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

DICKINSON COUNTY MEMORIAL HOSPITAL

Iron Mountain, MI · CCN 230055 · Rates published

9,378 distinct procedures filed
27 distinct payers
1,318,670 rate rows
2026-02-20 last MRF observed
Data quality

1,269,362 of 1,318,670 rate rows are consumer-grade (96.3%)

49,308 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
placeholder amount (≤ $0.02) — excluded from medians 40,565
per-diem day rate — not a per-procedure price 6,622
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,763
exceeds 10× this hospital's gross charge — excluded from medians 352
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshfieldclinic.org/-/media/marshfieldclinic/files/patient%20resources/cms-hpt-documents/390973724_marshfield-medical-center--park-falls_standardcharges.zip
Found on page https://www.marshfieldclinic.org/patient-resources/billing/cms-hospital-transparency-requirement
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-16
Content fingerprint a35fd76c88fe897e… · 34,412,241 bytes · first seen 2026-05-17

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $333,868.35 $998,069.25 $760,210.10 nat. median
$168,055
outlier · 4.5×
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $249,371.68 $745,474.06 $567,813.21 nat. median
$186,516
outlier · 3.0×
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 7 $210,016.04 $627,823.90 $478,201.36 nat. median
$131,925
outlier · 3.6×
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 8 $189,732.22 $567,187.29 $432,015.62 nat. median
$145,435
outlier · 3.0×
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $239,079.57 $718,705.57 $320,749.88 nat. median
$390,362
0.8× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 8 $125,091.74 $373,950.45 $284,830.84 nat. median
$97,418
outlier · 2.9×
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $208,170.77 $625,789.53 $279,282.54 nat. median
$268,208
1.0× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 8 $115,989.17 $346,739.14 $264,104.51 nat. median
$72,715
outlier · 3.6×
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 8 $115,697.02 $345,865.79 $263,439.30 nat. median
$70,649
outlier · 3.7×
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $178,343.78 $536,125.55 $239,266.55 nat. median
$286,698
0.8× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $97,556.50 $291,636.36 $222,133.79 nat. median
$65,418
outlier · 3.4×
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 6 $164,434.82 $494,313.33 $220,606.25 nat. median
$202,242
1.1× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 8 $96,442.81 $288,307.06 $219,597.93 nat. median
$74,509
outlier · 2.9×
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 8 $94,278.26 $281,836.37 $214,669.33 nat. median
$69,922
outlier · 3.1×
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 6 $159,334.86 $478,982.19 $213,764.14 nat. median
$225,531
0.9× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 8 $93,794.91 $280,391.38 $213,568.71 nat. median
$73,023
outlier · 2.9×
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $92,737.87 $277,231.46 $211,161.86 nat. median
$2,736
outlier · 77.2×
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $85,440.40 $255,416.36 $194,545.72 nat. median
$69,822
outlier · 2.8×
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 8 $81,552.20 $243,792.93 $185,692.37 nat. median
$2,633
outlier · 70.5×
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $130,666.95 $392,802.56 $175,303.18 nat. median
$201,678
0.9× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 8 $75,018.74 $224,261.76 $170,815.86 nat. median
$60,505
outlier · 2.8×
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 8 $74,977.15 $224,137.38 $170,721.12 nat. median
$59,651
outlier · 2.9×
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $73,838.65 $220,733.98 $168,128.81 nat. median
$2,596
outlier · 64.8×
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 6 $124,639.74 $374,683.93 $167,217.04 nat. median
$155,539
1.1× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $123,789.74 $372,128.74 $166,076.70 nat. median
$135,803
1.2× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $121,162.50 $364,230.88 $162,551.97 nat. median
$187,567
0.9× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 8 $71,364.26 $213,337.01 $162,494.69 nat. median
$56,428
outlier · 2.9×
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 8 $70,584.34 $211,005.45 $160,718.78 nat. median
$23,080
outlier · 7.0×
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $70,179.74 $209,795.99 $159,797.56 nat. median
$45,605
outlier · 3.5×
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 6 $118,148.89 $355,171.56 $158,508.91 nat. median
$173,018
0.9× median
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 8 $69,197.95 $206,861.03 $157,562.05 nat. median
$55,935
outlier · 2.8×
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $117,221.62 $352,384.08 $157,264.89 nat. median
$168,439
0.9× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 8 $68,499.45 $204,772.94 $155,971.60 nat. median
$55,923
outlier · 2.8×
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $116,062.54 $348,899.73 $155,709.86 nat. median
$171,497
0.9× median
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $114,362.56 $343,789.35 $153,429.16 nat. median
$173,134
0.9× median
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $113,976.20 $342,627.90 $152,910.82 nat. median
$181,762
0.8× median
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $112,739.85 $338,911.26 $151,252.12 nat. median
$198,578
0.8× median
957
MS_DRG 		Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $66,079.96 $197,540.05 $150,462.45 nat. median
$52,327
outlier · 2.9×
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $111,348.95 $334,730.03 $149,386.10 nat. median
$152,383
1.0× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $62,879.64 $187,972.96 $143,175.37 nat. median
$9,905
outlier · 14.5×
275
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $62,563.57 $187,028.15 $142,455.74 nat. median
$51,518
outlier · 2.8×
94
APR_DRG 		Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $106,171.73 $319,166.60 $142,440.31 nat. median
$152,792
0.9× median
5831
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $105,785.37 $318,005.15 $141,921.97 nat. median
$173,909
0.8× median
870
MS_DRG 		Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 8 $61,585.32 $184,103.77 $140,228.29 nat. median
$48,611
outlier · 2.9×
44
APR_DRG 		Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $104,162.66 $313,127.05 $139,744.93 nat. median
$135,630
1.0× median
74
APR_DRG 		Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 6 $103,158.12 $310,107.28 $138,397.25 nat. median
$149,836
0.9× median
955
MS_DRG 		Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 $60,450.38 $180,710.96 $137,644.05 nat. median
$47,340
outlier · 2.9×
23
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 6 $100,839.96 $303,138.58 $135,287.20 nat. median
$117,894
1.1× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 8 $59,356.18 $177,439.89 $135,152.54 nat. median
$2,958
outlier · 45.7×
928
MS_DRG 		Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 7 $59,127.76 $176,757.09 $134,632.46 nat. median
$37,013
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 9,378 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
             
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 8 — — $333,868.35 $998,069.25 $760,210.10 2026-02-20
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 19 8 — — $249,371.68 $745,474.06 $567,813.21 2026-02-20
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 18 7 — — $210,016.04 $627,823.90 $478,201.36 2026-02-20
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 19 8 — — $189,732.22 $567,187.29 $432,015.62 2026-02-20
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 6 — — $239,079.57 $718,705.57 $320,749.88 2026-02-20
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 19 8 — — $125,091.74 $373,950.45 $284,830.84 2026-02-20
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 6 — — $208,170.77 $625,789.53 $279,282.54 2026-02-20
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 19 8 — — $115,989.17 $346,739.14 $264,104.51 2026-02-20
7 MS_DRG Ms-DRG 42.00: Lung Transplant 19 8 — — $115,697.02 $345,865.79 $263,439.30 2026-02-20
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $178,343.78 $536,125.55 $239,266.55 2026-02-20
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 8 — — $97,556.50 $291,636.36 $222,133.79 2026-02-20
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 6 — — $164,434.82 $494,313.33 $220,606.25 2026-02-20
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 19 8 — — $96,442.81 $288,307.06 $219,597.93 2026-02-20
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 19 8 — — $94,278.26 $281,836.37 $214,669.33 2026-02-20
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 6 — — $159,334.86 $478,982.19 $213,764.14 2026-02-20
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 19 8 — — $93,794.91 $280,391.38 $213,568.71 2026-02-20
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $92,737.87 $277,231.46 $211,161.86 2026-02-20
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $85,440.40 $255,416.36 $194,545.72 2026-02-20
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 19 8 — — $81,552.20 $243,792.93 $185,692.37 2026-02-20
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 6 — — $130,666.95 $392,802.56 $175,303.18 2026-02-20
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 19 8 — — $75,018.74 $224,261.76 $170,815.86 2026-02-20
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $74,977.15 $224,137.38 $170,721.12 2026-02-20
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 8 — — $73,838.65 $220,733.98 $168,128.81 2026-02-20
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 6 — — $124,639.74 $374,683.93 $167,217.04 2026-02-20
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $123,789.74 $372,128.74 $166,076.70 2026-02-20
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 6 — — $121,162.50 $364,230.88 $162,551.97 2026-02-20
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $71,364.26 $213,337.01 $162,494.69 2026-02-20
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 19 8 — — $70,584.34 $211,005.45 $160,718.78 2026-02-20
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 8 — — $70,179.74 $209,795.99 $159,797.56 2026-02-20
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 10 6 — — $118,148.89 $355,171.56 $158,508.91 2026-02-20
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $69,197.95 $206,861.03 $157,562.05 2026-02-20
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 6 — — $117,221.62 $352,384.08 $157,264.89 2026-02-20
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $68,499.45 $204,772.94 $155,971.60 2026-02-20
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 6 — — $116,062.54 $348,899.73 $155,709.86 2026-02-20
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $114,362.56 $343,789.35 $153,429.16 2026-02-20
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 6 — — $113,976.20 $342,627.90 $152,910.82 2026-02-20
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 6 — — $112,739.85 $338,911.26 $151,252.12 2026-02-20
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 8 — — $66,079.96 $197,540.05 $150,462.45 2026-02-20
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $111,348.95 $334,730.03 $149,386.10 2026-02-20
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $62,879.64 $187,972.96 $143,175.37 2026-02-20
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 8 — — $62,563.57 $187,028.15 $142,455.74 2026-02-20
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $106,171.73 $319,166.60 $142,440.31 2026-02-20
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 6 — — $105,785.37 $318,005.15 $141,921.97 2026-02-20
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 19 8 — — $61,585.32 $184,103.77 $140,228.29 2026-02-20
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $104,162.66 $313,127.05 $139,744.93 2026-02-20
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 6 — — $103,158.12 $310,107.28 $138,397.25 2026-02-20
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 18 7 — — $60,450.38 $180,710.96 $137,644.05 2026-02-20
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 6 — — $100,839.96 $303,138.58 $135,287.20 2026-02-20
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 19 8 — — $59,356.18 $177,439.89 $135,152.54 2026-02-20
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 18 7 — — $59,127.76 $176,757.09 $134,632.46 2026-02-20
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 19 8 — — $59,027.72 $176,458.03 $134,404.68 2026-02-20
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 6 — — $99,989.97 $300,583.39 $134,146.85 2026-02-20
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 6 — — $99,912.70 $300,351.10 $134,043.17 2026-02-20
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 19 8 — — $57,253.60 $171,154.45 $130,365.04 2026-02-20
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $57,171.24 $170,908.32 $130,177.57 2026-02-20
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 6 — — $95,044.56 $285,716.82 $127,512.07 2026-02-20
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 19 8 — — $55,988.52 $167,372.60 $127,484.48 2026-02-20
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 19 8 — — $54,838.52 $163,934.80 $124,865.97 2026-02-20
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 8 — — $54,767.70 $163,723.08 $124,704.71 2026-02-20
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $54,518.03 $162,976.76 $124,136.26 2026-02-20
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $54,327.71 $162,407.77 $123,702.86 2026-02-20
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 19 8 — — $54,079.82 $161,666.75 $123,138.44 2026-02-20
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 19 8 — — $53,821.33 $160,893.97 $122,549.83 2026-02-20
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 19 8 — — $53,435.32 $159,740.09 $121,670.95 2026-02-20
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 19 8 — — $53,435.32 $159,740.09 $121,670.95 2026-02-20
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $53,036.06 $158,546.52 $120,761.83 2026-02-20
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $52,668.66 $157,448.22 $119,925.28 2026-02-20
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 19 8 — — $52,092.32 $155,725.35 $118,613.00 2026-02-20
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 6 — — $87,935.54 $264,346.13 $117,974.58 2026-02-20
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 8 — — $51,544.34 $154,087.17 $117,365.22 2026-02-20
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $50,810.42 $151,893.22 $115,694.14 2026-02-20
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $50,506.79 $150,985.47 $115,002.72 2026-02-20
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 6 — — $84,612.84 $254,357.66 $113,516.85 2026-02-20
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 19 8 — — $49,351.48 $147,531.79 $112,372.12 2026-02-20
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $48,932.73 $146,279.99 $111,418.65 2026-02-20
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 19 8 — — $48,932.73 $146,279.99 $111,418.65 2026-02-20
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $48,727.34 $145,666.01 $110,950.99 2026-02-20
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 8 — — $48,429.89 $144,776.78 $110,273.68 2026-02-20
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 19 8 — — $48,169.62 $143,998.71 $109,681.04 2026-02-20
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 19 8 — — $48,059.85 $143,670.55 $109,431.08 2026-02-20
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $47,814.61 $142,937.46 $108,872.71 2026-02-20
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $47,769.44 $142,802.49 $108,769.90 2026-02-20
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $47,764.15 $142,786.61 $108,757.81 2026-02-20
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $47,099.30 $140,799.09 $107,243.95 2026-02-20
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 6 — — $79,667.43 $239,491.09 $106,882.07 2026-02-20
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $46,891.26 $140,177.17 $106,770.24 2026-02-20
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 6 — — $78,971.98 $237,400.48 $105,949.05 2026-02-20
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 19 8 — — $45,593.42 $136,297.40 $103,815.10 2026-02-20
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 19 8 — — $45,442.03 $135,844.85 $103,470.40 2026-02-20
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 19 8 — — $45,102.09 $134,828.59 $102,696.34 2026-02-20
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 19 8 — — $44,963.99 $134,415.73 $102,381.87 2026-02-20
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 6 — — $75,958.38 $228,341.17 $101,905.99 2026-02-20
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $44,591.26 $133,301.56 $101,533.23 2026-02-20
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 19 8 — — $44,328.32 $132,515.55 $100,934.54 2026-02-20
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $44,293.81 $132,412.33 $100,855.92 2026-02-20
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 8 — — $44,276.11 $132,359.40 $100,815.61 2026-02-20
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 10 6 — — $75,031.11 $225,553.69 $100,661.96 2026-02-20
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 19 8 — — $44,116.76 $131,883.03 $100,452.76 2026-02-20
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 6 — — $74,026.58 $222,533.92 $99,314.28 2026-02-20
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 19 8 — — $43,262.45 $129,329.16 $98,507.53 2026-02-20
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 19 8 — — $43,001.28 $128,548.44 $97,912.87 2026-02-20
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 19 8 — — $42,929.59 $128,334.08 $97,749.59 2026-02-20
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 6 — — $72,558.41 $218,120.40 $97,344.58 2026-02-20
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $42,277.11 $126,383.61 $96,263.96 2026-02-20
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $71,553.87 $215,100.63 $95,996.90 2026-02-20
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 19 8 — — $42,093.87 $125,835.78 $95,846.69 2026-02-20
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 19 8 — — $42,085.88 $125,811.96 $95,828.55 2026-02-20
A9543 HCPCS Y90 Ibritumomab, Rx 81 25 $116,003.00 $110,202.85 $400.60 $112,522.91 $95,586.47 2026-02-20
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $41,650.33 $124,509.89 $94,836.78 2026-02-20
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 8 — — $41,427.22 $123,842.97 $94,328.80 2026-02-20
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 19 8 — — $41,182.90 $123,112.53 $93,772.44 2026-02-20
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 19 8 — — $40,804.87 $121,982.48 $92,911.70 2026-02-20
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 19 8 — — $40,788.05 $121,932.19 $92,873.40 2026-02-20
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $40,657.92 $121,543.16 $92,577.08 2026-02-20
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 19 8 — — $40,651.71 $121,524.63 $92,562.97 2026-02-20
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $68,849.35 $206,970.48 $92,368.50 2026-02-20
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 19 8 — — $39,940.83 $119,399.49 $90,944.29 2026-02-20
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 19 8 — — $39,702.69 $118,687.59 $90,402.04 2026-02-20
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 19 8 — — $39,592.90 $118,359.42 $90,152.09 2026-02-20
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 19 8 — — $39,222.86 $117,253.18 $89,309.49 2026-02-20
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $66,531.19 $200,001.78 $89,258.45 2026-02-20
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 19 8 — — $38,889.11 $116,255.45 $88,549.54 2026-02-20
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 6 — — $65,758.47 $197,678.88 $88,221.76 2026-02-20
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 6 — — $65,681.20 $197,446.58 $88,118.10 2026-02-20
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $65,140.30 $195,820.55 $87,392.42 2026-02-20
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 18 7 — — $38,305.68 $114,511.41 $87,221.13 2026-02-20
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $38,226.90 $114,275.87 $87,041.73 2026-02-20
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 6 — — $64,444.85 $193,729.94 $86,459.40 2026-02-20
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 6 — — $64,135.76 $192,800.78 $86,044.73 2026-02-20
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 19 8 — — $37,763.91 $112,891.75 $85,987.47 2026-02-20
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 19 8 — — $37,708.12 $112,725.02 $85,860.47 2026-02-20
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 6 — — $63,903.94 $192,103.91 $85,733.73 2026-02-20
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 19 8 — — $37,440.76 $111,925.78 $85,251.71 2026-02-20
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 6 — — $63,053.95 $189,548.72 $84,593.37 2026-02-20
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 19 8 — — $37,099.03 $110,904.23 $84,473.61 2026-02-20
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 19 8 — — $37,090.19 $110,877.76 $84,453.45 2026-02-20
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 19 8 — — $36,834.34 $110,112.93 $83,870.89 2026-02-20
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 19 8 — — $36,404.08 $108,826.73 $82,891.22 2026-02-20
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 19 8 — — $36,383.74 $108,765.86 $82,844.86 2026-02-20
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $36,329.73 $108,604.42 $82,721.89 2026-02-20
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $36,150.90 $108,069.83 $82,314.70 2026-02-20
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 6 — — $61,353.97 $184,438.34 $82,312.67 2026-02-20
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 8 — — $36,008.35 $107,643.74 $81,990.16 2026-02-20
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 10 6 — — $60,426.70 $181,650.86 $81,068.65 2026-02-20
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 19 8 — — $35,267.38 $105,428.62 $80,302.95 2026-02-20
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 19 8 — — $35,242.59 $105,354.52 $80,246.50 2026-02-20
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 6 — — $59,653.98 $179,327.96 $80,031.96 2026-02-20
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 19 8 — — $34,930.96 $104,422.95 $79,536.95 2026-02-20
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 19 8 — — $34,859.25 $104,208.58 $79,373.67 2026-02-20
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 6 — — $59,113.08 $177,701.93 $79,306.29 2026-02-20
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 19 8 — — $34,788.43 $103,996.86 $79,212.41 2026-02-20
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 19 8 — — $34,634.40 $103,536.37 $78,861.66 2026-02-20
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 19 8 — — $34,617.57 $103,486.09 $78,823.36 2026-02-20
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 19 8 — — $34,426.34 $102,914.45 $78,387.95 2026-02-20
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 19 8 — — $34,216.54 $102,287.23 $77,910.21 2026-02-20
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 19 8 — — $34,181.99 $102,184.01 $77,831.59 2026-02-20
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 19 8 — — $34,086.39 $101,898.19 $77,613.89 2026-02-20
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 18 7 — — $33,839.40 $101,159.82 $77,051.48 2026-02-20
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $33,656.14 $100,611.99 $76,634.21 2026-02-20
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 6 — — $56,872.19 $170,965.51 $76,299.90 2026-02-20
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 10 6 — — $56,794.92 $170,733.22 $76,196.24 2026-02-20
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 19 8 — — $33,394.11 $99,828.63 $76,037.54 2026-02-20
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 19 8 — — $33,127.63 $99,032.03 $75,430.79 2026-02-20
A9699 HCPCS Pluvicto Per Dose 77 25 $90,041.00 $85,538.95 $310.94 $87,339.77 $74,793.82 2026-02-20
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 8 — — $32,301.65 $96,562.85 $73,550.06 2026-02-20
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 19 8 — — $32,077.65 $95,893.28 $73,040.06 2026-02-20
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 6 — — $54,244.94 $163,067.65 $72,775.18 2026-02-20
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 19 8 — — $31,735.94 $94,871.73 $72,261.97 2026-02-20
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 19 8 — — $31,734.17 $94,866.44 $72,257.94 2026-02-20
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 19 8 — — $31,728.87 $94,850.56 $72,245.84 2026-02-20
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 19 8 — — $31,580.13 $94,405.95 $71,907.19 2026-02-20
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 19 8 — — $31,438.50 $93,982.51 $71,584.66 2026-02-20
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $31,254.34 $93,432.04 $71,165.38 2026-02-20
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $31,246.37 $93,408.22 $71,147.24 2026-02-20
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 19 8 — — $31,167.58 $93,172.68 $70,967.83 2026-02-20
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 8 — — $31,018.87 $92,728.07 $70,629.18 2026-02-20
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 19 8 — — $31,009.13 $92,698.96 $70,607.01 2026-02-20
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 19 8 — — $30,996.72 $92,661.90 $70,578.79 2026-02-20
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 19 8 — — $30,941.83 $92,497.82 $70,453.81 2026-02-20
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 10 6 — — $52,390.42 $157,492.69 $70,287.15 2026-02-20
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 19 8 — — $30,741.75 $91,899.71 $69,998.24 2026-02-20
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 10 6 — — $52,158.60 $156,795.82 $69,976.14 2026-02-20
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 19 8 — — $30,708.13 $91,799.15 $69,921.64 2026-02-20
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 8 — — $30,674.48 $91,698.58 $69,845.04 2026-02-20
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 6 — — $51,849.51 $155,866.66 $69,561.46 2026-02-20
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 19 8 — — $30,492.99 $91,156.05 $69,431.80 2026-02-20
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 8 — — $30,445.19 $91,013.13 $69,322.95 2026-02-20
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 19 8 — — $30,397.40 $90,870.22 $69,214.10 2026-02-20
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 19 8 — — $30,369.05 $90,785.54 $69,149.59 2026-02-20
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 19 8 — — $30,323.02 $90,647.92 $69,044.77 2026-02-20
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 8 — — $30,154.82 $90,145.08 $68,661.77 2026-02-20
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 19 8 — — $30,029.11 $89,769.28 $68,375.53 2026-02-20
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 6 — — $50,690.43 $152,382.31 $68,006.43 2026-02-20
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 19 8 — — $29,716.60 $88,835.07 $67,663.96 2026-02-20
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 6 — — $50,226.80 $150,988.57 $67,384.43 2026-02-20
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 6 — — $50,149.53 $150,756.27 $67,280.76 2026-02-20
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 10 6 — — $50,072.26 $150,523.98 $67,177.09 2026-02-20
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 19 8 — — $29,399.67 $87,887.62 $66,942.30 2026-02-20
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 6 — — $49,840.44 $149,827.11 $66,866.08 2026-02-20
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 8 — — $29,231.46 $87,384.78 $66,559.30 2026-02-20
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 6 — — $49,608.62 $149,130.24 $66,555.08 2026-02-20
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 6 — — $49,454.08 $148,665.66 $66,347.74 2026-02-20
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 6 — — $49,144.99 $147,736.50 $65,933.07 2026-02-20
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 19 8 — — $28,937.54 $86,506.15 $65,890.06 2026-02-20
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 8 — — $28,855.20 $86,260.02 $65,702.59 2026-02-20
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 19 8 — — $28,842.82 $86,222.97 $65,674.37 2026-02-20
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 8 — — $28,500.19 $85,198.77 $64,894.26 2026-02-20
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $28,368.29 $84,804.45 $64,593.91 2026-02-20
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $48,063.18 $144,484.44 $64,481.71 2026-02-20
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 19 8 — — $28,285.96 $84,558.32 $64,406.44 2026-02-20
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 19 8 — — $28,231.97 $84,396.88 $64,283.48 2026-02-20
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 6 — — $47,908.64 $144,019.86 $64,274.38 2026-02-20
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 18 7 — — $28,155.82 $84,169.29 $64,110.12 2026-02-20
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 19 8 — — $28,099.17 $83,999.91 $63,981.11 2026-02-20
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 19 8 — — $28,052.25 $83,859.65 $63,874.27 2026-02-20
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 6 — — $47,522.28 $142,858.41 $63,756.04 2026-02-20
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 6 — — $47,445.01 $142,626.12 $63,652.37 2026-02-20
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 6 — — $47,290.46 $142,161.54 $63,445.03 2026-02-20
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 19 8 — — $27,629.95 $82,597.26 $62,912.74 2026-02-20
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 19 8 — — $27,617.56 $82,560.21 $62,884.52 2026-02-20
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 19 8 — — $27,499.82 $82,208.23 $62,616.42 2026-02-20
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 10 6 — — $46,595.02 $140,070.93 $62,512.01 2026-02-20
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 6 — — $46,595.02 $140,070.93 $62,512.01 2026-02-20
C1825 HCPCS System Barostim Neo Ipg & Csl 77 25 $73,500.00 $69,825.00 $271.95 $73,500.00 $62,475.00 2026-02-20
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 19 8 — — $27,376.76 $81,840.37 $62,336.23 2026-02-20
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $27,320.11 $81,670.99 $62,207.22 2026-02-20
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $27,300.62 $81,612.77 $62,162.87 2026-02-20
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 19 8 — — $27,190.84 $81,284.60 $61,912.91 2026-02-20
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 19 8 — — $27,166.07 $81,210.50 $61,856.47 2026-02-20
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 19 8 — — $27,077.54 $80,945.85 $61,654.89 2026-02-20
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 19 8 — — $26,649.07 $79,664.94 $60,679.25 2026-02-20
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 6 — — $44,895.03 $134,960.55 $60,231.32 2026-02-20
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 19 8 — — $26,436.58 $79,029.78 $60,195.46 2026-02-20
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 6 — — $44,817.76 $134,728.26 $60,127.65 2026-02-20
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 10 6 — — $44,663.22 $134,263.68 $59,920.31 2026-02-20
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 10 6 — — $44,585.94 $134,031.39 $59,816.64 2026-02-20
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 6 — — $44,508.67 $133,799.10 $59,712.97 2026-02-20
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $26,103.72 $78,034.70 $59,437.52 2026-02-20
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 6 — — $44,276.86 $133,102.23 $59,401.96 2026-02-20
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 19 8 — — $26,036.44 $77,833.57 $59,284.33 2026-02-20
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 19 8 — — $25,965.61 $77,621.85 $59,123.06 2026-02-20
668 MS_DRG Ms-DRG 42.00: Transurethral Procedures With Mcc 19 8 — — $25,817.76 $77,179.88 $58,786.43 2026-02-20
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 8 — — $25,803.61 $77,137.54 $58,754.17 2026-02-20
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 19 8 — — $25,795.63 $77,113.72 $58,736.03 2026-02-20
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $25,781.46 $77,071.37 $58,703.78 2026-02-20
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 6 — — $43,658.68 $131,243.91 $58,572.61 2026-02-20
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Soln (kimmtrack) 89 25 $71,288.00 $67,723.60 $217.09 $69,434.51 $58,456.16 2026-02-20
J0177 HCPCS Aflibercept Soln 8 Mg/0.07 Ml (eylea) 89 25 $71,250.00 $67,687.50 $263.62 $69,397.50 $58,425.00 2026-02-20
472 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Cc 19 8 — — $25,648.67 $76,674.40 $58,401.41 2026-02-20
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 6 — — $43,426.86 $130,547.04 $58,261.61 2026-02-20
914 APR_DRG Apr-DRG 41.00: Other Major Head And Neck Procedures 10 6 — — $43,117.78 $129,617.88 $57,846.94 2026-02-20
625 MS_DRG Ms-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 8 — — $25,382.20 $75,877.80 $57,794.66 2026-02-20
61 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 6 — — $43,040.50 $129,385.59 $57,743.27 2026-02-20
462 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $25,352.99 $75,790.47 $57,728.14 2026-02-20
325 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy Without Intraluminal Device 19 8 — — $25,337.93 $75,745.48 $57,693.87 2026-02-20
J0178 HCPCS Aflibercept Soln 2 Mg/0.05 Ml (eylea) 89 25 $70,300.00 $66,785.00 $260.11 $68,472.20 $57,646.00 2026-02-20
J0179 HCPCS Brolucizumab-dbll Soln 6 Mg/0.05 Ml (beovu) 89 25 $70,300.00 $66,785.00 $260.11 $68,472.20 $57,646.00 2026-02-20
510 MS_DRG Ms-DRG 42.00: Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedur… 19 8 — — $25,302.53 $75,639.62 $57,613.24 2026-02-20
321 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 19 8 — — $25,202.48 $75,340.56 $57,385.45 2026-02-20
6033 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 6 — — $42,499.60 $127,759.55 $57,017.59 2026-02-20
5891 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 6 — — $42,422.33 $127,527.26 $56,913.93 2026-02-20
654 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Cc 19 8 — — $24,983.82 $74,686.88 $56,887.55 2026-02-20
11 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 6 — — $42,345.06 $127,294.97 $56,810.26 2026-02-20
406 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Cc 19 8 — — $24,862.54 $74,324.31 $56,611.39 2026-02-20
258 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Device Replacement With Mcc 19 8 — — $24,836.86 $74,247.56 $56,552.93 2026-02-20
8504 APR_DRG Apr-DRG 41.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 6 — — $41,649.61 $125,204.36 $55,877.24 2026-02-20
411 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Mcc 19 8 — — $24,225.12 $72,418.83 $55,160.02 2026-02-20
288 MS_DRG Ms-DRG 42.00: Acute And Subacute Endocarditis With Mcc 19 8 — — $24,181.75 $72,289.15 $55,061.25 2026-02-20
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 5 — — $52,628.84 $132,069.68 $54,997.14 2026-02-20
619 MS_DRG Ms-DRG 42.00: O.r. Procedures For Obesity With Mcc 19 8 — — $24,137.48 $72,156.82 $54,960.46 2026-02-20
963 MS_DRG Ms-DRG 42.00: Other Multiple Significant Trauma With Mcc 19 8 — — $24,050.71 $71,897.47 $54,762.91 2026-02-20
6134 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 6 — — $40,645.07 $122,184.59 $54,529.56 2026-02-20
61 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 19 8 — — $23,932.98 $71,545.48 $54,494.81 2026-02-20
77371 CPT Gamma Knife 87 25 $61,658.00 $58,575.10 $270.91 $71,314.33 $54,382.36 2026-02-20
344 MS_DRG Ms-DRG 42.00: Minor Small And Large Bowel Procedures With Mcc 19 8 — — $23,854.19 $71,309.94 $54,315.41 2026-02-20
208 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 8 — — $23,759.47 $71,026.77 $54,099.72 2026-02-20
263 MS_DRG Ms-DRG 42.00: Vein Ligation And Stripping 19 8 — — $23,744.43 $70,981.78 $54,065.45 2026-02-20
849 MS_DRG Ms-DRG 42.00: Radiotherapy 19 8 — — $23,647.02 $70,690.66 $53,843.71 2026-02-20
577 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 8 — — $23,573.54 $70,471.00 $53,676.40 2026-02-20
1783 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 10 6 — — $39,949.62 $120,093.98 $53,596.54 2026-02-20
970 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures Without Mcc 19 8 — — $23,489.45 $70,219.58 $53,484.90 2026-02-20
13 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $23,460.25 $70,132.25 $53,418.38 2026-02-20
9124 APR_DRG Apr-DRG 41.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 6 — — $39,795.08 $119,629.40 $53,389.20 2026-02-20
503 MS_DRG Ms-DRG 42.00: Foot Procedures With Mcc 19 8 — — $23,430.14 $70,042.27 $53,349.85 2026-02-20
959 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma Without Cc/m… 19 8 — — $23,406.24 $69,970.81 $53,295.42 2026-02-20
9114 APR_DRG Apr-DRG 41.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 6 — — $39,717.81 $119,397.11 $53,285.53 2026-02-20
1694 APR_DRG Apr-DRG 41.00: Major Abdominal Vascular Procedures 10 6 — — $39,640.54 $119,164.82 $53,181.86 2026-02-20
468 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement Without Cc/mcc 19 8 — — $23,223.85 $69,425.63 $52,880.17 2026-02-20
255 MS_DRG Ms-DRG 42.00: Upper Limb And Toe Amputation For Circulatory System Disorders Wit… 19 8 — — $23,163.65 $69,245.67 $52,743.09 2026-02-20
6214 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 6 — — $38,945.09 $117,074.21 $52,248.85 2026-02-20
749 MS_DRG Ms-DRG 42.00: Other Female Reproductive System O.r. Procedures With Cc/mcc 19 8 — — $22,916.65 $68,507.30 $52,180.69 2026-02-20
8413 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 10 6 — — $38,867.82 $116,841.92 $52,145.18 2026-02-20
659 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 8 — — $22,878.58 $68,393.50 $52,094.01 2026-02-20
214 APR_DRG Apr-DRG 41.00: Open Craniotomy Except Trauma 10 6 — — $38,790.54 $116,609.63 $52,041.51 2026-02-20
234 APR_DRG Apr-DRG 41.00: Spinal Procedures 10 6 — — $38,636.00 $116,145.05 $51,834.18 2026-02-20
846 MS_DRG Ms-DRG 42.00: Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mc… 19 8 — — $22,608.59 $67,586.32 $51,479.19 2026-02-20
253 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Cc 19 8 — — $22,601.51 $67,565.15 $51,463.07 2026-02-20
Q2043 HCPCS Sipuleucel-t,per Infusion 154 25 $75,805.34 $72,015.07 $2.01 $94,648.39 $51,445.29 2026-02-20
483 MS_DRG Ms-DRG 42.00: Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 8 — — $22,559.01 $67,438.11 $51,366.31 2026-02-20
C9293 HCPCS Glucarpidase Powd-inj 1000 Units 76 25 $60,150.20 $57,142.69 $222.56 $58,586.29 $51,127.67 2026-02-20
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