Hospital

ESSENTIA HEALTH ST MARYS - DETROIT LAKES

Detroit Lakes, MN · CCN 240101 · Rates published

18,360 distinct procedures filed

49 distinct payers

540,763 rate rows

2026-01-01 last MRF observed

Data quality

530,565 of 540,763 rate rows are consumer-grade (98.1%)

10,198 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	9,641
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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	6

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 via	CMS hospital list
Last fetch	not_modified · 2026-05-17
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 CPT	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 CPT	Inj- Beqvez- Per Tx Dose	2	$3,500,000.00	$3,710,000.00	$3,710,000.00	nat. median $3,710,000 1.0× median
J1411 CPT	Inj- Hemgenix- Per Tx Dose	27	$3,672,900.00	$3,710,000.00	$3,685,266.67	nat. median $3,710,000 1.0× median
C9172 CPT	Inj Beqvez Per Tx Dose	1	$3,605,000.00	$3,605,000.00	$3,605,000.00	nat. median $3,570,000 1.0× median
J1413 CPT	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 CPT	Inj- Lovotibeglogene Autotem	24	$3,193,000.00	$3,286,000.00	$3,248,445.72	nat. median $3,286,000 1.0× median
J3393 CPT	Inj- Betibeglogene Autotemce	24	$2,945,740.00	$2,968,000.00	$2,945,740.00	nat. median $3,006,423 1.0× median
J3399 CPT	Inj Onase Abepar-xioi Treat	27	$2,278,010.83	$2,455,110.61	$2,455,110.61	nat. median $2,469,189 1.0× median
J3392 CPT	Inj- Exagamglogene Autotem	23	$2,332,000.00	$2,332,000.00	$2,332,000.00	nat. median $2,448,600 1.0× median
C9081 CPT	Idecabtagene Car Pos T	1	$1,963,654.77	$1,963,654.77	$1,963,654.77	nat. median $30,475 outlier · 64.4×
Q2040 CPT	Tisagenlecleucel Car-pos T	1	$1,963,654.77	$1,963,654.77	$1,963,654.77	nat. median $25,594 outlier · 76.7×
C9098 CPT	Ciltacabtagene Car Pos T	1	$1,963,654.77	$1,963,654.77	$1,963,654.77	nat. median $57,174 outlier · 34.3×
C9076 CPT	Lisocabtagene Car Pos T	1	$1,963,654.77	$1,963,654.77	$1,963,654.77	nat. median $30,475 outlier · 64.4×
C9073 CPT	Brexucabtagene Autoleucel Ca	1	$1,963,654.77	$1,963,654.77	$1,963,654.77	nat. median $29,278 outlier · 67.1×
Q2057 CPT	Afamitresgene Autoleucel	22	$770,620.00	$770,620.00	$770,620.00	nat. median $824,563 0.9× median
Q2042 CPT	Tisagenlecleucel Car-pos T	29	$339,963.38	$2,236,779.71	$591,726.20	nat. median $754,974 0.8× median
Q2056 CPT	Ciltacabtagene Car-pos T	29	$348,662.79	$2,294,017.25	$565,868.95	nat. median $675,122 0.8× median
Q2054 CPT	Lisocabtagene Mara Car Pos T	29	$332,131.09	$2,185,247.37	$562,538.19	nat. median $674,188 0.8× median
Q2055 CPT	Idecabtagene Vicleucel Car	29	$339,142.74	$2,231,380.37	$557,317.93	nat. median $625,184 0.9× median
Q2041 CPT	Axicabtagene Ciloleucel Car+	29	$315,213.31	$2,073,937.31	$533,230.17	nat. median $634,511 0.8× median
Q2053 CPT	Brexucabtagene Car Pos T	29	$315,282.16	$2,074,390.32	$489,304.61	nat. median $620,080 0.8× median
5834 APR_DRG	Neonate W Ecmo	13	$260,426.64	$957,830.50	$390,361.97	nat. median $309,665 1.3× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell Immunotherapy	30	$294,868.32	$708,725.50	$294,868.32	nat. median $370,174 0.8× median
Q2058 CPT	Obecbtge Autol Up To 400 Mil	22	$270,375.00	$278,250.00	$278,250.00	nat. median $324,450 0.9× median
J3403 CPT	Revakinagene- Per Implant	21	$257,500.00	$257,500.00	$257,500.00	nat. median $265,000 1.0× median
5884 APR_DRG	Neonate Bwt 1500g W Major Procedure	13	$178,050.18	$619,600.82	$254,666.60	nat. median $246,434 1.0× median
5833 APR_DRG	Neonate W Ecmo	13	$160,898.11	$559,878.00	$252,888.58	nat. median $244,017 1.0× median
24 APR_DRG	Heart Or Lung Transplant	13	$197,053.53	$710,077.00	$225,530.55	nat. median $234,738 1.0× median
J3402 CPT	Inj. Remestemcel-l-rknd/ Td	21	$205,640.00	$205,640.00	$205,640.00	nat. median $209,753 1.0× median
114 APR_DRG	Psychiatric	12	$80,929.42	$281,685.50	$198,309.46	nat. median $117,173 1.7× median
5832 APR_DRG	Neonate W Ecmo	13	$103,867.44	$361,525.50	$194,172.15	nat. median $156,126 1.2× median
1614 APR_DRG	Cardiac Defibrillator & Heart Assist Implant	13	$132,261.61	$460,327.50	$193,278.30	nat. median $207,730 0.9× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	30	$191,357.68	$529,359.32	$191,357.68	nat. median $265,286 0.7× median
6304 APR_DRG	Neonate Birthwt 2499g W Major Cardiovascular Procedure	12	$69,620.65	$242,264.50	$185,770.26	nat. median $150,721 1.2× median
8414 APR_DRG	Extensive 3rd Degree Burns W Skin Graft	12	$148,654.78	$611,524.50	$183,225.66	nat. median $160,267 1.1× median
6094 APR_DRG	Neonate Bwt 15002499g W Major Procedure	12	$137,966.37	$497,752.50	$167,444.50	nat. median $162,982 1.0× median
5883 APR_DRG	Neonate Bwt 1500g W Major Procedure	13	$122,965.37	$427,909.97	$165,628.52	nat. median $182,736 0.9× median
6314 APR_DRG	Neonate Birthwt 2499g W Other Major Procedure	12	$90,310.26	$314,370.00	$164,388.59	nat. median $122,924 1.3× median
5914 APR_DRG	Neonate Birthwt 500749g Wo Major Procedure	13	$134,558.16	$581,834.00	$161,780.72	nat. median $164,279 1.0× median
453 MS_DRG	Combined Anterior/posterior Spinal Fusion W Mcc	6	$135,260.41	$166,541.15	$154,799.80	nat. median $87,411 1.8× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	13	$93,689.34	$326,096.50	$153,561.93	nat. median $187,294 0.8× median
94 APR_DRG	Extracorporeal Membrane Oxygenation Ecmo	13	$87,392.91	$304,140.50	$152,792.37	nat. median $164,834 0.9× median
5934 APR_DRG	Neonate Birthwt 750999g Wo Major Procedure	13	$139,297.97	$572,852.00	$150,011.84	nat. median $151,838 1.0× median
E0766 CPT	Elec Stim Cancer Treatment	3	$149,026.20	$149,026.20	$149,026.20	nat. median $16,785 outlier · 8.9×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	32	$145,789.20	$460,460.13	$145,789.20	nat. median $206,368 0.7× median
5882 APR_DRG	Neonate Bwt 1500g W Major Procedure	13	$99,671.74	$346,849.91	$145,335.69	nat. median $145,336 1.0× median
J7330 CPT	Autologous Cultured Chondrocytes Sheet	20	$76,814.27	$169,820.76	$144,940.04	nat. median $76,377 1.9× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth…	32	$144,933.61	$402,759.18	$144,933.61	nat. median $202,986 0.7× 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 $63,570 outlier · 2.3×
5831 APR_DRG	Neonate W Ecmo	13	$84,982.45	$295,657.50	$141,137.35	nat. median $145,122 1.0× median

Other procedures at this hospital

Browse this hospital's 18,360 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

J3391	CPT	Inj- Atidarsagene Autotemcel	23	22	—	—	$4,377,500.00	$4,505,000.00	$4,505,000.00	2026-01-01
J1414	CPT	Inj- Beqvez- Per Tx Dose	3	2	—	—	$3,500,000.00	$3,710,000.00	$3,710,000.00	2026-01-01
J1411	CPT	Inj- Hemgenix- Per Tx Dose	28	27	—	—	$3,672,900.00	$3,710,000.00	$3,685,266.67	2026-01-01
C9172	CPT	Inj Beqvez Per Tx Dose	1	1	—	—	$3,605,000.00	$3,605,000.00	$3,605,000.00	2026-01-01
J1413	CPT	Inj Delandistrogene Mox Rokl	28	27	—	—	$3,316,462.59	$3,392,000.00	$3,316,462.59	2026-01-01
J3394	CPT	Inj- Lovotibeglogene Autotem	25	24	—	—	$3,193,000.00	$3,286,000.00	$3,248,445.72	2026-01-01
J3393	CPT	Inj- Betibeglogene Autotemce	25	24	—	—	$2,945,740.00	$2,968,000.00	$2,945,740.00	2026-01-01
J3399	CPT	Inj Onase Abepar-xioi Treat	28	27	—	—	$2,278,010.83	$2,455,110.61	$2,455,110.61	2026-01-01
J3392	CPT	Inj- Exagamglogene Autotem	24	23	—	—	$2,332,000.00	$2,332,000.00	$2,332,000.00	2026-01-01
Q2040	CPT	Tisagenlecleucel Car-pos T	1	1	—	—	$1,963,654.77	$1,963,654.77	$1,963,654.77	2026-01-01
C9098	CPT	Ciltacabtagene Car Pos T	1	1	—	—	$1,963,654.77	$1,963,654.77	$1,963,654.77	2026-01-01
C9076	CPT	Lisocabtagene Car Pos T	1	1	—	—	$1,963,654.77	$1,963,654.77	$1,963,654.77	2026-01-01
C9073	CPT	Brexucabtagene Autoleucel Ca	1	1	—	—	$1,963,654.77	$1,963,654.77	$1,963,654.77	2026-01-01
C9081	CPT	Idecabtagene Car Pos T	1	1	—	—	$1,963,654.77	$1,963,654.77	$1,963,654.77	2026-01-01
Q2057	CPT	Afamitresgene Autoleucel	23	22	—	—	$770,620.00	$770,620.00	$770,620.00	2026-01-01
Q2042	CPT	Tisagenlecleucel Car-pos T	30	29	—	—	$339,963.38	$2,236,779.71	$591,726.20	2026-01-01
Q2056	CPT	Ciltacabtagene Car-pos T	30	29	—	—	$348,662.79	$2,294,017.25	$565,868.95	2026-01-01
Q2054	CPT	Lisocabtagene Mara Car Pos T	30	29	—	—	$332,131.09	$2,185,247.37	$562,538.19	2026-01-01
Q2055	CPT	Idecabtagene Vicleucel Car	30	29	—	—	$339,142.74	$2,231,380.37	$557,317.93	2026-01-01
Q2041	CPT	Axicabtagene Ciloleucel Car+	30	29	—	—	$315,213.31	$2,073,937.31	$533,230.17	2026-01-01
Q2053	CPT	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	34	30	—	—	$294,868.32	$708,725.50	$294,868.32	2026-01-01
Q2058	CPT	Obecbtge Autol Up To 400 Mil	23	22	—	—	$270,375.00	$278,250.00	$278,250.00	2026-01-01
J3403	CPT	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	CPT	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	34	30	—	—	$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	CPT	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	36	32	—	—	$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	CPT	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…	36	32	—	—	$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	CPT	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
C9741	CPT	Impl Pressure Sensor W/angio	1	1	—	—	$103,024.71	$103,024.71	$103,024.71	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
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
63198	CPT	Incise Spin&cord 2 Stgs Crvl	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
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
0163T	CPT	Tot Disc Arthrp Ea Addl Lmbr	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
63182	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
63180	CPT	Revise Spinal Cord Ligaments	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…	36	32	—	—	$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	34	30	—	—	$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	34	30	—	—	$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	34	30	—	—	$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…	32	30	—	—	$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	36	32	—	—	$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	34	30	—	—	$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	36	32	—	—	$67,990.12	$199,107.39	$67,990.12	2026-01-01
L8702	CPT	Ewhf S/d Uprt Micro Sensor	25	24	—	—	$65,871.74	$67,452.66	$67,452.66	2026-01-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	36	32	—	—	$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	CPT	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	32	30	—	—	$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	32	30	—	—	$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	36	32	—	—	$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…	36	32	—	—	$5,490.00	$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	CPT	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	CPT	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	36	32	—	—	$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…	36	32	—	—	$52,430.31	$145,409.18	$52,430.31	2026-01-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization With Mcc	36	32	—	—	$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	36	32	—	—	$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…	32	30	—	—	$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	34	30	—	—	$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	36	32	—	—	$48,977.88	$125,515.73	$48,977.88	2026-01-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	34	30	—	—	$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	36	32	—	—	$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	CPT	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	36	32	—	—	$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	CPT	Gen- Neuro- Clo Loop- Rechg	25	24	—	—	$31.55	$47,000.00	$47,000.00	2026-01-01
L7180	CPT	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	36	32	—	—	$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	36	32	—	—	$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	32	30	—	—	$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…	32	30	—	—	$45,624.47	$125,998.73	$45,624.47	2026-01-01
J9226	CPT	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…	36	32	—	—	$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…	36	32	—	—	$44,898.61	$111,807.39	$44,898.61	2026-01-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	36	32	—	—	$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	36	32	—	—	$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	36	32	—	—	$41,847.01	$112,583.58	$41,847.01	2026-01-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	36	32	—	—	$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	36	32	—	—	$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	36	32	—	—	$41,026.92	$114,250.61	$41,026.92	2026-01-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	36	32	—	—	$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…	37	33	—	—	$5,490.00	$107,858.77	$40,718.28	2026-01-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome- Neonate	40	32	—	—	$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	34	30	—	—	$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	36	32	—	—	$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	36	32	—	—	$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	32	30	—	—	$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…	36	32	—	—	$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 …	37	33	—	—	$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	CPT	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…	32	30	—	—	$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	34	30	—	—	$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 …	36	32	—	—	$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	36	32	—	—	$37,487.09	$103,872.56	$37,487.09	2026-01-01
405	MS_DRG	Pancreas- Liver And Shunt Procedures With Mcc	36	32	—	—	$37,354.62	$102,021.35	$37,354.62	2026-01-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Without Mcc	36	32	—	—	$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	36	32	—	—	$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	34	30	—	—	$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…	36	32	—	—	$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 …	32	30	—	—	$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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