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

CARLE HEALTH PROCTOR HOSPITAL

Peoria, IL · CCN 140013 · Rates published

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You selected 93306 (CPT)

HC Tte W/ Doppler Complete

This hospital’s price: $1,416 across 11 payers · range $207-$3,250

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/11407/370681540_proctor-community-hospital_standardcharges.csv · observed 2026-04-15

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.

19,222 distinct procedures filed
12 distinct payers
432,593 rate rows
2026-04-15 last MRF observed
Data quality

416,867 of 432,593 rate rows are consumer-grade (96.4%)

15,726 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,168
placeholder amount (≤ $0.02) — excluded from medians 1,519
per-diem day rate — not a per-procedure price 844
percent-of-charges filed in the dollar field — excluded from medians 91
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 86
exceeds 10× this hospital's gross charge — excluded from medians 18
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11407/370681540_proctor-community-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/CarleHealthProctorHospital/11407
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-07-06
Content fingerprint bf1c08a12339d072… · 517,338,380 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,685,266.67 $4,274,909.33 $3,685,266.67 nat. median
$3,703,693
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $3,869,551.20 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,327,859.73 $3,860,317.28 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,252,508.08 $3,772,909.37 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $3,180,000.00 $3,688,800.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,939,968.89 $3,410,363.91 $2,939,968.89 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $104,498.96 $3,003,218.22 $2,588,981.23 nat. median
$2,466,282
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $2,705,120.00 $2,332,000.00 nat. median
$2,401,960
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $893,919.20 $770,620.00 nat. median
$809,217
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $542,651.50 $681,673.51 $587,649.57 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $489,521.37 $657,176.31 $566,531.30 nat. median
$738,272
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $516,921.91 $652,153.44 $562,201.24 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $527,834.71 $647,374.80 $558,081.73 nat. median
$622,245
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $490,591.43 $617,343.00 $532,192.24 nat. median
$608,101
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,450.20 $567,762.23 $489,450.20 nat. median
$591,650
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $326,165.13 $580,376.83 $378,351.55 nat. median
$359,358
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $278,250.00 $322,770.00 $278,250.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $265,000.00 $307,400.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $211,668.05 $376,641.22 $245,534.94 nat. median
$249,124
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $201,669.02 $233,936.06 $201,669.02 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $161,263.03 $286,950.72 $187,065.11 nat. median
$198,433
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 9 $160,316.61 $285,266.69 $185,967.27 nat. median
$190,557
1.0× median
5834
APR_DRG 		Neonate W Ecmo 4 $185,653.60 $185,653.60 $185,653.60 nat. median
$307,273
0.6× median
5833
APR_DRG 		Neonate W Ecmo 4 $168,776.11 $168,776.11 $168,776.11 nat. median
$244,017
0.7× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $152,009.25 $152,009.25 $152,009.25 nat. median
$247,214
0.6× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $125,613.29 $125,613.29 $125,613.29 nat. median
$162,514
0.8× median
24
APR_DRG 		Heart &/or Lung Transplant 4 $122,810.80 $122,810.80 $122,810.80 nat. median
$241,915
0.5× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $104,621.37 $186,162.82 $121,360.79 nat. median
$126,722
1.0× median
7
MS_DRG 		Lung Transplant 9 $97,814.50 $174,050.69 $113,464.82 nat. median
$117,894
1.0× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $113,407.27 $113,407.27 $113,407.27 nat. median
$165,000
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $113,390.46 $113,390.46 $113,390.46 nat. median
$170,172
0.7× median
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 $112,507.37 $112,507.37 $112,507.37 nat. median
$93,998
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $52,230.52 $128,646.04 $110,901.76 nat. median
$111,503
1.0× median
J7181
HCPCS 		Tretten 2,500 Unit Intravenous Solution 11 $17.61 $247,370.70 $110,763.00 nat. median
$21
outlier · 5397.8×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $109,693.94 $109,693.94 $109,693.94 nat. median
$151,838
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $90,772.72 $161,520.58 $105,296.36 nat. median
$110,192
1.0× median
Q2043
HCPCS 		Provenge 50 Million Cell/250 Ml Intravenous Suspension 11 $54,404.11 $193,989.81 $100,942.85 nat. median
$65,720
1.5× median
J2326
HCPCS 		Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 11 $1,136.31 $223,486.29 $100,068.49 nat. median
$2,487
outlier · 40.2×
5832
APR_DRG 		Neonate W Ecmo 4 $99,495.67 $99,495.67 $99,495.67 nat. median
$159,249
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $85,590.52 $152,299.39 $99,285.00 nat. median
$103,967
1.0× median
5831
APR_DRG 		Neonate W Ecmo 4 $99,281.84 $99,281.84 $99,281.84 nat. median
$146,591
0.7× median
209
MS_DRG 		Complex Aortic Arch Procedures 9 $85,492.33 $152,124.67 $99,171.10 nat. median
$92,655
1.1× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $97,254.14 $97,254.14 $97,254.14 nat. median
$101,541
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $96,644.31 $96,644.31 $96,644.31 nat. median
$202,993
outlier · 0.5×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $83,244.51 $148,124.93 $96,563.63 nat. median
$93,270
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $82,133.45 $146,147.90 $95,274.80 nat. median
$97,414
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $95,146.70 $95,146.70 $95,146.70 nat. median
$175,429
0.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 7 $95,081.03 $110,293.99 $95,081.03 nat. median
$97,020
1.0× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 $93,533.39 $93,533.39 $93,533.39 nat. median
$118,589
0.8× median

Other procedures at this hospital

Browse this hospital's 19,222 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 6 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-04-15
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 7 — — $3,685,266.67 $4,274,909.33 $3,685,266.67 2026-04-15
J3389 HCPCS Topi Adm Prad Zami Per Treat 9 7 — — $3,335,820.00 $3,869,551.20 $3,335,820.00 2026-04-15
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 7 — — $3,327,859.73 $3,860,317.28 $3,327,859.73 2026-04-15
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 7 — — $3,252,508.08 $3,772,909.37 $3,252,508.08 2026-04-15
J3387 HCPCS Inj Elivaldogene Autotemecel 9 7 — — $3,180,000.00 $3,688,800.00 $3,180,000.00 2026-04-15
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — — $2,939,968.89 $3,410,363.91 $2,939,968.89 2026-04-15
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $104,498.96 $3,003,218.22 $2,588,981.23 2026-04-15
J3392 HCPCS Inj, Exagamglogene Autotem 9 7 — — $2,332,000.00 $2,705,120.00 $2,332,000.00 2026-04-15
Q2057 HCPCS Afamitresgene Autoleucel 9 7 — — $770,620.00 $893,919.20 $770,620.00 2026-04-15
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $542,651.50 $681,673.51 $587,649.57 2026-04-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 8 — — $489,521.37 $657,176.31 $566,531.30 2026-04-15
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — — $516,921.91 $652,153.44 $562,201.24 2026-04-15
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — — $527,834.71 $647,374.80 $558,081.73 2026-04-15
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 8 — — $490,591.43 $617,343.00 $532,192.24 2026-04-15
Q2053 HCPCS Brexucabtagene Car Pos T 10 8 — — $489,450.20 $567,762.23 $489,450.20 2026-04-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 9 — — $326,165.13 $580,376.83 $378,351.55 2026-04-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 7 — — $278,250.00 $322,770.00 $278,250.00 2026-04-15
J3403 HCPCS Revakinagene, Per Implant 9 7 — — $265,000.00 $307,400.00 $265,000.00 2026-04-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 17 9 — — $211,668.05 $376,641.22 $245,534.94 2026-04-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 7 — — $201,669.02 $233,936.06 $201,669.02 2026-04-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 9 — — $161,263.03 $286,950.72 $187,065.11 2026-04-15
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 9 — — $160,316.61 $285,266.69 $185,967.27 2026-04-15
5834 APR_DRG Neonate W Ecmo 4 4 — — $185,653.60 $185,653.60 $185,653.60 2026-04-15
5833 APR_DRG Neonate W Ecmo 4 4 — — $168,776.11 $168,776.11 $168,776.11 2026-04-15
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $152,009.25 $152,009.25 $152,009.25 2026-04-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $125,613.29 $125,613.29 $125,613.29 2026-04-15
24 APR_DRG Heart &/or Lung Transplant 4 4 — — $122,810.80 $122,810.80 $122,810.80 2026-04-15
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 17 9 — — $104,621.37 $186,162.82 $121,360.79 2026-04-15
7 MS_DRG Lung Transplant 17 9 — — $97,814.50 $174,050.69 $113,464.82 2026-04-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $113,407.27 $113,407.27 $113,407.27 2026-04-15
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $113,390.46 $113,390.46 $113,390.46 2026-04-15
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 — — $112,507.37 $112,507.37 $112,507.37 2026-04-15
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 8 — — $52,230.52 $128,646.04 $110,901.76 2026-04-15
J7181 HCPCS Tretten 2,500 Unit Intravenous Solution 23 11 $369,210.00 $369,210.00 $17.61 $247,370.70 $110,763.00 2026-04-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $109,693.94 $109,693.94 $109,693.94 2026-04-15
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $90,772.72 $161,520.58 $105,296.36 2026-04-15
Q2043 HCPCS Provenge 50 Million Cell/250 Ml Intravenous Suspension 41 11 $289,537.03 $289,537.03 $54,404.11 $193,989.81 $100,942.85 2026-04-15
J2326 HCPCS Spinraza (pf) 12 Mg/5 Ml Intrathecal Solution 23 11 $333,561.63 $333,561.63 $1,136.31 $223,486.29 $100,068.49 2026-04-15
5832 APR_DRG Neonate W Ecmo 4 4 — — $99,495.67 $99,495.67 $99,495.67 2026-04-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 9 — — $85,590.52 $152,299.39 $99,285.00 2026-04-15
5831 APR_DRG Neonate W Ecmo 4 4 — — $99,281.84 $99,281.84 $99,281.84 2026-04-15
209 MS_DRG Complex Aortic Arch Procedures 17 9 — — $85,492.33 $152,124.67 $99,171.10 2026-04-15
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $97,254.14 $97,254.14 $97,254.14 2026-04-15
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $96,644.31 $96,644.31 $96,644.31 2026-04-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 9 — — $83,244.51 $148,124.93 $96,563.63 2026-04-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 9 — — $82,133.45 $146,147.90 $95,274.80 2026-04-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $95,146.70 $95,146.70 $95,146.70 2026-04-15
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 7 — — $95,081.03 $110,293.99 $95,081.03 2026-04-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $93,533.39 $93,533.39 $93,533.39 2026-04-15
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $90,508.46 $90,508.46 $90,508.46 2026-04-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 17 9 — — $77,876.51 $138,573.12 $90,336.75 2026-04-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $90,214.49 $90,214.49 $90,214.49 2026-04-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $90,048.35 $90,048.35 $90,048.35 2026-04-15
14 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $88,934.24 $88,934.24 $88,934.24 2026-04-15
64654 CPT Opn Implt Bat Modulj Sys 42 11 $236,005.00 $236,005.00 $47,201.02 $165,203.50 $88,501.88 2026-04-15
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $87,524.19 $87,524.19 $87,524.19 2026-04-15
215 MS_DRG Other Heart Assist System Implant 17 9 — — $75,206.48 $133,822.08 $87,239.52 2026-04-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $85,767.41 $85,767.41 $85,767.41 2026-04-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $73,890.72 $131,480.83 $85,713.24 2026-04-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $84,713.10 $84,713.10 $84,713.10 2026-04-15
23 APR_DRG Heart &/or Lung Transplant 4 4 — — $84,640.00 $84,640.00 $84,640.00 2026-04-15
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $82,957.10 $82,957.10 $82,957.10 2026-04-15
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $81,890.24 $81,890.24 $81,890.24 2026-04-15
J0225 HCPCS Amvuttra 25 Mg/0.5 Ml Subcutaneous Syringe 23 11 $272,120.28 $272,120.28 $5,009.56 $182,320.59 $81,636.08 2026-04-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $81,364.89 $81,364.89 $81,364.89 2026-04-15
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $81,138.94 $81,138.94 $81,138.94 2026-04-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 9 — — $68,050.65 $121,089.02 $78,938.75 2026-04-15
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 — — $78,918.13 $78,918.13 $78,918.13 2026-04-15
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $77,190.67 $77,190.67 $77,190.67 2026-04-15
850 MS_DRG Acute Leukemia With Other Procedures 17 9 — — $65,406.29 $116,383.68 $75,871.30 2026-04-15
64 APR_DRG Pancreas Transplant 4 4 — — $75,605.89 $75,605.89 $75,605.89 2026-04-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 9 — — $63,672.10 $113,297.86 $73,859.64 2026-04-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $63,471.94 $112,941.70 $73,627.45 2026-04-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $73,367.88 $73,367.88 $73,367.88 2026-04-15
J2351 HCPCS Ocrevus Zunovo 920 Mg-23,000 Unit/23 Ml Subcutaneous Solution 41 11 $193,199.36 $193,199.36 $47.05 $129,443.57 $72,449.76 2026-04-15
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 4 4 — — $71,744.01 $71,744.01 $71,744.01 2026-04-15
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $69,154.96 $69,154.96 $69,154.96 2026-04-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 9 — — $59,434.03 $105,756.67 $68,943.47 2026-04-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 7 — — $68,801.71 $79,809.98 $68,801.71 2026-04-15
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $68,061.56 $68,061.56 $68,061.56 2026-04-15
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $67,495.51 $67,495.51 $67,495.51 2026-04-15
38240 CPT Transplt Allo Hct/donor 11 8 — — $216.63 $140,611.12 $67,406.01 2026-04-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $57,995.17 $103,196.35 $67,274.40 2026-04-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 9 — — $57,745.15 $102,751.49 $66,984.37 2026-04-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 9 — — $57,554.06 $102,411.46 $66,762.71 2026-04-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $66,683.97 $66,683.97 $66,683.97 2026-04-15
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $66,180.85 $66,180.85 $66,180.85 2026-04-15
22 APR_DRG Heart &/or Lung Transplant 4 4 — — $66,012.76 $66,012.76 $66,012.76 2026-04-15
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $65,236.79 $65,236.79 $65,236.79 2026-04-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $64,513.59 $64,513.59 $64,513.59 2026-04-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 9 — — $54,522.99 $97,017.98 $63,246.67 2026-04-15
10 MS_DRG Pancreas Transplant 17 9 — — $54,198.97 $96,441.41 $62,870.81 2026-04-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 9 — — $54,176.31 $96,401.09 $62,844.52 2026-04-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 9 — — $53,888.54 $95,889.02 $62,510.71 2026-04-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 9 — — $53,856.81 $95,832.58 $62,473.90 2026-04-15
64656 CPT J/Rplcmt Bat Mod Sys Pg 42 11 $165,338.00 $165,338.00 $33,067.68 $115,736.60 $62,001.75 2026-04-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 17 9 — — $52,205.69 $92,894.59 $60,558.60 2026-04-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 9 — — $51,949.66 $92,438.98 $60,261.61 2026-04-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 9 — — $50,840.85 $90,465.98 $58,975.39 2026-04-15
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $58,674.84 $58,674.84 $58,674.84 2026-04-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 9 — — $50,503.99 $89,866.56 $58,584.63 2026-04-15
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $58,580.24 $58,580.24 $58,580.24 2026-04-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 9 — — $50,466.97 $89,800.70 $58,541.69 2026-04-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $49,664.07 $88,372.03 $57,610.32 2026-04-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 9 — — $49,664.07 $88,372.03 $57,610.32 2026-04-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 9 — — $49,483.55 $88,050.82 $57,400.92 2026-04-15
A9543 HCPCS Y90 Ibritumomab, Rx 11 8 — — $56,824.55 $73,587.03 $56,824.55 2026-04-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 17 9 — — $48,602.10 $86,482.37 $56,378.44 2026-04-15
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 4 4 — — $56,329.33 $56,329.33 $56,329.33 2026-04-15
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $55,803.94 $55,803.94 $55,803.94 2026-04-15
8634 APR_DRG Neonatal Aftercare 4 4 — — $55,723.80 $55,723.80 $55,723.80 2026-04-15
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $55,669.46 $55,669.46 $55,669.46 2026-04-15
4404 APR_DRG Kidney Transplant 4 4 — — $55,099.11 $55,099.11 $55,099.11 2026-04-15
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $54,673.40 $54,673.40 $54,673.40 2026-04-15
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $54,603.82 $54,603.82 $54,603.82 2026-04-15
63 APR_DRG Pancreas Transplant 4 4 — — $54,372.78 $54,372.78 $54,372.78 2026-04-15
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $54,300.07 $54,300.07 $54,300.07 2026-04-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 9 — — $46,288.58 $82,365.70 $53,694.75 2026-04-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 9 — — $46,234.95 $82,270.27 $53,632.54 2026-04-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $53,471.33 $53,471.33 $53,471.33 2026-04-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 9 — — $45,791.59 $81,481.34 $53,118.24 2026-04-15
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $53,104.65 $53,104.65 $53,104.65 2026-04-15
28 MS_DRG Spinal Procedures With Mcc 17 9 — — $45,381.45 $80,751.55 $52,642.48 2026-04-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 9 — — $45,368.61 $80,728.70 $52,627.59 2026-04-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $45,040.04 $80,144.06 $52,246.45 2026-04-15
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $52,027.28 $52,027.28 $52,027.28 2026-04-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 17 9 — — $44,787.77 $79,695.17 $51,953.81 2026-04-15
21 APR_DRG Heart &/or Lung Transplant 4 4 — — $51,875.21 $51,875.21 $51,875.21 2026-04-15
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 4 — — $51,582.02 $51,582.02 $51,582.02 2026-04-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 9 — — $44,326.28 $78,873.98 $51,418.48 2026-04-15
C9150 HCPCS Inpatient Services 1 1 — — $51,417.60 $51,417.60 $51,417.60 2026-04-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 9 — — $44,297.58 $78,822.91 $51,385.19 2026-04-15
62 APR_DRG Pancreas Transplant 4 4 — — $51,218.47 $51,218.47 $51,218.47 2026-04-15
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 4 4 — — $51,014.80 $51,014.80 $51,014.80 2026-04-15
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $50,634.44 $50,634.44 $50,634.44 2026-04-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 9 — — $43,559.64 $77,509.82 $50,529.18 2026-04-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $43,281.68 $77,015.23 $50,206.75 2026-04-15
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 9 — — $43,104.94 $76,700.74 $50,001.73 2026-04-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 9 — — $43,049.04 $76,601.28 $49,936.89 2026-04-15
J9999 HCPCS Gliadel Wafer 7.7 Mg Implant 33 11 $131,788.68 $131,788.68 $32,947.17 $88,298.42 $49,420.75 2026-04-15
L7181 HCPCS Electronic Elbo Simultaneous 11 8 — — $26,555.89 $57,232.29 $49,338.18 2026-04-15
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $43,088.81 $55,541.88 $49,315.35 2026-04-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 9 — — $42,463.67 $75,559.68 $49,257.86 2026-04-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 17 9 — — $42,332.25 $75,325.82 $49,105.41 2026-04-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $49,010.56 $49,010.56 $49,010.56 2026-04-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 9 — — $42,042.22 $74,809.73 $48,768.98 2026-04-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 9 — — $41,715.91 $74,229.12 $48,390.46 2026-04-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $48,243.58 $48,243.58 $48,243.58 2026-04-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $48,110.67 $48,110.67 $48,110.67 2026-04-15
834 MS_DRG Acute Leukemia With Mcc 17 9 — — $41,465.91 $73,784.26 $48,100.46 2026-04-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 9 — — $41,319.37 $73,523.52 $47,930.47 2026-04-15
L7180 HCPCS Electronic Elbow Sequential 11 8 — — $25,792.56 $55,587.19 $47,919.99 2026-04-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 9 — — $41,260.47 $73,418.69 $47,862.15 2026-04-15
13 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $47,840.94 $47,840.94 $47,840.94 2026-04-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 9 — — $41,195.50 $73,303.10 $47,786.78 2026-04-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 17 9 — — $41,030.84 $73,010.11 $47,595.77 2026-04-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $47,361.67 $47,361.67 $47,361.67 2026-04-15
64568 CPT Opn Impltj Crnl Nrv Nea&pg 11 8 — — $536.64 $72,451.00 $47,201.02 2026-04-15
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $639.61 $54,753.19 $47,201.02 2026-04-15
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 10 8 — — $4,012.19 $54,753.19 $47,201.02 2026-04-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $40,279.31 $71,672.83 $46,724.00 2026-04-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 9 — — $40,255.14 $71,629.82 $46,695.96 2026-04-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 9 — — $39,984.74 $71,148.67 $46,382.30 2026-04-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 9 — — $39,852.56 $70,913.47 $46,228.97 2026-04-15
61 APR_DRG Pancreas Transplant 4 4 — — $46,096.66 $46,096.66 $46,096.66 2026-04-15
12 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $45,825.36 $45,825.36 $45,825.36 2026-04-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 9 — — $39,317.04 $69,960.58 $45,607.77 2026-04-15
653 MS_DRG Major Bladder Procedures With Mcc 17 9 — — $39,249.07 $69,839.62 $45,528.92 2026-04-15
J1823 HCPCS Uplizna 10 Mg/ml Intravenous Solution 23 11 $150,671.77 $150,671.77 $487.72 $100,950.09 $45,201.53 2026-04-15
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $45,009.52 $45,009.52 $45,009.52 2026-04-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 8 — — $44,892.00 $79,880.64 $44,892.00 2026-04-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 9 — — $38,069.26 $67,740.29 $44,160.34 2026-04-15
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $43,724.57 $43,724.57 $43,724.57 2026-04-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 9 — — $37,670.46 $67,030.66 $43,697.73 2026-04-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 9 — — $37,368.33 $66,493.06 $43,347.26 2026-04-15
11 APR_DRG Liver Transplant &/or Intestinal Transplant 4 4 — — $43,278.92 $43,278.92 $43,278.92 2026-04-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 9 — — $37,301.86 $66,374.78 $43,270.16 2026-04-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 9 — — $37,174.22 $66,147.65 $43,122.10 2026-04-15
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $43,025.61 $43,025.61 $43,025.61 2026-04-15
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $42,981.04 $42,981.04 $42,981.04 2026-04-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 9 — — $37,019.38 $65,872.13 $42,942.48 2026-04-15
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit 41 11 $114,414.09 $114,414.09 $28,603.52 $76,657.44 $42,905.29 2026-04-15
104 APR_DRG Head Trauma With Deep Coma 4 4 — — $42,756.66 $42,756.66 $42,756.66 2026-04-15
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $42,686.29 $42,686.29 $42,686.29 2026-04-15
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $42,563.15 $42,563.15 $42,563.15 2026-04-15
471 MS_DRG Cervical Spinal Fusion With Mcc 17 9 — — $36,471.78 $64,897.73 $42,307.26 2026-04-15
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $42,284.43 $42,284.43 $42,284.43 2026-04-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 9 — — $36,287.48 $64,569.79 $42,093.48 2026-04-15
C1822 HCPCS Hc Generator Neuro Rechg Bat Sys Hf 16 8 $104,740.00 $104,740.00 $75.54 $70,175.80 $41,733.65 2026-04-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 9 — — $35,958.93 $63,985.15 $41,712.36 2026-04-15
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $41,480.31 $41,480.31 $41,480.31 2026-04-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $41,474.45 $41,474.45 $41,474.45 2026-04-15
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $41,372.42 $41,372.42 $41,372.42 2026-04-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $41,362.64 $41,362.64 $41,362.64 2026-04-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 17 9 — — $35,510.28 $63,186.82 $41,191.92 2026-04-15
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $41,179.69 $41,179.69 $41,179.69 2026-04-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 9 — — $35,437.76 $63,057.79 $41,107.80 2026-04-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 9 — — $35,332.01 $62,869.63 $40,985.13 2026-04-15
6 MS_DRG Liver Transplant Without Mcc 17 9 — — $35,023.85 $62,321.28 $40,627.67 2026-04-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 9 — — $34,884.11 $62,072.64 $40,465.57 2026-04-15
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $40,357.59 $40,357.59 $40,357.59 2026-04-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 9 — — $34,717.94 $61,776.96 $40,272.81 2026-04-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 9 — — $34,629.57 $61,619.71 $40,170.30 2026-04-15
245 MS_DRG Aicd Generator Procedures 17 9 — — $34,460.38 $61,318.66 $39,974.04 2026-04-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 9 — — $34,356.91 $61,134.53 $39,854.02 2026-04-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 9 — — $34,341.80 $61,107.65 $39,836.49 2026-04-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $39,788.42 $39,788.42 $39,788.42 2026-04-15
799 MS_DRG Splenic Procedures With Mcc 17 9 — — $34,207.35 $60,868.42 $39,680.53 2026-04-15
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 8 — — $20,900.95 $45,863.95 $39,537.89 2026-04-15
0915T CPT Insj Perm Ccm-d Sys Pg&Eltrd 42 11 $105,273.00 $105,273.00 $26,318.25 $100,910.67 $39,477.38 2026-04-15
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $39,414.31 $39,414.31 $39,414.31 2026-04-15
J2350 HCPCS Ocrevus 30 Mg/ml Intravenous Solution 23 11 $131,276.50 $131,276.50 $59.32 $87,955.26 $39,382.95 2026-04-15
163 MS_DRG Major Chest Procedures With Mcc 17 9 — — $33,851.60 $60,235.39 $39,267.86 2026-04-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 9 — — $33,841.78 $60,217.92 $39,256.46 2026-04-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 9 — — $33,708.85 $59,981.38 $39,102.27 2026-04-15
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 4 — — $39,048.02 $39,048.02 $39,048.02 2026-04-15
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $38,573.44 $38,573.44 $38,573.44 2026-04-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 9 — — $33,179.37 $59,039.23 $38,488.07 2026-04-15
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $38,410.82 $38,410.82 $38,410.82 2026-04-15
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 4 4 — — $38,153.99 $38,153.99 $38,153.99 2026-04-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $38,114.90 $38,114.90 $38,114.90 2026-04-15
6904 APR_DRG Acute Leukemia 4 4 — — $38,105.51 $38,105.51 $38,105.51 2026-04-15
C2624 HCPCS System Sensor Cardiomems System Device Monitor / Pillo Cm Patient System 33 11 $101,587.50 $101,587.50 $25,396.88 $68,063.63 $38,095.32 2026-04-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 9 — — $32,685.39 $58,160.26 $37,915.05 2026-04-15
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 4 — — $37,890.12 $37,890.12 $37,890.12 2026-04-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 9 — — $32,424.81 $57,696.58 $37,612.78 2026-04-15
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 4 4 — — $37,557.84 $37,557.84 $37,557.84 2026-04-15
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $37,391.70 $37,391.70 $37,391.70 2026-04-15
140 MS_DRG Major Head And Neck Procedures With Mcc 17 9 — — $32,216.35 $57,325.63 $37,370.97 2026-04-15
914 APR_DRG Other Major Head & Neck Procedures 4 4 — — $37,343.22 $37,343.22 $37,343.22 2026-04-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 9 — — $32,031.29 $56,996.35 $37,156.30 2026-04-15
J9029 HCPCS Adstiladrin 3x10exp11 Vp/ml Intravesical Suspension 54 11 $34,713.00 $34,713.00 $8,678.25 $93,030.84 $37,044.40 2026-04-15
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $37,037.92 $37,037.92 $37,037.92 2026-04-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 9 — — $31,898.36 $56,759.81 $37,002.10 2026-04-15
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $36,974.59 $36,974.59 $36,974.59 2026-04-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 9 — — $31,843.97 $56,663.04 $36,939.01 2026-04-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 9 — — $31,828.12 $56,634.82 $36,920.62 2026-04-15
37275 CPT C Evsc Fpvt St Athrc Sf 1 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37277 CPT C Evsc Fpvt St Athr Cpx 1 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37294 CPT C Evsc Tpvt St Athr Cpx 1 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37284 CPT Sc Evasc Tpvt St Sf 1st 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37292 CPT C Evsc Tpvt St Athrc Sf 1 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37288 CPT Sc Evsc Tpvt Athrc Sf 1st 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37286 CPT Sc Evasc Tpvt St Cplx 1st 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37271 CPT Sc Evsc Fpvt Athrc Sf 1st 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37273 CPT Sc Evsc Fpvt Athrc Cplx 1 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
92930 CPT Tcat Plmt Ntrac St 2+Les 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
37290 CPT Sc Evsc Tpvt Athrc Cplx 1 42 11 $98,223.00 $98,223.00 $19,644.52 $68,756.10 $36,833.62 2026-04-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 9 — — $31,735.21 $56,469.50 $36,812.84 2026-04-15
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $36,799.85 $36,799.85 $36,799.85 2026-04-15
901 MS_DRG Wound Debridements For Injuries With Mcc 17 9 — — $31,697.45 $56,402.30 $36,769.04 2026-04-15
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $36,758.41 $36,758.41 $36,758.41 2026-04-15
4414 APR_DRG Major Bladder Procedures 4 4 — — $36,744.73 $36,744.73 $36,744.73 2026-04-15
0686T CPT Histotripsy Mal Hepatcel Tis 9 7 — — $36,712.02 $42,585.95 $36,712.02 2026-04-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 9 — — $31,638.53 $56,297.47 $36,700.69 2026-04-15
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $36,604.00 $36,604.00 $36,604.00 2026-04-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 9 — — $31,516.17 $56,079.74 $36,558.76 2026-04-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 4 4 — — $36,501.58 $36,501.58 $36,501.58 2026-04-15
894 APR_DRG Major Cranial/facial Bone Procedures 4 4 — — $36,451.54 $36,451.54 $36,451.54 2026-04-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 9 — — $31,368.13 $55,816.32 $36,387.03 2026-04-15
0268T CPT Inpatient Services 2 2 — — $278.15 $72,451.00 $36,364.58 2026-04-15
4403 APR_DRG Kidney Transplant 4 4 — — $36,249.04 $36,249.04 $36,249.04 2026-04-15
0408T CPT Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd 24 11 $120,509.00 $120,509.00 $794.86 $100,910.67 $36,152.70 2026-04-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 9 — — $31,160.43 $55,446.72 $36,146.10 2026-04-15
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $36,131.77 $36,131.77 $36,131.77 2026-04-15
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $36,061.79 $36,061.79 $36,061.79 2026-04-15
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 4 — — $35,951.95 $35,951.95 $35,951.95 2026-04-15
69930 CPT Implant Cochlear Device 11 8 — — $1,101.81 $75,622.52 $35,333.54 2026-04-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 9 — — $30,367.35 $54,035.52 $35,226.13 2026-04-15
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 4 4 — — $35,083.72 $35,083.72 $35,083.72 2026-04-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $35,012.57 $35,012.57 $35,012.57 2026-04-15
L8701 HCPCS Ewh S/d Uprt Micro Sensor 10 8 — — $19,311.82 $40,565.35 $34,970.13 2026-04-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 17 9 — — $30,092.41 $53,546.30 $34,907.20 2026-04-15
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $34,369.51 $34,369.51 $34,369.51 2026-04-15
1204 APR_DRG Major Respiratory & Chest Procedures 4 4 — — $34,341.76 $34,341.76 $34,341.76 2026-04-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 9 — — $29,547.08 $52,575.94 $34,274.61 2026-04-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 17 9 — — $29,413.39 $52,338.05 $34,119.53 2026-04-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $34,012.21 $34,012.21 $34,012.21 2026-04-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 9 — — $29,235.88 $52,022.21 $33,913.62 2026-04-15
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 9 — — $29,192.08 $51,944.26 $33,862.81 2026-04-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 9 — — $29,164.13 $51,894.53 $33,830.39 2026-04-15
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 4 4 — — $33,820.27 $33,820.27 $33,820.27 2026-04-15
33418 CPT Bundle 1 Mitra 1 R & 1 Sgc0301 R / Cds0601-ntr Mbr0101 23 11 $135,000.00 $135,000.00 $1,696.00 $94,500.00 $33,750.00 2026-04-15
33419 CPT Bundle 2 Mitra 2 R & 1 Sgc0301 R / Cds0601-ntr Mbr0102 23 11 $135,000.00 $135,000.00 $398.03 $94,500.00 $33,750.00 2026-04-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 9 — — $28,998.72 $51,600.19 $33,638.52 2026-04-15
33264 CPT Rmvl Pcd W/Rplc Mult Lead 23 11 $66,749.00 $66,749.00 $455.46 $100,910.67 $33,636.89 2026-04-15
33270 CPT Ins/rep Subq Defibrillator 11 8 — — $635.43 $76,226.72 $33,636.89 2026-04-15
33249 CPT Ins/Rpos Dual Chmb Pcg Lds&Gen 23 11 $66,749.00 $66,749.00 $1,033.37 $100,910.67 $33,636.89 2026-04-15
33231 CPT Insrt Pulse Gen W/mult Leads 11 8 — — $450.64 $76,226.72 $33,636.89 2026-04-15
0571T CPT Hc Insj/Rplcmt Icds W/Substernal Electrode 23 11 $100,989.00 $100,989.00 $560.03 $100,910.67 $33,636.89 2026-04-15
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 4 4 — — $33,526.30 $33,526.30 $33,526.30 2026-04-15
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 4 4 — — $33,240.15 $33,240.15 $33,240.15 2026-04-15
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $33,203.01 $33,203.01 $33,203.01 2026-04-15
234 APR_DRG Spinal Procedures 4 4 — — $33,077.53 $33,077.53 $33,077.53 2026-04-15
61886 CPT Implant Neurostim Arrays 11 8 — — $799.29 $72,451.00 $33,067.68 2026-04-15
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 11 8 — — $322.79 $72,451.00 $33,067.68 2026-04-15
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 11 8 — — $427.09 $72,451.00 $33,067.68 2026-04-15
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 9 7 — — $33,067.68 $38,358.51 $33,067.68 2026-04-15
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 11 8 — — $523.10 $50,983.88 $33,067.68 2026-04-15
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