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.

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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
             
J3391 CPT Inj- Atidarsagene Autotemcel 23 22 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 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
C9172 CPT Inj Beqvez Per Tx Dose 3 3 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 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
J1413 CPT Inj Delandistrogene Mox Rokl 29 28 — — $3,316,462.59 $3,392,000.00 $3,316,462.59 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
J3393 CPT Inj- Betibeglogene Autotemce 27 26 — — $2,945,740.00 $2,968,000.00 $2,945,740.00 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
J3392 CPT Inj- Exagamglogene Autotem 24 23 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
Q2042 CPT Tisagenlecleucel Car-pos T 29 28 — — $529,192.86 $1,387,149.29 $591,726.20 2026-01-01
Q2056 CPT Ciltacabtagene Car-pos T 29 28 — — $527,123.43 $1,345,370.55 $565,868.95 2026-01-01
Q2055 CPT Idecabtagene Vicleucel Car 29 28 — — $526,587.59 $1,334,154.49 $557,317.93 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
Q2041 CPT Axicabtagene Ciloleucel Car+ 29 28 — — $489,455.96 $1,296,212.81 $533,230.17 2026-01-01
Q2053 CPT Brexucabtagene Car Pos T 29 28 — — $460,530.40 $1,191,016.00 $489,304.61 2026-01-01
5834 APR_DRG Neonate W Ecmo 7 7 — — $226,575.28 $895,131.38 $331,968.24 2026-01-01
Q2057 CPT Afamitresgene Autoleucel 23 22 — — $770,620.00 $770,620.00 $770,620.00 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
24 APR_DRG Heart Or Lung Transplant 7 7 — — $197,053.53 $663,602.30 $251,250.14 2026-01-01
5833 APR_DRG Neonate W Ecmo 7 7 — — $161,241.46 $639,840.52 $262,925.16 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
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 7 7 — — $178,430.13 $604,691.26 $272,304.12 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
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 6 — — $125,313.24 $571,626.78 $252,221.59 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
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 7 7 — — $121,211.41 $535,283.34 $177,593.68 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
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 7 — — $103,501.36 $485,392.95 $199,458.89 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
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 7 7 — — $30,144.00 $476,494.00 $77,177.86 2026-01-01
5832 APR_DRG Neonate W Ecmo 7 7 — — $104,089.10 $471,821.17 $193,882.09 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
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
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 7 7 — — $119,733.65 $433,139.59 $175,428.53 2026-01-01
4404 APR_DRG Kidney Transplant 7 7 — — $57,055.37 $419,255.61 $94,369.16 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
114 APR_DRG Psychiatric 6 6 — — $81,102.12 $416,807.07 $217,241.37 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
5831 APR_DRG Neonate W Ecmo 7 7 — — $85,163.81 $407,737.66 $167,548.96 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
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
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 7 7 — — $23,977.13 $404,525.33 $52,059.86 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $93,889.27 $400,842.50 $164,715.80 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
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 7 7 — — $83,102.43 $389,725.95 $160,148.29 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
23 APR_DRG Heart Or Lung Transplant 7 7 — — $97,539.97 $378,096.50 $155,369.29 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
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
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
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
64 APR_DRG Pancreas Transplant 7 7 — — $85,137.22 $345,177.24 $141,841.31 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
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 6 6 — — $90,502.98 $341,056.20 $204,248.16 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $87,579.40 $340,893.41 $159,729.80 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
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 6 6 — — $50,713.50 $320,902.32 $115,080.48 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
5931 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 7 7 — — $1,144.02 $300,468.75 $92,583.75 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
22 APR_DRG Heart Or Lung Transplant 7 7 — — $72,385.28 $280,589.75 $115,301.17 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
4403 APR_DRG Kidney Transplant 7 7 — — $46,186.62 $276,359.44 $62,204.11 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $60,609.07 $268,097.29 $110,167.48 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
J3403 CPT Revakinagene- Per Implant 23 22 — — $257,500.00 $257,500.00 $257,500.00 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
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
14 MS_DRG Allogeneic Bone Marrow Transplant 33 30 — — $39,908.08 $248,262.06 $81,152.19 2026-01-01
7 MS_DRG Lung Transplant 33 30 — — $39,807.56 $247,636.71 $87,447.65 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
63 APR_DRG Pancreas Transplant 7 7 — — $60,151.38 $242,710.97 $99,735.60 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
21 APR_DRG Heart Or Lung Transplant 7 7 — — $62,053.97 $240,541.18 $98,843.80 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
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 6 6 — — $33,031.55 $237,099.76 $88,480.68 2026-01-01
4402 APR_DRG Kidney Transplant 7 7 — — $39,612.34 $237,022.24 $53,349.94 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
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $36,846.84 $232,644.75 $92,812.45 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
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $65,223.27 $230,548.55 $97,071.40 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
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
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 7 7 — — $36,489.59 $217,832.09 $67,120.83 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
62 APR_DRG Pancreas Transplant 7 7 — — $52,217.71 $210,697.09 $86,580.22 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
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 7 7 — — $48,372.29 $206,598.35 $103,830.92 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
212 MS_DRG Testes Procedures Age 0-17 35 32 — — $33,182.82 $206,424.25 $73,428.56 2026-01-01
J3402 CPT Inj. Remestemcel-l-rknd/ Td 23 22 — — $205,640.00 $205,640.00 $205,640.00 2026-01-01
113 APR_DRG Pediatric 6 6 — — $50,326.61 $205,162.23 $115,813.87 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
1784 APR_DRG External Heart Assist Systems 7 7 — — $59,631.19 $200,911.85 $87,764.06 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
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
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
1674 APR_DRG Other Cardiothoracic Procedures 7 7 — — $43,007.97 $195,000.12 $79,474.95 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $55,729.02 $191,617.21 $83,322.99 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
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 7 7 — — $34,279.64 $189,041.56 $62,804.98 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
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 7 7 — — $41,980.52 $188,504.13 $88,353.74 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $32,155.75 $185,743.39 $74,892.89 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $51,018.53 $184,780.03 $75,930.15 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
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 6 6 — — $45,988.49 $183,270.15 $92,561.96 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
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $46,216.08 $179,153.74 $73,618.42 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
214 APR_DRG Craniotomy Except For Trauma 7 7 — — $38,152.35 $174,985.87 $63,613.98 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
850 MS_DRG Acute Leukemia With Other Procedures 35 32 — — $28,059.45 $174,554.14 $58,474.23 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
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
J9029 CPT Instill Adstiladrin- Tx Dose 31 30 — — $61,800.00 $168,273.23 $63,342.28 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
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 3 3 — — $167,923.53 $167,923.53 $167,923.53 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
61 APR_DRG Pancreas Transplant 7 7 — — $41,045.03 $165,617.64 $68,056.17 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
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $45,178.56 $164,529.40 $67,609.71 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
914 APR_DRG Other Major Head & Neck Procedures 7 7 — — $40,280.55 $163,835.87 $67,323.26 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
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
1794 APR_DRG Defibrillator Implants 7 7 — — $40,039.85 $160,689.34 $71,503.62 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
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
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 6 6 — — $41,744.85 $159,460.61 $91,239.33 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
1783 APR_DRG External Heart Assist Systems 7 7 — — $39,192.02 $158,004.42 $64,927.61 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
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
234 APR_DRG Spinal Procedures 7 7 — — $44,021.20 $156,552.69 $64,497.94 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
4414 APR_DRG Major Bladder Procedures 7 7 — — $36,458.13 $154,779.84 $63,602.79 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
8634 APR_DRG Neonatal Aftercare 6 6 — — $17,484.59 $152,569.67 $48,364.54 2026-01-01
10 MS_DRG Pancreas Transplant 33 30 — — $24,285.76 $151,080.77 $48,454.70 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
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 7 7 — — $41,125.25 $150,683.25 $60,254.92 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
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
E0766 CPT Elec Stim Cancer Treatment 2 2 — — $149,026.20 $149,026.20 $149,026.20 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
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 35 32 — — $23,808.75 $148,109.41 $51,625.05 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
1782 APR_DRG External Heart Assist Systems 7 7 — — $38,507.29 $147,208.99 $60,492.13 2026-01-01
Q2043 CPT Sipuleucel-t Auto Cd54+ 29 28 — — $53,472.87 $147,108.88 $55,272.32 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
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
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
6904 APR_DRG Acute Leukemia 6 6 — — $39,668.87 $144,905.40 $81,086.79 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
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $24,527.43 $143,917.51 $59,138.22 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
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
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
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
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
7594 APR_DRG Eating Disorders 6 6 — — $26,216.63 $141,185.76 $77,783.44 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
894 APR_DRG Major CranialFacial Bone Procedures 7 7 — — $36,111.09 $139,388.38 $59,847.62 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
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $27,310.90 $138,913.39 $54,005.64 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
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
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
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 6 6 — — $40,444.79 $135,249.06 $54,539.60 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
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 7 7 — — $32,494.16 $134,745.52 $55,369.63 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
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
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
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $37,677.90 $134,339.66 $55,204.02 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
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $32,882.87 $133,742.02 $75,368.43 2026-01-01
204 APR_DRG Craniotomy For Trauma 7 7 — — $38,006.49 $133,104.24 $58,688.40 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
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
6903 APR_DRG Acute Leukemia 6 6 — — $22,783.46 $131,732.79 $61,887.95 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
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
274 APR_DRG Other Open Craniotomy 7 7 — — $34,837.91 $131,340.31 $56,072.32 2026-01-01
1781 APR_DRG External Heart Assist Systems 7 7 — — $36,824.85 $131,297.94 $53,954.17 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
92 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $33,708.43 $130,666.85 $53,694.57 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
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $26,925.07 $129,130.38 $49,633.94 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 7 7 — — $34,876.71 $129,063.48 $56,362.13 2026-01-01
4014 APR_DRG Pituitary & Adrenal Procedures 7 7 — — $29,954.27 $128,711.14 $52,891.17 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
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
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 6 6 — — $34,457.82 $127,899.42 $72,198.79 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
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
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $22,619.82 $126,759.89 $52,609.20 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
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
4044 APR_DRG Thyroid, Parathyroid & Thyroglossal Procedures 7 7 — — $31,304.33 $126,487.83 $51,977.00 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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 3 — — $125,682.09 $125,682.09 $125,682.09 2026-01-01
38240 CPT Transplt Allo Hct/donor 27 26 — — $52,684.72 $124,854.32 $59,142.33 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
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
1204 APR_DRG Major Respiratory & Chest Procedures 7 7 — — $38,159.54 $124,623.55 $58,417.62 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
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 7 7 — — $29,222.83 $123,901.03 $49,035.31 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
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
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
2294 APR_DRG Other Digestive System & Abdominal Procedures 7 7 — — $23,293.77 $120,828.09 $44,239.53 2026-01-01
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $31,307.20 $120,315.19 $52,467.10 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
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $31,316.54 $118,299.27 $48,612.35 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
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 35 32 — — $18,843.77 $117,224.70 $45,151.33 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
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
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
6333 APR_DRG Neonate Birthwt 2499g W Major Anomaly 6 6 — — $13,983.35 $116,218.68 $42,983.54 2026-01-01
4401 APR_DRG Kidney Transplant 7 7 — — $31,741.17 $115,931.01 $47,637.75 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
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 7 7 — — $25,996.77 $115,215.18 $44,853.83 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
6504 APR_DRG Splenectomy 6 6 — — $31,333.07 $114,109.10 $64,817.23 2026-01-01
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $20,554.13 $113,770.14 $45,182.80 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
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $25,558.48 $112,648.45 $45,459.18 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
1824 APR_DRG Other Peripheral Vascular Procedures 7 7 — — $32,682.54 $111,947.39 $47,885.04 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
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
6133 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 6 6 — — $29,191.94 $110,623.61 $62,446.88 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
Q0480 CPT Driver Pneumatic Vad- Rep 27 26 — — $94,999.95 $110,139.19 $110,139.19 2026-01-01
1673 APR_DRG Other Cardiothoracic Procedures 7 7 — — $20,334.27 $109,945.69 $49,500.79 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
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 7 7 — — $28,839.87 $109,044.77 $42,833.02 2026-01-01
6614 APR_DRG Coagulation & Platelet Disorders 6 6 — — $17,017.53 $109,002.32 $53,512.91 2026-01-01
112 APR_DRG OB 6 6 — — $26,657.79 $108,674.59 $61,346.52 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
2324 APR_DRG Gastric Fundoplication 7 7 — — $27,169.36 $107,967.68 $44,365.97 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
33276 CPT Insj Phrnc Nrv Stim Sys 27 26 — — $45,000.50 $107,798.70 $45,000.50 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
91 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 7 7 — — $27,664.41 $107,238.47 $44,066.10 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
82 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $16,432.10 $106,828.15 $43,898.25 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
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $20,266.01 $105,586.04 $43,923.99 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
913 APR_DRG Other Major Head & Neck Procedures 7 7 — — $19,756.59 $104,571.39 $42,970.65 2026-01-01
1214 APR_DRG Other Respiratory & Chest Procedures 7 7 — — $32,134.91 $104,289.76 $47,764.19 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
244 APR_DRG Extracranial Vascular Procedures 7 7 — — $23,152.94 $103,516.60 $42,537.62 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
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
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
3054 APR_DRG Amputation Of Lower Limb Except Toes 7 7 — — $29,359.68 $99,110.83 $43,016.53 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
7524 APR_DRG Disorders Of Personality & Impulse Control 6 6 — — $26,609.65 $98,942.87 $60,221.37 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
1793 APR_DRG Defibrillator Implants 7 7 — — $30,125.99 $97,770.04 $52,137.01 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
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
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
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 6 6 — — $25,845.14 $94,822.65 $51,511.24 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
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 6 6 — — $25,874.62 $94,665.73 $53,438.37 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
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
8423 APR_DRG Full Thickness Burns W Skin Graft 6 6 — — $26,117.01 $93,860.70 $52,832.12 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
6924 APR_DRG Radiotherapy 6 6 — — $22,916.56 $88,263.40 $49,824.38 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
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
6233 APR_DRG Neonate Bwt 20002499g W Congenitalperinatal Infection 6 6 — — $23,765.58 $82,804.55 $45,124.65 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
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
1754 APR_DRG Percutaneous Coronary Intervention Wo Ami 7 7 — — $23,712.66 $76,956.40 $44,971.32 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
9123 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 6 6 — — $18,193.14 $76,040.77 $45,899.26 2026-01-01
2314 APR_DRG Major Large Bowel Procedures 7 7 — — $23,379.99 $75,876.77 $46,937.31 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
1632 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 7 7 — — $19,719.95 $73,639.06 $46,550.14 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
L8702 CPT Ewhf S/d Uprt Micro Sensor 25 24 — — $65,871.74 $67,452.66 $67,452.66 2026-01-01
A9543 CPT Y90 Ibritumomab- Rx 29 28 — — $56,824.55 $65,476.58 $56,824.55 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 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
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
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 3 3 — — $50,340.68 $50,340.68 $50,340.68 2026-01-01
250 EAPG Cochlear Device Implantation 2 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
L7181 CPT Electronic Elbo Simultaneous 27 26 — — $44,875.22 $48,901.12 $48,901.12 2026-01-01
90288 CPT Botulism Ig IV 4 4 — — $48,705.00 $48,705.00 $48,705.00 2026-01-01
L7180 CPT Electronic Elbow Sequential 27 26 — — $42,853.91 $46,980.38 $42,853.91 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
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