Hospital

CHI ST ALEXIUS HEALTH TURTLE LAKE

Turtle Lake, ND · CCN 351304 · Rates published

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You selected 93350 (CPT)

HC STRESS ECHOCARDIOGMRAM

This hospital’s price: $621 across 8 payers · range $548-$949

Source: https://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450226711-1306832654_st-alexius-medical-center_standardcharges.json · observed 2026-02-28

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.

13,547 distinct procedures filed

9 distinct payers

748,282 rate rows

2026-02-28 last MRF observed

Data quality

678,892 of 748,282 rate rows are consumer-grade (90.7%)

69,390 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	32,932
per-diem day rate — not a per-procedure price	24,301
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	9,918
placeholder amount (≤ $0.02) — excluded from medians	1,943
exceeds 10× this hospital's gross charge — excluded from medians	296

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

Source MRF file	https://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450226711_chi-st-alexius-health-turtle-lake_standardcharges.json
Found on page	https://www.chistalexiushealth.org/patients-and-visitors/financial-assistance
Discovered via	Discovered by HANK
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-23
Content fingerprint	3882f70f4c7c8368… · 46,081,135 bytes · first seen 2026-05-05

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
5834 APR_DRG	Neonate With Ecmo	1	$509,894.00	$798,382.00	$787,573.00	nat. median $307,206 outlier · 2.6×
5833 APR_DRG	Neonate With Ecmo	1	$403,846.00	$632,334.00	$623,773.00	nat. median $244,017 outlier · 2.6×
1614 APR_DRG	Implantable Heart Assist Systems	1	$399,897.00	$626,152.00	$617,675.00	nat. median $202,993 outlier · 3.0×
24 APR_DRG	Heart And/or Lung Transplant	1	$385,914.00	$604,257.00	$596,076.00	nat. median $241,437 outlier · 2.5×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$381,661.00	$597,597.00	$589,506.00	nat. median $247,214 outlier · 2.4×
1613 APR_DRG	Implantable Heart Assist Systems	1	$306,363.00	$479,698.00	$473,204.00	nat. median $120,517 outlier · 3.9×
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$303,582.00	$475,344.00	$468,908.00	nat. median $154,011 outlier · 3.0×
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$299,653.00	$469,190.00	$462,838.00	nat. median $162,342 outlier · 2.9×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$297,845.00	$466,361.00	$460,047.00	nat. median $151,838 outlier · 3.0×
5832 APR_DRG	Neonate With Ecmo	1	$297,797.00	$466,286.00	$459,973.00	nat. median $159,249 outlier · 2.9×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	1	$282,010.00	$441,565.00	$435,587.00	nat. median $155,939 outlier · 2.8×
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$273,383.00	$428,058.00	$422,263.00	nat. median $175,204 outlier · 2.4×
4404 APR_DRG	Kidney Transplant	1	$264,620.00	$414,337.00	$408,727.00	nat. median $78,303 outlier · 5.2×
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$263,846.00	$413,125.00	$407,532.00	nat. median $145,061 outlier · 2.8×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$261,733.00	$409,817.00	$404,268.00	nat. median $165,000 outlier · 2.5×
5831 APR_DRG	Neonate With Ecmo	1	$257,350.00	$402,954.00	$397,499.00	nat. median $146,500 outlier · 2.7×
74 APR_DRG	Allogeneic Bone Marrow Transplant	1	$252,998.00	$396,140.00	$390,776.00	nat. median $170,082 outlier · 2.3×
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$247,450.00	$387,452.00	$382,207.00	nat. median $118,620 outlier · 3.2×
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	1	$246,700.00	$386,278.00	$381,048.00	nat. median $136,566 outlier · 2.8×
1612 APR_DRG	Implantable Heart Assist Systems	1	$245,982.00	$385,154.00	$379,939.00	nat. median $84,880 outlier · 4.5×
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$240,110.00	$375,959.00	$370,869.00	nat. median $122,016 outlier · 3.0×
23 APR_DRG	Heart And/or Lung Transplant	1	$238,642.00	$373,661.00	$368,602.00	nat. median $110,944 outlier · 3.3×
1611 APR_DRG	Implantable Heart Assist Systems	1	$233,683.00	$365,897.00	$360,943.00	nat. median $76,852 outlier · 4.7×
5933 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$228,185.00	$357,288.00	$352,451.00	nat. median $108,695 outlier · 3.2×
54 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	$223,054.00	$349,253.00	$344,525.00	nat. median $81,521 outlier · 4.2×
6034 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$219,269.00	$343,327.00	$338,679.00	nat. median $107,681 outlier · 3.1×
64 APR_DRG	Pancreas Transplant	1	$217,864.00	$341,128.00	$336,509.00	nat. median $91,106 outlier · 3.7×
6023 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$217,626.00	$340,755.00	$336,142.00	nat. median $88,008 outlier · 3.8×
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	$215,263.00	$337,055.00	$332,492.00	nat. median $133,164 outlier · 2.5×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	$215,160.00	$336,894.00	$332,333.00	nat. median $163,587 outlier · 2.0×
6074 APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$201,966.00	$316,235.00	$311,954.00	nat. median $96,883 outlier · 3.2×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	6	$271,759.27	$490,266.00	$281,270.85	nat. median $359,454 0.8× median
22 APR_DRG	Heart And/or Lung Transplant	1	$177,099.00	$277,298.00	$273,544.00	nat. median $92,229 outlier · 3.0×
4403 APR_DRG	Kidney Transplant	1	$174,429.00	$273,117.00	$269,419.00	nat. median $49,334 outlier · 5.5×
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$173,674.00	$271,936.00	$268,254.00	nat. median $120,208 outlier · 2.2×
1604 APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	1	$169,214.00	$264,952.00	$261,365.00	nat. median $98,624 outlier · 2.7×
43 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$158,870.00	$248,756.00	$245,388.00	nat. median $74,757 outlier · 3.3×
6073 APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$157,121.00	$246,017.00	$242,686.00	nat. median $69,181 outlier · 3.5×
63 APR_DRG	Pancreas Transplant	1	$153,191.00	$239,864.00	$236,616.00	nat. median $73,580 outlier · 3.2×
3034 APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	$152,470.00	$238,735.00	$235,503.00	nat. median $82,615 outlier · 2.9×
21 APR_DRG	Heart And/or Lung Transplant	1	$151,821.00	$237,719.00	$234,501.00	nat. median $73,922 outlier · 3.2×
53 APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	$151,146.00	$236,661.00	$233,457.00	nat. median $50,484 outlier · 4.6×
4402 APR_DRG	Kidney Transplant	1	$149,600.00	$234,242.00	$231,070.00	nat. median $41,406 outlier · 5.6×
6124 APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	$147,617.00	$231,136.00	$228,007.00	nat. median $66,867 outlier · 3.4×
9114 APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	1	$146,837.00	$229,915.00	$226,803.00	nat. median $52,094 outlier · 4.4×
6303 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	$146,684.00	$229,675.00	$226,566.00	nat. median $75,456 outlier · 3.0×
5913 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$145,658.00	$228,069.00	$224,981.00	nat. median $101,406 outlier · 2.2×
73 APR_DRG	Allogeneic Bone Marrow Transplant	1	$145,514.00	$227,844.00	$224,759.00	nat. median $89,273 outlier · 2.5×
5932 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$143,807.00	$225,171.00	$222,122.00	nat. median $85,331 outlier · 2.6×
13 APR_DRG	Liver Transplant And/or Intestinal Transplant	1	$142,625.00	$223,319.00	$220,296.00	nat. median $73,704 outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 13,547 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

5834	APR_DRG	Neonate With Ecmo	6	1	—	—	$509,894.00	$798,382.00	$787,573.00	2026-02-28
5833	APR_DRG	Neonate With Ecmo	6	1	—	—	$403,846.00	$632,334.00	$623,773.00	2026-02-28
1614	APR_DRG	Implantable Heart Assist Systems	6	1	—	—	$399,897.00	$626,152.00	$617,675.00	2026-02-28
24	APR_DRG	Heart And/or Lung Transplant	6	1	—	—	$385,914.00	$604,257.00	$596,076.00	2026-02-28
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$381,661.00	$597,597.00	$589,506.00	2026-02-28
1613	APR_DRG	Implantable Heart Assist Systems	6	1	—	—	$306,363.00	$479,698.00	$473,204.00	2026-02-28
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	1	—	—	$303,582.00	$475,344.00	$468,908.00	2026-02-28
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	1	—	—	$299,653.00	$469,190.00	$462,838.00	2026-02-28
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$297,845.00	$466,361.00	$460,047.00	2026-02-28
5832	APR_DRG	Neonate With Ecmo	6	1	—	—	$297,797.00	$466,286.00	$459,973.00	2026-02-28
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	1	—	—	$282,010.00	$441,565.00	$435,587.00	2026-02-28
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$273,383.00	$428,058.00	$422,263.00	2026-02-28
4404	APR_DRG	Kidney Transplant	6	1	—	—	$264,620.00	$414,337.00	$408,727.00	2026-02-28
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$263,846.00	$413,125.00	$407,532.00	2026-02-28
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$261,733.00	$409,817.00	$404,268.00	2026-02-28
5831	APR_DRG	Neonate With Ecmo	6	1	—	—	$257,350.00	$402,954.00	$397,499.00	2026-02-28
74	APR_DRG	Allogeneic Bone Marrow Transplant	6	1	—	—	$252,998.00	$396,140.00	$390,776.00	2026-02-28
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$247,450.00	$387,452.00	$382,207.00	2026-02-28
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	1	—	—	$246,700.00	$386,278.00	$381,048.00	2026-02-28
1612	APR_DRG	Implantable Heart Assist Systems	6	1	—	—	$245,982.00	$385,154.00	$379,939.00	2026-02-28
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	1	—	—	$240,110.00	$375,959.00	$370,869.00	2026-02-28
23	APR_DRG	Heart And/or Lung Transplant	6	1	—	—	$238,642.00	$373,661.00	$368,602.00	2026-02-28
1611	APR_DRG	Implantable Heart Assist Systems	6	1	—	—	$233,683.00	$365,897.00	$360,943.00	2026-02-28
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$228,185.00	$357,288.00	$352,451.00	2026-02-28
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	1	—	—	$223,054.00	$349,253.00	$344,525.00	2026-02-28
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	1	—	—	$219,269.00	$343,327.00	$338,679.00	2026-02-28
64	APR_DRG	Pancreas Transplant	6	1	—	—	$217,864.00	$341,128.00	$336,509.00	2026-02-28
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$217,626.00	$340,755.00	$336,142.00	2026-02-28
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	1	—	—	$215,263.00	$337,055.00	$332,492.00	2026-02-28
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	1	—	—	$215,160.00	$336,894.00	$332,333.00	2026-02-28
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$201,966.00	$316,235.00	$311,954.00	2026-02-28
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	8	6	—	—	$271,759.27	$490,266.00	$281,270.85	2026-02-28
22	APR_DRG	Heart And/or Lung Transplant	6	1	—	—	$177,099.00	$277,298.00	$273,544.00	2026-02-28
4403	APR_DRG	Kidney Transplant	6	1	—	—	$174,429.00	$273,117.00	$269,419.00	2026-02-28
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	1	—	—	$173,674.00	$271,936.00	$268,254.00	2026-02-28
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	1	—	—	$169,214.00	$264,952.00	$261,365.00	2026-02-28
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	1	—	—	$158,870.00	$248,756.00	$245,388.00	2026-02-28
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$157,121.00	$246,017.00	$242,686.00	2026-02-28
63	APR_DRG	Pancreas Transplant	6	1	—	—	$153,191.00	$239,864.00	$236,616.00	2026-02-28
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$152,470.00	$238,735.00	$235,503.00	2026-02-28
21	APR_DRG	Heart And/or Lung Transplant	6	1	—	—	$151,821.00	$237,719.00	$234,501.00	2026-02-28
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	1	—	—	$151,146.00	$236,661.00	$233,457.00	2026-02-28
4402	APR_DRG	Kidney Transplant	6	1	—	—	$149,600.00	$234,242.00	$231,070.00	2026-02-28
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$147,617.00	$231,136.00	$228,007.00	2026-02-28
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	1	—	—	$146,837.00	$229,915.00	$226,803.00	2026-02-28
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	1	—	—	$146,684.00	$229,675.00	$226,566.00	2026-02-28
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	1	—	—	$145,658.00	$228,069.00	$224,981.00	2026-02-28
73	APR_DRG	Allogeneic Bone Marrow Transplant	6	1	—	—	$145,514.00	$227,844.00	$224,759.00	2026-02-28
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$143,807.00	$225,171.00	$222,122.00	2026-02-28
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	1	—	—	$142,625.00	$223,319.00	$220,296.00	2026-02-28
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	1	—	—	$142,519.00	$223,154.00	$220,133.00	2026-02-28
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$137,728.00	$215,652.00	$212,732.00	2026-02-28
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	8	6	—	—	$203,062.38	$366,188.00	$210,169.57	2026-02-28
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	1	—	—	$133,642.00	$209,254.00	$206,421.00	2026-02-28
62	APR_DRG	Pancreas Transplant	6	1	—	—	$132,985.00	$208,225.00	$205,406.00	2026-02-28
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	1	—	—	$130,398.00	$204,175.00	$201,410.00	2026-02-28
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$130,396.00	$204,172.00	$201,408.00	2026-02-28
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	1	—	—	$129,427.00	$202,654.00	$199,910.00	2026-02-28
1784	APR_DRG	External Heart Assist Systems	6	1	—	—	$126,809.00	$198,555.00	$195,867.00	2026-02-28
6021	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$123,956.00	$194,088.00	$191,460.00	2026-02-28
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	1	—	—	$123,678.00	$193,653.00	$191,032.00	2026-02-28
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	1	—	—	$123,077.00	$192,712.00	$190,103.00	2026-02-28
84	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	1	—	—	$120,942.00	$189,369.00	$186,805.00	2026-02-28
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	1	—	—	$119,536.00	$187,168.00	$184,633.00	2026-02-28
2604	APR_DRG	Major Pancreas Liver And Shunt Procedures	6	1	—	—	$119,317.00	$186,824.00	$184,294.00	2026-02-28
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	1	—	—	$119,055.00	$186,414.00	$183,890.00	2026-02-28
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	1	—	—	$118,977.00	$186,293.00	$183,770.00	2026-02-28
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	6	1	—	—	$117,235.00	$183,564.00	$181,079.00	2026-02-28
72	APR_DRG	Allogeneic Bone Marrow Transplant	6	1	—	—	$116,627.00	$182,612.00	$180,140.00	2026-02-28
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$116,306.00	$182,110.00	$179,644.00	2026-02-28
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	1	—	—	$115,392.00	$180,679.00	$178,233.00	2026-02-28
8634	APR_DRG	Neonatal Aftercare	6	1	—	—	$115,027.00	$180,106.00	$177,668.00	2026-02-28
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	8	6	—	—	$171,065.74	$308,396.00	$177,053.04	2026-02-28
J0225	HCPCS	Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe	33	7	$238,702.00	$169,478.42 29% off	$119,351.00	$236,314.98	$176,639.48	2026-02-28
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	1	—	—	$113,076.00	$177,052.00	$174,655.00	2026-02-28
1694	APR_DRG	Major Abdominal Vascular Procedures	6	1	—	—	$112,580.00	$176,276.00	$173,890.00	2026-02-28
214	APR_DRG	Open Craniotomy Except Trauma	6	1	—	—	$110,445.00	$172,933.00	$170,592.00	2026-02-28
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	1	—	—	$110,192.00	$172,536.00	$170,200.00	2026-02-28
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	1	—	—	$107,074.00	$167,655.00	$165,385.00	2026-02-28
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	1	—	—	$106,703.00	$167,073.00	$164,811.00	2026-02-28
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	1	—	—	$106,131.00	$166,178.00	$163,928.00	2026-02-28
61	APR_DRG	Pancreas Transplant	6	1	—	—	$104,532.00	$163,675.00	$161,459.00	2026-02-28
3124	APR_DRG	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	6	1	—	—	$103,952.00	$162,767.00	$160,563.00	2026-02-28
71	APR_DRG	Allogeneic Bone Marrow Transplant	6	1	—	—	$103,845.00	$162,599.00	$160,398.00	2026-02-28
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$103,814.00	$162,551.00	$160,350.00	2026-02-28
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth …	8	6	—	—	$154,574.74	$278,611.00	$159,984.86	2026-02-28
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	1	—	—	$103,493.00	$162,048.00	$159,854.00	2026-02-28
914	APR_DRG	Other Major Head And Neck Procedures	6	1	—	—	$103,408.00	$161,914.00	$159,722.00	2026-02-28
6804	APR_DRG	Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	6	1	—	—	$103,353.00	$161,828.00	$159,637.00	2026-02-28
1794	APR_DRG	Defibrillator Implants	6	1	—	—	$101,422.00	$158,804.00	$156,654.00	2026-02-28
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	6	1	—	—	$100,646.00	$157,590.00	$155,456.00	2026-02-28
1783	APR_DRG	External Heart Assist Systems	6	1	—	—	$99,727.00	$156,151.00	$154,037.00	2026-02-28
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	1	—	—	$99,672.00	$156,065.00	$153,952.00	2026-02-28
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	1	—	—	$99,320.00	$155,514.00	$153,408.00	2026-02-28
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	6	1	—	—	$99,201.00	$155,327.00	$153,224.00	2026-02-28
234	APR_DRG	Spinal Procedures	6	1	—	—	$98,811.00	$154,716.00	$152,621.00	2026-02-28
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	1	—	—	$98,515.00	$154,253.00	$152,165.00	2026-02-28
4414	APR_DRG	Major Bladder Procedures	6	1	—	—	$97,692.00	$152,964.00	$150,893.00	2026-02-28
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	6	1	—	—	$95,231.00	$149,112.00	$147,093.00	2026-02-28
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	1	—	—	$95,091.00	$148,891.00	$146,875.00	2026-02-28
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	1	—	—	$93,811.00	$146,888.00	$144,899.00	2026-02-28
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	1	—	—	$93,065.00	$145,720.00	$143,747.00	2026-02-28
1782	APR_DRG	External Heart Assist Systems	6	1	—	—	$92,913.00	$145,482.00	$143,512.00	2026-02-28
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	1	—	—	$92,723.00	$145,184.00	$143,219.00	2026-02-28
6904	APR_DRG	Acute Leukemia	6	1	—	—	$91,459.00	$143,205.00	$141,267.00	2026-02-28
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	1	—	—	$91,328.00	$143,000.00	$141,064.00	2026-02-28
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	1	—	—	$90,836.00	$142,229.00	$140,303.00	2026-02-28
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	1	—	—	$90,561.00	$141,799.00	$139,880.00	2026-02-28
6122	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$89,989.00	$140,902.00	$138,995.00	2026-02-28
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	1	—	—	$89,589.00	$140,276.00	$138,377.00	2026-02-28
404	APR_DRG	Spinal Disorders And Injuries	6	1	—	—	$89,257.00	$139,756.00	$137,864.00	2026-02-28
7594	APR_DRG	Eating Disorders	6	1	—	—	$89,112.00	$139,529.00	$137,640.00	2026-02-28
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	6	1	—	—	$88,033.00	$137,841.00	$135,975.00	2026-02-28
894	APR_DRG	Major Cranial Or Facial Bone Procedures	6	1	—	—	$87,977.00	$137,753.00	$135,888.00	2026-02-28
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	1	—	—	$87,682.00	$137,290.00	$135,432.00	2026-02-28
2304	APR_DRG	Major Small Bowel Procedures	6	1	—	—	$87,677.00	$137,284.00	$135,425.00	2026-02-28
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	1	—	—	$87,257.00	$136,625.00	$134,775.00	2026-02-28
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	1	—	—	$86,882.00	$136,039.00	$134,197.00	2026-02-28
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$86,356.00	$135,214.00	$133,384.00	2026-02-28
8904	APR_DRG	HIV With Multiple Major HIV Related Conditions	6	1	—	—	$86,084.00	$134,789.00	$132,964.00	2026-02-28
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	1	—	—	$86,046.00	$134,729.00	$132,905.00	2026-02-28
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	6	1	—	—	$85,196.00	$133,398.00	$131,592.00	2026-02-28
1764	APR_DRG	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	1	—	—	$85,047.00	$133,165.00	$131,362.00	2026-02-28
6814	APR_DRG	Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms	6	1	—	—	$85,043.00	$133,158.00	$131,355.00	2026-02-28
2614	APR_DRG	Major Biliary Tract Procedures	6	1	—	—	$84,791.00	$132,764.00	$130,966.00	2026-02-28
6954	APR_DRG	Chemotherapy For Acute Leukemia	6	1	—	—	$84,413.00	$132,173.00	$130,383.00	2026-02-28
204	APR_DRG	Open Craniotomy For Trauma	6	1	—	—	$84,011.00	$131,543.00	$129,762.00	2026-02-28
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	1	—	—	$83,149.00	$130,194.00	$128,431.00	2026-02-28
6903	APR_DRG	Acute Leukemia	6	1	—	—	$83,145.00	$130,187.00	$128,425.00	2026-02-28
3214	APR_DRG	Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or…	6	1	—	—	$83,002.00	$129,963.00	$128,203.00	2026-02-28
5104	APR_DRG	Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu…	6	1	—	—	$82,920.00	$129,835.00	$128,077.00	2026-02-28
274	APR_DRG	Other Open Craniotomy	6	1	—	—	$82,898.00	$129,799.00	$128,042.00	2026-02-28
1781	APR_DRG	External Heart Assist Systems	6	1	—	—	$82,871.00	$129,758.00	$128,001.00	2026-02-28
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$82,565.00	$129,279.00	$127,529.00	2026-02-28
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	1	—	—	$82,472.00	$129,134.00	$127,386.00	2026-02-28
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	1	—	—	$82,116.00	$128,576.00	$126,836.00	2026-02-28
5891	APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	6	1	—	—	$81,717.00	$127,950.00	$126,218.00	2026-02-28
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	6	1	—	—	$81,503.00	$127,615.00	$125,888.00	2026-02-28
1814	APR_DRG	Lower Extremity Arterial Procedures	6	1	—	—	$81,460.00	$127,549.00	$125,822.00	2026-02-28
4014	APR_DRG	Adrenal Procedures	6	1	—	—	$81,238.00	$127,201.00	$125,479.00	2026-02-28
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	6	1	—	—	$81,064.00	$126,928.00	$125,209.00	2026-02-28
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	6	1	—	—	$80,726.00	$126,399.00	$124,688.00	2026-02-28
4054	APR_DRG	Other Procedures For Endocrine Nutritional And Metabolic Disorders	6	1	—	—	$80,391.00	$125,874.00	$124,170.00	2026-02-28
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	6	1	—	—	$80,007.00	$125,273.00	$123,577.00	2026-02-28
4044	APR_DRG	Thyroid Parathyroid And Thyroglossal Procedures	6	1	—	—	$79,835.00	$125,004.00	$123,311.00	2026-02-28
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	1	—	—	$78,764.00	$123,327.00	$121,657.00	2026-02-28
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	1	—	—	$78,731.00	$123,276.00	$121,607.00	2026-02-28
1204	APR_DRG	Major Respiratory And Chest Procedures	6	1	—	—	$78,658.00	$123,161.00	$121,494.00	2026-02-28
2644	APR_DRG	Other Hepatobiliary Pancreas And Abdominal Procedures	6	1	—	—	$78,202.00	$122,447.00	$120,790.00	2026-02-28
2294	APR_DRG	Other Digestive System And Abdominal Procedures	6	1	—	—	$76,263.00	$119,411.00	$117,794.00	2026-02-28
83	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	1	—	—	$75,939.00	$118,904.00	$117,294.00	2026-02-28
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	6	1	—	—	$74,855.00	$117,207.00	$115,620.00	2026-02-28
224	APR_DRG	Ventricular Shunt Procedures	6	1	—	—	$74,666.00	$116,911.00	$115,329.00	2026-02-28
9123	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	1	—	—	$74,627.00	$116,850.00	$115,268.00	2026-02-28
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	1	—	—	$73,920.00	$115,743.00	$114,176.00	2026-02-28
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock	6	1	—	—	$73,830.00	$115,602.00	$114,037.00	2026-02-28
6333	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	6	1	—	—	$73,353.00	$114,855.00	$113,300.00	2026-02-28
4401	APR_DRG	Kidney Transplant	6	1	—	—	$73,172.00	$114,571.00	$113,020.00	2026-02-28
27830849	CDM	Hc Impella 5.5 W Smartasst	3	3	$150,060.00	$76,530.60 49% off	$111,044.40	$135,054.00	$112,545.00	2026-02-28
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	6	1	—	—	$72,720.00	$113,863.00	$112,322.00	2026-02-28
1621	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	1	—	—	$72,427.00	$113,405.00	$111,870.00	2026-02-28
6504	APR_DRG	Splenectomy	6	1	—	—	$72,022.00	$112,770.00	$111,244.00	2026-02-28
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	6	1	—	—	$71,808.00	$112,435.00	$110,913.00	2026-02-28
8633	APR_DRG	Neonatal Aftercare	6	1	—	—	$71,790.00	$112,407.00	$110,885.00	2026-02-28
893	APR_DRG	Major Cranial Or Facial Bone Procedures	6	1	—	—	$71,532.00	$112,003.00	$110,487.00	2026-02-28
294	APR_DRG	Other Percutaneous Intracranial Procedures	6	1	—	—	$71,100.00	$111,327.00	$109,820.00	2026-02-28
3644	APR_DRG	Other Skin Subcutaneous Tissue And Related Procedures	6	1	—	—	$70,885.00	$110,990.00	$109,487.00	2026-02-28
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	6	1	—	—	$70,756.00	$110,789.00	$109,289.00	2026-02-28
6082	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	1	—	—	$70,583.00	$110,518.00	$109,022.00	2026-02-28
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	6	1	—	—	$70,217.00	$109,945.00	$108,457.00	2026-02-28
6133	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	6	1	—	—	$69,822.00	$109,326.00	$107,846.00	2026-02-28
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	1	—	—	$69,818.00	$109,319.00	$107,839.00	2026-02-28
4474	APR_DRG	Other Kidney Urinary Tract And Related Procedures	6	1	—	—	$69,601.00	$108,980.00	$107,504.00	2026-02-28
1673	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	1	—	—	$69,394.00	$108,656.00	$107,185.00	2026-02-28
3094	APR_DRG	Other Significant Hip And Femur Surgery	6	1	—	—	$69,272.00	$108,464.00	$106,996.00	2026-02-28
3134	APR_DRG	Knee And Lower Leg Procedures Except Foot	6	1	—	—	$68,825.00	$107,765.00	$106,306.00	2026-02-28
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face Mouth And Neck…	8	6	—	—	$102,021.22	$183,690.00	$105,591.97	2026-02-28
7934	APR_DRG	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	6	1	—	—	$68,181.00	$106,756.00	$105,311.00	2026-02-28
2324	APR_DRG	Gastric Fundoplication	6	1	—	—	$68,146.00	$106,701.00	$105,256.00	2026-02-28
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	6	1	—	—	$67,994.00	$106,463.00	$105,022.00	2026-02-28
2224	APR_DRG	Other Stomach Esophageal And Duodenal Procedures	6	1	—	—	$67,984.00	$106,448.00	$105,006.00	2026-02-28
5892	APR_DRG	Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A…	6	1	—	—	$67,837.00	$106,218.00	$104,780.00	2026-02-28
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	6	1	—	—	$67,685.00	$105,980.00	$104,545.00	2026-02-28
6143	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	6	1	—	—	$67,457.00	$105,623.00	$104,193.00	2026-02-28
82	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	1	—	—	$67,426.00	$105,575.00	$104,145.00	2026-02-28
3234	APR_DRG	Non-elective Or Complex Hip Joint Replacement	6	1	—	—	$67,352.00	$105,458.00	$104,030.00	2026-02-28
264	APR_DRG	Other Nervous System And Related Procedures	6	1	—	—	$66,979.00	$104,874.00	$103,454.00	2026-02-28
2204	APR_DRG	Major Stomach Esophageal And Duodenal Procedures	6	1	—	—	$66,735.00	$104,493.00	$103,078.00	2026-02-28
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	6	1	—	—	$66,642.00	$104,347.00	$102,935.00	2026-02-28
1693	APR_DRG	Major Abdominal Vascular Procedures	6	1	—	—	$66,525.00	$104,164.00	$102,754.00	2026-02-28
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	6	1	—	—	$66,471.00	$104,078.00	$102,669.00	2026-02-28
3464	APR_DRG	Connective Tissue Disorders	6	1	—	—	$66,257.00	$103,743.00	$102,339.00	2026-02-28
213	APR_DRG	Open Craniotomy Except Trauma	6	1	—	—	$66,174.00	$103,613.00	$102,211.00	2026-02-28
1824	APR_DRG	Other Peripheral Vascular Procedures	6	1	—	—	$66,091.00	$103,483.00	$102,082.00	2026-02-28
913	APR_DRG	Other Major Head And Neck Procedures	6	1	—	—	$66,002.00	$103,345.00	$101,945.00	2026-02-28
233	APR_DRG	Spinal Procedures	6	1	—	—	$65,530.00	$102,606.00	$101,217.00	2026-02-28
2234	APR_DRG	Other Small And Large Bowel Procedures	6	1	—	—	$65,340.00	$102,309.00	$100,924.00	2026-02-28
244	APR_DRG	Open Extracranial Vascular Procedures	6	1	—	—	$65,336.00	$102,302.00	$100,917.00	2026-02-28
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	1	—	—	$64,858.00	$101,553.00	$100,178.00	2026-02-28
3624	APR_DRG	Mastectomy Procedures	6	1	—	—	$64,654.00	$101,233.00	$99,863.00	2026-02-28
6614	APR_DRG	Coagulation And Platelet Disorders	6	1	—	—	$64,551.00	$101,072.00	$99,704.00	2026-02-28
3154	APR_DRG	Shoulder Upper Arm And Forearm Procedures Except Joint Replacement	6	1	—	—	$64,502.00	$100,995.00	$99,628.00	2026-02-28
8503	APR_DRG	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	1	—	—	$64,410.00	$100,852.00	$99,487.00	2026-02-28
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$64,331.00	$100,729.00	$99,365.00	2026-02-28
4034	APR_DRG	Procedures For Obesity	6	1	—	—	$64,317.00	$100,707.00	$99,343.00	2026-02-28
2274	APR_DRG	Hernia Procedures Except Inguinal Femoral And Umbilical	6	1	—	—	$63,958.00	$100,145.00	$98,789.00	2026-02-28
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	6	1	—	—	$63,808.00	$99,909.00	$98,556.00	2026-02-28
7114	APR_DRG	Post-operative Post-trauma Other Device Infections With O.r. Procedure	6	1	—	—	$63,588.00	$99,565.00	$98,217.00	2026-02-28
14	MS_DRG	Allogeneic Bone Marrow Transplant	8	6	—	—	$94,620.71	$170,323.00	$97,932.44	2026-02-28
7	MS_DRG	Lung Transplant	8	6	—	—	$94,383.19	$169,894.00	$97,686.61	2026-02-28
1214	APR_DRG	Other Respiratory And Chest Procedures	6	1	—	—	$63,170.00	$98,910.00	$97,571.00	2026-02-28
6213	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	6	1	—	—	$63,011.00	$98,661.00	$97,326.00	2026-02-28
494	APR_DRG	Bacterial And Tuberculous Infections Of Nervous System	6	1	—	—	$62,956.00	$98,575.00	$97,241.00	2026-02-28
4844	APR_DRG	Other Male Reproductive System And Related Procedures	6	1	—	—	$62,572.00	$97,974.00	$96,647.00	2026-02-28
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	1	—	—	$62,485.00	$97,837.00	$96,513.00	2026-02-28
7524	APR_DRG	Disorders Of Personality And Impulse Control	6	1	—	—	$62,449.00	$97,782.00	$96,458.00	2026-02-28
2244	APR_DRG	Peritoneal Adhesiolysis	6	1	—	—	$62,262.00	$97,489.00	$96,169.00	2026-02-28
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$61,937.00	$96,980.00	$95,667.00	2026-02-28
4804	APR_DRG	Major Male Pelvic Procedures	6	1	—	—	$61,691.00	$96,594.00	$95,286.00	2026-02-28
5184	APR_DRG	Other Female Reproductive System And Related Procedures	6	1	—	—	$61,223.00	$95,863.00	$94,565.00	2026-02-28
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	1	—	—	$61,221.00	$95,858.00	$94,560.00	2026-02-28
3054	APR_DRG	Amputation Of Lower Limb Except Toes	6	1	—	—	$60,556.00	$94,818.00	$93,534.00	2026-02-28
3104	APR_DRG	Intervertebral Disc Excision And Decompression	6	1	—	—	$60,483.00	$94,703.00	$93,421.00	2026-02-28
504	APR_DRG	Non-bacterial Infections Of Nervous System Except Viral Meningitis	6	1	—	—	$59,992.00	$93,934.00	$92,662.00	2026-02-28
303	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	6	1	—	—	$59,924.00	$93,828.00	$92,558.00	2026-02-28
5194	APR_DRG	Uterine And Adnexa Procedures For Leiomyoma	6	1	—	—	$59,826.00	$93,674.00	$92,406.00	2026-02-28
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	6	1	—	—	$59,750.00	$93,555.00	$92,288.00	2026-02-28
1793	APR_DRG	Defibrillator Implants	6	1	—	—	$59,740.00	$93,540.00	$92,273.00	2026-02-28
6223	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$59,458.00	$93,099.00	$91,838.00	2026-02-28
1653	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	1	—	—	$59,332.00	$92,901.00	$91,643.00	2026-02-28
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	1	—	—	$59,242.00	$92,760.00	$91,504.00	2026-02-28
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	1	—	—	$58,841.00	$92,131.00	$90,884.00	2026-02-28
3244	APR_DRG	Elective Hip Joint Replacement	6	1	—	—	$58,394.00	$91,433.00	$90,195.00	2026-02-28
3224	APR_DRG	Shoulder And Elbow Joint Replacement	6	1	—	—	$58,207.00	$91,140.00	$89,906.00	2026-02-28
734	APR_DRG	Orbit And Eye Procedures	6	1	—	—	$58,152.00	$91,054.00	$89,821.00	2026-02-28
444	APR_DRG	Intracranial Hemorrhage	6	1	—	—	$57,755.00	$90,432.00	$89,208.00	2026-02-28
6944	APR_DRG	Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior	6	1	—	—	$57,349.00	$89,795.00	$88,580.00	2026-02-28
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	6	1	—	—	$57,277.00	$89,683.00	$88,469.00	2026-02-28
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	1	—	—	$57,270.00	$89,672.00	$88,458.00	2026-02-28
984	APR_DRG	Other Ear Nose Mouth And Throat Procedures	6	1	—	—	$57,066.00	$89,352.00	$88,143.00	2026-02-28
4434	APR_DRG	Kidney And Urinary Tract Procedures For Non-malignancy	6	1	—	—	$57,011.00	$89,266.00	$88,058.00	2026-02-28
6222	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$56,719.00	$88,810.00	$87,608.00	2026-02-28
1203	APR_DRG	Major Respiratory And Chest Procedures	6	1	—	—	$56,475.00	$88,427.00	$87,230.00	2026-02-28
4834	APR_DRG	Penis Testes And Scrotal Procedures	6	1	—	—	$56,294.00	$88,145.00	$86,951.00	2026-02-28
6924	APR_DRG	Radiotherapy	6	1	—	—	$55,709.00	$87,228.00	$86,047.00	2026-02-28
3204	APR_DRG	Other Musculoskeletal System And Connective Tissue Procedures	6	1	—	—	$55,561.00	$86,997.00	$85,819.00	2026-02-28
1714	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock	6	1	—	—	$55,173.00	$86,388.00	$85,219.00	2026-02-28
403	APR_DRG	Spinal Disorders And Injuries	6	1	—	—	$55,057.00	$86,208.00	$85,040.00	2026-02-28
1394	APR_DRG	Other Pneumonia	6	1	—	—	$54,604.00	$85,498.00	$84,340.00	2026-02-28
1302	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	1	—	—	$54,435.00	$85,233.00	$84,079.00	2026-02-28
4444	APR_DRG	Renal Dialysis Access Device Procedures And Vessel Repair	6	1	—	—	$54,320.00	$85,053.00	$83,901.00	2026-02-28
9102	APR_DRG	Craniotomy For Multiple Significant Trauma	6	1	—	—	$54,056.00	$84,641.00	$83,495.00	2026-02-28
9503	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	1	—	—	$53,996.00	$84,546.00	$83,401.00	2026-02-28
1804	APR_DRG	Other Circulatory System Procedures	6	1	—	—	$53,812.00	$84,257.00	$83,116.00	2026-02-28
1301	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	6	1	—	—	$53,692.00	$84,070.00	$82,932.00	2026-02-28
1774	APR_DRG	Cardiac Pacemaker And Defibrillator Revision Except Device Replacement	6	1	—	—	$53,571.00	$83,880.00	$82,745.00	2026-02-28
4454	APR_DRG	Other Bladder Procedures	6	1	—	—	$53,568.00	$83,876.00	$82,740.00	2026-02-28
203	APR_DRG	Open Craniotomy For Trauma	6	1	—	—	$53,417.00	$83,640.00	$82,508.00	2026-02-28
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	8	6	—	—	$79,634.72	$143,256.00	$82,421.94	2026-02-28
1602	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	1	—	—	$53,153.00	$83,226.00	$82,099.00	2026-02-28
3174	APR_DRG	Tendon Muscle And Other Soft Tissue Procedures	6	1	—	—	$52,790.00	$82,657.00	$81,538.00	2026-02-28
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	8	6	—	—	$78,729.27	$141,621.00	$81,484.80	2026-02-28
6032	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	1	—	—	$52,646.00	$82,432.00	$81,316.00	2026-02-28
8502	APR_DRG	Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt…	6	1	—	—	$52,541.00	$82,267.00	$81,153.00	2026-02-28
1703	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock	6	1	—	—	$52,508.00	$82,216.00	$81,103.00	2026-02-28
1652	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	1	—	—	$52,376.00	$82,009.00	$80,899.00	2026-02-28
38240	CPT	Transplt Allo Hct/donor	11	8	—	—	$59,142.33	$102,314.66	$80,728.49	2026-02-28
3634	APR_DRG	Breast Procedures Except Mastectomy	6	1	—	—	$52,249.00	$81,811.00	$80,703.00	2026-02-28
273	APR_DRG	Other Open Craniotomy	6	1	—	—	$52,235.00	$81,789.00	$80,681.00	2026-02-28
443	APR_DRG	Intracranial Hemorrhage	6	1	—	—	$51,837.00	$81,165.00	$80,066.00	2026-02-28
3253	APR_DRG	Non-elective Or Complex Knee Joint Replacement	6	1	—	—	$51,835.00	$81,163.00	$80,064.00	2026-02-28
3164	APR_DRG	Hand And Wrist Procedures	6	1	—	—	$51,740.00	$81,013.00	$79,916.00	2026-02-28
6364	APR_DRG	Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection	6	1	—	—	$51,727.00	$80,993.00	$79,897.00	2026-02-28
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	8	6	—	—	$76,969.47	$138,442.00	$79,663.40	2026-02-28
1663	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	1	—	—	$51,412.00	$80,500.00	$79,410.00	2026-02-28
1763	APR_DRG	Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices	6	1	—	—	$51,348.00	$80,400.00	$79,312.00	2026-02-28
215	MS_DRG	Other Heart Assist System Implant	8	6	—	—	$76,576.49	$137,732.00	$79,256.67	2026-02-28
3123	APR_DRG	Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses	6	1	—	—	$51,258.00	$80,259.00	$79,173.00	2026-02-28
9101	APR_DRG	Craniotomy For Multiple Significant Trauma	6	1	—	—	$51,129.00	$80,057.00	$78,973.00	2026-02-28
3084	APR_DRG	Hip And Femur Fracture Repair	6	1	—	—	$51,095.00	$80,004.00	$78,921.00	2026-02-28
2414	APR_DRG	Peptic Ulcer And Gastritis	6	1	—	—	$51,033.00	$79,907.00	$78,825.00	2026-02-28
1692	APR_DRG	Major Abdominal Vascular Procedures	6	1	—	—	$50,911.00	$79,715.00	$78,636.00	2026-02-28
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	8	6	—	—	$75,717.10	$136,180.00	$78,367.21	2026-02-28
1672	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	1	—	—	$50,676.00	$79,347.00	$78,273.00	2026-02-28
81	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	6	1	—	—	$50,667.00	$79,334.00	$78,260.00	2026-02-28
1744	APR_DRG	Percutaneous Cardiac Intervention With Ami	6	1	—	—	$50,659.00	$79,321.00	$78,247.00	2026-02-28
6121	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	1	—	—	$50,387.00	$78,895.00	$77,827.00	2026-02-28
4694	APR_DRG	Acute Kidney Injury	6	1	—	—	$50,141.00	$78,510.00	$77,447.00	2026-02-28
6914	APR_DRG	Lymphoma Myeloma And Non-acute Leukemia	6	1	—	—	$50,059.00	$78,382.00	$77,320.00	2026-02-28
5134	APR_DRG	Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma	6	1	—	—	$49,972.00	$78,245.00	$77,186.00	2026-02-28
3042	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	1	—	—	$49,706.00	$77,829.00	$76,775.00	2026-02-28
7923	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	6	1	—	—	$49,519.00	$77,535.00	$76,486.00	2026-02-28
3264	APR_DRG	Elective Knee Joint Replacement	6	1	—	—	$49,512.00	$77,524.00	$76,475.00	2026-02-28
6112	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	6	1	—	—	$49,219.00	$77,066.00	$76,023.00	2026-02-28
1813	APR_DRG	Lower Extremity Arterial Procedures	6	1	—	—	$49,071.00	$76,835.00	$75,794.00	2026-02-28
1213	APR_DRG	Other Respiratory And Chest Procedures	6	1	—	—	$48,864.00	$76,511.00	$75,475.00	2026-02-28
1671	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	6	1	—	—	$48,752.00	$76,334.00	$75,301.00	2026-02-28
6233	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	6	1	—	—	$48,721.00	$76,286.00	$75,253.00	2026-02-28
434	APR_DRG	Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies	6	1	—	—	$48,661.00	$76,193.00	$75,162.00	2026-02-28
7204	APR_DRG	Septicemia And Disseminated Infections	6	1	—	—	$48,657.00	$76,187.00	$75,155.00	2026-02-28

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