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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

ESSENTIA HEALTH ST MARY'S MEDICAL CENTER

Duluth, MN · CCN 240002 · Rates published

19,811 distinct procedures filed
53 distinct payers
1,281,662 rate rows
2026-01-01 last MRF observed
Data quality

1,267,642 of 1,281,662 rate rows are consumer-grade (98.9%)

14,020 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
template filing: same amount across many unrelated codes — excluded 10,528
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,642
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 656
placeholder amount (≤ $0.02) — excluded from medians 474
percent-of-charges filed in the dollar field — excluded from medians 422
per-diem day rate — not a per-procedure price 144
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 90
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 64
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/410695604_Essentia-St-Marys-Medical-Center_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint ffcd40e9b840693b… · 371,671,226 bytes · first seen 2026-05-13

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 23 $4,377,500.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 2 $3,500,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 26 $3,672,900.00 $3,710,000.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,605,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 26 $3,316,462.59 $3,392,000.00 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 25 $3,193,000.00 $3,286,000.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 25 $2,945,740.00 $2,968,000.00 $2,945,740.00 nat. median
$2,997,086
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 26 $2,278,010.83 $2,455,110.61 $2,455,110.61 nat. median
$2,460,273
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 24 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,405,851
1.0× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $1,000,528.86 $1,000,528.86 $1,000,528.86 nat. median
$27,427
outlier · 36.5×
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $1,000,528.86 $1,000,528.86 $1,000,528.86 nat. median
$27,935
outlier · 35.8×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $1,000,528.86 $1,000,528.86 $1,000,528.86 nat. median
$30,221
outlier · 33.1×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,000,528.86 $1,000,528.86 $1,000,528.86 nat. median
$10,345
outlier · 96.7×
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $1,000,528.86 $1,000,528.86 $1,000,528.86 nat. median
$27,071
outlier · 37.0×
Q2057
HCPCS 		Afamitresgene Autoleucel 23 $770,620.00 $770,620.00 $770,620.00 nat. median
$809,151
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 28 $529,192.86 $1,387,149.29 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 28 $527,123.43 $1,345,370.55 $565,868.95 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 28 $516,485.97 $1,315,434.04 $562,538.19 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 28 $526,587.59 $1,334,154.49 $557,317.93 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 28 $489,455.96 $1,296,212.81 $533,230.17 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 28 $460,530.40 $1,191,016.00 $489,304.61 nat. median
$577,541
0.8× median
5834
APR_DRG 		Neonate W Ecmo 12 $260,426.64 $1,206,342.90 $390,361.97 nat. median
$311,018
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 31 $5,701.00 $863,148.77 $295,888.32 nat. median
$370,165
0.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 23 $270,375.00 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene- Per Implant 22 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $173,711.73 $780,399.02 $254,666.60 nat. median
$254,667
1.0× median
5833
APR_DRG 		Neonate W Ecmo 12 $156,977.59 $705,221.00 $252,888.58 nat. median
$250,089
1.0× median
24
APR_DRG 		Heart Or Lung Transplant 12 $197,053.53 $894,317.79 $225,530.55 nat. median
$243,231
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 22 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,736
1.0× median
114
APR_DRG 		Psychiatric 11 $78,957.46 $354,715.97 $198,309.46 nat. median
$119,243
1.7× median
5832
APR_DRG 		Neonate W Ecmo 12 $101,336.57 $455,253.98 $194,172.15 nat. median
$169,230
1.1× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 12 $129,038.86 $579,706.40 $193,278.30 nat. median
$209,486
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $5,701.00 $644,700.73 $192,019.62 nat. median
$261,939
0.7× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 11 $67,924.25 $305,149.32 $185,770.26 nat. median
$160,171
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 11 $171,478.23 $770,365.02 $183,225.66 nat. median
$165,646
1.1× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $124,412.09 $175,251.92 $175,251.92 nat. median
$58,534
outlier · 3.0×
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 11 $139,538.36 $626,875.33 $167,444.50 nat. median
$168,174
1.0× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $119,969.15 $538,960.75 $165,628.52 nat. median
$180,995
0.9× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 11 $88,109.72 $395,832.44 $164,388.59 nat. median
$147,677
1.1× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 $115,192.41 $162,264.70 $162,264.70 nat. median
$51,048
outlier · 3.2×
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 12 $134,558.16 $732,840.43 $161,780.72 nat. median
$168,361
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 12 $91,406.46 $410,643.05 $153,561.93 nat. median
$175,480
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 12 $85,263.45 $383,045.61 $152,792.37 nat. median
$165,599
0.9× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 12 $139,297.97 $721,386.02 $150,011.84 nat. median
$156,285
1.0× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $149,026.20 $149,026.20 $149,026.20 nat. median
$16,786
outlier · 8.9×
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 $104,008.22 $146,510.20 $146,510.20 nat. median
$46,826
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 $5,701.00 $542,991.17 $146,293.52 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 33 $5,701.00 $490,515.85 $145,434.96 nat. median
$199,832
0.7× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 12 $97,243.09 $436,864.07 $145,335.69 nat. median
$147,847
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 7 $129,553.67 $202,828.58 $144,626.91 nat. median
$83,623
1.7× median

Other procedures at this hospital

Browse this hospital's 19,811 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 48 23 — — $4,377,500.00 $4,505,000.00 $4,505,000.00 2026-01-01
J1414 HCPCS Inj- Beqvez- Per Tx Dose 6 2 — — $3,500,000.00 $3,710,000.00 $3,710,000.00 2026-01-01
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 54 26 — — $3,672,900.00 $3,710,000.00 $3,685,266.67 2026-01-01
C9172 HCPCS Inj Beqvez Per Tx Dose 2 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 54 26 — — $3,316,462.59 $3,392,000.00 $3,316,462.59 2026-01-01
J3394 HCPCS Inj- Lovotibeglogene Autotem 52 25 — — $3,193,000.00 $3,286,000.00 $3,248,445.72 2026-01-01
J3393 HCPCS Inj- Betibeglogene Autotemce 52 25 — — $2,945,740.00 $2,968,000.00 $2,945,740.00 2026-01-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 54 26 — — $2,278,010.83 $2,455,110.61 $2,455,110.61 2026-01-01
J3392 HCPCS Inj- Exagamglogene Autotem 50 24 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
C9098 HCPCS Ciltacabtagene Car Pos T 2 1 — — $1,000,528.86 $1,000,528.86 $1,000,528.86 2026-01-01
C9081 HCPCS Idecabtagene Car Pos T 2 1 — — $1,000,528.86 $1,000,528.86 $1,000,528.86 2026-01-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $1,000,528.86 $1,000,528.86 $1,000,528.86 2026-01-01
C9076 HCPCS Lisocabtagene Car Pos T 2 1 — — $1,000,528.86 $1,000,528.86 $1,000,528.86 2026-01-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 2 1 — — $1,000,528.86 $1,000,528.86 $1,000,528.86 2026-01-01
Q2057 HCPCS Afamitresgene Autoleucel 48 23 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 58 28 — — $529,192.86 $1,387,149.29 $591,726.20 2026-01-01
Q2056 HCPCS Ciltacabtagene Car-pos T 58 28 — — $527,123.43 $1,345,370.55 $565,868.95 2026-01-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 58 28 — — $516,485.97 $1,315,434.04 $562,538.19 2026-01-01
Q2055 HCPCS Idecabtagene Vicleucel Car 58 28 — — $526,587.59 $1,334,154.49 $557,317.93 2026-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 58 28 — — $489,455.96 $1,296,212.81 $533,230.17 2026-01-01
Q2053 HCPCS Brexucabtagene Car Pos T 58 28 — — $460,530.40 $1,191,016.00 $489,304.61 2026-01-01
5834 APR_DRG Neonate W Ecmo 24 12 — — $260,426.64 $1,206,342.90 $390,361.97 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 68 31 — — $5,701.00 $863,148.77 $295,888.32 2026-01-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 48 23 — — $270,375.00 $278,250.00 $278,250.00 2026-01-01
J3403 HCPCS Revakinagene- Per Implant 44 22 — — $257,500.00 $257,500.00 $257,500.00 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 24 12 — — $173,711.73 $780,399.02 $254,666.60 2026-01-01
5833 APR_DRG Neonate W Ecmo 24 12 — — $156,977.59 $705,221.00 $252,888.58 2026-01-01
24 APR_DRG Heart Or Lung Transplant 24 12 — — $197,053.53 $894,317.79 $225,530.55 2026-01-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 44 22 — — $205,640.00 $205,640.00 $205,640.00 2026-01-01
114 APR_DRG Psychiatric 22 11 — — $78,957.46 $354,715.97 $198,309.46 2026-01-01
5832 APR_DRG Neonate W Ecmo 24 12 — — $101,336.57 $455,253.98 $194,172.15 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 12 — — $129,038.86 $579,706.40 $193,278.30 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 68 31 — — $5,701.00 $644,700.73 $192,019.62 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 22 11 — — $67,924.25 $305,149.32 $185,770.26 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 22 11 — — $171,478.23 $770,365.02 $183,225.66 2026-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 3 — — $124,412.09 $175,251.92 $175,251.92 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 22 11 — — $139,538.36 $626,875.33 $167,444.50 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 24 12 — — $119,969.15 $538,960.75 $165,628.52 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 22 11 — — $88,109.72 $395,832.44 $164,388.59 2026-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 3 — — $115,192.41 $162,264.70 $162,264.70 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 24 12 — — $134,558.16 $732,840.43 $161,780.72 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 24 12 — — $91,406.46 $410,643.05 $153,561.93 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 24 12 — — $85,263.45 $383,045.61 $152,792.37 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 24 12 — — $139,297.97 $721,386.02 $150,011.84 2026-01-01
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $149,026.20 $149,026.20 $149,026.20 2026-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 3 — — $104,008.22 $146,510.20 $146,510.20 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 72 33 — — $5,701.00 $542,991.17 $146,293.52 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 72 33 — — $5,701.00 $490,515.85 $145,434.96 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 24 12 — — $97,243.09 $436,864.07 $145,335.69 2026-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 18 7 — — $129,553.67 $202,828.58 $144,626.91 2026-01-01
J7330 HCPCS Autologous Cultured Chondrocytes Sheet 54 23 $197,466.00 $130,327.56 34% off $65,361.25 $169,820.76 $141,188.19 2026-01-01
5831 APR_DRG Neonate W Ecmo 24 12 — — $82,911.74 $372,480.53 $141,137.35 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 24 12 — — $95,032.67 $426,933.77 $138,755.74 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 24 12 — — $88,130.70 $395,926.72 $136,566.14 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 12 — — $88,856.79 $399,188.63 $135,629.87 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 12 — — $100,764.37 $452,683.41 $130,777.34 2026-01-01
23 APR_DRG Heart Or Lung Transplant 24 12 — — $94,960.62 $426,610.09 $126,634.07 2026-01-01
0424T CPT Insj/rplc Nstim Apnea Compl 2 1 — — $126,528.65 $126,528.65 $126,528.65 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 24 12 — — $64,009.15 $287,560.75 $124,573.23 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 24 12 — — $78,821.41 $381,829.46 $120,079.43 2026-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 8 3 — — $84,798.66 $119,450.82 $119,450.82 2026-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 8 3 — — $82,182.57 $115,765.70 $115,765.70 2026-01-01
113 APR_DRG Pediatric 22 11 — — $48,995.78 $220,113.27 $115,654.09 2026-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 3 — — $81,581.35 $114,918.80 $114,918.80 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 12 — — $59,006.32 $265,085.59 $112,764.90 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 24 12 — — $99,887.27 $546,870.42 $111,395.47 2026-01-01
Q0480 HCPCS Driver Pneumatic Vad- Rep 54 26 — — $94,999.95 $108,727.22 $108,727.22 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 18 7 — — $96,964.23 $151,806.71 $108,245.77 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 12 — — $80,904.87 $363,464.69 $104,977.03 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 24 12 — — $89,617.66 $560,829.41 $104,038.52 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 24 12 — — $76,859.66 $345,291.62 $100,018.06 2026-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 18 7 — — $89,420.31 $139,995.99 $99,824.13 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 24 12 — — $41,692.84 $802,695.06 $99,482.94 2026-01-01
112 APR_DRG OB 22 11 — — $25,952.85 $116,593.04 $99,304.32 2026-01-01
64 APR_DRG Pancreas Transplant 24 12 — — $82,885.85 $372,364.25 $98,241.53 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 24 12 — — $34,670.89 $642,157.31 $96,548.35 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 72 33 — — $5,701.00 $323,400.97 $94,909.72 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 24 12 — — $27,561.16 $545,167.19 $94,491.23 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 22 11 — — $46,679.03 $209,705.31 $93,836.29 2026-01-01
22 APR_DRG Heart Or Lung Transplant 24 12 — — $70,471.13 $316,591.16 $92,158.00 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 24 12 — — $41,956.16 $293,566.07 $91,058.73 2026-01-01
7 MS_DRG Lung Transplant 68 31 — — $5,701.00 $299,111.16 $88,734.70 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 22 11 — — $50,338.12 $226,143.73 $88,705.40 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 12 — — $84,351.20 $439,447.20 $88,467.98 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 24 12 — — $76,714.83 $475,249.70 $85,371.14 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 24 12 — — $71,009.49 $445,424.24 $85,212.62 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 12 — — $68,609.06 $308,225.83 $85,048.88 2026-01-01
21 APR_DRG Heart Or Lung Transplant 24 12 — — $60,413.02 $271,405.16 $84,752.67 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 68 31 — — $5,701.00 $299,866.50 $82,346.59 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 12 — — $49,909.33 $224,217.38 $80,990.46 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 24 12 — — $78,733.64 $431,223.28 $79,016.70 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 68 31 — — $5,701.00 $252,229.91 $77,645.44 2026-01-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 44 22 — — $77,556.36 $77,556.36 $77,556.36 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 24 12 — — $47,093.14 $211,565.67 $76,982.66 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 24 12 — — $54,255.32 $243,741.73 $76,111.88 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 32 — — $5,701.00 $239,913.34 $75,517.21 2026-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 18 7 — — $67,333.87 $105,417.58 $75,168.00 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 24 12 — — $63,498.51 $285,266.72 $75,051.32 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 72 33 — — $5,701.00 $249,332.17 $74,509.28 2026-01-01
4404 APR_DRG Kidney Transplant 24 12 — — $55,546.60 $249,542.78 $71,941.82 2026-01-01
8634 APR_DRG Neonatal Aftercare 22 11 — — $45,768.29 $205,613.78 $71,101.56 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 68 31 — — $5,701.00 $243,735.81 $70,647.49 2026-01-01
63 APR_DRG Pancreas Transplant 24 12 — — $58,560.74 $263,083.82 $69,792.42 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 22 11 — — $43,582.35 $195,793.46 $69,517.04 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 22 11 — — $69,191.81 $432,470.85 $69,191.81 2026-01-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 8 3 — — $48,906.24 $68,891.31 $68,891.31 2026-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 3 — — $48,672.25 $68,561.71 $68,561.71 2026-01-01
215 MS_DRG Other Heart Assist System Implant 72 33 — — $5,701.00 $242,490.64 $68,225.31 2026-01-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 2 1 — — $67,539.18 $67,539.18 $67,539.18 2026-01-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 2 1 — — $67,539.18 $67,539.18 $67,539.18 2026-01-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 52 25 — — $65,871.74 $67,452.66 $67,452.66 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 33 — — $5,701.00 $220,888.01 $67,031.70 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 24 12 — — $44,993.94 $202,135.03 $65,848.62 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 24 12 — — $41,870.67 $188,103.77 $64,561.80 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 24 12 — — $40,870.39 $183,609.99 $64,125.67 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 24 12 — — $63,886.02 $329,742.53 $63,886.02 2026-01-01
J9029 HCPCS Instill Adstiladrin- Tx Dose 58 28 — — $61,800.00 $168,273.23 $63,342.28 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 24 12 — — $55,346.54 $248,644.03 $63,190.14 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 24 12 — — $54,253.92 $243,735.44 $62,520.31 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 68 32 — — $5,701.00 $190,894.26 $61,733.73 2026-01-01
1784 APR_DRG External Heart Assist Systems 24 12 — — $58,054.30 $260,808.65 $61,452.31 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 24 12 — — $46,245.34 $207,756.96 $61,290.06 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 12 — — $60,434.00 $271,499.43 $61,110.70 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 22 11 — — $60,388.53 $271,295.17 $60,980.45 2026-01-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 8 3 — — $43,165.47 $60,804.63 $60,804.63 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 22 11 — — $38,920.18 $174,848.70 $60,423.01 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 24 12 — — $49,669.40 $223,139.50 $60,182.61 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 24 12 — — $39,843.52 $178,996.80 $59,887.14 2026-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 18 7 — — $53,478.50 $83,725.67 $59,700.59 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 68 32 — — $5,701.00 $210,837.45 $59,334.85 2026-01-01
38240 CPT Transplt Allo Hct/donor 54 26 — — $52,684.72 $126,053.09 $59,316.21 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 24 12 — — $59,097.49 $332,567.63 $59,097.49 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 22 11 — — $54,977.90 $246,987.93 $58,636.05 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 22 11 — — $58,289.49 $418,948.67 $58,572.79 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 22 11 — — $35,709.48 $160,424.63 $58,522.92 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 22 11 — — $49,565.87 $222,674.41 $57,982.60 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 72 33 — — $5,701.00 $193,947.65 $57,761.63 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 72 33 — — $5,701.00 $193,837.79 $57,580.05 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 24 12 — — $43,983.86 $197,597.26 $57,173.59 2026-01-01
A9543 HCPCS Y90 Ibritumomab- Rx 54 26 — — $56,824.55 $65,476.58 $56,824.55 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 24 12 — — $31,446.72 $141,274.23 $56,785.09 2026-01-01
62 APR_DRG Pancreas Transplant 24 12 — — $50,836.86 $228,384.33 $55,882.31 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 58 28 — — $53,472.87 $147,108.88 $55,272.32 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 12 — — $28,689.99 $128,889.64 $55,192.39 2026-01-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 24 12 — — $1,141.07 $266,879.96 $54,737.65 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 22 11 — — $41,720.98 $187,431.27 $54,210.72 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 24 12 — — $48,539.24 $218,614.30 $53,938.32 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 72 33 — — $5,701.00 $184,496.78 $53,916.98 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 24 12 — — $31,305.42 $140,639.45 $53,554.29 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 22 11 — — $37,347.00 $167,781.22 $53,325.80 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 24 12 — — $37,718.44 $169,449.89 $53,178.44 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 22 11 — — $37,731.73 $169,509.59 $53,107.73 2026-01-01
6904 APR_DRG Acute Leukemia 22 11 — — $41,443.98 $186,186.84 $52,824.92 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 33 — — $5,701.00 $177,092.19 $52,611.67 2026-01-01
C9741 HCPCS Impl Pressure Sensor W/angio 2 1 — — $52,493.55 $52,493.55 $52,493.55 2026-01-01
0294T CPT Ins Lt Atrl Mont Pres Lead 2 1 — — $52,493.55 $52,493.55 $52,493.55 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 12 — — $47,461.77 $213,221.77 $52,481.07 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 24 12 — — $32,181.90 $144,577.00 $52,443.86 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 72 33 — — $5,701.00 $178,895.85 $52,384.87 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 72 33 — — $5,701.00 $170,836.63 $52,211.52 2026-01-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 8 3 — — $36,706.49 $51,706.25 $51,706.25 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 24 12 — — $34,670.72 $155,758.01 $51,523.96 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 24 12 — — $39,215.37 $176,174.84 $51,369.90 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 24 12 — — $45,743.80 $205,503.79 $51,321.52 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 22 11 — — $40,640.95 $182,579.25 $50,840.74 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 22 11 — — $28,246.51 $126,897.29 $50,761.84 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 4 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 24 12 — — $37,143.45 $166,866.75 $50,531.13 2026-01-01
0163T CPT Tot Disc Arthrp Ea Addl Lmbr 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63196 CPT Incise Spine&cord 2 Trx Crvl 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63182 CPT Revise Spinal Cord Ligaments 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63180 CPT Revise Spinal Cord Ligaments 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
0375T CPT Total Disc Arthrp Ant Appr 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63198 CPT Incise Spin&cord 2 Stgs Crvl 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63194 CPT Incise Spine & Cord Cervical 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63199 CPT Incise Spin&cord 2 Stgs Thrc 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
63195 CPT Incise Spine & Cord Thoracic 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
0775T CPT Arthrd Si Jt Prq Iartic Impl 2 1 — — $50,375.50 $50,375.50 $50,375.50 2026-01-01
7594 APR_DRG Eating Disorders 22 11 — — $25,523.36 $114,663.54 $49,869.48 2026-01-01
1794 APR_DRG Defibrillator Implants 24 12 — — $38,981.04 $175,122.10 $49,802.50 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 22 11 — — $37,561.75 $168,745.97 $49,786.13 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 32 — — $5,701.00 $162,482.14 $49,461.81 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 22 11 — — $25,244.26 $113,409.68 $49,361.90 2026-01-01
J9226 HCPCS Supprelin La Implant 112 47 $132,981.50 $87,767.79 34% off $44,016.88 $117,019.37 $49,243.51 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 24 12 — — $28,060.44 $126,061.39 $49,179.56 2026-01-01
10 MS_DRG Pancreas Transplant 68 31 — — $5,701.00 $182,484.84 $49,167.86 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 72 33 — — $5,701.00 $152,864.19 $49,147.30 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 68 31 — — $5,701.00 $181,434.24 $48,886.24 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 72 33 — — $5,701.00 $161,745.12 $48,857.46 2026-01-01
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 22 11 — — $25,190.39 $113,167.71 $48,706.96 2026-01-01
90288 CPT Botulism Ig IV 2 1 — — $48,705.00 $48,705.00 $48,705.00 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 24 12 — — $37,150.45 $166,898.18 $48,475.50 2026-01-01
L7181 HCPCS Electronic Elbo Simultaneous 54 26 — — $44,875.22 $48,370.76 $48,370.76 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 24 12 — — $33,373.15 $149,928.68 $48,086.25 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 22 11 — — $35,872.46 $161,156.83 $47,544.43 2026-01-01
274 APR_DRG Other Open Craniotomy 24 12 — — $33,916.66 $152,370.40 $47,365.81 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 72 33 — — $5,701.00 $159,227.33 $47,359.62 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 72 33 — — $5,701.00 $152,605.54 $47,127.34 2026-01-01
2324 APR_DRG Gastric Fundoplication 24 12 — — $26,450.89 $118,830.50 $47,044.30 2026-01-01
L7180 HCPCS Electronic Elbow Sequential 54 26 — — $43,585.32 $46,980.38 $46,980.38 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 22 11 — — $32,013.32 $143,819.66 $46,812.83 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 24 12 — — $31,693.65 $142,383.53 $46,572.44 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 24 12 — — $45,202.39 $203,071.49 $46,521.08 2026-01-01
234 APR_DRG Spinal Procedures 24 12 — — $43,663.49 $196,157.99 $46,393.07 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 24 12 — — $46,217.43 $220,471.52 $46,217.43 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 72 33 — — $5,701.00 $156,283.80 $46,121.46 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 68 32 — — $5,701.00 $141,591.35 $45,815.86 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 68 32 — — $5,701.00 $153,452.43 $45,782.29 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 24 12 — — $23,878.83 $107,275.52 $45,671.15 2026-01-01
111 APR_DRG Medical/Surgical/Gyn 22 11 — — $17,634.40 $79,222.43 $45,282.65 2026-01-01
204 APR_DRG Craniotomy For Trauma 24 12 — — $37,001.45 $166,228.82 $45,271.48 2026-01-01
1783 APR_DRG External Heart Assist Systems 24 12 — — $38,155.63 $171,413.95 $45,265.53 2026-01-01
0266T CPT Implt/rpl Crtd Sns Dev Total 54 26 — — $45,000.50 $108,833.71 $45,132.80 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 54 26 — — $45,000.50 $108,833.71 $45,132.80 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 33 — — $5,701.00 $147,803.43 $45,053.92 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 33 — — $5,701.00 $136,168.95 $45,053.92 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 72 33 — — $5,701.00 $140,945.88 $44,890.16 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 22 11 — — $40,572.40 $182,271.29 $44,684.27 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 24 12 — — $40,614.37 $182,459.84 $44,623.24 2026-01-01
250 EAPG Cochlear Device Implantation 4 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 72 33 — — $5,701.00 $148,039.19 $44,090.53 2026-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 8 3 — — $31,027.47 $43,706.55 $43,706.55 2026-01-01
C1822 HCPCS Kit Stimulator Senza Ii Ipg Nipg2500 54 23 $61,100.00 $40,326.00 34% off $20,224.10 $52,546.00 $43,686.50 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 24 12 — — $42,991.27 $193,138.05 $43,647.52 2026-01-01
4403 APR_DRG Kidney Transplant 24 12 — — $43,599.14 $202,006.19 $43,599.14 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 24 12 — — $31,543.95 $141,711.04 $43,572.35 2026-01-01
1782 APR_DRG External Heart Assist Systems 24 12 — — $37,489.00 $168,419.15 $43,513.55 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 24 12 — — $42,947.92 $201,314.84 $42,947.92 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 22 11 — — $42,747.72 $319,532.54 $42,747.72 2026-01-01
4414 APR_DRG Major Bladder Procedures 24 12 — — $35,494.03 $159,456.74 $42,484.25 2026-01-01
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 22 11 — — $28,419.99 $127,676.63 $42,191.02 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 24 12 — — $35,156.17 $157,938.91 $42,074.91 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 72 33 — — $5,701.00 $137,114.27 $41,991.77 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 72 33 — — $5,701.00 $144,747.75 $41,943.12 2026-01-01
61 APR_DRG Pancreas Transplant 24 12 — — $39,959.64 $179,518.46 $41,792.09 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 24 12 — — $38,445.22 $172,714.94 $41,681.20 2026-01-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 8 3 — — $29,519.56 $41,582.45 $41,582.45 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 72 33 — — $5,701.00 $139,812.88 $41,540.90 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 24 12 — — $31,634.89 $142,119.56 $41,373.08 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 72 33 — — $5,701.00 $139,144.52 $41,168.84 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 72 33 — — $5,701.00 $141,774.47 $41,157.19 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 22 11 — — $30,122.57 $135,325.48 $41,037.42 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 24 12 — — $24,295.73 $109,148.45 $40,922.81 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 72 33 — — $5,701.00 $131,359.97 $40,859.13 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 24 12 — — $40,841.68 $203,178.34 $40,841.68 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 78 33 — — $519.00 $136,075.11 $40,724.83 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 68 31 — — $5,701.00 $138,146.56 $40,630.27 2026-01-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 24 12 — — $24,721.73 $111,062.24 $40,537.28 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 22 11 — — $32,226.66 $144,778.12 $40,453.18 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 24 12 — — $31,603.41 $141,978.15 $40,375.78 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 24 12 — — $40,350.47 $191,412.82 $40,350.47 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 24 12 — — $33,954.43 $152,540.09 $40,232.88 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 72 33 — — $5,701.00 $134,674.30 $40,211.62 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 72 33 — — $5,701.00 $133,257.47 $40,185.58 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 24 12 — — $26,762.17 $120,228.91 $40,078.82 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 22 11 — — $33,546.62 $150,708.02 $40,035.66 2026-01-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 22 11 — — $15,691.18 $70,492.56 $39,784.10 2026-01-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 22 11 — — $17,861.03 $80,240.60 $39,784.10 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 24 12 — — $32,817.04 $147,430.39 $39,726.05 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 32 — — $5,701.00 $125,205.12 $39,516.14 2026-01-01
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 4 1 — — $34,226.79 $44,608.74 $39,417.76 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 72 33 — — $5,701.00 $130,574.88 $39,263.99 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 24 12 — — $30,488.41 $136,969.01 $39,157.44 2026-01-01
213 MS_DRG Splenic Procedures Age 0-17 44 22 — — $39,103.65 $39,103.65 $39,103.65 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 72 33 — — $5,701.00 $123,616.62 $39,052.94 2026-01-01
7584 APR_DRG Childhood Behavioral Disorders 22 11 — — $9,718.85 $43,661.90 $38,842.62 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 24 12 — — $30,479.31 $136,928.15 $38,834.43 2026-01-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 54 26 — — $35,961.43 $38,762.63 $38,762.63 2026-01-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 24 12 — — $22,265.78 $100,028.92 $38,728.75 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 24 12 — — $28,450.06 $127,811.76 $38,689.30 2026-01-01
3634 APR_DRG Breast Procedures Except Mastectomy 24 12 — — $21,379.52 $96,047.37 $38,544.17 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 32 — — $5,701.00 $126,008.52 $38,521.92 2026-01-01
C2624 HCPCS System Cardiac Sensor And Delivery Cardiomems Cm2000 54 23 $53,815.00 $35,517.90 34% off $17,812.76 $46,280.90 $38,477.72 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 24 12 — — $26,285.81 $118,088.87 $38,471.98 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 24 12 — — $26,719.50 $120,037.22 $38,437.00 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 24 12 — — $31,285.14 $140,548.31 $38,421.37 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 68 31 — — $5,701.00 $124,534.47 $38,402.69 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 24 12 — — $30,476.52 $136,915.58 $38,390.85 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 24 12 — — $30,352.70 $136,359.36 $38,360.34 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 24 12 — — $26,588.69 $119,449.57 $38,352.15 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 72 33 — — $5,701.00 $114,511.38 $38,139.57 2026-01-01
4402 APR_DRG Kidney Transplant 24 12 — — $38,108.04 $173,252.31 $38,108.04 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 22 11 — — $37,990.45 $187,412.42 $37,990.45 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 72 33 — — $5,701.00 $140,462.93 $37,843.57 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 24 12 — — $26,932.85 $120,995.68 $37,740.38 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 72 33 — — $5,701.00 $126,505.21 $37,616.77 2026-01-01
5184 APR_DRG Other Female Reproductive System & Related Procedures 24 12 — — $25,732.51 $115,603.15 $37,613.85 2026-01-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 72 33 — — $5,701.00 $124,250.65 $37,483.84 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 72 33 — — $5,701.00 $121,767.19 $37,430.39 2026-01-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 72 33 — — $5,701.00 $123,499.89 $37,371.47 2026-01-01
339 MS_DRG Appendectomy With Complicated Principal Diagnosis With Cc 8 3 — — $26,459.87 $37,272.45 $37,272.45 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 24 12 — — $26,213.06 $117,762.05 $37,262.57 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 68 31 — — $5,701.00 $138,146.56 $37,222.09 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 24 12 — — $19,796.55 $88,935.89 $37,098.83 2026-01-01
224 EAPG Level Ii Neurostimulator And Related Device Implantation 4 1 — — $32,095.20 $41,830.57 $36,962.89 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 24 12 — — $30,191.12 $135,633.44 $36,917.98 2026-01-01
1781 APR_DRG External Heart Assist Systems 24 12 — — $35,986.48 $161,669.06 $36,915.74 2026-01-01
8633 APR_DRG Neonatal Aftercare 22 11 — — $28,995.67 $130,262.91 $36,830.90 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 24 12 — — $33,582.30 $150,868.28 $36,728.19 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 24 12 — — $21,350.84 $95,918.53 $36,580.08 2026-01-01
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