Price Transparency 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

7,806 distinct procedures filed
15 distinct payers
254,234 rate rows
2026-03-04 last MRF observed
Data quality

253,758 of 254,234 rate rows are consumer-grade (99.8%)

476 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 362
per-diem day rate — not a per-procedure price 88
placeholder amount (≤ $0.02) — excluded from medians 22
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4
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 · 2026-05-17
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
$246,434
outlier · 0.4×
0114
APR_DRG 		1 $103,131.42 $103,131.42 $103,131.42 nat. median
$197,700
0.5× median
5833
APR_DRG 		Neonate With Ecmo 2 $88,775.25 $109,945.81 $99,360.53 nat. median
$244,017
outlier · 0.4×
0024
APR_DRG 		1 $93,658.59 $93,658.59 $93,658.59 nat. median
$372,987
outlier · 0.3×
24
APR_DRG 		Heart And/or Lung Transplant 1 $84,833.24 $84,833.24 $84,833.24 nat. median
$234,738
outlier · 0.4×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $77,875.22 $87,907.43 $82,891.32 nat. median
$207,730
outlier · 0.4×
0113
APR_DRG 		1 $80,494.01 $80,494.01 $80,494.01 nat. median
$128,705
0.6× median
0094
APR_DRG 		1 $74,947.39 $74,947.39 $74,947.39 nat. median
$166,008
outlier · 0.5×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $57,535.39 $80,933.59 $69,234.49 nat. median
$162,982
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
$164,279
outlier · 0.4×
0112
APR_DRG 		1 $68,020.43 $68,020.43 $68,020.43 nat. median
$93,442
0.7× median
5832
APR_DRG 		Neonate With Ecmo 2 $65,463.23 $68,993.49 $67,228.36 nat. median
$156,126
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
$182,736
outlier · 0.4×
1613
APR_DRG 		Implantable Heart Assist Systems 2 $62,664.29 $67,346.21 $65,005.25 nat. median
$119,796
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
$151,838
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×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $61,992.72 $66,622.12 $64,307.42 nat. median
$160,267
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
$150,721
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
$122,924
0.5× median
38240
CPT 		Transplt Allo Hct/donor 1 $62,099.45 $62,099.45 $62,099.45 nat. median
$15,912
outlier · 3.9×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 1 $58,743.27 $58,743.27 $58,743.27 nat. median
$66,682
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $57,830.46 $57,830.46 $57,830.46 nat. median
$117,173
outlier · 0.5×
0074
APR_DRG 		1 $57,695.77 $57,695.77 $57,695.77 nat. median
$178,275
outlier · 0.3×
5831
APR_DRG 		Neonate With Ecmo 2 $56,571.99 $58,213.27 $57,392.63 nat. median
$145,122
outlier · 0.4×
0044
APR_DRG 		1 $57,255.86 $57,255.86 $57,255.86 nat. median
$195,681
outlier · 0.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $55,615.39 $55,615.39 $55,615.39 nat. median
$187,294
outlier · 0.3×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $55,087.22 $55,087.22 $55,087.22 nat. median
$105,658
0.5× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $54,230.74 $54,230.74 $54,230.74 nat. median
$129,535
outlier · 0.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $53,931.90 $53,931.90 $53,931.90 nat. median
$164,834
outlier · 0.3×
0014
APR_DRG 		1 $53,099.89 $53,099.89 $53,099.89 nat. median
$190,591
outlier · 0.3×
23
APR_DRG 		Heart And/or Lung Transplant 1 $52,459.60 $52,459.60 $52,459.60 nat. median
$93,528
0.6× median
0023
APR_DRG 		1 $50,647.26 $50,647.26 $50,647.26 nat. median
$167,082
outlier · 0.3×
1612
APR_DRG 		Implantable Heart Assist Systems 2 $42,353.30 $54,073.20 $48,213.25 nat. median
$85,406
0.6× median
64
APR_DRG 		Pancreas Transplant 1 $47,891.95 $47,891.95 $47,891.95 nat. median
$91,748
0.5× 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
$102,636
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
$118,620
outlier · 0.4×
1611
APR_DRG 		Implantable Heart Assist Systems 2 $42,353.30 $51,369.25 $46,861.28 nat. median
$76,806
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
$108,996
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
$124,573
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
$109,499
outlier · 0.4×
0093
APR_DRG 		1 $42,399.26 $42,399.26 $42,399.26 nat. median
$78,641
0.5× median
0054
APR_DRG 		1 $40,728.87 $40,728.87 $40,728.87 nat. median
$149,310
outlier · 0.3×
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
$93,260
outlier · 0.4×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $37,197.45 $41,172.78 $39,185.11 nat. median
$97,957
outlier · 0.4×
0022
APR_DRG 		1 $39,092.79 $39,092.79 $39,092.79 nat. median
$140,623
outlier · 0.3×
22
APR_DRG 		Heart And/or Lung Transplant 1 $38,930.81 $38,930.81 $38,930.81 nat. median
$78,029
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
$89,790
outlier · 0.4×
0043
APR_DRG 		1 $37,953.90 $37,953.90 $37,953.90 nat. median
$113,567
outlier · 0.3×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $37,697.66 $37,697.66 $37,697.66 nat. median
$69,926
0.5× median

Other procedures at this hospital

Browse this hospital's 7,806 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
             
J1628 HCPCS Guselkumab IV Soln 200 Mg/20ml (10 Mg/ml) 86 15 $27,679.12 $22,143.30 $6,701.11 $26,184.45 $20,703.99 2026-03-04
5834 APR_DRG Neonate With Ecmo 4 2 — — $112,087.27 $182,097.58 $147,092.42 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $91,942.00 $115,092.49 $103,517.24 2026-03-04
5833 APR_DRG Neonate With Ecmo 4 2 — — $88,775.25 $109,945.81 $99,360.53 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 4 2 — — $77,875.22 $87,907.43 $82,891.32 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 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 4 2 — — $57,904.89 $79,190.61 $68,547.75 2026-03-04
5832 APR_DRG Neonate With Ecmo 4 2 — — $65,463.23 $68,993.49 $67,228.36 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $59,232.49 $74,503.48 $66,867.99 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 4 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 4 2 — — $59,963.54 $69,902.28 $64,932.91 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 2 — — $58,000.09 $71,854.05 $64,927.07 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 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 4 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 4 2 — — $55,236.46 $69,076.41 $62,156.43 2026-03-04
5831 APR_DRG Neonate With Ecmo 4 2 — — $56,571.99 $58,213.27 $57,392.63 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 4 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 4 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… 4 2 — — $42,982.01 $51,055.87 $47,018.94 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 4 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 4 2 — — $38,560.57 $49,936.95 $44,248.76 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 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 4 2 — — $36,926.56 $48,200.61 $42,563.58 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $17,963.45 $61,127.11 $39,545.28 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $37,197.45 $41,172.78 $39,185.11 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 2 — — $14,912.30 $61,127.11 $38,019.71 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 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… 4 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… 4 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 4 2 — — $30,562.83 $38,826.72 $34,694.78 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 4 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 4 2 — — $18,051.48 $48,857.66 $33,454.57 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $31,101.53 $35,057.94 $33,079.74 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 2 — — $31,878.12 $32,244.82 $32,061.47 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 2 — — $28,512.04 $33,516.50 $31,014.27 2026-03-04
4404 APR_DRG Kidney Transplant 4 2 — — $29,609.65 $31,863.23 $30,736.44 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 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 4 2 — — $25,088.07 $32,025.64 $28,556.85 2026-03-04
8634 APR_DRG Neonatal Aftercare 4 2 — — $24,595.42 $30,555.40 $27,575.41 2026-03-04
1784 APR_DRG External Heart Assist Systems 4 2 — — $25,501.96 $29,633.06 $27,567.51 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 2 — — $24,853.92 $28,664.37 $26,759.14 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 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… 4 2 — — $25,861.06 $26,017.46 $25,939.26 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $24,512.58 $27,280.85 $25,896.72 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $22,629.41 $25,287.18 $23,958.29 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 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… 4 2 — — $23,469.60 $23,990.55 $23,730.07 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 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 4 2 — — $22,277.08 $24,011.71 $23,144.40 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 2 — — $21,944.07 $24,293.55 $23,118.81 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $21,196.13 $24,591.26 $22,893.69 2026-03-04
1794 APR_DRG Defibrillator Implants 4 2 — — $21,175.48 $24,142.81 $22,659.15 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 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 4 2 — — $19,034.56 $25,377.47 $22,206.01 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 4 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 4 2 — — $20,440.53 $23,537.57 $21,989.05 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 2 — — $20,146.48 $22,750.60 $21,448.54 2026-03-04
1783 APR_DRG External Heart Assist Systems 4 2 — — $20,679.63 $21,922.45 $21,301.04 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 4 2 — — $20,114.85 $22,299.13 $21,206.99 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 4 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 4 2 — — $19,682.08 $21,926.76 $20,804.42 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 2 — — $17,889.02 $22,974.74 $20,431.88 2026-03-04
4403 APR_DRG Kidney Transplant 4 2 — — $19,710.57 $21,002.88 $20,356.72 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 2 — — $19,103.49 $21,212.18 $20,157.83 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 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 4 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 4 2 — — $18,610.30 $20,903.14 $19,756.72 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 4 2 — — $18,082.81 $21,205.76 $19,644.28 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 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 4 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 4 2 — — $18,610.30 $19,907.63 $19,258.97 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 4 2 — — $17,533.35 $20,934.12 $19,233.74 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 2 — — $18,071.49 $20,148.67 $19,110.08 2026-03-04
4414 APR_DRG Major Bladder Procedures 4 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… 4 2 — — $18,178.72 $19,887.22 $19,032.97 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 2 — — $18,097.13 $19,967.70 $19,032.42 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 2 — — $17,576.97 $20,344.75 $18,960.86 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 2 — — $17,229.31 $20,008.12 $18,618.72 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 4 2 — — $18,459.12 $18,718.30 $18,588.71 2026-03-04
1782 APR_DRG External Heart Assist Systems 4 2 — — $16,670.52 $20,424.84 $18,547.68 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 4 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 4 2 — — $16,494.35 $20,501.53 $18,497.94 2026-03-04
6904 APR_DRG Acute Leukemia 4 2 — — $17,357.85 $19,624.27 $18,491.06 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 2 — — $17,048.82 $19,030.37 $18,039.60 2026-03-04
4014 APR_DRG Adrenal Procedures 4 2 — — $17,441.10 $17,858.42 $17,649.76 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 4 2 — — $15,763.06 $19,351.88 $17,557.47 2026-03-04
4402 APR_DRG Kidney Transplant 4 2 — — $17,013.18 $18,013.32 $17,513.25 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 4 2 — — $16,017.48 $18,639.34 $17,328.41 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 2 — — $15,472.68 $18,915.14 $17,193.91 2026-03-04
1814 APR_DRG Lower Extremity Arterial Procedures 4 2 — — $15,003.13 $19,030.37 $17,016.75 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 2 — — $15,944.89 $17,763.21 $16,854.05 2026-03-04
1781 APR_DRG External Heart Assist Systems 4 2 — — $15,294.85 $18,217.33 $16,756.09 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia 4 2 — — $15,027.11 $18,469.33 $16,748.22 2026-03-04
2304 APR_DRG Major Small Bowel Procedures 4 2 — — $15,033.10 $18,234.71 $16,633.90 2026-03-04
1793 APR_DRG Defibrillator Implants 4 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… 4 2 — — $16,239.27 $16,871.97 $16,555.62 2026-03-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 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 4 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 4 2 — — $14,227.22 $18,437.97 $16,332.60 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 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 4 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… 4 2 — — $15,429.72 $16,881.79 $16,155.76 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 4 2 — — $15,387.43 $16,751.45 $16,069.44 2026-03-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 4 2 — — $13,065.67 $18,695.25 $15,880.46 2026-03-04
4401 APR_DRG Kidney Transplant 4 2 — — $15,543.27 $16,084.63 $15,813.95 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 4 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 4 2 — — $14,761.70 $16,454.88 $15,608.29 2026-03-04
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 4 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 4 2 — — $14,648.81 $16,239.90 $15,444.35 2026-03-04
1214 APR_DRG Other Respiratory And Chest Procedures 4 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 4 2 — — $14,209.23 $16,503.23 $15,356.23 2026-03-04
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 4 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 4 2 — — $15,073.06 $15,348.67 $15,210.86 2026-03-04
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 4 2 — — $13,836.26 $16,556.50 $15,196.38 2026-03-04
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 4 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 4 2 — — $13,922.18 $16,340.78 $15,131.48 2026-03-04
8633 APR_DRG Neonatal Aftercare 4 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 4 2 — — $14,205.24 $15,717.40 $14,961.32 2026-03-04
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 2 — — $12,912.49 $16,713.67 $14,813.08 2026-03-04
6504 APR_DRG Splenectomy 4 2 — — $13,495.92 $16,104.27 $14,800.10 2026-03-04
0114 APR_DRG — 2 1 — — $103,131.42 $103,131.42 $103,131.42 2026-03-04
0024 APR_DRG — 2 1 — — $93,658.59 $93,658.59 $93,658.59 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 2 1 — — $84,833.24 $84,833.24 $84,833.24 2026-03-04
0113 APR_DRG — 2 1 — — $80,494.01 $80,494.01 $80,494.01 2026-03-04
0094 APR_DRG — 2 1 — — $74,947.39 $74,947.39 $74,947.39 2026-03-04
0112 APR_DRG — 2 1 — — $68,020.43 $68,020.43 $68,020.43 2026-03-04
38240 CPT Transplt Allo Hct/donor 2 1 — — $62,099.45 $62,099.45 $62,099.45 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 1 — — $58,743.27 $58,743.27 $58,743.27 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $57,830.46 $57,830.46 $57,830.46 2026-03-04
0074 APR_DRG — 2 1 — — $57,695.77 $57,695.77 $57,695.77 2026-03-04
0044 APR_DRG — 2 1 — — $57,255.86 $57,255.86 $57,255.86 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $55,615.39 $55,615.39 $55,615.39 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $55,087.22 $55,087.22 $55,087.22 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $54,230.74 $54,230.74 $54,230.74 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $53,931.90 $53,931.90 $53,931.90 2026-03-04
0014 APR_DRG — 2 1 — — $53,099.89 $53,099.89 $53,099.89 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 2 1 — — $52,459.60 $52,459.60 $52,459.60 2026-03-04
0023 APR_DRG — 2 1 — — $50,647.26 $50,647.26 $50,647.26 2026-03-04
64 APR_DRG Pancreas Transplant 2 1 — — $47,891.95 $47,891.95 $47,891.95 2026-03-04
0093 APR_DRG — 2 1 — — $42,399.26 $42,399.26 $42,399.26 2026-03-04
0054 APR_DRG — 2 1 — — $40,728.87 $40,728.87 $40,728.87 2026-03-04
0022 APR_DRG — 2 1 — — $39,092.79 $39,092.79 $39,092.79 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 2 1 — — $38,930.81 $38,930.81 $38,930.81 2026-03-04
0043 APR_DRG — 2 1 — — $37,953.90 $37,953.90 $37,953.90 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $37,697.66 $37,697.66 $37,697.66 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $36,303.56 $36,303.56 $36,303.56 2026-03-04
0064 APR_DRG — 2 1 — — $35,808.31 $35,808.31 $35,808.31 2026-03-04
0073 APR_DRG — 2 1 — — $34,375.36 $34,375.36 $34,375.36 2026-03-04
63 APR_DRG Pancreas Transplant 2 1 — — $33,675.18 $33,675.18 $33,675.18 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
33231 CPT Insrt Pulse Gen W/mult Leads 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
33270 CPT Ins/rep Subq Defibrillator 2 1 — — $33,664.66 $33,664.66 $33,664.66 2026-03-04
69930 CPT Implant Cochlear Device 2 1 — — $33,398.21 $33,398.21 $33,398.21 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 2 1 — — $33,374.07 $33,374.07 $33,374.07 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $32,775.63 $32,775.63 $32,775.63 2026-03-04
61886 CPT Implant Neurostim Arrays 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
64568 CPT Opn Impltj Crnl Nrv Nea&pg 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
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $31,352.44 $31,352.44 $31,352.44 2026-03-04
0063 APR_DRG — 2 1 — — $30,475.47 $30,475.47 $30,475.47 2026-03-04
0021 APR_DRG — 2 1 — — $29,967.30 $29,967.30 $29,967.30 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
0013 APR_DRG — 2 1 — — $29,324.26 $29,324.26 $29,324.26 2026-03-04
62 APR_DRG Pancreas Transplant 2 1 — — $29,233.34 $29,233.34 $29,233.34 2026-03-04
C9760 HCPCS Non-blind Interatrial Shunt 2 1 — — $28,875.53 $28,875.53 $28,875.53 2026-03-04
0111 APR_DRG — 2 1 — — $28,735.49 $28,735.49 $28,735.49 2026-03-04
0053 APR_DRG — 2 1 — — $28,734.49 $28,734.49 $28,734.49 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $28,465.64 $28,465.64 $28,465.64 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $28,133.55 $28,133.55 $28,133.55 2026-03-04
8514 APR_DRG — 2 1 — — $26,802.03 $26,802.03 $26,802.03 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $26,733.41 $26,733.41 $26,733.41 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $26,277.02 $26,277.02 $26,277.02 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $25,917.35 $25,917.35 $25,917.35 2026-03-04
2994 APR_DRG — 2 1 — — $25,796.01 $25,796.01 $25,796.01 2026-03-04
0062 APR_DRG — 2 1 — — $25,770.37 $25,770.37 $25,770.37 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
93654 CPT Compre Ep Eval Tx Vt 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
72 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $25,637.40 $25,637.40 $25,637.40 2026-03-04
0072 APR_DRG — 2 1 — — $25,585.55 $25,585.55 $25,585.55 2026-03-04
0084 APR_DRG — 2 1 — — $25,070.38 $25,070.38 $25,070.38 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $24,856.86 $24,856.86 $24,856.86 2026-03-04
0042 APR_DRG — 2 1 — — $23,669.07 $23,669.07 $23,669.07 2026-03-04
0012 APR_DRG — 2 1 — — $23,660.41 $23,660.41 $23,660.41 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
33262 CPT Rmvl& Replc Pulse Gen 1 Lead 2 1 — — $23,568.50 $23,568.50 $23,568.50 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
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 1 — — $23,330.53 $23,330.53 $23,330.53 2026-03-04
0092 APR_DRG — 2 1 — — $23,266.79 $23,266.79 $23,266.79 2026-03-04
61 APR_DRG Pancreas Transplant 2 1 — — $22,978.79 $22,978.79 $22,978.79 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 2 1 — — $22,828.05 $22,828.05 $22,828.05 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 2 1 — — $22,731.33 $22,731.33 $22,731.33 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
64590 CPT Ins/rpl Prph Sac/gstr Npg/r 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
234 APR_DRG Spinal Procedures 2 1 — — $21,777.38 $21,777.38 $21,777.38 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 2 1 — — $21,478.91 $21,478.91 $21,478.91 2026-03-04
0071 APR_DRG — 2 1 — — $21,297.37 $21,297.37 $21,297.37 2026-03-04
54405 CPT Insert Multi-comp Penis Pros 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
54416 CPT Remv/repl Penis Contain 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
54401 CPT Insert Self-contd Prosthesis 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
53444 CPT Insert Tandem Cuff 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
0061 APR_DRG — 2 1 — — $20,795.52 $20,795.52 $20,795.52 2026-03-04
0914 APR_DRG — 2 1 — — $20,733.91 $20,733.91 $20,733.91 2026-03-04
2993 APR_DRG — 2 1 — — $20,224.07 $20,224.07 $20,224.07 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 1 — — $20,207.22 $20,207.22 $20,207.22 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
204 APR_DRG Open Craniotomy For Trauma 2 1 — — $19,815.82 $19,815.82 $19,815.82 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $19,568.36 $19,568.36 $19,568.36 2026-03-04
3004 APR_DRG — 2 1 — — $19,505.44 $19,505.44 $19,505.44 2026-03-04
0011 APR_DRG — 2 1 — — $19,441.83 $19,441.83 $19,441.83 2026-03-04
27702 CPT Reconstruct Ankle Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
C8003 HCPCS Imp Extar Knee Shck Absrb 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22633 CPT Arthrd Cmbn 1ntrspc Lumbar 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22856 CPT Tot Disc Arthrp 1ntrspc Crv 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22612 CPT Arthrd Pst Tq 1ntrspc Lumbar 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
22630 CPT Arthrd Pst Tq 1ntrspc Lum 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
20696 CPT App Mltpln Uni Xtrnl Fix 1st 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25442 CPT Arthrp W/prostc Dstl Ulna 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
21243 CPT Reconstruction Of Jaw Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23472 CPT Reconstruct Shoulder Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
23616 CPT Optx Prx Hmrl Fx Fix Rpr Rpl 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
25446 CPT Arthrp W/prostc Dst Rds&crps 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24371 CPT Revise Reconst Elbow Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
27279 CPT Arthrd Si Jt Plmt Tartclr Dv 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24361 CPT Reconstruct Elbow Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
24363 CPT Replace Elbow Joint 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
28705 CPT Arthrodesis Pantalar 2 1 — — $19,309.55 $19,309.55 $19,309.55 2026-03-04
0052 APR_DRG — 2 1 — — $19,242.36 $19,242.36 $19,242.36 2026-03-04
0214 APR_DRG — 2 1 — — $19,114.81 $19,114.81 $19,114.81 2026-03-04
274 APR_DRG Other Open Craniotomy 2 1 — — $18,932.51 $18,932.51 $18,932.51 2026-03-04
C9766 HCPCS Revasc Intra Lithotrip-ather 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9765 HCPCS Revasc Intra Lithotrip-stent 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9606 HCPCS Perc D-e Cor Revasc W Ami S 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9602 HCPCS Perc D-e Cor Stent Ather S 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9607 HCPCS Perc D-e Cor Revasc Chro Sin 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9767 HCPCS Revasc Lithotrip-stent-ather 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93582 CPT Perq Transcath Closure Pda 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93590 CPT Perq Transcath Cls Mitral 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93591 CPT Perq Transcath Cls Aortic 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
92933 CPT Prq Trlml C Athrc St Angiop1 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9773 HCPCS Revasc Lithotr-stent Tib/per 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93580 CPT Transcath Closure Of Asd 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9775 HCPCS Revasc Lith-sten-ath Tib/per 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
C9774 HCPCS Revasc Lithotr-ather Tib/per 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37242 CPT Vasc Embolize/occlude Artery 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37230 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37231 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37225 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37227 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36906 CPT Thrmbc/nfs Dialysis Circuit 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36836 CPT Prq Av Fstl Crtj Uxtr 1 Acs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
36837 CPT Prq Av Fstl Crt Uxtr Sep Acs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37184 CPT Prim Art M-thrmbc 1st Vsl 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
37229 CPT Outpatient Services - Cpt/hcpcs 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
93581 CPT Transcath Closure Of Vsd 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
33902 CPT Perq P-art Revsc 1 Abnor Uni 2 1 — — $18,854.56 $18,854.56 $18,854.56 2026-03-04
0091 APR_DRG — 2 1 — — $18,824.76 $18,824.76 $18,824.76 2026-03-04
62360 CPT Insert Spine Infusion Device 2 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62361 CPT Implant Spine Infusion Pump 2 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
62362 CPT Implant Spine Infusion Pump 2 1 — — $18,557.83 $18,557.83 $18,557.83 2026-03-04
0234 APR_DRG — 2 1 — — $18,443.13 $18,443.13 $18,443.13 2026-03-04
C9758 HCPCS Blind Interatrial Shunt Ide 2 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
C8005 HCPCS Pef Bronch Ablt 3d Nav Ebus 2 1 — — $18,375.53 $18,375.53 $18,375.53 2026-03-04
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 2 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… 2 1 — — $18,227.91 $18,227.91 $18,227.91 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $18,129.68 $18,129.68 $18,129.68 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 1 — — $17,982.71 $17,982.71 $17,982.71 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $17,715.23 $17,715.23 $17,715.23 2026-03-04
0894 APR_DRG — 2 1 — — $17,649.90 $17,649.90 $17,649.90 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 1 — — $17,307.20 $17,307.20 $17,307.20 2026-03-04
66683 CPT Implantation Iris Prosthesis 2 1 — — $17,237.25 $17,237.25 $17,237.25 2026-03-04
0204 APR_DRG — 2 1 — — $16,936.26 $16,936.26 $16,936.26 2026-03-04
0041 APR_DRG — 2 1 — — $16,769.42 $16,769.42 $16,769.42 2026-03-04
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 1 — — $16,758.63 $16,758.63 $16,758.63 2026-03-04
5204 APR_DRG — 2 1 — — $16,549.63 $16,549.63 $16,549.63 2026-03-04
264 APR_DRG Other Nervous System And Related Procedures 2 1 — — $16,512.68 $16,512.68 $16,512.68 2026-03-04
0083 APR_DRG — 2 1 — — $16,444.07 $16,444.07 $16,444.07 2026-03-04
224 APR_DRG Ventricular Shunt Procedures 2 1 — — $16,413.69 $16,413.69 $16,413.69 2026-03-04
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 1 — — $16,249.73 $16,249.73 $16,249.73 2026-03-04
67027 CPT Implant Eye Drug System 2 1 — — $16,133.07 $16,133.07 $16,133.07 2026-03-04
4854 APR_DRG — 2 1 — — $15,968.86 $15,968.86 $15,968.86 2026-03-04
294 APR_DRG Other Percutaneous Intracranial Procedures 2 1 — — $15,349.04 $15,349.04 $15,349.04 2026-03-04
2992 APR_DRG — 2 1 — — $15,152.32 $15,152.32 $15,152.32 2026-03-04
0924 APR_DRG — 2 1 — — $15,087.38 $15,087.38 $15,087.38 2026-03-04
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $15,078.16 $15,078.16 $15,078.16 2026-03-04
0274 APR_DRG — 2 1 — — $15,016.12 $15,016.12 $15,016.12 2026-03-04
65770 CPT Keratoprosthesis 2 1 — — $15,003.78 $15,003.78 $15,003.78 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 1 — — $14,878.68 $14,878.68 $14,878.68 2026-03-04
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 1 — — $14,822.01 $14,822.01 $14,822.01 2026-03-04
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