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
37 distinct payers
2,503,356 rate rows
2026-02-20 last MRF observed
Data quality

2,478,307 of 2,503,356 rate rows are consumer-grade (99.0%)

25,049 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 15,245
per-diem day rate — not a per-procedure price 7,760
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,121
exceeds 10× this hospital's gross charge — excluded from medians 460
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 351
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 112
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 success · 2026-11-13
Content fingerprint de57bfc9554d1f2c… · 32,896,477 bytes · first seen 2026-11-13

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 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $333,868.35 $998,069.25 $760,210.10 nat. median
$360,195
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $249,371.68 $745,474.06 $567,813.21 nat. median
$247,805
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 $210,016.04 $627,823.90 $478,201.36 nat. median
$197,664
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $189,732.22 $567,187.29 $432,015.62 nat. median
$190,274
outlier · 2.3×
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $239,079.57 $718,705.57 $320,749.88 nat. median
$309,665
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $125,091.74 $373,950.45 $284,830.84 nat. median
$126,240
outlier · 2.3×
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $208,170.77 $625,789.53 $279,282.54 nat. median
$244,017
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $115,989.17 $346,739.14 $264,104.51 nat. median
$109,875
outlier · 2.4×
7
MS_DRG 		Lung Transplant 8 $115,697.02 $345,865.79 $263,439.30 nat. median
$117,943
outlier · 2.2×
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $178,343.78 $536,125.55 $239,266.55 nat. median
$249,123
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $97,556.50 $291,636.36 $222,133.79 nat. median
$103,911
outlier · 2.1×
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $164,434.82 $494,313.33 $220,606.25 nat. median
$202,660
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $96,442.81 $288,307.06 $219,597.93 nat. median
$97,029
outlier · 2.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $94,278.26 $281,836.37 $214,669.33 nat. median
$94,844
outlier · 2.3×
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $159,334.86 $478,982.19 $213,764.14 nat. median
$243,231
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 8 $93,794.91 $280,391.38 $213,568.71 nat. median
$93,531
outlier · 2.3×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $92,737.87 $277,231.46 $211,161.86 nat. median
$93,094
outlier · 2.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 $85,440.40 $255,416.36 $194,545.72 nat. median
$90,525
outlier · 2.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 8 $81,552.20 $243,792.93 $185,692.37 nat. median
$78,028
outlier · 2.4×
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $130,666.95 $392,802.56 $175,303.18 nat. median
$159,829
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 8 $75,018.74 $224,261.76 $170,815.86 nat. median
$76,979
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 $74,977.15 $224,137.38 $170,721.12 nat. median
$77,595
outlier · 2.2×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $73,838.65 $220,733.98 $168,128.81 nat. median
$77,933
outlier · 2.2×
1613
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 6 $124,639.74 $374,683.93 $167,217.04 nat. median
$121,888
1.4× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $123,789.74 $372,128.74 $166,076.70 nat. median
$122,909
1.4× median
6304
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $121,162.50 $364,230.88 $162,551.97 nat. median
$154,211
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 8 $71,364.26 $213,337.01 $162,494.69 nat. median
$74,260
outlier · 2.2×
10
MS_DRG 		Pancreas Transplant 8 $70,584.34 $211,005.45 $160,718.78 nat. median
$64,615
outlier · 2.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $70,179.74 $209,795.99 $159,797.56 nat. median
$66,332
outlier · 2.4×
8414
APR_DRG 		Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 6 $118,148.89 $355,171.56 $158,508.91 nat. median
$160,390
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 8 $69,197.95 $206,861.03 $157,562.05 nat. median
$71,672
outlier · 2.2×
5934
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $117,221.62 $352,384.08 $157,264.89 nat. median
$152,569
1.0× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 $68,499.45 $204,772.94 $155,971.60 nat. median
$72,153
outlier · 2.2×
5914
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $116,062.54 $348,899.73 $155,709.86 nat. median
$165,334
0.9× median
5883
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $114,362.56 $343,789.35 $153,429.16 nat. median
$177,531
0.9× median
6314
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $113,976.20 $342,627.90 $152,910.82 nat. median
$138,094
1.1× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $112,739.85 $338,911.26 $151,252.12 nat. median
$165,846
0.9× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $66,079.96 $197,540.05 $150,462.45 nat. median
$67,850
outlier · 2.2×
5882
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $111,348.95 $334,730.03 $149,386.10 nat. median
$145,336
1.0× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $62,879.64 $187,972.96 $143,175.37 nat. median
$63,446
outlier · 2.3×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $62,563.57 $187,028.15 $142,455.74 nat. median
$66,553
outlier · 2.1×
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 6 $106,171.73 $319,166.60 $142,440.31 nat. median
$165,169
0.9× median
5831
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 6 $105,785.37 $318,005.15 $141,921.97 nat. median
$148,245
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $61,585.32 $184,103.77 $140,228.29 nat. median
$62,605
outlier · 2.2×
44
APR_DRG 		Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $104,162.66 $313,127.05 $139,744.93 nat. median
$122,016
1.1× median
74
APR_DRG 		Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 6 $103,158.12 $310,107.28 $138,397.25 nat. median
$171,358
0.8× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 7 $60,450.38 $180,710.96 $137,644.05 nat. median
$61,601
outlier · 2.2×
23
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 6 $100,839.96 $303,138.58 $135,287.20 nat. median
$111,079
1.2× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 $59,356.18 $177,439.89 $135,152.54 nat. median
$60,364
outlier · 2.2×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 7 $59,127.76 $176,757.09 $134,632.46 nat. median
$61,444
outlier · 2.2×

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.

Slice
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 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 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 Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 7 — — $210,016.04 $627,823.90 $478,201.36 2026-02-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 8 — — $189,732.22 $567,187.29 $432,015.62 2026-02-20
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 6 — — $239,079.57 $718,705.57 $320,749.88 2026-02-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 8 — — $125,091.74 $373,950.45 $284,830.84 2026-02-20
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 6 — — $208,170.77 $625,789.53 $279,282.54 2026-02-20
14 MS_DRG Allogeneic Bone Marrow Transplant 19 8 — — $115,989.17 $346,739.14 $264,104.51 2026-02-20
7 MS_DRG Lung Transplant 19 8 — — $115,697.02 $345,865.79 $263,439.30 2026-02-20
5884 APR_DRG Apr-DRG 42.00: 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 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 42.00: Implantable Heart Assist Systems 10 6 — — $164,434.82 $494,313.33 $220,606.25 2026-02-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 8 — — $96,442.81 $288,307.06 $219,597.93 2026-02-20
5 MS_DRG 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 42.00: Heart And/or Lung Transplant 10 6 — — $159,334.86 $478,982.19 $213,764.14 2026-02-20
215 MS_DRG Other Heart Assist System Implant 19 8 — — $93,794.91 $280,391.38 $213,568.71 2026-02-20
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 8 — — $92,737.87 $277,231.46 $211,161.86 2026-02-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 8 — — $85,440.40 $255,416.36 $194,545.72 2026-02-20
850 MS_DRG Acute Leukemia With Other Procedures 19 8 — — $81,552.20 $243,792.93 $185,692.37 2026-02-20
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 6 — — $130,666.95 $392,802.56 $175,303.18 2026-02-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 19 8 — — $75,018.74 $224,261.76 $170,815.86 2026-02-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 8 — — $74,977.15 $224,137.38 $170,721.12 2026-02-20
429 MS_DRG 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 42.00: Implantable Heart Assist Systems 10 6 — — $124,639.74 $374,683.93 $167,217.04 2026-02-20
114 APR_DRG Apr-DRG 42.00: 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 42.00: 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 Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 8 — — $71,364.26 $213,337.01 $162,494.69 2026-02-20
10 MS_DRG Pancreas Transplant 19 8 — — $70,584.34 $211,005.45 $160,718.78 2026-02-20
19 MS_DRG 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 42.00: Extensive Third Degree Burns With Skin Graft 10 6 — — $118,148.89 $355,171.56 $158,508.91 2026-02-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 19 8 — — $69,197.95 $206,861.03 $157,562.05 2026-02-20
5934 APR_DRG Apr-DRG 42.00: 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 Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 8 — — $68,499.45 $204,772.94 $155,971.60 2026-02-20
5914 APR_DRG Apr-DRG 42.00: 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 42.00: 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 42.00: 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 42.00: 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 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 42.00: 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 Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 8 — — $62,879.64 $187,972.96 $143,175.37 2026-02-20
275 MS_DRG 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 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $106,171.73 $319,166.60 $142,440.31 2026-02-20
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 10 6 — — $105,785.37 $318,005.15 $141,921.97 2026-02-20
870 MS_DRG 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 42.00: 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 42.00: Allogeneic Bone Marrow Transplant 10 6 — — $103,158.12 $310,107.28 $138,397.25 2026-02-20
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 7 — — $60,450.38 $180,710.96 $137,644.05 2026-02-20
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 10 6 — — $100,839.96 $303,138.58 $135,287.20 2026-02-20
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 8 — — $59,356.18 $177,439.89 $135,152.54 2026-02-20
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 7 — — $59,127.76 $176,757.09 $134,632.46 2026-02-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 19 8 — — $59,027.72 $176,458.03 $134,404.68 2026-02-20
14 APR_DRG Apr-DRG 42.00: 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 42.00: Implantable Heart Assist Systems 10 6 — — $99,912.70 $300,351.10 $134,043.17 2026-02-20
207 MS_DRG 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 Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 8 — — $57,171.24 $170,908.32 $130,177.57 2026-02-20
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 10 6 — — $95,044.56 $285,716.82 $127,512.07 2026-02-20
969 MS_DRG 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 Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 8 — — $54,838.52 $163,934.80 $124,865.97 2026-02-20
317 MS_DRG 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 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 Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 8 — — $54,327.71 $162,407.77 $123,702.86 2026-02-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 8 — — $54,079.82 $161,666.75 $123,138.44 2026-02-20
28 MS_DRG Spinal Procedures With Mcc 19 8 — — $53,821.33 $160,893.97 $122,549.83 2026-02-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 8 — — $53,435.32 $159,740.09 $121,670.95 2026-02-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 8 — — $53,435.32 $159,740.09 $121,670.95 2026-02-20
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 8 — — $53,036.06 $158,546.52 $120,761.83 2026-02-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 8 — — $52,668.66 $157,448.22 $119,925.28 2026-02-20
235 MS_DRG 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 42.00: 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 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 Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 8 — — $50,810.42 $151,893.22 $115,694.14 2026-02-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 8 — — $50,506.79 $150,985.47 $115,002.72 2026-02-20
6024 APR_DRG Apr-DRG 42.00: 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 Major Bladder Procedures With Mcc 19 8 — — $49,351.48 $147,531.79 $112,372.12 2026-02-20
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 8 — — $48,932.73 $146,279.99 $111,418.65 2026-02-20
834 MS_DRG Acute Leukemia With Mcc 19 8 — — $48,932.73 $146,279.99 $111,418.65 2026-02-20
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 8 — — $48,727.34 $145,666.01 $110,950.99 2026-02-20
430 MS_DRG 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 Simultaneous Pancreas And Kidney Transplant 19 8 — — $48,169.62 $143,998.71 $109,681.04 2026-02-20
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 8 — — $48,059.85 $143,670.55 $109,431.08 2026-02-20
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 8 — — $47,814.61 $142,937.46 $108,872.71 2026-02-20
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 8 — — $47,769.44 $142,802.49 $108,769.90 2026-02-20
576 MS_DRG 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 Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 8 — — $47,099.30 $140,799.09 $107,243.95 2026-02-20
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 10 6 — — $79,667.43 $239,491.09 $106,882.07 2026-02-20
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 8 — — $46,891.26 $140,177.17 $106,770.24 2026-02-20
5933 APR_DRG Apr-DRG 42.00: 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 Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 8 — — $45,593.42 $136,297.40 $103,815.10 2026-02-20
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 8 — — $45,442.03 $135,844.85 $103,470.40 2026-02-20
466 MS_DRG 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 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 42.00: 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 Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 8 — — $44,591.26 $133,301.56 $101,533.23 2026-02-20
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 8 — — $44,328.32 $132,515.55 $100,934.54 2026-02-20
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 8 — — $44,293.81 $132,412.33 $100,855.92 2026-02-20
853 MS_DRG 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 42.00: Major Cardiothoracic Repair Of Heart Anomaly 10 6 — — $75,031.11 $225,553.69 $100,661.96 2026-02-20
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 8 — — $44,116.76 $131,883.03 $100,452.76 2026-02-20
5881 APR_DRG Apr-DRG 42.00: 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 Aicd Generator Procedures 19 8 — — $43,262.45 $129,329.16 $98,507.53 2026-02-20
471 MS_DRG Cervical Spinal Fusion With Mcc 19 8 — — $43,001.28 $128,548.44 $97,912.87 2026-02-20
6 MS_DRG Liver Transplant Without Mcc 19 8 — — $42,929.59 $128,334.08 $97,749.59 2026-02-20
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 10 6 — — $72,558.41 $218,120.40 $97,344.58 2026-02-20
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 8 — — $42,277.11 $126,383.61 $96,263.96 2026-02-20
54 APR_DRG Apr-DRG 42.00: 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 Splenic Procedures With Mcc 19 8 — — $42,093.87 $125,835.78 $95,846.69 2026-02-20
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 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 Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 8 — — $41,650.33 $124,509.89 $94,836.78 2026-02-20
823 MS_DRG 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 Cardiac Defibrillator Implant Without Mcc 19 8 — — $41,182.90 $123,112.53 $93,772.44 2026-02-20
163 MS_DRG Major Chest Procedures With Mcc 19 8 — — $40,804.87 $121,982.48 $92,911.70 2026-02-20
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 8 — — $40,788.05 $121,932.19 $92,873.40 2026-02-20
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 8 — — $40,657.92 $121,543.16 $92,577.08 2026-02-20
329 MS_DRG 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 42.00: 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 Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 8 — — $39,940.83 $119,399.49 $90,944.29 2026-02-20
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 8 — — $39,702.69 $118,687.59 $90,402.04 2026-02-20
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 8 — — $39,592.90 $118,359.42 $90,152.09 2026-02-20
901 MS_DRG 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 42.00: 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 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 42.00: 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 42.00: 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 42.00: 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 Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 7 — — $38,305.68 $114,511.41 $87,221.13 2026-02-20
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 8 — — $38,226.90 $114,275.87 $87,041.73 2026-02-20
8424 APR_DRG Apr-DRG 42.00: 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 42.00: 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 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 Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 8 — — $37,708.12 $112,725.02 $85,860.47 2026-02-20
6023 APR_DRG Apr-DRG 42.00: 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 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 42.00: Pancreas Transplant 10 6 — — $63,053.95 $189,548.72 $84,593.37 2026-02-20
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 8 — — $37,099.03 $110,904.23 $84,473.61 2026-02-20
673 MS_DRG 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 Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 8 — — $36,834.34 $110,112.93 $83,870.89 2026-02-20
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 8 — — $36,404.08 $108,826.73 $82,891.22 2026-02-20
958 MS_DRG 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 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 8 — — $36,329.73 $108,604.42 $82,721.89 2026-02-20
448 MS_DRG 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 42.00: 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 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 42.00: Kidney Transplant 10 6 — — $60,426.70 $181,650.86 $81,068.65 2026-02-20
907 MS_DRG 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 Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 19 8 — — $35,242.59 $105,354.52 $80,246.50 2026-02-20
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 10 6 — — $59,653.98 $179,327.96 $80,031.96 2026-02-20
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 19 8 — — $34,930.96 $104,422.95 $79,536.95 2026-02-20
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 19 8 — — $34,859.25 $104,208.58 $79,373.67 2026-02-20
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 10 6 — — $59,113.08 $177,701.93 $79,306.29 2026-02-20
876 MS_DRG 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 Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 8 — — $34,634.40 $103,536.37 $78,861.66 2026-02-20
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 8 — — $34,617.57 $103,486.09 $78,823.36 2026-02-20
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 8 — — $34,426.34 $102,914.45 $78,387.95 2026-02-20
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 19 8 — — $34,216.54 $102,287.23 $77,910.21 2026-02-20
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 19 8 — — $34,181.99 $102,184.01 $77,831.59 2026-02-20
166 MS_DRG 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 Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 7 — — $33,839.40 $101,159.82 $77,051.48 2026-02-20
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 8 — — $33,656.14 $100,611.99 $76,634.21 2026-02-20
13 APR_DRG Apr-DRG 42.00: 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 42.00: Gender Related Procedures 10 6 — — $56,794.92 $170,733.22 $76,196.24 2026-02-20
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 8 — — $33,394.11 $99,828.63 $76,037.54 2026-02-20
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 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 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 Peritoneal Adhesiolysis With Mcc 19 8 — — $32,077.65 $95,893.28 $73,040.06 2026-02-20
1634 APR_DRG Apr-DRG 42.00: 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 Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 8 — — $31,735.94 $94,871.73 $72,261.97 2026-02-20
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 19 8 — — $31,734.17 $94,866.44 $72,257.94 2026-02-20
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 19 8 — — $31,728.87 $94,850.56 $72,245.84 2026-02-20
265 MS_DRG Aicd Lead Procedures 19 8 — — $31,580.13 $94,405.95 $71,907.19 2026-02-20
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 19 8 — — $31,438.50 $93,982.51 $71,584.66 2026-02-20
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 19 8 — — $31,254.34 $93,432.04 $71,165.38 2026-02-20
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $31,246.37 $93,408.22 $71,147.24 2026-02-20
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 19 8 — — $31,167.58 $93,172.68 $70,967.83 2026-02-20
414 MS_DRG 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 Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 8 — — $31,009.13 $92,698.96 $70,607.01 2026-02-20
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 19 8 — — $30,996.72 $92,661.90 $70,578.79 2026-02-20
264 MS_DRG 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 42.00: Neonatal Aftercare 10 6 — — $52,390.42 $157,492.69 $70,287.15 2026-02-20
651 MS_DRG 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 42.00: External Heart Assist Devices 10 6 — — $52,158.60 $156,795.82 $69,976.14 2026-02-20
332 MS_DRG Rectal Resection With Mcc 19 8 — — $30,708.13 $91,799.15 $69,921.64 2026-02-20
574 MS_DRG 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 42.00: Pancreas Transplant 10 6 — — $51,849.51 $155,866.66 $69,561.46 2026-02-20
271 MS_DRG Other Major Cardiovascular Procedures With Cc 19 8 — — $30,492.99 $91,156.05 $69,431.80 2026-02-20
477 MS_DRG 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 Prostatectomy With Mcc 19 8 — — $30,397.40 $90,870.22 $69,214.10 2026-02-20
252 MS_DRG Other Vascular Procedures With Mcc 19 8 — — $30,369.05 $90,785.54 $69,149.59 2026-02-20
467 MS_DRG 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 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 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 42.00: 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 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 42.00: 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 42.00: Other Cardiothoracic And Thoracic Circulatory Procedures 10 6 — — $50,149.53 $150,756.27 $67,280.76 2026-02-20
84 APR_DRG Apr-DRG 42.00: Autologous Bone Marrow Transplant 10 6 — — $50,072.26 $150,523.98 $67,177.09 2026-02-20
37 MS_DRG Extracranial Procedures With Mcc 19 8 — — $29,399.67 $87,887.62 $66,942.30 2026-02-20
6114 APR_DRG Apr-DRG 42.00: 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 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 42.00: 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 42.00: 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 42.00: 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 Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 19 8 — — $28,937.54 $86,506.15 $65,890.06 2026-02-20
579 MS_DRG 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 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 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 Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 8 — — $28,368.29 $84,804.45 $64,593.91 2026-02-20
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 10 6 — — $48,063.18 $144,484.44 $64,481.71 2026-02-20
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 19 8 — — $28,285.96 $84,558.32 $64,406.44 2026-02-20
840 MS_DRG 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 42.00: 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 Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 18 7 — — $28,155.82 $84,169.29 $64,110.12 2026-02-20
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 19 8 — — $28,099.17 $83,999.91 $63,981.11 2026-02-20
500 MS_DRG Soft Tissue Procedures With Mcc 19 8 — — $28,052.25 $83,859.65 $63,874.27 2026-02-20
112 APR_DRG Apr-DRG 42.00: 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 42.00: 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 42.00: 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 Percutaneous And Other Intracardiac Procedures Without Mcc 19 8 — — $27,629.95 $82,597.26 $62,912.74 2026-02-20
662 MS_DRG Minor Bladder Procedures With Mcc 19 8 — — $27,617.56 $82,560.21 $62,884.52 2026-02-20
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 19 8 — — $27,499.82 $82,208.23 $62,616.42 2026-02-20
1834 APR_DRG Apr-DRG 42.00: Percutaneous Structural Cardiac Procedures 10 6 — — $46,595.02 $140,070.93 $62,512.01 2026-02-20
72 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 10 6 — — $46,595.02 $140,070.93 $62,512.01 2026-02-20
C1825 HCPCS — 77 25 $73,500.00 $69,825.00 $271.95 $73,500.00 $62,475.00 2026-02-20
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 19 8 — — $27,376.76 $81,840.37 $62,336.23 2026-02-20
451 MS_DRG 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 Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 19 8 — — $27,300.62 $81,612.77 $62,162.87 2026-02-20
652 MS_DRG Kidney Transplant 19 8 — — $27,190.84 $81,284.60 $61,912.91 2026-02-20
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 19 8 — — $27,166.07 $81,210.50 $61,856.47 2026-02-20
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 19 8 — — $27,077.54 $80,945.85 $61,654.89 2026-02-20
570 MS_DRG Skin Debridement With Mcc 19 8 — — $26,649.07 $79,664.94 $60,679.25 2026-02-20
5912 APR_DRG Apr-DRG 42.00: 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 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 42.00: 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 42.00: Defibrillator Implants 10 6 — — $44,663.22 $134,263.68 $59,920.31 2026-02-20
9104 APR_DRG Apr-DRG 42.00: Craniotomy For Multiple Significant Trauma 10 6 — — $44,585.94 $134,031.39 $59,816.64 2026-02-20
3033 APR_DRG Apr-DRG 42.00: 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 Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 8 — — $26,103.72 $78,034.70 $59,437.52 2026-02-20
1664 APR_DRG Apr-DRG 42.00: 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 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 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 Transurethral Procedures With Mcc 19 8 — — $25,817.76 $77,179.88 $58,786.43 2026-02-20
521 MS_DRG 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 Splenic Procedures With Cc 19 8 — — $25,795.63 $77,113.72 $58,736.03 2026-02-20
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 19 8 — — $25,781.46 $77,071.37 $58,703.78 2026-02-20
6804 APR_DRG Apr-DRG 42.00: 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 Cervical Spinal Fusion With Cc 19 8 — — $25,648.67 $76,674.40 $58,401.41 2026-02-20
1623 APR_DRG Apr-DRG 42.00: 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 42.00: Other Major Head And Neck Procedures 10 6 — — $43,117.78 $129,617.88 $57,846.94 2026-02-20
625 MS_DRG 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 42.00: Pancreas Transplant 10 6 — — $43,040.50 $129,385.59 $57,743.27 2026-02-20
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 19 8 — — $25,352.99 $75,790.47 $57,728.14 2026-02-20
325 MS_DRG 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 Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 19 8 — — $25,302.53 $75,639.62 $57,613.24 2026-02-20
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 8 — — $25,202.48 $75,340.56 $57,385.45 2026-02-20
6033 APR_DRG Apr-DRG 42.00: 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 42.00: 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 Major Bladder Procedures With Cc 19 8 — — $24,983.82 $74,686.88 $56,887.55 2026-02-20
11 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 10 6 — — $42,345.06 $127,294.97 $56,810.26 2026-02-20
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 19 8 — — $24,862.54 $74,324.31 $56,611.39 2026-02-20
258 MS_DRG 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 42.00: 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 Cholecystectomy With C.d.e. With Mcc 19 8 — — $24,225.12 $72,418.83 $55,160.02 2026-02-20
288 MS_DRG Acute And Subacute Endocarditis With Mcc 19 8 — — $24,181.75 $72,289.15 $55,061.25 2026-02-20
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 5 — — $52,628.84 $132,069.68 $54,997.14 2026-02-20
619 MS_DRG O.r. Procedures For Obesity With Mcc 19 8 — — $24,137.48 $72,156.82 $54,960.46 2026-02-20
963 MS_DRG 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 42.00: 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 Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 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 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 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 Vein Ligation And Stripping 19 8 — — $23,744.43 $70,981.78 $54,065.45 2026-02-20
849 MS_DRG Radiotherapy 19 8 — — $23,647.02 $70,690.66 $53,843.71 2026-02-20
577 MS_DRG 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 42.00: External Heart Assist Devices 10 6 — — $39,949.62 $120,093.98 $53,596.54 2026-02-20
970 MS_DRG 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 Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 19 8 — — $23,460.25 $70,132.25 $53,418.38 2026-02-20
9124 APR_DRG Apr-DRG 42.00: 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 Foot Procedures With Mcc 19 8 — — $23,430.14 $70,042.27 $53,349.85 2026-02-20
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 19 8 — — $23,406.24 $69,970.81 $53,295.42 2026-02-20
9114 APR_DRG Apr-DRG 42.00: 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 42.00: Major Abdominal Vascular Procedures 10 6 — — $39,640.54 $119,164.82 $53,181.86 2026-02-20
468 MS_DRG 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 Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 19 8 — — $23,163.65 $69,245.67 $52,743.09 2026-02-20
6214 APR_DRG Apr-DRG 42.00: 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 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 42.00: Extensive Third Degree Burns With Skin Graft 10 6 — — $38,867.82 $116,841.92 $52,145.18 2026-02-20
659 MS_DRG 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 42.00: Open Craniotomy Except Trauma 10 6 — — $38,790.54 $116,609.63 $52,041.51 2026-02-20
234 APR_DRG Apr-DRG 42.00: Spinal Procedures 10 6 — — $38,636.00 $116,145.05 $51,834.18 2026-02-20
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 19 8 — — $22,608.59 $67,586.32 $51,479.19 2026-02-20
253 MS_DRG 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 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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