Price Transparencybeta Hospital negotiated rates

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

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Hospital

SANFORD MEDICAL CENTER FARGO

Fargo, ND · CCN 350011 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $13,253 across 10 payers · range $1,284-$23,240

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8383/450226909_sanford-fargo-medical-center_standardcharges.csv · observed 2026-03-04

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

19,587 distinct procedures filed
16 distinct payers
571,464 rate rows
2026-03-04 last MRF observed
Data quality

566,270 of 571,464 rate rows are consumer-grade (99.1%)

5,194 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
template filing: same amount across many unrelated codes — excluded 3,458
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,087
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 359
placeholder amount (≤ $0.02) — excluded from medians 151
per-diem day rate — not a per-procedure price 75
percent-of-charges filed in the dollar field — excluded from medians 45
exceeds 10× this hospital's gross charge — excluded from medians 19
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8383/450226909_sanford-fargo-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordMedicalCenterFargo/8383
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-11
Content fingerprint 486e71eb8e3320a8… · 1,129,174,185 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
0714
OTHER 		Inj Delandistrogene Mox Rokl 1 $4,136,280.62 $4,866,300.22 $4,716,418.77 nat. median
$3,316,463
1.4× median
0748
OTHER 		Inj, Lovotibeglogene Autotem 1 $4,057,629.04 $4,773,767.28 $4,626,735.83 nat. median
$3,248,446
1.4× median
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 9 $4,279,750.00 $4,730,250.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
0773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $4,615,812.67 $4,615,812.67 $4,615,812.67 nat. median
$3,635,800
1.3× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $4,585,040.59 $4,585,040.59 $4,585,040.59 nat. median
$3,758,972
1.2× median
0746
OTHER 		Inj, Betibeglogene Autotemce 1 $3,671,109.68 $4,924,594.76 $4,252,517.62 nat. median
$2,945,740
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 10 $3,501,003.33 $3,869,530.00 $3,734,486.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Pharmacy 1 $3,570,000.00 $3,570,000.00 $3,570,000.00 nat. median
$3,605,000
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 1 $3,050,810.31 $4,092,496.76 $3,533,979.02 nat. median
$2,588,981
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $3,150,639.46 $3,482,285.72 $3,392,000.00 nat. median
$3,324,572
1.0× median
0824
RC 		Inj, Exagamglogene Autotem 1 $2,901,367.96 $3,892,027.95 $3,360,868.91 nat. median
$1,200
outlier · 2800.7×
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $3,086,023.43 $3,410,868.00 $3,329,656.86 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $2,798,453.00 $3,093,027.00 $3,019,383.50 nat. median
$2,997,086
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,215,400.00 $2,448,600.00 $2,390,300.00 nat. median
$2,405,851
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 7x8.3 Ml Susp Kit 16 $1,108,742.50 $2,577,866.14 $1,960,581.25 nat. median
$2,460,273
0.8× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 16 $379,678.45 $1,812,580.20 $1,460,134.05 nat. median
$631,793
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel 16 $361,676.15 $1,768,050.00 $1,424,262.50 nat. median
$624,417
outlier · 2.3×
Q2041
HCPCS 		Axicabtagene Ciloleucel 16 $343,253.43 $1,739,471.40 $1,401,240.85 nat. median
$588,565
outlier · 2.4×
Q2055
HCPCS 		Idecabtagene Vicleucel 16 $369,311.54 $1,724,456.70 $1,389,145.68 nat. median
$610,161
outlier · 2.3×
Q2042
HCPCS 		Tisagenlecleucel Car Pos T Lymphoma Adults 16 $370,205.17 $1,918,533.60 $1,335,510.90 nat. median
$691,418
1.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 16 $343,328.41 $1,595,852.10 $1,285,547.52 nat. median
$577,541
outlier · 2.2×
2067
OTHER 		Afamitresgene Autoleucel 1 $958,770.23 $1,286,138.33 $1,110,614.41 nat. median
$786,032
1.4× median
9194
OTHER 		Tisagenlecleucel Car-pos T 1 $719,525.05 $965,203.87 $833,479.03 nat. median
$576,820
1.4× median
9498
OTHER 		Ciltacabtagene Car-pos T 1 $688,488.68 $923,570.27 $797,527.32 nat. median
$587,650
1.4× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $732,089.00 $843,320.00 $793,738.60 nat. median
$809,151
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 1 $673,878.36 $903,971.32 $780,603.10 nat. median
$562,201
1.4× median
9422
OTHER 		Idecabtagene Vicleucel Car 1 $673,411.54 $903,345.11 $780,062.35 nat. median
$560,872
1.4× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $663,229.42 $889,686.34 $768,267.65 nat. median
$533,230
1.4× median
9391
OTHER 		Brexucabtagene Car Pos T 1 $609,287.27 $817,325.87 $705,782.47 nat. median
$492,768
1.4× median
5834
APR_DRG 		Neonate With Ecmo 3 $574,935.16 $1,442,672.99 $574,935.16 nat. median
$311,018
1.8× median
C9301
HCPCS 		Pharmacy 1 $535,500.00 $535,500.00 $535,500.00 nat. median
$459,112
1.2× median
C9098
HCPCS 		Pharmacy 2 $343,253.43 $831,911.50 $474,300.00 nat. median
$30,221
outlier · 15.7×
C9081
HCPCS 		Pharmacy 2 $343,253.43 $831,911.50 $427,890.00 nat. median
$27,427
outlier · 15.6×
C9076
HCPCS 		Pharmacy 2 $343,253.43 $831,911.50 $418,506.00 nat. median
$27,935
outlier · 15.0×
0831
RC 		Obecbtge Autol Up To 400 Mil 1 $336,388.23 $451,246.59 $389,663.35 nat. median
$1,028
outlier · 379.0×
C9073
HCPCS 		Pharmacy 2 $343,253.43 $831,911.50 $380,460.00 nat. median
$27,071
outlier · 14.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $335,869.42 $630,555.00 $367,688.63 nat. median
$370,165
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $363,380.57 $828,746.95 $363,380.57 nat. median
$254,667
1.4× median
5833
APR_DRG 		Neonate With Ecmo 3 $347,131.00 $871,048.81 $347,131.00 nat. median
$250,089
1.4× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $325,615.96 $550,000.00 $325,615.96 nat. median
$119,243
outlier · 2.7×
24
APR_DRG 		Heart And/or Lung Transplant 3 $295,707.49 $742,013.27 $295,707.49 nat. median
$243,231
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $264,337.50 $535,500.00 $286,597.50 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 9 $244,625.00 $270,375.00 $263,937.50 nat. median
$265,000
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $255,530.94 $410,761.09 $255,530.94 nat. median
$168,174
1.5× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $254,143.08 $550,000.00 $254,143.08 nat. median
$67,603
outlier · 3.8×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $250,027.85 $469,355.62 $250,027.85 nat. median
$168,361
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $245,874.78 $616,967.93 $245,874.78 nat. median
$209,486
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $218,362.24 $409,205.00 $241,347.74 nat. median
$261,939
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $223,041.11 $236,630.76 $236,630.76 nat. median
$165,599
1.4× median

Other procedures at this hospital

Browse this hospital's 19,587 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
             
0714 OTHER Inj Delandistrogene Mox Rokl 3 1 — — $4,136,280.62 $4,866,300.22 $4,716,418.77 2026-03-04
0748 OTHER Inj, Lovotibeglogene Autotem 3 1 — — $4,057,629.04 $4,773,767.28 $4,626,735.83 2026-03-04
J3391 HCPCS Inj, Atidarsagene Autotemcel 12 9 — — $4,279,750.00 $4,730,250.00 $4,617,625.00 2026-03-04
0773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $4,615,812.67 $4,615,812.67 $4,615,812.67 2026-03-04
9138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $4,585,040.59 $4,585,040.59 $4,585,040.59 2026-03-04
0746 OTHER Inj, Betibeglogene Autotemce 4 1 — — $3,671,109.68 $4,924,594.76 $4,252,517.62 2026-03-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 10 — — $3,501,003.33 $3,869,530.00 $3,734,486.00 2026-03-04
C9172 HCPCS Pharmacy 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-04
J1414 HCPCS Inj, Beqvez, Per Tx Dose 4 1 — — $3,570,000.00 $3,570,000.00 $3,570,000.00 2026-03-04
9141 OTHER Inj Onase Abepar-xioi Treat 4 1 — — $3,050,810.31 $4,092,496.76 $3,533,979.02 2026-03-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 14 10 — — $3,150,639.46 $3,482,285.72 $3,392,000.00 2026-03-04
0824 RC Inj, Exagamglogene Autotem 4 1 — — $2,901,367.96 $3,892,027.95 $3,360,868.91 2026-03-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 9 — — $3,086,023.43 $3,410,868.00 $3,329,656.86 2026-03-04
J3393 HCPCS Inj, Betibeglogene Autotemce 12 9 — — $2,798,453.00 $3,093,027.00 $3,019,383.50 2026-03-04
J3392 HCPCS Inj, Exagamglogene Autotem 12 9 — — $2,215,400.00 $2,448,600.00 $2,390,300.00 2026-03-04
J3399 HCPCS Onasemnogene Abeparvovec-xioi 7x8.3 Ml Susp Kit 44 16 $2,704,250.00 $2,163,400.00 20% off $1,108,742.50 $2,577,866.14 $1,960,581.25 2026-03-04
Q2056 HCPCS Ciltacabtagene Autoleucel 44 16 $2,013,978.00 $1,611,182.40 20% off $379,678.45 $1,812,580.20 $1,460,134.05 2026-03-04
Q2054 HCPCS Lisocabtagene Maraleucel 44 16 $1,964,500.00 $1,571,600.00 20% off $361,676.15 $1,768,050.00 $1,424,262.50 2026-03-04
Q2041 HCPCS Axicabtagene Ciloleucel 44 16 $1,932,746.00 $1,546,196.80 20% off $343,253.43 $1,739,471.40 $1,401,240.85 2026-03-04
Q2055 HCPCS Idecabtagene Vicleucel 44 16 $1,916,063.00 $1,532,850.40 20% off $369,311.54 $1,724,456.70 $1,389,145.68 2026-03-04
Q2042 HCPCS Tisagenlecleucel Car Pos T Lymphoma Adults 55 16 $1,842,084.00 $1,473,667.20 20% off $370,205.17 $1,918,533.60 $1,335,510.90 2026-03-04
Q2053 HCPCS Brexucabtagene Autoleucel 44 16 $1,773,169.00 $1,418,535.20 20% off $343,328.41 $1,595,852.10 $1,285,547.52 2026-03-04
2067 OTHER Afamitresgene Autoleucel 4 1 — — $958,770.23 $1,286,138.33 $1,110,614.41 2026-03-04
9194 OTHER Tisagenlecleucel Car-pos T 4 1 — — $719,525.05 $965,203.87 $833,479.03 2026-03-04
9498 OTHER Ciltacabtagene Car-pos T 4 1 — — $688,488.68 $923,570.27 $797,527.32 2026-03-04
Q2057 HCPCS Afamitresgene Autoleucel 12 9 — — $732,089.00 $843,320.00 $793,738.60 2026-03-04
9413 OTHER Lisocabtagene Car Pos T 4 1 — — $673,878.36 $903,971.32 $780,603.10 2026-03-04
9422 OTHER Idecabtagene Vicleucel Car 4 1 — — $673,411.54 $903,345.11 $780,062.35 2026-03-04
9035 OTHER Axicabtagene Ciloleucel Car+ 4 1 — — $663,229.42 $889,686.34 $768,267.65 2026-03-04
9391 OTHER Brexucabtagene Car Pos T 4 1 — — $609,287.27 $817,325.87 $705,782.47 2026-03-04
5834 APR_DRG Neonate With Ecmo 3 3 — — $574,935.16 $1,442,672.99 $574,935.16 2026-03-04
C9301 HCPCS Pharmacy 4 1 — — $535,500.00 $535,500.00 $535,500.00 2026-03-04
C9098 HCPCS Pharmacy 6 2 — — $343,253.43 $831,911.50 $474,300.00 2026-03-04
C9081 HCPCS Pharmacy 6 2 — — $343,253.43 $831,911.50 $427,890.00 2026-03-04
C9076 HCPCS Pharmacy 6 2 — — $343,253.43 $831,911.50 $418,506.00 2026-03-04
0831 RC Obecbtge Autol Up To 400 Mil 4 1 — — $336,388.23 $451,246.59 $389,663.35 2026-03-04
C9073 HCPCS Pharmacy 6 2 — — $343,253.43 $831,911.50 $380,460.00 2026-03-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 11 — — $335,869.42 $630,555.00 $367,688.63 2026-03-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $363,380.57 $828,746.95 $363,380.57 2026-03-04
5833 APR_DRG Neonate With Ecmo 3 3 — — $347,131.00 $871,048.81 $347,131.00 2026-03-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $325,615.96 $550,000.00 $325,615.96 2026-03-04
24 APR_DRG Heart And/or Lung Transplant 3 3 — — $295,707.49 $742,013.27 $295,707.49 2026-03-04
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 9 — — $264,337.50 $535,500.00 $286,597.50 2026-03-04
J3403 HCPCS Revakinagene, Per Implant 12 9 — — $244,625.00 $270,375.00 $263,937.50 2026-03-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $255,530.94 $410,761.09 $255,530.94 2026-03-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $254,143.08 $550,000.00 $254,143.08 2026-03-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $250,027.85 $469,355.62 $250,027.85 2026-03-04
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $245,874.78 $616,967.93 $245,874.78 2026-03-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $218,362.24 $409,205.00 $241,347.74 2026-03-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $223,041.11 $236,630.76 $236,630.76 2026-03-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $235,229.23 $590,256.60 $235,229.23 2026-03-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $226,864.20 $569,265.16 $226,864.20 2026-03-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $220,701.87 $561,040.69 $220,701.87 2026-03-04
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 4 1 — — $189,734.16 $254,518.10 $219,783.10 2026-03-04
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 4 1 — — $189,734.16 $254,518.10 $219,783.10 2026-03-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $218,094.37 $404,621.64 $218,094.37 2026-03-04
5832 APR_DRG Neonate With Ecmo 3 3 — — $217,832.57 $546,601.84 $217,832.57 2026-03-04
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $214,760.34 $550,000.00 $214,760.34 2026-03-04
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 12 9 — — $195,358.00 $225,040.00 $211,809.20 2026-03-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $210,345.46 $527,815.28 $210,345.46 2026-03-04
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 4 1 — — $171,071.84 $229,483.61 $198,165.15 2026-03-04
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 4 1 — — $171,071.84 $229,483.61 $198,165.15 2026-03-04
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $197,849.43 $496,458.69 $197,849.43 2026-03-04
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $71,725.42 $192,996.12 $192,996.12 2026-03-04
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $128,166.43 $192,996.12 $192,996.12 2026-03-04
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $106,412.90 $192,996.12 $192,996.12 2026-03-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $189,975.41 $228,210.83 $189,975.41 2026-03-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $185,321.86 $465,025.04 $185,321.86 2026-03-04
5831 APR_DRG Neonate With Ecmo 3 3 — — $183,796.26 $461,195.37 $183,796.26 2026-03-04
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 15 10 — — $165,660.79 $309,930.00 $183,098.77 2026-03-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 16 11 — — $166,632.08 $311,760.00 $182,418.28 2026-03-04
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $182,162.37 $577,943.45 $182,162.37 2026-03-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $180,773.45 $377,505.72 $180,773.45 2026-03-04
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 4 1 — — $152,409.53 $204,449.12 $176,547.22 2026-03-04
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 4 1 — — $152,409.53 $204,449.12 $176,547.22 2026-03-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $167,651.83 $420,685.25 $167,651.83 2026-03-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $161,198.27 $419,182.50 $161,198.27 2026-03-04
23 APR_DRG Heart And/or Lung Transplant 3 3 — — $159,908.18 $401,254.36 $159,908.18 2026-03-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $157,665.52 $391,940.28 $157,665.52 2026-03-04
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 4 1 — — $133,747.21 $179,414.64 $154,929.28 2026-03-04
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 4 1 — — $133,747.21 $179,414.64 $154,929.28 2026-03-04
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $128,656.65 $154,257.90 $154,257.90 2026-03-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $150,890.22 $378,625.29 $150,890.22 2026-03-04
E0766 HCPCS Elec Stim Cancer Treatment 2 1 — — $149,026.20 $149,026.20 $149,026.20 2026-03-04
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 4 1 — — $118,195.29 $158,552.58 $136,914.34 2026-03-04
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 4 1 — — $118,195.29 $158,552.58 $136,914.34 2026-03-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $133,866.81 $202,764.64 $133,866.81 2026-03-04
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $133,721.72 $335,544.23 $133,721.72 2026-03-04
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $133,721.72 $335,544.23 $133,721.72 2026-03-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $129,994.46 $326,191.62 $129,994.46 2026-03-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $128,592.93 $345,879.40 $128,592.93 2026-03-04
22 APR_DRG Heart And/or Lung Transplant 3 3 — — $123,427.35 $309,712.71 $123,427.35 2026-03-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $122,587.27 $306,090.69 $122,587.27 2026-03-04
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 4 1 — — $105,753.74 $141,862.92 $122,502.38 2026-03-04
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 4 1 — — $105,753.74 $141,862.92 $122,502.38 2026-03-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $119,989.23 $318,283.97 $119,989.23 2026-03-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $119,831.52 $217,049.36 $119,831.52 2026-03-04
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 11 — — $108,501.31 $202,258.00 $118,780.39 2026-03-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $116,587.91 $292,550.93 $116,587.91 2026-03-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 10 — — $94,999.95 $132,359.91 $113,443.37 2026-03-04
64 APR_DRG Pancreas Transplant 3 3 — — $113,057.27 $283,692.82 $113,057.27 2026-03-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $112,486.35 $282,258.57 $112,486.35 2026-03-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $112,365.44 $347,116.71 $112,365.44 2026-03-04
7 MS_DRG Lung Transplant 16 11 — — $101,515.51 $189,099.00 $111,132.76 2026-03-04
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $108,533.04 $272,338.69 $108,533.04 2026-03-04
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 4 1 — — $93,312.20 $125,173.26 $108,090.42 2026-03-04
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 4 1 — — $93,312.20 $125,173.26 $108,090.42 2026-03-04
C9482 HCPCS Sotalol HCl Inj 150 Mg/10ml (15 Mg/ml) 44 16 $143,373.83 $114,699.07 $20.67 $129,036.45 $103,946.03 2026-03-04
14 MS_DRG Allogeneic Bone Marrow Transplant 16 11 — — $94,288.58 $175,485.00 $103,221.18 2026-03-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $101,114.28 $256,097.39 $101,114.28 2026-03-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $100,648.51 $252,554.58 $100,648.51 2026-03-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $88,970.16 $165,467.00 $98,335.44 2026-03-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $98,196.61 $223,698.29 $98,196.61 2026-03-04
8634 APR_DRG Neonatal Aftercare 3 3 — — $96,472.30 $242,075.98 $96,472.30 2026-03-04
209 MS_DRG Complex Aortic Arch Procedures 15 11 — — $88,869.39 $165,277.00 $96,353.13 2026-03-04
63 APR_DRG Pancreas Transplant 3 3 — — $96,219.96 $241,442.34 $96,219.96 2026-03-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 9 — — $88,555.87 $123,381.62 $96,013.20 2026-03-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $86,562.48 $160,932.00 $94,763.14 2026-03-04
21 APR_DRG Heart And/or Lung Transplant 3 3 — — $94,615.51 $237,415.73 $94,615.51 2026-03-04
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 4 1 — — $80,870.66 $108,483.60 $93,678.46 2026-03-04
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 4 1 — — $80,870.66 $108,483.60 $93,678.46 2026-03-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 11 — — $85,422.21 $158,784.00 $93,514.85 2026-03-04
4404 APR_DRG Kidney Transplant 3 3 — — $93,486.29 $364,912.13 $93,486.29 2026-03-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $92,585.23 $232,323.07 $92,585.23 2026-03-04
0717 OTHER Instill Adstiladrin, Tx Dose 4 1 — — $78,918.02 $105,864.25 $91,416.57 2026-03-04
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $90,726.33 $550,000.00 $90,726.33 2026-03-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $90,723.18 $253,849.69 $90,723.18 2026-03-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $90,020.84 $225,888.20 $90,020.84 2026-03-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 11 — — $81,053.35 $150,554.00 $88,732.10 2026-03-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $86,325.12 $168,830.68 $86,325.12 2026-03-04
215 MS_DRG Other Heart Assist System Implant 16 11 — — $78,313.13 $145,392.00 $85,732.26 2026-03-04
5244 OTHER Level 4 Blood Product Exchange And Related Services 4 1 — — $73,582.19 $98,706.52 $85,235.68 2026-03-04
8514 APR_DRG Gender Related Procedures 3 3 — — $84,621.84 $212,339.88 $84,621.84 2026-03-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $84,265.41 $258,024.00 $84,265.41 2026-03-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $76,962.77 $142,848.00 $84,253.98 2026-03-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $82,144.71 $205,506.84 $82,144.71 2026-03-04
1643 OTHER Y90 Ibritumomab, Rx 4 1 — — $70,698.51 $94,838.22 $81,895.31 2026-03-04
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $81,445.52 $196,428.25 $81,445.52 2026-03-04
62 APR_DRG Pancreas Transplant 3 3 — — $81,364.56 $204,166.78 $81,364.56 2026-03-04
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $80,781.03 $206,438.04 $80,781.03 2026-03-04
9273 OTHER Sipuleucel-t Auto Cd54+ 4 1 — — $69,605.42 $93,371.90 $80,629.11 2026-03-04
1784 APR_DRG External Heart Assist Devices 3 3 — — $80,517.12 $212,025.20 $80,517.12 2026-03-04
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 4 1 — — $68,429.11 $91,793.95 $79,266.50 2026-03-04
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 4 1 — — $68,429.11 $91,793.95 $79,266.50 2026-03-04
84 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $79,154.49 $198,620.30 $79,154.49 2026-03-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $78,471.08 $196,905.62 $78,471.08 2026-03-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 11 — — $70,969.18 $131,558.00 $77,692.57 2026-03-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $77,393.38 $138,645.03 $77,393.38 2026-03-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $74,730.15 $175,383.28 $74,730.15 2026-03-04
850 MS_DRG Acute Leukemia With Other Procedures 16 11 — — $68,255.32 $126,446.00 $74,721.61 2026-03-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $74,702.82 $187,450.26 $74,702.82 2026-03-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $74,100.36 $184,776.56 $74,100.36 2026-03-04
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $73,460.05 $184,331.30 $73,460.05 2026-03-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 11 — — $66,475.50 $123,093.00 $72,773.18 2026-03-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $66,270.09 $122,706.00 $72,548.31 2026-03-04
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $72,537.96 $256,998.62 $72,537.96 2026-03-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $71,447.64 $182,319.06 $71,447.64 2026-03-04
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $71,167.44 $71,167.44 $71,167.44 2026-03-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $70,335.25 $171,883.28 $70,335.25 2026-03-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 9 — — $64,080.03 $89,280.34 $69,476.24 2026-03-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $69,283.84 $159,901.93 $69,283.84 2026-03-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $69,229.17 $209,092.47 $69,229.17 2026-03-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 11 — — $62,126.04 $114,900.00 $68,011.66 2026-03-04
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $67,242.00 $168,727.92 $67,242.00 2026-03-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $66,922.37 $116,416.27 $66,922.37 2026-03-04
1794 APR_DRG Defibrillator Implants 3 3 — — $66,857.18 $146,111.70 $66,857.18 2026-03-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $66,523.88 $219,127.95 $66,523.88 2026-03-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $60,649.35 $112,119.00 $66,395.08 2026-03-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $66,168.51 $166,034.96 $66,168.51 2026-03-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 11 — — $60,392.75 $111,635.00 $66,114.18 2026-03-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 11 — — $60,196.64 $111,266.00 $65,899.48 2026-03-04
J9226 HCPCS Histrelin Acetate (cpp) Implant Kit 50 Mg 44 16 $90,810.17 $72,648.14 $37,232.17 $81,729.15 $65,837.37 2026-03-04
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $65,685.91 $144,673.17 $65,685.91 2026-03-04
1142 OTHER Supprelin La Implant 4 1 — — $56,684.16 $76,038.73 $65,661.45 2026-03-04
61 APR_DRG Pancreas Transplant 3 3 — — $65,657.52 $164,752.69 $65,657.52 2026-03-04
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $65,463.01 $154,199.17 $65,463.01 2026-03-04
1783 APR_DRG External Heart Assist Devices 3 3 — — $65,291.63 $163,834.34 $65,291.63 2026-03-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 10 — — $60,175.17 $69,317.97 $65,242.55 2026-03-04
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 4 1 — — $55,987.57 $75,104.29 $64,854.54 2026-03-04
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 4 1 — — $55,987.57 $75,104.29 $64,854.54 2026-03-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $64,536.71 $161,939.85 $64,536.71 2026-03-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $64,425.26 $161,661.56 $64,425.26 2026-03-04
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $63,853.30 $164,307.43 $63,853.30 2026-03-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $63,608.32 $159,610.79 $63,608.32 2026-03-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $63,508.43 $173,824.87 $63,508.43 2026-03-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $57,085.88 $105,406.00 $62,494.01 2026-03-04
4403 APR_DRG Kidney Transplant 3 3 — — $62,232.02 $242,915.12 $62,232.02 2026-03-04
10 MS_DRG Pancreas Transplant 16 11 — — $56,753.33 $104,780.00 $62,129.96 2026-03-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 11 — — $56,730.10 $104,736.00 $62,104.53 2026-03-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 11 — — $56,434.74 $104,179.00 $61,781.19 2026-03-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 11 — — $56,402.19 $104,118.00 $61,745.56 2026-03-04
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $61,584.35 $154,533.12 $61,584.35 2026-03-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 3 3 — — $61,383.53 $154,027.92 $61,383.53 2026-03-04
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $60,769.50 $152,486.63 $60,769.50 2026-03-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $60,753.73 $143,673.48 $60,753.73 2026-03-04
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $60,424.64 $164,883.27 $60,424.64 2026-03-04
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $60,351.04 $162,629.14 $60,351.04 2026-03-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $60,315.30 $152,978.99 $60,315.30 2026-03-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $60,097.65 $156,085.10 $60,097.65 2026-03-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 16 11 — — $54,707.67 $100,926.00 $59,890.50 2026-03-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 11 — — $54,444.88 $100,431.00 $59,602.82 2026-03-04
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $59,435.26 $149,138.62 $59,435.26 2026-03-04
A9543 HCPCS Y90 Ibritumomab, Rx 14 10 — — $53,983.32 $69,162.84 $59,097.54 2026-03-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $59,009.44 $107,455.41 $59,009.44 2026-03-04
90288 CPT Botulism Ig IV 6 2 — — $48,705.00 $58,905.00 $58,905.00 2026-03-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $58,758.15 $147,441.06 $58,758.15 2026-03-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $58,758.15 $147,441.06 $58,758.15 2026-03-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 11 — — $53,306.93 $98,288.00 $58,357.07 2026-03-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $58,280.81 $201,364.64 $58,280.81 2026-03-04
234 APR_DRG Spinal Procedures 3 3 — — $58,230.35 $142,545.34 $58,230.35 2026-03-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 11 — — $52,961.20 $97,636.00 $57,978.57 2026-03-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 11 — — $52,923.22 $97,565.00 $57,937.00 2026-03-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $57,395.52 $169,293.06 $57,395.52 2026-03-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $57,334.54 $139,995.80 $57,334.54 2026-03-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $57,137.93 $143,375.92 $57,137.93 2026-03-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $57,092.72 $198,808.68 $57,092.72 2026-03-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $57,056.97 $90,056.01 $57,056.97 2026-03-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $52,099.22 $96,013.00 $57,034.93 2026-03-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 11 — — $52,099.22 $96,013.00 $57,034.93 2026-03-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 10 — — $52,508.71 $60,486.69 $56,930.49 2026-03-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $51,913.96 $95,664.00 $56,832.12 2026-03-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 16 11 — — $51,009.33 $93,959.00 $55,841.79 2026-03-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $55,725.88 $134,329.43 $55,725.88 2026-03-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $55,495.62 $148,684.79 $55,495.62 2026-03-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 3 3 — — $55,357.89 $145,784.18 $55,357.89 2026-03-04
4014 APR_DRG Adrenal Procedures 3 3 — — $55,066.65 $138,178.37 $55,066.65 2026-03-04
6904 APR_DRG Acute Leukemia 3 3 — — $54,803.79 $190,980.23 $54,803.79 2026-03-04
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $54,698.65 $136,874.70 $54,698.65 2026-03-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $54,397.95 $125,621.17 $54,397.95 2026-03-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $53,828.08 $110,418.11 $53,828.08 2026-03-04
4402 APR_DRG Kidney Transplant 3 3 — — $53,715.58 $209,672.60 $53,715.58 2026-03-04
0811 RC Live Donor Kidney Acquis 40 16 $73,966.00 $59,172.80 $0.68 $66,569.40 $53,625.35 2026-03-04
0812 RC Kidney Standard Acquis 40 16 $73,966.00 $59,172.80 $216.04 $66,569.40 $53,625.35 2026-03-04
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $53,472.71 $120,821.78 $53,472.71 2026-03-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 11 — — $48,634.99 $89,487.00 $53,242.52 2026-03-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 11 — — $48,579.93 $89,383.00 $53,182.24 2026-03-04
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $52,945.95 $132,856.65 $52,945.95 2026-03-04
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $52,854.48 $132,627.60 $52,854.48 2026-03-04
4414 APR_DRG Major Bladder Procedures 3 3 — — $52,829.24 $124,657.87 $52,829.24 2026-03-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 11 — — $48,124.93 $88,526.00 $52,684.13 2026-03-04
1782 APR_DRG External Heart Assist Devices 3 3 — — $52,633.68 $120,342.27 $52,633.68 2026-03-04
5204 APR_DRG Other GYN Procedures For Malignancy 3 3 — — $52,252.02 $131,114.14 $52,252.02 2026-03-04
28 MS_DRG Spinal Procedures With Mcc 16 11 — — $47,704.01 $87,733.00 $52,223.34 2026-03-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 11 — — $47,690.84 $87,708.00 $52,208.92 2026-03-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $52,077.48 $126,528.82 $52,077.48 2026-03-04
83 APR_DRG Autologous Bone Marrow Transplant 3 3 — — $51,918.72 $119,481.72 $51,918.72 2026-03-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 11 — — $47,353.63 $87,073.00 $51,839.77 2026-03-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 11 — — $47,201.69 $86,787.00 $51,673.43 2026-03-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 11 — — $47,094.73 $86,585.00 $51,556.33 2026-03-04
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $51,272.10 $179,024.57 $51,272.10 2026-03-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 11 — — $46,621.10 $85,693.00 $51,037.83 2026-03-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 11 — — $46,591.63 $85,638.00 $51,005.57 2026-03-04
2614 APR_DRG Major Biliary Tract Procedures 3 3 — — $50,571.86 $126,899.15 $50,571.86 2026-03-04
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 4 1 — — $43,546.02 $58,414.63 $50,442.58 2026-03-04
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 4 1 — — $43,546.02 $58,414.63 $50,442.58 2026-03-04
33264 CPT Rmvl & Replc Defib Gen Mult Leads 46 16 $69,554.00 $55,643.20 20% off $396.45 $62,598.60 $50,426.65 2026-03-04
4854 APR_DRG Prostatectomy Procedures 3 3 — — $50,418.35 $126,513.83 $50,418.35 2026-03-04
L7181 HCPCS Electronic Elbo Simultaneous 14 10 — — $44,875.22 $64,725.52 $50,368.15 2026-03-04
1833 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $50,342.65 $129,185.39 $50,342.65 2026-03-04
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $50,248.03 $126,085.70 $50,248.03 2026-03-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 11 — — $45,834.30 $84,211.00 $50,176.49 2026-03-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 11 — — $45,549.04 $83,674.00 $49,864.21 2026-03-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $49,768.58 $124,882.64 $49,768.58 2026-03-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 11 — — $45,310.27 $83,224.00 $49,602.82 2026-03-04
1793 APR_DRG Defibrillator Implants 3 3 — — $49,356.43 $97,501.28 $49,356.43 2026-03-04
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 15 11 — — $45,367.64 $83,332.00 $49,188.07 2026-03-04
4401 APR_DRG Kidney Transplant 3 3 — — $49,074.65 $191,556.07 $49,074.65 2026-03-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 11 — — $44,709.51 $82,092.00 $48,945.14 2026-03-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $48,851.75 $122,583.56 $48,851.75 2026-03-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 11 — — $44,574.66 $81,838.00 $48,797.51 2026-03-04
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 3 3 — — $48,716.12 $119,141.35 $48,716.12 2026-03-04
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $48,582.59 $93,440.42 $48,582.59 2026-03-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 11 — — $44,276.97 $81,278.00 $48,471.63 2026-03-04
1781 APR_DRG External Heart Assist Devices 3 3 — — $48,290.30 $118,306.49 $48,290.30 2026-03-04
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $48,168.33 $120,143.19 $48,168.33 2026-03-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 11 — — $43,942.10 $80,647.00 $48,105.04 2026-03-04
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $47,840.29 $83,955.09 $47,840.29 2026-03-04
834 MS_DRG Acute Leukemia With Mcc 16 11 — — $43,685.53 $80,164.00 $47,824.16 2026-03-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $47,716.23 $121,530.34 $47,716.23 2026-03-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 11 — — $43,535.15 $79,880.00 $47,659.53 2026-03-04
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 3 3 — — $47,635.27 $116,703.12 $47,635.27 2026-03-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 11 — — $43,474.68 $79,766.00 $47,593.33 2026-03-04
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $47,590.06 $119,417.50 $47,590.06 2026-03-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 11 — — $43,408.02 $79,641.00 $47,520.35 2026-03-04
2304 APR_DRG Major Small Bowel Procedures 3 3 — — $47,463.89 $128,511.08 $47,463.89 2026-03-04
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $47,444.96 $129,579.28 $47,444.96 2026-03-04
274 APR_DRG Other Open Craniotomy 3 3 — — $47,410.27 $115,589.97 $47,410.27 2026-03-04
1814 APR_DRG Lower Extremity Vascular Procedures 3 3 — — $47,369.26 $111,967.95 $47,369.26 2026-03-04
0408T CPT Insj/rplc Car Modulj Sys Pls Gen Transvns Eltrd 44 16 $65,304.00 $52,243.20 20% off $18,134.92 $58,773.60 $47,345.40 2026-03-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 11 — — $43,239.04 $79,322.00 $47,335.37 2026-03-04
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $47,264.12 $94,024.82 $47,264.12 2026-03-04
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 3 3 — — $47,107.46 $127,468.57 $47,107.46 2026-03-04
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $46,886.66 $84,015.03 $46,886.66 2026-03-04
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $46,835.14 $117,523.00 $46,835.14 2026-03-04
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 3 3 — — $46,606.99 $116,949.30 $46,606.99 2026-03-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 11 — — $42,467.75 $77,870.00 $46,491.01 2026-03-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 11 — — $42,442.93 $77,823.00 $46,463.84 2026-03-04
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 3 3 — — $46,378.83 $116,377.74 $46,378.83 2026-03-04
0266T CPT Outpatient Services 10 9 — — $34,376.00 $83,313.93 $46,350.52 2026-03-04
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $46,250.56 $94,874.67 $46,250.56 2026-03-04
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