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

ESSENTIA HEALTH DEER RIVER

Deer River, MN · CCN 241360 · Rates published

15,638 distinct procedures filed
21 distinct payers
205,166 rate rows
2026-01-01 last MRF observed
Data quality

197,113 of 205,166 rate rows are consumer-grade (96.1%)

8,053 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 7,720
placeholder amount (≤ $0.02) — excluded from medians 170
percent-of-charges filed in the dollar field — excluded from medians 163
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/410844574_Essentia-Deer-River_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 f8fea537c6d554ec… · 358,041,726 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 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
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 1 $3,321,781.51 $3,321,781.51 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj- Lovotibeglogene Autotem 1 $3,193,000.00 $3,193,000.00 $3,193,000.00 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj- Betibeglogene Autotemce 1 $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 1 $2,403,458.75 $2,403,458.75 $2,403,458.75 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
Q2042
CPT 		Tisagenlecleucel Car-pos T 1 $565,623.84 $565,623.84 $565,623.84 nat. median
$754,974
0.7× median
Q2056
CPT 		Ciltacabtagene Car-pos T 1 $551,318.34 $551,318.34 $551,318.34 nat. median
$675,122
0.8× median
Q2055
CPT 		Idecabtagene Vicleucel Car 1 $528,312.43 $528,312.43 $528,312.43 nat. median
$625,184
0.8× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 1 $516,485.97 $516,485.97 $516,485.97 nat. median
$674,188
0.8× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 1 $489,517.15 $489,517.15 $489,517.15 nat. median
$634,511
0.8× median
Q2053
CPT 		Brexucabtagene Car Pos T 1 $488,051.51 $488,051.51 $488,051.51 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate W Ecmo 3 $331,968.24 $713,478.15 $458,794.18 nat. median
$309,665
1.5× median
24
APR_DRG 		Heart Or Lung Transplant 3 $251,250.14 $528,929.10 $340,125.35 nat. median
$234,738
1.4× median
5891
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 3 $53,202.24 $474,660.90 $305,279.55 nat. median
$93,260
outlier · 3.3×
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 3 $272,304.12 $461,534.31 $296,799.97 nat. median
$246,434
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $183,603.51 $455,518.35 $292,983.85 nat. median
$160,267
1.8× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 3 $171,496.58 $433,402.20 $278,712.57 nat. median
$164,279
1.7× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 3 $177,593.68 $426,711.60 $274,356.24 nat. median
$151,838
1.8× median
5833
APR_DRG 		Neonate W Ecmo 3 $262,925.16 $417,047.40 $268,208.39 nat. median
$244,017
1.1× median
5892
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 3 $44,165.68 $379,691.55 $244,224.12 nat. median
$89,790
outlier · 2.7×
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $220,472.91 $342,893.25 $240,413.93 nat. median
$207,730
1.2× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 3 $170,402.25 $370,770.75 $238,412.11 nat. median
$162,982
1.5× median
5933
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 3 $114,204.61 $331,742.25 $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 3 $127,299.57 $323,379.00 $207,984.78 nat. median
$118,620
1.8× median
5893
APR_DRG 		Neonate Bwt 500g Or Ga 24 Weeks 3 $35,130.24 $322,449.75 $207,337.01 nat. median
$69,788
outlier · 3.0×
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 3 $175,428.53 $318,745.76 $204,976.59 nat. median
$182,736
1.1× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $172,163.75 $267,809.85 $185,811.32 nat. median
$119,796
1.6× median
5832
APR_DRG 		Neonate W Ecmo 3 $173,141.38 $269,296.65 $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 3 $97,777.45 $281,005.20 $180,746.12 nat. median
$95,507
1.9× median
5932
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 3 $90,517.77 $263,349.45 $169,402.95 nat. median
$86,258
2.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 3 $166,147.36 $258,364.95 $168,962.95 nat. median
$145,336
1.2× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 3 $107,520.06 $259,818.30 $167,129.78 nat. median
$68,217
outlier · 2.4×
6114
APR_DRG 		Neonate Birthwt 15001999g W Major Anomaly 3 $74,303.21 $255,729.60 $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 3 $100,378.99 $254,986.20 $164,002.07 nat. median
$86,492
1.9× median
6034
APR_DRG 		Neonate Birthwt 10001249g W Or Wo Other Significant Condition 3 $142,755.48 $252,570.15 $162,370.69 nat. median
$109,499
1.5× median
23
APR_DRG 		Heart Or Lung Transplant 3 $155,369.29 $252,384.30 $162,247.59 nat. median
$93,528
1.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $156,175.03 $242,905.95 $160,445.41 nat. median
$187,294
0.9× median
6214
APR_DRG 		Neonate Bwt 20002499g W Major Anomaly 3 $58,292.30 $247,738.05 $159,333.81 nat. median
$69,159
outlier · 2.3×
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 $151,818.71 $236,029.50 $157,485.11 nat. median
$105,658
1.5× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 3 $150,542.29 $234,171.00 $157,067.90 nat. median
$122,924
1.3× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 3 $150,578.14 $234,171.00 $155,596.52 nat. median
$129,535
1.2× median
5831
APR_DRG 		Neonate W Ecmo 3 $141,661.13 $220,232.25 $154,605.04 nat. median
$145,122
1.1× median
5931
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 3 $1,676.17 $239,560.65 $154,003.44 nat. median
$29,713
outlier · 5.2×
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 3 $145,679.22 $226,551.15 $152,704.51 nat. median
$164,834
0.9× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $138,232.24 $215,028.45 $149,190.27 nat. median
$85,406
1.7× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 3 $116,053.85 $197,648.44 $148,257.10 nat. median
$150,721
1.0× median
5913
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 3 $100,470.74 $225,807.75 $145,216.70 nat. median
$102,636
1.4× median
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $131,320.69 $204,249.15 $141,730.36 nat. median
$76,806
1.8× median

Other procedures at this hospital

Browse this hospital's 15,638 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
0266T CPT Implt/rpl Crtd Sns Dev Total 1 1 — — $45,000.50 $45,000.50 $45,000.50 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 4 3 — — $69,097.90 $107,978.85 $69,392.80 2026-01-01
112 APR_DRG OB 3 3 — — $44,342.46 $44,656.90 $44,342.46 2026-01-01
113 APR_DRG Pediatric 3 3 — — $83,713.09 $84,306.53 $83,713.09 2026-01-01
114 APR_DRG Psychiatric 3 3 — — $134,904.95 $171,276.15 $134,904.95 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 4 3 — — $77,824.51 $121,545.90 $78,156.83 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 4 3 — — $58,417.62 $98,686.35 $63,474.42 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 4 3 — — $47,764.19 $83,074.95 $53,453.08 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 4 3 — — $92,856.35 $194,956.65 $125,407.09 2026-01-01
1301 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 3 — — $34,955.69 $56,498.40 $36,374.39 2026-01-01
1302 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 3 — — $34,963.52 $56,498.40 $36,382.76 2026-01-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 3 — — $42,798.34 $84,561.75 $54,425.94 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 3 — — $55,437.88 $120,244.95 $77,272.42 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 4 3 — — $150,578.14 $234,171.00 $155,596.52 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $40,798.84 $63,374.85 $49,968.53 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $100,816.88 $156,857.40 $105,492.18 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $131,320.69 $204,249.15 $141,730.36 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $138,232.24 $215,028.45 $149,190.27 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $172,163.75 $267,809.85 $185,811.32 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $220,472.91 $342,893.25 $240,413.93 2026-01-01
1621 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 4 3 — — $31,130.07 $48,321.00 $39,613.85 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 4 3 — — $36,479.56 $56,684.25 $46,420.85 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 4 3 — — $47,943.44 $74,525.85 $59,529.40 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 4 3 — — $80,462.28 $125,077.05 $92,146.60 2026-01-01
1631 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 4 3 — — $30,286.30 $47,020.05 $36,176.99 2026-01-01
1632 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 4 3 — — $32,802.09 $50,922.90 $39,676.11 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 4 3 — — $41,511.15 $64,489.95 $50,165.24 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 4 3 — — $69,830.22 $108,536.40 $79,091.98 2026-01-01
1652 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 4 3 — — $37,799.01 $58,728.60 $43,715.35 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 4 3 — — $45,725.24 $71,180.55 $52,699.71 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 4 3 — — $68,075.74 $105,934.50 $74,436.64 2026-01-01
1663 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 4 3 — — $36,630.15 $56,870.10 $43,121.42 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 4 3 — — $54,985.27 $85,491.00 $63,908.54 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 4 3 — — $33,823.94 $52,595.55 $41,662.37 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 4 3 — — $71,539.29 $111,324.15 $75,507.12 2026-01-01
1693 APR_DRG Major Thoracic Abdominal Vascular Procedures 4 3 — — $36,317.02 $56,498.40 $39,109.54 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 4 3 — — $68,168.06 $130,466.70 $83,849.33 2026-01-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 4 3 — — $48,022.32 $74,711.70 $48,044.87 2026-01-01
1714 APR_DRG Perm Cardiac Pacemaker Implant Wo Ami Heart Failure Or Shock 4 3 — — $36,168.82 $56,312.55 $37,277.59 2026-01-01
1744 APR_DRG Percutaneous Coronary Intervention W Ami 4 3 — — $34,122.73 $53,153.10 $37,410.96 2026-01-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami 4 3 — — $39,443.54 $61,330.50 $42,207.43 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 4 3 — — $54,050.66 $84,004.20 $54,710.15 2026-01-01
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 4 3 — — $34,877.36 $64,861.65 $41,734.64 2026-01-01
1781 APR_DRG External Heart Assist Systems 4 3 — — $53,954.17 $95,526.90 $61,485.69 2026-01-01
1782 APR_DRG External Heart Assist Systems 4 3 — — $60,492.13 $99,615.60 $64,052.87 2026-01-01
1783 APR_DRG External Heart Assist Systems 4 3 — — $64,927.61 $101,288.25 $65,191.85 2026-01-01
1784 APR_DRG External Heart Assist Systems 4 3 — — $87,764.06 $154,255.50 $99,190.28 2026-01-01
1791 APR_DRG Defibrillator Implants 4 3 — — $34,821.89 $54,082.35 $36,153.19 2026-01-01
1792 APR_DRG Defibrillator Implants 4 3 — — $39,462.66 $61,330.50 $40,971.05 2026-01-01
1793 APR_DRG Defibrillator Implants 4 3 — — $50,111.44 $77,871.15 $51,124.23 2026-01-01
1794 APR_DRG Defibrillator Implants 4 3 — — $66,602.12 $103,518.45 $69,052.87 2026-01-01
1804 APR_DRG Other Circulatory System Procedures 4 3 — — $40,560.46 $71,366.40 $45,881.81 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 4 3 — — $56,362.13 $90,137.25 $58,013.78 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 4 3 — — $47,885.04 $89,208.00 $57,377.96 2026-01-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $33,710.40 $52,409.70 $38,817.19 2026-01-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $34,189.66 $53,153.10 $39,686.23 2026-01-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $37,625.71 $58,542.75 $45,117.46 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 3 — — $53,487.74 $83,260.80 $64,190.32 2026-01-01
2004 APR_DRG Cardiac Structural & Valvular Disorders 4 3 — — $15,680.83 $74,154.15 $47,696.05 2026-01-01
203 APR_DRG Craniotomy For Trauma 4 3 — — $34,787.23 $54,082.35 $36,163.84 2026-01-01
204 APR_DRG Craniotomy For Trauma 4 3 — — $58,688.40 $98,314.65 $63,219.85 2026-01-01
21 APR_DRG Heart Or Lung Transplant 4 3 — — $98,843.80 $160,574.40 $103,220.32 2026-01-01
213 APR_DRG Craniotomy Except For Trauma 4 3 — — $33,249.07 $51,666.30 $37,011.06 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 4 3 — — $63,462.47 $98,686.35 $63,538.23 2026-01-01
22 APR_DRG Heart Or Lung Transplant 4 3 — — $115,301.17 $187,150.95 $120,405.39 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 4 3 — — $60,254.92 $120,059.10 $77,231.79 2026-01-01
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 4 3 — — $44,260.79 $110,580.75 $71,054.06 2026-01-01
2234 APR_DRG Other Small & Large Bowel Procedures 4 3 — — $29,820.19 $46,462.50 $36,180.03 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 4 3 — — $48,612.35 $81,030.60 $52,091.81 2026-01-01
224 EAPG Level Ii Neurostimulator And Related Device Implantation 2 1 — — $32,095.20 $41,830.57 $36,962.89 2026-01-01
2244 APR_DRG Peritoneal Adhesiolysis 4 3 — — $37,857.57 $58,914.45 $39,585.54 2026-01-01
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 4 3 — — $33,414.00 $52,038.00 $37,527.12 2026-01-01
2294 APR_DRG Other Digestive System & Abdominal Procedures 4 3 — — $38,746.76 $60,215.40 $41,493.15 2026-01-01
23 APR_DRG Heart Or Lung Transplant 4 3 — — $155,369.29 $252,384.30 $162,247.59 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 4 3 — — $45,428.85 $70,623.00 $49,717.24 2026-01-01
2314 APR_DRG Major Large Bowel Procedures 4 3 — — $38,890.18 $60,401.25 $43,204.10 2026-01-01
2324 APR_DRG Gastric Fundoplication 4 3 — — $44,365.97 $70,251.30 $45,193.40 2026-01-01
233 APR_DRG Spinal Procedures 4 3 — — $36,694.69 $57,055.95 $38,163.77 2026-01-01
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 4 3 — — $31,343.75 $56,312.55 $36,164.04 2026-01-01
234 APR_DRG Spinal Procedures 4 3 — — $64,497.94 $115,970.40 $74,602.46 2026-01-01
24 APR_DRG Heart Or Lung Transplant 4 3 — — $251,250.14 $528,929.10 $340,125.35 2026-01-01
244 APR_DRG Extracranial Vascular Procedures 4 3 — — $38,512.51 $59,843.70 $40,525.07 2026-01-01
250 EAPG Cochlear Device Implantation 2 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 3 — — $57,020.61 $88,650.45 $59,912.79 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 4 3 — — $55,204.02 $102,217.50 $65,686.64 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 4 3 — — $45,652.34 $70,994.70 $47,278.93 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 4 3 — — $48,609.14 $75,640.95 $48,822.22 2026-01-01
274 APR_DRG Other Open Craniotomy 4 3 — — $56,072.32 $90,137.25 $57,949.24 2026-01-01
294 APR_DRG Other Percutaneous Intracranial Procedures 4 3 — — $42,513.88 $66,162.60 $43,986.53 2026-01-01
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $32,239.17 $50,179.50 $38,851.97 2026-01-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $38,042.82 $59,100.30 $46,325.22 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $49,019.08 $76,198.50 $62,089.70 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $85,273.95 $132,696.90 $92,269.79 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 4 3 — — $44,787.05 $69,693.75 $47,210.50 2026-01-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 3 — — $41,721.49 $64,861.65 $46,605.88 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 3 — — $53,729.16 $83,632.50 $64,960.01 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 3 — — $43,016.53 $78,986.25 $50,798.66 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
3094 APR_DRG Other Significant Hip & Femur Surgery 4 3 — — $45,098.88 $85,119.30 $54,729.50 2026-01-01
3104 APR_DRG Intervertebral Disc Excision & Decompression 4 3 — — $39,377.74 $66,720.15 $42,917.84 2026-01-01
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 3 — — $33,371.27 $57,799.35 $37,127.33 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 3 — — $64,444.88 $100,173.15 $66,061.43 2026-01-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 4 3 — — $42,833.02 $74,525.85 $47,972.13 2026-01-01
3164 APR_DRG Hand & Wrist Procedures 4 3 — — $33,684.57 $57,241.80 $36,767.59 2026-01-01
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 4 3 — — $37,746.32 $90,137.25 $57,955.21 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 4 3 — — $49,998.72 $80,658.90 $51,859.95 2026-01-01
3224 APR_DRG Shoulder & Elbow Joint Replacement 4 3 — — $37,895.14 $66,348.45 $42,611.88 2026-01-01
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 4 3 — — $35,249.75 $54,825.75 $36,727.98 2026-01-01
3244 APR_DRG Elective Hip Joint Replacement 4 3 — — $35,076.46 $54,454.05 $36,659.24 2026-01-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 4 3 — — $44,527.70 $69,322.05 $46,620.38 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 1 1 — — $45,000.50 $45,000.50 $45,000.50 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 4 3 — — $57,314.34 $92,181.60 $59,237.61 2026-01-01
3624 APR_DRG Mastectomy Procedures 4 3 — — $42,093.40 $68,392.80 $44,032.91 2026-01-01
3634 APR_DRG Breast Procedures Except Mastectomy 4 3 — — $34,018.01 $56,870.10 $36,528.56 2026-01-01
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 4 3 — — $32,354.15 $74,340.00 $47,771.34 2026-01-01
38240 CPT Transplt Allo Hct/donor 1 1 — — $59,142.33 $59,142.33 $59,142.33 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 4 3 — — $49,825.80 $77,499.45 $51,358.49 2026-01-01
4034 APR_DRG Procedures For Obesity 4 3 — — $41,874.09 $66,906.00 $42,979.98 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 4 3 — — $51,977.00 $81,030.60 $52,071.49 2026-01-01
4053 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 4 3 — — $24,442.13 $56,870.10 $36,593.10 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 4 3 — — $48,503.81 $80,287.20 $51,583.87 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $51,258.64 $84,190.05 $54,151.05 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $76,759.28 $126,192.15 $81,092.12 2026-01-01
424 APR_DRG Degenerative Nervous System Disorders Exc Mult Sclerosis 4 3 — — $21,874.16 $59,657.85 $38,312.92 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $111,648.95 $182,318.85 $117,223.90 2026-01-01
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 4 3 — — $33,471.97 $58,356.90 $37,524.12 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $151,818.71 $236,029.50 $157,485.11 2026-01-01
4401 APR_DRG Kidney Transplant 4 3 — — $47,637.75 $82,145.70 $52,798.14 2026-01-01
4402 APR_DRG Kidney Transplant 4 3 — — $53,349.94 $102,403.35 $65,891.01 2026-01-01
4403 APR_DRG Kidney Transplant 4 3 — — $62,204.11 $119,501.55 $76,826.63 2026-01-01
4404 APR_DRG Kidney Transplant 4 3 — — $94,369.16 $147,564.90 $94,905.67 2026-01-01
4414 APR_DRG Major Bladder Procedures 4 3 — — $60,644.30 $94,225.95 $62,123.54 2026-01-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 4 3 — — $43,242.92 $67,277.70 $44,048.38 2026-01-01
4444 APR_DRG Renal Dialysis Access Device Procedure Only 4 3 — — $37,772.06 $78,428.70 $50,438.92 2026-01-01
4464 APR_DRG Urethral & Transurethral Procedures 4 3 — — $28,700.81 $58,542.75 $37,589.86 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 4 3 — — $46,971.98 $100,916.55 $64,927.72 2026-01-01
4804 APR_DRG Major Male Pelvic Procedures 4 3 — — $40,164.35 $68,206.95 $43,876.35 2026-01-01
4824 APR_DRG Transurethral Prostatectomy 4 3 — — $29,073.42 $62,445.60 $40,168.99 2026-01-01
4834 APR_DRG Testes & Scrotal Procedures 4 3 — — $35,858.09 $55,755.00 $36,254.49 2026-01-01
4844 APR_DRG Other Male Reproductive System & Related Procedures 4 3 — — $40,737.25 $67,649.40 $43,486.73 2026-01-01
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 4 3 — — $36,961.21 $57,427.65 $37,291.10 2026-01-01
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $48,126.73 $94,040.10 $60,451.88 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 4 3 — — $53,985.50 $84,004.20 $53,996.88 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 4 3 — — $44,911.35 $69,879.60 $46,822.83 2026-01-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 4 3 — — $41,392.83 $64,304.10 $42,333.92 2026-01-01
5144 APR_DRG Female Reproductive System Reconstructive Procedures 4 3 — — $41,541.77 $65,605.05 $42,238.99 2026-01-01
5184 APR_DRG Other Female Reproductive System & Related Procedures 4 3 — — $39,858.88 $68,392.80 $43,965.98 2026-01-01
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 4 3 — — $38,950.30 $65,976.75 $42,472.05 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $57,955.50 $113,182.65 $72,797.78 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $79,176.19 $160,574.40 $103,256.18 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $107,520.06 $259,818.30 $167,129.78 2026-01-01
5831 APR_DRG Neonate W Ecmo 4 3 — — $141,661.13 $220,232.25 $154,605.04 2026-01-01
5832 APR_DRG Neonate W Ecmo 4 3 — — $173,141.38 $269,296.65 $183,511.73 2026-01-01
5833 APR_DRG Neonate W Ecmo 4 3 — — $262,925.16 $417,047.40 $268,208.39 2026-01-01
5834 APR_DRG Neonate W Ecmo 4 3 — — $331,968.24 $713,478.15 $458,794.18 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 4 3 — — $109,364.59 $170,065.76 $111,217.85 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 4 3 — — $166,147.36 $258,364.95 $168,962.95 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 4 3 — — $175,428.53 $318,745.76 $204,976.59 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 4 3 — — $272,304.12 $461,534.31 $296,799.97 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 4 3 — — $53,202.24 $474,660.90 $305,279.55 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 4 3 — — $44,165.68 $379,691.55 $244,224.12 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 4 3 — — $35,130.24 $322,449.75 $207,337.01 2026-01-01
5894 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 4 3 — — $745.21 $119,687.40 $77,014.27 2026-01-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 4 3 — — $1,452.38 $157,786.65 $101,499.31 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 4 3 — — $53,462.95 $173,583.90 $111,648.52 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 4 3 — — $100,470.74 $225,807.75 $145,216.70 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 4 3 — — $171,496.58 $433,402.20 $278,712.57 2026-01-01
5931 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 4 3 — — $1,676.17 $239,560.65 $154,003.44 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 4 3 — — $90,517.77 $263,349.45 $169,402.95 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 4 3 — — $114,204.61 $331,742.25 $213,293.64 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 4 3 — — $177,593.68 $426,711.60 $274,356.24 2026-01-01
6021 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $15,060.93 $97,013.70 $62,396.39 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $76,592.56 $147,007.35 $94,563.85 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $100,378.99 $254,986.20 $164,002.07 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $127,299.57 $323,379.00 $207,984.78 2026-01-01
6032 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 4 3 — — $34,275.37 $73,410.75 $47,212.01 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 4 3 — — $69,469.39 $122,846.85 $79,013.76 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 4 3 — — $142,755.48 $252,570.15 $162,370.69 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $58,899.88 $114,297.75 $73,453.92 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $76,065.54 $196,629.30 $126,481.53 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 4 3 — — $97,777.45 $281,005.20 $180,746.12 2026-01-01
6082 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 4 3 — — $43,525.65 $86,977.80 $55,944.97 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 4 3 — — $58,960.31 $119,129.85 $76,563.70 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 4 3 — — $61,908.71 $129,351.60 $83,143.00 2026-01-01
6092 APR_DRG Neonate Bwt 15002499g W Major Procedure 4 3 — — $40,324.36 $65,419.20 $42,056.13 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 4 3 — — $84,895.10 $144,219.60 $92,697.03 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 4 3 — — $170,402.25 $370,770.75 $238,412.11 2026-01-01
61 APR_DRG Pancreas Transplant 4 3 — — $68,056.17 $106,120.35 $68,274.14 2026-01-01
6112 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 4 3 — — $27,720.62 $64,304.10 $41,366.53 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 4 3 — — $48,396.39 $189,009.45 $121,524.05 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 4 3 — — $74,303.21 $255,729.60 $164,476.54 2026-01-01
6122 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 4 3 — — $38,696.30 $88,650.45 $56,987.14 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 4 3 — — $49,969.62 $110,766.60 $71,276.36 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 4 3 — — $71,052.69 $160,388.55 $103,178.49 2026-01-01
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 4 3 — — $45,458.06 $75,455.10 $48,557.75 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 4 3 — — $69,711.08 $115,784.55 $74,463.82 2026-01-01
6142 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 4 3 — — $23,611.87 $57,985.20 $37,283.90 2026-01-01
6143 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 4 3 — — $42,976.25 $76,570.20 $49,233.01 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 4 3 — — $56,020.85 $99,801.45 $64,177.16 2026-01-01
62 APR_DRG Pancreas Transplant 4 3 — — $86,580.22 $135,112.95 $86,858.72 2026-01-01
6212 APR_DRG Neonate Bwt 20002499g W Major Anomaly 4 3 — — $14,388.45 $70,808.85 $45,520.87 2026-01-01
6213 APR_DRG Neonate Bwt 20002499g W Major Anomaly 4 3 — — $34,217.19 $99,058.05 $63,715.84 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 4 3 — — $58,292.30 $247,738.05 $159,333.81 2026-01-01
6223 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 4 3 — — $26,795.26 $68,392.80 $44,022.16 2026-01-01
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 4 3 — — $46,009.69 $102,403.35 $65,826.47 2026-01-01
6233 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 4 3 — — $34,820.29 $65,976.75 $42,440.97 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 4 3 — — $42,225.44 $80,101.35 $51,466.74 2026-01-01
6253 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 4 3 — — $27,723.98 $62,259.75 $40,079.36 2026-01-01
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 4 3 — — $38,899.95 $66,906.00 $43,039.74 2026-01-01
6264 APR_DRG Neonate Bwt 20002499g Normal Newborn Or Neonate W Other Problem 4 3 — — $25,965.00 $58,542.75 $37,672.32 2026-01-01
63 APR_DRG Pancreas Transplant 4 3 — — $99,735.60 $155,556.45 $100,055.57 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 3 — — $48,261.35 $75,083.40 $54,425.97 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 3 — — $86,006.58 $133,812.00 $90,752.93 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 4 3 — — $116,053.85 $197,648.44 $148,257.10 2026-01-01
6312 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 4 3 — — $35,902.31 $55,755.00 $37,215.94 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 4 3 — — $43,131.77 $67,091.85 $52,977.89 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 4 3 — — $150,542.29 $234,171.00 $157,067.90 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 4 3 — — $52,981.81 $131,767.65 $84,687.13 2026-01-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 4 3 — — $40,606.33 $72,667.35 $46,705.27 2026-01-01
6364 APR_DRG Neonate Birthwt 2499g W Congenitalperinatal Infection 4 3 — — $33,616.31 $63,560.70 $40,845.45 2026-01-01
6394 APR_DRG Neonate Birthwt 2499g W Other Significant Condition 4 3 — — $24,852.78 $60,772.95 $39,111.28 2026-01-01
64 APR_DRG Pancreas Transplant 4 3 — — $141,616.91 $220,232.25 $141,729.11 2026-01-01
6504 APR_DRG Splenectomy 4 3 — — $47,695.94 $81,030.60 $52,119.30 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 4 3 — — $52,556.61 $89,208.00 $57,317.00 2026-01-01
6614 APR_DRG Coagulation & Platelet Disorders 4 3 — — $24,933.34 $86,791.95 $55,868.48 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 4 3 — — $61,012.41 $94,969.35 $66,109.76 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 4 3 — — $60,719.28 $99,243.90 $63,810.25 2026-01-01
6903 APR_DRG Acute Leukemia 4 3 — — $33,381.34 $72,109.80 $46,331.18 2026-01-01
6904 APR_DRG Acute Leukemia 4 3 — — $58,121.10 $110,023.20 $70,810.25 2026-01-01
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 4 3 — — $34,154.52 $75,455.10 $48,542.21 2026-01-01
6924 APR_DRG Radiotherapy 4 3 — — $36,269.32 $59,286.15 $38,119.31 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 4 3 — — $54,697.23 $85,119.30 $54,698.87 2026-01-01
6964 APR_DRG Other Chemotherapy 4 3 — — $26,626.30 $57,427.65 $36,987.50 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $67,609.71 $116,899.65 $75,149.84 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 4 3 — — $48,877.54 $88,836.30 $57,087.53 2026-01-01
7114 APR_DRG Postop Posttrauma Other Device Infections W Or Procedure 4 3 — — $46,107.04 $73,782.45 $47,476.14 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $75,930.15 $131,953.50 $84,864.02 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $97,071.40 $168,751.80 $108,492.13 2026-01-01
734 APR_DRG Orbit And Eye Procedures 4 3 — — $37,860.45 $63,932.40 $41,156.19 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 4 3 — — $156,175.03 $242,905.95 $160,445.41 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 4 3 — — $62,000.47 $100,173.15 $64,467.59 2026-01-01
7504 APR_DRG Schizophrenia 4 3 — — $27,226.05 $78,614.55 $50,576.36 2026-01-01
7524 APR_DRG Disorders Of Personality & Impulse Control 4 3 — — $40,657.80 $68,764.50 $44,262.38 2026-01-01
7574 APR_DRG Organic Mental Health Disturbances 4 3 — — $23,305.28 $57,241.80 $36,830.94 2026-01-01
7594 APR_DRG Eating Disorders 4 3 — — $43,608.63 $67,835.25 $50,812.83 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 4 3 — — $53,000.83 $85,676.85 $55,061.76 2026-01-01
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 4 3 — — $40,644.66 $63,189.00 $41,188.89 2026-01-01
7944 APR_DRG Nonextensive Or Procedures For Other Complications Of Treatment 4 3 — — $31,118.84 $56,126.70 $36,147.31 2026-01-01
8154 APR_DRG Other Injury, Poisoning & Toxic Effect Diagnoses 4 3 — — $20,568.36 $70,808.85 $45,537.61 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 4 3 — — $52,076.27 $81,030.60 $52,271.68 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 4 3 — — $83,322.99 $144,219.60 $92,699.42 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $67,380.33 $146,078.10 $93,934.01 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $183,603.51 $455,518.35 $292,983.85 2026-01-01
8423 APR_DRG Full Thickness Burns W Skin Graft 4 3 — — $38,265.51 $74,154.15 $47,733.10 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 4 3 — — $79,754.75 $123,961.95 $86,271.43 2026-01-01
8444 APR_DRG Partial Thickness Burns Wo Skin Graft 4 3 — — $25,482.74 $55,940.85 $35,933.38 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 3 — — $64,663.54 $103,332.60 $66,498.15 2026-01-01
8633 APR_DRG Neonatal Aftercare 4 3 — — $46,739.24 $77,127.75 $49,541.36 2026-01-01
8634 APR_DRG Neonatal Aftercare 4 3 — — $72,844.11 $121,545.90 $78,198.66 2026-01-01
893 APR_DRG Major CranialFacial Bone Procedures 4 3 — — $38,648.76 $60,029.55 $40,105.90 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 4 3 — — $59,847.62 $93,482.55 $60,067.04 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 4 3 — — $44,066.10 $71,552.25 $46,016.86 2026-01-01
9102 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $35,081.24 $54,639.90 $36,580.50 2026-01-01
9103 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $40,522.76 $63,003.15 $41,696.92 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $71,283.53 $110,766.60 $71,616.80 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 4 3 — — $67,974.49 $107,978.85 $69,438.22 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 3 — — $61,290.88 $95,341.05 $63,667.04 2026-01-01
913 APR_DRG Other Major Head & Neck Procedures 4 3 — — $32,863.04 $51,108.75 $37,916.85 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 4 3 — — $67,002.50 $104,261.85 $67,162.88 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 4 3 — — $53,694.57 $87,163.65 $56,070.46 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 4 3 — — $53,259.31 $83,818.35 $53,895.29 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 4 3 — — $73,618.42 $119,501.55 $76,875.63 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 4 3 — — $145,679.22 $226,551.15 $152,704.51 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 3 — — $59,257.94 $107,793.00 $69,321.09 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 4 3 — — $44,043.72 $78,057.00 $50,245.30 2026-01-01
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 4 3 — — $37,867.17 $75,640.95 $48,600.77 2026-01-01
97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 2 1 — — $34,226.79 $44,608.74 $39,417.76 2026-01-01
A9543 CPT Y90 Ibritumomab- Rx 1 1 — — $56,824.55 $56,824.55 $56,824.55 2026-01-01
J1411 CPT Inj- Hemgenix- Per Tx Dose 1 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-01-01
J1413 CPT Inj Delandistrogene Mox Rokl 1 1 — — $3,321,781.51 $3,321,781.51 $3,321,781.51 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
J3393 CPT Inj- Betibeglogene Autotemce 1 1 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-01-01
J3394 CPT Inj- Lovotibeglogene Autotem 1 1 — — $3,193,000.00 $3,193,000.00 $3,193,000.00 2026-01-01
J3399 CPT Inj Onase Abepar-xioi Treat 1 1 — — $2,403,458.75 $2,403,458.75 $2,403,458.75 2026-01-01
J7330 CPT Autologous Cultured Chondrocytes Sheet 21 19 $197,466.00 $145,927.37 26% off $75,807.20 $167,846.10 $84,910.38 2026-01-01
J9029 CPT Instill Adstiladrin- Tx Dose 1 1 — — $63,402.04 $63,402.04 $63,402.04 2026-01-01
J9226 CPT Histrelin Acetate (cpp) 50 Mg Kit 22 20 $132,981.50 $98,273.33 26% off $45,261.79 $113,034.28 $57,182.04 2026-01-01
L2006 CPT Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $38,762.63 $38,762.63 $38,762.63 2026-01-01
L7180 CPT Electronic Elbow Sequential 1 1 — — $46,980.38 $46,980.38 $46,980.38 2026-01-01
L7181 CPT Electronic Elbo Simultaneous 1 1 — — $48,370.76 $48,370.76 $48,370.76 2026-01-01
L8702 CPT Ewhf S/d Uprt Micro Sensor 1 1 — — $67,452.66 $67,452.66 $67,452.66 2026-01-01
Q0480 CPT Driver Pneumatic Vad- Rep 1 1 — — $99,999.95 $99,999.95 $99,999.95 2026-01-01
Q2041 CPT Axicabtagene Ciloleucel Car+ 1 1 — — $489,517.15 $489,517.15 $489,517.15 2026-01-01
Q2042 CPT Tisagenlecleucel Car-pos T 1 1 — — $565,623.84 $565,623.84 $565,623.84 2026-01-01
Q2043 CPT Sipuleucel-t Auto Cd54+ 1 1 — — $55,536.49 $55,536.49 $55,536.49 2026-01-01
Q2053 CPT Brexucabtagene Car Pos T 1 1 — — $488,051.51 $488,051.51 $488,051.51 2026-01-01
Q2054 CPT Lisocabtagene Mara Car Pos T 1 1 — — $516,485.97 $516,485.97 $516,485.97 2026-01-01
Q2055 CPT Idecabtagene Vicleucel Car 1 1 — — $528,312.43 $528,312.43 $528,312.43 2026-01-01
Q2056 CPT Ciltacabtagene Car-pos T 1 1 — — $551,318.34 $551,318.34 $551,318.34 2026-01-01
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