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

KOOTENAI HEALTH

Coeur D'alene, ID · CCN 130049 · Rates published

Your selected procedure

You selected 93306 (CPT)

HC ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D W/ CONTRAST

This hospital’s price: $1,776 across 18 payers · range $150-$2,244

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/10826/820231746_kootenai-health,-inc_standardcharges.csv · observed 2026-03-27

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.

17,710 distinct procedures filed
31 distinct payers
678,660 rate rows
2026-03-27 last MRF observed
Data quality

447,195 of 678,660 rate rows are consumer-grade (65.9%)

231,465 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 219,478
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,080
template filing: same amount across many unrelated codes — excluded 2,921
placeholder amount (≤ $0.02) — excluded from medians 1,914
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 452
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 327
percent-of-charges filed in the dollar field — excluded from medians 189
exceeds 10× this hospital's gross charge — excluded from medians 72
per-diem day rate — not a per-procedure price 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file "https://sthpiprd.blob.core.windows.net/machine-readable-files/10826/820231746_kootenai-health,-inc_standardcharges.csv"
Found on page "https://www.kh.org/price-transparency"
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10

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 8 $4,505,000.00 $4,730,250.00 $4,527,525.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,685,266.67 $3,869,530.00 $3,703,693.00 nat. median
$3,703,693
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $3,502,611.00 $3,352,499.10 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,327,859.73 $3,494,252.71 $3,344,499.03 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,252,508.08 $3,415,133.48 $3,268,770.62 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,180,000.00 $3,339,000.00 $3,195,900.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,939,968.89 $3,086,967.33 $2,954,668.74 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,588,981.23 $2,718,430.29 $2,601,926.13 nat. median
$2,466,282
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,448,600.00 $2,343,660.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $770,620.00 $2,774,232.00 $778,326.20 nat. median
$809,217
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $476,339.04 $2,115,538.47 $587,649.57 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $488,698.99 $2,039,512.69 $566,531.30 nat. median
$738,272
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $446,243.88 $2,023,924.47 $562,201.24 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $456,461.93 $2,009,094.21 $558,081.73 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $422,942.82 $1,915,892.07 $532,192.24 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $421,676.51 $1,762,020.73 $489,450.20 nat. median
$591,650
0.8× median
5834
APR_DRG 		Inpatient Apr-DRG 4 $359,163.54 $581,433.65 $470,298.59 nat. median
$307,273
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $337,169.99 $878,797.93 $343,913.39 nat. median
$359,358
1.0× median
114
APR_DRG 		Inpatient Apr-DRG 2 $329,296.39 $329,296.39 $329,296.39 nat. median
$124,042
outlier · 2.7×
5884
APR_DRG 		Inpatient Apr-DRG 4 $284,500.73 $367,487.86 $325,994.29 nat. median
$247,214
1.3× median
5833
APR_DRG 		Inpatient Apr-DRG 4 $288,533.35 $351,054.62 $319,793.98 nat. median
$244,017
1.3× median
24
APR_DRG 		Inpatient Apr-DRG 2 $299,049.87 $299,049.87 $299,049.87 nat. median
$241,915
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $1,001,700.00 $281,032.50 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $265,000.00 $954,000.00 $267,650.00 nat. median
$265,000
1.0× median
113
APR_DRG 		Inpatient Apr-DRG 2 $257,015.66 $257,015.66 $257,015.66 nat. median
$67,766
outlier · 3.8×
1614
APR_DRG 		Inpatient Apr-DRG 4 $220,271.76 $248,653.90 $234,462.83 nat. median
$202,993
1.2× median
6094
APR_DRG 		Inpatient Apr-DRG 4 $190,279.55 $258,419.21 $224,349.38 nat. median
$165,000
1.4× median
5914
APR_DRG 		Inpatient Apr-DRG 4 $194,241.95 $252,853.92 $223,547.93 nat. median
$162,514
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $200,234.89 $654,328.39 $221,314.55 nat. median
$249,124
0.9× median
112
APR_DRG 		Inpatient Apr-DRG 2 $217,187.78 $217,187.78 $217,187.78 nat. median
$68,020
outlier · 3.2×
5832
APR_DRG 		Inpatient Apr-DRG 4 $195,774.10 $220,294.73 $208,034.42 nat. median
$159,249
1.3× median
5883
APR_DRG 		Inpatient Apr-DRG 4 $173,420.75 $237,888.02 $205,654.39 nat. median
$175,429
1.2× median
8414
APR_DRG 		Inpatient Apr-DRG 4 $198,294.74 $212,723.00 $205,508.87 nat. median
$156,153
1.3× median
94
APR_DRG 		Inpatient Apr-DRG 4 $171,269.70 $239,305.40 $205,287.55 nat. median
$163,587
1.3× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 9 $201,669.02 $726,008.48 $203,685.71 nat. median
$209,753
1.0× median
6314
APR_DRG 		Inpatient Apr-DRG 4 $169,645.21 $220,559.49 $195,102.35 nat. median
$133,164
1.5× median
5934
APR_DRG 		Inpatient Apr-DRG 4 $161,261.71 $223,196.46 $192,229.08 nat. median
$151,838
1.3× median
74
APR_DRG 		Inpatient Apr-DRG 2 $184,221.35 $184,221.35 $184,221.35 nat. median
$170,172
1.1× median
1613
APR_DRG 		Inpatient Apr-DRG 4 $153,568.89 $200,085.72 $176,827.30 nat. median
$120,517
1.5× median
6304
APR_DRG 		Inpatient Apr-DRG 4 $163,387.62 $187,416.55 $175,402.08 nat. median
$154,011
1.1× median
5831
APR_DRG 		Inpatient Apr-DRG 4 $154,685.38 $185,873.71 $170,279.54 nat. median
$146,591
1.2× median
14
APR_DRG 		Inpatient Apr-DRG 2 $169,546.80 $169,546.80 $169,546.80 nat. median
$136,728
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $167,155.65 $422,903.79 $168,827.21 nat. median
$198,433
0.9× median
44
APR_DRG 		Inpatient Apr-DRG 4 $150,374.31 $182,816.73 $166,595.52 nat. median
$122,016
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $149,159.49 $420,435.17 $166,179.91 nat. median
$190,557
0.9× median
23
APR_DRG 		Inpatient Apr-DRG 2 $161,715.63 $161,715.63 $161,715.63 nat. median
$111,046
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $77,074.70 $194,998.99 $159,455.42 nat. median
$90,581
1.8× median
5891
APR_DRG 		Inpatient Apr-DRG 4 $119,968.52 $195,177.55 $157,573.04 nat. median
$93,998
1.7× median
5882
APR_DRG 		Inpatient Apr-DRG 4 $83,721.92 $229,428.44 $156,575.18 nat. median
$145,061
1.1× median
5892
APR_DRG 		Inpatient Apr-DRG 4 $115,724.32 $195,177.55 $155,450.93 nat. median
$89,188
1.7× median

Other procedures at this hospital

Browse this hospital's 17,710 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 8 — — $4,505,000.00 $4,730,250.00 $4,527,525.00 2026-03-27
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 8 — — $3,685,266.67 $3,869,530.00 $3,703,693.00 2026-03-27
J3389 HCPCS Topi Adm Prad Zami Per Treat 8 8 — — $3,335,820.00 $3,502,611.00 $3,352,499.10 2026-03-27
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 8 — — $3,327,859.73 $3,494,252.71 $3,344,499.03 2026-03-27
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 8 — — $3,252,508.08 $3,415,133.48 $3,268,770.62 2026-03-27
J3387 HCPCS Inj Elivaldogene Autotemecel 8 8 — — $3,180,000.00 $3,339,000.00 $3,195,900.00 2026-03-27
J3393 HCPCS Inj, Betibeglogene Autotemce 8 8 — — $2,939,968.89 $3,086,967.33 $2,954,668.74 2026-03-27
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 8 — — $2,588,981.23 $2,718,430.29 $2,601,926.13 2026-03-27
J3392 HCPCS Inj, Exagamglogene Autotem 8 8 — — $2,332,000.00 $2,448,600.00 $2,343,660.00 2026-03-27
Q2057 HCPCS Afamitresgene Autoleucel 9 9 — — $770,620.00 $2,774,232.00 $778,326.20 2026-03-27
Q2056 HCPCS Ciltacabtagene Car-pos T 11 11 — — $476,339.04 $2,115,538.47 $587,649.57 2026-03-27
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 11 — — $488,698.99 $2,039,512.69 $566,531.30 2026-03-27
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 11 — — $446,243.88 $2,023,924.47 $562,201.24 2026-03-27
Q2055 HCPCS Idecabtagene Vicleucel Car 11 11 — — $456,461.93 $2,009,094.21 $558,081.73 2026-03-27
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 11 — — $422,942.82 $1,915,892.07 $532,192.24 2026-03-27
Q2053 HCPCS Brexucabtagene Car Pos T 11 11 — — $421,676.51 $1,762,020.73 $489,450.20 2026-03-27
5834 APR_DRG Inpatient Apr-DRG 4 4 — — $359,163.54 $581,433.65 $470,298.59 2026-03-27
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $337,169.99 $878,797.93 $343,913.39 2026-03-27
114 APR_DRG Inpatient Apr-DRG 2 2 — — $329,296.39 $329,296.39 $329,296.39 2026-03-27
5884 APR_DRG Inpatient Apr-DRG 4 4 — — $284,500.73 $367,487.86 $325,994.29 2026-03-27
5833 APR_DRG Inpatient Apr-DRG 4 4 — — $288,533.35 $351,054.62 $319,793.98 2026-03-27
24 APR_DRG Inpatient Apr-DRG 2 2 — — $299,049.87 $299,049.87 $299,049.87 2026-03-27
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 9 — — $278,250.00 $1,001,700.00 $281,032.50 2026-03-27
J3403 HCPCS Revakinagene, Per Implant 10 9 — — $265,000.00 $954,000.00 $267,650.00 2026-03-27
113 APR_DRG Inpatient Apr-DRG 2 2 — — $257,015.66 $257,015.66 $257,015.66 2026-03-27
1614 APR_DRG Inpatient Apr-DRG 4 4 — — $220,271.76 $248,653.90 $234,462.83 2026-03-27
6094 APR_DRG Inpatient Apr-DRG 4 4 — — $190,279.55 $258,419.21 $224,349.38 2026-03-27
5914 APR_DRG Inpatient Apr-DRG 4 4 — — $194,241.95 $252,853.92 $223,547.93 2026-03-27
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 10 — — $200,234.89 $654,328.39 $221,314.55 2026-03-27
112 APR_DRG Inpatient Apr-DRG 2 2 — — $217,187.78 $217,187.78 $217,187.78 2026-03-27
5832 APR_DRG Inpatient Apr-DRG 4 4 — — $195,774.10 $220,294.73 $208,034.42 2026-03-27
5883 APR_DRG Inpatient Apr-DRG 4 4 — — $173,420.75 $237,888.02 $205,654.39 2026-03-27
8414 APR_DRG Inpatient Apr-DRG 4 4 — — $198,294.74 $212,723.00 $205,508.87 2026-03-27
94 APR_DRG Inpatient Apr-DRG 4 4 — — $171,269.70 $239,305.40 $205,287.55 2026-03-27
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 9 — — $201,669.02 $726,008.48 $203,685.71 2026-03-27
6314 APR_DRG Inpatient Apr-DRG 4 4 — — $169,645.21 $220,559.49 $195,102.35 2026-03-27
5934 APR_DRG Inpatient Apr-DRG 4 4 — — $161,261.71 $223,196.46 $192,229.08 2026-03-27
74 APR_DRG Inpatient Apr-DRG 2 2 — — $184,221.35 $184,221.35 $184,221.35 2026-03-27
1613 APR_DRG Inpatient Apr-DRG 4 4 — — $153,568.89 $200,085.72 $176,827.30 2026-03-27
6304 APR_DRG Inpatient Apr-DRG 4 4 — — $163,387.62 $187,416.55 $175,402.08 2026-03-27
5831 APR_DRG Inpatient Apr-DRG 4 4 — — $154,685.38 $185,873.71 $170,279.54 2026-03-27
14 APR_DRG Inpatient Apr-DRG 2 2 — — $169,546.80 $169,546.80 $169,546.80 2026-03-27
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 9 — — $167,155.65 $422,903.79 $168,827.21 2026-03-27
44 APR_DRG Inpatient Apr-DRG 4 4 — — $150,374.31 $182,816.73 $166,595.52 2026-03-27
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 17 13 — — $149,159.49 $420,435.17 $166,179.91 2026-03-27
23 APR_DRG Inpatient Apr-DRG 2 2 — — $161,715.63 $161,715.63 $161,715.63 2026-03-27
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 13 — — $77,074.70 $194,998.99 $159,455.42 2026-03-27
5891 APR_DRG Inpatient Apr-DRG 4 4 — — $119,968.52 $195,177.55 $157,573.04 2026-03-27
5882 APR_DRG Inpatient Apr-DRG 4 4 — — $83,721.92 $229,428.44 $156,575.18 2026-03-27
5892 APR_DRG Inpatient Apr-DRG 4 4 — — $115,724.32 $195,177.55 $155,450.93 2026-03-27
5913 APR_DRG Inpatient Apr-DRG 4 4 — — $115,439.52 $192,122.70 $153,781.11 2026-03-27
5893 APR_DRG Inpatient Apr-DRG 4 4 — — $105,204.13 $195,177.55 $150,190.84 2026-03-27
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 — — $122,209.01 $277,233.57 $149,845.77 2026-03-27
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 14 — — $60,686.35 $153,536.47 $148,357.50 2026-03-27
6024 APR_DRG Inpatient Apr-DRG 4 4 — — $124,792.10 $163,020.29 $143,906.20 2026-03-27
5933 APR_DRG Inpatient Apr-DRG 4 4 — — $111,677.30 $159,447.61 $135,562.45 2026-03-27
6034 APR_DRG Inpatient Apr-DRG 4 4 — — $117,905.70 $151,069.45 $134,487.58 2026-03-27
459 MS_DRG Inpatient Ms-DRG 2 2 — — $108,568.94 $152,790.91 $130,679.93 2026-03-27
5912 APR_DRG Inpatient Apr-DRG 4 4 — — $104,432.34 $156,001.47 $130,216.90 2026-03-27
222 MS_DRG Other Inpatient Ms-DRG 1 1 — — $125,323.23 $125,323.23 $125,323.23 2026-03-27
22 APR_DRG Inpatient Apr-DRG 2 2 — — $124,822.44 $124,822.44 $124,822.44 2026-03-27
1611 APR_DRG Inpatient Apr-DRG 4 4 — — $107,559.50 $135,233.18 $121,396.34 2026-03-27
1612 APR_DRG Inpatient Apr-DRG 4 4 — — $107,559.50 $135,233.18 $121,396.34 2026-03-27
5881 APR_DRG Inpatient Apr-DRG 4 4 — — $83,721.92 $152,595.74 $118,158.83 2026-03-27
1604 APR_DRG Inpatient Apr-DRG 4 4 — — $104,103.10 $131,463.79 $117,783.45 2026-03-27
9028 OTHER Inj Inotuzumab Ozogam 0.1 Mg 1 1 — — $116,652.87 $116,652.87 $116,652.87 2025-01-01
224 MS_DRG Other Inpatient Ms-DRG 1 1 — — $116,036.03 $116,036.03 $116,036.03 2026-03-27
54 APR_DRG Inpatient Apr-DRG 4 4 — — $98,692.87 $130,046.42 $114,369.64 2026-03-27
64 APR_DRG Inpatient Apr-DRG 2 2 — — $114,335.16 $114,335.16 $114,335.16 2026-03-27
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 14 11 — — $108,758.04 $275,157.84 $113,108.36 2026-03-27
6074 APR_DRG Inpatient Apr-DRG 4 4 — — $104,035.05 $121,345.47 $112,690.26 2026-03-27
43 APR_DRG Inpatient Apr-DRG 4 4 — — $102,824.28 $121,185.97 $112,005.12 2026-03-27
5932 APR_DRG Inpatient Apr-DRG 4 4 — — $96,740.76 $123,972.87 $110,356.82 2026-03-27
73 APR_DRG Inpatient Apr-DRG 2 2 — — $109,759.79 $109,759.79 $109,759.79 2026-03-27
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 11 — — $86,399.92 $389,676.06 $108,243.35 2026-03-27
8424 APR_DRG Inpatient Apr-DRG 4 4 — — $98,610.68 $113,757.79 $106,184.23 2026-03-27
93 APR_DRG Inpatient Apr-DRG 4 4 — — $75,802.60 $135,379.91 $105,591.26 2026-03-27
226 MS_DRG Other Inpatient Ms-DRG 1 1 — — $104,769.93 $104,769.93 $104,769.93 2026-03-27
7 MS_DRG Lung Transplant 12 9 — — $101,740.13 $270,882.96 $103,774.93 2026-03-27
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 6 — — $99,695.85 $178,105.81 $102,349.80 2026-03-27
6023 APR_DRG Inpatient Apr-DRG 4 4 — — $85,079.95 $113,635.51 $99,357.73 2026-03-27
8634 APR_DRG Inpatient Apr-DRG 4 4 — — $97,562.72 $99,178.59 $98,370.65 2026-03-27
63 APR_DRG Inpatient Apr-DRG 2 2 — — $97,307.53 $97,307.53 $97,307.53 2026-03-27
9396 OTHER Afamelanotide Implant, 1 Mg 1 1 — — $96,439.39 $96,439.39 $96,439.39 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $94,480.05 $381,107.73 $96,369.65 2026-03-27
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 14 — — $43,432.85 $120,255.90 $96,086.54 2026-03-27
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $95,081.03 $342,291.71 $96,031.84 2026-03-27
21 APR_DRG Inpatient Apr-DRG 2 2 — — $95,684.94 $95,684.94 $95,684.94 2026-03-27
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 14 — — $51,002.09 $176,799.72 $95,208.86 2026-03-27
1624 APR_DRG Inpatient Apr-DRG 4 4 — — $90,829.07 $99,306.53 $95,067.80 2026-03-27
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 13 — — $60,428.60 $152,884.36 $94,682.48 2026-03-27
4404 APR_DRG Inpatient Apr-DRG 2 2 — — $94,542.96 $94,542.96 $94,542.96 2026-03-27
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 13 — — $41,981.30 $164,084.82 $94,070.81 2026-03-27
13 APR_DRG Inpatient Apr-DRG 2 2 — — $93,631.72 $93,631.72 $93,631.72 2026-03-27
6114 APR_DRG Inpatient Apr-DRG 4 4 — — $83,848.99 $102,257.18 $93,053.08 2026-03-27
111 APR_DRG Inpatient Apr-DRG 2 2 — — $91,751.81 $91,751.81 $91,751.81 2026-03-27
6303 APR_DRG Inpatient Apr-DRG 4 4 — — $81,577.56 $101,786.14 $91,681.85 2026-03-27
3034 APR_DRG Inpatient Apr-DRG 4 4 — — $91,038.34 $91,397.39 $91,217.86 2026-03-27
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 9 — — $89,137.21 $377,229.69 $90,919.96 2026-03-27
209 MS_DRG Complex Aortic Arch Procedures 10 9 — — $89,035.97 $225,261.00 $89,926.33 2026-03-27
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 12 — — $42,421.26 $112,709.17 $88,577.85 2026-03-27
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 9 — — $86,718.46 $219,397.70 $87,585.64 2026-03-27
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 9 — — $85,572.97 $254,845.53 $86,428.70 2026-03-27
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 14 — — $33,512.63 $96,632.97 $85,792.48 2026-03-27
8514 APR_DRG Inpatient Apr-DRG 2 2 — — $85,578.32 $85,578.32 $85,578.32 2026-03-27
223 MS_DRG Other Inpatient Ms-DRG 1 1 — — $85,419.68 $85,419.68 $85,419.68 2026-03-27
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $81,184.05 $259,785.95 $82,807.73 2026-03-27
225 MS_DRG Other Inpatient Ms-DRG 1 1 — — $82,784.43 $82,784.43 $82,784.43 2026-03-27
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 5 3 — — $82,747.85 $82,747.85 $82,747.85 2025-01-01
2994 APR_DRG Inpatient Apr-DRG 2 2 — — $82,366.10 $82,366.10 $82,366.10 2026-03-27
215 MS_DRG Other Heart Assist System Implant 15 11 — — $78,431.23 $350,771.96 $82,352.79 2026-03-27
62 APR_DRG Inpatient Apr-DRG 2 2 — — $82,284.22 $82,284.22 $82,284.22 2026-03-27
227 MS_DRG Other Inpatient Ms-DRG 1 1 — — $82,178.82 $82,178.82 $82,178.82 2026-03-27
72 APR_DRG Inpatient Apr-DRG 2 2 — — $81,694.09 $81,694.09 $81,694.09 2026-03-27
1634 APR_DRG Inpatient Apr-DRG 4 4 — — $75,556.93 $87,300.85 $81,428.89 2026-03-27
53 APR_DRG Inpatient Apr-DRG 4 4 — — $69,372.48 $91,748.62 $80,560.55 2026-03-27
84 APR_DRG Inpatient Apr-DRG 2 2 — — $80,049.18 $80,049.18 $80,049.18 2026-03-27
6022 APR_DRG Inpatient Apr-DRG 4 4 — — $76,252.76 $83,073.19 $79,662.98 2026-03-27
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 5 — — $78,369.98 $143,023.65 $79,467.12 2026-03-27
1784 APR_DRG Inpatient Apr-DRG 4 4 — — $76,315.95 $81,427.21 $78,871.58 2026-03-27
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $46,593.71 $127,759.94 $78,088.50 2026-03-27
6093 APR_DRG Inpatient Apr-DRG 4 4 — — $76,094.35 $79,358.03 $77,726.19 2026-03-27
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 13 — — $36,299.69 $91,838.22 $76,195.37 2026-03-27
6073 APR_DRG Inpatient Apr-DRG 4 4 — — $66,737.75 $85,217.86 $75,977.80 2026-03-27
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 3 — — $75,801.28 $75,801.28 $75,801.28 2025-01-01
6084 APR_DRG Inpatient Apr-DRG 4 4 — — $59,422.30 $92,157.57 $75,789.93 2026-03-27
12 APR_DRG Inpatient Apr-DRG 2 2 — — $75,547.18 $75,547.18 $75,547.18 2026-03-27
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 11 — — $54,453.41 $154,463.74 $74,790.93 2026-03-27
1654 APR_DRG Inpatient Apr-DRG 4 4 — — $69,731.85 $78,268.16 $74,000.01 2026-03-27
42 APR_DRG Inpatient Apr-DRG 4 4 — — $72,023.65 $75,574.83 $73,799.24 2026-03-27
5232 OTHER Level 2 Icd And Similar Procedures 12 7 — — $72,927.66 $72,927.66 $72,927.66 2025-01-01
6124 APR_DRG Inpatient Apr-DRG 4 4 — — $68,827.16 $74,937.91 $71,882.54 2026-03-27
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 9 — — $71,053.58 $179,765.56 $71,764.12 2026-03-27
8413 APR_DRG Inpatient Apr-DRG 4 4 — — $64,327.28 $78,770.87 $71,549.07 2026-03-27
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 14 — — $60,231.58 $152,385.90 $69,926.98 2026-03-27
1674 APR_DRG Inpatient Apr-DRG 4 4 — — $66,428.35 $73,124.02 $69,776.18 2026-03-27
1834 APR_DRG Inpatient Apr-DRG 4 4 — — $67,264.40 $72,255.22 $69,759.81 2026-03-27
9104 APR_DRG Inpatient Apr-DRG 4 4 — — $68,925.64 $70,066.95 $69,496.29 2026-03-27
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 9 — — $68,801.71 $247,686.16 $69,489.73 2026-03-27
850 MS_DRG Acute Leukemia With Other Procedures 10 9 — — $68,327.23 $172,867.89 $69,010.50 2026-03-27
6334 APR_DRG Inpatient Apr-DRG 4 4 — — $63,990.23 $73,357.85 $68,674.04 2026-03-27
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 10 — — $66,539.28 $217,671.49 $68,535.46 2026-03-27
71 APR_DRG Inpatient Apr-DRG 2 2 — — $68,002.03 $68,002.03 $68,002.03 2026-03-27
6804 APR_DRG Inpatient Apr-DRG 4 4 — — $65,153.46 $70,437.53 $67,795.49 2026-03-27
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 9 — — $66,332.90 $200,664.21 $67,659.56 2026-03-27
6214 APR_DRG Inpatient Apr-DRG 4 4 — — $65,041.80 $70,011.66 $67,526.73 2026-03-27
163 MS_DRG Major Chest Procedures With Mcc 18 12 — — $35,794.32 $127,324.57 $67,468.78 2026-03-27
9114 APR_DRG Inpatient Apr-DRG 4 4 — — $67,275.80 $67,661.24 $67,468.52 2026-03-27
6134 APR_DRG Inpatient Apr-DRG 4 4 — — $65,266.17 $69,170.17 $67,218.17 2026-03-27
61 APR_DRG Inpatient Apr-DRG 2 2 — — $66,399.65 $66,399.65 $66,399.65 2026-03-27
9355 OTHER Inj. Teprotumumab-trbw 10 Mg 3 3 — — $66,192.80 $66,192.80 $66,192.80 2025-01-01
3044 APR_DRG Inpatient Apr-DRG 4 4 — — $65,454.95 $66,916.41 $66,185.68 2026-03-27
3033 APR_DRG Inpatient Apr-DRG 4 4 — — $60,776.94 $70,186.85 $65,481.90 2026-03-27
1623 APR_DRG Inpatient Apr-DRG 4 4 — — $58,909.67 $71,130.25 $65,019.96 2026-03-27
38240 CPT Transplt Allo Hct/donor 12 11 — — $189.87 $234,041.57 $65,011.55 2026-03-27
J9029 HCPCS Instill Adstiladrin, Tx Dose 13 11 — — $54,779.37 $231,389.25 $64,917.54 2026-03-27
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 12 — — $36,315.28 $106,493.43 $64,591.54 2026-03-27
2993 APR_DRG Inpatient Apr-DRG 2 2 — — $64,575.03 $64,575.03 $64,575.03 2026-03-27
1664 APR_DRG Inpatient Apr-DRG 4 4 — — $60,092.81 $67,678.79 $63,885.80 2026-03-27
9124 APR_DRG Inpatient Apr-DRG 4 4 — — $63,459.61 $64,226.27 $63,842.94 2026-03-27
1794 APR_DRG Inpatient Apr-DRG 4 4 — — $59,789.99 $67,612.87 $63,701.43 2026-03-27
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 13 — — $28,587.17 $79,814.65 $63,255.23 2026-03-27
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 9 — — $62,169.83 $217,210.35 $62,949.17 2026-03-27
4403 APR_DRG Inpatient Apr-DRG 2 2 — — $62,935.43 $62,935.43 $62,935.43 2026-03-27
914 APR_DRG Inpatient Apr-DRG 4 4 — — $58,829.62 $66,202.94 $62,516.28 2026-03-27
3004 APR_DRG Inpatient Apr-DRG 2 2 — — $62,280.44 $62,280.44 $62,280.44 2026-03-27
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 7 5 — — $49,028.71 $62,252.12 $62,252.12 2026-03-27
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 13 — — $36,687.51 $110,944.06 $62,141.49 2026-03-27
11 APR_DRG Inpatient Apr-DRG 2 2 — — $62,077.35 $62,077.35 $62,077.35 2026-03-27
214 APR_DRG Inpatient Apr-DRG 4 4 — — $61,033.19 $61,692.38 $61,362.79 2026-03-27
2604 APR_DRG Inpatient Apr-DRG 4 4 — — $57,738.04 $64,801.15 $61,269.60 2026-03-27
6904 APR_DRG Inpatient Apr-DRG 4 4 — — $55,423.24 $66,715.41 $61,069.32 2026-03-27
6033 APR_DRG Inpatient Apr-DRG 4 4 — — $48,255.56 $72,830.90 $60,543.23 2026-03-27
1694 APR_DRG Inpatient Apr-DRG 4 4 — — $58,795.35 $61,107.62 $59,951.49 2026-03-27
92 APR_DRG Inpatient Apr-DRG 4 4 — — $45,380.29 $74,290.36 $59,835.32 2026-03-27
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 13 — — $39,731.56 $103,173.79 $59,831.83 2026-03-27
1783 APR_DRG Inpatient Apr-DRG 4 4 — — $53,524.45 $66,029.62 $59,777.03 2026-03-27
3124 APR_DRG Inpatient Apr-DRG 4 4 — — $53,451.89 $64,802.93 $59,127.41 2026-03-27
6313 APR_DRG Inpatient Apr-DRG 4 4 — — $56,536.00 $60,997.04 $58,766.52 2026-03-27
9374 OTHER Mitomycin Instillation 1 1 — — $58,759.02 $58,759.02 $58,759.02 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 12 — — $33,019.69 $83,539.82 $58,582.10 2026-03-27
28 MS_DRG Spinal Procedures With Mcc 17 13 — — $47,681.61 $120,634.47 $58,354.67 2026-03-27
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 13 — — $33,780.49 $98,259.40 $58,141.50 2026-03-27
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 10 — — $56,419.70 $166,474.06 $58,112.29 2026-03-27
6083 APR_DRG Inpatient Apr-DRG 4 4 — — $56,755.35 $59,422.30 $58,088.82 2026-03-27
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 6 — — $58,027.80 $89,644.43 $58,027.80 2026-03-27
52 APR_DRG Inpatient Apr-DRG 4 4 — — $54,565.68 $61,440.43 $58,003.06 2026-03-27
8504 APR_DRG Inpatient Apr-DRG 2 2 — — $57,982.59 $57,982.59 $57,982.59 2026-03-27
A9543 HCPCS Y90 Ibritumomab, Rx 12 11 — — $56,824.55 $204,568.38 $57,961.04 2026-03-27
10 MS_DRG Pancreas Transplant 12 9 — — $56,772.47 $143,634.35 $57,907.92 2026-03-27
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 9 — — $57,106.54 $144,479.55 $57,677.61 2026-03-27
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $56,452.41 $157,584.63 $57,581.46 2026-03-27
6814 APR_DRG Inpatient Apr-DRG 4 4 — — $52,666.11 $62,271.90 $57,469.01 2026-03-27
894 APR_DRG Inpatient Apr-DRG 4 4 — — $56,355.75 $58,515.47 $57,435.61 2026-03-27
234 APR_DRG Inpatient Apr-DRG 4 4 — — $55,839.84 $58,888.52 $57,364.18 2026-03-27
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 10 — — $16,553.25 $143,575.27 $57,316.61 2026-03-27
41 APR_DRG Inpatient Apr-DRG 4 4 — — $53,544.40 $60,670.09 $57,107.24 2026-03-27
7404 APR_DRG Inpatient Apr-DRG 2 2 — — $55,983.60 $55,983.60 $55,983.60 2026-03-27
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 12 9 — — $54,717.40 $136,275.53 $55,811.74 2026-03-27
6072 APR_DRG Inpatient Apr-DRG 4 4 — — $53,553.48 $58,044.27 $55,798.88 2026-03-27
6514 APR_DRG Inpatient Apr-DRG 4 4 — — $47,364.52 $63,803.37 $55,583.94 2026-03-27
2204 APR_DRG Inpatient Apr-DRG 4 4 — — $55,023.57 $56,122.89 $55,573.23 2026-03-27
6254 APR_DRG Inpatient Apr-DRG 4 4 — — $39,961.85 $71,020.50 $55,491.18 2026-03-27
9143 OTHER Inj Acetaminophen -fresenius 1 1 — — $55,113.70 $55,113.70 $55,113.70 2025-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 11 — — $47,983.54 $195,854.79 $54,948.15 2026-03-27
9504 APR_DRG Inpatient Apr-DRG 4 4 — — $54,574.54 $55,012.81 $54,793.68 2026-03-27
204 APR_DRG Inpatient Apr-DRG 4 4 — — $54,077.11 $55,180.33 $54,628.72 2026-03-27
6954 APR_DRG Inpatient Apr-DRG 4 4 — — $47,981.23 $60,881.89 $54,431.56 2026-03-27
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 20 12 — — $26,526.65 $67,112.42 $54,397.89 2026-03-27
4402 APR_DRG Inpatient Apr-DRG 2 2 — — $54,322.73 $54,322.73 $54,322.73 2026-03-27
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 13 — — $27,591.17 $149,546.07 $54,315.57 2026-03-27
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 10 — — $52,096.97 $144,166.47 $54,180.85 2026-03-27
1304 APR_DRG Inpatient Apr-DRG 4 4 — — $49,185.64 $58,939.56 $54,062.60 2026-03-27
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 13 — — $29,485.04 $74,597.15 $54,033.96 2026-03-27
1633 APR_DRG Inpatient Apr-DRG 4 4 — — $48,121.12 $59,676.42 $53,898.77 2026-03-27
955 MS_DRG Craniotomy For Multiple Significant Trauma 11 9 — — $53,310.25 $134,874.93 $53,843.35 2026-03-27
1204 APR_DRG Inpatient Apr-DRG 4 4 — — $52,254.23 $55,316.91 $53,785.57 2026-03-27
4414 APR_DRG Inpatient Apr-DRG 4 4 — — $53,426.37 $54,082.10 $53,754.24 2026-03-27
1603 APR_DRG Inpatient Apr-DRG 4 4 — — $49,383.44 $57,783.76 $53,583.60 2026-03-27
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 9 — — $52,962.93 $133,996.21 $53,492.56 2026-03-27
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 9 — — $52,924.76 $133,899.64 $53,454.01 2026-03-27
834 MS_DRG Acute Leukemia With Mcc 16 11 — — $43,644.65 $158,691.96 $53,215.21 2026-03-27
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 9 — — $52,096.97 $131,805.33 $53,138.91 2026-03-27
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 13 — — $29,999.77 $100,410.19 $53,075.34 2026-03-27
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $51,910.86 $131,334.48 $52,949.08 2026-03-27
5204 APR_DRG Inpatient Apr-DRG 2 2 — — $52,842.62 $52,842.62 $52,842.62 2026-03-27
91 APR_DRG Inpatient Apr-DRG 4 4 — — $45,380.29 $60,107.06 $52,743.68 2026-03-27
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 12 — — $30,790.96 $77,901.13 $52,721.35 2026-03-27
1653 APR_DRG Inpatient Apr-DRG 4 4 — — $47,598.24 $57,701.88 $52,650.06 2026-03-27
5224 OTHER Level 4 Pacemaker And Similar Procedures 7 4 — — $52,592.71 $52,592.71 $52,592.71 2025-01-01
3614 APR_DRG Inpatient Apr-DRG 4 4 — — $50,331.12 $54,691.76 $52,511.44 2026-03-27
83 APR_DRG Inpatient Apr-DRG 2 2 — — $52,505.56 $52,505.56 $52,505.56 2026-03-27
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 13 — — $47,176.97 $150,372.75 $52,266.01 2026-03-27
274 APR_DRG Inpatient Apr-DRG 4 4 — — $47,946.14 $56,400.52 $52,173.33 2026-03-27
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $37,429.62 $95,715.84 $51,845.11 2026-03-27
6144 APR_DRG Inpatient Apr-DRG 4 4 — — $49,403.92 $53,934.64 $51,669.28 2026-03-27
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $40,142.72 $107,685.94 $51,363.15 2026-03-27
6092 APR_DRG Inpatient Apr-DRG 4 4 — — $50,815.98 $51,584.81 $51,200.40 2026-03-27
2614 APR_DRG Inpatient Apr-DRG 4 4 — — $50,924.89 $51,143.47 $51,034.18 2026-03-27
4854 APR_DRG Inpatient Apr-DRG 2 2 — — $50,988.23 $50,988.23 $50,988.23 2026-03-27
6234 APR_DRG Inpatient Apr-DRG 4 4 — — $42,069.31 $58,521.28 $50,295.29 2026-03-27
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 11 — — $41,429.18 $106,491.06 $50,293.95 2026-03-27
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 10 — — $48,616.84 $196,831.13 $50,075.35 2026-03-27
9204 OTHER Inj Tisotu Vedotin-tftv, 1mg 1 1 — — $49,977.52 $49,977.52 $49,977.52 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 13 — — $28,355.90 $72,331.68 $49,935.93 2026-03-27
5231 OTHER Level 1 Icd And Similar Procedures 10 8 — — $49,897.04 $49,897.04 $49,897.04 2025-01-01
4401 APR_DRG Inpatient Apr-DRG 2 2 — — $49,629.34 $49,629.34 $49,629.34 2026-03-27
224 APR_DRG Inpatient Apr-DRG 4 4 — — $44,009.82 $55,126.96 $49,568.39 2026-03-27
1814 APR_DRG Inpatient Apr-DRG 4 4 — — $47,904.67 $51,220.51 $49,562.59 2026-03-27
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 10 — — $48,104.44 $129,018.70 $49,537.82 2026-03-27
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 9 — — $48,561.57 $138,031.18 $49,532.81 2026-03-27
1782 APR_DRG Inpatient Apr-DRG 4 4 — — $45,597.33 $53,228.60 $49,412.96 2026-03-27
3214 APR_DRG Inpatient Apr-DRG 4 4 — — $49,264.79 $49,266.76 $49,265.78 2026-03-27
248 MS_DRG Other Inpatient Ms-DRG 1 1 — — $49,264.41 $49,264.41 $49,264.41 2026-03-27
1622 APR_DRG Inpatient Apr-DRG 4 4 — — $43,901.88 $54,436.50 $49,169.19 2026-03-27
5378 OTHER Level 8 Urology And Related Services 3 3 — — $49,129.44 $49,129.44 $49,129.44 2025-01-01
5213 OTHER Level 3 Electrophysiologic Procedures 18 11 — — $49,034.07 $49,034.07 $49,034.07 2025-01-01
2324 APR_DRG Inpatient Apr-DRG 4 4 — — $34,172.21 $63,687.76 $48,929.99 2026-03-27
6123 APR_DRG Inpatient Apr-DRG 4 4 — — $45,494.82 $51,851.63 $48,673.22 2026-03-27
L7181 HCPCS Electronic Elbo Simultaneous 9 9 — — $48,155.50 $173,359.80 $48,637.06 2026-03-27
1833 APR_DRG Inpatient Apr-DRG 4 4 — — $46,258.96 $50,911.68 $48,585.32 2026-03-27
304 APR_DRG Inpatient Apr-DRG 4 4 — — $46,065.17 $50,758.85 $48,412.01 2026-03-27
2992 APR_DRG Inpatient Apr-DRG 2 2 — — $48,381.03 $48,381.03 $48,381.03 2026-03-27
7924 APR_DRG Inpatient Apr-DRG 4 4 — — $47,639.91 $49,063.27 $48,351.59 2026-03-27
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 9 — — $47,668.37 $146,939.54 $48,145.05 2026-03-27
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $47,069.52 $191,398.56 $48,010.92 2026-03-27
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 18 12 — — $25,710.54 $75,947.08 $47,897.81 2026-03-27
9284 OTHER Ipilimumab Injection 6 4 — — $47,806.71 $47,806.71 $47,806.71 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $46,203.94 $154,572.58 $47,802.91 2026-03-27
2304 APR_DRG Inpatient Apr-DRG 4 4 — — $47,483.13 $48,000.37 $47,741.75 2026-03-27
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 12 — — $45,276.88 $129,702.50 $47,540.72 2026-03-27
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 9 — — $46,564.11 $143,063.87 $47,495.39 2026-03-27
3032 APR_DRG Inpatient Apr-DRG 4 4 — — $45,427.20 $49,080.36 $47,253.78 2026-03-27
4054 APR_DRG Inpatient Apr-DRG 4 4 — — $45,160.31 $48,986.70 $47,073.50 2026-03-27
1793 APR_DRG Inpatient Apr-DRG 4 4 — — $44,166.45 $49,914.30 $47,040.38 2026-03-27
6224 APR_DRG Inpatient Apr-DRG 4 4 — — $43,766.33 $50,221.76 $46,994.04 2026-03-27
5104 APR_DRG Inpatient Apr-DRG 2 2 — — $46,949.29 $46,949.29 $46,949.29 2026-03-27
4014 APR_DRG Inpatient Apr-DRG 4 4 — — $37,873.25 $55,689.06 $46,781.15 2026-03-27
3043 APR_DRG Inpatient Apr-DRG 4 4 — — $45,290.11 $47,798.35 $46,544.23 2026-03-27
6113 APR_DRG Inpatient Apr-DRG 4 4 — — $44,453.22 $48,343.02 $46,398.12 2026-03-27
924 APR_DRG Inpatient Apr-DRG 4 4 — — $44,382.23 $48,173.69 $46,277.96 2026-03-27
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 9 — — $45,803.29 $115,882.32 $46,261.32 2026-03-27
6091 APR_DRG Inpatient Apr-DRG 4 4 — — $40,902.87 $51,584.81 $46,243.84 2026-03-27
1764 APR_DRG Inpatient Apr-DRG 4 4 — — $41,718.42 $50,414.48 $46,066.45 2026-03-27
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 2 2 — — $46,000.54 $46,000.54 $46,000.54 2025-01-01
64654 CPT 1st Opn Implt Bat Modulj Sys 9 9 — — $45,524.31 $163,887.50 $45,979.55 2026-03-27
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 9 — — $45,334.49 $114,696.26 $45,787.83 2026-03-27
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 10 9 — — $27,500.50 $163,887.50 $45,751.93 2026-03-27
7104 APR_DRG Inpatient Apr-DRG 4 4 — — $45,369.78 $46,027.73 $45,698.76 2026-03-27
6133 APR_DRG Inpatient Apr-DRG 4 4 — — $43,231.96 $48,127.97 $45,679.96 2026-03-27
33276 CPT Insj Phrnc Nrv Stim Sys 12 11 — — $433.27 $163,887.50 $45,524.31 2026-03-27
64568 CPT Opn Impltj Crnl Nrv Nea&pg 13 11 — — $465.05 $163,887.50 $45,524.31 2026-03-27
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 14 — — $36,487.00 $116,703.15 $45,516.72 2026-03-27
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $44,537.84 $114,883.62 $45,428.60 2026-03-27
L7180 HCPCS Electronic Elbow Sequential 9 9 — — $44,853.57 $161,472.85 $45,302.11 2026-03-27
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 9 — — $44,673.36 $113,023.60 $45,120.09 2026-03-27
0266T CPT Professional Services 1 1 — — $45,000.50 $45,000.50 $45,000.50 2026-03-27
4284 APR_DRG Inpatient Apr-DRG 2 2 — — $44,821.12 $44,821.12 $44,821.12 2026-03-27
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 10 — — $43,493.58 $173,689.04 $44,798.39 2026-03-27
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 9 — — $43,902.43 $111,073.15 $44,780.47 2026-03-27
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