Hospital

ASHTABULA COUNTY MEDICAL CENTER

Ashtabula, OH · CCN 360125 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $5,467 across 8 payers · range $5,206-$7,967

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/7982/340726081_ashtabula-county-medical-center_standardcharges.csv · observed 2025-08-08

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

15,693 distinct procedures filed

13 distinct payers

318,249 rate rows

2025-08-08 last MRF observed · ⚠ 12 mo old

Data quality

173,428 of 318,249 rate rows are consumer-grade (54.5%)

144,821 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 — reason	Rows
professional (physician) fee — not the facility price	141,662
placeholder amount (≤ $0.02) — excluded from medians	2,785
exceeds 10× this hospital's gross charge — excluded from medians	280
per-diem day rate — not a per-procedure price	61
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	19
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	8
percent-of-charges filed in the dollar field — excluded from medians	6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/7982/340726081_ashtabula-county-medical-center_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/ashtabulamedicalcenter/7982or
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-11
Content fingerprint	55878e641b53c658… · 77,639,679 bytes · first seen 2026-05-08

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
J3391 HCPCS	Inj, Atidarsagene Autotemcel	6	$4,377,500.00	$4,596,375.00	$4,399,387.50	nat. median $4,505,000 1.0× median
J1414 HCPCS	Inj, Beqvez, Per Tx Dose	7	$3,710,000.00	$4,711,700.00	$3,765,650.00	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	7	$3,685,266.67	$4,680,288.67	$3,740,545.67	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	7	$3,324,571.90	$4,222,206.31	$3,374,440.48	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	7	$3,261,355.00	$4,141,920.85	$3,310,275.33	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	7	$2,950,686.67	$3,747,372.07	$2,994,946.96	nat. median $2,997,086 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	7	$2,452,115.60	$3,114,186.81	$2,488,897.33	nat. median $2,460,273 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	7	$2,332,000.00	$2,961,640.00	$2,366,980.00	nat. median $2,405,851 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel	7	$770,620.00	$1,907,669.81	$782,179.30	nat. median $809,151 1.0× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	7	$578,324.58	$1,431,642.50	$586,999.44	nat. median $691,418 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	7	$553,378.83	$1,369,889.29	$561,679.52	nat. median $631,793 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	7	$541,635.66	$1,340,819.07	$549,760.19	nat. median $624,417 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	7	$541,260.45	$1,339,890.24	$549,379.35	nat. median $610,161 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	7	$533,076.48	$1,319,630.82	$541,072.62	nat. median $588,565 0.9× median
Q2053 HCPCS	Brexucabtagene Car Pos T	7	$489,720.00	$1,212,301.86	$497,065.80	nat. median $577,541 0.9× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	$308,087.18	$471,447.71	$323,491.54	nat. median $370,165 0.9× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$298,545.41	$352,198.23	$304,342.41	nat. median $254,667 1.2× median
5834 APR_DRG	Neonate With Ecmo	7	$288,798.82	$340,700.04	$294,406.56	nat. median $311,018 0.9× median
5833 APR_DRG	Neonate With Ecmo	7	$288,798.82	$340,700.04	$294,406.56	nat. median $250,089 1.2× median
5832 APR_DRG	Neonate With Ecmo	7	$274,706.38	$324,074.99	$280,040.48	nat. median $169,230 1.7× median
5831 APR_DRG	Neonate With Ecmo	7	$274,706.38	$324,074.99	$280,040.48	nat. median $154,685 1.8× median
1614 APR_DRG	Implantable Heart Assist Systems	7	$273,642.10	$322,819.45	$278,955.54	nat. median $209,486 1.3× median
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	7	$270,375.00	$669,313.31	$274,430.62	nat. median $302,242 0.9× median
24 APR_DRG	Heart And/or Lung Transplant	7	$240,665.00	$283,915.90	$245,338.11	nat. median $243,231 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	8	$230,115.29	$284,145.75	$241,621.05	nat. median $261,939 0.9× median
1613 APR_DRG	Implantable Heart Assist Systems	7	$211,779.25	$249,838.97	$215,891.47	nat. median $127,938 1.7× median
1612 APR_DRG	Implantable Heart Assist Systems	7	$211,779.25	$249,838.97	$215,891.47	nat. median $93,192 outlier · 2.3×
1611 APR_DRG	Implantable Heart Assist Systems	7	$211,779.25	$249,838.97	$215,891.47	nat. median $82,164 outlier · 2.6×
74 APR_DRG	Allogeneic Bone Marrow Transplant	7	$205,723.54	$242,694.96	$209,718.17	nat. median $175,480 1.2× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	$193,798.67	$239,302.08	$203,488.60	nat. median $205,166 1.0× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$191,494.14	$225,908.34	$195,212.47	nat. median $165,646 1.2× median
8411 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$191,494.14	$225,908.34	$195,212.47	nat. median $31,876 outlier · 6.1×
8412 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$191,494.14	$225,908.34	$195,212.47	nat. median $33,878 outlier · 5.8×
8413 APR_DRG	Extensive Third Degree Burns With Skin Graft	7	$191,494.14	$225,908.34	$195,212.47	nat. median $64,013 outlier · 3.0×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	7	$191,479.87	$225,891.51	$195,197.93	nat. median $168,174 1.2× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	7	$185,829.74	$219,225.97	$189,438.08	nat. median $160,171 1.2× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	8	$175,081.17	$267,916.43	$183,835.23	nat. median $199,832 0.9× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	7	$164,028.33	$193,506.54	$167,213.35	nat. median $147,677 1.1× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$150,811.16	$177,914.06	$153,739.53	nat. median $180,995 0.8× median
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$143,452.08	$169,232.43	$146,237.55	nat. median $120,928 1.2× median
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$143,452.08	$169,232.43	$146,237.55	nat. median $147,847 1.0× median
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	7	$139,021.64	$164,005.79	$141,721.09	nat. median $156,285 0.9× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	7	$129,060.00	$152,253.90	$131,566.02	nat. median $168,361 0.8× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	8	$115,432.21	$176,639.13	$121,203.82	nat. median $132,706 0.9× median
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	7	$118,719.16	$140,054.66	$121,024.39	nat. median $101,315 1.2× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	8	$107,032.53	$132,163.49	$112,384.16	nat. median $114,305 1.0× median
7 MS_DRG	Lung Transplant	8	$106,762.95	$131,830.61	$112,101.10	nat. median $122,690 0.9× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	7	$108,727.20	$269,154.18	$110,358.11	nat. median $111,503 1.0× median
21 APR_DRG	Heart And/or Lung Transplant	7	$106,675.61	$125,846.71	$108,746.98	nat. median $74,854 1.5× median
23 APR_DRG	Heart And/or Lung Transplant	7	$106,675.61	$125,846.71	$108,746.98	nat. median $116,111 0.9× median

Other procedures at this hospital

Browse this hospital's 15,693 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3391	HCPCS	Inj, Atidarsagene Autotemcel	6	6	—	—	$4,377,500.00	$4,596,375.00	$4,399,387.50	2025-08-08
J1414	HCPCS	Inj, Beqvez, Per Tx Dose	8	7	—	—	$3,710,000.00	$4,711,700.00	$3,765,650.00	2025-08-08
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	8	7	—	—	$3,685,266.67	$4,680,288.67	$3,740,545.67	2025-08-08
J1413	HCPCS	Inj Delandistrogene Mox Rokl	8	7	—	—	$3,324,571.90	$4,222,206.31	$3,374,440.48	2025-08-08
J3394	HCPCS	Inj, Lovotibeglogene Autotem	8	7	—	—	$3,261,355.00	$4,141,920.85	$3,310,275.33	2025-08-08
J3393	HCPCS	Inj, Betibeglogene Autotemce	8	7	—	—	$2,950,686.67	$3,747,372.07	$2,994,946.96	2025-08-08
J3399	HCPCS	Inj Onase Abepar-xioi Treat	8	7	—	—	$2,452,115.60	$3,114,186.81	$2,488,897.33	2025-08-08
J3392	HCPCS	Inj, Exagamglogene Autotem	8	7	—	—	$2,332,000.00	$2,961,640.00	$2,366,980.00	2025-08-08
Q2057	HCPCS	Afamitresgene Autoleucel	8	7	—	—	$770,620.00	$1,907,669.81	$782,179.30	2025-08-08
Q2042	HCPCS	Tisagenlecleucel Car-pos T	8	7	—	—	$578,324.58	$1,431,642.50	$586,999.44	2025-08-08
Q2056	HCPCS	Ciltacabtagene Car-pos T	8	7	—	—	$553,378.83	$1,369,889.29	$561,679.52	2025-08-08
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	8	7	—	—	$541,635.66	$1,340,819.07	$549,760.19	2025-08-08
Q2055	HCPCS	Idecabtagene Vicleucel Car	8	7	—	—	$541,260.45	$1,339,890.24	$549,379.35	2025-08-08
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	8	7	—	—	$533,076.48	$1,319,630.82	$541,072.62	2025-08-08
Q2053	HCPCS	Brexucabtagene Car Pos T	8	7	—	—	$489,720.00	$1,212,301.86	$497,065.80	2025-08-08
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	12	8	—	—	$308,087.18	$471,447.71	$323,491.54	2025-08-08
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	8	7	—	—	$298,545.41	$352,198.23	$304,342.41	2025-08-08
5833	APR_DRG	Neonate With Ecmo	8	7	—	—	$288,798.82	$340,700.04	$294,406.56	2025-08-08
5834	APR_DRG	Neonate With Ecmo	8	7	—	—	$288,798.82	$340,700.04	$294,406.56	2025-08-08
5831	APR_DRG	Neonate With Ecmo	8	7	—	—	$274,706.38	$324,074.99	$280,040.48	2025-08-08
5832	APR_DRG	Neonate With Ecmo	8	7	—	—	$274,706.38	$324,074.99	$280,040.48	2025-08-08
1614	APR_DRG	Implantable Heart Assist Systems	8	7	—	—	$273,642.10	$322,819.45	$278,955.54	2025-08-08
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	8	7	—	—	$270,375.00	$669,313.31	$274,430.62	2025-08-08
24	APR_DRG	Heart And/or Lung Transplant	8	7	—	—	$240,665.00	$283,915.90	$245,338.11	2025-08-08
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	11	8	—	—	$230,115.29	$284,145.75	$241,621.05	2025-08-08
1611	APR_DRG	Implantable Heart Assist Systems	8	7	—	—	$211,779.25	$249,838.97	$215,891.47	2025-08-08
1613	APR_DRG	Implantable Heart Assist Systems	8	7	—	—	$211,779.25	$249,838.97	$215,891.47	2025-08-08
1612	APR_DRG	Implantable Heart Assist Systems	8	7	—	—	$211,779.25	$249,838.97	$215,891.47	2025-08-08
74	APR_DRG	Allogeneic Bone Marrow Transplant	8	7	—	—	$205,723.54	$242,694.96	$209,718.17	2025-08-08
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	11	8	—	—	$193,798.67	$239,302.08	$203,488.60	2025-08-08
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	8	7	—	—	$191,494.14	$225,908.34	$195,212.47	2025-08-08
8411	APR_DRG	Extensive Third Degree Burns With Skin Graft	8	7	—	—	$191,494.14	$225,908.34	$195,212.47	2025-08-08
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	8	7	—	—	$191,494.14	$225,908.34	$195,212.47	2025-08-08
8412	APR_DRG	Extensive Third Degree Burns With Skin Graft	8	7	—	—	$191,494.14	$225,908.34	$195,212.47	2025-08-08
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	7	—	—	$191,479.87	$225,891.51	$195,197.93	2025-08-08
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	7	—	—	$185,829.74	$219,225.97	$189,438.08	2025-08-08
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	12	8	—	—	$175,081.17	$267,916.43	$183,835.23	2025-08-08
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	7	—	—	$164,028.33	$193,506.54	$167,213.35	2025-08-08
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	8	7	—	—	$150,811.16	$177,914.06	$153,739.53	2025-08-08
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	8	7	—	—	$143,452.08	$169,232.43	$146,237.55	2025-08-08
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	8	7	—	—	$143,452.08	$169,232.43	$146,237.55	2025-08-08
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	7	—	—	$139,021.64	$164,005.79	$141,721.09	2025-08-08
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	7	—	—	$129,060.00	$152,253.90	$131,566.02	2025-08-08
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	12	8	—	—	$115,432.21	$176,639.13	$121,203.82	2025-08-08
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	8	7	—	—	$118,719.16	$140,054.66	$121,024.39	2025-08-08
14	MS_DRG	Allogeneic Bone Marrow Transplant	11	8	—	—	$107,032.53	$132,163.49	$112,384.16	2025-08-08
7	MS_DRG	Lung Transplant	11	8	—	—	$106,762.95	$131,830.61	$112,101.10	2025-08-08
Q0480	HCPCS	Driver Pneumatic Vad, Rep	8	7	—	—	$108,727.20	$269,154.18	$110,358.11	2025-08-08
22	APR_DRG	Heart And/or Lung Transplant	8	7	—	—	$106,675.61	$125,846.71	$108,746.98	2025-08-08
23	APR_DRG	Heart And/or Lung Transplant	8	7	—	—	$106,675.61	$125,846.71	$108,746.98	2025-08-08
21	APR_DRG	Heart And/or Lung Transplant	8	7	—	—	$106,675.61	$125,846.71	$108,746.98	2025-08-08
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	8	7	—	—	$106,503.83	$125,644.07	$108,571.87	2025-08-08
73	APR_DRG	Allogeneic Bone Marrow Transplant	8	7	—	—	$100,404.46	$118,448.56	$102,354.06	2025-08-08
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	7	—	—	$96,719.31	$114,101.13	$98,597.35	2025-08-08
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$95,152.39	$112,252.61	$97,000.01	2025-08-08
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$94,104.93	$111,016.92	$95,932.21	2025-08-08
03060	EAPG	Ventricular Assist Device Procedures	8	7	—	—	$93,851.59	$127,565.27	$95,673.95	2025-08-08
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	8	7	—	—	$93,216.70	$230,757.94	$94,614.95	2025-08-08
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	11	8	—	—	$90,023.24	$111,160.45	$94,524.40	2025-08-08
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	12	8	—	—	$88,995.54	$136,184.64	$93,445.32	2025-08-08
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	7	—	—	$91,122.42	$107,498.40	$92,891.79	2025-08-08
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	11	8	—	—	$86,998.14	$107,425.08	$91,348.05	2025-08-08
215	MS_DRG	Other Heart Assist System Implant	12	8	—	—	$86,552.10	$132,445.59	$90,879.71	2025-08-08
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	7	—	—	$88,359.17	$104,238.56	$90,074.88	2025-08-08
8514	APR_DRG	Gender Related Procedures	8	7	—	—	$88,184.19	$104,032.13	$89,896.51	2025-08-08
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	8	—	—	$85,576.69	$130,952.98	$89,855.52	2025-08-08
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	7	—	—	$86,988.86	$102,621.98	$88,677.96	2025-08-08
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	8	7	—	—	$84,888.11	$100,143.69	$86,536.42	2025-08-08
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	7	—	—	$82,083.01	$96,834.48	$83,676.85	2025-08-08
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	8	—	—	$78,842.73	$120,648.40	$82,784.87	2025-08-08
84	APR_DRG	Autologous Bone Marrow Transplant	8	7	—	—	$80,574.69	$95,055.10	$82,139.24	2025-08-08
72	APR_DRG	Allogeneic Bone Marrow Transplant	8	7	—	—	$80,374.80	$94,819.28	$81,935.48	2025-08-08
71	APR_DRG	Allogeneic Bone Marrow Transplant	8	7	—	—	$80,374.80	$94,819.28	$81,935.48	2025-08-08
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	8	7	—	—	$80,030.94	$94,413.63	$81,584.94	2025-08-08
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	8	7	—	—	$79,955.36	$94,324.46	$81,507.89	2025-08-08
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	7	—	—	$77,821.90	$91,807.59	$79,333.00	2025-08-08
850	MS_DRG	Acute Leukemia With Other Procedures	12	8	—	—	$75,254.77	$115,157.96	$79,017.51	2025-08-08
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$76,926.96	$90,751.82	$78,420.69	2025-08-08
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	7	—	—	$74,024.45	$87,327.68	$75,461.82	2025-08-08
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	8	7	—	—	$74,024.45	$87,327.68	$75,461.82	2025-08-08
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	7	—	—	$73,771.74	$87,029.56	$75,204.20	2025-08-08
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	8	7	—	—	$73,429.81	$86,626.19	$74,855.63	2025-08-08
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	7	—	—	$73,288.07	$86,458.97	$74,711.14	2025-08-08
8634	APR_DRG	Neonatal Aftercare	8	7	—	—	$73,181.20	$86,332.89	$74,602.20	2025-08-08
1784	APR_DRG	External Heart Assist Systems	8	7	—	—	$73,156.79	$86,304.10	$74,577.31	2025-08-08
6904	APR_DRG	Acute Leukemia	8	7	—	—	$72,870.72	$85,966.61	$74,285.68	2025-08-08
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	7	—	—	$72,439.09	$85,457.41	$73,845.67	2025-08-08
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	7	—	—	$71,491.84	$84,339.93	$72,880.03	2025-08-08
231	MS_DRG	Coronary Bypass With Ptca With Mcc	12	8	—	—	$69,225.83	$105,932.22	$72,687.12	2025-08-08
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	8	—	—	$69,187.44	$105,873.47	$72,646.81	2025-08-08
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	12	8	—	—	$68,136.86	$104,265.84	$71,543.70	2025-08-08
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$68,961.48	$81,354.82	$70,300.53	2025-08-08
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	7	—	—	$68,280.10	$80,550.99	$69,605.93	2025-08-08
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	12	8	—	—	$65,853.54	$100,771.81	$69,146.22	2025-08-08
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	8	7	—	—	$67,452.66	$166,979.06	$68,464.45	2025-08-08
10	MS_DRG	Pancreas Transplant	11	8	—	—	$65,133.83	$80,427.08	$68,390.52	2025-08-08
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	12	8	—	—	$64,760.49	$99,099.18	$67,998.51	2025-08-08
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	7	—	—	$66,272.83	$78,182.99	$67,559.68	2025-08-08
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$66,130.10	$78,014.61	$67,414.18	2025-08-08
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	12	8	—	—	$63,854.52	$97,712.82	$67,047.25	2025-08-08
5894	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	7	—	—	$65,223.96	$76,945.62	$66,490.44	2025-08-08
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	7	—	—	$65,223.96	$76,945.62	$66,490.44	2025-08-08
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	8	—	—	$63,209.96	$96,726.49	$66,370.46	2025-08-08
J9029	HCPCS	Instill Adstiladrin, Tx Dose	10	7	—	—	$63,431.05	$137,645.39	$65,651.14	2025-08-08
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	7	—	—	$64,154.63	$75,684.12	$65,400.35	2025-08-08
6954	APR_DRG	Chemotherapy For Acute Leukemia	8	7	—	—	$63,789.24	$75,253.07	$65,027.87	2025-08-08
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	7	—	—	$63,266.47	$74,636.35	$64,494.95	2025-08-08
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	12	8	—	—	$60,977.29	$93,309.96	$64,026.15	2025-08-08
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	7	—	—	$62,552.75	$73,794.37	$63,767.37	2025-08-08
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	8	7	—	—	$62,252.13	$73,439.72	$63,460.91	2025-08-08
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	7	—	—	$62,041.24	$73,190.93	$63,245.92	2025-08-08
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	8	7	—	—	$62,041.24	$73,190.93	$63,245.92	2025-08-08
224	APR_DRG	Ventricular Shunt Procedures	8	7	—	—	$60,832.98	$71,765.53	$62,014.21	2025-08-08
38240	CPT	Transplt Allo Hct/donor	11	8	—	—	$833.30	$153,039.07	$61,821.48	2025-08-08
83	APR_DRG	Autologous Bone Marrow Transplant	8	7	—	—	$60,523.12	$71,399.98	$61,698.33	2025-08-08
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	7	—	—	$59,948.78	$70,722.42	$61,112.84	2025-08-08
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	7	—	—	$59,948.78	$70,722.42	$61,112.84	2025-08-08
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	7	—	—	$59,948.78	$70,722.42	$61,112.84	2025-08-08
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	7	—	—	$59,948.78	$70,722.42	$61,112.84	2025-08-08
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	8	—	—	$58,024.09	$88,790.85	$60,925.29	2025-08-08
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	12	8	—	—	$57,732.44	$88,344.57	$60,619.06	2025-08-08
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	8	7	—	—	$58,878.13	$69,459.36	$60,021.39	2025-08-08
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	12	8	—	—	$56,829.74	$86,963.21	$59,671.23	2025-08-08
955	MS_DRG	Craniotomy For Multiple Significant Trauma	12	8	—	—	$55,782.43	$85,360.58	$58,571.55	2025-08-08
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	8	7	—	—	$57,217.86	$67,500.71	$58,328.89	2025-08-08
A9543	HCPCS	Y90 Ibritumomab, Rx	9	7	—	—	$56,824.55	$140,669.17	$57,961.04	2025-08-08
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	10	7	—	—	$55,945.97	$121,402.76	$57,904.08	2025-08-08
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	12	8	—	—	$54,772.71	$83,815.45	$57,511.35	2025-08-08
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$56,283.47	$66,398.40	$57,376.36	2025-08-08
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	11	8	—	—	$54,561.94	$67,372.94	$57,290.04	2025-08-08
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	12	8	—	—	$54,469.62	$83,351.67	$57,193.10	2025-08-08
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	7	—	—	$55,384.87	$65,338.31	$56,460.31	2025-08-08
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	8	7	—	—	$55,384.87	$65,338.31	$56,460.31	2025-08-08
8633	APR_DRG	Neonatal Aftercare	8	7	—	—	$55,288.73	$65,224.90	$56,362.30	2025-08-08
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	7	—	—	$55,031.53	$64,921.47	$56,100.10	2025-08-08
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	8	7	—	—	$55,031.53	$64,921.47	$56,100.10	2025-08-08
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	12	8	—	—	$52,832.50	$80,846.47	$55,474.13	2025-08-08
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	8	—	—	$52,756.52	$80,730.21	$55,394.35	2025-08-08
914	APR_DRG	Other Major Head And Neck Procedures	8	7	—	—	$54,037.55	$63,748.86	$55,086.82	2025-08-08
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	7	—	—	$53,934.65	$63,627.47	$54,981.93	2025-08-08
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	8	7	—	—	$53,934.65	$63,627.47	$54,981.93	2025-08-08
6301	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	7	—	—	$53,784.07	$63,449.83	$54,828.42	2025-08-08
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	8	7	—	—	$53,784.07	$63,449.83	$54,828.42	2025-08-08
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	12	8	—	—	$51,665.10	$79,060.07	$54,248.36	2025-08-08
2004	APR_DRG	Cardiac Structural And Valvular Disorders	8	7	—	—	$52,719.52	$62,193.97	$53,743.20	2025-08-08
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	7	—	—	$52,345.99	$61,753.30	$53,362.42	2025-08-08
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	12	8	—	—	$50,603.91	$77,436.19	$53,134.11	2025-08-08
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	12	8	—	—	$50,538.56	$77,336.19	$53,065.49	2025-08-08
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	8	7	—	—	$52,025.70	$61,375.45	$53,035.91	2025-08-08
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	12	8	—	—	$50,308.18	$76,983.66	$52,823.59	2025-08-08
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	8	7	—	—	$51,642.90	$60,923.86	$52,645.68	2025-08-08
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	12	8	—	—	$50,132.54	$76,714.89	$52,639.17	2025-08-08
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	12	8	—	—	$49,903.80	$76,364.86	$52,398.99	2025-08-08
28	MS_DRG	Spinal Procedures With Mcc	12	8	—	—	$49,665.26	$75,999.83	$52,148.52	2025-08-08
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	11	8	—	—	$49,309.08	$60,886.72	$51,774.53	2025-08-08
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	11	8	—	—	$49,309.08	$60,886.72	$51,774.53	2025-08-08
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	12	8	—	—	$48,940.64	$74,890.99	$51,387.67	2025-08-08
1794	APR_DRG	Defibrillator Implants	8	7	—	—	$50,244.72	$59,274.40	$51,220.34	2025-08-08
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	12	8	—	—	$48,601.62	$74,372.20	$51,031.70	2025-08-08
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	8	7	—	—	$49,915.16	$58,885.62	$50,884.39	2025-08-08
214	APR_DRG	Open Craniotomy Except Trauma	8	7	—	—	$49,825.26	$58,779.57	$50,792.74	2025-08-08
1204	APR_DRG	Major Respiratory And Chest Procedures	8	7	—	—	$49,542.91	$58,446.47	$50,504.91	2025-08-08
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	12	8	—	—	$48,069.80	$73,558.38	$50,473.29	2025-08-08
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	8	7	—	—	$49,415.64	$58,296.33	$50,375.17	2025-08-08
6604	APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	8	7	—	—	$49,398.62	$58,276.26	$50,357.82	2025-08-08
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	10	8	—	—	$48,564.85	$59,967.75	$50,264.62	2025-08-08
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	12	8	—	—	$47,564.12	$72,784.57	$49,942.33	2025-08-08
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	8	7	—	—	$48,669.77	$57,416.41	$49,614.81	2025-08-08
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	8	—	—	$46,886.88	$71,748.24	$49,231.22	2025-08-08
L7181	HCPCS	Electronic Elbo Simultaneous	8	7	—	—	$48,370.76	$119,741.82	$49,096.32	2025-08-08
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	12	8	—	—	$46,606.67	$71,319.46	$48,937.00	2025-08-08
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	8	7	—	—	$47,714.06	$56,288.94	$48,640.55	2025-08-08
33249	CPT	Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr	33	13	$96,999.00	$67,899.30 30% off	$3,145.54	$82,963.83	$48,499.50	2025-08-08
653	MS_DRG	Major Bladder Procedures With Mcc	12	8	—	—	$45,540.58	$69,688.07	$47,817.61	2025-08-08
L7180	HCPCS	Electronic Elbow Sequential	8	7	—	—	$46,980.38	$116,299.93	$47,685.08	2025-08-08
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	7	—	—	$46,601.74	$54,976.74	$47,506.63	2025-08-08
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	8	7	—	—	$46,601.74	$54,976.74	$47,506.63	2025-08-08
834	MS_DRG	Acute Leukemia With Mcc	12	8	—	—	$45,154.17	$69,096.78	$47,411.88	2025-08-08
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	12	8	—	—	$45,154.17	$69,096.78	$47,411.88	2025-08-08
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	8	7	—	—	$46,463.11	$54,813.19	$47,365.31	2025-08-08
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	8	7	—	—	$46,459.44	$54,808.86	$47,361.56	2025-08-08
33276	CPT	Insj Phrnc Nrv Stim Sys	10	7	—	—	$2,004.82	$116,445.10	$47,274.21	2025-08-08
0266T	CPT	Implt/rpl Crtd Sns Dev Total	10	8	—	—	$4,686.00	$116,445.10	$47,274.21	2025-08-08
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	8	7	—	—	$46,369.78	$54,703.08	$47,270.16	2025-08-08
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	12	8	—	—	$44,964.64	$68,806.75	$47,212.87	2025-08-08
J9226	HCPCS	Supprelin La Implant	10	7	—	—	$45,560.39	$98,866.05	$47,155.01	2025-08-08
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$46,212.95	$54,518.07	$47,110.29	2025-08-08
6903	APR_DRG	Acute Leukemia	8	7	—	—	$46,171.63	$54,469.33	$47,068.17	2025-08-08
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	12	8	—	—	$44,690.16	$68,386.72	$46,924.67	2025-08-08
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$45,912.20	$54,163.27	$46,803.70	2025-08-08
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	11	8	—	—	$44,449.98	$54,886.72	$46,672.48	2025-08-08
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	12	8	—	—	$44,348.68	$67,864.18	$46,566.11	2025-08-08
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	7	—	—	$45,606.67	$53,802.83	$46,492.24	2025-08-08
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	12	8	—	—	$44,122.39	$67,517.90	$46,328.51	2025-08-08
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	12	8	—	—	$44,080.73	$67,454.15	$46,284.77	2025-08-08
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	12	8	—	—	$44,075.82	$67,446.65	$46,279.61	2025-08-08
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	7	—	—	$45,343.54	$53,492.41	$46,223.99	2025-08-08
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	8	7	—	—	$45,264.09	$53,398.69	$46,143.01	2025-08-08
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	8	7	—	—	$45,066.34	$53,165.40	$45,941.42	2025-08-08
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	12	8	—	—	$43,462.31	$66,507.82	$45,635.43	2025-08-08
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	8	7	—	—	$44,701.99	$52,735.57	$45,569.99	2025-08-08
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	8	—	—	$43,270.33	$66,214.05	$45,433.85	2025-08-08
264	APR_DRG	Other Nervous System And Related Procedures	8	7	—	—	$44,397.43	$52,376.28	$45,259.52	2025-08-08
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	8	7	—	—	$43,673.64	$51,522.41	$44,521.67	2025-08-08
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	8	7	—	—	$43,673.64	$51,522.41	$44,521.67	2025-08-08
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	8	7	—	—	$43,673.64	$51,522.41	$44,521.67	2025-08-08
234	APR_DRG	Spinal Procedures	8	7	—	—	$43,485.76	$51,300.76	$44,330.14	2025-08-08
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	8	7	—	—	$43,450.69	$51,259.39	$44,294.40	2025-08-08
1783	APR_DRG	External Heart Assist Systems	8	7	—	—	$43,397.08	$51,196.15	$44,239.74	2025-08-08
1782	APR_DRG	External Heart Assist Systems	8	7	—	—	$43,397.08	$51,196.15	$44,239.74	2025-08-08
1781	APR_DRG	External Heart Assist Systems	8	7	—	—	$43,397.08	$51,196.15	$44,239.74	2025-08-08
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	12	8	—	—	$42,072.71	$64,381.40	$44,176.35	2025-08-08
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	12	8	—	—	$41,933.02	$64,167.63	$44,029.67	2025-08-08
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$42,957.99	$50,678.15	$43,792.13	2025-08-08
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	12	8	—	—	$41,619.32	$63,687.59	$43,700.29	2025-08-08
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	8	7	—	—	$42,813.75	$50,507.99	$43,645.09	2025-08-08
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	12	8	—	—	$41,491.87	$63,492.58	$43,566.46	2025-08-08
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	12	8	—	—	$41,147.95	$62,966.29	$43,205.35	2025-08-08
2304	APR_DRG	Major Small Bowel Procedures	8	7	—	—	$42,155.56	$49,731.51	$42,974.12	2025-08-08
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	12	8	—	—	$40,905.32	$62,595.01	$42,950.59	2025-08-08
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	12	8	—	—	$40,873.46	$62,546.25	$42,917.13	2025-08-08
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	12	8	—	—	$40,857.12	$62,521.25	$42,899.98	2025-08-08
204	APR_DRG	Open Craniotomy For Trauma	8	7	—	—	$42,039.03	$49,594.04	$42,855.32	2025-08-08
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	8	7	—	—	$42,015.43	$49,566.20	$42,831.26	2025-08-08
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	12	8	—	—	$40,710.07	$62,296.23	$42,745.57	2025-08-08
894	APR_DRG	Major Cranial Or Facial Bone Procedures	8	7	—	—	$41,742.82	$49,244.60	$42,553.36	2025-08-08
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	8	7	—	—	$41,713.74	$49,210.29	$42,523.72	2025-08-08
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	8	7	—	—	$41,549.86	$49,016.96	$42,356.65	2025-08-08
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	8	7	—	—	$41,172.40	$48,571.66	$41,971.86	2025-08-08
274	APR_DRG	Other Open Craniotomy	8	7	—	—	$41,126.48	$48,517.49	$41,925.05	2025-08-08
245	MS_DRG	Aicd Generator Procedures	12	8	—	—	$39,921.74	$61,089.89	$41,917.83	2025-08-08
1694	APR_DRG	Major Abdominal Vascular Procedures	8	7	—	—	$41,057.07	$48,435.60	$41,854.29	2025-08-08
471	MS_DRG	Cervical Spinal Fusion With Mcc	12	8	—	—	$39,680.74	$60,721.11	$41,664.78	2025-08-08
6	MS_DRG	Liver Transplant Without Mcc	11	8	—	—	$39,614.57	$48,915.97	$41,595.30	2025-08-08
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	8	7	—	—	$40,326.99	$47,574.32	$41,110.04	2025-08-08
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	12	8	—	—	$39,012.49	$59,698.53	$40,963.11	2025-08-08
294	APR_DRG	Other Percutaneous Intracranial Procedures	8	7	—	—	$40,019.31	$47,211.34	$40,796.39	2025-08-08
799	MS_DRG	Splenic Procedures With Mcc	12	8	—	—	$38,843.39	$59,439.75	$40,785.56	2025-08-08
504	APR_DRG	Non-bacterial Infections Of Nervous System Except Viral Meningitis	8	7	—	—	$40,007.08	$47,196.92	$40,783.92	2025-08-08
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	12	8	—	—	$38,836.04	$59,428.50	$40,777.84	2025-08-08
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	8	7	—	—	$39,874.00	$47,039.92	$40,648.25	2025-08-08
1814	APR_DRG	Lower Extremity Arterial Procedures	8	7	—	—	$39,831.34	$46,989.59	$40,604.76	2025-08-08
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	12	8	—	—	$38,434.11	$58,813.45	$40,355.82	2025-08-08
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	8	7	—	—	$39,556.85	$46,665.78	$40,324.95	2025-08-08
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	12	8	—	—	$38,228.24	$58,498.43	$40,139.65	2025-08-08
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	8	7	—	—	$39,286.63	$46,346.99	$40,049.48	2025-08-08
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	12	8	—	—	$38,002.77	$58,153.40	$39,902.91	2025-08-08
1824	APR_DRG	Other Peripheral Vascular And Related Procedures	8	7	—	—	$39,110.18	$46,138.83	$39,869.60	2025-08-08
163	MS_DRG	Major Chest Procedures With Mcc	12	8	—	—	$37,653.94	$57,619.61	$39,536.64	2025-08-08
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	12	8	—	—	$37,638.42	$57,595.86	$39,520.34	2025-08-08
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	12	8	—	—	$37,518.33	$57,412.09	$39,394.25	2025-08-08
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	12	8	—	—	$37,512.61	$57,403.34	$39,388.24	2025-08-08
L2006	HCPCS	Kaf Sng/dbl Swg/stn Mcpr Cus	8	7	—	—	$38,762.63	$95,956.89	$39,344.07	2025-08-08
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	7	—	—	$38,266.56	$45,143.60	$39,009.60	2025-08-08
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	8	7	—	—	$38,266.56	$45,143.60	$39,009.60	2025-08-08
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	8	7	—	—	$38,247.72	$45,121.38	$38,990.40	2025-08-08
6213	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	8	7	—	—	$37,991.26	$44,818.83	$38,728.96	2025-08-08
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	12	8	—	—	$36,856.61	$56,399.51	$38,699.44	2025-08-08
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	8	7	—	—	$37,956.34	$44,777.63	$38,693.36	2025-08-08
2294	APR_DRG	Other Digestive System And Abdominal Procedures	8	7	—	—	$37,932.61	$44,749.64	$38,669.17	2025-08-08
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	8	7	—	—	$37,872.66	$44,678.91	$38,608.05	2025-08-08
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	12	8	—	—	$36,636.86	$56,063.23	$38,468.70	2025-08-08
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	8	7	—	—	$37,650.71	$44,417.08	$38,381.79	2025-08-08
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	12	8	—	—	$36,535.56	$55,908.22	$38,362.34	2025-08-08
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	8	7	—	—	$37,498.47	$44,237.47	$38,226.59	2025-08-08
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	8	7	—	—	$37,495.74	$44,234.25	$38,223.81	2025-08-08
901	MS_DRG	Wound Debridements For Injuries With Mcc	12	8	—	—	$36,194.08	$55,385.68	$38,003.78	2025-08-08
1324	APR_DRG	Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period	8	7	—	—	$37,181.98	$43,864.11	$37,903.96	2025-08-08
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	8	7	—	—	$37,008.97	$43,660.01	$37,727.59	2025-08-08
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	12	8	—	—	$35,886.10	$54,914.39	$37,680.41	2025-08-08
1793	APR_DRG	Defibrillator Implants	8	7	—	—	$36,936.12	$43,574.07	$37,653.33	2025-08-08
81	APR_DRG	Autologous Bone Marrow Transplant	8	7	—	—	$36,754.91	$43,360.29	$37,468.60	2025-08-08
82	APR_DRG	Autologous Bone Marrow Transplant	8	7	—	—	$36,754.91	$43,360.29	$37,468.60	2025-08-08
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	8	7	—	—	$36,577.22	$43,150.66	$37,287.45	2025-08-08
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	8	7	—	—	$36,566.79	$43,138.36	$37,276.83	2025-08-08
933	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft	11	8	—	—	$35,347.74	$43,647.30	$37,115.13	2025-08-08
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	12	8	—	—	$35,275.04	$53,979.32	$37,038.79	2025-08-08
1214	APR_DRG	Other Respiratory And Chest Procedures	8	7	—	—	$36,089.59	$42,575.41	$36,790.36	2025-08-08
0620T	CPT	Evasc Ven Artlz Tibl/prnl Vn	10	8	—	—	$4,686.00	$90,568.70	$36,768.95	2025-08-08
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	8	7	—	—	$35,984.57	$42,451.51	$36,683.30	2025-08-08
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	12	8	—	—	$34,847.78	$53,325.52	$36,590.17	2025-08-08
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	8	7	—	—	$35,869.34	$42,315.56	$36,565.83	2025-08-08
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	12	8	—	—	$34,796.32	$53,246.76	$36,536.14	2025-08-08
8503	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	8	7	—	—	$35,801.53	$42,235.57	$36,496.71	2025-08-08
140	MS_DRG	Major Head And Neck Procedures With Mcc	12	8	—	—	$34,549.60	$52,869.23	$36,277.08	2025-08-08
31	MS_DRG	Ventricular Shunt Procedures With Mcc	12	8	—	—	$34,234.27	$52,386.69	$35,945.98	2025-08-08
673	MS_DRG	Other Kidney And Urinary Tract Procedures With Mcc	12	8	—	—	$34,226.10	$52,374.19	$35,937.41	2025-08-08
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	8	7	—	—	$35,228.20	$41,559.21	$35,912.25	2025-08-08
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	8	7	—	—	$35,227.32	$41,558.16	$35,911.34	2025-08-08
6122	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	8	7	—	—	$35,220.44	$41,550.05	$35,904.33	2025-08-08
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	8	7	—	—	$35,203.96	$41,530.60	$35,887.53	2025-08-08
269	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc	12	8	—	—	$33,990.01	$52,012.91	$35,689.51	2025-08-08
6143	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	8	7	—	—	$34,707.53	$40,944.97	$35,381.46	2025-08-08
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	8	7	—	—	$34,707.53	$40,944.97	$35,381.46	2025-08-08
4414	APR_DRG	Major Bladder Procedures	8	7	—	—	$34,702.50	$40,939.04	$35,376.34	2025-08-08
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	12	8	—	—	$33,592.98	$51,405.36	$35,272.63	2025-08-08
793	MS_DRG	Full Term Neonate With Major Problems	10	8	—	—	$34,070.07	$42,069.63	$35,262.52	2025-08-08
958	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Cc	12	8	—	—	$33,574.19	$51,376.61	$35,252.90	2025-08-08
12	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc	12	8	—	—	$33,524.36	$51,300.35	$35,200.58	2025-08-08
448	MS_DRG	Multiple Level Spinal Fusion Except Cervical Without Mcc	12	8	—	—	$33,359.34	$51,047.83	$35,027.31	2025-08-08

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