Price Transparency 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 VIRGINIA

Virginia, MN · CCN 240084 · Rates published

19,213 distinct procedures filed
49 distinct payers
557,388 rate rows
2026-01-01 last MRF observed
Data quality

551,161 of 557,388 rate rows are consumer-grade (98.9%)

6,227 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
template filing: same amount across many unrelated codes — excluded 5,576
placeholder amount (≤ $0.02) — excluded from medians 249
per-diem day rate — not a per-procedure price 240
percent-of-charges filed in the dollar field — excluded from medians 138
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 24
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/460909870_Essentia-Virginia_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 7b6992e7c75e28c7… · 298,209,042 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
CPT 		Inj- Atidarsagene Autotemcel 22 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
CPT 		Inj- Hemgenix- Per Tx Dose 25 $3,672,900.00 $3,710,000.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
C9172
CPT 		Inj Beqvez Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1414
CPT 		Inj- Beqvez- Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 25 $3,316,462.59 $3,392,000.00 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj- Lovotibeglogene Autotem 24 $3,193,000.00 $3,286,000.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj- Betibeglogene Autotemce 24 $2,945,740.00 $2,968,000.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 25 $2,278,010.83 $2,455,110.61 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
CPT 		Inj- Exagamglogene Autotem 23 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
CPT 		Afamitresgene Autoleucel 22 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
CPT 		Tisagenlecleucel Car-pos T 27 $529,192.86 $1,805,707.12 $591,726.20 nat. median
$754,974
0.8× median
Q2056
CPT 		Ciltacabtagene Car-pos T 25 $527,123.43 $1,851,913.83 $565,868.95 nat. median
$675,122
0.8× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 25 $516,485.97 $1,764,106.10 $562,538.19 nat. median
$674,188
0.8× median
Q2055
CPT 		Idecabtagene Vicleucel Car 25 $526,587.59 $1,801,348.34 $557,317.93 nat. median
$625,184
0.9× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 27 $489,455.96 $1,674,247.74 $533,230.17 nat. median
$634,511
0.8× median
Q2053
CPT 		Brexucabtagene Car Pos T 27 $460,530.40 $1,674,613.44 $489,304.61 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate W Ecmo 13 $260,426.64 $936,897.53 $390,361.97 nat. median
$309,665
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 28 $286,046.72 $615,510.61 $294,868.32 nat. median
$370,174
0.8× median
Q2058
CPT 		Obecbtge Autol Up To 400 Mil 22 $278,250.00 $278,250.00 $278,250.00 nat. median
$324,450
0.9× median
J3403
CPT 		Revakinagene- Per Implant 22 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $181,211.51 $606,091.28 $254,666.60 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate W Ecmo 13 $163,744.68 $547,704.81 $252,888.58 nat. median
$244,017
1.0× median
24
APR_DRG 		Heart Or Lung Transplant 13 $197,053.53 $694,565.47 $225,530.55 nat. median
$234,738
1.0× median
J3402
CPT 		Inj. Remestemcel-l-rknd/ Td 22 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
114
APR_DRG 		Psychiatric 12 $82,383.13 $275,487.61 $198,309.46 nat. median
$117,173
1.7× median
5832
APR_DRG 		Neonate W Ecmo 13 $105,733.53 $353,569.72 $194,172.15 nat. median
$156,126
1.2× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 13 $134,629.65 $450,224.80 $193,278.30 nat. median
$207,730
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 28 $191,357.68 $459,734.82 $191,357.68 nat. median
$265,286
0.7× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 $70,853.87 $236,992.02 $185,770.26 nat. median
$150,721
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 12 $165,062.83 $598,298.45 $183,225.66 nat. median
$160,267
1.1× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 12 $145,575.15 $486,858.21 $167,444.50 nat. median
$162,982
1.0× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $125,148.66 $418,579.98 $165,628.52 nat. median
$182,736
0.9× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 12 $91,942.20 $307,420.42 $164,388.59 nat. median
$122,924
1.3× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 13 $134,558.16 $569,155.24 $161,780.72 nat. median
$164,279
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 13 $95,371.79 $318,922.96 $153,561.93 nat. median
$187,294
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 13 $88,950.43 $297,489.62 $152,792.37 nat. median
$164,834
0.9× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 13 $139,297.97 $560,259.25 $150,011.84 nat. median
$151,838
1.0× median
E0766
CPT 		Elec Stim Cancer Treatment 1 $149,026.20 $149,026.20 $149,026.20 nat. median
$16,785
outlier · 8.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 $145,789.20 $427,461.13 $145,789.20 nat. median
$206,368
0.7× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $101,441.43 $339,287.33 $145,335.69 nat. median
$145,336
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 30 $144,933.61 $386,176.00 $144,933.61 nat. median
$202,986
0.7× median
5831
APR_DRG 		Neonate W Ecmo 13 $86,469.45 $289,284.32 $141,137.35 nat. median
$145,122
1.0× median
J7330
CPT 		Autologous Cultured Chondrocytes Sheet 21 $45,417.18 $178,509.26 $139,805.93 nat. median
$76,377
1.8× median
6034
APR_DRG 		Neonate Birthwt 10001249g W Or Wo Other Significant Condition 13 $99,166.23 $331,575.03 $138,755.74 nat. median
$109,499
1.3× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 13 $91,942.20 $307,493.63 $136,566.14 nat. median
$129,535
1.1× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 $92,671.90 $310,026.98 $135,629.87 nat. median
$105,658
1.3× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 13 $105,149.77 $351,573.31 $130,777.34 nat. median
$119,796
1.1× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 5 $68,799.91 $144,626.91 $128,516.88 nat. median
$87,411
1.5× median
23
APR_DRG 		Heart Or Lung Transplant 13 $99,093.26 $331,323.65 $126,634.07 nat. median
$93,528
1.4× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $66,772.66 $223,331.98 $124,573.23 nat. median
$124,573
1.0× median

Other procedures at this hospital

Browse this hospital's 19,213 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 CPT Inj- Atidarsagene Autotemcel 23 22 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-01-01
J1411 CPT Inj- Hemgenix- Per Tx Dose 26 25 — — $3,672,900.00 $3,710,000.00 $3,685,266.67 2026-01-01
C9172 CPT Inj Beqvez Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1414 CPT Inj- Beqvez- Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-01-01
J1413 CPT Inj Delandistrogene Mox Rokl 26 25 — — $3,316,462.59 $3,392,000.00 $3,316,462.59 2026-01-01
J3394 CPT Inj- Lovotibeglogene Autotem 25 24 — — $3,193,000.00 $3,286,000.00 $3,248,445.72 2026-01-01
J3393 CPT Inj- Betibeglogene Autotemce 25 24 — — $2,945,740.00 $2,968,000.00 $2,945,740.00 2026-01-01
J3399 CPT Inj Onase Abepar-xioi Treat 26 25 — — $2,278,010.83 $2,455,110.61 $2,455,110.61 2026-01-01
J3392 CPT Inj- Exagamglogene Autotem 24 23 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
Q2057 CPT Afamitresgene Autoleucel 23 22 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
Q2042 CPT Tisagenlecleucel Car-pos T 28 27 — — $529,192.86 $1,805,707.12 $591,726.20 2026-01-01
Q2056 CPT Ciltacabtagene Car-pos T 26 25 — — $527,123.43 $1,851,913.83 $565,868.95 2026-01-01
Q2054 CPT Lisocabtagene Mara Car Pos T 26 25 — — $516,485.97 $1,764,106.10 $562,538.19 2026-01-01
Q2055 CPT Idecabtagene Vicleucel Car 26 25 — — $526,587.59 $1,801,348.34 $557,317.93 2026-01-01
Q2041 CPT Axicabtagene Ciloleucel Car+ 28 27 — — $489,455.96 $1,674,247.74 $533,230.17 2026-01-01
Q2053 CPT Brexucabtagene Car Pos T 28 27 — — $460,530.40 $1,674,613.44 $489,304.61 2026-01-01
5834 APR_DRG Neonate W Ecmo 13 13 — — $260,426.64 $936,897.53 $390,361.97 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 31 28 — — $286,046.72 $615,510.61 $294,868.32 2026-01-01
Q2058 CPT Obecbtge Autol Up To 400 Mil 23 22 — — $278,250.00 $278,250.00 $278,250.00 2026-01-01
J3403 CPT Revakinagene- Per Implant 23 22 — — $257,500.00 $257,500.00 $257,500.00 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $181,211.51 $606,091.28 $254,666.60 2026-01-01
5833 APR_DRG Neonate W Ecmo 13 13 — — $163,744.68 $547,704.81 $252,888.58 2026-01-01
24 APR_DRG Heart Or Lung Transplant 13 13 — — $197,053.53 $694,565.47 $225,530.55 2026-01-01
J3402 CPT Inj. Remestemcel-l-rknd/ Td 23 22 — — $205,640.00 $205,640.00 $205,640.00 2026-01-01
114 APR_DRG Psychiatric 12 12 — — $82,383.13 $275,487.61 $198,309.46 2026-01-01
5832 APR_DRG Neonate W Ecmo 13 13 — — $105,733.53 $353,569.72 $194,172.15 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $134,629.65 $450,224.80 $193,278.30 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 28 — — $191,357.68 $459,734.82 $191,357.68 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 12 — — $70,853.87 $236,992.02 $185,770.26 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $165,062.83 $598,298.45 $183,225.66 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 12 12 — — $145,575.15 $486,858.21 $167,444.50 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $125,148.66 $418,579.98 $165,628.52 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 12 12 — — $91,942.20 $307,420.42 $164,388.59 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $134,558.16 $569,155.24 $161,780.72 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $95,371.79 $318,922.96 $153,561.93 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $88,950.43 $297,489.62 $152,792.37 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 13 13 — — $139,297.97 $560,259.25 $150,011.84 2026-01-01
E0766 CPT Elec Stim Cancer Treatment 1 1 — — $149,026.20 $149,026.20 $149,026.20 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 30 — — $145,789.20 $427,461.13 $145,789.20 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $101,441.43 $339,287.33 $145,335.69 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 33 30 — — $144,933.61 $386,176.00 $144,933.61 2026-01-01
5831 APR_DRG Neonate W Ecmo 13 13 — — $86,469.45 $289,284.32 $141,137.35 2026-01-01
J7330 CPT Autologous Cultured Chondrocytes Sheet 29 21 $197,466.00 $124,008.65 37% off $45,417.18 $178,509.26 $139,805.93 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 13 13 — — $99,166.23 $331,575.03 $138,755.74 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $91,942.20 $307,493.63 $136,566.14 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $92,671.90 $310,026.98 $135,629.87 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $105,149.77 $351,573.31 $130,777.34 2026-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 7 5 — — $68,799.91 $144,626.91 $128,516.88 2026-01-01
23 APR_DRG Heart Or Lung Transplant 13 13 — — $99,093.26 $331,323.65 $126,634.07 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $66,772.66 $223,331.98 $124,573.23 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $78,821.41 $296,545.10 $120,079.43 2026-01-01
113 APR_DRG Pediatric 12 12 — — $51,079.00 $170,949.39 $115,654.09 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 13 — — $61,586.68 $205,876.81 $112,764.90 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $99,887.27 $424,722.97 $111,395.47 2026-01-01
Q0480 CPT Driver Pneumatic Vad- Rep 26 25 — — $94,999.95 $108,727.22 $108,727.22 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $84,426.29 $282,282.24 $104,977.03 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 13 13 — — $89,617.66 $435,564.12 $104,038.52 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $80,194.03 $268,168.25 $100,018.06 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 13 13 — — $41,692.84 $623,407.34 $99,482.94 2026-01-01
112 APR_DRG OB 12 12 — — $27,071.87 $99,304.32 $99,304.32 2026-01-01
64 APR_DRG Pancreas Transplant 13 13 — — $86,469.45 $289,194.02 $98,241.53 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 13 13 — — $34,670.89 $498,726.85 $96,548.35 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 5 — — $51,493.18 $108,245.77 $96,188.25 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 33 30 — — $94,582.54 $254,608.47 $94,582.54 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 13 13 — — $27,561.16 $423,400.17 $94,491.23 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 12 12 — — $48,670.99 $162,866.12 $93,836.29 2026-01-01
22 APR_DRG Heart Or Lung Transplant 13 13 — — $73,480.79 $245,878.25 $92,158.00 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $41,956.16 $227,995.97 $91,058.73 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 12 — — $52,538.40 $175,632.90 $88,705.40 2026-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 7 5 — — $47,486.95 $99,824.13 $88,704.70 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 13 13 — — $84,351.20 $341,293.50 $88,467.98 2026-01-01
7 MS_DRG Lung Transplant 31 28 — — $88,428.81 $213,295.88 $88,428.81 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $76,714.83 $369,099.26 $85,371.14 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 13 13 — — $71,009.49 $345,935.53 $85,212.62 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $71,583.57 $239,381.37 $85,048.88 2026-01-01
21 APR_DRG Heart Or Lung Transplant 13 13 — — $63,046.08 $210,784.86 $84,752.67 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 31 28 — — $82,062.72 $213,834.48 $82,062.72 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 13 13 — — $52,100.58 $174,136.81 $80,990.46 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $78,733.64 $334,906.45 $79,016.70 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 28 — — $77,377.77 $192,526.23 $77,377.77 2026-01-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 21 21 — — $77,289.00 $77,289.00 $77,289.00 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 13 13 — — $49,108.81 $164,310.95 $76,982.66 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 13 13 — — $56,624.72 $189,300.26 $76,111.88 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 26 — — $75,256.88 $188,756.23 $75,256.88 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $66,256.76 $221,550.35 $75,051.32 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 33 30 — — $74,252.42 $196,297.18 $74,252.42 2026-01-01
4404 APR_DRG Kidney Transplant 13 13 — — $57,938.18 $193,805.61 $71,941.82 2026-01-01
8634 APR_DRG Neonatal Aftercare 12 12 — — $47,722.38 $159,688.46 $71,101.56 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 31 28 — — $70,403.95 $173,808.86 $70,403.95 2026-01-01
63 APR_DRG Pancreas Transplant 13 13 — — $61,075.89 $204,322.15 $69,792.42 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 12 12 — — $45,460.31 $152,061.58 $69,517.04 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 12 12 — — $66,799.91 $335,875.37 $69,191.81 2026-01-01
215 MS_DRG Other Heart Assist System Implant 33 30 — — $67,990.12 $190,907.70 $67,990.12 2026-01-01
L8702 CPT Ewhf S/d Uprt Micro Sensor 25 24 — — $65,871.74 $67,452.66 $67,452.66 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 30 — — $66,800.62 $173,903.17 $66,800.62 2026-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 7 5 — — $35,757.88 $75,168.00 $66,795.02 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $46,919.71 $156,986.71 $65,848.62 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 13 13 — — $43,709.03 $146,089.43 $64,561.80 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 13 13 — — $42,614.48 $142,599.38 $64,125.67 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $63,886.02 $256,092.16 $63,886.02 2026-01-01
J9029 CPT Instill Adstiladrin- Tx Dose 26 25 — — $61,800.00 $63,402.04 $63,342.28 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $57,719.27 $193,107.59 $63,190.14 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 13 13 — — $56,624.72 $189,295.38 $62,520.31 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 27 26 — — $61,520.92 $150,289.27 $61,520.92 2026-01-01
1784 APR_DRG External Heart Assist Systems 13 13 — — $60,565.10 $202,555.16 $61,452.31 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 13 13 — — $48,233.17 $161,352.95 $61,290.06 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 13 13 — — $61,110.70 $210,858.08 $61,110.70 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 12 12 — — $60,980.45 $210,699.44 $60,980.45 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 12 12 — — $40,571.32 $135,794.98 $60,423.01 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $51,808.70 $173,299.68 $60,182.61 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 13 13 — — $41,592.90 $139,016.58 $59,887.14 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 27 26 — — $59,130.31 $165,989.23 $59,130.31 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $59,097.49 $258,286.26 $59,097.49 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $57,354.42 $191,821.40 $58,636.05 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 12 12 — — $52,405.81 $325,373.47 $58,572.79 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 12 12 — — $37,287.67 $124,592.63 $58,522.92 2026-01-01
38240 CPT Transplt Allo Hct/donor 26 25 — — $52,684.72 $194,200.46 $58,042.28 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 12 12 — — $47,631.59 $172,938.48 $57,982.60 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 30 — — $57,562.51 $152,691.20 $57,562.51 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 33 30 — — $57,381.56 $152,606.51 $57,381.56 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $45,898.13 $153,462.49 $57,173.59 2026-01-01
A9543 CPT Y90 Ibritumomab- Rx 28 27 — — $56,824.55 $150,585.06 $56,824.55 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 13 13 — — $32,836.50 $109,719.61 $56,785.09 2026-01-01
62 APR_DRG Pancreas Transplant 13 13 — — $53,049.19 $177,373.05 $55,882.31 2026-01-01
Q2043 CPT Sipuleucel-t Auto Cd54+ 28 27 — — $53,472.87 $136,112.61 $55,272.32 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 13 13 — — $29,917.70 $100,101.21 $55,192.39 2026-01-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $1,141.07 $207,270.40 $54,737.65 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $43,490.12 $145,567.15 $54,210.72 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 13 13 — — $48,539.24 $169,785.22 $53,938.32 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 30 — — $53,731.11 $145,252.96 $53,731.11 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 13 13 — — $32,690.56 $109,226.61 $53,554.29 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 12 12 — — $38,965.98 $130,306.07 $53,325.80 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 13 13 — — $39,330.83 $131,602.03 $53,178.44 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 12 12 — — $39,330.83 $131,648.40 $53,107.73 2026-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 5 — — $28,399.94 $59,700.59 $53,050.52 2026-01-01
J9226 CPT Histrelin Acetate (cpp) 50 Mg Kit 55 44 $132,981.50 $83,512.38 37% off $30,585.75 $120,215.28 $52,926.64 2026-01-01
6904 APR_DRG Acute Leukemia 12 12 — — $43,198.24 $144,600.67 $52,824.92 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $49,546.63 $165,597.15 $52,481.07 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 13 13 — — $33,566.20 $112,284.68 $52,443.86 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 30 — — $52,430.31 $139,422.01 $52,430.31 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 33 30 — — $52,204.29 $140,843.71 $52,204.29 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 30 — — $52,031.53 $134,497.42 $52,031.53 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 13 13 — — $36,193.12 $120,968.34 $51,523.96 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 13 13 — — $40,936.17 $136,824.92 $51,369.90 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $47,722.38 $159,603.04 $51,321.52 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 12 12 — — $42,395.57 $141,798.86 $50,840.74 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 12 — — $29,479.88 $98,553.87 $50,761.84 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 13 13 — — $38,747.07 $129,595.86 $50,531.13 2026-01-01
7594 APR_DRG Eating Disorders 12 12 — — $26,634.05 $92,841.87 $49,869.48 2026-01-01
1794 APR_DRG Defibrillator Implants 13 13 — — $40,644.29 $136,007.32 $49,802.50 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 12 12 — — $39,184.89 $131,055.34 $49,786.13 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 12 12 — — $26,342.17 $88,078.81 $49,361.90 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 26 — — $49,291.30 $127,983.55 $49,291.30 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 13 13 — — $29,260.97 $97,904.67 $49,179.56 2026-01-01
10 MS_DRG Pancreas Transplant 31 28 — — $37,372.79 $130,127.33 $48,998.37 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 30 — — $48,977.88 $120,347.10 $48,977.88 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 31 28 — — $48,717.72 $129,381.46 $48,717.72 2026-01-01
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 12 12 — — $26,269.20 $87,890.89 $48,706.96 2026-01-01
90288 CPT Botulism Ig IV 1 1 — — $48,705.00 $48,705.00 $48,705.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 30 — — $48,689.04 $127,340.27 $48,689.04 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 13 13 — — $38,747.07 $129,620.27 $48,475.50 2026-01-01
L7181 CPT Electronic Elbo Simultaneous 26 25 — — $44,875.22 $48,370.76 $48,370.76 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 13 13 — — $34,806.69 $116,441.03 $48,086.25 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 12 12 — — $37,433.61 $125,161.29 $47,544.43 2026-01-01
274 APR_DRG Other Open Craniotomy 13 13 — — $35,390.45 $118,337.37 $47,365.81 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 30 — — $47,196.36 $125,349.17 $47,196.36 2026-01-01
2324 APR_DRG Gastric Fundoplication 13 13 — — $27,582.66 $92,288.85 $47,044.30 2026-01-01
C1826 CPT Gen- Neuro- Clo Loop- Rechg 25 24 — — $32.05 $47,000.00 $47,000.00 2026-01-01
L7180 CPT Electronic Elbow Sequential 26 25 — — $43,585.32 $46,980.38 $46,980.38 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 30 — — $46,964.88 $120,143.48 $46,964.88 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 12 12 — — $33,420.26 $111,696.50 $46,812.83 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $33,055.41 $110,581.15 $46,572.44 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 13 13 — — $46,521.08 $157,714.01 $46,521.08 2026-01-01
234 APR_DRG Spinal Procedures 13 13 — — $45,533.28 $152,344.69 $46,393.07 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 13 13 — — $46,217.43 $171,227.61 $46,217.43 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 30 — — $45,962.47 $123,039.14 $45,962.47 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 13 — — $24,882.77 $83,314.76 $45,671.15 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 27 26 — — $45,657.92 $111,472.74 $45,657.92 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 27 26 — — $45,624.47 $120,811.99 $45,624.47 2026-01-01
111 APR_DRG Medical/Surgical/Gyn 12 12 — — $18,388.44 $61,527.53 $45,282.65 2026-01-01
204 APR_DRG Craniotomy For Trauma 13 13 — — $38,601.13 $129,100.42 $45,271.48 2026-01-01
1783 APR_DRG External Heart Assist Systems 13 13 — — $39,768.65 $133,127.41 $45,265.53 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 30 — — $44,898.61 $116,364.90 $44,898.61 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 30 — — $44,229.18 $107,200.44 $44,898.61 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 30 — — $44,735.41 $110,964.61 $44,735.41 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 12 12 — — $42,322.60 $141,559.68 $44,684.27 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $42,395.57 $141,706.12 $44,623.24 2026-01-01
250 EAPG Cochlear Device Implantation 2 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 26 25 — — $44,163.49 $167,671.86 $44,163.49 2026-01-01
0266T CPT Implt/rpl Crtd Sns Dev Total 26 25 — — $44,163.49 $167,671.86 $44,163.49 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 30 — — $43,938.54 $116,532.48 $43,938.54 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $43,647.52 $149,999.28 $43,647.52 2026-01-01
4403 APR_DRG Kidney Transplant 13 13 — — $43,599.14 $156,886.65 $43,599.14 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 13 13 — — $32,909.47 $110,058.86 $43,572.35 2026-01-01
1782 APR_DRG External Heart Assist Systems 13 13 — — $39,111.92 $130,801.52 $43,513.55 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 13 13 — — $42,947.92 $156,349.72 $42,947.92 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 12 12 — — $42,747.72 $248,162.65 $42,747.72 2026-01-01
4414 APR_DRG Major Bladder Procedures 13 13 — — $36,995.79 $123,840.93 $42,484.25 2026-01-01
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 12 12 — — $29,625.82 $99,159.14 $42,191.02 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 13 13 — — $36,703.91 $122,662.12 $42,074.91 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 33 30 — — $41,847.01 $107,948.23 $41,847.01 2026-01-01
C1604 CPT Grft- Trnsmurl/trnsvens Byps 25 24 — — $32.05 $41,842.41 $41,842.41 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 30 — — $41,798.53 $113,957.56 $41,798.53 2026-01-01
61 APR_DRG Pancreas Transplant 13 13 — — $41,665.87 $139,421.72 $41,792.09 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 13 13 — — $40,133.50 $134,137.82 $41,681.20 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 30 — — $41,397.70 $110,072.67 $41,397.70 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 13 13 — — $32,982.44 $110,376.14 $41,373.08 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 12 12 — — $31,450.07 $105,099.56 $41,037.42 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 33 30 — — $41,026.92 $109,546.51 $41,026.92 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 30 — — $41,015.31 $111,616.89 $41,015.31 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 13 13 — — $25,320.59 $84,769.36 $40,922.81 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 13 13 — — $40,841.68 $157,796.99 $40,841.68 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 33 30 — — $40,718.28 $103,418.25 $40,718.28 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 39 30 — — $1,527.00 $107,119.35 $40,584.44 2026-01-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 13 13 — — $25,758.41 $86,255.69 $40,537.28 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 31 28 — — $40,490.21 $98,511.92 $40,490.21 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 12 12 — — $33,639.17 $112,440.88 $40,453.18 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 13 13 — — $32,982.44 $110,266.31 $40,375.78 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 13 13 — — $40,350.47 $148,659.39 $40,350.47 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 13 13 — — $35,390.45 $118,469.16 $40,232.88 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 13 13 — — $27,947.51 $93,374.92 $40,078.82 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 30 — — $40,073.00 $106,027.40 $40,073.00 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 30 — — $40,047.05 $104,912.02 $40,047.05 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 12 12 — — $35,025.60 $117,046.29 $40,035.66 2026-01-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $17,733.84 $62,318.28 $39,784.10 2026-01-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $15,579.10 $54,747.54 $39,784.10 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $34,222.93 $114,500.75 $39,726.05 2026-01-01
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 2 1 — — $34,226.79 $44,608.74 $39,417.76 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 27 26 — — $39,379.92 $98,572.94 $39,379.92 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 13 13 — — $31,814.92 $106,375.99 $39,157.44 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 30 — — $39,128.63 $102,800.20 $39,128.63 2026-01-01
C7530 CPT Cath/aplasty Dial Cir W/stnt 1 1 — — $39,095.87 $39,095.87 $39,095.87 2026-01-01
C7534 CPT Fem/pop Revasc W/arthr & US 1 1 — — $39,095.87 $39,095.87 $39,095.87 2026-01-01
61640 CPT Dilate Ic Vasospasm Init 1 1 — — $39,095.87 $39,095.87 $39,095.87 2026-01-01
61641 CPT Dilat Ic Vspsm Ea Vsl Sm Ter 1 1 — — $39,095.87 $39,095.87 $39,095.87 2026-01-01
61642 CPT Dilat Ic Vspsm Ea Diff Ter 1 1 — — $39,095.87 $39,095.87 $39,095.87 2026-01-01
37216 CPT Transcath Stent Cca Without Eps 1 1 — — $39,095.87 $39,095.87 $39,095.87 2026-01-01
213 MS_DRG Splenic Procedures Age 0-17 21 21 — — $38,968.85 $38,968.85 $38,968.85 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 30 — — $38,918.32 $97,320.62 $38,918.32 2026-01-01
7584 APR_DRG Childhood Behavioral Disorders 12 12 — — $10,142.83 $38,842.62 $38,842.62 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 13 13 — — $31,814.92 $106,344.26 $38,834.43 2026-01-01
L2006 CPT Kaf Sng/dbl Swg/stn Mcpr Cus 26 25 — — $35,961.43 $38,762.63 $38,762.63 2026-01-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 13 13 — — $23,204.46 $77,686.74 $38,728.75 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 13 13 — — $29,698.79 $99,264.08 $38,689.30 2026-01-01
3634 APR_DRG Breast Procedures Except Mastectomy 13 13 — — $22,328.82 $74,594.50 $38,544.17 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 13 13 — — $27,436.72 $91,712.87 $38,471.98 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 13 13 — — $27,874.54 $93,226.04 $38,437.00 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 13 13 — — $32,617.59 $109,155.84 $38,421.37 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 13 13 — — $31,814.92 $106,334.50 $38,390.85 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 27 26 — — $38,389.12 $99,178.38 $38,389.12 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 13 13 — — $31,668.98 $105,902.52 $38,360.34 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 13 13 — — $27,728.60 $92,769.65 $38,352.15 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 31 28 — — $38,270.31 $88,804.19 $38,270.31 2026-01-01
4402 APR_DRG Kidney Transplant 13 13 — — $38,108.04 $134,555.16 $38,108.04 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 30 — — $34,630.55 $90,154.46 $38,008.10 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 12 12 — — $37,990.45 $145,552.50 $37,990.45 2026-01-01
G0448 CPT Place Perm Pacing Cardiovert 1 1 — — $37,948.38 $37,948.38 $37,948.38 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $28,093.45 $93,970.42 $37,740.38 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 33 30 — — $37,713.11 $110,577.20 $37,713.11 2026-01-01
5184 APR_DRG Other Female Reproductive System & Related Procedures 13 13 — — $26,852.96 $89,782.35 $37,613.85 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 33 30 — — $37,487.09 $99,596.42 $37,487.09 2026-01-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 33 30 — — $37,354.62 $97,819.75 $37,354.62 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 33 30 — — $37,301.36 $95,864.68 $37,301.36 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 13 13 — — $27,363.75 $91,459.04 $37,262.57 2026-01-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 33 30 — — $37,242.64 $97,228.72 $37,242.64 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 13 13 — — $20,650.51 $69,071.42 $37,098.83 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 31 28 — — $37,093.78 $98,511.92 $37,093.78 2026-01-01
224 EAPG Level Ii Neurostimulator And Related Device Implantation 2 1 — — $32,095.20 $41,830.57 $36,962.89 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 13 13 — — $31,523.04 $105,338.74 $36,917.98 2026-01-01
1781 APR_DRG External Heart Assist Systems 13 13 — — $36,915.74 $125,559.11 $36,915.74 2026-01-01
8633 APR_DRG Neonatal Aftercare 12 12 — — $30,282.55 $101,167.75 $36,830.90 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 13 13 — — $35,025.60 $117,170.77 $36,728.19 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 13 13 — — $22,255.85 $74,494.43 $36,580.08 2026-01-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 13 13 — — $25,466.53 $85,198.91 $36,523.52 2026-01-01
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 12 12 — — $36,437.19 $134,423.37 $36,437.19 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 30 — — $36,414.35 $95,441.24 $36,414.35 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 13 13 — — $30,428.49 $101,748.61 $36,397.74 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 26 — — $36,392.50 $92,799.65 $36,392.50 2026-01-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $24,736.83 $82,750.98 $36,353.09 2026-01-01
S2209 CPT Minimally Invasive Direct Co 1 1 — — $36,330.36 $36,330.36 $36,330.36 2026-01-01
S2207 CPT Minimally Invasive Direct Co 1 1 — — $36,330.36 $36,330.36 $36,330.36 2026-01-01
S2206 CPT Minimally Invasive Direct Co 1 1 — — $36,330.36 $36,330.36 $36,330.36 2026-01-01
S2208 CPT Minimally Invasive Direct Co 1 1 — — $36,330.36 $36,330.36 $36,330.36 2026-01-01
S2205 CPT Minimally Invasive Direct Co 1 1 — — $36,330.36 $36,330.36 $36,330.36 2026-01-01
0613T CPT Perq Tcat Intratrl Septl Sht 1 1 — — $36,330.36 $36,330.36 $36,330.36 2026-01-01
4034 APR_DRG Procedures For Obesity 13 13 — — $26,269.20 $87,768.86 $36,316.62 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 30 — — $36,148.05 $99,596.42 $36,148.05 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 12 12 — — $34,879.66 $116,577.70 $36,050.18 2026-01-01
1793 APR_DRG Defibrillator Implants 13 13 — — $30,574.43 $102,331.92 $36,044.97 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 30 — — $36,028.55 $92,491.53 $36,028.55 2026-01-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 13 13 — — $22,985.55 $76,834.97 $35,866.34 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 30 — — $35,544.42 $91,799.60 $35,544.42 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 33 30 — — $35,482.96 $100,448.72 $35,482.96 2026-01-01
4401 APR_DRG Kidney Transplant 13 13 — — $32,252.74 $107,818.39 $35,155.58 2026-01-01
6504 APR_DRG Splenectomy 12 12 — — $31,814.92 $106,432.13 $34,876.49 2026-01-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 13 13 — — $27,217.81 $90,929.43 $34,703.08 2026-01-01
7114 APR_DRG Postop Posttrauma Other Device Infections W Or Procedure 12 12 — — $28,969.09 $96,950.39 $34,653.95 2026-01-01
8423 APR_DRG Full Thickness Burns W Skin Graft 12 12 — — $29,115.03 $97,475.12 $34,648.75 2026-01-01
6092 APR_DRG Neonate Bwt 15002499g W Major Procedure 13 13 — — $25,685.44 $85,882.27 $34,493.94 2026-01-01
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