Hospital

GIBSON GENERAL HOSPITAL

Princeton, IN · CCN 151319 · Rates published

13,045 distinct procedures filed

46 distinct payers

705,399 rate rows

2026-02-11 last MRF observed

Data quality

252,707 of 705,399 rate rows are consumer-grade (35.8%)

452,692 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
professional (physician) fee — not the facility price	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

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 via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-19
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 $754,974 1.5× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	1	$1,136,549.92	$1,136,549.92	$1,136,549.92	nat. median $675,122 1.7× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$1,135,394.66	$1,135,394.66	$1,135,394.66	nat. median $625,184 1.8× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$1,114,133.22	$1,114,133.22	$1,114,133.22	nat. median $674,188 1.7× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	1	$1,055,338.86	$1,055,338.86	$1,055,338.86	nat. median $634,511 1.7× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$992,975.35	$992,975.35	$992,975.35	nat. median $620,080 1.6× 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 $370,174 outlier · 2.1×
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 $265,286 1.9× median
5884 APR_DRG	Neonate Bwt <1500g W Major Procedure	6	$389,138.18	$389,138.18	$389,138.18	nat. median $246,434 1.6× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	5	$344,661.12	$430,831.74	$362,958.50	nat. median $206,368 1.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	5	$342,638.40	$428,303.31	$360,828.40	nat. median $202,986 1.8× median
24 APR_DRG	Heart &/or Lung Transplant	6	$347,823.88	$347,823.88	$347,823.88	nat. median $234,738 1.5× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	6	$335,581.31	$335,581.31	$335,581.31	nat. median $207,730 1.6× median
14 APR_DRG	Liver Transplant &/or Intestinal Transplant	6	$253,450.94	$253,450.94	$253,450.94	nat. median $129,535 2.0× median
Q0480 HCPCS	Driver Pneumatic Vad, Rep	2	$249,999.88	$249,999.88	$249,999.88	nat. median $111,989 outlier · 2.2×
74 APR_DRG	Allogeneic Bone Marrow Transplant	6	$235,802.91	$235,802.91	$235,802.91	nat. median $187,294 1.3× median
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And…	5	$223,603.15	$279,507.40	$235,473.80	nat. median $133,176 1.8× median
44 APR_DRG	Tracheostomy W Mv 96+ Hours W Extensive Procedure	6	$231,442.75	$231,442.75	$231,442.75	nat. median $105,658 outlier · 2.2×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	$228,301.66	$228,301.66	$228,301.66	nat. median $164,834 1.4× median
7 MS_DRG	Lung Transplant	6	$209,055.08	$261,322.09	$227,670.99	nat. median $122,708 1.9× median
5914 APR_DRG	Neonate Birthwt 500-749g Without Major Procedure	6	$225,770.39	$225,770.39	$225,770.39	nat. median $164,279 1.4× median
6094 APR_DRG	Neonate Bwt 1500-2499g W Major Procedure	6	$214,457.72	$214,457.72	$214,457.72	nat. median $162,982 1.3× median
14 MS_DRG	Allogeneic Bone Marrow Transplant	6	$194,004.96	$242,509.20	$211,280.69	nat. median $117,303 1.8× median
5934 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	6	$202,944.19	$202,944.19	$202,944.19	nat. median $151,838 1.3× median
23 APR_DRG	Heart &/or Lung Transplant	6	$200,848.75	$200,848.75	$200,848.75	nat. median $93,528 outlier · 2.1×
22 APR_DRG	Heart &/or Lung Transplant	6	$200,365.00	$200,365.00	$200,365.00	nat. median $78,029 outlier · 2.6×
21 APR_DRG	Heart &/or Lung Transplant	6	$200,197.30	$200,197.30	$200,197.30	nat. median $65,130 outlier · 3.1×
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 $108,660 1.8× median
209 MS_DRG	Complex Aortic Arch Procedures	5	$182,719.39	$228,402.07	$192,419.60	nat. median $98,017 2.0× median
5834 APR_DRG	Neonate W Ecmo	6	$191,228.56	$191,228.56	$191,228.56	nat. median $309,665 0.6× median
5833 APR_DRG	Neonate W Ecmo	6	$191,228.56	$191,228.56	$191,228.56	nat. median $244,017 0.8× median
5832 APR_DRG	Neonate W Ecmo	6	$191,228.56	$191,228.56	$191,228.56	nat. median $156,126 1.2× median
5831 APR_DRG	Neonate W Ecmo	6	$189,687.01	$189,687.01	$189,687.01	nat. median $145,122 1.3× 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 $98,905 1.9× median
212 MS_DRG	Concomitant Aortic And Mitral Valve Procedures	5	$175,540.60	$219,428.46	$184,859.70	nat. median $102,358 1.8× median
6314 APR_DRG	Neonate Birthwt >2499g W Other Major Procedure	6	$182,838.79	$182,838.79	$182,838.79	nat. median $122,924 1.5× median
5 MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	6	$166,442.40	$208,055.58	$181,263.74	nat. median $100,136 1.8× median
6304 APR_DRG	Neonate Birthwt >2499g W Major Cardiovascular Procedure	6	$180,341.24	$180,341.24	$180,341.24	nat. median $150,721 1.2× median
5883 APR_DRG	Neonate Bwt <1500g W Major Procedure	6	$171,934.93	$171,934.93	$171,934.93	nat. median $182,736 0.9× median
5881 APR_DRG	Neonate Bwt <1500g W Major Procedure	6	$171,212.53	$171,212.53	$171,212.53	nat. median $124,573 1.4× median
5882 APR_DRG	Neonate Bwt <1500g W Major Procedure	6	$171,212.53	$171,212.53	$171,212.53	nat. median $145,336 1.2× median
215 MS_DRG	Other Heart Assist System Implant	5	$160,735.85	$200,922.30	$169,269.00	nat. median $99,019 1.7× median
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 $93,672 1.8× median
6114 APR_DRG	Neonate Birthwt 1500-1999g W Major Anomaly	6	$163,952.41	$163,952.41	$163,952.41	nat. median $72,694 outlier · 2.3×
64 APR_DRG	Pancreas Transplant	6	$162,404.48	$162,404.48	$162,404.48	nat. median $91,748 1.8× median
5933 APR_DRG	Neonate Birthwt 750-999g Without Major Procedure	6	$161,361.62	$161,361.62	$161,361.62	nat. median $108,996 1.5× median
J9029 HCPCS	Instill Adstiladrin, Tx Dose	3	$136,593.12	$158,386.93	$158,386.93	nat. median $69,774 outlier · 2.3×
A9543 HCPCS	Pr Y90 Ibritumomab, Rx	3	$141,743.71	$154,425.90	$154,425.90	nat. median $62,507 outlier · 2.5×
429 MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	5	$145,441.97	$181,804.72	$153,163.20	nat. median $82,712 1.9× median
J7330 HCPCS	Cultured Chondrocytes Implnt	2	$151,662.50	$151,662.50	$151,662.50	nat. median $76,377 2.0× median

Other procedures at this hospital

Browse this hospital's 13,045 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

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 >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 >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 >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 >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 >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 >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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