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

LAKE REGION HEALTHCARE CORPORATION

Fergus Falls, MN · CCN 240052 · Rates published

28,081 distinct procedures filed
16 distinct payers
439,319 rate rows
2026-08-01 last MRF observed
Data quality

159,204 of 439,319 rate rows are consumer-grade (36.2%)

280,115 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
professional (physician) fee — not the facility price 265,167
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 11,804
template filing: same amount across many unrelated codes — excluded 2,208
percent-of-charges filed in the dollar field — excluded from medians 386
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 301
exceeds 10× this hospital's gross charge — excluded from medians 197
placeholder amount (≤ $0.02) — excluded from medians 30
per-diem day rate — not a per-procedure price 22
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10081/411763968-1285525436_prairie-ridge-hospital-and-health-services_standardcharges.csv
Found on page https://www.lrhc.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint 32322b2a73161432… · 147,417,520 bytes · first seen 2026-05-17

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,294,991.42 $2,294,991.42 $2,294,991.42 nat. median
$2,467,989
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $356,458.97 $3,336,785.13 $1,846,622.05 nat. median
$646,415
outlier · 2.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $344,363.18 $3,223,557.34 $1,783,960.26 nat. median
$739,658
outlier · 2.4×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $321,579.65 $3,010,282.50 $1,665,931.08 nat. median
$623,527
outlier · 2.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $315,321.37 $2,951,699.15 $1,633,510.26 nat. median
$592,235
outlier · 2.8×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $314,556.08 $2,944,535.36 $1,629,545.72 nat. median
$608,239
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$640,950
outlier · 2.5×
C9098
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$32,174
outlier · 50.6×
C9073
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$27,071
outlier · 60.2×
C9081
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$27,427
outlier · 59.4×
C9076
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$27,935
outlier · 58.3×
Q2040
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$10,345
outlier · 157.5×
5834
APR_DRG 		Neonate W Ecmo 1 $259,837.97 $867,231.80 $563,534.89 nat. median
$307,273
1.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $259,021.40 $864,506.45 $561,763.92 nat. median
$247,815
outlier · 2.3×
5833
APR_DRG 		Neonate W Ecmo 1 $217,852.35 $727,101.15 $472,476.75 nat. median
$244,017
1.9× median
24
APR_DRG 		Heart &/or Lung Transplant 1 $203,567.98 $679,425.82 $441,496.90 nat. median
$241,734
1.8× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $178,885.35 $597,045.42 $387,965.39 nat. median
$175,429
outlier · 2.2×
5891
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 1 $159,852.85 $533,522.77 $346,687.81 nat. median
$94,264
outlier · 3.7×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $158,551.20 $529,178.42 $343,864.81 nat. median
$163,528
outlier · 2.1×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $153,414.38 $512,033.82 $332,724.10 nat. median
$158,104
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $145,596.68 $485,941.59 $315,769.14 nat. median
$202,649
1.6× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $143,660.29 $479,478.69 $311,569.49 nat. median
$151,838
outlier · 2.1×
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 $133,025.37 $443,983.74 $288,504.55 nat. median
$96,883
outlier · 3.0×
5892
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 1 $127,882.28 $426,818.21 $277,350.24 nat. median
$89,331
outlier · 3.1×
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 1 $124,839.36 $416,662.23 $270,750.79 nat. median
$165,000
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $124,580.76 $415,799.11 $270,189.93 nat. median
$120,841
outlier · 2.2×
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $122,045.65 $407,337.97 $264,691.81 nat. median
$101,865
outlier · 2.6×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $121,033.96 $403,961.36 $262,497.66 nat. median
$122,016
outlier · 2.2×
5893
APR_DRG 		Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 1 $120,810.62 $403,215.94 $262,013.28 nat. median
$71,350
outlier · 3.7×
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $118,752.75 $396,347.64 $257,550.20 nat. median
$108,900
outlier · 2.4×
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 $118,321.75 $394,909.11 $256,615.43 nat. median
$118,883
outlier · 2.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $110,675.67 $369,389.68 $240,032.67 nat. median
$163,718
1.5× median
5832
APR_DRG 		Neonate W Ecmo 1 $106,766.04 $356,340.95 $231,553.49 nat. median
$159,249
1.5× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 $105,581.16 $352,386.32 $228,983.74 nat. median
$81,052
outlier · 2.8×
64
APR_DRG 		Pancreas Transplant 1 $100,882.40 $336,703.78 $218,793.09 nat. median
$91,239
outlier · 2.4×
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 1 $100,448.26 $335,254.79 $217,851.52 nat. median
$107,442
outlier · 2.0×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 1 $99,512.58 $332,131.88 $215,822.23 nat. median
$137,051
1.6× median
23
APR_DRG 		Heart &/or Lung Transplant 1 $98,285.38 $328,036.01 $213,160.70 nat. median
$110,771
1.9× median
5932
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $96,552.73 $322,253.14 $209,402.93 nat. median
$86,187
outlier · 2.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $96,096.65 $320,730.92 $208,413.78 nat. median
$170,172
1.2× median
0424T
CPT 		All Outpatient 1 $39,775.66 $372,336.89 $206,056.27 nat. median
$22,599
outlier · 9.1×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $92,473.05 $308,636.85 $200,554.95 nat. median
$145,061
1.4× median
53
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 $90,112.70 $300,758.96 $195,435.83 nat. median
$50,423
outlier · 3.9×
6023
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 1 $89,616.65 $299,103.35 $194,360.00 nat. median
$88,855
outlier · 2.2×
5931
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $87,775.07 $292,956.92 $190,365.99 nat. median
$32,930
outlier · 5.8×
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 1 $86,124.70 $287,448.68 $186,786.69 nat. median
$75,577
outlier · 2.5×
69930
CPT 		Implant Cochlear Device 1 $24,108.92 $338,522.57 $181,315.74 nat. median
$29,205
outlier · 6.2×
6214
APR_DRG 		Neonate Bwt 2000-2499g W Major Anomaly 1 $83,431.30 $278,459.21 $180,945.26 nat. median
$67,978
outlier · 2.7×
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $82,208.02 $274,376.41 $178,292.21 nat. median
$82,966
outlier · 2.1×
4404
APR_DRG 		Kidney Transplant 1 $81,045.08 $270,495.01 $175,770.04 nat. median
$78,303
outlier · 2.2×

Other procedures at this hospital

Browse this hospital's 28,081 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 1 — — $2,294,991.42 $2,294,991.42 $2,294,991.42 2026-03-17
Q2056 HCPCS Ciltacabtagene Car-pos T 2 1 — — $356,458.97 $3,336,785.13 $1,846,622.05 2026-03-17
Q2042 HCPCS Tisagenlecleucel Car-pos T 2 1 — — $344,363.18 $3,223,557.34 $1,783,960.26 2026-03-17
Q2055 HCPCS Idecabtagene Vicleucel Car 2 1 — — $321,579.65 $3,010,282.50 $1,665,931.08 2026-03-17
Q2053 HCPCS Brexucabtagene Car Pos T 2 1 — — $315,321.37 $2,951,699.15 $1,633,510.26 2026-03-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 2 1 — — $314,556.08 $2,944,535.36 $1,629,545.72 2026-03-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 2 1 — — $314,527.13 $2,944,264.38 $1,629,395.75 2026-03-17
C9098 HCPCS All Outpatient 2 1 — — $314,527.13 $2,944,264.38 $1,629,395.75 2026-03-17
C9073 HCPCS All Outpatient 2 1 — — $314,527.13 $2,944,264.38 $1,629,395.75 2026-03-17
C9081 HCPCS All Outpatient 2 1 — — $314,527.13 $2,944,264.38 $1,629,395.75 2026-03-17
C9076 HCPCS All Outpatient 2 1 — — $314,527.13 $2,944,264.38 $1,629,395.75 2026-03-17
Q2040 HCPCS All Outpatient 2 1 — — $314,527.13 $2,944,264.38 $1,629,395.75 2026-03-17
5834 APR_DRG Neonate W Ecmo 2 1 — — $259,837.97 $867,231.80 $563,534.89 2026-03-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $259,021.40 $864,506.45 $561,763.92 2026-03-17
5833 APR_DRG Neonate W Ecmo 2 1 — — $217,852.35 $727,101.15 $472,476.75 2026-03-17
24 APR_DRG Heart &/or Lung Transplant 2 1 — — $203,567.98 $679,425.82 $441,496.90 2026-03-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $178,885.35 $597,045.42 $387,965.39 2026-03-17
5891 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 1 — — $159,852.85 $533,522.77 $346,687.81 2026-03-17
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $158,551.20 $529,178.42 $343,864.81 2026-03-17
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $153,414.38 $512,033.82 $332,724.10 2026-03-17
1614 APR_DRG Implantable Heart Assist Systems 2 1 — — $145,596.68 $485,941.59 $315,769.14 2026-03-17
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $143,660.29 $479,478.69 $311,569.49 2026-03-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $133,025.37 $443,983.74 $288,504.55 2026-03-17
5892 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 1 — — $127,882.28 $426,818.21 $277,350.24 2026-03-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $124,839.36 $416,662.23 $270,750.79 2026-03-17
1613 APR_DRG Implantable Heart Assist Systems 2 1 — — $124,580.76 $415,799.11 $270,189.93 2026-03-17
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $122,045.65 $407,337.97 $264,691.81 2026-03-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 1 — — $121,033.96 $403,961.36 $262,497.66 2026-03-17
5893 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 1 — — $120,810.62 $403,215.94 $262,013.28 2026-03-17
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $118,752.75 $396,347.64 $257,550.20 2026-03-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $118,321.75 $394,909.11 $256,615.43 2026-03-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $110,675.67 $369,389.68 $240,032.67 2026-03-17
5832 APR_DRG Neonate W Ecmo 2 1 — — $106,766.04 $356,340.95 $231,553.49 2026-03-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $105,581.16 $352,386.32 $228,983.74 2026-03-17
64 APR_DRG Pancreas Transplant 2 1 — — $100,882.40 $336,703.78 $218,793.09 2026-03-17
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $100,448.26 $335,254.79 $217,851.52 2026-03-17
14 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $99,512.58 $332,131.88 $215,822.23 2026-03-17
23 APR_DRG Heart &/or Lung Transplant 2 1 — — $98,285.38 $328,036.01 $213,160.70 2026-03-17
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $96,552.73 $322,253.14 $209,402.93 2026-03-17
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $96,096.65 $320,730.92 $208,413.78 2026-03-17
0424T CPT All Outpatient 2 1 — — $39,775.66 $372,336.89 $206,056.27 2026-03-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $92,473.05 $308,636.85 $200,554.95 2026-03-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $90,112.70 $300,758.96 $195,435.83 2026-03-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $89,616.65 $299,103.35 $194,360.00 2026-03-17
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 1 — — $87,775.07 $292,956.92 $190,365.99 2026-03-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 2 1 — — $86,124.70 $287,448.68 $186,786.69 2026-03-17
69930 CPT Implant Cochlear Device 2 1 — — $24,108.92 $338,522.57 $181,315.74 2026-03-17
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 2 1 — — $83,431.30 $278,459.21 $180,945.26 2026-03-17
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $82,208.02 $274,376.41 $178,292.21 2026-03-17
4404 APR_DRG Kidney Transplant 2 1 — — $81,045.08 $270,495.01 $175,770.04 2026-03-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $80,692.44 $269,318.04 $175,005.24 2026-03-17
1612 APR_DRG Implantable Heart Assist Systems 2 1 — — $80,238.71 $267,803.66 $174,021.18 2026-03-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 1 — — $78,828.14 $263,095.76 $170,961.95 2026-03-17
22 APR_DRG Heart &/or Lung Transplant 2 1 — — $77,652.66 $259,172.51 $168,412.59 2026-03-17
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $77,522.58 $258,738.34 $168,130.46 2026-03-17
1611 APR_DRG Implantable Heart Assist Systems 2 1 — — $76,207.61 $254,349.53 $165,278.57 2026-03-17
63 APR_DRG Pancreas Transplant 2 1 — — $76,172.35 $254,231.83 $165,202.09 2026-03-17
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $74,250.05 $247,816.01 $161,033.03 2026-03-17
5831 APR_DRG Neonate W Ecmo 2 1 — — $74,177.96 $247,575.38 $160,876.67 2026-03-17
64568 CPT Opn Impltj Crnl Nrv Nea&pg 2 1 — — $21,231.67 $298,122.16 $159,676.91 2026-03-17
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 2 1 — — $21,231.67 $298,122.16 $159,676.91 2026-03-17
38240 CPT Transplt Allo Hct/donor 2 1 — — $30,542.66 $285,907.45 $158,225.05 2026-03-17
8424 APR_DRG Burns W Skin Graft Except Extensive 3rd Degree Burns 2 1 — — $69,603.01 $232,306.09 $150,954.55 2026-03-17
13 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $68,492.58 $228,599.93 $148,546.26 2026-03-17
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 1 — — $67,567.09 $225,511.03 $146,539.06 2026-03-17
21 APR_DRG Heart &/or Lung Transplant 2 1 — — $67,241.87 $224,425.59 $145,833.73 2026-03-17
5894 APR_DRG Neonate Bwt < 500g, Or Bwt 500-999g & Gestational Age <24 Wks, Or Bwt 500-749g W… 2 1 — — $67,211.31 $224,323.59 $145,767.45 2026-03-17
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 1 — — $66,665.89 $222,503.20 $144,584.54 2026-03-17
62 APR_DRG Pancreas Transplant 2 1 — — $66,264.66 $221,164.06 $143,714.36 2026-03-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $66,229.40 $221,046.37 $143,637.89 2026-03-17
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $140,081.85 $140,081.85 $140,081.85 2026-03-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $64,225.60 $214,358.53 $139,292.07 2026-03-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 2 1 — — $63,919.20 $213,335.87 $138,627.53 2026-03-17
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 2 1 — — $63,633.16 $212,381.22 $138,007.19 2026-03-17
234 APR_DRG Spinal Procedures 2 1 — — $59,576.99 $198,843.39 $129,210.19 2026-03-17
8634 APR_DRG Neonatal Aftercare 2 1 — — $59,554.27 $198,767.54 $129,160.90 2026-03-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $59,004.93 $196,934.07 $127,969.50 2026-03-17
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $58,619.37 $195,647.25 $127,133.31 2026-03-17
1784 APR_DRG External Heart Assist Systems 2 1 — — $58,474.40 $195,163.38 $126,818.89 2026-03-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $57,329.48 $191,342.13 $124,335.80 2026-03-17
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 2 1 — — $56,478.44 $188,501.70 $122,490.07 2026-03-17
12 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $56,096.02 $187,225.34 $121,660.68 2026-03-17
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 1 — — $55,475.37 $185,153.86 $120,314.61 2026-03-17
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $23,197.19 $217,147.13 $120,172.16 2026-03-17
0571T CPT Insj/rplcmt Icds Ss Eltrd 2 1 — — $23,197.19 $217,147.13 $120,172.16 2026-03-17
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $23,197.19 $217,147.13 $120,172.16 2026-03-17
0408T CPT Insj/rplc Cardiac Modulj Sys 2 1 — — $23,197.19 $217,147.13 $120,172.16 2026-03-17
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $23,197.19 $217,147.13 $120,172.16 2026-03-17
33249 CPT Insert Repositioning Elect Lead Sngl Dual Chamber Def System 2 1 — — $23,197.19 $217,147.13 $120,172.16 2026-03-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $55,400.92 $184,905.39 $120,153.15 2026-03-17
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
0775T CPT All Outpatient 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
21243 CPT Reconstruction Of Jaw Joint 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
27702 CPT Arthroplasty Ankle Wimplant (total Ankle) 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
27295 CPT Amputation Of Leg At Hip 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
27284 CPT Arthrodesis Hip Joint 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
27280 CPT Arthr Si Jt Opn B1grf Instrm 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
27286 CPT Arthrd Hip Jt Sbtrchc Osteot 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
24371 CPT Revise Reconst Elbow Joint 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
28705 CPT Arthrodesis Pantalar 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
27279 CPT Arthrodesis Sacroiliac Joint 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
24363 CPT Replace Elbow Joint 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
25446 CPT Arthrp W/prostc Dst Rds&crps 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
24361 CPT Reconstruct Elbow Joint 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
25442 CPT Arthrp W/prostc Dstl Ulna 2 1 — — $15,836.09 $222,360.61 $119,098.35 2026-03-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $54,473.08 $181,808.64 $118,140.86 2026-03-17
61885 CPT Insrt/redo Neurostim 1 Array 2 1 — — $15,559.63 $218,478.80 $117,019.21 2026-03-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 1 — — $53,647.11 $179,051.90 $116,349.51 2026-03-17
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $53,046.84 $177,048.43 $115,047.63 2026-03-17
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 2 1 — — $52,873.65 $176,470.40 $114,672.02 2026-03-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $52,790.58 $176,193.16 $114,491.87 2026-03-17
11 APR_DRG Liver Transplant &/or Intestinal Transplant 2 1 — — $51,801.62 $172,892.40 $112,347.01 2026-03-17
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $51,696.61 $172,541.92 $112,119.27 2026-03-17
0427T CPT All Outpatient 2 1 — — $21,231.67 $198,748.10 $109,989.88 2026-03-17
61886 CPT Implant Neurostim Arrays 2 1 — — $21,231.67 $198,748.10 $109,989.88 2026-03-17
0431T CPT All Outpatient 2 1 — — $21,231.67 $198,748.10 $109,989.88 2026-03-17
0268T CPT All Outpatient 2 1 — — $21,231.67 $198,748.10 $109,989.88 2026-03-17
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 2 1 — — $21,231.67 $198,748.10 $109,989.88 2026-03-17
0266T CPT All Outpatient 2 1 — — $21,231.67 $198,748.10 $109,989.88 2026-03-17
61 APR_DRG Pancreas Transplant 2 1 — — $50,222.56 $167,622.16 $108,922.36 2026-03-17
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 2 1 — — $50,166.14 $167,433.85 $108,799.99 2026-03-17
4403 APR_DRG Kidney Transplant 2 1 — — $49,927.91 $166,638.74 $108,283.32 2026-03-17
204 APR_DRG Open Craniotomy For Trauma 2 1 — — $49,856.60 $166,400.73 $108,128.67 2026-03-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $49,516.49 $165,265.60 $107,391.05 2026-03-17
4402 APR_DRG Kidney Transplant 2 1 — — $49,443.61 $165,022.36 $107,232.98 2026-03-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 1 — — $49,186.58 $164,164.47 $106,675.52 2026-03-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $48,688.17 $162,501.02 $105,594.60 2026-03-17
914 APR_DRG Other Major Head & Neck Procedures 2 1 — — $48,687.39 $162,498.40 $105,592.89 2026-03-17
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 1 — — $48,423.30 $161,616.98 $105,020.14 2026-03-17
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $48,188.99 $160,834.94 $104,511.96 2026-03-17
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $48,096.52 $160,526.31 $104,311.42 2026-03-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 2 1 — — $47,831.65 $159,642.27 $103,736.96 2026-03-17
4414 APR_DRG Major Bladder Procedures 2 1 — — $47,715.66 $159,255.18 $103,485.42 2026-03-17
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $19,888.01 $186,170.14 $103,029.07 2026-03-17
33289 CPT Tcat Impl Wrls P-art Prs Snr 2 1 — — $19,746.75 $184,847.81 $102,297.28 2026-03-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 2 1 — — $46,906.15 $156,553.37 $101,729.76 2026-03-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 1 — — $46,679.68 $155,797.49 $101,238.58 2026-03-17
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $46,137.39 $153,987.56 $100,062.48 2026-03-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 2 1 — — $46,076.27 $153,783.55 $99,929.91 2026-03-17
1783 APR_DRG External Heart Assist Systems 2 1 — — $46,070.00 $153,762.63 $99,916.32 2026-03-17
6213 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 2 1 — — $45,938.35 $153,323.23 $99,630.79 2026-03-17
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $45,850.58 $153,030.29 $99,440.43 2026-03-17
274 APR_DRG Other Open Craniotomy 2 1 — — $45,827.07 $152,951.82 $99,389.45 2026-03-17
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 2 1 — — $45,535.55 $151,978.86 $98,757.20 2026-03-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 2 1 — — $45,391.36 $151,497.61 $98,444.48 2026-03-17
0308T CPT Insj Ocular Telescope Prosth 2 1 — — $13,082.44 $183,695.61 $98,389.02 2026-03-17
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 1 — — $44,146.14 $147,341.58 $95,743.86 2026-03-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 2 1 — — $44,094.42 $147,168.95 $95,631.68 2026-03-17
1694 APR_DRG Major Abdominal Vascular Procedures 2 1 — — $44,081.88 $147,127.11 $95,604.49 2026-03-17
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $94,815.89 $94,815.89 $94,815.89 2026-03-17
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $43,705.73 $145,871.67 $94,788.70 2026-03-17
37229 CPT Revasc Unil Ini Ves Watherec 2 1 — — $12,422.62 $174,430.80 $93,426.71 2026-03-17
37230 CPT Revasc Uni Ini Ves W Stent 2 1 — — $12,422.62 $174,430.80 $93,426.71 2026-03-17
37231 CPT All Other Professional 2 1 — — $12,422.62 $174,430.80 $93,426.71 2026-03-17
37227 CPT Revasc Uni Wstent Atherectom 2 1 — — $12,422.62 $174,430.80 $93,426.71 2026-03-17
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 2 1 — — $12,422.62 $174,430.80 $93,426.71 2026-03-17
1814 APR_DRG Lower Extremity Arterial Procedures 2 1 — — $42,864.87 $143,065.23 $92,965.05 2026-03-17
214 APR_DRG Open Craniotomy Except Trauma 2 1 — — $42,556.90 $142,037.34 $92,297.12 2026-03-17
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 2 1 — — $42,421.33 $141,584.86 $92,003.10 2026-03-17
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 1 — — $42,177.61 $140,771.44 $91,474.52 2026-03-17
1782 APR_DRG External Heart Assist Systems 2 1 — — $42,118.05 $140,572.66 $91,345.36 2026-03-17
19357 CPT Tissue Expander Placement In Breast Recon Including Subseq Expansions 2 1 — — $12,065.49 $169,416.21 $90,740.85 2026-03-17
2004 APR_DRG Cardiac Structural & Valvular Disorders 2 1 — — $41,625.14 $138,927.51 $90,276.33 2026-03-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 1 — — $41,472.33 $138,417.49 $89,944.91 2026-03-17
6954 APR_DRG Chemotherapy For Acute Leukemia 2 1 — — $41,223.91 $137,588.38 $89,406.15 2026-03-17
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 1 — — $41,202.75 $137,517.76 $89,360.26 2026-03-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $40,941.79 $136,646.80 $88,794.29 2026-03-17
6904 APR_DRG Acute Leukemia 2 1 — — $40,878.32 $136,434.94 $88,656.63 2026-03-17
6504 APR_DRG Splenectomy 2 1 — — $40,707.48 $135,864.76 $88,286.12 2026-03-17
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $40,699.65 $135,838.61 $88,269.13 2026-03-17
93653 CPT Compre Ep Eval Tx Svt 2 1 — — $16,981.37 $158,961.29 $87,971.33 2026-03-17
93654 CPT Compre Ep Eval Tx Vt 2 1 — — $16,981.37 $158,961.29 $87,971.33 2026-03-17
93656 CPT Compre Ep Eval Abltj Atr Fib 2 1 — — $16,981.37 $158,961.29 $87,971.33 2026-03-17
4401 APR_DRG Kidney Transplant 2 1 — — $40,522.54 $135,247.51 $87,885.02 2026-03-17
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 2 1 — — $40,227.11 $134,261.46 $87,244.29 2026-03-17
67027 CPT Implant Eye Drug System 2 1 — — $11,585.60 $162,677.93 $87,131.76 2026-03-17
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $40,090.75 $133,806.36 $86,948.55 2026-03-17
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 2 1 — — $39,890.14 $133,136.80 $86,513.47 2026-03-17
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 2 1 — — $39,735.76 $132,621.54 $86,178.65 2026-03-17
0515T CPT Insj Wcs Lv Compl Sys 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
0294T CPT All Outpatient 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
0409T CPT Insj/rplc Car Modulj Pls Gn 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
33263 CPT Rmvl & Replc Defib Gen Dual Leads 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
G0448 HCPCS Place Perm Pacing Cardiovert 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
C9741 HCPCS All Outpatient 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 2 1 — — $16,501.91 $154,473.18 $85,487.54 2026-03-17
1794 APR_DRG Defibrillator Implants 2 1 — — $39,365.09 $131,384.41 $85,374.75 2026-03-17
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $39,332.96 $131,277.18 $85,305.07 2026-03-17
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $39,267.13 $131,057.47 $85,162.30 2026-03-17
1204 APR_DRG Major Respiratory & Chest Procedures 2 1 — — $39,237.36 $130,958.09 $85,097.73 2026-03-17
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 2 1 — — $39,195.04 $130,816.85 $85,005.95 2026-03-17
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 1 — — $38,787.54 $129,456.79 $84,122.17 2026-03-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $38,217.83 $127,555.32 $82,886.58 2026-03-17
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 2 1 — — $37,928.66 $126,590.20 $82,259.43 2026-03-17
894 APR_DRG Major Cranial/facial Bone Procedures 2 1 — — $37,781.33 $126,098.49 $81,939.91 2026-03-17
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 1 — — $37,641.84 $125,632.93 $81,637.38 2026-03-17
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 2 1 — — $37,583.07 $125,436.76 $81,509.92 2026-03-17
6254 APR_DRG Neonate Bwt 2000-2499g W Other Significant Condition 2 1 — — $37,561.13 $125,363.53 $81,462.33 2026-03-17
3104 APR_DRG Intervertebral Disc Excision & Decompression 2 1 — — $37,455.34 $125,010.44 $81,232.89 2026-03-17
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 2 1 — — $37,397.35 $124,816.89 $81,107.12 2026-03-17
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 2 1 — — $37,362.08 $124,699.19 $81,030.64 2026-03-17
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 2 1 — — $37,206.13 $124,178.71 $80,692.42 2026-03-17
63655 CPT Implant Neuroelectrodes 2 1 — — $15,559.63 $145,652.53 $80,606.08 2026-03-17
64580 CPT Opn Impltj Nea Neuromuscular 2 1 — — $15,559.63 $145,652.53 $80,606.08 2026-03-17
64590 CPT Insrt Replace Periph Sacral Gastric Neurostim Pulse Gen Or Receiver 2 1 — — $15,559.63 $145,652.53 $80,606.08 2026-03-17
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 2 1 — — $36,982.79 $123,433.29 $80,208.04 2026-03-17
1214 APR_DRG Other Respiratory & Chest Procedures 2 1 — — $36,449.13 $121,652.14 $79,050.64 2026-03-17
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 2 1 — — $36,231.27 $120,925.03 $78,578.15 2026-03-17
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 2 1 — — $36,101.19 $120,490.85 $78,296.02 2026-03-17
8633 APR_DRG Neonatal Aftercare 2 1 — — $36,033.01 $120,263.31 $78,148.16 2026-03-17
1824 APR_DRG Other Peripheral Vascular Procedures 2 1 — — $35,931.92 $119,925.91 $77,928.92 2026-03-17
6122 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 1 — — $35,665.48 $119,036.64 $77,351.06 2026-03-17
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 2 1 — — $35,020.53 $116,884.08 $75,952.30 2026-03-17
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 2 1 — — $34,971.95 $116,721.92 $75,846.93 2026-03-17
1781 APR_DRG External Heart Assist Systems 2 1 — — $34,947.66 $116,640.84 $75,794.25 2026-03-17
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 2 1 — — $34,742.34 $115,955.58 $75,348.96 2026-03-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 2 1 — — $34,669.46 $115,712.34 $75,190.90 2026-03-17
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 2 1 — — $34,525.27 $115,231.08 $74,878.17 2026-03-17
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 2 1 — — $34,519.78 $115,212.78 $74,866.28 2026-03-17
2614 APR_DRG Major Biliary Tract Procedures 2 1 — — $34,395.18 $114,796.91 $74,596.05 2026-03-17
8423 APR_DRG Burns W Skin Graft Except Extensive 3rd Degree Burns 2 1 — — $34,370.11 $114,713.21 $74,541.66 2026-03-17
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 2 1 — — $34,040.19 $113,612.09 $73,826.14 2026-03-17
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 2 1 — — $33,807.44 $112,835.29 $73,321.36 2026-03-17
264 APR_DRG Other Nervous System & Related Procedures 2 1 — — $33,772.96 $112,720.20 $73,246.58 2026-03-17
4034 APR_DRG Procedures For Obesity 2 1 — — $33,606.05 $112,163.10 $72,884.58 2026-03-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 2 1 — — $33,580.19 $112,076.79 $72,828.49 2026-03-17
54416 CPT Remv/repl Penis Contain Pros 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
54411 CPT Remov/replc Penis Pros Comp 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
54410 CPT Remove/replace Penis Prosth 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
54401 CPT Insert Self-contd Prosthesis 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
54405 CPT Insert Multi-comp Penis Pros 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
53447 CPT Remove/replace Ur Sphincter 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
53445 CPT Insert Uro/ves Nck Sphincter 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
53444 CPT Insert Tandem Cuff 2 1 — — $13,944.29 $130,531.39 $72,237.84 2026-03-17
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 2 1 — — $33,164.85 $110,690.58 $71,927.71 2026-03-17
3094 APR_DRG Other Significant Hip & Femur Surgery 2 1 — — $33,163.28 $110,685.34 $71,924.31 2026-03-17
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 2 1 — — $33,106.86 $110,497.03 $71,801.95 2026-03-17
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 2 1 — — $33,091.19 $110,444.72 $71,767.96 2026-03-17
304 APR_DRG Percutaneous Intra & Extracranial Vascular Procedures 2 1 — — $32,791.83 $109,445.60 $71,118.71 2026-03-17
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 1 — — $32,672.72 $109,048.04 $70,860.38 2026-03-17
6092 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 1 — — $32,617.08 $108,862.34 $70,739.71 2026-03-17
1764 APR_DRG Insertion, Revision & Replacements Of Pacemaker & Other Cardiac Devices 2 1 — — $32,363.96 $108,017.53 $70,190.74 2026-03-17
33229 CPT Remv&replc Pm Gen Mult Leads 2 1 — — $13,503.36 $126,403.91 $69,953.64 2026-03-17
33221 CPT Insert Pulse Gen Mult Leads 2 1 — — $13,503.36 $126,403.91 $69,953.64 2026-03-17
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 2 1 — — $31,986.24 $106,756.86 $69,371.55 2026-03-17
8154 APR_DRG Other Injury, Poisoning & Toxic Effect Diagnoses 2 1 — — $31,947.84 $106,628.70 $69,288.27 2026-03-17
4804 APR_DRG Major Male Pelvic Procedures 2 1 — — $31,793.46 $106,113.45 $68,953.45 2026-03-17
2304 APR_DRG Major Small Bowel Procedures 2 1 — — $31,643.79 $105,613.89 $68,628.84 2026-03-17
1793 APR_DRG Defibrillator Implants 2 1 — — $31,414.96 $104,850.16 $68,132.56 2026-03-17
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 2 1 — — $31,262.15 $104,340.14 $67,801.14 2026-03-17
0617T CPT All Outpatient 2 1 — — $13,082.44 $122,463.74 $67,773.09 2026-03-17
0616T CPT All Outpatient 2 1 — — $13,082.44 $122,463.74 $67,773.09 2026-03-17
0618T CPT All Outpatient 2 1 — — $13,082.44 $122,463.74 $67,773.09 2026-03-17
2324 APR_DRG Gastric Fundoplication 2 1 — — $31,222.18 $104,206.75 $67,714.46 2026-03-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $31,183.00 $104,075.98 $67,629.49 2026-03-17
3054 APR_DRG Amputation Of Lower Limb Except Toes 2 1 — — $30,813.90 $102,844.08 $66,828.99 2026-03-17
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 2 1 — — $30,801.36 $102,802.23 $66,801.79 2026-03-17
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 2 1 — — $30,776.29 $102,718.53 $66,747.41 2026-03-17
A9543 HCPCS Y90 Ibritumomab, Rx 2 1 — — $66,655.16 $66,655.16 $66,655.16 2026-03-17
1804 APR_DRG Other Circulatory System Procedures 2 1 — — $30,531.79 $101,902.50 $66,217.14 2026-03-17
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 2 1 — — $30,517.68 $101,855.42 $66,186.55 2026-03-17
1653 APR_DRG Coronary Bypass W Ami Or Complex Pdx 2 1 — — $30,509.06 $101,826.65 $66,167.85 2026-03-17
C9782 HCPCS Blind Myocar Trpl Bon Marrow 2 1 — — $12,656.14 $118,473.14 $65,564.64 2026-03-17
C9758 HCPCS Blind Interatrial Shunt Ide 2 1 — — $12,656.14 $118,473.14 $65,564.64 2026-03-17
6302 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 1 — — $30,101.56 $100,466.59 $65,284.07 2026-03-17
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 2 1 — — $30,013.01 $100,171.03 $65,092.02 2026-03-17
61867 CPT Implant Neuroelectrode 2 1 — — $8,643.96 $121,373.21 $65,008.58 2026-03-17
61863 CPT Implant Neuroelectrode 2 1 — — $8,643.96 $121,373.21 $65,008.58 2026-03-17
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 2 1 — — $8,643.96 $121,373.21 $65,008.58 2026-03-17
64569 CPT Revise/repl Vagus N Eltrd 2 1 — — $8,643.96 $121,373.21 $65,008.58 2026-03-17
61888 CPT Revise/remove Neuroreceiver 2 1 — — $8,643.96 $121,373.21 $65,008.58 2026-03-17
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 1 — — $29,755.19 $99,310.54 $64,532.86 2026-03-17
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 2 1 — — $29,326.53 $97,879.86 $63,603.19 2026-03-17
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 1 — — $29,294.40 $97,772.62 $63,533.51 2026-03-17
62360 CPT Insert Spine Infusion Device 2 1 — — $12,249.68 $114,668.29 $63,458.98 2026-03-17
62361 CPT Implant Spine Infusion Pump 2 1 — — $12,249.68 $114,668.29 $63,458.98 2026-03-17
62362 CPT Implant Spine Infusion Pump 2 1 — — $12,249.68 $114,668.29 $63,458.98 2026-03-17
6614 APR_DRG Coagulation & Platelet Disorders 2 1 — — $29,254.44 $97,639.23 $63,446.83 2026-03-17
4014 APR_DRG Adrenal Procedures 2 1 — — $29,236.41 $97,579.07 $63,407.74 2026-03-17
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 2 1 — — $29,006.80 $96,812.73 $62,909.76 2026-03-17
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 1 — — $28,723.91 $95,868.54 $62,296.22 2026-03-17
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 2 1 — — $28,685.51 $95,740.38 $62,212.95 2026-03-17
4844 APR_DRG Other Male Reproductive System & Related Procedures 2 1 — — $28,662.00 $95,661.91 $62,161.96 2026-03-17
6234 APR_DRG Neonate Bwt 2000-2499g W Congenital/perinatal Infection 2 1 — — $28,604.01 $95,468.37 $62,036.19 2026-03-17
734 APR_DRG Orbit & Eye Procedures 2 1 — — $28,585.98 $95,408.21 $61,997.10 2026-03-17
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 2 1 — — $28,460.60 $94,989.73 $61,725.17 2026-03-17
3224 APR_DRG Shoulder & Elbow Joint Replacement 2 1 — — $28,326.60 $94,542.48 $61,434.54 2026-03-17
244 APR_DRG Open Extracranial Vascular Procedures 2 1 — — $28,267.04 $94,343.70 $61,305.37 2026-03-17
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 1 — — $28,185.54 $94,071.69 $61,128.61 2026-03-17
6903 APR_DRG Acute Leukemia 2 1 — — $28,079.75 $93,718.60 $60,899.18 2026-03-17
6264 APR_DRG Neonate Bwt 2000-2499g, Normal Newborn Or Neonate W Other Problem 2 1 — — $28,059.37 $93,650.59 $60,854.98 2026-03-17
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 2 1 — — $28,050.75 $93,621.82 $60,836.29 2026-03-17
3624 APR_DRG Mastectomy Procedures 2 1 — — $27,999.81 $93,451.82 $60,725.82 2026-03-17
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 1 — — $27,768.64 $92,680.24 $60,224.44 2026-03-17
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 2 1 — — $27,661.28 $92,321.92 $59,991.60 2026-03-17
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