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

FAIRVIEW NORTHLAND REGIONAL HOSPITAL

Princeton, MN · CCN 240141 · Rates published

19,538 distinct procedures filed
18 distinct payers
1,702,265 rate rows
2026-01-29 last MRF observed
Data quality

1,102,832 of 1,702,265 rate rows are consumer-grade (64.8%)

599,433 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
professional (physician) fee — not the facility price 597,154
exceeds 10× this hospital's gross charge — excluded from medians 657
placeholder amount (≤ $0.02) — excluded from medians 620
template filing: same amount across many unrelated codes — excluded 422
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 283
percent-of-charges filed in the dollar field — excluded from medians 216
per-diem day rate — not a per-procedure price 81
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://requiredlearning.fairview.org/price_transparency/410991680-1922085299_fairview-health-services_standardcharges.csv
Found on page https://www.mhealthfairview.org/resources/policies-and-documentation/hospital-price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-18
Content fingerprint adba37f1e40c03a8… · 1,259,267,182 bytes · first seen 2026-05-13

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 9 $4,432,920.00 $4,698,895.20 $4,499,413.80 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $1,560,369.36 $4,849,682.19 $3,811,462.22 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $1,560,369.36 $4,849,682.19 $3,680,696.94 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Apc 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1413
HCPCS 		Hc Rx Ip 250 Op 636 13 $1,397,090.60 $4,968,864.00 $3,318,902.47 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $1,342,927.06 $4,173,863.96 $3,261,039.29 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $1,248,295.47 $4,868,633.01 $2,962,580.02 nat. median
$3,004,655
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $980,803.61 $3,847,800.00 $2,341,040.70 nat. median
$2,448,600
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit (12.1-12.5 Kg; 68.8 Ml) 18 $563,125.00 $4,045,990.74 $1,381,250.00 nat. median
$2,468,984
0.6× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells IV Susp 18 $389,016.10 $1,992,511.83 $1,241,337.57 nat. median
$674,867
1.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 18 $231,548.39 $1,763,300.00 $1,228,227.00 nat. median
$634,303
1.9× median
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 18 $231,548.39 $1,743,991.58 $1,190,547.57 nat. median
$753,246
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 18 $359,368.04 $1,860,538.84 $1,146,731.61 nat. median
$673,137
1.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 100000000 Cells IV Susp 18 $192,956.98 $1,763,300.00 $1,102,400.00 nat. median
$619,808
1.8× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $274,906.37 $866,987.89 $851,658.05 nat. median
$234,729
outlier · 3.6×
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $758,290.08 $1,742,550.60 $788,621.68 nat. median
$824,563
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 2 $91,031.93 $829,684.99 $652,066.03 nat. median
$96,983
outlier · 6.7×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $526,587.59 $1,902,257.06 $644,638.10 nat. median
$625,184
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $370,820.48 $1,169,477.68 $584,560.50 nat. median
$309,665
1.9× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $131,136.64 $413,573.10 $406,260.41 nat. median
$93,528
outlier · 4.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $126,228.50 $398,094.00 $391,055.01 nat. median
$187,061
outlier · 2.1×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $121,704.81 $383,827.40 $377,040.67 nat. median
$129,535
outlier · 2.9×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $239,888.62 $756,550.43 $369,464.15 nat. median
$246,434
1.5× median
64
APR_DRG 		Pancreas Transplant 1 $114,461.89 $360,984.99 $354,602.15 nat. median
$91,009
outlier · 3.9×
5833
APR_DRG 		Neonate With Ecmo 6 $216,779.48 $683,669.80 $352,942.54 nat. median
$244,017
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $188,967.93 $945,098.76 $343,261.92 nat. median
$370,174
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $109,036.95 $343,876.03 $337,795.71 nat. median
$117,173
outlier · 2.9×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $101,360.30 $319,665.76 $314,013.52 nat. median
$68,633
outlier · 4.6×
22
APR_DRG 		Heart And/or Lung Transplant 1 $97,317.68 $306,916.30 $301,489.49 nat. median
$77,804
outlier · 3.9×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $273,798.00 $629,187.80 $284,749.92 nat. median
$324,450
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $87,688.78 $276,549.12 $271,659.25 nat. median
$89,273
outlier · 3.0×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $192,696.63 $607,718.34 $259,808.95 nat. median
$162,982
1.6× median
21
APR_DRG 		Heart And/or Lung Transplant 1 $83,427.85 $263,111.15 $258,458.89 nat. median
$64,672
outlier · 4.0×
J3403
HCPCS 		Revakinagene, Per Implant 9 $253,380.00 $268,582.80 $257,180.70 nat. median
$265,000
1.0× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $225,269.48 $710,445.20 $254,213.72 nat. median
$164,289
1.5× median
63
APR_DRG 		Pancreas Transplant 1 $80,869.93 $255,044.11 $250,534.49 nat. median
$64,159
outlier · 3.9×
1614
APR_DRG 		Implantable Heart Assist Systems 6 $178,197.27 $561,990.87 $249,991.12 nat. median
$207,730
1.2× median
E0766
HCPCS 		Elec Stim Cancer Treatment 3 $2,192.89 $1,379,286.29 $248,063.03 nat. median
$16,785
outlier · 14.8×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $117,745.26 $371,339.93 $240,592.35 nat. median
$164,834
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $165,672.37 $522,490.38 $239,167.35 nat. median
$182,665
1.3× median
4404
APR_DRG 		Kidney Transplant 1 $76,707.52 $241,916.88 $237,639.37 nat. median
$79,034
outlier · 3.0×
84
APR_DRG 		Autologous Bone Marrow Transplant 1 $74,924.32 $236,293.10 $232,115.03 nat. median
$79,774
outlier · 2.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $201,761.31 $746,823.05 $231,388.46 nat. median
$160,267
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $134,288.64 $423,513.72 $230,662.28 nat. median
$145,336
1.6× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $211,695.07 $699,340.82 $229,423.48 nat. median
$151,838
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $116,215.11 $688,575.25 $223,234.94 nat. median
$265,286
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $121,675.83 $383,736.01 $221,745.62 nat. median
$122,924
1.8× median
5832
APR_DRG 		Neonate With Ecmo 6 $139,941.55 $441,341.64 $221,479.44 nat. median
$156,126
1.4× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $185,119.99 $778,165.10 $218,580.43 nat. median
$93,370
outlier · 2.3×
62
APR_DRG 		Pancreas Transplant 1 $70,203.58 $221,405.02 $217,490.20 nat. median
$53,927
outlier · 4.0×

Other procedures at this hospital

Browse this hospital's 19,538 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 11 9 — — $4,432,920.00 $4,698,895.20 $4,499,413.80 2026-01-29
J1414 HCPCS Inj, Beqvez, Per Tx Dose 11 6 — — $1,560,369.36 $4,849,682.19 $3,811,462.22 2026-01-29
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 23 12 — — $1,560,369.36 $4,849,682.19 $3,680,696.94 2026-01-29
C9172 HCPCS Apc 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-29
J1413 HCPCS Hc Rx Ip 250 Op 636 36 13 — $3,118,176.00 $1,397,090.60 $4,968,864.00 $3,318,902.47 2026-01-29
J3394 HCPCS Inj, Lovotibeglogene Autotem 18 10 — — $1,342,927.06 $4,173,863.96 $3,261,039.29 2026-01-29
J3393 HCPCS Inj, Betibeglogene Autotemce 20 10 — — $1,248,295.47 $4,868,633.01 $2,962,580.02 2026-01-29
J3392 HCPCS Inj, Exagamglogene Autotem 19 9 — — $980,803.61 $3,847,800.00 $2,341,040.70 2026-01-29
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit (12.1-12.5 Kg; 68.8 Ml) 107 18 $2,125,000.00 $852,125.00 60% off $563,125.00 $4,045,990.74 $1,381,250.00 2026-01-29
Q2056 HCPCS Ciltacabtagene Autoleucel 100000000 Cells IV Susp 81 18 $1,909,750.11 $765,809.80 60% off $389,016.10 $1,992,511.83 $1,241,337.57 2026-01-29
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 81 18 $1,889,580.00 $757,721.58 60% off $231,548.39 $1,763,300.00 $1,228,227.00 2026-01-29
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 102 18 $1,831,611.65 $734,476.28 60% off $231,548.39 $1,743,991.58 $1,190,547.57 2026-01-29
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 81 18 $1,764,202.48 $707,445.20 60% off $359,368.04 $1,860,538.84 $1,146,731.61 2026-01-29
Q2053 HCPCS Brexucabtagene Autoleucel 100000000 Cells IV Susp 95 18 $1,696,000.00 $680,096.00 60% off $192,956.98 $1,763,300.00 $1,102,400.00 2026-01-29
24 APR_DRG Heart And/or Lung Transplant 3 1 — — $274,906.37 $866,987.89 $851,658.05 2026-01-29
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $758,290.08 $1,742,550.60 $788,621.68 2026-01-29
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 2 — — $91,031.93 $829,684.99 $652,066.03 2026-01-29
Q2055 HCPCS Idecabtagene Vicleucel Car 27 10 — — $526,587.59 $1,902,257.06 $644,638.10 2026-01-29
5834 APR_DRG Neonate With Ecmo 8 6 — — $370,820.48 $1,169,477.68 $584,560.50 2026-01-29
23 APR_DRG Heart And/or Lung Transplant 3 1 — — $131,136.64 $413,573.10 $406,260.41 2026-01-29
74 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $126,228.50 $398,094.00 $391,055.01 2026-01-29
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $121,704.81 $383,827.40 $377,040.67 2026-01-29
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $239,888.62 $756,550.43 $369,464.15 2026-01-29
64 APR_DRG Pancreas Transplant 3 1 — — $114,461.89 $360,984.99 $354,602.15 2026-01-29
5833 APR_DRG Neonate With Ecmo 8 6 — — $216,779.48 $683,669.80 $352,942.54 2026-01-29
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 11 — — $188,967.93 $945,098.76 $343,261.92 2026-01-29
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $109,036.95 $343,876.03 $337,795.71 2026-01-29
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $101,360.30 $319,665.76 $314,013.52 2026-01-29
22 APR_DRG Heart And/or Lung Transplant 3 1 — — $97,317.68 $306,916.30 $301,489.49 2026-01-29
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 9 — — $273,798.00 $629,187.80 $284,749.92 2026-01-29
73 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $87,688.78 $276,549.12 $271,659.25 2026-01-29
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $192,696.63 $607,718.34 $259,808.95 2026-01-29
21 APR_DRG Heart And/or Lung Transplant 3 1 — — $83,427.85 $263,111.15 $258,458.89 2026-01-29
J3403 HCPCS Revakinagene, Per Implant 11 9 — — $253,380.00 $268,582.80 $257,180.70 2026-01-29
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $225,269.48 $710,445.20 $254,213.72 2026-01-29
63 APR_DRG Pancreas Transplant 3 1 — — $80,869.93 $255,044.11 $250,534.49 2026-01-29
1614 APR_DRG Implantable Heart Assist Systems 8 6 — — $178,197.27 $561,990.87 $249,991.12 2026-01-29
E0766 HCPCS Elec Stim Cancer Treatment 16 3 — — $2,192.89 $1,379,286.29 $248,063.03 2026-01-29
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $117,745.26 $371,339.93 $240,592.35 2026-01-29
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $165,672.37 $522,490.38 $239,167.35 2026-01-29
4404 APR_DRG Kidney Transplant 3 1 — — $76,707.52 $241,916.88 $237,639.37 2026-01-29
84 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $74,924.32 $236,293.10 $232,115.03 2026-01-29
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $201,761.31 $746,823.05 $231,388.46 2026-01-29
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $134,288.64 $423,513.72 $230,662.28 2026-01-29
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $211,695.07 $699,340.82 $229,423.48 2026-01-29
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 11 — — $116,215.11 $688,575.25 $223,234.94 2026-01-29
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $121,675.83 $383,736.01 $221,745.62 2026-01-29
5832 APR_DRG Neonate With Ecmo 8 6 — — $139,941.55 $441,341.64 $221,479.44 2026-01-29
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $185,119.99 $778,165.10 $218,580.43 2026-01-29
62 APR_DRG Pancreas Transplant 3 1 — — $70,203.58 $221,405.02 $217,490.20 2026-01-29
72 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $68,591.36 $216,320.47 $212,495.55 2026-01-29
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $67,661.12 $213,386.72 $209,613.67 2026-01-29
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 9 — — $202,349.76 $214,490.75 $205,385.01 2026-01-29
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 86 18 $318,246.07 $127,616.68 60% off $25,936.32 $286,421.46 $205,109.59 2026-01-29
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $185,119.99 $622,533.31 $202,364.29 2026-01-29
1613 APR_DRG Implantable Heart Assist Systems 8 6 — — $139,151.38 $438,849.64 $201,161.76 2026-01-29
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $167,580.18 $528,507.15 $196,227.19 2026-01-29
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $63,170.28 $199,223.70 $195,701.08 2026-01-29
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $117,371.42 $370,160.95 $193,155.90 2026-01-29
4403 APR_DRG Kidney Transplant 3 1 — — $62,095.14 $195,832.98 $192,370.31 2026-01-29
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $93,800.54 $295,824.11 $188,424.46 2026-01-29
71 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $60,739.87 $191,558.79 $188,171.70 2026-01-29
5831 APR_DRG Neonate With Ecmo 8 6 — — $114,497.63 $361,097.71 $186,873.32 2026-01-29
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $122,707.50 $386,989.64 $183,799.90 2026-01-29
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $56,086.74 $176,883.95 $173,756.34 2026-01-29
61 APR_DRG Pancreas Transplant 3 1 — — $55,182.58 $174,032.46 $170,955.27 2026-01-29
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $151,231.23 $543,690.74 $170,886.80 2026-01-29
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $154,619.80 $530,158.34 $170,638.96 2026-01-29
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 29 11 — — $88,540.52 $524,603.14 $170,396.06 2026-01-29
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 29 11 — — $88,020.90 $521,524.39 $169,403.90 2026-01-29
4402 APR_DRG Kidney Transplant 3 1 — — $53,256.42 $167,957.80 $164,988.02 2026-01-29
J9029 HCPCS Hc Rx Ip 250 Op 636 86 18 $251,392.50 $100,808.40 60% off $51,208.65 $246,366.36 $163,405.12 2026-01-29
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $90,239.94 $284,594.84 $156,840.42 2026-01-29
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $88,393.95 $278,773.04 $153,416.38 2026-01-29
J9226 HCPCS Hc Rx Ip 250 Op 636 116 18 $211,428.14 $84,782.69 60% off $20,362.24 $196,156.03 $150,092.65 2026-01-29
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $123,345.08 $426,017.91 $136,614.58 2026-01-29
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $62,134.74 $195,957.88 $136,107.96 2026-01-29
1612 APR_DRG Implantable Heart Assist Systems 8 6 — — $111,726.24 $352,357.40 $135,960.43 2026-01-29
1611 APR_DRG Implantable Heart Assist Systems 8 6 — — $106,139.97 $334,739.68 $135,960.43 2026-01-29
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $115,092.49 $460,726.32 $135,895.46 2026-01-29
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 1 — — $43,642.99 $137,639.37 $135,205.67 2026-01-29
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $117,584.51 $431,812.30 $134,307.31 2026-01-29
4401 APR_DRG Kidney Transplant 3 1 — — $42,674.11 $134,583.76 $132,204.09 2026-01-29
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $81,485.26 $256,984.70 $132,170.79 2026-01-29
83 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $42,090.66 $132,743.70 $130,396.56 2026-01-29
90288 CPT Botulism Ig IV 7 1 — — $70,479.00 $136,947.00 $128,982.30 2026-01-29
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $111,829.98 $413,886.89 $128,242.86 2026-01-29
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $107,779.83 $418,045.31 $126,634.06 2026-01-29
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $94,746.24 $298,806.61 $121,837.70 2026-01-29
Q0480 HCPCS Driver Pneumatic Vad, Rep 33 12 — — $49,076.67 $464,111.44 $116,051.69 2026-01-29
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $96,987.83 $419,254.76 $114,518.38 2026-01-29
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 6 — — $64,461.79 $203,296.82 $114,369.56 2026-01-29
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $35,839.80 $113,030.02 $111,031.45 2026-01-29
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 29 11 — — $57,441.76 $340,342.75 $111,019.10 2026-01-29
4804 APR_DRG Major Male Pelvic Procedures 3 1 — — $35,463.07 $111,841.89 $109,864.33 2026-01-29
0812 RC Hc Acquisition Liver Cadaver Kidney/liver 194 18 $151,854.00 $60,893.46 60% off $23,150.91 $168,410.20 $106,974.00 2026-01-29
A9699 HCPCS Radiopharm Rx Agent Noc 7 1 — — $57,713.41 $112,142.31 $105,620.23 2026-01-29
7 MS_DRG Lung Transplant 29 11 — — $53,704.48 $318,199.36 $103,883.18 2026-01-29
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $69,514.83 $219,232.89 $102,333.52 2026-01-29
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $65,033.65 $205,100.33 $99,840.58 2026-01-29
8634 APR_DRG Neonatal Aftercare 8 6 — — $63,204.08 $199,330.32 $98,087.39 2026-01-29
14 MS_DRG Allogeneic Bone Marrow Transplant 29 11 — — $52,590.33 $263,023.76 $96,501.34 2026-01-29
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $80,826.55 $322,404.54 $95,435.95 2026-01-29
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $83,456.83 $263,202.55 $92,242.02 2026-01-29
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $68,922.69 $217,365.41 $91,527.93 2026-01-29
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 11 — — $46,992.97 $278,433.66 $91,069.90 2026-01-29
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 11 — — $45,704.92 $270,801.91 $88,609.64 2026-01-29
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $56,440.29 $177,998.96 $87,770.35 2026-01-29
209 MS_DRG Complex Aortic Arch Procedures 21 11 — — $46,939.06 $278,114.23 $87,533.34 2026-01-29
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 29 11 — — $45,094.89 $267,187.51 $87,445.76 2026-01-29
38240 CPT Hc Bone Marrow/stem Transplant Allogenic 94 18 $121,815.00 $48,847.82 60% off $508.29 $135,283.17 $86,549.56 2026-01-29
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $76,431.25 $241,045.59 $83,519.95 2026-01-29
1784 APR_DRG External Heart Assist Devices 8 6 — — $77,231.24 $252,838.46 $83,334.77 2026-01-29
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 11 — — $42,757.64 $253,339.30 $82,983.16 2026-01-29
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $71,076.34 $263,004.52 $81,499.77 2026-01-29
8514 APR_DRG Gender Related Procedures 5 5 — — $81,168.44 $100,770.62 $81,168.44 2026-01-29
215 MS_DRG Other Heart Assist System Implant 29 11 — — $41,291.68 $244,653.45 $80,183.70 2026-01-29
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $74,922.39 $236,287.01 $79,784.81 2026-01-29
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 11 — — $40,569.27 $240,373.18 $78,804.64 2026-01-29
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $55,022.23 $173,526.75 $78,689.07 2026-01-29
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 6 — — $66,403.94 $406,145.81 $78,406.45 2026-01-29
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $78,121.75 $96,988.15 $78,121.75 2026-01-29
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $65,542.72 $206,705.82 $75,981.26 2026-01-29
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $24,352.36 $76,801.43 $75,443.45 2026-01-29
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $45,318.96 $142,924.99 $74,689.89 2026-01-29
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 6 — — $68,448.39 $215,869.59 $73,752.36 2026-01-29
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 29 11 — — $37,362.81 $221,374.88 $72,682.08 2026-01-29
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $43,231.48 $136,341.57 $72,643.80 2026-01-29
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $61,012.47 $239,440.11 $72,040.48 2026-01-29
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $38,750.30 $122,209.02 $71,512.77 2026-01-29
33276 CPT Hc Insert Phrenic Nerve Stimulator System 81 18 $99,637.00 $39,954.44 60% off $4,489.00 $102,934.91 $70,792.09 2026-01-29
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $57,614.92 $181,703.46 $70,443.76 2026-01-29
0408T CPT Hc Insert/repl Ccm Sys Pls Gen W Transvns Electrode 81 18 $99,049.00 $39,718.65 60% off $4,489.00 $89,144.10 $70,374.32 2026-01-29
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 23 12 — — $65,388.11 $600,370.15 $70,355.83 2026-01-29
850 MS_DRG Acute Leukemia With Other Procedures 29 11 — — $35,910.95 $212,772.57 $69,910.18 2026-01-29
E0194 HCPCS Air Fluidized Bed 16 3 — — $18,317.36 $331,865.94 $69,688.02 2026-01-29
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $58,289.51 $392,558.57 $68,825.34 2026-01-29
82 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $22,091.97 $69,672.69 $68,440.76 2026-01-29
231 MS_DRG Coronary Bypass With Ptca With Mcc 29 11 — — $34,958.80 $207,131.07 $68,092.28 2026-01-29
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $44,441.85 $140,158.80 $68,042.76 2026-01-29
1794 APR_DRG Defibrillator Implants 8 6 — — $53,831.18 $169,770.46 $67,976.48 2026-01-29
0811 RC Hc Acquisition Kidney Living Donor 101 18 $95,552.00 $38,316.36 60% off $14,467.59 $93,382.97 $67,889.70 2026-01-29
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 11 — — $34,848.90 $206,479.94 $67,882.40 2026-01-29
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 6 — — $56,123.45 $176,999.72 $67,637.60 2026-01-29
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $43,426.61 $136,956.97 $67,276.27 2026-01-29
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 8 6 — — $57,821.64 $182,355.41 $66,785.60 2026-01-29
914 APR_DRG Other Major Head And Neck Procedures 8 6 — — $54,154.78 $170,791.02 $66,558.97 2026-01-29
1783 APR_DRG External Heart Assist Devices 8 6 — — $52,691.32 $166,175.62 $66,384.71 2026-01-29
1694 APR_DRG Major Abdominal Vascular Procedures 8 6 — — $57,958.72 $213,734.02 $66,342.51 2026-01-29
5103 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 1 — — $21,213.89 $66,903.46 $65,720.49 2026-01-29
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $60,185.40 $189,810.11 $65,617.16 2026-01-29
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 6 — — $49,313.29 $155,522.13 $65,503.85 2026-01-29
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $56,360.25 $211,933.55 $65,161.91 2026-01-29
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 6 — — $49,538.36 $156,231.96 $64,571.67 2026-01-29
J9266 HCPCS Hc Rx Ip 250 Op 636 152 18 $92,757.73 $37,195.86 60% off $9,624.56 $102,721.96 $64,352.86 2026-01-29
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 29 11 — — $32,631.91 $193,344.28 $63,649.82 2026-01-29
33231 CPT Hc Ins Pacng Cvdfb Plse Gen Only W/exist Multi Leads 86 18 $89,330.00 $35,821.33 60% off $4,489.00 $80,397.00 $63,468.96 2026-01-29
0571T CPT Hc Insert/rplc Icds W/subster Eltrd 81 18 $89,330.00 $35,821.33 60% off $4,489.00 $80,397.00 $63,468.96 2026-01-29
33287 CPT Hc Rem & Repl Phrenic Nerv Stim, Pulse Generator 81 18 $89,285.00 $35,803.29 60% off $2,954.00 $80,356.50 $63,437.00 2026-01-29
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $55,902.39 $196,969.31 $62,533.07 2026-01-29
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $56,360.25 $195,162.75 $62,503.05 2026-01-29
33270 CPT Hc Ins/replcmt Subq Implt Defib System W/subq Eltrd 94 18 $89,840.00 $36,025.84 60% off $1,095.19 $80,856.00 $62,220.35 2026-01-29
33264 CPT Hc Remov & Replace Implt Defib Pulse Gen Mult Lead 106 18 $89,840.00 $36,025.84 60% off $792.35 $80,856.00 $62,220.35 2026-01-29
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 29 11 — — $31,841.91 $188,663.51 $62,141.44 2026-01-29
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $58,274.39 $185,563.34 $62,053.07 2026-01-29
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 29 11 — — $31,704.64 $187,850.21 $61,879.62 2026-01-29
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 29 11 — — $31,599.73 $187,228.56 $61,679.28 2026-01-29
234 APR_DRG Spinal Procedures 8 6 — — $55,853.98 $190,163.50 $61,426.96 2026-01-29
214 APR_DRG Open Craniotomy Except Trauma 8 6 — — $51,293.55 $161,767.39 $61,361.42 2026-01-29
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $34,861.26 $109,943.94 $61,325.07 2026-01-29
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $61,247.46 $76,038.72 $61,247.46 2026-01-29
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $39,619.68 $124,950.84 $61,103.79 2026-01-29
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 6 — — $53,230.86 $196,865.73 $61,020.58 2026-01-29
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $55,053.22 $187,235.85 $60,514.38 2026-01-29
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $37,193.14 $117,298.11 $60,430.31 2026-01-29
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $33,551.39 $105,812.94 $59,997.35 2026-01-29
J7330 HCPCS Hc Or Imp Autologous Culture Chndrocytes(carticel)opnp 76 18 $92,273.39 $37,001.64 60% off $21,748.84 $138,276.15 $59,977.71 2026-01-29
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $59,071.10 $73,336.77 $59,071.10 2026-01-29
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 11 — — $29,935.53 $177,368.22 $58,501.40 2026-01-29
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 6 — — $53,747.14 $169,505.41 $58,294.42 2026-01-29
10 MS_DRG Pancreas Transplant 29 11 — — $29,757.63 $176,314.12 $58,162.20 2026-01-29
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 11 — — $29,745.19 $176,240.41 $58,137.82 2026-01-29
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $32,975.67 $103,997.24 $58,094.51 2026-01-29
6904 APR_DRG Acute Leukemia 8 6 — — $52,567.26 $180,497.06 $58,053.86 2026-01-29
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 6 — — $46,086.92 $145,346.94 $58,048.54 2026-01-29
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $36,957.44 $116,554.77 $58,012.20 2026-01-29
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 29 11 — — $29,587.19 $175,304.26 $57,836.78 2026-01-29
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 29 11 — — $29,569.77 $175,201.06 $57,802.86 2026-01-29
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 6 — — $52,177.98 $176,701.17 $57,234.06 2026-01-29
33289 CPT Hc Transcath W/impl Sensor, Pulm Art, Hemodyn Monitor, S&i 94 18 $84,753.00 $33,985.96 60% off $642.06 $76,277.70 $57,187.09 2026-01-29
A9543 HCPCS Y90 Ibritumomab, Rx 35 12 — — $26,936.92 $168,299.52 $56,812.96 2026-01-29
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 6 — — $48,549.20 $153,112.37 $56,658.82 2026-01-29
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $49,179.70 $181,685.19 $56,345.19 2026-01-29
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 6 — — $52,105.94 $164,329.47 $56,284.66 2026-01-29
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 29 11 — — $30,246.04 $151,271.65 $56,071.88 2026-01-29
4014 APR_DRG Adrenal Procedures 8 6 — — $40,271.71 $127,007.20 $55,988.56 2026-01-29
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 11 — — $28,522.65 $168,996.88 $55,803.70 2026-01-29
1204 APR_DRG Major Respiratory And Chest Procedures 8 6 — — $51,303.21 $161,797.86 $55,614.40 2026-01-29
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $29,484.61 $92,987.31 $54,729.25 2026-01-29
955 MS_DRG Craniotomy For Multiple Significant Trauma 29 11 — — $27,913.87 $165,389.86 $54,641.94 2026-01-29
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 6 — — $50,697.50 $164,271.59 $54,434.39 2026-01-29
204 APR_DRG Open Craniotomy For Trauma 8 6 — — $51,097.45 $161,148.95 $54,367.93 2026-01-29
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 29 11 — — $27,728.92 $164,293.99 $54,288.96 2026-01-29
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 11 — — $27,708.60 $164,173.59 $54,249.74 2026-01-29
1782 APR_DRG External Heart Assist Devices 8 6 — — $50,485.71 $163,272.34 $54,157.37 2026-01-29
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $45,768.94 $201,408.01 $54,041.68 2026-01-29
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $43,767.60 $138,032.36 $53,832.35 2026-01-29
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 6 — — $49,952.21 $162,653.91 $53,760.57 2026-01-29
4414 APR_DRG Major Bladder Procedures 8 6 — — $49,015.77 $154,583.82 $53,713.68 2026-01-29
2614 APR_DRG Major Biliary Tract Procedures 8 6 — — $48,508.03 $167,436.86 $53,710.11 2026-01-29
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 11 — — $27,267.77 $161,561.70 $53,408.10 2026-01-29
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 29 11 — — $27,267.77 $161,561.70 $53,408.10 2026-01-29
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 29 11 — — $27,168.66 $160,974.45 $53,218.36 2026-01-29
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 29 11 — — $28,158.25 $140,829.84 $52,295.10 2026-01-29
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 6 — — $46,858.12 $163,589.17 $52,176.14 2026-01-29
4803 APR_DRG Major Male Pelvic Procedures 3 1 — — $16,704.70 $52,682.55 $51,751.03 2026-01-29
L7181 HCPCS Electronic Elbo Simultaneous 33 12 — — $21,833.31 $415,334.80 $51,629.27 2026-01-29
33249 CPT Hc Icd Implant, Single / Dual W Lead Insertion/repositioning 97 18 $72,532.00 $29,085.34 60% off $1,460.00 $73,338.21 $51,533.99 2026-01-29
81 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $16,601.34 $52,356.57 $51,430.82 2026-01-29
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $30,410.99 $95,908.86 $51,185.47 2026-01-29
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $46,202.59 $159,049.94 $51,089.40 2026-01-29
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $33,991.88 $107,202.12 $51,089.26 2026-01-29
1781 APR_DRG External Heart Assist Devices 8 6 — — $46,319.58 $156,728.53 $50,786.88 2026-01-29
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 6 — — $47,737.54 $150,998.13 $50,672.43 2026-01-29
1793 APR_DRG Defibrillator Implants 8 6 — — $40,502.58 $127,735.31 $50,182.73 2026-01-29
L7180 HCPCS Electronic Elbow Sequential 33 12 — — $21,205.73 $403,395.46 $50,145.24 2026-01-29
5204 APR_DRG Other GYN Procedures For Malignancy 5 5 — — $50,119.62 $62,223.51 $50,119.62 2026-01-29
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 3 1 — — $21,016.28 $50,776.56 $49,878.74 2026-01-29
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 29 11 — — $25,414.47 $150,580.92 $49,869.82 2026-01-29
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 29 11 — — $25,385.03 $150,406.46 $49,813.64 2026-01-29
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $42,162.53 $309,767.79 $49,783.40 2026-01-29
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 6 — — $41,915.81 $132,192.29 $49,531.70 2026-01-29
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $29,606.33 $93,371.16 $49,395.93 2026-01-29
232 MS_DRG Coronary Bypass With Ptca Without Mcc 29 11 — — $25,141.60 $148,964.14 $49,348.30 2026-01-29
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $41,511.03 $167,793.30 $49,014.15 2026-01-29
28 MS_DRG Spinal Procedures With Mcc 29 11 — — $24,916.42 $147,629.94 $48,919.00 2026-01-29
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 29 11 — — $24,909.37 $147,588.17 $48,905.22 2026-01-29
1814 APR_DRG Lower Extremity Vascular Procedures 8 6 — — $45,436.13 $147,878.55 $48,889.06 2026-01-29
274 APR_DRG Other Open Craniotomy 8 6 — — $45,475.46 $147,714.04 $48,885.00 2026-01-29
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 29 11 — — $24,728.98 $146,519.33 $48,560.72 2026-01-29
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 6 — — $43,560.88 $137,380.42 $48,432.76 2026-01-29
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $39,246.81 $123,774.90 $48,386.79 2026-01-29
4854 APR_DRG Prostatectomy Procedures 5 5 — — $48,360.79 $60,039.92 $48,360.79 2026-01-29
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 6 — — $44,923.81 $146,102.45 $48,320.57 2026-01-29
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 29 11 — — $25,948.37 $129,777.41 $48,295.72 2026-01-29
2304 APR_DRG Major Small Bowel Procedures 8 6 — — $36,717.87 $115,799.25 $48,258.51 2026-01-29
6954 APR_DRG Chemotherapy For Acute Leukemia 8 6 — — $44,209.05 $139,424.60 $48,239.26 2026-01-29
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $33,721.40 $106,349.11 $48,055.40 2026-01-29
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 8 6 — — $40,610.44 $165,502.36 $47,950.78 2026-01-29
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 6 — — $44,503.67 $140,353.77 $47,896.11 2026-01-29
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 29 11 — — $24,337.08 $144,197.37 $47,812.36 2026-01-29
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 29 11 — — $24,321.33 $144,104.00 $47,782.68 2026-01-29
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $30,551.06 $96,350.61 $47,671.62 2026-01-29
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 6 — — $36,299.60 $114,480.13 $47,387.27 2026-01-29
93654 CPT Hc Ephys Eval With Ablation Ventricular Tachycardia 98 18 $66,503.00 $26,667.71 60% off $2,949.00 $59,852.70 $47,250.38 2026-01-29
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 6 — — $43,031.86 $145,517.53 $47,168.35 2026-01-29
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 6 — — $33,455.76 $105,511.33 $47,155.29 2026-01-29
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $25,160.89 $79,351.32 $47,024.87 2026-01-29
1214 APR_DRG Other Respiratory And Chest Procedures 8 6 — — $43,203.46 $136,253.23 $47,020.60 2026-01-29
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 29 11 — — $23,916.16 $141,703.41 $47,008.88 2026-01-29
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 29 11 — — $23,763.55 $140,799.20 $46,717.38 2026-01-29
7544 APR_DRG Depression Except Major Depressive Disorder 3 1 — — $15,064.46 $47,509.65 $46,669.60 2026-01-29
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 11 — — $25,860.75 $107,420.21 $46,579.32 2026-01-29
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 29 11 — — $23,635.83 $140,042.41 $46,473.58 2026-01-29
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 6 — — $36,199.14 $114,163.29 $46,312.90 2026-01-29
33262 CPT Hc Removal & Replace Implt Defib Pulse Gen 1 Lead 86 18 $64,746.00 $25,963.15 60% off $4,489.00 $58,271.40 $46,002.04 2026-01-29
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $45,887.94 $56,969.88 $45,887.94 2026-01-29
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 29 11 — — $23,314.43 $138,138.16 $45,859.84 2026-01-29
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 11 — — $23,242.28 $137,710.63 $45,722.04 2026-01-29
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $30,748.12 $96,972.08 $45,671.50 2026-01-29
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $26,512.29 $83,613.33 $45,600.94 2026-01-29
0614T CPT Hc Remove/replacement Of Substernal Icd Generator 81 18 $64,003.00 $25,665.21 60% off $4,489.00 $57,602.70 $45,474.13 2026-01-29
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 29 11 — — $23,083.03 $136,767.10 $45,417.82 2026-01-29
8633 APR_DRG Neonatal Aftercare 8 6 — — $40,041.81 $126,282.15 $45,406.38 2026-01-29
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $41,805.52 $138,733.05 $45,405.97 2026-01-29
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 6 — — $41,692.67 $131,488.55 $45,403.17 2026-01-29
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $22,399.15 $70,641.47 $45,352.93 2026-01-29
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 6 — — $38,814.05 $122,410.08 $45,085.68 2026-01-29
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 29 11 — — $22,903.88 $135,705.63 $45,076.50 2026-01-29
4034 APR_DRG Procedures For Obesity 8 6 — — $34,738.58 $109,557.04 $45,053.60 2026-01-29
834 MS_DRG Acute Leukemia With Mcc 29 11 — — $24,023.80 $120,151.95 $44,813.62 2026-01-29
0266T CPT Apc 27 10 — — $2,954.00 $102,934.91 $44,793.26 2026-01-29
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 21 11 — — $23,666.51 $140,224.24 $44,775.96 2026-01-29
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 29 11 — — $22,686.16 $134,415.66 $44,659.92 2026-01-29
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 29 11 — — $22,653.82 $134,224.00 $44,598.44 2026-01-29
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 8 6 — — $31,880.24 $100,542.55 $44,570.41 2026-01-29
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 29 11 — — $22,618.15 $134,012.69 $44,530.60 2026-01-29
224 APR_DRG Ventricular Shunt Procedures 8 6 — — $41,741.98 $132,783.30 $44,427.11 2026-01-29
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 8 6 — — $39,288.35 $123,905.90 $44,416.47 2026-01-29
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 29 11 — — $23,771.74 $118,891.32 $44,357.82 2026-01-29
294 APR_DRG Other Percutaneous Intracranial Procedures 8 6 — — $34,361.85 $108,368.92 $44,279.63 2026-01-29
33263 CPT Hc Removal & Replace Implt Defib Pulse Gen 2 Lead 94 18 $64,746.00 $25,963.15 60% off $760.26 $58,271.40 $44,217.21 2026-01-29
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 6 — — $38,372.60 $121,017.84 $44,097.91 2026-01-29
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 8 6 — — $41,025.94 $132,731.51 $44,017.92 2026-01-29
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 6 — — $39,568.65 $137,776.47 $44,001.67 2026-01-29
33240 CPT Hc Insert Implt Defib Pls Gen W Single Lead 94 18 $64,003.00 $25,665.21 60% off $724.00 $57,602.70 $43,953.26 2026-01-29
6504 APR_DRG Splenic Procedures 8 6 — — $40,871.64 $132,853.37 $43,950.83 2026-01-29
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 8 6 — — $37,215.81 $181,118.55 $43,942.57 2026-01-29
0815 RC Hc Acquisition Bone Marrow Related Donor 163 18 $105,153.00 $42,166.36 60% off $9,945.03 $192,058.02 $43,939.75 2026-01-29
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 30 12 — — $37,576.20 $332,833.29 $43,665.38 2026-01-29
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