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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

MAYO CLINIC HEALTH SYSTEM - FAIRMONT

Fairmont, MN · CCN 240166 · Rates published

5,223 distinct procedures filed
314 distinct payers
6,750,560 rate rows
2026-03-31 last MRF observed
Data quality

2,398,978 of 6,750,560 rate rows are consumer-grade (35.5%)

4,351,582 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 4,351,331
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 135
exceeds 10× this hospital's gross charge — excluded from medians 89
placeholder amount (≤ $0.02) — excluded from medians 20
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mcorgstatic.blob.core.windows.net/cms-price/410760836_mayo-clinic-health-system-fairmont_standardcharges.csv
Found on page https://www.mayoclinichealthsystem.org/locations/fairmont/billing/cms-hospital-pricing
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-20
Content fingerprint 0933ed94aba8ff62… · 3,467,570,193 bytes · first seen 2026-05-07

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
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 293 $5,003.64 $210,058.00 $199,555.10 nat. median
$8,223
outlier · 24.3×
J9359
HCPCS 		Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 293 $216.90 $81,733.40 $77,646.73 nat. median
$742
outlier · 104.6×
J2507
HCPCS 		Pegloticase 8 Mg/ml Intravenous Solution 294 $3,660.83 $77,074.84 $75,485.67 nat. median
$9,200
outlier · 8.2×
2821
APR_DRG 		Disorders Of Pancreas Except Malignancy 27 $5,321.80 $71,913.12 $71,913.12 nat. median
$4,593
outlier · 15.7×
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 294 $13,748.62 $75,034.50 $71,282.78 nat. median
$14,744
outlier · 4.8×
RX-219415
CDM 		Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 283 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
RX-707820
CDM 		Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 283 $13,994.32 $67,280.40 $63,916.38 nat. median
$63,916
1.0× median
7204
APR_DRG 		Septicemia And Disseminated Infections 27 $23,237.78 $61,516.90 $61,516.90 nat. median
$20,481
outlier · 3.0×
1141
APR_DRG 		Dental Diseases And Disorders 27 $3,899.11 $55,876.66 $55,876.66 nat. median
$3,749
outlier · 14.9×
433
APR_DRG 		Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 27 $19,875.79 $55,653.34 $55,653.34 nat. median
$20,273
outlier · 2.7×
J0638
HCPCS 		Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 294 $141.60 $54,485.39 $53,361.98 nat. median
$253
outlier · 211.1×
J2350
HCPCS 		Ocrelizumab 30 Mg/ml Intravenous Solution 294 $59.41 $52,256.13 $51,178.69 nat. median
$470
outlier · 109.0×
493
APR_DRG 		Bacterial And Tuberculous Infections Of Nervous System 27 $18,511.51 $50,422.03 $50,422.03 nat. median
$18,214
outlier · 2.8×
33264
CPT 		Pr Rmvl&rplc Icd Gen Multi Lead 294 $323.95 $51,181.08 $50,125.80 nat. median
$31,574
1.6× median
3831
APR_DRG 		Cellulitis And Other Skin Infections 27 $4,437.23 $48,918.48 $48,918.48 nat. median
$3,990
outlier · 12.3×
1341
APR_DRG 		Pulmonary Embolism 27 $7,335.93 $47,681.53 $47,681.53 nat. median
$4,975
outlier · 9.6×
2441
APR_DRG 		Diverticulitis And Diverticulosis 27 $5,167.03 $47,223.50 $47,223.50 nat. median
$4,474
outlier · 10.6×
33249
CPT 		Pr Ins/rplc Dfib W Transven Lead 294 $723.02 $47,684.23 $46,701.05 nat. median
$31,620
1.5× median
4201
APR_DRG 		Diabetes 27 $4,811.36 $45,983.81 $45,983.81 nat. median
$4,059
outlier · 11.3×
3441
APR_DRG 		Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 27 $8,833.46 $45,786.33 $45,786.33 nat. median
$6,059
outlier · 7.6×
2491
APR_DRG 		Other Gastroenteritis, Nausea And Vomiting 27 $4,638.13 $45,457.21 $45,457.21 nat. median
$3,943
outlier · 11.5×
0620T
CPT 		Pr Endovasc Venous Arterialization Tibial/peroneal 293 $9,111.86 $62,266.75 $41,616.65 nat. median
$32,709
1.3× median
471
APR_DRG 		Transient Ischemia 27 $6,568.21 $41,148.46 $41,148.46 nat. median
$5,542
outlier · 7.4×
92930
CPT 		Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 293 $731.00 $41,245.37 $40,394.95 nat. median
$27,623
1.5× median
4241
APR_DRG 		Other Endocrine Disorders 27 $4,929.23 $40,328.40 $40,328.40 nat. median
$4,490
outlier · 9.0×
33270
CPT 		Pr Ins/rplc Subq Icd W Subq Elec 294 $447.78 $44,373.18 $39,521.90 nat. median
$32,114
1.2× median
J9043
HCPCS 		Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 294 $227.28 $40,195.73 $39,366.96 nat. median
$735
outlier · 53.6×
93656
CPT 		Pr Ep Eval Tx Art Fib Pulm Vein 294 $718.24 $39,535.26 $38,720.10 nat. median
$27,236
1.4× median
6332
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Anomaly 27 $3,661.89 $37,639.97 $37,639.97 nat. median
$6,976
outlier · 5.4×
93654
CPT 		Pr Ep Eval W Vent Tachy Ablate 294 $763.57 $38,235.46 $37,447.10 nat. median
$27,016
1.4× median
3401
APR_DRG 		Fracture Of Femur 27 $4,836.97 $36,647.72 $36,647.72 nat. median
$4,103
outlier · 8.9×
C9767
HCPCS 		Hc Revasc Lithotrip-stent-ather 293 $7,984.08 $38,385.00 $36,465.75 nat. median
$20,608
1.8× median
33274
CPT 		Pr Rplc/insrt Transcath Leadls Pm 293 $571.47 $37,102.50 $36,337.50 nat. median
$19,643
1.8× median
SUP-10886982019165
CDM 		Tibial Instrument Set 281 $7,861.83 $37,797.24 $35,907.38 nat. median
$35,907
1.0× median
793
MS_DRG 		Full Term Neonate With Major Problems 12 $33,907.96 $37,298.76 $35,603.36 nat. median
$33,729
1.1× median
37231
CPT 		Pr Revasc Tib/pero Stnt&arth&angp 284 $483.17 $43,050.25 $35,563.25 nat. median
$18,389
1.9× median
C9607
HCPCS 		Hc Perc Translum Revasc Cor Sngl 293 $7,783.36 $37,420.00 $35,549.00 nat. median
$20,030
1.8× median
J1628
HCPCS 		Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 293 $75.97 $36,622.70 $34,791.57 nat. median
$228
outlier · 152.4×
C9602
HCPCS 		Hc Perc Translum Ather Wangio Sng 293 $7,542.50 $36,262.00 $34,448.90 nat. median
$20,101
1.7× median
C9606
HCPCS 		Hc Perc Translum Revasc Ami Sngl 284 $523.61 $36,105.00 $34,299.75 nat. median
$17,846
1.9× median
791
MS_DRG 		Prematurity With Major Problems 15 $33,023.19 $36,325.51 $34,013.89 nat. median
$34,598
1.0× median
33263
CPT 		Pr Rmvl&rplc Icd Gen Dual Lead 294 $312.27 $34,094.53 $33,391.55 nat. median
$23,376
1.4× median
J9272
HCPCS 		Dostarlimab-gxly 50 Mg/ml Intravenous Solution 293 $243.71 $34,619.50 $32,888.53 nat. median
$786
outlier · 41.8×
33262
CPT 		Pr Rmvl&rplc Icd Gen Sngl Lead 294 $300.84 $33,481.49 $32,791.15 nat. median
$23,311
1.4× median
J9382
HCPCS 		Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 293 $32.91 $34,446.60 $32,724.27 nat. median
$115
outlier · 284.4×
93653
CPT 		Pr Ep Eval W Supravent Ablate 294 $633.43 $36,950.05 $32,072.00 nat. median
$26,652
1.2× median
J9024
HCPCS 		Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 293 $31.58 $33,689.90 $32,005.41 nat. median
$87
outlier · 368.5×
1343
APR_DRG 		Pulmonary Embolism 27 $11,201.21 $31,867.07 $31,867.07 nat. median
$9,858
outlier · 3.2×
J9119
HCPCS 		Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 294 $29.29 $31,052.13 $30,411.88 nat. median
$91
outlier · 334.0×
36836
CPT 		Pr Perq Av Fistula Creation Uxtr Single Access 293 $6,626.88 $30,904.20 $30,267.00 nat. median
$17,555
1.7× median

Other procedures at this hospital

Browse this hospital's 5,223 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 364 293 $210,058.00 $184,851.04 $5,003.64 $210,058.00 $199,555.10 2026-03-31
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg/2 Ml Intravenous Solution (wetted) 364 293 $81,733.40 $71,925.39 $216.90 $81,733.40 $77,646.73 2026-03-31
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 366 294 $79,458.60 $69,923.57 $3,660.83 $77,074.84 $75,485.67 2026-03-31
2821 APR_DRG Disorders Of Pancreas Except Malignancy 29 27 — — $5,321.80 $71,913.12 $71,913.12 2026-03-31
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 363 294 $75,034.50 $66,030.36 $13,748.62 $75,034.50 $71,282.78 2026-03-31
RX-707820 CDM Belantamab Mafodotin-blmf 70 Mg/1.4 Ml Intravenous Solution (wetted) 351 283 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
RX-219415 CDM Belantamab Mafodotin-blmf 70 Mg Intravenous Solution 351 283 $67,280.40 $59,206.75 $13,994.32 $67,280.40 $63,916.38 2026-03-31
7204 APR_DRG Septicemia And Disseminated Infections 29 27 — — $23,237.78 $61,516.90 $61,516.90 2026-03-31
1141 APR_DRG Dental Diseases And Disorders 29 27 — — $3,899.11 $55,876.66 $55,876.66 2026-03-31
433 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 29 27 — — $19,875.79 $55,653.34 $55,653.34 2026-03-31
J0638 HCPCS Canakinumab (pf) 150 Mg/ml Subcutaneous Solution 366 294 $56,170.50 $49,430.04 $141.60 $54,485.39 $53,361.98 2026-03-31
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 366 294 $53,872.30 $47,407.62 $59.41 $52,256.13 $51,178.69 2026-03-31
493 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 29 27 — — $18,511.51 $50,422.03 $50,422.03 2026-03-31
33264 CPT Pr Rmvl&rplc Icd Gen Multi Lead 366 294 $52,764.00 $46,432.32 $323.95 $51,181.08 $50,125.80 2026-03-31
3831 APR_DRG Cellulitis And Other Skin Infections 29 27 — — $4,437.23 $48,918.48 $48,918.48 2026-03-31
1341 APR_DRG Pulmonary Embolism 29 27 — — $7,335.93 $47,681.53 $47,681.53 2026-03-31
2441 APR_DRG Diverticulitis And Diverticulosis 29 27 — — $5,167.03 $47,223.50 $47,223.50 2026-03-31
33249 CPT Pr Ins/rplc Dfib W Transven Lead 366 294 $49,159.00 $43,259.92 $723.02 $47,684.23 $46,701.05 2026-03-31
4201 APR_DRG Diabetes 29 27 — — $4,811.36 $45,983.81 $45,983.81 2026-03-31
3441 APR_DRG Osteomyelitis, Septic Arthritis And Other Musculoskeletal Infections 30 27 — — $8,833.46 $45,786.33 $45,786.33 2026-03-31
2491 APR_DRG Other Gastroenteritis, Nausea And Vomiting 29 27 — — $4,638.13 $45,457.21 $45,457.21 2026-03-31
0620T CPT Pr Endovasc Venous Arterialization Tibial/peroneal 364 293 $43,807.00 $38,550.16 $9,111.86 $62,266.75 $41,616.65 2026-03-31
471 APR_DRG Transient Ischemia 29 27 — — $6,568.21 $41,148.46 $41,148.46 2026-03-31
92930 CPT Pr Perq Tcat Plmt Ntrac St 2+les 2+st 2+c Segments 364 293 $42,521.00 $37,418.48 $731.00 $41,245.37 $40,394.95 2026-03-31
4241 APR_DRG Other Endocrine Disorders 29 27 — — $4,929.23 $40,328.40 $40,328.40 2026-03-31
33270 CPT Pr Ins/rplc Subq Icd W Subq Elec 366 294 $41,602.00 $36,609.76 $447.78 $44,373.18 $39,521.90 2026-03-31
J9043 HCPCS Cabazitaxel 10 Mg/ml (first Dilution) Intravenous Solution 366 294 $41,438.90 $36,466.23 $227.28 $40,195.73 $39,366.96 2026-03-31
93656 CPT Pr Ep Eval Tx Art Fib Pulm Vein 366 294 $40,758.00 $35,867.04 $718.24 $39,535.26 $38,720.10 2026-03-31
6332 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 29 27 — — $3,661.89 $37,639.97 $37,639.97 2026-03-31
93654 CPT Pr Ep Eval W Vent Tachy Ablate 366 294 $39,418.00 $34,687.84 $763.57 $38,235.46 $37,447.10 2026-03-31
3401 APR_DRG Fracture Of Femur 29 27 — — $4,836.97 $36,647.72 $36,647.72 2026-03-31
C9767 HCPCS Hc Revasc Lithotrip-stent-ather 728 293 $38,385.00 $33,778.80 $7,984.08 $38,385.00 $36,465.75 2026-03-31
33274 CPT Pr Rplc/insrt Transcath Leadls Pm 364 293 $38,250.00 $33,660.00 $571.47 $37,102.50 $36,337.50 2026-03-31
SUP-10886982019165 CDM Tibial Instrument Set 349 281 $37,797.24 $33,261.57 $7,861.83 $37,797.24 $35,907.38 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 15 12 — — $33,907.96 $37,298.76 $35,603.36 2026-03-31
37231 CPT Pr Revasc Tib/pero Stnt&arth&angp 353 284 $37,435.00 $32,942.80 $483.17 $43,050.25 $35,563.25 2026-03-31
C9607 HCPCS Hc Perc Translum Revasc Cor Sngl 364 293 $37,420.00 $32,929.60 $7,783.36 $37,420.00 $35,549.00 2026-03-31
J1628 HCPCS Guselkumab 200 Mg/20 Ml (10 Mg/ml) Intravenous Solution 364 293 $36,622.70 $32,227.98 $75.97 $36,622.70 $34,791.57 2026-03-31
C9602 HCPCS Hc Perc Translum Ather Wangio Sng 364 293 $36,262.00 $31,910.56 $7,542.50 $36,262.00 $34,448.90 2026-03-31
C9606 HCPCS Hc Perc Translum Revasc Ami Sngl 352 284 $36,105.00 $31,772.40 $523.61 $36,105.00 $34,299.75 2026-03-31
791 MS_DRG Prematurity With Major Problems 18 15 — — $33,023.19 $36,325.51 $34,013.89 2026-03-31
33263 CPT Pr Rmvl&rplc Icd Gen Dual Lead 366 294 $35,149.00 $30,931.12 $312.27 $34,094.53 $33,391.55 2026-03-31
J9272 HCPCS Dostarlimab-gxly 50 Mg/ml Intravenous Solution 364 293 $34,619.50 $30,465.16 $243.71 $34,619.50 $32,888.53 2026-03-31
33262 CPT Pr Rmvl&rplc Icd Gen Sngl Lead 366 294 $34,517.00 $30,374.96 $300.84 $33,481.49 $32,791.15 2026-03-31
J9382 HCPCS Zenocutuzumab-zbco 375 Mg/18.75 Ml (20 Mg/ml) Intravenous Solution 364 293 $34,446.60 $30,313.01 $32.91 $34,446.60 $32,724.27 2026-03-31
93653 CPT Pr Ep Eval W Supravent Ablate 366 294 $33,760.00 $29,708.80 $633.43 $36,950.05 $32,072.00 2026-03-31
J9024 HCPCS Atezolizumab 1,875 Mg-hyaluronidase-tqjs 30,000 Unit/15 Ml Subcut Soln 364 293 $33,689.90 $29,647.11 $31.58 $33,689.90 $32,005.41 2026-03-31
1343 APR_DRG Pulmonary Embolism 29 27 — — $11,201.21 $31,867.07 $31,867.07 2026-03-31
J9119 HCPCS Cemiplimab-rwlc 50 Mg/ml Intravenous Solution 366 294 $32,012.50 $28,171.00 $29.29 $31,052.13 $30,411.88 2026-03-31
36836 CPT Pr Perq Av Fistula Creation Uxtr Single Access 364 293 $31,860.00 $28,036.80 $6,626.88 $30,904.20 $30,267.00 2026-03-31
6401 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 29 27 — — $1,056.78 $30,028.60 $30,028.60 2026-03-31
J9144 HCPCS Daratumumab 1,800 Mg-hyaluronidase-fihj 30,000 Unit/15 Ml Subcut Soln 366 294 $31,586.60 $27,796.21 $55.57 $30,639.00 $30,007.27 2026-03-31
1333 APR_DRG Respiratory Failure 29 27 — — $10,990.06 $30,002.05 $30,002.05 2026-03-31
3803 APR_DRG Skin Ulcers 29 27 — — $10,089.08 $29,799.95 $29,799.95 2026-03-31
6603 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 29 27 — — $7,573.72 $29,335.14 $29,335.14 2026-03-31
1991 APR_DRG Hypertension 29 27 — — $5,091.18 $29,077.91 $29,077.91 2026-03-31
8623 APR_DRG Other Aftercare And Convalescence 29 27 — — $6,885.95 $28,968.49 $28,968.49 2026-03-31
J3245 HCPCS Tildrakizumab-asmn 100 Mg/ml Subcutaneous Syringe 366 294 $29,459.10 $25,924.01 $127.45 $28,575.33 $27,986.15 2026-03-31
37290 CPT Pr Revsc Evsc Tpvt Athrc Cplx 1 364 293 $29,241.00 $25,732.08 $6,082.13 $28,363.77 $27,778.95 2026-03-31
C9766 HCPCS Hc Revasc Intra Lithotrip-ather 364 293 $29,126.00 $25,630.88 $6,058.21 $29,126.00 $27,669.70 2026-03-31
37227 CPT Pr Revasc Fem/pop W Stnt/athr/ang 353 284 $28,923.00 $25,452.24 $460.36 $33,261.45 $27,476.85 2026-03-31
37294 CPT Pr Rvsc Evsc Tpvt St Athr Cpx 1 364 293 $28,870.00 $25,405.60 $6,004.96 $28,003.90 $27,426.50 2026-03-31
1943 APR_DRG Heart Failure 29 27 — — $10,937.78 $27,322.88 $27,322.88 2026-03-31
7203 APR_DRG Septicemia And Disseminated Infections 29 27 — — $12,762.28 $27,291.12 $27,291.12 2026-03-31
C9604 HCPCS Hc Perc Translum Revasc Sngl Vssl 364 293 $28,385.00 $24,978.80 $5,904.08 $28,385.00 $26,965.75 2026-03-31
37277 CPT Pr Rvsc Evsc Fpvt St Athr Cpx 1 364 293 $28,299.00 $24,903.12 $5,886.19 $27,450.03 $26,884.05 2026-03-31
C9600 HCPCS Hc Perc Transcath Plct Drug Stnt Sng 364 293 $28,199.00 $24,815.12 $5,865.39 $28,199.00 $26,789.05 2026-03-31
1131 APR_DRG Infections Of Upper Respiratory Tract 29 27 — — $3,257.45 $26,779.55 $26,779.55 2026-03-31
2632 APR_DRG Cholecystectomy 29 27 — — $14,140.90 $26,505.85 $26,505.85 2026-03-31
37273 CPT Pr Revsc Evsc Fpvt Athrc Cplx 1 364 293 $27,895.00 $24,547.60 $5,802.16 $27,058.15 $26,500.25 2026-03-31
J3263 HCPCS Toripalimab-tpzi 240 Mg/6 Ml (40 Mg/ml) Intravenous Solution 364 293 $27,620.10 $24,305.69 $39.41 $27,620.10 $26,239.10 2026-03-31
92941 CPT Pr Perc Revasc Trans Mi Sngl Vesl 366 294 $27,605.00 $24,292.40 $428.45 $26,776.85 $26,224.75 2026-03-31
4681 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 29 27 — — $4,680.16 $26,055.48 $26,055.48 2026-03-31
5602 APR_DRG Vaginal Delivery 29 27 — — $4,037.48 $25,962.66 $25,962.66 2026-03-31
4212 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders 29 27 — — $6,288.38 $25,619.53 $25,619.53 2026-03-31
92933 CPT Pr Ptca Intracor Stnt Sngl Mjr 366 294 $26,965.00 $23,729.20 $491.39 $26,156.05 $25,616.75 2026-03-31
92945 CPT Pr Perq Trluml Revsc Chrnc Tot Occls 1 Antgrd&rtrgr 364 293 $26,778.00 $23,564.64 $913.95 $25,974.66 $25,439.10 2026-03-31
4693 APR_DRG Acute Kidney Injury 29 27 — — $10,532.90 $25,140.28 $25,140.28 2026-03-31
37230 CPT Pr Revasc Tib/pero W Stent&angiop 353 284 $26,178.00 $23,036.64 $446.85 $30,104.70 $24,869.10 2026-03-31
J9228 HCPCS Ipilimumab 5 Mg/ml Intravenous Solution (wrapper) 366 294 $26,168.10 $23,027.93 $183.48 $25,383.06 $24,859.70 2026-03-31
J9316 HCPCS Pertuzumab 600 Mg-trastuzumab 600 Mg-hyaluronid-zzxf/10 Ml Subcut Soln 366 294 $26,096.40 $22,964.83 $62.10 $25,313.51 $24,791.58 2026-03-31
37226 CPT Pr Revasc Fem/pop W Stent/angplst 353 284 $25,778.00 $22,684.64 $331.77 $29,644.70 $24,489.10 2026-03-31
37229 CPT Pr Revasc Tib/peroneal W Athrc 353 284 $25,713.00 $22,627.44 $449.07 $29,569.95 $24,427.35 2026-03-31
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 364 293 $25,675.30 $22,594.26 $14.94 $25,675.30 $24,391.54 2026-03-31
J3380 HCPCS Vedolizumab 300 Mg Intravenous Solution 366 294 $25,557.80 $22,490.86 $21.31 $24,791.07 $24,279.91 2026-03-31
37298 CPT Pr Revsc Evsc Imvt Angio Cplx 1 364 293 $25,473.00 $22,416.24 $5,132.30 $24,708.81 $24,199.35 2026-03-31
J2427 HCPCS Paliperidone Palmitate (3-month) 819 Mg/2.63 Ml Intramuscular Syringe 364 293 $25,321.60 $22,283.01 $13.00 $25,321.60 $24,055.52 2026-03-31
J1930 HCPCS Lanreotide 120 Mg/0.5 Ml Subcutaneous Syringe 366 294 $25,148.30 $22,130.50 $34.05 $24,393.85 $23,890.89 2026-03-31
7753 APR_DRG Alcohol Abuse And Dependence 29 27 — — $9,844.10 $23,558.19 $23,558.19 2026-03-31
37221 CPT Pr Revasc Opn/perc Iliac W Stent 353 284 $24,560.00 $21,612.80 $278.11 $28,244.00 $23,332.00 2026-03-31
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 15 — — $22,541.23 $24,795.35 $23,217.47 2026-03-31
J9301 HCPCS Obinutuzumab 1,000 Mg/40 Ml Intravenous Solution 366 294 $24,133.80 $21,237.74 $79.00 $23,409.79 $22,927.11 2026-03-31
7763 APR_DRG Other Drug Abuse And Dependence 29 27 — — $7,900.71 $22,850.87 $22,850.87 2026-03-31
582 APR_DRG Other Disorders Of Nervous System 29 27 — — $10,195.68 $22,836.43 $22,836.43 2026-03-31
37286 CPT Pr Revsc Evasc Tpvt St Cplx 1st 364 293 $23,931.00 $21,059.28 $4,977.65 $25,914.70 $22,734.45 2026-03-31
J9223 HCPCS Lurbinectedin 4 Mg/8 Ml Intravenous Solution (wetted) 366 294 $23,868.50 $21,004.28 $207.13 $23,152.45 $22,675.08 2026-03-31
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 364 293 $23,835.00 $20,974.80 $4,957.68 $25,914.70 $22,643.25 2026-03-31
C9772 HCPCS Hc Revasc Lithotrip Tibi/perone 364 293 $23,721.00 $20,874.48 $4,933.97 $23,721.00 $22,534.95 2026-03-31
J9022 HCPCS Atezolizumab 60 Mg/ml Intravenous Solution (wrapper) 366 294 $23,718.00 $20,871.84 $91.34 $23,006.46 $22,532.10 2026-03-31
1373 APR_DRG Major Respiratory Infections And Inflammations 29 27 — — $9,475.10 $22,475.55 $22,475.55 2026-03-31
C9601 HCPCS Hc Perc Transcath Plct Drug Stnt Add 349 281 $23,594.00 $20,762.72 $4,907.55 $23,594.00 $22,414.30 2026-03-31
92924 CPT Pr Ptca W Cor Angio Sngl Mjr 366 294 $23,469.00 $20,652.72 $416.77 $22,764.93 $22,295.55 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 12 — — $21,185.28 $23,303.81 $22,244.54 2026-03-31
33208 CPT Pr Ins/rplc Pcmkr Atrial & Vent 366 294 $23,224.00 $20,437.12 $413.35 $22,527.28 $22,062.80 2026-03-31
4633 APR_DRG Kidney And Urinary Tract Infections 29 27 — — $8,391.68 $22,030.95 $22,030.95 2026-03-31
37288 CPT Pr Revsc Evsc Tpvt Athrc Sf 1st 364 293 $23,124.00 $20,349.12 $4,809.79 $25,914.70 $21,967.80 2026-03-31
37282 CPT Pr Rvsc Evsc Tpvt Angio Cplx 1 364 293 $23,121.00 $20,346.48 $4,809.17 $22,427.37 $21,964.95 2026-03-31
J9289 HCPCS Nivolumab 600 Mg-hyaluronidase-nvhy 10,000 Unit/5 Ml Subcut Solution 364 293 $23,010.70 $20,249.42 $27.36 $23,010.70 $21,860.17 2026-03-31
J9299 HCPCS Nivolumab 10 Mg/ml Intravenous Solution (wrapper) 366 294 $23,010.70 $20,249.42 $32.96 $22,320.38 $21,860.17 2026-03-31
33206 CPT Pr Ins/rplc Pcmkr Atrial 366 294 $22,911.00 $20,161.68 $367.16 $22,223.67 $21,765.45 2026-03-31
92928 CPT Pr Plc Intracor Stnt Sngl 366 294 $22,745.00 $20,015.60 $411.64 $22,062.65 $21,607.75 2026-03-31
J2323 HCPCS Natalizumab 300 Mg/15 Ml Intravenous Solution 366 294 $22,623.10 $19,908.33 $24.00 $21,944.41 $21,491.95 2026-03-31
C9603 HCPCS Hc Perc Translum Ather Wangio Ea Add 349 281 $22,591.00 $19,880.08 $4,698.93 $22,591.00 $21,461.45 2026-03-31
92937 CPT Pr Perc Revasc Trans Cor Sngl Vesl 366 294 $22,414.00 $19,724.32 $464.83 $21,741.58 $21,293.30 2026-03-31
33229 CPT Pr Rplc Perm Gen Mult Lead 366 294 $22,332.00 $19,652.16 $301.19 $27,229.49 $21,215.40 2026-03-31
37271 CPT Pr Revsc Evsc Fpvt Athrc Sf 1st 364 293 $22,137.00 $19,480.56 $4,604.50 $25,914.70 $21,030.15 2026-03-31
1393 APR_DRG Other Pneumonia 29 27 — — $9,496.63 $20,676.93 $20,676.93 2026-03-31
J1323 HCPCS Elranatamab-bcmm 40 Mg/ml Subcutaneous Solution 715 293 $21,304.20 $18,747.70 $184.07 $36,798.40 $20,665.07 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 12 — — $19,642.96 $21,607.26 $20,625.11 2026-03-31
37228 CPT Pr Revasc Tib/pero W Angplst Unilat 353 284 $21,704.00 $19,099.52 $346.73 $24,959.60 $20,618.80 2026-03-31
J9308 HCPCS Ramucirumab 10 Mg/ml Intravenous Solution 366 294 $21,658.90 $19,059.83 $74.36 $21,009.13 $20,575.96 2026-03-31
37242 CPT Pr Vasc Embl/occlude Arterial 366 294 $21,494.00 $18,914.72 $380.00 $25,914.70 $20,419.30 2026-03-31
C9764 HCPCS Hc Revasc Intravasc Lithotripsy 364 293 $21,493.00 $18,913.84 $4,470.54 $21,493.00 $20,418.35 2026-03-31
36905 CPT Pr Av Fistula Pta Thrombectomy 364 293 $21,290.00 $18,735.20 $3,343.49 $20,651.30 $20,225.50 2026-03-31
92943 CPT Pr Perc Revasc Trans Chr Sngl Vesl 366 294 $21,248.00 $18,698.24 $563.02 $20,610.56 $20,185.60 2026-03-31
36903 CPT Pr Av Fistula Stent 364 293 $21,239.00 $18,690.32 $4,417.71 $20,601.83 $20,177.05 2026-03-31
36906 CPT Pr Av Fistula Stent Thrombectomy 364 293 $21,146.00 $18,608.48 $4,398.37 $25,914.70 $20,088.70 2026-03-31
J9273 HCPCS Tisotumab Vedotin-tftv 40 Mg/4 Ml Intravenous Solution (wetted) 364 293 $21,058.30 $18,531.30 $188.76 $21,058.30 $20,005.39 2026-03-31
37225 CPT Pr Revasc Fem/pop W Athrc/angplst 353 284 $20,831.00 $18,331.28 $384.77 $23,955.65 $19,789.45 2026-03-31
56 MS_DRG Degenerative Nervous System Disorders With Mcc 18 15 — — $19,136.57 $21,050.23 $19,710.67 2026-03-31
37241 CPT Pr Vasc Embl/occlude Venous 366 294 $20,631.00 $18,155.28 $342.49 $20,012.07 $19,599.45 2026-03-31
92929 CPT Hc Plc Intracor Stnt Ea Add 351 283 $20,621.00 $18,146.48 $4,289.17 $20,621.00 $19,589.95 2026-03-31
452 APR_DRG Cva And Precerebral Occlusion With Infarction 29 27 — — $9,568.38 $19,559.65 $19,559.65 2026-03-31
37258 CPT Pr Revsc Evasc Ivt Stent Sf 1st 364 293 $20,526.00 $18,062.88 $4,269.41 $19,910.22 $19,499.70 2026-03-31
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 18 15 — — $18,726.99 $22,693.07 $19,476.07 2026-03-31
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 18 15 — — $18,836.58 $20,720.24 $19,401.68 2026-03-31
J3101 HCPCS Tenecteplase 25 Mg Intravenous Solution 369 294 $20,226.50 $17,799.32 $172.22 $19,619.71 $19,215.18 2026-03-31
1942 APR_DRG Heart Failure 29 27 — — $7,097.10 $19,022.66 $19,022.66 2026-03-31
J9331 HCPCS Sirolimus-protein Bound 100 Mg Intravenous Suspension 364 293 $20,018.00 $17,615.84 $84.57 $20,018.00 $19,017.10 2026-03-31
J9306 HCPCS Pertuzumab 420 Mg/14 Ml (30 Mg/ml) Intravenous Solution 366 294 $19,632.30 $17,276.42 $17.02 $19,043.33 $18,650.69 2026-03-31
J9063 HCPCS Mirvetuximab Soravtansine-gynx 5 Mg/ml Intravenous Solution 364 293 $19,572.30 $17,223.62 $69.49 $19,572.30 $18,593.69 2026-03-31
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 15 12 — — $17,565.44 $19,321.98 $18,443.71 2026-03-31
33207 CPT Pr Ins/rplc Pcmkr Vent 366 294 $19,378.00 $17,052.64 $383.48 $18,796.66 $18,409.10 2026-03-31
33228 CPT Pr Rplc Perm Gen Dual Lead 366 294 $19,304.00 $16,987.52 $287.90 $18,724.88 $18,338.80 2026-03-31
37243 CPT Pr Vasc Embl/occlude Tmr Infarct 366 294 $19,158.00 $16,859.04 $453.38 $18,583.26 $18,200.10 2026-03-31
1972 APR_DRG Peripheral And Other Vascular Disorders 29 27 — — $6,626.63 $18,153.66 $18,153.66 2026-03-31
3842 APR_DRG Contusion, Open Wound And Other Trauma To Skin And Subcutaneous Tissue 29 27 — — $7,277.51 $18,098.81 $18,098.81 2026-03-31
37236 CPT Pr Plc Opn/perc Stent Init 366 294 $18,926.00 $16,654.88 $344.94 $18,358.22 $17,979.70 2026-03-31
6403 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem 29 27 — — $2,710.11 $17,969.05 $17,969.05 2026-03-31
3802 APR_DRG Skin Ulcers 29 27 — — $10,089.08 $17,948.68 $17,948.68 2026-03-31
37244 CPT Pr Vasc Embl/occlude Hemorrhage 366 294 $18,816.00 $16,558.08 $532.12 $18,251.52 $17,875.20 2026-03-31
3512 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses 29 27 — — $6,531.30 $17,870.73 $17,870.73 2026-03-31
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 18 15 — — $17,307.85 $19,038.64 $17,827.09 2026-03-31
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 15 — — $17,233.45 $18,956.80 $17,750.45 2026-03-31
7202 APR_DRG Septicemia And Disseminated Infections 29 27 — — $8,417.30 $17,749.48 $17,749.48 2026-03-31
37280 CPT Pr Revsc Evsc Tpvt Angio Sf 1st 364 293 $18,431.00 $16,219.28 $3,833.65 $17,878.07 $17,509.45 2026-03-31
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 15 12 — — $16,639.88 $18,303.87 $17,471.87 2026-03-31
93461 CPT Pr Cath Plc Art/grft Ang W R&l Hrt 366 294 $18,302.00 $16,105.76 $1,321.96 $17,752.94 $17,386.90 2026-03-31
5411 APR_DRG Vaginal Delivery With Sterilization And/or D&c 29 27 — — $6,049.55 $17,262.38 $17,262.38 2026-03-31
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 15 12 — — $16,297.49 $17,927.24 $17,112.36 2026-03-31
2822 APR_DRG Disorders Of Pancreas Except Malignancy 29 27 — — $7,108.38 $17,001.74 $17,001.74 2026-03-31
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 15 12 — — $16,091.91 $17,701.10 $16,896.51 2026-03-31
2832 APR_DRG Other Disorders Of The Liver 29 27 — — $9,475.97 $16,860.27 $16,860.27 2026-03-31
1402 APR_DRG Chronic Obstructive Pulmonary Disease 29 27 — — $6,552.83 $16,811.19 $16,811.19 2026-03-31
37238 CPT Pr Plc Opn/perc Stent Same Init 366 294 $17,437.00 $15,344.56 $242.67 $16,913.89 $16,565.15 2026-03-31
100 MS_DRG Seizures With Mcc 18 15 — — $16,046.31 $17,650.94 $16,527.70 2026-03-31
2452 APR_DRG Inflammatory Bowel Disease 29 27 — — $7,344.13 $16,476.30 $16,476.30 2026-03-31
27130 CPT Pr Arthro Acetab&fem Prosth (tha) 367 294 $17,244.00 $15,174.72 $1,078.05 $18,149.53 $16,381.80 2026-03-31
33285 CPT Pr Impl Pt Actv Card Event Record 366 294 $17,228.00 $15,160.64 $67.76 $16,711.16 $16,366.60 2026-03-31
J9271 HCPCS Pembrolizumab 25 Mg/ml Intravenous Solution 366 294 $17,201.30 $15,137.14 $60.29 $16,685.26 $16,341.24 2026-03-31
J1303 HCPCS Ravulizumab-cwvz 100 Mg/ml Intravenous Solution 717 294 $16,755.20 $14,744.58 $225.11 $58,493.33 $16,252.54 2026-03-31
3832 APR_DRG Cellulitis And Other Skin Infections 29 27 — — $6,064.93 $16,251.11 $16,251.11 2026-03-31
1392 APR_DRG Other Pneumonia 29 27 — — $6,609.20 $16,023.03 $16,023.03 2026-03-31
J9039 HCPCS Blinatumomab 35 Mcg Intravenous (wrapper) 366 294 $16,850.20 $14,828.18 $164.25 $16,344.69 $16,007.69 2026-03-31
559 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Mcc 18 15 — — $15,471.12 $17,018.23 $15,935.25 2026-03-31
37187 CPT Pr Thrmbct Mech Trluml Vein 366 294 $16,597.00 $14,605.36 $316.30 $16,319.56 $15,767.15 2026-03-31
47554 CPT Pr Bilry Endo Perc Via T-tube W Rmvl 366 294 $16,587.00 $14,596.56 $368.82 $16,089.39 $15,757.65 2026-03-31
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 18 15 — — $15,230.34 $16,753.37 $15,687.25 2026-03-31
919 MS_DRG Complications Of Treatment With Mcc 18 15 — — $15,198.34 $16,718.17 $15,654.29 2026-03-31
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 18 15 — — $15,175.94 $16,693.53 $15,631.22 2026-03-31
4692 APR_DRG Acute Kidney Injury 29 27 — — $6,475.95 $15,509.14 $15,509.14 2026-03-31
37224 CPT Pr Revasc Fem/pop W Angplst Unilat 353 284 $16,175.00 $14,234.00 $251.03 $18,601.25 $15,366.25 2026-03-31
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 18 15 — — $14,909.55 $16,400.51 $15,356.84 2026-03-31
4632 APR_DRG Kidney And Urinary Tract Infections 29 27 — — $6,244.30 $15,307.05 $15,307.05 2026-03-31
47383 CPT Pr Ablt Perc Liver Tmr Cryoablat 366 294 $16,104.00 $14,171.52 $379.03 $15,620.88 $15,298.80 2026-03-31
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 18 15 — — $14,683.96 $17,882.70 $15,271.32 2026-03-31
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 18 15 — — $14,736.75 $16,210.43 $15,178.85 2026-03-31
180 MS_DRG Respiratory Neoplasms With Mcc 18 15 — — $14,679.96 $16,147.96 $15,120.36 2026-03-31
91 MS_DRG Other Disorders Of Nervous System With Mcc 18 15 — — $14,601.56 $16,061.72 $15,039.61 2026-03-31
922 MS_DRG Other Injury, Poisoning And Toxic Effect Diagnoses With Mcc 18 15 — — $14,547.16 $16,001.88 $14,983.57 2026-03-31
33225 CPT Hc Ins Pacing Elctd Lv Lead Add 351 282 $15,770.00 $13,877.60 $351.28 $15,296.90 $14,981.50 2026-03-31
501 MS_DRG Soft Tissue Procedures With Cc 18 15 — — $14,536.76 $15,990.44 $14,972.86 2026-03-31
896 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc 18 15 — — $14,512.76 $15,964.04 $14,948.14 2026-03-31
J1299 HCPCS Eculizumab 300 Mg/30 Ml Intravenous Solution 364 293 $15,591.00 $13,720.08 $44.82 $15,591.00 $14,811.45 2026-03-31
J0717 HCPCS Certolizumab Pegol 400 Mg/2 Ml Subcutaneous Injection (wrapper) (restricted) 366 294 $15,549.50 $13,683.56 $3.91 $15,083.02 $14,772.03 2026-03-31
4202 APR_DRG Diabetes 29 27 — — $6,391.90 $14,611.27 $14,611.27 2026-03-31
27138 CPT Pr Rev Total Hip Femoral Only 367 294 $15,377.00 $13,531.76 $1,264.39 $18,149.53 $14,608.15 2026-03-31
33227 CPT Pr Rplc Perm Gen Sngl Lead 366 294 $15,344.00 $13,502.72 $276.12 $14,883.68 $14,576.80 2026-03-31
551 MS_DRG Medical Back Problems With Mcc 18 15 — — $13,960.78 $15,356.86 $14,379.60 2026-03-31
37222 CPT Hc Revasc Iliac Arty Ea Ipsi Vssl 353 284 $15,123.00 $13,308.24 $119.01 $17,391.45 $14,366.85 2026-03-31
299 MS_DRG Peripheral Vascular Disorders With Mcc 15 12 — — $13,613.61 $14,974.97 $14,294.29 2026-03-31
70 MS_DRG Other Cerebrovascular Disorders With Mcc 18 15 — — $13,870.40 $15,257.44 $14,286.51 2026-03-31
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 18 15 — — $13,787.20 $15,165.92 $14,200.82 2026-03-31
93655 CPT Hc Ablt Arrhythmia Add On 351 282 $14,891.00 $13,104.08 $232.14 $14,444.27 $14,146.45 2026-03-31
643 MS_DRG Endocrine Disorders With Mcc 18 15 — — $13,720.80 $15,092.88 $14,132.42 2026-03-31
37234 CPT Hc Revasc Tib/pero Stnt&angiop Ea 353 284 $14,875.00 $13,090.00 $181.83 $17,106.25 $14,131.25 2026-03-31
2492 APR_DRG Other Gastroenteritis, Nausea And Vomiting 29 27 — — $5,847.63 $14,022.32 $14,022.32 2026-03-31
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 18 15 — — $13,603.20 $14,963.52 $14,011.30 2026-03-31
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 18 15 — — $13,593.60 $14,952.96 $14,001.41 2026-03-31
884 MS_DRG Organic Disturbances And Intellectual Disability 18 15 — — $13,423.21 $14,765.53 $13,825.91 2026-03-31
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 18 15 — — $13,386.41 $14,725.05 $13,788.00 2026-03-31
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 18 15 — — $13,384.82 $14,723.30 $13,786.36 2026-03-31
393 MS_DRG Other Digestive System Diagnoses With Mcc 18 15 — — $13,346.41 $14,681.05 $13,746.80 2026-03-31
177 MS_DRG Respiratory Infections And Inflammations With Mcc 15 12 — — $13,053.63 $14,358.99 $13,706.31 2026-03-31
1142 APR_DRG Dental Diseases And Disorders 29 27 — — $5,459.15 $13,681.65 $13,681.65 2026-03-31
J9011 HCPCS Datopotamab Deruxtecan-dlnk 100 Mg/5 Ml Intravenous Solution (wetted) 364 293 $14,341.70 $12,620.70 $51.56 $14,341.70 $13,624.62 2026-03-31
50593 CPT Pr Ablation Renal Tumor Perc Cryo 366 294 $14,306.00 $12,589.28 $378.73 $15,026.97 $13,590.70 2026-03-31
917 MS_DRG Poisoning And Toxic Effects Of Drugs With Mcc 18 15 — — $13,099.22 $14,409.14 $13,492.20 2026-03-31
93620 CPT Pr Ep Eval W Arrhythmia 366 294 $14,166.00 $12,466.08 $923.08 $13,741.02 $13,457.70 2026-03-31
186 MS_DRG Pleural Effusion With Mcc 18 15 — — $13,020.03 $14,322.03 $13,410.63 2026-03-31
37220 CPT Pr Revasc Iliac Artery Init Vessel 353 284 $13,910.00 $12,240.80 $226.77 $15,996.50 $13,214.50 2026-03-31
37233 CPT Hc Revasc Tib/pero Athr&angiop Ea 351 282 $13,890.00 $12,223.20 $2,889.12 $15,973.50 $13,195.50 2026-03-31
J1326 HCPCS Zolbetuximab-clzb 300 Mg Intravenous Solution 364 293 $13,890.00 $12,223.20 $33.71 $13,890.00 $13,195.50 2026-03-31
93453 CPT Pr Rt&lt Hrt Cath W Ventriclgrphy 366 294 $13,890.00 $12,223.20 $1,112.95 $13,473.30 $13,195.50 2026-03-31
813 MS_DRG Coagulation Disorders 18 15 — — $12,754.44 $14,029.88 $13,137.07 2026-03-31
J0517 HCPCS Benralizumab 30 Mg/ml Subcutaneous Syringe 366 294 $13,676.50 $12,035.32 $164.59 $13,266.21 $12,992.68 2026-03-31
J2783 HCPCS Rasburicase 7.5 Mg Intravenous Solution 366 294 $13,629.00 $11,993.52 $377.52 $13,220.13 $12,947.55 2026-03-31
33990 CPT Pr Ins Perc Vent Assist Dev Left Heart Arterial Only W Img 364 292 $13,570.00 $11,941.60 $278.21 $13,162.90 $12,891.50 2026-03-31
27487 CPT Pr Rev Tot Knee Arthro Fem&tib 367 294 $13,549.00 $11,923.12 $1,457.47 $24,786.86 $12,871.55 2026-03-31
388 MS_DRG Gastrointestinal Obstruction With Mcc 18 15 — — $12,366.45 $15,065.22 $12,861.10 2026-03-31
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 18 15 — — $12,447.25 $13,691.98 $12,820.67 2026-03-31
682 MS_DRG Renal Failure With Mcc 18 15 — — $12,400.06 $13,640.07 $12,772.06 2026-03-31
93459 CPT Pr Cath Plc Arty/grft Ang W L Hrt 366 294 $13,411.00 $11,801.68 $1,081.49 $13,008.67 $12,740.45 2026-03-31
33216 CPT Pr Ins Sngl Eltrd/ppcmkr/icd 366 294 $13,388.00 $11,781.44 $304.05 $12,986.36 $12,718.60 2026-03-31
93460 CPT Pr Cath Plc Art/ven Ang W R&l Hrt 366 294 $13,371.00 $11,766.48 $1,199.76 $12,969.87 $12,702.45 2026-03-31
92920 CPT Pr Ptca Sngl Mjr Arty/brnch 366 294 $13,369.00 $11,764.72 $343.70 $12,967.93 $12,700.55 2026-03-31
36908 CPT Hc Av Fistula Stent Central 349 281 $13,332.00 $11,732.16 $2,115.89 $12,932.04 $12,665.40 2026-03-31
36832 CPT Pr Rev Art Ven Fstl Wo Thrmbct 366 294 $13,182.00 $11,600.16 $614.33 $12,786.54 $12,522.90 2026-03-31
637 MS_DRG Diabetes With Mcc 18 15 — — $12,045.67 $13,250.24 $12,407.04 2026-03-31
642 MS_DRG Inborn And Other Disorders Of Metabolism 18 15 — — $11,928.87 $13,121.76 $12,286.74 2026-03-31
64555 CPT Pr Impl Neurostim Peripheral Perc 366 294 $12,927.00 $11,375.76 $282.81 $12,539.19 $12,280.65 2026-03-31
602 MS_DRG Cellulitis With Mcc 19 15 — — $11,922.47 $13,114.72 $12,280.14 2026-03-31
0201T CPT Hc Perc Sacrl Augmntation Bilat 364 293 $12,905.00 $11,356.40 $2,684.24 $12,517.85 $12,259.75 2026-03-31
36902 CPT Pr Av Fistula Pta 364 293 $12,877.00 $11,331.76 $1,804.62 $12,490.69 $12,233.15 2026-03-31
811 MS_DRG Red Blood Cell Disorders With Mcc 18 15 — — $11,786.47 $12,965.12 $12,140.06 2026-03-31
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 15 12 — — $11,540.89 $12,694.98 $12,117.93 2026-03-31
1412 APR_DRG Asthma 29 27 — — $5,696.95 $12,116.88 $12,116.88 2026-03-31
J9038 HCPCS Axatilimab-csfr 50 Mg/ml Intravenous Solution 715 293 $29,578.80 $26,029.34 $55.65 $29,578.80 $11,981.05 2026-03-31
36907 CPT Hc Av Fistula Pta Central 349 281 $12,564.00 $11,056.32 $872.13 $12,187.08 $11,935.80 2026-03-31
1132 APR_DRG Infections Of Upper Respiratory Tract 29 27 — — $7,276.34 $11,885.91 $11,885.91 2026-03-31
J9309 HCPCS Polatuzumab Vedotin-piiq 140 Mg/7 Ml Intravenous Solution (wetted) 719 294 $55,384.90 $48,738.71 $136.67 $53,723.35 $11,855.15 2026-03-31
33210 CPT Pr Ins/rplc Temp Elec/pcmkr Sngl 366 294 $12,358.00 $10,875.04 $125.91 $11,987.26 $11,740.10 2026-03-31
22510 CPT Pr Perc Cervicothoracic Inject 366 294 $12,326.00 $10,846.88 $358.36 $11,956.22 $11,709.70 2026-03-31
A9608 HCPCS Flotufolastat F 18 296-5,846 Mbq/ml (8-158 Mci/ml) IV Solution 364 293 $12,295.60 $10,820.13 $671.22 $12,295.60 $11,680.82 2026-03-31
J9354 HCPCS Ado-trastuzumab Emtansine 100 Mg/5 Ml Intravenous Solution (wetted) 717 294 $12,004.00 $10,563.52 $42.16 $18,368.21 $11,643.88 2026-03-31
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 15 12 — — $11,067.32 $12,174.05 $11,620.69 2026-03-31
22514 CPT Pr Perc Vert Agmntj Cav Crtj Lmbr 366 294 $12,216.00 $10,750.08 $393.69 $11,849.52 $11,605.20 2026-03-31
640 MS_DRG Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes With M… 18 15 — — $11,236.90 $12,360.59 $11,574.01 2026-03-31
0644T CPT Pr Tcat Rmvl/dblk Icar Mas Perq 364 293 $12,165.00 $10,705.20 $2,507.93 $11,800.05 $11,556.75 2026-03-31
22511 CPT Pr Perc Lumbosacral Injection 366 294 $12,157.00 $10,698.16 $338.76 $11,792.29 $11,549.15 2026-03-31
93650 CPT Pr Ablt Av Node 366 294 $12,153.00 $10,694.64 $444.22 $11,788.41 $11,545.35 2026-03-31
J9200 HCPCS Floxuridine 0.5 Gram/5 Ml Solution For Injection (wetted) 366 294 $12,145.60 $10,688.13 $2,526.28 $11,781.23 $11,538.32 2026-03-31
93456 CPT Pr Cath Plc Cor Arty/ang W Rt Hrt 366 294 $12,132.00 $10,676.16 $1,091.29 $11,768.04 $11,525.40 2026-03-31
0913T CPT Pr Prq Tcat Ther Rx Ntrac Balo1 364 293 $12,113.00 $10,659.44 $2,519.50 $16,319.56 $11,507.35 2026-03-31
22513 CPT Pr Perc Vertebplsty Cavty Img Guid 1 366 294 $12,092.00 $10,640.96 $420.13 $11,729.24 $11,487.40 2026-03-31
540 MS_DRG Osteomyelitis With Cc 15 12 — — $10,922.52 $12,014.77 $11,468.65 2026-03-31
77373 CPT Hc Stereotactic Body Radtn Del 366 294 $12,020.00 $10,577.60 $1,000.91 $11,659.40 $11,419.00 2026-03-31
291 MS_DRG Heart Failure And Shock With Mcc 15 12 — — $10,822.52 $11,904.77 $11,363.65 2026-03-31
J9312 HCPCS Rituximab 10 Mg/ml Concentrate,intravenous 366 294 $11,961.30 $10,525.94 $75.22 $11,602.46 $11,363.24 2026-03-31
1382 APR_DRG Bronchiolitis And Rsv Pneumonia 29 27 — — $7,761.79 $11,354.70 $11,354.70 2026-03-31
J9356 HCPCS Trastuzumab 600 Mg-hyaluronidase-oysk 10,000 Unit/5 Ml Subcut Solution 366 294 $11,906.50 $10,477.72 $61.44 $11,549.31 $11,311.18 2026-03-31
93455 CPT Pr Cath Plc Cor Arty/grft Angio 366 294 $11,903.00 $10,474.64 $976.27 $11,545.91 $11,307.85 2026-03-31
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 18 15 — — $10,916.92 $12,008.61 $11,244.43 2026-03-31
27447 CPT Pr Arthro Knee Condyle&plat (tka) 367 294 $11,818.00 $10,399.84 $1,076.03 $18,149.53 $11,227.10 2026-03-31
93457 CPT Pr Cath Plc Arty/grft Ang W R Hrt 366 294 $11,730.00 $10,322.40 $1,189.19 $11,378.10 $11,143.50 2026-03-31
J2506 HCPCS Pegfilgrastim 6 Mg/0.6 Ml (deliverable) Wearable Subcutaneous Injector 366 293 $11,722.90 $10,316.15 $89.34 $11,722.90 $11,136.76 2026-03-31
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 18 15 — — $10,808.12 $11,888.93 $11,132.36 2026-03-31
947 MS_DRG Signs And Symptoms With Mcc 18 15 — — $10,707.32 $11,778.05 $11,028.54 2026-03-31
391 MS_DRG Esophagitis, Gastroenteritis And Miscellaneous Digestive Disorders With Mcc 18 15 — — $10,698.53 $11,768.38 $11,019.49 2026-03-31
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 15 12 — — $10,479.34 $11,527.27 $11,003.31 2026-03-31
50592 CPT Pr Ablation Renal Tumors Unilat Rf 366 294 $11,581.00 $10,191.28 $283.15 $11,233.57 $11,001.95 2026-03-31
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 15 — — $10,679.32 $11,747.25 $10,999.70 2026-03-31
93596 CPT Pr R&l Hrt Cath Chd Nml Nt Cnj 364 293 $11,564.00 $10,176.32 $2,405.31 $11,564.00 $10,985.80 2026-03-31
A9595 HCPCS Piflufolastat F 18 296 Mbq To 370 Mbq (8 Mci To 10 Mci) IV Syringe 369 293 $11,500.00 $10,120.00 $346.49 $11,500.00 $10,925.00 2026-03-31
20982 CPT Pr Ablation Bn Tmr Radiofrequency 366 294 $11,346.00 $9,984.48 $297.91 $24,786.86 $10,778.70 2026-03-31
189 MS_DRG Pulmonary Edema And Respiratory Failure 18 15 — — $10,435.34 $11,478.87 $10,748.40 2026-03-31
27702 CPT Pr Arthroplasty Ank W Implant 367 294 $11,262.00 $9,910.56 $832.54 $38,358.28 $10,698.90 2026-03-31
23472 CPT Pr Arthro Glh Jt Total Shoulder 367 294 $11,239.00 $9,890.32 $1,210.36 $24,786.86 $10,677.05 2026-03-31
949 MS_DRG Aftercare With Cc/mcc 15 12 — — $10,069.76 $11,076.74 $10,573.25 2026-03-31
J0896 HCPCS Luspatercept-aamt 25 Mg/0.5 Ml Subcutaneous Solution (wetted) 717 294 $10,855.90 $9,553.19 $41.98 $30,765.88 $10,530.22 2026-03-31
20983 CPT Pr Ablation Bn Tmr Cryoablation 366 294 $11,071.00 $9,742.48 $284.57 $10,738.87 $10,517.45 2026-03-31
549 MS_DRG Septic Arthritis With Cc 18 15 — — $10,209.75 $11,230.73 $10,516.04 2026-03-31
0200T CPT Hc Perc Sac Augmentation Unlat Inj 364 293 $11,068.00 $9,739.84 $2,302.14 $10,735.96 $10,514.60 2026-03-31
J9061 HCPCS Amivantamab-vmjw 50 Mg/ml Intravenous Solution 364 293 $11,050.10 $9,724.09 $22.54 $11,050.10 $10,497.60 2026-03-31
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 18 15 — — $10,184.14 $11,202.55 $10,489.66 2026-03-31
37223 CPT Hc Revasc Iliac Arty Stnt Angplst 353 284 $10,922.00 $9,611.36 $134.97 $12,560.30 $10,375.90 2026-03-31
36909 CPT Hc Av Fistula Embolization 349 281 $10,896.00 $9,588.48 $2,266.37 $10,569.12 $10,351.20 2026-03-31
152 MS_DRG Otitis Media And Uri With Mcc 18 15 — — $10,009.75 $11,010.73 $10,310.04 2026-03-31
3472 APR_DRG Other Back And Neck Disorders, Fractures And Injuries 29 27 — — $7,210.51 $10,176.79 $10,176.79 2026-03-31
93458 CPT Pr Cath Plc Arty/vent Ang W L Hrt 366 294 $10,711.00 $9,425.68 $1,006.38 $10,389.67 $10,175.45 2026-03-31
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