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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

GIBSON GENERAL HOSPITAL

Princeton, IN · CCN 151319 · Rates published

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You selected 59510 (CPT)

This facility hasn’t published a payer-negotiated rate for this exact code. See its full rate list below.

13,044 distinct procedures filed
46 distinct payers
705,399 rate rows
2026-02-11 last MRF observed
Data quality

252,702 of 705,399 rate rows are consumer-grade (35.8%)

452,697 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 423,776
placeholder amount (≤ $0.02) — excluded from medians 27,728
percent-of-charges filed in the dollar field — excluded from medians 632
template filing: same amount across many unrelated codes — excluded 276
per-diem day rate — not a per-procedure price 106
exceeds 10× this hospital's gross charge — excluded from medians 88
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 86
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8110/350877575_deaconess-health-system-gibson-general-hospital_standardcharges.csv
Found on page https://www.deaconess.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint de9fff6b836e98d7… · 329,241,394 bytes · first seen 2026-05-17

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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,141,011.61 $1,141,011.61 $1,141,011.61 nat. median
$621,313
1.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $1,136,549.92 $1,136,549.92 $1,136,549.92 nat. median
$599,737
1.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $1,135,394.66 $1,135,394.66 $1,135,394.66 nat. median
$574,037
2.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $1,114,133.22 $1,114,133.22 $1,114,133.22 nat. median
$579,571
1.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $1,055,338.86 $1,055,338.86 $1,055,338.86 nat. median
$562,501
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $992,975.35 $992,975.35 $992,975.35 nat. median
$513,770
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $697,099.94 $871,385.72 $759,175.21 nat. median
$168,055
outlier · 4.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $452,389.82 $565,494.28 $492,674.17 nat. median
$186,516
outlier · 2.6×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $389,138.18 $389,138.18 $389,138.18 nat. median
$286,698
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 5 $344,661.12 $430,831.74 $362,958.50 nat. median
$131,925
outlier · 2.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 5 $342,638.40 $428,303.31 $360,828.40 nat. median
$145,435
outlier · 2.5×
24
APR_DRG 		Heart &/or Lung Transplant 6 $347,823.88 $347,823.88 $347,823.88 nat. median
$225,531
1.5× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $335,581.31 $335,581.31 $335,581.31 nat. median
$202,242
1.7× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 6 $253,450.94 $253,450.94 $253,450.94 nat. median
$136,566
1.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $249,999.88 $249,999.88 $249,999.88 nat. median
$108,243
outlier · 2.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $235,802.91 $235,802.91 $235,802.91 nat. median
$149,836
1.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $223,603.15 $279,507.40 $235,473.80 nat. median
$97,418
outlier · 2.4×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 $231,442.75 $231,442.75 $231,442.75 nat. median
$135,630
1.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $228,301.66 $228,301.66 $228,301.66 nat. median
$152,792
1.5× median
7
MS_DRG 		Lung Transplant 6 $209,055.08 $261,322.09 $227,670.99 nat. median
$70,649
outlier · 3.2×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $225,770.39 $225,770.39 $225,770.39 nat. median
$171,497
1.3× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $214,457.72 $214,457.72 $214,457.72 nat. median
$198,578
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $194,004.96 $242,509.20 $211,280.69 nat. median
$72,715
outlier · 2.9×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $202,944.19 $202,944.19 $202,944.19 nat. median
$168,439
1.2× median
23
APR_DRG 		Heart &/or Lung Transplant 6 $200,848.75 $200,848.75 $200,848.75 nat. median
$117,894
1.7× median
22
APR_DRG 		Heart &/or Lung Transplant 6 $200,365.00 $200,365.00 $200,365.00 nat. median
$95,481
outlier · 2.1×
21
APR_DRG 		Heart &/or Lung Transplant 6 $200,197.30 $200,197.30 $200,197.30 nat. median
$77,825
outlier · 2.6×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 $182,929.25 $228,664.39 $199,218.71 nat. median
$65,418
outlier · 3.0×
209
MS_DRG 		Complex Aortic Arch Procedures 5 $182,719.39 $228,402.07 $192,419.60 nat. median
$2,110
outlier · 91.2×
5834
APR_DRG 		Neonate W Ecmo 6 $191,228.56 $191,228.56 $191,228.56 nat. median
$390,362
outlier · 0.5×
5833
APR_DRG 		Neonate W Ecmo 6 $191,228.56 $191,228.56 $191,228.56 nat. median
$268,208
0.7× median
5832
APR_DRG 		Neonate W Ecmo 6 $191,228.56 $191,228.56 $191,228.56 nat. median
$201,678
0.9× median
5831
APR_DRG 		Neonate W Ecmo 6 $189,687.01 $189,687.01 $189,687.01 nat. median
$173,909
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $177,915.23 $222,396.79 $187,360.40 nat. median
$2,736
outlier · 68.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $175,540.60 $219,428.46 $184,859.70 nat. median
$74,509
outlier · 2.5×
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 6 $182,838.79 $182,838.79 $182,838.79 nat. median
$181,762
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 6 $166,442.40 $208,055.58 $181,263.74 nat. median
$69,922
outlier · 2.6×
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 $180,341.24 $180,341.24 $180,341.24 nat. median
$187,567
1.0× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,934.93 $171,934.93 $171,934.93 nat. median
$173,134
1.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,212.53 $171,212.53 $171,212.53 nat. median
$130,862
1.3× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $171,212.53 $171,212.53 $171,212.53 nat. median
$152,383
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 5 $160,735.85 $200,922.30 $169,269.00 nat. median
$73,023
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $157,923.74 $197,407.12 $166,307.60 nat. median
$69,822
outlier · 2.4×
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 6 $163,952.41 $163,952.41 $163,952.41 nat. median
$85,322
1.9× median
64
APR_DRG 		Pancreas Transplant 6 $162,404.48 $162,404.48 $162,404.48 nat. median
$92,994
1.7× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $161,361.62 $161,361.62 $161,361.62 nat. median
$114,205
1.4× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 3 $136,593.12 $158,386.93 $158,386.93 nat. median
$66,211
outlier · 2.4×
A9543
HCPCS 		Pr Y90 Ibritumomab, Rx 3 $141,743.71 $154,425.90 $154,425.90 nat. median
$65,477
outlier · 2.4×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $145,441.97 $181,804.72 $153,163.20 nat. median
$2,596
outlier · 59.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $151,662.50 $151,662.50 $151,662.50 nat. median
$92,809
1.6× median

Other procedures at this hospital

Browse this hospital's 13,044 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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,141,011.61 $1,141,011.61 $1,141,011.61 2026-02-11
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $1,136,549.92 $1,136,549.92 $1,136,549.92 2026-02-11
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $1,135,394.66 $1,135,394.66 $1,135,394.66 2026-02-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $1,114,133.22 $1,114,133.22 $1,114,133.22 2026-02-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $1,055,338.86 $1,055,338.86 $1,055,338.86 2026-02-11
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $992,975.35 $992,975.35 $992,975.35 2026-02-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $697,099.94 $871,385.72 $759,175.21 2026-02-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 6 6 — — $452,389.82 $565,494.28 $492,674.17 2026-02-11
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $389,138.18 $389,138.18 $389,138.18 2026-02-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 5 5 — — $344,661.12 $430,831.74 $362,958.50 2026-02-11
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 5 5 — — $342,638.40 $428,303.31 $360,828.40 2026-02-11
24 APR_DRG Heart &/or Lung Transplant 6 6 — — $347,823.88 $347,823.88 $347,823.88 2026-02-11
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $335,581.31 $335,581.31 $335,581.31 2026-02-11
14 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $253,450.94 $253,450.94 $253,450.94 2026-02-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $249,999.88 $249,999.88 $249,999.88 2026-02-11
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $235,802.91 $235,802.91 $235,802.91 2026-02-11
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 5 5 — — $223,603.15 $279,507.40 $235,473.80 2026-02-11
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $231,442.75 $231,442.75 $231,442.75 2026-02-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $228,301.66 $228,301.66 $228,301.66 2026-02-11
7 MS_DRG Lung Transplant 6 6 — — $209,055.08 $261,322.09 $227,670.99 2026-02-11
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $225,770.39 $225,770.39 $225,770.39 2026-02-11
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $214,457.72 $214,457.72 $214,457.72 2026-02-11
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $194,004.96 $242,509.20 $211,280.69 2026-02-11
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $202,944.19 $202,944.19 $202,944.19 2026-02-11
23 APR_DRG Heart &/or Lung Transplant 6 6 — — $200,848.75 $200,848.75 $200,848.75 2026-02-11
22 APR_DRG Heart &/or Lung Transplant 6 6 — — $200,365.00 $200,365.00 $200,365.00 2026-02-11
21 APR_DRG Heart &/or Lung Transplant 6 6 — — $200,197.30 $200,197.30 $200,197.30 2026-02-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 6 6 — — $182,929.25 $228,664.39 $199,218.71 2026-02-11
209 MS_DRG Complex Aortic Arch Procedures 5 5 — — $182,719.39 $228,402.07 $192,419.60 2026-02-11
5833 APR_DRG Neonate W Ecmo 6 6 — — $191,228.56 $191,228.56 $191,228.56 2026-02-11
5832 APR_DRG Neonate W Ecmo 6 6 — — $191,228.56 $191,228.56 $191,228.56 2026-02-11
5834 APR_DRG Neonate W Ecmo 6 6 — — $191,228.56 $191,228.56 $191,228.56 2026-02-11
5831 APR_DRG Neonate W Ecmo 6 6 — — $189,687.01 $189,687.01 $189,687.01 2026-02-11
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $177,915.23 $222,396.79 $187,360.40 2026-02-11
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 5 5 — — $175,540.60 $219,428.46 $184,859.70 2026-02-11
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 6 6 — — $182,838.79 $182,838.79 $182,838.79 2026-02-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 6 6 — — $166,442.40 $208,055.58 $181,263.74 2026-02-11
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 6 6 — — $180,341.24 $180,341.24 $180,341.24 2026-02-11
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $171,934.93 $171,934.93 $171,934.93 2026-02-11
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $171,212.53 $171,212.53 $171,212.53 2026-02-11
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 6 6 — — $171,212.53 $171,212.53 $171,212.53 2026-02-11
215 MS_DRG Other Heart Assist System Implant 5 5 — — $160,735.85 $200,922.30 $169,269.00 2026-02-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $157,923.74 $197,407.12 $166,307.60 2026-02-11
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $163,952.41 $163,952.41 $163,952.41 2026-02-11
64 APR_DRG Pancreas Transplant 6 6 — — $162,404.48 $162,404.48 $162,404.48 2026-02-11
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $161,361.62 $161,361.62 $161,361.62 2026-02-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 3 3 — — $136,593.12 $158,386.93 $158,386.93 2026-02-11
A9543 HCPCS Pr Y90 Ibritumomab, Rx 3 3 — — $141,743.71 $154,425.90 $154,425.90 2026-02-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 5 — — $145,441.97 $181,804.72 $153,163.20 2026-02-11
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $151,662.50 $151,662.50 $151,662.50 2026-02-11
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $150,698.17 $150,698.17 $150,698.17 2026-02-11
850 MS_DRG Acute Leukemia With Other Procedures 5 5 — — $139,790.31 $174,740.05 $147,211.50 2026-02-11
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $145,995.55 $145,995.55 $145,995.55 2026-02-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 5 5 — — $136,083.88 $170,106.95 $143,308.30 2026-02-11
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $135,656.09 $169,572.21 $142,857.80 2026-02-11
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $142,486.66 $142,486.66 $142,486.66 2026-02-11
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $142,486.66 $142,486.66 $142,486.66 2026-02-11
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $142,486.66 $142,486.66 $142,486.66 2026-02-11
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $142,087.01 $142,087.01 $142,087.01 2026-02-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 3 — — $118,684.63 $137,538.08 $137,538.08 2026-02-11
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $135,186.80 $135,186.80 $135,186.80 2026-02-11
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 6 6 — — $134,235.14 $134,235.14 $134,235.14 2026-02-11
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 5 — — $127,026.04 $158,784.52 $133,769.60 2026-02-11
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $132,078.62 $132,078.62 $132,078.62 2026-02-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $132,078.62 $132,078.62 $132,078.62 2026-02-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $132,078.62 $132,078.62 $132,078.62 2026-02-11
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $123,950.80 $154,940.42 $130,531.10 2026-02-11
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 5 — — $123,416.46 $154,272.49 $129,968.40 2026-02-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 5 — — $123,008.05 $153,761.96 $129,538.30 2026-02-11
4404 APR_DRG Kidney Transplant 6 6 — — $128,478.12 $128,478.12 $128,478.12 2026-02-11
10 MS_DRG Pancreas Transplant 6 6 — — $115,837.33 $144,798.45 $126,152.39 2026-02-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 6 6 — — $115,173.85 $143,969.09 $125,429.83 2026-02-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $122,896.01 $122,896.01 $122,896.01 2026-02-11
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $116,529.86 $145,664.13 $122,716.20 2026-02-11
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $122,155.11 $122,155.11 $122,155.11 2026-02-11
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 5 5 — — $115,788.90 $144,737.91 $121,935.90 2026-02-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 5 — — $115,106.05 $143,884.34 $121,216.80 2026-02-11
8634 APR_DRG Neonatal Aftercare 6 6 — — $120,447.63 $120,447.63 $120,447.63 2026-02-11
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $118,092.68 $118,092.68 $118,092.68 2026-02-11
38240 CPT Transplt Allo Hct/donor 1 1 — — $118,062.19 $118,062.19 $118,062.19 2026-02-11
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 5 5 — — $111,577.19 $139,473.21 $117,500.60 2026-02-11
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $111,029.94 $138,789.14 $116,924.30 2026-02-11
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $114,698.20 $114,698.20 $114,698.20 2026-02-11
955 MS_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $108,660.15 $135,826.87 $114,428.70 2026-02-11
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 6 — — $113,894.89 $113,894.89 $113,894.89 2026-02-11
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $113,713.82 $113,713.82 $113,713.82 2026-02-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 5 — — $107,940.17 $134,926.88 $113,670.50 2026-02-11
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 5 — — $107,861.07 $134,828.01 $113,587.20 2026-02-11
J9226 HCPCS Supprelin La Implant 3 3 — — $97,846.87 $113,375.55 $113,375.55 2026-02-11
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $113,262.32 $113,262.32 $113,262.32 2026-02-11
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 6 6 — — $113,049.47 $113,049.47 $113,049.47 2026-02-11
6091 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $112,943.37 $112,943.37 $112,943.37 2026-02-11
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $112,943.37 $112,943.37 $112,943.37 2026-02-11
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 6 6 — — $112,943.37 $112,943.37 $112,943.37 2026-02-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $106,145.07 $132,682.98 $111,780.10 2026-02-11
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 5 — — $106,145.07 $132,682.98 $111,780.10 2026-02-11
63 APR_DRG Pancreas Transplant 6 6 — — $111,535.28 $111,535.28 $111,535.28 2026-02-11
62 APR_DRG Pancreas Transplant 6 6 — — $111,438.53 $111,438.53 $111,438.53 2026-02-11
61 APR_DRG Pancreas Transplant 6 6 — — $111,406.28 $111,406.28 $111,406.28 2026-02-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $105,759.25 $132,200.70 $111,373.80 2026-02-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 5 5 — — $103,875.36 $129,845.81 $109,389.90 2026-02-11
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $104,929.20 $104,929.20 $104,929.20 2026-02-11
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $104,929.20 $104,929.20 $104,929.20 2026-02-11
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $104,413.49 $104,413.49 $104,413.49 2026-02-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 6 6 — — $95,723.15 $119,655.42 $104,247.09 2026-02-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 5 — — $98,930.76 $123,664.98 $104,182.80 2026-02-11
104 APR_DRG Head Trauma With Deep Coma 6 6 — — $104,064.11 $104,064.11 $104,064.11 2026-02-11
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 5 5 — — $98,816.15 $123,521.71 $104,062.10 2026-02-11
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 6 6 — — $103,735.95 $103,735.95 $103,735.95 2026-02-11
232 MS_DRG Coronary Bypass With Ptca Without Mcc 5 5 — — $97,868.55 $122,337.21 $103,064.20 2026-02-11
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $103,060.70 $103,060.70 $103,060.70 2026-02-11
28 MS_DRG Spinal Procedures With Mcc 5 5 — — $96,991.99 $121,241.49 $102,141.10 2026-02-11
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 5 5 — — $96,964.54 $121,207.18 $102,112.20 2026-02-11
0266T CPT Screening Mammography 1 1 — — $102,040.49 $102,040.49 $102,040.49 2026-02-11
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $102,040.49 $102,040.49 $102,040.49 2026-02-11
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 6 6 — — $102,012.23 $102,012.23 $102,012.23 2026-02-11
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $101,883.99 $101,883.99 $101,883.99 2026-02-11
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $96,262.32 $120,329.39 $101,372.70 2026-02-11
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 5 5 — — $95,945.92 $119,933.89 $101,039.50 2026-02-11
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 6 6 — — $99,884.49 $99,884.49 $99,884.49 2026-02-11
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 5 5 — — $94,736.81 $118,422.48 $99,766.20 2026-02-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 5 5 — — $94,675.47 $118,345.80 $99,701.60 2026-02-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 6 6 — — $99,693.80 $99,693.80 $99,693.80 2026-02-11
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $98,946.40 $98,946.40 $98,946.40 2026-02-11
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $98,836.75 $98,836.75 $98,836.75 2026-02-11
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $98,772.25 $98,772.25 $98,772.25 2026-02-11
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 6 6 — — $90,475.06 $113,095.22 $98,531.67 2026-02-11
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 5 5 — — $93,098.30 $116,374.31 $98,040.70 2026-02-11
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $92,504.23 $115,631.72 $97,415.10 2026-02-11
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 5 — — $92,126.49 $115,159.54 $97,017.30 2026-02-11
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 5 5 — — $92,007.03 $115,010.21 $96,891.50 2026-02-11
102 APR_DRG Head Trauma With Deep Coma 6 6 — — $96,681.51 $96,681.51 $96,681.51 2026-02-11
101 APR_DRG Head Trauma With Deep Coma 6 6 — — $96,681.51 $96,681.51 $96,681.51 2026-02-11
103 APR_DRG Head Trauma With Deep Coma 6 6 — — $96,681.51 $96,681.51 $96,681.51 2026-02-11
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $96,251.44 $96,251.44 $96,251.44 2026-02-11
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 5 — — $90,755.95 $113,446.34 $95,574.00 2026-02-11
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 6 6 — — $87,693.62 $109,618.38 $95,502.55 2026-02-11
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $95,258.77 $95,258.77 $95,258.77 2026-02-11
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 6 6 — — $95,180.74 $95,180.74 $95,180.74 2026-02-11
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 2 2 — — $94,635.35 $94,635.35 $94,635.35 2026-02-11
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 5 5 — — $89,855.17 $112,320.35 $94,625.40 2026-02-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 5 — — $89,157.79 $111,448.62 $93,891.00 2026-02-11
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $93,875.49 $93,875.49 $93,875.49 2026-02-11
834 MS_DRG Acute Leukemia With Mcc 5 5 — — $88,623.46 $110,780.69 $93,328.30 2026-02-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 5 5 — — $88,310.28 $110,389.22 $92,998.50 2026-02-11
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 5 5 — — $88,184.37 $110,231.82 $92,865.90 2026-02-11
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 5 5 — — $88,045.54 $110,058.28 $92,719.70 2026-02-11
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 6 6 — — $92,371.35 $92,371.35 $92,371.35 2026-02-11
8633 APR_DRG Neonatal Aftercare 6 6 — — $91,197.16 $91,197.16 $91,197.16 2026-02-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $86,087.39 $107,610.57 $90,657.60 2026-02-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 5 5 — — $86,035.73 $107,546.00 $90,603.20 2026-02-11
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $90,007.60 $90,007.60 $90,007.60 2026-02-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 5 — — $85,457.81 $106,823.59 $89,994.60 2026-02-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 5 — — $85,175.31 $106,470.46 $89,697.10 2026-02-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 5 — — $84,030.77 $105,039.77 $88,491.80 2026-02-11
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $88,346.26 $88,346.26 $88,346.26 2026-02-11
653 MS_DRG Major Bladder Procedures With Mcc 5 5 — — $83,885.49 $104,858.16 $88,338.80 2026-02-11
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 6 6 — — $87,926.76 $87,926.76 $87,926.76 2026-02-11
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $87,849.61 $87,849.61 $87,849.61 2026-02-11
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $87,586.00 $87,586.00 $87,586.00 2026-02-11
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $85,805.80 $85,805.80 $85,805.80 2026-02-11
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 5 — — $81,363.95 $101,706.20 $85,683.40 2026-02-11
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 5 5 — — $80,511.60 $100,640.74 $84,785.80 2026-02-11
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $84,467.97 $84,467.97 $84,467.97 2026-02-11
1204 APR_DRG Major Respiratory & Chest Procedures 6 6 — — $84,377.83 $84,377.83 $84,377.83 2026-02-11
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $84,159.75 $84,159.75 $84,159.75 2026-02-11
228 MS_DRG Other Cardiothoracic Procedures With Mcc 5 5 — — $79,865.88 $99,833.58 $84,105.80 2026-02-11
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 5 5 — — $79,723.82 $99,656.01 $83,956.20 2026-02-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 5 5 — — $79,451.00 $99,314.98 $83,668.90 2026-02-11
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $83,664.76 $83,664.76 $83,664.76 2026-02-11
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 5 5 — — $79,120.07 $98,901.31 $83,320.40 2026-02-11
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 6 6 — — $75,894.70 $94,869.55 $82,652.96 2026-02-11
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $82,254.32 $82,254.32 $82,254.32 2026-02-11
471 MS_DRG Cervical Spinal Fusion With Mcc 5 5 — — $77,949.70 $97,438.34 $82,087.90 2026-02-11
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 6 6 — — $81,860.98 $81,860.98 $81,860.98 2026-02-11
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 5 5 — — $77,555.81 $96,945.97 $81,673.10 2026-02-11
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 6 6 — — $81,657.52 $81,657.52 $81,657.52 2026-02-11
13 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $81,615.55 $81,615.55 $81,615.55 2026-02-11
6 MS_DRG Liver Transplant Without Mcc 6 6 — — $74,855.09 $93,570.02 $81,520.78 2026-02-11
12 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $81,331.75 $81,331.75 $81,331.75 2026-02-11
11 APR_DRG Liver Transplant &/or Intestinal Transplant 6 6 — — $81,312.40 $81,312.40 $81,312.40 2026-02-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $81,088.77 $81,088.77 $81,088.77 2026-02-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 5 — — $76,853.59 $96,068.18 $80,933.60 2026-02-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 6 6 — — $80,850.23 $80,850.23 $80,850.23 2026-02-11
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $80,273.66 $80,273.66 $80,273.66 2026-02-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 5 5 — — $75,739.73 $94,675.83 $79,760.60 2026-02-11
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $79,670.26 $79,670.26 $79,670.26 2026-02-11
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $79,530.72 $79,530.72 $79,530.72 2026-02-11
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 5 5 — — $75,513.73 $94,393.33 $79,522.60 2026-02-11
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $79,163.73 $79,163.73 $79,163.73 2026-02-11
894 APR_DRG Major Cranial/facial Bone Procedures 6 6 — — $79,013.08 $79,013.08 $79,013.08 2026-02-11
4414 APR_DRG Major Bladder Procedures 6 6 — — $78,766.45 $78,766.45 $78,766.45 2026-02-11
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 5 5 — — $74,556.45 $93,196.71 $78,514.50 2026-02-11
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 5 5 — — $74,201.30 $92,752.77 $78,140.50 2026-02-11
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 5 5 — — $74,012.43 $92,516.68 $77,941.60 2026-02-11
245 MS_DRG Aicd Generator Procedures 5 5 — — $73,650.82 $92,064.67 $77,560.80 2026-02-11
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 5 5 — — $73,429.66 $91,788.22 $77,327.90 2026-02-11
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 5 5 — — $73,397.38 $91,747.86 $77,293.90 2026-02-11
799 MS_DRG Splenic Procedures With Mcc 5 5 — — $73,110.03 $91,388.67 $76,991.30 2026-02-11
6904 APR_DRG Acute Leukemia 6 6 — — $76,802.25 $76,802.25 $76,802.25 2026-02-11
163 MS_DRG Major Chest Procedures With Mcc 5 5 — — $72,349.70 $90,438.24 $76,190.60 2026-02-11
31 MS_DRG Ventricular Shunt Procedures With Mcc 5 5 — — $72,328.71 $90,412.01 $76,168.50 2026-02-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 5 5 — — $72,044.59 $90,056.86 $75,869.30 2026-02-11
4403 APR_DRG Kidney Transplant 6 6 — — $75,658.81 $75,658.81 $75,658.81 2026-02-11
1814 APR_DRG Lower Extremity Arterial Procedures 6 6 — — $75,492.65 $75,492.65 $75,492.65 2026-02-11
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $75,262.63 $75,262.63 $75,262.63 2026-02-11
214 APR_DRG Craniotomy Except For Trauma 6 6 — — $74,838.03 $74,838.03 $74,838.03 2026-02-11
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 5 5 — — $70,912.97 $88,642.31 $74,677.60 2026-02-11
1324 APR_DRG Bpd & Oth Chronic Respiratory Diseases Arising In Perinatal Period 6 6 — — $74,341.73 $74,341.73 $74,341.73 2026-02-11
6903 APR_DRG Acute Leukemia 6 6 — — $74,232.03 $74,232.03 $74,232.03 2026-02-11
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 6 6 — — $73,979.36 $73,979.36 $73,979.36 2026-02-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 5 — — $69,857.22 $87,322.60 $73,565.80 2026-02-11
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 6 6 — — $73,494.34 $73,494.34 $73,494.34 2026-02-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 5 5 — — $69,300.28 $86,626.43 $72,979.30 2026-02-11
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 6 6 — — $72,900.50 $72,900.50 $72,900.50 2026-02-11
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $72,526.95 $72,526.95 $72,526.95 2026-02-11
140 MS_DRG Major Head And Neck Procedures With Mcc 5 5 — — $68,854.74 $86,069.49 $72,510.10 2026-02-11
69930 CPT Pr Cochlear Device Implantation W/wo Mastoidectomy 1 1 — — $72,451.13 $72,451.13 $72,451.13 2026-02-11
6112 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 6 6 — — $72,122.16 $72,122.16 $72,122.16 2026-02-11
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 5 — — $68,459.23 $85,575.10 $72,093.60 2026-02-11
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $71,945.22 $71,945.22 $71,945.22 2026-02-11
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 5 5 — — $68,175.12 $85,219.95 $71,794.40 2026-02-11
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 5 — — $68,058.89 $85,074.66 $71,672.00 2026-02-11
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 5 5 — — $68,024.99 $85,032.29 $71,636.30 2026-02-11
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 5 5 — — $67,826.43 $84,784.09 $71,427.20 2026-02-11
901 MS_DRG Wound Debridements For Injuries With Mcc 5 5 — — $67,745.71 $84,683.19 $71,342.20 2026-02-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 5 5 — — $67,619.80 $84,525.80 $71,209.60 2026-02-11
0571T CPT Pr Insj/rplcmt Icds W/substernal Electrode 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
0408T CPT Insj/rplc Cardiac Modulj Sys 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33249 CPT Pr Insj/rplcmt Perm Dfb W/trnsvns Lds 1/dual Chmbr 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33264 CPT Pr Rmvl Impltbl Dfb Pls Gen W/rplcmt Pls Gen Mlt Ld 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 1 1 — — $71,078.30 $71,078.30 $71,078.30 2026-02-11
1214 APR_DRG Other Respiratory & Chest Procedures 6 6 — — $70,983.15 $70,983.15 $70,983.15 2026-02-11
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 5 — — $67,358.28 $84,198.90 $70,934.20 2026-02-11
793 MS_DRG Full Term Neonate With Major Problems 5 5 — — $67,309.85 $84,138.36 $70,883.20 2026-02-11
L5856 HCPCS Elec Knee-shin Swing/stance 2 2 — — $70,752.40 $70,752.40 $70,752.40 2026-02-11
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 5 — — $67,041.88 $83,803.39 $70,601.00 2026-02-11
L6880 HCPCS Elec Hand Ind Art Digits 2 2 — — $70,418.30 $70,418.30 $70,418.30 2026-02-11
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 6 6 — — $70,247.03 $70,247.03 $70,247.03 2026-02-11
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 5 5 — — $66,597.95 $83,248.46 $70,133.50 2026-02-11
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $69,848.26 $69,848.26 $69,848.26 2026-02-11
82 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $69,745.06 $69,745.06 $69,745.06 2026-02-11
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 6 — — $69,646.51 $69,646.51 $69,646.51 2026-02-11
81 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $69,628.96 $69,628.96 $69,628.96 2026-02-11
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 6 6 — — $69,102.33 $69,102.33 $69,102.33 2026-02-11
791 MS_DRG Prematurity With Major Problems 5 5 — — $65,524.44 $81,906.56 $69,003.00 2026-02-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $64,902.93 $81,129.67 $68,348.50 2026-02-11
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 5 5 — — $64,315.33 $80,395.15 $67,729.70 2026-02-11
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $67,714.76 $67,714.76 $67,714.76 2026-02-11
J9266 HCPCS Pegaspargase Injection 3 3 — — $58,435.87 $67,676.33 $67,676.33 2026-02-11
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $67,447.89 $67,447.89 $67,447.89 2026-02-11
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 — — $67,161.21 $67,161.21 $67,161.21 2026-02-11
61886 CPT Implant Neurostim Arrays 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
64568 CPT Pr Open Implantation Cranial Nerve Nea & Pulse Gen 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
64582 CPT Pr Open Impltj Hpglsl Nrv Nstim Ra Pg&respir Sensor 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
63685 CPT Pr Insj/rplcmt Spi Npgr Dir/induxive Coupling 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
0268T CPT All Other Codes 1 1 — — $67,088.14 $67,088.14 $67,088.14 2026-02-11
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 6 6 — — $66,929.40 $66,929.40 $66,929.40 2026-02-11
1763 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 6 6 — — $66,768.15 $66,768.15 $66,768.15 2026-02-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 5 — — $63,149.80 $78,938.23 $66,502.30 2026-02-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 5 5 — — $62,864.07 $78,581.06 $66,201.40 2026-02-11
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
5894 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 6 6 — — $66,187.61 $66,187.61 $66,187.61 2026-02-11
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 6 6 — — $66,105.30 $66,105.30 $66,105.30 2026-02-11
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $65,889.68 $65,889.68 $65,889.68 2026-02-11
234 APR_DRG Spinal Procedures 6 6 — — $65,807.40 $65,807.40 $65,807.40 2026-02-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 5 — — $62,484.71 $78,106.86 $65,801.90 2026-02-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 5 5 — — $62,391.08 $77,989.82 $65,703.30 2026-02-11
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 — — $62,331.35 $77,915.15 $65,640.40 2026-02-11
4402 APR_DRG Kidney Transplant 6 6 — — $65,530.30 $65,530.30 $65,530.30 2026-02-11
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 6 6 — — $65,374.54 $65,374.54 $65,374.54 2026-02-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 5 5 — — $61,977.82 $77,473.23 $65,268.10 2026-02-11
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 6 6 — — $59,822.73 $74,779.34 $65,149.82 2026-02-11
1754 APR_DRG Percutaneous Coronary Intervention Without Ami 6 6 — — $64,568.55 $64,568.55 $64,568.55 2026-02-11
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 5 5 — — $60,746.11 $75,933.58 $63,971.00 2026-02-11
4401 APR_DRG Kidney Transplant 6 6 — — $63,958.87 $63,958.87 $63,958.87 2026-02-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 5 5 — — $60,481.36 $75,602.64 $63,692.20 2026-02-11
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 5 5 — — $60,337.69 $75,423.05 $63,540.90 2026-02-11
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 5 — — $60,331.23 $75,414.98 $63,534.10 2026-02-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 5 5 — — $60,161.73 $75,203.10 $63,355.60 2026-02-11
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 6 6 — — $63,334.64 $63,334.64 $63,334.64 2026-02-11
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 6 6 — — $63,219.93 $63,219.93 $63,219.93 2026-02-11
914 APR_DRG Other Major Head & Neck Procedures 6 6 — — $63,072.51 $63,072.51 $63,072.51 2026-02-11
33289 CPT Pr Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 1 1 — — $62,793.83 $62,793.83 $62,793.83 2026-02-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 5 5 — — $59,294.85 $74,119.48 $62,442.70 2026-02-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 5 5 — — $59,270.64 $74,089.22 $62,417.20 2026-02-11
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 1 1 — — $62,358.52 $62,358.52 $62,358.52 2026-02-11
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $62,358.52 $62,358.52 $62,358.52 2026-02-11
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 6 — — $62,156.27 $62,156.27 $62,156.27 2026-02-11
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 5 5 — — $58,574.88 $73,219.50 $61,684.50 2026-02-11
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 5 — — $58,529.68 $73,163.00 $61,636.90 2026-02-11
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 6 6 — — $61,633.82 $61,633.82 $61,633.82 2026-02-11
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $61,631.76 $61,631.76 $61,631.76 2026-02-11
4034 APR_DRG Procedures For Obesity 6 6 — — $61,577.27 $61,577.27 $61,577.27 2026-02-11
332 MS_DRG Rectal Resection With Mcc 5 5 — — $58,448.96 $73,062.11 $61,551.90 2026-02-11
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 6 6 — — $61,518.92 $61,518.92 $61,518.92 2026-02-11
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