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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

WASHINGTON COUNTY HOSPITAL AND CLINICS

Washington, IA · CCN 161344 · 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.

6,335 distinct procedures filed
38 distinct payers
394,208 rate rows
2026-06-01 last MRF observed
Data quality

166,973 of 394,208 rate rows are consumer-grade (42.4%)

227,235 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 218,683
placeholder amount (≤ $0.02) — excluded from medians 7,175
per-diem day rate — not a per-procedure price 633
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 408
percent-of-charges filed in the dollar field — excluded from medians 172
exceeds 10× this hospital's gross charge — excluded from medians 72
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 56
exceeds 3× this hospital's gross charge for a DRG stay — excluded 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbWCHAWASHINGTONIA&type=CDMWithoutLabel&fileType=CSV
Found on page https://apps.para-hcfs.com/PTT/FinalLinks/Washington_County.aspx
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-13
Content fingerprint 86c457cad7b247bf… · 26,374,279 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
5834
APR_DRG 		Neonate With Ecmo 4 $204,024.65 $204,024.65 $204,024.65 nat. median
$390,362
0.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $167,355.55 $167,355.55 $167,355.55 nat. median
$286,698
0.6× median
5833
APR_DRG 		Neonate With Ecmo 4 $161,591.41 $161,591.41 $161,591.41 nat. median
$268,208
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 4 $160,011.77 $160,011.77 $160,011.77 nat. median
$202,242
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 4 $154,416.14 $154,416.14 $154,416.14 nat. median
$225,531
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 4 $122,585.46 $122,585.46 $122,585.46 nat. median
$155,539
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $121,472.86 $121,472.86 $121,472.86 nat. median
$187,567
0.6× median
5832
APR_DRG 		Neonate With Ecmo 4 $119,158.18 $119,158.18 $119,158.18 nat. median
$201,678
0.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 4 $112,840.88 $112,840.88 $112,840.88 nat. median
$173,018
0.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $109,147.67 $109,147.67 $109,147.67 nat. median
$168,439
0.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $107,816.81 $107,816.81 $107,816.81 nat. median
$173,134
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $105,573.62 $105,573.62 $105,573.62 nat. median
$152,383
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $105,400.10 $105,400.10 $105,400.10 nat. median
$171,497
0.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $105,264.63 $105,264.63 $105,264.63 nat. median
$135,803
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $104,727.77 $104,727.77 $104,727.77 nat. median
$198,578
0.5× median
5831
APR_DRG 		Neonate With Ecmo 4 $102,974.20 $102,974.20 $102,974.20 nat. median
$173,909
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $101,232.75 $101,232.75 $101,232.75 nat. median
$149,836
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 $100,543.28 $100,543.28 $100,543.28 nat. median
$181,762
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $100,271.50 $100,271.50 $100,271.50 nat. median
$135,630
0.7× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $98,712.35 $98,712.35 $98,712.35 nat. median
$136,566
0.7× median
1612
APR_DRG 		Implantable Heart Assist Systems 4 $98,425.53 $98,425.53 $98,425.53 nat. median
$109,992
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 4 $98,168.38 $98,168.38 $98,168.38 nat. median
$152,792
0.6× median
23
APR_DRG 		Heart And/or Lung Transplant 4 $95,488.69 $95,488.69 $95,488.69 nat. median
$117,894
0.8× median
1611
APR_DRG 		Implantable Heart Assist Systems 4 $93,503.89 $93,503.89 $93,503.89 nat. median
$108,954
0.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 $87,736.42 $87,736.42 $87,736.42 nat. median
$115,963
0.8× median
64
APR_DRG 		Pancreas Transplant 4 $87,174.47 $87,174.47 $87,174.47 nat. median
$92,994
0.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $78,237.26 $78,237.26 $78,237.26 nat. median
$124,731
0.6× median
22
APR_DRG 		Heart And/or Lung Transplant 4 $70,862.97 $70,862.97 $70,862.97 nat. median
$95,481
0.7× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $70,188.97 $70,188.97 $70,188.97 nat. median
$114,205
0.6× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 4 $69,492.39 $69,492.39 $69,492.39 nat. median
$130,862
0.5× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $68,618.53 $68,618.53 $68,618.53 nat. median
$85,032
0.8× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 4 $67,707.87 $67,707.87 $67,707.87 nat. median
$106,926
0.6× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 $66,080.99 $66,080.99 $66,080.99 nat. median
$91,350
0.7× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 $63,813.55 $63,813.55 $63,813.55 nat. median
$77,606
0.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 4 $61,748.48 $61,748.48 $61,748.48 nat. median
$120,079
0.5× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 $61,692.03 $61,692.03 $61,692.03 nat. median
$95,757
0.6× median
63
APR_DRG 		Pancreas Transplant 4 $61,296.50 $61,296.50 $61,296.50 nat. median
$69,792
0.9× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 $61,007.58 $61,007.58 $61,007.58 nat. median
$75,821
0.8× median
21
APR_DRG 		Heart And/or Lung Transplant 4 $60,748.35 $60,748.35 $60,748.35 nat. median
$77,825
0.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 $60,093.16 $60,093.16 $60,093.16 nat. median
$100,752
0.6× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $59,659.16 $59,659.16 $59,659.16 nat. median
$81,292
0.7× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 $58,692.89 $58,692.89 $58,692.89 nat. median
$95,499
0.6× median
4404
APR_DRG 		Kidney Transplant 4 $57,998.40 $57,998.40 $57,998.40 nat. median
$76,896
0.8× median
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 4 $57,068.52 $57,068.52 $57,068.52 nat. median
$69,772
0.8× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 4 $57,026.70 $57,026.70 $57,026.70 nat. median
$91,950
0.6× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 4 $55,631.46 $55,631.46 $55,631.46 nat. median
$91,110
0.6× median
1634
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 $54,301.43 $54,301.43 $54,301.43 nat. median
$69,586
0.8× median
1784
APR_DRG 		External Heart Assist Systems 4 $53,938.93 $53,938.93 $53,938.93 nat. median
$66,229
0.8× median
62
APR_DRG 		Pancreas Transplant 4 $53,211.41 $53,211.41 $53,211.41 nat. median
$58,322
0.9× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $52,175.73 $52,175.73 $52,175.73 nat. median
$78,775
0.7× median

Other procedures at this hospital

Browse this hospital's 6,335 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
             
5834 APR_DRG Neonate With Ecmo 4 4 — — $204,024.65 $204,024.65 $204,024.65 2026-06-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $167,355.55 $167,355.55 $167,355.55 2026-06-01
5833 APR_DRG Neonate With Ecmo 4 4 — — $161,591.41 $161,591.41 $161,591.41 2026-06-01
1614 APR_DRG Implantable Heart Assist Systems 4 4 — — $160,011.77 $160,011.77 $160,011.77 2026-06-01
24 APR_DRG Heart And/or Lung Transplant 4 4 — — $154,416.14 $154,416.14 $154,416.14 2026-06-01
1613 APR_DRG Implantable Heart Assist Systems 4 4 — — $122,585.46 $122,585.46 $122,585.46 2026-06-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $121,472.86 $121,472.86 $121,472.86 2026-06-01
5832 APR_DRG Neonate With Ecmo 4 4 — — $119,158.18 $119,158.18 $119,158.18 2026-06-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $112,840.88 $112,840.88 $112,840.88 2026-06-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $109,147.67 $109,147.67 $109,147.67 2026-06-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $107,816.81 $107,816.81 $107,816.81 2026-06-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $105,573.62 $105,573.62 $105,573.62 2026-06-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $105,400.10 $105,400.10 $105,400.10 2026-06-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $105,264.63 $105,264.63 $105,264.63 2026-06-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $104,727.77 $104,727.77 $104,727.77 2026-06-01
5831 APR_DRG Neonate With Ecmo 4 4 — — $102,974.20 $102,974.20 $102,974.20 2026-06-01
74 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $101,232.75 $101,232.75 $101,232.75 2026-06-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $100,543.28 $100,543.28 $100,543.28 2026-06-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $100,271.50 $100,271.50 $100,271.50 2026-06-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $98,712.35 $98,712.35 $98,712.35 2026-06-01
1612 APR_DRG Implantable Heart Assist Systems 4 4 — — $98,425.53 $98,425.53 $98,425.53 2026-06-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $98,168.38 $98,168.38 $98,168.38 2026-06-01
23 APR_DRG Heart And/or Lung Transplant 4 4 — — $95,488.69 $95,488.69 $95,488.69 2026-06-01
1611 APR_DRG Implantable Heart Assist Systems 4 4 — — $93,503.89 $93,503.89 $93,503.89 2026-06-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $87,736.42 $87,736.42 $87,736.42 2026-06-01
64 APR_DRG Pancreas Transplant 4 4 — — $87,174.47 $87,174.47 $87,174.47 2026-06-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $78,237.26 $78,237.26 $78,237.26 2026-06-01
22 APR_DRG Heart And/or Lung Transplant 4 4 — — $70,862.97 $70,862.97 $70,862.97 2026-06-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $70,188.97 $70,188.97 $70,188.97 2026-06-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $69,492.39 $69,492.39 $69,492.39 2026-06-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $68,618.53 $68,618.53 $68,618.53 2026-06-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $67,707.87 $67,707.87 $67,707.87 2026-06-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $66,080.99 $66,080.99 $66,080.99 2026-06-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $63,813.55 $63,813.55 $63,813.55 2026-06-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $61,748.48 $61,748.48 $61,748.48 2026-06-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $61,692.03 $61,692.03 $61,692.03 2026-06-01
63 APR_DRG Pancreas Transplant 4 4 — — $61,296.50 $61,296.50 $61,296.50 2026-06-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $61,007.58 $61,007.58 $61,007.58 2026-06-01
21 APR_DRG Heart And/or Lung Transplant 4 4 — — $60,748.35 $60,748.35 $60,748.35 2026-06-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $60,093.16 $60,093.16 $60,093.16 2026-06-01
73 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $59,659.16 $59,659.16 $59,659.16 2026-06-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $58,692.89 $58,692.89 $58,692.89 2026-06-01
4404 APR_DRG Kidney Transplant 4 4 — — $57,998.40 $57,998.40 $57,998.40 2026-06-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $57,068.52 $57,068.52 $57,068.52 2026-06-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $57,026.70 $57,026.70 $57,026.70 2026-06-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $55,631.46 $55,631.46 $55,631.46 2026-06-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $54,301.43 $54,301.43 $54,301.43 2026-06-01
1784 APR_DRG External Heart Assist Systems 4 4 — — $53,938.93 $53,938.93 $53,938.93 2026-06-01
62 APR_DRG Pancreas Transplant 4 4 — — $53,211.41 $53,211.41 $53,211.41 2026-06-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $52,175.73 $52,175.73 $52,175.73 2026-06-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $51,814.07 $51,814.07 $51,814.07 2026-06-01
84 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $51,209.47 $51,209.47 $51,209.47 2026-06-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $49,657.43 $49,657.43 $49,657.43 2026-06-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $48,844.61 $48,844.61 $48,844.61 2026-06-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $48,661.06 $48,661.06 $48,661.06 2026-06-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $47,830.27 $47,830.27 $47,830.27 2026-06-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $47,175.50 $47,175.50 $47,175.50 2026-06-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $47,073.06 $47,073.06 $47,073.06 2026-06-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $46,826.37 $46,826.37 $46,826.37 2026-06-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $46,749.02 $46,749.02 $46,749.02 2026-06-01
72 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $46,665.82 $46,665.82 $46,665.82 2026-06-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $46,192.93 $46,192.93 $46,192.93 2026-06-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $46,028.61 $46,028.61 $46,028.61 2026-06-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $45,666.10 $45,666.10 $45,666.10 2026-06-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $45,245.06 $45,245.06 $45,245.06 2026-06-01
8634 APR_DRG Neonatal Aftercare 4 4 — — $44,769.25 $44,769.25 $44,769.25 2026-06-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $44,761.72 $44,761.72 $44,761.72 2026-06-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $44,219.84 $44,219.84 $44,219.84 2026-06-01
1794 APR_DRG Defibrillator Implants 4 4 — — $43,945.56 $43,945.56 $43,945.56 2026-06-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $43,763.26 $43,763.26 $43,763.26 2026-06-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $43,706.82 $43,706.82 $43,706.82 2026-06-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $43,668.35 $43,668.35 $43,668.35 2026-06-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $42,843.83 $42,843.83 $42,843.83 2026-06-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $42,695.40 $42,695.40 $42,695.40 2026-06-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 4 — — $42,467.10 $42,467.10 $42,467.10 2026-06-01
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $41,895.54 $41,895.54 $41,895.54 2026-06-01
61 APR_DRG Pancreas Transplant 4 4 — — $41,826.55 $41,826.55 $41,826.55 2026-06-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $41,776.38 $41,776.38 $41,776.38 2026-06-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $41,594.08 $41,594.08 $41,594.08 2026-06-01
71 APR_DRG Allogeneic Bone Marrow Transplant 4 4 — — $41,552.27 $41,552.27 $41,552.27 2026-06-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 4 — — $41,411.36 $41,411.36 $41,411.36 2026-06-01
914 APR_DRG Other Major Head And Neck Procedures 4 4 — — $41,376.24 $41,376.24 $41,376.24 2026-06-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $40,589.35 $40,589.35 $40,589.35 2026-06-01
1783 APR_DRG External Heart Assist Systems 4 4 — — $39,904.06 $39,904.06 $39,904.06 2026-06-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $39,741.83 $39,741.83 $39,741.83 2026-06-01
234 APR_DRG Spinal Procedures 4 4 — — $39,639.81 $39,639.81 $39,639.81 2026-06-01
214 APR_DRG Open Craniotomy Except Trauma 4 4 — — $39,096.68 $39,096.68 $39,096.68 2026-06-01
4414 APR_DRG Major Bladder Procedures 4 4 — — $39,089.57 $39,089.57 $39,089.57 2026-06-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $38,611.25 $38,611.25 $38,611.25 2026-06-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $38,599.54 $38,599.54 $38,599.54 2026-06-01
4403 APR_DRG Kidney Transplant 4 4 — — $38,229.93 $38,229.93 $38,229.93 2026-06-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 4 — — $38,104.91 $38,104.91 $38,104.91 2026-06-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $38,048.46 $38,048.46 $38,048.46 2026-06-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $37,317.60 $37,317.60 $37,317.60 2026-06-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 4 — — $37,238.58 $37,238.58 $37,238.58 2026-06-01
1782 APR_DRG External Heart Assist Systems 4 4 — — $37,177.95 $37,177.95 $37,177.95 2026-06-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $37,032.03 $37,032.03 $37,032.03 2026-06-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $36,781.99 $36,781.99 $36,781.99 2026-06-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $36,675.38 $36,675.38 $36,675.38 2026-06-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $36,419.49 $36,419.49 $36,419.49 2026-06-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $36,345.90 $36,345.90 $36,345.90 2026-06-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $36,236.35 $36,236.35 $36,236.35 2026-06-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $36,199.14 $36,199.14 $36,199.14 2026-06-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $36,149.80 $36,149.80 $36,149.80 2026-06-01
204 APR_DRG Open Craniotomy For Trauma 4 4 — — $36,069.53 $36,069.53 $36,069.53 2026-06-01
1204 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $35,903.12 $35,903.12 $35,903.12 2026-06-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $35,825.77 $35,825.77 $35,825.77 2026-06-01
6904 APR_DRG Acute Leukemia 4 4 — — $35,720.82 $35,720.82 $35,720.82 2026-06-01
7594 APR_DRG Eating Disorders 4 4 — — $35,656.85 $35,656.85 $35,656.85 2026-06-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $35,618.80 $35,618.80 $35,618.80 2026-06-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 4 — — $35,224.93 $35,224.93 $35,224.93 2026-06-01
1814 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $34,639.57 $34,639.57 $34,639.57 2026-06-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $34,639.57 $34,639.57 $34,639.57 2026-06-01
274 APR_DRG Other Open Craniotomy 4 4 — — $34,461.46 $34,461.46 $34,461.46 2026-06-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $34,430.10 $34,430.10 $34,430.10 2026-06-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $34,071.77 $34,071.77 $34,071.77 2026-06-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $34,029.54 $34,029.54 $34,029.54 2026-06-01
2614 APR_DRG Major Biliary Tract Procedures 4 4 — — $33,927.94 $33,927.94 $33,927.94 2026-06-01
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $33,618.54 $33,618.54 $33,618.54 2026-06-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $33,561.25 $33,561.25 $33,561.25 2026-06-01
2304 APR_DRG Major Small Bowel Procedures 4 4 — — $33,191.22 $33,191.22 $33,191.22 2026-06-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 4 4 — — $33,179.10 $33,179.10 $33,179.10 2026-06-01
1781 APR_DRG External Heart Assist Systems 4 4 — — $33,159.86 $33,159.86 $33,159.86 2026-06-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $33,000.14 $33,000.14 $33,000.14 2026-06-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $32,857.99 $32,857.99 $32,857.99 2026-06-01
4402 APR_DRG Kidney Transplant 4 4 — — $32,788.58 $32,788.58 $32,788.58 2026-06-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 4 — — $32,732.55 $32,732.55 $32,732.55 2026-06-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $32,697.43 $32,697.43 $32,697.43 2026-06-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $32,573.67 $32,573.67 $32,573.67 2026-06-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 4 — — $32,561.96 $32,561.96 $32,561.96 2026-06-01
4014 APR_DRG Adrenal Procedures 4 4 — — $32,506.35 $32,506.35 $32,506.35 2026-06-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $32,333.25 $32,333.25 $32,333.25 2026-06-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 4 — — $32,300.64 $32,300.64 $32,300.64 2026-06-01
83 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $32,245.87 $32,245.87 $32,245.87 2026-06-01
1793 APR_DRG Defibrillator Implants 4 4 — — $32,043.08 $32,043.08 $32,043.08 2026-06-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 4 — — $31,944.40 $31,944.40 $31,944.40 2026-06-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $31,645.45 $31,645.45 $31,645.45 2026-06-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $31,503.29 $31,503.29 $31,503.29 2026-06-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $30,728.94 $30,728.94 $30,728.94 2026-06-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $30,710.96 $30,710.96 $30,710.96 2026-06-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $30,504.42 $30,504.42 $30,504.42 2026-06-01
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $30,503.16 $30,503.16 $30,503.16 2026-06-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $30,491.45 $30,491.45 $30,491.45 2026-06-01
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $30,422.88 $30,422.88 $30,422.88 2026-06-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 4 — — $30,136.47 $30,136.47 $30,136.47 2026-06-01
264 APR_DRG Other Nervous System And Related Procedures 4 4 — — $30,057.03 $30,057.03 $30,057.03 2026-06-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 4 — — $30,039.89 $30,039.89 $30,039.89 2026-06-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 4 — — $29,951.67 $29,951.67 $29,951.67 2026-06-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $29,938.71 $29,938.71 $29,938.71 2026-06-01
224 APR_DRG Ventricular Shunt Procedures 4 4 — — $29,876.83 $29,876.83 $29,876.83 2026-06-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 4 — — $29,809.93 $29,809.93 $29,809.93 2026-06-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 4 — — $29,743.86 $29,743.86 $29,743.86 2026-06-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $29,578.29 $29,578.29 $29,578.29 2026-06-01
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 4 — — $29,560.31 $29,560.31 $29,560.31 2026-06-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $29,541.92 $29,541.92 $29,541.92 2026-06-01
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 4 — — $29,429.86 $29,429.86 $29,429.86 2026-06-01
1214 APR_DRG Other Respiratory And Chest Procedures 4 4 — — $29,355.44 $29,355.44 $29,355.44 2026-06-01
6504 APR_DRG Splenectomy 4 4 — — $29,313.62 $29,313.62 $29,313.62 2026-06-01
4401 APR_DRG Kidney Transplant 4 4 — — $29,277.67 $29,277.67 $29,277.67 2026-06-01
2314 APR_DRG Major Large Bowel Procedures 4 4 — — $29,204.08 $29,204.08 $29,204.08 2026-06-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 4 — — $28,868.75 $28,868.75 $28,868.75 2026-06-01
8633 APR_DRG Neonatal Aftercare 4 4 — — $28,725.34 $28,725.34 $28,725.34 2026-06-01
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $28,609.10 $28,609.10 $28,609.10 2026-06-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 4 — — $28,336.91 $28,336.91 $28,336.91 2026-06-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $28,277.12 $28,277.12 $28,277.12 2026-06-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 4 — — $27,942.21 $27,942.21 $27,942.21 2026-06-01
294 APR_DRG Other Percutaneous Intracranial Procedures 4 4 — — $27,938.86 $27,938.86 $27,938.86 2026-06-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 4 — — $27,938.03 $27,938.03 $27,938.03 2026-06-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $27,769.11 $27,769.11 $27,769.11 2026-06-01
3094 APR_DRG Other Significant Hip And Femur Surgery 4 4 — — $27,717.26 $27,717.26 $27,717.26 2026-06-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $27,639.07 $27,639.07 $27,639.07 2026-06-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 4 — — $27,566.74 $27,566.74 $27,566.74 2026-06-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $27,445.90 $27,445.90 $27,445.90 2026-06-01
2324 APR_DRG Gastric Fundoplication 4 4 — — $27,266.95 $27,266.95 $27,266.95 2026-06-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 4 — — $27,202.14 $27,202.14 $27,202.14 2026-06-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 4 — — $27,189.18 $27,189.18 $27,189.18 2026-06-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $27,144.03 $27,144.03 $27,144.03 2026-06-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $27,082.56 $27,082.56 $27,082.56 2026-06-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $27,068.77 $27,068.77 $27,068.77 2026-06-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $26,995.18 $26,995.18 $26,995.18 2026-06-01
82 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $26,979.29 $26,979.29 $26,979.29 2026-06-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 4 — — $26,750.58 $26,750.58 $26,750.58 2026-06-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 4 — — $26,596.30 $26,596.30 $26,596.30 2026-06-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 4 — — $26,437.41 $26,437.41 $26,437.41 2026-06-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 4 — — $26,412.74 $26,412.74 $26,412.74 2026-06-01
913 APR_DRG Other Major Head And Neck Procedures 4 4 — — $26,409.40 $26,409.40 $26,409.40 2026-06-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $26,348.35 $26,348.35 $26,348.35 2026-06-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 4 — — $26,324.94 $26,324.94 $26,324.94 2026-06-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $26,303.61 $26,303.61 $26,303.61 2026-06-01
2234 APR_DRG Other Small And Large Bowel Procedures 4 4 — — $26,144.73 $26,144.73 $26,144.73 2026-06-01
244 APR_DRG Open Extracranial Vascular Procedures 4 4 — — $26,143.06 $26,143.06 $26,143.06 2026-06-01
1792 APR_DRG Defibrillator Implants 4 4 — — $26,107.52 $26,107.52 $26,107.52 2026-06-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $25,951.56 $25,951.56 $25,951.56 2026-06-01
3624 APR_DRG Mastectomy Procedures 4 4 — — $25,870.03 $25,870.03 $25,870.03 2026-06-01
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 4 — — $25,854.56 $25,854.56 $25,854.56 2026-06-01
1693 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $25,752.54 $25,752.54 $25,752.54 2026-06-01
4034 APR_DRG Procedures For Obesity 4 4 — — $25,735.40 $25,735.40 $25,735.40 2026-06-01
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $25,676.44 $25,676.44 $25,676.44 2026-06-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $25,648.85 $25,648.85 $25,648.85 2026-06-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 4 — — $25,591.56 $25,591.56 $25,591.56 2026-06-01
893 APR_DRG Major Cranial Or Facial Bone Procedures 4 4 — — $25,544.32 $25,544.32 $25,544.32 2026-06-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 4 — — $25,531.36 $25,531.36 $25,531.36 2026-06-01
2244 APR_DRG Peritoneal Adhesiolysis 4 4 — — $25,390.87 $25,390.87 $25,390.87 2026-06-01
213 APR_DRG Open Craniotomy Except Trauma 4 4 — — $25,058.89 $25,058.89 $25,058.89 2026-06-01
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 4 — — $25,058.89 $25,058.89 $25,058.89 2026-06-01
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 4 — — $25,049.27 $25,049.27 $25,049.27 2026-06-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 4 — — $25,036.73 $25,036.73 $25,036.73 2026-06-01
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 4 — — $25,013.31 $25,013.31 $25,013.31 2026-06-01
7524 APR_DRG Disorders Of Personality And Impulse Control 4 4 — — $24,987.81 $24,987.81 $24,987.81 2026-06-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 4 — — $24,956.45 $24,956.45 $24,956.45 2026-06-01
1804 APR_DRG Other Circulatory System Procedures 4 4 — — $24,928.02 $24,928.02 $24,928.02 2026-06-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $24,782.93 $24,782.93 $24,782.93 2026-06-01
4804 APR_DRG Major Male Pelvic Procedures 4 4 — — $24,684.67 $24,684.67 $24,684.67 2026-06-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 4 — — $24,496.94 $24,496.94 $24,496.94 2026-06-01
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 4 — — $24,460.98 $24,460.98 $24,460.98 2026-06-01
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 4 — — $24,450.95 $24,450.95 $24,450.95 2026-06-01
233 APR_DRG Spinal Procedures 4 4 — — $24,358.13 $24,358.13 $24,358.13 2026-06-01
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 4 — — $24,201.33 $24,201.33 $24,201.33 2026-06-01
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 4 — — $23,938.34 $23,938.34 $23,938.34 2026-06-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 4 — — $23,907.40 $23,907.40 $23,907.40 2026-06-01
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 4 — — $23,782.38 $23,782.38 $23,782.38 2026-06-01
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $23,679.94 $23,679.94 $23,679.94 2026-06-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 4 — — $23,591.72 $23,591.72 $23,591.72 2026-06-01
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $23,556.18 $23,556.18 $23,556.18 2026-06-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $23,543.64 $23,543.64 $23,543.64 2026-06-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $23,517.71 $23,517.71 $23,517.71 2026-06-01
3244 APR_DRG Elective Hip Joint Replacement 4 4 — — $23,503.08 $23,503.08 $23,503.08 2026-06-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 4 — — $23,481.34 $23,481.34 $23,481.34 2026-06-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $23,403.57 $23,403.57 $23,403.57 2026-06-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 4 — — $23,289.84 $23,289.84 $23,289.84 2026-06-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $23,272.70 $23,272.70 $23,272.70 2026-06-01
734 APR_DRG Orbit And Eye Procedures 4 4 — — $23,268.52 $23,268.52 $23,268.52 2026-06-01
4444 APR_DRG Renal Dialysis Access Device Procedures 4 4 — — $23,214.16 $23,214.16 $23,214.16 2026-06-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 4 4 — — $23,198.69 $23,198.69 $23,198.69 2026-06-01
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 4 4 — — $23,121.34 $23,121.34 $23,121.34 2026-06-01
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 4 — — $23,105.03 $23,105.03 $23,105.03 2026-06-01
203 APR_DRG Open Craniotomy For Trauma 4 4 — — $23,072.00 $23,072.00 $23,072.00 2026-06-01
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 4 — — $23,059.46 $23,059.46 $23,059.46 2026-06-01
1791 APR_DRG Defibrillator Implants 4 4 — — $23,037.72 $23,037.72 $23,037.72 2026-06-01
J2350 HCPCS Injection, Ocrelizumab, 1 Mg 17 17 $54,698.54 $41,023.91 25% off $20,238.46 $55,393.21 $22,973.39 2026-02-10
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 4 — — $22,860.02 $22,860.02 $22,860.02 2026-06-01
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 4 — — $22,843.71 $22,843.71 $22,843.71 2026-06-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 4 — — $22,525.11 $22,525.11 $22,525.11 2026-06-01
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $22,435.21 $22,435.21 $22,435.21 2026-06-01
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 4 — — $22,401.35 $22,401.35 $22,401.35 2026-06-01
6924 APR_DRG Radiotherapy 4 4 — — $22,290.96 $22,290.96 $22,290.96 2026-06-01
1813 APR_DRG Lower Extremity Arterial Procedures 4 4 — — $22,217.79 $22,217.79 $22,217.79 2026-06-01
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 4 4 — — $22,217.38 $22,217.38 $22,217.38 2026-06-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 4 4 — — $21,829.37 $21,829.37 $21,829.37 2026-06-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 4 — — $21,590.62 $21,590.62 $21,590.62 2026-06-01
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 4 — — $21,507.00 $21,507.00 $21,507.00 2026-06-01
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $21,488.18 $21,488.18 $21,488.18 2026-06-01
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 4 — — $21,483.58 $21,483.58 $21,483.58 2026-06-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 4 — — $21,435.50 $21,435.50 $21,435.50 2026-06-01
4454 APR_DRG Other Bladder Procedures 4 4 — — $21,434.67 $21,434.67 $21,434.67 2026-06-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 4 — — $21,400.38 $21,400.38 $21,400.38 2026-06-01
2634 APR_DRG Cholecystectomy 4 4 — — $21,385.75 $21,385.75 $21,385.75 2026-06-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 4 — — $21,065.47 $21,065.47 $21,065.47 2026-06-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 4 — — $21,029.51 $21,029.51 $21,029.51 2026-06-01
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 4 — — $21,010.28 $21,010.28 $21,010.28 2026-06-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 4 4 — — $20,991.05 $20,991.05 $20,991.05 2026-06-01
3634 APR_DRG Breast Procedures Except Mastectomy 4 4 — — $20,907.00 $20,907.00 $20,907.00 2026-06-01
273 APR_DRG Other Open Craniotomy 4 4 — — $20,901.15 $20,901.15 $20,901.15 2026-06-01
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 4 — — $20,733.90 $20,733.90 $20,733.90 2026-06-01
3164 APR_DRG Hand And Wrist Procedures 4 4 — — $20,702.13 $20,702.13 $20,702.13 2026-06-01
3084 APR_DRG Hip And Femur Fracture Repair 4 4 — — $20,670.77 $20,670.77 $20,670.77 2026-06-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 4 4 — — $20,660.32 $20,660.32 $20,660.32 2026-06-01
1203 APR_DRG Major Respiratory And Chest Procedures 4 4 — — $20,582.55 $20,582.55 $20,582.55 2026-06-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 4 — — $20,571.68 $20,571.68 $20,571.68 2026-06-01
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 4 — — $20,546.17 $20,546.17 $20,546.17 2026-06-01
6903 APR_DRG Acute Leukemia 4 4 — — $20,516.07 $20,516.07 $20,516.07 2026-06-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 4 4 — — $20,509.80 $20,509.80 $20,509.80 2026-06-01
9101 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $20,458.79 $20,458.79 $20,458.79 2026-06-01
2603 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 4 — — $20,444.15 $20,444.15 $20,444.15 2026-06-01
81 APR_DRG Autologous Bone Marrow Transplant 4 4 — — $20,273.98 $20,273.98 $20,273.98 2026-06-01
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $20,151.47 $20,151.47 $20,151.47 2026-06-01
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 4 4 — — $19,995.10 $19,995.10 $19,995.10 2026-06-01
J3245 HCPCS Injection, Tildrakizumab, 1 Mg 17 17 $47,597.82 $35,698.37 25% off $17,611.19 $48,202.31 $19,991.08 2026-02-10
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 4 — — $19,961.65 $19,961.65 $19,961.65 2026-06-01
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 4 4 — — $19,884.71 $19,884.71 $19,884.71 2026-06-01
4413 APR_DRG Major Bladder Procedures 4 4 — — $19,840.39 $19,840.39 $19,840.39 2026-06-01
3264 APR_DRG Elective Knee Joint Replacement 4 4 — — $19,811.12 $19,811.12 $19,811.12 2026-06-01
1692 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $19,707.85 $19,707.85 $19,707.85 2026-06-01
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 4 — — $19,660.19 $19,660.19 $19,660.19 2026-06-01
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 4 — — $19,654.75 $19,654.75 $19,654.75 2026-06-01
1691 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $19,445.69 $19,445.69 $19,445.69 2026-06-01
1671 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 4 — — $19,386.74 $19,386.74 $19,386.74 2026-06-01
913 MS_DRG Traumatic Injury With Mcc 3 3 $12,583.25 $9,437.44 25% off $19,382.52 $19,382.52 $19,382.52 2026-02-10
4013 APR_DRG Adrenal Procedures 4 4 — — $19,360.40 $19,360.40 $19,360.40 2026-06-01
70 MS_DRG Other Cerebrovascular Disorders With Mcc 3 3 $42,559.50 $31,919.63 25% off $19,344.20 $19,344.20 $19,344.20 2026-02-10
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 4 4 — — $19,263.39 $19,263.39 $19,263.39 2026-06-01
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 4 4 — — $19,125.42 $19,125.42 $19,125.42 2026-06-01
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $19,124.58 $19,124.58 $19,124.58 2026-06-01
3144 APR_DRG Foot And Toe Procedures 4 4 — — $19,111.62 $19,111.62 $19,111.62 2026-06-01
1753 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 4 — — $18,887.51 $18,887.51 $18,887.51 2026-06-01
3041 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 4 — — $18,885.42 $18,885.42 $18,885.42 2026-06-01
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure 4 4 — — $18,762.91 $18,762.91 $18,762.91 2026-06-01
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 4 — — $18,706.05 $18,706.05 $18,706.05 2026-06-01
404 APR_DRG Spinal Disorders And Injuries 4 4 — — $18,664.65 $18,664.65 $18,664.65 2026-06-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 3 $14,199.98 $10,649.98 25% off $18,532.20 $18,532.20 $18,532.20 2026-02-10
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