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

SANFORD CANBY MEDICAL CENTER

Canby, MN · CCN 241347 · Rates published

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You selected 29806 (CPT)

SHO ARTHRS SRG CAPSULORRAPHY

This hospital’s price: $7,501 across 1 payer

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8375/460388596_sanford-canby-medical-center_standardcharges.csv · observed 2026-03-04

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

7,622 distinct procedures filed
15 distinct payers
127,117 rate rows
2026-03-04 last MRF observed
Data quality

126,861 of 127,117 rate rows are consumer-grade (99.8%)

256 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 181
per-diem day rate — not a per-procedure price 44
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 18
placeholder amount (≤ $0.02) — excluded from medians 11
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8375/460388596_sanford-canby-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordCanbyMedicalCenter/8375
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-11
Content fingerprint ddce283f2255ef7f… · 73,985,492 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
5834
APR_DRG 		Neonate With Ecmo 2 $112,087.27 $182,097.58 $147,092.42 nat. median
$309,665
outlier · 0.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $91,942.00 $115,092.49 $103,517.24 nat. median
$249,123
outlier · 0.4×
5833
APR_DRG 		Neonate With Ecmo 2 $88,775.25 $109,945.81 $99,360.53 nat. median
$244,017
outlier · 0.4×
24
APR_DRG 		Heart And/or Lung Transplant 2 $84,833.24 $93,658.59 $89,245.92 nat. median
$243,231
outlier · 0.4×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $77,875.22 $87,907.43 $82,891.32 nat. median
$202,660
outlier · 0.4×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $57,830.46 $103,131.42 $80,480.94 nat. median
$122,909
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $57,535.39 $80,933.59 $69,234.49 nat. median
$165,846
outlier · 0.4×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $57,904.89 $79,190.61 $68,547.75 nat. median
$165,334
outlier · 0.4×
5832
APR_DRG 		Neonate With Ecmo 2 $65,463.23 $68,993.49 $67,228.36 nat. median
$159,829
outlier · 0.4×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $59,232.49 $74,503.48 $66,867.99 nat. median
$177,531
outlier · 0.4×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $62,664.29 $67,346.21 $65,005.25 nat. median
$121,888
0.5× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $59,963.54 $69,902.28 $64,932.91 nat. median
$152,569
outlier · 0.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $58,000.09 $71,854.05 $64,927.07 nat. median
$145,336
outlier · 0.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $53,931.90 $74,947.39 $64,439.65 nat. median
$165,169
outlier · 0.4×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $61,992.72 $66,622.12 $64,307.42 nat. median
$160,390
outlier · 0.4×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $58,696.47 $66,734.92 $62,715.69 nat. median
$154,211
outlier · 0.4×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $55,236.46 $69,076.41 $62,156.43 nat. median
$138,094
outlier · 0.5×
38240
CPT 		Transplt Allo Hct/donor 1 $62,099.45 $62,099.45 $62,099.45 nat. median
$12,901
outlier · 4.8×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,743.27 $58,743.27 $58,743.27 nat. median
$65,318
0.9× median
5831
APR_DRG 		Neonate With Ecmo 2 $56,571.99 $58,213.27 $57,392.63 nat. median
$148,245
outlier · 0.4×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $55,615.39 $57,695.77 $56,655.58 nat. median
$171,358
outlier · 0.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $55,087.22 $57,255.86 $56,171.54 nat. median
$122,016
outlier · 0.5×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $28,465.64 $80,494.01 $54,479.82 nat. median
$67,440
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $53,099.89 $54,230.74 $53,665.32 nat. median
$137,215
outlier · 0.4×
23
APR_DRG 		Heart And/or Lung Transplant 2 $50,647.26 $52,459.60 $51,553.43 nat. median
$111,079
outlier · 0.5×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $42,353.30 $54,073.20 $48,213.25 nat. median
$85,665
0.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $33,923.40 $60,170.37 $47,046.89 nat. median
$103,993
outlier · 0.5×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $42,982.01 $51,055.87 $47,018.94 nat. median
$119,800
outlier · 0.4×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $42,353.30 $51,369.25 $46,861.28 nat. median
$77,137
0.6× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $38,560.57 $49,936.95 $44,248.76 nat. median
$109,393
outlier · 0.4×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $38,177.85 $47,791.03 $42,984.44 nat. median
$122,978
outlier · 0.3×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $36,926.56 $48,200.61 $42,563.58 nat. median
$107,562
outlier · 0.4×
64
APR_DRG 		Pancreas Transplant 2 $35,808.31 $47,891.95 $41,850.13 nat. median
$92,076
outlier · 0.5×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $15,078.16 $68,020.43 $41,549.29 nat. median
$67,645
0.6× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $17,963.45 $61,127.11 $39,545.28 nat. median
$95,269
outlier · 0.4×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $37,197.45 $41,172.78 $39,185.11 nat. median
$99,544
outlier · 0.4×
22
APR_DRG 		Heart And/or Lung Transplant 2 $38,930.81 $39,092.79 $39,011.80 nat. median
$93,125
outlier · 0.4×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $36,303.56 $40,728.87 $38,516.21 nat. median
$82,146
outlier · 0.5×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $14,912.30 $61,127.11 $38,019.71 nat. median
$90,073
outlier · 0.4×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $37,697.66 $37,953.90 $37,825.78 nat. median
$75,127
0.5× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $11,861.53 $61,127.11 $36,494.32 nat. median
$71,594
0.5× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $33,014.02 $38,003.85 $35,508.93 nat. median
$96,980
outlier · 0.4×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $33,892.42 $35,589.19 $34,740.81 nat. median
$89,743
outlier · 0.4×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $30,562.83 $38,826.72 $34,694.78 nat. median
$86,338
outlier · 0.4×
33231
CPT 		Insrt Pulse Gen W/mult Leads 1 $33,664.66 $33,664.66 $33,664.66 nat. median
$30,088
1.1× median
33249
CPT 		Insj/rplcmt Defib W/lead(s) 1 $33,664.66 $33,664.66 $33,664.66 nat. median
$31,638
1.1× median
33270
CPT 		Ins/rep Subq Defibrillator 1 $33,664.66 $33,664.66 $33,664.66 nat. median
$32,114
1.0× median
33264
CPT 		Rmvl & Rplcmt Dfb Gen Mlt Ld 1 $33,664.66 $33,664.66 $33,664.66 nat. median
$31,574
1.1× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $24,856.86 $42,399.26 $33,628.06 nat. median
$79,816
outlier · 0.4×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $32,775.63 $34,375.36 $33,575.49 nat. median
$89,273
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 7,622 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 2 2 — — $112,087.27 $182,097.58 $147,092.42 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $91,942.00 $115,092.49 $103,517.24 2026-03-04
5833 APR_DRG Neonate With Ecmo 2 2 — — $88,775.25 $109,945.81 $99,360.53 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $84,833.24 $93,658.59 $89,245.92 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $77,875.22 $87,907.43 $82,891.32 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $57,830.46 $103,131.42 $80,480.94 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $57,535.39 $80,933.59 $69,234.49 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $57,904.89 $79,190.61 $68,547.75 2026-03-04
5832 APR_DRG Neonate With Ecmo 2 2 — — $65,463.23 $68,993.49 $67,228.36 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $59,232.49 $74,503.48 $66,867.99 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $62,664.29 $67,346.21 $65,005.25 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $59,963.54 $69,902.28 $64,932.91 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $58,000.09 $71,854.05 $64,927.07 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $53,931.90 $74,947.39 $64,439.65 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $61,992.72 $66,622.12 $64,307.42 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $58,696.47 $66,734.92 $62,715.69 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $55,236.46 $69,076.41 $62,156.43 2026-03-04
38240 CPT Transplt Allo Hct/donor 1 1 — — $62,099.45 $62,099.45 $62,099.45 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $58,743.27 $58,743.27 $58,743.27 2026-03-04
5831 APR_DRG Neonate With Ecmo 2 2 — — $56,571.99 $58,213.27 $57,392.63 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $55,615.39 $57,695.77 $56,655.58 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $55,087.22 $57,255.86 $56,171.54 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $28,465.64 $80,494.01 $54,479.82 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $53,099.89 $54,230.74 $53,665.32 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $50,647.26 $52,459.60 $51,553.43 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $42,353.30 $54,073.20 $48,213.25 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $33,923.40 $60,170.37 $47,046.89 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $42,982.01 $51,055.87 $47,018.94 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $42,353.30 $51,369.25 $46,861.28 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $38,560.57 $49,936.95 $44,248.76 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $38,177.85 $47,791.03 $42,984.44 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $36,926.56 $48,200.61 $42,563.58 2026-03-04
64 APR_DRG Pancreas Transplant 2 2 — — $35,808.31 $47,891.95 $41,850.13 2026-03-04
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $15,078.16 $68,020.43 $41,549.29 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $17,963.45 $61,127.11 $39,545.28 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $37,197.45 $41,172.78 $39,185.11 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $38,930.81 $39,092.79 $39,011.80 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $36,303.56 $40,728.87 $38,516.21 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $14,912.30 $61,127.11 $38,019.71 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $37,697.66 $37,953.90 $37,825.78 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $11,861.53 $61,127.11 $36,494.32 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $33,014.02 $38,003.85 $35,508.93 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $33,892.42 $35,589.19 $34,740.81 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $30,562.83 $38,826.72 $34,694.78 2026-03-04
33231 CPT Insrt Pulse Gen W/mult Leads 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33249 CPT Insj/rplcmt Defib W/lead(s) 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33270 CPT Ins/rep Subq Defibrillator 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 1 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $24,856.86 $42,399.26 $33,628.06 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $32,775.63 $34,375.36 $33,575.49 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $31,329.40 $35,627.48 $33,478.44 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $18,051.48 $48,857.66 $33,454.57 2026-03-04
69930 CPT Implant Cochlear Device 1 1 — — $33,398.21 $33,398.21 $33,398.21 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $31,101.53 $35,057.94 $33,079.74 2026-03-04
63 APR_DRG Pancreas Transplant 2 2 — — $30,475.47 $33,675.18 $32,075.33 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $31,878.12 $32,244.82 $32,061.47 2026-03-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
61886 CPT Implant Neurostim Arrays 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 1 1 — — $31,997.27 $31,997.27 $31,997.27 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $29,967.30 $33,374.07 $31,670.68 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $28,512.04 $33,516.50 $31,014.27 2026-03-04
4404 APR_DRG Kidney Transplant 2 2 — — $29,609.65 $31,863.23 $30,736.44 2026-03-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $29,324.26 $31,352.44 $30,338.35 2026-03-04
33289 CPT Tcat Impl Wrls P-art Prs Snr 1 1 — — $29,849.75 $29,849.75 $29,849.75 2026-03-04
C9760 HCPCS Non-blind Interatrial Shunt 1 1 — — $28,875.53 $28,875.53 $28,875.53 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $27,341.51 $29,832.16 $28,586.83 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $25,088.07 $32,025.64 $28,556.85 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $26,733.41 $28,734.49 $27,733.95 2026-03-04
8634 APR_DRG Neonatal Aftercare 2 2 — — $24,595.42 $30,555.40 $27,575.41 2026-03-04
1784 APR_DRG External Heart Assist Devices 2 2 — — $25,501.96 $29,633.06 $27,567.51 2026-03-04
62 APR_DRG Pancreas Transplant 2 2 — — $25,770.37 $29,233.34 $27,501.85 2026-03-04
8514 APR_DRG Gender Related Procedures 1 1 — — $26,802.03 $26,802.03 $26,802.03 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $24,853.92 $28,664.37 $26,759.14 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $25,070.38 $28,133.55 $26,601.97 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $25,683.12 $26,689.14 $26,186.13 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $25,861.06 $26,017.46 $25,939.26 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $24,512.58 $27,280.85 $25,896.72 2026-03-04
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $25,796.01 $25,796.01 $25,796.01 2026-03-04
93653 CPT Compre Ep Eval Tx Svt 1 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93654 CPT Compre Ep Eval Tx Vt 1 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
93656 CPT Compre Ep Eval Abltj Atr Fib 1 1 — — $25,758.92 $25,758.92 $25,758.92 2026-03-04
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $25,585.55 $25,637.40 $25,611.47 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $23,660.41 $26,277.02 $24,968.72 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $23,669.07 $25,917.35 $24,793.21 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $22,629.41 $25,287.18 $23,958.29 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 2 2 — — $20,804.51 $26,834.28 $23,819.39 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $23,469.60 $23,990.55 $23,730.07 2026-03-04
33240 CPT Insrt Pulse Gen W/singl Lead 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33230 CPT Insrt Pulse Gen W/dual Leads 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
33263 CPT Rmvl & Rplcmt Dfb Gen 2 Lead 1 1 — — $23,568.50 $23,568.50 $23,568.50 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $20,957.36 $25,725.43 $23,341.40 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $22,277.08 $24,011.71 $23,144.40 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $21,944.07 $24,293.55 $23,118.81 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $21,196.13 $24,591.26 $22,893.69 2026-03-04
1794 APR_DRG Defibrillator Implants 2 2 — — $21,175.48 $24,142.81 $22,659.15 2026-03-04
64580 CPT Opn Impltj Nea Neuromuscular 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
61885 CPT Insrt/redo Neurostim 1 Array 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
63655 CPT Implant Neuroelectrodes 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 1 1 — — $22,516.61 $22,516.61 $22,516.61 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $20,405.23 $24,042.69 $22,223.96 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $19,034.56 $25,377.47 $22,206.01 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $21,297.37 $22,828.05 $22,062.71 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $21,069.92 $22,951.22 $22,010.57 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $20,440.53 $23,537.57 $21,989.05 2026-03-04
61 APR_DRG Pancreas Transplant 2 2 — — $20,795.52 $22,978.79 $21,887.15 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $20,733.91 $22,731.33 $21,732.62 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $20,146.48 $22,750.60 $21,448.54 2026-03-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $19,441.83 $23,330.53 $21,386.18 2026-03-04
1783 APR_DRG External Heart Assist Devices 2 2 — — $20,679.63 $21,922.45 $21,301.04 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $20,114.85 $22,299.13 $21,206.99 2026-03-04
54411 CPT Remov/replc Penis Pros Comp 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54416 CPT Remv/repl Penis Contain Pros 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53447 CPT Remove/replace Ur Sphincter 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54401 CPT Insert Self-contd Prosthesis 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53445 CPT Insert Uro/ves Nck Sphincter 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
53444 CPT Insert Tandem Cuff 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54410 CPT Remove/replace Penis Prosth 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
54405 CPT Insert Multi-comp Penis Pros 1 1 — — $21,134.99 $21,134.99 $21,134.99 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $19,138.12 $23,016.58 $21,077.35 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $19,682.08 $21,926.76 $20,804.42 2026-03-04
J1628 HCPCS Guselkumab IV Soln 200 Mg/20ml (10 Mg/ml) 43 15 $27,679.12 $22,143.30 $6,701.11 $26,184.45 $20,703.99 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $18,129.68 $23,266.79 $20,698.24 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $17,889.02 $22,974.74 $20,431.88 2026-03-04
4403 APR_DRG Kidney Transplant 2 2 — — $19,710.57 $21,002.88 $20,356.72 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $19,114.81 $21,478.91 $20,296.86 2026-03-04
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $20,224.07 $20,224.07 $20,224.07 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $19,103.49 $21,212.18 $20,157.83 2026-03-04
234 APR_DRG Spinal Procedures 2 2 — — $18,443.13 $21,777.38 $20,110.26 2026-03-04
33229 CPT Remv&replc Pm Gen Mult Leads 1 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33274 CPT Tcat Insj/rpl Perm Ldls Pm 1 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
33221 CPT Insert Pulse Gen Mult Leads 1 1 — — $20,024.72 $20,024.72 $20,024.72 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $18,159.41 $21,833.29 $19,996.35 2026-03-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $16,740.45 $22,851.10 $19,795.78 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $18,610.30 $20,903.14 $19,756.72 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $18,082.81 $21,205.76 $19,644.28 2026-03-04
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $19,505.44 $19,505.44 $19,505.44 2026-03-04
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $10,161.79 $28,735.49 $19,448.64 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $19,242.36 $19,568.36 $19,405.36 2026-03-04
C8003 HCPCS Imp Extar Knee Shck Absrb 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25446 CPT Arthrp W/prostc Dst Rds&crps 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22856 CPT Tot Disc Arthrp 1ntrspc Crv 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22630 CPT Arthrd Pst Tq 1ntrspc Lum 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25442 CPT Arthrp W/prostc Dstl Ulna 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23472 CPT Reconstruct Shoulder Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
28705 CPT Arthrodesis Pantalar 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
27702 CPT Reconstruct Ankle Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
20696 CPT App Mltpln Uni Xtrnl Fix 1st 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
21243 CPT Reconstruction Of Jaw Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24371 CPT Revise Reconst Elbow Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24361 CPT Reconstruct Elbow Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24363 CPT Replace Elbow Joint 1 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $15,113.02 $23,455.96 $19,284.49 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $18,689.89 $19,860.02 $19,274.96 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $18,610.30 $19,907.63 $19,258.97 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $17,533.35 $20,934.12 $19,233.74 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $18,071.49 $20,148.67 $19,110.08 2026-03-04
4414 APR_DRG Major Bladder Procedures 2 2 — — $16,732.46 $21,475.13 $19,103.79 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $18,178.72 $19,887.22 $19,032.97 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $18,097.13 $19,967.70 $19,032.42 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $17,576.97 $20,344.75 $18,960.86 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $17,649.90 $20,207.22 $18,928.56 2026-03-04
C9766 HCPCS Revasc Intra Lithotrip-ather 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9765 HCPCS Revasc Intra Lithotrip-stent 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9606 HCPCS Perc D-e Cor Revasc W Ami S 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9767 HCPCS Revasc Lithotrip-stent-ather 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93582 CPT Perq Transcath Closure Pda 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93590 CPT Perq Transcath Cls Mitral 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93591 CPT Perq Transcath Cls Aortic 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
92933 CPT Prq Trlml C Athrc St Angiop1 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9773 HCPCS Revasc Lithotr-stent Tib/per 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9602 HCPCS Perc D-e Cor Stent Ather S 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93581 CPT Transcath Closure Of Vsd 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9775 HCPCS Revasc Lith-sten-ath Tib/per 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9774 HCPCS Revasc Lithotr-ather Tib/per 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37227 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37242 CPT Vasc Embolize/occlude Artery 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37230 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37229 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37231 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37225 CPT Outpatient Services - Cpt/hcpcs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36906 CPT Thrmbc/nfs Dialysis Circuit 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37184 CPT Prim Art M-thrmbc 1st Vsl 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93580 CPT Transcath Closure Of Asd 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
33902 CPT Perq P-art Revsc 1 Abnor Uni 1 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $17,229.31 $20,008.12 $18,618.72 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $18,459.12 $18,718.30 $18,588.71 2026-03-04
62360 CPT Insert Spine Infusion Device 1 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62361 CPT Implant Spine Infusion Pump 1 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62362 CPT Implant Spine Infusion Pump 1 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
1782 APR_DRG External Heart Assist Devices 2 2 — — $16,670.52 $20,424.84 $18,547.68 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $17,324.55 $19,724.39 $18,524.47 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $16,494.35 $20,501.53 $18,497.94 2026-03-04
6904 APR_DRG Acute Leukemia 2 2 — — $17,357.85 $19,624.27 $18,491.06 2026-03-04
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $16,936.26 $19,815.82 $18,376.04 2026-03-04
C9758 HCPCS Blind Interatrial Shunt Ide 1 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 1 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 1 1 — — $18,268.26 $18,268.26 $18,268.26 2026-03-04
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $18,227.91 $18,227.91 $18,227.91 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $17,048.82 $19,030.37 $18,039.60 2026-03-04
4014 APR_DRG Adrenal Procedures 2 2 — — $17,441.10 $17,858.42 $17,649.76 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $15,763.06 $19,351.88 $17,557.47 2026-03-04
4402 APR_DRG Kidney Transplant 2 2 — — $17,013.18 $18,013.32 $17,513.25 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $16,017.48 $18,639.34 $17,328.41 2026-03-04
66683 CPT Implantation Iris Prosthesis 1 1 — — $17,237.25 $17,237.25 $17,237.25 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $15,472.68 $18,915.14 $17,193.91 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $16,444.07 $17,715.23 $17,079.65 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $16,769.42 $17,307.20 $17,038.31 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $15,003.13 $19,030.37 $17,016.75 2026-03-04
274 APR_DRG Other Open Craniotomy 2 2 — — $15,016.12 $18,932.51 $16,974.31 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $15,944.89 $17,763.21 $16,854.05 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $14,878.68 $18,824.76 $16,851.72 2026-03-04
1781 APR_DRG External Heart Assist Devices 2 2 — — $15,294.85 $18,217.33 $16,756.09 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $15,027.11 $18,469.33 $16,748.22 2026-03-04
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $15,033.10 $18,234.71 $16,633.90 2026-03-04
1793 APR_DRG Defibrillator Implants 2 2 — — $15,632.52 $17,603.78 $16,618.15 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $16,239.27 $16,871.97 $16,555.62 2026-03-04
5204 APR_DRG Other GYN Procedures For Malignancy 1 1 — — $16,549.63 $16,549.63 $16,549.63 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $15,087.38 $17,982.71 $16,535.04 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $12,556.83 $20,458.09 $16,507.46 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $14,920.21 $17,895.44 $16,407.82 2026-03-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $14,227.22 $18,437.97 $16,332.60 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $14,833.96 $17,745.45 $16,289.70 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $14,969.83 $17,385.41 $16,177.62 2026-03-04
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 2 2 — — $15,429.72 $16,881.79 $16,155.76 2026-03-04
67027 CPT Implant Eye Drug System 1 1 — — $16,133.07 $16,133.07 $16,133.07 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $15,387.43 $16,751.45 $16,069.44 2026-03-04
4854 APR_DRG Prostatectomy Procedures 1 1 — — $15,968.86 $15,968.86 $15,968.86 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $13,065.67 $18,695.25 $15,880.46 2026-03-04
4401 APR_DRG Kidney Transplant 2 2 — — $15,543.27 $16,084.63 $15,813.95 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $14,850.28 $16,757.87 $15,804.08 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $14,761.70 $16,454.88 $15,608.29 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $14,427.02 $16,758.63 $15,592.83 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $13,546.88 $17,549.75 $15,548.31 2026-03-04
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $14,648.81 $16,239.90 $15,444.35 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $14,647.48 $16,127.32 $15,387.40 2026-03-04
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $14,209.23 $16,503.23 $15,356.23 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $14,143.63 $16,377.05 $15,260.34 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $15,073.06 $15,348.67 $15,210.86 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $13,836.26 $16,556.50 $15,196.38 2026-03-04
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $15,152.32 $15,152.32 $15,152.32 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $14,044.73 $16,229.70 $15,137.22 2026-03-04
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $13,922.18 $16,340.78 $15,131.48 2026-03-04
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $13,783.31 $16,413.69 $15,098.50 2026-03-04
65770 CPT Keratoprosthesis 1 1 — — $15,003.78 $15,003.78 $15,003.78 2026-03-04
8633 APR_DRG Neonatal Aftercare 2 2 — — $14,144.63 $15,781.25 $14,962.94 2026-03-04
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $14,205.24 $15,717.40 $14,961.32 2026-03-04
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 2 2 — — $12,912.49 $16,713.67 $14,813.08 2026-03-04
6504 APR_DRG Splenectomy 2 2 — — $13,495.92 $16,104.27 $14,800.10 2026-03-04
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $13,615.30 $15,914.91 $14,765.10 2026-03-04
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $12,882.52 $16,447.70 $14,665.11 2026-03-04
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $13,737.02 $15,567.79 $14,652.41 2026-03-04
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 2 2 — — $14,611.57 $14,689.43 $14,650.50 2026-03-04
J2327 HCPCS Risankizumab-rzaa IV Soln 600 Mg/10ml (60 Mg/ml) 43 15 $19,583.40 $15,666.72 20% off $4,741.14 $18,525.90 $14,648.39 2026-03-04
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 2 2 — — $13,409.67 $15,859.83 $14,634.75 2026-03-04
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $13,707.05 $15,534.92 $14,620.99 2026-03-04
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $13,154.92 $16,044.20 $14,599.56 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $13,793.64 $15,349.04 $14,571.34 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $12,625.77 $16,512.68 $14,569.23 2026-03-04
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $13,884.22 $15,184.32 $14,534.27 2026-03-04
J2427 HCPCS Paliperidone Palmitate ER Susp Pref Syr 819 Mg/2.63ml 43 15 $19,396.85 $15,517.48 $4,695.98 $18,349.42 $14,508.84 2026-03-04
7594 APR_DRG Eating Disorders 2 2 — — $9,222.73 $19,589.14 $14,405.93 2026-03-04
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $13,375.04 $15,144.65 $14,259.85 2026-03-04
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $13,042.03 $15,255.73 $14,148.88 2026-03-04
1824 APR_DRG Other Peripheral Vascular And Related Procedures 2 2 — — $12,103.61 $16,168.12 $14,135.87 2026-03-04
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $13,804.29 $14,450.63 $14,127.46 2026-03-04
4034 APR_DRG Procedures For Obesity 2 2 — — $14,034.74 $14,138.56 $14,086.65 2026-03-04
82 APR_DRG Autologous Bone Marrow Transplant 2 2 — — $13,308.44 $14,822.01 $14,065.23 2026-03-04
4284 APR_DRG Genetic Disorders 1 1 — — $14,037.40 $14,037.40 $14,037.40 2026-03-04
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $13,098.64 $14,871.12 $13,984.88 2026-03-04
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $12,552.84 $15,350.93 $13,951.89 2026-03-04
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $13,169.57 $14,508.81 $13,839.19 2026-03-04
9103 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $12,994.74 $14,475.18 $13,734.96 2026-03-04
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $13,175.57 $14,257.19 $13,716.38 2026-03-04
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $12,190.19 $15,227.39 $13,708.79 2026-03-04
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $12,458.93 $14,937.24 $13,698.08 2026-03-04
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $12,824.91 $14,510.70 $13,667.81 2026-03-04
1651 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $13,557.53 $13,761.51 $13,659.52 2026-03-04
54417 CPT Remv/replc Penis Pros Compl 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
54400 CPT Insert Semi-rigid Prosthesis 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
53451 CPT Tprnl Balo Cntnc Dev Bi 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
53440 CPT Male Sling Procedure 1 1 — — $13,642.04 $13,642.04 $13,642.04 2026-03-04
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $12,288.76 $14,944.42 $13,616.59 2026-03-04
1792 APR_DRG Defibrillator Implants 2 2 — — $12,850.55 $14,342.95 $13,596.75 2026-03-04
1693 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $13,007.40 $14,148.00 $13,577.70 2026-03-04
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $12,306.74 $14,830.70 $13,568.72 2026-03-04
4804 APR_DRG Major Male Pelvic Procedures 1 1 — — $13,561.27 $13,561.27 $13,561.27 2026-03-04
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $12,941.30 $14,127.98 $13,534.64 2026-03-04
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $12,605.12 $14,462.34 $13,533.73 2026-03-04
23680 CPT Optx Sho Dislc Neck Fx Fixj 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
C9757 HCPCS Spine Device Implant Surgery 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
23802 CPT Arthrd Glenohumeral Jt W/grf 1 1 — — $13,510.16 $13,510.16 $13,510.16 2026-03-04
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