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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

ESSENTIA HEALTH ST MARYS - DETROIT LAKES

Detroit Lakes, MN · CCN 240101 · Rates published

18,351 distinct procedures filed
49 distinct payers
540,763 rate rows
2026-01-01 last MRF observed
Data quality

529,751 of 540,763 rate rows are consumer-grade (98.0%)

11,012 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 8,690
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 969
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 793
placeholder amount (≤ $0.02) — excluded from medians 229
per-diem day rate — not a per-procedure price 209
percent-of-charges filed in the dollar field — excluded from medians 113
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 9
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/411620386_Essentia-St-Marys-Detroit-Lakes_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-09-21
Content fingerprint f563e850d1f6a5c2… · 259,684,077 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 22 $4,377,500.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 2 $3,500,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,508,750
1.1× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 27 $3,672,900.00 $3,710,000.00 $3,685,266.67 nat. median
$3,685,267
1.0× median
C9172
HCPCS 		Inj Beqvez Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,675,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 27 $3,316,462.59 $3,392,000.00 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 24 $3,193,000.00 $3,286,000.00 $3,248,445.72 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 24 $2,945,740.00 $2,968,000.00 $2,945,740.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 27 $2,278,010.83 $2,455,110.61 $2,455,110.61 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 23 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
C9081
HCPCS 		Idecabtagene Car Pos T 1 $1,963,654.77 $1,963,654.77 $1,963,654.77 nat. median
$422,856
outlier · 4.6×
Q2040
HCPCS 		Tisagenlecleucel Car-pos T 1 $1,963,654.77 $1,963,654.77 $1,963,654.77 nat. median
$6
outlier · 342100.1×
C9098
HCPCS 		Ciltacabtagene Car Pos T 1 $1,963,654.77 $1,963,654.77 $1,963,654.77 nat. median
$2,313,353
0.8× median
C9076
HCPCS 		Lisocabtagene Car Pos T 1 $1,963,654.77 $1,963,654.77 $1,963,654.77 nat. median
$1,000,529
2.0× median
C9073
HCPCS 		Brexucabtagene Autoleucel Ca 1 $1,963,654.77 $1,963,654.77 $1,963,654.77 nat. median
$1,000,529
2.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 22 $770,620.00 $770,620.00 $770,620.00 nat. median
$813,967
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 29 $339,963.38 $2,236,779.71 $591,726.20 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 29 $348,662.79 $2,294,017.25 $565,868.95 nat. median
$599,737
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 29 $332,131.09 $2,185,247.37 $562,538.19 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 29 $339,142.74 $2,231,380.37 $557,317.93 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 29 $315,213.31 $2,073,937.31 $533,230.17 nat. median
$562,501
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 29 $315,282.16 $2,074,390.32 $489,304.61 nat. median
$513,770
1.0× median
5834
APR_DRG 		Neonate W Ecmo 13 $260,426.64 $957,830.50 $390,361.97 nat. median
$390,362
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 29 $294,868.32 $708,725.50 $294,868.32 nat. median
$168,055
1.8× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 22 $270,375.00 $278,250.00 $278,250.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene- Per Implant 21 $257,500.00 $257,500.00 $257,500.00 nat. median
$264,195
1.0× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $178,050.18 $619,600.82 $254,666.60 nat. median
$286,698
0.9× median
5833
APR_DRG 		Neonate W Ecmo 13 $160,898.11 $559,878.00 $252,888.58 nat. median
$268,208
0.9× median
24
APR_DRG 		Heart Or Lung Transplant 13 $197,053.53 $710,077.00 $225,530.55 nat. median
$225,531
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 21 $205,640.00 $205,640.00 $205,640.00 nat. median
$207,733
1.0× median
114
APR_DRG 		Psychiatric 12 $80,929.42 $281,685.50 $198,309.46 nat. median
$135,803
1.5× median
5832
APR_DRG 		Neonate W Ecmo 13 $103,867.44 $361,525.50 $194,172.15 nat. median
$201,678
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 13 $132,261.61 $460,327.50 $193,278.30 nat. median
$202,242
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $191,357.68 $529,359.32 $191,357.68 nat. median
$186,516
1.0× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 $69,620.65 $242,264.50 $185,770.26 nat. median
$187,567
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 12 $148,654.78 $611,524.50 $183,225.66 nat. median
$173,018
1.1× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 12 $137,966.37 $497,752.50 $167,444.50 nat. median
$198,578
0.8× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $122,965.37 $427,909.97 $165,628.52 nat. median
$173,134
1.0× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 12 $90,310.26 $314,370.00 $164,388.59 nat. median
$181,762
0.9× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 13 $134,558.16 $581,834.00 $161,780.72 nat. median
$171,497
0.9× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 6 $135,260.41 $166,541.15 $154,799.80 nat. median
$2,106
outlier · 73.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 13 $93,689.34 $326,096.50 $153,561.93 nat. median
$149,836
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 13 $87,392.91 $304,140.50 $152,792.37 nat. median
$152,792
1.0× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 13 $139,297.97 $572,852.00 $150,011.84 nat. median
$168,439
0.9× median
E0766
HCPCS 		Elec Stim Cancer Treatment 3 $149,026.20 $149,026.20 $149,026.20 nat. median
$16,158
outlier · 9.2×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $145,789.20 $460,460.13 $145,789.20 nat. median
$131,925
1.1× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 13 $99,671.74 $346,849.91 $145,335.69 nat. median
$152,383
1.0× median
J7330
HCPCS 		Autologous Cultured Chondrocytes Sheet 20 $76,814.27 $169,820.76 $144,940.04 nat. median
$92,809
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 31 $144,933.61 $402,759.18 $144,933.61 nat. median
$145,435
1.0× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $143,898.14 $143,898.14 $143,898.14 nat. median
$2,024
outlier · 71.1×
5831
APR_DRG 		Neonate W Ecmo 13 $84,982.45 $295,657.50 $141,137.35 nat. median
$173,909
0.8× median

Other procedures at this hospital

Browse this hospital's 18,351 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 23 22 — — $4,377,500.00 $4,505,000.00 $4,505,000.00 2026-01-01
J1414 HCPCS Inj- Beqvez- Per Tx Dose 3 2 — — $3,500,000.00 $3,710,000.00 $3,710,000.00 2026-01-01
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 28 27 — — $3,672,900.00 $3,710,000.00 $3,685,266.67 2026-01-01
C9172 HCPCS Inj Beqvez Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 28 27 — — $3,316,462.59 $3,392,000.00 $3,316,462.59 2026-01-01
J3394 HCPCS Inj- Lovotibeglogene Autotem 25 24 — — $3,193,000.00 $3,286,000.00 $3,248,445.72 2026-01-01
J3393 HCPCS Inj- Betibeglogene Autotemce 25 24 — — $2,945,740.00 $2,968,000.00 $2,945,740.00 2026-01-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 28 27 — — $2,278,010.83 $2,455,110.61 $2,455,110.61 2026-01-01
J3392 HCPCS Inj- Exagamglogene Autotem 24 23 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
C9073 HCPCS Brexucabtagene Autoleucel Ca 1 1 — — $1,963,654.77 $1,963,654.77 $1,963,654.77 2026-01-01
C9081 HCPCS Idecabtagene Car Pos T 1 1 — — $1,963,654.77 $1,963,654.77 $1,963,654.77 2026-01-01
Q2040 HCPCS Tisagenlecleucel Car-pos T 1 1 — — $1,963,654.77 $1,963,654.77 $1,963,654.77 2026-01-01
C9098 HCPCS Ciltacabtagene Car Pos T 1 1 — — $1,963,654.77 $1,963,654.77 $1,963,654.77 2026-01-01
C9076 HCPCS Lisocabtagene Car Pos T 1 1 — — $1,963,654.77 $1,963,654.77 $1,963,654.77 2026-01-01
Q2057 HCPCS Afamitresgene Autoleucel 23 22 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 30 29 — — $339,963.38 $2,236,779.71 $591,726.20 2026-01-01
Q2056 HCPCS Ciltacabtagene Car-pos T 30 29 — — $348,662.79 $2,294,017.25 $565,868.95 2026-01-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 30 29 — — $332,131.09 $2,185,247.37 $562,538.19 2026-01-01
Q2055 HCPCS Idecabtagene Vicleucel Car 30 29 — — $339,142.74 $2,231,380.37 $557,317.93 2026-01-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 30 29 — — $315,213.31 $2,073,937.31 $533,230.17 2026-01-01
Q2053 HCPCS Brexucabtagene Car Pos T 30 29 — — $315,282.16 $2,074,390.32 $489,304.61 2026-01-01
5834 APR_DRG Neonate W Ecmo 13 13 — — $260,426.64 $957,830.50 $390,361.97 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 33 29 — — $294,868.32 $708,725.50 $294,868.32 2026-01-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 23 22 — — $270,375.00 $278,250.00 $278,250.00 2026-01-01
J3403 HCPCS Revakinagene- Per Implant 21 21 — — $257,500.00 $257,500.00 $257,500.00 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $178,050.18 $619,600.82 $254,666.60 2026-01-01
5833 APR_DRG Neonate W Ecmo 13 13 — — $160,898.11 $559,878.00 $252,888.58 2026-01-01
24 APR_DRG Heart Or Lung Transplant 13 13 — — $197,053.53 $710,077.00 $225,530.55 2026-01-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 21 21 — — $205,640.00 $205,640.00 $205,640.00 2026-01-01
114 APR_DRG Psychiatric 12 12 — — $80,929.42 $281,685.50 $198,309.46 2026-01-01
5832 APR_DRG Neonate W Ecmo 13 13 — — $103,867.44 $361,525.50 $194,172.15 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $132,261.61 $460,327.50 $193,278.30 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 29 — — $191,357.68 $529,359.32 $191,357.68 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 12 — — $69,620.65 $242,264.50 $185,770.26 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $148,654.78 $611,524.50 $183,225.66 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 12 12 — — $137,966.37 $497,752.50 $167,444.50 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $122,965.37 $427,909.97 $165,628.52 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 12 12 — — $90,310.26 $314,370.00 $164,388.59 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $134,558.16 $581,834.00 $161,780.72 2026-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 9 6 — — $135,260.41 $166,541.15 $154,799.80 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $93,689.34 $326,096.50 $153,561.93 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $87,392.91 $304,140.50 $152,792.37 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 13 13 — — $139,297.97 $572,852.00 $150,011.84 2026-01-01
E0766 HCPCS Elec Stim Cancer Treatment 3 3 — — $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 35 31 — — $145,789.20 $460,460.13 $145,789.20 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $99,671.74 $346,849.91 $145,335.69 2026-01-01
J7330 HCPCS Autologous Cultured Chondrocytes Sheet 25 20 $197,466.00 $126,773.17 36% off $76,814.27 $169,820.76 $144,940.04 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 35 31 — — $144,933.61 $402,759.18 $144,933.61 2026-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 4 3 — — $143,898.14 $143,898.14 $143,898.14 2026-01-01
5831 APR_DRG Neonate W Ecmo 13 13 — — $84,982.45 $295,657.50 $141,137.35 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 13 13 — — $97,406.11 $339,070.50 $138,755.74 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $90,331.77 $314,370.00 $136,566.14 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $91,075.98 $316,865.00 $135,629.87 2026-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 4 3 — — $133,234.42 $133,234.42 $133,234.42 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $103,280.96 $359,529.50 $130,777.34 2026-01-01
23 APR_DRG Heart Or Lung Transplant 13 13 — — $97,332.26 $338,821.00 $126,634.07 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 13 13 — — $65,607.77 $228,309.97 $124,573.23 2026-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 3 — — $120,298.51 $120,298.51 $120,298.51 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $78,821.41 $303,142.50 $120,079.43 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 9 6 — — $101,235.43 $124,647.45 $115,859.65 2026-01-01
113 APR_DRG Pediatric 12 12 — — $50,219.45 $174,650.00 $115,654.09 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 13 — — $60,480.00 $210,578.00 $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 $434,130.00 $111,395.47 2026-01-01
Q0480 HCPCS Driver Pneumatic Vad- Rep 28 27 — — $94,999.95 $108,727.22 $108,727.22 2026-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 9 6 — — $93,359.20 $114,949.74 $106,845.64 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $82,925.47 $288,671.50 $104,977.03 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 13 13 — — $89,617.66 $445,357.50 $104,038.52 2026-01-01
0294T CPT Ins Lt Atrl Mont Pres Lead 1 1 — — $103,024.71 $103,024.71 $103,024.71 2026-01-01
C9741 HCPCS Impl Pressure Sensor W/angio 1 1 — — $103,024.71 $103,024.71 $103,024.71 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 13 13 — — $78,779.23 $274,200.50 $100,018.06 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 13 13 — — $41,692.84 $637,223.00 $99,482.94 2026-01-01
112 APR_DRG OB 12 12 — — $26,601.02 $99,304.32 $99,304.32 2026-01-01
0163T CPT Tot Disc Arthrp Ea Addl Lmbr 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63198 CPT Incise Spin&cord 2 Stgs Crvl 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
0375T CPT Total Disc Arthrp Ant Appr 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63196 CPT Incise Spine&cord 2 Trx Crvl 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63194 CPT Incise Spine & Cord Cervical 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63195 CPT Incise Spine & Cord Thoracic 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63182 CPT Revise Spinal Cord Ligaments 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63180 CPT Revise Spinal Cord Ligaments 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
63199 CPT Incise Spin&cord 2 Stgs Thrc 1 1 — — $98,867.80 $98,867.80 $98,867.80 2026-01-01
64 APR_DRG Pancreas Transplant 13 13 — — $84,955.93 $295,657.50 $98,241.53 2026-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 4 3 — — $98,080.25 $98,080.25 $98,080.25 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 13 13 — — $34,670.89 $509,728.50 $96,548.35 2026-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 4 3 — — $95,054.41 $95,054.41 $95,054.41 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 35 31 — — $94,582.54 $265,542.31 $94,582.54 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 13 13 — — $27,561.16 $432,882.50 $94,491.23 2026-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 3 — — $94,359.04 $94,359.04 $94,359.04 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 12 12 — — $47,844.84 $166,416.50 $93,836.29 2026-01-01
22 APR_DRG Heart Or Lung Transplant 13 13 — — $72,231.14 $251,246.50 $92,158.00 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $41,956.16 $233,033.00 $91,058.73 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 12 — — $51,595.31 $179,640.00 $88,705.40 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 13 13 — — $84,351.20 $348,801.00 $88,467.98 2026-01-01
7 MS_DRG Lung Transplant 33 29 — — $88,428.81 $245,598.11 $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 $377,244.00 $85,371.14 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 13 13 — — $71,009.49 $353,541.50 $85,212.62 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $70,322.57 $244,759.50 $85,048.88 2026-01-01
21 APR_DRG Heart Or Lung Transplant 13 13 — — $61,921.83 $215,568.00 $84,752.67 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 29 — — $82,062.72 $246,218.31 $82,062.72 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 13 13 — — $51,155.81 $178,143.00 $80,990.46 2026-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 9 6 — — $70,299.88 $86,557.65 $80,455.23 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $78,733.64 $342,314.00 $79,016.70 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 29 — — $77,377.77 $213,892.18 $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 — — $48,269.29 $167,913.50 $76,982.66 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 13 13 — — $55,610.34 $193,612.00 $76,111.88 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 29 — — $75,256.88 $196,991.19 $75,256.88 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $65,084.39 $226,546.00 $75,051.32 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 35 31 — — $74,252.42 $204,724.92 $74,252.42 2026-01-01
4404 APR_DRG Kidney Transplant 13 13 — — $56,933.87 $198,103.00 $71,941.82 2026-01-01
8634 APR_DRG Neonatal Aftercare 12 12 — — $46,911.35 $163,173.00 $71,101.56 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 29 — — $70,403.95 $200,129.79 $70,403.95 2026-01-01
63 APR_DRG Pancreas Transplant 13 13 — — $60,023.29 $208,831.50 $69,792.42 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 12 12 — — $44,670.82 $155,438.50 $69,517.04 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 12 12 — — $60,159.68 $343,312.00 $69,191.81 2026-01-01
215 MS_DRG Other Heart Assist System Implant 35 31 — — $67,990.12 $199,107.39 $67,990.12 2026-01-01
L8702 HCPCS 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… 35 31 — — $66,800.62 $181,369.62 $66,800.62 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $46,117.66 $160,428.50 $65,848.62 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 13 13 — — $42,916.39 $149,450.50 $64,561.80 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 13 13 — — $41,891.12 $145,708.00 $64,125.67 2026-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 9 6 — — $55,834.19 $68,746.57 $63,899.86 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $63,886.02 $261,725.50 $63,886.02 2026-01-01
J9029 HCPCS Instill Adstiladrin- Tx Dose 30 29 — — $61,800.00 $168,273.23 $63,342.28 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 13 13 — — $56,728.82 $197,354.50 $63,190.14 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 13 13 — — $55,608.91 $193,612.00 $62,520.31 2026-01-01
38240 CPT Transplt Allo Hct/donor 28 27 — — $36,562.43 $240,561.52 $62,163.28 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 31 29 — — $61,520.92 $156,741.96 $61,520.92 2026-01-01
1784 APR_DRG External Heart Assist Systems 13 13 — — $59,504.21 $207,085.00 $61,452.31 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 13 13 — — $47,400.32 $164,919.50 $61,290.06 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 13 13 — — $61,110.70 $215,568.00 $61,110.70 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 12 12 — — $57,527.89 $215,318.50 $60,980.45 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 12 12 — — $39,892.21 $138,722.00 $60,423.01 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $50,909.89 $177,145.00 $60,182.61 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 13 13 — — $40,838.61 $142,215.00 $59,887.14 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 31 29 — — $59,130.31 $173,117.17 $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 $263,971.00 $59,097.49 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $54,554.56 $196,107.00 $58,636.05 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 12 12 — — $47,196.42 $332,583.50 $58,572.79 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 12 12 — — $36,601.32 $127,494.50 $58,522.92 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 12 12 — — $42,896.78 $176,895.50 $57,982.60 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 31 — — $57,562.51 $159,249.08 $57,562.51 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 35 31 — — $57,381.56 $159,158.87 $57,381.56 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 13 13 — — $45,082.36 $156,935.50 $57,173.59 2026-01-01
A9543 HCPCS Y90 Ibritumomab- Rx 28 27 — — $56,824.55 $65,476.58 $56,824.55 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 13 13 — — $32,232.10 $112,275.00 $56,785.09 2026-01-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 4 3 — — $56,566.18 $56,566.18 $56,566.18 2026-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 3 — — $56,295.55 $56,295.55 $56,295.55 2026-01-01
62 APR_DRG Pancreas Transplant 13 13 — — $52,106.51 $181,386.50 $55,882.31 2026-01-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 29 — — $53,472.87 $147,108.88 $55,272.32 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 13 13 — — $29,406.52 $102,295.00 $55,192.39 2026-01-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 13 13 — — $1,141.07 $211,825.50 $54,737.65 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $42,762.96 $148,702.00 $54,210.72 2026-01-01
0466T CPT Insj Ch Wal Respir Eltrd/ra 1 1 — — $53,965.94 $53,965.94 $53,965.94 2026-01-01
0312T CPT Laps Impltj Nstim Vagus 1 1 — — $53,965.94 $53,965.94 $53,965.94 2026-01-01
61870 CPT Implant Neuroelectrodes 1 1 — — $53,965.94 $53,965.94 $53,965.94 2026-01-01
0316T CPT Replc Vagus Nerve Pls Gen 1 1 — — $53,965.94 $53,965.94 $53,965.94 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 13 13 — — $48,539.24 $173,652.00 $53,938.32 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 31 — — $53,731.11 $151,489.04 $53,731.11 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 13 13 — — $32,087.28 $111,776.00 $53,554.29 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 12 12 — — $38,279.75 $133,233.00 $53,325.80 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 13 13 — — $38,660.46 $134,480.50 $53,178.44 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 12 12 — — $38,674.08 $134,480.50 $53,107.73 2026-01-01
6904 APR_DRG Acute Leukemia 12 12 — — $42,479.04 $147,704.00 $52,824.92 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $48,647.13 $169,410.50 $52,481.07 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 13 13 — — $32,985.64 $114,770.00 $52,443.86 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 31 — — $52,430.31 $145,409.18 $52,430.31 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 31 — — $52,204.29 $146,890.15 $52,204.29 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 31 — — $52,031.53 $140,272.78 $52,031.53 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 13 13 — — $35,536.62 $123,752.00 $51,523.96 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 13 13 — — $40,194.77 $139,969.50 $51,369.90 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $46,886.25 $163,173.00 $51,321.52 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 12 12 — — $41,655.96 $144,959.50 $50,840.74 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 12 12 — — $28,951.97 $100,798.00 $50,761.84 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 13 13 — — $38,071.11 $132,484.50 $50,531.13 2026-01-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 4 3 — — $49,926.26 $49,926.26 $49,926.26 2026-01-01
7594 APR_DRG Eating Disorders 12 12 — — $26,160.80 $91,067.50 $49,869.48 2026-01-01
1794 APR_DRG Defibrillator Implants 13 13 — — $39,954.59 $138,971.50 $49,802.50 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 12 12 — — $38,499.86 $133,981.50 $49,786.13 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 12 12 — — $25,874.73 $90,069.50 $49,361.90 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 29 — — $49,291.30 $133,412.97 $49,291.30 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 13 13 — — $28,761.25 $100,049.50 $49,179.56 2026-01-01
10 MS_DRG Pancreas Transplant 33 29 — — $48,998.37 $149,837.04 $48,998.37 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 31 — — $48,977.88 $125,515.73 $48,977.88 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 29 — — $48,717.72 $148,974.40 $48,717.72 2026-01-01
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 12 12 — — $25,819.52 $89,820.00 $48,706.96 2026-01-01
90288 CPT Botulism Ig IV 3 3 — — $48,705.00 $48,705.00 $48,705.00 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 31 — — $48,689.04 $132,807.80 $48,689.04 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 13 13 — — $38,078.28 $132,484.50 $48,475.50 2026-01-01
L7181 HCPCS Electronic Elbo Simultaneous 28 27 — — $44,875.22 $48,370.76 $48,370.76 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 13 13 — — $34,206.64 $119,011.50 $48,086.25 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 12 12 — — $36,768.37 $127,993.50 $47,544.43 2026-01-01
274 APR_DRG Other Open Craniotomy 13 13 — — $34,763.72 $121,007.50 $47,365.81 2026-01-01
0266T CPT Implt/rpl Crtd Sns Dev Total 28 27 — — $31,567.85 $207,699.81 $47,299.10 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 28 27 — — $31,567.85 $207,699.81 $47,299.10 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 31 — — $47,196.36 $130,740.46 $47,196.36 2026-01-01
2324 APR_DRG Gastric Fundoplication 13 13 — — $27,111.50 $94,311.00 $47,044.30 2026-01-01
C1826 HCPCS Gen- Neuro- Clo Loop- Rechg 25 24 — — $31.55 $47,000.00 $47,000.00 2026-01-01
L7180 HCPCS Electronic Elbow Sequential 28 27 — — $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 35 31 — — $46,964.88 $125,303.36 $46,964.88 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 12 12 — — $32,812.85 $114,271.00 $46,812.83 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 13 13 — — $32,485.19 $113,023.50 $46,572.44 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 13 13 — — $46,331.32 $161,177.00 $46,521.08 2026-01-01
234 APR_DRG Spinal Procedures 13 13 — — $44,753.98 $155,688.00 $46,393.07 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 13 13 — — $46,217.43 $175,149.00 $46,217.43 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 31 — — $45,962.47 $128,323.55 $45,962.47 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 13 — — $24,475.20 $85,079.50 $45,671.15 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 31 29 — — $45,657.92 $116,259.68 $45,657.92 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 29 — — $45,624.47 $125,998.73 $45,624.47 2026-01-01
J9226 HCPCS Supprelin La Implant 55 43 $132,981.50 $85,374.12 36% off $44,695.10 $117,019.37 $45,560.39 2026-01-01
111 APR_DRG Medical/Surgical/Gyn 12 12 — — $18,074.81 $62,874.00 $45,282.65 2026-01-01
204 APR_DRG Craniotomy For Trauma 13 13 — — $37,925.56 $131,985.50 $45,271.48 2026-01-01
1783 APR_DRG External Heart Assist Systems 13 13 — — $39,108.56 $135,977.50 $45,265.53 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 31 — — $44,898.61 $121,360.38 $44,898.61 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 31 — — $44,898.61 $111,807.39 $44,898.61 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 31 — — $44,735.41 $115,729.69 $44,735.41 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 12 12 — — $41,585.69 $144,710.00 $44,684.27 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 13 13 — — $41,628.71 $144,959.50 $44,623.24 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 31 — — $43,938.54 $121,553.95 $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 $153,442.50 $43,647.52 2026-01-01
4403 APR_DRG Kidney Transplant 13 13 — — $43,599.14 $160,428.50 $43,599.14 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 13 13 — — $32,331.76 $112,524.50 $43,572.35 2026-01-01
1782 APR_DRG External Heart Assist Systems 13 13 — — $38,425.29 $133,732.00 $43,513.55 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 13 13 — — $42,947.92 $159,929.50 $42,947.92 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 12 12 — — $39,184.19 $253,741.50 $42,747.72 2026-01-01
4414 APR_DRG Major Bladder Procedures 13 13 — — $36,380.49 $126,496.50 $42,484.25 2026-01-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 4 3 — — $42,455.65 $42,455.65 $42,455.65 2026-01-01
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 12 12 — — $29,129.77 $101,297.00 $42,191.02 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 13 13 — — $36,034.20 $125,498.50 $42,074.91 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 35 31 — — $41,847.01 $112,583.58 $41,847.01 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 35 31 — — $41,798.53 $120,057.45 $41,798.53 2026-01-01
61 APR_DRG Pancreas Transplant 13 13 — — $40,957.63 $142,464.50 $41,792.09 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 13 13 — — $39,405.39 $137,225.00 $41,681.20 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 31 — — $41,397.70 $114,799.39 $41,397.70 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 13 13 — — $32,424.97 $112,774.00 $41,373.08 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 12 12 — — $30,874.88 $107,534.50 $41,037.42 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 35 31 — — $41,026.92 $114,250.61 $41,026.92 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 35 31 — — $41,015.31 $116,410.04 $41,015.31 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 13 13 — — $24,902.52 $86,576.50 $40,922.81 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 13 13 — — $40,841.68 $161,426.50 $40,841.68 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 35 31 — — $40,718.28 $107,858.77 $40,718.28 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 39 31 — — $1,800.00 $111,730.33 $40,584.44 2026-01-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 13 13 — — $25,339.15 $88,073.50 $40,537.28 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 33 29 — — $40,490.21 $113,431.19 $40,490.21 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 12 12 — — $33,031.52 $115,019.50 $40,453.18 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 13 13 — — $32,392.70 $112,774.00 $40,375.78 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 13 13 — — $40,350.47 $151,945.50 $40,350.47 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 13 13 — — $34,802.44 $121,007.50 $40,232.88 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 13 13 — — $27,430.56 $95,558.50 $40,078.82 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 35 31 — — $40,073.00 $110,580.14 $40,073.00 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 35 31 — — $40,047.05 $109,416.79 $40,047.05 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 12 12 — — $34,384.45 $119,760.00 $40,035.66 2026-01-01
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $15,971.01 $63,622.50 $39,784.10 2026-01-01
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 12 12 — — $14,030.46 $55,888.00 $39,784.10 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $33,636.65 $117,015.50 $39,726.05 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 29 — — $39,379.92 $102,805.06 $39,379.92 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 13 13 — — $31,249.85 $108,782.00 $39,157.44 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 31 — — $39,128.63 $107,214.13 $39,128.63 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 … 36 32 — — $5,490.00 $101,500.76 $38,918.32 2026-01-01
7584 APR_DRG Childhood Behavioral Disorders 12 12 — — $9,961.58 $38,842.62 $38,842.62 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 13 13 — — $31,240.53 $108,782.00 $38,834.43 2026-01-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 28 27 — — $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 — — $22,821.87 $79,341.00 $38,728.75 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 13 13 — — $29,160.60 $101,546.50 $38,689.30 2026-01-01
3634 APR_DRG Breast Procedures Except Mastectomy 13 13 — — $21,913.47 $76,347.00 $38,544.17 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 13 13 — — $26,942.30 $93,812.00 $38,471.98 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 13 13 — — $27,386.82 $95,309.00 $38,437.00 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 13 13 — — $32,066.48 $111,526.50 $38,421.37 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 13 13 — — $31,237.67 $108,782.00 $38,390.85 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 29 — — $38,389.12 $103,464.73 $38,389.12 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 13 13 — — $31,110.76 $108,283.00 $38,360.34 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 13 13 — — $27,252.75 $94,810.00 $38,352.15 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 33 29 — — $38,270.31 $102,254.40 $38,270.31 2026-01-01
4402 APR_DRG Kidney Transplant 13 13 — — $38,108.04 $137,474.50 $38,108.04 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 35 31 — — $38,008.10 $94,024.50 $38,008.10 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 12 12 — — $37,990.45 $148,702.00 $37,990.45 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 13 13 — — $27,605.50 $96,057.50 $37,740.38 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 36 32 — — $5,490.00 $119,112.38 $37,713.11 2026-01-01
5184 APR_DRG Other Female Reproductive System & Related Procedures 13 13 — — $26,375.18 $91,816.00 $37,613.85 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 35 31 — — $37,487.09 $103,872.56 $37,487.09 2026-01-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 35 31 — — $37,354.62 $102,021.35 $37,354.62 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 35 31 — — $37,301.36 $99,982.20 $37,301.36 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 13 13 — — $26,867.73 $93,562.50 $37,262.57 2026-01-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 35 31 — — $37,242.64 $101,404.91 $37,242.64 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 13 13 — — $20,290.97 $70,608.50 $37,098.83 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 33 29 — — $37,093.78 $113,431.19 $37,093.78 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 13 13 — — $30,945.14 $107,784.00 $36,917.98 2026-01-01
1781 APR_DRG External Heart Assist Systems 13 13 — — $36,885.24 $128,243.00 $36,915.74 2026-01-01
8633 APR_DRG Neonatal Aftercare 12 12 — — $29,719.84 $103,542.50 $36,830.90 2026-01-01
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 28 27 — — $19,291.60 $126,928.56 $36,788.30 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 13 13 — — $34,421.01 $119,760.00 $36,728.19 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 13 13 — — $21,884.08 $76,097.50 $36,580.08 2026-01-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 13 13 — — $25,028.71 $87,075.50 $36,523.52 2026-01-01
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 12 12 — — $36,437.19 $137,474.50 $36,437.19 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 31 — — $36,414.35 $99,538.66 $36,414.35 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 13 13 — — $29,890.48 $104,041.50 $36,397.74 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 29 — — $36,392.50 $96,783.46 $36,392.50 2026-01-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 12 12 — — $24,309.58 $84,580.50 $36,353.09 2026-01-01
4034 APR_DRG Procedures For Obesity 13 13 — — $25,783.68 $89,820.00 $36,316.62 2026-01-01
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