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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 OTSEGO MEMORIAL HOSPITAL

Gaylord, MI · CCN 230133 · Rates published

17,124 distinct procedures filed
25 distinct payers
790,427 rate rows
2026-04-17 last MRF observed
Data quality

467,082 of 790,427 rate rows are consumer-grade (59.1%)

323,345 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 303,723
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 15,553
per-diem day rate — not a per-procedure price 2,390
placeholder amount (≤ $0.02) — excluded from medians 715
exceeds 10× this hospital's gross charge — excluded from medians 704
percent-of-charges filed in the dollar field — excluded from medians 260
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8052/381303843_munson-healthcare-otsego-memorial-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/MunsonOstegoMemorialHospital/8052
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint e1673a6a8ef41ef4… · 1,193,968,337 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 7 $2,356,115.00 $4,505,000.00 $2,356,115.00 nat. median
$4,505,000
0.5× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $1,930,628.35 $3,691,450.00 $1,930,628.35 nat. median
$3,710,000
0.5× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $1,744,633.86 $3,335,820.00 $1,744,633.86 nat. median
$3,335,820
0.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $1,737,079.85 $3,321,376.38 $1,737,079.85 nat. median
$3,325,455
0.5× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $1,697,334.47 $3,245,381.39 $1,697,334.47 nat. median
$3,286,000
0.5× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 7 $1,663,140.00 $3,180,000.00 $1,663,140.00 nat. median
$3,180,000
0.5× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $1,536,741.36 $2,938,320.00 $1,536,741.36 nat. median
$3,004,655
0.5× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 7 $1,393,391.55 $2,664,228.59 $1,393,391.55 nat. median
$10,376
outlier · 134.3×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $1,353,046.64 $2,587,087.26 $1,353,046.64 nat. median
$2,468,984
0.5× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $1,219,636.00 $2,332,000.00 $1,219,636.00 nat. median
$2,448,600
outlier · 0.5×
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $403,034.26 $770,620.00 $403,034.26 nat. median
$824,563
outlier · 0.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $401,210.20 $682,057.34 $401,210.20 nat. median
$370,174
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $321,216.56 $614,180.81 $321,216.56 nat. median
$753,246
outlier · 0.4×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $307,782.78 $588,494.81 $307,782.78 nat. median
$674,867
outlier · 0.5×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $294,062.42 $562,260.84 $294,062.42 nat. median
$673,137
outlier · 0.4×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $292,765.51 $559,781.08 $292,765.51 nat. median
$625,184
outlier · 0.5×
5834
APR_DRG 		Neonate With Ecmo 6 $287,919.99 $287,919.99 $287,919.99 nat. median
$309,665
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $278,157.09 $531,849.12 $278,157.09 nat. median
$634,303
outlier · 0.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $260,369.27 $442,627.76 $260,369.27 nat. median
$265,286
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $255,898.98 $671,403.63 $255,898.98 nat. median
$619,808
outlier · 0.4×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $198,366.91 $337,223.75 $198,366.91 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 $197,202.75 $335,244.68 $197,202.75 nat. median
$202,976
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $192,711.00 $192,711.00 $192,711.00 nat. median
$246,434
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $177,314.35 $177,314.35 $177,314.35 nat. median
$117,173
1.5× median
5833
APR_DRG 		Neonate With Ecmo 6 $174,115.23 $174,115.23 $174,115.23 nat. median
$244,017
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $167,221.35 $167,221.35 $167,221.35 nat. median
$122,924
1.4× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $157,407.06 $157,407.06 $157,407.06 nat. median
$207,730
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $145,524.75 $278,250.00 $145,524.75 nat. median
$324,450
outlier · 0.4×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $141,950.72 $141,950.72 $141,950.72 nat. median
$162,982
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $137,148.26 $262,233.77 $137,148.26 nat. median
$265,000
0.5× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $136,648.62 $136,648.62 $136,648.62 nat. median
$60,831
outlier · 2.2×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $133,388.78 $133,388.78 $133,388.78 nat. median
$160,267
0.8× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $132,877.11 $132,877.11 $132,877.11 nat. median
$16,785
outlier · 7.9×
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 13 $128,692.97 $218,778.05 $128,692.97 nat. median
$133,161
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $122,508.98 $122,508.98 $122,508.98 nat. median
$187,061
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $122,174.75 $122,174.75 $122,174.75 nat. median
$150,721
0.8× median
7
MS_DRG 		Lung Transplant 13 $120,319.96 $204,543.93 $120,319.96 nat. median
$122,708
1.0× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $115,968.03 $115,968.03 $115,968.03 nat. median
$58,674
2.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $115,556.46 $115,556.46 $115,556.46 nat. median
$151,838
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $115,184.34 $115,184.34 $115,184.34 nat. median
$164,834
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $114,120.91 $114,120.91 $114,120.91 nat. median
$164,289
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $111,657.99 $189,818.58 $111,657.99 nat. median
$117,357
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $106,284.01 $106,284.01 $106,284.01 nat. median
$182,665
0.6× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $106,019.20 $213,400.00 $106,019.20 nat. median
$209,753
0.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $105,283.43 $178,981.83 $105,283.43 nat. median
$108,660
1.0× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $105,162.65 $178,776.51 $105,162.65 nat. median
$98,047
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $102,397.66 $174,076.02 $102,397.66 nat. median
$98,894
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $101,030.96 $171,752.63 $101,030.96 nat. median
$102,358
1.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $98,024.12 $98,024.12 $98,024.12 nat. median
$145,336
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $96,662.78 $96,662.78 $96,662.78 nat. median
$105,658
0.9× median

Other procedures at this hospital

Browse this hospital's 17,124 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 7 7 — — $2,356,115.00 $4,505,000.00 $2,356,115.00 2026-04-17
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 7 — — $1,930,628.35 $3,691,450.00 $1,930,628.35 2026-04-17
J3389 HCPCS Topi Adm Prad Zami Per Treat 7 7 — — $1,744,633.86 $3,335,820.00 $1,744,633.86 2026-04-17
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $1,737,079.85 $3,321,376.38 $1,737,079.85 2026-04-17
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $1,697,334.47 $3,245,381.39 $1,697,334.47 2026-04-17
J3387 HCPCS Inj Elivaldogene Autotemecel 7 7 — — $1,663,140.00 $3,180,000.00 $1,663,140.00 2026-04-17
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $1,536,741.36 $2,938,320.00 $1,536,741.36 2026-04-17
C9309 HCPCS Inj Onase Abepar-brve Treat 7 7 — — $1,393,391.55 $2,664,228.59 $1,393,391.55 2026-04-17
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $1,353,046.64 $2,587,087.26 $1,353,046.64 2026-04-17
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $1,219,636.00 $2,332,000.00 $1,219,636.00 2026-04-17
Q2057 HCPCS Afamitresgene Autoleucel 7 7 — — $403,034.26 $770,620.00 $403,034.26 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 13 — — $401,210.20 $682,057.34 $401,210.20 2026-04-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 7 7 — — $321,216.56 $614,180.81 $321,216.56 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 7 7 — — $307,782.78 $588,494.81 $307,782.78 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 7 7 — — $294,062.42 $562,260.84 $294,062.42 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 7 7 — — $292,765.51 $559,781.08 $292,765.51 2026-04-17
5834 APR_DRG Neonate With Ecmo 6 6 — — $287,919.99 $287,919.99 $287,919.99 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 7 7 — — $278,157.09 $531,849.12 $278,157.09 2026-04-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 13 — — $260,369.27 $442,627.76 $260,369.27 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 9 8 — — $255,898.98 $671,403.63 $255,898.98 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 13 — — $198,366.91 $337,223.75 $198,366.91 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 14 13 — — $197,202.75 $335,244.68 $197,202.75 2026-04-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $192,711.00 $192,711.00 $192,711.00 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $177,314.35 $177,314.35 $177,314.35 2026-04-17
5833 APR_DRG Neonate With Ecmo 6 6 — — $174,115.23 $174,115.23 $174,115.23 2026-04-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $167,221.35 $167,221.35 $167,221.35 2026-04-17
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $157,407.06 $157,407.06 $157,407.06 2026-04-17
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 7 7 — — $145,524.75 $278,250.00 $145,524.75 2026-04-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $141,950.72 $141,950.72 $141,950.72 2026-04-17
J3403 HCPCS Revakinagene, Per Implant 9 8 — — $137,148.26 $262,233.77 $137,148.26 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $136,648.62 $136,648.62 $136,648.62 2026-04-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $133,388.78 $133,388.78 $133,388.78 2026-04-17
E0766 HCPCS Elec Stim Cancer Treatment 2 2 — — $132,877.11 $132,877.11 $132,877.11 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 14 13 — — $128,692.97 $218,778.05 $128,692.97 2026-04-17
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $122,508.98 $122,508.98 $122,508.98 2026-04-17
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $122,174.75 $122,174.75 $122,174.75 2026-04-17
7 MS_DRG Lung Transplant 14 13 — — $120,319.96 $204,543.93 $120,319.96 2026-04-17
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $115,968.03 $115,968.03 $115,968.03 2026-04-17
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $115,556.46 $115,556.46 $115,556.46 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $115,184.34 $115,184.34 $115,184.34 2026-04-17
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $114,120.91 $114,120.91 $114,120.91 2026-04-17
14 MS_DRG Allogeneic Bone Marrow Transplant 14 13 — — $111,657.99 $189,818.58 $111,657.99 2026-04-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $106,284.01 $106,284.01 $106,284.01 2026-04-17
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 8 — — $106,019.20 $213,400.00 $106,019.20 2026-04-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 13 — — $105,283.43 $178,981.83 $105,283.43 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 14 13 — — $105,162.65 $178,776.51 $105,162.65 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $102,397.66 $174,076.02 $102,397.66 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 13 — — $101,030.96 $171,752.63 $101,030.96 2026-04-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $98,024.12 $98,024.12 $98,024.12 2026-04-17
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $96,662.78 $96,662.78 $96,662.78 2026-04-17
5832 APR_DRG Neonate With Ecmo 6 6 — — $96,585.97 $96,585.97 $96,585.97 2026-04-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 13 — — $95,794.58 $162,850.79 $95,794.58 2026-04-17
215 MS_DRG Other Heart Assist System Implant 14 13 — — $92,510.20 $157,267.34 $92,510.20 2026-04-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $91,782.63 $91,782.63 $91,782.63 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 13 — — $90,891.73 $154,515.94 $90,891.73 2026-04-17
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $90,090.17 $90,090.17 $90,090.17 2026-04-17
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $90,025.29 $90,025.29 $90,025.29 2026-04-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $88,929.17 $88,929.17 $88,929.17 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $87,406.42 $87,406.42 $87,406.42 2026-04-17
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $86,022.25 $86,022.25 $86,022.25 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $85,920.52 $85,920.52 $85,920.52 2026-04-17
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $85,294.09 $85,294.09 $85,294.09 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 13 — — $83,707.96 $142,303.53 $83,707.96 2026-04-17
5831 APR_DRG Neonate With Ecmo 6 6 — — $82,412.60 $82,412.60 $82,412.60 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 14 13 — — $80,455.18 $136,773.81 $80,455.18 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 13 — — $78,321.96 $133,147.33 $78,321.96 2026-04-17
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $78,158.88 $78,158.88 $78,158.88 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 13 — — $78,075.77 $132,728.81 $78,075.77 2026-04-17
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $77,476.91 $77,476.91 $77,476.91 2026-04-17
0268T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
0266T CPT Professional Services 2 2 — — $73,466.05 $73,466.05 $73,466.05 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 13 — — $73,108.81 $124,284.98 $73,108.81 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $71,338.88 $121,276.10 $71,338.88 2026-04-17
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $71,167.10 $71,167.10 $71,167.10 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 13 — — $71,031.33 $120,753.26 $71,031.33 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 13 — — $70,796.29 $120,353.69 $70,796.29 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $69,323.42 $69,323.42 $69,323.42 2026-04-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 9 8 — — $69,103.10 $262,949.20 $69,103.10 2026-04-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $68,808.57 $68,808.57 $68,808.57 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $67,067.81 $114,015.28 $67,067.81 2026-04-17
10 MS_DRG Pancreas Transplant 14 13 — — $66,669.24 $113,337.71 $66,669.24 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 13 — — $66,641.35 $113,290.30 $66,641.35 2026-04-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 13 — — $66,287.37 $112,688.53 $66,287.37 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 13 — — $66,248.35 $112,622.20 $66,248.35 2026-04-17
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $65,995.08 $65,995.08 $65,995.08 2026-04-17
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $65,316.22 $65,316.22 $65,316.22 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 14 13 — — $64,217.34 $109,169.48 $64,217.34 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 13 — — $63,902.39 $108,634.06 $63,902.39 2026-04-17
J3404 HCPCS Inj Zopapogene Per Ther Dose 7 7 — — $63,753.70 $121,900.00 $63,753.70 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 13 — — $62,538.46 $106,315.38 $62,538.46 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 13 — — $62,124.09 $105,610.95 $62,124.09 2026-04-17
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $62,082.85 $62,082.85 $62,082.85 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 13 — — $62,078.55 $105,533.54 $62,078.55 2026-04-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $61,862.28 $61,862.28 $61,862.28 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 13 — — $61,090.93 $103,854.58 $61,090.93 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 13 — — $61,090.93 $103,854.58 $61,090.93 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 13 — — $60,868.88 $103,477.10 $60,868.88 2026-04-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $59,901.50 $59,901.50 $59,901.50 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 14 13 — — $59,784.63 $101,633.87 $59,784.63 2026-04-17
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 7 — — $59,672.86 $114,097.24 $59,672.86 2026-04-17
90288 CPT Botulism Ig IV 2 2 — — $58,905.00 $58,905.00 $58,905.00 2026-04-17
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $58,471.65 $58,471.65 $58,471.65 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 13 — — $56,938.80 $96,795.96 $56,938.80 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 13 — — $56,872.83 $96,683.81 $56,872.83 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 13 — — $56,327.45 $95,756.67 $56,327.45 2026-04-17
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $56,183.90 $56,183.90 $56,183.90 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 14 13 — — $55,822.96 $94,899.03 $55,822.96 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 13 — — $55,807.16 $94,872.17 $55,807.16 2026-04-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $55,781.16 $55,781.16 $55,781.16 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 13 — — $55,402.99 $94,185.08 $55,402.99 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 13 — — $55,220.90 $103,164.74 $55,220.90 2026-04-17
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 13 — — $55,092.68 $93,657.56 $55,092.68 2026-04-17
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $54,856.82 $54,856.82 $54,856.82 2026-04-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $54,718.24 $54,718.24 $54,718.24 2026-04-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $54,557.35 $54,557.35 $54,557.35 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 13 — — $54,524.99 $92,692.48 $54,524.99 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 13 — — $54,489.71 $92,632.51 $54,489.71 2026-04-17
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $54,116.20 $54,116.20 $54,116.20 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 13 — — $53,581.97 $91,089.35 $53,581.97 2026-04-17
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $53,576.96 $53,576.96 $53,576.96 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $53,240.05 $90,508.09 $53,240.05 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 13 — — $53,022.65 $90,138.51 $53,022.65 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 13 — — $52,953.90 $90,021.63 $52,953.90 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 13 — — $52,233.84 $88,797.53 $52,233.84 2026-04-17
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 13 — — $52,072.19 $88,522.72 $52,072.19 2026-04-17
C1824 HCPCS Generator Optimizer Ipg86302 15 15 $65,000.00 $55,250.00 $34,762.00 $55,250.00 $52,000.00 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $51,715.40 $87,916.18 $51,715.40 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 13 — — $51,314.03 $87,233.85 $51,314.03 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 14 13 — — $51,006.51 $86,711.07 $51,006.51 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 13 — — $50,826.26 $86,404.64 $50,826.26 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 13 — — $50,753.80 $86,281.46 $50,753.80 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 13 — — $50,673.89 $86,145.61 $50,673.89 2026-04-17
8513 APR_DRG Gender Related Procedures 6 6 — — $50,566.24 $50,566.24 $50,566.24 2026-04-17
8514 APR_DRG Gender Related Procedures 6 6 — — $50,566.24 $50,566.24 $50,566.24 2026-04-17
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 13 — — $50,471.34 $85,801.28 $50,471.34 2026-04-17
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $50,249.65 $50,249.65 $50,249.65 2026-04-17
8634 APR_DRG Neonatal Aftercare 6 6 — — $49,900.88 $49,900.88 $49,900.88 2026-04-17
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $49,729.10 $49,729.10 $49,729.10 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $49,546.90 $84,229.73 $49,546.90 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 13 — — $49,517.14 $84,179.14 $49,517.14 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 13 — — $49,184.56 $83,613.75 $49,184.56 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 13 — — $49,021.96 $83,337.33 $49,021.96 2026-04-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $48,455.99 $48,455.99 $48,455.99 2026-04-17
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $48,434.19 $48,434.19 $48,434.19 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 13 — — $48,363.21 $82,217.46 $48,363.21 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 14 13 — — $48,279.61 $82,075.34 $48,279.61 2026-04-17
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $48,173.65 $48,173.65 $48,173.65 2026-04-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $47,834.75 $47,834.75 $47,834.75 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 13 — — $46,828.36 $79,608.21 $46,828.36 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $46,569.94 $46,569.94 $46,569.94 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 13 — — $46,337.79 $78,774.24 $46,337.79 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 13 — — $45,966.16 $78,142.47 $45,966.16 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 13 — — $45,884.40 $78,003.48 $45,884.40 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 13 — — $45,727.38 $77,736.55 $45,727.38 2026-04-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $45,538.17 $45,538.17 $45,538.17 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 13 — — $45,536.92 $77,412.76 $45,536.92 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 14 13 — — $44,863.33 $76,267.66 $44,863.33 2026-04-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $44,773.68 $44,773.68 $44,773.68 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 13 — — $44,636.62 $75,882.25 $44,636.62 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 13 — — $44,232.47 $75,195.20 $44,232.47 2026-04-17
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 13 — — $43,680.56 $74,256.95 $43,680.56 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 13 — — $43,591.39 $74,105.36 $43,591.39 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 13 — — $43,461.32 $73,884.24 $43,461.32 2026-04-17
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 7 7 — — $43,179.95 $82,562.05 $43,179.95 2026-04-17
6 MS_DRG Liver Transplant Without Mcc 14 13 — — $43,082.24 $73,239.81 $43,082.24 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 13 — — $42,910.35 $72,947.60 $42,910.35 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 13 — — $42,705.95 $72,600.12 $42,705.95 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 13 — — $42,597.27 $72,415.36 $42,597.27 2026-04-17
245 MS_DRG Aicd Generator Procedures 14 13 — — $42,389.15 $72,061.56 $42,389.15 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 13 — — $42,261.85 $71,845.15 $42,261.85 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 13 — — $42,243.27 $71,813.56 $42,243.27 2026-04-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 6 — — $42,175.05 $42,175.05 $42,175.05 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 14 13 — — $42,077.88 $71,532.40 $42,077.88 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 14 13 — — $41,640.28 $70,788.48 $41,640.28 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 13 — — $41,628.20 $70,767.94 $41,628.20 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 13 — — $41,464.68 $70,489.96 $41,464.68 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 13 — — $40,813.39 $69,382.76 $40,813.39 2026-04-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $40,790.36 $40,790.36 $40,790.36 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 13 — — $40,205.76 $68,349.79 $40,205.76 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 13 — — $39,885.20 $67,804.84 $39,885.20 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 14 13 — — $39,628.78 $67,368.93 $39,628.78 2026-04-17
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $39,470.54 $39,470.54 $39,470.54 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 13 — — $39,401.16 $66,981.97 $39,401.16 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 13 — — $39,237.63 $66,703.97 $39,237.63 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 13 — — $39,170.74 $66,590.26 $39,170.74 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 13 — — $39,151.23 $66,557.09 $39,151.23 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 13 — — $39,036.96 $66,362.83 $39,036.96 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 14 13 — — $38,990.49 $66,283.83 $38,990.49 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 13 — — $38,918.03 $66,160.65 $38,918.03 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 13 — — $38,767.52 $65,904.78 $38,767.52 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 14 13 — — $8,671.48 $65,857.37 $38,739.63 2026-04-17
914 APR_DRG Other Major Head And Neck Procedures 6 6 — — $38,739.27 $38,739.27 $38,739.27 2026-04-17
A9543 HCPCS Kit Yttrium 90 Therasphere 3 Gbq36432 46 24 $45,862.50 $38,983.13 $27,517.50 $96,601.73 $38,614.12 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 13 — — $38,585.41 $65,595.20 $38,585.41 2026-04-17
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $38,395.17 $38,395.17 $38,395.17 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $38,386.35 $38,386.35 $38,386.35 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 13 — — $38,329.91 $65,160.85 $38,329.91 2026-04-17
J9183 HCPCS Gemcitabine Intravesical Sys 7 7 — — $38,225.16 $73,088.26 $38,225.16 2026-04-17
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $37,754.21 $37,754.21 $37,754.21 2026-04-17
791 MS_DRG Prematurity With Major Problems 14 13 — — $33,404.37 $64,110.50 $37,712.06 2026-04-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $37,626.54 $37,626.54 $37,626.54 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 13 — — $37,354.37 $63,502.43 $37,354.37 2026-04-17
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $37,289.18 $37,289.18 $37,289.18 2026-04-17
1784 APR_DRG External Heart Assist Devices 6 6 — — $37,185.90 $37,185.90 $37,185.90 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 13 — — $37,016.15 $62,927.46 $37,016.15 2026-04-17
6904 APR_DRG Acute Leukemia 6 6 — — $36,730.22 $36,730.22 $36,730.22 2026-04-17
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 6 — — $36,719.84 $36,719.84 $36,719.84 2026-04-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 6 — — $36,584.90 $36,584.90 $36,584.90 2026-04-17
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 6 — — $36,542.86 $36,542.86 $36,542.86 2026-04-17
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $36,373.67 $36,373.67 $36,373.67 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 13 — — $36,345.36 $61,787.11 $36,345.36 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 14 13 — — $36,180.90 $61,507.53 $36,180.90 2026-04-17
C1767 HCPCS Controller Medtronic Dbs79104 300 15 $52,250.00 $44,412.50 $1,517.50 $87,819.88 $36,125.00 2026-04-17
C2624 HCPCS System Delivery Pa Sensor60810 15 15 $45,000.00 $38,250.00 $24,066.00 $38,250.00 $36,000.00 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 13 — — $35,962.57 $61,136.37 $35,962.57 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 13 — — $35,908.68 $61,044.76 $35,908.68 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 13 — — $35,874.29 $60,986.29 $35,874.29 2026-04-17
913 APR_DRG Other Major Head And Neck Procedures 6 6 — — $35,862.45 $35,862.45 $35,862.45 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 13 — — $35,670.83 $60,640.41 $35,670.83 2026-04-17
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $35,315.95 $35,315.95 $35,315.95 2026-04-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $35,143.12 $35,143.12 $35,143.12 2026-04-17
204 APR_DRG Open Craniotomy For Trauma 6 6 — — $35,025.31 $35,025.31 $35,025.31 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 13 — — $34,961.94 $59,435.30 $34,961.94 2026-04-17
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 6 — — $34,868.57 $34,868.57 $34,868.57 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 13 — — $34,809.54 $59,176.22 $34,809.54 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 13 — — $34,726.86 $59,035.66 $34,726.86 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 13 — — $34,723.16 $59,029.37 $34,723.16 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 13 — — $34,625.60 $58,863.52 $34,625.60 2026-04-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $34,545.23 $34,545.23 $34,545.23 2026-04-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $34,531.74 $34,531.74 $34,531.74 2026-04-17
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 14 13 — — $34,430.49 $58,531.83 $34,430.49 2026-04-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $34,139.37 $34,139.37 $34,139.37 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 13 — — $34,126.66 $58,015.32 $34,126.66 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 13 — — $34,112.73 $57,991.64 $34,112.73 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 13 — — $33,712.30 $57,310.91 $33,712.30 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 13 — — $33,686.28 $57,266.68 $33,686.28 2026-04-17
332 MS_DRG Rectal Resection With Mcc 14 13 — — $33,639.83 $57,187.71 $33,639.83 2026-04-17
J9029 HCPCS Instill Adstiladrin, Tx Dose 7 7 — — $33,619.64 $64,282.30 $33,619.64 2026-04-17
265 MS_DRG Aicd Lead Procedures 14 13 — — $33,616.59 $57,148.20 $33,616.59 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 13 — — $33,557.13 $57,047.12 $33,557.13 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 13 — — $33,506.96 $56,961.83 $33,506.96 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 13 — — $33,287.70 $56,589.09 $33,287.70 2026-04-17
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $33,273.68 $33,273.68 $33,273.68 2026-04-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 13 — — $33,210.58 $56,457.99 $33,210.58 2026-04-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 13 — — $33,177.13 $56,401.12 $33,177.13 2026-04-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 14 13 — — $33,127.90 $56,317.43 $33,127.90 2026-04-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 13 — — $33,100.02 $56,270.03 $33,100.02 2026-04-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 13 — — $33,068.44 $56,216.35 $33,068.44 2026-04-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 14 13 — — $33,041.47 $56,170.50 $33,041.47 2026-04-17
38240 CPT Transplt Allo Hct/donor 9 8 — — $32,778.99 $62,674.93 $32,778.99 2026-04-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 13 — — $32,765.54 $55,701.42 $32,765.54 2026-04-17
37227 CPT Professional Services 2 2 — — $32,762.45 $32,762.45 $32,762.45 2026-04-17
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $32,757.28 $32,757.28 $32,757.28 2026-04-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 13 — — $32,698.65 $55,587.71 $32,698.65 2026-04-17
4414 APR_DRG Major Bladder Procedures 6 6 — — $32,635.31 $32,635.31 $32,635.31 2026-04-17
J3357 HCPCS Stelara 90 mg/mL Syringe 15 15 $40,790.18 $34,671.66 $289.09 $34,671.65 $32,632.15 2026-04-17
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $32,556.94 $32,556.94 $32,556.94 2026-04-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $32,442.76 $32,442.76 $32,442.76 2026-04-17
252 MS_DRG Other Vascular Procedures With Mcc 14 13 — — $32,409.70 $55,096.49 $32,409.70 2026-04-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 13 — — $32,401.32 $55,082.24 $32,401.32 2026-04-17
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 6 — — $32,361.80 $32,361.80 $32,361.80 2026-04-17
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $32,317.68 $32,317.68 $32,317.68 2026-04-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 13 — — $32,252.69 $54,829.57 $32,252.69 2026-04-17
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $32,179.11 $32,179.11 $32,179.11 2026-04-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 13 — — $32,096.60 $54,564.22 $32,096.60 2026-04-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $32,076.35 $32,076.35 $32,076.35 2026-04-17
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 13 — — $31,947.93 $54,311.48 $31,947.93 2026-04-17
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $31,877.05 $31,877.05 $31,877.05 2026-04-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 13 — — $31,853.18 $54,150.41 $31,853.18 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $31,723.43 $31,723.43 $31,723.43 2026-04-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 13 — — $31,697.08 $53,885.04 $31,697.08 2026-04-17
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $31,668.93 $31,668.93 $31,668.93 2026-04-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 13 — — $31,655.27 $53,813.96 $31,655.27 2026-04-17
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $31,534.51 $31,534.51 $31,534.51 2026-04-17
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $31,447.84 $31,447.84 $31,447.84 2026-04-17
264 MS_DRG Other Circulatory System O.r. Procedures 14 13 — — $31,037.42 $52,763.61 $31,037.42 2026-04-17
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $31,035.24 $31,035.24 $31,035.24 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $30,888.88 $30,888.88 $30,888.88 2026-04-17
L7181 HCPCS Electronic Elbo Simultaneous 7 7 — — $30,735.04 $58,766.81 $30,735.04 2026-04-17
37231 CPT Professional Services 2 2 — — $30,695.15 $30,695.15 $30,695.15 2026-04-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 13 — — $30,690.87 $52,174.48 $30,690.87 2026-04-17
37229 CPT Professional Services 2 2 — — $30,588.88 $30,588.88 $30,588.88 2026-04-17
37 MS_DRG Extracranial Procedures With Mcc 14 13 — — $30,586.80 $51,997.56 $30,586.80 2026-04-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 13 — — $30,583.11 $51,991.29 $30,583.11 2026-04-17
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $30,272.82 $30,272.82 $30,272.82 2026-04-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 13 — — $30,221.68 $51,376.86 $30,221.68 2026-04-17
C1820 HCPCS Implant Restore Rechargeable45627 180 15 $42,500.00 $36,125.00 $13,236.30 $47,812.50 $30,178.75 2026-04-17
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 6 — — $30,158.64 $30,158.64 $30,158.64 2026-04-17
37230 CPT Professional Services 2 2 — — $30,157.76 $30,157.76 $30,157.76 2026-04-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 13 — — $30,088.81 $51,150.98 $30,088.81 2026-04-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 13 — — $30,055.38 $51,094.15 $30,055.38 2026-04-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 14 13 — — $30,013.54 $51,023.02 $30,013.54 2026-04-17
652 MS_DRG Kidney Transplant 14 13 — — $30,005.20 $51,008.84 $30,005.20 2026-04-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 13 — — $29,982.89 $50,970.91 $29,982.89 2026-04-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 13 — — $29,924.36 $50,871.41 $29,924.36 2026-04-17
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $29,886.17 $29,886.17 $29,886.17 2026-04-17
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $29,843.61 $29,843.61 $29,843.61 2026-04-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 14 13 — — $29,827.74 $50,707.16 $29,827.74 2026-04-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $29,779.26 $29,779.26 $29,779.26 2026-04-17
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $29,764.72 $29,764.72 $29,764.72 2026-04-17
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