Price Transparencybeta Hospital negotiated rates

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

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Hospital

SANFORD WORTHINGTON MEDICAL CENTER

Worthington, MN · CCN 240022 · Rates published

19,138 distinct procedures filed
14 distinct payers
250,259 rate rows
2026-03-04 last MRF observed
Data quality

245,798 of 250,259 rate rows are consumer-grade (98.2%)

4,461 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 3,702
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 655
placeholder amount (≤ $0.02) — excluded from medians 68
exceeds 10× this hospital's gross charge — excluded from medians 20
percent-of-charges filed in the dollar field — excluded from medians 16
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8370/460388596_sanford-worthington-medical-center_standardcharges.csv
Found on page https://sanfordhealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-10-03
Content fingerprint 5a09390b70e0c2e8… · 145,196,514 bytes · first seen 2026-05-15

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 $4,279,750.00 $4,730,250.00 $4,600,731.25 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,501,003.33 $3,869,530.00 $3,752,862.87 nat. median
$3,685,267
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,150,639.46 $3,482,285.72 $3,387,949.94 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,086,023.43 $3,410,868.00 $3,317,475.19 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,798,453.00 $3,093,027.00 $3,008,336.98 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,278,010.83 $2,577,866.14 $2,461,427.53 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,215,400.00 $2,448,600.00 $2,381,555.00 nat. median
$2,332,000
1.0× median
Q2040
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $347,221.77 $1,282,816.07 $815,018.92 nat. median
$6
outlier · 141989.4×
C9076
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $347,221.77 $1,282,816.07 $815,018.92 nat. median
$1,000,529
0.8× median
C9081
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $347,221.77 $1,282,816.07 $815,018.92 nat. median
$422,856
1.9× median
C9073
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $347,221.77 $1,282,816.07 $815,018.92 nat. median
$1,000,529
0.8× median
C9098
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $347,221.77 $1,282,816.07 $815,018.92 nat. median
$2,313,353
outlier · 0.4×
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $732,089.00 $809,151.00 $786,995.68 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $374,485.10 $1,383,540.83 $659,242.90 nat. median
$621,313
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $384,067.89 $1,418,944.62 $642,616.18 nat. median
$599,737
1.1× median
5834
APR_DRG 		Neonate With Ecmo 3 $370,559.36 $850,294.20 $632,234.95 nat. median
$390,362
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $365,857.47 $1,351,665.94 $631,346.04 nat. median
$579,571
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $373,581.13 $1,380,201.11 $630,706.97 nat. median
$574,037
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $347,221.77 $1,282,816.07 $598,652.83 nat. median
$562,501
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $347,297.62 $1,283,096.27 $562,801.26 nat. median
$513,770
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 3 $274,712.80 $630,362.42 $415,374.99 nat. median
$225,531
1.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $239,719.71 $550,066.46 $405,506.50 nat. median
$286,698
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $343,229.38 $503,242.62 $387,348.53 nat. median
$168,055
outlier · 2.3×
5833
APR_DRG 		Neonate With Ecmo 3 $216,626.83 $497,077.01 $374,106.61 nat. median
$268,208
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $225,110.86 $516,544.65 $343,526.77 nat. median
$171,497
outlier · 2.0×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $197,146.07 $565,781.88 $343,230.55 nat. median
$99,483
outlier · 3.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $214,868.48 $542,993.96 $339,671.43 nat. median
$173,018
2.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $221,592.34 $508,470.97 $327,771.56 nat. median
$168,439
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $192,560.94 $441,854.85 $310,875.13 nat. median
$198,578
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $178,071.79 $408,607.70 $291,394.26 nat. median
$202,242
1.4× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $197,146.07 $452,626.39 $290,356.54 nat. median
$96,548
outlier · 3.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $264,337.50 $292,162.50 $284,162.81 nat. median
$286,598
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $165,555.71 $379,888.01 $273,624.67 nat. median
$173,134
1.6× median
J3403
HCPCS 		Revakinagene, Per Implant 7 $244,625.00 $270,375.00 $262,971.88 nat. median
$264,195
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 7 $222,742.05 $375,880.61 $260,402.48 nat. median
$186,516
1.4× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $167,462.17 $384,262.63 $258,412.30 nat. median
$77,096
outlier · 3.4×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $108,960.17 $332,617.61 $249,874.74 nat. median
$135,803
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $161,055.77 $395,302.19 $249,134.62 nat. median
$114,205
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $164,664.48 $385,463.16 $245,980.63 nat. median
$124,731
2.0× median
5832
APR_DRG 		Neonate With Ecmo 3 $139,843.01 $320,887.05 $238,947.08 nat. median
$201,678
1.2× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $134,194.08 $307,924.87 $236,580.59 nat. median
$152,383
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $139,053.40 $319,075.18 $229,935.32 nat. median
$155,539
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $117,662.35 $269,990.78 $222,845.82 nat. median
$152,792
1.5× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $121,590.15 $279,003.62 $219,483.24 nat. median
$181,762
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 7 $195,358.00 $215,922.00 $210,009.85 nat. median
$207,733
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $126,139.61 $289,442.91 $209,679.34 nat. median
$149,836
1.4× median
23
APR_DRG 		Heart And/or Lung Transplant 3 $131,044.30 $300,697.33 $205,845.09 nat. median
$117,894
1.7× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $122,569.33 $334,981.10 $205,553.89 nat. median
$100,752
outlier · 2.0×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $122,621.09 $281,369.24 $205,339.25 nat. median
$135,630
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $117,288.78 $269,133.58 $203,381.84 nat. median
$120,079
1.7× median

Other procedures at this hospital

Browse this hospital's 19,138 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 8 7 — — $4,279,750.00 $4,730,250.00 $4,600,731.25 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 7 — — $3,501,003.33 $3,869,530.00 $3,752,862.87 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 7 — — $3,150,639.46 $3,482,285.72 $3,387,949.94 2026-03-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 7 — — $3,086,023.43 $3,410,868.00 $3,317,475.19 2026-03-04
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,798,453.00 $3,093,027.00 $3,008,336.98 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 7 — — $2,278,010.83 $2,577,866.14 $2,461,427.53 2026-03-04
J3392 HCPCS Inj, Exagamglogene Autotem 8 7 — — $2,215,400.00 $2,448,600.00 $2,381,555.00 2026-03-04
C9076 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $347,221.77 $1,282,816.07 $815,018.92 2026-03-04
C9098 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $347,221.77 $1,282,816.07 $815,018.92 2026-03-04
Q2040 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $347,221.77 $1,282,816.07 $815,018.92 2026-03-04
C9073 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $347,221.77 $1,282,816.07 $815,018.92 2026-03-04
C9081 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $347,221.77 $1,282,816.07 $815,018.92 2026-03-04
Q2057 HCPCS Afamitresgene Autoleucel 8 7 — — $732,089.00 $809,151.00 $786,995.68 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 7 — — $374,485.10 $1,383,540.83 $659,242.90 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 10 7 — — $384,067.89 $1,418,944.62 $642,616.18 2026-03-04
5834 APR_DRG Neonate With Ecmo 5 3 — — $370,559.36 $850,294.20 $632,234.95 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 7 — — $365,857.47 $1,351,665.94 $631,346.04 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 10 7 — — $373,581.13 $1,380,201.11 $630,706.97 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 7 — — $347,221.77 $1,282,816.07 $598,652.83 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 10 7 — — $347,297.62 $1,283,096.27 $562,801.26 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 5 3 — — $274,712.80 $630,362.42 $415,374.99 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $239,719.71 $550,066.46 $405,506.50 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 7 — — $343,229.38 $503,242.62 $387,348.53 2026-03-04
5833 APR_DRG Neonate With Ecmo 5 3 — — $216,626.83 $497,077.01 $374,106.61 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $225,110.86 $516,544.65 $343,526.77 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 3 — — $197,146.07 $565,781.88 $343,230.55 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $214,868.48 $542,993.96 $339,671.43 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $221,592.34 $508,470.97 $327,771.56 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $192,560.94 $441,854.85 $310,875.13 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 5 3 — — $178,071.79 $408,607.70 $291,394.26 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 3 — — $197,146.07 $452,626.39 $290,356.54 2026-03-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 7 — — $264,337.50 $292,162.50 $284,162.81 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $165,555.71 $379,888.01 $273,624.67 2026-03-04
J3403 HCPCS Revakinagene, Per Implant 8 7 — — $244,625.00 $270,375.00 $262,971.88 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 7 — — $222,742.05 $375,880.61 $260,402.48 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 3 — — $167,462.17 $384,262.63 $258,412.30 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 3 — — $108,960.17 $332,617.61 $249,874.74 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $161,055.77 $395,302.19 $249,134.62 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $164,664.48 $385,463.16 $245,980.63 2026-03-04
5832 APR_DRG Neonate With Ecmo 5 3 — — $139,843.01 $320,887.05 $238,947.08 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $134,194.08 $307,924.87 $236,580.59 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 5 3 — — $139,053.40 $319,075.18 $229,935.32 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 3 — — $117,662.35 $269,990.78 $222,845.82 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 — — $121,590.15 $279,003.62 $219,483.24 2026-03-04
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 8 7 — — $195,358.00 $215,922.00 $210,009.85 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $126,139.61 $289,442.91 $209,679.34 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 5 3 — — $131,044.30 $300,697.33 $205,845.09 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $122,569.33 $334,981.10 $205,553.89 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $122,621.09 $281,369.24 $205,339.25 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $117,288.78 $269,133.58 $203,381.84 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 3 — — $121,619.11 $279,070.07 $198,903.41 2026-03-04
5831 APR_DRG Neonate With Ecmo 5 3 — — $114,417.01 $262,543.95 $197,777.91 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 7 — — $168,704.03 $285,986.02 $197,465.16 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $131,358.04 $309,745.60 $197,277.62 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $125,223.24 $313,958.53 $196,792.27 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 10 7 — — $169,699.94 $268,379.96 $195,097.02 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $119,094.88 $300,925.47 $188,250.98 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $114,781.61 $303,948.95 $187,938.45 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $103,288.52 $304,828.30 $183,752.11 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 3 — — $67,613.47 $259,607.87 $176,338.69 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $93,734.49 $215,085.36 $176,225.36 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 5 3 — — $111,647.56 $256,189.12 $174,347.98 2026-03-04
64 APR_DRG Pancreas Transplant 5 3 — — $114,381.29 $262,462.00 $168,835.58 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 5 3 — — $106,065.23 $243,379.77 $168,362.57 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 3 — — $70,717.79 $295,297.16 $166,270.21 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $90,176.40 $206,920.87 $159,717.58 2026-03-04
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 3 — — $62,076.22 $285,418.26 $158,197.48 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 3 — — $88,331.71 $202,688.01 $156,363.66 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 5 3 — — $97,249.15 $223,150.18 $154,703.63 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $94,679.52 $217,253.85 $150,479.20 2026-03-04
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $149,026.20 $149,026.20 $149,026.20 2026-03-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 3 — — $94,576.07 $232,419.95 $146,432.98 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $86,077.35 $234,411.24 $143,963.96 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 3 — — $81,427.88 $186,846.33 $140,423.31 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $87,627.04 $201,071.06 $138,300.92 2026-03-04
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 7 — — $110,094.93 $188,552.84 $129,215.99 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 5 3 — — $83,369.10 $191,300.69 $128,048.81 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $83,398.06 $191,367.14 $126,489.45 2026-03-04
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 3 — — $35,814.56 $219,378.29 $126,151.89 2026-03-04
63 APR_DRG Pancreas Transplant 5 3 — — $80,812.99 $185,435.37 $125,963.71 2026-03-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 7 — — $94,999.95 $136,014.42 $124,832.16 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 3 — — $44,901.56 $225,223.42 $123,200.46 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 3 — — $62,090.99 $142,475.45 $121,272.44 2026-03-04
7 MS_DRG Lung Transplant 10 7 — — $102,931.92 $174,391.13 $120,462.01 2026-03-04
4404 APR_DRG Kidney Transplant 5 3 — — $76,653.51 $175,890.94 $120,386.92 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $75,693.72 $191,223.17 $119,630.07 2026-03-04
1784 APR_DRG External Heart Assist Systems 5 3 — — $80,114.11 $183,831.71 $118,798.18 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $69,465.88 $159,398.05 $115,606.80 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $76,377.43 $175,257.45 $115,456.73 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $64,416.40 $147,811.38 $115,029.67 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 8 7 — — $106,267.04 $117,453.04 $114,237.07 2026-03-04
14 MS_DRG Allogeneic Bone Marrow Transplant 10 7 — — $95,521.74 $174,831.51 $114,169.92 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant 5 3 — — $74,871.56 $171,802.05 $112,620.32 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $74,869.63 $171,797.62 $112,339.00 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $68,874.16 $158,040.25 $110,629.87 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $64,987.86 $149,122.66 $109,803.59 2026-03-04
62 APR_DRG Pancreas Transplant 5 3 — — $70,154.14 $160,977.34 $108,465.31 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 3 — — $64,976.07 $174,090.14 $107,337.29 2026-03-04
8634 APR_DRG Neonatal Aftercare 5 3 — — $63,159.58 $144,927.45 $107,138.74 2026-03-04
72 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $68,543.06 $157,280.51 $106,499.47 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 3 — — $68,400.19 $156,952.69 $102,978.16 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 7 — — $86,430.49 $145,368.42 $100,955.13 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $87,599.68 $139,876.95 $100,954.85 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $65,496.57 $150,289.97 $100,760.61 2026-03-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 7 — — $90,068.41 $125,493.71 $100,443.60 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 3 — — $63,125.79 $144,849.93 $98,207.48 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 5 3 — — $61,723.94 $155,399.97 $97,303.11 2026-03-04
209 MS_DRG Complex Aortic Arch Procedures 8 7 — — $89,965.09 $99,435.09 $96,712.46 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 7 — — $81,950.84 $142,105.57 $96,505.03 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $60,021.62 $154,090.91 $96,010.49 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 3 — — $56,400.55 $129,418.02 $95,745.52 2026-03-04
215 MS_DRG Other Heart Assist System Implant 10 7 — — $79,141.11 $141,379.60 $93,955.70 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 5 3 — — $60,697.10 $139,276.99 $92,554.92 2026-03-04
4403 APR_DRG Kidney Transplant 5 3 — — $62,051.41 $142,384.63 $91,959.94 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $60,143.02 $138,005.58 $90,855.45 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 3 — — $59,534.01 $143,210.83 $90,731.53 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $54,983.49 $126,166.40 $90,576.62 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $77,756.51 $128,784.59 $90,458.11 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $60,021.62 $141,897.33 $90,312.82 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $57,574.35 $132,111.46 $90,041.00 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 3 — — $56,688.93 $143,135.52 $89,558.31 2026-03-04
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 3 — — $4,110.28 $188,111.09 $89,542.52 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 3 — — $57,780.93 $132,585.47 $88,792.37 2026-03-04
234 APR_DRG Spinal Procedures 5 3 — — $59,482.46 $138,262.52 $88,398.72 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $48,742.26 $146,438.08 $87,922.82 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $58,797.39 $134,917.87 $87,866.93 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 3 — — $56,083.93 $128,691.50 $87,315.23 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $58,629.69 $136,133.90 $87,062.98 2026-03-04
8514 APR_DRG Gender Related Procedures 2 2 — — $86,441.44 $86,441.44 $86,441.44 2026-03-04
61 APR_DRG Pancreas Transplant 5 3 — — $55,143.73 $126,534.09 $85,953.15 2026-03-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 3 — — $56,047.25 $128,607.33 $85,175.55 2026-03-04
1794 APR_DRG Defibrillator Implants 5 3 — — $53,793.27 $123,435.31 $84,995.37 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 5 3 — — $54,116.65 $124,177.33 $84,772.43 2026-03-04
6904 APR_DRG Acute Leukemia 5 3 — — $55,982.23 $131,234.32 $83,714.57 2026-03-04
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $83,196.83 $83,196.83 $83,196.83 2026-03-04
1783 APR_DRG External Heart Assist Systems 5 3 — — $52,654.22 $120,821.61 $83,134.38 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $52,374.60 $132,098.17 $82,675.17 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 7 — — $76,896.03 $84,990.35 $82,663.24 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $55,567.66 $128,474.43 $82,259.13 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 7 — — $71,610.91 $111,297.30 $81,970.01 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 10 7 — — $68,828.21 $122,924.80 $81,706.52 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 3 — — $53,709.29 $123,242.60 $81,014.36 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 5 3 — — $51,257.43 $117,616.50 $79,618.00 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 3 — — $49,278.57 $113,075.75 $79,160.99 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 3 — — $49,503.48 $113,591.85 $79,027.52 2026-03-04
4402 APR_DRG Kidney Transplant 5 3 — — $53,218.92 $122,117.38 $79,009.87 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 3 — — $45,287.05 $103,916.73 $78,572.88 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 3 — — $52,069.25 $119,479.32 $78,448.23 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 7 — — $67,003.29 $113,077.52 $78,333.51 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $66,792.66 $113,013.47 $78,140.64 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 1 — — $43,612.25 $100,073.70 $77,935.50 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 5 3 — — $51,659.30 $121,738.62 $77,548.36 2026-03-04
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 5 3 — — $52,050.91 $119,437.23 $77,405.67 2026-03-04
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 5 3 — — $39,633.49 $131,686.18 $77,386.22 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 5 3 — — $51,267.08 $117,638.65 $77,318.78 2026-03-04
1782 APR_DRG External Heart Assist Systems 5 3 — — $51,734.29 $118,710.71 $76,975.97 2026-03-04
204 APR_DRG Open Craniotomy For Trauma 5 3 — — $51,061.47 $117,166.86 $76,597.40 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 3 — — $51,538.33 $118,261.07 $76,538.60 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $49,902.20 $118,941.07 $75,538.31 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 3 — — $43,201.04 $99,130.11 $75,513.98 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 3 — — $44,410.56 $101,905.51 $74,961.80 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 3 — — $48,515.01 $111,323.69 $74,787.72 2026-03-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $44,207.75 $121,997.77 $74,688.83 2026-03-04
4414 APR_DRG Major Bladder Procedures 5 3 — — $48,981.25 $112,393.53 $74,104.06 2026-03-04
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $49,204.09 $115,640.72 $73,716.92 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 3 — — $43,396.03 $99,577.54 $73,565.98 2026-03-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 3 — — $43,248.65 $120,332.09 $73,526.87 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 7 — — $62,543.49 $107,567.37 $73,488.88 2026-03-04
1781 APR_DRG External Heart Assist Systems 5 3 — — $49,328.67 $113,952.89 $72,978.08 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 3 — — $46,054.46 $105,677.65 $72,708.00 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 3 — — $47,845.09 $109,786.48 $71,635.28 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 7 — — $61,029.36 $103,250.27 $71,396.02 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 7 — — $60,766.26 $104,301.85 $71,362.36 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 7 — — $60,565.17 $99,603.08 $70,328.82 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $38,723.01 $88,854.73 $70,258.09 2026-03-04
1814 APR_DRG Lower Extremity Vascular Procedures 5 3 — — $46,856.63 $107,518.32 $69,595.07 2026-03-04
274 APR_DRG Other Open Craniotomy 5 3 — — $46,804.50 $107,398.71 $69,555.93 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 3 — — $46,293.86 $106,226.97 $68,773.42 2026-03-04
10 MS_DRG Pancreas Transplant 10 7 — — $57,034.54 $106,394.35 $68,536.34 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 3 — — $43,736.78 $100,359.44 $68,528.59 2026-03-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 7 — — $56,707.87 $105,781.81 $68,143.20 2026-03-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 3 — — $45,827.37 $105,801.69 $67,768.76 2026-03-04
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 3 — — $30,648.24 $118,086.08 $67,437.22 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 3 — — $39,591.78 $90,848.23 $67,006.49 2026-03-04
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 3 — — $713.15 $142,732.39 $66,979.63 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 3 — — $44,472.34 $102,047.27 $66,931.65 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia 5 3 — — $44,177.92 $101,371.69 $66,753.87 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $57,375.53 $94,732.15 $66,693.60 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant 5 3 — — $42,061.02 $96,514.20 $66,312.10 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 3 — — $43,530.20 $99,885.43 $66,137.15 2026-03-04
38240 CPT Transplt Allo Hct/donor 12 7 — — $40,275.18 $148,797.26 $66,115.92 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 7 — — $56,674.47 $94,302.44 $66,011.99 2026-03-04
4401 APR_DRG Kidney Transplant 5 3 — — $42,644.06 $97,852.06 $65,775.15 2026-03-04
4014 APR_DRG Adrenal Procedures 5 3 — — $40,243.36 $92,343.35 $65,649.44 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 7 — — $57,010.70 $89,124.58 $65,352.79 2026-03-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures 5 3 — — $39,036.34 $106,339.94 $65,303.85 2026-03-04
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $65,226.32 $65,226.32 $65,226.32 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures 5 3 — — $43,173.04 $99,065.88 $65,186.69 2026-03-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 3 — — $43,958.80 $100,868.89 $64,941.41 2026-03-04
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 3 — — $31,265.80 $112,036.92 $64,857.66 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 5 3 — — $41,886.30 $96,113.28 $64,816.18 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 10 7 — — $54,936.98 $92,834.49 $64,248.88 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 3 — — $37,166.95 $85,284.15 $64,135.92 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 7 — — $60,175.17 $66,509.40 $64,110.64 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 5 3 — — $42,139.18 $100,173.38 $63,663.55 2026-03-04
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 5 3 — — $33,684.50 $107,409.78 $63,663.02 2026-03-04
1793 APR_DRG Defibrillator Implants 5 3 — — $40,474.06 $92,872.74 $63,563.61 2026-03-04
4804 APR_DRG Major Male Pelvic Procedures 3 1 — — $35,438.09 $81,317.08 $63,328.20 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 7 — — $54,667.55 $88,973.78 $63,310.06 2026-03-04
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 3 — — $24,335.21 $92,677.20 $63,163.23 2026-03-04
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 3 — — $34,481.42 $105,615.63 $63,143.44 2026-03-04
3094 APR_DRG Other Significant Hip And Femur Surgery 5 3 — — $39,315.58 $101,431.50 $63,121.99 2026-03-04
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 3 — — $36,206.29 $103,684.15 $62,930.87 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 5 3 — — $41,663.31 $95,601.62 $62,917.95 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $36,931.41 $84,743.69 $62,911.61 2026-03-04
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 2 — — $62,908.59 $62,908.59 $62,908.59 2026-03-04
224 APR_DRG Ventricular Shunt Procedures 5 3 — — $42,073.57 $96,542.99 $62,892.99 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 7 — — $53,500.72 $91,118.33 $62,699.38 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 5 3 — — $42,057.16 $96,505.34 $62,570.37 2026-03-04
6504 APR_DRG Splenic Procedures 5 3 — — $42,095.77 $96,593.94 $62,546.04 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 7 — — $53,107.28 $89,467.55 $62,058.67 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 3 — — $34,836.71 $79,937.14 $61,997.01 2026-03-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 3 — — $41,568.71 $95,384.55 $61,567.65 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 3 — — $39,219.17 $89,993.24 $61,496.37 2026-03-04
8633 APR_DRG Neonatal Aftercare 5 3 — — $40,013.62 $91,816.18 $61,150.42 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 7 — — $53,146.23 $82,552.17 $60,825.58 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $52,262.39 $86,174.00 $60,728.83 2026-03-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $40,582.18 $93,120.82 $60,410.64 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 3 — — $33,527.76 $76,933.60 $60,059.98 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 5 3 — — $39,260.68 $90,088.48 $59,945.31 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 7 — — $52,072.42 $82,175.84 $59,833.17 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 10 7 — — $51,144.86 $86,311.46 $59,792.93 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 5 3 — — $38,786.72 $89,000.92 $59,706.06 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 10 7 — — $53,983.32 $65,476.58 $59,520.97 2026-03-04
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 3 — — $38,771.06 $94,146.36 $59,500.06 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 7 — — $52,262.39 $79,390.74 $59,486.44 2026-03-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 3 — — $39,764.57 $91,244.71 $59,180.86 2026-03-04
4444 APR_DRG Renal Dialysis Access Device Procedures 5 3 — — $38,500.40 $93,479.65 $59,080.27 2026-03-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 5 3 — — $38,345.58 $87,988.66 $58,836.10 2026-03-04
2304 APR_DRG Major Small Bowel Procedures 5 3 — — $36,692.02 $84,194.37 $58,735.18 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 3 — — $32,952.45 $75,613.46 $58,678.42 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 3 — — $38,979.78 $89,443.92 $57,993.57 2026-03-04
6614 APR_DRG Coagulation And Platelet Disorders 5 3 — — $23,965.69 $103,542.39 $57,968.39 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 5 3 — — $36,274.04 $83,235.27 $57,936.90 2026-03-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 5 3 — — $38,746.18 $88,907.89 $57,805.39 2026-03-04
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 3 — — $38,132.25 $87,499.15 $57,659.65 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 3 — — $36,173.65 $83,004.91 $57,397.50 2026-03-04
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 3 — — $38,553.12 $88,464.89 $57,367.26 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 7 — — $48,653.87 $84,392.45 $57,299.21 2026-03-04
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 5 3 — — $37,722.96 $86,559.99 $57,235.85 2026-03-04
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 3 — — $37,603.60 $90,072.98 $57,129.72 2026-03-04
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 3 — — $33,967.94 $77,943.64 $56,952.02 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 7 — — $52,508.71 $61,540.57 $56,800.15 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 7 — — $48,710.29 $79,941.89 $56,532.59 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 7 — — $48,187.29 $81,515.26 $56,370.97 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 7 — — $47,742.18 $82,658.93 $56,197.65 2026-03-04
L7181 HCPCS Electronic Elbo Simultaneous 10 7 — — $44,875.22 $60,495.24 $56,046.10 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 10 7 — — $47,755.71 $81,125.59 $55,928.45 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures 5 3 — — $36,872.53 $84,608.57 $55,823.09 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 3 — — $33,697.66 $77,323.44 $55,442.99 2026-03-04
1804 APR_DRG Other Circulatory System Procedures 5 3 — — $37,057.87 $85,033.85 $55,327.13 2026-03-04
4034 APR_DRG Procedures For Obesity 5 3 — — $34,714.12 $79,655.83 $55,326.50 2026-03-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 7 — — $47,130.96 $80,543.75 $55,284.60 2026-03-04
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 5 3 — — $33,029.34 $89,964.44 $55,249.30 2026-03-04
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 3 — — $35,964.18 $82,524.26 $55,180.38 2026-03-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 7 — — $47,240.65 $79,336.03 $55,157.73 2026-03-04
7524 APR_DRG Personality Disorders 5 3 — — $35,749.89 $82,032.53 $54,879.73 2026-03-04
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 5 3 — — $33,432.20 $76,714.31 $54,796.63 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 7 — — $47,396.44 $76,586.96 $54,788.20 2026-03-04
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 3 — — $34,926.48 $80,143.13 $54,703.15 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures 5 3 — — $34,337.65 $78,791.98 $54,611.82 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 7 — — $46,645.33 $78,519.31 $54,496.17 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 7 — — $46,615.12 $77,693.26 $54,318.89 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 3 — — $29,463.85 $67,608.45 $53,585.52 2026-03-04
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 3 — — $34,762.38 $79,766.58 $53,418.38 2026-03-04
5184 APR_DRG Other Female Reproductive System And Related Procedures 5 3 — — $35,510.49 $81,483.21 $53,399.95 2026-03-04
5204 APR_DRG Other GYN Procedures For Malignancy 2 2 — — $53,375.58 $53,375.58 $53,375.58 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 3 — — $30,389.57 $69,732.63 $53,153.93 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $45,546.08 $76,129.22 $53,113.06 2026-03-04
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures 5 3 — — $29,025.40 $88,535.77 $52,980.15 2026-03-04
2324 APR_DRG Gastric Fundoplication 5 3 — — $34,516.86 $83,758.01 $52,944.23 2026-03-04
6903 APR_DRG Acute Leukemia 5 3 — — $31,974.66 $85,866.69 $52,912.67 2026-03-04
4844 APR_DRG Other Male Reproductive System And Related Procedures 5 3 — — $35,123.41 $80,594.99 $52,886.11 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 7 — — $45,838.58 $72,998.48 $52,791.20 2026-03-04
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 5 3 — — $22,076.49 $93,734.37 $52,629.73 2026-03-04
33276 CPT Insj Phrnc Nrv Stim Sys 10 7 — — $34,773.42 $128,470.93 $52,406.01 2026-03-04
0266T CPT Outpatient Services - Cpt/hcpcs 10 7 — — $34,773.42 $128,470.93 $52,406.01 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 7 — — $43,898.40 $79,941.89 $52,394.36 2026-03-04
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 5 3 — — $34,303.87 $78,714.46 $52,343.78 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 7 — — $45,301.28 $72,072.34 $52,159.50 2026-03-04
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 5 3 — — $31,857.80 $73,101.65 $52,069.75 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 3 — — $30,529.54 $70,053.81 $51,891.89 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 7 — — $44,685.28 $73,466.89 $51,885.15 2026-03-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 7 — — $43,177.49 $80,543.75 $51,884.61 2026-03-04
9103 APR_DRG Craniotomy For Multiple Significant Trauma 5 3 — — $32,729.46 $75,101.79 $51,856.88 2026-03-04
3224 APR_DRG Shoulder And Elbow Joint Replacement 5 3 — — $34,416.81 $78,973.61 $51,783.09 2026-03-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 7 — — $44,546.98 $72,607.48 $51,608.81 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 3 — — $29,585.48 $67,887.54 $51,572.62 2026-03-04
4854 APR_DRG Prostatectomy Procedures 2 2 — — $51,502.49 $51,502.49 $51,502.49 2026-03-04
L7180 HCPCS Electronic Elbow Sequential 10 7 — — $43,585.32 $54,891.80 $51,428.11 2026-03-04
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