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 — reason	Rows
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 via	CMS 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.

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

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
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
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
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
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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