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

PELLA REGIONAL HEALTH CENTER

Pella, IA · CCN 161367 · Rates published

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You selected 93350 (HCPCS)

Us Stress Echo

This hospital’s price: $840 across 9 payers · range $54-$12,500

Source: https://res.cloudinary.com/dpmykpsih/raw/upload/pella-regional-site-473/media/r/fc47e3743bf747449b97dbe8d7f65fd5/42-0842204_pellahealthcenter_standardcharges.csv · observed 2026-07-15

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

3,684 distinct procedures filed
9 distinct payers
121,666 rate rows
2026-07-15 last MRF observed
Data quality

115,301 of 121,666 rate rows are consumer-grade (94.8%)

6,365 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
exceeds 10× this hospital's gross charge — excluded from medians 4,882
per-diem day rate — not a per-procedure price 1,243
template filing: same amount across many unrelated codes — excluded 143
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 89
placeholder amount (≤ $0.02) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://res.cloudinary.com/dpmykpsih/raw/upload/pella-regional-site-473/media/r/fc47e3743bf747449b97dbe8d7f65fd5/42-0842204_pellahealthcenter_standardcharges.csv
Found on page https://www.pellahealth.org/patients-visitors/billing-information/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 7406fab34729098c… · 9,325,319 bytes · first seen 2026-05-06

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
589
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $258,459.90 $529,951.36 $437,951.47 nat. median
$114,872
outlier · 3.8×
583
APR_DRG 		Neonate With Ecmo 1 $258,496.85 $642,577.60 $429,918.93 nat. median
$12,353
outlier · 34.8×
161
APR_DRG 		Implantable Heart Assist Systems 1 $232,259.26 $514,022.60 $306,196.56 nat. median
$137,490
outlier · 2.2×
588
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $180,904.25 $516,243.39 $274,686.30 nat. median
$259,357
1.1× median
593
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $142,905.53 $324,717.97 $203,357.57 nat. median
$12,919
outlier · 15.7×
591
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $99,754.56 $385,946.59 $166,532.54 nat. median
$6,411
outlier · 26.0×
1
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $103,381.59 $268,794.58 $141,228.42 nat. median
$73,184
1.9× median
602
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $28,751.05 $266,138.33 $140,111.36 nat. median
$86,947
1.6× median
4
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $79,290.66 $259,448.37 $138,525.71 nat. median
$117,543
1.2× median
7
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $89,749.55 $277,261.18 $130,711.95 nat. median
$90,032
1.5× median
2
APR_DRG 		Heart And/or Lung Transplant 1 $85,351.99 $250,737.92 $129,233.48 nat. median
$135,990
1.0× median
6
APR_DRG 		Pancreas Transplant 1 $91,334.15 $185,995.21 $127,402.06 nat. median
$69,517
1.8× median
440
APR_DRG 		Kidney Transplant 1 $73,329.61 $226,735.91 $127,106.04 nat. median
$56,304
outlier · 2.3×
5
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $69,301.49 $191,177.07 $106,693.11 nat. median
$87,288
1.2× median
303
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $66,823.65 $174,769.31 $99,713.42 nat. median
$27,749
outlier · 3.6×
178
APR_DRG 		External Heart Assist Systems 1 $81,520.45 $160,447.36 $97,353.89 nat. median
$50,844
1.9× median
609
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $61,904.93 $346,213.23 $96,469.66 nat. median
$93,344
1.0× median
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $65,149.33 $323,301.30 $96,452.10 nat. median
$120,304
0.8× median
630
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $34,010.17 $137,914.27 $96,268.14 nat. median
$82,555
1.2× median
607
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $35,683.17 $242,063.75 $92,063.58 nat. median
$71,946
1.3× median
608
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 $19,991.55 $96,520.40 $82,607.86 nat. median
$44,980
1.8× median
611
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 $19,959.88 $145,080.33 $82,251.79 nat. median
$44,908
1.8× median
603
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $47,299.17 $236,350.65 $80,489.46 nat. median
$55,411
1.5× median
162
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 $56,914.96 $145,952.68 $77,162.88 nat. median
$68,742
1.1× median
183
APR_DRG 		Percutaneous Structural Cardiac Procedures 1 $61,133.08 $136,081.03 $72,309.68 nat. median
$46,564
1.6× median
612
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 $38,299.54 $166,439.15 $70,181.08 nat. median
$53,090
1.3× median
304
APR_DRG 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 $44,100.94 $112,346.10 $69,026.55 nat. median
$37,314
1.8× median
130
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 $49,443.20 $102,742.98 $67,645.99 nat. median
$53,833
1.3× median
8
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 1 $38,055.45 $134,584.53 $66,891.46 nat. median
$46,676
1.4× median
179
APR_DRG 		Defibrillator Implants 1 $57,462.51 $100,284.13 $66,353.74 nat. median
$42,244
1.6× median
910
APR_DRG 		Craniotomy For Multiple Significant Trauma 1 $43,203.75 $133,205.61 $65,774.18 nat. median
$43,204
1.5× median
841
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $27,239.01 $282,646.24 $63,562.06 nat. median
$63,143
1.0× median
165
APR_DRG 		Coronary Bypass With Ami Or Complex Principal Diagnosis 1 $45,754.15 $89,664.96 $63,283.43 nat. median
$50,671
1.2× median
163
APR_DRG 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 $46,143.38 $117,353.77 $62,617.78 nat. median
$56,964
1.1× median
29
APR_DRG 		Other Percutaneous Intracranial Procedures 1 $39,335.27 $91,207.91 $62,497.01 nat. median
$30,545
outlier · 2.0×
614
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 $26,245.50 $91,457.56 $61,751.86 nat. median
$28,040
outlier · 2.2×
631
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $42,992.65 $143,313.85 $61,619.71 nat. median
$56,996
1.1× median
613
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 $25,894.54 $109,206.51 $61,238.95 nat. median
$31,834
1.9× median
842
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 1 $25,114.78 $221,919.83 $57,314.78 nat. median
$27,593
outlier · 2.1×
30
APR_DRG 		Percutaneous Intracranial And Extracranial Vascular Procedures 1 $35,264.92 $96,354.92 $54,312.81 nat. median
$28,822
1.9× median
850
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 $27,834.06 $124,547.41 $53,964.61 nat. median
$21,556
outlier · 2.5×
166
APR_DRG 		Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 $39,555.61 $96,344.76 $51,025.65 nat. median
$43,807
1.2× median
169
APR_DRG 		Major Abdominal Vascular Procedures 1 $45,620.89 $105,554.53 $50,658.08 nat. median
$38,322
1.3× median
625
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 1 $32,287.04 $69,361.38 $50,364.03 nat. median
$21,275
outlier · 2.4×
92
APR_DRG 		Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 $20,547.02 $89,606.90 $49,780.27 nat. median
$46,047
1.1× median
160
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $31,235.48 $198,247.32 $49,659.91 nat. median
$65,356
0.8× median
23
APR_DRG 		Spinal Procedures 1 $24,023.64 $127,112.21 $49,572.15 nat. median
$111,046
outlier · 0.4×
863
APR_DRG 		Neonatal Aftercare 1 $19,945.37 $140,740.34 $49,413.99 nat. median
$32,833
1.5× median
21
APR_DRG 		Open Craniotomy Except Trauma 1 $27,256.17 $117,462.64 $48,804.23 nat. median
$73,922
0.7× median
91
APR_DRG 		Other Major Head And Neck Procedures 1 $22,165.92 $115,976.30 $48,277.40 nat. median
$46,507
1.0× median

Other procedures at this hospital

Browse this hospital's 3,684 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
             
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 1 $459,874.39 $459,874.39 $258,459.90 $529,951.36 $437,951.47 2026-07-15
583 APR_DRG Neonate With Ecmo 8 1 $455,383.45 $455,383.45 $258,496.85 $642,577.60 $429,918.93 2026-07-15
161 APR_DRG Implantable Heart Assist Systems 8 1 $323,405.09 $323,405.09 $232,259.26 $514,022.60 $306,196.56 2026-07-15
588 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 1 $287,966.71 $287,966.71 $180,904.25 $516,243.39 $274,686.30 2026-07-15
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 1 $215,060.77 $215,060.77 $142,905.53 $324,717.97 $203,357.57 2026-07-15
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 1 $177,162.83 $177,162.83 $99,754.56 $385,946.59 $166,532.54 2026-07-15
1 APR_DRG Liver Transplant And/or Intestinal Transplant 8 1 $148,980.51 $148,980.51 $103,381.59 $268,794.58 $141,228.42 2026-07-15
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 1 $147,679.96 $147,679.96 $28,751.05 $266,138.33 $140,111.36 2026-07-15
4 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 1 $146,416.43 $146,416.43 $79,290.66 $259,448.37 $138,525.71 2026-07-15
7 APR_DRG Allogeneic Bone Marrow Transplant 8 1 $137,531.80 $137,531.80 $89,749.55 $277,261.18 $130,711.95 2026-07-15
2 APR_DRG Heart And/or Lung Transplant 8 1 $136,454.79 $136,454.79 $85,351.99 $250,737.92 $129,233.48 2026-07-15
6 APR_DRG Pancreas Transplant 8 1 $134,102.64 $134,102.64 $91,334.15 $185,995.21 $127,402.06 2026-07-15
440 APR_DRG Kidney Transplant 8 1 $133,553.24 $133,553.24 $73,329.61 $226,735.91 $127,106.04 2026-07-15
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 1 $112,853.40 $112,853.40 $69,301.49 $191,177.07 $106,693.11 2026-07-15
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 1 $105,110.38 $105,110.38 $66,823.65 $174,769.31 $99,713.42 2026-07-15
178 APR_DRG External Heart Assist Systems 8 1 $102,330.02 $102,330.02 $81,520.45 $160,447.36 $97,353.89 2026-07-15
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 1 $102,340.18 $102,340.18 $61,904.93 $346,213.23 $96,469.66 2026-07-15
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 1 $102,332.20 $102,332.20 $65,149.33 $323,301.30 $96,452.10 2026-07-15
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 1 $101,916.35 $101,916.35 $34,010.17 $137,914.27 $96,268.14 2026-07-15
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 1 $97,268.65 $97,268.65 $35,683.17 $242,063.75 $92,063.58 2026-07-15
608 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 1 $86,902.03 $86,902.03 $19,991.55 $96,520.40 $82,607.86 2026-07-15
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 1 $86,705.35 $86,705.35 $19,959.88 $145,080.33 $82,251.79 2026-07-15
603 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 1 $85,682.77 $85,682.77 $47,299.17 $236,350.65 $80,489.46 2026-07-15
162 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 1 $81,278.92 $81,278.92 $56,914.96 $145,952.68 $77,162.88 2026-07-15
183 APR_DRG Percutaneous Structural Cardiac Procedures 8 1 $76,109.40 $76,109.40 $61,133.08 $136,081.03 $72,309.68 2026-07-15
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 1 $73,954.65 $73,954.65 $38,299.54 $166,439.15 $70,181.08 2026-07-15
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 1 $72,916.10 $72,916.10 $44,100.94 $112,346.10 $69,026.55 2026-07-15
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 1 $71,457.35 $71,457.35 $49,443.20 $102,742.98 $67,645.99 2026-07-15
8 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 8 1 $70,296.15 $70,296.15 $38,055.45 $134,584.53 $66,891.46 2026-07-15
179 APR_DRG Defibrillator Implants 8 1 $69,769.98 $69,769.98 $57,462.51 $100,284.13 $66,353.74 2026-07-15
910 APR_DRG Craniotomy For Multiple Significant Trauma 8 1 $69,924.57 $69,924.57 $43,203.75 $133,205.61 $65,774.18 2026-07-15
841 APR_DRG Extensive Third Degree Burns With Skin Graft 8 1 $68,218.32 $68,218.32 $27,239.01 $282,646.24 $63,562.06 2026-07-15
165 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 1 $66,693.52 $66,693.52 $45,754.15 $89,664.96 $63,283.43 2026-07-15
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 1 $65,971.40 $65,971.40 $46,143.38 $117,353.77 $62,617.78 2026-07-15
29 APR_DRG Other Percutaneous Intracranial Procedures 8 1 $66,303.07 $66,303.07 $39,335.27 $91,207.91 $62,497.01 2026-07-15
614 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 1 $65,078.01 $65,078.01 $26,245.50 $91,457.56 $61,751.86 2026-07-15
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 1 $65,184.68 $65,184.68 $42,992.65 $143,313.85 $61,619.71 2026-07-15
613 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 1 $64,804.40 $64,804.40 $25,894.54 $109,206.51 $61,238.95 2026-07-15
842 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 1 $60,918.73 $60,918.73 $25,114.78 $221,919.83 $57,314.78 2026-07-15
30 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 1 $57,257.32 $57,257.32 $35,264.92 $96,354.92 $54,312.81 2026-07-15
850 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 1 $57,005.49 $57,005.49 $27,834.06 $124,547.41 $53,964.61 2026-07-15
166 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 1 $53,771.54 $53,771.54 $39,555.61 $96,344.76 $51,025.65 2026-07-15
169 APR_DRG Major Abdominal Vascular Procedures 8 1 $51,397.61 $51,397.61 $45,620.89 $105,554.53 $50,658.08 2026-07-15
625 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 8 1 $53,045.79 $53,045.79 $32,287.04 $69,361.38 $50,364.03 2026-07-15
92 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 1 $53,111.84 $53,111.84 $20,547.02 $89,606.90 $49,780.27 2026-07-15
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 1 $52,588.57 $52,588.57 $31,235.48 $198,247.32 $49,659.91 2026-07-15
23 APR_DRG Spinal Procedures 8 1 $52,754.77 $52,754.77 $24,023.64 $127,112.21 $49,572.15 2026-07-15
863 APR_DRG Neonatal Aftercare 8 1 $52,728.65 $52,728.65 $19,945.37 $140,740.34 $49,413.99 2026-07-15
21 APR_DRG Open Craniotomy Except Trauma 8 1 $51,875.88 $51,875.88 $27,256.17 $117,462.64 $48,804.23 2026-07-15
91 APR_DRG Other Major Head And Neck Procedures 8 1 $51,288.75 $51,288.75 $22,165.92 $115,976.30 $48,277.40 2026-07-15
690 APR_DRG Acute Leukemia 8 1 $50,968.70 $50,968.70 $14,910.54 $134,175.21 $47,838.92 2026-07-15
312 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 8 1 $50,332.21 $50,332.21 $20,998.25 $98,092.37 $47,627.73 2026-07-15
182 APR_DRG Other Peripheral Vascular And Related Procedures 8 1 $50,372.13 $50,372.13 $31,595.67 $109,589.70 $47,533.49 2026-07-15
11 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 1 $49,139.08 $49,139.08 $18,603.54 $209,688.04 $46,530.37 2026-07-15
423 APR_DRG Inborn Errors Of Metabolism 8 1 $47,673.07 $47,673.07 $18,491.39 $64,558.37 $45,002.40 2026-07-15
170 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 1 $47,392.20 $47,392.20 $34,569.60 $79,764.28 $44,996.70 2026-07-15
401 APR_DRG Adrenal Procedures 8 1 $47,242.69 $47,242.69 $14,625.55 $88,706.97 $44,802.88 2026-07-15
167 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 8 1 $46,903.05 $46,903.05 $33,285.82 $132,336.16 $44,446.65 2026-07-15
622 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 1 $46,167.86 $46,167.86 $36,782.23 $103,333.74 $43,946.67 2026-07-15
325 APR_DRG Non-elective Or Complex Knee Joint Replacement 8 1 $45,089.40 $45,089.40 $35,412.70 $96,266.38 $42,825.60 2026-07-15
911 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 1 $45,197.53 $45,197.53 $24,762.50 $149,786.09 $42,691.99 2026-07-15
321 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 1 $44,862.24 $44,862.24 $29,619.21 $77,048.52 $42,654.12 2026-07-15
120 APR_DRG Major Respiratory And Chest Procedures 8 1 $45,265.75 $45,265.75 $24,762.50 $89,322.41 $42,596.28 2026-07-15
361 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 1 $44,607.50 $44,607.50 $19,502.05 $96,803.44 $42,520.71 2026-07-15
27 APR_DRG Other Open Craniotomy 8 1 $45,196.81 $45,196.81 $19,896.55 $90,903.09 $42,506.99 2026-07-15
912 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 1 $44,641.61 $44,641.61 $28,196.90 $95,151.63 $42,064.60 2026-07-15
176 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 1 $43,177.77 $43,177.77 $27,174.36 $84,597.77 $40,874.41 2026-07-15
89 APR_DRG Major Cranial Or Facial Bone Procedures 8 1 $42,382.35 $42,382.35 $19,181.44 $98,492.98 $39,800.39 2026-07-15
680 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 1 $41,861.99 $41,861.99 $22,473.34 $99,403.07 $39,600.43 2026-07-15
623 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 8 1 $42,168.26 $42,168.26 $17,234.00 $69,058.02 $39,512.78 2026-07-15
261 APR_DRG Major Biliary Tract Procedures 8 1 $41,274.86 $41,274.86 $24,063.22 $91,167.26 $38,979.55 2026-07-15
621 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 1 $41,273.40 $41,273.40 $6,573.25 $95,340.33 $38,968.06 2026-07-15
20 APR_DRG Open Craniotomy For Trauma 8 1 $40,959.88 $40,959.88 $29,140.27 $133,549.61 $38,785.11 2026-07-15
322 APR_DRG Shoulder And Elbow Joint Replacement 8 1 $40,668.85 $40,668.85 $27,905.31 $66,512.08 $38,489.67 2026-07-15
310 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 8 1 $40,922.87 $40,922.87 $15,648.08 $76,195.04 $38,190.12 2026-07-15
175 APR_DRG Percutaneous Cardiac Intervention Without Ami 8 1 $40,059.22 $40,059.22 $29,740.60 $69,777.96 $37,979.83 2026-07-15
950 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 1 $40,141.96 $40,141.96 $22,949.64 $124,361.62 $37,915.15 2026-07-15
260 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 1 $39,963.42 $39,963.42 $22,429.80 $108,196.26 $37,770.82 2026-07-15
313 APR_DRG Knee And Lower Leg Procedures Except Foot 8 1 $39,157.11 $39,157.11 $20,626.18 $71,001.57 $36,993.32 2026-07-15
181 APR_DRG Lower Extremity Arterial Procedures 8 1 $38,300.73 $38,300.73 $18,136.47 $94,929.55 $36,242.48 2026-07-15
362 APR_DRG Mastectomy Procedures 8 1 $37,646.10 $37,646.10 $23,630.45 $64,307.26 $35,864.93 2026-07-15
405 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 1 $37,612.00 $37,612.00 $18,321.19 $77,587.03 $35,587.89 2026-07-15
121 APR_DRG Other Respiratory And Chest Procedures 8 1 $37,552.48 $37,552.48 $22,833.54 $90,011.87 $35,382.93 2026-07-15
J3357 HCPCS Ustekinumab 90 Mg Inj 16 9 $52,362.50 $52,362.50 $152.57 $49,744.38 $35,344.69 2026-07-15
323 APR_DRG Non-elective Or Complex Hip Joint Replacement 8 1 $37,118.48 $37,118.48 $23,353.38 $87,888.32 $35,249.14 2026-07-15
220 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 1 $36,754.89 $36,754.89 $16,660.06 $119,979.54 $34,823.98 2026-07-15
73 APR_DRG Orbit And Eye Procedures 8 1 $35,590.78 $35,590.78 $17,156.16 $58,665.28 $33,609.74 2026-07-15
49 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 8 1 $35,119.77 $35,119.77 $19,168.24 $80,161.99 $33,229.82 2026-07-15
650 APR_DRG Splenic Procedures 8 1 $34,935.43 $34,935.43 $15,107.13 $69,969.56 $33,192.57 2026-07-15
447 APR_DRG Other Kidney, Urinary Tract And Related Procedures 8 1 $35,415.88 $35,415.88 $14,357.71 $77,627.67 $33,046.07 2026-07-15
308 APR_DRG Hip And Femur Fracture Repair 8 1 $34,661.10 $34,661.10 $17,179.91 $67,146.39 $32,750.80 2026-07-15
681 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 1 $34,220.57 $34,220.57 $14,171.68 $96,350.57 $32,375.72 2026-07-15
324 APR_DRG Elective Hip Joint Replacement 8 1 $34,080.50 $34,080.50 $22,607.92 $66,246.46 $32,343.71 2026-07-15
792 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 1 $33,577.55 $33,577.55 $19,277.75 $66,799.48 $31,990.17 2026-07-15
363 APR_DRG Breast Procedures Except Mastectomy 8 1 $33,373.61 $33,373.61 $17,152.20 $64,389.99 $31,480.22 2026-07-15
851 APR_DRG Gender Related Procedures 8 1 $33,473.77 $33,473.77 $16,038.63 $152,570.07 $31,351.98 2026-07-15
177 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 8 1 $33,148.63 $33,148.63 $18,082.38 $58,282.08 $31,347.58 2026-07-15
305 APR_DRG Amputation Of Lower Limb Except Toes 8 1 $33,097.83 $33,097.83 $17,079.63 $61,529.08 $31,261.83 2026-07-15
710 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 1 $33,118.15 $33,118.15 $12,182.02 $85,734.30 $31,231.63 2026-07-15
171 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 8 1 $32,731.33 $32,731.33 $21,949.54 $88,034.93 $31,113.90 2026-07-15
740 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 1 $32,876.47 $32,876.47 $14,476.46 $89,759.31 $30,876.68 2026-07-15
691 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 8 1 $32,674.72 $32,674.72 $20,804.30 $58,081.77 $30,836.74 2026-07-15
651 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 1 $32,593.43 $32,593.43 $17,046.65 $77,264.80 $30,826.46 2026-07-15
326 APR_DRG Elective Knee Joint Replacement 8 1 $31,992.51 $31,992.51 $21,471.92 $54,511.08 $30,339.28 2026-07-15
230 APR_DRG Major Small Bowel Procedures 8 1 $31,970.74 $31,970.74 $17,541.42 $75,681.21 $30,309.39 2026-07-15
441 APR_DRG Major Bladder Procedures 8 1 $31,917.76 $31,917.76 $21,795.17 $114,632.21 $30,274.17 2026-07-15
309 APR_DRG Other Significant Hip And Femur Surgery 8 1 $31,807.44 $31,807.44 $18,244.66 $93,617.40 $29,911.08 2026-07-15
229 APR_DRG Other Digestive System And Abdominal Procedures 8 1 $31,226.85 $31,226.85 $13,760.02 $59,523.11 $29,419.92 2026-07-15
510 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 8 1 $31,316.12 $31,316.12 $17,430.59 $87,304.82 $29,386.14 2026-07-15
231 APR_DRG Major Large Bowel Procedures 8 1 $30,935.82 $30,935.82 $19,615.52 $66,586.11 $29,279.02 2026-07-15
J2507 HCPCS Pegloticase 8 Mg Inj 16 9 $43,112.50 $43,112.50 $3,391.91 $40,956.88 $29,100.94 2026-07-15
692 APR_DRG Radiotherapy 8 1 $30,379.17 $30,379.17 $10,134.31 $56,927.83 $28,774.55 2026-07-15
951 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 1 $30,579.47 $30,579.47 $16,582.22 $97,472.58 $28,773.47 2026-07-15
636 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 8 1 $29,718.74 $29,718.74 $14,764.09 $52,902.82 $28,303.88 2026-07-15
759 APR_DRG Eating Disorders 8 1 $29,290.54 $29,290.54 $11,340.24 $65,124.45 $27,770.27 2026-07-15
514 APR_DRG Female Reproductive System Reconstructive Procedures 8 1 $29,366.75 $29,366.75 $13,142.54 $74,221.00 $27,710.54 2026-07-15
512 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 1 $29,486.49 $29,486.49 $15,702.18 $76,660.97 $27,660.88 2026-07-15
480 APR_DRG Major Male Pelvic Procedures 8 1 $29,462.55 $29,462.55 $15,567.60 $70,001.49 $27,618.76 2026-07-15
174 APR_DRG Percutaneous Cardiac Intervention With Ami 8 1 $28,856.54 $28,856.54 $20,838.60 $51,757.59 $27,414.94 2026-07-15
22 APR_DRG Ventricular Shunt Procedures 8 1 $28,744.06 $28,744.06 $19,897.87 $67,654.41 $27,277.68 2026-07-15
633 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 1 $28,841.31 $28,841.31 $4,792.06 $106,958.13 $27,013.64 2026-07-15
232 APR_DRG Gastric Fundoplication 8 1 $28,481.33 $28,481.33 $16,335.49 $81,597.52 $26,959.61 2026-07-15
227 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 8 1 $28,417.47 $28,417.47 $15,749.68 $66,368.39 $26,914.31 2026-07-15
315 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 8 1 $28,269.42 $28,269.42 $11,762.45 $70,468.87 $26,772.59 2026-07-15
J0638 HCPCS Canakinumab 150 Mg Inj 16 9 $39,611.50 $39,611.50 $124.48 $37,630.93 $26,737.76 2026-07-15
224 APR_DRG Peritoneal Adhesiolysis 8 1 $28,226.60 $28,226.60 $18,486.11 $121,509.42 $26,601.76 2026-07-15
222 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 8 1 $27,851.38 $27,851.38 $10,572.35 $70,801.27 $26,383.75 2026-07-15
223 APR_DRG Other Small And Large Bowel Procedures 8 1 $27,860.09 $27,860.09 $15,906.69 $61,983.40 $26,364.19 2026-07-15
26 APR_DRG Other Nervous System And Related Procedures 8 1 $28,127.17 $28,127.17 $10,937.83 $75,033.84 $26,336.22 2026-07-15
42 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 8 1 $28,303.53 $28,303.53 $10,904.84 $44,231.56 $26,318.59 2026-07-15
404 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 8 1 $28,085.80 $28,085.80 $12,222.92 $77,623.32 $26,252.91 2026-07-15
264 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 8 1 $27,571.24 $27,571.24 $20,355.70 $80,973.38 $26,144.10 2026-07-15
320 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 8 1 $27,283.85 $27,283.85 $16,206.19 $63,842.78 $25,893.75 2026-07-15
952 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 8 1 $27,445.69 $27,445.69 $16,216.75 $70,214.86 $25,809.43 2026-07-15
J2350 HCPCS Ocrelizumab 300 Mg Inj 16 9 $38,236.00 $38,236.00 $58.76 $36,324.20 $25,809.30 2026-07-15
98 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 8 1 $27,230.86 $27,230.86 $10,903.52 $68,753.20 $25,790.05 2026-07-15
511 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 1 $27,129.99 $27,129.99 $16,938.46 $83,706.55 $25,700.53 2026-07-15
317 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 8 1 $26,706.15 $26,706.15 $13,415.66 $53,659.05 $25,275.71 2026-07-15
444 APR_DRG Renal Dialysis Access Device Procedures 8 1 $26,505.84 $26,505.84 $14,765.41 $67,715.38 $25,040.78 2026-07-15
364 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 8 1 $26,423.83 $26,423.83 $10,377.08 $56,249.98 $24,980.25 2026-07-15
442 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 8 1 $26,227.88 $26,227.88 $15,814.33 $69,477.50 $24,709.39 2026-07-15
50 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 8 1 $26,246.75 $26,246.75 $13,124.07 $103,879.50 $24,624.49 2026-07-15
131 APR_DRG Cystic Fibrosis - Pulmonary Disease 8 1 $25,887.50 $25,887.50 $17,635.10 $43,324.37 $24,459.83 2026-07-15
445 APR_DRG Other Bladder Procedures 8 1 $25,689.37 $25,689.37 $12,961.79 $58,077.42 $24,346.64 2026-07-15
483 APR_DRG Penis, Testes And Scrotal Procedures 8 1 $25,758.32 $25,758.32 $13,373.44 $57,192.00 $24,330.65 2026-07-15
518 APR_DRG Other Female Reproductive System And Related Procedures 8 1 $25,601.56 $25,601.56 $12,993.45 $79,206.90 $23,957.97 2026-07-15
44 APR_DRG Intracranial Hemorrhage 8 1 $25,257.55 $25,257.55 $12,118.69 $68,805.45 $23,825.58 2026-07-15
639 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 8 1 $25,270.62 $25,270.62 $6,738.18 $43,022.46 $23,728.48 2026-07-15
233 APR_DRG Appendectomy With Complex Principal Diagnosis 8 1 $24,992.65 $24,992.65 $13,279.76 $46,387.04 $23,644.31 2026-07-15
711 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 1 $24,931.69 $24,931.69 $15,179.70 $92,660.86 $23,553.16 2026-07-15
314 APR_DRG Foot And Toe Procedures 8 1 $24,829.36 $24,829.36 $17,720.86 $38,130.90 $23,467.35 2026-07-15
750 APR_DRG Schizophrenia 8 1 $24,562.28 $24,562.28 $13,154.42 $52,503.66 $23,109.18 2026-07-15
40 APR_DRG Spinal Disorders And Injuries 8 1 $24,218.28 $24,218.28 $15,204.77 $46,413.16 $23,088.89 2026-07-15
24 APR_DRG Open Extracranial Vascular Procedures 8 1 $23,996.20 $23,996.20 $12,088.34 $67,577.49 $22,612.78 2026-07-15
793 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 8 1 $23,750.90 $23,750.90 $11,795.44 $72,589.51 $22,361.54 2026-07-15
343 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 8 1 $23,598.49 $23,598.49 $15,509.55 $45,251.96 $22,340.97 2026-07-15
193 APR_DRG Acute And Subacute Endocarditis 8 1 $23,147.79 $23,147.79 $12,138.48 $49,198.59 $22,034.46 2026-07-15
346 APR_DRG Connective Tissue Disorders 8 1 $23,313.27 $23,313.27 $10,111.88 $41,479.52 $21,859.78 2026-07-15
794 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 8 1 $23,082.48 $23,082.48 $12,184.66 $48,983.77 $21,767.69 2026-07-15
403 APR_DRG Procedures For Obesity 8 1 $22,905.39 $22,905.39 $16,020.15 $86,222.00 $21,678.25 2026-07-15
482 APR_DRG Transurethral Prostatectomy 8 1 $22,851.69 $22,851.69 $13,872.17 $49,031.67 $21,597.07 2026-07-15
484 APR_DRG Other Male Reproductive System And Related Procedures 8 1 $22,384.31 $22,384.31 $13,058.10 $67,969.39 $21,141.38 2026-07-15
519 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 8 1 $22,311.01 $22,311.01 $10,772.90 $66,529.50 $20,965.04 2026-07-15
513 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 8 1 $22,184.73 $22,184.73 $11,209.62 $50,583.32 $20,880.64 2026-07-15
180 APR_DRG Other Circulatory System Procedures 8 1 $22,017.08 $22,017.08 $13,628.08 $46,344.94 $20,851.29 2026-07-15
206 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure 8 1 $21,974.99 $21,974.99 $9,444.27 $43,838.20 $20,778.82 2026-07-15
316 APR_DRG Hand And Wrist Procedures 8 1 $22,055.54 $22,055.54 $10,344.10 $53,239.57 $20,740.22 2026-07-15
547 APR_DRG Antepartum With O.r. Procedure 8 1 $21,776.85 $21,776.85 $10,010.29 $53,316.50 $20,540.47 2026-07-15
470 APR_DRG Chronic Kidney Disease 8 1 $21,755.08 $21,755.08 $6,416.24 $30,480.05 $20,504.76 2026-07-15
43 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 8 1 $21,668.72 $21,668.72 $13,059.42 $69,416.54 $20,491.90 2026-07-15
95 APR_DRG Cleft Lip And Palate Repair 8 1 $21,572.19 $21,572.19 $12,481.52 $40,083.17 $20,476.15 2026-07-15
228 APR_DRG Inguinal, Femoral And Umbilical Hernia Procedures 8 1 $21,540.26 $21,540.26 $10,507.70 $53,241.02 $20,450.76 2026-07-15
443 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 8 1 $21,543.16 $21,543.16 $14,527.91 $58,247.24 $20,367.74 2026-07-15
381 APR_DRG Major Skin Disorders 8 1 $21,210.77 $21,210.77 $6,297.50 $41,422.91 $19,753.11 2026-07-15
661 APR_DRG Coagulation And Platelet Disorders 8 1 $20,769.51 $20,769.51 $11,453.71 $50,862.01 $19,741.58 2026-07-15
446 APR_DRG Urethral And Transurethral Procedures 8 1 $21,053.28 $21,053.28 $9,461.42 $49,904.02 $19,654.88 2026-07-15
890 APR_DRG HIV With Multiple Major HIV Related Conditions 8 1 $20,744.84 $20,744.84 $12,507.91 $54,177.24 $19,516.04 2026-07-15
263 APR_DRG Cholecystectomy 8 1 $20,508.97 $20,508.97 $13,473.71 $38,830.53 $19,482.15 2026-07-15
192 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions 8 1 $20,601.14 $20,601.14 $10,094.73 $42,346.06 $19,447.38 2026-07-15
226 APR_DRG Anal And Perineal Procedures 8 1 $19,992.96 $19,992.96 $11,317.81 $48,128.84 $18,856.83 2026-07-15
548 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 8 1 $19,882.65 $19,882.65 $7,647.24 $57,305.22 $18,811.51 2026-07-15
634 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 8 1 $19,474.05 $19,474.05 $16,508.33 $83,652.85 $18,600.25 2026-07-15
240 APR_DRG Digestive Malignancy 8 1 $19,664.19 $19,664.19 $10,077.58 $47,201.33 $18,479.12 2026-07-15
55 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage 8 1 $19,693.22 $19,693.22 $7,375.45 $53,564.70 $18,458.03 2026-07-15
815 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 8 1 $19,119.89 $19,119.89 $5,654.95 $38,773.92 $18,157.93 2026-07-15
234 APR_DRG Appendectomy Without Complex Principal Diagnosis 8 1 $19,008.11 $19,008.11 $10,705.61 $45,231.64 $18,034.34 2026-07-15
462 APR_DRG Nephritis And Nephrosis 8 1 $19,257.05 $19,257.05 $7,180.17 $39,768.20 $18,027.00 2026-07-15
892 APR_DRG HIV With Major HIV Related Condition 8 1 $18,672.10 $18,672.10 $11,769.05 $32,356.84 $17,677.91 2026-07-15
461 APR_DRG Kidney And Urinary Tract Malignancy 8 1 $18,500.10 $18,500.10 $13,588.50 $29,674.47 $17,649.57 2026-07-15
753 APR_DRG Bipolar Disorders 8 1 $18,537.10 $18,537.10 $8,313.54 $36,291.85 $17,537.50 2026-07-15
530 APR_DRG Female Reproductive System Malignancy 8 1 $18,509.53 $18,509.53 $8,557.63 $28,652.61 $17,499.16 2026-07-15
344 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 8 1 $18,439.13 $18,439.13 $10,553.88 $36,529.90 $17,462.72 2026-07-15
751 APR_DRG Major Depressive Disorders And Other Or Unspecified Psychoses 8 1 $18,613.31 $18,613.31 $7,817.44 $32,600.69 $17,435.51 2026-07-15
695 APR_DRG Chemotherapy For Acute Leukemia 8 1 $18,144.47 $18,144.47 $9,824.25 $59,775.67 $17,013.83 2026-07-15
110 APR_DRG Ear, Nose, Mouth, Throat And Cranial Or Facial Malignancies 8 1 $18,025.45 $18,025.45 $10,874.49 $35,695.29 $17,000.22 2026-07-15
660 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 8 1 $17,830.22 $17,830.22 $11,714.95 $46,516.22 $16,896.28 2026-07-15
694 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 8 1 $17,755.47 $17,755.47 $9,915.29 $34,933.25 $16,712.15 2026-07-15
56 APR_DRG Brain Contusion Or Laceration And Complicated Skull Fracture, Coma < 1 Hour Or N… 8 1 $17,725.72 $17,725.72 $8,572.14 $34,759.07 $16,705.24 2026-07-15
J0896 HCPCS Luspatercept-aamt 75 Mg Inj 16 9 $24,699.00 $24,699.00 $39.98 $23,464.05 $16,671.83 2026-07-15
134 APR_DRG Pulmonary Embolism 8 1 $17,523.23 $17,523.23 $9,493.08 $28,852.92 $16,590.01 2026-07-15
J9043 HCPCS Cabazitaxel 60 Mg Inj 16 9 $24,487.50 $24,487.50 $231.74 $23,263.13 $16,529.06 2026-07-15
136 APR_DRG Respiratory Malignancy 8 1 $17,470.26 $17,470.26 $10,340.14 $25,704.61 $16,486.90 2026-07-15
539 APR_DRG Cesarean Section With Sterilization 8 1 $17,291.72 $17,291.72 $10,019.52 $46,572.83 $16,352.68 2026-07-15
501 APR_DRG Male Reproductive System Diagnoses Except Malignancy 8 1 $17,407.12 $17,407.12 $9,296.49 $34,117.51 $16,330.44 2026-07-15
59 APR_DRG Anoxic And Other Severe Brain Damage 8 1 $17,248.90 $17,248.90 $8,719.91 $44,844.09 $16,319.65 2026-07-15
385 APR_DRG Other Skin, Subcutaneous Tissue And Breast Disorders 8 1 $17,259.78 $17,259.78 $6,866.16 $28,118.46 $16,274.65 2026-07-15
662 APR_DRG Sickle Cell Anemia Crisis 8 1 $17,008.68 $17,008.68 $10,505.06 $37,458.86 $16,226.72 2026-07-15
97 APR_DRG Tonsil And Adenoid Procedures 8 1 $17,132.06 $17,132.06 $8,491.66 $43,228.57 $16,186.61 2026-07-15
281 APR_DRG Malignancy Of Hepatobiliary System And Pancreas 8 1 $16,955.69 $16,955.69 $9,511.55 $29,482.87 $16,072.81 2026-07-15
810 APR_DRG Hemorrhage Or Hematoma Due To Complication 8 1 $17,145.11 $17,145.11 $6,325.20 $30,945.98 $16,056.54 2026-07-15
893 APR_DRG HIV With Multiple Significant HIV Related Conditions 8 1 $16,807.64 $16,807.64 $12,364.10 $29,259.34 $15,986.70 2026-07-15
720 APR_DRG Septicemia And Disseminated Infections 8 1 $16,904.17 $16,904.17 $9,449.54 $45,459.53 $15,981.12 2026-07-15
133 APR_DRG Respiratory Failure 8 1 $16,961.50 $16,961.50 $6,395.13 $32,631.17 $15,927.42 2026-07-15
45 APR_DRG Cva And Precerebral Occlusion With Infarction 8 1 $16,774.26 $16,774.26 $8,824.15 $45,246.16 $15,843.88 2026-07-15
41 APR_DRG Nervous System Malignancy 8 1 $16,741.60 $16,741.60 $11,993.35 $29,281.11 $15,842.33 2026-07-15
J3245 HCPCS Tildrakizumab-asmn 100 Mg IV 16 9 $23,404.00 $23,404.00 $140.23 $22,233.80 $15,797.70 2026-07-15
191 APR_DRG Cardiac Catheterization For Coronary Artery Disease 8 1 $16,658.86 $16,658.86 $9,311.01 $40,186.23 $15,701.14 2026-07-15
531 APR_DRG Female Reproductive System Infections 8 1 $16,689.35 $16,689.35 $6,819.98 $30,617.94 $15,691.33 2026-07-15
930 APR_DRG Multiple Significant Trauma Without O.r. Procedure 8 1 $16,640.72 $16,640.72 $9,040.53 $50,992.65 $15,658.76 2026-07-15
696 APR_DRG Other Chemotherapy 8 1 $16,519.53 $16,519.53 $9,684.40 $36,155.41 $15,607.77 2026-07-15
349 APR_DRG Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure 8 1 $16,459.28 $16,459.28 $8,551.03 $34,192.99 $15,546.21 2026-07-15
540 APR_DRG Cesarean Section Without Sterilization 8 1 $16,370.74 $16,370.74 $10,078.90 $37,213.56 $15,522.33 2026-07-15
205 APR_DRG Cardiomyopathy 8 1 $16,559.44 $16,559.44 $6,395.13 $32,499.08 $15,503.63 2026-07-15
252 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure 8 1 $16,389.61 $16,389.61 $10,235.91 $35,952.20 $15,450.85 2026-07-15
724 APR_DRG Other Infectious And Parasitic Diseases 8 1 $16,348.97 $16,348.97 $9,809.74 $34,645.85 $15,383.85 2026-07-15
721 APR_DRG Post-operative, Post-traumatic, Other Device Infections 8 1 $16,299.61 $16,299.61 $8,337.29 $36,772.30 $15,383.10 2026-07-15
284 APR_DRG Disorders Of Gallbladder And Biliary Tract 8 1 $16,158.10 $16,158.10 $9,415.24 $21,731.86 $15,257.18 2026-07-15
421 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 8 1 $16,075.37 $16,075.37 $8,413.81 $33,053.56 $15,162.69 2026-07-15
341 APR_DRG Fracture Of Pelvis Or Dislocation Of Hip 8 1 $15,948.36 $15,948.36 $9,136.84 $26,772.92 $15,133.44 2026-07-15
340 APR_DRG Fracture Of Femur 8 1 $15,995.53 $15,995.53 $7,705.30 $33,853.33 $15,100.29 2026-07-15
58 APR_DRG Other Disorders Of Nervous System 8 1 $15,946.90 $15,946.90 $8,810.95 $24,012.16 $15,023.19 2026-07-15
347 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 8 1 $15,812.65 $15,812.65 $9,495.72 $36,270.08 $14,951.55 2026-07-15
517 APR_DRG Dilation And Curettage For Non-obstetric Diagnoses 8 1 $15,881.59 $15,881.59 $7,291.00 $44,719.26 $14,887.53 2026-07-15
425 APR_DRG Other Non-hypovolemic Electrolyte Disorders 8 1 $15,760.39 $15,760.39 $8,572.14 $36,026.23 $14,810.06 2026-07-15
142 APR_DRG Interstitial And Alveolar Lung Diseases 8 1 $15,578.22 $15,578.22 $10,531.45 $31,510.61 $14,740.84 2026-07-15
469 APR_DRG Acute Kidney Injury 8 1 $15,609.43 $15,609.43 $6,148.40 $58,679.79 $14,686.38 2026-07-15
772 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 8 1 $15,337.28 $15,337.28 $11,208.30 $38,670.86 $14,626.78 2026-07-15
500 APR_DRG Malignancy, Male Reproductive System 8 1 $15,519.43 $15,519.43 $7,842.51 $31,866.23 $14,595.86 2026-07-15
282 APR_DRG Disorders Of Pancreas Except Malignancy 8 1 $15,423.64 $15,423.64 $8,243.61 $47,246.32 $14,553.69 2026-07-15
383 APR_DRG Cellulitis And Other Skin Infections 8 1 $15,369.21 $15,369.21 $8,309.58 $31,824.14 $14,511.16 2026-07-15
194 APR_DRG Heart Failure 8 1 $15,374.29 $15,374.29 $8,622.28 $40,604.26 $14,510.95 2026-07-15
754 APR_DRG Depression Except Major Depressive Disorder 8 1 $15,404.04 $15,404.04 $6,280.34 $29,270.95 $14,450.55 2026-07-15
351 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 8 1 $15,372.11 $15,372.11 $7,587.87 $29,828.33 $14,433.41 2026-07-15
541 APR_DRG Vaginal Delivery With Sterilization And/or D&c 8 1 $15,152.93 $15,152.93 $9,767.52 $22,177.47 $14,286.42 2026-07-15
760 APR_DRG Other Mental Health Disorders 8 1 $15,083.99 $15,083.99 $7,941.47 $28,365.21 $14,273.76 2026-07-15
755 APR_DRG Adjustment Disorders And Neuroses Except Depressive Diagnoses 8 1 $15,258.17 $15,258.17 $5,392.39 $24,232.79 $14,255.72 2026-07-15
82 APR_DRG Eye Infections And Other Eye Disorders 8 1 $15,110.11 $15,110.11 $7,091.77 $32,198.62 $14,246.11 2026-07-15
245 APR_DRG Inflammatory Bowel Disease 8 1 $15,028.83 $15,028.83 $8,226.46 $29,947.35 $14,215.69 2026-07-15
197 APR_DRG Peripheral And Other Vascular Disorders 8 1 $14,991.09 $14,991.09 $11,329.69 $49,928.70 $14,204.24 2026-07-15
280 APR_DRG Alcoholic Liver Disease 8 1 $15,021.57 $15,021.57 $7,616.90 $44,989.24 $14,167.15 2026-07-15
243 APR_DRG Other Esophageal Disorders 8 1 $15,078.18 $15,078.18 $7,536.41 $29,397.23 $14,120.52 2026-07-15
48 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders 8 1 $14,913.43 $14,913.43 $7,623.49 $31,544.00 $14,099.30 2026-07-15
115 APR_DRG Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses 8 1 $15,054.23 $15,054.23 $7,560.16 $34,229.27 $14,097.63 2026-07-15
427 APR_DRG Thyroid Disorders 8 1 $14,912.71 $14,912.71 $8,648.67 $31,504.81 $14,093.17 2026-07-15
254 APR_DRG Other Digestive System Diagnoses 8 1 $14,914.17 $14,914.17 $7,011.29 $21,187.55 $14,067.87 2026-07-15
843 APR_DRG Extensive Third Degree Burns Without Skin Graft 8 1 $14,853.92 $14,853.92 $7,991.61 $36,016.07 $13,995.54 2026-07-15
426 APR_DRG Non-hypovolemic Sodium Disorders 8 1 $14,829.98 $14,829.98 $6,796.23 $50,695.09 $13,966.37 2026-07-15
J2329 HCPCS Ublituximab-xiiy 150mg/6ml 16 9 $20,603.50 $20,603.50 $67.23 $19,573.33 $13,907.37 2026-07-15
817 APR_DRG Intentional Self-harm And Attempted Suicide 8 1 $14,567.98 $14,567.98 $7,338.50 $34,731.49 $13,772.34 2026-07-15
844 APR_DRG Partial Thickness Burns Without Skin Graft 8 1 $14,604.26 $14,604.26 $4,904.21 $40,248.64 $13,741.19 2026-07-15
757 APR_DRG Organic Mental Health Disturbances 8 1 $14,548.38 $14,548.38 $7,730.36 $35,596.59 $13,735.17 2026-07-15
253 APR_DRG Other And Unspecified Gastrointestinal Hemorrhage 8 1 $14,472.18 $14,472.18 $8,904.63 $26,637.93 $13,716.37 2026-07-15
200 APR_DRG Cardiac Structural And Valvular Disorders 8 1 $14,470.01 $14,470.01 $7,068.03 $29,974.93 $13,703.37 2026-07-15
382 APR_DRG Malignant Breast Disorders 8 1 $14,462.74 $14,462.74 $8,116.95 $26,044.26 $13,693.00 2026-07-15
J9119 HCPCS Cemiplimab-rwlc 350 Mg Inj 16 9 $20,261.50 $20,261.50 $30.18 $19,248.43 $13,676.51 2026-07-15
143 APR_DRG Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses 8 1 $14,483.79 $14,483.79 $8,569.50 $30,092.50 $13,665.10 2026-07-15
241 APR_DRG Peptic Ulcer And Gastritis 8 1 $14,431.53 $14,431.53 $9,650.09 $50,876.53 $13,641.38 2026-07-15
862 APR_DRG Other Aftercare And Convalescence 8 1 $14,366.94 $14,366.94 $8,194.79 $17,767.81 $13,631.94 2026-07-15
140 APR_DRG Chronic Obstructive Pulmonary Disease 8 1 $14,356.06 $14,356.06 $8,202.71 $25,533.34 $13,575.28 2026-07-15
894 APR_DRG HIV With One Significant HIV Condition Or Without Significant Related Conditions 8 1 $14,311.79 $14,311.79 $9,275.38 $27,485.60 $13,541.58 2026-07-15
196 APR_DRG Cardiac Arrest And Shock 8 1 $14,226.88 $14,226.88 $7,188.09 $41,049.87 $13,460.83 2026-07-15
52 APR_DRG Alteration In Consciousness 8 1 $14,340.82 $14,340.82 $6,573.25 $41,749.49 $13,424.05 2026-07-15
861 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status 8 1 $14,218.90 $14,218.90 $7,322.67 $28,298.44 $13,414.53 2026-07-15
813 APR_DRG Other Complications Of Treatment 8 1 $14,113.66 $14,113.66 $8,913.87 $34,142.18 $13,386.65 2026-07-15
380 APR_DRG Skin Ulcers 8 1 $14,081.72 $14,081.72 $9,713.42 $31,748.66 $13,374.99 2026-07-15
207 APR_DRG Other Circulatory System Diagnoses 8 1 $14,095.51 $14,095.51 $6,922.89 $41,771.27 $13,335.81 2026-07-15
342 APR_DRG Fractures And Dislocations Except Femur, Pelvis And Back 8 1 $14,184.78 $14,184.78 $6,855.60 $30,445.21 $13,330.10 2026-07-15
775 APR_DRG Alcohol Abuse And Dependence 8 1 $14,112.94 $14,112.94 $7,261.98 $65,224.60 $13,283.35 2026-07-15
144 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses 8 1 $14,000.44 $14,000.44 $8,491.66 $28,404.40 $13,281.02 2026-07-15
279 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders 8 1 $13,991.01 $13,991.01 $7,903.21 $55,897.26 $13,205.15 2026-07-15
135 APR_DRG Major Chest And Respiratory Trauma 8 1 $13,951.09 $13,951.09 $7,988.97 $33,278.54 $13,138.88 2026-07-15
46 APR_DRG Nonspecific Cva And Precerebral Occlusion Without Infarction 8 1 $13,829.17 $13,829.17 $10,805.89 $34,960.83 $13,128.05 2026-07-15
J9042 HCPCS Brentuximab 50 Mg Inj 16 9 $19,419.50 $19,419.50 $252.51 $18,448.53 $13,108.17 2026-07-15
543 APR_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 8 1 $13,837.88 $13,837.88 $8,543.11 $31,829.94 $13,061.72 2026-07-15
663 APR_DRG Other Anemia And Disorders Of Blood And Blood-forming Organs 8 1 $13,787.07 $13,787.07 $7,252.74 $40,877.14 $13,041.03 2026-07-15
468 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 8 1 $13,691.28 $13,691.28 $6,586.44 $24,793.07 $12,982.82 2026-07-15
811 APR_DRG Allergic Reactions 8 1 $13,747.88 $13,747.88 $7,950.70 $36,747.63 $12,964.40 2026-07-15
246 APR_DRG Gastrointestinal Vascular Insufficiency 8 1 $13,694.90 $13,694.90 $7,134.00 $30,539.56 $12,937.90 2026-07-15
242 APR_DRG Major Esophageal Disorders 8 1 $13,579.51 $13,579.51 $8,011.40 $36,142.35 $12,833.60 2026-07-15
51 APR_DRG Viral Meningitis 8 1 $13,619.42 $13,619.42 $7,614.26 $40,290.74 $12,810.05 2026-07-15
199 APR_DRG Hypertension 8 1 $13,543.94 $13,543.94 $7,280.45 $47,536.63 $12,809.47 2026-07-15
190 APR_DRG Acute Myocardial Infarction 8 1 $13,377.03 $13,377.03 $10,175.21 $40,170.26 $12,705.56 2026-07-15
J2327 HCPCS Risankizumab-rzaa 600 Mg Inj 16 9 $18,262.00 $18,262.00 $15.00 $17,348.90 $12,641.70 2026-07-15
248 APR_DRG Major Gastrointestinal And Peritoneal Infections 8 1 $13,237.68 $13,237.68 $7,892.65 $26,909.36 $12,532.00 2026-07-15
283 APR_DRG Other Disorders Of The Liver 8 1 $13,149.86 $13,149.86 $7,912.44 $23,431.56 $12,430.18 2026-07-15
132 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 8 1 $13,134.62 $13,134.62 $5,790.85 $26,605.99 $12,329.28 2026-07-15
137 APR_DRG Major Respiratory Infections And Inflammations 8 1 $12,967.70 $12,967.70 $9,607.87 $32,545.53 $12,323.85 2026-07-15
722 APR_DRG Fever And Inflammatory Conditions 8 1 $13,017.78 $13,017.78 $7,320.03 $25,695.90 $12,252.12 2026-07-15
247 APR_DRG Intestinal Obstruction 8 1 $12,945.20 $12,945.20 $6,607.56 $48,017.07 $12,206.76 2026-07-15
J3380 HCPCS Vedolizumab 300 Mg Inj 16 9 $17,366.00 $17,366.00 $21.85 $16,497.70 $12,156.20 2026-07-15
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