Price Transparency Hospital negotiated rates

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

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Hospital

ESSENTIA HEALTH

Fargo, ND · CCN 350070 · Rates published

20,000 distinct procedures filed
43 distinct payers
578,640 rate rows
2026-01-01 last MRF observed
Data quality

577,977 of 578,640 rate rows are consumer-grade (99.9%)

663 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 252
per-diem day rate — not a per-procedure price 249
percent-of-charges filed in the dollar field — excluded from medians 160
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/261175213_Essentia-Fargo_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 4d28109272b7d4bd… · 289,999,069 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
J3391
CPT 		Inj- Atidarsagene Autotemcel 22 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
CPT 		Inj- Hemgenix- Per Tx Dose 28 $3,672,900.00 $3,710,000.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
C9172
CPT 		Inj Beqvez Per Tx Dose 3 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1414
CPT 		Inj- Beqvez- Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 28 $3,316,462.59 $3,392,000.00 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj- Lovotibeglogene Autotem 26 $3,193,000.00 $3,286,000.00 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj- Betibeglogene Autotemce 26 $2,945,740.00 $2,968,000.00 $2,945,740.00 nat. median
$3,006,423
1.0× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 28 $2,278,010.83 $2,455,110.61 $2,455,110.61 nat. median
$2,469,189
1.0× median
J3392
CPT 		Inj- Exagamglogene Autotem 23 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
CPT 		Afamitresgene Autoleucel 22 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
CPT 		Tisagenlecleucel Car-pos T 28 $529,192.86 $1,387,149.29 $591,726.20 nat. median
$754,974
0.8× median
Q2056
CPT 		Ciltacabtagene Car-pos T 28 $527,123.43 $1,345,370.55 $565,868.95 nat. median
$675,122
0.8× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 28 $516,485.97 $1,315,434.04 $562,538.19 nat. median
$674,188
0.8× median
Q2055
CPT 		Idecabtagene Vicleucel Car 28 $526,587.59 $1,334,154.49 $557,317.93 nat. median
$625,184
0.9× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 28 $489,455.96 $1,296,212.81 $533,230.17 nat. median
$634,511
0.8× median
Q2053
CPT 		Brexucabtagene Car Pos T 28 $460,530.40 $1,191,016.00 $489,304.61 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate W Ecmo 7 $226,575.28 $895,131.38 $331,968.24 nat. median
$309,665
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 30 $114,873.19 $714,608.29 $291,596.61 nat. median
$370,174
0.8× median
Q2058
CPT 		Obecbtge Autol Up To 400 Mil 22 $278,250.00 $278,250.00 $278,250.00 nat. median
$324,450
0.9× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 7 $178,430.13 $604,691.26 $272,304.12 nat. median
$246,434
1.1× median
5833
APR_DRG 		Neonate W Ecmo 7 $161,241.46 $639,840.52 $262,925.16 nat. median
$244,017
1.1× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $132,543.85 $633,585.37 $260,354.96 nat. median
$207,730
1.3× median
J3403
CPT 		Revakinagene- Per Implant 22 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $125,313.24 $571,626.78 $252,221.59 nat. median
$160,267
1.6× median
24
APR_DRG 		Heart Or Lung Transplant 7 $197,053.53 $663,602.30 $251,250.14 nat. median
$234,738
1.1× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 6 $116,303.11 $465,154.46 $234,086.80 nat. median
$162,982
1.4× median
114
APR_DRG 		Psychiatric 6 $81,102.12 $416,807.07 $217,241.37 nat. median
$117,173
1.9× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 6 $69,769.22 $480,986.47 $212,037.77 nat. median
$150,721
1.4× median
J3402
CPT 		Inj. Remestemcel-l-rknd/ Td 22 $205,640.00 $205,640.00 $205,640.00 nat. median
$209,753
1.0× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 6 $90,502.98 $341,056.20 $204,248.16 nat. median
$122,924
1.7× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $103,501.36 $485,392.95 $199,458.89 nat. median
$119,796
1.7× median
5832
APR_DRG 		Neonate W Ecmo 7 $104,089.10 $471,821.17 $193,882.09 nat. median
$156,126
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 30 $85,800.64 $533,753.28 $189,234.47 nat. median
$265,286
0.7× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 7 $121,211.41 $535,283.34 $177,593.68 nat. median
$151,838
1.2× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 7 $119,733.65 $433,139.59 $175,428.53 nat. median
$182,736
1.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 7 $99,884.43 $418,029.11 $171,778.55 nat. median
$145,336
1.2× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 7 $117,050.01 $543,782.76 $171,496.58 nat. median
$164,279
1.0× median
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 3 $167,923.53 $167,923.53 $167,923.53 nat. median
$87,411
1.9× median
5831
APR_DRG 		Neonate W Ecmo 7 $85,163.81 $407,737.66 $167,548.96 nat. median
$145,122
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $93,889.27 $400,842.50 $164,715.80 nat. median
$187,294
0.9× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 $91,270.34 $380,422.39 $163,151.52 nat. median
$105,658
1.5× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 7 $90,524.53 $390,863.25 $160,614.89 nat. median
$129,535
1.2× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $83,102.43 $389,725.95 $160,148.29 nat. median
$85,406
1.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 7 $87,579.40 $340,893.41 $159,729.80 nat. median
$164,834
1.0× median
23
APR_DRG 		Heart Or Lung Transplant 7 $97,539.97 $378,096.50 $155,369.29 nat. median
$93,528
1.7× median
1611
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 7 $78,947.34 $370,240.21 $152,140.03 nat. median
$76,806
2.0× median
E0766
CPT 		Elec Stim Cancer Treatment 2 $149,026.20 $149,026.20 $149,026.20 nat. median
$16,785
outlier · 8.9×
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 $145,092.57 $145,092.57 $145,092.57 nat. median
$63,570
outlier · 2.3×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 $72,259.65 $449,547.06 $144,171.60 nat. median
$206,368
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 32 $65,280.65 $406,102.29 $143,325.50 nat. median
$202,986
0.7× median

Other procedures at this hospital

Browse this hospital's 20,000 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
             
6904 APR_DRG Acute Leukemia 6 6 — — $39,668.87 $144,905.40 $81,086.79 2026-01-01
6903 APR_DRG Acute Leukemia 6 6 — — $22,783.46 $131,732.79 $61,887.95 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 35 32 — — $28,059.45 $174,554.14 $58,474.23 2026-01-01
Q2057 CPT Afamitresgene Autoleucel 23 22 — — $770,620.00 $770,620.00 $770,620.00 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $93,889.27 $400,842.50 $164,715.80 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $65,223.27 $230,548.55 $97,071.40 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 33 30 — — $39,908.08 $248,262.06 $81,152.19 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $51,018.53 $184,780.03 $75,930.15 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $45,178.56 $164,529.40 $67,609.71 2026-01-01
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 7 — — $29,359.68 $99,110.83 $43,016.53 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 35 32 — — $20,309.51 $126,343.44 $46,443.78 2026-01-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 3 — — $50,340.68 $50,340.68 $50,340.68 2026-01-01
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 3 3 — — $42,808.05 $42,808.05 $42,808.05 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $55,729.02 $191,617.21 $83,322.99 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $31,307.20 $120,315.19 $52,467.10 2026-01-01
82 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $16,432.10 $106,828.15 $43,898.25 2026-01-01
J7330 CPT Autologous Cultured Chondrocytes Sheet 26 20 $197,466.00 $148,099.50 25% off $52,920.89 $167,846.10 $121,639.06 2026-01-01
Q2041 CPT Axicabtagene Ciloleucel Car+ 29 28 — — $489,455.96 $1,296,212.81 $533,230.17 2026-01-01
90288 CPT Botulism Ig IV 4 4 — — $48,705.00 $48,705.00 $48,705.00 2026-01-01
Q2053 CPT Brexucabtagene Car Pos T 29 28 — — $460,530.40 $1,191,016.00 $489,304.61 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 7 — — $132,543.85 $633,585.37 $260,354.96 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 7 — — $103,501.36 $485,392.95 $199,458.89 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 7 — — $83,102.43 $389,725.95 $160,148.29 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 7 — — $78,947.34 $370,240.21 $152,140.03 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 35 32 — — $21,526.08 $133,910.18 $48,148.81 2026-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 3 — — $145,092.57 $145,092.57 $145,092.57 2026-01-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami- Hf Or Shock… 3 3 — — $98,894.37 $98,894.37 $98,894.37 2026-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 3 — — $134,340.34 $134,340.34 $134,340.34 2026-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami- Hf Or Sh… 3 3 — — $95,843.42 $95,843.42 $95,843.42 2026-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 3 — — $121,297.06 $121,297.06 $121,297.06 2026-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $95,142.27 $95,142.27 $95,142.27 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 7 7 — — $32,494.16 $134,745.52 $55,369.63 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 32 — — $29,397.25 $182,875.08 $66,059.43 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 32 — — $18,121.57 $112,735.45 $44,400.44 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 35 32 — — $19,670.76 $122,367.73 $44,400.44 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 32 — — $23,568.43 $146,616.15 $51,848.57 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 7 7 — — $48,372.29 $206,598.35 $103,830.92 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 7 7 — — $28,822.63 $146,907.94 $71,115.35 2026-01-01
1622 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 7 7 — — $21,930.78 $124,790.80 $56,362.13 2026-01-01
1621 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 7 7 — — $18,714.77 $114,751.34 $48,097.64 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 7 7 — — $41,980.52 $188,504.13 $88,353.74 2026-01-01
1633 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 7 7 — — $24,955.66 $110,616.92 $58,819.32 2026-01-01
1632 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 7 7 — — $19,719.95 $73,639.06 $46,550.14 2026-01-01
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 7 7 — — $31,177.15 $131,505.33 $49,998.72 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $32,882.87 $133,742.02 $75,368.43 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 33 30 — — $114,873.19 $714,608.29 $291,596.61 2026-01-01
Q2056 CPT Ciltacabtagene Car-pos T 29 28 — — $527,123.43 $1,345,370.55 $565,868.95 2026-01-01
6614 APR_DRG Coagulation & Platelet Disorders 6 6 — — $17,017.53 $109,002.32 $53,512.91 2026-01-01
250 EAPG Cochlear Device Implantation 2 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 32 — — $25,405.47 $158,043.00 $60,838.32 2026-01-01
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 3 3 — — $115,903.89 $115,903.89 $115,903.89 2026-01-01
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 3 3 — — $167,923.53 $167,923.53 $167,923.53 2026-01-01
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 3 3 — — $87,276.12 $87,276.12 $87,276.12 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 7 7 — — $40,925.76 $132,819.33 $80,797.54 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 7 7 — — $27,489.09 $94,003.42 $59,674.19 2026-01-01
1652 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 7 7 — — $22,724.00 $82,982.76 $49,631.70 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 32 — — $23,808.75 $148,109.41 $51,625.05 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 35 32 — — $25,811.50 $160,570.93 $56,923.83 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 7 7 — — $33,056.03 $141,941.73 $72,831.80 2026-01-01
1663 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 7 7 — — $22,021.31 $81,455.21 $49,612.68 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 7 7 — — $38,152.35 $174,985.87 $63,613.98 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $29,809.80 $139,077.88 $45,980.82 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 35 32 — — $20,799.00 $129,388.71 $45,452.49 2026-01-01
204 APR_DRG Craniotomy For Trauma 7 7 — — $38,006.49 $133,104.24 $58,688.40 2026-01-01
1794 APR_DRG Defibrillator Implants 7 7 — — $40,039.85 $160,689.34 $71,503.62 2026-01-01
1793 APR_DRG Defibrillator Implants 7 7 — — $30,125.99 $97,770.04 $52,137.01 2026-01-01
7524 APR_DRG Disorders Of Personality & Impulse Control 6 6 — — $26,609.65 $98,942.87 $60,221.37 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 7 — — $32,300.89 $188,626.78 $76,190.86 2026-01-01
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 7 7 — — $25,082.12 $96,996.08 $51,490.26 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 7 — — $51,264.98 $241,569.21 $99,265.64 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 7 — — $29,469.28 $184,271.59 $75,160.32 2026-01-01
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 7 — — $22,870.57 $130,814.03 $54,607.63 2026-01-01
3031 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 7 7 — — $19,381.54 $98,998.62 $45,464.77 2026-01-01
Q0480 CPT Driver Pneumatic Vad- Rep 27 26 — — $94,999.95 $110,139.19 $110,139.19 2026-01-01
7594 APR_DRG Eating Disorders 6 6 — — $26,216.63 $141,185.76 $77,783.44 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 35 32 — — $65,280.65 $406,102.29 $143,325.50 2026-01-01
E0766 CPT Elec Stim Cancer Treatment 2 2 — — $149,026.20 $149,026.20 $149,026.20 2026-01-01
L7181 CPT Electronic Elbo Simultaneous 27 26 — — $44,875.22 $48,901.12 $48,901.12 2026-01-01
L7180 CPT Electronic Elbow Sequential 27 26 — — $42,853.91 $46,980.38 $42,853.91 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 35 32 — — $18,843.77 $117,224.70 $45,151.33 2026-01-01
L8702 CPT Ewhf S/d Uprt Micro Sensor 25 24 — — $65,871.74 $67,452.66 $67,452.66 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 6 — — $125,313.24 $571,626.78 $252,221.59 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 6 — — $45,988.49 $183,270.15 $92,561.96 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 6 6 — — $41,744.85 $159,460.61 $91,239.33 2026-01-01
9113 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 6 6 — — $18,909.48 $128,434.62 $46,678.85 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 32 — — $72,259.65 $449,547.06 $144,171.60 2026-01-01
7924 APR_DRG Extensive Or Procedures For Other Complications Of Treatment 6 6 — — $33,102.01 $157,170.40 $80,214.60 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $40,444.79 $135,249.06 $54,539.60 2026-01-01
1784 APR_DRG External Heart Assist Systems 7 7 — — $59,631.19 $200,911.85 $87,764.06 2026-01-01
1783 APR_DRG External Heart Assist Systems 7 7 — — $39,192.02 $158,004.42 $64,927.61 2026-01-01
1782 APR_DRG External Heart Assist Systems 7 7 — — $38,507.29 $147,208.99 $60,492.13 2026-01-01
1781 APR_DRG External Heart Assist Systems 7 7 — — $36,824.85 $131,297.94 $53,954.17 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $87,579.40 $340,893.41 $159,729.80 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $46,216.08 $179,153.74 $73,618.42 2026-01-01
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $33,708.43 $130,666.85 $53,694.57 2026-01-01
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $27,664.41 $107,238.47 $44,066.10 2026-01-01
244 APR_DRG Extracranial Vascular Procedures 7 7 — — $23,152.94 $103,516.60 $42,537.62 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 7 7 — — $32,400.76 $112,104.33 $53,259.31 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 35 32 — — $20,343.93 $126,557.58 $48,434.45 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 6 6 — — $47,946.94 $225,803.11 $124,196.89 2026-01-01
8423 APR_DRG Full Thickness Burns W Skin Graft 6 6 — — $26,117.01 $93,860.70 $52,832.12 2026-01-01
2324 APR_DRG Gastric Fundoplication 7 7 — — $27,169.36 $107,967.68 $44,365.97 2026-01-01
24 APR_DRG Heart Or Lung Transplant 7 7 — — $197,053.53 $663,602.30 $251,250.14 2026-01-01
23 APR_DRG Heart Or Lung Transplant 7 7 — — $97,539.97 $378,096.50 $155,369.29 2026-01-01
22 APR_DRG Heart Or Lung Transplant 7 7 — — $72,385.28 $280,589.75 $115,301.17 2026-01-01
21 APR_DRG Heart Or Lung Transplant 7 7 — — $62,053.97 $240,541.18 $98,843.80 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 33 30 — — $85,800.64 $533,753.28 $189,234.47 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 33 30 — — $33,566.01 $208,823.32 $76,519.23 2026-01-01
Q2055 CPT Idecabtagene Vicleucel Car 29 28 — — $526,587.59 $1,334,154.49 $557,317.93 2026-01-01
0266T CPT Implt/rpl Crtd Sns Dev Total 27 26 — — $45,000.50 $107,798.70 $45,000.50 2026-01-01
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 6 6 — — $33,359.94 $111,380.76 $64,381.60 2026-01-01
C9172 CPT Inj Beqvez Per Tx Dose 3 3 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1413 CPT Inj Delandistrogene Mox Rokl 29 28 — — $3,316,462.59 $3,392,000.00 $3,316,462.59 2026-01-01
J3399 CPT Inj Onase Abepar-xioi Treat 29 28 — — $2,278,010.83 $2,455,110.61 $2,455,110.61 2026-01-01
J3391 CPT Inj- Atidarsagene Autotemcel 23 22 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-01-01
J1414 CPT Inj- Beqvez- Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-01-01
J3393 CPT Inj- Betibeglogene Autotemce 27 26 — — $2,945,740.00 $2,968,000.00 $2,945,740.00 2026-01-01
J3392 CPT Inj- Exagamglogene Autotem 24 23 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
J1411 CPT Inj- Hemgenix- Per Tx Dose 29 28 — — $3,672,900.00 $3,710,000.00 $3,685,266.67 2026-01-01
J3394 CPT Inj- Lovotibeglogene Autotem 27 26 — — $3,193,000.00 $3,286,000.00 $3,248,445.72 2026-01-01
J3402 CPT Inj. Remestemcel-l-rknd/ Td 23 22 — — $205,640.00 $205,640.00 $205,640.00 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 27 26 — — $45,000.50 $107,798.70 $45,000.50 2026-01-01
J9029 CPT Instill Adstiladrin- Tx Dose 31 30 — — $61,800.00 $168,273.23 $63,342.28 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 35 32 — — $24,554.11 $152,746.48 $53,134.94 2026-01-01
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 7 7 — — $25,996.77 $115,215.18 $44,853.83 2026-01-01
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 23 22 — — $76,431.44 $144,435.81 $76,431.44 2026-01-01
4404 APR_DRG Kidney Transplant 7 7 — — $57,055.37 $419,255.61 $94,369.16 2026-01-01
4403 APR_DRG Kidney Transplant 7 7 — — $46,186.62 $276,359.44 $62,204.11 2026-01-01
4402 APR_DRG Kidney Transplant 7 7 — — $39,612.34 $237,022.24 $53,349.94 2026-01-01
4401 APR_DRG Kidney Transplant 7 7 — — $31,741.17 $115,931.01 $47,637.75 2026-01-01
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 7 7 — — $28,839.87 $109,044.77 $42,833.02 2026-01-01
Q2054 CPT Lisocabtagene Mara Car Pos T 29 28 — — $516,485.97 $1,315,434.04 $562,538.19 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 7 7 — — $90,524.53 $390,863.25 $160,614.89 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 7 7 — — $72,852.75 $244,675.77 $92,856.35 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 7 7 — — $46,986.31 $189,389.44 $77,824.51 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 7 7 — — $41,717.55 $168,150.92 $69,097.90 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 33 30 — — $32,438.07 $201,790.97 $69,622.79 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $34,876.71 $129,063.48 $56,362.13 2026-01-01
7 MS_DRG Lung Transplant 33 30 — — $39,807.56 $247,636.71 $87,447.65 2026-01-01
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 6 6 — — $23,311.18 $94,708.39 $45,553.18 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $37,677.90 $134,339.66 $55,204.02 2026-01-01
4414 APR_DRG Major Bladder Procedures 7 7 — — $36,458.13 $154,779.84 $63,602.79 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $60,609.07 $268,097.29 $110,167.48 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $24,527.43 $143,917.51 $59,138.22 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 7 7 — — $36,111.09 $139,388.38 $59,847.62 2026-01-01
2314 APR_DRG Major Large Bowel Procedures 7 7 — — $23,379.99 $75,876.77 $46,937.31 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 6 6 — — $36,679.43 $163,748.90 $94,395.28 2026-01-01
6803 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 6 6 — — $17,161.37 $74,007.01 $45,155.64 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 7 7 — — $34,279.64 $189,041.56 $62,804.98 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 7 7 — — $38,159.54 $124,623.55 $58,417.62 2026-01-01
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $27,310.90 $138,913.39 $54,005.64 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 7 7 — — $41,125.25 $150,683.25 $60,254.92 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 7 7 — — $46,526.13 $178,368.78 $68,168.06 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 6 6 — — $38,756.61 $150,881.80 $91,833.77 2026-01-01
7934 APR_DRG Moderately Extensive Or Procedures For Other Complications Of Treatment 6 6 — — $24,434.75 $108,023.43 $59,650.84 2026-01-01
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $30,060.76 $156,084.39 $71,037.46 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 32 — — $31,908.07 $198,626.32 $74,421.87 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 32 — — $21,634.82 $134,520.37 $48,744.39 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 32 — — $20,422.52 $127,044.59 $45,118.24 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $36,846.84 $232,644.75 $92,812.45 2026-01-01
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $18,193.14 $76,040.77 $45,899.26 2026-01-01
8634 APR_DRG Neonatal Aftercare 6 6 — — $17,484.59 $152,569.67 $48,364.54 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 7 7 — — $97,433.61 $347,402.78 $142,755.48 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 7 7 — — $47,414.31 $169,056.30 $69,469.39 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 6 6 — — $44,766.14 $169,645.02 $95,764.19 2026-01-01
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 6 6 — — $29,191.94 $110,623.61 $62,446.88 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 6 6 — — $50,713.50 $320,902.32 $115,080.48 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 6 6 — — $33,031.55 $237,099.76 $88,480.68 2026-01-01
6364 APR_DRG Neonate Birthwt 2499g W Congenitalperinatal Infection 6 6 — — $22,943.84 $81,954.73 $46,232.85 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 6 6 — — $36,161.20 $211,738.50 $102,512.62 2026-01-01
6333 APR_DRG Neonate Birthwt 2499g W Major Anomaly 6 6 — — $13,983.35 $116,218.68 $42,983.54 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 6 6 — — $69,769.22 $480,986.47 $212,037.77 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 6 6 — — $51,705.42 $232,401.68 $131,190.18 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 6 6 — — $29,013.75 $147,449.83 $77,375.51 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 6 6 — — $90,502.98 $341,056.20 $204,248.16 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 6 6 — — $25,929.95 $148,631.73 $73,488.17 2026-01-01
6312 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 6 6 — — $21,583.74 $76,274.92 $46,650.23 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 7 7 — — $117,050.01 $543,782.76 $171,496.58 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 7 7 — — $68,573.39 $283,325.36 $100,470.74 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 7 7 — — $36,489.59 $217,832.09 $67,120.83 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 7 7 — — $121,211.41 $535,283.34 $177,593.68 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 7 7 — — $77,947.04 $416,147.02 $128,227.82 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 7 7 — — $61,780.28 $330,514.00 $101,841.63 2026-01-01
5931 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 7 7 — — $1,144.02 $300,468.75 $92,583.75 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 7 7 — — $86,884.62 $405,789.16 $127,299.57 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 7 7 — — $68,510.76 $344,800.37 $100,378.99 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 7 7 — — $52,276.03 $218,212.19 $76,592.56 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 7 7 — — $42,253.99 $162,216.33 $61,908.71 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 7 7 — — $40,241.64 $149,379.77 $58,960.31 2026-01-01
6082 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 7 7 — — $29,707.17 $111,830.04 $43,525.65 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 7 7 — — $66,735.16 $352,645.11 $108,660.91 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 7 7 — — $51,916.33 $248,937.13 $76,065.54 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 7 7 — — $40,200.40 $143,312.43 $58,899.88 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 6 6 — — $38,235.40 $136,328.82 $76,957.36 2026-01-01
6143 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 6 6 — — $29,332.19 $106,877.21 $59,860.88 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 6 6 — — $48,494.95 $233,880.17 $119,497.71 2026-01-01
6123 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 6 6 — — $34,105.31 $164,480.34 $84,039.15 2026-01-01
6122 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 6 6 — — $26,411.04 $142,575.05 $70,537.71 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 6 6 — — $116,303.11 $465,154.46 $234,086.80 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 7 7 — — $55,727.58 $206,596.12 $84,895.10 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 7 7 — — $178,430.13 $604,691.26 $272,304.12 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 7 7 — — $119,733.65 $433,139.59 $175,428.53 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 7 7 — — $99,884.43 $418,029.11 $171,778.55 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 7 7 — — $65,747.78 $275,164.16 $113,071.12 2026-01-01
6234 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 6 6 — — $28,819.75 $102,758.40 $58,006.67 2026-01-01
6233 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 6 6 — — $23,765.58 $82,804.55 $45,124.65 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 6 6 — — $39,785.72 $310,868.58 $104,592.16 2026-01-01
6213 APR_DRG Neonate Bwt 20002499g W Major Anomaly 6 6 — — $23,353.95 $124,312.92 $54,995.83 2026-01-01
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 6 6 — — $25,874.62 $94,665.73 $53,438.37 2026-01-01
6224 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 6 6 — — $31,402.58 $128,430.88 $59,599.36 2026-01-01
6223 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 6 6 — — $18,288.32 $94,204.12 $47,220.29 2026-01-01
6222 APR_DRG Neonate Bwt 20002499g W Resp Dist Syndoth Maj Resp Cond 6 6 — — $16,126.29 $89,864.54 $42,971.28 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 7 7 — — $36,311.64 $595,616.34 $92,968.28 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 7 7 — — $30,144.00 $476,494.00 $77,177.86 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 7 7 — — $23,977.13 $404,525.33 $52,059.86 2026-01-01
5834 APR_DRG Neonate W Ecmo 7 7 — — $226,575.28 $895,131.38 $331,968.24 2026-01-01
5833 APR_DRG Neonate W Ecmo 7 7 — — $161,241.46 $639,840.52 $262,925.16 2026-01-01
5832 APR_DRG Neonate W Ecmo 7 7 — — $104,089.10 $471,821.17 $193,882.09 2026-01-01
5831 APR_DRG Neonate W Ecmo 7 7 — — $85,163.81 $407,737.66 $167,548.96 2026-01-01
6344 APR_DRG Neonate, Birthwt >2499g W Resp Dist Synd/oth Maj Resp Cond 6 6 — — $27,714.67 $107,726.84 $58,980.97 2026-01-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 7 — — $26,769.15 $134,981.90 $48,713.05 2026-01-01
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 6 6 — — $25,845.14 $94,822.65 $51,511.24 2026-01-01
112 APR_DRG OB 6 6 — — $26,657.79 $108,674.59 $61,346.52 2026-01-01
Q2058 CPT Obecbtge Autol Up To 400 Mil 23 22 — — $278,250.00 $278,250.00 $278,250.00 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 7 7 — — $43,007.97 $195,000.12 $79,474.95 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 7 7 — — $20,334.27 $109,945.69 $49,500.79 2026-01-01
2294 APR_DRG Other Digestive System & Abdominal Procedures 7 7 — — $23,293.77 $120,828.09 $44,239.53 2026-01-01
215 MS_DRG Other Heart Assist System Implant 35 32 — — $32,271.76 $200,760.09 $67,235.74 2026-01-01
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 7 7 — — $29,222.83 $123,901.03 $49,035.31 2026-01-01
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 7 7 — — $32,059.36 $126,677.37 $46,971.98 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 7 7 — — $40,280.55 $163,835.87 $67,323.26 2026-01-01
913 APR_DRG Other Major Head & Neck Procedures 7 7 — — $19,756.59 $104,571.39 $42,970.65 2026-01-01
264 APR_DRG Other Nervous System & Related Procedures 7 7 — — $27,445.26 $106,119.01 $48,905.51 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 35 32 — — $22,735.95 $141,437.12 $51,454.21 2026-01-01
274 APR_DRG Other Open Craniotomy 7 7 — — $34,837.91 $131,340.31 $56,072.32 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 6 6 — — $38,361.43 $134,738.83 $78,735.71 2026-01-01
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $25,558.48 $112,648.45 $45,459.18 2026-01-01
1824 APR_DRG Other Peripheral Vascular Procedures 7 7 — — $32,682.54 $111,947.39 $47,885.04 2026-01-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 7 7 — — $31,011.18 $127,368.68 $48,503.81 2026-01-01
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 6 6 — — $34,457.82 $127,899.42 $72,198.79 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 7 7 — — $32,134.91 $104,289.76 $47,764.19 2026-01-01
3094 APR_DRG Other Significant Hip & Femur Surgery 7 7 — — $30,780.93 $109,751.68 $45,098.88 2026-01-01
2234 APR_DRG Other Small & Large Bowel Procedures 7 7 — — $17,927.29 $103,523.29 $42,539.86 2026-01-01
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 7 7 — — $30,208.92 $138,630.17 $44,260.79 2026-01-01
64 APR_DRG Pancreas Transplant 7 7 — — $85,137.22 $345,177.24 $141,841.31 2026-01-01
63 APR_DRG Pancreas Transplant 7 7 — — $60,151.38 $242,710.97 $99,735.60 2026-01-01
62 APR_DRG Pancreas Transplant 7 7 — — $52,217.71 $210,697.09 $86,580.22 2026-01-01
61 APR_DRG Pancreas Transplant 7 7 — — $41,045.03 $165,617.64 $68,056.17 2026-01-01
10 MS_DRG Pancreas Transplant 33 30 — — $24,285.76 $151,080.77 $48,454.70 2026-01-01
113 APR_DRG Pediatric 6 6 — — $50,326.61 $205,162.23 $115,813.87 2026-01-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 7 7 — — $32,461.83 $131,375.99 $53,985.50 2026-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 3 — — $56,762.83 $56,762.83 $56,762.83 2026-01-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 3 — — $57,035.71 $57,035.71 $57,035.71 2026-01-01
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami 7 7 — — $23,712.66 $76,956.40 $44,971.32 2026-01-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $26,925.07 $129,130.38 $49,633.94 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $32,155.75 $185,743.39 $74,892.89 2026-01-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $22,619.82 $126,759.89 $52,609.20 2026-01-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $20,554.13 $113,770.14 $45,182.80 2026-01-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $20,266.01 $105,586.04 $43,923.99 2026-01-01
1704 APR_DRG Permanent Cardiac Pacemaker Implant W Ami, Heart Failure Or Shock 7 7 — — $28,870.05 $116,974.65 $48,067.42 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 7 7 — — $29,954.27 $128,711.14 $52,891.17 2026-01-01
7114 APR_DRG Postop Posttrauma Other Device Infections W Or Procedure 6 6 — — $28,541.69 $100,746.94 $59,225.29 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 6 6 — — $39,977.34 $157,359.95 $88,829.63 2026-01-01
8503 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 6 6 — — $20,773.40 $102,049.26 $49,042.07 2026-01-01
114 APR_DRG Psychiatric 6 6 — — $81,102.12 $416,807.07 $217,241.37 2026-01-01
6924 APR_DRG Radiotherapy 6 6 — — $22,916.56 $88,263.40 $49,824.38 2026-01-01
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 7 — — $37,837.52 $195,952.33 $55,437.88 2026-01-01
1303 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 7 7 — — $29,210.76 $137,653.44 $42,798.34 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 35 32 — — $19,699.09 $122,562.92 $43,451.02 2026-01-01
J3403 CPT Revakinagene- Per Implant 23 22 — — $257,500.00 $257,500.00 $257,500.00 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 35 32 — — $21,189.50 $131,825.68 $46,672.69 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 33 30 — — $24,146.56 $150,210.97 $48,177.17 2026-01-01
Q2043 CPT Sipuleucel-t Auto Cd54+ 29 28 — — $53,472.87 $147,108.88 $55,272.32 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 7 7 — — $35,612.45 $139,477.58 $57,314.34 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 32 — — $18,757.88 $116,690.31 $44,239.05 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 7 7 — — $38,742.96 $164,698.88 $67,677.97 2026-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $125,682.09 $125,682.09 $125,682.09 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 35 32 — — $25,797.18 $160,479.97 $56,744.88 2026-01-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 3 — — $69,317.21 $69,317.21 $69,317.21 2026-01-01
234 APR_DRG Spinal Procedures 7 7 — — $44,021.20 $156,552.69 $64,497.94 2026-01-01
6504 APR_DRG Splenectomy 6 6 — — $31,333.07 $114,109.10 $64,817.23 2026-01-01
J9226 CPT Supprelin La Implant 55 43 $132,981.50 $99,736.12 25% off $35,639.04 $117,019.37 $45,350.22 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 35 32 — — $33,182.82 $206,424.25 $73,428.56 2026-01-01
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 7 7 — — $31,304.33 $126,487.83 $51,977.00 2026-01-01
Q2042 CPT Tisagenlecleucel Car-pos T 29 28 — — $529,192.86 $1,387,149.29 $591,726.20 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 7 — — $91,270.34 $380,422.39 $163,151.52 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 7 — — $70,472.64 $251,709.02 $111,648.95 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 7 — — $48,750.94 $174,584.47 $76,759.28 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 7 7 — — $32,554.52 $124,739.51 $51,258.64 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $73,384.70 $353,399.25 $107,520.06 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $54,039.41 $239,470.78 $79,176.19 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $39,555.84 $142,032.27 $57,955.50 2026-01-01
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $32,847.50 $117,944.78 $48,126.73 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 35 32 — — $43,039.98 $267,746.45 $93,533.10 2026-01-01
38240 CPT Transplt Allo Hct/donor 27 26 — — $52,684.72 $124,854.32 $59,142.33 2026-01-01
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 7 7 — — $24,884.53 $105,313.98 $43,275.00 2026-01-01
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 7 7 — — $26,999.79 $118,598.09 $48,734.31 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $31,316.54 $118,299.27 $48,612.35 2026-01-01
A9543 CPT Y90 Ibritumomab- Rx 29 28 — — $56,824.55 $65,476.58 $56,824.55 2026-01-01
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