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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

SANFORD TRACY MEDICAL CENTER

Tracy, MN · CCN 241303 · Rates published

7,677 distinct procedures filed
16 distinct payers
230,280 rate rows
2026-03-04 last MRF observed
Data quality

229,312 of 230,280 rate rows are consumer-grade (99.6%)

968 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
percent-of-charges filed in the dollar field — excluded from medians 864
per-diem day rate — not a per-procedure price 64
exceeds 10× this hospital's gross charge — excluded from medians 32
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8378/460388596_sanford-tracy-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordTracyHospital/8378
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint a714a189a9b21439… · 62,530,814 bytes · first seen 2026-05-08

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
5834
APR_DRG 		Neonate With Ecmo 2 $334,575.88 $334,575.88 $334,575.88 nat. median
$390,362
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $211,464.50 $211,464.50 $211,464.50 nat. median
$286,698
0.7× median
5833
APR_DRG 		Neonate With Ecmo 2 $202,008.28 $202,008.28 $202,008.28 nat. median
$268,208
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $189,487.88 $189,487.88 $189,487.88 nat. median
$135,803
1.4× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $172,083.05 $172,083.05 $172,083.05 nat. median
$225,531
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $148,702.84 $148,702.84 $148,702.84 nat. median
$198,578
0.7× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $147,895.19 $147,895.19 $147,895.19 nat. median
$68,335
outlier · 2.2×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $145,500.39 $145,500.39 $145,500.39 nat. median
$171,497
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $143,083.56 $143,083.56 $143,083.56 nat. median
$202,242
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $137,704.13 $137,704.13 $137,704.13 nat. median
$152,792
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $136,888.53 $136,888.53 $136,888.53 nat. median
$173,134
0.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $132,020.61 $132,020.61 $132,020.61 nat. median
$152,383
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $128,434.53 $128,434.53 $128,434.53 nat. median
$168,439
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $126,917.12 $126,917.12 $126,917.12 nat. median
$181,762
0.7× median
5832
APR_DRG 		Neonate With Ecmo 2 $126,764.77 $126,764.77 $126,764.77 nat. median
$201,678
0.6× median
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $124,976.93 $124,976.93 $124,976.93 nat. median
$63,564
2.0× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $122,407.75 $122,407.75 $122,407.75 nat. median
$173,018
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $115,135.85 $115,135.85 $115,135.85 nat. median
$155,539
0.7× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $112,311.53 $112,311.53 $112,311.53 nat. median
$99,483
1.1× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $112,311.53 $112,311.53 $112,311.53 nat. median
$96,548
1.2× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $112,311.53 $112,311.53 $112,311.53 nat. median
$77,096
1.5× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $110,553.67 $110,553.67 $110,553.67 nat. median
$120,079
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $107,845.60 $107,845.60 $107,845.60 nat. median
$187,567
0.6× median
5831
APR_DRG 		Neonate With Ecmo 2 $106,957.80 $106,957.80 $106,957.80 nat. median
$173,909
0.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $106,006.97 $106,006.97 $106,006.97 nat. median
$149,836
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $105,198.71 $105,198.71 $105,198.71 nat. median
$135,630
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $97,562.76 $97,562.76 $97,562.76 nat. median
$136,566
0.7× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $93,807.19 $93,807.19 $93,807.19 nat. median
$124,731
0.8× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $93,056.45 $93,056.45 $93,056.45 nat. median
$117,894
0.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $91,751.36 $91,751.36 $91,751.36 nat. median
$114,205
0.8× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $89,768.34 $89,768.34 $89,768.34 nat. median
$85,835
1.0× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $87,808.56 $87,808.56 $87,808.56 nat. median
$130,862
0.7× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $77,902.02 $77,902.02 $77,902.02 nat. median
$73,618
1.1× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $77,817.58 $77,817.58 $77,817.58 nat. median
$109,992
0.7× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $77,817.58 $77,817.58 $77,817.58 nat. median
$108,954
0.7× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $75,648.55 $75,648.55 $75,648.55 nat. median
$106,926
0.7× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $74,832.95 $74,832.95 $74,832.95 nat. median
$91,350
0.8× median
22
APR_DRG 		Heart And/or Lung Transplant 2 $71,826.91 $71,826.91 $71,826.91 nat. median
$95,481
0.8× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $71,338.03 $71,338.03 $71,338.03 nat. median
$91,110
0.8× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $69,826.14 $69,826.14 $69,826.14 nat. median
$100,752
0.7× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $69,734.36 $69,734.36 $69,734.36 nat. median
$85,032
0.8× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $67,846.79 $67,846.79 $67,846.79 nat. median
$115,963
0.6× median
64
APR_DRG 		Pancreas Transplant 2 $65,792.18 $65,792.18 $65,792.18 nat. median
$92,994
0.7× median
8424
APR_DRG 		Burns With Skin Graft Except Extensive Third Degree Burns 2 $65,459.94 $65,459.94 $65,459.94 nat. median
$91,950
0.7× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $65,389.58 $65,389.58 $65,389.58 nat. median
$95,757
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $63,159.36 $63,159.36 $63,159.36 nat. median
$81,292
0.8× median
38240
CPT 		Transplt Allo Hct/donor 1 $62,099.45 $62,099.45 $62,099.45 nat. median
$28,331
outlier · 2.2×
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 $58,842.11 $58,842.11 $58,842.11 nat. median
$85,322
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,743.27 $58,743.27 $58,743.27 nat. median
$63,499
0.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $58,571.06 $58,571.06 $58,571.06 nat. median
$95,499
0.6× median

Other procedures at this hospital

Browse this hospital's 7,677 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
             
5834 APR_DRG Neonate With Ecmo 4 2 — — $334,575.88 $334,575.88 $334,575.88 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $211,464.50 $211,464.50 $211,464.50 2026-03-04
5833 APR_DRG Neonate With Ecmo 4 2 — — $202,008.28 $202,008.28 $202,008.28 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $189,487.88 $189,487.88 $189,487.88 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 4 2 — — $172,083.05 $172,083.05 $172,083.05 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $148,702.84 $148,702.84 $148,702.84 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $147,895.19 $147,895.19 $147,895.19 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $145,500.39 $145,500.39 $145,500.39 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 4 2 — — $143,083.56 $143,083.56 $143,083.56 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $137,704.13 $137,704.13 $137,704.13 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $136,888.53 $136,888.53 $136,888.53 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $132,020.61 $132,020.61 $132,020.61 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $128,434.53 $128,434.53 $128,434.53 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $126,917.12 $126,917.12 $126,917.12 2026-03-04
5832 APR_DRG Neonate With Ecmo 4 2 — — $126,764.77 $126,764.77 $126,764.77 2026-03-04
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $124,976.93 $124,976.93 $124,976.93 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $122,407.75 $122,407.75 $122,407.75 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 4 2 — — $115,135.85 $115,135.85 $115,135.85 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $112,311.53 $112,311.53 $112,311.53 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $112,311.53 $112,311.53 $112,311.53 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $112,311.53 $112,311.53 $112,311.53 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $110,553.67 $110,553.67 $110,553.67 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $107,845.60 $107,845.60 $107,845.60 2026-03-04
5831 APR_DRG Neonate With Ecmo 4 2 — — $106,957.80 $106,957.80 $106,957.80 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $106,006.97 $106,006.97 $106,006.97 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $105,198.71 $105,198.71 $105,198.71 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $97,562.76 $97,562.76 $97,562.76 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $93,807.19 $93,807.19 $93,807.19 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 4 2 — — $93,056.45 $93,056.45 $93,056.45 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $91,751.36 $91,751.36 $91,751.36 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 2 — — $89,768.34 $89,768.34 $89,768.34 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $87,808.56 $87,808.56 $87,808.56 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $77,902.02 $77,902.02 $77,902.02 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 4 2 — — $77,817.58 $77,817.58 $77,817.58 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 4 2 — — $77,817.58 $77,817.58 $77,817.58 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $75,648.55 $75,648.55 $75,648.55 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $74,832.95 $74,832.95 $74,832.95 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 4 2 — — $71,826.91 $71,826.91 $71,826.91 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $71,338.03 $71,338.03 $71,338.03 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $69,826.14 $69,826.14 $69,826.14 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $69,734.36 $69,734.36 $69,734.36 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $67,846.79 $67,846.79 $67,846.79 2026-03-04
64 APR_DRG Pancreas Transplant 4 2 — — $65,792.18 $65,792.18 $65,792.18 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $65,459.94 $65,459.94 $65,459.94 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $65,389.58 $65,389.58 $65,389.58 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $63,159.36 $63,159.36 $63,159.36 2026-03-04
38240 CPT Transplt Allo Hct/donor 2 1 — — $62,099.45 $62,099.45 $62,099.45 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $58,842.11 $58,842.11 $58,842.11 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $58,743.27 $58,743.27 $58,743.27 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $58,571.06 $58,571.06 $58,571.06 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $57,144.22 $57,144.22 $57,144.22 2026-03-04
8634 APR_DRG Neonatal Aftercare 4 2 — — $56,140.77 $56,140.77 $56,140.77 2026-03-04
63 APR_DRG Pancreas Transplant 4 2 — — $55,993.93 $55,993.93 $55,993.93 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 4 2 — — $55,060.24 $55,060.24 $55,060.24 2026-03-04
4404 APR_DRG Kidney Transplant 4 2 — — $54,403.11 $54,403.11 $54,403.11 2026-03-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $53,878.75 $53,878.75 $53,878.75 2026-03-04
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $52,796.99 $52,796.99 $52,796.99 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $52,795.15 $52,795.15 $52,795.15 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $52,386.43 $52,386.43 $52,386.43 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $50,235.76 $50,235.76 $50,235.76 2026-03-04
8514 APR_DRG Gender Related Procedures 4 2 — — $49,244.55 $49,244.55 $49,244.55 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $49,037.14 $49,037.14 $49,037.14 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $47,803.02 $47,803.02 $47,803.02 2026-03-04
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $47,396.14 $47,396.14 $47,396.14 2026-03-04
62 APR_DRG Pancreas Transplant 4 2 — — $47,349.03 $47,349.03 $47,349.03 2026-03-04
72 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $47,009.45 $47,009.45 $47,009.45 2026-03-04
1784 APR_DRG External Heart Assist Devices 4 2 — — $46,855.87 $46,855.87 $46,855.87 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant 4 2 — — $46,062.91 $46,062.91 $46,062.91 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $45,665.20 $45,665.20 $45,665.20 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $45,038.05 $45,038.05 $45,038.05 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $43,488.22 $43,488.22 $43,488.22 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $43,472.31 $43,472.31 $43,472.31 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $43,121.72 $43,121.72 $43,121.72 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $42,749.10 $42,749.10 $42,749.10 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 2 — — $42,212.50 $42,212.50 $42,212.50 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $41,578.01 $41,578.01 $41,578.01 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $40,930.67 $40,930.67 $40,930.67 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $40,318.81 $40,318.81 $40,318.81 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 2 — — $40,286.99 $40,286.99 $40,286.99 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 4 2 — — $39,130.59 $39,130.59 $39,130.59 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $38,944.58 $38,944.58 $38,944.58 2026-03-04
1794 APR_DRG Defibrillator Implants 4 2 — — $38,906.65 $38,906.65 $38,906.65 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $38,712.69 $38,712.69 $38,712.69 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $38,505.88 $38,505.88 $38,505.88 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 2 — — $38,225.04 $38,225.04 $38,225.04 2026-03-04
61 APR_DRG Pancreas Transplant 4 2 — — $38,208.52 $38,208.52 $38,208.52 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 4 2 — — $38,095.33 $38,095.33 $38,095.33 2026-03-04
1783 APR_DRG External Heart Assist Devices 4 2 — — $37,995.60 $37,995.60 $37,995.60 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $37,556.28 $37,556.28 $37,556.28 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $37,491.43 $37,491.43 $37,491.43 2026-03-04
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $37,158.58 $37,158.58 $37,158.58 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $37,016.02 $37,016.02 $37,016.02 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $36,957.89 $36,957.89 $36,957.89 2026-03-04
4403 APR_DRG Kidney Transplant 4 2 — — $36,215.10 $36,215.10 $36,215.10 2026-03-04
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $35,838.19 $35,838.19 $35,838.19 2026-03-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 4 2 — — $35,721.33 $35,721.33 $35,721.33 2026-03-04
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 2 — — $35,364.01 $35,364.01 $35,364.01 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 2 — — $35,354.83 $35,354.83 $35,354.83 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $35,163.32 $35,163.32 $35,163.32 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 4 2 — — $35,120.49 $35,120.49 $35,120.49 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $35,099.69 $35,099.69 $35,099.69 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $34,973.03 $34,973.03 $34,973.03 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 2 — — $34,587.56 $34,587.56 $34,587.56 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $34,339.76 $34,339.76 $34,339.76 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $34,193.53 $34,193.53 $34,193.53 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $34,193.53 $34,193.53 $34,193.53 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $33,915.75 $33,915.75 $33,915.75 2026-03-04
234 APR_DRG Spinal Procedures 4 2 — — $33,886.38 $33,886.38 $33,886.38 2026-03-04
33231 CPT Insrt Pulse Gen W/mult Leads 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33249 CPT Insj/rplcmt Defib W/lead(s) 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $33,400.56 $33,400.56 $33,400.56 2026-03-04
69930 CPT Implant Cochlear Device 2 1 — — $33,398.21 $33,398.21 $33,398.21 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 2 — — $33,365.08 $33,365.08 $33,365.08 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $33,250.66 $33,250.66 $33,250.66 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 2 — — $33,224.35 $33,224.35 $33,224.35 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $33,203.55 $33,203.55 $33,203.55 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $32,428.94 $32,428.94 $32,428.94 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 — — $32,294.94 $32,294.94 $32,294.94 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 2 — — $32,214.79 $32,214.79 $32,214.79 2026-03-04
4014 APR_DRG Adrenal Procedures 4 2 — — $32,045.30 $32,045.30 $32,045.30 2026-03-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
61886 CPT Implant Neurostim Arrays 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 2 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
6904 APR_DRG Acute Leukemia 4 2 — — $31,892.34 $31,892.34 $31,892.34 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 4 2 — — $31,831.15 $31,831.15 $31,831.15 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $31,656.16 $31,656.16 $31,656.16 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $31,324.54 $31,324.54 $31,324.54 2026-03-04
4402 APR_DRG Kidney Transplant 4 2 — — $31,259.07 $31,259.07 $31,259.07 2026-03-04
204 APR_DRG Open Craniotomy For Trauma 4 2 — — $31,117.73 $31,117.73 $31,117.73 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 2 — — $30,811.19 $30,811.19 $30,811.19 2026-03-04
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 4 2 — — $30,757.96 $30,757.96 $30,757.96 2026-03-04
4414 APR_DRG Major Bladder Procedures 4 2 — — $30,743.28 $30,743.28 $30,743.28 2026-03-04
1782 APR_DRG External Heart Assist Devices 4 2 — — $30,629.47 $30,629.47 $30,629.47 2026-03-04
5204 APR_DRG Other GYN Procedures For Malignancy 4 2 — — $30,407.37 $30,407.37 $30,407.37 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $30,305.80 $30,305.80 $30,305.80 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant 4 2 — — $30,213.41 $30,213.41 $30,213.41 2026-03-04
33289 CPT Tcat Impl Wrls P-art Prs Snr 2 1 — — $29,849.75 $29,849.75 $29,849.75 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $29,837.12 $29,837.12 $29,837.12 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 4 2 — — $29,429.62 $29,429.62 $29,429.62 2026-03-04
J2350 HCPCS Ocrelizumab Soln For IV Infusion 300 Mg/10ml 90 16 $39,310.80 $31,448.64 20% off $60.94 $37,188.02 $29,404.48 2026-03-04
4854 APR_DRG Prostatectomy Procedures 4 2 — — $29,340.29 $29,340.29 $29,340.29 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $29,296.24 $29,296.24 $29,296.24 2026-03-04
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $29,241.17 $29,241.17 $29,241.17 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 2 — — $28,962.17 $28,962.17 $28,962.17 2026-03-04
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $28,875.53 $28,875.53 $28,875.53 2026-03-04
1793 APR_DRG Defibrillator Implants 4 2 — — $28,722.32 $28,722.32 $28,722.32 2026-03-04
4401 APR_DRG Kidney Transplant 4 2 — — $28,558.34 $28,558.34 $28,558.34 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $28,428.63 $28,428.63 $28,428.63 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 2 — — $28,349.70 $28,349.70 $28,349.70 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $28,271.99 $28,271.99 $28,271.99 2026-03-04
1781 APR_DRG External Heart Assist Devices 4 2 — — $28,101.90 $28,101.90 $28,101.90 2026-03-04
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $28,030.92 $28,030.92 $28,030.92 2026-03-04
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $27,840.02 $27,840.02 $27,840.02 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $27,767.82 $27,767.82 $27,767.82 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 4 2 — — $27,720.71 $27,720.71 $27,720.71 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 2 — — $27,694.40 $27,694.40 $27,694.40 2026-03-04
2304 APR_DRG Major Small Bowel Procedures 4 2 — — $27,620.98 $27,620.98 $27,620.98 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia 4 2 — — $27,609.97 $27,609.97 $27,609.97 2026-03-04
274 APR_DRG Other Open Craniotomy 4 2 — — $27,589.77 $27,589.77 $27,589.77 2026-03-04
1814 APR_DRG Lower Extremity Vascular Procedures 4 2 — — $27,565.91 $27,565.91 $27,565.91 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $27,504.73 $27,504.73 $27,504.73 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 2 — — $27,413.56 $27,413.56 $27,413.56 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $27,285.07 $27,285.07 $27,285.07 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 2 — — $27,255.09 $27,255.09 $27,255.09 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 4 2 — — $27,122.32 $27,122.32 $27,122.32 2026-03-04
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 4 2 — — $26,989.54 $26,989.54 $26,989.54 2026-03-04
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $26,914.90 $26,914.90 $26,914.90 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures 4 2 — — $26,912.45 $26,912.45 $26,912.45 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 2 — — $26,507.40 $26,507.40 $26,507.40 2026-03-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $26,140.29 $26,140.29 $26,140.29 2026-03-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 4 2 — — $26,107.25 $26,107.25 $26,107.25 2026-03-04
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $26,099.91 $26,099.91 $26,099.91 2026-03-04
8633 APR_DRG Neonatal Aftercare 4 2 — — $25,988.55 $25,988.55 $25,988.55 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 2 — — $25,986.71 $25,986.71 $25,986.71 2026-03-04
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $25,957.96 $25,957.96 $25,957.96 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 2 — — $25,804.99 $25,804.99 $25,804.99 2026-03-04
4284 APR_DRG Genetic Disorders 4 2 — — $25,791.53 $25,791.53 $25,791.53 2026-03-04
4034 APR_DRG Procedures For Obesity 4 2 — — $25,786.64 $25,786.64 $25,786.64 2026-03-04
93654 CPT Compre Ep Eval Tx Vt 2 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93656 CPT Compre Ep Eval Abltj Atr Fib 2 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93653 CPT Compre Ep Eval Tx Svt 2 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 2 — — $25,579.83 $25,579.83 $25,579.83 2026-03-04
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 4 2 — — $25,510.08 $25,510.08 $25,510.08 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 2 — — $25,421.97 $25,421.97 $25,421.97 2026-03-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $25,363.23 $25,363.23 $25,363.23 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures 4 2 — — $25,343.65 $25,343.65 $25,343.65 2026-03-04
224 APR_DRG Ventricular Shunt Procedures 4 2 — — $25,324.69 $25,324.69 $25,324.69 2026-03-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 4 2 — — $25,239.64 $25,239.64 $25,239.64 2026-03-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $25,184.57 $25,184.57 $25,184.57 2026-03-04
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $24,909.85 $24,909.85 $24,909.85 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 2 — — $24,890.27 $24,890.27 $24,890.27 2026-03-04
6504 APR_DRG Splenic Procedures 4 2 — — $24,796.66 $24,796.66 $24,796.66 2026-03-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 4 2 — — $24,638.19 $24,638.19 $24,638.19 2026-03-04
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 4 2 — — $24,574.55 $24,574.55 $24,574.55 2026-03-04
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $24,483.39 $24,483.39 $24,483.39 2026-03-04
82 APR_DRG Autologous Bone Marrow Transplant 4 2 — — $24,452.18 $24,452.18 $24,452.18 2026-03-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 4 2 — — $24,208.05 $24,208.05 $24,208.05 2026-03-04
913 APR_DRG Other Major Head And Neck Procedures 4 2 — — $24,197.04 $24,197.04 $24,197.04 2026-03-04
2314 APR_DRG Major Large Bowel Procedures 4 2 — — $24,170.12 $24,170.12 $24,170.12 2026-03-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $24,066.71 $24,066.71 $24,066.71 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 2 — — $24,006.14 $24,006.14 $24,006.14 2026-03-04
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $23,962.70 $23,962.70 $23,962.70 2026-03-04
213 APR_DRG Open Craniotomy Except Trauma 4 2 — — $23,929.66 $23,929.66 $23,929.66 2026-03-04
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 4 2 — — $23,923.54 $23,923.54 $23,923.54 2026-03-04
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 4 2 — — $23,911.30 $23,911.30 $23,911.30 2026-03-04
1693 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $23,899.06 $23,899.06 $23,899.06 2026-03-04
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 2 — — $23,889.89 $23,889.89 $23,889.89 2026-03-04
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $23,875.81 $23,875.81 $23,875.81 2026-03-04
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 4 2 — — $23,724.69 $23,724.69 $23,724.69 2026-03-04
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 2 — — $23,691.65 $23,691.65 $23,691.65 2026-03-04
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 2 — — $23,669.62 $23,669.62 $23,669.62 2026-03-04
1792 APR_DRG Defibrillator Implants 4 2 — — $23,610.88 $23,610.88 $23,610.88 2026-03-04
7524 APR_DRG Personality Disorders 4 2 — — $23,568.66 $23,568.66 $23,568.66 2026-03-04
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33230 CPT Insrt Pulse Gen W/dual Leads 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33240 CPT Insrt Pulse Gen W/singl Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $23,563.77 $23,563.77 $23,563.77 2026-03-04
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $23,536.85 $23,536.85 $23,536.85 2026-03-04
1662 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $23,391.84 $23,391.84 $23,391.84 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures 4 2 — — $23,197.88 $23,197.88 $23,197.88 2026-03-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 4 2 — — $23,159.94 $23,159.94 $23,159.94 2026-03-04
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 2 — — $23,123.84 $23,123.84 $23,123.84 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $23,071.22 $23,071.22 $23,071.22 2026-03-04
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $23,063.88 $23,063.88 $23,063.88 2026-03-04
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 4 2 — — $23,019.83 $23,019.83 $23,019.83 2026-03-04
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 4 2 — — $22,995.35 $22,995.35 $22,995.35 2026-03-04
2294 APR_DRG Other Digestive System And Abdominal Procedures 4 2 — — $22,891.34 $22,891.34 $22,891.34 2026-03-04
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 2 — — $22,830.76 $22,830.76 $22,830.76 2026-03-04
2244 APR_DRG Peritoneal Adhesiolysis 4 2 — — $22,672.29 $22,672.29 $22,672.29 2026-03-04
893 APR_DRG Major Cranial Or Facial Bone Procedures 4 2 — — $22,617.23 $22,617.23 $22,617.23 2026-03-04
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $22,611.72 $22,611.72 $22,611.72 2026-03-04
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 2 — — $22,595.20 $22,595.20 $22,595.20 2026-03-04
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 4 2 — — $22,578.68 $22,578.68 $22,578.68 2026-03-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
61885 CPT Insrt/redo Neurostim 1 Array 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
63655 CPT Implant Neuroelectrodes 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
64580 CPT Opn Impltj Nea Neuromuscular 2 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 4 2 — — $22,437.95 $22,437.95 $22,437.95 2026-03-04
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 2 — — $22,426.33 $22,426.33 $22,426.33 2026-03-04
3094 APR_DRG Other Significant Hip And Femur Surgery 4 2 — — $22,397.57 $22,397.57 $22,397.57 2026-03-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures 4 2 — — $22,238.49 $22,238.49 $22,238.49 2026-03-04
1804 APR_DRG Other Circulatory System Procedures 4 2 — — $22,208.51 $22,208.51 $22,208.51 2026-03-04
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 4 2 — — $22,165.07 $22,165.07 $22,165.07 2026-03-04
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 2 — — $22,087.36 $22,087.36 $22,087.36 2026-03-04
233 APR_DRG Spinal Procedures 4 2 — — $22,049.43 $22,049.43 $22,049.43 2026-03-04
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $21,942.35 $21,942.35 $21,942.35 2026-03-04
4444 APR_DRG Renal Dialysis Access Device Procedures 4 2 — — $21,933.17 $21,933.17 $21,933.17 2026-03-04
5184 APR_DRG Other Female Reproductive System And Related Procedures 4 2 — — $21,826.71 $21,826.71 $21,826.71 2026-03-04
2234 APR_DRG Other Small And Large Bowel Procedures 4 2 — — $21,805.30 $21,805.30 $21,805.30 2026-03-04
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 4 2 — — $21,741.05 $21,741.05 $21,741.05 2026-03-04
4844 APR_DRG Other Male Reproductive System And Related Procedures 4 2 — — $21,685.98 $21,685.98 $21,685.98 2026-03-04
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 4 2 — — $21,660.29 $21,660.29 $21,660.29 2026-03-04
984 APR_DRG Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 4 2 — — $21,654.78 $21,654.78 $21,654.78 2026-03-04
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 2 — — $21,600.32 $21,600.32 $21,600.32 2026-03-04
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $21,422.27 $21,422.27 $21,422.27 2026-03-04
244 APR_DRG Open Extracranial Vascular Procedures 4 2 — — $21,226.48 $21,226.48 $21,226.48 2026-03-04
3224 APR_DRG Shoulder And Elbow Joint Replacement 4 2 — — $21,194.05 $21,194.05 $21,194.05 2026-03-04
54401 CPT Insert Self-contd Prosthesis 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54410 CPT Remove/replace Penis Prosth 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54405 CPT Insert Multi-comp Penis Pros 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53447 CPT Remove/replace Ur Sphincter 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54411 CPT Remov/replc Penis Pros Comp 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53444 CPT Insert Tandem Cuff 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53445 CPT Insert Uro/ves Nck Sphincter 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54416 CPT Remv/repl Penis Contain Pros 2 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
1661 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $21,061.28 $21,061.28 $21,061.28 2026-03-04
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $20,877.11 $20,877.11 $20,877.11 2026-03-04
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 4 2 — — $20,875.28 $20,875.28 $20,875.28 2026-03-04
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 4 2 — — $20,766.98 $20,766.98 $20,766.98 2026-03-04
3244 APR_DRG Elective Hip Joint Replacement 4 2 — — $20,738.22 $20,738.22 $20,738.22 2026-03-04
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $20,696.00 $20,696.00 $20,696.00 2026-03-04
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 2 — — $20,688.05 $20,688.05 $20,688.05 2026-03-04
81 APR_DRG Autologous Bone Marrow Transplant 4 2 — — $20,640.32 $20,640.32 $20,640.32 2026-03-04
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 2 — — $20,626.25 $20,626.25 $20,626.25 2026-03-04
203 APR_DRG Open Craniotomy For Trauma 4 2 — — $20,595.66 $20,595.66 $20,595.66 2026-03-04
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 4 2 — — $20,343.57 $20,343.57 $20,343.57 2026-03-04
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 4 2 — — $20,093.32 $20,093.32 $20,093.32 2026-03-04
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 4 2 — — $20,079.86 $20,079.86 $20,079.86 2026-03-04
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 4 2 — — $20,034.59 $20,034.59 $20,034.59 2026-03-04
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 4 2 — — $20,026.02 $20,026.02 $20,026.02 2026-03-04
33274 CPT Tcat Insj/rpl Perm Ldls Pm 2 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33229 CPT Remv&replc Pm Gen Mult Leads 2 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33221 CPT Insert Pulse Gen Mult Leads 2 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 2 — — $19,959.33 $19,959.33 $19,959.33 2026-03-04
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 2 — — $19,921.39 $19,921.39 $19,921.39 2026-03-04
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 2 — — $19,903.04 $19,903.04 $19,903.04 2026-03-04
1791 APR_DRG Defibrillator Implants 4 2 — — $19,885.29 $19,885.29 $19,885.29 2026-03-04
734 APR_DRG Orbit And Eye Procedures 4 2 — — $19,696.23 $19,696.23 $19,696.23 2026-03-04
4413 APR_DRG Major Bladder Procedures 4 2 — — $19,691.34 $19,691.34 $19,691.34 2026-03-04
2324 APR_DRG Gastric Fundoplication 4 2 — — $19,663.80 $19,663.80 $19,663.80 2026-03-04
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 4 2 — — $19,643.61 $19,643.61 $19,643.61 2026-03-04
1203 APR_DRG Major Respiratory And Chest Procedures 4 2 — — $19,587.32 $19,587.32 $19,587.32 2026-03-04
273 APR_DRG Other Open Craniotomy 4 2 — — $19,489.42 $19,489.42 $19,489.42 2026-03-04
1692 APR_DRG Major Abdominal Vascular Procedures 4 2 — — $19,452.71 $19,452.71 $19,452.71 2026-03-04
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 2 — — $19,402.54 $19,402.54 $19,402.54 2026-03-04
4834 APR_DRG Penis, Testes And Scrotal Procedures 4 2 — — $19,401.93 $19,401.93 $19,401.93 2026-03-04
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