Hospital

MAYO CLINIC HEALTH SYSTEM - MANKATO

Mankato, MN · CCN 240093 · Rates published

8,778 distinct procedures filed

317 distinct payers

8,646,831 rate rows

2026-03-31 last MRF observed

Data quality

3,978,233 of 8,646,831 rate rows are consumer-grade (46.0%)

4,668,598 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
professional (physician) fee — not the facility price	4,665,614
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	2,843
exceeds 10× this hospital's gross charge — excluded from medians	90
placeholder amount (≤ $0.02) — excluded from medians	21
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	15

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://mcorgstatic.blob.core.windows.net/cms-price/411236756_mayo-clinic-health-system-mankato_standardcharges.csv
Found on page	https://www.mayoclinichealthsystem.org/locations/mankato/billing/cms-hospital-pricing
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-09-21
Content fingerprint	fc950a2c41699cc0… · 5,729,580,103 bytes · first seen 2026-05-08

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
J2326 HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	297	$1,280.25	$366,172.40	$347,863.78	nat. median $2,487 outlier · 139.9×
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	27	$125,824.61	$322,527.78	$322,527.78	nat. median $81,668 outlier · 3.9×
J0225 HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	297	$5,003.64	$210,058.00	$199,555.10	nat. median $8,223 outlier · 24.3×
2204 APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	27	$54,300.93	$188,459.74	$188,459.74	nat. median $51,746 outlier · 3.6×
2201 APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	27	$14,281.49	$179,036.80	$179,036.80	nat. median $12,006 outlier · 14.9×
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	$176,881.81	$188,902.90	$178,599.11	nat. median $122,016 1.5× median
9504 APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	27	$53,226.89	$176,516.08	$176,516.08	nat. median $52,171 outlier · 3.4×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	15	$170,578.84	$184,120.88	$172,404.10	nat. median $190,557 0.9× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	27	$155,407.22	$247,272.14	$163,586.51	nat. median $163,587 1.0× median
8501 APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	27	$12,903.95	$155,375.68	$155,375.68	nat. median $11,710 outlier · 13.3×
A9607 HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	297	$255.84	$161,500.00	$153,425.00	nat. median $432 outlier · 355.0×
1794 APR_DRG	Defibrillator Implants	27	$65,417.90	$153,203.29	$153,203.29	nat. median $44,987 outlier · 3.4×
3041 APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	27	$25,059.99	$149,465.20	$149,465.20	nat. median $22,805 outlier · 6.6×
891 APR_DRG	Major Cranial Or Facial Bone Procedures	27	$14,616.87	$144,138.91	$144,138.91	nat. median $13,240 outlier · 10.9×
7104 APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	27	$43,896.90	$127,615.52	$127,615.52	nat. median $39,969 outlier · 3.2×
3131 APR_DRG	Knee And Lower Leg Procedures Except Foot	27	$13,545.91	$127,430.49	$127,430.49	nat. median $11,215 outlier · 11.4×
6911 APR_DRG	Lymphoma, Myeloma And Non-acute Leukemia	27	$8,565.60	$126,761.28	$126,761.28	nat. median $8,035 outlier · 15.8×
6331 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	27	$1,800.36	$124,203.21	$124,203.21	nat. median $2,191 outlier · 56.7×
3211 APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	27	$21,850.20	$123,681.24	$123,681.24	nat. median $14,221 outlier · 8.7×
4031 APR_DRG	Procedures For Obesity	27	$10,416.37	$123,505.71	$123,505.71	nat. median $9,385 outlier · 13.2×
7101 APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	27	$11,963.66	$121,234.77	$121,234.77	nat. median $8,688 outlier · 14.0×
4444 APR_DRG	Renal Dialysis Access Procedures	27	$40,465.93	$119,384.59	$119,384.59	nat. median $33,197 outlier · 3.6×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	12	$111,465.02	$120,317.11	$114,848.15	nat. median $126,722 0.9× median
2304 APR_DRG	Major Small Bowel Procedures	27	$46,442.10	$111,707.97	$111,707.97	nat. median $40,463 outlier · 2.8×
2314 APR_DRG	Major Large Bowel Procedures	27	$40,639.79	$109,666.84	$109,666.84	nat. median $31,428 outlier · 3.5×
9511 APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	27	$10,682.82	$108,335.94	$108,335.94	nat. median $8,984 outlier · 12.1×
431 APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	27	$13,008.89	$107,828.54	$107,828.54	nat. median $7,252 outlier · 14.9×
3051 APR_DRG	Amputation Of Lower Limb Except Toes	27	$14,966.65	$106,531.25	$106,531.25	nat. median $9,407 outlier · 11.3×
2301 APR_DRG	Major Small Bowel Procedures	27	$11,961.60	$106,122.59	$106,122.59	nat. median $9,709 outlier · 10.9×
2311 APR_DRG	Major Large Bowel Procedures	27	$15,224.87	$104,183.52	$104,183.52	nat. median $10,974 outlier · 9.5×
6614 APR_DRG	Coagulation And Platelet Disorders	27	$22,956.14	$101,395.49	$101,395.49	nat. median $28,389 outlier · 3.6×
3261 APR_DRG	Elective Knee Joint Replacement	27	$14,520.17	$101,183.02	$101,183.02	nat. median $10,101 outlier · 10.0×
7931 APR_DRG	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	27	$10,372.13	$100,796.31	$100,796.31	nat. median $7,826 outlier · 12.9×
3043 APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	27	$46,246.63	$100,653.52	$100,653.52	nat. median $39,489 outlier · 2.5×
6601 APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	27	$5,867.12	$99,926.88	$99,926.88	nat. median $5,853 outlier · 17.1×
3251 APR_DRG	Non-elective Or Complex Knee Joint Replacement	27	$25,366.56	$98,456.80	$98,456.80	nat. median $15,325 outlier · 6.4×
3091 APR_DRG	Other Significant Hip And Femur Surgery	27	$14,184.78	$97,450.23	$97,450.23	nat. median $11,924 outlier · 8.2×
2271 APR_DRG	Hernia Procedures Except Inguinal, Femoral And Umbilical	27	$11,576.83	$96,018.55	$96,018.55	nat. median $9,732 outlier · 9.9×
2294 APR_DRG	Other Digestive System And Abdominal Procedures	27	$38,489.65	$94,544.56	$94,544.56	nat. median $34,957 outlier · 2.7×
2004 APR_DRG	Cardiac Structural And Valvular Disorders	27	$18,145.57	$94,414.64	$94,414.64	nat. median $28,699 outlier · 3.3×
7501 APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	27	$12,053.81	$92,771.22	$92,771.22	nat. median $4,840 outlier · 19.2×
1751 APR_DRG	Percutaneous Cardiac Intervention Without Ami	27	$25,773.96	$90,873.28	$90,873.28	nat. median $15,829 outlier · 5.7×
2244 APR_DRG	Peritoneal Adhesiolysis	27	$19,944.91	$90,687.48	$90,687.48	nat. median $37,330 outlier · 2.4×
2291 APR_DRG	Other Digestive System And Abdominal Procedures	27	$11,202.35	$89,817.35	$89,817.35	nat. median $9,417 outlier · 9.5×
6141 APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	27	$8,294.00	$88,824.56	$88,824.56	nat. median $10,536 outlier · 8.4×
1924 APR_DRG	Cardiac Catheterization For Other Non-coronary Conditions	27	$30,072.19	$88,374.97	$88,374.97	nat. median $26,099 outlier · 3.4×
1693 APR_DRG	Major Abdominal Vascular Procedures	27	$40,184.05	$88,028.52	$88,028.52	nat. median $31,391 outlier · 2.8×
3231 APR_DRG	Non-elective Or Complex Hip Joint Replacement	27	$16,952.19	$87,913.93	$87,913.93	nat. median $11,675 outlier · 7.5×
1711 APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	27	$15,717.67	$87,798.74	$87,798.74	nat. median $13,213 outlier · 6.6×
2241 APR_DRG	Peritoneal Adhesiolysis	27	$11,576.83	$86,153.13	$86,153.13	nat. median $10,757 outlier · 8.0×

Other procedures at this hospital

Browse this hospital's 8,778 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

0620T	CPT	Pr Endovasc Venous Arterialization Tibial/peroneal	378	297	$43,807.00	$38,550.16	$9,111.86	$62,266.75	$41,616.65	2026-03-31
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	18	15	—	—	$44,146.09	$47,657.26	$44,624.52	2026-03-31
1151	APR_DRG	Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses	29	27	—	—	$4,514.27	$54,930.44	$54,930.44	2026-03-31
1154	APR_DRG	Other Ear, Nose, Mouth, Throat And Cranial Or Facial Diagnoses	29	27	—	—	$18,043.73	$57,821.50	$57,821.50	2026-03-31
1313	APR_DRG	Cystic Fibrosis - Pulmonary Disease	29	27	—	—	$22,456.15	$36,310.21	$36,310.21	2026-03-31
1331	APR_DRG	Respiratory Failure	29	27	—	—	$7,640.73	$56,060.42	$56,060.42	2026-03-31
1334	APR_DRG	Respiratory Failure	29	27	—	—	$17,391.48	$59,010.95	$59,010.95	2026-03-31
1341	APR_DRG	Pulmonary Embolism	29	27	—	—	$5,658.27	$47,681.53	$47,681.53	2026-03-31
1344	APR_DRG	Pulmonary Embolism	29	27	—	—	$18,109.57	$50,191.07	$50,191.07	2026-03-31
1351	APR_DRG	Major Chest And Respiratory Trauma	29	27	—	—	$6,121.23	$49,812.59	$49,812.59	2026-03-31
1354	APR_DRG	Major Chest And Respiratory Trauma	29	27	—	—	$20,464.44	$52,434.29	$52,434.29	2026-03-31
1371	APR_DRG	Major Respiratory Infections And Inflammations	29	27	—	—	$6,044.07	$42,832.46	$42,832.46	2026-03-31
1374	APR_DRG	Major Respiratory Infections And Inflammations	29	27	—	—	$17,683.66	$45,086.79	$45,086.79	2026-03-31
1391	APR_DRG	Other Pneumonia	29	27	—	—	$4,848.63	$38,488.06	$38,488.06	2026-03-31
1394	APR_DRG	Other Pneumonia	29	27	—	—	$14,875.10	$40,513.73	$40,513.73	2026-03-31
1404	APR_DRG	Chronic Obstructive Pulmonary Disease	29	27	—	—	$14,790.73	$36,737.49	$36,737.49	2026-03-31
1421	APR_DRG	Interstitial And Alveolar Lung Diseases	29	27	—	—	$6,048.18	$62,607.20	$62,607.20	2026-03-31
1424	APR_DRG	Interstitial And Alveolar Lung Diseases	29	27	—	—	$18,329.73	$65,902.30	$65,902.30	2026-03-31
1431	APR_DRG	Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses	29	27	—	—	$5,212.82	$61,504.64	$61,504.64	2026-03-31
1434	APR_DRG	Other Respiratory Diagnoses Except Signs, Symptoms And Miscellaneous Diagnoses	29	27	—	—	$17,086.97	$64,741.72	$64,741.72	2026-03-31
1441	APR_DRG	Respiratory Signs, Symptoms And Miscellaneous Diagnoses	29	27	—	—	$4,975.17	$54,233.79	$54,233.79	2026-03-31
163	MS_DRG	Major Chest Procedures With Mcc	18	15	—	—	$36,351.42	$39,244.17	$36,746.82	2026-03-31
1693	APR_DRG	Major Abdominal Vascular Procedures	29	27	—	—	$40,184.05	$88,028.52	$88,028.52	2026-03-31
1711	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	29	27	—	—	$15,717.67	$87,798.74	$87,798.74	2026-03-31
1712	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	29	27	—	—	$18,392.48	$43,854.03	$43,854.03	2026-03-31
1713	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	29	27	—	—	$24,364.54	$59,423.80	$59,423.80	2026-03-31
1741	APR_DRG	Percutaneous Cardiac Intervention With Ami	29	27	—	—	$27,471.44	$81,441.20	$81,441.20	2026-03-31
1742	APR_DRG	Percutaneous Cardiac Intervention With Ami	29	27	—	—	$24,298.69	$43,328.59	$43,328.59	2026-03-31
1744	APR_DRG	Percutaneous Cardiac Intervention With Ami	29	27	—	—	$38,705.69	$85,727.56	$85,727.56	2026-03-31
1751	APR_DRG	Percutaneous Cardiac Intervention Without Ami	29	27	—	—	$25,773.96	$90,873.28	$90,873.28	2026-03-31
1752	APR_DRG	Percutaneous Cardiac Intervention Without Ami	29	27	—	—	$25,773.96	$51,498.89	$51,498.89	2026-03-31
1794	APR_DRG	Defibrillator Implants	29	27	—	—	$65,417.90	$153,203.29	$153,203.29	2026-03-31
1802	APR_DRG	Other Peripheral Vascular And Circulatory Procedures	29	27	—	—	$14,542.80	$38,758.42	$38,758.42	2026-03-31
1813	APR_DRG	Lower Vascular Procedures	29	27	—	—	$21,386.22	$79,907.30	$79,907.30	2026-03-31
1901	APR_DRG	Acute Myocardial Infarction	29	27	—	—	$7,897.93	$62,343.90	$62,343.90	2026-03-31
1911	APR_DRG	Cardiac Catheterization For Coronary Artery Disease	29	27	—	—	$9,287.80	$64,831.52	$64,831.52	2026-03-31
1921	APR_DRG	Cardiac Catheterization For Other Non-coronary Conditions	29	27	—	—	$12,842.23	$83,956.24	$83,956.24	2026-03-31
1923	APR_DRG	Cardiac Catheterization For Other Non-coronary Conditions	29	27	—	—	$18,297.84	$42,439.39	$42,439.39	2026-03-31
1924	APR_DRG	Cardiac Catheterization For Other Non-coronary Conditions	29	27	—	—	$30,072.19	$88,374.97	$88,374.97	2026-03-31
1934	APR_DRG	Acute And Subacute Endocarditis	29	27	—	—	$22,310.07	$70,778.50	$70,778.50	2026-03-31
1941	APR_DRG	Heart Failure	29	27	—	—	$5,277.63	$54,036.32	$54,036.32	2026-03-31
1944	APR_DRG	Heart Failure	29	27	—	—	$20,893.44	$56,880.32	$56,880.32	2026-03-31
1974	APR_DRG	Peripheral And Other Vascular Disorders	29	27	—	—	$18,189.81	$47,806.38	$47,806.38	2026-03-31
1981	APR_DRG	Angina Pectoris And Coronary Atherosclerosis	29	27	—	—	$4,740.61	$47,953.05	$47,953.05	2026-03-31
2004	APR_DRG	Cardiac Structural And Valvular Disorders	29	27	—	—	$18,145.57	$94,414.64	$94,414.64	2026-03-31
2014	APR_DRG	Cardiac Arrhythmia And Conduction Disorders	29	27	—	—	$15,745.43	$40,464.65	$40,464.65	2026-03-31
2041	APR_DRG	Syncope And Collapse	29	27	—	—	$5,577.01	$36,683.37	$36,683.37	2026-03-31
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	15	12	—	—	$52,007.30	$56,142.15	$53,590.24	2026-03-31
2071	APR_DRG	Other Circulatory System Diagnoses	29	27	—	—	$5,102.73	$48,721.00	$48,721.00	2026-03-31
2074	APR_DRG	Other Circulatory System Diagnoses	29	27	—	—	$17,494.36	$51,285.25	$51,285.25	2026-03-31
2201	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	29	27	—	—	$14,281.49	$179,036.80	$179,036.80	2026-03-31
2202	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	29	27	—	—	$27,808.05	$45,782.57	$45,782.57	2026-03-31
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	29	27	—	—	$54,300.93	$188,459.74	$188,459.74	2026-03-31
2231	APR_DRG	Other Small And Large Bowel Procedures	29	27	—	—	$11,921.48	$60,846.40	$60,846.40	2026-03-31
2233	APR_DRG	Other Small And Large Bowel Procedures	29	27	—	—	$21,067.30	$46,235.83	$46,235.83	2026-03-31
2241	APR_DRG	Peritoneal Adhesiolysis	29	27	—	—	$11,576.83	$86,153.13	$86,153.13	2026-03-31
2243	APR_DRG	Peritoneal Adhesiolysis	29	27	—	—	$24,140.26	$48,964.08	$48,964.08	2026-03-31
2244	APR_DRG	Peritoneal Adhesiolysis	29	27	—	—	$19,944.91	$90,687.48	$90,687.48	2026-03-31
2271	APR_DRG	Hernia Procedures Except Inguinal, Femoral And Umbilical	29	27	—	—	$11,576.83	$96,018.55	$96,018.55	2026-03-31
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	18	15	—	—	$40,084.01	$43,272.90	$40,519.17	2026-03-31
2291	APR_DRG	Other Digestive System And Abdominal Procedures	29	27	—	—	$11,202.35	$89,817.35	$89,817.35	2026-03-31
2294	APR_DRG	Other Digestive System And Abdominal Procedures	29	27	—	—	$38,489.65	$94,544.56	$94,544.56	2026-03-31
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	15	12	—	—	$46,360.30	$50,047.14	$47,772.27	2026-03-31
2301	APR_DRG	Major Small Bowel Procedures	29	27	—	—	$11,961.60	$106,122.59	$106,122.59	2026-03-31
2302	APR_DRG	Major Small Bowel Procedures	29	27	—	—	$11,961.60	$36,702.85	$36,702.85	2026-03-31
2303	APR_DRG	Major Small Bowel Procedures	29	27	—	—	$28,523.88	$56,435.72	$56,435.72	2026-03-31
2304	APR_DRG	Major Small Bowel Procedures	29	27	—	—	$46,442.10	$111,707.97	$111,707.97	2026-03-31
2311	APR_DRG	Major Large Bowel Procedures	29	27	—	—	$15,224.87	$104,183.52	$104,183.52	2026-03-31
2312	APR_DRG	Major Large Bowel Procedures	29	27	—	—	$18,960.36	$38,539.00	$38,539.00	2026-03-31
2313	APR_DRG	Major Large Bowel Procedures	29	27	—	—	$26,804.79	$53,381.24	$53,381.24	2026-03-31
2314	APR_DRG	Major Large Bowel Procedures	29	27	—	—	$40,639.79	$109,666.84	$109,666.84	2026-03-31
2331	APR_DRG	Appendectomy With Complex Principal Diagnosis	29	27	—	—	$10,382.42	$62,352.13	$62,352.13	2026-03-31
2334	APR_DRG	Appendectomy With Complex Principal Diagnosis	29	27	—	—	$28,689.52	$65,633.81	$65,633.81	2026-03-31
2341	APR_DRG	Appendectomy Without Complex Principal Diagnosis	29	27	—	—	$8,405.11	$68,375.06	$68,375.06	2026-03-31
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	18	15	—	—	$39,877.97	$43,050.51	$40,310.93	2026-03-31
2411	APR_DRG	Peptic Ulcer And Gastritis	29	27	—	—	$6,524.50	$55,097.74	$55,097.74	2026-03-31
2414	APR_DRG	Peptic Ulcer And Gastritis	29	27	—	—	$21,569.34	$57,997.61	$57,997.61	2026-03-31
2424	APR_DRG	Major Esophageal Disorders	29	27	—	—	$21,605.35	$62,573.55	$62,573.55	2026-03-31
2441	APR_DRG	Diverticulitis And Diverticulosis	29	27	—	—	$5,186.07	$47,223.50	$47,223.50	2026-03-31
2444	APR_DRG	Diverticulitis And Diverticulosis	29	27	—	—	$18,638.37	$49,708.93	$49,708.93	2026-03-31
2471	APR_DRG	Intestinal Obstruction	29	27	—	—	$4,734.44	$38,422.23	$38,422.23	2026-03-31
2474	APR_DRG	Intestinal Obstruction	29	27	—	—	$16,211.48	$40,444.45	$40,444.45	2026-03-31
2481	APR_DRG	Major Gastrointestinal And Peritoneal Infections	29	27	—	—	$5,462.81	$44,009.08	$44,009.08	2026-03-31
2484	APR_DRG	Major Gastrointestinal And Peritoneal Infections	29	27	—	—	$18,108.54	$46,325.33	$46,325.33	2026-03-31
2491	APR_DRG	Other Gastroenteritis, Nausea And Vomiting	29	27	—	—	$4,655.22	$45,457.21	$45,457.21	2026-03-31
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	18	15	—	—	$36,871.70	$39,805.73	$37,272.64	2026-03-31
2521	APR_DRG	Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure	29	27	—	—	$5,698.40	$56,211.27	$56,211.27	2026-03-31
2534	APR_DRG	Other And Unspecified Gastrointestinal Hemorrhage	29	27	—	—	$18,195.99	$52,861.57	$52,861.57	2026-03-31
2541	APR_DRG	Other Digestive System Diagnoses	30	27	—	—	$7,137.65	$51,247.01	$51,247.01	2026-03-31
2544	APR_DRG	Other Digestive System Diagnoses	29	27	—	—	$17,134.29	$53,944.21	$53,944.21	2026-03-31
2602	APR_DRG	Major Pancreas, Liver And Shunt Procedures	29	27	—	—	$24,389.23	$46,862.32	$46,862.32	2026-03-31
2631	APR_DRG	Cholecystectomy	29	27	—	—	$14,193.01	$60,284.15	$60,284.15	2026-03-31
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	18	15	—	—	$55,560.31	$59,977.06	$56,160.34	2026-03-31
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	15	12	—	—	$42,720.70	$46,118.78	$44,022.47	2026-03-31
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	15	12	—	—	$57,584.54	$62,161.88	$59,336.34	2026-03-31
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	15	12	—	—	$48,575.32	$52,437.89	$50,054.35	2026-03-31
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	18	15	—	—	$37,447.30	$40,427.00	$37,854.37	2026-03-31
2791	APR_DRG	Hepatic Coma And Other Major Acute Liver Disorders	29	27	—	—	$4,984.43	$47,950.31	$47,950.31	2026-03-31
2794	APR_DRG	Hepatic Coma And Other Major Acute Liver Disorders	29	27	—	—	$21,153.72	$50,474.00	$50,474.00	2026-03-31
28	MS_DRG	Spinal Procedures With Mcc	18	15	—	—	$48,588.96	$52,452.61	$49,114.72	2026-03-31
2814	APR_DRG	Malignancy Of Hepatobiliary System And Pancreas	29	27	—	—	$18,218.62	$50,869.52	$50,869.52	2026-03-31
2821	APR_DRG	Disorders Of Pancreas Except Malignancy	29	27	—	—	$5,341.42	$71,913.12	$71,913.12	2026-03-31
2824	APR_DRG	Disorders Of Pancreas Except Malignancy	29	27	—	—	$23,797.68	$75,698.01	$75,698.01	2026-03-31
2834	APR_DRG	Other Disorders Of The Liver	29	27	—	—	$20,099.22	$48,051.78	$48,051.78	2026-03-31
2841	APR_DRG	Disorders Of Gallbladder And Biliary Tract	30	27	—	—	$6,266.28	$49,516.38	$49,516.38	2026-03-31
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	18	15	—	—	$170,578.84	$184,120.88	$172,404.10	2026-03-31
3041	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	29	27	—	—	$25,059.99	$149,465.20	$149,465.20	2026-03-31
3042	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	29	27	—	—	$25,059.99	$72,427.00	$72,427.00	2026-03-31
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	29	27	—	—	$46,246.63	$100,653.52	$100,653.52	2026-03-31
3051	APR_DRG	Amputation Of Lower Limb Except Toes	29	27	—	—	$14,966.65	$106,531.25	$106,531.25	2026-03-31
3053	APR_DRG	Amputation Of Lower Limb Except Toes	29	27	—	—	$22,008.64	$51,458.48	$51,458.48	2026-03-31
3054	APR_DRG	Amputation Of Lower Limb Except Toes	29	27	—	—	$37,137.83	$56,069.07	$56,069.07	2026-03-31
3081	APR_DRG	Hip And Femur Fracture Repair	29	27	—	—	$17,288.60	$73,819.29	$73,819.29	2026-03-31
3082	APR_DRG	Hip And Femur Fracture Repair	29	27	—	—	$17,288.60	$39,145.28	$39,145.28	2026-03-31
3083	APR_DRG	Hip And Femur Fracture Repair	29	27	—	—	$21,677.37	$50,113.12	$50,113.12	2026-03-31
3091	APR_DRG	Other Significant Hip And Femur Surgery	29	27	—	—	$14,184.78	$97,450.23	$97,450.23	2026-03-31
3131	APR_DRG	Knee And Lower Leg Procedures Except Foot	29	27	—	—	$13,545.91	$127,430.49	$127,430.49	2026-03-31
3132	APR_DRG	Knee And Lower Leg Procedures Except Foot	29	27	—	—	$18,026.24	$39,861.26	$39,861.26	2026-03-31
3133	APR_DRG	Knee And Lower Leg Procedures Except Foot	29	27	—	—	$25,352.16	$61,548.66	$61,548.66	2026-03-31
3144	APR_DRG	Foot And Toe Procedures	29	27	—	—	$30,643.16	$84,131.03	$84,131.03	2026-03-31
3153	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	29	27	—	—	$23,184.53	$51,631.70	$51,631.70	2026-03-31
3161	APR_DRG	Hand And Wrist Procedures	29	27	—	—	$8,429.80	$83,849.27	$83,849.27	2026-03-31
3203	APR_DRG	Other Musculoskeletal System And Connective Tissue Procedures	29	27	—	—	$21,941.76	$48,239.43	$48,239.43	2026-03-31
3211	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	29	27	—	—	$21,850.20	$123,681.24	$123,681.24	2026-03-31
3212	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	29	27	—	—	$21,850.20	$47,113.49	$47,113.49	2026-03-31
3213	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	29	27	—	—	$34,205.82	$64,709.96	$64,709.96	2026-03-31
323	MS_DRG	Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc	15	12	—	—	$35,113.63	$37,908.18	$36,185.08	2026-03-31
3231	APR_DRG	Non-elective Or Complex Hip Joint Replacement	29	27	—	—	$16,952.19	$87,913.93	$87,913.93	2026-03-31
3232	APR_DRG	Non-elective Or Complex Hip Joint Replacement	29	27	—	—	$19,495.34	$42,277.71	$42,277.71	2026-03-31
3233	APR_DRG	Non-elective Or Complex Hip Joint Replacement	29	27	—	—	$25,924.16	$53,825.84	$53,825.84	2026-03-31
3251	APR_DRG	Non-elective Or Complex Knee Joint Replacement	29	27	—	—	$25,366.56	$98,456.80	$98,456.80	2026-03-31
3252	APR_DRG	Non-elective Or Complex Knee Joint Replacement	29	27	—	—	$25,366.56	$50,658.77	$50,658.77	2026-03-31
3253	APR_DRG	Non-elective Or Complex Knee Joint Replacement	29	27	—	—	$30,843.77	$72,730.14	$72,730.14	2026-03-31
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	18	15	—	—	$40,404.67	$43,619.00	$40,843.25	2026-03-31
3261	APR_DRG	Elective Knee Joint Replacement	29	27	—	—	$14,520.17	$101,183.02	$101,183.02	2026-03-31
3263	APR_DRG	Elective Knee Joint Replacement	29	27	—	—	$22,135.17	$46,674.66	$46,674.66	2026-03-31
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	15	12	—	—	$37,270.93	$40,236.64	$38,407.70	2026-03-31
33249	CPT	Pr Ins/rplc Dfib W Transven Lead	381	298	$49,159.00	$43,259.92	$723.02	$47,684.23	$46,701.05	2026-03-31
33264	CPT	Pr Rmvl&rplc Icd Gen Multi Lead	381	298	$52,764.00	$46,432.32	$323.95	$51,181.08	$50,125.80	2026-03-31
33270	CPT	Pr Ins/rplc Subq Icd W Subq Elec	380	298	$41,602.00	$36,609.76	$447.78	$44,373.18	$39,521.90	2026-03-31
33274	CPT	Pr Rplc/insrt Transcath Leadls Pm	381	298	$38,250.00	$33,660.00	$67.39	$37,102.50	$36,337.50	2026-03-31
3433	APR_DRG	Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali…	29	27	—	—	$13,683.77	$37,236.95	$37,236.95	2026-03-31
3443	APR_DRG	Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections	29	27	—	—	$13,069.59	$36,310.21	$36,310.21	2026-03-31
3444	APR_DRG	Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections	29	27	—	—	$20,267.94	$48,196.13	$48,196.13	2026-03-31
3471	APR_DRG	Other Back And Neck Disorders, Fractures And Injuries	30	27	—	—	$5,940.16	$40,347.59	$40,347.59	2026-03-31
3474	APR_DRG	Other Back And Neck Disorders, Fractures And Injuries	29	27	—	—	$18,945.96	$42,471.14	$42,471.14	2026-03-31
3491	APR_DRG	Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure	29	27	—	—	$7,657.20	$45,204.88	$45,204.88	2026-03-31
3494	APR_DRG	Malfunction, Reaction, Complication Of Orthopedic Device Or Procedure	29	27	—	—	$18,633.22	$47,584.08	$47,584.08	2026-03-31
3511	APR_DRG	Other Musculoskeletal System And Connective Tissue Diagnoses	29	27	—	—	$4,954.59	$57,812.99	$57,812.99	2026-03-31
356	MS_DRG	Other Digestive System O.r. Procedures With Mcc	18	15	—	—	$35,637.92	$38,474.07	$36,025.72	2026-03-31
3811	APR_DRG	Major Skin Disorders	29	27	—	—	$3,876.44	$57,143.78	$57,143.78	2026-03-31
3813	APR_DRG	Major Skin Disorders	29	27	—	—	$10,999.69	$38,550.55	$38,550.55	2026-03-31
3831	APR_DRG	Cellulitis And Other Skin Infections	30	27	—	—	$4,453.58	$48,918.48	$48,918.48	2026-03-31
3834	APR_DRG	Cellulitis And Other Skin Infections	29	27	—	—	$17,049.93	$51,493.12	$51,493.12	2026-03-31
3851	APR_DRG	Other Skin, Subcutaneous Tissue And Breast Disorders	29	27	—	—	$4,443.29	$35,739.89	$35,739.89	2026-03-31
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	15	12	—	—	$111,465.02	$120,317.11	$114,848.15	2026-03-31
4031	APR_DRG	Procedures For Obesity	29	27	—	—	$10,416.37	$123,505.71	$123,505.71	2026-03-31
4033	APR_DRG	Procedures For Obesity	29	27	—	—	$19,730.92	$38,677.58	$38,677.58	2026-03-31
4052	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	29	27	—	—	$14,647.73	$38,521.68	$38,521.68	2026-03-31
411	APR_DRG	Nervous System Malignancy	29	27	—	—	$8,672.59	$50,059.43	$50,059.43	2026-03-31
4201	APR_DRG	Diabetes	29	27	—	—	$6,415.46	$45,983.81	$45,983.81	2026-03-31
4204	APR_DRG	Diabetes	29	27	—	—	$17,038.61	$48,404.00	$48,404.00	2026-03-31
4211	APR_DRG	Malnutrition, Failure To Thrive And Other Nutritional Disorders	29	27	—	—	$3,784.87	$69,282.89	$69,282.89	2026-03-31
4224	APR_DRG	Hypovolemia And Related Electrolyte Disorders	29	27	—	—	$11,992.45	$40,464.65	$40,464.65	2026-03-31
423	APR_DRG	Degenerative Nervous System Disorders Except Multiple Sclerosis	30	27	—	—	$11,906.04	$43,088.97	$43,088.97	2026-03-31
4233	APR_DRG	Inborn Errors Of Metabolism	29	27	—	—	$11,551.11	$43,117.84	$43,117.84	2026-03-31
4234	APR_DRG	Inborn Errors Of Metabolism	29	27	—	—	$29,205.96	$70,680.34	$70,680.34	2026-03-31
4254	APR_DRG	Other Non-hypovolemic Electrolyte Disorders	29	27	—	—	$15,750.58	$38,117.50	$38,117.50	2026-03-31
4261	APR_DRG	Non-hypovolemic Sodium Disorders	29	27	—	—	$4,762.22	$56,751.58	$56,751.58	2026-03-31
4264	APR_DRG	Non-hypovolemic Sodium Disorders	29	27	—	—	$16,504.68	$59,738.49	$59,738.49	2026-03-31
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	12	—	—	$58,291.61	$62,925.05	$60,064.82	2026-03-31
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	18	15	—	—	$46,655.31	$50,365.56	$47,160.48	2026-03-31
431	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	29	27	—	—	$13,008.89	$107,828.54	$107,828.54	2026-03-31
433	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	29	27	—	—	$19,949.02	$55,653.34	$55,653.34	2026-03-31
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	3	3	—	—	$176,881.81	$188,902.90	$178,599.11	2026-03-31
4431	APR_DRG	Kidney And Urinary Tract Procedures For Non-malignancy	29	27	—	—	$14,994.43	$57,939.16	$57,939.16	2026-03-31
4434	APR_DRG	Kidney And Urinary Tract Procedures For Non-malignancy	29	27	—	—	$20,283.38	$60,988.57	$60,988.57	2026-03-31
444	APR_DRG	Intracranial Hemorrhage	29	27	—	—	$19,068.39	$37,895.20	$37,895.20	2026-03-31
4444	APR_DRG	Renal Dialysis Access Procedures	29	27	—	—	$40,465.93	$119,384.59	$119,384.59	2026-03-31
451	APR_DRG	Cva And Precerebral Occlusion With Infarction	29	27	—	—	$7,779.61	$57,607.29	$57,607.29	2026-03-31
454	APR_DRG	Cva And Precerebral Occlusion With Infarction	29	27	—	—	$20,150.66	$60,639.24	$60,639.24	2026-03-31
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	15	12	—	—	$67,789.83	$73,176.84	$69,850.62	2026-03-31
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	18	15	—	—	$44,698.44	$48,253.43	$45,182.75	2026-03-31
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	18	15	—	—	$46,113.38	$49,780.63	$46,612.77	2026-03-31
4631	APR_DRG	Kidney And Urinary Tract Infections	29	27	—	—	$4,961.80	$36,181.46	$36,181.46	2026-03-31
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	18	15	—	—	$42,152.33	$45,505.32	$42,609.52	2026-03-31
4664	APR_DRG	Malfunction, Reaction, Complication Of Genitourinary Device Or Procedure	29	27	—	—	$17,622.96	$62,639.96	$62,639.96	2026-03-31
4691	APR_DRG	Acute Kidney Injury	29	27	—	—	$4,774.55	$47,001.34	$47,001.34	2026-03-31
4694	APR_DRG	Acute Kidney Injury	29	27	—	—	$20,307.04	$49,475.08	$49,475.08	2026-03-31
471	APR_DRG	Transient Ischemia	29	27	—	—	$6,592.40	$41,148.46	$41,148.46	2026-03-31
471	MS_DRG	Cervical Spinal Fusion With Mcc	18	15	—	—	$39,132.41	$42,245.81	$39,557.44	2026-03-31
481	APR_DRG	Peripheral, Cranial And Autonomic Nerve Disorders	29	27	—	—	$6,067.73	$46,721.59	$46,721.59	2026-03-31
492	APR_DRG	Bacterial And Tuberculous Infections Of Nervous System	29	27	—	—	$13,131.32	$49,844.62	$49,844.62	2026-03-31
5011	APR_DRG	Male Reproductive System Diagnoses Except Malignancy	29	27	—	—	$4,666.54	$49,222.91	$49,222.91	2026-03-31
503	APR_DRG	Non-bacterial Infections Of Nervous System Except Viral Meningitis	29	27	—	—	$18,988.14	$51,201.53	$51,201.53	2026-03-31
5131	APR_DRG	Gynecologic Procedures Without Malignancy	29	27	—	—	$9,987.37	$75,640.43	$75,640.43	2026-03-31
524	APR_DRG	Alteration In Consciousness	29	27	—	—	$18,155.86	$64,444.35	$64,444.35	2026-03-31
531	APR_DRG	Seizure	29	27	—	—	$4,653.16	$55,934.26	$55,934.26	2026-03-31
534	APR_DRG	Seizure	29	27	—	—	$19,605.41	$58,878.15	$58,878.15	2026-03-31
5391	APR_DRG	Cesarean Section With Sterilization	29	27	—	—	$5,959.70	$52,703.38	$52,703.38	2026-03-31
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	29	27	—	—	$125,824.61	$322,527.78	$322,527.78	2026-03-31
5402	APR_DRG	Cesarean Section Without Sterilization	31	27	—	—	$7,354.73	$60,844.29	$60,844.29	2026-03-31
541	APR_DRG	Migraine And Other Headaches	29	27	—	—	$5,867.12	$44,099.58	$44,099.58	2026-03-31
5422	APR_DRG	Vaginal Delivery With O.r. Procedure Except Sterilization And/or D&c	31	27	—	—	$4,695.34	$46,846.25	$46,846.25	2026-03-31
5473	APR_DRG	Antepartum With O.r. Procedure	29	27	—	—	$14,295.90	$46,475.46	$46,475.46	2026-03-31
551	APR_DRG	Head Trauma With Coma > 1 Hour Or Hemorrhage	29	27	—	—	$6,064.64	$67,906.06	$67,906.06	2026-03-31
581	APR_DRG	Other Disorders Of Nervous System	29	27	—	—	$6,832.11	$45,821.99	$45,821.99	2026-03-31
6141	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	29	27	—	—	$8,294.00	$88,824.56	$88,824.56	2026-03-31
6142	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	29	27	—	—	$20,552.92	$50,158.63	$50,158.63	2026-03-31
6221	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	29	27	—	—	$12,917.33	$59,754.83	$59,754.83	2026-03-31
6222	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	29	27	—	—	$29,960.05	$54,359.51	$54,359.51	2026-03-31
6261	APR_DRG	Neonate Birth Weight 2000-2499 Grams, Normal Newborn Or Neonate With Other Probl…	29	27	—	—	$2,336.35	$55,250.26	$55,250.26	2026-03-31
6331	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	29	27	—	—	$1,800.36	$124,203.21	$124,203.21	2026-03-31
6332	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	30	27	—	—	$3,661.89	$37,639.97	$37,639.97	2026-03-31
6341	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	29	27	—	—	$5,289.98	$50,726.10	$50,726.10	2026-03-31
6361	APR_DRG	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	29	27	—	—	$5,185.04	$48,462.61	$48,462.61	2026-03-31
63685	CPT	Pr Ins/rplcmt Spi Npgr Pocket	21	17	—	—	$297.28	$43,622.30	$35,788.25	2026-03-31
6391	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Significant Condition	29	27	—	—	$2,515.36	$51,224.43	$51,224.43	2026-03-31
6402	APR_DRG	Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem	30	27	—	—	$1,455.72	$66,433.18	$66,433.18	2026-03-31
6601	APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	29	27	—	—	$5,867.12	$99,926.88	$99,926.88	2026-03-31
6613	APR_DRG	Coagulation And Platelet Disorders	29	27	—	—	$9,176.69	$52,757.64	$52,757.64	2026-03-31
6614	APR_DRG	Coagulation And Platelet Disorders	29	27	—	—	$22,956.14	$101,395.49	$101,395.49	2026-03-31
6911	APR_DRG	Lymphoma, Myeloma And Non-acute Leukemia	29	27	—	—	$8,565.60	$126,761.28	$126,761.28	2026-03-31
69930	CPT	Pr Cochlear Device Implantation	18	15	—	—	$1,011.61	$46,611.37	$39,387.74	2026-03-31
7101	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	29	27	—	—	$11,963.66	$121,234.77	$121,234.77	2026-03-31
7103	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	29	27	—	—	$27,641.19	$55,055.72	$55,055.72	2026-03-31
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	29	27	—	—	$43,896.90	$127,615.52	$127,615.52	2026-03-31
7201	APR_DRG	Septicemia And Disseminated Infections	29	27	—	—	$8,448.32	$58,441.07	$58,441.07	2026-03-31
7204	APR_DRG	Septicemia And Disseminated Infections	29	27	—	—	$23,323.41	$61,516.90	$61,516.90	2026-03-31
7221	APR_DRG	Fever And Inflammatory Conditions	29	27	—	—	$4,028.69	$59,582.02	$59,582.02	2026-03-31
7234	APR_DRG	Viral Illness	29	27	—	—	$15,573.63	$52,001.24	$52,001.24	2026-03-31
7241	APR_DRG	Other Infectious And Parasitic Diseases	29	27	—	—	$4,971.05	$58,750.99	$58,750.99	2026-03-31
7501	APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	30	27	—	—	$12,053.81	$92,771.22	$92,771.22	2026-03-31
7502	APR_DRG	Schizophrenia And Other Severe Psychotic Disorders	30	27	—	—	$17,611.72	$40,987.21	$40,987.21	2026-03-31
7511	APR_DRG	Depressive Disorders	30	27	—	—	$9,185.03	$67,234.11	$67,234.11	2026-03-31
7513	APR_DRG	Depressive Disorders	30	27	—	—	$16,836.97	$63,537.82	$63,537.82	2026-03-31
7531	APR_DRG	Bipolar Disorders	29	27	—	—	$10,292.98	$68,956.51	$68,956.51	2026-03-31
7533	APR_DRG	Bipolar Disorders	29	27	—	—	$17,406.92	$47,725.54	$47,725.54	2026-03-31
7551	APR_DRG	Adjustment Disorders	29	27	—	—	$6,587.61	$50,196.57	$50,196.57	2026-03-31
7561	APR_DRG	Acute Anxiety And Stress Syndromes	30	27	—	—	$10,068.25	$43,120.45	$43,120.45	2026-03-31
7563	APR_DRG	Acute Anxiety And Stress Syndromes	29	27	—	—	$16,723.80	$40,167.29	$40,167.29	2026-03-31
7701	APR_DRG	Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice	29	27	—	—	$2,563.71	$44,280.60	$44,280.60	2026-03-31
7704	APR_DRG	Drug And Alcohol Abuse Or Dependence, Left Against Medical Advice	29	27	—	—	$13,083.99	$46,611.15	$46,611.15	2026-03-31
7734	APR_DRG	Opioid Abuse And Dependence	29	27	—	—	$17,596.21	$57,382.67	$57,382.67	2026-03-31
7751	APR_DRG	Alcohol Abuse And Dependence	29	27	—	—	$5,645.93	$67,201.19	$67,201.19	2026-03-31
7754	APR_DRG	Alcohol Abuse And Dependence	29	27	—	—	$22,962.32	$70,738.08	$70,738.08	2026-03-31
7764	APR_DRG	Other Drug Abuse And Dependence	29	27	—	—	$14,886.40	$40,672.52	$40,672.52	2026-03-31
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	15	12	—	—	$48,069.48	$51,891.92	$49,533.19	2026-03-31
7923	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	29	27	—	—	$26,705.01	$62,345.48	$62,345.48	2026-03-31
7931	APR_DRG	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	29	27	—	—	$10,372.13	$100,796.31	$100,796.31	2026-03-31
8101	APR_DRG	Hemorrhage Or Hematoma Due To Complication	29	27	—	—	$6,582.12	$44,675.55	$44,675.55	2026-03-31
8104	APR_DRG	Hemorrhage Or Hematoma Due To Complication	29	27	—	—	$19,220.64	$47,026.88	$47,026.88	2026-03-31
8114	APR_DRG	Allergic Reactions	29	27	—	—	$18,037.56	$62,813.18	$62,813.18	2026-03-31
8121	APR_DRG	Poisoning Of Medicinal Agents	29	27	—	—	$3,586.32	$39,554.96	$39,554.96	2026-03-31
8124	APR_DRG	Poisoning Of Medicinal Agents	29	27	—	—	$16,721.75	$41,636.79	$41,636.79	2026-03-31
8131	APR_DRG	Other Complications Of Treatment	29	27	—	—	$10,151.98	$47,281.09	$47,281.09	2026-03-31
8134	APR_DRG	Other Complications Of Treatment	29	27	—	—	$6,911.33	$49,769.56	$49,769.56	2026-03-31
8164	APR_DRG	Toxic Effects Of Non-medicinal Substances	29	27	—	—	$22,030.24	$35,874.27	$35,874.27	2026-03-31
8171	APR_DRG	Intentional Self-harm And Attempted Suicide	29	27	—	—	$5,526.59	$47,763.81	$47,763.81	2026-03-31
8174	APR_DRG	Intentional Self-harm And Attempted Suicide	29	27	—	—	$20,761.76	$50,277.68	$50,277.68	2026-03-31
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	18	15	—	—	$47,438.55	$51,210.93	$47,952.05	2026-03-31
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	18	15	—	—	$37,922.68	$40,940.10	$38,334.82	2026-03-31
8443	APR_DRG	Partial Thickness Burns Without Skin Graft	29	27	—	—	$11,173.55	$38,588.08	$38,588.08	2026-03-31
8501	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	29	27	—	—	$12,903.95	$155,375.68	$155,375.68	2026-03-31
8503	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	30	27	—	—	$32,439.41	$71,049.88	$71,049.88	2026-03-31
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	15	12	—	—	$40,013.45	$43,196.75	$41,233.26	2026-03-31
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	15	12	—	—	$55,832.08	$60,270.39	$57,530.82	2026-03-31
8903	APR_DRG	HIV With Multiple Major HIV Related Conditions	29	27	—	—	$15,629.19	$44,183.15	$44,183.15	2026-03-31
8904	APR_DRG	HIV With Multiple Major HIV Related Conditions	29	27	—	—	$29,377.76	$75,917.42	$75,917.42	2026-03-31
891	APR_DRG	Major Cranial Or Facial Bone Procedures	29	27	—	—	$14,616.87	$144,138.91	$144,138.91	2026-03-31
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	29	27	—	—	$65,091.78	$72,734.47	$72,734.47	2026-03-31
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	29	27	—	—	$62,141.24	$78,095.69	$78,095.69	2026-03-31
92930	CPT	Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments	378	297	$42,521.00	$37,418.48	$731.00	$41,245.37	$40,394.95	2026-03-31
93654	CPT	Pr Ep Eval W Vent Tachy Ablate	380	298	$39,418.00	$34,687.84	$763.57	$38,235.46	$37,447.10	2026-03-31
93656	CPT	Pr Ep Eval Tx Art Fib Pulm Vein	380	298	$40,758.00	$35,867.04	$718.24	$39,535.26	$38,720.10	2026-03-31
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	29	27	—	—	$155,407.22	$247,272.14	$163,586.51	2026-03-31
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	29	27	—	—	$53,226.89	$176,516.08	$176,516.08	2026-03-31
9511	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	29	27	—	—	$10,682.82	$108,335.94	$108,335.94	2026-03-31
9513	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	29	27	—	—	$23,677.31	$57,893.67	$57,893.67	2026-03-31
9523	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	29	27	—	—	$20,359.51	$46,131.90	$46,131.90	2026-03-31
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	15	12	—	—	$61,508.71	$66,397.39	$63,379.32	2026-03-31
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	18	15	—	—	$38,034.93	$41,061.25	$38,448.26	2026-03-31
A9607	HCPCS	Lutetium Lu-177 Vipivotide Tetraxetan 27 Mci/ml (1,000 Mbq/ml) IV Soln	378	297	$161,500.00	$142,120.00	$255.84	$161,500.00	$153,425.00	2026-03-31
C1826	HCPCS	Nrstm Spn Incp Pn Mgmnt Clsd Lp	363	285	$40,000.00	$35,200.00	$8,320.00	$40,000.00	$38,000.00	2026-03-31
C2616	HCPCS	Yttrium-90 Microspheres 3 Gbq/5 Ml For Intravenous Solution	741	297	$41,487.50	$36,509.00	$8,629.40	$42,870.00	$39,413.13	2026-03-31
C9767	HCPCS	Hc Revasc Lithotrip-stent-ather	756	297	$38,385.00	$33,778.80	$7,984.08	$38,385.00	$36,465.75	2026-03-31
J0225	HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	378	297	$210,058.00	$184,851.04	$5,003.64	$210,058.00	$199,555.10	2026-03-31
J2326	HCPCS	Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution	378	297	$366,172.40	$322,231.71	$1,280.25	$366,172.40	$347,863.78	2026-03-31
J2350	HCPCS	Ocrelizumab 30 Mg/ml Intravenous Solution	380	298	$53,872.30	$47,407.62	$59.41	$52,256.13	$51,178.69	2026-03-31
J2507	HCPCS	Pegloticase 8 Mg/ml Intravenous Solution	380	298	$79,458.60	$69,923.57	$3,660.83	$77,074.84	$75,485.67	2026-03-31
J3241	HCPCS	Teprotumumab-trbw 500 Mg Intravenous Solution	380	298	$46,971.80	$41,335.18	$359.19	$45,562.65	$44,623.21	2026-03-31
J3357	HCPCS	Ustekinumab 90 Mg/ml Subcutaneous Syringe	378	298	$75,034.50	$66,030.36	$13,748.62	$75,034.50	$71,282.78	2026-03-31
J7170	HCPCS	Emicizumab-kxwh 300 Mg/2 Ml (150 Mg/ml) Subcutaneous Solution	380	298	$85,238.90	$75,010.23	$56.10	$82,681.73	$80,976.96	2026-03-31
J9043	HCPCS	Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution	380	298	$41,438.90	$36,466.23	$227.28	$40,195.73	$39,366.96	2026-03-31
J9298	HCPCS	Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution	378	297	$44,253.00	$38,942.64	$197.83	$44,253.00	$42,040.35	2026-03-31
J9359	HCPCS	Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted)	378	297	$81,733.40	$71,925.39	$216.90	$81,733.40	$77,646.73	2026-03-31
RX-219415	CDM	Belantamab Mafodotin-blmf 70 Mg Intravenous Solution	367	289	$67,280.40	$59,206.75	$13,994.32	$67,280.40	$63,916.38	2026-03-31
RX-707820	CDM	Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted)	367	289	$67,280.40	$59,206.75	$13,994.32	$67,280.40	$63,916.38	2026-03-31
SUP-00480003	CDM	Ventricular Assist Automated Controller Cp	363	285	$52,000.00	$45,760.00	$10,816.00	$52,000.00	$49,400.00	2026-03-31
SUP-ZNEVRHFXD	CDM	Kit Scs With Generator And Remote Hfx Iq_	363	285	$46,000.00	$40,480.00	$9,568.00	$46,000.00	$43,700.00	2026-03-31

See an error in this hospital's data? Submit a correction