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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

ESSENTIA HEALTH HOLY TRINITY HOSPITAL

Graceville, MN · CCN 241321 · Rates published

15,991 distinct procedures filed
43 distinct payers
396,821 rate rows
2026-01-01 last MRF observed
Data quality

380,113 of 396,821 rate rows are consumer-grade (95.8%)

16,708 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
per-diem day rate — not a per-procedure price 16,220
percent-of-charges filed in the dollar field — excluded from medians 266
placeholder amount (≤ $0.02) — excluded from medians 216
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/410726173_Essentia-Holy-Trinity_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 8e154cf2576e42ab… · 399,307,318 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J1411
CPT 		Inj- Hemgenix- Per Tx Dose 2 $3,672,900.00 $3,710,000.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
C9172
CPT 		Inj Beqvez Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1414
CPT 		Inj- Beqvez- Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 2 $3,321,781.51 $3,325,454.76 $3,323,618.13 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj- Lovotibeglogene Autotem 2 $3,193,000.00 $3,286,000.00 $3,239,500.00 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj- Betibeglogene Autotemce 2 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 2 $2,388,614.23 $2,403,458.75 $2,396,036.49 nat. median
$2,469,189
1.0× median
J3392
CPT 		Inj- Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $551,042.76 $551,042.76 $551,042.76 nat. median
$370,174
1.5× median
Q2042
CPT 		Tisagenlecleucel Car-pos T 2 $529,192.86 $565,623.84 $547,408.35 nat. median
$754,974
0.7× median
Q2056
CPT 		Ciltacabtagene Car-pos T 2 $527,123.43 $551,318.34 $539,220.89 nat. median
$675,122
0.8× median
Q2055
CPT 		Idecabtagene Vicleucel Car 2 $526,587.59 $528,312.43 $527,450.01 nat. median
$625,184
0.8× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 2 $516,485.97 $516,726.08 $516,606.03 nat. median
$674,188
0.8× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 2 $489,455.96 $489,517.15 $489,486.56 nat. median
$634,511
0.8× median
Q2053
CPT 		Brexucabtagene Car Pos T 2 $460,530.40 $488,051.51 $474,290.96 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate W Ecmo 6 $260,426.64 $1,017,143.05 $458,794.18 nat. median
$309,665
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $357,604.58 $357,604.58 $357,604.58 nat. median
$265,286
1.3× median
24
APR_DRG 		Heart Or Lung Transplant 6 $197,053.53 $754,047.70 $340,125.35 nat. median
$234,738
1.4× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 6 $213,642.89 $657,968.88 $296,799.97 nat. median
$246,434
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 5 $183,603.51 $649,392.45 $292,983.85 nat. median
$160,267
1.8× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 6 $134,558.16 $617,863.40 $278,712.57 nat. median
$164,279
1.7× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 6 $139,297.97 $608,325.20 $274,356.24 nat. median
$151,838
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $272,447.33 $272,447.33 $272,447.33 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 1 $270,848.41 $270,848.41 $270,848.41 nat. median
$202,986
1.3× median
5833
APR_DRG 		Neonate W Ecmo 6 $206,269.84 $639,840.52 $268,208.39 nat. median
$244,017
1.1× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $204,251.03 $633,585.37 $240,413.93 nat. median
$207,730
1.2× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 5 $170,402.25 $528,575.25 $238,412.11 nat. median
$162,982
1.5× median
5891
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 6 $41,692.84 $676,682.30 $217,374.45 nat. median
$93,260
outlier · 2.3×
5933
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 6 $89,617.66 $472,935.75 $213,293.64 nat. median
$108,996
2.0× median
6024
APR_DRG 		Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 $99,887.27 $461,013.00 $207,984.78 nat. median
$118,620
1.8× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 6 $137,630.26 $454,407.80 $204,976.59 nat. median
$182,736
1.1× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 5 $116,053.85 $480,986.47 $197,648.44 nat. median
$150,721
1.3× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $156,501.76 $485,392.95 $185,811.32 nat. median
$119,796
1.6× median
5832
APR_DRG 		Neonate W Ecmo 6 $152,113.04 $471,821.17 $183,511.73 nat. median
$156,126
1.2× median
6074
APR_DRG 		Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 $76,714.83 $400,604.40 $180,746.12 nat. median
$95,507
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 1 $176,753.56 $176,753.56 $176,753.56 nat. median
$133,176
1.3× median
5892
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 6 $34,670.89 $541,292.85 $175,851.71 nat. median
$89,790
2.0× median
114
APR_DRG 		Psychiatric 5 $134,904.95 $416,807.07 $171,276.15 nat. median
$117,173
1.5× median
5932
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 6 $71,009.49 $375,434.15 $169,402.95 nat. median
$86,258
2.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 6 $134,733.70 $418,029.11 $168,962.95 nat. median
$145,336
1.2× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 $84,351.20 $370,400.10 $167,129.78 nat. median
$68,217
outlier · 2.4×
7
MS_DRG 		Lung Transplant 1 $165,253.62 $165,253.62 $165,253.62 nat. median
$122,708
1.3× median
6114
APR_DRG 		Neonate Birthwt 15001999g W Major Anomaly 5 $74,303.21 $364,571.20 $164,476.54 nat. median
$72,694
outlier · 2.3×
6023
APR_DRG 		Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 $78,733.64 $363,511.40 $164,002.07 nat. median
$86,492
1.9× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 5 $150,542.29 $341,056.20 $163,593.50 nat. median
$122,924
1.3× median
6034
APR_DRG 		Neonate Birthwt 10001249g W Or Wo Other Significant Condition 6 $112,000.13 $360,067.05 $162,370.69 nat. median
$109,499
1.5× median
23
APR_DRG 		Heart Or Lung Transplant 6 $121,918.64 $378,096.50 $162,247.59 nat. median
$93,528
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $129,203.92 $400,842.50 $160,445.41 nat. median
$187,294
0.9× median
6214
APR_DRG 		Neonate Bwt 20002499g W Major Anomaly 5 $58,292.30 $353,178.35 $159,333.81 nat. median
$69,159
outlier · 2.3×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 $127,975.08 $380,422.39 $157,485.11 nat. median
$105,658
1.5× median

Other procedures at this hospital

Browse this hospital's 15,991 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
             
C9172 CPT Inj Beqvez Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1414 CPT Inj- Beqvez- Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-01-01
J3392 CPT Inj- Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
J1411 CPT Inj- Hemgenix- Per Tx Dose 2 2 — — $3,672,900.00 $3,710,000.00 $3,691,450.00 2026-01-01
J1413 CPT Inj Delandistrogene Mox Rokl 2 2 — — $3,321,781.51 $3,325,454.76 $3,323,618.13 2026-01-01
J3394 CPT Inj- Lovotibeglogene Autotem 2 2 — — $3,193,000.00 $3,286,000.00 $3,239,500.00 2026-01-01
J3393 CPT Inj- Betibeglogene Autotemce 2 2 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-01-01
J3399 CPT Inj Onase Abepar-xioi Treat 2 2 — — $2,388,614.23 $2,403,458.75 $2,396,036.49 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 1 — — $551,042.76 $551,042.76 $551,042.76 2026-01-01
Q2042 CPT Tisagenlecleucel Car-pos T 2 2 — — $529,192.86 $565,623.84 $547,408.35 2026-01-01
Q2056 CPT Ciltacabtagene Car-pos T 2 2 — — $527,123.43 $551,318.34 $539,220.89 2026-01-01
Q2055 CPT Idecabtagene Vicleucel Car 2 2 — — $526,587.59 $528,312.43 $527,450.01 2026-01-01
Q2054 CPT Lisocabtagene Mara Car Pos T 2 2 — — $516,485.97 $516,726.08 $516,606.03 2026-01-01
Q2041 CPT Axicabtagene Ciloleucel Car+ 2 2 — — $489,455.96 $489,517.15 $489,486.56 2026-01-01
Q2053 CPT Brexucabtagene Car Pos T 2 2 — — $460,530.40 $488,051.51 $474,290.96 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $357,604.58 $357,604.58 $357,604.58 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $272,447.33 $272,447.33 $272,447.33 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 2 1 — — $270,848.41 $270,848.41 $270,848.41 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 2 1 — — $176,753.56 $176,753.56 $176,753.56 2026-01-01
7 MS_DRG Lung Transplant 2 1 — — $165,253.62 $165,253.62 $165,253.62 2026-01-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 2 1 — — $144,435.81 $144,435.81 $144,435.81 2026-01-01
Q0480 CPT Driver Pneumatic Vad- Rep 2 2 — — $99,999.95 $99,999.95 $99,999.95 2026-01-01
213 MS_DRG Splenic Procedures Age 0-17 2 1 — — $72,824.04 $72,824.04 $72,824.04 2026-01-01
L8702 CPT Ewhf S/d Uprt Micro Sensor 2 2 — — $65,871.74 $67,452.66 $66,662.20 2026-01-01
J9029 CPT Instill Adstiladrin- Tx Dose 2 2 — — $63,354.77 $63,402.04 $63,378.40 2026-01-01
A9543 CPT Y90 Ibritumomab- Rx 2 2 — — $56,824.55 $65,476.58 $61,150.57 2026-01-01
38240 CPT Transplt Allo Hct/donor 2 2 — — $52,684.72 $59,142.33 $55,913.53 2026-01-01
Q2043 CPT Sipuleucel-t Auto Cd54+ 2 2 — — $55,015.23 $55,536.49 $55,275.86 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 3 2 — — $80,754.16 $153,356.82 $153,356.82 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $76,376.60 $144,601.70 $144,601.70 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $74,394.87 $140,638.23 $140,638.23 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 3 2 — — $73,456.32 $138,761.13 $138,761.13 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $69,860.35 $131,569.20 $131,569.20 2026-01-01
215 MS_DRG Other Heart Assist System Implant 3 2 — — $67,604.90 $127,058.29 $127,058.29 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $66,493.44 $124,835.38 $124,835.38 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 2 — — $61,560.15 $114,968.80 $114,968.80 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 3 2 — — $59,326.39 $110,501.28 $110,501.28 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 3 2 — — $57,861.46 $107,571.42 $107,571.42 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 2 — — $57,692.39 $107,233.27 $107,233.27 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $54,281.45 $100,411.40 $100,411.40 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $53,065.99 $97,980.48 $97,980.48 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 3 2 — — $52,854.80 $97,558.10 $97,558.10 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 2 — — $52,693.38 $97,235.26 $97,235.26 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $50,132.94 $92,114.39 $92,114.39 2026-01-01
10 MS_DRG Pancreas Transplant 3 2 — — $49,859.23 $91,566.96 $91,566.96 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 3 2 — — $49,840.08 $91,528.67 $91,528.67 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $49,597.00 $91,042.49 $91,042.49 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $49,570.20 $90,988.90 $90,988.90 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 2 — — $48,175.46 $88,199.41 $88,199.41 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 2 — — $47,959.16 $87,766.82 $87,766.82 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 2 — — $47,022.53 $85,893.55 $85,893.55 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 3 2 — — $46,737.96 $85,324.42 $85,324.42 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 2 — — $46,706.69 $85,261.89 $85,261.89 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $46,028.46 $83,905.43 $83,905.43 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $46,028.46 $83,905.43 $83,905.43 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $45,875.97 $83,600.45 $83,600.45 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 2 — — $45,131.39 $82,111.28 $82,111.28 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 3 2 — — $43,177.08 $78,202.67 $78,202.67 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 3 2 — — $43,131.79 $78,112.07 $78,112.07 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 3 2 — — $42,757.26 $77,363.02 $77,363.02 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 3 2 — — $42,410.81 $76,670.11 $76,670.11 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 2 — — $42,399.96 $76,648.42 $76,648.42 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 2 — — $42,122.42 $76,093.33 $76,093.33 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 3 2 — — $41,997.36 $75,843.22 $75,843.22 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 2 — — $41,909.31 $75,667.12 $75,667.12 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 3 2 — — $41,519.47 $74,887.44 $74,887.44 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 2 — — $41,495.22 $74,838.95 $74,838.95 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 2 — — $40,871.86 $73,592.23 $73,592.23 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $40,637.07 $73,122.64 $73,122.64 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $40,440.56 $72,729.61 $72,729.61 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 2 — — $39,946.08 $71,740.66 $71,740.66 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 3 2 — — $39,835.06 $71,518.62 $71,518.62 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 2 — — $39,590.06 $71,028.61 $71,028.61 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 3 2 — — $39,314.43 $70,477.35 $70,477.35 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 3 2 — — $39,103.24 $70,054.97 $70,054.97 2026-01-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 3 2 — — $38,979.46 $69,807.41 $69,807.41 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 3 2 — — $38,929.69 $69,707.88 $69,707.88 2026-01-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 3 2 — — $38,874.82 $69,598.13 $69,598.13 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 3 2 — — $38,735.72 $69,319.95 $69,319.95 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $38,100.88 $68,050.26 $68,050.26 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 3 2 — — $38,080.46 $68,009.43 $68,009.43 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 2 — — $37,852.04 $67,552.59 $67,552.59 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 2 — — $37,740.39 $67,329.28 $67,329.28 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 3 2 — — $37,288.03 $66,424.55 $66,424.55 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 3 2 — — $37,230.60 $66,309.70 $66,309.70 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $36,233.99 $64,316.48 $64,316.48 2026-01-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 3 2 — — $35,897.11 $63,642.72 $63,642.72 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 2 — — $35,641.89 $63,132.29 $63,132.29 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 2 — — $35,585.75 $63,019.99 $63,019.99 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 2 — — $35,477.92 $62,804.34 $62,804.34 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $35,347.12 $62,542.74 $62,542.74 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 3 2 — — $34,884.54 $61,617.59 $61,617.59 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 2 — — $34,728.86 $61,306.23 $61,306.23 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 3 2 — — $34,451.32 $60,751.14 $60,751.14 2026-01-01
650 MS_DRG Neonate Birthwt 1500-1999g Without Signif O.r. Proc With Other Prob 3 2 — — $34,072.33 $59,993.16 $59,993.16 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $34,011.07 $59,870.65 $59,870.65 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 2 — — $33,921.75 $59,692.00 $59,692.00 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 3 2 — — $33,661.43 $59,171.37 $59,171.37 2026-01-01
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 3 2 — — $33,543.39 $58,935.29 $58,935.29 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 2 — — $33,403.03 $58,654.56 $58,654.56 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 2 — — $33,328.38 $58,505.26 $58,505.26 2026-01-01
245 MS_DRG Aicd Generator Procedures 3 2 — — $33,185.46 $58,219.42 $58,219.42 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 2 — — $33,098.05 $58,044.60 $58,044.60 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 2 — — $33,085.29 $58,019.07 $58,019.07 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 3 2 — — $32,971.71 $57,791.93 $57,791.93 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 3 2 — — $32,671.21 $57,190.91 $57,190.91 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 3 2 — — $32,662.91 $57,174.32 $57,174.32 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 2 — — $32,550.62 $56,949.73 $56,949.73 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 2 — — $32,103.35 $56,055.20 $56,055.20 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 2 — — $31,686.08 $55,220.65 $55,220.65 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 2 — — $31,465.96 $54,780.41 $54,780.41 2026-01-01
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 3 2 — — $31,289.85 $54,428.21 $54,428.21 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 2 — — $31,133.54 $54,115.58 $54,115.58 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 2 — — $31,021.24 $53,890.99 $53,890.99 2026-01-01
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 3 2 — — $30,975.31 $53,799.11 $53,799.11 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 3 2 — — $30,961.90 $53,772.31 $53,772.31 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 3 2 — — $30,883.43 $53,615.36 $53,615.36 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 3 2 — — $30,851.53 $53,551.55 $53,551.55 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 3 2 — — $30,801.76 $53,452.02 $53,452.02 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 3 2 — — $30,698.40 $53,245.30 $53,245.30 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 3 2 — — $30,679.26 $53,207.01 $53,207.01 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 2 — — $30,573.35 $52,995.19 $52,995.19 2026-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 3 2 — — $30,397.88 $52,644.27 $52,644.27 2026-01-01
791 MS_DRG Prematurity With Major Problems 3 2 — — $29,973.59 $51,795.68 $51,795.68 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 2 — — $29,727.94 $51,304.39 $51,304.39 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 2 — — $29,495.70 $50,839.90 $50,839.90 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $29,035.04 $49,918.58 $49,918.58 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 3 2 — — $28,922.11 $49,692.72 $49,692.72 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 3 2 — — $28,772.17 $49,392.84 $49,392.84 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 3 2 — — $28,735.17 $49,318.83 $49,318.83 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 5 5 — — $183,603.51 $649,392.45 $292,983.85 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 5 5 — — $170,402.25 $528,575.25 $238,412.11 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 5 5 — — $116,053.85 $480,986.47 $197,648.44 2026-01-01
114 APR_DRG Psychiatric 5 5 — — $134,904.95 $416,807.07 $171,276.15 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 5 5 — — $74,303.21 $364,571.20 $164,476.54 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 5 5 — — $150,542.29 $341,056.20 $163,593.50 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 5 5 — — $58,292.30 $353,178.35 $159,333.81 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 5 5 — — $48,396.39 $269,454.15 $121,524.05 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 5 5 — — $71,052.69 $233,880.17 $103,178.49 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 5 5 — — $86,006.58 $232,401.68 $95,499.29 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 5 5 — — $67,380.33 $208,250.70 $93,934.01 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 5 5 — — $79,754.75 $225,803.11 $92,788.10 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 5 5 — — $52,981.81 $211,738.50 $84,687.13 2026-01-01
113 APR_DRG Pediatric 5 5 — — $83,713.09 $205,162.23 $84,306.53 2026-01-01
8634 APR_DRG Neonatal Aftercare 5 5 — — $24,349.37 $173,277.30 $78,198.66 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 5 5 — — $69,711.08 $169,645.02 $74,463.82 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $41,513.68 $157,910.20 $71,283.53 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 5 5 — — $49,969.62 $164,480.34 $71,276.36 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 5 5 — — $61,012.41 $163,748.90 $71,207.10 2026-01-01
6904 APR_DRG Acute Leukemia 5 5 — — $58,121.10 $156,850.40 $70,810.25 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 5 5 — — $67,974.49 $159,460.61 $69,438.22 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 5 5 — — $59,257.94 $153,671.00 $69,321.09 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 5 5 — — $64,663.54 $157,359.95 $66,498.15 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 5 5 — — $61,290.88 $232,644.75 $66,043.20 2026-01-01
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 5 5 — — $46,009.69 $145,987.45 $65,826.47 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 5 5 — — $62,000.47 $150,881.80 $64,467.59 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 5 5 — — $56,020.85 $142,278.15 $64,177.16 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 5 5 — — $60,719.28 $141,483.30 $63,810.25 2026-01-01
6213 APR_DRG Neonate Bwt 20002499g W Major Anomaly 5 5 — — $34,217.19 $141,218.35 $63,715.84 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 5 5 — — $43,131.77 $148,631.73 $62,824.01 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 5 5 — — $48,261.35 $147,449.83 $60,590.60 2026-01-01
7594 APR_DRG Eating Disorders 5 5 — — $43,608.63 $141,185.76 $58,017.04 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 5 5 — — $52,556.61 $127,899.42 $57,317.00 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 5 5 — — $48,877.54 $126,646.10 $57,087.53 2026-01-01
6122 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 5 5 — — $38,696.30 $142,575.05 $56,987.14 2026-01-01
6614 APR_DRG Coagulation & Platelet Disorders 5 5 — — $24,933.34 $123,731.65 $55,868.48 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 5 5 — — $53,000.83 $157,170.40 $55,061.76 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $54,697.23 $133,742.02 $54,700.50 2026-01-01
6504 APR_DRG Splenectomy 5 5 — — $47,695.94 $115,518.20 $52,119.30 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 5 5 — — $42,225.44 $114,193.45 $51,466.74 2026-01-01
7504 APR_DRG Schizophrenia 5 5 — — $27,226.05 $112,073.85 $50,576.36 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 5 5 — — $44,043.72 $156,084.39 $50,245.30 2026-01-01
8633 APR_DRG Neonatal Aftercare 5 5 — — $23,805.25 $109,954.25 $49,541.36 2026-01-01
5834 APR_DRG Neonate W Ecmo 6 6 — — $260,426.64 $1,017,143.05 $458,794.18 2026-01-01
24 APR_DRG Heart Or Lung Transplant 6 6 — — $197,053.53 $754,047.70 $340,125.35 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 6 6 — — $213,642.89 $657,968.88 $296,799.97 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 6 6 — — $134,558.16 $617,863.40 $278,712.57 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 6 6 — — $139,297.97 $608,325.20 $274,356.24 2026-01-01
5833 APR_DRG Neonate W Ecmo 6 6 — — $206,269.84 $639,840.52 $268,208.39 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $204,251.03 $633,585.37 $240,413.93 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 6 6 — — $41,692.84 $676,682.30 $217,374.45 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 6 6 — — $89,617.66 $472,935.75 $213,293.64 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $99,887.27 $461,013.00 $207,984.78 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 6 6 — — $137,630.26 $454,407.80 $204,976.59 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $156,501.76 $485,392.95 $185,811.32 2026-01-01
5832 APR_DRG Neonate W Ecmo 6 6 — — $152,113.04 $471,821.17 $183,511.73 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $76,714.83 $400,604.40 $180,746.12 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 6 6 — — $34,670.89 $541,292.85 $175,851.71 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 6 6 — — $71,009.49 $375,434.15 $169,402.95 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 6 6 — — $134,733.70 $418,029.11 $168,962.95 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $84,351.20 $370,400.10 $167,129.78 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $78,733.64 $363,511.40 $164,002.07 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 6 6 — — $112,000.13 $360,067.05 $162,370.69 2026-01-01
23 APR_DRG Heart Or Lung Transplant 6 6 — — $121,918.64 $378,096.50 $162,247.59 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $129,203.92 $400,842.50 $160,445.41 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 6 — — $127,975.08 $380,422.39 $157,485.11 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 6 6 — — $125,956.26 $390,863.25 $155,596.52 2026-01-01
5831 APR_DRG Neonate W Ecmo 6 6 — — $131,398.28 $407,737.66 $154,605.04 2026-01-01
5931 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 6 6 — — $1,316.62 $341,520.55 $154,003.44 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 6 6 — — $125,341.84 $340,893.41 $152,704.51 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $125,605.17 $389,725.95 $149,190.27 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 6 6 — — $78,821.41 $321,914.25 $145,216.70 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 6 6 — — $119,373.18 $370,240.21 $141,730.36 2026-01-01
64 APR_DRG Pancreas Transplant 6 6 — — $111,297.94 $345,177.24 $141,729.11 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 6 6 — — $27,561.16 $459,688.25 $139,918.27 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $59,686.59 $280,317.10 $126,481.53 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 6 6 — — $72,852.75 $277,932.55 $125,407.09 2026-01-01
22 APR_DRG Heart Or Lung Transplant 6 6 — — $90,407.63 $280,589.75 $120,405.39 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 6 — — $87,598.85 $259,915.95 $117,223.90 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 6 6 — — $41,956.16 $247,463.30 $111,648.52 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 6 6 — — $88,739.92 $275,164.16 $111,217.85 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $76,188.18 $240,574.60 $108,492.13 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $86,457.78 $268,097.29 $105,492.18 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $62,144.28 $239,470.78 $103,256.18 2026-01-01
21 APR_DRG Heart Or Lung Transplant 6 6 — — $77,504.80 $240,541.18 $103,220.32 2026-01-01
63 APR_DRG Pancreas Transplant 6 6 — — $78,206.99 $242,710.97 $100,055.57 2026-01-01
1784 APR_DRG External Heart Assist Systems 6 6 — — $68,815.13 $219,908.50 $99,190.28 2026-01-01
4404 APR_DRG Kidney Transplant 6 6 — — $73,993.82 $419,255.61 $94,905.67 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $60,125.46 $218,212.19 $94,563.85 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $65,391.93 $205,601.20 $92,699.42 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 6 6 — — $66,620.77 $206,596.12 $92,697.03 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $80,462.28 $206,598.35 $92,642.78 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $77,855.89 $241,569.21 $92,269.79 2026-01-01
62 APR_DRG Pancreas Transplant 6 6 — — $67,937.39 $210,697.09 $86,858.72 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $59,598.82 $188,114.50 $84,864.02 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 6 6 — — $53,454.61 $185,994.90 $83,849.33 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 6 6 — — $48,539.24 $184,405.20 $83,143.00 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 6 — — $60,213.24 $179,901.05 $81,092.12 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 6 6 — — $69,341.78 $188,504.13 $79,091.98 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 6 6 — — $54,507.90 $175,131.95 $79,013.76 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 6 6 — — $61,090.98 $189,389.44 $78,156.83 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 — — $43,448.33 $195,952.33 $77,272.42 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 6 6 — — $47,310.40 $171,157.70 $77,231.79 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 6 6 — — $57,755.56 $179,153.74 $76,875.63 2026-01-01
4403 APR_DRG Kidney Transplant 6 6 — — $48,802.57 $276,359.44 $76,826.63 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 6 6 — — $46,257.11 $169,832.95 $76,563.70 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 6 6 — — $62,319.82 $195,000.12 $75,507.12 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $53,015.74 $166,653.55 $75,149.84 2026-01-01
234 APR_DRG Spinal Procedures 6 6 — — $50,558.05 $165,328.80 $74,602.46 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $63,373.12 $151,021.50 $74,436.64 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $46,169.33 $162,944.25 $73,453.92 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $45,467.14 $161,354.55 $72,797.78 2026-01-01
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 6 6 — — $34,758.66 $157,645.25 $71,054.06 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 6 6 — — $54,244.58 $168,150.92 $69,392.80 2026-01-01
1794 APR_DRG Defibrillator Implants 6 6 — — $56,087.84 $160,689.34 $69,052.87 2026-01-01
61 APR_DRG Pancreas Transplant 6 6 — — $53,366.84 $165,617.64 $68,274.14 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 6 6 — — $53,729.16 $188,626.78 $67,982.62 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 6 6 — — $52,840.19 $163,835.87 $67,162.88 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 6 6 — — $49,019.08 $184,271.59 $67,072.36 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $53,487.74 $185,743.39 $66,806.98 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 6 6 — — $53,103.51 $164,698.88 $66,061.43 2026-01-01
4402 APR_DRG Kidney Transplant 6 6 — — $41,868.39 $237,022.24 $65,891.01 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 6 6 — — $43,272.78 $145,722.50 $65,686.64 2026-01-01
1783 APR_DRG External Heart Assist Systems 6 6 — — $50,909.15 $158,004.42 $65,191.85 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $54,985.27 $141,941.73 $64,986.46 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 6 6 — — $36,865.25 $143,867.85 $64,927.72 2026-01-01
1782 APR_DRG External Heart Assist Systems 6 6 — — $47,485.95 $147,208.99 $64,052.87 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 6 6 — — $49,943.63 $174,985.87 $63,538.23 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 6 6 — — $45,818.24 $140,688.45 $63,474.42 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $47,943.44 $146,907.94 $63,469.93 2026-01-01
204 APR_DRG Craniotomy For Trauma 6 6 — — $46,081.56 $140,158.55 $63,219.85 2026-01-01
6021 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 6 6 — — $11,849.54 $196,391.64 $62,396.39 2026-01-01
4414 APR_DRG Major Bladder Procedures 6 6 — — $49,855.86 $154,779.84 $62,123.54 2026-01-01
1781 APR_DRG External Heart Assist Systems 6 6 — — $42,307.26 $136,184.30 $61,485.69 2026-01-01
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 6 6 — — $37,742.99 $134,064.70 $60,451.88 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 6 6 — — $46,959.30 $139,388.38 $60,067.04 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 6 6 — — $49,241.44 $189,041.56 $59,912.79 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 6 6 — — $44,940.49 $139,477.58 $59,237.61 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 6 6 — — $44,238.30 $129,063.48 $58,013.78 2026-01-01
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 6 6 — — $29,579.97 $128,500.75 $57,955.21 2026-01-01
274 APR_DRG Other Open Craniotomy 6 6 — — $43,974.97 $131,340.31 $57,949.24 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 6 6 — — $37,567.44 $127,176.00 $57,377.96 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 6 6 — — $42,131.71 $130,666.85 $56,070.46 2026-01-01
6082 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 6 6 — — $34,144.24 $123,996.60 $55,944.97 2026-01-01
3094 APR_DRG Other Significant Hip & Femur Surgery 6 6 — — $35,373.08 $121,347.10 $54,729.50 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 6 6 — — $43,448.33 $134,745.52 $54,710.15 2026-01-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 6 6 — — $33,529.82 $137,653.44 $54,425.94 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 6 6 — — $40,200.68 $124,739.51 $54,151.05 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 6 6 — — $42,307.26 $131,375.99 $53,996.88 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 6 6 — — $41,780.61 $119,492.45 $53,895.29 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 6 6 — — $37,479.67 $118,432.65 $53,453.08 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 6 6 — — $45,725.24 $101,475.85 $53,228.98 2026-01-01
4401 APR_DRG Kidney Transplant 6 6 — — $37,391.89 $117,107.90 $52,798.14 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $40,798.84 $143,917.51 $52,785.44 2026-01-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 6 6 — — $1,141.07 $224,942.55 $52,516.93 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 6 6 — — $41,511.15 $110,616.92 $52,494.32 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $41,166.19 $120,315.19 $52,271.68 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $38,094.09 $118,299.27 $52,091.81 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 6 6 — — $40,815.10 $126,487.83 $52,071.49 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 6 6 — — $39,235.16 $131,505.33 $51,859.95 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 6 6 — — $38,006.32 $127,368.68 $51,583.87 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 6 6 — — $41,517.29 $128,711.14 $51,358.49 2026-01-01
1793 APR_DRG Defibrillator Implants 6 6 — — $40,902.87 $111,014.05 $51,124.23 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 6 — — $33,705.37 $112,603.75 $50,798.66 2026-01-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 6 6 — — $29,667.75 $111,808.90 $50,438.92 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 6 6 — — $36,479.56 $124,790.80 $50,300.21 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $42,395.04 $138,913.39 $49,717.24 2026-01-01
J7330 CPT Autologous Cultured Chondrocytes Sheet 46 41 $197,466.00 $145,927.37 26% off $76,814.27 $178,706.73 $122,428.92 2026-01-01
J9226 CPT Histrelin Acetate (cpp) 50 Mg Kit 48 43 $132,981.50 $98,273.33 26% off $45,261.79 $120,348.26 $82,448.53 2026-01-01
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