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

ESSENTIA HEALTH ST JOSEPH'S MEDICAL CENTER

Brainerd, MN · CCN 240075 · Rates published

Your selected procedure

You selected 45378 (CPT)

Diagnostic colonoscopy

This hospital’s price: $1,214 across 41 payers · range $881-$3,379

Source: https://www.essentiahealth.org/standard-charges/2026/410695602_Essentia-St-Josephs_standardcharges.csv · observed 2026-01-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

19,644 distinct procedures filed
42 distinct payers
500,167 rate rows
2026-01-01 last MRF observed
Data quality

498,389 of 500,167 rate rows are consumer-grade (99.6%)

1,778 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 773
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 458
per-diem day rate — not a per-procedure price 241
placeholder amount (≤ $0.02) — excluded from medians 202
percent-of-charges filed in the dollar field — excluded from medians 104
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/410695602_Essentia-St-Josephs_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint b4cac8510b0270f5… · 244,077,886 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
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 21 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 24 $3,672,900.00 $3,710,000.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
C9172
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,675,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,508,750
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 24 $3,316,462.59 $3,392,000.00 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 23 $3,193,000.00 $3,286,000.00 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 23 $2,945,740.00 $2,968,000.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 25 $2,254,412.00 $2,455,110.61 $2,455,110.61 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 22 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 21 $770,620.00 $770,620.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 25 $529,192.86 $1,878,497.57 $591,726.20 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 25 $527,123.43 $1,926,566.93 $565,868.95 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 25 $516,485.97 $1,835,219.55 $562,538.19 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 25 $526,587.59 $1,873,963.08 $557,317.93 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $489,455.96 $1,741,738.88 $533,230.17 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 25 $460,530.40 $1,742,119.33 $489,304.61 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate W Ecmo 5 $260,426.64 $957,062.70 $331,968.24 nat. median
$390,362
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 29 $172,422.92 $800,512.13 $295,888.32 nat. median
$168,055
1.8× median
24
APR_DRG 		Heart Or Lung Transplant 5 $197,053.53 $709,507.80 $282,083.63 nat. median
$225,531
1.3× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 21 $278,250.00 $278,250.00 $278,250.00 nat. median
$286,598
1.0× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 5 $213,642.89 $619,104.14 $270,622.27 nat. median
$286,698
0.9× median
5833
APR_DRG 		Neonate W Ecmo 5 $206,269.84 $559,429.20 $261,301.24 nat. median
$268,208
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $182,849.64 $459,958.50 $258,746.91 nat. median
$202,242
1.3× median
J3403
HCPCS 		Revakinagene- Per Implant 21 $257,500.00 $257,500.00 $257,500.00 nat. median
$264,195
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $182,469.50 $611,034.30 $213,295.12 nat. median
$173,018
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 21 $205,640.00 $205,640.00 $205,640.00 nat. median
$207,733
1.0× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $142,784.34 $359,241.30 $198,226.95 nat. median
$155,539
1.3× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 $96,249.48 $242,070.30 $197,038.07 nat. median
$187,567
1.1× median
5832
APR_DRG 		Neonate W Ecmo 5 $143,595.14 $361,235.70 $192,684.60 nat. median
$201,678
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $128,785.47 $597,916.34 $192,019.62 nat. median
$186,516
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 3 $188,109.80 $188,109.80 $188,109.80 nat. median
$2,106
outlier · 89.3×
114
APR_DRG 		Psychiatric 4 $111,883.68 $281,459.70 $187,769.04 nat. median
$135,803
1.4× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 4 $169,349.78 $497,353.50 $184,064.90 nat. median
$198,578
0.9× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 5 $139,297.97 $572,392.80 $177,593.68 nat. median
$168,439
1.1× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 5 $137,630.26 $427,566.95 $174,345.02 nat. median
$173,134
1.0× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 5 $134,558.16 $581,367.60 $171,496.58 nat. median
$171,497
1.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 5 $134,733.70 $346,571.87 $170,717.58 nat. median
$152,383
1.1× median
5831
APR_DRG 		Neonate W Ecmo 5 $117,486.94 $295,420.50 $166,514.11 nat. median
$173,909
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $129,203.92 $325,835.10 $164,715.80 nat. median
$149,836
1.1× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 4 $124,852.54 $314,118.00 $163,088.29 nat. median
$181,762
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 5 $125,911.14 $316,611.00 $162,143.84 nat. median
$135,630
1.2× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 5 $124,882.28 $314,118.00 $160,614.89 nat. median
$136,566
1.2× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $114,643.18 $288,440.10 $159,159.15 nat. median
$109,992
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 5 $120,819.35 $303,896.70 $158,743.25 nat. median
$152,792
1.0× median
23
APR_DRG 		Heart Or Lung Transplant 5 $121,918.64 $338,549.40 $155,369.29 nat. median
$117,894
1.3× median
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 5 $108,911.07 $273,980.70 $151,200.36 nat. median
$108,954
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $108,460.64 $503,587.60 $146,293.52 nat. median
$131,925
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 31 $97,985.28 $454,920.29 $145,434.96 nat. median
$145,435
1.0× median
E0766
HCPCS 		Elec Stim Cancer Treatment 2 $137,604.96 $149,026.20 $143,315.58 nat. median
$16,158
outlier · 8.9×
6034
APR_DRG 		Neonate Birthwt 10001249g W Or Wo Other Significant Condition 5 $112,000.13 $338,798.70 $141,873.77 nat. median
$115,963
1.2× median

Other procedures at this hospital

Browse this hospital's 19,644 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 21 21 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-01-01
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 24 24 — — $3,672,900.00 $3,710,000.00 $3,685,266.67 2026-01-01
C9172 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1414 HCPCS Inj- Beqvez- Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-01-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 24 24 — — $3,316,462.59 $3,392,000.00 $3,316,462.59 2026-01-01
J3394 HCPCS Inj- Lovotibeglogene Autotem 23 23 — — $3,193,000.00 $3,286,000.00 $3,248,445.72 2026-01-01
J3393 HCPCS Inj- Betibeglogene Autotemce 23 23 — — $2,945,740.00 $2,968,000.00 $2,945,740.00 2026-01-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 25 25 — — $2,254,412.00 $2,455,110.61 $2,455,110.61 2026-01-01
J3392 HCPCS Inj- Exagamglogene Autotem 22 22 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
Q2057 HCPCS Afamitresgene Autoleucel 21 21 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 25 25 — — $529,192.86 $1,878,497.57 $591,726.20 2026-01-01
Q2056 HCPCS Ciltacabtagene Car-pos T 25 25 — — $527,123.43 $1,926,566.93 $565,868.95 2026-01-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 25 25 — — $516,485.97 $1,835,219.55 $562,538.19 2026-01-01
Q2055 HCPCS Idecabtagene Vicleucel Car 25 25 — — $526,587.59 $1,873,963.08 $557,317.93 2026-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 25 25 — — $489,455.96 $1,741,738.88 $533,230.17 2026-01-01
Q2053 HCPCS Brexucabtagene Car Pos T 25 25 — — $460,530.40 $1,742,119.33 $489,304.61 2026-01-01
5834 APR_DRG Neonate W Ecmo 5 5 — — $260,426.64 $957,062.70 $331,968.24 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 32 29 — — $172,422.92 $800,512.13 $295,888.32 2026-01-01
24 APR_DRG Heart Or Lung Transplant 5 5 — — $197,053.53 $709,507.80 $282,083.63 2026-01-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 21 21 — — $278,250.00 $278,250.00 $278,250.00 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 5 5 — — $213,642.89 $619,104.14 $270,622.27 2026-01-01
5833 APR_DRG Neonate W Ecmo 5 5 — — $206,269.84 $559,429.20 $261,301.24 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 5 5 — — $182,849.64 $459,958.50 $258,746.91 2026-01-01
J3403 HCPCS Revakinagene- Per Implant 21 21 — — $257,500.00 $257,500.00 $257,500.00 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $182,469.50 $611,034.30 $213,295.12 2026-01-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 21 21 — — $205,640.00 $205,640.00 $205,640.00 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 5 5 — — $142,784.34 $359,241.30 $198,226.95 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 4 — — $96,249.48 $242,070.30 $197,038.07 2026-01-01
5832 APR_DRG Neonate W Ecmo 5 5 — — $143,595.14 $361,235.70 $192,684.60 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 29 — — $128,785.47 $597,916.34 $192,019.62 2026-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 3 3 — — $188,109.80 $188,109.80 $188,109.80 2026-01-01
114 APR_DRG Psychiatric 4 4 — — $111,883.68 $281,459.70 $187,769.04 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 4 4 — — $169,349.78 $497,353.50 $184,064.90 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 5 5 — — $139,297.97 $572,392.80 $177,593.68 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 5 5 — — $137,630.26 $427,566.95 $174,345.02 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 5 5 — — $134,558.16 $581,367.60 $171,496.58 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 5 5 — — $134,733.70 $346,571.87 $170,717.58 2026-01-01
5831 APR_DRG Neonate W Ecmo 5 5 — — $117,486.94 $295,420.50 $166,514.11 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $129,203.92 $325,835.10 $164,715.80 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 4 4 — — $124,852.54 $314,118.00 $163,088.29 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 5 5 — — $125,911.14 $316,611.00 $162,143.84 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 5 5 — — $124,882.28 $314,118.00 $160,614.89 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 5 5 — — $114,643.18 $288,440.10 $159,159.15 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 5 5 — — $120,819.35 $303,896.70 $158,743.25 2026-01-01
23 APR_DRG Heart Or Lung Transplant 5 5 — — $121,918.64 $338,549.40 $155,369.29 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 5 5 — — $108,911.07 $273,980.70 $151,200.36 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 31 — — $108,460.64 $503,587.60 $146,293.52 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 34 31 — — $97,985.28 $454,920.29 $145,434.96 2026-01-01
E0766 HCPCS Elec Stim Cancer Treatment 2 2 — — $137,604.96 $149,026.20 $143,315.58 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 5 5 — — $112,000.13 $338,798.70 $141,873.77 2026-01-01
64 APR_DRG Pancreas Transplant 5 5 — — $111,297.94 $295,420.50 $141,841.31 2026-01-01
J7330 HCPCS Autologous Cultured Chondrocytes Sheet 22 18 $197,466.00 $132,894.62 33% off $62,399.26 $167,846.10 $140,891.99 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $140,790.46 $140,790.46 $140,790.46 2026-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 3 3 — — $129,836.82 $129,836.82 $129,836.82 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 5 — — $99,887.27 $433,782.00 $127,299.57 2026-01-01
0424T CPT Insj/rplc Nstim Apnea Compl 2 2 — — $26,895.24 $208,451.90 $117,673.57 2026-01-01
22 APR_DRG Heart Or Lung Transplant 5 5 — — $90,407.63 $251,045.10 $115,301.17 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 5 5 — — $89,617.66 $445,000.50 $114,204.61 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 5 5 — — $88,739.92 $228,126.95 $112,372.75 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 5 5 — — $87,598.85 $244,563.30 $110,959.37 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $83,612.68 $210,409.20 $109,487.04 2026-01-01
Q0480 HCPCS Driver Pneumatic Vad- Rep 25 25 — — $93,139.38 $108,727.22 $108,727.22 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 5 5 — — $84,351.20 $348,521.40 $107,520.06 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 4 4 — — $73,844.29 $343,036.80 $105,356.08 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 5 5 — — $72,852.75 $261,515.70 $104,006.62 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 5 5 — — $66,731.55 $167,778.90 $103,189.62 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 5 5 — — $78,821.41 $302,899.50 $100,470.74 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 5 — — $78,733.64 $342,039.60 $100,378.99 2026-01-01
63 APR_DRG Pancreas Transplant 5 5 — — $78,206.99 $208,664.10 $99,735.60 2026-01-01
21 APR_DRG Heart Or Lung Transplant 5 5 — — $77,504.80 $215,395.20 $98,843.80 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 5 — — $70,722.12 $178,000.20 $98,652.54 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 5 — — $76,714.83 $376,941.60 $97,777.45 2026-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 3 3 — — $97,767.68 $97,767.68 $97,767.68 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $76,188.18 $226,364.40 $97,071.40 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 4 4 — — $57,932.26 $332,316.90 $95,218.05 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 4 — — $71,329.73 $179,496.00 $95,204.37 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 34 31 — — $64,602.36 $299,932.53 $94,909.72 2026-01-01
4404 APR_DRG Kidney Transplant 5 5 — — $73,993.82 $197,944.20 $94,369.16 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 4 4 — — $66,144.76 $166,283.10 $92,501.55 2026-01-01
113 APR_DRG Pediatric 4 4 — — $69,427.61 $174,510.00 $92,424.76 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 5 5 — — $71,009.49 $353,258.10 $90,517.77 2026-01-01
7 MS_DRG Lung Transplant 32 29 — — $59,750.55 $277,405.38 $88,734.70 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 5 5 — — $57,913.83 $145,591.20 $87,808.03 2026-01-01
1784 APR_DRG External Heart Assist Systems 5 5 — — $68,815.13 $206,919.00 $87,221.99 2026-01-01
62 APR_DRG Pancreas Transplant 5 5 — — $67,937.39 $181,241.10 $86,580.22 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 4 4 — — $53,466.32 $134,372.70 $85,839.83 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 5 5 — — $66,620.77 $193,456.80 $84,370.75 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $65,391.93 $193,456.80 $83,322.99 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 32 29 — — $59,901.43 $278,105.91 $82,346.59 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 5 5 — — $56,458.75 $142,101.00 $80,298.50 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 5 5 — — $62,144.28 $215,395.20 $79,176.19 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 5 5 — — $59,331.25 $149,330.70 $78,984.08 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 4 4 — — $70,613.84 $215,145.90 $78,311.99 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 5 5 — — $61,090.98 $163,042.20 $77,824.51 2026-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $77,649.90 $77,649.90 $77,649.90 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 29 — — $50,382.07 $233,926.19 $77,645.44 2026-01-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 23 22 — — $77,556.36 $144,435.81 $77,556.36 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 5 — — $60,125.46 $197,196.30 $76,592.56 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 5 5 — — $60,213.24 $169,274.70 $76,285.19 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 5 — — $59,686.59 $263,759.40 $76,065.54 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $59,598.82 $177,003.00 $75,930.15 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 5 5 — — $44,560.39 $112,185.00 $75,720.28 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 31 — — $47,893.53 $222,503.40 $75,517.21 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 5 — — $40,654.07 $102,213.00 $74,696.10 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 4 4 — — $48,097.48 $253,538.10 $74,591.30 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 34 31 — — $49,806.91 $231,238.73 $74,509.28 2026-01-01
7594 APR_DRG Eating Disorders 4 4 — — $36,166.91 $102,632.49 $74,505.77 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $44,360.16 $111,686.40 $74,430.33 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 5 5 — — $57,755.56 $160,299.90 $73,163.72 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $66,964.16 $195,949.80 $72,642.35 2026-01-01
8634 APR_DRG Neonatal Aftercare 4 4 — — $64,854.22 $163,042.20 $72,619.15 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 5 5 — — $45,602.14 $114,678.00 $72,381.97 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $59,119.13 $148,582.80 $71,727.89 2026-01-01
1794 APR_DRG Defibrillator Implants 5 5 — — $55,236.60 $138,860.10 $71,061.99 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 4 4 — — $50,600.76 $127,392.30 $70,987.20 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 5 5 — — $39,761.99 $99,969.30 $70,676.12 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 29 — — $48,689.06 $226,048.48 $70,647.49 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 4 4 — — $61,756.72 $155,313.90 $69,495.80 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 5 5 — — $54,244.58 $144,843.30 $69,097.90 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 5 5 — — $54,507.90 $164,787.30 $69,040.32 2026-01-01
215 MS_DRG Other Heart Assist System Implant 34 31 — — $48,439.43 $224,893.68 $68,225.31 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 5 5 — — $53,454.61 $175,008.60 $68,168.06 2026-01-01
61 APR_DRG Pancreas Transplant 5 5 — — $53,366.84 $142,350.30 $68,056.17 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 4 4 — — $57,588.72 $144,843.30 $67,764.57 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $53,015.74 $156,809.70 $67,609.71 2026-01-01
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 23 23 — — $65,871.74 $67,452.66 $67,452.66 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 5 5 — — $53,103.51 $134,372.70 $67,259.96 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 31 — — $44,124.83 $204,858.69 $67,031.70 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 5 5 — — $52,840.19 $139,857.30 $66,907.45 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $50,831.71 $127,890.90 $65,839.24 2026-01-01
1783 APR_DRG External Heart Assist Systems 5 5 — — $50,909.15 $135,868.50 $64,526.59 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 4 — — $55,150.37 $138,610.80 $64,463.85 2026-01-01
234 APR_DRG Spinal Procedures 5 5 — — $50,558.05 $155,563.20 $64,099.58 2026-01-01
4403 APR_DRG Kidney Transplant 5 5 — — $48,802.57 $160,299.90 $63,716.32 2026-01-01
38240 CPT Transplt Allo Hct/donor 25 25 — — $52,684.72 $202,028.94 $63,527.66 2026-01-01
J9029 HCPCS Instill Adstiladrin- Tx Dose 24 24 — — $61,800.00 $63,402.04 $63,342.28 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 5 5 — — $49,943.63 $132,378.30 $63,221.07 2026-01-01
4414 APR_DRG Major Bladder Procedures 5 5 — — $49,855.86 $126,395.10 $63,209.95 2026-01-01
G0448 HCPCS Place Perm Pacing Cardiovert 2 2 — — $39,478.13 $86,481.43 $62,979.78 2026-01-01
0431T CPT Rmvl/rplc Nstim Apnea Pls Gn 2 2 — — $14,356.30 $111,268.64 $62,812.47 2026-01-01
0427T CPT Insj/rplc Nstim Apnea Pls Gn 2 2 — — $14,356.30 $111,268.64 $62,812.47 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 4 4 — — $35,771.42 $89,997.30 $62,630.00 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 5 5 — — $47,290.15 $118,916.10 $62,417.08 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 5 5 — — $48,539.24 $173,512.80 $61,908.71 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 31 — — $38,133.22 $177,041.52 $61,733.73 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 4 4 — — $52,654.57 $176,753.70 $61,608.62 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 4 4 — — $52,921.16 $133,126.20 $60,531.76 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 4 — — $40,025.65 $100,717.20 $60,403.49 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 5 5 — — $47,310.40 $161,047.80 $60,254.92 2026-01-01
1782 APR_DRG External Heart Assist Systems 5 5 — — $47,485.95 $133,624.80 $60,118.51 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 5 5 — — $46,959.30 $125,397.90 $59,477.98 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 34 31 — — $42,116.81 $195,537.48 $59,334.85 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 5 5 — — $37,922.32 $95,481.90 $59,305.62 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $57,491.58 $144,594.00 $59,074.94 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 5 5 — — $46,257.11 $159,801.30 $58,960.31 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 5 5 — — $46,169.33 $153,319.50 $58,899.88 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $33,836.59 $85,011.30 $58,772.96 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 5 5 — — $34,427.35 $86,507.10 $58,456.03 2026-01-01
6904 APR_DRG Acute Leukemia 4 4 — — $57,762.12 $147,585.60 $58,423.86 2026-01-01
204 APR_DRG Craniotomy For Trauma 5 5 — — $46,081.56 $131,879.70 $58,325.92 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 5 5 — — $45,818.24 $132,378.30 $58,056.81 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 5 5 — — $45,467.14 $151,823.70 $57,955.50 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 34 31 — — $38,742.67 $179,873.34 $57,761.63 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 34 31 — — $38,721.18 $179,771.44 $57,580.05 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 5 5 — — $44,940.49 $123,652.80 $56,960.35 2026-01-01
A9543 HCPCS Y90 Ibritumomab- Rx 25 25 — — $56,824.55 $65,476.58 $56,824.55 2026-01-01
7524 APR_DRG Disorders Of Personality & Impulse Control 4 4 — — $36,709.09 $92,241.00 $56,290.85 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $44,238.30 $120,910.50 $56,014.01 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 5 5 — — $30,254.40 $76,036.50 $56,014.01 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 4 4 — — $53,225.46 $133,874.10 $55,847.85 2026-01-01
274 APR_DRG Other Open Craniotomy 5 5 — — $43,974.97 $120,910.50 $55,726.00 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 5 — — $43,448.33 $161,297.10 $55,437.88 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 25 25 — — $53,472.87 $55,536.49 $55,272.32 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 5 5 — — $43,448.33 $112,683.60 $55,027.64 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $43,272.78 $137,115.00 $54,863.06 2026-01-01
4402 APR_DRG Kidney Transplant 5 5 — — $41,868.39 $137,364.30 $54,646.84 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 4 4 — — $49,660.99 $148,582.80 $54,541.40 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 4 4 — — $45,363.26 $114,179.40 $54,531.57 2026-01-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 5 — — $31,550.89 $79,277.40 $54,270.35 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 34 31 — — $36,855.35 $171,108.29 $53,916.98 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $37,676.50 $94,734.00 $53,672.08 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 5 5 — — $42,307.26 $112,683.60 $53,652.06 2026-01-01
1781 APR_DRG External Heart Assist Systems 5 5 — — $42,307.26 $128,140.20 $53,620.93 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 5 5 — — $41,956.16 $232,846.20 $53,462.95 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 5 5 — — $42,131.71 $116,921.70 $53,362.94 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 5 5 — — $41,692.84 $636,712.20 $53,202.24 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 5 5 — — $41,780.61 $112,434.30 $52,930.36 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 4 4 — — $45,665.58 $114,927.30 $52,837.15 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 34 31 — — $35,375.85 $164,241.04 $52,611.67 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 5 5 — — $41,323.13 $103,958.10 $52,564.50 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $41,166.19 $108,694.80 $52,467.10 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 4 4 — — $47,535.97 $119,664.00 $52,394.31 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 34 31 — — $35,736.58 $165,913.80 $52,384.87 2026-01-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $31,204.96 $78,529.50 $52,284.27 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 34 31 — — $34,126.32 $158,439.42 $52,211.52 2026-01-01
1793 APR_DRG Defibrillator Implants 5 5 — — $40,902.87 $104,456.70 $51,814.99 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 5 5 — — $40,815.10 $108,694.80 $51,655.97 2026-01-01
0613T CPT Perq Tcat Intratrl Septl Sht 2 2 — — $37,794.89 $65,103.10 $51,448.99 2026-01-01
S2208 HCPCS Minimally Invasive Direct Co 2 2 — — $37,794.89 $65,103.10 $51,448.99 2026-01-01
S2206 HCPCS Minimally Invasive Direct Co 2 2 — — $37,794.89 $65,103.10 $51,448.99 2026-01-01
S2207 HCPCS Minimally Invasive Direct Co 2 2 — — $37,794.89 $65,103.10 $51,448.99 2026-01-01
S2209 HCPCS Minimally Invasive Direct Co 2 2 — — $37,794.89 $65,103.10 $51,448.99 2026-01-01
S2205 HCPCS Minimally Invasive Direct Co 2 2 — — $37,794.89 $65,103.10 $51,448.99 2026-01-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 5 5 — — $34,601.80 $87,005.70 $51,172.24 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 5 5 — — $40,200.68 $112,932.90 $50,942.05 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 4 4 — — $45,725.52 $137,364.30 $50,301.50 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 5 5 — — $39,235.16 $108,196.20 $49,689.90 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 34 31 — — $32,473.54 $150,691.20 $49,461.81 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 5 5 — — $37,144.23 $93,487.50 $49,327.38 2026-01-01
1652 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 5 5 — — $31,348.68 $78,778.80 $49,325.16 2026-01-01
1663 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 5 5 — — $30,379.29 $76,285.80 $49,306.25 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 5 5 — — $28,051.95 $70,551.90 $49,195.05 2026-01-01
10 MS_DRG Pancreas Transplant 32 29 — — $36,452.56 $169,242.35 $49,167.86 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 34 31 — — $30,535.93 $141,771.20 $49,147.30 2026-01-01
112 APR_DRG OB 4 4 — — $36,775.50 $92,490.30 $48,957.10 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 29 — — $36,243.62 $168,267.99 $48,886.24 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 34 31 — — $32,310.32 $150,007.66 $48,857.46 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 5 5 — — $38,445.19 $101,465.10 $48,732.45 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 4 4 — — $47,345.66 $119,165.40 $48,726.60 2026-01-01
90288 CPT Botulism Ig IV 1 1 — — $48,705.00 $48,705.00 $48,705.00 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 5 5 — — $37,861.86 $95,232.60 $48,603.45 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 5 5 — — $37,247.31 $93,736.80 $48,433.31 2026-01-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 5 5 — — $36,929.14 $92,988.90 $48,412.18 2026-01-01
L7181 HCPCS Electronic Elbo Simultaneous 25 25 — — $41,436.03 $48,370.76 $48,370.76 2026-01-01
0266T CPT Implt/rpl Crtd Sns Dev Total 25 25 — — $45,000.50 $174,430.94 $48,337.23 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 24 24 — — $45,000.50 $174,430.94 $48,337.23 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $38,094.09 $108,694.80 $48,312.10 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 5 5 — — $38,006.32 $107,697.60 $48,204.23 2026-01-01
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 5 5 — — $37,742.99 $126,145.80 $48,126.73 2026-01-01
1621 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 5 5 — — $25,817.79 $64,818.00 $47,800.57 2026-01-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 5 5 — — $37,742.99 $100,218.60 $47,770.54 2026-01-01
4401 APR_DRG Kidney Transplant 5 5 — — $37,391.89 $110,190.60 $47,637.75 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 5 5 — — $37,567.44 $119,664.00 $47,589.28 2026-01-01
6504 APR_DRG Splenectomy 4 4 — — $43,225.24 $108,694.80 $47,548.65 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 5 5 — — $37,479.67 $111,437.10 $47,469.18 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 31 — — $31,805.12 $147,672.58 $47,359.62 2026-01-01
2314 APR_DRG Major Large Bowel Procedures 5 5 — — $32,253.65 $81,022.50 $47,224.54 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 34 31 — — $30,484.27 $141,531.32 $47,127.34 2026-01-01
C1826 HCPCS Gen- Neuro- Clo Loop- Rechg 23 23 — — $31.55 $47,000.00 $47,000.00 2026-01-01
L7180 HCPCS Electronic Elbow Sequential 25 25 — — $40,244.99 $46,980.38 $46,980.38 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 5 5 — — $36,865.25 $135,369.90 $46,971.98 2026-01-01
0775T CPT Arthrd Si Jt Prq Iartic Impl 2 2 — — $10,707.94 $82,992.02 $46,849.98 2026-01-01
8633 APR_DRG Neonatal Aftercare 4 4 — — $41,087.22 $103,459.50 $46,594.90 2026-01-01
1632 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 5 5 — — $27,204.48 $68,308.20 $46,262.63 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 31 — — $31,218.99 $144,942.66 $46,121.46 2026-01-01
7114 APR_DRG Postop Posttrauma Other Device Infections W Or Procedure 4 4 — — $39,374.43 $98,972.10 $45,964.65 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 34 31 — — $28,284.22 $131,316.41 $45,815.86 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 34 31 — — $30,653.89 $142,316.76 $45,782.29 2026-01-01
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 4 4 — — $40,271.46 $101,215.80 $45,317.68 2026-01-01
J9226 HCPCS Supprelin La Implant 47 41 $132,981.50 $89,496.55 33% off $42,022.15 $113,034.28 $45,261.79 2026-01-01
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 5 5 — — $26,737.62 $67,311.00 $45,183.96 2026-01-01
294 APR_DRG Other Percutaneous Intracranial Procedures 5 5 — — $35,258.97 $88,750.80 $45,178.40 2026-01-01
3094 APR_DRG Other Significant Hip & Femur Surgery 5 5 — — $35,373.08 $114,179.40 $45,098.88 2026-01-01
7504 APR_DRG Schizophrenia 4 4 — — $27,226.05 $105,453.90 $45,054.32 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 31 — — $27,200.20 $126,287.49 $45,053.92 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 31 — — $29,525.52 $137,077.69 $45,053.92 2026-01-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $28,355.26 $71,299.80 $44,903.73 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 31 — — $28,155.29 $130,717.78 $44,890.16 2026-01-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami 5 5 — — $32,712.57 $82,269.00 $44,693.56 2026-01-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 5 5 — — $35,197.53 $90,246.60 $44,576.79 2026-01-01
250 EAPG Cochlear Device Implantation 2 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 5 5 — — $34,758.66 $148,333.50 $44,260.79 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 5 5 — — $34,670.89 $509,319.90 $44,165.68 2026-01-01
2324 APR_DRG Gastric Fundoplication 5 5 — — $34,846.44 $94,235.40 $44,091.95 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 31 — — $29,568.04 $137,296.34 $44,090.53 2026-01-01
2294 APR_DRG Other Digestive System & Abdominal Procedures 5 5 — — $32,134.70 $80,773.20 $43,966.29 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 4 4 — — $41,671.04 $104,706.00 $43,907.71 2026-01-01
82 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $22,668.74 $57,089.70 $43,898.25 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 5 5 — — $34,583.11 $95,980.50 $43,793.93 2026-01-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $27,957.79 $70,302.60 $43,652.70 2026-01-01
6213 APR_DRG Neonate Bwt 20002499g W Major Anomaly 4 4 — — $34,005.85 $132,876.90 $43,530.02 2026-01-01
6082 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 5 5 — — $34,144.24 $116,672.40 $43,525.65 2026-01-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 5 5 — — $33,968.69 $86,257.80 $43,007.72 2026-01-01
6122 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 4 4 — — $38,457.30 $118,916.10 $42,979.35 2026-01-01
6143 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 4 4 — — $40,831.49 $102,711.60 $42,843.53 2026-01-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 5 5 — — $33,529.82 $113,431.50 $42,798.34 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 5 5 — — $33,705.37 $105,952.50 $42,750.84 2026-01-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $33,607.63 $84,512.70 $42,738.68 2026-01-01
913 APR_DRG Other Major Head & Neck Procedures 5 5 — — $27,255.03 $68,557.50 $42,705.25 2026-01-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 5 5 — — $33,617.60 $99,969.30 $42,568.47 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 4 4 — — $41,964.64 $107,448.30 $42,454.75 2026-01-01
2234 APR_DRG Other Small & Large Bowel Procedures 5 5 — — $24,731.43 $62,325.00 $42,277.12 2026-01-01
244 APR_DRG Extracranial Vascular Procedures 5 5 — — $31,940.43 $80,274.60 $42,274.89 2026-01-01
1792 APR_DRG Defibrillator Implants 5 5 — — $32,728.43 $82,269.00 $42,217.07 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 34 31 — — $27,389.94 $127,164.21 $41,991.77 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 34 31 — — $28,914.70 $134,243.75 $41,943.12 2026-01-01
3624 APR_DRG Mastectomy Procedures 5 5 — — $33,003.17 $91,742.40 $41,833.42 2026-01-01
1631 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 5 5 — — $25,118.00 $63,072.90 $41,807.84 2026-01-01
1693 APR_DRG Major Thoracic Abdominal Vascular Procedures 5 5 — — $30,119.59 $75,787.20 $41,643.26 2026-01-01
4034 APR_DRG Procedures For Obesity 5 5 — — $32,827.63 $89,748.00 $41,615.46 2026-01-01
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 4 4 — — $33,708.73 $84,762.00 $41,604.23 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 34 31 — — $27,928.98 $129,666.99 $41,540.90 2026-01-01
1662 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 5 5 — — $24,304.22 $61,078.50 $41,519.83 2026-01-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 5 5 — — $27,711.97 $69,804.00 $41,383.05 2026-01-01
893 APR_DRG Major CranialFacial Bone Procedures 5 5 — — $32,053.43 $80,523.90 $41,306.32 2026-01-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 5 5 — — $32,564.30 $88,002.90 $41,285.19 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 34 31 — — $27,795.47 $129,047.13 $41,168.84 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 34 31 — — $28,320.80 $131,486.23 $41,157.19 2026-01-01
2244 APR_DRG Peritoneal Adhesiolysis 5 5 — — $31,397.25 $79,028.10 $41,058.33 2026-01-01
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