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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MARION GENERAL HOSPITAL

Columbia, MS · CCN 250085 · Rates published

22,029 distinct procedures filed
25 distinct payers
332,297 rate rows
2026-01-30 last MRF observed
Data quality

329,679 of 332,297 rate rows are consumer-grade (99.2%)

2,618 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
placeholder amount (≤ $0.02) — excluded from medians 1,537
per-diem day rate — not a per-procedure price 851
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 157
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 64
exceeds 10× this hospital's gross charge — excluded from medians 4
percent-of-charges filed in the dollar field — excluded from medians 3
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.forresthealth.org/app/files/public/1748a209-6533-4749-86be-1db859681bb0/646001587_Marion-General-Hospital_standardcharges.csv
Found on page https://www.forresthealth.org/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch success · 2026-10-10
Content fingerprint d9ab75d6986b78e3… · 271,702,131 bytes · first seen 2026-10-10

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
714
OTHER 		Outpatient Apc 1 $4,669,619.61 $4,669,619.61 $4,669,619.61 nat. median
$3,391,964
1.4× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,377,500.00 $4,730,250.00 $4,552,600.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 12 $3,710,000.00 $4,452,000.00 $3,845,538.67 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 8 $3,710,000.00 $4,452,000.00 $3,747,100.00 nat. median
$3,508,750
1.1× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 2 $3,378,680.42 $3,681,912.60 $3,530,296.51 nat. median
$2,508,045
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 12 $3,321,781.51 $3,986,137.81 $3,451,886.93 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 12 $3,193,000.00 $3,831,600.00 $3,349,551.77 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 13 $2,968,000.00 $4,713,184.00 $3,086,720.00 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 14 $2,403,458.75 $4,419,199.08 $2,565,590.58 nat. median
$2,455,111
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 14 $2,332,000.00 $4,197,600.00 $2,436,940.00 nat. median
$2,332,000
1.0× median
9081
OTHER 		Outpatient Apc 2 $802,606.00 $874,638.84 $838,622.42 —
9194
OTHER 		Tisagenlecleucel Car-pos T 2 $795,130.01 $866,491.90 $830,810.96 nat. median
$555,653
1.5× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $775,019.95 $844,576.98 $809,798.46 nat. median
$553,480
1.5× median
Q2057
HCPCS 		Afamitresgene Autoleucel 11 $770,620.00 $1,387,116.00 $801,444.80 nat. median
$813,967
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 2 $742,679.21 $809,333.70 $776,006.45 nat. median
$552,917
1.4× median
9413
OTHER 		Lisocabtagene Car Pos T 2 $726,054.08 $791,216.49 $758,635.28 nat. median
$542,562
1.4× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 2 $688,142.46 $749,902.35 $719,022.41 nat. median
$513,929
1.4× median
9391
OTHER 		Brexucabtagene Car Pos T 2 $686,082.13 $747,657.11 $716,869.62 nat. median
$483,557
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $565,623.84 $1,065,107.16 $615,395.25 nat. median
$621,313
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 13 $551,318.34 $1,018,564.09 $588,503.70 nat. median
$599,737
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 13 $516,485.97 $1,012,568.72 $585,039.71 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 13 $528,312.43 $1,003,172.27 $579,610.65 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $489,517.15 $959,814.31 $554,559.38 nat. median
$562,501
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $488,051.51 $880,748.30 $508,876.79 nat. median
$513,770
1.0× median
9373
OTHER 		Outpatient Apc 2 $334,080.60 $364,063.90 $349,072.25 —
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 11 $270,375.00 $500,850.00 $289,380.00 nat. median
$286,598
1.0× median
J3403
HCPCS 		Revakinagene, Per Implant 6 $267,800.00 $463,500.00 $270,375.00 nat. median
$264,195
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $89,066.25 $528,125.64 $256,782.63 nat. median
$168,055
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $165,054.61 $458,169.75 $244,167.65 nat. median
$186,516
1.3× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 4 $188,812.20 $305,001.00 $223,998.84 nat. median
$149,948
1.5× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 4 $188,812.20 $305,001.00 $223,998.84 nat. median
$149,948
1.5× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $213,865.60 $370,152.00 $215,922.00 nat. median
$207,733
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $204,766.92 $212,957.60 $208,862.26 nat. median
$390,362
0.5× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 4 $167,738.57 $210,640.11 $181,696.72 nat. median
$135,199
1.3× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 4 $167,738.57 $210,640.11 $181,696.72 nat. median
$135,199
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $125,011.76 $259,584.20 $177,530.11 nat. median
$145,435
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $167,964.30 $174,682.87 $171,323.59 nat. median
$286,698
0.6× median
5833
APR_DRG 		Neonate With Ecmo 5 $162,179.28 $168,666.45 $165,422.87 nat. median
$268,208
0.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $160,593.84 $167,017.59 $163,805.72 nat. median
$202,242
0.8× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 4 $145,373.57 $187,661.27 $159,813.54 nat. median
$3,015
outlier · 53.0×
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 4 $145,373.57 $187,661.27 $159,813.54 nat. median
$3,015
outlier · 53.0×
24
APR_DRG 		Heart And/Or Lung Transplant 5 $154,978.38 $161,177.52 $158,077.95 nat. median
$225,531
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $108,549.82 $237,228.00 $155,235.16 nat. median
$131,925
1.2× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 4 $123,008.57 $164,682.43 $137,930.36 nat. median
$3,015
outlier · 45.7×
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 4 $123,008.57 $164,682.43 $137,930.36 nat. median
$3,015
outlier · 45.7×
1613
APR_DRG 		Implantable Heart Assist Systems 5 $123,031.44 $127,952.70 $125,492.07 nat. median
$155,539
0.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $121,914.72 $126,791.31 $124,353.01 nat. median
$187,567
0.7× median
5832
APR_DRG 		Neonate With Ecmo 5 $119,591.64 $124,375.31 $121,983.47 nat. median
$201,678
0.6× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 4 $106,234.82 $145,533.41 $120,639.38 nat. median
$93,410
1.3× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 4 $106,234.82 $145,533.41 $120,639.38 nat. median
$93,410
1.3× median

Other procedures at this hospital

Browse this hospital's 22,029 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
             
714 OTHER Outpatient Apc 1 1 — — $4,669,619.61 $4,669,619.61 $4,669,619.61 2026-01-30
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 9 — — $4,377,500.00 $4,730,250.00 $4,552,600.00 2026-01-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 12 — — $3,710,000.00 $4,452,000.00 $3,845,538.67 2026-01-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 8 8 — — $3,710,000.00 $4,452,000.00 $3,747,100.00 2026-01-30
9141 OTHER Inj Onase Abepar-xioi Treat 2 2 — — $3,378,680.42 $3,681,912.60 $3,530,296.51 2026-01-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 12 — — $3,321,781.51 $3,986,137.81 $3,451,886.93 2026-01-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 12 — — $3,193,000.00 $3,831,600.00 $3,349,551.77 2026-01-30
J3393 HCPCS Inj, Betibeglogene Autotemce 13 13 — — $2,968,000.00 $4,713,184.00 $3,086,720.00 2026-01-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 14 — — $2,403,458.75 $4,419,199.08 $2,565,590.58 2026-01-30
J3392 HCPCS Inj, Exagamglogene Autotem 14 14 — — $2,332,000.00 $4,197,600.00 $2,436,940.00 2026-01-30
9081 OTHER Outpatient Apc 2 2 — — $802,606.00 $874,638.84 $838,622.42 2026-01-30
9194 OTHER Tisagenlecleucel Car-pos T 2 2 — — $795,130.01 $866,491.90 $830,810.96 2026-01-30
9498 OTHER Ciltacabtagene Car-pos T 2 2 — — $775,019.95 $844,576.98 $809,798.46 2026-01-30
Q2057 HCPCS Afamitresgene Autoleucel 11 11 — — $770,620.00 $1,387,116.00 $801,444.80 2026-01-30
9422 OTHER Idecabtagene Vicleucel Car 2 2 — — $742,679.21 $809,333.70 $776,006.45 2026-01-30
9413 OTHER Lisocabtagene Car Pos T 2 2 — — $726,054.08 $791,216.49 $758,635.28 2026-01-30
9035 OTHER Axicabtagene Ciloleucel Car+ 2 2 — — $688,142.46 $749,902.35 $719,022.41 2026-01-30
9391 OTHER Brexucabtagene Car Pos T 2 2 — — $686,082.13 $747,657.11 $716,869.62 2026-01-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 13 — — $565,623.84 $1,065,107.16 $615,395.25 2026-01-30
Q2056 HCPCS Ciltacabtagene Car-pos T 13 13 — — $551,318.34 $1,018,564.09 $588,503.70 2026-01-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 13 — — $516,485.97 $1,012,568.72 $585,039.71 2026-01-30
Q2055 HCPCS Idecabtagene Vicleucel Car 13 13 — — $528,312.43 $1,003,172.27 $579,610.65 2026-01-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 13 — — $489,517.15 $959,814.31 $554,559.38 2026-01-30
Q2053 HCPCS Brexucabtagene Car Pos T 13 13 — — $488,051.51 $880,748.30 $508,876.79 2026-01-30
9373 OTHER Outpatient Apc 2 2 — — $334,080.60 $364,063.90 $349,072.25 2026-01-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 11 — — $270,375.00 $500,850.00 $289,380.00 2026-01-30
J3403 HCPCS Revakinagene, Per Implant 6 6 — — $267,800.00 $463,500.00 $270,375.00 2026-01-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 9 — — $89,066.25 $528,125.64 $256,782.63 2026-01-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 10 — — $165,054.61 $458,169.75 $244,167.65 2026-01-30
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 4 4 — — $188,812.20 $305,001.00 $223,998.84 2026-01-30
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 4 4 — — $188,812.20 $305,001.00 $223,998.84 2026-01-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 6 — — $213,865.60 $370,152.00 $215,922.00 2026-01-30
5834 APR_DRG Neonate With Ecmo 5 5 — — $204,766.92 $212,957.60 $208,862.26 2026-01-30
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 4 4 — — $167,738.57 $210,640.11 $181,696.72 2026-01-30
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 4 4 — — $167,738.57 $210,640.11 $181,696.72 2026-01-30
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 10 — — $125,011.76 $259,584.20 $177,530.11 2026-01-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $167,964.30 $174,682.87 $171,323.59 2026-01-30
5833 APR_DRG Neonate With Ecmo 5 5 — — $162,179.28 $168,666.45 $165,422.87 2026-01-30
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $160,593.84 $167,017.59 $163,805.72 2026-01-30
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 4 4 — — $145,373.57 $187,661.27 $159,813.54 2026-01-30
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 4 4 — — $145,373.57 $187,661.27 $159,813.54 2026-01-30
24 APR_DRG Heart And/Or Lung Transplant 5 5 — — $154,978.38 $161,177.52 $158,077.95 2026-01-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 10 — — $108,549.82 $237,228.00 $155,235.16 2026-01-30
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 4 4 — — $123,008.57 $164,682.43 $137,930.36 2026-01-30
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 4 4 — — $123,008.57 $164,682.43 $137,930.36 2026-01-30
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $123,031.44 $127,952.70 $125,492.07 2026-01-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $121,914.72 $126,791.31 $124,353.01 2026-01-30
5832 APR_DRG Neonate With Ecmo 5 5 — — $119,591.64 $124,375.31 $121,983.47 2026-01-30
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 4 4 — — $106,234.82 $145,533.41 $120,639.38 2026-01-30
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 4 4 — — $106,234.82 $145,533.41 $120,639.38 2026-01-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $113,251.50 $117,781.56 $115,516.53 2026-01-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 11 — — $84,711.71 $191,303.49 $114,782.09 2026-01-30
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 10 — — $81,581.70 $169,402.62 $112,793.72 2026-01-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $109,544.94 $113,926.74 $111,735.84 2026-01-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $108,208.98 $112,537.34 $110,373.16 2026-01-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $105,957.18 $110,195.47 $108,076.32 2026-01-30
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 4 4 — — $95,052.32 $130,214.18 $107,940.59 2026-01-30
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 4 4 — — $95,052.32 $130,214.18 $107,940.59 2026-01-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $105,783.84 $110,015.19 $107,899.52 2026-01-30
114 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 5 — — $105,647.22 $109,873.11 $107,760.16 2026-01-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $105,108.84 $109,313.19 $107,211.02 2026-01-30
5831 APR_DRG Neonate With Ecmo 5 5 — — $103,348.98 $107,482.94 $105,415.96 2026-01-30
14 MS_DRG Allogeneic Bone Marrow Transplant 10 10 — — $70,782.79 $300,354.75 $105,170.65 2026-01-30
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 1 1 — — $103,811.25 $103,811.25 $103,811.25 2026-01-30
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $101,601.00 $105,665.04 $103,633.02 2026-01-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $100,908.72 $104,945.07 $102,926.89 2026-01-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $100,636.02 $104,661.46 $102,648.74 2026-01-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 10 — — $66,741.81 $145,826.92 $102,332.96 2026-01-30
7 MS_DRG Lung Transplant 10 10 — — $76,273.83 $158,380.95 $101,509.74 2026-01-30
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $99,071.10 $103,033.94 $101,052.52 2026-01-30
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $98,783.28 $102,734.61 $100,758.95 2026-01-30
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $98,525.70 $102,466.73 $100,496.21 2026-01-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $64,912.44 $134,789.28 $99,190.80 2026-01-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 9 9 — — $56,439.89 $163,129.22 $97,877.54 2026-01-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 9 — — $64,046.06 $136,552.50 $97,866.90 2026-01-30
23 APR_DRG Heart And/Or Lung Transplant 5 5 — — $95,835.96 $99,669.40 $97,752.68 2026-01-30
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $93,844.44 $97,598.22 $95,721.33 2026-01-30
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 4 4 — — $83,869.82 $114,894.96 $95,241.80 2026-01-30
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 4 4 — — $83,869.82 $114,894.96 $95,241.80 2026-01-30
717 OTHER Outpatient Apc 2 2 — — $89,127.90 $97,127.01 $93,127.45 2026-01-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 10 — — $60,726.58 $214,205.85 $93,110.00 2026-01-30
215 MS_DRG Other Heart Assist System Implant 10 10 — — $58,644.54 $143,528.21 $89,917.68 2026-01-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $88,055.64 $91,577.87 $89,816.75 2026-01-30
64 APR_DRG Pancreas Transplant 5 5 — — $87,491.34 $90,990.99 $89,241.17 2026-01-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $57,618.54 $125,324.55 $88,303.51 2026-01-30
1643 OTHER Y90 Ibritumomab, Rx 2 2 — — $79,881.54 $87,050.81 $83,466.17 2026-01-30
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 4 4 — — $72,687.32 $99,575.73 $82,543.01 2026-01-30
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 4 4 — — $72,687.32 $99,575.73 $82,543.01 2026-01-30
9273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $78,070.85 $85,077.61 $81,574.23 2026-01-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 9 9 — — $53,064.56 $110,187.41 $81,086.40 2026-01-30
222 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock W Mcc 1 1 — — $80,501.44 $80,501.44 $80,501.44 2026-01-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $78,521.94 $81,662.82 $80,092.38 2026-01-30
850 MS_DRG Acute Leukemia With Other Procedures 9 9 — — $51,002.55 $111,809.70 $77,935.50 2026-01-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $49,494.18 $148,581.00 $75,887.74 2026-01-30
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 1 1 — — $74,563.10 $74,563.10 $74,563.10 2026-01-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 10 — — $49,650.26 $136,588.95 $73,850.55 2026-01-30
22 APR_DRG Heart And/Or Lung Transplant 5 5 — — $71,120.70 $73,965.53 $72,543.11 2026-01-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $70,444.62 $73,262.40 $71,853.51 2026-01-30
224 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock W Mcc 1 1 — — $71,354.02 $71,354.02 $71,354.02 2026-01-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $69,745.32 $72,535.13 $71,140.23 2026-01-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 10 — — $46,345.50 $149,123.70 $71,059.99 2026-01-30
C2624 HCPCS Hb Pa Pressure Sensor, Implant, Wirelss, W Cath & All Components 30 21 $139,150.00 $54,268.50 61% off $45,919.50 $104,362.50 $70,966.50 2026-01-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 9 9 — — $65,871.81 $118,042.16 $70,825.29 2026-01-30
5244 OTHER Level 4 Blood Product Exchange And Related Services 4 4 — — $51,724.19 $90,601.47 $70,471.33 2026-01-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $68,867.82 $71,622.53 $70,245.18 2026-01-30
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 4 4 — — $61,504.82 $84,256.51 $69,844.23 2026-01-30
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 4 4 — — $61,504.82 $84,256.51 $69,844.23 2026-01-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $45,223.50 $93,905.61 $69,339.65 2026-01-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $67,954.14 $70,672.31 $69,313.22 2026-01-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 10 — — $45,028.55 $93,500.80 $68,573.97 2026-01-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $66,321.18 $68,974.03 $67,647.60 2026-01-30
428* OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 1 — — $67,406.85 $67,406.85 $67,406.85 2026-01-30
209 MS_DRG Complex Aortic Arch Procedures 7 7 — — $66,665.24 $138,428.92 $67,306.23 2026-01-30
430* OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $66,977.55 $66,977.55 $66,977.55 2026-01-30
1142 OTHER Supprelin La Implant 2 2 — — $63,627.11 $69,337.56 $66,482.33 2026-01-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 10 — — $44,879.53 $93,191.38 $66,116.77 2026-01-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 17 17 — — $46,800.00 $114,016.10 $65,938.12 2026-01-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $64,045.62 $66,607.44 $65,326.53 2026-01-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $42,515.97 $99,955.35 $64,967.40 2026-01-30
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath W Mcc 1 1 — — $64,695.93 $64,695.93 $64,695.93 2026-01-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 9 — — $41,996.49 $112,159.35 $64,173.60 2026-01-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $61,973.10 $64,452.02 $63,212.56 2026-01-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $61,916.94 $64,393.62 $63,155.28 2026-01-30
63 APR_DRG Pancreas Transplant 5 5 — — $61,519.50 $63,980.28 $62,749.89 2026-01-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $61,230.06 $63,679.26 $62,454.66 2026-01-30
21 APR_DRG Heart And/Or Lung Transplant 5 5 — — $60,969.24 $63,408.01 $62,188.62 2026-01-30
459 MS_DRG Spinal Fusion Except Cervical W Mcc 1 1 — — $62,011.31 $62,011.31 $62,011.31 2026-01-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 9 9 — — $40,509.32 $84,116.72 $61,901.10 2026-01-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $60,311.52 $62,723.98 $61,517.75 2026-01-30
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $59,876.28 $62,271.33 $61,073.81 2026-01-30
5465 OTHER Level 5 Neurostimulator And Related Procedures 4 4 — — $42,838.48 $74,631.48 $60,324.45 2026-01-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 9 9 — — $39,382.01 $85,153.95 $60,178.50 2026-01-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 9 9 — — $39,353.15 $81,715.97 $60,134.40 2026-01-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $58,906.44 $61,262.70 $60,084.57 2026-01-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 9 9 — — $39,032.75 $167,967.00 $59,644.80 2026-01-30
4404 APR_DRG Kidney Transplant 5 5 — — $58,209.30 $60,537.67 $59,373.49 2026-01-30
A9543 HCPCS Y90 Ibritumomab, Rx 16 16 — — $22,011.00 $102,284.19 $59,097.53 2026-01-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $38,727.07 $83,170.80 $59,016.00 2026-01-30
223 MS_DRG Cardiac Defib Implant W Cardiac Cath W Ami/hf/shock Without Mcc 1 1 — — $58,513.03 $58,513.03 $58,513.03 2026-01-30
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $57,276.18 $59,567.23 $58,421.70 2026-01-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $57,234.06 $59,523.42 $58,378.74 2026-01-30
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 1 1 — — $58,121.54 $58,121.54 $58,121.54 2026-01-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 17 — — $50,583.00 $99,490.18 $57,757.96 2026-01-30
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 4 — — $50,322.32 $68,937.28 $57,145.44 2026-01-30
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 4 4 — — $50,322.32 $68,937.28 $57,145.44 2026-01-30
J7330 HCPCS Cultured Chondrocytes Implnt 4 4 — — $35,242.56 $94,783.68 $57,114.48 2026-01-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $55,833.84 $58,067.19 $56,950.52 2026-01-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 10 — — $39,644.70 $97,241.85 $56,200.22 2026-01-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $54,498.96 $56,678.92 $55,588.94 2026-01-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 10 — — $38,727.07 $80,415.92 $55,483.31 2026-01-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 10 — — $36,094.93 $83,616.61 $55,343.13 2026-01-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 10 — — $36,053.11 $78,185.25 $55,279.01 2026-01-30
1784 APR_DRG External Heart Assist Systems 5 5 — — $54,135.54 $56,300.96 $55,218.25 2026-01-30
225 MS_DRG Cardiac Defib Implant W Cardiac Cath Without Ami/hf/shock Without Mcc 1 1 — — $54,501.44 $54,501.44 $54,501.44 2026-01-30
62 APR_DRG Pancreas Transplant 5 5 — — $53,404.92 $55,541.12 $54,473.02 2026-01-30
90288 CPT 2025_cigna_rate_CIGNA 5 5 — — $13.65 $85,233.75 $54,062.55 2026-01-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 9 — — $35,377.55 $77,333.40 $54,059.40 2026-01-30
5166 OTHER Cochlear Implant Procedure 4 4 — — $44,714.09 $65,576.88 $54,019.13 2026-01-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $35,121.35 $77,631.75 $53,850.37 2026-01-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 10 — — $34,924.63 $98,961.75 $53,548.75 2026-01-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $52,365.42 $54,460.04 $53,412.73 2026-01-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 10 — — $35,707.38 $76,347.90 $53,307.74 2026-01-30
113 APR_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 5 — — $52,002.00 $54,082.08 $53,042.04 2026-01-30
5232 OTHER Level 2 Icd And Similar Procedures 4 4 — — $45,070.81 $60,209.65 $52,993.47 2026-01-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 10 — — $34,564.76 $75,258.45 $52,952.23 2026-01-30
84 APR_DRG Autologous Bone Marrow Transplant 5 5 — — $51,395.58 $53,451.40 $52,423.49 2026-01-30
28 MS_DRG Spinal Procedures With Mcc 10 10 — — $35,387.57 $73,481.51 $52,129.77 2026-01-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 10 — — $34,542.38 $101,043.45 $52,068.93 2026-01-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 10 — — $42,245.63 $87,722.12 $51,882.54 2026-01-30
L7181 HCPCS Electronic Elbo Simultaneous 11 11 — — $37,686.66 $85,107.38 $51,064.43 2026-01-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $49,838.22 $51,831.75 $50,834.98 2026-01-30
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Cath Without Mcc 1 1 — — $50,673.04 $50,673.04 $50,673.04 2026-01-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 10 — — $33,568.80 $69,704.89 $50,450.51 2026-01-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 10 — — $33,750.21 $70,081.57 $50,400.34 2026-01-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 9 — — $32,783.69 $68,074.63 $50,033.00 2026-01-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 10 — — $33,009.86 $198,201.60 $50,003.46 2026-01-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $49,022.28 $50,983.17 $50,002.73 2026-01-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $48,838.14 $50,791.67 $49,814.90 2026-01-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 10 — — $32,220.04 $74,343.15 $49,401.90 2026-01-30
5200 OTHER Implantation Wireless Pa Pressure Monitor 4 4 — — $39,963.33 $60,544.49 $49,270.07 2026-01-30
834 MS_DRG Acute Leukemia With Mcc 10 10 — — $32,334.30 $79,374.60 $49,223.69 2026-01-30
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $48,004.38 $49,924.56 $48,964.47 2026-01-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $47,347.74 $49,241.65 $48,294.69 2026-01-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $47,244.06 $49,133.82 $48,188.94 2026-01-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $31,409.02 $65,220.14 $48,158.38 2026-01-30
402* OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $48,109.95 $48,109.95 $48,109.95 2026-01-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 9 9 — — $31,390.17 $65,181.01 $47,966.40 2026-01-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $46,996.74 $48,876.61 $47,936.67 2026-01-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $46,919.52 $48,796.30 $47,857.91 2026-01-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 8 8 — — $40,708.98 $84,531.31 $47,841.83 2026-01-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 10 — — $31,179.32 $118,501.65 $47,806.19 2026-01-30
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $46,835.82 $48,709.25 $47,772.54 2026-01-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 9 9 — — $31,076.25 $64,529.15 $47,486.70 2026-01-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 10 — — $31,572.75 $65,560.14 $47,464.12 2026-01-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $46,360.62 $48,215.04 $47,287.83 2026-01-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 10 — — $32,174.10 $66,808.82 $47,279.15 2026-01-30
237 MS_DRG Major Cardiovasc Procedures W Mcc 1 1 — — $47,278.91 $47,278.91 $47,278.91 2026-01-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $46,195.92 $48,043.76 $47,119.84 2026-01-30
J9226 HCPCS Supprelin La Implant 16 16 — — $25,830.58 $81,037.17 $46,946.88 2026-01-30
653 MS_DRG Major Bladder Procedures With Mcc 10 10 — — $30,605.65 $67,320.45 $46,926.61 2026-01-30
38240 CPT Transplt Allo Hct/donor 13 13 — — $495.84 $94,824.79 $46,871.33 2026-01-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 10 — — $30,658.66 $63,662.04 $46,823.85 2026-01-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $45,831.96 $47,665.24 $46,748.60 2026-01-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $34,475.11 $80,123.62 $46,642.00 2026-01-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 10 — — $32,123.45 $68,380.20 $46,572.78 2026-01-30
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 5 5 — — $45,409.68 $47,226.07 $46,317.87 2026-01-30
8634 APR_DRG Neonatal Aftercare 5 5 — — $44,932.32 $46,729.61 $45,830.97 2026-01-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $44,924.76 $46,721.75 $45,823.26 2026-01-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $44,380.98 $46,156.22 $45,268.60 2026-01-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 10 — — $29,374.69 $63,711.90 $45,039.21 2026-01-30
33276 CPT Insj Phrnc Nrv Stim Sys 15 15 — — $2,444.70 $72,150.75 $45,000.50 2026-01-30
1794 APR_DRG Defibrillator Implants 5 5 — — $44,105.58 $45,869.80 $44,987.69 2026-01-30
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $43,922.52 $45,679.42 $44,800.97 2026-01-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $43,866.36 $45,621.01 $44,743.69 2026-01-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $43,827.48 $45,580.58 $44,704.03 2026-01-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 10 — — $29,139.10 $112,504.95 $44,677.99 2026-01-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 10 — — $29,087.27 $60,399.08 $44,598.52 2026-01-30
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 4 4 — — $39,139.82 $53,618.05 $44,446.65 2026-01-30
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 4 4 — — $39,139.82 $53,618.05 $44,446.65 2026-01-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 8 8 — — $37,898.97 $78,696.38 $43,971.64 2026-01-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 10 — — $29,685.67 $61,641.65 $43,925.29 2026-01-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $42,999.66 $44,719.65 $43,859.65 2026-01-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $42,850.08 $44,564.08 $43,707.08 2026-01-30
471 MS_DRG Cervical Spinal Fusion With Mcc 10 10 — — $28,439.98 $59,055.00 $43,606.06 2026-01-30
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 5 5 — — $42,621.12 $44,325.96 $43,473.54 2026-01-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 10 — — $28,296.27 $60,100.37 $43,385.71 2026-01-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 10 — — $28,987.73 $60,192.39 $43,253.79 2026-01-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 10 — — $28,040.06 $62,784.06 $42,992.88 2026-01-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 9 9 — — $33,966.95 $70,531.63 $42,958.00 2026-01-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 9 — — $33,112.34 $68,757.06 $42,958.00 2026-01-30
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $42,047.64 $43,729.55 $42,888.59 2026-01-30
61 APR_DRG Pancreas Transplant 5 5 — — $41,978.52 $43,657.66 $42,818.09 2026-01-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $41,928.30 $43,605.43 $42,766.87 2026-01-30
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 5 5 — — $41,745.78 $43,415.61 $42,580.70 2026-01-30
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $41,703.12 $43,371.24 $42,537.18 2026-01-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $41,562.18 $43,224.67 $42,393.42 2026-01-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 10 — — $27,633.67 $57,430.35 $42,369.77 2026-01-30
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $41,527.08 $43,188.16 $42,357.62 2026-01-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 9 9 — — $27,690.21 $199,500.30 $42,312.60 2026-01-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 10 — — $27,551.21 $57,209.49 $42,243.34 2026-01-30
0266T CPT Outpatient Apc 8 8 — — $408.92 $72,150.75 $42,087.94 2026-01-30
6 MS_DRG Liver Transplant Without Mcc 10 10 — — $27,310.91 $99,500.40 $41,874.89 2026-01-30
448* OTHER Multiple Level Spinal Fusion Except Cervical Without Mcc 1 1 — — $41,760.90 $41,760.90 $41,760.90 2026-01-30
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 4 — — $30,145.61 $52,557.38 $41,619.46 2026-01-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 9 — — $27,201.95 $69,148.35 $41,566.50 2026-01-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $40,737.06 $42,366.54 $41,551.80 2026-01-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 10 — — $27,072.37 $56,215.20 $41,509.15 2026-01-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 8 — — $35,005.91 $72,689.01 $41,508.30 2026-01-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 10 — — $27,003.46 $56,072.10 $41,378.60 2026-01-30
245 MS_DRG Aicd Generator Procedures 10 10 — — $26,871.53 $76,476.15 $41,201.21 2026-01-30
L7180 HCPCS Electronic Elbow Sequential 11 11 — — $30,383.51 $68,614.74 $41,168.84 2026-01-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 10 — — $28,496.52 $60,590.70 $41,115.66 2026-01-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 10 — — $26,790.84 $55,630.60 $41,077.49 2026-01-30
799 MS_DRG Splenic Procedures With Mcc 10 10 — — $26,674.22 $55,388.45 $40,898.68 2026-01-30
1783 APR_DRG External Heart Assist Systems 5 5 — — $40,049.10 $41,651.06 $40,850.08 2026-01-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $39,886.02 $41,481.46 $40,683.74 2026-01-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 10 — — $26,779.06 $55,606.14 $40,626.89 2026-01-30
234 APR_DRG Spinal Procedures 5 5 — — $39,783.96 $41,375.32 $40,579.64 2026-01-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 11 — — $3,654.35 $67,561.06 $40,536.64 2026-01-30
163 MS_DRG Major Chest Procedures With Mcc 10 10 — — $26,396.82 $55,756.35 $40,473.35 2026-01-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 9 9 — — $26,285.50 $75,789.00 $40,166.10 2026-01-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 10 — — $28,866.99 $59,941.68 $40,127.93 2026-01-30
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $39,239.10 $40,808.66 $40,023.88 2026-01-30
4414 APR_DRG Major Bladder Procedures 5 5 — — $39,231.54 $40,800.80 $40,016.17 2026-01-30
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $39,921.37 $39,921.37 $39,921.37 2026-01-30
843 OTHER Outpatient Apc 2 2 — — $38,054.61 $41,469.96 $39,762.29 2026-01-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $38,751.48 $40,301.54 $39,526.51 2026-01-30
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $38,739.60 $40,289.18 $39,514.39 2026-01-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 10 — — $26,389.16 $54,796.52 $39,454.42 2026-01-30
4403 APR_DRG Kidney Transplant 5 5 — — $38,369.16 $39,903.93 $39,136.54 2026-01-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 5 5 — — $38,243.88 $39,773.64 $39,008.76 2026-01-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $38,187.18 $39,714.67 $38,950.92 2026-01-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 9 — — $25,487.43 $54,903.15 $38,946.60 2026-01-30
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $37,453.32 $38,951.45 $38,202.39 2026-01-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $37,373.94 $38,868.90 $38,121.42 2026-01-30
1782 APR_DRG External Heart Assist Systems 5 5 — — $37,312.92 $38,805.44 $38,059.18 2026-01-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 9 — — $24,873.72 $51,649.74 $38,008.80 2026-01-30
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $37,167.12 $38,653.80 $37,910.46 2026-01-30
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $37,898.07 $37,898.07 $37,898.07 2026-01-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 10 — — $25,872.63 $53,723.94 $37,702.11 2026-01-30
5231 OTHER Level 1 Icd And Similar Procedures 4 4 — — $31,553.90 $43,391.17 $37,685.50 2026-01-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 10 — — $24,575.70 $77,255.10 $37,681.08 2026-01-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $36,915.48 $38,392.10 $37,653.79 2026-01-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $36,808.56 $38,280.90 $37,544.73 2026-01-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 10 — — $24,460.26 $94,119.30 $37,504.08 2026-01-30
901 MS_DRG Wound Debridements For Injuries With Mcc 10 10 — — $24,717.05 $68,925.60 $37,449.69 2026-01-30
5378 OTHER Level 8 Urology And Related Services 4 4 — — $28,295.88 $48,048.75 $37,327.90 2026-01-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $36,551.52 $38,013.58 $37,282.55 2026-01-30
451* OTHER Single Level Spin Fus Expt Cerv Without Mcc 1 1 — — $37,281.60 $37,281.60 $37,281.60 2026-01-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $36,478.08 $37,937.20 $37,207.64 2026-01-30
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $37,194.14 $37,194.14 $37,194.14 2026-01-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $36,368.46 $37,823.20 $37,095.83 2026-01-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $36,330.66 $37,783.89 $37,057.27 2026-01-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $36,281.52 $37,732.78 $37,007.15 2026-01-30
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $36,200.52 $37,648.54 $36,924.53 2026-01-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 10 — — $24,818.94 $54,467.10 $36,910.55 2026-01-30
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $36,033.66 $37,475.01 $36,754.33 2026-01-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $35,955.90 $37,394.14 $36,675.02 2026-01-30
6904 APR_DRG Acute Leukemia 5 5 — — $35,850.60 $37,284.62 $36,567.61 2026-01-30
7594 APR_DRG Eating Disorders 5 5 — — $35,786.34 $37,217.79 $36,502.07 2026-01-30
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