Price Transparencybeta 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

M HEALTH FAIRVIEW ST JOHN'S HOSPITAL

Maplewood, MN · CCN 240210 · Rates published

19,533 distinct procedures filed
18 distinct payers
1,767,656 rate rows
2026-02-05 last MRF observed
Data quality

1,108,919 of 1,767,656 rate rows are consumer-grade (62.7%)

658,737 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 648,281
exceeds 10× this hospital's gross charge — excluded from medians 9,338
placeholder amount (≤ $0.02) — excluded from medians 640
percent-of-charges filed in the dollar field — excluded from medians 225
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 135
per-diem day rate — not a per-procedure price 81
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://requiredlearning.fairview.org/price_transparency/411456897_healtheast-st-johns-hospital_standardcharges.csv
Found on page https://www.mhealthfairview.org/resources/policies-and-documentation/hospital-price-transparency
Discovered viaCMS hospital list
Last fetch success · 2026-08-10
Content fingerprint c1fa306a44153437… · 1,280,776,616 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 11 $4,432,920.00 $4,698,895.20 $4,432,920.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $1,560,239.55 $4,849,682.19 $3,811,145.14 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $1,560,239.55 $4,849,682.19 $3,653,499.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Hc Rx Ip 250 Op 636 13 $1,396,974.38 $4,968,864.00 $3,263,399.19 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 11 $1,342,815.34 $4,173,863.95 $3,244,417.64 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 11 $1,248,191.63 $4,868,633.01 $2,957,160.04 nat. median
$2,997,086
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 11 $980,722.01 $3,847,800.00 $2,341,040.70 nat. median
$2,405,851
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
$2,460,273
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
$631,793
2.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 18 $231,548.39 $1,763,300.00 $1,228,227.00 nat. median
$588,565
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 18 $231,548.39 $1,743,991.58 $1,190,547.57 nat. median
$691,418
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 18 $359,368.04 $1,860,538.84 $1,146,731.61 nat. median
$624,417
1.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 100000000 Cells IV Susp 18 $192,956.98 $1,763,300.00 $1,102,400.00 nat. median
$577,541
1.9× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $264,447.82 $807,133.69 $792,862.17 nat. median
$243,231
outlier · 3.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $758,290.08 $1,742,550.60 $769,664.43 nat. median
$809,151
1.0× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $204,321.04 $829,684.99 $657,879.89 nat. median
$97,404
outlier · 6.8×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $536,203.11 $1,902,257.06 $620,403.58 nat. median
$610,161
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $356,712.97 $1,088,740.49 $584,560.50 nat. median
$311,018
1.9× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $126,147.67 $385,021.27 $378,213.43 nat. median
$116,111
outlier · 3.3×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $230,762.29 $704,320.48 $369,464.15 nat. median
$254,667
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $121,426.25 $370,610.80 $364,057.76 nat. median
$175,480
outlier · 2.1×
5833
APR_DRG 		Neonate With Ecmo 6 $208,532.31 $636,471.31 $352,942.54 nat. median
$250,089
1.4× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $117,074.67 $357,329.13 $351,010.93 nat. median
$137,901
outlier · 2.5×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $188,967.93 $897,122.67 $339,902.78 nat. median
$370,165
0.9× median
64
APR_DRG 		Pancreas Transplant 1 $110,107.30 $336,063.69 $330,121.50 nat. median
$92,994
outlier · 3.5×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $104,888.74 $320,135.88 $314,475.32 nat. median
$119,243
outlier · 2.6×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $97,504.15 $297,597.01 $292,334.98 nat. median
$74,748
outlier · 3.9×
22
APR_DRG 		Heart And/or Lung Transplant 1 $93,615.32 $285,727.73 $280,675.57 nat. median
$94,014
outlier · 3.0×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $273,798.00 $629,187.80 $277,904.97 nat. median
$302,242
0.9× median
E0766
HCPCS 		Elec Stim Cancer Treatment 3 $2,192.89 $1,379,286.29 $264,375.32 nat. median
$16,786
outlier · 15.7×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $185,365.67 $565,763.31 $259,808.95 nat. median
$168,174
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $216,699.32 $661,398.22 $254,213.72 nat. median
$168,361
1.5× median
J3403
HCPCS 		Revakinagene, Per Implant 11 $253,380.00 $268,582.80 $253,380.00 nat. median
$265,000
1.0× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $84,352.75 $257,457.00 $252,904.72 nat. median
$89,814
outlier · 2.8×
1614
APR_DRG 		Implantable Heart Assist Systems 6 $171,417.92 $523,192.73 $249,991.12 nat. median
$209,486
1.2× median
21
APR_DRG 		Heart And/or Lung Transplant 1 $80,253.91 $244,946.76 $240,615.68 nat. median
$74,854
outlier · 3.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $113,265.75 $345,703.75 $240,592.35 nat. median
$165,599
1.5× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $159,369.52 $486,419.23 $239,167.35 nat. median
$180,995
1.3× median
63
APR_DRG 		Pancreas Transplant 1 $77,793.31 $237,436.64 $233,238.35 nat. median
$75,474
outlier · 3.1×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $129,179.75 $394,275.62 $230,662.28 nat. median
$147,847
1.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $201,761.31 $695,264.66 $226,883.97 nat. median
$165,646
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $211,695.07 $651,060.46 $225,205.38 nat. median
$156,285
1.4× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $117,046.79 $357,244.04 $221,745.62 nat. median
$147,677
1.5× median
5832
APR_DRG 		Neonate With Ecmo 6 $134,617.61 $410,872.76 $221,479.44 nat. median
$169,230
1.3× median
4404
APR_DRG 		Kidney Transplant 1 $73,789.26 $225,215.67 $221,233.47 nat. median
$80,513
outlier · 2.7×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $116,215.11 $571,967.80 $220,770.44 nat. median
$261,939
0.8× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $185,119.99 $724,442.95 $218,580.43 nat. median
$96,420
outlier · 2.3×
84
APR_DRG 		Autologous Bone Marrow Transplant 1 $72,073.90 $219,980.15 $216,090.52 nat. median
$79,228
outlier · 2.7×
Q2043
HCPCS 		Sipuleucel-t 50000000 Cells IV Susp 18 $25,936.32 $286,421.46 $203,359.24 nat. median
$65,655
outlier · 3.1×
62
APR_DRG 		Pancreas Transplant 1 $67,532.75 $206,119.90 $202,475.34 nat. median
$58,394
outlier · 3.5×

Other procedures at this hospital

Browse this hospital's 19,533 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 13 11 — — $4,432,920.00 $4,698,895.20 $4,432,920.00 2026-02-05
J1414 HCPCS Inj, Beqvez, Per Tx Dose 11 6 — — $1,560,239.55 $4,849,682.19 $3,811,145.14 2026-02-05
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 24 12 — — $1,560,239.55 $4,849,682.19 $3,653,499.67 2026-02-05
J1413 HCPCS Hc Rx Ip 250 Op 636 37 13 — $3,118,176.00 $1,396,974.38 $4,968,864.00 $3,263,399.19 2026-02-05
J3394 HCPCS Inj, Lovotibeglogene Autotem 19 11 — — $1,342,815.34 $4,173,863.95 $3,244,417.64 2026-02-05
J3393 HCPCS Inj, Betibeglogene Autotemce 21 11 — — $1,248,191.63 $4,868,633.01 $2,957,160.04 2026-02-05
J3392 HCPCS Inj, Exagamglogene Autotem 21 11 — — $980,722.01 $3,847,800.00 $2,341,040.70 2026-02-05
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x5.5ml & 7x8.3ml IV Kit (12.1-12.5 Kg; 68.8 Ml) 108 18 $2,125,000.00 $852,125.00 60% off $563,125.00 $4,045,990.74 $1,381,250.00 2026-02-05
Q2056 HCPCS Ciltacabtagene Autoleucel 100000000 Cells IV Susp 82 18 $1,909,750.11 $765,809.80 60% off $389,016.10 $1,992,511.83 $1,241,337.57 2026-02-05
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 82 18 $1,889,580.00 $757,721.58 60% off $231,548.39 $1,763,300.00 $1,228,227.00 2026-02-05
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 103 18 $1,831,611.65 $734,476.28 60% off $231,548.39 $1,743,991.58 $1,190,547.57 2026-02-05
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 82 18 $1,764,202.48 $707,445.20 60% off $359,368.04 $1,860,538.84 $1,146,731.61 2026-02-05
Q2053 HCPCS Brexucabtagene Autoleucel 100000000 Cells IV Susp 96 18 $1,696,000.00 $680,096.00 60% off $192,956.98 $1,763,300.00 $1,102,400.00 2026-02-05
24 APR_DRG Heart And/or Lung Transplant 3 1 — — $264,447.82 $807,133.69 $792,862.17 2026-02-05
Q2057 HCPCS Afamitresgene Autoleucel 15 11 — — $758,290.08 $1,742,550.60 $769,664.43 2026-02-05
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 1 — — $204,321.04 $829,684.99 $657,879.89 2026-02-05
Q2055 HCPCS Idecabtagene Vicleucel Car 28 11 — — $536,203.11 $1,902,257.06 $620,403.58 2026-02-05
5834 APR_DRG Neonate With Ecmo 8 6 — — $356,712.97 $1,088,740.49 $584,560.50 2026-02-05
23 APR_DRG Heart And/or Lung Transplant 3 1 — — $126,147.67 $385,021.27 $378,213.43 2026-02-05
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $230,762.29 $704,320.48 $369,464.15 2026-02-05
74 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $121,426.25 $370,610.80 $364,057.76 2026-02-05
5833 APR_DRG Neonate With Ecmo 8 6 — — $208,532.31 $636,471.31 $352,942.54 2026-02-05
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $117,074.67 $357,329.13 $351,010.93 2026-02-05
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 11 — — $188,967.93 $897,122.67 $339,902.78 2026-02-05
64 APR_DRG Pancreas Transplant 3 1 — — $110,107.30 $336,063.69 $330,121.50 2026-02-05
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $104,888.74 $320,135.88 $314,475.32 2026-02-05
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $97,504.15 $297,597.01 $292,334.98 2026-02-05
22 APR_DRG Heart And/or Lung Transplant 3 1 — — $93,615.32 $285,727.73 $280,675.57 2026-02-05
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 11 — — $273,798.00 $629,187.80 $277,904.97 2026-02-05
E0766 HCPCS Elec Stim Cancer Treatment 16 3 — — $2,192.89 $1,379,286.29 $264,375.32 2026-02-05
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $185,365.67 $565,763.31 $259,808.95 2026-02-05
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $216,699.32 $661,398.22 $254,213.72 2026-02-05
J3403 HCPCS Revakinagene, Per Implant 13 11 — — $253,380.00 $268,582.80 $253,380.00 2026-02-05
73 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $84,352.75 $257,457.00 $252,904.72 2026-02-05
1614 APR_DRG Implantable Heart Assist Systems 8 6 — — $171,417.92 $523,192.73 $249,991.12 2026-02-05
21 APR_DRG Heart And/or Lung Transplant 3 1 — — $80,253.91 $244,946.76 $240,615.68 2026-02-05
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $113,265.75 $345,703.75 $240,592.35 2026-02-05
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $159,369.52 $486,419.23 $239,167.35 2026-02-05
63 APR_DRG Pancreas Transplant 3 1 — — $77,793.31 $237,436.64 $233,238.35 2026-02-05
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $129,179.75 $394,275.62 $230,662.28 2026-02-05
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $201,761.31 $695,264.66 $226,883.97 2026-02-05
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $211,695.07 $651,060.46 $225,205.38 2026-02-05
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $117,046.79 $357,244.04 $221,745.62 2026-02-05
5832 APR_DRG Neonate With Ecmo 8 6 — — $134,617.61 $410,872.76 $221,479.44 2026-02-05
4404 APR_DRG Kidney Transplant 3 1 — — $73,789.26 $225,215.67 $221,233.47 2026-02-05
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 11 — — $116,215.11 $571,967.80 $220,770.44 2026-02-05
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $185,119.99 $724,442.95 $218,580.43 2026-02-05
84 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $72,073.90 $219,980.15 $216,090.52 2026-02-05
Q2043 HCPCS Sipuleucel-t 50000000 Cells IV Susp 87 18 $318,246.07 $127,616.68 60% off $25,936.32 $286,421.46 $203,359.24 2026-02-05
62 APR_DRG Pancreas Transplant 3 1 — — $67,532.75 $206,119.90 $202,475.34 2026-02-05
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 13 11 — — $202,349.76 $214,490.75 $202,349.76 2026-02-05
1613 APR_DRG Implantable Heart Assist Systems 8 6 — — $133,857.50 $408,552.79 $201,161.76 2026-02-05
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $185,119.99 $579,555.50 $198,609.46 2026-02-05
72 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $65,981.86 $201,386.36 $197,825.50 2026-02-05
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 8 6 — — $161,204.75 $492,020.63 $196,227.19 2026-02-05
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $65,087.01 $198,655.15 $195,142.58 2026-02-05
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $112,906.14 $344,606.16 $193,155.90 2026-02-05
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $90,231.99 $275,401.31 $188,424.46 2026-02-05
5831 APR_DRG Neonate With Ecmo 8 6 — — $110,141.68 $336,168.62 $186,873.32 2026-02-05
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $118,039.21 $360,273.04 $183,799.90 2026-02-05
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $60,767.02 $185,469.90 $182,190.47 2026-02-05
4403 APR_DRG Kidney Transplant 3 1 — — $59,732.79 $182,313.26 $179,089.65 2026-02-05
71 APR_DRG Allogeneic Bone Marrow Transplant 3 1 — — $58,429.08 $178,334.15 $175,180.89 2026-02-05
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 28 11 — — $88,540.52 $457,125.72 $168,325.88 2026-02-05
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $151,231.23 $506,155.99 $167,607.51 2026-02-05
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $154,619.80 $493,557.82 $167,441.29 2026-02-05
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 28 11 — — $88,020.90 $433,206.33 $167,341.14 2026-02-05
J9029 HCPCS Hc Rx Ip 250 Op 636 87 18 $251,392.50 $100,808.40 60% off $51,208.65 $246,366.36 $163,405.12 2026-02-05
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 1 — — $53,952.98 $164,672.42 $161,760.73 2026-02-05
61 APR_DRG Pancreas Transplant 3 1 — — $53,083.22 $162,017.79 $159,153.04 2026-02-05
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 6 — — $86,806.85 $264,947.28 $156,840.42 2026-02-05
4402 APR_DRG Kidney Transplant 3 1 — — $51,230.33 $156,362.51 $153,597.75 2026-02-05
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 6 — — $85,031.09 $259,527.39 $153,416.38 2026-02-05
J9226 HCPCS Hc Rx Ip 250 Op 636 117 18 $211,428.14 $84,782.69 60% off $20,362.24 $196,156.03 $137,428.29 2026-02-05
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $59,770.89 $182,429.55 $136,107.96 2026-02-05
1611 APR_DRG Implantable Heart Assist Systems 8 6 — — $102,101.98 $311,630.27 $135,960.43 2026-02-05
1612 APR_DRG Implantable Heart Assist Systems 8 6 — — $107,475.72 $328,031.72 $135,960.43 2026-02-05
90288 CPT Botulism Ig IV 7 1 — — $70,479.00 $150,126.00 $135,113.40 2026-02-05
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $115,092.49 $428,919.17 $134,716.95 2026-02-05
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $123,345.08 $396,606.94 $134,045.04 2026-02-05
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $78,385.23 $239,243.26 $132,170.79 2026-02-05
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $117,584.51 $402,001.29 $131,702.82 2026-02-05
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 1 — — $41,982.63 $128,137.17 $125,871.48 2026-02-05
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $111,829.98 $385,313.40 $125,746.48 2026-02-05
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $107,779.83 $389,184.74 $124,112.60 2026-02-05
4401 APR_DRG Kidney Transplant 3 1 — — $41,050.61 $125,292.51 $123,077.12 2026-02-05
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $91,141.71 $278,177.91 $121,837.70 2026-02-05
83 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $40,489.36 $123,579.48 $121,394.38 2026-02-05
Q0480 HCPCS Driver Pneumatic Vad, Rep 34 12 — — $49,076.67 $464,111.44 $114,729.26 2026-02-05
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $96,987.83 $390,310.69 $114,518.38 2026-02-05
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 8 6 — — $62,009.40 $189,261.83 $114,369.56 2026-02-05
A9699 HCPCS Radiopharm Rx Agent Noc 7 1 — — $57,713.41 $122,934.25 $110,640.83 2026-02-05
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 28 11 — — $57,441.76 $282,707.07 $109,390.94 2026-02-05
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $34,476.31 $105,226.76 $103,366.17 2026-02-05
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 6 — — $66,870.21 $204,097.72 $102,333.52 2026-02-05
7 MS_DRG Lung Transplant 28 11 — — $53,704.48 $264,313.58 $102,309.08 2026-02-05
4804 APR_DRG Major Male Pelvic Procedures 3 1 — — $34,113.91 $104,120.66 $102,279.63 2026-02-05
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $62,559.51 $190,940.82 $99,840.58 2026-02-05
8634 APR_DRG Neonatal Aftercare 8 6 — — $60,799.55 $185,569.16 $98,087.39 2026-02-05
14 MS_DRG Allogeneic Bone Marrow Transplant 28 11 — — $52,590.33 $252,447.37 $94,982.36 2026-02-05
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $80,826.55 $300,146.70 $94,432.63 2026-02-05
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $80,281.79 $245,031.85 $92,242.02 2026-02-05
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $66,300.59 $202,359.16 $91,527.93 2026-02-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 11 — — $46,992.97 $231,282.04 $89,590.14 2026-02-05
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $54,293.07 $165,710.46 $87,770.35 2026-02-05
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 11 — — $45,704.92 $224,942.69 $87,148.96 2026-02-05
209 MS_DRG Complex Aortic Arch Procedures 20 11 — — $46,939.06 $231,016.71 $86,954.66 2026-02-05
38240 CPT Hc Bone Marrow/stem Transplant Allogenic 95 18 $121,815.00 $48,847.82 60% off $508.29 $133,098.76 $86,549.56 2026-02-05
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 28 11 — — $45,094.89 $221,940.38 $85,992.50 2026-02-05
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $73,523.50 $224,404.54 $83,519.95 2026-02-05
0812 RC Hc Acquisition Kidney Cadaver 194 18 $148,575.00 $59,578.58 60% off $23,150.91 $155,089.72 $81,938.47 2026-02-05
1784 APR_DRG External Heart Assist Devices 8 6 — — $77,120.55 $235,383.26 $81,865.12 2026-02-05
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 11 — — $42,757.64 $210,437.31 $81,563.82 2026-02-05
8514 APR_DRG Gender Related Procedures 5 5 — — $81,168.44 $100,770.62 $81,168.44 2026-02-05
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $71,076.34 $244,847.50 $79,913.45 2026-02-05
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $72,072.04 $219,974.48 $79,784.81 2026-02-05
0815 RC Hc Acquisition Double Cord Blood Unrelated Donor 163 18 $111,994.00 $44,909.60 60% off $9,945.03 $176,867.10 $79,285.36 2026-02-05
215 MS_DRG Other Heart Assist System Implant 28 11 — — $41,291.68 $204,144.59 $78,785.56 2026-02-05
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $52,928.96 $161,546.99 $78,689.07 2026-02-05
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 6 — — $66,403.94 $378,106.74 $78,406.45 2026-02-05
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $78,121.75 $96,988.15 $78,121.75 2026-02-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 11 — — $40,569.27 $199,666.95 $77,417.10 2026-02-05
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $63,049.21 $192,435.48 $75,981.26 2026-02-05
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $43,594.84 $133,057.88 $74,689.89 2026-02-05
E0194 HCPCS Air Fluidized Bed 16 3 — — $18,317.36 $331,865.94 $74,270.62 2026-02-05
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 6 — — $65,844.34 $200,966.61 $73,752.36 2026-02-05
1834 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $41,586.78 $126,928.96 $72,643.80 2026-02-05
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $37,276.08 $113,772.08 $71,512.77 2026-02-05
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 28 11 — — $37,362.81 $183,885.94 $71,340.12 2026-02-05
33276 CPT Hc Insert Phrenic Nerve Stimulator System 82 18 $99,637.00 $39,954.44 60% off $4,489.00 $101,272.83 $70,792.09 2026-02-05
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 6 — — $61,012.47 $222,909.89 $70,683.88 2026-02-05
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 6 — — $55,423.02 $169,159.21 $70,443.76 2026-02-05
0408T CPT Hc Insert/repl Ccm Sys Pls Gen W Transvns Electrode 82 18 $99,049.00 $39,718.65 60% off $4,489.00 $89,144.10 $70,374.32 2026-02-05
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $23,425.90 $71,499.29 $70,235.06 2026-02-05
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 24 12 — — $65,388.11 $600,370.15 $69,692.10 2026-02-05
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 6 — — $58,289.51 $365,457.52 $68,825.34 2026-02-05
850 MS_DRG Acute Leukemia With Other Procedures 28 11 — — $35,910.95 $177,496.85 $68,588.36 2026-02-05
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $42,751.10 $130,482.66 $68,042.76 2026-02-05
1794 APR_DRG Defibrillator Implants 8 6 — — $51,783.22 $158,050.02 $67,976.48 2026-02-05
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 8 6 — — $53,988.29 $164,780.20 $67,637.60 2026-02-05
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $41,774.48 $127,501.87 $67,276.27 2026-02-05
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 8 6 — — $55,621.87 $169,766.15 $66,785.60 2026-02-05
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 11 — — $34,958.80 $172,054.26 $66,784.24 2026-02-05
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 11 — — $34,848.90 $171,513.39 $66,576.48 2026-02-05
914 APR_DRG Other Major Head And Neck Procedures 8 6 — — $52,094.51 $159,000.13 $66,558.97 2026-02-05
0811 RC Hc Acquisition Kidney Living Donor 101 18 $95,552.00 $38,316.36 60% off $14,467.59 $85,996.80 $66,504.19 2026-02-05
1783 APR_DRG External Heart Assist Devices 8 6 — — $50,686.73 $154,703.36 $66,384.71 2026-02-05
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $57,895.70 $176,706.20 $65,617.16 2026-02-05
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 6 — — $47,437.21 $144,785.36 $65,503.85 2026-02-05
1694 APR_DRG Major Abdominal Vascular Procedures 8 6 — — $57,958.72 $198,978.47 $65,053.36 2026-02-05
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 8 6 — — $47,653.72 $145,446.18 $64,571.67 2026-02-05
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $56,360.25 $197,302.31 $63,883.62 2026-02-05
82 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $21,251.50 $64,862.70 $63,715.82 2026-02-05
33231 CPT Hc Ins Pacng Cvdfb Plse Gen Only W/exist Multi Leads 87 18 $89,330.00 $35,821.33 60% off $4,489.00 $80,397.00 $63,468.96 2026-02-05
0571T CPT Hc Insert/rplc Icds W/subster Eltrd 82 18 $89,330.00 $35,821.33 60% off $4,489.00 $80,397.00 $63,468.96 2026-02-05
33287 CPT Hc Rem & Repl Phrenic Nerv Stim, Pulse Generator 82 18 $89,285.00 $35,803.29 60% off $2,954.00 $80,356.50 $63,437.00 2026-02-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 11 — — $32,631.91 $160,602.21 $62,374.64 2026-02-05
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 6 — — $56,600.35 $172,752.61 $61,770.85 2026-02-05
214 APR_DRG Open Craniotomy Except Trauma 8 6 — — $49,342.13 $150,599.46 $61,361.42 2026-02-05
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $55,902.39 $183,371.15 $61,345.04 2026-02-05
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 6 — — $56,360.25 $181,689.31 $61,325.92 2026-02-05
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 6 — — $33,535.00 $102,353.74 $61,325.07 2026-02-05
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $61,247.46 $76,038.72 $61,247.46 2026-02-05
5103 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 3 1 — — $20,406.83 $62,284.65 $61,183.35 2026-02-05
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $38,112.38 $116,324.61 $61,103.79 2026-02-05
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 11 — — $31,841.91 $156,714.10 $60,877.92 2026-02-05
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 11 — — $31,704.64 $156,038.53 $60,617.16 2026-02-05
33270 CPT Hc Ins/replcmt Subq Implt Defib System W/subq Eltrd 95 18 $89,840.00 $36,025.84 60% off $1,095.19 $80,856.00 $60,609.37 2026-02-05
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 6 — — $35,778.16 $109,200.21 $60,430.31 2026-02-05
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 11 — — $31,599.73 $155,522.16 $60,418.94 2026-02-05
234 APR_DRG Spinal Procedures 8 6 — — $55,853.98 $177,035.20 $60,279.97 2026-02-05
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $32,274.96 $98,507.93 $59,997.35 2026-02-05
J7330 HCPCS Hc Or Imp Autologous Culture Chndrocytes(carticel)opnp 76 18 $92,273.39 $37,001.64 60% off $21,748.84 $151,583.06 $59,977.71 2026-02-05
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 6 — — $53,230.86 $183,274.72 $59,833.18 2026-02-05
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $55,053.22 $174,309.66 $59,385.06 2026-02-05
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $59,071.10 $73,336.77 $59,071.10 2026-02-05
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 6 — — $51,702.38 $157,803.27 $58,294.42 2026-02-05
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $31,721.14 $96,817.58 $58,094.51 2026-02-05
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 8 6 — — $44,333.58 $135,312.62 $58,048.54 2026-02-05
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $35,551.43 $108,508.18 $58,012.20 2026-02-05
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 11 — — $29,935.53 $147,331.63 $57,264.38 2026-02-05
6904 APR_DRG Acute Leukemia 8 6 — — $52,567.26 $168,036.10 $56,965.18 2026-02-05
10 MS_DRG Pancreas Transplant 28 11 — — $29,757.63 $153,627.76 $56,927.30 2026-02-05
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 11 — — $29,745.19 $146,394.81 $56,903.98 2026-02-05
J9266 HCPCS Hc Rx Ip 250 Op 636 153 18 $90,302.92 $36,211.48 60% off $9,624.56 $102,721.96 $56,688.07 2026-02-05
A9543 HCPCS Y90 Ibritumomab, Rx 36 12 — — $26,936.92 $184,495.71 $56,668.17 2026-02-05
894 APR_DRG Major Cranial Or Facial Bone Procedures 8 6 — — $46,702.19 $142,541.96 $56,658.82 2026-02-05
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 11 — — $29,587.19 $152,743.29 $56,605.06 2026-02-05
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 11 — — $29,569.77 $145,531.46 $56,572.20 2026-02-05
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 8 6 — — $50,123.62 $152,984.66 $56,284.66 2026-02-05
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 6 — — $52,177.98 $164,502.25 $56,168.28 2026-02-05
4014 APR_DRG Adrenal Procedures 8 6 — — $38,739.62 $118,239.01 $55,988.56 2026-02-05
1204 APR_DRG Major Respiratory And Chest Procedures 8 6 — — $49,351.43 $150,627.82 $55,614.40 2026-02-05
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $49,179.70 $169,142.20 $55,249.35 2026-02-05
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 28 11 — — $30,246.04 $143,592.65 $54,853.94 2026-02-05
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $28,362.90 $86,567.75 $54,729.25 2026-02-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 11 — — $28,522.65 $140,377.94 $54,587.88 2026-02-05
204 APR_DRG Open Craniotomy For Trauma 8 6 — — $49,153.50 $150,023.72 $54,367.93 2026-02-05
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 6 — — $45,768.94 $187,503.41 $54,041.68 2026-02-05
33264 CPT Hc Remov & Replace Implt Defib Pulse Gen Mult Lead 107 18 $89,840.00 $36,025.84 60% off $792.35 $80,856.00 $53,904.00 2026-02-05
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 6 — — $42,102.50 $128,503.03 $53,832.35 2026-02-05
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 8 6 — — $50,105.96 $152,930.77 $53,739.35 2026-02-05
4414 APR_DRG Major Bladder Procedures 8 6 — — $47,151.01 $143,911.82 $53,713.68 2026-02-05
1782 APR_DRG External Heart Assist Devices 8 6 — — $49,801.17 $152,000.51 $53,514.85 2026-02-05
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 11 — — $27,913.87 $137,381.75 $53,433.54 2026-02-05
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 11 — — $27,728.92 $136,471.47 $53,082.68 2026-02-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 28 11 — — $27,708.60 $136,371.46 $53,044.52 2026-02-05
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 6 — — $49,612.54 $151,424.78 $52,949.35 2026-02-05
2614 APR_DRG Major Biliary Tract Procedures 8 6 — — $48,508.03 $155,877.53 $52,700.21 2026-02-05
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 11 — — $27,267.77 $134,201.87 $52,209.24 2026-02-05
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 11 — — $27,267.77 $134,201.87 $52,209.24 2026-02-05
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 11 — — $27,168.66 $133,714.07 $52,021.62 2026-02-05
L7181 HCPCS Electronic Elbo Simultaneous 34 12 — — $21,833.31 $415,334.81 $51,252.60 2026-02-05
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 8 6 — — $46,858.12 $152,295.48 $51,189.45 2026-02-05
1833 APR_DRG Percutaneous Structural Cardiac Procedures 8 6 — — $29,254.03 $89,287.61 $51,185.47 2026-02-05
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 28 11 — — $28,158.25 $133,680.89 $51,104.72 2026-02-05
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 6 — — $32,698.69 $99,801.21 $51,089.26 2026-02-05
33289 CPT Pr Transcath W/impl Sensor, Pulm Art, Hemodyn Monitor, S&i 95 18 $84,753.00 $33,985.96 60% off $642.06 $76,277.70 $50,851.80 2026-02-05
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 8 6 — — $46,057.30 $140,573.68 $50,601.79 2026-02-05
1793 APR_DRG Defibrillator Implants 8 6 — — $38,961.70 $118,916.85 $50,182.73 2026-02-05
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $46,202.59 $148,069.62 $50,130.08 2026-02-05
5204 APR_DRG Other GYN Procedures For Malignancy 5 5 — — $50,119.62 $62,223.51 $50,119.62 2026-02-05
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 3 1 — — $21,016.28 $50,776.56 $49,878.74 2026-02-05
1781 APR_DRG External Heart Assist Devices 8 6 — — $46,319.58 $145,908.47 $49,841.56 2026-02-05
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 6 — — $42,162.53 $288,382.37 $49,783.40 2026-02-05
L7180 HCPCS Electronic Elbow Sequential 34 12 — — $21,205.73 $403,395.46 $49,779.39 2026-02-05
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 8 6 — — $40,321.17 $123,066.13 $49,531.70 2026-02-05
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 8 6 — — $28,479.98 $86,925.10 $49,395.93 2026-02-05
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 8 6 — — $41,511.03 $156,209.36 $48,836.25 2026-02-05
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 11 — — $25,414.47 $125,080.64 $48,697.46 2026-02-05
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 11 — — $25,385.03 $124,935.73 $48,641.28 2026-02-05
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 8 6 — — $41,903.64 $127,896.09 $48,432.76 2026-02-05
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 6 — — $37,753.70 $115,229.85 $48,386.79 2026-02-05
4854 APR_DRG Prostatectomy Procedures 5 5 — — $48,360.79 $60,039.92 $48,360.79 2026-02-05
2304 APR_DRG Major Small Bowel Procedures 8 6 — — $35,320.98 $107,804.83 $48,258.51 2026-02-05
6954 APR_DRG Chemotherapy For Acute Leukemia 8 6 — — $42,527.16 $129,799.15 $48,239.26 2026-02-05
274 APR_DRG Other Open Craniotomy 8 6 — — $45,055.59 $137,516.31 $48,203.99 2026-02-05
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 11 — — $25,141.60 $123,737.67 $48,180.18 2026-02-05
4803 APR_DRG Major Male Pelvic Procedures 3 1 — — $16,069.18 $49,045.51 $48,178.30 2026-02-05
1814 APR_DRG Lower Extremity Vascular Procedures 8 6 — — $45,105.77 $137,669.46 $48,162.30 2026-02-05
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 6 — — $32,438.50 $99,007.09 $48,055.40 2026-02-05
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 8 6 — — $40,610.44 $154,076.58 $47,950.78 2026-02-05
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 6 — — $42,810.57 $130,664.18 $47,896.11 2026-02-05
81 APR_DRG Autologous Bone Marrow Transplant 3 1 — — $15,969.75 $48,742.04 $47,880.20 2026-02-05
28 MS_DRG Spinal Procedures With Mcc 28 11 — — $24,916.42 $122,629.40 $47,753.00 2026-02-05
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 28 11 — — $24,909.37 $122,594.71 $47,740.28 2026-02-05
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $29,388.77 $89,698.85 $47,671.62 2026-02-05
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 6 — — $44,564.03 $136,015.99 $47,619.24 2026-02-05
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 11 — — $24,728.98 $121,706.87 $47,397.90 2026-02-05
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 8 6 — — $34,918.62 $106,576.77 $47,387.27 2026-02-05
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 8 6 — — $32,182.97 $98,227.15 $47,155.29 2026-02-05
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 11 — — $25,948.37 $123,189.52 $47,136.08 2026-02-05
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 8 6 — — $24,203.66 $73,873.14 $47,024.87 2026-02-05
1214 APR_DRG Other Respiratory And Chest Procedures 8 6 — — $41,559.83 $126,846.72 $47,020.60 2026-02-05
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 11 — — $24,337.08 $119,778.13 $46,655.90 2026-02-05
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 11 — — $24,321.33 $119,700.57 $46,625.16 2026-02-05
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 8 6 — — $34,821.98 $106,281.81 $46,312.90 2026-02-05
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 8 6 — — $43,031.86 $135,471.45 $46,290.65 2026-02-05
33262 CPT Hc Removal & Replace Implt Defib Pulse Gen 1 Lead 87 18 $64,746.00 $25,963.15 60% off $4,489.00 $58,271.40 $46,002.04 2026-02-05
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 11 — — $19,428.26 $107,420.21 $45,907.10 2026-02-05
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 5 5 — — $45,887.94 $56,969.88 $45,887.94 2026-02-05
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 28 11 — — $23,916.16 $117,706.51 $45,857.72 2026-02-05
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 6 — — $29,578.33 $90,277.43 $45,671.50 2026-02-05
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 8 6 — — $25,503.66 $77,840.92 $45,600.94 2026-02-05
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 11 — — $23,763.55 $116,955.42 $45,568.34 2026-02-05
0614T CPT Hc Remove/replacement Of Substernal Icd Generator 82 18 $64,003.00 $25,665.21 60% off $4,489.00 $57,602.70 $45,474.13 2026-02-05
8633 APR_DRG Neonatal Aftercare 8 6 — — $38,518.46 $117,564.00 $45,406.38 2026-02-05
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 8 6 — — $40,106.51 $122,410.99 $45,403.17 2026-02-05
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 8 6 — — $21,546.99 $65,764.60 $45,352.93 2026-02-05
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 11 — — $23,635.83 $116,326.80 $45,326.66 2026-02-05
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 8 6 — — $37,337.41 $113,959.27 $45,085.68 2026-02-05
4034 APR_DRG Procedures For Obesity 8 6 — — $33,416.98 $101,993.55 $45,053.60 2026-02-05
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 28 11 — — $23,314.43 $114,745.02 $44,717.16 2026-02-05
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 11 — — $23,242.28 $114,389.89 $44,580.42 2026-02-05
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 8 6 — — $30,667.39 $93,601.39 $44,570.41 2026-02-05
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 8 6 — — $41,805.52 $129,155.34 $44,569.20 2026-02-05
J7310 HCPCS Fee Schedule 16 3 — — $10,321.88 $64,731.15 $44,505.60 2026-02-05
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 8 6 — — $37,793.66 $115,351.81 $44,416.47 2026-02-05
294 APR_DRG Other Percutaneous Intracranial Procedures 8 6 — — $33,054.58 $100,887.45 $44,279.63 2026-02-05
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 11 — — $23,083.03 $113,606.14 $44,279.38 2026-02-05
224 APR_DRG Ventricular Shunt Procedures 8 6 — — $40,501.44 $123,616.35 $44,246.50 2026-02-05
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 20 11 — — $23,666.51 $116,477.83 $44,100.48 2026-02-05
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 8 6 — — $36,912.75 $112,663.14 $44,097.91 2026-02-05
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 8 6 — — $37,215.81 $168,614.67 $43,942.57 2026-02-05
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 11 — — $22,903.88 $118,250.94 $43,939.12 2026-02-05
0266T CPT Apc 28 11 — — $2,954.00 $101,272.83 $43,775.69 2026-02-05
834 MS_DRG Acute Leukemia With Mcc 28 11 — — $24,023.80 $114,052.67 $43,679.42 2026-02-05
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 11 — — $22,686.16 $111,652.91 $43,526.78 2026-02-05
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 8 6 — — $24,133.97 $73,660.43 $43,521.71 2026-02-05
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 8 6 — — $40,485.64 $123,568.13 $43,487.50 2026-02-05
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 11 — — $22,653.82 $111,493.71 $43,465.30 2026-02-05
7544 APR_DRG Depression Except Major Depressive Disorder 3 1 — — $14,491.35 $44,229.73 $43,447.67 2026-02-05
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 11 — — $22,618.15 $111,318.18 $43,397.46 2026-02-05
6504 APR_DRG Splenic Procedures 8 6 — — $40,522.81 $123,681.57 $43,323.94 2026-02-05
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 11 — — $23,771.74 $116,300.87 $43,226.80 2026-02-05
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 8 6 — — $39,568.65 $128,264.79 $43,170.67 2026-02-05
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 8 6 — — $33,621.41 $102,617.50 $42,935.89 2026-02-05
1824 APR_DRG Other Peripheral Vascular And Related Procedures 8 6 — — $36,655.09 $136,160.63 $42,832.56 2026-02-05
4284 APR_DRG Genetic Disorders 5 5 — — $42,511.47 $52,777.99 $42,511.47 2026-02-05
93654 CPT Hc Ephys Eval With Ablation Ventricular Tachycardia 99 18 $66,487.00 $26,661.29 60% off $2,949.00 $59,852.70 $42,485.19 2026-02-05
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