Price Transparency 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

MUNSON MEDICAL CENTER

Traverse City, MI · CCN 230097 · Rates published

18,331 distinct procedures filed
41 distinct payers
1,252,966 rate rows
2026-04-17 last MRF observed
Data quality

891,206 of 1,252,966 rate rows are consumer-grade (71.1%)

361,760 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 310,120
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 42,231
per-diem day rate — not a per-procedure price 6,357
exceeds 10× this hospital's gross charge — excluded from medians 1,906
placeholder amount (≤ $0.02) — excluded from medians 713
percent-of-charges filed in the dollar field — excluded from medians 380
template filing: same amount across many unrelated codes — excluded 53
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8137/381362830_munson-medical-center_standardcharges.csv
Found on page https://www.munsonhealthcare.org/patients-visitors/munson-healthcare-chargemaster-information
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 12d5db69577caf85… · 1,989,507,576 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 17 $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 19 $1,927,394.47 $4,790,846.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 19 $1,744,633.86 $4,924,289.65 $3,335,820.00 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 19 $1,740,470.64 $4,991,789.59 $3,327,859.73 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 20 $1,701,061.72 $4,929,620.00 $3,252,508.08 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 19 $1,663,140.00 $4,770,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 20 $1,537,603.73 $4,452,560.00 $2,939,968.89 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 20 $1,354,037.18 $3,883,471.84 $2,588,981.23 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 20 $1,219,636.00 $3,498,440.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 20 $403,034.26 $1,248,561.43 $770,620.00 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 20 $307,340.73 $952,112.05 $587,649.57 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $296,295.87 $917,896.15 $566,531.30 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 20 $294,031.25 $910,880.57 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $291,876.74 $904,206.10 $558,081.73 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 20 $278,336.54 $862,259.87 $532,192.24 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 21 $255,982.46 $793,009.06 $489,450.20 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $123,793.99 $673,514.98 $396,185.28 nat. median
$370,174
1.1× median
5834
APR_DRG 		Neonate With Ecmo 6 $305,919.37 $305,919.37 $305,919.37 nat. median
$309,665
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 20 $145,524.75 $431,035.64 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 21 $138,595.00 $429,354.00 $265,000.00 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 19 $257,131.17 $447,987.96 $257,131.17 nat. median
$265,286
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $204,858.42 $204,858.42 $204,858.42 nat. median
$246,434
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 21 $105,472.90 $326,744.90 $201,669.02 nat. median
$209,753
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 19 $195,915.42 $333,056.21 $195,915.42 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 19 $194,766.03 $343,823.04 $194,766.03 nat. median
$202,986
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $188,515.42 $188,515.42 $188,515.42 nat. median
$117,173
1.6× median
5833
APR_DRG 		Neonate With Ecmo 6 $185,119.67 $185,119.67 $185,119.67 nat. median
$244,017
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $177,802.07 $177,802.07 $177,802.07 nat. median
$122,924
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $167,384.55 $167,384.55 $167,384.55 nat. median
$207,730
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $150,978.20 $150,978.20 $150,978.20 nat. median
$162,982
0.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $145,350.20 $145,350.20 $145,350.20 nat. median
$60,845
outlier · 2.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $141,890.00 $141,890.00 $141,890.00 nat. median
$160,267
0.9× median
E0766
HCPCS 		Elec Stim Cancer Treatment 3 $24,628.94 $132,877.11 $132,877.11 nat. median
$16,785
outlier · 7.9×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $130,341.48 $130,341.48 $130,341.48 nat. median
$187,294
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $129,986.70 $129,986.70 $129,986.70 nat. median
$150,721
0.9× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 19 $127,125.40 $216,113.18 $127,125.40 nat. median
$133,176
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $123,398.49 $123,398.49 $123,398.49 nat. median
$58,674
outlier · 2.1×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $122,961.63 $122,961.63 $122,961.63 nat. median
$151,838
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $122,566.63 $122,566.63 $122,566.63 nat. median
$164,834
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $121,437.84 $121,437.84 $121,437.84 nat. median
$164,279
0.7× median
7
MS_DRG 		Lung Transplant 19 $118,858.62 $202,059.65 $118,858.62 nat. median
$122,708
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $113,119.25 $113,119.25 $113,119.25 nat. median
$182,736
0.6× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 21 $58,001.62 $262,949.20 $110,901.76 nat. median
$111,989
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 19 $110,306.53 $255,651.28 $110,306.53 nat. median
$117,303
0.9× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $104,351.67 $104,351.67 $104,351.67 nat. median
$145,336
0.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 $104,012.86 $176,821.86 $104,012.86 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 19 $103,893.62 $176,619.15 $103,893.62 nat. median
$98,017
1.1× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $102,906.66 $102,906.66 $102,906.66 nat. median
$105,658
1.0× median
5832
APR_DRG 		Neonate With Ecmo 6 $102,825.13 $102,825.13 $102,825.13 nat. median
$156,126
0.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 19 $101,163.71 $171,978.31 $101,163.71 nat. median
$98,905
1.0× median

Other procedures at this hospital

Browse this hospital's 18,331 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
             
C1824 HCPCS Generator Ccm Implant 49 24 $127,837.00 $108,661.45 $22,938.50 $125,280.26 $63,700.00 2026-04-17
33270 CPT Ins/rep Subq Defibrillator 49 39 $103,505.00 $87,979.25 $16,357.34 $101,434.90 $54,981.86 2026-04-17
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 50 40 $87,003.00 $73,952.55 $16,357.34 $85,262.94 $48,862.07 2026-04-17
33231 CPT Insrt Pulse Gen W/mult Leads 49 39 $86,155.00 $73,231.75 $16,357.34 $84,431.90 $46,913.99 2026-04-17
33249 CPT Insj/rplcmt Defib W/lead(s) 51 40 $86,107.00 $73,190.95 $16,357.34 $84,384.86 $50,371.10 2026-04-17
63685 CPT Revise/remove-pulse Generator/Receiver 50 40 $84,685.00 $71,982.25 $16,080.54 $82,991.30 $45,552.38 2026-04-17
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 49 39 $75,322.00 $64,023.70 $11,591.56 $73,815.56 $40,011.05 2026-04-17
33240 CPT Nsrt Pulse Gen W/singl Lead 49 39 $75,261.00 $63,971.85 $11,591.56 $73,755.78 $39,978.64 2026-04-17
33289 CPT Tcat Impl Wrls P-art Prs Snr 49 39 $72,274.00 $61,432.90 $14,947.45 $71,450.52 $42,870.31 2026-04-17
C2624 HCPCS Wireless Pressure Sensor 46 22 $71,474.00 $60,752.90 $23,017.50 $70,044.52 $40,500.00 2026-04-17
33230 CPT Insrt Pulse Gen W/dual Leads 49 39 $66,969.00 $56,923.65 $11,591.56 $65,629.62 $37,678.10 2026-04-17
A9543 HCPCS Nm Yttium 90 Per Dose 89 39 $65,635.00 $55,789.75 $25,623.76 $142,061.37 $45,944.50 2026-04-17
0408T CPT Insj/rplc Cardiac Modulj Sys 49 39 $64,329.00 $54,679.65 $16,357.34 $78,189.98 $40,658.79 2026-04-17
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 49 39 $63,744.00 $54,182.40 $11,591.56 $62,469.12 $37,030.34 2026-04-17
C1822 HCPCS Generator 169 24 $53,200.00 $45,220.00 $882.25 $57,330.00 $37,000.00 2026-04-17
37227 CPT zzFEM/POPL Revasc Stnt & Ather 26 24 $44,401.00 $37,740.85 $9,624.80 $43,512.98 $35,520.80 2026-04-17
37231 CPT zzTIB/PER Revasc Stent & Ather 25 24 $43,530.00 $37,000.50 $19,208.51 $42,659.40 $34,824.00 2026-04-17
C1767 HCPCS Gen Neuro Stim 505 24 $42,500.00 $36,125.00 $0.04 $101,251.64 $33,000.00 2026-04-17
0481 RC Tmvr Procedure 25 24 $40,395.00 $34,335.75 $14,255.40 $39,587.10 $32,316.00 2026-04-17
J3391 HCPCS Inj, Atidarsagene Autotemcel 21 17 — — $2,356,115.00 $4,865,400.00 $4,505,000.00 2026-04-17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 23 19 — — $1,927,394.47 $4,790,846.67 $3,685,266.67 2026-04-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 23 19 — — $1,744,633.86 $4,924,289.65 $3,335,820.00 2026-04-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 23 19 — — $1,740,470.64 $4,991,789.59 $3,327,859.73 2026-04-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 24 20 — — $1,701,061.72 $4,929,620.00 $3,252,508.08 2026-04-17
J3387 HCPCS Inj Elivaldogene Autotemecel 23 19 — — $1,663,140.00 $4,770,000.00 $3,180,000.00 2026-04-17
J3393 HCPCS Inj, Betibeglogene Autotemce 24 20 — — $1,537,603.73 $4,452,560.00 $2,939,968.89 2026-04-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 24 20 — — $1,354,037.18 $3,883,471.84 $2,588,981.23 2026-04-17
J3392 HCPCS Inj, Exagamglogene Autotem 24 20 — — $1,219,636.00 $3,498,440.00 $2,332,000.00 2026-04-17
Q2057 HCPCS Afamitresgene Autoleucel 23 20 — — $403,034.26 $1,248,561.43 $770,620.00 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 23 20 — — $307,340.73 $952,112.05 $587,649.57 2026-04-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 23 20 — — $296,295.87 $917,896.15 $566,531.30 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 23 20 — — $294,031.25 $910,880.57 $562,201.24 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 23 20 — — $291,876.74 $904,206.10 $558,081.73 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 23 20 — — $278,336.54 $862,259.87 $532,192.24 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 25 21 — — $255,982.46 $793,009.06 $489,450.20 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 19 — — $123,793.99 $673,514.98 $396,185.28 2026-04-17
5834 APR_DRG Neonate With Ecmo 6 6 — — $305,919.37 $305,919.37 $305,919.37 2026-04-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 23 20 — — $145,524.75 $431,035.64 $278,250.00 2026-04-17
J3403 HCPCS Revakinagene, Per Implant 26 21 — — $138,595.00 $429,354.00 $265,000.00 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 19 — — $257,131.17 $447,987.96 $257,131.17 2026-04-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $204,858.42 $204,858.42 $204,858.42 2026-04-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 26 21 — — $105,472.90 $326,744.90 $201,669.02 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 20 19 — — $195,915.42 $333,056.21 $195,915.42 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 20 19 — — $194,766.03 $343,823.04 $194,766.03 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $188,515.42 $188,515.42 $188,515.42 2026-04-17
5833 APR_DRG Neonate With Ecmo 6 6 — — $185,119.67 $185,119.67 $185,119.67 2026-04-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $177,802.07 $177,802.07 $177,802.07 2026-04-17
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $167,384.55 $167,384.55 $167,384.55 2026-04-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $150,978.20 $150,978.20 $150,978.20 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $145,350.20 $145,350.20 $145,350.20 2026-04-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $141,890.00 $141,890.00 $141,890.00 2026-04-17
E0766 HCPCS Elec Stim Cancer Treatment 3 3 — — $24,628.94 $132,877.11 $132,877.11 2026-04-17
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $130,341.48 $130,341.48 $130,341.48 2026-04-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $129,986.70 $129,986.70 $129,986.70 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 20 19 — — $127,125.40 $216,113.18 $127,125.40 2026-04-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $123,398.49 $123,398.49 $123,398.49 2026-04-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $122,961.63 $122,961.63 $122,961.63 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $122,566.63 $122,566.63 $122,566.63 2026-04-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $121,437.84 $121,437.84 $121,437.84 2026-04-17
7 MS_DRG Lung Transplant 20 19 — — $118,858.62 $202,059.65 $118,858.62 2026-04-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $113,119.25 $113,119.25 $113,119.25 2026-04-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 25 21 — — $58,001.62 $262,949.20 $110,901.76 2026-04-17
14 MS_DRG Allogeneic Bone Marrow Transplant 20 19 — — $110,306.53 $255,651.28 $110,306.53 2026-04-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $104,351.67 $104,351.67 $104,351.67 2026-04-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 19 — — $104,012.86 $176,821.86 $104,012.86 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 20 19 — — $103,893.62 $176,619.15 $103,893.62 2026-04-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $102,906.66 $102,906.66 $102,906.66 2026-04-17
5832 APR_DRG Neonate With Ecmo 6 6 — — $102,825.13 $102,825.13 $102,825.13 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 19 — — $101,163.71 $171,978.31 $101,163.71 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 19 — — $99,814.35 $173,669.14 $99,814.35 2026-04-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $97,726.55 $97,726.55 $97,726.55 2026-04-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $95,930.07 $95,930.07 $95,930.07 2026-04-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $95,861.20 $95,861.20 $95,861.20 2026-04-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 22 19 — — $49,727.38 $142,621.55 $95,081.03 2026-04-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $94,697.70 $94,697.70 $94,697.70 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 19 — — $94,644.39 $169,386.14 $94,644.39 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $93,081.36 $93,081.36 $93,081.36 2026-04-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $91,612.11 $91,612.11 $91,612.11 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $91,504.14 $91,504.14 $91,504.14 2026-04-17
215 MS_DRG Other Heart Assist System Implant 20 19 — — $91,401.69 $155,382.87 $91,401.69 2026-04-17
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $90,839.20 $90,839.20 $90,839.20 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 19 — — $89,803.75 $152,666.38 $89,803.75 2026-04-17
5831 APR_DRG Neonate With Ecmo 6 6 — — $87,780.60 $87,780.60 $87,780.60 2026-04-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $83,265.43 $83,265.43 $83,265.43 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 19 — — $82,711.10 $140,608.87 $82,711.10 2026-04-17
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $82,541.54 $82,541.54 $82,541.54 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 20 19 — — $79,499.59 $135,149.30 $79,499.59 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 19 — — $77,393.45 $131,568.87 $77,393.45 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 19 — — $77,150.36 $131,155.61 $77,150.36 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $73,886.90 $73,886.90 $73,886.90 2026-04-17
0266T CPT Outpatient Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
0268T CPT Outpatient Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $73,340.41 $73,340.41 $73,340.41 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 19 — — $72,246.42 $134,246.49 $72,246.42 2026-04-17
J7330 HCPCS Cultured Chondrocytes Implnt 3 3 — — $36,092.45 $71,167.10 $71,167.10 2026-04-17
E0194 HCPCS Air Fluidized Bed 3 1 — — $9,424.94 $94,249.37 $70,687.04 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 19 — — $70,498.95 $119,848.22 $70,498.95 2026-04-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $70,353.98 $70,353.98 $70,353.98 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 19 — — $70,195.32 $119,332.04 $70,195.32 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 20 19 — — $69,963.25 $118,937.53 $69,963.25 2026-04-17
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $69,633.41 $69,633.41 $69,633.41 2026-04-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 22 19 — — $35,983.29 $103,202.57 $68,801.71 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 19 — — $66,282.07 $112,679.52 $66,282.07 2026-04-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $66,201.30 $66,201.30 $66,201.30 2026-04-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $65,967.17 $65,967.17 $65,967.17 2026-04-17
10 MS_DRG Pancreas Transplant 20 19 — — $64,850.13 $112,010.55 $65,888.56 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 20 19 — — $65,861.03 $111,963.75 $65,861.03 2026-04-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 19 — — $65,511.53 $111,369.60 $65,511.53 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 19 — — $65,473.01 $111,304.12 $65,473.01 2026-04-17
J9029 HCPCS Instill Adstiladrin, Tx Dose 24 20 — — $33,615.72 $104,138.25 $64,274.79 2026-04-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $63,885.87 $63,885.87 $63,885.87 2026-04-17
K0606 HCPCS Aed Garment W Elec Analysis 3 1 — — $6,528.86 $84,875.17 $63,656.39 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 20 19 — — $63,467.75 $107,895.18 $63,467.75 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 19 — — $63,156.81 $107,366.58 $63,156.81 2026-04-17
38240 CPT Transplt Allo Hct/donor 25 21 — — $3,319.97 $94,012.39 $62,674.93 2026-04-17
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $62,368.14 $62,368.14 $62,368.14 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 20 19 — — $61,810.20 $138,067.01 $61,810.20 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 20 19 — — $61,401.06 $104,381.80 $61,401.06 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 20 19 — — $61,356.12 $104,305.40 $61,356.12 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 19 — — $60,381.01 $102,647.72 $60,381.01 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 19 — — $60,381.01 $102,647.72 $60,381.01 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 20 19 — — $60,161.78 $102,275.03 $60,161.78 2026-04-17
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $59,939.77 $59,939.77 $59,939.77 2026-04-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $59,512.27 $59,512.27 $59,512.27 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 20 19 — — $59,091.29 $100,839.79 $59,091.29 2026-04-17
90288 CPT Botulism Ig IV 2 2 — — $58,905.00 $58,905.00 $58,905.00 2026-04-17
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $58,531.12 $58,531.12 $58,531.12 2026-04-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $58,384.03 $58,384.03 $58,384.03 2026-04-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $58,213.25 $58,213.25 $58,213.25 2026-04-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $57,744.98 $57,744.98 $57,744.98 2026-04-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $57,172.60 $57,172.60 $57,172.60 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 20 19 — — $56,281.55 $95,678.64 $56,281.55 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 20 19 — — $56,216.42 $102,929.20 $56,216.42 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 19 — — $55,677.97 $100,227.41 $55,677.97 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 20 19 — — $55,179.87 $93,805.78 $55,179.87 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 20 19 — — $55,164.28 $106,446.27 $55,164.28 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 19 — — $54,765.25 $93,100.93 $54,765.25 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 19 18 — — $54,585.44 $111,231.97 $54,585.44 2026-04-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 19 — — $54,458.87 $162,655.44 $54,458.87 2026-04-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 26 21 — — $28,453.35 $103,124.47 $54,404.11 2026-04-17
8514 APR_DRG Gender Related Procedures 6 6 — — $53,976.83 $53,976.83 $53,976.83 2026-04-17
8513 APR_DRG Gender Related Procedures 6 6 — — $53,976.83 $53,976.83 $53,976.83 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 19 — — $53,898.38 $91,627.25 $53,898.38 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 20 19 — — $53,863.55 $91,568.04 $53,863.55 2026-04-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $53,640.78 $53,640.78 $53,640.78 2026-04-17
8634 APR_DRG Neonatal Aftercare 6 6 — — $53,270.57 $53,270.57 $53,270.57 2026-04-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $53,088.23 $53,088.23 $53,088.23 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 20 19 — — $52,967.32 $90,044.44 $52,967.32 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 19 — — $52,629.75 $89,470.58 $52,629.75 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 19 — — $52,415.10 $89,105.67 $52,415.10 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 20 19 — — $52,347.23 $88,990.29 $52,347.23 2026-04-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $51,736.87 $51,736.87 $51,736.87 2026-04-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $51,713.73 $51,713.73 $51,713.73 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 19 — — $51,636.29 $87,781.69 $51,636.29 2026-04-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 19 — — $51,476.68 $87,510.36 $51,476.68 2026-04-17
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $51,437.18 $51,437.18 $51,437.18 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 19 — — $51,124.44 $86,911.55 $51,124.44 2026-04-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $51,077.44 $51,077.44 $51,077.44 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 19 — — $50,728.15 $86,237.86 $50,728.15 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 20 19 — — $50,424.54 $134,889.95 $50,424.54 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 20 19 — — $50,246.57 $85,419.17 $50,246.57 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 19 — — $50,175.03 $85,297.55 $50,175.03 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 20 19 — — $50,096.14 $85,163.44 $50,096.14 2026-04-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 19 — — $49,896.15 $84,823.46 $49,896.15 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $49,734.90 $49,734.90 $49,734.90 2026-04-17
L7181 HCPCS Electronic Elbo Simultaneous 23 20 — — $25,803.87 $101,293.21 $49,338.18 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 19 — — $48,983.45 $83,271.87 $48,983.45 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 20 19 — — $48,954.08 $83,221.94 $48,954.08 2026-04-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $48,639.71 $48,639.71 $48,639.71 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 20 19 — — $48,625.69 $98,125.21 $48,625.69 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 20 19 — — $48,465.17 $82,390.79 $48,465.17 2026-04-17
L7180 HCPCS Electronic Elbow Sequential 23 20 — — $25,062.15 $98,381.61 $47,919.99 2026-04-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $47,828.23 $47,828.23 $47,828.23 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 19 — — $47,814.78 $81,285.13 $47,814.78 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 20 19 — — $47,732.22 $81,144.77 $47,732.22 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 19 — — $46,299.39 $78,708.96 $46,299.39 2026-04-17
G0448 HCPCS Place Perm Pacing Cardiovert 1 1 — — $45,976.04 $45,976.04 $45,976.04 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 20 19 — — $45,815.06 $77,885.60 $45,815.06 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 19 — — $45,448.12 $90,491.48 $45,448.12 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 20 19 — — $45,367.40 $77,124.58 $45,367.40 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 20 19 — — $45,212.37 $76,861.03 $45,212.37 2026-04-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $45,069.88 $45,069.88 $45,069.88 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 20 19 — — $45,024.33 $83,281.85 $45,024.33 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 20 19 — — $44,359.28 $75,410.78 $44,359.28 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 20 19 — — $44,135.46 $75,030.28 $44,135.46 2026-04-17
K0743 HCPCS Portable Home Suction Pump 1 1 — — $43,976.10 $43,976.10 $43,976.10 2026-04-17
64568 CPT Opn Impltj Crnl Nrv Nea&pg 25 21 — — $22,953.47 $70,511.73 $43,888.09 2026-04-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 24 20 — — $22,953.47 $65,832.13 $43,888.09 2026-04-17
33276 CPT Insj Phrnc Nrv Stim Sys 24 20 — — $22,953.47 $65,832.13 $43,888.09 2026-04-17
64654 CPT 1st Opn Implt Bat Modulj Sys 24 20 — — $22,953.47 $65,832.13 $43,888.09 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 20 19 — — $43,736.42 $75,686.51 $43,736.42 2026-04-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $43,600.07 $43,600.07 $43,600.07 2026-04-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 19 — — $43,191.53 $140,372.12 $43,191.53 2026-04-17
J9226 HCPCS Supprelin La Implant 26 21 — — $22,585.93 $69,969.04 $43,185.34 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 20 19 — — $43,103.48 $81,174.17 $43,103.48 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 20 19 — — $42,975.07 $73,057.62 $42,975.07 2026-04-17
6 MS_DRG Liver Transplant Without Mcc 20 19 — — $42,600.80 $72,421.36 $42,600.80 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 20 19 — — $42,431.09 $82,707.86 $42,431.09 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 19 — — $42,229.27 $71,789.76 $42,229.27 2026-04-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $42,199.14 $42,199.14 $42,199.14 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 20 19 — — $42,121.96 $71,607.33 $42,121.96 2026-04-17
245 MS_DRG Aicd Generator Procedures 20 19 — — $41,916.50 $71,258.05 $41,916.50 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 20 19 — — $41,790.81 $71,044.38 $41,790.81 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 19 — — $41,772.47 $71,013.20 $41,772.47 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 20 19 — — $41,609.18 $70,735.61 $41,609.18 2026-04-17
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $41,422.92 $41,422.92 $41,422.92 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 20 19 — — $41,177.14 $70,001.14 $41,177.14 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 19 — — $41,165.20 $72,425.36 $41,165.20 2026-04-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $41,057.67 $41,057.67 $41,057.67 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $41,048.31 $41,048.31 $41,048.31 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 20 19 — — $41,003.77 $69,706.41 $41,003.77 2026-04-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $40,377.31 $40,377.31 $40,377.31 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 20 19 — — $40,360.73 $68,613.24 $40,360.73 2026-04-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $40,241.79 $40,241.79 $40,241.79 2026-04-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $39,883.70 $39,883.70 $39,883.70 2026-04-17
1784 APR_DRG External Heart Assist Devices 6 6 — — $39,774.07 $39,774.07 $39,774.07 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 20 19 — — $39,760.82 $76,147.17 $39,760.82 2026-04-17
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 22 19 — — $20,678.32 $59,306.84 $39,537.89 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 20 19 — — $39,444.33 $67,055.36 $39,444.33 2026-04-17
6904 APR_DRG Acute Leukemia 6 6 — — $39,290.38 $39,290.38 $39,290.38 2026-04-17
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $39,279.37 $39,279.37 $39,279.37 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 20 19 — — $39,191.16 $66,624.97 $39,191.16 2026-04-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $39,136.13 $39,136.13 $39,136.13 2026-04-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $39,091.51 $39,091.51 $39,091.51 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 20 19 — — $38,966.42 $66,242.91 $38,966.42 2026-04-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $38,911.92 $38,911.92 $38,911.92 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 20 19 — — $38,804.99 $65,968.48 $38,804.99 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 20 19 — — $38,738.90 $75,564.04 $38,738.90 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 20 19 — — $38,719.64 $65,823.39 $38,719.64 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 20 19 — — $38,606.84 $65,631.63 $38,606.84 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 20 19 — — $38,560.96 $65,553.63 $38,560.96 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 19 — — $38,489.41 $65,432.00 $38,489.41 2026-04-17
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $38,369.28 $38,369.28 $38,369.28 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 19 — — $38,340.81 $75,163.70 $38,340.81 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 20 19 — — $8,671.48 $65,132.58 $38,313.28 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 20 19 — — $38,161.02 $64,873.73 $38,161.02 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 20 19 — — $37,908.74 $64,444.86 $37,908.74 2026-04-17
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $37,789.18 $37,789.18 $37,789.18 2026-04-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $37,605.73 $37,605.73 $37,605.73 2026-04-17
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $37,480.68 $37,480.68 $37,480.68 2026-04-17
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $37,314.31 $37,314.31 $37,314.31 2026-04-17
791 MS_DRG Prematurity With Major Problems 19 18 — — $33,404.37 $63,407.86 $37,298.74 2026-04-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $36,971.10 $36,971.10 $36,971.10 2026-04-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $36,956.77 $36,956.77 $36,956.77 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 20 19 — — $36,945.58 $62,807.49 $36,945.58 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 20 19 — — $36,611.67 $62,239.84 $36,611.67 2026-04-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $36,540.29 $36,540.29 $36,540.29 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 19 — — $35,949.38 $63,970.86 $35,949.38 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 20 19 — — $35,181.69 $60,837.93 $35,787.02 2026-04-17
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 3 1 — — $3,655.42 $47,520.57 $35,640.43 2026-04-17
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $35,621.39 $35,621.39 $35,621.39 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 20 19 — — $35,571.46 $60,471.48 $35,571.46 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 20 19 — — $35,518.24 $60,381.01 $35,518.24 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 20 19 — — $35,484.30 $60,323.31 $35,484.30 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 20 19 — — $35,283.41 $59,981.80 $35,283.41 2026-04-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $35,073.24 $35,073.24 $35,073.24 2026-04-17
L8701 HCPCS Ewh S/d Uprt Micro Sensor 22 19 — — $18,289.38 $52,455.20 $34,970.13 2026-04-17
4414 APR_DRG Major Bladder Procedures 6 6 — — $34,943.78 $34,943.78 $34,943.78 2026-04-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $34,860.60 $34,860.60 $34,860.60 2026-04-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $34,739.40 $34,739.40 $34,739.40 2026-04-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $34,653.46 $34,653.46 $34,653.46 2026-04-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $34,606.63 $34,606.63 $34,606.63 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 20 19 — — $34,583.51 $85,228.67 $34,583.51 2026-04-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $34,459.54 $34,459.54 $34,459.54 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 20 19 — — $34,433.06 $58,536.20 $34,433.06 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 20 19 — — $34,351.41 $58,397.40 $34,351.41 2026-04-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $34,350.46 $34,350.46 $34,350.46 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 20 19 — — $34,347.75 $58,391.18 $34,347.75 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 20 19 — — $34,251.45 $58,227.47 $34,251.45 2026-04-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $34,138.92 $34,138.92 $34,138.92 2026-04-17
0870T CPT Imp Subq Prtl Ascts Pmp Sys 22 19 — — $17,852.76 $51,202.93 $34,135.29 2026-04-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 20 19 — — $34,058.82 $89,619.53 $34,058.82 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $33,975.85 $33,975.85 $33,975.85 2026-04-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $33,918.01 $33,918.01 $33,918.01 2026-04-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $33,775.32 $33,775.32 $33,775.32 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 20 19 — — $33,758.85 $57,390.05 $33,758.85 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 20 19 — — $33,745.07 $57,366.62 $33,745.07 2026-04-17
E0469 HCPCS Lung Expans High Oscil Neb 1 1 — — $33,741.54 $33,741.54 $33,741.54 2026-04-17
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $33,683.32 $33,683.32 $33,683.32 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 20 19 — — $33,349.71 $56,694.51 $33,349.71 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 20 19 — — $33,324.04 $56,650.87 $33,324.04 2026-04-17
332 MS_DRG Rectal Resection With Mcc 20 19 — — $33,278.19 $56,572.92 $33,278.19 2026-04-17
265 MS_DRG Aicd Lead Procedures 20 19 — — $33,255.23 $56,533.89 $33,255.23 2026-04-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $33,245.36 $33,245.36 $33,245.36 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 20 19 — — $31,880.32 $56,434.10 $33,196.53 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 20 19 — — $33,147.01 $56,349.92 $33,147.01 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $33,090.00 $33,090.00 $33,090.00 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 20 19 — — $32,930.51 $55,981.87 $32,930.51 2026-04-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 20 19 — — $32,854.37 $55,852.43 $32,854.37 2026-04-17
69930 CPT Implant Cochlear Device 25 21 — — $17,182.41 $92,153.97 $32,853.56 2026-04-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 20 19 — — $32,821.36 $55,796.31 $32,821.36 2026-04-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 20 19 — — $32,772.73 $70,421.87 $32,772.73 2026-04-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 20 19 — — $32,745.22 $55,666.87 $32,745.22 2026-04-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 20 19 — — $31,646.34 $55,613.87 $32,714.04 2026-04-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 20 19 — — $32,687.43 $55,568.63 $32,687.43 2026-04-17
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $32,436.09 $32,436.09 $32,436.09 2026-04-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 20 19 — — $32,414.99 $55,105.48 $32,414.99 2026-04-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 20 19 — — $32,348.95 $54,993.22 $32,348.95 2026-04-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 6 — — $32,314.89 $32,314.89 $32,314.89 2026-04-17
252 MS_DRG Other Vascular Procedures With Mcc 20 19 — — $32,063.66 $68,939.36 $32,063.66 2026-04-17
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