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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

Pam Rehabilitation Hospital Of Fargo

Fargo, ND · CCN 353026 · Rates published

13,833 distinct procedures filed
19 distinct payers
62,466 rate rows
2025-09-11 last MRF observed
Data quality

60,883 of 62,466 rate rows are consumer-grade (97.5%)

1,583 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,490
per-diem day rate — not a per-procedure price 58
placeholder amount (≤ $0.02) — excluded from medians 20
percent-of-charges filed in the dollar field — excluded from medians 15
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/10966/850945971_pam-cubed-rehabilitation-hospital-of-fargo-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/RehabHospitalFargo/10966
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 89ff38ca3f7bcfd0… · 20,500,967 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 2 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
C9172
HCPCS 		Medicaid Fee Schedule 2 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,570,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 2 $3,200,000.00 $3,200,000.00 $3,200,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 2 $3,100,000.00 $3,100,000.00 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 2 $2,800,000.00 $2,800,000.00 $2,800,000.00 nat. median
$3,004,655
0.9× median
5834
APR_DRG 		Neonate With Ecmo 2 $221,042.48 $221,042.48 $221,042.48 nat. median
$309,665
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $181,314.87 $181,314.87 $181,314.87 nat. median
$246,434
0.7× median
5833
APR_DRG 		Neonate With Ecmo 2 $175,069.85 $175,069.85 $175,069.85 nat. median
$244,017
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 2 $173,358.47 $173,358.47 $173,358.47 nat. median
$207,730
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $167,295.99 $167,295.99 $167,295.99 nat. median
$234,729
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $132,810.56 $132,810.56 $132,810.56 nat. median
$119,796
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $131,605.06 $131,605.06 $131,605.06 nat. median
$150,721
0.9× median
5832
APR_DRG 		Neonate With Ecmo 2 $129,097.22 $129,097.22 $129,097.22 nat. median
$156,126
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $122,253.18 $122,253.18 $122,253.18 nat. median
$160,267
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $118,251.51 $118,251.51 $118,251.51 nat. median
$151,838
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $116,809.84 $116,809.84 $116,809.84 nat. median
$182,665
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $114,379.48 $114,379.48 $114,379.48 nat. median
$145,336
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $114,191.73 $114,191.73 $114,191.73 nat. median
$164,289
0.7× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $114,044.96 $114,044.96 $114,044.96 nat. median
$117,173
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $113,463.07 $113,463.07 $113,463.07 nat. median
$162,982
0.7× median
5831
APR_DRG 		Neonate With Ecmo 2 $111,563.19 $111,563.19 $111,563.19 nat. median
$144,745
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $109,676.72 $109,676.72 $109,676.72 nat. median
$187,061
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $108,929.44 $108,929.44 $108,929.44 nat. median
$122,924
0.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $108,635.14 $108,635.14 $108,635.14 nat. median
$105,658
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $106,946.11 $106,946.11 $106,946.11 nat. median
$129,535
0.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $106,635.42 $106,635.42 $106,635.42 nat. median
$85,444
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $106,356.78 $106,356.78 $106,356.78 nat. median
$164,834
0.6× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $103,453.31 $103,453.31 $103,453.31 nat. median
$93,528
1.1× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $101,303.09 $101,303.09 $101,303.09 nat. median
$76,806
1.3× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 2 $99,999.95 $99,999.95 $99,999.95 nat. median
$111,989
0.9× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 $95,054.35 $95,054.35 $95,054.35 nat. median
$109,499
0.9× median
64
APR_DRG 		Pancreas Transplant 2 $94,445.64 $94,445.64 $94,445.64 nat. median
$91,009
1.0× median
T2025
HCPCS 		Waiver Service, Nos 2 $88,188.00 $88,188.00 $88,188.00 nat. median
$54
outlier · 1643.5×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $84,762.96 $84,762.96 $84,762.96 nat. median
$118,620
0.7× median
22
APR_DRG 		Heart And/or Lung Transplant 2 $76,773.78 $76,773.78 $76,773.78 nat. median
$77,804
1.0× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $76,043.63 $76,043.63 $76,043.63 nat. median
$108,996
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $75,288.89 $75,288.89 $75,288.89 nat. median
$124,573
0.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $74,341.93 $74,341.93 $74,341.93 nat. median
$69,926
1.1× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $73,355.49 $73,355.49 $73,355.49 nat. median
$97,957
0.7× median
B0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $73,313.46 $109,970.19 $73,313.46 nat. median
$79,920
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 $71,592.70 $71,592.70 $71,592.70 nat. median
$68,217
1.0× median
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 $69,136.26 $69,136.26 $69,136.26 nat. median
$81,781
0.8× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $66,898.87 $66,898.87 $66,898.87 nat. median
$102,919
0.7× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 $66,837.78 $66,837.78 $66,837.78 nat. median
$86,492
0.8× median
63
APR_DRG 		Pancreas Transplant 2 $66,409.38 $66,409.38 $66,409.38 nat. median
$64,159
1.0× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 $66,096.45 $66,096.45 $66,096.45 nat. median
$84,063
0.8× median
21
APR_DRG 		Heart And/or Lung Transplant 2 $65,815.57 $65,815.57 $65,815.57 nat. median
$64,672
1.0× median
C0407
LOCAL 		Traumatic Spinal Cord Injury M <24.50 And A >=61.50 11 $65,196.23 $97,794.35 $65,196.23 nat. median
$70,083
0.9× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 $65,105.54 $65,105.54 $65,105.54 nat. median
$95,507
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $64,635.41 $64,635.41 $64,635.41 nat. median
$89,273
0.7× median

Other procedures at this hospital

Browse this hospital's 13,833 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
             
C9172 HCPCS Medicaid Fee Schedule 2 2 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2025-09-11
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 2 2 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2025-09-11
J1413 HCPCS Inj Delandistrogene Mox Rokl 2 2 — — $3,200,000.00 $3,200,000.00 $3,200,000.00 2025-09-11
J3394 HCPCS Inj, Lovotibeglogene Autotem 2 2 — — $3,100,000.00 $3,100,000.00 $3,100,000.00 2025-09-11
J3393 HCPCS Inj, Betibeglogene Autotemce 2 2 — — $2,800,000.00 $2,800,000.00 $2,800,000.00 2025-09-11
5834 APR_DRG Neonate With Ecmo 2 2 — — $221,042.48 $221,042.48 $221,042.48 2025-09-11
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $181,314.87 $181,314.87 $181,314.87 2025-09-11
5833 APR_DRG Neonate With Ecmo 2 2 — — $175,069.85 $175,069.85 $175,069.85 2025-09-11
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $173,358.47 $173,358.47 $173,358.47 2025-09-11
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $167,295.99 $167,295.99 $167,295.99 2025-09-11
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $132,810.56 $132,810.56 $132,810.56 2025-09-11
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $131,605.06 $131,605.06 $131,605.06 2025-09-11
5832 APR_DRG Neonate With Ecmo 2 2 — — $129,097.22 $129,097.22 $129,097.22 2025-09-11
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $122,253.18 $122,253.18 $122,253.18 2025-09-11
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $118,251.51 $118,251.51 $118,251.51 2025-09-11
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $116,809.84 $116,809.84 $116,809.84 2025-09-11
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $114,379.48 $114,379.48 $114,379.48 2025-09-11
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $114,191.73 $114,191.73 $114,191.73 2025-09-11
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $114,044.96 $114,044.96 $114,044.96 2025-09-11
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $113,463.07 $113,463.07 $113,463.07 2025-09-11
5831 APR_DRG Neonate With Ecmo 2 2 — — $111,563.19 $111,563.19 $111,563.19 2025-09-11
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $109,676.72 $109,676.72 $109,676.72 2025-09-11
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $108,929.44 $108,929.44 $108,929.44 2025-09-11
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $108,635.14 $108,635.14 $108,635.14 2025-09-11
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $106,946.11 $106,946.11 $106,946.11 2025-09-11
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $106,635.42 $106,635.42 $106,635.42 2025-09-11
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $106,356.78 $106,356.78 $106,356.78 2025-09-11
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $103,453.31 $103,453.31 $103,453.31 2025-09-11
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $101,303.09 $101,303.09 $101,303.09 2025-09-11
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 2 — — $99,999.95 $99,999.95 $99,999.95 2025-09-11
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $95,054.35 $95,054.35 $95,054.35 2025-09-11
64 APR_DRG Pancreas Transplant 2 2 — — $94,445.64 $94,445.64 $94,445.64 2025-09-11
T2025 HCPCS Waiver Service, Nos 2 2 — — $88,188.00 $88,188.00 $88,188.00 2025-09-11
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $84,762.96 $84,762.96 $84,762.96 2025-09-11
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $76,773.78 $76,773.78 $76,773.78 2025-09-11
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $76,043.63 $76,043.63 $76,043.63 2025-09-11
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $75,288.89 $75,288.89 $75,288.89 2025-09-11
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $74,341.93 $74,341.93 $74,341.93 2025-09-11
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $73,355.49 $73,355.49 $73,355.49 2025-09-11
B0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 11 — — $73,313.46 $109,970.19 $73,313.46 2025-09-11
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $71,592.70 $71,592.70 $71,592.70 2025-09-11
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $69,136.26 $69,136.26 $69,136.26 2025-09-11
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $66,898.87 $66,898.87 $66,898.87 2025-09-11
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $66,837.78 $66,837.78 $66,837.78 2025-09-11
63 APR_DRG Pancreas Transplant 2 2 — — $66,409.38 $66,409.38 $66,409.38 2025-09-11
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $66,096.45 $66,096.45 $66,096.45 2025-09-11
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $65,815.57 $65,815.57 $65,815.57 2025-09-11
C0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 11 — — $65,196.23 $97,794.35 $65,196.23 2025-09-11
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $65,105.54 $65,105.54 $65,105.54 2025-09-11
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $64,635.41 $64,635.41 $64,635.41 2025-09-11
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $63,588.61 $63,588.61 $63,588.61 2025-09-11
B1904 LOCAL Guillain-barré M <38.50 13 11 — — $63,437.87 $95,156.81 $63,437.87 2025-09-11
J9029 HCPCS Instill Adstiladrin, Tx Dose 2 2 — — $63,354.77 $63,354.77 $63,354.77 2025-09-11
D0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 11 — — $63,288.74 $94,933.11 $63,288.74 2025-09-11
4404 APR_DRG Kidney Transplant 2 2 — — $62,836.11 $62,836.11 $62,836.11 2025-09-11
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $61,828.80 $61,828.80 $61,828.80 2025-09-11
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $61,783.35 $61,783.35 $61,783.35 2025-09-11
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $60,271.65 $60,271.65 $60,271.65 2025-09-11
B1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 11 — — $59,673.18 $89,509.77 $59,673.18 2025-09-11
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $58,830.72 $58,830.72 $58,830.72 2025-09-11
1784 APR_DRG External Heart Assist Systems 2 2 — — $58,438.08 $58,438.08 $58,438.08 2025-09-11
62 APR_DRG Pancreas Transplant 2 2 — — $57,649.81 $57,649.81 $57,649.81 2025-09-11
A0407 LOCAL Traumatic Spinal Cord Injury M <24.50 And A >=61.50 13 11 — — $57,507.31 $86,260.97 $57,507.31 2025-09-11
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $56,527.76 $56,527.76 $56,527.76 2025-09-11
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $56,135.87 $56,135.87 $56,135.87 2025-09-11
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $55,480.97 $55,480.97 $55,480.97 2025-09-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 2 2 — — $55,015.22 $55,015.22 $55,015.22 2025-09-11
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $53,799.39 $53,799.39 $53,799.39 2025-09-11
B0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 11 — — $53,626.44 $80,439.66 $53,626.44 2025-09-11
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $52,918.74 $52,918.74 $52,918.74 2025-09-11
B0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 11 — — $52,847.84 $79,271.76 $52,847.84 2025-09-11
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $52,719.81 $52,719.81 $52,719.81 2025-09-11
B0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 13 11 — — $52,305.07 $78,457.61 $52,305.07 2025-09-11
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $51,819.79 $51,819.79 $51,819.79 2025-09-11
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $51,110.50 $51,110.50 $51,110.50 2025-09-11
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $50,999.49 $50,999.49 $50,999.49 2025-09-11
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $50,732.01 $50,732.01 $50,732.01 2025-09-11
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $50,648.57 $50,648.57 $50,648.57 2025-09-11
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $50,558.42 $50,558.42 $50,558.42 2025-09-11
B0106 LOCAL Stroke M <41.50 And A <84.50 13 11 — — $50,399.32 $75,598.98 $50,399.32 2025-09-11
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $50,045.82 $50,045.82 $50,045.82 2025-09-11
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $49,867.75 $49,867.75 $49,867.75 2025-09-11
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $49,475.11 $49,475.11 $49,475.11 2025-09-11
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $49,019.14 $49,019.14 $49,019.14 2025-09-11
C1904 LOCAL Guillain-barré M <38.50 13 11 — — $48,771.01 $73,156.52 $48,771.01 2025-09-11
8634 APR_DRG Neonatal Aftercare 2 2 — — $48,503.57 $48,503.57 $48,503.57 2025-09-11
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $48,495.37 $48,495.37 $48,495.37 2025-09-11
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $47,908.27 $47,908.27 $47,908.27 2025-09-11
C0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 11 — — $47,688.95 $71,533.43 $47,688.95 2025-09-11
1794 APR_DRG Defibrillator Implants 2 2 — — $47,610.99 $47,610.99 $47,610.99 2025-09-11
C1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 11 — — $47,603.98 $71,405.97 $47,603.98 2025-09-11
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $47,413.56 $47,413.56 $47,413.56 2025-09-11
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $47,352.46 $47,352.46 $47,352.46 2025-09-11
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $47,310.74 $47,310.74 $47,310.74 2025-09-11
L7181 HCPCS Electronic Elbo Simultaneous 2 2 — — $47,237.07 $47,237.07 $47,237.07 2025-09-11
C0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 11 — — $46,997.05 $70,495.58 $46,997.05 2025-09-11
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $46,417.42 $46,417.42 $46,417.42 2025-09-11
D0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 11 — — $46,293.01 $69,439.52 $46,293.01 2025-09-11
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $46,256.49 $46,256.49 $46,256.49 2025-09-11
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $46,009.13 $46,009.13 $46,009.13 2025-09-11
L7180 HCPCS Electronic Elbow Sequential 2 2 — — $45,879.28 $45,879.28 $45,879.28 2025-09-11
B0205 LOCAL Traumatic Brain Injury M <35.50 13 11 — — $45,753.71 $68,630.57 $45,753.71 2025-09-11
D0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 11 — — $45,621.92 $68,432.88 $45,621.92 2025-09-11
D1904 LOCAL Guillain-barré M <38.50 13 11 — — $45,509.21 $68,263.82 $45,509.21 2025-09-11
B1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 13 11 — — $45,467.59 $68,201.39 $45,467.59 2025-09-11
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $45,390.00 $45,390.00 $45,390.00 2025-09-11
J9226 HCPCS Supprelin La Implant 2 2 — — $45,350.21 $45,350.21 $45,350.21 2025-09-11
61 APR_DRG Pancreas Transplant 2 2 — — $45,315.49 $45,315.49 $45,315.49 2025-09-11
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $45,261.10 $45,261.10 $45,261.10 2025-09-11
D1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 11 — — $45,193.61 $67,790.42 $45,193.61 2025-09-11
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $45,063.66 $45,063.66 $45,063.66 2025-09-11
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $45,018.22 $45,018.22 $45,018.22 2025-09-11
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $44,865.48 $44,865.48 $44,865.48 2025-09-11
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $44,827.48 $44,827.48 $44,827.48 2025-09-11
A1904 LOCAL Guillain-barré M <38.50 13 11 — — $44,721.94 $67,082.91 $44,721.94 2025-09-11
B0105 LOCAL Stroke M <41.50 And A >=84.50 13 11 — — $44,310.96 $66,466.44 $44,310.96 2025-09-11
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $43,975.15 $43,975.15 $43,975.15 2025-09-11
C0106 LOCAL Stroke M <41.50 And A <84.50 13 11 — — $43,709.23 $65,563.85 $43,709.23 2025-09-11
B1903 LOCAL Guillain-barré M >=38.50 And M <51.50 13 11 — — $43,549.70 $65,324.55 $43,549.70 2025-09-11
1783 APR_DRG External Heart Assist Systems 2 2 — — $43,232.33 $43,232.33 $43,232.33 2025-09-11
B0604 LOCAL Neurological M <43.50 13 11 — — $43,185.54 $64,778.31 $43,185.54 2025-09-11
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $43,056.50 $43,056.50 $43,056.50 2025-09-11
234 APR_DRG Spinal Procedures 2 2 — — $42,946.23 $42,946.23 $42,946.23 2025-09-11
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $42,357.64 $42,357.64 $42,357.64 2025-09-11
4414 APR_DRG Major Bladder Procedures 2 2 — — $42,350.19 $42,350.19 $42,350.19 2025-09-11
A0406 LOCAL Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 13 11 — — $42,065.33 $63,098.00 $42,065.33 2025-09-11
B0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 13 11 — — $42,027.18 $63,040.77 $42,027.18 2025-09-11
B1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 13 11 — — $42,018.51 $63,027.77 $42,018.51 2025-09-11
A1806 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 13 11 — — $41,902.32 $62,853.48 $41,902.32 2025-09-11
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $41,831.63 $41,831.63 $41,831.63 2025-09-11
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $41,818.97 $41,818.97 $41,818.97 2025-09-11
A0404 LOCAL Traumatic Spinal Cord Injury M <31.50 And A <61.50 13 11 — — $41,454.93 $62,182.40 $41,454.93 2025-09-11
4403 APR_DRG Kidney Transplant 2 2 — — $41,418.88 $41,418.88 $41,418.88 2025-09-11
B0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 13 11 — — $41,349.15 $62,023.73 $41,349.15 2025-09-11
A5104 LOCAL Expired, Not Orthopedic, Length Of Stay Is 16 Days Or More 13 11 — — $41,330.08 $61,995.12 $41,330.08 2025-09-11
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $41,283.28 $41,283.28 $41,283.28 2025-09-11
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $41,222.18 $41,222.18 $41,222.18 2025-09-11
B1604 LOCAL Pain Syndrome M <43.50 13 11 — — $40,707.54 $61,061.31 $40,707.54 2025-09-11
C0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 13 11 — — $40,691.93 $61,037.90 $40,691.93 2025-09-11
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $40,430.19 $40,430.19 $40,430.19 2025-09-11
B0704 LOCAL Fracture Of Lower Extremity M <41.50 13 11 — — $40,357.26 $60,535.89 $40,357.26 2025-09-11
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $40,344.51 $40,344.51 $40,344.51 2025-09-11
1782 APR_DRG External Heart Assist Systems 2 2 — — $40,278.95 $40,278.95 $40,278.95 2025-09-11
B2102 LOCAL Burns M <52.50 13 11 — — $40,189.05 $60,283.58 $40,189.05 2025-09-11
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $40,121.00 $40,121.00 $40,121.00 2025-09-11
D0106 LOCAL Stroke M <41.50 And A <84.50 13 11 — — $39,942.81 $59,914.22 $39,942.81 2025-09-11
B1004 LOCAL Amputation Lower Extremity M <47.50 13 11 — — $39,902.93 $59,854.40 $39,902.93 2025-09-11
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $39,849.80 $39,849.80 $39,849.80 2025-09-11
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $39,734.31 $39,734.31 $39,734.31 2025-09-11
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $39,457.16 $39,457.16 $39,457.16 2025-09-11
B1504 LOCAL Pulmonary M <45.50 13 11 — — $39,439.93 $59,159.90 $39,439.93 2025-09-11
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $39,377.44 $39,377.44 $39,377.44 2025-09-11
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $39,258.97 $39,258.97 $39,258.97 2025-09-11
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $39,218.74 $39,218.74 $39,218.74 2025-09-11
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $39,165.10 $39,165.10 $39,165.10 2025-09-11
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $39,077.92 $39,077.92 $39,077.92 2025-09-11
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $38,897.62 $38,897.62 $38,897.62 2025-09-11
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $38,814.18 $38,814.18 $38,814.18 2025-09-11
B1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 13 11 — — $38,744.56 $58,116.84 $38,744.56 2025-09-11
6904 APR_DRG Acute Leukemia 2 2 — — $38,700.18 $38,700.18 $38,700.18 2025-09-11
7594 APR_DRG Eating Disorders 2 2 — — $38,630.89 $38,630.89 $38,630.89 2025-09-11
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $38,589.92 $38,589.92 $38,589.92 2025-09-11
B2005 LOCAL Miscellaneous M <46.50 And A <77.50 13 11 — — $38,517.40 $57,776.10 $38,517.40 2025-09-11
D0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 13 11 — — $38,442.83 $57,664.25 $38,442.83 2025-09-11
C0105 LOCAL Stroke M <41.50 And A >=84.50 13 11 — — $38,428.96 $57,643.44 $38,428.96 2025-09-11
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $38,163.00 $38,163.00 $38,163.00 2025-09-11
A0106 LOCAL Stroke M <41.50 And A <84.50 13 11 — — $38,064.80 $57,097.20 $38,064.80 2025-09-11
B1204 LOCAL Osteoarthritis M <49.50 And A <74.50 13 11 — — $37,867.12 $56,800.68 $37,867.12 2025-09-11
C0205 LOCAL Traumatic Brain Injury M <35.50 13 11 — — $37,683.30 $56,524.95 $37,683.30 2025-09-11
B0504 LOCAL Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 13 11 — — $37,641.69 $56,462.54 $37,641.69 2025-09-11
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $37,528.96 $37,528.96 $37,528.96 2025-09-11
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $37,528.96 $37,528.96 $37,528.96 2025-09-11
B0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 13 11 — — $37,492.55 $56,238.83 $37,492.55 2025-09-11
C0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 13 11 — — $37,374.64 $56,061.96 $37,374.64 2025-09-11
274 APR_DRG Other Open Craniotomy 2 2 — — $37,336.00 $37,336.00 $37,336.00 2025-09-11
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $37,301.72 $37,301.72 $37,301.72 2025-09-11
B1404 LOCAL Cardiac M <45.50 13 11 — — $37,209.90 $55,814.85 $37,209.90 2025-09-11
B1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 13 11 — — $37,137.07 $55,705.61 $37,137.07 2025-09-11
B0904 LOCAL Other Orthopedic M <44.5 13 11 — — $37,137.07 $55,705.61 $37,137.07 2025-09-11
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $36,913.55 $36,913.55 $36,913.55 2025-09-11
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $36,868.10 $36,868.10 $36,868.10 2025-09-11
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $36,757.84 $36,757.84 $36,757.84 2025-09-11
B2004 LOCAL Miscellaneous M <46.50 And A >=77.50 13 11 — — $36,542.28 $54,813.42 $36,542.28 2025-09-11
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $36,422.56 $36,422.56 $36,422.56 2025-09-11
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $36,360.72 $36,360.72 $36,360.72 2025-09-11
D0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 13 11 — — $36,280.43 $54,420.65 $36,280.43 2025-09-11
B1203 LOCAL Osteoarthritis M <49.50 And A >=74.50 13 11 — — $36,110.49 $54,165.74 $36,110.49 2025-09-11
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $35,959.89 $35,959.89 $35,959.89 2025-09-11
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $35,946.48 $35,946.48 $35,946.48 2025-09-11
1781 APR_DRG External Heart Assist Systems 2 2 — — $35,925.61 $35,925.61 $35,925.61 2025-09-11
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $35,752.76 $35,752.76 $35,752.76 2025-09-11
B0805 LOCAL Replacement Of Lower-extremity Joint M <42.50 13 11 — — $35,744.60 $53,616.90 $35,744.60 2025-09-11
B0204 LOCAL Traumatic Brain Injury M >=35.50 And M <49.50 13 11 — — $35,718.59 $53,577.89 $35,718.59 2025-09-11
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $35,598.54 $35,598.54 $35,598.54 2025-09-11
B1305 LOCAL Rheumatoid Other Arthritis M <51.50 And A <64.50 13 11 — — $35,564.26 $53,346.39 $35,564.26 2025-09-11
4402 APR_DRG Kidney Transplant 2 2 — — $35,523.29 $35,523.29 $35,523.29 2025-09-11
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $35,462.94 $35,462.94 $35,462.94 2025-09-11
B0104 LOCAL Stroke M >=41.50 And M <50.50 13 11 — — $35,435.94 $53,153.91 $35,435.94 2025-09-11
A0505 LOCAL Non-traumatic Spinal Cord Injury M <39.50 13 11 — — $35,425.53 $53,138.30 $35,425.53 2025-09-11
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $35,424.94 $35,424.94 $35,424.94 2025-09-11
C1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 13 11 — — $35,342.30 $53,013.45 $35,342.30 2025-09-11
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $35,290.83 $35,290.83 $35,290.83 2025-09-11
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $35,278.16 $35,278.16 $35,278.16 2025-09-11
4014 APR_DRG Adrenal Procedures 2 2 — — $35,217.82 $35,217.82 $35,217.82 2025-09-11
D0105 LOCAL Stroke M <41.50 And A >=84.50 13 11 — — $35,116.86 $52,675.29 $35,116.86 2025-09-11
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $35,030.06 $35,030.06 $35,030.06 2025-09-11
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $34,995.05 $34,995.05 $34,995.05 2025-09-11
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $34,935.44 $34,935.44 $34,935.44 2025-09-11
B1103 LOCAL Amputation Non-lower Extremity M <52.50 13 11 — — $34,778.72 $52,168.08 $34,778.72 2025-09-11
1793 APR_DRG Defibrillator Implants 2 2 — — $34,715.65 $34,715.65 $34,715.65 2025-09-11
B1804 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 13 11 — — $34,657.33 $51,986.00 $34,657.33 2025-09-11
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $34,609.11 $34,609.11 $34,609.11 2025-09-11
B0603 LOCAL Neurological M >=43.50 And M <52.50 13 11 — — $34,435.37 $51,653.06 $34,435.37 2025-09-11
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $34,285.01 $34,285.01 $34,285.01 2025-09-11
B1703 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 13 11 — — $34,230.75 $51,346.13 $34,230.75 2025-09-11
D0205 LOCAL Traumatic Brain Injury M <35.50 13 11 — — $34,227.28 $51,340.92 $34,227.28 2025-09-11
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $34,130.79 $34,130.79 $34,130.79 2025-09-11
B0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 13 11 — — $33,847.52 $50,771.28 $33,847.52 2025-09-11
C1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 13 11 — — $33,519.78 $50,279.67 $33,519.78 2025-09-11
C1903 LOCAL Guillain-barré M >=38.50 And M <51.50 13 11 — — $33,479.89 $50,219.84 $33,479.89 2025-09-11
A0105 LOCAL Stroke M <41.50 And A >=84.50 13 11 — — $33,467.75 $50,201.63 $33,467.75 2025-09-11
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 2 2 — — $33,291.86 $33,291.86 $33,291.86 2025-09-11
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $33,272.49 $33,272.49 $33,272.49 2025-09-11
C0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 13 11 — — $33,081.05 $49,621.58 $33,081.05 2025-09-11
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $33,048.97 $33,048.97 $33,048.97 2025-09-11
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $33,047.48 $33,047.48 $33,047.48 2025-09-11
B0703 LOCAL Fracture Of Lower Extremity M >=41.50 And M <52.50 13 11 — — $33,035.97 $49,553.96 $33,035.97 2025-09-11
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $33,034.82 $33,034.82 $33,034.82 2025-09-11
C1004 LOCAL Amputation Lower Extremity M <47.50 13 11 — — $33,001.29 $49,501.94 $33,001.29 2025-09-11
A0405 LOCAL Traumatic Spinal Cord Injury M >=31.50 And M <41.50 13 11 — — $32,966.60 $49,449.90 $32,966.60 2025-09-11
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $32,960.31 $32,960.31 $32,960.31 2025-09-11
B1603 LOCAL Pain Syndrome M >=43.50 And M <58.50 13 11 — — $32,855.62 $49,283.43 $32,855.62 2025-09-11
D1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 13 11 — — $32,730.77 $49,096.16 $32,730.77 2025-09-11
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $32,650.37 $32,650.37 $32,650.37 2025-09-11
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $32,563.94 $32,563.94 $32,563.94 2025-09-11
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $32,545.32 $32,545.32 $32,545.32 2025-09-11
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $32,449.95 $32,449.95 $32,449.95 2025-09-11
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $32,435.80 $32,435.80 $32,435.80 2025-09-11
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $32,368.74 $32,368.74 $32,368.74 2025-09-11
B0303 LOCAL Non-traumatic Brain Injury M >=42.50 And M <52.50 13 11 — — $32,337.13 $48,505.70 $32,337.13 2025-09-11
C0604 LOCAL Neurological M <43.50 13 11 — — $32,331.93 $48,497.90 $32,331.93 2025-09-11
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $32,296.47 $32,296.47 $32,296.47 2025-09-11
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $32,224.95 $32,224.95 $32,224.95 2025-09-11
A0205 LOCAL Traumatic Brain Injury M <35.50 13 11 — — $32,224.42 $48,336.63 $32,224.42 2025-09-11
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $32,045.39 $32,045.39 $32,045.39 2025-09-11
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $32,026.02 $32,026.02 $32,026.02 2025-09-11
C1504 LOCAL Pulmonary M <45.50 13 11 — — $32,011.13 $48,016.70 $32,011.13 2025-09-11
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $32,005.90 $32,005.90 $32,005.90 2025-09-11
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $31,884.46 $31,884.46 $31,884.46 2025-09-11
B1503 LOCAL Pulmonary M >=45.50 And M <56.50 13 11 — — $31,848.12 $47,772.18 $31,848.12 2025-09-11
D1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 13 11 — — $31,822.11 $47,733.17 $31,822.11 2025-09-11
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $31,803.99 $31,803.99 $31,803.99 2025-09-11
6504 APR_DRG Splenectomy 2 2 — — $31,758.54 $31,758.54 $31,758.54 2025-09-11
4401 APR_DRG Kidney Transplant 2 2 — — $31,719.80 $31,719.80 $31,719.80 2025-09-11
B1803 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=45.50 And M <55.50 13 11 — — $31,692.06 $47,538.09 $31,692.06 2025-09-11
B0503 LOCAL Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 13 11 — — $31,666.04 $47,499.06 $31,666.04 2025-09-11
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $31,640.08 $31,640.08 $31,640.08 2025-09-11
A9543 HCPCS Y90 Ibritumomab, Rx 2 2 — — $31,500.00 $31,500.00 $31,500.00 2025-09-11
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $31,276.50 $31,276.50 $31,276.50 2025-09-11
D1903 LOCAL Guillain-barré M >=38.50 And M <51.50 13 11 — — $31,241.19 $46,861.79 $31,241.19 2025-09-11
C0704 LOCAL Fracture Of Lower Extremity M <41.50 13 11 — — $31,218.65 $46,827.98 $31,218.65 2025-09-11
B1003 LOCAL Amputation Lower Extremity M >=47.50 And M <55.50 13 11 — — $31,168.36 $46,752.54 $31,168.36 2025-09-11
8633 APR_DRG Neonatal Aftercare 2 2 — — $31,121.53 $31,121.53 $31,121.53 2025-09-11
A5102 LOCAL Expired, Orthopedic, Length Of Stay Is 14 Days Or More 13 11 — — $31,085.13 $46,627.70 $31,085.13 2025-09-11
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $30,995.61 $30,995.61 $30,995.61 2025-09-11
B0903 LOCAL Other Orthopedic M >=44.50 And M <51.50 13 11 — — $30,993.22 $46,489.83 $30,993.22 2025-09-11
C2005 LOCAL Miscellaneous M <46.50 And A <77.50 13 11 — — $30,766.06 $46,149.09 $30,766.06 2025-09-11
C0104 LOCAL Stroke M >=41.50 And M <50.50 13 11 — — $30,731.37 $46,097.06 $30,731.37 2025-09-11
C1304 LOCAL Rheumatoid Other Arthritis M <44.50 And A >=64.50 13 11 — — $30,705.36 $46,058.04 $30,705.36 2025-09-11
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $30,700.57 $30,700.57 $30,700.57 2025-09-11
A1903 LOCAL Guillain-barré M >=38.50 And M <51.50 13 11 — — $30,700.16 $46,050.24 $30,700.16 2025-09-11
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $30,635.75 $30,635.75 $30,635.75 2025-09-11
B2003 LOCAL Miscellaneous M >=46.50 And M <55.50 13 11 — — $30,563.17 $45,844.76 $30,563.17 2025-09-11
C2102 LOCAL Burns M <52.50 13 11 — — $30,538.89 $45,808.34 $30,538.89 2025-09-11
D2102 LOCAL Burns M <52.50 13 11 — — $30,538.89 $45,808.34 $30,538.89 2025-09-11
D0305 LOCAL Non-traumatic Brain Injury M <42.50 And A <78.50 13 11 — — $30,388.03 $45,582.05 $30,388.03 2025-09-11
B1403 LOCAL Cardiac M >=45.50 And M <55.50 13 11 — — $30,367.22 $45,550.83 $30,367.22 2025-09-11
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $30,272.91 $30,272.91 $30,272.91 2025-09-11
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $30,269.19 $30,269.19 $30,269.19 2025-09-11
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $30,268.44 $30,268.44 $30,268.44 2025-09-11
C1604 LOCAL Pain Syndrome M <43.50 13 11 — — $30,235.43 $45,353.15 $30,235.43 2025-09-11
D0604 LOCAL Neurological M <43.50 13 11 — — $30,183.41 $45,275.12 $30,183.41 2025-09-11
D1004 LOCAL Amputation Lower Extremity M <47.50 13 11 — — $30,145.26 $45,217.89 $30,145.26 2025-09-11
C1704 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 13 11 — — $30,115.78 $45,173.67 $30,115.78 2025-09-11
D1504 LOCAL Pulmonary M <45.50 13 11 — — $30,105.37 $45,158.06 $30,105.37 2025-09-11
C0403 LOCAL Traumatic Spinal Cord Injury M >=41.50 And M <47.50 13 11 — — $30,100.17 $45,150.26 $30,100.17 2025-09-11
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $30,085.16 $30,085.16 $30,085.16 2025-09-11
3094 APR_DRG Other Significant Hip And Femur Surgery 2 2 — — $30,029.28 $30,029.28 $30,029.28 2025-09-11
C0304 LOCAL Non-traumatic Brain Injury M <42.50 And A >=78.50 13 11 — — $29,996.12 $44,994.18 $29,996.12 2025-09-11
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $29,944.34 $29,944.34 $29,944.34 2025-09-11
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $29,866.11 $29,866.11 $29,866.11 2025-09-11
B0804 LOCAL Replacement Of Lower-extremity Joint M >=42.50 And M <51.50 13 11 — — $29,803.64 $44,705.46 $29,803.64 2025-09-11
C0904 LOCAL Other Orthopedic M <44.5 13 11 — — $29,744.68 $44,617.02 $29,744.68 2025-09-11
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $29,734.99 $29,734.99 $29,734.99 2025-09-11
A1705 LOCAL Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 13 11 — — $29,694.39 $44,541.59 $29,694.39 2025-09-11
D0704 LOCAL Fracture Of Lower Extremity M <41.50 13 11 — — $29,573.01 $44,359.52 $29,573.01 2025-09-11
2324 APR_DRG Gastric Fundoplication 2 2 — — $29,541.27 $29,541.27 $29,541.27 2025-09-11
A1805 LOCAL Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 13 11 — — $29,505.38 $44,258.07 $29,505.38 2025-09-11
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 2 2 — — $29,471.24 $29,471.24 $29,471.24 2025-09-11
2294 APR_DRG Other Digestive System And Abdominal Procedures 2 2 — — $29,457.08 $29,457.08 $29,457.08 2025-09-11
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