 APR_DRG — 53 14 — — $60,131.02 $135,294.80 $60,131.02 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
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
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
9124 APR_DRG — 82 14 — — $59,644.56 $134,336.11 $59,704.94 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 149 74 — — $17,505.00 $113,011.17 $59,471.53 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
5124 APR_DRG — 82 14 — — $59,072.98 $133,050.06 $59,133.36 2026-02-19
459 MS_DRG Spinal Fusion Except Cervical With Mcc 38 21 — — $53,021.07 $149,863.45 $58,969.11 2024-12-13
6072 APR_DRG — 82 14 — — $58,877.77 $132,610.83 $58,938.15 2026-02-19
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
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
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
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
0924 APR_DRG — 29 6 — — $57,962.09 $130,414.71 $57,962.09 2024-12-13
924 APR_DRG — 53 14 — — $57,901.71 $130,278.85 $57,901.71 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
0063 APR_DRG — 29 6 — — $57,656.00 $129,726.00 $57,656.00 2024-12-13
63 APR_DRG — 53 14 — — $57,595.62 $129,590.15 $57,595.62 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
6 MS_DRG Liver Transplant Without Mcc 138 72 — — $40,138.79 $114,722.37 $57,415.79 2026-02-19
6093 APR_DRG — 82 14 — — $57,352.78 $129,179.61 $57,413.16 2026-02-19
0214 APR_DRG — 29 6 — — $57,087.55 $128,446.98 $57,087.55 2024-12-13
214 APR_DRG — 53 14 — — $57,027.17 $128,311.13 $57,027.17 2026-02-19
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
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
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
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
L2006 HCPCS Dme Pos 128 73 — — $24,815.24 $88,279.18 $56,547.21 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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 153 74 — — $34,688.47 $105,805.67 $56,129.83 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
901 MS_DRG Wound Debridements For Injuries With Mcc 153 74 — — $32,858.40 $104,816.77 $55,635.39 2026-02-19
1634 APR_DRG — 82 14 — — $55,509.21 $125,031.57 $55,569.59 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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 153 74 — — $36,197.03 $103,924.86 $55,189.43 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
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
6032 APR_DRG — 82 14 — — $54,349.65 $122,422.58 $54,410.03 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
28 MS_DRG Spinal Procedures With Mcc 124 53 — — $36,093.09 $143,828.81 $54,056.15 2026-02-19
3104 APR_DRG — 82 14 — — $53,910.04 $121,433.44 $53,970.42 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
6083 APR_DRG — 82 14 — — $53,764.80 $121,106.66 $53,825.18 2026-02-19
0894 APR_DRG — 29 6 — — $53,786.14 $121,018.81 $53,786.14 2024-12-13
894 APR_DRG — 53 14 — — $53,725.76 $120,882.96 $53,725.76 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
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
0244 APR_DRG — 29 6 — — $53,590.93 $120,579.59 $53,590.93 2024-12-13
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
6214 APR_DRG — 82 14 — — $53,518.84 $120,553.23 $53,579.22 2026-02-19
244 APR_DRG — 53 14 — — $53,530.55 $120,443.73 $53,530.55 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
4414 APR_DRG — 82 14 — — $53,293.95 $120,047.25 $53,354.33 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
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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 153 74 — — $20,080.41 $99,141.21 $52,797.61 2026-02-19
0204 APR_DRG — 29 6 — — $52,781.97 $118,759.44 $52,781.97 2024-12-13
204 APR_DRG — 53 14 — — $52,721.59 $118,623.59 $52,721.59 2026-02-19
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
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
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
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
4034 APR_DRG — 82 14 — — $51,836.90 $116,768.87 $51,897.28 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
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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 91 46 — — $5,963.55 $136,005.13 $51,443.76 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
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
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
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 1 1 — — $50,988.29 $50,988.29 $50,988.29 2024-12-13
5104 APR_DRG — 82 14 — — $50,529.76 $113,827.83 $50,590.14 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
4424 APR_DRG — 82 14 — — $50,268.96 $113,241.02 $50,329.34 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
6123 APR_DRG — 82 14 — — $50,012.06 $112,663.00 $50,072.44 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
1774 APR_DRG — 82 14 — — $49,946.47 $112,515.42 $50,006.85 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 124 53 — — $46,463.04 $132,876.05 $50,002.14 2026-02-19
6914 APR_DRG — 82 14 — — $49,932.42 $112,483.80 $49,992.80 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
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
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
3054 APR_DRG — 82 14 — — $49,690.36 $111,939.16 $49,750.74 2026-02-19
0264 APR_DRG — 29 6 — — $49,548.50 $111,484.12 $49,548.50 2024-12-13
9514 APR_DRG — 82 14 — — $49,481.87 $111,470.07 $49,542.25 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
1824 APR_DRG — 82 14 — — $49,457.67 $111,415.60 $49,518.05 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
264 APR_DRG — 53 14 — — $49,488.12 $111,348.27 $49,488.12 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
6113 APR_DRG — 82 14 — — $49,409.25 $111,306.68 $49,469.63 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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 153 74 — — $32,375.58 $91,998.86 $49,226.43 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
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
4444 APR_DRG — 82 14 — — $48,785.36 $109,902.91 $48,845.74 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
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
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
2644 APR_DRG — 82 14 — — $48,540.95 $109,353.00 $48,601.33 2026-02-19
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