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 2,218
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 291
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 · 2026-08-12
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
$2,460,273
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $356,458.97 $3,336,785.13 $1,846,622.05 nat. median
$631,793
outlier · 2.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $344,363.18 $3,223,557.34 $1,783,960.26 nat. median
$691,418
outlier · 2.6×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $321,579.65 $3,010,282.50 $1,665,931.08 nat. median
$610,161
outlier · 2.7×
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $315,321.37 $2,951,699.15 $1,633,510.26 nat. median
$577,541
outlier · 2.8×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $314,556.08 $2,944,535.36 $1,629,545.72 nat. median
$588,565
outlier · 2.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$624,417
outlier · 2.6×
C9073
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$27,071
outlier · 60.2×
Q2040
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$10,345
outlier · 157.5×
C9076
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$27,935
outlier · 58.3×
C9081
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$27,427
outlier · 59.4×
C9098
HCPCS 		All Outpatient 1 $314,527.13 $2,944,264.38 $1,629,395.75 nat. median
$30,221
outlier · 53.9×
5834
APR_DRG 		Neonate W Ecmo 1 $259,837.97 $867,231.80 $563,534.89 nat. median
$311,018
1.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $259,021.40 $864,506.45 $561,763.92 nat. median
$254,667
outlier · 2.2×
5833
APR_DRG 		Neonate W Ecmo 1 $217,852.35 $727,101.15 $472,476.75 nat. median
$250,089
1.9× median
24
APR_DRG 		Heart &/or Lung Transplant 1 $203,567.98 $679,425.82 $441,496.90 nat. median
$243,231
1.8× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $178,885.35 $597,045.42 $387,965.39 nat. median
$180,995
outlier · 2.1×
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
$96,420
outlier · 3.6×
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $158,551.20 $529,178.42 $343,864.81 nat. median
$168,361
outlier · 2.0×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 1 $153,414.38 $512,033.82 $332,724.10 nat. median
$165,646
outlier · 2.0×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $145,596.68 $485,941.59 $315,769.14 nat. median
$209,486
1.5× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $143,660.29 $479,478.69 $311,569.49 nat. median
$156,285
2.0× median
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
$99,613
outlier · 2.9×
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
$89,188
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
$168,174
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $124,580.76 $415,799.11 $270,189.93 nat. median
$127,938
outlier · 2.1×
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $122,045.65 $407,337.97 $264,691.81 nat. median
$108,751
outlier · 2.4×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 1 $121,033.96 $403,961.36 $262,497.66 nat. median
$127,600
outlier · 2.1×
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
$112,711
outlier · 2.3×
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
$123,690
outlier · 2.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $110,675.67 $369,389.68 $240,032.67 nat. median
$165,599
1.4× median
5832
APR_DRG 		Neonate W Ecmo 1 $106,766.04 $356,340.95 $231,553.49 nat. median
$169,230
1.4× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 1 $105,581.16 $352,386.32 $228,983.74 nat. median
$88,000
outlier · 2.6×
64
APR_DRG 		Pancreas Transplant 1 $100,882.40 $336,703.78 $218,793.09 nat. median
$92,994
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
$109,499
2.0× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 1 $99,512.58 $332,131.88 $215,822.23 nat. median
$137,901
1.6× median
23
APR_DRG 		Heart &/or Lung Transplant 1 $98,285.38 $328,036.01 $213,160.70 nat. median
$116,111
1.8× median
5932
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $96,552.73 $322,253.14 $209,402.93 nat. median
$89,063
outlier · 2.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $96,096.65 $320,730.92 $208,413.78 nat. median
$175,480
1.2× median
0424T
CPT 		All Outpatient 1 $39,775.66 $372,336.89 $206,056.27 nat. median
$22,919
outlier · 9.0×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 1 $92,473.05 $308,636.85 $200,554.95 nat. median
$147,847
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
$52,271
outlier · 3.7×
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
$92,000
outlier · 2.1×
5931
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 1 $87,775.07 $292,956.92 $190,365.99 nat. median
$29,157
outlier · 6.5×
6114
APR_DRG 		Neonate Birthwt 1500-1999g W Major Anomaly 1 $86,124.70 $287,448.68 $186,786.69 nat. median
$79,344
outlier · 2.4×
69930
CPT 		Implant Cochlear Device 1 $24,108.92 $338,522.57 $181,315.74 nat. median
$29,361
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
$69,851
outlier · 2.6×
5912
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 1 $82,208.02 $274,376.41 $178,292.21 nat. median
$84,000
outlier · 2.1×
4404
APR_DRG 		Kidney Transplant 1 $81,045.08 $270,495.01 $175,770.04 nat. median
$80,513
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.

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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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