Hospital

SANFORD MEDICAL CENTER BISMARCK

Bismarck, ND · CCN 350015 · Rates published

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You selected 93306 (CPT)

ECHO (2D) COMPLETE W DOPPLER & COLOR

This hospital’s price: $885 across 15 payers · range $196-$1,133

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8388/450226700_sanford-medical-center-bismarck_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.

17,938 distinct procedures filed

15 distinct payers

503,976 rate rows

2026-03-04 last MRF observed

Data quality

503,487 of 503,976 rate rows are consumer-grade (99.9%)

489 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 — reason	Rows
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	295
placeholder amount (≤ $0.02) — excluded from medians	107
per-diem day rate — not a per-procedure price	73
percent-of-charges filed in the dollar field — excluded from medians	14

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8388/450226700_sanford-medical-center-bismarck_standardcharges.csv
Found on page	https://www.sanfordhealth.org/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-10-23
Content fingerprint	9142038f9efcbcd2… · 613,991,115 bytes · first seen 2026-05-14

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 Services	1	$4,635,885.45	$4,635,885.45	$4,635,885.45	nat. median $3,325,455 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
748 OTHER	Outpatient Services	1	$4,547,733.86	$4,547,733.86	$4,547,733.86	nat. median $3,252,508 1.4× median
746 OTHER	Outpatient Services	1	$4,114,528.37	$4,840,543.75	$4,477,536.06	nat. median $2,939,969 1.5× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	9	$3,501,003.33	$3,869,530.00	$3,777,398.33	nat. median $3,705,478 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Treat	1	$3,419,305.51	$4,022,647.66	$3,720,976.58	nat. median $2,588,981 1.4× 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	Inj, Beqvez, Per Tx Dose	1	$3,570,000.00	$3,570,000.00	$3,570,000.00	nat. median $3,605,000 1.0× median
824 OTHER	Outpatient Services	1	$3,251,812.63	$3,825,600.38	$3,538,706.50	nat. median $2,285,360 1.5× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	9	$3,150,639.46	$3,482,285.72	$3,399,374.16	nat. median $3,324,572 1.0× median
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 $2,994,107 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	9	$2,332,355.07	$2,577,866.14	$2,528,763.92	nat. median $2,467,386 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	9	$2,215,400.00	$2,448,600.00	$2,390,300.00	nat. median $2,401,965 1.0× median
5834 APR_DRG	Neonate With Ecmo	1	$1,427,274.00	$1,427,274.00	$1,427,274.00	nat. median $307,206 outlier · 4.6×
2067 OTHER	Afamitresgene Autoleucel	1	$1,074,576.26	$1,264,187.03	$1,169,381.65	nat. median $793,739 1.5× median
9194 OTHER	Tisagenlecleucel Car-pos T	1	$806,433.61	$948,730.16	$877,581.89	nat. median $577,163 1.5× median
5833 APR_DRG	Neonate With Ecmo	1	$861,751.00	$861,751.00	$861,751.00	nat. median $244,017 outlier · 3.5×
9498 OTHER	Ciltacabtagene Car-pos T	1	$771,648.48	$907,807.14	$839,727.81	nat. median $587,650 1.4× median
9413 OTHER	Lisocabtagene Car Pos T	1	$755,273.44	$888,542.70	$821,908.07	nat. median $562,201 1.5× median
9422 OTHER	Idecabtagene Vicleucel Car	1	$754,750.24	$887,927.17	$821,338.71	nat. median $563,449 1.5× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$819,901.00	$819,901.00	$819,901.00	nat. median $247,214 outlier · 3.3×
9035 OTHER	Axicabtagene Ciloleucel Car+	1	$743,338.26	$874,501.53	$808,919.90	nat. median $533,230 1.5× median
Q2057 HCPCS	Afamitresgene Autoleucel	9	$732,089.00	$843,320.00	$793,738.60	nat. median $813,967 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	1	$682,880.65	$803,376.08	$743,128.36	nat. median $492,768 1.5× median
24 APR_DRG	Heart And/or Lung Transplant	1	$734,093.00	$734,093.00	$734,093.00	nat. median $241,437 outlier · 3.0×
1614 APR_DRG	Implantable Heart Assist Systems	1	$610,382.00	$610,382.00	$610,382.00	nat. median $202,993 outlier · 3.0×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	9	$562,139.89	$647,549.43	$609,477.99	nat. median $739,258 0.8× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$583,956.00	$583,956.00	$583,956.00	nat. median $175,204 outlier · 3.3×
Q2056 HCPCS	Ciltacabtagene Car-pos T	9	$537,575.50	$619,252.81	$582,845.01	nat. median $646,415 0.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	9	$534,411.28	$615,607.82	$579,414.33	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	9	$529,452.04	$609,895.10	$574,037.47	nat. median $622,450 0.9× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	1	$571,774.00	$571,774.00	$571,774.00	nat. median $170,082 outlier · 3.4×
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$563,189.00	$563,189.00	$563,189.00	nat. median $145,061 outlier · 3.9×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$555,052.00	$555,052.00	$555,052.00	nat. median $151,838 outlier · 3.7×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	9	$506,568.66	$583,534.90	$549,227.08	nat. median $608,239 0.9× median
5832 APR_DRG	Neonate With Ecmo	1	$540,767.00	$540,767.00	$540,767.00	nat. median $159,249 outlier · 3.4×
C9301 HCPCS	Obecabtagene Car Pos T	1	$535,500.00	$535,500.00	$535,500.00	nat. median $459,112 1.2× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	1	$522,181.00	$522,181.00	$522,181.00	nat. median $155,939 outlier · 3.3×
Q2053 HCPCS	Brexucabtagene Car Pos T	9	$464,839.38	$535,465.42	$503,983.75	nat. median $591,721 0.9× median
1613 APR_DRG	Implantable Heart Assist Systems	1	$491,159.00	$491,159.00	$491,159.00	nat. median $120,517 outlier · 4.1×
C9098 HCPCS	Ciltacabtagene Car Pos T	1	$474,300.00	$474,300.00	$474,300.00	nat. median $31,873 outlier · 14.9×
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$464,346.00	$464,346.00	$464,346.00	nat. median $162,342 outlier · 2.9×
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$460,061.00	$460,061.00	$460,061.00	nat. median $154,011 outlier · 3.0×
5831 APR_DRG	Neonate With Ecmo	1	$456,273.00	$456,273.00	$456,273.00	nat. median $146,500 outlier · 3.1×
C9081 HCPCS	Idecabtagene Car Pos T	1	$427,890.00	$427,890.00	$427,890.00	nat. median $27,427 outlier · 15.6×
C9076 HCPCS	Lisocabtagene Car Pos T	1	$418,506.00	$418,506.00	$418,506.00	nat. median $27,935 outlier · 15.0×
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	1	$416,195.00	$416,195.00	$416,195.00	nat. median $136,566 outlier · 3.0×
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$414,708.00	$414,708.00	$414,708.00	nat. median $118,620 outlier · 3.5×
831 OTHER	Outpatient Services	1	$377,019.23	$443,544.90	$410,282.07	nat. median $23,596 outlier · 17.4×

Other procedures at this hospital

Browse this hospital's 17,938 published procedures. Use the slice to choose what to show, then sort or filter any column.

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 Services	2	1	—	—	$4,635,885.45	$4,635,885.45	$4,635,885.45	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
748	OTHER	Outpatient Services	2	1	—	—	$4,547,733.86	$4,547,733.86	$4,547,733.86	2026-03-04
746	OTHER	Outpatient Services	4	1	—	—	$4,114,528.37	$4,840,543.75	$4,477,536.06	2026-03-04
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	12	9	—	—	$3,501,003.33	$3,869,530.00	$3,777,398.33	2026-03-04
9141	OTHER	Inj Onase Abepar-xioi Treat	4	1	—	—	$3,419,305.51	$4,022,647.66	$3,720,976.58	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
C9172	HCPCS	Inj, Beqvez, Per Tx Dose	4	1	—	—	$3,570,000.00	$3,570,000.00	$3,570,000.00	2026-03-04
824	OTHER	Outpatient Services	4	1	—	—	$3,251,812.63	$3,825,600.38	$3,538,706.50	2026-03-04
J1413	HCPCS	Inj Delandistrogene Mox Rokl	12	9	—	—	$3,150,639.46	$3,482,285.72	$3,399,374.16	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
J3399	HCPCS	Inj Onase Abepar-xioi Treat	12	9	—	—	$2,332,355.07	$2,577,866.14	$2,528,763.92	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
5834	APR_DRG	Neonate With Ecmo	1	1	—	—	$1,427,274.00	$1,427,274.00	$1,427,274.00	2026-03-04
2067	OTHER	Afamitresgene Autoleucel	4	1	—	—	$1,074,576.26	$1,264,187.03	$1,169,381.65	2026-03-04
9194	OTHER	Tisagenlecleucel Car-pos T	4	1	—	—	$806,433.61	$948,730.16	$877,581.89	2026-03-04
5833	APR_DRG	Neonate With Ecmo	1	1	—	—	$861,751.00	$861,751.00	$861,751.00	2026-03-04
9498	OTHER	Ciltacabtagene Car-pos T	4	1	—	—	$771,648.48	$907,807.14	$839,727.81	2026-03-04
9413	OTHER	Lisocabtagene Car Pos T	4	1	—	—	$755,273.44	$888,542.70	$821,908.07	2026-03-04
9422	OTHER	Idecabtagene Vicleucel Car	4	1	—	—	$754,750.24	$887,927.17	$821,338.71	2026-03-04
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$819,901.00	$819,901.00	$819,901.00	2026-03-04
9035	OTHER	Axicabtagene Ciloleucel Car+	4	1	—	—	$743,338.26	$874,501.53	$808,919.90	2026-03-04
Q2057	HCPCS	Afamitresgene Autoleucel	12	9	—	—	$732,089.00	$843,320.00	$793,738.60	2026-03-04
9391	OTHER	Brexucabtagene Car Pos T	4	1	—	—	$682,880.65	$803,376.08	$743,128.36	2026-03-04
24	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$734,093.00	$734,093.00	$734,093.00	2026-03-04
1614	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$610,382.00	$610,382.00	$610,382.00	2026-03-04
Q2042	HCPCS	Tisagenlecleucel Car-pos T	12	9	—	—	$562,139.89	$647,549.43	$609,477.99	2026-03-04
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$583,956.00	$583,956.00	$583,956.00	2026-03-04
Q2056	HCPCS	Ciltacabtagene Car-pos T	12	9	—	—	$537,575.50	$619,252.81	$582,845.01	2026-03-04
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	12	9	—	—	$534,411.28	$615,607.82	$579,414.33	2026-03-04
Q2055	HCPCS	Idecabtagene Vicleucel Car	12	9	—	—	$529,452.04	$609,895.10	$574,037.47	2026-03-04
74	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$571,774.00	$571,774.00	$571,774.00	2026-03-04
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$563,189.00	$563,189.00	$563,189.00	2026-03-04
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$555,052.00	$555,052.00	$555,052.00	2026-03-04
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	12	9	—	—	$506,568.66	$583,534.90	$549,227.08	2026-03-04
5832	APR_DRG	Neonate With Ecmo	1	1	—	—	$540,767.00	$540,767.00	$540,767.00	2026-03-04
C9301	HCPCS	Obecabtagene Car Pos T	4	1	—	—	$535,500.00	$535,500.00	$535,500.00	2026-03-04
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	1	1	—	—	$522,181.00	$522,181.00	$522,181.00	2026-03-04
Q2053	HCPCS	Brexucabtagene Car Pos T	12	9	—	—	$464,839.38	$535,465.42	$503,983.75	2026-03-04
1613	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$491,159.00	$491,159.00	$491,159.00	2026-03-04
C9098	HCPCS	Ciltacabtagene Car Pos T	4	1	—	—	$474,300.00	$474,300.00	$474,300.00	2026-03-04
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$464,346.00	$464,346.00	$464,346.00	2026-03-04
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	1	—	—	$460,061.00	$460,061.00	$460,061.00	2026-03-04
5831	APR_DRG	Neonate With Ecmo	1	1	—	—	$456,273.00	$456,273.00	$456,273.00	2026-03-04
C9081	HCPCS	Idecabtagene Car Pos T	4	1	—	—	$427,890.00	$427,890.00	$427,890.00	2026-03-04
C9076	HCPCS	Lisocabtagene Car Pos T	4	1	—	—	$418,506.00	$418,506.00	$418,506.00	2026-03-04
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$416,195.00	$416,195.00	$416,195.00	2026-03-04
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$414,708.00	$414,708.00	$414,708.00	2026-03-04
831	OTHER	Outpatient Services	4	1	—	—	$377,019.23	$443,544.90	$410,282.07	2026-03-04
114	APR_DRG	Chimeric Antigen Receptor Car T-cell And Other Immunotherapies	1	1	—	—	$408,412.00	$408,412.00	$408,412.00	2026-03-04
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$406,377.00	$406,377.00	$406,377.00	2026-03-04
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$400,303.00	$400,303.00	$400,303.00	2026-03-04
23	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$396,971.00	$396,971.00	$396,971.00	2026-03-04
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$387,757.00	$387,757.00	$387,757.00	2026-03-04
C9073	HCPCS	Brexucabtagene Autoleucel Ca	4	1	—	—	$380,460.00	$380,460.00	$380,460.00	2026-03-04
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$374,584.00	$374,584.00	$374,584.00	2026-03-04
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$373,476.00	$373,476.00	$373,476.00	2026-03-04
4404	APR_DRG	Kidney Transplant	1	1	—	—	$361,017.00	$361,017.00	$361,017.00	2026-03-04
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	10	—	—	$316,245.95	$779,018.00	$349,534.99	2026-03-04
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$343,412.00	$343,412.00	$343,412.00	2026-03-04
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$342,187.00	$342,187.00	$342,187.00	2026-03-04
1611	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$331,963.00	$331,963.00	$331,963.00	2026-03-04
1612	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$331,963.00	$331,963.00	$331,963.00	2026-03-04
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$322,710.00	$322,710.00	$322,710.00	2026-03-04
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$314,887.00	$314,887.00	$314,887.00	2026-03-04
22	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$306,407.00	$306,407.00	$306,407.00	2026-03-04
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$302,823.00	$302,823.00	$302,823.00	2026-03-04
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	1	—	—	$289,428.00	$289,428.00	$289,428.00	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
64	APR_DRG	Pancreas Transplant	1	1	—	—	$280,665.00	$280,665.00	$280,665.00	2026-03-04
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	1	1	—	—	$279,246.00	$279,246.00	$279,246.00	2026-03-04
73	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$269,432.00	$269,432.00	$269,432.00	2026-03-04
J3403	HCPCS	Revakinagene, Per Implant	12	9	—	—	$244,625.00	$270,375.00	$263,937.50	2026-03-04
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$255,270.00	$255,270.00	$255,270.00	2026-03-04
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	1	1	—	—	$254,255.00	$254,255.00	$254,255.00	2026-03-04
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$253,364.00	$253,364.00	$253,364.00	2026-03-04
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$251,140.00	$251,140.00	$251,140.00	2026-03-04
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	1	—	—	$249,859.00	$249,859.00	$249,859.00	2026-03-04
4403	APR_DRG	Kidney Transplant	1	1	—	—	$240,322.00	$240,322.00	$240,322.00	2026-03-04
8634	APR_DRG	Neonatal Aftercare	1	1	—	—	$239,492.00	$239,492.00	$239,492.00	2026-03-04
63	APR_DRG	Pancreas Transplant	1	1	—	—	$238,865.00	$238,865.00	$238,865.00	2026-03-04
21	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$234,882.00	$234,882.00	$234,882.00	2026-03-04
1908	OTHER	New Technology - Level 52 ($145,001-$160,000)	4	1	—	—	$212,651.39	$250,174.08	$231,412.73	2026-03-04
1907	OTHER	New Technology - Level 52 ($145,001-$160,000)	4	1	—	—	$212,651.39	$250,174.08	$231,412.73	2026-03-04
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$229,843.00	$229,843.00	$229,843.00	2026-03-04
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	15	10	—	—	$205,475.84	$505,551.00	$227,104.88	2026-03-04
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$225,775.00	$225,775.00	$225,775.00	2026-03-04
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$223,477.00	$223,477.00	$223,477.00	2026-03-04
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$221,311.00	$221,311.00	$221,311.00	2026-03-04
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$220,660.00	$220,660.00	$220,660.00	2026-03-04
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	1	1	—	—	$216,789.00	$216,789.00	$216,789.00	2026-03-04
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$214,733.00	$214,733.00	$214,733.00	2026-03-04
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	12	9	—	—	$195,358.00	$225,040.00	$211,809.20	2026-03-04
8514	APR_DRG	Gender Related Procedures	1	1	—	—	$210,073.00	$210,073.00	$210,073.00	2026-03-04
1784	APR_DRG	External Heart Assist Systems	1	1	—	—	$209,762.00	$209,762.00	$209,762.00	2026-03-04
1905	OTHER	New Technology - Level 51 ($130,001-$145,000)	4	1	—	—	$191,734.93	$225,566.88	$208,650.90	2026-03-04
1906	OTHER	New Technology - Level 51 ($130,001-$145,000)	4	1	—	—	$191,734.93	$225,566.88	$208,650.90	2026-03-04
4402	APR_DRG	Kidney Transplant	1	1	—	—	$207,435.00	$207,435.00	$207,435.00	2026-03-04
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	1	1	—	—	$206,861.00	$206,861.00	$206,861.00	2026-03-04
72	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$204,235.00	$204,235.00	$204,235.00	2026-03-04
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$203,313.00	$203,313.00	$203,313.00	2026-03-04
62	APR_DRG	Pancreas Transplant	1	1	—	—	$201,988.00	$201,988.00	$201,988.00	2026-03-04
113	APR_DRG	Chimeric Antigen Receptor Car T-cell And Other Immunotherapies	1	1	—	—	$201,056.00	$201,056.00	$201,056.00	2026-03-04
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$200,600.00	$200,600.00	$200,600.00	2026-03-04
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$199,215.00	$199,215.00	$199,215.00	2026-03-04
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	1	1	—	—	$196,687.00	$196,687.00	$196,687.00	2026-03-04
84	APR_DRG	Autologous Bone Marrow Transplant	1	1	—	—	$196,500.00	$196,500.00	$196,500.00	2026-03-04
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$194,804.00	$194,804.00	$194,804.00	2026-03-04
2994	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$194,332.00	$194,332.00	$194,332.00	2026-03-04
4401	APR_DRG	Kidney Transplant	1	1	—	—	$189,511.00	$189,511.00	$189,511.00	2026-03-04
6904	APR_DRG	Acute Leukemia	1	1	—	—	$188,942.00	$188,942.00	$188,942.00	2026-03-04
1904	OTHER	New Technology - Level 50 ($115,001-$130,000)	4	1	—	—	$170,818.47	$200,959.67	$185,889.07	2026-03-04
1903	OTHER	New Technology - Level 50 ($115,001-$130,000)	4	1	—	—	$170,818.47	$200,959.67	$185,889.07	2026-03-04
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$185,449.00	$185,449.00	$185,449.00	2026-03-04
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$182,804.00	$182,804.00	$182,804.00	2026-03-04
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$182,364.00	$182,364.00	$182,364.00	2026-03-04
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$180,373.00	$180,373.00	$180,373.00	2026-03-04
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$177,114.00	$177,114.00	$177,114.00	2026-03-04
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$173,511.00	$173,511.00	$173,511.00	2026-03-04
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	15	10	—	—	$156,711.53	$385,163.00	$173,207.48	2026-03-04
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	15	10	—	—	$155,795.92	$382,903.00	$172,195.50	2026-03-04
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	1	1	—	—	$171,969.00	$171,969.00	$171,969.00	2026-03-04
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$170,049.00	$170,049.00	$170,049.00	2026-03-04
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$167,486.00	$167,486.00	$167,486.00	2026-03-04
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	1	1	—	—	$167,029.00	$167,029.00	$167,029.00	2026-03-04
71	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$166,927.00	$166,927.00	$166,927.00	2026-03-04
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$164,460.00	$164,460.00	$164,460.00	2026-03-04
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	—	—	$164,263.00	$164,263.00	$164,263.00	2026-03-04
1901	OTHER	New Technology - Level 49 ($100,001-$115,000)	4	1	—	—	$149,902.00	$176,352.46	$163,127.23	2026-03-04
1902	OTHER	New Technology - Level 49 ($100,001-$115,000)	4	1	—	—	$149,902.00	$176,352.46	$163,127.23	2026-03-04
1694	APR_DRG	Major Abdominal Vascular Procedures	1	1	—	—	$163,123.00	$163,123.00	$163,123.00	2026-03-04
61	APR_DRG	Pancreas Transplant	1	1	—	—	$162,994.00	$162,994.00	$162,994.00	2026-03-04
2993	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$162,554.00	$162,554.00	$162,554.00	2026-03-04
1783	APR_DRG	External Heart Assist Systems	1	1	—	—	$162,086.00	$162,086.00	$162,086.00	2026-03-04
214	APR_DRG	Open Craniotomy Except Trauma	1	1	—	—	$160,893.00	$160,893.00	$160,893.00	2026-03-04
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	1	1	—	—	$160,211.00	$160,211.00	$160,211.00	2026-03-04
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	1	1	—	—	$159,936.00	$159,936.00	$159,936.00	2026-03-04
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	1	1	—	—	$158,195.00	$158,195.00	$158,195.00	2026-03-04
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	1	1	—	—	$157,907.00	$157,907.00	$157,907.00	2026-03-04
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$154,419.00	$154,419.00	$154,419.00	2026-03-04
6903	APR_DRG	Acute Leukemia	1	1	—	—	$154,127.00	$154,127.00	$154,127.00	2026-03-04
3004	APR_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$152,884.00	$152,884.00	$152,884.00	2026-03-04
914	APR_DRG	Other Major Head And Neck Procedures	1	1	—	—	$152,553.00	$152,553.00	$152,553.00	2026-03-04
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$152,384.00	$152,384.00	$152,384.00	2026-03-04
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$151,346.00	$151,346.00	$151,346.00	2026-03-04
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$150,859.00	$150,859.00	$150,859.00	2026-03-04
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	1	1	—	—	$147,670.00	$147,670.00	$147,670.00	2026-03-04
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$147,547.00	$147,547.00	$147,547.00	2026-03-04
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	1	1	—	—	$147,098.00	$147,098.00	$147,098.00	2026-03-04
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	—	—	$145,867.00	$145,867.00	$145,867.00	2026-03-04
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	—	—	$145,867.00	$145,867.00	$145,867.00	2026-03-04
1794	APR_DRG	Defibrillator Implants	1	1	—	—	$144,552.00	$144,552.00	$144,552.00	2026-03-04
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	1	1	—	—	$144,228.00	$144,228.00	$144,228.00	2026-03-04
1599	OTHER	New Technology - Level 48 ($90,001-$100,000)	4	1	—	—	$132,471.62	$155,846.46	$144,159.04	2026-03-04
1585	OTHER	New Technology - Level 48 ($90,001-$100,000)	4	1	—	—	$132,471.62	$155,846.46	$144,159.04	2026-03-04
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	1	1	—	—	$143,129.00	$143,129.00	$143,129.00	2026-03-04
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$142,140.00	$142,140.00	$142,140.00	2026-03-04
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$141,846.00	$141,846.00	$141,846.00	2026-03-04
234	APR_DRG	Spinal Procedures	1	1	—	—	$141,024.00	$141,024.00	$141,024.00	2026-03-04
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	1	1	—	—	$138,501.00	$138,501.00	$138,501.00	2026-03-04
7614	APR_DRG	Schizoaffective Disorders	1	1	—	—	$138,086.00	$138,086.00	$138,086.00	2026-03-04
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$137,165.00	$137,165.00	$137,165.00	2026-03-04
4014	APR_DRG	Adrenal Procedures	1	1	—	—	$136,703.00	$136,703.00	$136,703.00	2026-03-04
1204	APR_DRG	Major Respiratory And Chest Procedures	1	1	—	—	$135,414.00	$135,414.00	$135,414.00	2026-03-04
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	1	1	—	—	$133,198.00	$133,198.00	$133,198.00	2026-03-04
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	1	1	—	—	$133,040.00	$133,040.00	$133,040.00	2026-03-04
894	APR_DRG	Major Cranial Or Facial Bone Procedures	1	1	—	—	$132,896.00	$132,896.00	$132,896.00	2026-03-04
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$131,439.00	$131,439.00	$131,439.00	2026-03-04
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	1	1	—	—	$131,212.00	$131,212.00	$131,212.00	2026-03-04
8633	APR_DRG	Neonatal Aftercare	1	1	—	—	$130,367.00	$130,367.00	$130,367.00	2026-03-04
5204	APR_DRG	Other GYN Procedures For Malignancy	1	1	—	—	$129,715.00	$129,715.00	$129,715.00	2026-03-04
6504	APR_DRG	Splenic Procedures	1	1	—	—	$129,713.00	$129,713.00	$129,713.00	2026-03-04
1584	OTHER	New Technology - Level 47 ($80,001-$90,000)	4	1	—	—	$118,527.32	$139,441.66	$128,984.49	2026-03-04
1598	OTHER	New Technology - Level 47 ($80,001-$90,000)	4	1	—	—	$118,527.32	$139,441.66	$128,984.49	2026-03-04
6954	APR_DRG	Chemotherapy For Acute Leukemia	1	1	—	—	$128,196.00	$128,196.00	$128,196.00	2026-03-04
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$127,806.00	$127,806.00	$127,806.00	2026-03-04
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$127,283.00	$127,283.00	$127,283.00	2026-03-04
2304	APR_DRG	Major Small Bowel Procedures	1	1	—	—	$127,139.00	$127,139.00	$127,139.00	2026-03-04
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	1	1	—	—	$126,798.00	$126,798.00	$126,798.00	2026-03-04
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	1	1	—	—	$126,108.00	$126,108.00	$126,108.00	2026-03-04
2614	APR_DRG	Major Biliary Tract Procedures	1	1	—	—	$125,545.00	$125,545.00	$125,545.00	2026-03-04
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	1	1	—	—	$125,178.00	$125,178.00	$125,178.00	2026-03-04
4854	APR_DRG	Prostatectomy Procedures	1	1	—	—	$125,163.00	$125,163.00	$125,163.00	2026-03-04
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$124,740.00	$124,740.00	$124,740.00	2026-03-04
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$124,280.00	$124,280.00	$124,280.00	2026-03-04
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	1	1	—	—	$123,550.00	$123,550.00	$123,550.00	2026-03-04
4414	APR_DRG	Major Bladder Procedures	1	1	—	—	$123,327.00	$123,327.00	$123,327.00	2026-03-04
2294	APR_DRG	Other Digestive System And Abdominal Procedures	1	1	—	—	$122,368.00	$122,368.00	$122,368.00	2026-03-04
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	1	1	—	—	$121,872.00	$121,872.00	$121,872.00	2026-03-04
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	1	1	—	—	$121,275.00	$121,275.00	$121,275.00	2026-03-04
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	1	—	—	$120,233.00	$120,233.00	$120,233.00	2026-03-04
204	APR_DRG	Open Craniotomy For Trauma	1	1	—	—	$119,532.00	$119,532.00	$119,532.00	2026-03-04
1782	APR_DRG	External Heart Assist Systems	1	1	—	—	$119,058.00	$119,058.00	$119,058.00	2026-03-04
6021	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$118,861.00	$118,861.00	$118,861.00	2026-03-04
83	APR_DRG	Autologous Bone Marrow Transplant	1	1	—	—	$118,206.00	$118,206.00	$118,206.00	2026-03-04
6133	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	1	1	—	—	$118,143.00	$118,143.00	$118,143.00	2026-03-04
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	1	1	—	—	$117,870.00	$117,870.00	$117,870.00	2026-03-04
1781	APR_DRG	External Heart Assist Systems	1	1	—	—	$117,044.00	$117,044.00	$117,044.00	2026-03-04
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	1	1	—	—	$116,660.00	$116,660.00	$116,660.00	2026-03-04
6953	APR_DRG	Chemotherapy For Acute Leukemia	1	1	—	—	$116,542.00	$116,542.00	$116,542.00	2026-03-04
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	1	1	—	—	$116,269.00	$116,269.00	$116,269.00	2026-03-04
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$116,233.00	$116,233.00	$116,233.00	2026-03-04
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	1	1	—	—	$115,701.00	$115,701.00	$115,701.00	2026-03-04
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	1	1	—	—	$115,457.00	$115,457.00	$115,457.00	2026-03-04
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$115,174.00	$115,174.00	$115,174.00	2026-03-04
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	1	1	—	—	$115,136.00	$115,136.00	$115,136.00	2026-03-04
8904	APR_DRG	HIV With Multiple Major HIV Related Conditions	1	1	—	—	$114,939.00	$114,939.00	$114,939.00	2026-03-04
6122	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$114,799.00	$114,799.00	$114,799.00	2026-03-04
274	APR_DRG	Other Open Craniotomy	1	1	—	—	$114,356.00	$114,356.00	$114,356.00	2026-03-04
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$114,007.00	$114,007.00	$114,007.00	2026-03-04
1583	OTHER	New Technology - Level 46 ($70,001-$80,000)	4	1	—	—	$104,583.01	$123,036.85	$113,809.93	2026-03-04
1597	OTHER	New Technology - Level 46 ($70,001-$80,000)	4	1	—	—	$104,583.01	$123,036.85	$113,809.93	2026-03-04
Q0480	HCPCS	Driver Pneumatic Vad, Rep	12	9	—	—	$99,999.93	$115,646.15	$112,892.67	2026-03-04
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	15	10	—	—	$101,913.60	$249,879.00	$112,641.34	2026-03-04
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	1	1	—	—	$111,866.00	$111,866.00	$111,866.00	2026-03-04
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$111,785.00	$111,785.00	$111,785.00	2026-03-04
1814	APR_DRG	Lower Extremity Arterial Procedures	1	1	—	—	$110,773.00	$110,773.00	$110,773.00	2026-03-04
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$110,735.00	$110,735.00	$110,735.00	2026-03-04
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	1	1	—	—	$110,563.00	$110,563.00	$110,563.00	2026-03-04
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	1	1	—	—	$110,082.00	$110,082.00	$110,082.00	2026-03-04
4284	APR_DRG	Genetic Disorders	1	1	—	—	$110,025.00	$110,025.00	$110,025.00	2026-03-04
4034	APR_DRG	Procedures For Obesity	1	1	—	—	$110,004.00	$110,004.00	$110,004.00	2026-03-04
4474	APR_DRG	Other Kidney, Urinary Tract And Related Non-percutaneous Procedures	1	1	—	—	$109,936.00	$109,936.00	$109,936.00	2026-03-04
6223	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$109,744.00	$109,744.00	$109,744.00	2026-03-04
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$109,240.00	$109,240.00	$109,240.00	2026-03-04
294	APR_DRG	Other Percutaneous Intracranial Procedures	1	1	—	—	$109,009.00	$109,009.00	$109,009.00	2026-03-04
6333	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	1	1	—	—	$108,803.00	$108,803.00	$108,803.00	2026-03-04
224	APR_DRG	Ventricular Shunt Procedures	1	1	—	—	$108,032.00	$108,032.00	$108,032.00	2026-03-04
3464	APR_DRG	Connective Tissue Disorders	1	1	—	—	$107,372.00	$107,372.00	$107,372.00	2026-03-04
112	APR_DRG	Chimeric Antigen Receptor Car T-cell And Other Immunotherapies	1	1	—	—	$106,442.00	$106,442.00	$106,442.00	2026-03-04
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	1	1	—	—	$106,308.00	$106,308.00	$106,308.00	2026-03-04
4044	APR_DRG	Thyroid, Parathyroid And Thyroglossal Procedures	1	1	—	—	$106,171.00	$106,171.00	$106,171.00	2026-03-04
1214	APR_DRG	Other Respiratory And Chest Procedures	1	1	—	—	$105,766.00	$105,766.00	$105,766.00	2026-03-04
7	MS_DRG	Lung Transplant	15	10	—	—	$95,328.30	$233,622.00	$105,362.86	2026-03-04
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	1	1	—	—	$105,277.00	$105,277.00	$105,277.00	2026-03-04
213	APR_DRG	Open Craniotomy Except Trauma	1	1	—	—	$105,188.00	$105,188.00	$105,188.00	2026-03-04
6213	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	1	1	—	—	$105,057.00	$105,057.00	$105,057.00	2026-03-04
7934	APR_DRG	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	1	1	—	—	$104,676.00	$104,676.00	$104,676.00	2026-03-04
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$104,464.00	$104,464.00	$104,464.00	2026-03-04
3003	APR_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	1	1	—	—	$104,445.00	$104,445.00	$104,445.00	2026-03-04
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral And Umbilical	1	1	—	—	$104,002.00	$104,002.00	$104,002.00	2026-03-04
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	1	1	—	—	$103,269.00	$103,269.00	$103,269.00	2026-03-04
6143	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	1	1	—	—	$102,873.00	$102,873.00	$102,873.00	2026-03-04
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	1	1	—	—	$102,407.00	$102,407.00	$102,407.00	2026-03-04
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	1	—	—	$101,912.00	$101,912.00	$101,912.00	2026-03-04
7524	APR_DRG	Personality Disorders	1	1	—	—	$100,542.00	$100,542.00	$100,542.00	2026-03-04
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$100,406.00	$100,406.00	$100,406.00	2026-03-04
1673	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	1	1	—	—	$100,279.00	$100,279.00	$100,279.00	2026-03-04
913	APR_DRG	Other Major Head And Neck Procedures	1	1	—	—	$99,682.00	$99,682.00	$99,682.00	2026-03-04
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$99,118.00	$99,118.00	$99,118.00	2026-03-04
2484	APR_DRG	Major Gastrointestinal And Peritoneal Infections	1	1	—	—	$98,750.00	$98,750.00	$98,750.00	2026-03-04
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	1	1	—	—	$98,686.00	$98,686.00	$98,686.00	2026-03-04
233	APR_DRG	Spinal Procedures	1	1	—	—	$98,652.00	$98,652.00	$98,652.00	2026-03-04
1582	OTHER	New Technology - Level 45 ($60,001-$70,000)	4	1	—	—	$90,638.70	$106,632.05	$98,635.38	2026-03-04
1596	OTHER	New Technology - Level 45 ($60,001-$70,000)	4	1	—	—	$90,638.70	$106,632.05	$98,635.38	2026-03-04
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	1	1	—	—	$98,523.00	$98,523.00	$98,523.00	2026-03-04
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	1	—	—	$98,420.00	$98,420.00	$98,420.00	2026-03-04
14	MS_DRG	Allogeneic Bone Marrow Transplant	15	10	—	—	$88,515.73	$216,803.00	$97,833.17	2026-03-04
3644	APR_DRG	Other Skin, Subcutaneous Tissue And Related Procedures	1	1	—	—	$97,602.00	$97,602.00	$97,602.00	2026-03-04
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	1	1	—	—	$97,589.00	$97,589.00	$97,589.00	2026-03-04
6944	APR_DRG	Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior	1	1	—	—	$97,541.00	$97,541.00	$97,541.00	2026-03-04
1793	APR_DRG	Defibrillator Implants	1	1	—	—	$96,461.00	$96,461.00	$96,461.00	2026-03-04
554	APR_DRG	Head Trauma With Coma > 1 Hour Or Hemorrhage	1	1	—	—	$96,382.00	$96,382.00	$96,382.00	2026-03-04
2224	APR_DRG	Other Stomach, Esophageal And Duodenal Procedures	1	1	—	—	$96,319.00	$96,319.00	$96,319.00	2026-03-04
717	OTHER	Outpatient Services	4	1	—	—	$88,450.21	$104,057.40	$96,253.80	2026-03-04
82	APR_DRG	Autologous Bone Marrow Transplant	1	1	—	—	$95,923.00	$95,923.00	$95,923.00	2026-03-04
4484	APR_DRG	Other Kidney, Urinary Tract And Related Percutaneous Procedures	1	1	—	—	$95,567.00	$95,567.00	$95,567.00	2026-03-04
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	12	9	—	—	$88,555.87	$97,877.54	$95,547.11	2026-03-04
3094	APR_DRG	Other Significant Hip And Femur Surgery	1	1	—	—	$95,546.00	$95,546.00	$95,546.00	2026-03-04
2244	APR_DRG	Peritoneal Adhesiolysis	1	1	—	—	$95,287.00	$95,287.00	$95,287.00	2026-03-04
5194	APR_DRG	Uterine And Adnexa Procedures For Leiomyoma	1	1	—	—	$94,555.00	$94,555.00	$94,555.00	2026-03-04
2234	APR_DRG	Other Small And Large Bowel Procedures	1	1	—	—	$94,353.00	$94,353.00	$94,353.00	2026-03-04
044--4	OTHER	Intracranial Hemorrhage	1	1	—	—	$94,239.00	$94,239.00	$94,239.00	2026-03-04
3234	APR_DRG	Non-elective Or Complex Hip Joint Replacement	1	1	—	—	$94,214.00	$94,214.00	$94,214.00	2026-03-04
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$94,103.00	$94,103.00	$94,103.00	2026-03-04
1621	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$93,862.00	$93,862.00	$93,862.00	2026-03-04
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	1	1	—	—	$93,432.00	$93,432.00	$93,432.00	2026-03-04
5184	APR_DRG	Other Female Reproductive System And Related Procedures	1	1	—	—	$93,110.00	$93,110.00	$93,110.00	2026-03-04
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	—	—	$93,021.00	$93,021.00	$93,021.00	2026-03-04
3054	APR_DRG	Amputation Of Lower Limb Except Toes	1	1	—	—	$92,784.00	$92,784.00	$92,784.00	2026-03-04
1714	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	1	1	—	—	$92,748.00	$92,748.00	$92,748.00	2026-03-04
3154	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	1	1	—	—	$92,746.00	$92,746.00	$92,746.00	2026-03-04
4844	APR_DRG	Other Male Reproductive System And Related Procedures	1	1	—	—	$92,511.00	$92,511.00	$92,511.00	2026-03-04
1663	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$92,443.00	$92,443.00	$92,443.00	2026-03-04
5134	APR_DRG	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	1	1	—	—	$92,401.00	$92,401.00	$92,401.00	2026-03-04
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	15	10	—	—	$83,502.23	$204,426.00	$92,291.93	2026-03-04
4434	APR_DRG	Kidney And Urinary Tract Procedures For Non-malignancy	1	1	—	—	$91,882.00	$91,882.00	$91,882.00	2026-03-04
6031	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	1	—	—	$91,721.00	$91,721.00	$91,721.00	2026-03-04
209	MS_DRG	Complex Aortic Arch Procedures	14	10	—	—	$83,407.23	$204,191.00	$91,308.96	2026-03-04
264	APR_DRG	Other Nervous System And Related Procedures	1	1	—	—	$91,285.00	$91,285.00	$91,285.00	2026-03-04
1824	APR_DRG	Other Peripheral Vascular And Related Procedures	1	1	—	—	$90,817.00	$90,817.00	$90,817.00	2026-03-04
3134	APR_DRG	Knee And Lower Leg Procedures Except Foot	1	1	—	—	$90,781.00	$90,781.00	$90,781.00	2026-03-04
9113	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	1	1	—	—	$90,522.00	$90,522.00	$90,522.00	2026-03-04
3224	APR_DRG	Shoulder And Elbow Joint Replacement	1	1	—	—	$90,412.00	$90,412.00	$90,412.00	2026-03-04
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$89,792.00	$89,792.00	$89,792.00	2026-03-04
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	15	10	—	—	$81,232.59	$198,822.00	$89,783.39	2026-03-04
6082	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	—	—	$89,777.00	$89,777.00	$89,777.00	2026-03-04
244	APR_DRG	Open Extracranial Vascular Procedures	1	1	—	—	$89,753.00	$89,753.00	$89,753.00	2026-03-04
5244	OTHER	Level 4 Blood Product Exchange And Related Services	4	1	—	—	$82,469.89	$97,021.83	$89,745.86	2026-03-04

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