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

SCHUYLER HOSPITAL

Montour Falls, NY · CCN 331313 · Rates published

37,459 distinct procedures filed
15 distinct payers
802,459 rate rows
2026-03-27 last MRF observed
Data quality

653,198 of 802,459 rate rows are consumer-grade (81.4%)

149,261 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 141,095
template filing: same amount across many unrelated codes — excluded 6,043
placeholder amount (≤ $0.02) — excluded from medians 1,146
per-diem day rate — not a per-procedure price 793
percent-of-charges filed in the dollar field — excluded from medians 117
exceeds 10× this hospital's gross charge — excluded from medians 67
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://cayugahealth.pt.panaceainc.com/MRFDownload/CayugaHealth/schuylerhospital
Found on page https://centralushealth.org/billing
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 5ab11b7065b85296… · 150,831,861 bytes · first seen 2026-05-09

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
0024
APR_DRG 		2 $383,781.68 $505,487.30 $505,487.30 nat. median
$372,987
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 $270,080.45 $518,279.97 $380,936.52 nat. median
$370,174
1.0× median
5834
APR_DRG 		2 $282,509.05 $372,185.80 $372,185.80 nat. median
$309,665
1.2× median
5884
APR_DRG 		2 $277,543.14 $365,649.37 $365,649.37 nat. median
$246,434
1.5× median
5883
APR_DRG 		2 $277,543.14 $365,649.37 $365,649.37 nat. median
$182,736
outlier · 2.0×
'002-4
APR_DRG 		Heart &/or Lung Transplant 2 $225,260.13 $506,835.29 $359,173.11 —
1614
APR_DRG 		2 $253,858.56 $334,474.22 $334,474.22 nat. median
$207,730
1.6× median
0034
APR_DRG 		2 $246,483.94 $324,767.27 $324,767.27 nat. median
$267,508
1.2× median
5914
APR_DRG 		2 $213,094.11 $280,817.46 $280,817.46 nat. median
$164,279
1.7× median
5881
APR_DRG 		2 $212,324.21 $279,804.06 $279,804.06 nat. median
$124,573
outlier · 2.2×
5882
APR_DRG 		2 $212,324.21 $279,804.06 $279,804.06 nat. median
$145,336
1.9× median
8414
APR_DRG 		2 $206,097.85 $271,608.53 $271,608.53 nat. median
$160,267
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $200,707.17 $338,053.13 $269,035.30 nat. median
$265,286
1.0× median
'583-4
APR_DRG 		Neonate W Ecmo 2 $166,015.02 $373,533.80 $264,394.21 —
0044
APR_DRG 		2 $198,769.42 $261,962.39 $261,962.39 nat. median
$195,681
1.3× median
'588-3
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $163,109.94 $366,997.37 $259,746.72 —
'588-4
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $163,109.94 $366,997.37 $259,746.72 —
0014
APR_DRG 		2 $192,536.46 $253,758.17 $253,758.17 nat. median
$190,591
1.3× median
5934
APR_DRG 		2 $191,772.05 $252,752.02 $252,752.02 nat. median
$151,838
1.7× median
'161-4
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 2 $149,254.32 $335,822.22 $237,580.83 —
6094
APR_DRG 		2 $175,585.28 $231,445.96 $231,445.96 nat. median
$162,982
1.4× median
'003-4
APR_DRG 		Bone Marrow Transplant 2 $144,940.12 $326,115.27 $230,679.07 —
6024
APR_DRG 		2 $166,317.79 $219,247.49 $219,247.49 nat. median
$118,620
1.8× median
0023
APR_DRG 		2 $165,737.05 $218,483.08 $218,483.08 nat. median
$167,082
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $152,912.28 $284,721.05 $213,075.70 nat. median
$206,368
1.0× median
8413
APR_DRG 		2 $161,052.71 $212,317.27 $212,317.27 nat. median
$66,693
outlier · 3.2×
5833
APR_DRG 		2 $160,497.28 $211,586.15 $211,586.15 nat. median
$244,017
0.9× median
5832
APR_DRG 		2 $157,495.74 $207,635.33 $207,635.33 nat. median
$156,126
1.3× median
5831
APR_DRG 		2 $157,495.74 $207,635.33 $207,635.33 nat. median
$145,122
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 $152,014.88 $257,205.26 $204,113.97 nat. median
$202,986
1.0× median
6034
APR_DRG 		2 $153,209.55 $201,993.59 $201,993.59 nat. median
$109,499
1.8× median
0054
APR_DRG 		2 $151,666.43 $199,962.43 $199,962.43 nat. median
$149,310
1.3× median
'591-4
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 2 $125,406.87 $282,165.46 $199,430.25 —
'588-1
APR_DRG 		Neonate W Ecmo 2 $124,956.47 $281,152.06 $198,709.71 —
'588-2
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $124,956.47 $281,152.06 $198,709.71 —
5933
APR_DRG 		2 $149,780.16 $197,479.60 $197,479.60 nat. median
$108,996
1.8× median
'841-4
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 2 $121,314.01 $272,956.52 $192,882.59 —
0022
APR_DRG 		2 $141,286.97 $186,300.34 $186,300.34 nat. median
$140,623
1.3× median
'004-4
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 2 $117,026.84 $263,310.39 $186,024.07 —
'001-4
APR_DRG 		Liver Transplant &/or Intestinal Transplant 2 $113,380.52 $255,106.17 $180,190.78 —
'593-4
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 2 $112,933.34 $254,100.02 $179,475.39 —
6074
APR_DRG 		2 $135,785.42 $179,058.85 $179,058.85 nat. median
$95,507
1.9× median
6304
APR_DRG 		2 $134,508.47 $177,378.05 $177,378.05 nat. median
$150,721
1.2× median
5891
APR_DRG 		2 $133,511.99 $176,066.42 $176,066.42 nat. median
$93,260
1.9× median
5892
APR_DRG 		2 $133,511.99 $176,066.42 $176,066.42 nat. median
$89,790
2.0× median
0021
APR_DRG 		2 $133,085.24 $175,504.70 $175,504.70 nat. median
$128,074
1.4× median
0033
APR_DRG 		2 $130,038.61 $171,494.53 $171,494.53 nat. median
$144,032
1.2× median
5913
APR_DRG 		2 $129,947.32 $171,374.36 $171,374.36 nat. median
$102,636
1.7× median
'609-4
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 2 $103,463.98 $232,793.96 $164,326.53 —
0904
APR_DRG 		2 $123,519.68 $162,913.91 $162,913.91 nat. median
$135,922
1.2× median

Other procedures at this hospital

Browse this hospital's 37,459 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
             
0024 APR_DRG — 6 2 — — $383,781.68 $505,487.30 $505,487.30 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 6 2 — — $270,080.45 $518,279.97 $380,936.52 2026-03-27
5834 APR_DRG — 6 2 — — $282,509.05 $372,185.80 $372,185.80 2026-03-27
5884 APR_DRG — 6 2 — — $277,543.14 $365,649.37 $365,649.37 2026-03-27
5883 APR_DRG — 6 2 — — $277,543.14 $365,649.37 $365,649.37 2026-03-27
'002-4 APR_DRG Heart &/or Lung Transplant 3 2 — — $225,260.13 $506,835.29 $359,173.11 2025-05-02
1614 APR_DRG — 6 2 — — $253,858.56 $334,474.22 $334,474.22 2026-03-27
0034 APR_DRG — 6 2 — — $246,483.94 $324,767.27 $324,767.27 2026-03-27
5914 APR_DRG — 6 2 — — $213,094.11 $280,817.46 $280,817.46 2026-03-27
5882 APR_DRG — 6 2 — — $212,324.21 $279,804.06 $279,804.06 2026-03-27
5881 APR_DRG — 6 2 — — $212,324.21 $279,804.06 $279,804.06 2026-03-27
8414 APR_DRG — 6 2 — — $206,097.85 $271,608.53 $271,608.53 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 2 — — $200,707.17 $338,053.13 $269,035.30 2026-03-27
'583-4 APR_DRG Neonate W Ecmo 3 2 — — $166,015.02 $373,533.80 $264,394.21 2025-05-02
0044 APR_DRG — 6 2 — — $198,769.42 $261,962.39 $261,962.39 2026-03-27
'588-3 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $163,109.94 $366,997.37 $259,746.72 2025-05-02
'588-4 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $163,109.94 $366,997.37 $259,746.72 2025-05-02
0014 APR_DRG — 6 2 — — $192,536.46 $253,758.17 $253,758.17 2026-03-27
5934 APR_DRG — 6 2 — — $191,772.05 $252,752.02 $252,752.02 2026-03-27
'161-4 APR_DRG Cardiac Defibrillator & Heart Assist Implant 3 2 — — $149,254.32 $335,822.22 $237,580.83 2025-05-02
6094 APR_DRG — 6 2 — — $175,585.28 $231,445.96 $231,445.96 2026-03-27
'003-4 APR_DRG Bone Marrow Transplant 3 2 — — $144,940.12 $326,115.27 $230,679.07 2025-05-02
6024 APR_DRG — 6 2 — — $166,317.79 $219,247.49 $219,247.49 2026-03-27
0023 APR_DRG — 6 2 — — $165,737.05 $218,483.08 $218,483.08 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 6 2 — — $152,912.28 $284,721.05 $213,075.70 2026-03-27
8413 APR_DRG — 6 2 — — $161,052.71 $212,317.27 $212,317.27 2026-03-27
5833 APR_DRG — 6 2 — — $160,497.28 $211,586.15 $211,586.15 2026-03-27
5832 APR_DRG — 6 2 — — $157,495.74 $207,635.33 $207,635.33 2026-03-27
5831 APR_DRG — 6 2 — — $157,495.74 $207,635.33 $207,635.33 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 6 2 — — $152,014.88 $257,205.26 $204,113.97 2026-03-27
6034 APR_DRG — 6 2 — — $153,209.55 $201,993.59 $201,993.59 2026-03-27
0054 APR_DRG — 6 2 — — $151,666.43 $199,962.43 $199,962.43 2026-03-27
'591-4 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $125,406.87 $282,165.46 $199,430.25 2025-05-02
'588-2 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $124,956.47 $281,152.06 $198,709.71 2025-05-02
'588-1 APR_DRG Neonate W Ecmo 3 2 — — $124,956.47 $281,152.06 $198,709.71 2025-05-02
5933 APR_DRG — 6 2 — — $149,780.16 $197,479.60 $197,479.60 2026-03-27
'841-4 APR_DRG Extensive 3rd Degree Burns W Skin Graft 3 2 — — $121,314.01 $272,956.52 $192,882.59 2025-05-02
0022 APR_DRG — 6 2 — — $141,286.97 $186,300.34 $186,300.34 2026-03-27
'004-4 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 2 — — $117,026.84 $263,310.39 $186,024.07 2025-05-02
'001-4 APR_DRG Liver Transplant &/or Intestinal Transplant 3 2 — — $113,380.52 $255,106.17 $180,190.78 2025-05-02
'593-4 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $112,933.34 $254,100.02 $179,475.39 2025-05-02
6074 APR_DRG — 6 2 — — $135,785.42 $179,058.85 $179,058.85 2026-03-27
6304 APR_DRG — 6 2 — — $134,508.47 $177,378.05 $177,378.05 2026-03-27
5891 APR_DRG — 6 2 — — $133,511.99 $176,066.42 $176,066.42 2026-03-27
5892 APR_DRG — 6 2 — — $133,511.99 $176,066.42 $176,066.42 2026-03-27
0021 APR_DRG — 6 2 — — $133,085.24 $175,504.70 $175,504.70 2026-03-27
0033 APR_DRG — 6 2 — — $130,038.61 $171,494.53 $171,494.53 2026-03-27
5913 APR_DRG — 6 2 — — $129,947.32 $171,374.36 $171,374.36 2026-03-27
'609-4 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $103,463.98 $232,793.96 $164,326.53 2025-05-02
0904 APR_DRG — 6 2 — — $123,519.68 $162,913.91 $162,913.91 2026-03-27
6023 APR_DRG — 6 2 — — $122,768.47 $161,925.12 $161,925.12 2026-03-27
5932 APR_DRG — 6 2 — — $122,548.50 $161,635.57 $161,635.57 2026-03-27
5912 APR_DRG — 6 2 — — $121,226.46 $159,895.42 $159,895.42 2026-03-27
3034 APR_DRG — 6 2 — — $119,825.22 $158,051.03 $158,051.03 2026-03-27
5931 APR_DRG — 6 2 — — $118,816.64 $156,723.46 $156,723.46 2026-03-27
'602-4 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $98,042.44 $220,595.49 $155,653.28 2025-05-02
'002-3 APR_DRG Heart &/or Lung Transplant 3 2 — — $97,702.70 $219,831.08 $155,109.78 2025-05-02
6314 APR_DRG — 6 2 — — $115,633.62 $152,533.76 $152,533.76 2026-03-27
'841-3 APR_DRG Extensive 3rd Degree Burns W Skin Graft 3 2 — — $94,962.34 $213,665.27 $150,725.81 2025-05-02
4404 APR_DRG — 6 2 — — $114,211.49 $150,661.87 $150,661.87 2026-03-27
'583-3 APR_DRG Neonate W Ecmo 3 2 — — $94,637.40 $212,934.15 $150,205.99 2025-05-02
'583-1 APR_DRG Neonate, Transferred < 5 Days Old, Born Here 3 2 — — $92,881.48 $208,983.33 $147,396.91 2025-05-02
'583-2 APR_DRG Neonate W Ecmo 3 2 — — $92,881.48 $208,983.33 $147,396.91 2025-05-02
0043 APR_DRG — 6 2 — — $110,763.40 $146,123.28 $146,123.28 2026-03-27
1604 APR_DRG — 6 2 — — $109,369.87 $144,289.01 $144,289.01 2026-03-27
'603-4 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $90,374.04 $203,341.59 $143,385.56 2025-05-02
1613 APR_DRG — 6 2 — — $108,222.71 $142,779.04 $142,779.04 2026-03-27
'005-4 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 3 2 — — $89,471.30 $201,310.43 $141,941.39 2025-05-02
'593-3 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $88,367.82 $198,827.60 $140,176.06 2025-05-02
3614 APR_DRG — 6 2 — — $105,592.92 $139,317.55 $139,317.55 2026-03-27
6022 APR_DRG — 6 2 — — $104,311.57 $137,630.97 $137,630.97 2026-03-27
1624 APR_DRG — 6 2 — — $103,219.40 $136,193.38 $136,193.38 2026-03-27
0053 APR_DRG — 6 2 — — $101,547.60 $133,992.86 $133,992.86 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 6 2 — — $99,203.73 $169,577.46 $133,718.55 2026-03-27
3044 APR_DRG — 6 2 — — $100,992.17 $133,261.74 $133,261.74 2026-03-27
6073 APR_DRG — 6 2 — — $100,628.11 $132,782.56 $132,782.56 2026-03-27
'002-2 APR_DRG Heart &/or Lung Transplant 3 2 — — $83,399.26 $187,648.34 $132,227.47 2025-05-02
3124 APR_DRG — 6 2 — — $99,013.50 $130,657.30 $130,657.30 2026-03-27
6033 APR_DRG — 6 2 — — $98,751.73 $130,312.76 $130,312.76 2026-03-27
6814 APR_DRG — 6 2 — — $98,671.44 $130,207.07 $130,207.07 2026-03-27
6804 APR_DRG — 6 2 — — $98,397.58 $129,846.58 $129,846.58 2026-03-27
Q04800 HCPCS Driver Pneumatic Vad, Rep 3 1 — — $129,460.61 $129,460.61 $129,460.61 2026-03-27
5911 APR_DRG — 6 2 — — $97,771.75 $129,022.83 $129,022.83 2026-03-27
'607-4 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $80,180.82 $180,406.85 $127,078.69 2025-05-02
6904 APR_DRG — 6 2 — — $96,272.63 $127,049.60 $127,049.60 2026-03-27
'630-4 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 2 — — $79,433.80 $178,726.05 $125,883.62 2025-05-02
8424 APR_DRG — 6 2 — — $95,003.38 $125,378.93 $125,378.93 2026-03-27
'589-2 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 2 — — $78,850.85 $177,414.41 $124,951.03 2025-05-02
'589-1 APR_DRG Neonate Bwt <1500g W Major Procedure 3 2 — — $78,850.85 $177,414.41 $124,951.03 2025-05-02
'002-1 APR_DRG Liver Transplant &/or Intestinal Transplant 3 2 — — $78,601.20 $176,852.70 $124,551.65 2025-05-02
7 MS_DRG Lung Transplant 6 2 — — $92,749.33 $156,840.94 $124,510.30 2026-03-27
6124 APR_DRG — 6 2 — — $93,198.49 $123,003.23 $123,003.23 2026-03-27
4054 APR_DRG — 6 2 — — $92,258.11 $121,765.43 $121,765.43 2026-03-27
'003-3 APR_DRG Bone Marrow Transplant 3 2 — — $76,818.90 $172,842.53 $121,700.37 2025-05-02
'591-3 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $76,765.49 $172,722.35 $121,614.93 2025-05-02
0013 APR_DRG — 6 2 — — $92,020.53 $121,452.73 $121,452.73 2026-03-27
6114 APR_DRG — 6 2 — — $90,339.94 $119,240.60 $119,240.60 2026-03-27
14 MS_DRG Allogeneic Bone Marrow Transplant 6 2 — — $86,072.20 $157,237.00 $119,033.74 2026-03-27
9504 APR_DRG — 6 2 — — $89,246.67 $117,801.59 $117,801.59 2026-03-27
0234 APR_DRG — 6 2 — — $88,892.51 $117,335.41 $117,335.41 2026-03-27
'090-4 APR_DRG Major Larynx & Trachea Procedures 3 2 — — $73,005.29 $164,261.90 $115,599.44 2025-05-02
'602-3 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $72,565.83 $163,273.12 $114,896.40 2025-05-02
'593-2 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 3 2 — — $72,437.14 $162,983.57 $114,690.53 2025-05-02
'591-2 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $71,663.74 $161,243.42 $113,453.26 2025-05-02
0032 APR_DRG — 6 2 — — $85,356.43 $112,680.99 $112,680.99 2026-03-27
'303-4 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 3 2 — — $70,844.01 $159,399.02 $112,141.88 2025-05-02
'593-1 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 3 2 — — $70,253.98 $158,071.46 $111,197.97 2025-05-02
0064 APR_DRG — 6 2 — — $84,017.89 $110,919.13 $110,919.13 2026-03-27
4474 APR_DRG — 6 2 — — $83,926.60 $110,798.96 $110,798.96 2026-03-27
8504 APR_DRG — 4 2 — — $110,742.50 $110,742.50 $110,742.50 2026-03-27
9124 APR_DRG — 6 2 — — $83,332.67 $110,017.19 $110,017.19 2026-03-27
5124 APR_DRG — 6 2 — — $82,527.57 $108,957.47 $108,957.47 2026-03-27
6072 APR_DRG — 6 2 — — $82,252.60 $108,595.53 $108,595.53 2026-03-27
'631-4 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 3 2 — — $68,391.89 $153,881.75 $108,219.05 2025-05-02
2604 APR_DRG — 6 2 — — $81,681.77 $107,844.17 $107,844.17 2026-03-27
6954 APR_DRG — 6 2 — — $81,245.12 $107,269.43 $107,269.43 2026-03-27
'440-4 APR_DRG Kidney Transplant 3 2 — — $67,559.94 $152,009.87 $106,888.11 2025-05-02
0924 APR_DRG — 6 2 — — $80,877.76 $106,785.90 $106,785.90 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 2 — — $78,923.09 $136,004.26 $106,708.40 2026-03-27
0063 APR_DRG — 6 2 — — $80,446.61 $106,218.38 $106,218.38 2026-03-27
6093 APR_DRG — 6 2 — — $80,104.55 $105,768.16 $105,768.16 2026-03-27
0214 APR_DRG — 6 2 — — $79,645.91 $105,164.46 $105,164.46 2026-03-27
0042 APR_DRG — 6 2 — — $79,065.18 $104,400.05 $104,400.05 2026-03-27
0041 APR_DRG — 6 2 — — $79,065.18 $104,400.05 $104,400.05 2026-03-27
1694 APR_DRG — 6 2 — — $79,002.49 $104,317.54 $104,317.54 2026-03-27
9104 APR_DRG — 6 2 — — $78,998.09 $104,311.73 $104,311.73 2026-03-27
6084 APR_DRG — 6 2 — — $78,996.99 $104,310.29 $104,310.29 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 2 — — $77,880.30 $130,738.99 $104,263.67 2026-03-27
'004-3 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 2 — — $65,542.79 $147,471.28 $103,661.11 2025-05-02
2204 APR_DRG — 6 2 — — $77,955.41 $102,939.30 $102,939.30 2026-03-27
8412 APR_DRG — 6 2 — — $77,891.62 $102,855.33 $102,855.33 2026-03-27
1654 APR_DRG — 6 2 — — $77,833.32 $102,778.61 $102,778.61 2026-03-27
3214 APR_DRG — 6 2 — — $77,696.94 $102,599.10 $102,599.10 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 6 2 — — $75,069.22 $132,276.44 $102,366.99 2026-03-27
'160-4 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $64,727.56 $145,637.01 $102,356.93 2025-05-02
1634 APR_DRG — 6 2 — — $77,507.76 $102,350.09 $102,350.09 2026-03-27
3033 APR_DRG — 6 2 — — $76,858.84 $101,495.93 $101,495.93 2026-03-27
4014 APR_DRG — 6 2 — — $76,855.54 $101,491.58 $101,491.58 2026-03-27
'161-3 APR_DRG Cardiac Defibrillator & Heart Assist Implant 3 2 — — $64,056.46 $144,127.04 $101,283.33 2025-05-02
6032 APR_DRG — 6 2 — — $75,874.46 $100,200.22 $100,200.22 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 2 — — $73,843.80 $127,804.50 $100,005.95 2026-03-27
3104 APR_DRG — 6 2 — — $75,255.23 $99,385.16 $99,385.16 2026-03-27
6083 APR_DRG — 6 2 — — $75,050.66 $99,115.88 $99,115.88 2026-03-27
0894 APR_DRG — 6 2 — — $74,995.66 $99,043.49 $99,043.49 2026-03-27
'361-4 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 3 2 — — $62,518.02 $140,665.55 $98,822.17 2025-05-02
0244 APR_DRG — 6 2 — — $74,720.70 $98,681.58 $98,681.58 2026-03-27
6214 APR_DRG — 6 2 — — $74,704.20 $98,659.85 $98,659.85 2026-03-27
4414 APR_DRG — 6 2 — — $74,387.44 $98,242.92 $98,242.92 2026-03-27
215 MS_DRG Other Heart Assist System Implant 6 2 — — $71,312.03 $127,151.59 $97,689.79 2026-03-27
'602-2 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $61,768.43 $138,978.97 $97,622.98 2025-05-02
0204 APR_DRG — 6 2 — — $73,581.23 $97,181.73 $97,181.73 2026-03-27
'162-4 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 3 2 — — $61,129.50 $137,541.38 $96,600.84 2025-05-02
1674 APR_DRG — 6 2 — — $72,934.51 $96,330.49 $96,330.49 2026-03-27
0031 APR_DRG — 6 2 — — $72,872.92 $96,249.40 $96,249.40 2026-03-27
1814 APR_DRG — 6 2 — — $72,772.83 $96,117.66 $96,117.66 2026-03-27
7914 APR_DRG — 6 2 — — $72,709.03 $96,033.69 $96,033.69 2026-03-27
2214 APR_DRG — 6 2 — — $72,682.64 $95,998.95 $95,998.95 2026-03-27
4034 APR_DRG — 6 2 — — $72,335.08 $95,541.48 $95,541.48 2026-03-27
'005-3 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 3 2 — — $60,151.49 $135,340.85 $95,036.24 2025-05-02
'304-4 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 3 2 — — $59,826.55 $134,609.74 $94,516.42 2025-05-02
6021 APR_DRG — 6 2 — — $71,411.19 $94,325.38 $94,325.38 2026-03-27
9114 APR_DRG — 6 2 — — $71,384.79 $94,290.64 $94,290.64 2026-03-27
'607-3 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $59,613.58 $134,130.56 $94,175.71 2025-05-02
3134 APR_DRG — 6 2 — — $71,175.82 $94,015.58 $94,015.58 2026-03-27
5104 APR_DRG — 6 2 — — $70,493.90 $93,117.98 $93,117.98 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 2 — — $69,116.16 $117,413.17 $92,944.26 2026-03-27
'312-4 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 3 2 — — $58,669.02 $132,005.30 $92,664.63 2025-05-02
4424 APR_DRG — 6 2 — — $70,126.54 $92,634.46 $92,634.46 2026-03-27
'603-3 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $58,515.89 $131,660.75 $92,419.65 2025-05-02
'681-4 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 2 — — $58,468.92 $131,555.07 $92,344.50 2025-05-02
6123 APR_DRG — 6 2 — — $69,764.69 $92,158.16 $92,158.16 2026-03-27
'680-4 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 3 2 — — $58,308.70 $131,194.58 $92,088.20 2025-05-02
1774 APR_DRG — 6 2 — — $69,672.30 $92,036.54 $92,036.54 2026-03-27
6914 APR_DRG — 6 2 — — $69,652.50 $92,010.49 $92,010.49 2026-03-27
7104 APR_DRG — 6 2 — — $69,516.12 $91,830.96 $91,830.96 2026-03-27
3174 APR_DRG — 6 2 — — $69,489.72 $91,796.22 $91,796.22 2026-03-27
3054 APR_DRG — 6 2 — — $69,311.54 $91,561.70 $91,561.70 2026-03-27
'591-1 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 3 2 — — $57,942.59 $130,370.83 $91,502.50 2025-05-02
0264 APR_DRG — 6 2 — — $69,026.67 $91,186.74 $91,186.74 2026-03-27
9514 APR_DRG — 6 2 — — $69,017.87 $91,175.15 $91,175.15 2026-03-27
1824 APR_DRG — 6 2 — — $68,983.78 $91,130.27 $91,130.27 2026-03-27
6113 APR_DRG — 6 2 — — $68,915.59 $91,040.51 $91,040.51 2026-03-27
1664 APR_DRG — 6 2 — — $68,535.03 $90,539.62 $90,539.62 2026-03-27
5114 APR_DRG — 6 2 — — $68,482.24 $90,470.12 $90,470.12 2026-03-27
'690-4 APR_DRG Acute Leukemia 3 2 — — $57,065.60 $128,397.60 $90,099.50 2025-05-02
4444 APR_DRG — 6 2 — — $68,036.79 $89,883.79 $89,883.79 2026-03-27
0012 APR_DRG — 6 2 — — $67,788.22 $89,556.62 $89,556.62 2026-03-27
0011 APR_DRG — 6 2 — — $67,788.22 $89,556.62 $89,556.62 2026-03-27
2644 APR_DRG — 6 2 — — $67,692.53 $89,430.66 $89,430.66 2026-03-27
2614 APR_DRG — 6 2 — — $67,538.55 $89,227.98 $89,227.98 2026-03-27
1612 APR_DRG — 6 2 — — $67,395.57 $89,039.77 $89,039.77 2026-03-27
'842-4 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 3 2 — — $56,323.08 $126,726.93 $88,911.64 2025-05-02
1204 APR_DRG — 6 2 — — $66,990.82 $88,507.01 $88,507.01 2026-03-27
1304 APR_DRG — 6 2 — — $66,792.84 $88,246.42 $88,246.42 2026-03-27
6903 APR_DRG — 6 2 — — $66,683.95 $88,103.09 $88,103.09 2026-03-27
1214 APR_DRG — 6 2 — — $66,620.16 $88,019.12 $88,019.12 2026-03-27
3014 APR_DRG — 6 2 — — $66,582.76 $87,969.92 $87,969.92 2026-03-27
2624 APR_DRG — 6 2 — — $66,581.66 $87,968.45 $87,968.45 2026-03-27
5194 APR_DRG — 6 2 — — $66,528.87 $87,898.97 $87,898.97 2026-03-27
6071 APR_DRG — 6 2 — — $66,445.28 $87,788.95 $87,788.95 2026-03-27
7114 APR_DRG — 6 2 — — $66,386.99 $87,712.22 $87,712.22 2026-03-27
'612-4 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 3 2 — — $55,267.21 $124,351.22 $87,222.49 2025-05-02
5184 APR_DRG — 6 2 — — $65,749.06 $86,872.55 $86,872.55 2026-03-27
0494 APR_DRG — 6 2 — — $65,634.68 $86,721.98 $86,721.98 2026-03-27
1714 APR_DRG — 6 2 — — $65,593.98 $86,668.40 $86,668.40 2026-03-27
'405-4 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 3 2 — — $54,717.08 $123,113.43 $86,342.40 2025-05-02
9524 APR_DRG — 6 2 — — $65,239.82 $86,202.25 $86,202.25 2026-03-27
'001-3 APR_DRG Liver Transplant &/or Intestinal Transplant 3 2 — — $54,578.10 $122,800.73 $86,120.06 2025-05-02
6303 APR_DRG — 6 2 — — $65,172.73 $86,113.94 $86,113.94 2026-03-27
0434 APR_DRG — 6 2 — — $65,086.94 $86,001.01 $86,001.01 2026-03-27
3814 APR_DRG — 6 2 — — $64,923.06 $85,785.30 $85,785.30 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 6 2 — — $62,019.34 $110,554.02 $84,951.33 2026-03-27
0052 APR_DRG — 6 2 — — $64,271.94 $84,928.25 $84,928.25 2026-03-27
'611-4 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 3 2 — — $53,594.93 $120,588.59 $84,547.22 2025-05-02
2294 APR_DRG — 6 2 — — $63,647.21 $84,105.95 $84,105.95 2026-03-27
3084 APR_DRG — 6 2 — — $63,449.24 $83,845.35 $83,845.35 2026-03-27
'950-4 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 3 2 — — $52,955.37 $119,149.58 $83,524.06 2025-05-02
3094 APR_DRG — 6 2 — — $63,188.57 $83,502.25 $83,502.25 2026-03-27
1623 APR_DRG — 6 2 — — $63,096.18 $83,380.64 $83,380.64 2026-03-27
'023-4 APR_DRG Spinal Procedures 3 2 — — $52,748.18 $118,683.41 $83,192.61 2025-05-02
6504 APR_DRG — 6 2 — — $62,725.52 $82,892.77 $82,892.77 2026-03-27
0051 APR_DRG — 6 2 — — $62,649.63 $82,792.87 $82,792.87 2026-03-27
6082 APR_DRG — 6 2 — — $62,538.55 $82,646.64 $82,646.64 2026-03-27
4403 APR_DRG — 6 2 — — $62,388.96 $82,449.77 $82,449.77 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 6 2 — — $59,731.08 $108,133.22 $82,311.72 2026-03-27
2234 APR_DRG — 6 2 — — $61,356.19 $81,090.36 $81,090.36 2026-03-27
'850-4 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 2 2 — — $49,818.00 $112,090.50 $80,954.25 2025-05-02
2244 APR_DRG — 6 2 — — $61,247.30 $80,947.04 $80,947.04 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 2 — — $60,374.94 $101,697.75 $80,931.07 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 2 — — $60,185.15 $101,640.14 $80,754.86 2026-03-27
2224 APR_DRG — 6 2 — — $60,866.75 $80,446.12 $80,446.12 2026-03-27
'003-2 APR_DRG Bone Marrow Transplant 3 2 — — $50,679.55 $114,028.99 $79,883.27 2025-05-02
3024 APR_DRG — 6 2 — — $59,863.66 $79,125.80 $79,125.80 2026-03-27
4234 APR_DRG — 6 2 — — $59,814.17 $79,060.66 $79,060.66 2026-03-27
'006-4 APR_DRG Pancreas Transplant 3 2 — — $49,896.50 $112,267.13 $78,630.55 2025-05-02
'447-4 APR_DRG Other Kidney, Urinary Tract & Related Procedures 3 2 — — $49,843.09 $112,146.95 $78,545.12 2025-05-02
0224 APR_DRG — 6 2 — — $59,255.44 $78,325.22 $78,325.22 2026-03-27
8411 APR_DRG — 6 2 — — $59,027.76 $78,025.55 $78,025.55 2026-03-27
'912-4 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 3 2 — — $49,495.64 $111,365.19 $77,989.27 2025-05-02
6334 APR_DRG — 6 2 — — $58,885.88 $77,838.77 $77,838.77 2026-03-27
0504 APR_DRG — 6 2 — — $58,804.49 $77,731.65 $77,731.65 2026-03-27
3043 APR_DRG — 6 2 — — $58,596.62 $77,458.03 $77,458.03 2026-03-27
'512-4 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 3 2 — — $49,024.65 $110,305.46 $77,235.79 2025-05-02
3644 APR_DRG — 6 2 — — $58,395.34 $77,193.09 $77,193.09 2026-03-27
8634 APR_DRG — 6 2 — — $58,282.05 $77,043.98 $77,043.98 2026-03-27
'607-2 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 2 — — $48,863.79 $109,943.53 $76,978.46 2025-05-02
3032 APR_DRG — 6 2 — — $58,165.47 $76,890.53 $76,890.53 2026-03-27
2274 APR_DRG — 6 2 — — $58,003.79 $76,677.71 $76,677.71 2026-03-27
'260-4 APR_DRG Major Pancreas, Liver & Shunt Procedures 3 2 — — $48,529.85 $109,192.16 $76,444.23 2025-05-02
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 2 — — $56,356.35 $96,742.12 $76,085.32 2026-03-27
'695-4 APR_DRG Chemotherapy For Acute Leukemia # 3 2 — — $48,274.41 $108,617.42 $76,035.58 2025-05-02
'092-4 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 3 2 — — $48,059.51 $108,133.90 $75,691.78 2025-05-02
6134 APR_DRG — 6 2 — — $56,952.31 $75,293.69 $75,293.69 2026-03-27
'006-3 APR_DRG Pancreas Transplant 3 2 — — $47,807.28 $107,566.38 $75,288.27 2025-05-02
6031 APR_DRG — 6 2 — — $56,909.42 $75,237.23 $75,237.23 2026-03-27
6224 APR_DRG — 6 2 — — $56,852.22 $75,161.95 $75,161.95 2026-03-27
'609-3 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 3 2 — — $47,607.18 $107,116.16 $74,968.15 2025-05-02
3154 APR_DRG — 6 2 — — $56,460.67 $74,646.56 $74,646.56 2026-03-27
'021-4 APR_DRG Craniotomy Except For Trauma 3 2 — — $47,338.87 $106,512.46 $74,538.91 2025-05-02
'004-1 APR_DRG Bone Marrow Transplant 3 2 — — $46,999.13 $105,748.04 $73,995.42 2025-05-02
'004-2 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 2 — — $46,999.13 $105,748.04 $73,995.42 2025-05-02
'169-4 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $46,962.46 $105,665.54 $73,936.75 2025-05-02
'910-4 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $46,959.88 $105,659.73 $73,932.63 2025-05-02
'608-4 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $46,959.24 $105,658.29 $73,931.60 2025-05-02
8444 APR_DRG — 6 2 — — $55,870.04 $73,869.14 $73,869.14 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 6 2 — — $54,754.92 $93,805.23 $73,867.23 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 2 — — $54,991.98 $92,859.47 $73,783.68 2026-03-27
4434 APR_DRG — 6 2 — — $55,739.16 $73,696.86 $73,696.86 2026-03-27
0062 APR_DRG — 6 2 — — $55,602.77 $73,517.36 $73,517.36 2026-03-27
0061 APR_DRG — 6 2 — — $55,602.77 $73,517.36 $73,517.36 2026-03-27
6133 APR_DRG — 6 2 — — $55,518.08 $73,405.87 $73,405.87 2026-03-27
6144 APR_DRG — 6 2 — — $55,390.50 $73,237.93 $73,237.93 2026-03-27
6143 APR_DRG — 6 2 — — $55,390.50 $73,237.93 $73,237.93 2026-03-27
'220-4 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 3 2 — — $46,349.91 $104,287.30 $72,956.81 2025-05-02
'841-2 APR_DRG Extensive 3rd Degree Burns W Skin Graft 3 2 — — $46,312.59 $104,203.33 $72,897.11 2025-05-02
'165-4 APR_DRG Coronary Bypass W Ami Or Complex Pdx 3 2 — — $46,278.49 $104,126.60 $72,842.55 2025-05-02
3204 APR_DRG — 6 2 — — $55,033.04 $72,767.43 $72,767.43 2026-03-27
'321-4 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 3 2 — — $46,198.71 $103,947.10 $72,714.91 2025-05-02
'163-4 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 3 2 — — $46,088.04 $103,698.09 $72,537.87 2025-05-02
6604 APR_DRG — 6 2 — — $54,751.47 $72,396.81 $72,396.81 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 2 — — $53,455.02 $91,454.04 $72,076.52 2026-03-27
'303-3 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 3 2 — — $45,708.41 $102,843.92 $71,930.55 2025-05-02
'401-4 APR_DRG Pituitary & Adrenal Procedures 3 2 — — $45,706.48 $102,839.58 $71,927.47 2025-05-02
10 MS_DRG Pancreas Transplant 6 2 — — $51,392.36 $95,687.15 $71,611.26 2026-03-27
1754 APR_DRG — 6 2 — — $54,011.26 $71,422.49 $71,422.49 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 2 — — $51,098.01 $95,136.25 $71,200.25 2026-03-27
'603-2 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 2 — — $45,132.54 $101,548.22 $71,009.29 2025-05-02
6313 APR_DRG — 6 2 — — $53,629.61 $70,920.14 $70,920.14 2026-03-27
3464 APR_DRG — 6 2 — — $53,613.11 $70,898.42 $70,898.42 2026-03-27
1653 APR_DRG — 6 2 — — $53,469.03 $70,708.77 $70,708.77 2026-03-27
'310-4 APR_DRG Intervertebral Disc Excision & Decompression 3 2 — — $44,770.29 $100,733.15 $70,429.77 2025-05-02
'608-3 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 3 2 — — $44,650.61 $100,463.87 $70,238.31 2025-05-02
'089-4 APR_DRG Major Cranial/facial Bone Procedures 3 2 — — $44,618.44 $100,391.49 $70,186.84 2025-05-02
1804 APR_DRG — 6 2 — — $53,003.78 $70,096.39 $70,096.39 2026-03-27
1704 APR_DRG — 6 2 — — $52,931.19 $70,000.83 $70,000.83 2026-03-27
'024-4 APR_DRG Extracranial Vascular Procedures 3 2 — — $44,457.59 $100,029.58 $69,929.51 2025-05-02
'621-4 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 3 2 — — $44,447.93 $100,007.84 $69,914.07 2025-05-02
5134 APR_DRG — 6 2 — — $52,811.30 $69,843.04 $69,843.04 2026-03-27
'441-4 APR_DRG Major Bladder Procedures 3 2 — — $44,262.63 $99,590.92 $69,617.62 2025-05-02
J73300 HCPCS Cultured Chondrocytes Implnt 3 1 — — $69,562.17 $69,562.17 $69,562.17 2026-03-27
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