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 — reason	Rows
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⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 18 months old.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 via	Discovered 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 >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 >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 >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.

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

0266T	CPT	Implt/rpl Crtd Sns Dev Total	25	23	—	—	$34,728.46	$120,392.00	$48,619.85	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
10	MS_DRG	Pancreas Transplant	31	27	—	—	$35,002.17	$147,716.41	$70,937.25	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
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$46,920.00	$56,844.06	$49,097.13	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
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
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
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$53,962.53	$65,376.15	$56,466.43	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
1214	APR_DRG	Other Respiratory And Chest Procedures	6	6	—	—	$40,398.83	$48,943.59	$42,273.37	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
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
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	6	—	—	$143,593.68	$173,965.20	$150,256.54	2024-12-31
14	MS_DRG	Allogeneic Bone Marrow Transplant	31	27	—	—	$83,338.11	$242,738.10	$121,270.26	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
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	6	—	—	$48,021.59	$58,178.64	$50,249.82	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
1611	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$105,165.35	$127,408.89	$110,045.10	2024-12-31
1612	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$110,379.56	$133,725.96	$115,501.26	2024-12-31
1613	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$137,506.96	$166,591.08	$143,887.40	2024-12-31
1614	APR_DRG	Implantable Heart Assist Systems	6	6	—	—	$203,224.98	$246,209.13	$212,654.79	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
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
163	MS_DRG	Major Chest Procedures With Mcc	31	27	—	—	$32,844.25	$95,577.28	$42,662.76	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
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
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
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
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
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	6	—	—	$67,883.85	$82,241.97	$71,033.71	2024-12-31
1694	APR_DRG	Major Abdominal Vascular Procedures	6	6	—	—	$48,596.08	$58,874.64	$50,850.97	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
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
1782	APR_DRG	External Heart Assist Systems	6	6	—	—	$45,752.35	$55,429.44	$47,875.30	2024-12-31
1783	APR_DRG	External Heart Assist Systems	6	6	—	—	$47,594.31	$57,660.99	$49,802.72	2024-12-31
1784	APR_DRG	External Heart Assist Systems	6	6	—	—	$64,614.28	$78,280.86	$67,612.44	2024-12-31
1794	APR_DRG	Defibrillator Implants	6	6	—	—	$52,365.45	$63,441.27	$54,795.24	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
1814	APR_DRG	Lower Extremity Arterial Procedures	6	6	—	—	$42,303.26	$51,250.83	$44,266.17	2024-12-31
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	6	6	—	—	$56,310.03	$68,220.18	$58,922.87	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
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
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
204	APR_DRG	Open Craniotomy For Trauma	6	6	—	—	$47,600.77	$57,668.82	$49,809.49	2024-12-31
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	31	27	—	—	$46,084.01	$119,818.33	$59,860.40	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
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
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	27	25	—	—	$77,627.82	$201,832.16	$82,971.94	2024-12-31
214	APR_DRG	Open Craniotomy Except Trauma	6	6	—	—	$53,131.67	$64,369.56	$55,597.02	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
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
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
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
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
22	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$96,900.60	$117,396.06	$101,396.87	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
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	6	6	—	—	$48,915.64	$59,261.79	$51,185.36	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
224	APR_DRG	Ventricular Shunt Procedures	6	6	—	—	$41,172.95	$49,881.45	$43,083.41	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
23	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$133,150.89	$161,313.66	$139,329.21	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
2304	APR_DRG	Major Small Bowel Procedures	6	6	—	—	$40,325.58	$48,854.85	$42,196.72	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
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	31	27	—	—	$43,255.33	$119,690.66	$56,542.13	2024-12-31
2324	APR_DRG	Gastric Fundoplication	6	6	—	—	$49,464.99	$59,927.34	$51,760.21	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
234	APR_DRG	Spinal Procedures	6	6	—	—	$48,780.63	$59,098.23	$51,044.10	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
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	31	27	—	—	$41,929.67	$112,880.78	$54,464.16	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
24	APR_DRG	Heart And/or Lung Transplant	6	6	—	—	$237,136.38	$287,293.14	$248,139.71	2024-12-31
245	MS_DRG	Aicd Generator Procedures	31	27	—	—	$32,950.14	$97,380.29	$45,232.22	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
2614	APR_DRG	Major Biliary Tract Procedures	6	6	—	—	$43,826.38	$53,096.10	$45,859.96	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
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	6	6	—	—	$40,680.33	$49,284.63	$42,567.93	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
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
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
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	31	27	—	—	$36,576.76	$98,343.97	$47,511.05	2024-12-31
274	APR_DRG	Other Open Craniotomy	6	6	—	—	$49,803.22	$60,337.11	$52,114.13	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
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
28	MS_DRG	Spinal Procedures With Mcc	31	27	—	—	$43,321.35	$112,635.38	$56,271.85	2024-12-31
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	31	27	—	—	$152,717.43	$397,064.97	$198,370.89	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
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
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
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
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
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
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
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	31	27	—	—	$36,191.98	$102,117.09	$47,011.22	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
33276	CPT	Insj Phrnc Nrv Stim Sys	25	23	—	—	$34,728.46	$120,392.00	$48,619.85	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
3634	APR_DRG	Breast Procedures Except Mastectomy	6	6	—	—	$40,527.37	$49,099.32	$42,407.87	2024-12-31
38240	CPT	Transplt Allo Hct/donor	30	26	—	—	$1,323.54	$139,295.12	$55,450.18	2024-12-31
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	31	27	—	—	$100,687.63	$261,787.64	$130,787.28	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
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	31	27	—	—	$38,683.87	$104,510.75	$50,248.05	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
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
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
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
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
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
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
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
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
4403	APR_DRG	Kidney Transplant	6	6	—	—	$45,842.12	$55,538.19	$47,969.23	2024-12-31
4404	APR_DRG	Kidney Transplant	6	6	—	—	$75,643.76	$91,643.19	$79,153.70	2024-12-31
4414	APR_DRG	Major Bladder Procedures	6	6	—	—	$44,670.88	$54,119.22	$46,743.64	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
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
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
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
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
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
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
471	MS_DRG	Cervical Spinal Fusion With Mcc	31	27	—	—	$34,612.18	$97,353.09	$44,959.17	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
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
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
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	6	6	—	—	$42,622.82	$51,637.98	$44,600.56	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
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
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
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
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
5831	APR_DRG	Neonate With Ecmo	6	6	—	—	$148,400.00	$179,788.11	$155,285.88	2024-12-31
5832	APR_DRG	Neonate With Ecmo	6	6	—	—	$204,164.27	$247,347.09	$213,637.66	2024-12-31
5833	APR_DRG	Neonate With Ecmo	6	6	—	—	$265,902.51	$322,143.60	$278,240.61	2024-12-31
5834	APR_DRG	Neonate With Ecmo	6	6	—	—	$410,449.84	$497,264.16	$429,495.05	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
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
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
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
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
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
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
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
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
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
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
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
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
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
6	MS_DRG	Liver Transplant Without Mcc	31	27	—	—	$34,554.46	$94,531.99	$44,884.20	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
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
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
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
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
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
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
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
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
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
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
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
61	APR_DRG	Pancreas Transplant	6	6	—	—	$43,943.43	$53,237.91	$45,982.44	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
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
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
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
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
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
62	APR_DRG	Pancreas Transplant	6	6	—	—	$58,758.08	$71,186.01	$61,484.50	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
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
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
63	APR_DRG	Pancreas Transplant	6	6	—	—	$73,383.87	$88,905.30	$76,788.94	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
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
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
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
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
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
64	APR_DRG	Pancreas Transplant	6	6	—	—	$103,297.54	$125,146.02	$108,090.63	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
653	MS_DRG	Major Bladder Procedures With Mcc	31	27	—	—	$39,365.07	$106,646.00	$51,598.50	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
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
6904	APR_DRG	Acute Leukemia	6	6	—	—	$55,543.81	$67,291.89	$58,121.09	2024-12-31
6954	APR_DRG	Chemotherapy For Acute Leukemia	6	6	—	—	$49,221.55	$59,632.41	$51,505.47	2024-12-31
7	MS_DRG	Lung Transplant	31	27	—	—	$89,195.31	$242,126.70	$120,964.81	2024-12-31
71	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$60,116.03	$72,831.18	$62,905.46	2024-12-31
72	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$63,280.03	$76,664.40	$66,216.27	2024-12-31
73	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$78,913.33	$95,604.30	$82,574.98	2024-12-31
74	APR_DRG	Allogeneic Bone Marrow Transplant	6	6	—	—	$161,464.61	$195,616.02	$168,956.70	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
7584	APR_DRG	Behavioral Disorders	6	6	—	—	$40,841.18	$49,479.51	$42,736.25	2024-12-31
7594	APR_DRG	Eating Disorders	6	6	—	—	$52,435.82	$63,526.53	$54,868.89	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
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
799	MS_DRG	Splenic Procedures With Mcc	31	27	—	—	$33,881.78	$91,347.57	$44,010.43	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
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
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
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
83	APR_DRG	Autologous Bone Marrow Transplant	6	6	—	—	$40,833.28	$49,469.94	$42,727.99	2024-12-31
834	MS_DRG	Acute Leukemia With Mcc	31	27	—	—	$39,386.47	$107,011.27	$51,160.69	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
84	APR_DRG	Autologous Bone Marrow Transplant	6	6	—	—	$80,028.56	$96,955.41	$83,741.95	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
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	6	—	—	$61,653.51	$74,693.85	$64,514.28	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
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
850	MS_DRG	Acute Leukemia With Other Procedures	24	22	—	—	$65,642.22	$170,669.61	$83,659.07	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
8514	APR_DRG	Gender Related Procedures	6	6	—	—	$77,706.18	$94,141.83	$81,311.82	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
8634	APR_DRG	Neonatal Aftercare	6	6	—	—	$74,760.49	$90,573.09	$78,229.43	2024-12-31
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	31	27	—	—	$49,570.67	$128,883.63	$64,389.36	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
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	6	6	—	—	$57,000.86	$69,057.12	$59,645.75	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
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
914	APR_DRG	Other Major Head And Neck Procedures	6	6	—	—	$54,013.51	$65,437.92	$56,519.79	2024-12-31
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$41,770.42	$50,605.29	$43,708.60	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
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	31	27	—	—	$169,044.08	$439,514.21	$219,578.24	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
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$69,236.77	$83,881.05	$72,449.41	2024-12-31
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	6	—	—	$160,655.30	$194,635.53	$168,109.84	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
955	MS_DRG	Craniotomy For Multiple Significant Trauma	31	27	—	—	$44,284.99	$126,508.46	$63,202.74	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
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
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
A0106	LOCAL	Stroke M <41.50 And A <84.50	7	7	—	—	$40,882.40	$106,294.23	$42,108.87	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
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
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
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
A1904	LOCAL	Guillain-barré M <38.50	7	7	—	—	$48,032.30	$124,883.97	$49,473.27	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
A9543	HCPCS	Y90 Ibritumomab, Rx	25	23	—	—	$49,107.44	$170,239.11	$68,750.41	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
B0106	LOCAL	Stroke M <41.50 And A <84.50	7	7	—	—	$54,129.93	$140,737.80	$55,753.82	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
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
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
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
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
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
B0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	7	7	—	—	$56,176.75	$146,059.53	$57,862.04	2024-12-31
B0604	LOCAL	Neurological M <43.50	7	7	—	—	$46,382.18	$120,593.66	$47,773.64	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
B1004	LOCAL	Amputation Lower Extremity M <47.50	7	7	—	—	$42,856.58	$111,427.11	$44,142.28	2024-12-31
B1504	LOCAL	Pulmonary M <45.50	7	7	—	—	$42,359.31	$110,134.20	$43,630.09	2024-12-31
B1604	LOCAL	Pain Syndrome M <43.50	7	7	—	—	$43,720.76	$113,673.95	$45,032.37	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
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
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
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
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
B1904	LOCAL	Guillain-barré M <38.50	7	7	—	—	$68,133.61	$177,147.36	$70,177.61	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
B2102	LOCAL	Burns M <52.50	7	7	—	—	$43,163.89	$112,226.10	$44,458.80	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
C0106	LOCAL	Stroke M <41.50 And A <84.50	7	7	—	—	$46,944.64	$122,056.05	$48,352.97	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
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
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
C0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	7	7	—	—	$43,703.99	$113,630.37	$45,015.11	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
C1904	LOCAL	Guillain-barré M <38.50	7	7	—	—	$52,381.10	$136,190.84	$53,952.53	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
D0106	LOCAL	Stroke M <41.50 And A <84.50	7	7	—	—	$42,899.42	$111,538.48	$44,186.40	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
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
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
D0505	LOCAL	Non-traumatic Spinal Cord Injury M <39.50	7	7	—	—	$41,288.41	$107,349.86	$42,527.06	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
D1904	LOCAL	Guillain-barré M <38.50	7	7	—	—	$48,877.85	$127,082.40	$50,344.18	2024-12-31
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	17	16	—	—	$2,754,675.00	$4,407,480.00	$3,764,722.50	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
J3393	HCPCS	Inj, Betibeglogene Autotemce	17	16	—	—	$2,226,000.00	$3,561,600.00	$3,042,200.00	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
J3399	HCPCS	Inj Onase Abepar-xioi Treat	20	19	—	—	$1,791,460.67	$4,944,431.46	$2,460,272.66	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
J9029	HCPCS	Instill Adstiladrin, Tx Dose	25	23	—	—	$47,516.08	$164,722.41	$65,888.96	2024-12-31
J9226	HCPCS	Supprelin La Implant	25	23	—	—	$34,012.66	$117,910.56	$47,164.22	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
L7180	HCPCS	Electronic Elbow Sequential	25	23	—	—	$30,693.76	$106,405.03	$42,971.26	2024-12-31
L7181	HCPCS	Electronic Elbo Simultaneous	25	23	—	—	$34,578.57	$119,872.38	$48,410.00	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
Q0480	HCPCS	Driver Pneumatic Vad, Rep	25	23	—	—	$74,999.93	$259,999.77	$104,999.91	2024-12-31
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	25	23	—	—	$367,091.97	$1,272,585.49	$513,928.76	2024-12-31
Q2042	HCPCS	Tisagenlecleucel Car-pos T	25	23	—	—	$396,894.64	$1,375,901.42	$555,652.50	2024-12-31
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	25	23	—	—	$41,261.42	$143,039.59	$57,215.83	2024-12-31
Q2053	HCPCS	Brexucabtagene Car Pos T	25	23	—	—	$345,397.80	$1,197,379.05	$483,556.92	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
Q2055	HCPCS	Idecabtagene Vicleucel Car	25	23	—	—	$394,940.69	$1,369,127.74	$552,916.97	2024-12-31
Q2056	HCPCS	Ciltacabtagene Car-pos T	25	23	—	—	$395,342.57	$1,370,520.93	$553,479.60	2024-12-31

See an error in this hospital's data? Submit a correction