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

UNITYPOINT HEALTH - DES MOINES IOWA METHODIST MEDI

Des Moines, IA · CCN 160082 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $13,510 across 7 payers · range $12,397-$33,044

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/7946/420680452-1396837951_central-iowa-hospital-corporation_standardcharges.csv · observed 2026-01-28

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.

14,465 distinct procedures filed
13 distinct payers
527,932 rate rows
2026-01-28 last MRF observed
Data quality

237,743 of 527,932 rate rows are consumer-grade (45.0%)

290,189 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 289,365
placeholder amount (≤ $0.02) — excluded from medians 510
per-diem day rate — not a per-procedure price 117
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 111
exceeds 10× this hospital's gross charge — excluded from medians 50
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7946/420680452-1396837951_central-iowa-hospital-corporation_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UnityPointHealth-IowaMethodistMedicalCenter/7946
Discovered viaCMS hospital list
Last fetch success · 2026-08-03
Content fingerprint c5c05a61a6b920ae… · 241,222,108 bytes · first seen 2026-05-09

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 4 $4,465,050.00 $4,596,375.00 $4,530,712.50 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $3,500,000.00 $3,895,500.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,500,000.00 $3,869,530.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,200,000.00 $3,490,800.50 $3,322,473.30 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,100,000.00 $3,424,422.75 $3,286,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,800,000.00 $3,098,221.00 $2,948,213.33 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $2,391,705.69 $4,846,262.46 $2,501,157.91 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,200,000.00 $4,664,000.00 $2,378,640.00 nat. median
$2,405,851
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $727,000.00 $1,541,240.00 $786,032.40 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $578,771.12 $1,157,542.25 $598,565.94 nat. median
$691,418
0.9× median
5834
APR_DRG 		Neonate With Ecmo 2 $592,773.96 $652,007.09 $592,773.96 nat. median
$311,018
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 4 $553,169.30 $1,106,338.60 $572,747.09 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $516,442.28 $1,032,884.57 $560,592.91 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $527,622.46 $1,055,244.92 $560,204.56 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $502,840.73 $1,005,681.46 $551,734.16 nat. median
$588,565
0.9× median
5833
APR_DRG 		Neonate With Ecmo 2 $516,230.03 $567,814.48 $516,230.03 nat. median
$250,089
outlier · 2.1×
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $489,399.16 $978,798.31 $506,860.20 nat. median
$577,541
0.9× median
5894
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $488,876.93 $537,728.12 $488,876.93 nat. median
$4,576
outlier · 106.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $476,231.42 $523,818.99 $476,231.42 nat. median
$254,667
1.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $474,182.75 $521,565.61 $474,182.75 nat. median
$209,486
outlier · 2.3×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $444,432.85 $488,842.94 $444,432.85 nat. median
$71,350
outlier · 6.2×
C9301
HCPCS 		Status Indicators (SIs) G & K Codes 2 $278,250.00 $556,500.00 $417,375.00 nat. median
$459,112
0.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $404,029.86 $444,402.67 $404,029.86 nat. median
$89,188
outlier · 4.5×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $356,033.41 $391,610.16 $356,033.41 nat. median
$168,361
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $348,860.38 $383,720.37 $348,860.38 nat. median
$127,938
outlier · 2.7×
5832
APR_DRG 		Neonate With Ecmo 2 $323,946.95 $356,317.45 $323,946.95 nat. median
$169,230
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $319,379.62 $351,293.73 $319,379.62 nat. median
$168,174
1.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $299,550.37 $329,483.03 $299,550.37 nat. median
$156,285
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $298,243.50 $328,045.58 $298,243.50 nat. median
$165,599
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $281,567.10 $497,122.45 $294,538.48 nat. median
$370,165
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 4 $275,782.50 $283,893.75 $279,838.12 nat. median
$302,242
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $269,227.37 $296,130.00 $269,227.37 nat. median
$180,995
1.5× median
5831
APR_DRG 		Neonate With Ecmo 2 $262,336.88 $288,550.98 $262,336.88 nat. median
$154,685
1.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $262,299.39 $288,509.74 $262,299.39 nat. median
$96,420
outlier · 2.7×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $262,067.74 $288,254.94 $262,067.74 nat. median
$147,847
1.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $260,739.45 $286,793.93 $260,739.45 nat. median
$165,646
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $255,771.76 $281,329.84 $255,771.76 nat. median
$175,480
1.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $247,961.38 $272,739.00 $247,961.38 nat. median
$137,901
1.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $247,818.10 $272,581.41 $247,818.10 nat. median
$93,192
outlier · 2.7×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $245,511.01 $270,043.77 $245,511.01 nat. median
$123,690
2.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $239,339.56 $263,255.64 $239,339.56 nat. median
$127,600
1.9× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $237,253.39 $260,961.01 $237,253.39 nat. median
$112,711
outlier · 2.1×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $235,709.53 $259,262.88 $235,709.53 nat. median
$82,164
outlier · 2.9×
24
APR_DRG 		Heart And/or Lung Transplant 2 $231,304.22 $254,417.36 $231,304.22 nat. median
$243,231
1.0× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $223,302.35 $245,615.91 $223,302.35 nat. median
$99,613
outlier · 2.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $210,485.85 $371,702.45 $219,995.55 nat. median
$261,939
0.8× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $218,032.05 $239,818.97 $218,032.05 nat. median
$109,499
2.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $215,502.68 $237,036.85 $215,502.68 nat. median
$108,751
2.0× median
4404
APR_DRG 		Kidney Transplant 2 $209,162.51 $230,063.14 $209,162.51 nat. median
$80,513
outlier · 2.6×
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $204,719.71 $225,176.39 $204,719.71 nat. median
$83,517
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 14,465 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 4 4 — — $4,465,050.00 $4,596,375.00 $4,530,712.50 2026-01-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 9 6 — — $3,500,000.00 $3,895,500.00 $3,710,000.00 2026-01-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 6 — — $3,500,000.00 $3,869,530.00 $3,685,266.67 2026-01-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 6 — — $3,200,000.00 $3,490,800.50 $3,322,473.30 2026-01-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 6 — — $3,100,000.00 $3,424,422.75 $3,286,000.00 2026-01-28
J3393 HCPCS Inj, Betibeglogene Autotemce 9 6 — — $2,800,000.00 $3,098,221.00 $2,948,213.33 2026-01-28
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 6 — — $2,391,705.69 $4,846,262.46 $2,501,157.91 2026-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 11 6 — — $2,200,000.00 $4,664,000.00 $2,378,640.00 2026-01-28
Q2057 HCPCS Afamitresgene Autoleucel 11 6 — — $727,000.00 $1,541,240.00 $786,032.40 2026-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 4 — — $578,771.12 $1,157,542.25 $598,565.94 2026-01-28
5834 APR_DRG Neonate With Ecmo 3 2 — — $592,773.96 $652,007.09 $592,773.96 2026-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 8 4 — — $553,169.30 $1,106,338.60 $572,747.09 2026-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 4 — — $516,442.28 $1,032,884.57 $560,592.91 2026-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 8 4 — — $527,622.46 $1,055,244.92 $560,204.56 2026-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 4 — — $502,840.73 $1,005,681.46 $551,734.16 2026-01-28
5833 APR_DRG Neonate With Ecmo 3 2 — — $516,230.03 $567,814.48 $516,230.03 2026-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 8 4 — — $489,399.16 $978,798.31 $506,860.20 2026-01-28
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $488,876.93 $537,728.12 $488,876.93 2026-01-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $476,231.42 $523,818.99 $476,231.42 2026-01-28
1614 APR_DRG Implantable Heart Assist Systems 3 2 — — $474,182.75 $521,565.61 $474,182.75 2026-01-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $444,432.85 $488,842.94 $444,432.85 2026-01-28
C9301 HCPCS Status Indicators (SIs) G & K Codes 4 2 — — $278,250.00 $556,500.00 $417,375.00 2026-01-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $404,029.86 $444,402.67 $404,029.86 2026-01-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $356,033.41 $391,610.16 $356,033.41 2026-01-28
1613 APR_DRG Implantable Heart Assist Systems 3 2 — — $348,860.38 $383,720.37 $348,860.38 2026-01-28
5832 APR_DRG Neonate With Ecmo 3 2 — — $323,946.95 $356,317.45 $323,946.95 2026-01-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $319,379.62 $351,293.73 $319,379.62 2026-01-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $299,550.37 $329,483.03 $299,550.37 2026-01-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $298,243.50 $328,045.58 $298,243.50 2026-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 11 — — $281,567.10 $497,122.45 $294,538.48 2026-01-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 4 4 — — $275,782.50 $283,893.75 $279,838.12 2026-01-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $269,227.37 $296,130.00 $269,227.37 2026-01-28
5831 APR_DRG Neonate With Ecmo 3 2 — — $262,336.88 $288,550.98 $262,336.88 2026-01-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $262,299.39 $288,509.74 $262,299.39 2026-01-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $262,067.74 $288,254.94 $262,067.74 2026-01-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $260,739.45 $286,793.93 $260,739.45 2026-01-28
74 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $255,771.76 $281,329.84 $255,771.76 2026-01-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $247,961.38 $272,739.00 $247,961.38 2026-01-28
1612 APR_DRG Implantable Heart Assist Systems 3 2 — — $247,818.10 $272,581.41 $247,818.10 2026-01-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $245,511.01 $270,043.77 $245,511.01 2026-01-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $239,339.56 $263,255.64 $239,339.56 2026-01-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $237,253.39 $260,961.01 $237,253.39 2026-01-28
1611 APR_DRG Implantable Heart Assist Systems 3 2 — — $235,709.53 $259,262.88 $235,709.53 2026-01-28
24 APR_DRG Heart And/or Lung Transplant 3 2 — — $231,304.22 $254,417.36 $231,304.22 2026-01-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $223,302.35 $245,615.91 $223,302.35 2026-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 11 — — $210,485.85 $371,702.45 $219,995.55 2026-01-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $218,032.05 $239,818.97 $218,032.05 2026-01-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $215,502.68 $237,036.85 $215,502.68 2026-01-28
4404 APR_DRG Kidney Transplant 3 2 — — $209,162.51 $230,063.14 $209,162.51 2026-01-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $204,719.71 $225,176.39 $204,719.71 2026-01-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $193,435.96 $212,765.11 $193,435.96 2026-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 15 11 — — $177,378.67 $313,286.10 $185,276.02 2026-01-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $183,591.63 $201,937.08 $183,591.63 2026-01-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $182,881.96 $201,156.50 $182,881.96 2026-01-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $176,359.69 $193,982.49 $176,359.69 2026-01-28
64 APR_DRG Pancreas Transplant 3 2 — — $171,579.46 $188,724.59 $171,579.46 2026-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 15 11 — — $160,315.29 $283,178.47 $167,381.65 2026-01-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $161,223.63 $177,333.96 $161,223.63 2026-01-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $159,964.97 $175,949.52 $159,964.97 2026-01-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $159,531.14 $175,472.34 $159,531.14 2026-01-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $157,154.41 $172,858.12 $157,154.41 2026-01-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $153,539.11 $168,881.56 $153,539.11 2026-01-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $153,434.67 $168,766.68 $153,434.67 2026-01-28
1784 APR_DRG External Heart Assist Systems 3 2 — — $148,011.72 $162,801.84 $148,011.72 2026-01-28
23 APR_DRG Heart And/or Lung Transplant 3 2 — — $146,394.21 $161,022.70 $146,394.21 2026-01-28
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $145,028.43 $159,520.44 $145,028.43 2026-01-28
8514 APR_DRG Gender Related Procedures 3 2 — — $140,744.97 $154,808.95 $140,744.97 2026-01-28
73 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $138,255.77 $152,071.02 $138,255.77 2026-01-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 2 — — $138,176.77 $151,984.12 $138,176.77 2026-01-28
63 APR_DRG Pancreas Transplant 3 2 — — $135,837.53 $149,411.14 $135,837.53 2026-01-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $134,640.47 $148,094.46 $134,640.47 2026-01-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $133,835.73 $147,209.31 $133,835.73 2026-01-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $132,206.17 $145,416.91 $132,206.17 2026-01-28
4403 APR_DRG Kidney Transplant 3 2 — — $130,701.13 $143,761.48 $130,701.13 2026-01-28
8634 APR_DRG Neonatal Aftercare 3 2 — — $129,832.12 $142,805.63 $129,832.12 2026-01-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $127,225.09 $139,938.09 $127,225.09 2026-01-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $125,533.93 $138,077.95 $125,533.93 2026-01-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $124,884.51 $137,363.64 $124,884.51 2026-01-28
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $124,153.42 $136,559.49 $124,153.42 2026-01-28
6904 APR_DRG Acute Leukemia 3 2 — — $123,775.82 $136,144.16 $123,775.82 2026-01-28
204 APR_DRG Open Craniotomy For Trauma 3 2 — — $123,198.71 $135,509.38 $123,198.71 2026-01-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $122,881.37 $135,160.33 $122,881.37 2026-01-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 2 — — $122,079.31 $134,278.12 $122,079.31 2026-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 5 — — $110,356.86 $199,999.88 $119,999.99 2026-01-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $119,204.48 $131,116.02 $119,204.48 2026-01-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $119,033.08 $130,927.50 $119,033.08 2026-01-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $119,010.32 $130,902.46 $119,010.32 2026-01-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $117,712.83 $129,475.32 $117,712.83 2026-01-28
234 APR_DRG Spinal Procedures 3 2 — — $117,260.25 $128,977.51 $117,260.25 2026-01-28
4402 APR_DRG Kidney Transplant 3 2 — — $115,702.99 $127,264.65 $115,702.99 2026-01-28
72 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $115,488.75 $127,029.00 $115,488.75 2026-01-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 2 — — $114,894.23 $126,375.08 $114,894.23 2026-01-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $114,722.84 $126,186.56 $114,722.84 2026-01-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $114,503.25 $125,945.02 $114,503.25 2026-01-28
2244 APR_DRG Peritoneal Adhesiolysis 3 2 — — $112,091.71 $123,292.51 $112,091.71 2026-01-28
62 APR_DRG Pancreas Transplant 3 2 — — $111,580.21 $122,729.90 $111,580.21 2026-01-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $111,360.61 $122,488.36 $111,360.61 2026-01-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 2 — — $110,680.40 $121,740.18 $110,680.40 2026-01-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 15 11 — — $105,937.72 $187,231.38 $110,355.87 2026-01-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $110,171.58 $121,180.51 $110,171.58 2026-01-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $109,409.69 $120,342.49 $109,409.69 2026-01-28
214 APR_DRG Open Craniotomy Except Trauma 3 2 — — $108,358.58 $119,186.34 $108,358.58 2026-01-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $108,258.15 $119,075.88 $108,258.15 2026-01-28
914 APR_DRG Other Major Head And Neck Procedures 3 2 — — $106,987.44 $117,678.19 $106,987.44 2026-01-28
4414 APR_DRG Major Bladder Procedures 3 2 — — $105,747.53 $116,314.38 $105,747.53 2026-01-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $105,519.90 $116,064.00 $105,519.90 2026-01-28
22 APR_DRG Heart And/or Lung Transplant 3 2 — — $105,363.23 $115,891.69 $105,363.23 2026-01-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $105,281.55 $115,801.85 $105,281.55 2026-01-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 2 — — $104,917.35 $115,401.24 $104,917.35 2026-01-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $103,638.60 $113,994.72 $103,638.60 2026-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 15 11 — — $98,280.35 $173,720.27 $102,325.58 2026-01-28
7 MS_DRG Lung Transplant 15 11 — — $98,034.58 $173,286.65 $102,067.85 2026-01-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $101,236.43 $111,352.52 $101,236.43 2026-01-28
1824 APR_DRG Other Peripheral Vascular And Related Procedures 3 2 — — $101,095.84 $111,197.87 $101,095.84 2026-01-28
1783 APR_DRG External Heart Assist Systems 3 2 — — $100,878.92 $110,959.28 $100,878.92 2026-01-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $100,742.34 $110,809.05 $100,742.34 2026-01-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 2 — — $99,810.40 $109,783.98 $99,810.40 2026-01-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $98,668.23 $108,527.69 $98,668.23 2026-01-28
1694 APR_DRG Major Abdominal Vascular Procedures 3 2 — — $97,373.42 $107,103.49 $97,373.42 2026-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 5 — — $68,801.71 $160,979.82 $97,131.83 2026-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $95,081.03 $97,877.54 $96,479.29 2026-01-28
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 3 2 — — $95,828.21 $105,403.88 $95,828.21 2026-01-28
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $95,324.75 $104,850.10 $95,324.75 2026-01-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $94,779.78 $104,250.68 $94,779.78 2026-01-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 2 — — $94,394.14 $103,826.51 $94,394.14 2026-01-28
61 APR_DRG Pancreas Transplant 3 2 — — $92,690.94 $101,953.11 $92,690.94 2026-01-28
1794 APR_DRG Defibrillator Implants 3 2 — — $92,511.51 $101,755.75 $92,511.51 2026-01-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $91,698.74 $100,861.76 $91,698.74 2026-01-28
71 APR_DRG Allogeneic Bone Marrow Transplant 3 2 — — $91,082.80 $100,184.27 $91,082.80 2026-01-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 2 — — $90,859.18 $99,938.32 $90,859.18 2026-01-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $90,489.62 $99,531.82 $90,489.62 2026-01-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $90,284.75 $99,306.49 $90,284.75 2026-01-28
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $89,917.87 $98,902.94 $89,917.87 2026-01-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 2 — — $89,300.59 $98,223.98 $89,300.59 2026-01-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $89,039.48 $97,936.78 $89,039.48 2026-01-28
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $88,886.84 $97,768.88 $88,886.84 2026-01-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 2 — — $88,882.82 $97,764.46 $88,882.82 2026-01-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $88,877.46 $97,758.57 $88,877.46 2026-01-28
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 3 2 — — $88,805.16 $97,679.04 $88,805.16 2026-01-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $87,950.88 $96,739.40 $87,950.88 2026-01-28
1782 APR_DRG External Heart Assist Systems 3 2 — — $87,918.74 $96,704.05 $87,918.74 2026-01-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 2 — — $87,776.81 $96,547.93 $87,776.81 2026-01-28
1814 APR_DRG Lower Extremity Arterial Procedures 3 2 — — $87,571.94 $96,322.59 $87,571.94 2026-01-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $87,053.75 $95,752.62 $87,053.75 2026-01-28
21 APR_DRG Heart And/or Lung Transplant 3 2 — — $86,619.91 $95,275.43 $86,619.91 2026-01-28
3094 APR_DRG Other Significant Hip And Femur Surgery 3 2 — — $86,361.48 $94,991.18 $86,361.48 2026-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 11 — — $82,774.21 $146,360.31 $86,064.30 2026-01-28
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 3 2 — — $85,479.08 $94,020.61 $85,479.08 2026-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 11 — — $81,837.34 $144,707.24 $85,081.79 2026-01-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $84,517.68 $92,963.14 $84,517.68 2026-01-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $84,369.05 $92,799.66 $84,369.05 2026-01-28
9103 APR_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $84,138.74 $92,546.33 $84,138.74 2026-01-28
294 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $84,138.74 $92,546.33 $84,138.74 2026-01-28
2614 APR_DRG Major Biliary Tract Procedures 3 2 — — $84,101.25 $92,505.10 $84,101.25 2026-01-28
274 APR_DRG Other Open Craniotomy 3 2 — — $83,857.55 $92,237.05 $83,857.55 2026-01-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $83,442.46 $91,780.48 $83,442.46 2026-01-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $83,328.65 $91,655.29 $83,328.65 2026-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 11 — — $80,016.47 $141,494.38 $83,172.24 2026-01-28
1214 APR_DRG Other Respiratory And Chest Procedures 3 2 — — $83,035.41 $91,332.75 $83,035.41 2026-01-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 2 — — $82,802.42 $91,076.48 $82,802.42 2026-01-28
215 MS_DRG Other Heart Assist System Implant 15 11 — — $79,609.83 $140,776.88 $82,745.81 2026-01-28
1781 APR_DRG External Heart Assist Systems 3 2 — — $82,731.45 $90,998.42 $82,731.45 2026-01-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $82,715.39 $90,980.75 $82,715.39 2026-01-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $82,661.83 $90,921.84 $82,661.83 2026-01-28
1204 APR_DRG Major Respiratory And Chest Procedures 3 2 — — $82,399.38 $90,633.17 $82,399.38 2026-01-28
4014 APR_DRG Adrenal Procedures 3 2 — — $81,831.65 $90,008.70 $81,831.65 2026-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $78,720.62 $139,207.93 $81,813.29 2026-01-28
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 3 2 — — $81,211.69 $89,326.79 $81,211.69 2026-01-28
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 3 2 — — $81,076.45 $89,178.04 $81,076.45 2026-01-28
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 2 — — $80,538.17 $88,585.97 $80,538.17 2026-01-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 2 — — $80,468.54 $88,509.39 $80,468.54 2026-01-28
4034 APR_DRG Procedures For Obesity 3 2 — — $79,539.28 $87,487.27 $79,539.28 2026-01-28
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 3 2 — — $79,089.37 $86,992.40 $79,089.37 2026-01-28
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $78,851.03 $86,730.25 $78,851.03 2026-01-28
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 3 2 — — $78,040.94 $85,839.20 $78,040.94 2026-01-28
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $77,265.66 $84,986.45 $77,265.66 2026-01-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 2 — — $77,218.79 $84,934.90 $77,218.79 2026-01-28
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 2 — — $77,169.25 $84,880.41 $77,169.25 2026-01-28
293 APR_DRG Other Percutaneous Intracranial Procedures 3 2 — — $77,158.54 $84,868.63 $77,158.54 2026-01-28
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $77,029.99 $84,727.24 $77,029.99 2026-01-28
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $76,499.75 $84,144.01 $76,499.75 2026-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 11 — — $72,581.77 $128,376.18 $75,375.48 2026-01-28
2324 APR_DRG Gastric Fundoplication 3 2 — — $75,273.22 $82,794.92 $75,273.22 2026-01-28
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 3 2 — — $74,697.45 $82,161.62 $74,697.45 2026-01-28
4401 APR_DRG Kidney Transplant 3 2 — — $74,418.94 $81,855.28 $74,418.94 2026-01-28
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 3 2 — — $73,948.95 $81,338.33 $73,948.95 2026-01-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $73,939.58 $81,328.02 $73,939.58 2026-01-28
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 3 2 — — $73,582.07 $80,934.78 $73,582.07 2026-01-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $73,531.19 $80,878.81 $73,531.19 2026-01-28
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $73,279.45 $80,601.93 $73,279.45 2026-01-28
5184 APR_DRG Other Female Reproductive System And Related Procedures 3 2 — — $73,067.89 $80,369.22 $73,067.89 2026-01-28
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 2 — — $73,061.20 $80,361.86 $73,061.20 2026-01-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $72,280.56 $79,503.22 $72,280.56 2026-01-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 2 — — $72,271.19 $79,492.91 $72,271.19 2026-01-28
850 MS_DRG Acute Leukemia With Other Procedures 15 11 — — $69,310.92 $122,604.85 $71,945.31 2026-01-28
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 3 2 — — $71,611.06 $78,766.82 $71,611.06 2026-01-28
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 3 2 — — $71,607.04 $78,762.40 $71,607.04 2026-01-28
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 3 2 — — $71,573.57 $78,725.58 $71,573.57 2026-01-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 2 — — $71,276.31 $78,398.62 $71,276.31 2026-01-28
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 2 — — $71,076.80 $78,179.17 $71,076.80 2026-01-28
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 2 — — $70,719.29 $77,785.93 $70,719.29 2026-01-28
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 2 — — $70,330.98 $77,358.82 $70,330.98 2026-01-28
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 2 — — $70,289.47 $77,313.16 $70,289.47 2026-01-28
2304 APR_DRG Major Small Bowel Procedures 3 2 — — $69,815.46 $76,791.79 $69,815.46 2026-01-28
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $69,806.09 $76,781.48 $69,806.09 2026-01-28
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $69,685.58 $76,648.93 $69,685.58 2026-01-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $69,597.20 $76,551.73 $69,597.20 2026-01-28
1793 APR_DRG Defibrillator Implants 3 2 — — $69,255.76 $76,176.16 $69,255.76 2026-01-28
264 APR_DRG Other Nervous System And Related Procedures 3 2 — — $69,218.27 $76,134.92 $69,218.27 2026-01-28
L7181 HCPCS Electronic Elbo Simultaneous 9 5 — — $49,095.74 $96,266.16 $69,137.41 2026-01-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 2 — — $69,131.23 $76,039.19 $69,131.23 2026-01-28
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $69,021.43 $75,918.42 $69,021.43 2026-01-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 3 2 — — $68,468.43 $75,310.16 $68,468.43 2026-01-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 2 — — $67,986.39 $74,779.95 $67,986.39 2026-01-28
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 2 — — $67,816.33 $74,592.90 $67,816.33 2026-01-28
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 2 — — $67,539.16 $74,288.03 $67,539.16 2026-01-28
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 2 — — $67,429.36 $74,167.26 $67,429.36 2026-01-28
8633 APR_DRG Neonatal Aftercare 3 2 — — $67,196.38 $73,911.00 $67,196.38 2026-01-28
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $66,963.39 $73,654.73 $66,963.39 2026-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 6 — — $63,235.61 $126,471.21 $66,602.61 2026-01-28
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $66,516.16 $73,162.81 $66,516.16 2026-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 11 — — $63,814.76 $112,907.11 $66,181.50 2026-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 11 — — $63,779.76 $112,845.33 $66,144.79 2026-01-28
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 2 — — $66,117.14 $72,723.92 $66,117.14 2026-01-28
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 3 2 — — $65,498.52 $72,043.48 $65,498.52 2026-01-28
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 3 2 — — $65,313.74 $71,840.24 $65,313.74 2026-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 11 — — $62,822.03 $111,155.46 $65,140.42 2026-01-28
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 3 2 — — $65,007.11 $71,502.97 $65,007.11 2026-01-28
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 3 2 — — $64,772.79 $71,245.23 $64,772.79 2026-01-28
4804 APR_DRG Major Male Pelvic Procedures 3 2 — — $64,575.95 $71,028.73 $64,575.95 2026-01-28
6504 APR_DRG Splenic Procedures 3 2 — — $64,546.50 $70,996.32 $64,546.50 2026-01-28
233 APR_DRG Spinal Procedures 3 2 — — $64,519.72 $70,966.87 $64,519.72 2026-01-28
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 3 2 — — $64,369.75 $70,801.91 $64,369.75 2026-01-28
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 3 2 — — $64,092.57 $70,497.04 $64,092.57 2026-01-28
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 3 2 — — $64,036.34 $70,435.19 $64,036.34 2026-01-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $63,985.45 $70,379.22 $63,985.45 2026-01-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $63,705.60 $70,071.41 $63,705.60 2026-01-28
444 APR_DRG Intracranial Hemorrhage 3 2 — — $63,472.62 $69,815.14 $63,472.62 2026-01-28
6903 APR_DRG Acute Leukemia 3 2 — — $63,448.52 $69,788.63 $63,448.52 2026-01-28
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 3 2 — — $63,424.41 $69,762.12 $63,424.41 2026-01-28
1832 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $63,390.94 $69,725.30 $63,390.94 2026-01-28
250 EAPG Cochlear Device Implantation 3 2 — — $63,006.38 $69,394.13 $63,006.38 2026-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 11 — — $60,740.49 $107,482.67 $62,957.51 2026-01-28
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $62,824.54 $69,102.30 $62,824.54 2026-01-28
L7180 HCPCS Electronic Elbow Sequential 9 5 — — $44,240.43 $86,745.94 $62,733.48 2026-01-28
4844 APR_DRG Other Male Reproductive System And Related Procedures 3 2 — — $62,701.35 $68,966.81 $62,701.35 2026-01-28
4444 APR_DRG Renal Dialysis Access Device Procedures 3 2 — — $62,467.03 $68,709.07 $62,467.03 2026-01-28
224 APR_DRG Ventricular Shunt Procedures 3 2 — — $62,410.79 $68,647.21 $62,410.79 2026-01-28
244 APR_DRG Open Extracranial Vascular Procedures 3 2 — — $62,339.82 $68,569.15 $62,339.82 2026-01-28
213 APR_DRG Open Craniotomy Except Trauma 3 2 — — $62,270.20 $68,492.56 $62,270.20 2026-01-28
10 MS_DRG Pancreas Transplant 15 11 — — $60,084.36 $106,325.00 $62,269.45 2026-01-28
38240 CPT Pr Trnsplj Allogeneic Hematopoietic Cells Per Donor 11 7 — — $56,980.76 $151,886.79 $62,099.45 2026-01-28
1831 APR_DRG Percutaneous Structural Cardiac Procedures 3 2 — — $62,041.23 $68,240.72 $62,041.23 2026-01-28
3084 APR_DRG Hip And Femur Fracture Repair 3 2 — — $61,942.14 $68,131.73 $61,942.14 2026-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 11 — — $59,744.03 $105,724.48 $61,912.53 2026-01-28
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 2 — — $61,646.22 $67,806.24 $61,646.22 2026-01-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 2 — — $61,622.12 $67,779.73 $61,622.12 2026-01-28
2314 APR_DRG Major Large Bowel Procedures 3 2 — — $61,425.29 $67,563.23 $61,425.29 2026-01-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 3 2 — — $61,373.07 $67,505.79 $61,373.07 2026-01-28
3224 APR_DRG Shoulder And Elbow Joint Replacement 3 2 — — $61,357.00 $67,488.11 $61,357.00 2026-01-28
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 3 2 — — $61,224.44 $67,342.31 $61,224.44 2026-01-28
3244 APR_DRG Elective Hip Joint Replacement 3 2 — — $61,111.96 $67,218.59 $61,111.96 2026-01-28
913 APR_DRG Other Major Head And Neck Procedures 3 2 — — $61,047.69 $67,147.90 $61,047.69 2026-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 11 — — $58,918.12 $104,267.18 $61,046.40 2026-01-28
3060 EAPG Ventricular Assist Device Procedures 3 2 — — $60,873.71 $67,045.24 $60,873.71 2026-01-28
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 2 — — $60,674.11 $66,736.99 $60,674.11 2026-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 11 — — $58,330.53 $103,230.39 $60,430.18 2026-01-28
7524 APR_DRG Disorders Of Personality And Impulse Control 3 2 — — $60,417.02 $66,454.21 $60,417.02 2026-01-28
7754 APR_DRG Alcohol Abuse And Dependence 3 2 — — $60,169.30 $66,181.74 $60,169.30 2026-01-28
C1831 HCPCS Hc Personalized Interbody Cage 24 13 $138,892.40 $111,113.92 20% off $28,334.05 $68,057.28 $60,140.41 2026-01-28
7594 APR_DRG Eating Disorders 3 2 — — $60,076.91 $66,080.12 $60,076.91 2026-01-28
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $59,945.69 $65,935.78 $59,945.69 2026-01-28
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 3 2 — — $59,692.62 $65,657.42 $59,692.62 2026-01-28
A9543 HCPCS Y90 Ibritumomab, Rx 11 6 — — $56,824.55 $113,649.10 $59,665.78 2026-01-28
4234 APR_DRG Inborn Errors Of Metabolism 3 2 — — $59,554.70 $65,505.73 $59,554.70 2026-01-28
1792 APR_DRG Defibrillator Implants 3 2 — — $59,469.01 $65,411.47 $59,469.01 2026-01-28
3634 APR_DRG Breast Procedures Except Mastectomy 3 2 — — $59,399.38 $65,334.88 $59,399.38 2026-01-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 2 — — $59,371.26 $65,303.95 $59,371.26 2026-01-28
3624 APR_DRG Mastectomy Procedures 3 2 — — $59,323.06 $65,250.93 $59,323.06 2026-01-28
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 3 2 — — $58,894.58 $64,779.64 $58,894.58 2026-01-28
1791 APR_DRG Defibrillator Implants 3 2 — — $58,316.13 $64,143.39 $58,316.13 2026-01-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 11 — — $56,295.17 $99,639.09 $58,295.70 2026-01-28
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 2 — — $57,760.44 $63,532.17 $57,760.44 2026-01-28
1823 APR_DRG Other Peripheral Vascular And Related Procedures 3 2 — — $57,546.20 $63,296.53 $57,546.20 2026-01-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 11 — — $26,006.93 $79,673.33 $57,539.63 2026-01-28
2234 APR_DRG Other Small And Large Bowel Procedures 3 2 — — $57,179.32 $62,892.98 $57,179.32 2026-01-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 11 6 — — $57,017.10 $114,034.21 $57,064.89 2026-01-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 3 2 — — $56,760.21 $62,431.99 $56,760.21 2026-01-28
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 2 — — $55,678.30 $61,241.97 $55,678.30 2026-01-28
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 2 — — $55,666.25 $61,228.71 $55,666.25 2026-01-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 11 — — $53,602.95 $94,888.76 $55,472.37 2026-01-28
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 3 2 — — $55,399.79 $60,935.63 $55,399.79 2026-01-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 11 — — $53,337.06 $94,419.64 $55,193.55 2026-01-28
6954 APR_DRG Chemotherapy For Acute Leukemia 3 2 — — $55,142.70 $60,652.85 $55,142.70 2026-01-28
2294 APR_DRG Other Digestive System And Abdominal Procedures 3 2 — — $54,909.71 $60,396.58 $54,909.71 2026-01-28
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 2 — — $54,826.69 $60,305.27 $54,826.69 2026-01-28
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 2 — — $54,572.28 $60,025.44 $54,572.28 2026-01-28
273 APR_DRG Other Open Craniotomy 3 2 — — $54,529.44 $59,978.31 $54,529.44 2026-01-28
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 2 — — $54,366.08 $59,798.63 $54,366.08 2026-01-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 15 11 — — $52,514.14 $92,967.63 $54,330.54 2026-01-28
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