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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MUNSON HEALTHCARE CADILLAC HOSPITAL

Cadillac, MI · CCN 230081 · Rates published

18,210 distinct procedures filed
33 distinct payers
1,104,578 rate rows
2026-04-17 last MRF observed
Data quality

723,648 of 1,104,578 rate rows are consumer-grade (65.5%)

380,930 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 355,217
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 20,652
per-diem day rate — not a per-procedure price 2,883
exceeds 10× this hospital's gross charge — excluded from medians 937
placeholder amount (≤ $0.02) — excluded from medians 828
percent-of-charges filed in the dollar field — excluded from medians 315
template filing: same amount across many unrelated codes — excluded 52
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 32
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8134/471156297_munson-healthcare-cadillac_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MunsonHealthcareCadillacHospital/8134
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 8c682b3b33283ff9… · 1,543,436,979 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 14 $2,356,115.00 $4,865,400.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $1,927,394.47 $3,980,088.00 $3,685,266.67 nat. median
$3,705,478
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 15 $1,744,633.86 $4,722,697.86 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 14 $1,740,470.64 $3,594,088.51 $3,327,859.73 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 15 $1,701,061.72 $4,727,810.00 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 14 $1,663,140.00 $3,434,400.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 16 $1,537,603.73 $4,997,947.11 $2,939,968.89 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 16 $1,354,037.18 $4,401,268.08 $2,588,981.23 nat. median
$2,467,989
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 16 $1,219,636.00 $3,964,400.00 $2,332,000.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 16 $403,034.26 $1,310,054.00 $770,620.00 nat. median
$813,967
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 16 $307,340.73 $999,004.28 $587,649.57 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 16 $296,295.87 $963,103.22 $566,531.30 nat. median
$739,658
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 16 $294,031.25 $955,742.11 $562,201.24 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 16 $291,876.74 $948,738.93 $558,081.73 nat. median
$623,527
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 16 $278,336.54 $904,726.81 $532,192.24 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 17 $255,982.46 $832,065.34 $489,450.20 nat. median
$592,235
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $12,067.18 $578,488.38 $340,287.28 nat. median
$359,244
0.9× median
5834
APR_DRG 		Neonate With Ecmo 6 $287,956.99 $287,956.99 $287,956.99 nat. median
$307,273
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 16 $145,524.75 $473,025.00 $278,250.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 17 $138,595.00 $450,500.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $12,067.18 $553,294.54 $220,832.76 nat. median
$248,541
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 17 $105,472.90 $342,837.34 $201,669.02 nat. median
$209,753
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $192,748.00 $192,748.00 $192,748.00 nat. median
$247,815
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $177,351.35 $177,351.35 $177,351.35 nat. median
$123,836
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $174,152.23 $174,152.23 $174,152.23 nat. median
$244,017
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 18 $12,067.18 $377,753.85 $168,245.31 nat. median
$198,115
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $167,258.35 $167,258.35 $167,258.35 nat. median
$134,402
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 18 $12,067.18 $424,644.02 $167,257.92 nat. median
$190,359
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $157,444.06 $157,444.06 $157,444.06 nat. median
$202,649
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $141,987.72 $141,987.72 $141,987.72 nat. median
$165,000
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $136,685.62 $136,685.62 $136,685.62 nat. median
$67,440
outlier · 2.0×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $133,425.78 $133,425.78 $133,425.78 nat. median
$158,104
0.8× median
E0766
HCPCS 		Elec Stim Cancer Treatment 3 $29,094.63 $132,877.11 $132,877.11 nat. median
$16,786
outlier · 7.9×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 17 $69,103.10 $268,969.35 $132,128.29 nat. median
$111,503
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $122,545.98 $122,545.98 $122,545.98 nat. median
$170,172
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $122,211.75 $122,211.75 $122,211.75 nat. median
$154,116
0.8× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $116,005.03 $116,005.03 $116,005.03 nat. median
$68,020
1.7× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $115,593.46 $115,593.46 $115,593.46 nat. median
$151,838
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $115,221.34 $115,221.34 $115,221.34 nat. median
$163,718
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $114,157.91 $114,157.91 $114,157.91 nat. median
$163,528
0.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 15 $59,672.86 $193,965.31 $114,097.24 nat. median
$96,983
1.2× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 18 $12,067.18 $204,872.73 $109,151.21 nat. median
$126,461
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $106,321.01 $106,321.01 $106,321.01 nat. median
$175,429
0.6× median
7
MS_DRG 		Lung Transplant 18 $12,067.18 $204,100.60 $102,049.63 nat. median
$117,977
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $98,061.12 $98,061.12 $98,061.12 nat. median
$145,061
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $96,699.78 $96,699.78 $96,699.78 nat. median
$122,016
0.8× median
5832
APR_DRG 		Neonate With Ecmo 6 $96,622.97 $96,622.97 $96,622.97 nat. median
$159,249
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 18 $12,067.18 $315,746.12 $94,702.96 nat. median
$110,084
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $91,819.63 $91,819.63 $91,819.63 nat. median
$120,763
0.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $90,127.17 $90,127.17 $90,127.17 nat. median
$89,331
1.0× median

Other procedures at this hospital

Browse this hospital's 18,210 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 19 14 — — $2,356,115.00 $4,865,400.00 $4,505,000.00 2026-04-17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 20 15 — — $1,927,394.47 $3,980,088.00 $3,685,266.67 2026-04-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 20 15 — — $1,744,633.86 $4,722,697.86 $3,335,820.00 2026-04-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 19 14 — — $1,740,470.64 $3,594,088.51 $3,327,859.73 2026-04-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 20 15 — — $1,701,061.72 $4,727,810.00 $3,252,508.08 2026-04-17
J3387 HCPCS Inj Elivaldogene Autotemecel 19 14 — — $1,663,140.00 $3,434,400.00 $3,180,000.00 2026-04-17
J3393 HCPCS Inj, Betibeglogene Autotemce 21 16 — — $1,537,603.73 $4,997,947.11 $2,939,968.89 2026-04-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 21 16 — — $1,354,037.18 $4,401,268.08 $2,588,981.23 2026-04-17
J3392 HCPCS Inj, Exagamglogene Autotem 21 16 — — $1,219,636.00 $3,964,400.00 $2,332,000.00 2026-04-17
Q2057 HCPCS Afamitresgene Autoleucel 20 16 — — $403,034.26 $1,310,054.00 $770,620.00 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 20 16 — — $307,340.73 $999,004.28 $587,649.57 2026-04-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 20 16 — — $296,295.87 $963,103.22 $566,531.30 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 20 16 — — $294,031.25 $955,742.11 $562,201.24 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 20 16 — — $291,876.74 $948,738.93 $558,081.73 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 20 16 — — $278,336.54 $904,726.81 $532,192.24 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 22 17 — — $255,982.46 $832,065.34 $489,450.20 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 18 — — $12,067.18 $578,488.38 $340,287.28 2026-04-17
5834 APR_DRG Neonate With Ecmo 6 6 — — $287,956.99 $287,956.99 $287,956.99 2026-04-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 20 16 — — $145,524.75 $473,025.00 $278,250.00 2026-04-17
J3403 HCPCS Revakinagene, Per Implant 23 17 — — $138,595.00 $450,500.00 $265,000.00 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 18 — — $12,067.18 $553,294.54 $220,832.76 2026-04-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 23 17 — — $105,472.90 $342,837.34 $201,669.02 2026-04-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $192,748.00 $192,748.00 $192,748.00 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $177,351.35 $177,351.35 $177,351.35 2026-04-17
5833 APR_DRG Neonate With Ecmo 6 6 — — $174,152.23 $174,152.23 $174,152.23 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 19 18 — — $12,067.18 $377,753.85 $168,245.31 2026-04-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $167,258.35 $167,258.35 $167,258.35 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 19 18 — — $12,067.18 $424,644.02 $167,257.92 2026-04-17
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $157,444.06 $157,444.06 $157,444.06 2026-04-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $141,987.72 $141,987.72 $141,987.72 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $136,685.62 $136,685.62 $136,685.62 2026-04-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $133,425.78 $133,425.78 $133,425.78 2026-04-17
E0766 HCPCS Elec Stim Cancer Treatment 3 3 — — $29,094.63 $132,877.11 $132,877.11 2026-04-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 22 17 — — $69,103.10 $268,969.35 $132,128.29 2026-04-17
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $122,545.98 $122,545.98 $122,545.98 2026-04-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $122,211.75 $122,211.75 $122,211.75 2026-04-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $116,005.03 $116,005.03 $116,005.03 2026-04-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $115,593.46 $115,593.46 $115,593.46 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $115,221.34 $115,221.34 $115,221.34 2026-04-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $114,157.91 $114,157.91 $114,157.91 2026-04-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 19 15 — — $59,672.86 $193,965.31 $114,097.24 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 19 18 — — $12,067.18 $204,872.73 $109,151.21 2026-04-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $106,321.01 $106,321.01 $106,321.01 2026-04-17
7 MS_DRG Lung Transplant 19 18 — — $12,067.18 $204,100.60 $102,049.63 2026-04-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $98,061.12 $98,061.12 $98,061.12 2026-04-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $96,699.78 $96,699.78 $96,699.78 2026-04-17
5832 APR_DRG Neonate With Ecmo 6 6 — — $96,622.97 $96,622.97 $96,622.97 2026-04-17
14 MS_DRG Allogeneic Bone Marrow Transplant 19 18 — — $12,067.18 $315,746.12 $94,702.96 2026-04-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $91,819.63 $91,819.63 $91,819.63 2026-04-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $90,127.17 $90,127.17 $90,127.17 2026-04-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $90,062.29 $90,062.29 $90,062.29 2026-04-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 18 — — $12,067.18 $203,728.07 $89,296.37 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 19 18 — — $12,067.18 $217,016.90 $89,193.93 2026-04-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $88,966.17 $88,966.17 $88,966.17 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $87,443.42 $87,443.42 $87,443.42 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 18 — — $12,067.18 $147,642.94 $86,848.79 2026-04-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $86,059.25 $86,059.25 $86,059.25 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $85,957.52 $85,957.52 $85,957.52 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 19 18 — — $12,067.18 $214,492.79 $85,689.62 2026-04-17
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $85,331.09 $85,331.09 $85,331.09 2026-04-17
E0194 HCPCS Air Fluidized Bed 3 1 — — $11,133.86 $111,338.56 $83,503.94 2026-04-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 19 15 — — $43,179.95 $140,355.49 $82,562.05 2026-04-17
5831 APR_DRG Neonate With Ecmo 6 6 — — $82,449.60 $82,449.60 $82,449.60 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 19 18 — — $12,067.18 $209,203.00 $81,248.38 2026-04-17
215 MS_DRG Other Heart Assist System Implant 19 18 — — $12,067.18 $169,415.55 $78,462.73 2026-04-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $78,195.88 $78,195.88 $78,195.88 2026-04-17
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $77,513.91 $77,513.91 $77,513.91 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 17 — — $77,090.01 $185,269.12 $77,090.01 2026-04-17
K0606 HCPCS Aed Garment W Elec Analysis 3 1 — — $7,712.67 $100,264.65 $75,198.50 2026-04-17
0266T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
0268T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $35,329.55 $71,167.10 $71,167.10 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 18 — — $12,067.18 $128,449.58 $70,997.06 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $69,360.42 $69,360.42 $69,360.42 2026-04-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $68,845.57 $68,845.57 $68,845.57 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 19 18 — — $12,067.18 $146,247.03 $68,238.24 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 17 — — $66,428.94 $138,171.24 $66,428.94 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 17 — — $66,220.11 $120,836.62 $66,220.11 2026-04-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $66,032.08 $66,032.08 $66,032.08 2026-04-17
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $65,353.22 $65,353.22 $65,353.22 2026-04-17
J9029 HCPCS Instill Adstiladrin, Tx Dose 21 16 — — $33,615.72 $109,267.14 $64,274.79 2026-04-17
38240 CPT Transplt Allo Hct/donor 22 17 — — $3,249.80 $106,547.37 $62,674.93 2026-04-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $62,119.85 $62,119.85 $62,119.85 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 19 18 — — $12,067.18 $165,803.23 $62,007.39 2026-04-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $61,899.28 $61,899.28 $61,899.28 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 17 — — $60,506.21 $134,549.89 $60,506.21 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 17 — — $60,245.38 $109,489.42 $60,245.38 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 18 — — $12,067.18 $144,612.46 $60,046.02 2026-04-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $59,938.50 $59,938.50 $59,938.50 2026-04-17
90288 CPT Botulism Ig IV 2 2 — — $58,905.00 $58,905.00 $58,905.00 2026-04-17
L7181 HCPCS Electronic Elbo Simultaneous 20 16 — — $30,735.04 $119,659.59 $58,766.81 2026-04-17
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $58,508.65 $58,508.65 $58,508.65 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 18 — — $12,067.18 $96,702.29 $56,883.70 2026-04-17
10 MS_DRG Pancreas Transplant 19 18 — — $12,067.18 $96,127.61 $56,545.65 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 19 18 — — $12,067.18 $99,167.21 $56,522.01 2026-04-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 18 — — $12,067.18 $133,003.36 $56,221.78 2026-04-17
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $56,220.90 $56,220.90 $56,220.90 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 17 — — $56,188.68 $135,899.99 $56,188.68 2026-04-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $55,818.16 $55,818.16 $55,818.16 2026-04-17
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $54,893.82 $54,893.82 $54,893.82 2026-04-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $54,755.24 $54,755.24 $54,755.24 2026-04-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $54,594.35 $54,594.35 $54,594.35 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 19 18 — — $12,067.18 $121,154.96 $54,466.07 2026-04-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 23 17 — — $28,453.35 $98,902.74 $54,404.11 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 17 — — $54,198.94 $103,700.68 $54,198.94 2026-04-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $54,153.20 $54,153.20 $54,153.20 2026-04-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $53,613.96 $53,613.96 $53,613.96 2026-04-17
L7180 HCPCS Electronic Elbow Sequential 20 16 — — $27,888.17 $116,220.06 $53,323.46 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 19 18 — — $12,067.18 $170,521.82 $53,042.12 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 18 — — $12,067.18 $104,524.74 $52,690.68 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 19 18 — — $12,067.18 $93,748.73 $52,652.06 2026-04-17
K0743 HCPCS Portable Home Suction Pump 1 1 — — $51,949.80 $51,949.80 $51,949.80 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $12,067.18 $124,139.63 $51,814.41 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 19 18 — — $12,067.18 $99,842.27 $51,814.41 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 18 — — $12,067.18 $116,752.44 $51,626.07 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 19 18 — — $12,067.18 $124,543.76 $50,706.46 2026-04-17
8514 APR_DRG Gender Related Procedures 6 6 — — $50,603.24 $50,603.24 $50,603.24 2026-04-17
8513 APR_DRG Gender Related Procedures 6 6 — — $50,603.24 $50,603.24 $50,603.24 2026-04-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $50,286.65 $50,286.65 $50,286.65 2026-04-17
C1824 HCPCS Generator Optimizer Ipg86302 20 19 $65,000.00 $55,250.00 $24,550.50 $55,250.00 $50,050.00 2026-04-17
8634 APR_DRG Neonatal Aftercare 6 6 — — $49,937.88 $49,937.88 $49,937.88 2026-04-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $49,766.10 $49,766.10 $49,766.10 2026-04-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $48,492.99 $48,492.99 $48,492.99 2026-04-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $48,471.19 $48,471.19 $48,471.19 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 18 — — $12,067.18 $111,385.89 $48,292.77 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 19 18 — — $12,067.18 $127,124.31 $48,236.81 2026-04-17
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $48,210.65 $48,210.65 $48,210.65 2026-04-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $47,871.75 $47,871.75 $47,871.75 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 19 18 — — $12,067.18 $123,787.43 $47,774.24 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 19 18 — — $12,067.18 $87,795.18 $47,346.36 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 18 — — $12,067.18 $131,468.13 $47,332.95 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 18 — — $12,067.18 $97,568.76 $46,990.17 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 18 — — $12,067.18 $79,620.72 $46,835.72 2026-04-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 19 18 — — $12,067.18 $200,890.15 $46,726.97 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $46,606.94 $46,606.94 $46,606.94 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 19 18 — — $12,067.18 $93,168.51 $46,245.49 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 18 — — $12,067.18 $101,551.35 $46,215.55 2026-04-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $45,575.17 $45,575.17 $45,575.17 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 18 — — $12,067.18 $90,287.68 $45,445.66 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 18 — — $12,067.18 $101,711.64 $45,155.67 2026-04-17
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $45,004.23 $45,004.23 $45,004.23 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 19 18 — — $12,067.18 $88,088.68 $44,971.26 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 19 18 — — $12,067.18 $98,169.31 $44,912.96 2026-04-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $44,810.68 $44,810.68 $44,810.68 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 18 — — $12,067.18 $75,313.81 $44,302.24 2026-04-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 19 18 — — $12,067.18 $87,549.09 $44,165.14 2026-04-17
64654 CPT 1st Opn Implt Bat Modulj Sys 21 16 — — $22,953.47 $74,609.75 $43,888.09 2026-04-17
33276 CPT Insj Phrnc Nrv Stim Sys 21 16 — — $22,953.47 $74,609.75 $43,888.09 2026-04-17
64568 CPT Opn Impltj Crnl Nrv Nea&pg 22 17 — — $22,953.47 $74,609.75 $43,888.09 2026-04-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 21 16 — — $22,953.47 $74,609.75 $43,888.09 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 19 18 — — $12,067.18 $99,952.89 $43,862.53 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 19 18 — — $12,067.18 $100,122.22 $43,522.11 2026-04-17
J3357 HCPCS Stelara 90 mg/mL Syringe 20 19 $56,262.32 $47,822.98 $289.09 $47,822.97 $43,321.99 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 19 18 — — $12,067.18 $166,597.94 $43,261.29 2026-04-17
J9226 HCPCS Supprelin La Implant 23 17 — — $22,585.93 $73,415.08 $43,185.34 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 19 18 — — $12,067.18 $85,074.65 $43,108.41 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 19 18 — — $12,067.18 $90,391.53 $43,046.94 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 19 18 — — $12,067.18 $93,416.85 $42,979.17 2026-04-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 19 18 — — $12,067.18 $102,779.53 $42,807.39 2026-04-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $42,212.05 $42,212.05 $42,212.05 2026-04-17
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 1 — — $4,318.22 $56,136.95 $42,102.72 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $12,067.18 $99,966.44 $42,023.29 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 19 18 — — $12,067.18 $77,183.99 $41,998.09 2026-04-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 19 15 — — $21,947.26 $71,339.07 $41,964.16 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 19 18 — — $12,067.18 $121,191.08 $41,715.99 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 19 18 — — $12,067.18 $97,203.02 $41,578.07 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 19 18 — — $12,067.18 $70,609.57 $41,019.35 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 19 18 — — $12,067.18 $69,612.37 $40,948.45 2026-04-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $40,827.36 $40,827.36 $40,827.36 2026-04-17
E0469 HCPCS Lung Expans High Oscil Neb 1 1 — — $39,859.52 $39,859.52 $39,859.52 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 19 18 — — $12,067.18 $85,487.81 $39,717.57 2026-04-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $39,507.54 $39,507.54 $39,507.54 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 19 18 — — $12,067.18 $81,719.71 $39,301.50 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 19 18 — — $12,067.18 $111,762.92 $38,986.28 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 18 — — $12,067.18 $72,639.24 $38,916.95 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 19 18 — — $12,067.18 $65,932.39 $38,783.76 2026-04-17
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $38,776.27 $38,776.27 $38,776.27 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 18 — — $12,067.18 $102,858.55 $38,622.23 2026-04-17
A9543 HCPCS Kit Yttrium 90 Therasphere 3 Gbq36432 58 32 $45,862.50 $38,983.13 $27,517.50 $96,601.73 $38,590.00 2026-04-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $38,432.17 $38,432.17 $38,432.17 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $38,423.35 $38,423.35 $38,423.35 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 19 18 — — $12,067.18 $64,686.56 $38,050.92 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 19 18 — — $12,067.18 $91,384.92 $37,858.66 2026-04-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $37,791.21 $37,791.21 $37,791.21 2026-04-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $37,663.53 $37,663.53 $37,663.53 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 19 18 — — $12,067.18 $93,477.81 $37,515.85 2026-04-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $37,326.18 $37,326.18 $37,326.18 2026-04-17
1784 APR_DRG External Heart Assist Devices 6 6 — — $37,222.90 $37,222.90 $37,222.90 2026-04-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 19 18 — — $12,067.18 $173,368.78 $37,047.77 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 19 18 — — $12,067.18 $100,255.43 $36,972.13 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 19 18 — — $12,067.18 $62,665.06 $36,861.80 2026-04-17
6904 APR_DRG Acute Leukemia 6 6 — — $36,767.22 $36,767.22 $36,767.22 2026-04-17
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $36,756.84 $36,756.84 $36,756.84 2026-04-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $36,621.90 $36,621.90 $36,621.90 2026-04-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $36,579.86 $36,579.86 $36,579.86 2026-04-17
6 MS_DRG Liver Transplant Without Mcc 19 18 — — $12,067.18 $80,480.23 $36,540.29 2026-04-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $36,410.67 $36,410.67 $36,410.67 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 19 18 — — $12,067.18 $102,149.64 $36,394.51 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 19 18 — — $12,067.18 $64,683.11 $36,221.16 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 18 — — $12,067.18 $86,119.97 $36,128.95 2026-04-17
245 MS_DRG Aicd Generator Procedures 19 18 — — $12,067.18 $82,661.17 $35,952.44 2026-04-17
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $35,899.45 $35,899.45 $35,899.45 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 19 18 — — $12,067.18 $73,393.31 $35,844.47 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 19 18 — — $12,067.18 $87,352.67 $35,828.71 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 19 18 — — $12,067.18 $60,670.35 $35,688.44 2026-04-17
L6700 HCPCS Ue Add Ext Power Myoel 19 15 — — $18,520.60 $60,200.79 $35,412.23 2026-04-17
K0863 HCPCS Pwc Gp3 Vhd Mult Pow Opt S/b 3 1 — — $3,628.77 $47,174.05 $35,380.53 2026-04-17
K0860 HCPCS Pwc Gp3 Vhd Sing Pow Opt S/b 3 1 — — $3,628.77 $47,174.05 $35,380.53 2026-04-17
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $35,352.95 $35,352.95 $35,352.95 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 19 18 — — $12,067.18 $65,486.85 $35,317.29 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 19 18 — — $12,067.18 $89,450.07 $35,307.05 2026-04-17
L5856 HCPCS Elec Knee-shin Swing/stance 20 16 — — $18,440.83 $71,691.17 $35,259.71 2026-04-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $35,180.12 $35,180.12 $35,180.12 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 19 18 — — $12,067.18 $67,990.64 $35,168.35 2026-04-17
C2624 HCPCS System Delivery Pa Sensor60810 19 18 $45,000.00 $38,250.00 $16,996.50 $38,250.00 $35,100.00 2026-04-17
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $35,062.31 $35,062.31 $35,062.31 2026-04-17
L6880 HCPCS Elec Hand Ind Art Digits 20 16 — — $18,331.80 $71,352.65 $35,051.25 2026-04-17
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $34,905.57 $34,905.57 $34,905.57 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 19 18 — — $12,067.18 $64,608.60 $34,615.96 2026-04-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $34,582.23 $34,582.23 $34,582.23 2026-04-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $34,568.74 $34,568.74 $34,568.74 2026-04-17
K0880 HCPCS Pwc Gp4 Vhd Sing Pow Opt S/b 3 1 — — $3,512.92 $45,668.18 $34,251.15 2026-04-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $34,176.37 $34,176.37 $34,176.37 2026-04-17
0686T CPT Histotripsy Mal Hepatcel Tis 20 16 — — $17,852.76 $58,029.99 $34,135.29 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 19 18 — — $12,067.18 $94,046.75 $34,100.60 2026-04-17
K0854 HCPCS Pwc Gp 3 Xhd Seat/back 3 1 — — $3,478.78 $45,224.13 $33,918.10 2026-04-17
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $33,913.67 $33,913.67 $33,913.67 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 19 18 — — $12,067.18 $72,307.36 $33,828.73 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 19 18 — — $12,067.18 $75,660.04 $33,611.24 2026-04-17
C1767 HCPCS Controller Medtronic Dbs79104 400 19 $52,250.00 $44,412.50 $1,071.72 $87,819.88 $33,511.93 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 19 18 — — $12,067.18 $59,508.46 $33,418.18 2026-04-17
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $33,310.68 $33,310.68 $33,310.68 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 19 18 — — $12,067.18 $65,053.37 $33,279.49 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 19 18 — — $12,067.18 $93,326.54 $33,222.74 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 19 18 — — $12,067.18 $68,665.69 $33,206.19 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 19 18 — — $12,067.18 $62,493.14 $33,109.28 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 19 18 — — $12,067.18 $63,752.93 $33,069.87 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 19 18 — — $12,067.18 $74,115.78 $33,008.39 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 18 — — $12,067.18 $92,832.11 $32,880.74 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 19 18 — — $4,842.77 $55,857.05 $32,857.09 2026-04-17
69930 CPT Implant Cochlear Device 22 17 — — $17,182.41 $92,153.97 $32,853.56 2026-04-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $32,794.28 $32,794.28 $32,794.28 2026-04-17
37227 CPT Professional Services 3 3 — — $16,637.04 $32,762.45 $32,762.45 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 18 — — $12,067.18 $73,616.82 $32,726.29 2026-04-17
4414 APR_DRG Major Bladder Procedures 6 6 — — $32,672.31 $32,672.31 $32,672.31 2026-04-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $32,593.94 $32,593.94 $32,593.94 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 19 18 — — $12,067.18 $66,516.36 $32,509.59 2026-04-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $32,479.76 $32,479.76 $32,479.76 2026-04-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $32,398.80 $32,398.80 $32,398.80 2026-04-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $32,354.68 $32,354.68 $32,354.68 2026-04-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $32,216.11 $32,216.11 $32,216.11 2026-04-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $32,113.35 $32,113.35 $32,113.35 2026-04-17
K0855 HCPCS Pwc Gp 3 Xhd Cap Chair 3 1 — — $3,286.20 $42,720.67 $32,040.51 2026-04-17
791 MS_DRG Prematurity With Major Problems 19 18 — — $11,184.65 $54,375.47 $31,985.57 2026-04-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $31,914.05 $31,914.05 $31,914.05 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $31,760.43 $31,760.43 $31,760.43 2026-04-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $31,705.93 $31,705.93 $31,705.93 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 19 18 — — $12,067.18 $55,735.84 $31,682.17 2026-04-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $31,571.51 $31,571.51 $31,571.51 2026-04-17
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $31,484.84 $31,484.84 $31,484.84 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 19 18 — — $12,067.18 $54,938.87 $31,395.34 2026-04-17
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 22 17 — — $16,357.34 $89,590.65 $31,275.99 2026-04-17
33270 CPT Ins/rep Subq Defibrillator 22 17 — — $16,357.34 $106,583.10 $31,275.99 2026-04-17
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 21 16 — — $16,357.34 $53,169.18 $31,275.99 2026-04-17
33231 CPT Insrt Pulse Gen W/mult Leads 22 17 — — $16,357.34 $77,590.23 $31,275.99 2026-04-17
0408T CPT Insj/rplc Cardiac Modulj Sys 21 16 — — $16,357.34 $53,169.18 $31,275.99 2026-04-17
33249 CPT Insj/rplcmt Defib W/lead(s) 22 17 — — $16,357.34 $83,897.76 $31,275.99 2026-04-17
0571T CPT Insj/rplcmt Icds Ss Eltrd 22 17 — — $16,357.34 $63,451.14 $31,275.99 2026-04-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $31,072.24 $31,072.24 $31,072.24 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $30,925.88 $30,925.88 $30,925.88 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 19 18 — — $12,067.18 $79,008.21 $30,826.39 2026-04-17
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 19 15 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 21 16 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 22 17 — — $16,080.54 $69,358.92 $30,746.74 2026-04-17
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 20 16 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 19 15 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 19 15 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 22 17 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
61886 CPT Implant Neurostim Arrays 22 17 — — $16,080.54 $69,692.54 $30,746.74 2026-04-17
61885 CPT Insrt/redo Neurostim 1 Array 22 17 — — $16,080.54 $52,790.01 $30,746.74 2026-04-17
64656 CPT Revj/rplcmt Bat Mod Sys Pg 21 16 — — $16,080.54 $52,269.45 $30,746.74 2026-04-17
37231 CPT Professional Services 3 3 — — $18,802.50 $30,695.15 $30,695.15 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 19 18 — — $12,067.18 $52,167.75 $30,686.91 2026-04-17
37229 CPT Professional Services 3 3 — — $13,568.67 $30,588.88 $30,588.88 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 19 18 — — $12,067.18 $60,278.33 $30,501.73 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 19 18 — — $12,067.18 $51,775.25 $30,456.03 2026-04-17
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $30,451.19 $30,451.19 $30,451.19 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 19 18 — — $12,067.18 $58,673.11 $30,426.86 2026-04-17
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $30,309.82 $30,309.82 $30,309.82 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 19 18 — — $12,067.18 $61,711.97 $30,254.29 2026-04-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 6 — — $30,195.64 $30,195.64 $30,195.64 2026-04-17
37230 CPT Professional Services 3 3 — — $14,000.22 $30,157.76 $30,157.76 2026-04-17
E0764 HCPCS Functional Neuromuscularstim 3 1 — — $3,089.45 $40,162.91 $30,122.18 2026-04-17
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $29,923.17 $29,923.17 $29,923.17 2026-04-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $29,880.61 $29,880.61 $29,880.61 2026-04-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $29,816.26 $29,816.26 $29,816.26 2026-04-17
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $29,801.72 $29,801.72 $29,801.72 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 19 18 — — $12,067.18 $105,263.00 $29,653.04 2026-04-17
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $29,617.48 $29,617.48 $29,617.48 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 18 — — $12,067.18 $70,011.28 $29,523.78 2026-04-17
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