Price Transparencybeta Hospital negotiated rates

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

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Hospital

CHI ST ALEXIUS HEALTH TURTLE LAKE

Turtle Lake, ND · CCN 351304 · Rates published

13,625 distinct procedures filed
11 distinct payers
1,063,518 rate rows
2026-09-30 last MRF observed
Data quality

984,378 of 1,063,518 rate rows are consumer-grade (92.6%)

79,140 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 38,096
per-diem day rate — not a per-procedure price 29,652
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 9,930
placeholder amount (≤ $0.02) — excluded from medians 1,233
exceeds 10× this hospital's gross charge — excluded from medians 229
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.chistalexiushealth.org/content/dam/stalexiushealthorg/documents/financial/price-transparency-standard-charges/450226711-1013961820_st-alexius-medical-center_standardcharges.json
Found on page https://www.chistalexiushealth.org/patients-and-visitors/financial-assistance
Discovered viaCMS hospital list
Last fetch success · 2026-11-05
Content fingerprint f4847e3aed9453df… · 77,969,675 bytes · first seen 2026-11-05

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 $1,453,406.00 $792,977.50 nat. median
$309,607
outlier · 2.6×
5833
APR_DRG 		Neonate With Ecmo 1 $403,846.00 $877,529.00 $628,053.50 nat. median
$244,017
outlier · 2.6×
1614
APR_DRG 		Implantable Heart Assist Systems 1 $399,897.00 $626,152.00 $619,616.50 nat. median
$202,660
outlier · 3.1×
24
APR_DRG 		Heart And/or Lung Transplant 1 $385,914.00 $747,534.00 $600,166.50 nat. median
$243,231
outlier · 2.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $381,661.00 $834,913.00 $593,551.50 nat. median
$249,381
outlier · 2.4×
1613
APR_DRG 		Implantable Heart Assist Systems 1 $306,363.00 $500,152.00 $476,451.00 nat. median
$121,888
outlier · 3.9×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $303,582.00 $475,344.00 $468,696.50 nat. median
$154,201
outlier · 3.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $299,653.00 $472,847.00 $466,014.00 nat. median
$165,673
outlier · 2.8×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $297,845.00 $565,215.00 $463,204.00 nat. median
$152,593
outlier · 3.0×
5832
APR_DRG 		Neonate With Ecmo 1 $297,797.00 $550,668.00 $463,129.50 nat. median
$160,331
outlier · 2.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $282,010.00 $531,742.00 $438,576.00 nat. median
$160,464
outlier · 2.7×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $273,383.00 $594,648.00 $425,160.50 nat. median
$178,501
outlier · 2.4×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $263,846.00 $573,500.00 $410,328.50 nat. median
$145,645
outlier · 2.8×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $261,733.00 $413,817.00 $407,042.50 nat. median
$165,846
outlier · 2.5×
5831
APR_DRG 		Neonate With Ecmo 1 $257,350.00 $464,627.00 $400,226.50 nat. median
$148,320
outlier · 2.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $252,998.00 $582,243.00 $393,458.00 nat. median
$170,770
outlier · 2.3×
4404
APR_DRG 		Kidney Transplant 1 $264,620.00 $414,337.00 $388,177.00 nat. median
$78,308
outlier · 5.0×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $247,450.00 $422,301.00 $384,829.50 nat. median
$120,000
outlier · 3.2×
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $246,700.00 $423,815.00 $383,663.00 nat. median
$137,901
outlier · 2.8×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $240,110.00 $380,314.00 $373,414.00 nat. median
$123,200
outlier · 3.0×
23
APR_DRG 		Heart And/or Lung Transplant 1 $238,642.00 $404,240.00 $371,131.50 nat. median
$111,849
outlier · 3.3×
1612
APR_DRG 		Implantable Heart Assist Systems 1 $245,982.00 $385,154.00 $358,990.00 nat. median
$85,665
outlier · 4.2×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $228,185.00 $394,856.00 $354,869.50 nat. median
$109,766
outlier · 3.2×
1611
APR_DRG 		Implantable Heart Assist Systems 1 $233,683.00 $365,897.00 $349,492.00 nat. median
$77,025
outlier · 4.5×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $223,054.00 $349,253.00 $346,489.00 nat. median
$83,482
outlier · 4.2×
J0225
HCPCS 		Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 9 $169,478.42 $590,787.45 $346,117.90 nat. median
$8,223
outlier · 42.1×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $217,626.00 $349,699.00 $338,448.50 nat. median
$89,874
outlier · 3.8×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $215,263.00 $407,632.00 $334,773.50 nat. median
$138,258
outlier · 2.4×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $219,269.00 $343,327.00 $316,703.00 nat. median
$107,646
outlier · 2.9×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $201,966.00 $320,652.00 $314,094.50 nat. median
$97,102
outlier · 3.2×
64
APR_DRG 		Pancreas Transplant 1 $217,864.00 $341,128.00 $311,156.00 nat. median
$92,037
outlier · 3.4×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $271,759.27 $490,266.00 $281,270.85 nat. median
$360,840
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $215,160.00 $336,894.00 $278,516.50 nat. median
$165,169
1.7× median
22
APR_DRG 		Heart And/or Lung Transplant 1 $177,099.00 $312,017.00 $275,421.00 nat. median
$93,192
outlier · 3.0×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $173,674.00 $381,442.00 $270,095.00 nat. median
$123,499
outlier · 2.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 1 $169,214.00 $328,618.00 $263,158.50 nat. median
$99,544
outlier · 2.6×
4403
APR_DRG 		Kidney Transplant 1 $174,429.00 $273,117.00 $257,070.50 nat. median
$50,287
outlier · 5.1×
6073
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 $157,121.00 $259,944.00 $244,351.50 nat. median
$69,311
outlier · 3.5×
J7330
HCPCS 		Autol Chondrocyte-collagporc 500000 Cell/cm2 (3 X 5 Cm)implant Sheet 9 $174,430.00 $345,371.40 $244,202.00 nat. median
$73,852
outlier · 3.3×
63
APR_DRG 		Pancreas Transplant 1 $153,191.00 $243,239.00 $238,240.00 nat. median
$74,184
outlier · 3.2×
21
APR_DRG 		Heart And/or Lung Transplant 1 $151,821.00 $239,182.00 $236,110.00 nat. median
$73,922
outlier · 3.2×
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $151,146.00 $255,738.00 $235,059.00 nat. median
$50,803
outlier · 4.6×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $158,870.00 $248,756.00 $232,026.00 nat. median
$75,962
outlier · 3.1×
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 $152,470.00 $238,735.00 $231,536.00 nat. median
$82,615
outlier · 2.8×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $146,684.00 $254,434.00 $228,120.50 nat. median
$76,673
outlier · 3.0×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $145,658.00 $229,909.00 $226,525.00 nat. median
$104,115
outlier · 2.2×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $145,514.00 $274,365.00 $226,301.50 nat. median
$89,273
outlier · 2.5×
9114
APR_DRG 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 $146,837.00 $229,915.00 $223,780.50 nat. median
$53,304
outlier · 4.2×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $143,807.00 $308,368.00 $223,646.50 nat. median
$86,771
outlier · 2.6×
13
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $142,625.00 $234,051.00 $221,807.50 nat. median
$73,704
outlier · 3.0×

Other procedures at this hospital

Browse this hospital's 13,625 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
             
4694 APR_DRG Acute Kidney Injury 6 1 — — $50,141.00 $78,510.00 $77,003.00 2026-09-30
6904 APR_DRG Acute Leukemia 6 1 — — $91,459.00 $192,401.00 $142,236.00 2026-09-30
6903 APR_DRG Acute Leukemia 6 1 — — $83,145.00 $156,949.00 $129,306.00 2026-09-30
4014 APR_DRG Adrenal Procedures 6 1 — — $81,238.00 $139,206.00 $126,340.00 2026-09-30
74 APR_DRG Allogeneic Bone Marrow Transplant 6 1 — — $252,998.00 $582,243.00 $393,458.00 2026-09-30
73 APR_DRG Allogeneic Bone Marrow Transplant 6 1 — — $145,514.00 $274,365.00 $226,301.50 2026-09-30
72 APR_DRG Allogeneic Bone Marrow Transplant 6 1 — — $116,627.00 $207,974.00 $181,376.00 2026-09-30
71 APR_DRG Allogeneic Bone Marrow Transplant 6 1 — — $103,845.00 $169,983.00 $161,498.50 2026-09-30
14 MS_DRG Allogeneic Bone Marrow Transplant 8 6 — — $94,620.71 $170,323.00 $97,932.44 2026-02-28
3054 APR_DRG Amputation Of Lower Limb Except Toes 6 1 — — $60,556.00 $94,818.00 $94,008.50 2026-09-30
J7330 HCPCS Autol Chondrocyte-collagporc 500000 Cell/cm2 (3 X 5 Cm)implant Sheet 28 9 $348,860.00 $235,480.50 32% off $174,430.00 $345,371.40 $244,202.00 2026-09-30
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 1 — — $120,942.00 $200,098.00 $188,087.00 2026-09-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 1 — — $75,939.00 $120,371.00 $118,099.00 2026-09-30
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 1 — — $67,426.00 $105,575.00 $100,912.00 2026-09-30
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 1 — — $50,667.00 $79,334.00 $78,238.00 2026-09-30
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 6 1 — — $62,956.00 $98,575.00 $90,979.50 2026-09-30
3634 APR_DRG Breast Procedures Except Mastectomy 6 1 — — $52,249.00 $83,456.00 $81,257.00 2026-09-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 1 — — $142,519.00 $284,358.00 $221,643.50 2026-09-30
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 1 — — $59,242.00 $99,376.00 $92,132.00 2026-09-30
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 6 1 — — $53,571.00 $87,286.00 $83,312.50 2026-09-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 1 — — $130,398.00 $225,363.00 $202,792.50 2026-09-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 1 — — $92,723.00 $173,162.00 $144,201.50 2026-09-30
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 1 — — $78,764.00 $123,327.00 $116,448.50 2026-09-30
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 1 — — $72,427.00 $113,405.00 $103,725.50 2026-09-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 1 — — $118,977.00 $186,293.00 $176,928.50 2026-09-30
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 1 — — $69,818.00 $109,319.00 $108,047.00 2026-09-30
J9999 HCPCS Carmustine In Polifeprosan 7.7 Mg Wafer For Implant 41 9 $211,199.80 $141,503.87 33% off $3,015.76 $209,087.81 $122,495.89 2026-09-30
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 6 1 — — $83,002.00 $129,963.00 $124,115.50 2026-09-30
6954 APR_DRG Chemotherapy For Acute Leukemia 6 1 — — $84,413.00 $132,173.00 $130,463.00 2026-09-30
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
2634 APR_DRG Cholecystectomy 6 1 — — $48,445.00 $78,753.00 $75,340.50 2026-09-30
6614 APR_DRG Coagulation And Platelet Disorders 6 1 — — $64,551.00 $101,072.00 $84,658.50 2026-09-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 8 6 — — $78,729.27 $141,621.00 $81,484.80 2026-02-28
3464 APR_DRG Connective Tissue Disorders 6 1 — — $66,257.00 $109,337.00 $103,041.00 2026-09-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 1 — — $83,149.00 $139,677.00 $129,312.50 2026-09-30
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 1 — — $59,332.00 $92,901.00 $91,184.50 2026-09-30
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 1 — — $52,376.00 $84,640.00 $81,454.00 2026-09-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 1 — — $89,589.00 $140,276.00 $127,829.50 2026-09-30
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 1 — — $51,412.00 $94,136.00 $79,955.00 2026-09-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 1 — — $100,646.00 $161,092.00 $156,523.00 2026-09-30
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 1 — — $81,064.00 $126,928.00 $110,176.00 2026-09-30
9102 APR_DRG Craniotomy For Multiple Significant Trauma 6 1 — — $54,056.00 $84,641.00 $76,553.00 2026-09-30
1794 APR_DRG Defibrillator Implants 6 1 — — $101,422.00 $158,804.00 $151,926.50 2026-09-30
1793 APR_DRG Defibrillator Implants 6 1 — — $59,740.00 $98,227.00 $92,906.50 2026-09-30
7524 APR_DRG Disorders Of Personality And Impulse Control 6 1 — — $62,449.00 $102,382.00 $97,120.00 2026-09-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 1 — — $119,055.00 $186,414.00 $175,580.00 2026-09-30
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 1 — — $61,221.00 $95,858.00 $94,642.00 2026-09-30
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 1 — — $49,706.00 $89,018.00 $77,302.00 2026-09-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $152,470.00 $238,735.00 $231,536.00 2026-09-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $116,306.00 $182,110.00 $168,445.00 2026-09-30
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $82,565.00 $129,279.00 $122,945.00 2026-09-30
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 1 — — $62,485.00 $116,094.00 $97,175.00 2026-09-30
7594 APR_DRG Eating Disorders 6 1 — — $73,611.00 $139,529.00 $113,376.00 2026-09-30
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
3244 APR_DRG Elective Hip Joint Replacement 6 1 — — $58,394.00 $91,433.00 $89,773.50 2026-09-30
3264 APR_DRG Elective Knee Joint Replacement 6 1 — — $49,512.00 $79,686.00 $76,999.50 2026-09-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 1 — — $146,837.00 $229,915.00 $223,780.50 2026-09-30
9113 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 1 — — $47,994.00 $92,180.00 $74,640.00 2026-09-30
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
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 1 — — $98,515.00 $154,253.00 $139,360.50 2026-09-30
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 1 — — $53,996.00 $87,099.00 $83,973.50 2026-09-30
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 1 — — $99,201.00 $155,327.00 $140,820.50 2026-09-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 1 — — $282,010.00 $531,742.00 $438,576.00 2026-09-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 1 — — $103,493.00 $162,048.00 $160,326.00 2026-09-30
1784 APR_DRG External Heart Assist Systems 6 1 — — $126,809.00 $213,603.00 $197,211.00 2026-09-30
1783 APR_DRG External Heart Assist Systems 6 1 — — $99,727.00 $165,053.00 $155,094.00 2026-09-30
1782 APR_DRG External Heart Assist Systems 6 1 — — $92,913.00 $145,482.00 $132,375.00 2026-09-30
1781 APR_DRG External Heart Assist Systems 6 1 — — $82,871.00 $129,758.00 $123,594.00 2026-09-30
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 1 — — $215,160.00 $336,894.00 $278,516.50 2026-09-30
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 1 — — $113,076.00 $204,273.00 $175,853.50 2026-09-30
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 1 — — $82,472.00 $185,703.00 $128,260.00 2026-09-30
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 1 — — $67,685.00 $150,248.00 $105,262.50 2026-09-30
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 1 — — $70,756.00 $117,571.00 $110,039.00 2026-09-30
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 1 — — $63,808.00 $99,909.00 $92,630.00 2026-09-30
2324 APR_DRG Gastric Fundoplication 6 1 — — $68,146.00 $106,701.00 $95,338.50 2026-09-30
C9293 HCPCS Glucarpidase 1000 Unit Intravenous Solution 48 9 $216,165.00 $144,830.55 33% off $419.98 $214,003.35 $109,163.32 2026-09-30
3164 APR_DRG Hand And Wrist Procedures 6 1 — — $51,740.00 $81,013.00 $76,479.00 2026-09-30
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
24 APR_DRG Heart And/or Lung Transplant 6 1 — — $385,914.00 $747,534.00 $600,166.50 2026-09-30
23 APR_DRG Heart And/or Lung Transplant 6 1 — — $238,642.00 $404,240.00 $371,131.50 2026-09-30
22 APR_DRG Heart And/or Lung Transplant 6 1 — — $177,099.00 $312,017.00 $275,421.00 2026-09-30
21 APR_DRG Heart And/or Lung Transplant 6 1 — — $151,821.00 $239,182.00 $236,110.00 2026-09-30
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
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
2274 APR_DRG Hernia Procedures Except Inguinal Femoral And Umbilical 6 1 — — $63,958.00 $105,906.00 $99,467.00 2026-09-30
3084 APR_DRG Hip And Femur Fracture Repair 6 1 — — $51,095.00 $82,223.00 $79,462.50 2026-09-30
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 6 1 — — $86,084.00 $134,789.00 $125,003.50 2026-09-30
1614 APR_DRG Implantable Heart Assist Systems 6 1 — — $399,897.00 $626,152.00 $619,616.50 2026-09-30
1613 APR_DRG Implantable Heart Assist Systems 6 1 — — $306,363.00 $500,152.00 $476,451.00 2026-09-30
1612 APR_DRG Implantable Heart Assist Systems 6 1 — — $245,982.00 $385,154.00 $358,990.00 2026-09-30
1611 APR_DRG Implantable Heart Assist Systems 6 1 — — $233,683.00 $365,897.00 $349,492.00 2026-09-30
J1823 HCPCS Inebilizumab-cdon 10 Mg/ml Intravenous Solution 30 9 $241,461.15 $162,986.29 32% off $537.62 $239,046.54 $169,022.81 2026-09-30
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 1 — — $70,217.00 $150,373.00 $109,201.00 2026-09-30
1764 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 1 — — $85,047.00 $133,165.00 $117,822.00 2026-09-30
1763 APR_DRG Insertion Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 1 — — $51,348.00 $80,400.00 $76,913.50 2026-09-30
3104 APR_DRG Intervertebral Disc Excision And Decompression 6 1 — — $60,483.00 $94,703.00 $90,226.50 2026-09-30
444 APR_DRG Intracranial Hemorrhage 6 1 — — $57,755.00 $95,964.00 $89,820.00 2026-09-30
443 APR_DRG Intracranial Hemorrhage 6 1 — — $51,837.00 $81,165.00 $75,167.00 2026-09-30
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 1 — — $72,720.00 $113,863.00 $112,454.50 2026-09-30
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 6 1 — — $57,011.00 $93,564.00 $88,662.00 2026-09-30
4404 APR_DRG Kidney Transplant 6 1 — — $264,620.00 $414,337.00 $388,177.00 2026-09-30
4403 APR_DRG Kidney Transplant 6 1 — — $174,429.00 $273,117.00 $257,070.50 2026-09-30
4402 APR_DRG Kidney Transplant 6 1 — — $149,600.00 $234,242.00 $221,151.50 2026-09-30
4401 APR_DRG Kidney Transplant 6 1 — — $73,172.00 $192,981.00 $113,795.50 2026-09-30
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 1 — — $68,825.00 $107,765.00 $99,374.50 2026-09-30
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 1 — — $246,700.00 $423,815.00 $383,663.00 2026-09-30
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 1 — — $142,625.00 $234,051.00 $221,807.50 2026-09-30
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 1 — — $119,536.00 $188,845.00 $185,900.50 2026-09-30
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 1 — — $106,131.00 $166,178.00 $159,551.00 2026-09-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 8 6 — — $76,969.47 $138,442.00 $79,663.40 2026-02-28
1814 APR_DRG Lower Extremity Arterial Procedures 6 1 — — $81,460.00 $127,549.00 $119,311.50 2026-09-30
1813 APR_DRG Lower Extremity Arterial Procedures 6 1 — — $49,071.00 $86,529.00 $76,314.50 2026-09-30
7 MS_DRG Lung Transplant 8 6 — — $94,383.19 $169,894.00 $97,686.61 2026-02-28
A9513 HCPCS Lutetium Lu 177 Dotatate 10 Mci/ml (370 Mbq/ml) Intravenous Solution 53 10 $237,500.00 $159,125.00 33% off $305.02 $235,125.00 $118,750.00 2026-09-30
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 6 1 — — $57,349.00 $99,327.00 $89,187.50 2026-09-30
6914 APR_DRG Lymphoma Myeloma And Non-acute Leukemia 6 1 — — $50,059.00 $87,153.00 $77,851.00 2026-09-30
1694 APR_DRG Major Abdominal Vascular Procedures 6 1 — — $112,580.00 $176,276.00 $170,000.00 2026-09-30
1693 APR_DRG Major Abdominal Vascular Procedures 6 1 — — $66,525.00 $104,164.00 $89,890.50 2026-09-30
2614 APR_DRG Major Biliary Tract Procedures 6 1 — — $84,791.00 $132,764.00 $129,404.50 2026-09-30
4414 APR_DRG Major Bladder Procedures 6 1 — — $97,692.00 $152,964.00 $138,239.00 2026-09-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 1 — — $169,214.00 $328,618.00 $263,158.50 2026-09-30
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 1 — — $90,836.00 $144,443.00 $141,266.00 2026-09-30
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 1 — — $53,153.00 $112,762.00 $82,662.50 2026-09-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 1 — — $87,977.00 $137,753.00 $135,608.50 2026-09-30
893 APR_DRG Major Cranial Or Facial Bone Procedures 6 1 — — $71,532.00 $112,003.00 $92,396.50 2026-09-30
4804 APR_DRG Major Male Pelvic Procedures 4 1 — — $61,691.00 $96,594.00 $95,286.00 2026-02-28
6804 APR_DRG Major O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 1 — — $103,353.00 $162,864.00 $160,732.50 2026-09-30
2604 APR_DRG Major Pancreas Liver And Shunt Procedures 6 1 — — $119,317.00 $200,288.00 $185,559.00 2026-09-30
1204 APR_DRG Major Respiratory And Chest Procedures 6 1 — — $78,658.00 $137,893.00 $122,327.50 2026-09-30
1203 APR_DRG Major Respiratory And Chest Procedures 6 1 — — $56,475.00 $88,427.00 $80,982.50 2026-09-30
2304 APR_DRG Major Small Bowel Procedures 6 1 — — $87,677.00 $137,284.00 $132,446.00 2026-09-30
2204 APR_DRG Major Stomach Esophageal And Duodenal Procedures 6 1 — — $66,735.00 $149,791.00 $103,785.50 2026-09-30
3624 APR_DRG Mastectomy Procedures 6 1 — — $64,654.00 $101,233.00 $90,780.50 2026-09-30
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 1 — — $95,231.00 $149,112.00 $146,981.00 2026-09-30
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 1 — — $57,270.00 $89,672.00 $87,132.50 2026-09-30
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 6 1 — — $68,181.00 $106,756.00 $105,951.50 2026-09-30
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
434 APR_DRG Multiple Sclerosis Other Demyelinating Disease And Inflammatory Neuropathies 6 1 — — $48,661.00 $100,327.00 $75,677.50 2026-09-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 1 — — $87,257.00 $175,118.00 $135,700.00 2026-09-30
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 1 — — $74,627.00 $116,850.00 $96,276.00 2026-09-30
8634 APR_DRG Neonatal Aftercare 6 1 — — $115,027.00 $243,877.00 $178,887.00 2026-09-30
8633 APR_DRG Neonatal Aftercare 6 1 — — $71,790.00 $132,754.00 $111,646.00 2026-09-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 1 — — $219,269.00 $343,327.00 $316,703.00 2026-09-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 1 — — $106,703.00 $167,073.00 $143,622.50 2026-09-30
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 1 — — $52,646.00 $103,778.00 $81,874.00 2026-09-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $247,450.00 $422,301.00 $384,829.50 2026-09-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $217,626.00 $349,699.00 $338,448.50 2026-09-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $137,728.00 $215,652.00 $209,884.00 2026-09-30
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $121,037.00 $194,088.00 $157,708.00 2026-09-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 1 — — $95,091.00 $148,891.00 $147,706.50 2026-09-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 1 — — $90,561.00 $148,538.00 $140,839.50 2026-09-30
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 1 — — $70,583.00 $110,518.00 $100,221.00 2026-09-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $201,966.00 $320,652.00 $314,094.50 2026-09-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $157,121.00 $259,944.00 $244,351.50 2026-09-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $86,356.00 $170,553.00 $134,299.00 2026-09-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 1 — — $107,074.00 $167,655.00 $164,265.00 2026-09-30
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 1 — — $69,822.00 $120,306.00 $108,586.00 2026-09-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 1 — — $115,392.00 $258,003.00 $179,456.00 2026-09-30
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 1 — — $91,328.00 $167,471.00 $142,032.00 2026-09-30
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 1 — — $49,219.00 $85,710.00 $76,544.50 2026-09-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 1 — — $86,046.00 $134,729.00 $128,200.50 2026-09-30
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 1 — — $67,457.00 $105,623.00 $104,475.00 2026-09-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $147,617.00 $231,136.00 $207,079.00 2026-09-30
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $103,814.00 $180,356.00 $161,450.50 2026-09-30
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $89,989.00 $140,902.00 $127,948.00 2026-09-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $261,733.00 $413,817.00 $407,042.50 2026-09-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $130,396.00 $204,172.00 $199,889.50 2026-09-30
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $61,937.00 $127,024.00 $96,323.50 2026-09-30
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 1 — — $58,841.00 $102,244.00 $91,507.50 2026-09-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 1 — — $64,858.00 $105,160.00 $100,865.50 2026-09-30
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 1 — — $48,721.00 $79,617.00 $75,769.50 2026-09-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 1 — — $99,672.00 $210,648.00 $155,008.50 2026-09-30
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 1 — — $63,011.00 $106,980.00 $97,993.50 2026-09-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 1 — — $59,750.00 $118,796.00 $92,921.50 2026-09-30
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $64,331.00 $113,832.00 $100,047.00 2026-09-30
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $59,458.00 $111,753.00 $92,468.50 2026-09-30
6222 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 1 — — $56,719.00 $88,810.00 $84,067.50 2026-09-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 1 — — $299,653.00 $472,847.00 $466,014.00 2026-09-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 1 — — $145,658.00 $229,909.00 $226,525.00 2026-09-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 1 — — $82,116.00 $129,614.00 $127,706.00 2026-09-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $297,845.00 $565,215.00 $463,204.00 2026-09-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $228,185.00 $394,856.00 $354,869.50 2026-09-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $143,807.00 $308,368.00 $223,646.50 2026-09-30
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 1 — — $129,427.00 $202,654.00 $176,765.50 2026-09-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $381,661.00 $834,913.00 $593,551.50 2026-09-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $273,383.00 $594,648.00 $425,160.50 2026-09-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $263,846.00 $573,500.00 $410,328.50 2026-09-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 1 — — $173,674.00 $381,442.00 $270,095.00 2026-09-30
5891 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 1 — — $81,717.00 $129,120.00 $127,084.00 2026-09-30
5892 APR_DRG Neonate Birth Weight < 500 Grams Or Birth Weight 500-999 Grams And Gestational A… 6 1 — — $67,837.00 $107,205.00 $105,499.00 2026-09-30
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 6 1 — — $51,727.00 $80,993.00 $74,653.50 2026-09-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 1 — — $133,642.00 $258,911.00 $207,837.50 2026-09-30
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 1 — — $73,353.00 $114,855.00 $112,047.50 2026-09-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 1 — — $303,582.00 $475,344.00 $468,696.50 2026-09-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 1 — — $146,684.00 $254,434.00 $228,120.50 2026-09-30
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 1 — — $93,065.00 $145,720.00 $121,984.50 2026-09-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 1 — — $215,263.00 $407,632.00 $334,773.50 2026-09-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 1 — — $93,811.00 $154,117.00 $145,893.50 2026-09-30
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 1 — — $67,994.00 $135,475.00 $105,742.50 2026-09-30
5834 APR_DRG Neonate With Ecmo 6 1 — — $509,894.00 $1,453,406.00 $792,977.50 2026-09-30
5833 APR_DRG Neonate With Ecmo 6 1 — — $403,846.00 $877,529.00 $628,053.50 2026-09-30
5832 APR_DRG Neonate With Ecmo 6 1 — — $297,797.00 $550,668.00 $463,129.50 2026-09-30
5831 APR_DRG Neonate With Ecmo 6 1 — — $257,350.00 $464,627.00 $400,226.50 2026-09-30
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 6 1 — — $59,992.00 $93,934.00 $91,487.00 2026-09-30
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 6 1 — — $67,352.00 $105,458.00 $99,984.50 2026-09-30
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 1 — — $85,196.00 $133,398.00 $122,753.00 2026-09-30
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 6 1 — — $51,835.00 $86,251.00 $80,613.50 2026-09-30
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 1 — — $57,277.00 $89,683.00 $88,735.00 2026-09-30
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23000 Unit/23 Ml Subcut Soln 41 9 $217,142.89 $145,485.74 33% off $1,274.36 $214,971.47 $125,942.88 2026-09-30
214 APR_DRG Open Craniotomy Except Trauma 6 1 — — $110,445.00 $172,933.00 $167,215.50 2026-09-30
213 APR_DRG Open Craniotomy Except Trauma 6 1 — — $66,174.00 $107,114.00 $102,912.00 2026-09-30
204 APR_DRG Open Craniotomy For Trauma 6 1 — — $84,011.00 $131,543.00 $125,741.50 2026-09-30
203 APR_DRG Open Craniotomy For Trauma 6 1 — — $53,417.00 $83,640.00 $82,232.50 2026-09-30
244 APR_DRG Open Extracranial Vascular Procedures 6 1 — — $65,336.00 $102,302.00 $96,157.00 2026-09-30
734 APR_DRG Orbit And Eye Procedures 6 1 — — $58,152.00 $91,054.00 $87,691.00 2026-09-30
6814 APR_DRG Other O.r. Procedures For Lymphatic Hematopoietic Or Other Neoplasms 6 1 — — $85,043.00 $133,158.00 $129,412.50 2026-09-30
4454 APR_DRG Other Bladder Procedures 6 1 — — $53,568.00 $83,876.00 $78,378.50 2026-09-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 1 — — $123,077.00 $192,712.00 $167,926.00 2026-09-30
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 1 — — $69,394.00 $108,656.00 $104,650.00 2026-09-30
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 1 — — $50,676.00 $79,347.00 $77,243.50 2026-09-30
1804 APR_DRG Other Circulatory System Procedures 6 1 — — $53,812.00 $88,421.00 $83,686.50 2026-09-30
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 1 — — $76,263.00 $124,608.00 $118,602.50 2026-09-30
984 APR_DRG Other Ear Nose Mouth And Throat Procedures 6 1 — — $57,066.00 $89,352.00 $87,568.00 2026-09-30
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 1 — — $61,223.00 $95,863.00 $94,690.00 2026-09-30
215 MS_DRG Other Heart Assist System Implant 8 6 — — $76,576.49 $137,732.00 $79,256.67 2026-02-28
2644 APR_DRG Other Hepatobiliary Pancreas And Abdominal Procedures 6 1 — — $78,202.00 $135,637.00 $121,618.50 2026-09-30
4474 APR_DRG Other Kidney Urinary Tract And Related Procedures 6 1 — — $69,601.00 $111,949.00 $108,242.00 2026-09-30
914 APR_DRG Other Major Head And Neck Procedures 6 1 — — $103,408.00 $161,914.00 $157,534.00 2026-09-30
913 APR_DRG Other Major Head And Neck Procedures 6 1 — — $66,002.00 $103,345.00 $101,726.00 2026-09-30
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 1 — — $62,572.00 $97,974.00 $95,426.00 2026-09-30
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures 6 1 — — $55,561.00 $86,997.00 $85,799.00 2026-09-30
264 APR_DRG Other Nervous System And Related Procedures 6 1 — — $66,979.00 $104,874.00 $98,205.00 2026-09-30
274 APR_DRG Other Open Craniotomy 6 1 — — $82,898.00 $129,799.00 $122,246.00 2026-09-30
273 APR_DRG Other Open Craniotomy 6 1 — — $52,235.00 $84,662.00 $81,235.00 2026-09-30
294 APR_DRG Other Percutaneous Intracranial Procedures 6 1 — — $71,100.00 $111,327.00 $110,412.50 2026-09-30
1824 APR_DRG Other Peripheral Vascular Procedures 6 1 — — $66,091.00 $103,483.00 $97,280.50 2026-09-30
1394 APR_DRG Other Pneumonia 6 1 — — $54,604.00 $85,498.00 $83,015.00 2026-09-30
4054 APR_DRG Other Procedures For Endocrine Nutritional And Metabolic Disorders 6 1 — — $80,391.00 $125,874.00 $124,137.00 2026-09-30
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 1 — — $80,726.00 $126,399.00 $121,542.50 2026-09-30
1214 APR_DRG Other Respiratory And Chest Procedures 6 1 — — $63,170.00 $107,703.00 $98,240.50 2026-09-30
3094 APR_DRG Other Significant Hip And Femur Surgery 6 1 — — $69,272.00 $108,464.00 $102,145.50 2026-09-30
3644 APR_DRG Other Skin Subcutaneous Tissue And Related Procedures 6 1 — — $70,885.00 $110,990.00 $104,438.00 2026-09-30
2234 APR_DRG Other Small And Large Bowel Procedures 6 1 — — $65,340.00 $102,309.00 $98,502.50 2026-09-30
2224 APR_DRG Other Stomach Esophageal And Duodenal Procedures 6 1 — — $67,984.00 $106,448.00 $101,544.00 2026-09-30
64 APR_DRG Pancreas Transplant 6 1 — — $217,864.00 $341,128.00 $311,156.00 2026-09-30
63 APR_DRG Pancreas Transplant 6 1 — — $153,191.00 $243,239.00 $238,240.00 2026-09-30
62 APR_DRG Pancreas Transplant 6 1 — — $132,985.00 $208,225.00 $205,546.00 2026-09-30
61 APR_DRG Pancreas Transplant 6 1 — — $104,532.00 $165,978.00 $162,567.00 2026-09-30
5104 APR_DRG Pelvic Evisceration Radical Hysterectomy And Other Radical Gynecological Procedu… 4 1 — — $82,920.00 $129,835.00 $128,077.00 2026-02-28
4834 APR_DRG Penis Testes And Scrotal Procedures 6 1 — — $56,294.00 $88,145.00 $85,616.50 2026-09-30
1744 APR_DRG Percutaneous Cardiac Intervention With Ami 6 1 — — $50,659.00 $79,321.00 $76,173.00 2026-09-30
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 1 — — $81,503.00 $127,615.00 $108,662.00 2026-09-30
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 1 — — $59,924.00 $93,828.00 $83,579.50 2026-09-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 1 — — $117,235.00 $183,675.00 $182,321.50 2026-09-30
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 1 — — $80,007.00 $130,146.00 $124,425.00 2026-09-30
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 1 — — $71,808.00 $112,435.00 $108,644.50 2026-09-30
1831 APR_DRG Percutaneous Structural Cardiac Procedures 6 1 — — $66,642.00 $104,347.00 $99,380.50 2026-09-30
2244 APR_DRG Peritoneal Adhesiolysis 6 1 — — $62,262.00 $97,489.00 $96,600.50 2026-09-30
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 6 1 — — $73,830.00 $115,602.00 $113,067.50 2026-09-30
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami Heart Failure Or Shock 6 1 — — $52,508.00 $82,216.00 $81,074.00 2026-09-30
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami Heart Failure Or Shock 6 1 — — $55,173.00 $94,446.00 $85,803.50 2026-09-30
7114 APR_DRG Post-operative Post-trauma Other Device Infections With O.r. Procedure 6 1 — — $63,588.00 $100,493.00 $98,891.00 2026-09-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 1 — — $99,320.00 $155,514.00 $147,222.50 2026-09-30
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation Aftercare Or Other Contact With Healt… 6 1 — — $64,410.00 $100,852.00 $93,809.50 2026-09-30
4034 APR_DRG Procedures For Obesity 6 1 — — $64,317.00 $112,018.00 $100,025.00 2026-09-30
6924 APR_DRG Radiotherapy 6 1 — — $55,709.00 $87,228.00 $79,820.50 2026-09-30
4444 APR_DRG Renal Dialysis Access Device Procedures And Vessel Repair 6 1 — — $54,320.00 $90,064.00 $84,477.00 2026-09-30
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 1 — — $123,678.00 $202,863.00 $192,342.50 2026-09-30
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 1 — — $86,882.00 $136,039.00 $117,565.00 2026-09-30
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 1 — — $54,435.00 $85,233.00 $79,660.50 2026-09-30
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 1 — — $53,692.00 $84,070.00 $77,481.00 2026-09-30
7204 APR_DRG Septicemia And Disseminated Infections 6 1 — — $48,657.00 $82,188.00 $75,671.00 2026-09-30
3224 APR_DRG Shoulder And Elbow Joint Replacement 6 1 — — $58,207.00 $92,067.00 $90,523.00 2026-09-30
3154 APR_DRG Shoulder Upper Arm And Forearm Procedures Except Joint Replacement 6 1 — — $64,502.00 $100,995.00 $97,036.00 2026-09-30
3124 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 1 — — $103,952.00 $162,767.00 $147,088.50 2026-09-30
3123 APR_DRG Skin Graft Except Hand For Musculoskeletal And Connective Tissue Diagnoses 6 1 — — $51,258.00 $80,259.00 $76,746.00 2026-09-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 1 — — $88,033.00 $137,841.00 $130,893.50 2026-09-30
J1747 HCPCS Spesolimab-sbzo 60 Mg/ml Intravenous Solution 41 9 $139,516.39 $93,475.99 33% off $2,420.30 $138,121.23 $80,919.51 2026-09-30
404 APR_DRG Spinal Disorders And Injuries 6 1 — — $63,773.00 $139,756.00 $113,560.50 2026-09-30
234 APR_DRG Spinal Procedures 6 1 — — $98,811.00 $154,716.00 $148,113.50 2026-09-30
233 APR_DRG Spinal Procedures 6 1 — — $65,530.00 $102,606.00 $100,838.00 2026-09-30
6504 APR_DRG Splenectomy 6 1 — — $72,022.00 $132,087.00 $112,007.00 2026-09-30
3174 APR_DRG Tendon Muscle And Other Soft Tissue Procedures 6 1 — — $52,790.00 $82,657.00 $79,941.50 2026-09-30
4044 APR_DRG Thyroid Parathyroid And Thyroglossal Procedures 6 1 — — $79,835.00 $125,004.00 $115,713.00 2026-09-30
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
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 1 — — $240,110.00 $380,314.00 $373,414.00 2026-09-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 1 — — $158,870.00 $248,756.00 $232,026.00 2026-09-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 1 — — $110,192.00 $176,688.00 $171,368.00 2026-09-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 1 — — $78,731.00 $133,845.00 $122,441.50 2026-09-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 1 — — $223,054.00 $349,253.00 $346,489.00 2026-09-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 1 — — $151,146.00 $255,738.00 $235,059.00 2026-09-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 1 — — $87,682.00 $144,742.00 $136,361.00 2026-09-30
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 1 — — $73,920.00 $115,743.00 $95,775.00 2026-09-30
38240 CPT Transplt Allo Hct/donor 11 8 — — $59,142.33 $102,314.66 $80,728.49 2026-02-28
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma 6 1 — — $59,826.00 $96,286.00 $93,040.00 2026-09-30
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 6 1 — — $49,972.00 $94,092.00 $77,715.50 2026-09-30
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 1 — — $66,471.00 $117,244.00 $103,373.50 2026-09-30
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 1 — — $74,855.00 $117,819.00 $116,413.50 2026-09-30
224 APR_DRG Ventricular Shunt Procedures 6 1 — — $74,666.00 $116,911.00 $112,669.50 2026-09-30
J0225 HCPCS Vutrisiran 25 Mg/0.5 Ml Subcutaneous Syringe 41 9 $596,755.00 $399,825.85 33% off $169,478.42 $590,787.45 $346,117.90 2026-09-30
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