Price Transparencybeta 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 LUKE'S HOSPITAL - GRAND VIEW CAMPUS

Sellersville, PA · CCN 390057 · Rates published

15,842 distinct procedures filed
38 distinct payers
1,004,057 rate rows
2024-12-31 last MRF observed · ⚠ 18 mo old
Data quality

574,960 of 1,004,057 rate rows are consumer-grade (57.3%)

429,097 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
professional (physician) fee — not the facility price 419,797
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,240
placeholder amount (≤ $0.02) — excluded from medians 1,720
percent-of-charges filed in the dollar field — excluded from medians 569
exceeds 10× this hospital's gross charge — excluded from medians 279
template filing: same amount across many unrelated codes — excluded 274
per-diem day rate — not a per-procedure price 218

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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/8290/231352181_grand-view-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/GrandViewHospital/8290
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f66d23a151fa8c4e… · 252,545,084 bytes · first seen 2026-05-06

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
HCPCS 		Inj, Hemgenix, Per Tx Dose 16 $2,754,675.00 $4,407,480.00 $3,764,722.50 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj, Beqvez, Per Tx Dose 16 $2,703,750.00 $4,326,000.00 $3,695,125.00 nat. median
$3,570,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $2,494,091.07 $3,990,545.71 $3,408,591.13 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 16 $2,464,500.00 $3,943,200.00 $3,368,150.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 16 $2,226,000.00 $3,561,600.00 $3,042,200.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 19 $1,791,460.67 $4,944,431.46 $2,460,272.66 nat. median
$2,468,984
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 23 $396,894.64 $1,375,901.42 $555,652.50 nat. median
$753,246
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 23 $395,342.57 $1,370,520.93 $553,479.60 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 23 $394,940.69 $1,369,127.74 $552,916.97 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 23 $387,544.56 $1,343,487.80 $542,562.38 nat. median
$673,137
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $367,091.97 $1,272,585.49 $513,928.76 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 23 $345,397.80 $1,197,379.05 $483,556.92 nat. median
$619,808
0.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $410,449.84 $497,264.16 $429,495.05 nat. median
$309,665
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 25 $267,902.26 $698,708.06 $284,858.15 nat. median
$370,174
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $267,771.76 $324,408.21 $280,196.59 nat. median
$246,434
1.1× median
5833
APR_DRG 		Neonate With Ecmo 6 $265,902.51 $322,143.60 $278,240.61 nat. median
$244,017
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $197,047.88 $521,876.35 $260,725.78 nat. median
$265,286
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $237,136.38 $287,293.14 $248,139.71 nat. median
$234,729
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 27 $169,044.08 $439,514.21 $219,578.24 nat. median
$206,474
1.1× median
5832
APR_DRG 		Neonate With Ecmo 6 $204,164.27 $247,347.09 $213,637.66 nat. median
$156,126
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $203,224.98 $246,209.13 $212,654.79 nat. median
$207,730
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $195,330.05 $236,644.35 $204,393.53 nat. median
$150,721
1.4× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $192,654.37 $233,402.73 $201,593.70 nat. median
$160,267
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 27 $152,717.43 $397,064.97 $198,370.89 nat. median
$202,976
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $176,060.96 $213,299.64 $184,230.33 nat. median
$162,982
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $174,151.50 $210,986.31 $182,232.27 nat. median
$182,665
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $172,848.12 $209,407.26 $180,868.42 nat. median
$122,924
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $170,105.65 $206,084.73 $177,998.70 nat. median
$164,289
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $161,771.96 $195,988.38 $169,278.32 nat. median
$117,173
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $161,464.61 $195,616.02 $168,956.70 nat. median
$187,061
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $160,655.30 $194,635.53 $168,109.84 nat. median
$164,834
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $157,731.15 $191,092.89 $165,050.01 nat. median
$151,838
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $152,814.23 $185,136.00 $159,904.94 nat. median
$145,336
1.1× median
5831
APR_DRG 		Neonate With Ecmo 6 $148,400.00 $179,788.11 $155,285.88 nat. median
$144,745
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $145,896.66 $176,755.29 $152,666.39 nat. median
$109,499
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $143,593.68 $173,965.20 $150,256.54 nat. median
$129,535
1.2× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $142,609.86 $172,773.30 $149,227.08 nat. median
$105,658
1.4× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $137,506.96 $166,591.08 $143,887.40 nat. median
$119,796
1.2× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $133,150.89 $161,313.66 $139,329.21 nat. median
$93,528
1.5× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $130,984.35 $158,688.87 $137,062.13 nat. median
$124,573
1.1× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $126,259.17 $152,964.27 $132,117.70 nat. median
$102,919
1.3× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 27 $100,687.63 $261,787.64 $130,787.28 nat. median
$133,161
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 6 $118,568.19 $143,646.57 $124,069.86 nat. median
$97,957
1.3× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $117,127.66 $141,901.35 $122,562.48 nat. median
$118,620
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $83,338.11 $242,738.10 $121,270.26 nat. median
$117,357
1.0× median
7
MS_DRG 		Lung Transplant 27 $89,195.31 $242,126.70 $120,964.81 nat. median
$122,708
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 6 $110,379.56 $133,725.96 $115,501.26 nat. median
$85,444
1.4× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $109,392.87 $132,530.58 $114,468.80 nat. median
$108,996
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 6 $105,165.35 $127,408.89 $110,045.10 nat. median
$76,806
1.4× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $104,602.35 $126,726.81 $109,455.99 nat. median
$93,370
1.2× median

Other procedures at this hospital

Browse this hospital's 15,842 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 16 — — $2,754,675.00 $4,407,480.00 $3,764,722.50 2024-12-31
C9172 HCPCS Inj, Beqvez, Per Tx Dose 17 16 — — $2,703,750.00 $4,326,000.00 $3,695,125.00 2024-12-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 16 — — $2,494,091.07 $3,990,545.71 $3,408,591.13 2024-12-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 17 16 — — $2,464,500.00 $3,943,200.00 $3,368,150.00 2024-12-31
J3393 HCPCS Inj, Betibeglogene Autotemce 17 16 — — $2,226,000.00 $3,561,600.00 $3,042,200.00 2024-12-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 19 — — $1,791,460.67 $4,944,431.46 $2,460,272.66 2024-12-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 25 23 — — $396,894.64 $1,375,901.42 $555,652.50 2024-12-31
Q2056 HCPCS Ciltacabtagene Car-pos T 25 23 — — $395,342.57 $1,370,520.93 $553,479.60 2024-12-31
Q2055 HCPCS Idecabtagene Vicleucel Car 25 23 — — $394,940.69 $1,369,127.74 $552,916.97 2024-12-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 25 23 — — $387,544.56 $1,343,487.80 $542,562.38 2024-12-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 25 23 — — $367,091.97 $1,272,585.49 $513,928.76 2024-12-31
Q2053 HCPCS Brexucabtagene Car Pos T 25 23 — — $345,397.80 $1,197,379.05 $483,556.92 2024-12-31
5834 APR_DRG Neonate With Ecmo 6 6 — — $410,449.84 $497,264.16 $429,495.05 2024-12-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 27 25 — — $267,902.26 $698,708.06 $284,858.15 2024-12-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $267,771.76 $324,408.21 $280,196.59 2024-12-31
5833 APR_DRG Neonate With Ecmo 6 6 — — $265,902.51 $322,143.60 $278,240.61 2024-12-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 27 — — $197,047.88 $521,876.35 $260,725.78 2024-12-31
24 APR_DRG Heart And/or Lung Transplant 6 6 — — $237,136.38 $287,293.14 $248,139.71 2024-12-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 31 27 — — $169,044.08 $439,514.21 $219,578.24 2024-12-31
5832 APR_DRG Neonate With Ecmo 6 6 — — $204,164.27 $247,347.09 $213,637.66 2024-12-31
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $203,224.98 $246,209.13 $212,654.79 2024-12-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $195,330.05 $236,644.35 $204,393.53 2024-12-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $192,654.37 $233,402.73 $201,593.70 2024-12-31
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 31 27 — — $152,717.43 $397,064.97 $198,370.89 2024-12-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $176,060.96 $213,299.64 $184,230.33 2024-12-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $174,151.50 $210,986.31 $182,232.27 2024-12-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $172,848.12 $209,407.26 $180,868.42 2024-12-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $170,105.65 $206,084.73 $177,998.70 2024-12-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $161,771.96 $195,988.38 $169,278.32 2024-12-31
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $161,464.61 $195,616.02 $168,956.70 2024-12-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $160,655.30 $194,635.53 $168,109.84 2024-12-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $157,731.15 $191,092.89 $165,050.01 2024-12-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $152,814.23 $185,136.00 $159,904.94 2024-12-31
5831 APR_DRG Neonate With Ecmo 6 6 — — $148,400.00 $179,788.11 $155,285.88 2024-12-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $145,896.66 $176,755.29 $152,666.39 2024-12-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $143,593.68 $173,965.20 $150,256.54 2024-12-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $142,609.86 $172,773.30 $149,227.08 2024-12-31
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $137,506.96 $166,591.08 $143,887.40 2024-12-31
23 APR_DRG Heart And/or Lung Transplant 6 6 — — $133,150.89 $161,313.66 $139,329.21 2024-12-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $130,984.35 $158,688.87 $137,062.13 2024-12-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $126,259.17 $152,964.27 $132,117.70 2024-12-31
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 31 27 — — $100,687.63 $261,787.64 $130,787.28 2024-12-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $118,568.19 $143,646.57 $124,069.86 2024-12-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $117,127.66 $141,901.35 $122,562.48 2024-12-31
14 MS_DRG Allogeneic Bone Marrow Transplant 31 27 — — $83,338.11 $242,738.10 $121,270.26 2024-12-31
7 MS_DRG Lung Transplant 31 27 — — $89,195.31 $242,126.70 $120,964.81 2024-12-31
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $110,379.56 $133,725.96 $115,501.26 2024-12-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $109,392.87 $132,530.58 $114,468.80 2024-12-31
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $105,165.35 $127,408.89 $110,045.10 2024-12-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $104,602.35 $126,726.81 $109,455.99 2024-12-31
64 APR_DRG Pancreas Transplant 6 6 — — $103,297.54 $125,146.02 $108,090.63 2024-12-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $101,516.62 $122,988.42 $106,227.08 2024-12-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 25 23 — — $74,999.93 $259,999.77 $104,999.91 2024-12-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $99,353.67 $120,367.98 $103,963.76 2024-12-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $98,665.00 $119,533.65 $103,243.13 2024-12-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 27 — — $78,524.24 $260,790.18 $101,998.34 2024-12-31
22 APR_DRG Heart And/or Lung Transplant 6 6 — — $96,900.60 $117,396.06 $101,396.87 2024-12-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $95,744.44 $115,995.36 $100,187.06 2024-12-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $94,345.55 $114,300.60 $98,723.27 2024-12-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 27 — — $75,260.18 $199,235.09 $98,570.85 2024-12-31
215 MS_DRG Other Heart Assist System Implant 31 27 — — $74,277.08 $250,364.55 $98,065.47 2024-12-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $93,270.54 $112,998.21 $97,598.38 2024-12-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $93,020.64 $112,695.45 $97,336.88 2024-12-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 25 23 — — $68,273.95 $236,683.02 $95,583.53 2024-12-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 — — $74,645.67 $194,078.57 $95,133.70 2024-12-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $89,764.00 $108,750.00 $93,929.13 2024-12-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $89,597.40 $108,548.16 $93,754.79 2024-12-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $89,425.77 $108,340.23 $93,575.20 2024-12-31
21 APR_DRG Heart And/or Lung Transplant 6 6 — — $89,114.11 $107,962.65 $93,249.08 2024-12-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 27 — — $68,771.87 $190,810.66 $89,330.58 2024-12-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $85,158.75 $103,170.69 $89,110.18 2024-12-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $83,083.40 $100,656.39 $86,938.54 2024-12-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $81,008.06 $98,142.09 $84,766.90 2024-12-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $80,944.15 $98,064.66 $84,700.02 2024-12-31
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $80,028.56 $96,955.41 $83,741.95 2024-12-31
850 MS_DRG Acute Leukemia With Other Procedures 24 22 — — $65,642.22 $170,669.61 $83,659.07 2024-12-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 27 25 — — $77,627.82 $201,832.16 $82,971.94 2024-12-31
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $78,913.33 $95,604.30 $82,574.98 2024-12-31
8514 APR_DRG Gender Related Procedures 6 6 — — $77,706.18 $94,141.83 $81,311.82 2024-12-31
B0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 — — $78,740.20 $204,724.49 $81,102.39 2024-12-31
4404 APR_DRG Kidney Transplant 6 6 — — $75,643.76 $91,643.19 $79,153.70 2024-12-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 27 — — $59,009.80 $163,182.56 $78,434.42 2024-12-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 27 — — $60,349.89 $177,293.88 $78,390.92 2024-12-31
8634 APR_DRG Neonatal Aftercare 6 6 — — $74,760.49 $90,573.09 $78,229.43 2024-12-31
63 APR_DRG Pancreas Transplant 6 6 — — $73,383.87 $88,905.30 $76,788.94 2024-12-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $73,093.75 $88,553.82 $76,485.36 2024-12-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $72,752.64 $88,140.57 $76,128.42 2024-12-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 22 — — $59,433.51 $154,526.96 $75,746.24 2024-12-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 31 27 — — $57,441.83 $202,553.57 $74,613.54 2024-12-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $69,236.77 $83,881.05 $72,449.41 2024-12-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 27 — — $55,698.14 $148,393.18 $72,348.60 2024-12-31
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 — — $70,022.12 $182,057.49 $72,122.78 2024-12-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 27 — — $55,135.92 $149,440.40 $71,618.30 2024-12-31
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $67,883.85 $82,241.97 $71,033.71 2024-12-31
10 MS_DRG Pancreas Transplant 31 27 — — $35,002.17 $147,716.41 $70,937.25 2024-12-31
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $67,425.69 $81,686.91 $70,554.30 2024-12-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $67,173.63 $81,381.54 $70,290.55 2024-12-31
B1904 LOCAL Guillain-barré M <38.50 7 7 — — $68,133.61 $177,147.36 $70,177.61 2024-12-31
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 — — $67,973.44 $176,730.92 $70,012.63 2024-12-31
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $66,441.88 $80,495.01 $69,524.83 2024-12-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 25 23 — — $49,403.81 $171,266.52 $69,165.33 2024-12-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 27 — — $52,591.24 $147,631.56 $69,088.64 2024-12-31
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $65,737.41 $79,641.54 $68,787.68 2024-12-31
A9543 HCPCS Y90 Ibritumomab, Rx 25 23 — — $49,107.44 $170,239.11 $68,750.41 2024-12-31
1784 APR_DRG External Heart Assist Systems 6 6 — — $64,614.28 $78,280.86 $67,612.44 2024-12-31
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $64,444.09 $78,074.67 $67,434.35 2024-12-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $64,255.23 $77,845.86 $67,236.73 2024-12-31
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $64,118.78 $77,680.56 $67,093.95 2024-12-31
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $63,532.80 $76,970.64 $66,480.78 2024-12-31
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $63,280.03 $76,664.40 $66,216.27 2024-12-31
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 — — $64,090.25 $166,634.64 $66,012.95 2024-12-31
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $62,969.09 $76,287.69 $65,890.91 2024-12-31
J9029 HCPCS Instill Adstiladrin, Tx Dose 25 23 — — $47,516.08 $164,722.41 $65,888.96 2024-12-31
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $62,138.95 $75,281.97 $65,022.25 2024-12-31
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $61,653.51 $74,693.85 $64,514.28 2024-12-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 — — $50,612.46 $131,592.29 $64,504.08 2024-12-31
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $61,586.72 $74,612.94 $64,444.40 2024-12-31
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $61,534.30 $74,549.43 $64,389.54 2024-12-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 31 27 — — $49,570.67 $128,883.63 $64,389.36 2024-12-31
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $60,966.99 $73,862.13 $63,795.91 2024-12-31
A0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 7 7 — — $61,764.06 $160,586.55 $63,616.98 2024-12-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 27 — — $44,284.99 $126,508.46 $63,202.74 2024-12-31
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $60,116.03 $72,831.18 $62,905.46 2024-12-31
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $59,706.70 $72,335.28 $62,477.15 2024-12-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 27 — — $47,592.54 $123,740.51 $61,819.90 2024-12-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 27 — — $47,512.03 $130,246.46 $61,715.31 2024-12-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 25 — — $56,488.40 $146,869.72 $61,577.82 2024-12-31
62 APR_DRG Pancreas Transplant 6 6 — — $58,758.08 $71,186.01 $61,484.50 2024-12-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 22 — — $47,776.40 $124,218.51 $60,889.60 2024-12-31
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $58,032.79 $70,307.31 $60,725.56 2024-12-31
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $57,553.80 $69,727.02 $60,224.35 2024-12-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 31 27 — — $46,084.01 $119,818.33 $59,860.40 2024-12-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 27 — — $46,017.73 $123,623.10 $59,774.32 2024-12-31
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $57,000.86 $69,057.12 $59,645.75 2024-12-31
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $56,713.61 $68,709.12 $59,345.18 2024-12-31
B0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 — — $57,595.93 $149,749.40 $59,323.80 2024-12-31
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $56,310.03 $68,220.18 $58,922.87 2024-12-31
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $56,070.18 $67,929.60 $58,671.89 2024-12-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 27 — — $45,065.73 $117,170.81 $58,537.72 2024-12-31
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $55,915.07 $67,741.68 $58,509.58 2024-12-31
B0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 — — $56,759.69 $147,575.18 $58,462.48 2024-12-31
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 6 — — $55,841.11 $67,652.07 $58,432.18 2024-12-31
6904 APR_DRG Acute Leukemia 6 6 — — $55,543.81 $67,291.89 $58,121.09 2024-12-31
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 7 7 — — $56,176.75 $146,059.53 $57,862.04 2024-12-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $55,181.88 $66,853.41 $57,742.37 2024-12-31
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $55,143.10 $66,806.43 $57,701.79 2024-12-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 25 23 — — $41,261.42 $143,039.59 $57,215.83 2024-12-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 31 27 — — $43,882.14 $114,093.46 $57,000.30 2024-12-31
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $54,175.81 $65,634.54 $56,689.60 2024-12-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 31 27 — — $43,255.33 $119,690.66 $56,542.13 2024-12-31
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $54,013.51 $65,437.92 $56,519.79 2024-12-31
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $53,962.53 $65,376.15 $56,466.43 2024-12-31
28 MS_DRG Spinal Procedures With Mcc 31 27 — — $43,321.35 $112,635.38 $56,271.85 2024-12-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 22 — — $44,083.09 $114,615.93 $56,182.59 2024-12-31
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $53,457.69 $64,764.54 $55,938.18 2024-12-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 27 — — $43,010.65 $111,827.60 $55,868.29 2024-12-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 27 — — $43,010.65 $127,054.26 $55,868.29 2024-12-31
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $53,374.39 $64,663.62 $55,851.01 2024-12-31
B0106 LOCAL Stroke M <41.50 And A <84.50 7 7 — — $54,129.93 $140,737.80 $55,753.82 2024-12-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 28 — — $43,728.93 $113,695.13 $55,731.23 2024-12-31
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $53,131.67 $64,369.56 $55,597.02 2024-12-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 31 27 — — $42,689.28 $139,723.94 $55,450.84 2024-12-31
38240 CPT Transplt Allo Hct/donor 30 26 — — $1,323.54 $139,295.12 $55,450.18 2024-12-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 27 — — $41,423.65 $114,734.31 $55,066.72 2024-12-31
7594 APR_DRG Eating Disorders 6 6 — — $52,435.82 $63,526.53 $54,868.89 2024-12-31
1794 APR_DRG Defibrillator Implants 6 6 — — $52,365.45 $63,441.27 $54,795.24 2024-12-31
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $52,348.21 $63,420.39 $54,777.21 2024-12-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 31 27 — — $41,929.67 $112,880.78 $54,464.16 2024-12-31
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $51,902.26 $62,880.12 $54,310.57 2024-12-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 27 25 — — $50,358.08 $130,930.87 $54,200.19 2024-12-31
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $51,710.53 $62,647.83 $54,109.94 2024-12-31
C1904 LOCAL Guillain-barré M <38.50 7 7 — — $52,381.10 $136,190.84 $53,952.53 2024-12-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 31 27 — — $41,488.58 $107,870.22 $53,891.21 2024-12-31
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $51,213.59 $62,045.79 $53,589.94 2024-12-31
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $50,970.15 $61,750.86 $53,335.21 2024-12-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 31 27 — — $40,897.85 $127,155.30 $53,123.89 2024-12-31
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 6 — — $50,560.83 $61,254.96 $52,906.90 2024-12-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 31 27 — — $40,653.43 $106,084.50 $52,806.41 2024-12-31
C0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 — — $51,218.93 $133,169.22 $52,755.50 2024-12-31
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 — — $51,127.68 $132,931.95 $52,661.50 2024-12-31
J7330 HCPCS Maci Autolog Cult Chond Implnt 56 38 $91,450.00 $82,305.00 $16,287.25 $91,450.00 $52,583.75 2024-12-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 28 — — $36,303.13 $99,344.57 $52,577.81 2024-12-31
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $49,990.65 $60,564.18 $52,310.26 2024-12-31
274 APR_DRG Other Open Craniotomy 6 6 — — $49,803.22 $60,337.11 $52,114.13 2024-12-31
C0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 — — $50,475.82 $131,237.13 $51,990.09 2024-12-31
2324 APR_DRG Gastric Fundoplication 6 6 — — $49,464.99 $59,927.34 $51,760.21 2024-12-31
653 MS_DRG Major Bladder Procedures With Mcc 31 27 — — $39,365.07 $106,646.00 $51,598.50 2024-12-31
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $49,221.55 $59,632.41 $51,505.47 2024-12-31
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $48,968.78 $59,326.17 $51,240.97 2024-12-31
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 — — $49,719.67 $129,271.14 $51,211.26 2024-12-31
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $48,915.64 $59,261.79 $51,185.36 2024-12-31
834 MS_DRG Acute Leukemia With Mcc 31 27 — — $39,386.47 $107,011.27 $51,160.69 2024-12-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 31 27 — — $39,386.47 $153,598.22 $51,160.69 2024-12-31
234 APR_DRG Spinal Procedures 6 6 — — $48,780.63 $59,098.23 $51,044.10 2024-12-31
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $48,596.08 $58,874.64 $50,850.97 2024-12-31
B0205 LOCAL Traumatic Brain Injury M <35.50 7 7 — — $49,140.45 $127,765.17 $50,614.66 2024-12-31
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 — — $48,998.91 $127,397.15 $50,468.87 2024-12-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 31 27 — — $38,260.53 $101,983.03 $50,362.82 2024-12-31
D1904 LOCAL Guillain-barré M <38.50 7 7 — — $48,877.85 $127,082.40 $50,344.18 2024-12-31
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 7 7 — — $48,833.15 $126,966.18 $50,298.14 2024-12-31
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $48,021.59 $58,178.64 $50,249.82 2024-12-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 31 27 — — $38,683.87 $104,510.75 $50,248.05 2024-12-31
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 — — $48,538.89 $126,201.09 $49,995.05 2024-12-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 31 27 — — $38,486.48 $100,064.76 $49,991.66 2024-12-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 22 — — $39,221.15 $101,974.90 $49,986.19 2024-12-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 31 27 — — $37,494.11 $99,970.27 $49,944.45 2024-12-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 31 27 — — $38,445.86 $99,959.15 $49,938.90 2024-12-31
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $47,600.77 $57,668.82 $49,809.49 2024-12-31
1783 APR_DRG External Heart Assist Systems 6 6 — — $47,594.31 $57,660.99 $49,802.72 2024-12-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 22 — — $38,981.72 $101,352.39 $49,681.05 2024-12-31
A1904 LOCAL Guillain-barré M <38.50 7 7 — — $48,032.30 $124,883.97 $49,473.27 2024-12-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 31 27 — — $37,796.61 $100,005.15 $49,243.77 2024-12-31
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $46,983.91 $56,921.49 $49,164.01 2024-12-31
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $46,920.00 $56,844.06 $49,097.13 2024-12-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 27 — — $37,743.25 $101,133.98 $49,026.26 2024-12-31
B0105 LOCAL Stroke M <41.50 And A >=84.50 7 7 — — $47,590.90 $123,736.34 $49,018.63 2024-12-31
33276 CPT Insj Phrnc Nrv Stim Sys 25 23 — — $34,728.46 $120,392.00 $48,619.85 2024-12-31
0266T CPT Implt/rpl Crtd Sns Dev Total 25 23 — — $34,728.46 $120,392.00 $48,619.85 2024-12-31
L7181 HCPCS Electronic Elbo Simultaneous 25 23 — — $34,578.57 $119,872.38 $48,410.00 2024-12-31
C0106 LOCAL Stroke M <41.50 And A <84.50 7 7 — — $46,944.64 $122,056.05 $48,352.97 2024-12-31
B1903 LOCAL Guillain-barré M >=38.50 And M <51.50 7 7 — — $46,773.29 $121,610.55 $48,176.49 2024-12-31
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $45,893.10 $55,599.96 $48,022.58 2024-12-31
4403 APR_DRG Kidney Transplant 6 6 — — $45,842.12 $55,538.19 $47,969.23 2024-12-31
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $45,814.83 $55,505.13 $47,940.68 2024-12-31
1782 APR_DRG External Heart Assist Systems 6 6 — — $45,752.35 $55,429.44 $47,875.30 2024-12-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 25 — — $44,140.09 $114,764.14 $47,840.19 2024-12-31
B0604 LOCAL Neurological M <43.50 7 7 — — $46,382.18 $120,593.66 $47,773.64 2024-12-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 31 27 — — $36,576.76 $98,343.97 $47,511.05 2024-12-31
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $45,158.47 $54,709.95 $47,253.86 2024-12-31
J9226 HCPCS Supprelin La Implant 25 23 — — $34,012.66 $117,910.56 $47,164.22 2024-12-31
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $44,947.35 $54,454.17 $47,032.94 2024-12-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 31 27 — — $36,191.98 $102,117.09 $47,011.22 2024-12-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 22 — — $36,698.62 $95,416.31 $46,771.31 2024-12-31
4414 APR_DRG Major Bladder Procedures 6 6 — — $44,670.88 $54,119.22 $46,743.64 2024-12-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 31 27 — — $34,952.72 $93,319.05 $46,621.55 2024-12-31
A0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 7 7 — — $45,179.05 $117,465.51 $46,534.41 2024-12-31
B0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 7 7 — — $45,138.07 $117,358.98 $46,492.21 2024-12-31
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 7 7 — — $45,128.76 $117,334.76 $46,482.62 2024-12-31
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $44,362.09 $53,745.12 $46,420.53 2024-12-31
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 7 7 — — $45,003.98 $117,010.33 $46,354.09 2024-12-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 31 27 — — $35,223.21 $104,413.60 $46,346.64 2024-12-31
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $44,240.01 $53,597.22 $46,292.79 2024-12-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 27 — — $35,638.28 $98,254.60 $46,292.03 2024-12-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 25 — — $42,361.49 $110,139.79 $46,221.69 2024-12-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 27 — — $35,510.03 $127,769.25 $46,125.42 2024-12-31
61 APR_DRG Pancreas Transplant 6 6 — — $43,943.43 $53,237.91 $45,982.44 2024-12-31
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $43,826.38 $53,096.10 $45,859.96 2024-12-31
A0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 7 7 — — $44,523.47 $115,761.00 $45,859.17 2024-12-31
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 7 7 — — $44,409.86 $115,465.62 $45,742.15 2024-12-31
A5104 LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 7 7 — — $44,389.37 $115,412.36 $45,721.05 2024-12-31
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $43,502.51 $52,703.73 $45,521.06 2024-12-31
245 MS_DRG Aicd Generator Procedures 31 27 — — $32,950.14 $97,380.29 $45,232.22 2024-12-31
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 6 — — $43,149.20 $52,275.69 $45,151.35 2024-12-31
B1604 LOCAL Pain Syndrome M <43.50 7 7 — — $43,720.76 $113,673.95 $45,032.37 2024-12-31
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $43,028.55 $52,129.53 $45,025.12 2024-12-31
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 7 7 — — $43,703.99 $113,630.37 $45,015.11 2024-12-31
471 MS_DRG Cervical Spinal Fusion With Mcc 31 27 — — $34,612.18 $97,353.09 $44,959.17 2024-12-31
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $42,943.10 $52,026.00 $44,935.69 2024-12-31
6 MS_DRG Liver Transplant Without Mcc 31 27 — — $34,554.46 $94,531.99 $44,884.20 2024-12-31
B0704 LOCAL Fracture Of Lower Extremity M <41.50 7 7 — — $43,344.54 $112,695.80 $44,644.88 2024-12-31
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 6 — — $42,622.82 $51,637.98 $44,600.56 2024-12-31
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $42,535.21 $51,531.84 $44,508.88 2024-12-31
B2102 LOCAL Burns M <52.50 7 7 — — $43,163.89 $112,226.10 $44,458.80 2024-12-31
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 6 6 — — $42,454.06 $51,433.53 $44,423.96 2024-12-31
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $42,426.78 $51,400.47 $44,395.41 2024-12-31
1814 APR_DRG Lower Extremity Arterial Procedures 6 6 — — $42,303.26 $51,250.83 $44,266.17 2024-12-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 31 27 — — $33,650.39 $96,132.95 $44,202.03 2024-12-31
D0106 LOCAL Stroke M <41.50 And A <84.50 7 7 — — $42,899.42 $111,538.48 $44,186.40 2024-12-31
B1004 LOCAL Amputation Lower Extremity M <47.50 7 7 — — $42,856.58 $111,427.11 $44,142.28 2024-12-31
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $42,140.97 $51,054.21 $44,096.35 2024-12-31
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $42,095.73 $50,999.40 $44,049.00 2024-12-31
799 MS_DRG Splenic Procedures With Mcc 31 27 — — $33,881.78 $91,347.57 $44,010.43 2024-12-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 31 27 — — $33,875.37 $88,075.89 $44,002.10 2024-12-31
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $41,831.46 $50,679.24 $43,772.47 2024-12-31
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $41,831.46 $50,679.24 $43,772.47 2024-12-31
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $41,770.42 $50,605.29 $43,708.60 2024-12-31
B1504 LOCAL Pulmonary M <45.50 7 7 — — $42,359.31 $110,134.20 $43,630.09 2024-12-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 31 27 — — $33,524.78 $113,622.97 $43,546.70 2024-12-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 31 27 — — $32,735.64 $87,908.63 $43,313.45 2024-12-31
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $41,172.95 $49,881.45 $43,083.41 2024-12-31
L7180 HCPCS Electronic Elbow Sequential 25 23 — — $30,693.76 $106,405.03 $42,971.26 2024-12-31
B1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 7 7 — — $41,612.47 $108,192.42 $42,860.85 2024-12-31
7584 APR_DRG Behavioral Disorders 6 6 — — $40,841.18 $49,479.51 $42,736.25 2024-12-31
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $40,833.28 $49,469.94 $42,727.99 2024-12-31
163 MS_DRG Major Chest Procedures With Mcc 31 27 — — $32,844.25 $95,577.28 $42,662.76 2024-12-31
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $40,721.98 $49,335.09 $42,611.51 2024-12-31
B2005 LOCAL Miscellaneous M <46.50 And A <77.50 7 7 — — $41,368.50 $107,558.08 $42,609.55 2024-12-31
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 6 — — $40,680.33 $49,284.63 $42,567.93 2024-12-31
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 7 7 — — $41,288.41 $107,349.86 $42,527.06 2024-12-31
C0105 LOCAL Stroke M <41.50 And A >=84.50 7 7 — — $41,273.51 $107,311.12 $42,511.71 2024-12-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 27 — — $32,725.98 $89,517.36 $42,509.11 2024-12-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 31 27 — — $32,720.99 $97,003.37 $42,502.63 2024-12-31
3634 APR_DRG Breast Procedures Except Mastectomy 6 6 — — $40,527.37 $49,099.32 $42,407.87 2024-12-31
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 6 — — $40,451.97 $49,007.97 $42,328.98 2024-12-31
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $40,414.63 $48,962.73 $42,289.90 2024-12-31
1214 APR_DRG Other Respiratory And Chest Procedures 6 6 — — $40,398.83 $48,943.59 $42,273.37 2024-12-31
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 6 — — $40,366.51 $48,904.44 $42,239.55 2024-12-31
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 6 — — $40,334.20 $48,865.29 $42,205.74 2024-12-31
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $40,325.58 $48,854.85 $42,196.72 2024-12-31
A0106 LOCAL Stroke M <41.50 And A <84.50 7 7 — — $40,882.40 $106,294.23 $42,108.87 2024-12-31
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