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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

ALOMERE HEALTH

Alexandria, MN · CCN 240030 · Rates published

20,336 distinct procedures filed
27 distinct payers
163,422 rate rows
2026-04-01 last MRF observed
Data quality

128,266 of 163,422 rate rows are consumer-grade (78.5%)

35,156 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,566
placeholder amount (≤ $0.02) — excluded from medians 3,384
template filing: same amount across many unrelated codes — excluded 160
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 38
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://alomerehealth.com/wp-content/uploads/2026/03/411410148_1558236091_alomere-health_standardcharges.csv
Found on page https://alomerehealth.com/patient-resources/billing-insurance/?o=08
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-27
Content fingerprint 75c41e681a6eb0b4… · 35,974,445 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 4 $3,605,000.00 $4,837,990.80 $4,221,495.40 nat. median
$3,508,750
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $3,672,900.00 $4,837,990.80 $4,116,376.42 nat. median
$3,685,267
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $3,316,462.59 $4,331,738.14 $3,703,866.58 nat. median
$3,325,455
1.1× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 7 $3,248,445.72 $4,163,801.80 $3,613,518.56 nat. median
$3,248,446
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,945,740.00 $3,870,392.59 $3,300,450.45 nat. median
$2,968,000
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $2,388,614.23 $3,134,207.86 $2,700,285.45 nat. median
$2,455,111
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $2,332,000.00 $3,041,022.82 $2,601,206.52 nat. median
$2,332,000
1.1× median
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 2 $1,458,151.20 $1,458,151.20 $1,458,151.20 nat. median
$6
outlier · 254033.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 4 $770,620.00 $1,934,024.75 $1,100,002.19 nat. median
$813,967
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $278,143.77 $1,485,055.05 $976,994.69 nat. median
$621,313
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $527,123.43 $1,618,789.69 $940,345.98 nat. median
$599,737
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $526,587.59 $1,545,463.41 $915,777.49 nat. median
$574,037
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $516,726.08 $1,511,570.00 $908,564.50 nat. median
$579,571
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $489,455.96 $1,432,569.60 $861,079.38 nat. median
$562,501
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $460,530.40 $1,432,569.60 $822,497.79 nat. median
$513,770
1.6× median
5834
APR_DRG 		Neonate With Ecmo 2 $261,766.19 $900,933.60 $581,349.90 nat. median
$390,362
1.5× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $239,308.14 $823,638.64 $531,473.39 nat. median
$286,698
1.9× median
5891
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $235,475.61 $810,448.04 $522,961.83 nat. median
$99,483
outlier · 5.3×
5833
APR_DRG 		Neonate With Ecmo 2 $222,600.11 $766,133.79 $494,366.95 nat. median
$268,208
1.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $215,898.29 $743,067.80 $479,483.04 nat. median
$171,497
outlier · 2.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $175,950.20 $605,576.49 $390,763.34 nat. median
$173,018
outlier · 2.3×
24
APR_DRG 		Heart And/Or Lung Transplant 2 $174,538.00 $600,716.05 $387,627.03 nat. median
$225,531
1.7× median
5892
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $171,494.02 $590,239.43 $380,866.72 nat. median
$96,548
outlier · 3.9×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $168,022.29 $578,290.62 $373,156.46 nat. median
$202,242
1.8× median
E0766
HCPCS 		Elec Stim Cancer Treatment 4 $160,634.60 $557,074.22 $358,854.41 nat. median
$16,158
outlier · 22.2×
6024
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $151,175.49 $520,308.16 $335,741.83 nat. median
$124,731
outlier · 2.7×
5832
APR_DRG 		Neonate With Ecmo 2 $148,080.90 $509,657.35 $328,869.12 nat. median
$201,678
1.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $147,332.35 $507,081.04 $327,206.70 nat. median
$168,439
1.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $147,245.01 $506,780.42 $327,012.72 nat. median
$155,539
outlier · 2.1×
5893
APR_DRG 		Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 $144,014.09 $495,660.42 $319,837.26 nat. median
$77,096
outlier · 4.1×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 14 $155,587.63 $373,999.26 $317,171.69 nat. median
$168,055
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $138,755.49 $477,561.62 $308,158.55 nat. median
$198,578
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $133,570.35 $459,715.68 $296,643.02 nat. median
$149,836
2.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 4 $205,640.00 $516,094.64 $293,535.66 nat. median
$207,733
1.4× median
5831
APR_DRG 		Neonate With Ecmo 2 $121,157.69 $416,994.42 $269,076.05 nat. median
$173,909
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $120,477.72 $414,654.10 $267,565.91 nat. median
$173,134
1.5× median
6074
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $119,762.64 $412,192.98 $265,977.81 nat. median
$100,752
outlier · 2.6×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $118,224.73 $406,899.88 $262,562.30 nat. median
$109,992
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $117,273.74 $403,626.82 $260,450.28 nat. median
$152,383
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $115,431.35 $397,285.78 $256,358.57 nat. median
$135,630
1.9× median
6023
APR_DRG 		Respiratory Condition Or Major Anomaly 2 $114,202.82 $393,057.48 $253,630.15 nat. median
$95,757
outlier · 2.6×
23
APR_DRG 		Heart And/Or Lung Transplant 2 $113,839.57 $391,807.25 $252,823.41 nat. median
$117,894
outlier · 2.1×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $113,757.94 $391,526.30 $252,642.12 nat. median
$114,205
outlier · 2.2×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $112,313.90 $386,556.30 $249,435.10 nat. median
$108,954
outlier · 2.3×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $109,061.76 $375,363.25 $242,212.51 nat. median
$91,110
outlier · 2.7×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $104,354.16 $359,160.86 $231,757.51 nat. median
$115,963
2.0× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 2 $102,509.32 $352,811.39 $227,660.36 nat. median
$136,566
1.7× median
64
APR_DRG 		Pancreas Transplant 2 $101,684.04 $349,970.99 $225,827.52 nat. median
$92,994
outlier · 2.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $99,256.37 $341,615.53 $220,435.95 nat. median
$187,567
1.2× median
5931
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $99,146.98 $341,239.06 $220,193.02 nat. median
$33,329
outlier · 6.6×

Other procedures at this hospital

Browse this hospital's 20,336 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
             
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 4 — — $3,605,000.00 $4,837,990.80 $4,221,495.40 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 7 — — $3,672,900.00 $4,837,990.80 $4,116,376.42 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 7 — — $3,316,462.59 $4,331,738.14 $3,703,866.58 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 7 — — $3,248,445.72 $4,163,801.80 $3,613,518.56 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,945,740.00 $3,870,392.59 $3,300,450.45 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 7 7 — — $2,388,614.23 $3,134,207.86 $2,700,285.45 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 7 7 — — $2,332,000.00 $3,041,022.82 $2,601,206.52 2026-04-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 2 2 — — $1,458,151.20 $1,458,151.20 $1,458,151.20 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 4 4 — — $770,620.00 $1,934,024.75 $1,100,002.19 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 8 8 — — $278,143.77 $1,485,055.05 $976,994.69 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 8 8 — — $527,123.43 $1,618,789.69 $940,345.98 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 8 8 — — $526,587.59 $1,545,463.41 $915,777.49 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 8 8 — — $516,726.08 $1,511,570.00 $908,564.50 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 8 8 — — $489,455.96 $1,432,569.60 $861,079.38 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 8 8 — — $460,530.40 $1,432,569.60 $822,497.79 2026-04-01
5834 APR_DRG Neonate With Ecmo 2 2 — — $261,766.19 $900,933.60 $581,349.90 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $239,308.14 $823,638.64 $531,473.39 2026-04-01
5891 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $235,475.61 $810,448.04 $522,961.83 2026-04-01
5833 APR_DRG Neonate With Ecmo 2 2 — — $222,600.11 $766,133.79 $494,366.95 2026-04-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $215,898.29 $743,067.80 $479,483.04 2026-04-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $175,950.20 $605,576.49 $390,763.34 2026-04-01
24 APR_DRG Heart And/Or Lung Transplant 2 2 — — $174,538.00 $600,716.05 $387,627.03 2026-04-01
5892 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $171,494.02 $590,239.43 $380,866.72 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $168,022.29 $578,290.62 $373,156.46 2026-04-01
E0766 HCPCS Elec Stim Cancer Treatment 4 4 — — $160,634.60 $557,074.22 $358,854.41 2026-04-01
6024 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $151,175.49 $520,308.16 $335,741.83 2026-04-01
5832 APR_DRG Neonate With Ecmo 2 2 — — $148,080.90 $509,657.35 $328,869.12 2026-04-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $147,332.35 $507,081.04 $327,206.70 2026-04-01
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $147,245.01 $506,780.42 $327,012.72 2026-04-01
5893 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $144,014.09 $495,660.42 $319,837.26 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 35 14 — — $155,587.63 $373,999.26 $317,171.69 2026-04-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $138,755.49 $477,561.62 $308,158.55 2026-04-01
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $133,570.35 $459,715.68 $296,643.02 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 4 4 — — $205,640.00 $516,094.64 $293,535.66 2026-04-01
5831 APR_DRG Neonate With Ecmo 2 2 — — $121,157.69 $416,994.42 $269,076.05 2026-04-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $120,477.72 $414,654.10 $267,565.91 2026-04-01
6074 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $119,762.64 $412,192.98 $265,977.81 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $118,224.73 $406,899.88 $262,562.30 2026-04-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $117,273.74 $403,626.82 $260,450.28 2026-04-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $115,431.35 $397,285.78 $256,358.57 2026-04-01
6023 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $114,202.82 $393,057.48 $253,630.15 2026-04-01
23 APR_DRG Heart And/Or Lung Transplant 2 2 — — $113,839.57 $391,807.25 $252,823.41 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $113,757.94 $391,526.30 $252,642.12 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $112,313.90 $386,556.30 $249,435.10 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $109,061.76 $375,363.25 $242,212.51 2026-04-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $104,354.16 $359,160.86 $231,757.51 2026-04-01
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $102,509.32 $352,811.39 $227,660.36 2026-04-01
64 APR_DRG Pancreas Transplant 2 2 — — $101,684.04 $349,970.99 $225,827.52 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $99,256.37 $341,615.53 $220,435.95 2026-04-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $99,146.98 $341,239.06 $220,193.02 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 5 5 — — $93,216.70 $335,098.03 $218,115.08 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $97,930.69 $337,052.91 $217,491.80 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $97,686.62 $336,212.86 $216,949.74 2026-04-01
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $92,507.20 $318,386.59 $205,446.89 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 35 14 — — $89,928.70 $242,710.48 $204,982.33 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $92,241.90 $317,473.50 $204,857.70 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $91,193.77 $313,866.10 $202,529.93 2026-04-01
6073 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $89,457.50 $307,890.30 $198,673.90 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 8 8 — — $99,999.95 $377,061.16 $197,735.06 2026-04-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $86,224.95 $296,764.68 $191,494.82 2026-04-01
1784 APR_DRG External Heart Assist Systems 2 2 — — $84,833.98 $291,977.29 $188,405.64 2026-04-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $84,402.15 $290,491.06 $187,446.61 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $84,335.22 $290,260.68 $187,297.95 2026-04-01
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $82,538.54 $284,076.97 $183,307.76 2026-04-01
22 APR_DRG Heart And/Or Lung Transplant 2 2 — — $81,933.66 $281,995.13 $181,964.39 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $81,763.06 $281,407.95 $181,585.51 2026-04-01
6022 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $80,876.56 $278,356.83 $179,616.70 2026-04-01
63 APR_DRG Pancreas Transplant 2 2 — — $80,390.86 $276,685.18 $178,538.02 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $80,337.80 $276,502.56 $178,420.18 2026-04-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $77,999.91 $268,456.15 $173,228.03 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $74,430.23 $256,170.21 $165,300.22 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $74,277.59 $255,644.83 $164,961.21 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $72,429.48 $249,284.13 $160,856.80 2026-04-01
6124 APR_DRG Respiratory Condition 2 2 — — $72,331.53 $248,946.99 $160,639.26 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 14 — — $68,513.75 $184,913.24 $156,169.39 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 14 — — $68,111.67 $183,828.03 $155,252.87 2026-04-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $67,663.92 $232,882.26 $150,273.09 2026-04-01
21 APR_DRG Heart And/Or Lung Transplant 2 2 — — $67,357.81 $231,828.70 $149,593.26 2026-04-01
8634 APR_DRG Neonatal Aftercare 2 2 — — $66,880.28 $230,185.14 $148,532.71 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $66,429.68 $228,634.30 $147,531.99 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $66,324.38 $228,271.88 $147,298.13 2026-04-01
62 APR_DRG Pancreas Transplant 2 2 — — $66,035.40 $227,277.31 $146,656.36 2026-04-01
4404 APR_DRG Kidney Transplant 2 2 — — $65,464.81 $225,313.47 $145,389.14 2026-04-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $62,361.24 $214,631.75 $138,496.49 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $60,580.89 $208,504.23 $134,542.56 2026-04-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $60,153.96 $207,034.86 $133,594.41 2026-04-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $59,378.48 $204,365.84 $131,872.16 2026-04-01
6123 APR_DRG Respiratory Condition 2 2 — — $59,109.10 $203,438.70 $131,273.90 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $58,824.21 $202,458.19 $130,641.20 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 8 8 — — $67,452.66 $242,481.01 $126,164.84 2026-04-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $56,420.21 $194,184.21 $125,302.21 2026-04-01
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $56,373.68 $194,024.07 $125,198.88 2026-04-01
6072 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $55,552.48 $191,197.71 $123,375.10 2026-04-01
6904 APR_DRG Acute Leukemia 2 2 — — $54,968.01 $189,186.11 $122,077.06 2026-04-01
61 APR_DRG Pancreas Transplant 2 2 — — $54,856.18 $188,801.21 $121,828.70 2026-04-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $53,465.20 $184,013.82 $118,739.51 2026-04-01
6021 APR_DRG Respiratory Condition Or Major Anomaly 2 2 — — $53,365.61 $183,671.06 $118,518.34 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $53,286.43 $183,398.54 $118,342.49 2026-04-01
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $52,509.31 $180,723.90 $116,616.60 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $52,489.72 $180,656.47 $116,573.10 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $52,392.58 $180,322.14 $116,357.36 2026-04-01
4403 APR_DRG Kidney Transplant 2 2 — — $52,346.05 $180,162.00 $116,254.02 2026-04-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $52,181.98 $179,597.29 $115,889.63 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $51,798.32 $178,276.82 $115,037.57 2026-04-01
234 APR_DRG Spinal Procedures 2 2 — — $51,179.56 $176,147.22 $113,663.39 2026-04-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $50,443.26 $173,613.05 $112,028.15 2026-04-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $50,389.38 $173,427.63 $111,908.51 2026-04-01
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $50,355.10 $173,309.63 $111,832.37 2026-04-01
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 2 2 — — $50,245.71 $172,933.15 $111,589.43 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $50,188.57 $172,736.49 $111,462.53 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 8 8 — — $63,342.28 $200,157.07 $111,086.13 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $49,909.40 $171,775.64 $110,842.52 2026-04-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $49,192.69 $169,308.90 $109,250.79 2026-04-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $49,069.43 $168,884.66 $108,977.04 2026-04-01
1783 APR_DRG External Heart Assist Systems 2 2 — — $48,836.78 $168,083.96 $108,460.37 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $48,217.21 $165,951.55 $107,084.38 2026-04-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $47,730.69 $164,277.08 $106,003.88 2026-04-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $47,710.29 $164,206.85 $105,958.57 2026-04-01
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $47,554.37 $163,670.23 $105,612.30 2026-04-01
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $46,992.76 $161,737.30 $104,365.03 2026-04-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $46,563.38 $160,259.50 $103,411.44 2026-04-01
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $46,483.39 $159,984.17 $103,233.78 2026-04-01
8504 APR_DRG Services 2 2 — — $46,244.21 $159,160.98 $102,702.60 2026-04-01
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $46,106.26 $158,686.18 $102,396.22 2026-04-01
4402 APR_DRG Kidney Transplant 2 2 — — $46,022.99 $158,399.61 $102,211.30 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $101,732.21 $101,732.21 $101,732.21 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 14 — — $44,449.14 $119,964.73 $101,316.81 2026-04-01
8514 APR_DRG Gender Related Procedures 2 2 — — $44,695.69 $153,831.36 $99,263.52 2026-04-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $44,485.08 $153,106.51 $98,795.79 2026-04-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $44,162.65 $151,996.76 $98,079.71 2026-04-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $44,017.34 $151,496.67 $97,757.01 2026-04-01
1782 APR_DRG External Heart Assist Systems 2 2 — — $43,690.01 $150,370.06 $97,030.04 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 8 8 — — $55,015.23 $173,809.88 $96,654.82 2026-04-01
1794 APR_DRG Defibrillator Implants 2 2 — — $43,317.78 $149,088.93 $96,203.35 2026-04-01
5894 APR_DRG Weeks, Or Birth Weight 500-749 Grams With Major Anomaly Or Without Life Sustaini… 2 2 — — $43,204.31 $148,698.41 $95,951.36 2026-04-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $42,998.60 $147,990.41 $95,494.51 2026-04-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $42,899.83 $147,650.46 $95,275.15 2026-04-01
7 MS_DRG Lung Transplant 35 14 — — $41,557.19 $112,159.59 $94,724.94 2026-04-01
8633 APR_DRG Neonatal Aftercare 2 2 — — $42,370.87 $145,829.91 $94,100.39 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $42,352.91 $145,768.10 $94,060.51 2026-04-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $42,202.71 $145,251.15 $93,726.93 2026-04-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $42,167.61 $145,130.34 $93,648.98 2026-04-01
E0194 HCPCS Air Fluidized Bed 3 3 — — $9,699.71 $134,035.96 $92,590.54 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $41,613.34 $143,222.69 $92,418.01 2026-04-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $41,529.26 $142,933.31 $92,231.29 2026-04-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $41,298.25 $142,138.22 $91,718.24 2026-04-01
4401 APR_DRG Kidney Transplant 2 2 — — $41,266.41 $142,028.65 $91,647.53 2026-04-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $41,130.91 $141,562.28 $91,346.60 2026-04-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $41,120.30 $141,525.75 $91,323.02 2026-04-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $41,071.32 $141,357.18 $91,214.25 2026-04-01
1781 APR_DRG External Heart Assist Systems 2 2 — — $40,757.04 $140,275.53 $90,516.29 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 8 8 — — $575.92 $165,987.72 $89,938.90 2026-04-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $40,489.30 $139,354.01 $89,921.65 2026-04-01
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $40,407.67 $139,073.06 $89,740.37 2026-04-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $40,312.98 $138,747.16 $89,530.07 2026-04-01
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $40,293.38 $138,679.73 $89,486.55 2026-04-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $40,166.86 $138,244.26 $89,205.56 2026-04-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $40,143.19 $138,162.78 $89,152.99 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 8 8 — — $48,370.76 $167,747.85 $88,939.43 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 35 14 — — $43,300.49 $104,085.10 $88,269.82 2026-04-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $39,460.76 $135,814.04 $87,637.40 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $39,295.05 $135,243.71 $87,269.38 2026-04-01
6122 APR_DRG Respiratory Condition 2 2 — — $38,996.28 $134,215.43 $86,605.85 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 8 8 — — $46,980.38 $162,925.72 $86,382.85 2026-04-01
4014 APR_DRG Adrenal Procedures 2 2 — — $38,862.41 $133,754.68 $86,308.54 2026-04-01
274 APR_DRG Other Open Craniotomy 2 2 — — $38,788.13 $133,499.01 $86,143.57 2026-04-01
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures 2 2 — — $38,731.80 $133,305.16 $86,018.48 2026-04-01
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $38,142.43 $131,276.70 $84,709.57 2026-04-01
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $37,926.93 $130,534.99 $84,230.96 2026-04-01
7524 APR_DRG Disorders Of Personality And Impulse Control 2 2 — — $37,855.91 $130,290.56 $84,073.24 2026-04-01
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 2 2 — — $37,727.75 $129,849.47 $83,788.61 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $37,580.00 $129,340.95 $83,460.48 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $37,493.48 $129,043.14 $83,268.31 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 35 14 — — $36,363.75 $98,142.89 $82,887.06 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 35 14 — — $36,322.03 $98,030.30 $82,791.97 2026-04-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $36,888.60 $126,961.30 $81,924.95 2026-04-01
3214 APR_DRG Decompression 2 2 — — $36,811.05 $126,694.40 $81,752.73 2026-04-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $36,810.23 $126,691.59 $81,750.91 2026-04-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $36,803.70 $126,669.12 $81,736.41 2026-04-01
4034 APR_DRG Procedures For Obesity 2 2 — — $36,758.81 $126,514.59 $81,636.70 2026-04-01
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $36,461.67 $125,491.94 $80,976.80 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 14 — — $35,367.03 $95,452.83 $80,615.16 2026-04-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $36,298.41 $124,930.04 $80,614.23 2026-04-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $36,189.84 $124,556.37 $80,373.10 2026-04-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $36,082.91 $124,188.33 $80,135.62 2026-04-01
7594 APR_DRG Eating Disorders 2 2 — — $36,015.16 $123,955.14 $79,985.15 2026-04-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $35,879.65 $123,488.76 $79,684.21 2026-04-01
64654 HCPCS 1st Opn Implt Bat Modulj Sys 5 5 — — $45,459.51 $126,297.54 $79,613.10 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 14 — — $34,894.99 $94,178.82 $79,539.19 2026-04-01
K0606 HCPCS Aed Garment W Elec Analysis 4 4 — — $36,944.60 $122,024.23 $79,484.41 2026-04-01
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $35,746.59 $123,030.81 $79,388.70 2026-04-01
J9226 HCPCS Supprelin La Implant 8 8 — — $45,020.65 $143,275.22 $79,288.16 2026-04-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $35,286.20 $121,446.26 $78,366.23 2026-04-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $35,220.90 $121,221.50 $78,221.20 2026-04-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $35,042.13 $120,606.22 $77,824.18 2026-04-01
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $34,972.74 $120,367.41 $77,670.07 2026-04-01
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $34,896.01 $120,103.32 $77,499.66 2026-04-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $34,859.28 $119,976.89 $77,418.09 2026-04-01
6224 APR_DRG Respiratory Condition 2 2 — — $34,846.21 $119,931.94 $77,389.07 2026-04-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $34,728.67 $119,527.37 $77,128.02 2026-04-01
2324 APR_DRG Gastric Fundoplication 2 2 — — $34,682.95 $119,370.04 $77,026.49 2026-04-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $34,421.74 $118,471.00 $76,446.37 2026-04-01
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $34,407.04 $118,420.42 $76,413.73 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 7 7 — — $14,774.74 $161,017.57 $76,203.31 2026-04-01
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $34,278.07 $117,976.52 $76,127.29 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 14 — — $33,086.39 $89,297.58 $75,416.71 2026-04-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $33,847.06 $116,493.11 $75,170.09 2026-04-01
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 2 2 — — $33,755.64 $116,178.44 $74,967.04 2026-04-01
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $33,707.48 $116,012.68 $74,860.08 2026-04-01
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $33,276.47 $114,529.27 $73,902.87 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $33,247.90 $114,430.94 $73,839.42 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 9 7 — — $18,396.26 $131,498.63 $73,691.17 2026-04-01
1804 APR_DRG Other Circulatory System Procedures 2 2 — — $33,166.27 $114,149.98 $73,658.12 2026-04-01
6903 APR_DRG Acute Leukemia 2 2 — — $33,153.21 $114,105.03 $73,629.12 2026-04-01
244 APR_DRG Open Extracranial Vascular Procedures 2 2 — — $32,938.52 $113,366.13 $73,152.32 2026-04-01
5184 APR_DRG Other Female Reproductive System And Related Procedures 2 2 — — $32,878.93 $113,161.04 $73,019.99 2026-04-01
215 MS_DRG Other Heart Assist System Implant 35 14 — — $31,952.01 $86,235.97 $72,831.01 2026-04-01
424 APR_DRG Degenerative Nervous System Disorders Except Multiple Sclerosis 2 2 — — $32,767.91 $112,778.95 $72,773.43 2026-04-01
6223 APR_DRG Respiratory Condition 2 2 — — $32,438.13 $111,643.91 $72,041.02 2026-04-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $32,243.85 $110,975.25 $71,609.55 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 14 — — $31,393.01 $84,727.25 $71,556.82 2026-04-01
6264 APR_DRG Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl… 2 2 — — $32,219.36 $110,890.96 $71,555.16 2026-04-01
6504 APR_DRG Splenectomy 2 2 — — $32,211.20 $110,862.87 $71,537.04 2026-04-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 2 — — $32,092.83 $110,455.49 $71,274.16 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 8 8 — — $38,762.63 $134,426.66 $71,272.80 2026-04-01
1793 APR_DRG Defibrillator Implants 2 2 — — $31,972.02 $110,039.69 $71,005.85 2026-04-01
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $31,968.76 $110,028.45 $70,998.60 2026-04-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 2 — — $31,706.72 $109,126.60 $70,416.66 2026-04-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $31,621.83 $108,834.41 $70,228.12 2026-04-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $31,587.54 $108,716.41 $70,151.98 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $31,585.10 $108,707.98 $70,146.54 2026-04-01
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $31,422.65 $108,148.89 $69,785.77 2026-04-01
4824 APR_DRG Transurethral Prostatectomy 2 2 — — $31,377.76 $107,994.37 $69,686.07 2026-04-01
4414 APR_DRG Major Bladder Procedures 2 2 — — $31,119.80 $107,106.57 $69,113.18 2026-04-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $31,072.46 $106,943.62 $69,008.04 2026-04-01
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $31,007.97 $106,721.67 $68,864.82 2026-04-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 2 2 — — $30,845.53 $106,162.58 $68,504.05 2026-04-01
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $30,803.90 $106,019.29 $68,411.60 2026-04-01
8444 APR_DRG Partial Thickness Burns Without Skin Graft 2 2 — — $30,732.06 $105,772.06 $68,252.06 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 2 — — $23,652.26 $112,712.75 $68,182.51 2026-04-01
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $30,656.96 $105,513.58 $68,085.27 2026-04-01
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 2 — — $30,346.77 $104,445.97 $67,396.37 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 8 8 — — $1,283.24 $126,297.54 $66,964.22 2026-04-01
3264 APR_DRG Elective Knee Joint Replacement 2 2 — — $30,114.94 $103,648.07 $66,881.51 2026-04-01
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $29,999.84 $103,251.93 $66,625.88 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 14 — — $24,903.22 $59,861.98 $66,587.98 2026-04-01
3104 APR_DRG Intervertebral Disc Excision And Decompression 2 2 — — $29,952.50 $103,088.98 $66,520.74 2026-04-01
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 2 — — $29,915.76 $102,962.56 $66,439.16 2026-04-01
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 2 2 — — $29,871.68 $102,810.84 $66,341.26 2026-04-01
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 2 2 — — $29,741.07 $102,361.32 $66,051.20 2026-04-01
4454 APR_DRG Other Bladder Procedures 2 2 — — $29,732.09 $102,330.42 $66,031.26 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 14 — — $28,911.81 $78,030.69 $65,901.20 2026-04-01
6344 APR_DRG Respiratory Condition 2 2 — — $29,581.08 $101,810.66 $65,695.87 2026-04-01
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $29,546.79 $101,692.66 $65,619.73 2026-04-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $29,385.17 $101,136.38 $65,260.78 2026-04-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $29,303.54 $100,855.43 $65,079.49 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 2 2 — — $29,123.95 $100,237.34 $64,680.64 2026-04-01
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $29,003.96 $99,824.34 $64,414.15 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 8 8 — — $34,284.44 $123,246.33 $64,126.20 2026-04-01
6614 APR_DRG Coagulation And Platelet Disorders 2 2 — — $28,669.27 $98,672.45 $63,670.86 2026-04-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $28,577.85 $98,357.79 $63,467.82 2026-04-01
3224 APR_DRG Shoulder And Elbow Joint Replacement 2 2 — — $28,557.44 $98,287.55 $63,422.50 2026-04-01
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $28,536.22 $98,214.50 $63,375.36 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 35 14 — — $27,788.34 $74,998.53 $63,340.38 2026-04-01
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $28,459.48 $97,950.41 $63,204.94 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 10 8 — — $1,396.80 $126,297.54 $63,032.26 2026-04-01
3634 APR_DRG Breast Procedures Except Mastectomy 2 2 — — $28,298.67 $97,396.94 $62,847.81 2026-04-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 2 2 — — $28,261.12 $97,267.70 $62,764.41 2026-04-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $27,979.50 $96,298.42 $62,138.96 2026-04-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $27,958.28 $96,225.38 $62,091.83 2026-04-01
6142 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $27,836.65 $95,806.76 $61,821.71 2026-04-01
3244 APR_DRG Elective Hip Joint Replacement 2 2 — — $27,787.67 $95,638.19 $61,712.93 2026-04-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $27,787.67 $95,638.19 $61,712.93 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 14 — — $27,051.55 $73,010.00 $61,660.96 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 35 14 — — $26,966.51 $72,780.49 $61,467.12 2026-04-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $27,619.51 $95,059.43 $61,339.47 2026-04-01
7504 APR_DRG Schizophrenia 2 2 — — $27,611.35 $95,031.34 $61,321.35 2026-04-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $27,388.50 $94,264.34 $60,826.42 2026-04-01
6222 APR_DRG Respiratory Condition 2 2 — — $27,316.66 $94,017.11 $60,666.89 2026-04-01
6924 APR_DRG Radiotherapy 2 2 — — $27,186.06 $93,567.59 $60,376.82 2026-04-01
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $27,046.47 $93,087.16 $60,066.82 2026-04-01
7574 APR_DRG Organic Mental Health Disturbances 2 2 — — $26,982.80 $92,868.02 $59,925.41 2026-04-01
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $26,981.98 $92,865.21 $59,923.60 2026-04-01
3624 APR_DRG Mastectomy Procedures 2 2 — — $26,788.52 $92,199.36 $59,493.94 2026-04-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $26,732.19 $92,005.51 $59,368.85 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 2 2 — — $26,695.46 $91,879.08 $59,287.27 2026-04-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 2 — — $26,165.68 $90,055.71 $58,110.69 2026-04-01
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $26,131.40 $89,937.71 $58,034.56 2026-04-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $26,100.38 $89,830.95 $57,965.67 2026-04-01
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $25,952.63 $89,322.43 $57,637.53 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 14 — — $25,250.98 $68,150.40 $57,556.76 2026-04-01
1792 APR_DRG Defibrillator Implants 2 2 — — $25,912.63 $89,184.77 $57,548.70 2026-04-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $25,858.75 $88,999.34 $57,429.04 2026-04-01
6132 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $25,801.61 $88,802.68 $57,302.14 2026-04-01
111 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $25,768.96 $88,690.30 $57,229.63 2026-04-01
6252 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $25,751.00 $88,628.49 $57,189.75 2026-04-01
734 APR_DRG Orbit And Eye Procedures 2 2 — — $25,671.82 $88,355.97 $57,013.89 2026-04-01
2244 APR_DRG Peritoneal Adhesiolysis 2 2 — — $25,641.62 $88,252.01 $56,946.82 2026-04-01
1791 APR_DRG Defibrillator Implants 2 2 — — $25,595.90 $88,094.68 $56,845.29 2026-04-01
203 APR_DRG Open Craniotomy For Trauma 2 2 — — $25,555.90 $87,957.02 $56,756.46 2026-04-01
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