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

SANFORD BEMIDJI MEDICAL CENTER

Bemidji, MN · CCN 240100 · Rates published

18,239 distinct procedures filed
15 distinct payers
435,187 rate rows
2026-03-04 last MRF observed
Data quality

430,703 of 435,187 rate rows are consumer-grade (99.0%)

4,484 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 4,330
placeholder amount (≤ $0.02) — excluded from medians 68
percent-of-charges filed in the dollar field — excluded from medians 40
per-diem day rate — not a per-procedure price 31
exceeds 10× this hospital's gross charge — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8385/411266009_sanford-bemidji-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordBemidjiMedicalCenter/8385
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint ceaad10b314a9c28… · 575,650,366 bytes · first seen 2026-05-06

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $4,279,750.00 $4,730,250.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,501,003.33 $3,869,530.00 $3,795,824.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,150,639.46 $3,482,285.72 $3,415,956.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,086,023.43 $3,410,868.00 $3,345,899.09 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,798,453.00 $3,093,027.00 $3,034,112.20 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,319,015.02 $2,577,866.14 $2,528,763.92 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,215,400.00 $2,448,600.00 $2,401,960.00 nat. median
$2,448,600
1.0× median
Q2040
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $339,877.98 $1,665,632.07 $1,002,755.03 nat. median
$25,594
outlier · 39.2×
C9073
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $339,877.98 $1,665,632.07 $1,002,755.03 nat. median
$29,278
outlier · 34.2×
C9076
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $339,877.98 $1,665,632.07 $1,002,755.03 nat. median
$30,475
outlier · 32.9×
C9081
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $339,877.98 $1,665,632.07 $1,002,755.03 nat. median
$30,475
outlier · 32.9×
C9098
HCPCS 		Outpatient Services - Cpt/hcpcs 1 $339,877.98 $1,665,632.07 $1,002,755.03 nat. median
$57,174
outlier · 17.5×
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $732,089.00 $809,151.00 $793,738.60 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $366,564.69 $1,796,414.97 $609,477.99 nat. median
$753,246
0.8× median
5834
APR_DRG 		3 $370,559.36 $890,217.72 $587,297.87 nat. median
$309,665
1.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $375,944.80 $1,842,383.90 $582,845.01 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $358,119.53 $1,755,028.03 $579,414.33 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $365,679.83 $1,792,078.62 $574,037.47 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $339,877.98 $1,665,632.07 $549,227.08 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $339,952.22 $1,665,995.90 $503,983.75 nat. median
$619,808
0.8× median
5884
APR_DRG 		3 $239,719.71 $575,893.50 $371,194.27 nat. median
$246,434
1.5× median
5833
APR_DRG 		3 $216,626.83 $520,416.07 $354,595.29 nat. median
$244,017
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $313,553.39 $564,413.88 $339,957.89 nat. median
$370,174
0.9× median
0024
APR_DRG 		3 $274,712.80 $659,959.57 $302,066.03 nat. median
$372,987
0.8× median
0114
APR_DRG 		3 $108,960.17 $332,617.61 $297,189.68 nat. median
$197,700
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $264,337.50 $292,162.50 $286,597.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $244,625.00 $270,375.00 $265,225.00 nat. median
$265,000
1.0× median
6094
APR_DRG 		3 $192,560.94 $462,601.08 $261,025.57 nat. median
$162,982
1.6× median
5914
APR_DRG 		3 $225,110.86 $540,797.76 $255,404.15 nat. median
$164,289
1.6× median
1614
APR_DRG 		3 $178,071.79 $427,792.89 $251,161.77 nat. median
$207,730
1.2× median
0094
APR_DRG 		3 $117,662.35 $282,667.55 $241,718.99 nat. median
$166,008
1.5× median
5883
APR_DRG 		3 $165,555.71 $397,724.73 $240,287.32 nat. median
$182,665
1.3× median
5882
APR_DRG 		3 $134,194.08 $322,382.74 $231,742.41 nat. median
$145,336
1.6× median
8414
APR_DRG 		3 $214,868.48 $568,488.94 $225,752.99 nat. median
$160,267
1.4× median
5934
APR_DRG 		3 $221,592.34 $532,345.00 $225,447.58 nat. median
$151,838
1.5× median
6314
APR_DRG 		3 $121,590.15 $292,103.56 $222,784.01 nat. median
$122,924
1.8× median
5832
APR_DRG 		3 $139,843.01 $335,953.53 $222,516.58 nat. median
$156,126
1.4× median
5891
APR_DRG 		3 $197,146.07 $592,346.81 $221,857.29 nat. median
$93,370
outlier · 2.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $203,742.80 $373,815.00 $220,900.08 nat. median
$265,286
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $195,358.00 $215,922.00 $211,809.20 nat. median
$209,753
1.0× median
0113
APR_DRG 		3 $67,613.47 $259,607.87 $211,019.96 nat. median
$128,705
1.6× median
1613
APR_DRG 		3 $139,053.40 $334,056.59 $202,103.75 nat. median
$119,796
1.7× median
5892
APR_DRG 		3 $197,146.07 $473,878.37 $197,200.63 nat. median
$89,796
outlier · 2.2×
5893
APR_DRG 		3 $167,462.17 $402,304.76 $197,146.07 nat. median
$69,788
outlier · 2.8×
5913
APR_DRG 		3 $117,288.78 $281,770.10 $194,060.41 nat. median
$102,919
1.9× median
6304
APR_DRG 		3 $93,734.49 $225,184.18 $189,306.80 nat. median
$150,721
1.3× median
5831
APR_DRG 		3 $114,417.01 $274,871.07 $187,748.40 nat. median
$144,745
1.3× median
0074
APR_DRG 		3 $126,139.61 $303,033.01 $186,079.37 nat. median
$178,275
1.0× median
0044
APR_DRG 		3 $122,621.09 $294,580.25 $184,660.59 nat. median
$195,681
0.9× median
0014
APR_DRG 		3 $121,619.11 $292,173.13 $171,256.82 nat. median
$190,591
0.9× median

Other procedures at this hospital

Browse this hospital's 18,239 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
0011 APR_DRG — 4 3 — — $56,047.25 $134,645.78 $62,703.45 2026-03-04
0012 APR_DRG — 4 3 — — $63,125.79 $151,651.01 $76,309.14 2026-03-04
0013 APR_DRG — 4 3 — — $94,576.07 $243,332.67 $97,932.50 2026-03-04
0014 APR_DRG — 4 3 — — $121,619.11 $292,173.13 $171,256.82 2026-03-04
0021 APR_DRG — 4 3 — — $83,369.10 $200,282.75 $96,650.00 2026-03-04
0022 APR_DRG — 4 3 — — $97,249.15 $233,627.66 $126,081.38 2026-03-04
0023 APR_DRG — 4 3 — — $131,044.30 $314,815.85 $163,346.66 2026-03-04
0024 APR_DRG — 4 3 — — $274,712.80 $659,959.57 $302,066.03 2026-03-04
0041 APR_DRG — 4 3 — — $43,736.78 $105,071.57 $54,084.44 2026-03-04
0042 APR_DRG — 4 3 — — $65,496.57 $157,346.47 $76,337.06 2026-03-04
0043 APR_DRG — 4 3 — — $94,679.52 $227,454.48 $122,408.23 2026-03-04
0044 APR_DRG — 4 3 — — $122,621.09 $294,580.25 $184,660.59 2026-03-04
0052 APR_DRG — 4 3 — — $58,797.39 $141,252.61 $62,060.11 2026-03-04
0053 APR_DRG — 4 3 — — $83,398.06 $200,352.32 $92,673.98 2026-03-04
0054 APR_DRG — 4 3 — — $131,358.04 $324,288.96 $133,172.79 2026-03-04
0061 APR_DRG — 4 3 — — $55,143.73 $132,475.19 $67,069.34 2026-03-04
0062 APR_DRG — 4 3 — — $70,154.14 $168,535.64 $83,114.13 2026-03-04
0063 APR_DRG — 4 3 — — $80,812.99 $194,142.04 $98,288.96 2026-03-04
0064 APR_DRG — 4 3 — — $114,381.29 $274,785.27 $115,488.32 2026-03-04
0071 APR_DRG — 4 3 — — $60,697.10 $145,816.40 $68,687.89 2026-03-04
0072 APR_DRG — 4 3 — — $68,543.06 $164,665.23 $82,518.05 2026-03-04
0073 APR_DRG — 4 3 — — $87,627.04 $210,511.86 $110,866.81 2026-03-04
0074 APR_DRG — 4 3 — — $126,139.61 $303,033.01 $186,079.37 2026-03-04
0082 APR_DRG — 4 3 — — $22,076.41 $53,035.53 $42,922.14 2026-03-04
0083 APR_DRG — 4 3 — — $42,061.02 $101,045.79 $53,035.12 2026-03-04
0084 APR_DRG — 4 3 — — $74,871.56 $179,868.60 $80,856.54 2026-03-04
0091 APR_DRG — 4 3 — — $37,166.95 $89,288.46 $60,713.29 2026-03-04
0092 APR_DRG — 4 3 — — $45,287.05 $108,795.89 $75,039.64 2026-03-04
0093 APR_DRG — 4 3 — — $62,090.99 $149,165.04 $136,745.33 2026-03-04
0094 APR_DRG — 4 3 — — $117,662.35 $282,667.55 $241,718.99 2026-03-04
0111 APR_DRG — 4 3 — — $24,335.21 $92,677.20 $75,569.60 2026-03-04
0112 APR_DRG — 4 3 — — $35,814.56 $219,378.29 $152,708.91 2026-03-04
0113 APR_DRG — 4 3 — — $67,613.47 $259,607.87 $211,019.96 2026-03-04
0114 APR_DRG — 4 3 — — $108,960.17 $332,617.61 $297,189.68 2026-03-04
0204 APR_DRG — 4 3 — — $51,061.47 $122,668.14 $54,622.52 2026-03-04
0213 APR_DRG — 4 3 — — $26,854.65 $64,514.58 $42,004.93 2026-03-04
0214 APR_DRG — 4 3 — — $51,257.43 $123,138.90 $61,648.76 2026-03-04
0224 APR_DRG — 4 3 — — $42,073.57 $101,075.93 $44,453.70 2026-03-04
0234 APR_DRG — 4 3 — — $59,482.46 $144,754.30 $59,868.72 2026-03-04
0266T CPT All Outpatient Services 10 8 — — $34,037.96 $166,809.02 $45,488.40 2026-03-04
0274 APR_DRG — 4 3 — — $46,804.50 $112,441.35 $48,429.72 2026-03-04
0294 APR_DRG — 4 3 — — $34,337.65 $82,491.47 $44,486.99 2026-03-04
0304 APR_DRG — 4 3 — — $36,173.65 $86,902.21 $46,529.78 2026-03-04
0894 APR_DRG — 4 3 — — $48,515.01 $116,550.62 $56,924.14 2026-03-04
0913 APR_DRG — 4 3 — — $26,542.85 $63,765.54 $42,474.28 2026-03-04
0914 APR_DRG — 4 3 — — $54,116.65 $130,007.78 $66,870.65 2026-03-04
0924 APR_DRG — 4 3 — — $43,530.20 $104,575.31 $48,659.56 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $203,742.80 $373,815.00 $220,900.08 2026-03-04
10 MS_DRG Pancreas Transplant 13 9 — — $52,719.10 $105,810.00 $57,158.60 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 13 9 — — $40,247.89 $71,609.00 $43,637.19 2026-03-04
1204 APR_DRG — 4 3 — — $51,267.08 $123,162.09 $55,874.83 2026-03-04
1214 APR_DRG — 4 3 — — $43,173.04 $103,717.28 $47,240.78 2026-03-04
1303 APR_DRG — 4 3 — — $43,958.80 $105,604.94 $44,521.36 2026-03-04
1304 APR_DRG — 4 3 — — $59,534.01 $149,934.95 $60,972.74 2026-03-04
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $87,795.85 $173,871.00 $95,189.18 2026-03-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 9 — — $43,693.10 $80,101.00 $47,372.52 2026-03-04
1602 APR_DRG — 4 3 — — $22,383.38 $53,772.97 $45,565.31 2026-03-04
1603 APR_DRG — 4 3 — — $32,952.45 $79,163.70 $58,366.55 2026-03-04
1604 APR_DRG — 4 3 — — $81,427.88 $195,619.25 $132,789.71 2026-03-04
1611 APR_DRG — 4 3 — — $106,065.23 $254,807.08 $136,597.11 2026-03-04
1612 APR_DRG — 4 3 — — $111,647.56 $268,217.86 $136,597.11 2026-03-04
1613 APR_DRG — 4 3 — — $139,053.40 $334,056.59 $202,103.75 2026-03-04
1614 APR_DRG — 4 3 — — $178,071.79 $427,792.89 $251,161.77 2026-03-04
1621 APR_DRG — 4 3 — — $25,143.17 $60,402.99 $47,245.07 2026-03-04
1622 APR_DRG — 4 3 — — $29,463.85 $70,782.84 $54,985.54 2026-03-04
1623 APR_DRG — 4 3 — — $38,723.01 $93,026.69 $71,847.66 2026-03-04
1624 APR_DRG — 4 3 — — $64,987.86 $156,124.36 $100,308.12 2026-03-04
1632 APR_DRG — 4 3 — — $26,493.62 $63,647.27 $45,814.48 2026-03-04
1633 APR_DRG — 4 3 — — $33,527.76 $80,545.83 $60,278.31 2026-03-04
1634 APR_DRG — 4 3 — — $56,400.55 $135,494.53 $88,181.35 2026-03-04
1651 APR_DRG — 4 3 — — $25,070.77 $60,229.07 $43,725.51 2026-03-04
1652 APR_DRG — 4 3 — — $30,529.54 $73,343.01 $47,894.86 2026-03-04
1653 APR_DRG — 4 3 — — $36,931.41 $88,722.62 $58,283.85 2026-03-04
1654 APR_DRG — 4 3 — — $54,983.49 $132,090.24 $79,057.55 2026-03-04
1663 APR_DRG — 4 3 — — $29,585.48 $71,075.03 $49,627.25 2026-03-04
1664 APR_DRG — 4 3 — — $44,410.56 $106,690.23 $68,361.39 2026-03-04
1674 APR_DRG — 4 3 — — $57,780.93 $138,810.70 $67,098.34 2026-03-04
1693 APR_DRG — 4 3 — — $29,332.57 $70,467.45 $41,951.23 2026-03-04
1694 APR_DRG — 4 3 — — $61,723.94 $162,696.40 $64,723.73 2026-03-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 9 — — $40,089.97 $80,101.00 $43,465.97 2026-03-04
1704 APR_DRG — 4 3 — — $38,786.72 $93,179.74 $45,296.80 2026-03-04
1754 APR_DRG — 4 3 — — $31,857.80 $76,533.96 $44,779.12 2026-03-04
1764 APR_DRG — 4 3 — — $42,139.18 $104,876.78 $42,897.43 2026-03-04
1781 APR_DRG — 4 3 — — $49,328.67 $119,303.27 $49,494.74 2026-03-04
1782 APR_DRG — 4 3 — — $51,734.29 $124,284.49 $53,765.45 2026-03-04
1783 APR_DRG — 4 3 — — $52,654.22 $126,494.49 $66,695.58 2026-03-04
1784 APR_DRG — 4 3 — — $80,114.11 $192,463.09 $82,248.47 2026-03-04
1793 APR_DRG — 4 3 — — $40,474.06 $97,233.35 $50,417.73 2026-03-04
1794 APR_DRG — 4 3 — — $53,793.27 $129,230.91 $68,294.80 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 9 — — $313,553.39 $564,413.88 $339,957.89 2026-03-04
1814 APR_DRG — 4 3 — — $46,856.63 $112,566.58 $48,387.83 2026-03-04
1824 APR_DRG — 4 3 — — $39,036.34 $111,332.87 $42,689.71 2026-03-04
1832 APR_DRG — 4 3 — — $27,614.34 $66,339.63 $42,062.93 2026-03-04
1833 APR_DRG — 4 3 — — $30,389.57 $73,006.76 $51,425.16 2026-03-04
1834 APR_DRG — 4 3 — — $43,201.04 $103,784.53 $72,983.97 2026-03-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $52,421.37 $105,201.00 $56,835.80 2026-03-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $82,825.75 $148,110.48 $89,800.55 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 9 — — $57,739.88 $106,976.00 $62,602.18 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 13 9 — — $47,351.32 $85,837.00 $51,338.79 2026-03-04
209 MS_DRG Complex Aortic Arch Procedures 12 9 — — $82,731.58 $147,940.56 $89,698.45 2026-03-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 13 9 — — $39,086.68 $73,356.00 $42,378.19 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 13 9 — — $79,510.18 $144,570.00 $86,205.78 2026-03-04
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 12 9 — — $42,079.16 $74,591.12 $45,622.67 2026-03-04
215 MS_DRG Other Heart Assist System Implant 13 9 — — $72,866.74 $140,603.00 $79,002.88 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $71,604.84 $128,077.00 $77,634.73 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $48,369.82 $85,941.41 $52,443.07 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 9 — — $48,369.82 $85,941.41 $52,443.07 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $56,359.93 $102,683.00 $61,106.03 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 9 — — $39,369.18 $70,291.00 $42,684.48 2026-03-04
2204 APR_DRG — 4 3 — — $56,688.93 $149,856.10 $59,533.79 2026-03-04
2224 APR_DRG — 4 3 — — $39,633.49 $137,869.19 $48,511.25 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 13 9 — — $42,248.67 $75,711.00 $45,806.45 2026-03-04
2304 APR_DRG — 4 3 — — $36,692.02 $88,147.51 $48,484.49 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 9 — — $61,804.48 $112,456.00 $67,009.07 2026-03-04
2314 APR_DRG — 4 3 — — $31,410.86 $75,460.26 $42,427.02 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 9 — — $44,655.83 $81,067.00 $48,416.32 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 9 — — $56,120.14 $103,729.00 $60,846.04 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 9 — — $40,310.18 $71,399.35 $43,704.72 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 9 — — $43,250.51 $78,088.00 $46,892.66 2026-03-04
2604 APR_DRG — 4 3 — — $46,054.46 $110,639.49 $58,320.37 2026-03-04
2614 APR_DRG — 4 3 — — $51,659.30 $127,454.56 $52,356.57 2026-03-04
2644 APR_DRG — 4 3 — — $39,260.68 $94,318.37 $44,624.47 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 9 — — $45,132.49 $80,100.27 $48,933.12 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 9 — — $50,561.84 $89,896.49 $54,819.68 2026-03-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 9 — — $38,959.90 $68,963.03 $42,240.73 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 9 — — $52,390.95 $93,784.00 $56,802.82 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 13 9 — — $44,250.16 $82,205.00 $47,976.49 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 13 9 — — $41,059.93 $72,752.13 $44,517.61 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 13 9 — — $44,262.49 $80,680.00 $47,989.85 2026-03-04
2992 APR_DRG — 2 2 — — $48,868.99 $48,868.99 $48,868.99 2026-03-04
2993 APR_DRG — 2 2 — — $65,226.32 $65,226.32 $65,226.32 2026-03-04
2994 APR_DRG — 2 2 — — $83,196.83 $83,196.83 $83,196.83 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 13 9 — — $154,493.24 $284,414.00 $167,503.19 2026-03-04
3003 APR_DRG — 2 2 — — $42,976.92 $42,976.92 $42,976.92 2026-03-04
3004 APR_DRG — 2 2 — — $62,908.59 $62,908.59 $62,908.59 2026-03-04
3032 APR_DRG — 4 3 — — $30,726.46 $73,816.09 $45,885.37 2026-03-04
3033 APR_DRG — 4 3 — — $39,591.78 $95,113.79 $61,389.92 2026-03-04
3034 APR_DRG — 4 3 — — $68,874.16 $165,460.65 $91,956.54 2026-03-04
3043 APR_DRG — 4 3 — — $33,697.66 $80,953.97 $48,280.43 2026-03-04
3044 APR_DRG — 4 3 — — $43,396.03 $104,252.96 $67,591.31 2026-03-04
3124 APR_DRG — 4 3 — — $52,050.91 $125,045.12 $53,991.00 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 13 9 — — $49,175.34 $87,394.83 $53,316.43 2026-03-04
3214 APR_DRG — 4 3 — — $41,886.30 $100,626.05 $49,763.65 2026-03-04
33264 CPT Rmvl & Replc Defib Gen Mult Leads 44 15 $58,145.00 $46,516.00 20% off $23,734.48 $116,315.01 $42,155.12 2026-03-04
33276 CPT Insj Phrnc Nrv Stim Sys 10 8 — — $34,037.96 $166,809.02 $45,488.40 2026-03-04
3614 APR_DRG — 4 3 — — $47,845.09 $114,941.24 $50,838.75 2026-03-04
38240 CPT Transplt Allo Hct/donor 12 8 — — $39,423.35 $193,201.11 $59,783.55 2026-03-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 13 9 — — $101,077.65 $187,517.00 $109,589.46 2026-03-04
4014 APR_DRG — 4 3 — — $40,243.36 $96,679.11 $56,250.73 2026-03-04
4034 APR_DRG — 4 3 — — $34,714.12 $83,395.88 $45,264.58 2026-03-04
4044 APR_DRG — 4 3 — — $42,057.16 $101,036.51 $43,691.14 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 13 9 — — $40,366.69 $72,044.00 $43,765.99 2026-03-04
4054 APR_DRG — 4 3 — — $41,663.31 $100,090.36 $45,615.79 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $80,575.78 $144,050.83 $87,361.11 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $53,029.86 $94,349.56 $57,495.53 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 9 — — $41,464.14 $73,481.45 $44,955.85 2026-03-04
4284 APR_DRG — 2 2 — — $45,273.17 $45,273.17 $45,273.17 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 9 — — $66,003.82 $117,758.54 $71,562.03 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 13 9 — — $42,515.25 $75,377.96 $46,095.48 2026-03-04
4401 APR_DRG — 4 3 — — $42,644.06 $102,446.46 $50,129.89 2026-03-04
4402 APR_DRG — 4 3 — — $53,218.92 $127,851.11 $54,870.62 2026-03-04
4403 APR_DRG — 4 3 — — $62,051.41 $149,069.96 $63,570.18 2026-03-04
4404 APR_DRG — 4 3 — — $76,653.51 $184,149.47 $95,496.51 2026-03-04
4414 APR_DRG — 4 3 — — $48,981.25 $117,670.70 $53,965.22 2026-03-04
4424 APR_DRG — 4 3 — — $34,926.48 $83,906.06 $43,136.95 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 13 9 — — $49,139.84 $88,976.00 $53,277.93 2026-03-04
4474 APR_DRG — 4 3 — — $43,248.65 $125,981.99 $47,844.77 2026-03-04
4484 APR_DRG — 2 2 — — $41,994.19 $41,994.19 $41,994.19 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 13 9 — — $39,346.00 $69,659.68 $42,659.35 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $61,612.52 $112,392.00 $66,800.94 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 9 — — $43,935.06 $77,939.74 $47,634.85 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 13 9 — — $40,746.99 $81,444.00 $44,178.32 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 9 — — $42,025.56 $74,494.40 $45,564.55 2026-03-04
4804 APR_DRG — 2 1 — — $35,438.09 $85,135.13 $60,286.61 2026-03-04
4854 APR_DRG — 2 2 — — $51,502.49 $51,502.49 $51,502.49 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $75,427.49 $141,325.00 $81,779.28 2026-03-04
5104 APR_DRG — 2 1 — — $43,612.25 $104,772.42 $74,192.33 2026-03-04
5114 APR_DRG — 4 3 — — $36,274.04 $87,143.38 $47,609.17 2026-03-04
5124 APR_DRG — 4 3 — — $33,432.20 $80,316.25 $47,376.11 2026-03-04
5204 APR_DRG — 2 2 — — $53,375.58 $53,375.58 $53,375.58 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 13 9 — — $48,196.68 $85,629.03 $52,255.35 2026-03-04
5831 APR_DRG — 4 3 — — $114,417.01 $274,871.07 $187,748.40 2026-03-04
5832 APR_DRG — 4 3 — — $139,843.01 $335,953.53 $222,516.58 2026-03-04
5833 APR_DRG — 4 3 — — $216,626.83 $520,416.07 $354,595.29 2026-03-04
5834 APR_DRG — 4 3 — — $370,559.36 $890,217.72 $587,297.87 2026-03-04
5881 APR_DRG — 4 3 — — $88,331.71 $212,204.73 $154,134.79 2026-03-04
5882 APR_DRG — 4 3 — — $134,194.08 $322,382.74 $231,742.41 2026-03-04
5883 APR_DRG — 4 3 — — $165,555.71 $397,724.73 $240,287.32 2026-03-04
5884 APR_DRG — 4 3 — — $239,719.71 $575,893.50 $371,194.27 2026-03-04
5891 APR_DRG — 4 3 — — $197,146.07 $592,346.81 $221,857.29 2026-03-04
5892 APR_DRG — 4 3 — — $197,146.07 $473,878.37 $197,200.63 2026-03-04
5893 APR_DRG — 4 3 — — $167,462.17 $402,304.76 $197,146.07 2026-03-04
5911 APR_DRG — 4 3 — — $4,110.28 $196,943.39 $43,044.68 2026-03-04
5912 APR_DRG — 4 3 — — $90,176.40 $216,636.34 $157,574.87 2026-03-04
5913 APR_DRG — 4 3 — — $117,288.78 $281,770.10 $194,060.41 2026-03-04
5914 APR_DRG — 4 3 — — $225,110.86 $540,797.76 $255,404.15 2026-03-04
5931 APR_DRG — 4 3 — — $62,076.22 $298,819.38 $93,230.94 2026-03-04
5932 APR_DRG — 4 3 — — $125,223.24 $328,699.70 $131,023.39 2026-03-04
5933 APR_DRG — 4 3 — — $161,055.77 $413,862.65 $166,664.50 2026-03-04
5934 APR_DRG — 4 3 — — $221,592.34 $532,345.00 $225,447.58 2026-03-04
6021 APR_DRG — 4 3 — — $49,204.09 $121,070.35 $49,800.24 2026-03-04
6022 APR_DRG — 4 3 — — $76,377.43 $183,486.24 $83,911.05 2026-03-04
6023 APR_DRG — 4 3 — — $114,781.61 $318,220.14 $123,621.48 2026-03-04
6024 APR_DRG — 4 3 — — $164,664.48 $403,561.66 $166,324.92 2026-03-04
6033 APR_DRG — 4 3 — — $48,742.26 $153,313.73 $56,280.09 2026-03-04
6034 APR_DRG — 4 3 — — $119,094.88 $315,054.70 $125,119.31 2026-03-04
6072 APR_DRG — 4 3 — — $58,629.69 $142,525.74 $58,978.51 2026-03-04
6073 APR_DRG — 4 3 — — $86,077.35 $245,417.45 $94,117.04 2026-03-04
6074 APR_DRG — 4 3 — — $122,569.33 $350,709.33 $134,277.27 2026-03-04
6083 APR_DRG — 4 3 — — $60,021.62 $148,559.78 $60,930.34 2026-03-04
6084 APR_DRG — 4 3 — — $60,021.62 $161,325.87 $63,587.32 2026-03-04
6092 APR_DRG — 4 3 — — $33,967.94 $81,603.29 $51,328.50 2026-03-04
6093 APR_DRG — 4 3 — — $74,869.63 $179,863.96 $80,158.42 2026-03-04
6094 APR_DRG — 4 3 — — $192,560.94 $462,601.08 $261,025.57 2026-03-04
6113 APR_DRG — 4 3 — — $44,901.56 $235,798.24 $71,527.11 2026-03-04
6114 APR_DRG — 4 3 — — $103,288.52 $319,140.78 $118,066.55 2026-03-04
6123 APR_DRG — 4 3 — — $52,374.60 $138,300.52 $54,971.58 2026-03-04
6124 APR_DRG — 4 3 — — $75,693.72 $200,201.59 $79,514.51 2026-03-04
6133 APR_DRG — 4 3 — — $39,219.17 $94,218.65 $48,613.38 2026-03-04
6134 APR_DRG — 4 3 — — $60,143.02 $144,485.30 $65,924.43 2026-03-04
6144 APR_DRG — 4 3 — — $49,902.20 $124,525.66 $50,868.44 2026-03-04
6214 APR_DRG — 4 3 — — $70,717.79 $309,162.12 $99,704.35 2026-03-04
6224 APR_DRG — 4 3 — — $44,207.75 $127,725.88 $48,687.27 2026-03-04
6234 APR_DRG — 4 3 — — $41,568.71 $99,863.10 $42,493.61 2026-03-04
6303 APR_DRG — 4 3 — — $69,465.88 $166,882.20 $102,812.73 2026-03-04
6304 APR_DRG — 4 3 — — $93,734.49 $225,184.18 $189,306.80 2026-03-04
6313 APR_DRG — 4 3 — — $34,836.71 $83,690.39 $61,612.24 2026-03-04
6314 APR_DRG — 4 3 — — $121,590.15 $292,103.56 $222,784.01 2026-03-04
6334 APR_DRG — 4 3 — — $68,400.19 $164,322.02 $74,097.73 2026-03-04
6344 APR_DRG — 4 3 — — $37,722.96 $90,624.20 $41,972.71 2026-03-04
6504 APR_DRG — 4 3 — — $42,095.77 $101,129.27 $43,526.82 2026-03-04
6514 APR_DRG — 4 3 — — $46,293.86 $111,214.60 $47,842.23 2026-03-04
6804 APR_DRG — 4 3 — — $49,278.57 $118,384.95 $65,810.59 2026-03-04
6814 APR_DRG — 4 3 — — $51,538.33 $123,813.73 $53,197.29 2026-03-04
6904 APR_DRG — 4 3 — — $55,982.23 $137,396.11 $56,587.16 2026-03-04
6954 APR_DRG — 4 3 — — $44,177.92 $106,131.35 $48,465.16 2026-03-04
7 MS_DRG Lung Transplant 13 9 — — $94,549.39 $173,433.00 $102,511.44 2026-03-04
7104 APR_DRG — 4 3 — — $45,827.37 $110,769.35 $45,967.94 2026-03-04
7114 APR_DRG — 4 3 — — $38,345.58 $92,119.96 $44,304.41 2026-03-04
7404 APR_DRG — 4 3 — — $52,069.25 $125,089.18 $56,548.24 2026-03-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 9 — — $43,793.07 $78,900.00 $47,480.91 2026-03-04
7924 APR_DRG — 4 3 — — $44,472.34 $106,838.65 $48,120.40 2026-03-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 9 — — $41,338.11 $73,254.03 $44,819.21 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 13 9 — — $43,222.98 $77,266.00 $46,862.81 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 13 9 — — $40,507.21 $73,351.00 $43,918.35 2026-03-04
8413 APR_DRG — 4 3 — — $64,976.07 $182,264.12 $70,422.40 2026-03-04
8414 APR_DRG — 4 3 — — $214,868.48 $568,488.94 $225,752.99 2026-03-04
8424 APR_DRG — 4 3 — — $64,416.40 $154,751.51 $114,905.13 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 13 9 — — $63,467.70 $122,249.00 $68,812.34 2026-03-04
8504 APR_DRG — 4 3 — — $53,709.29 $129,029.16 $58,567.40 2026-03-04
8514 APR_DRG — 2 2 — — $86,441.44 $86,441.44 $86,441.44 2026-03-04
8633 APR_DRG — 4 3 — — $40,013.62 $96,127.19 $45,619.01 2026-03-04
8634 APR_DRG — 4 3 — — $63,159.58 $151,732.17 $98,546.72 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 13 9 — — $50,807.42 $92,324.00 $55,085.93 2026-03-04
90288 CPT Botulism Ig IV 2 1 — — $49,581.69 $49,581.69 $49,581.69 2026-03-04
9104 APR_DRG — 4 3 — — $57,574.35 $138,314.44 $70,773.64 2026-03-04
9114 APR_DRG — 4 3 — — $56,083.93 $134,733.90 $67,954.33 2026-03-04
9124 APR_DRG — 4 3 — — $49,503.48 $118,925.28 $64,874.04 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 9 — — $155,400.90 $314,841.00 $168,487.29 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 13 9 — — $52,697.37 $93,749.63 $57,135.05 2026-03-04
93654 CPT Compre Ep Eval Abltj 3d Mapg Tx Vt 44 15 $58,445.00 $46,756.00 20% off $17,134.32 $83,969.77 $42,372.62 2026-03-04
93656 CPT Compre Ep Eval Abltj Atr Fib Pulm Vein Isolation 44 15 $61,719.00 $49,375.20 20% off $17,134.32 $83,969.77 $44,746.28 2026-03-04
9504 APR_DRG — 4 3 — — $55,567.66 $134,506.64 $55,778.50 2026-03-04
9514 APR_DRG — 4 3 — — $40,582.18 $97,493.08 $42,245.51 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 13 9 — — $49,498.43 $90,618.00 $53,666.72 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 13 9 — — $55,936.86 $99,594.68 $60,647.34 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 13 9 — — $45,081.06 $83,929.00 $48,877.36 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 10 8 — — $53,983.32 $66,655.16 $58,529.29 2026-03-04
C9073 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $339,877.98 $1,665,632.07 $1,002,755.03 2026-03-04
C9076 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $339,877.98 $1,665,632.07 $1,002,755.03 2026-03-04
C9081 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $339,877.98 $1,665,632.07 $1,002,755.03 2026-03-04
C9098 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $339,877.98 $1,665,632.07 $1,002,755.03 2026-03-04
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $151,708.67 $151,708.67 $151,708.67 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 8 — — $3,501,003.33 $3,869,530.00 $3,795,824.67 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,150,639.46 $3,482,285.72 $3,415,956.47 2026-03-04
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 8 — — $4,279,750.00 $4,730,250.00 $4,640,150.00 2026-03-04
J3392 HCPCS Inj, Exagamglogene Autotem 8 8 — — $2,215,400.00 $2,448,600.00 $2,401,960.00 2026-03-04
J3393 HCPCS Inj, Betibeglogene Autotemce 8 8 — — $2,798,453.00 $3,093,027.00 $3,034,112.20 2026-03-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 8 — — $3,086,023.43 $3,410,868.00 $3,345,899.09 2026-03-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,319,015.02 $2,577,866.14 $2,528,763.92 2026-03-04
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 8 8 — — $195,358.00 $215,922.00 $211,809.20 2026-03-04
J3403 HCPCS Revakinagene, Per Implant 8 8 — — $244,625.00 $270,375.00 $265,225.00 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 8 — — $60,175.17 $66,509.40 $65,242.55 2026-03-04
J9226 HCPCS Supprelin La Implant 10 8 — — $42,769.62 $47,271.68 $46,371.27 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 8 8 — — $106,267.04 $117,453.04 $115,215.84 2026-03-04
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $44,369.86 $54,891.80 $53,846.24 2026-03-04
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $45,682.97 $60,495.24 $59,342.95 2026-03-04
L8701 HCPCS Ewh S/d Uprt Micro Sensor 8 8 — — $39,084.26 $43,198.40 $42,375.57 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 8 8 — — $76,896.03 $84,990.35 $83,371.49 2026-03-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $96,709.95 $136,014.42 $133,423.67 2026-03-04
Q2040 HCPCS Outpatient Services - Cpt/hcpcs 2 1 — — $339,877.98 $1,665,632.07 $1,002,755.03 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 8 — — $339,877.98 $1,665,632.07 $549,227.08 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $366,564.69 $1,796,414.97 $609,477.99 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 8 — — $52,508.71 $61,540.57 $56,930.49 2026-03-04
Q2053 HCPCS Brexucabtagene Car Pos T 10 8 — — $339,952.22 $1,665,995.90 $503,983.75 2026-03-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — — $358,119.53 $1,755,028.03 $579,414.33 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — — $365,679.83 $1,792,078.62 $574,037.47 2026-03-04
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $375,944.80 $1,842,383.90 $582,845.01 2026-03-04
Q2057 HCPCS Afamitresgene Autoleucel 8 8 — — $732,089.00 $809,151.00 $793,738.60 2026-03-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 8 8 — — $264,337.50 $292,162.50 $286,597.50 2026-03-04
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