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 →

Export CSV
Hospital

Pam Rehabilitation Hospital Of Fargo

Fargo, ND · CCN 353026 · Rates published

16,200 distinct procedures filed
22 distinct payers
154,086 rate rows
2026-08-06 last MRF observed
Data quality

153,337 of 154,086 rate rows are consumer-grade (99.5%)

749 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 626
per-diem day rate — not a per-procedure price 68
placeholder amount (≤ $0.02) — excluded from medians 31
percent-of-charges filed in the dollar field — excluded from medians 15
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 1
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 success · 2026-11-03
Content fingerprint 7e476194507c397d… · 90,783,665 bytes · first seen 2026-11-03

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
J3389
HCPCS 		Op Rates 3 $3,285,782.70 $4,928,674.05 $4,600,095.78 nat. median
$3,335,820
1.4× median
J3391
HCPCS 		Op Rates 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3387
HCPCS 		Op Rates 3 $3,180,000.00 $4,770,000.00 $4,452,000.00 nat. median
$3,180,000
1.4× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,680,037.38 $4,020,056.07 $3,752,052.34 nat. median
$2,467,989
1.5× median
J3405
HCPCS 		Op Rates 3 $2,664,228.59 $3,996,342.89 $3,729,920.03 nat. median
$2,664,229
1.4× median
C9309
HCPCS 		Op Rates 3 $2,664,228.59 $3,996,342.89 $3,729,920.03 nat. median
$2,664,229
1.4× median
J1411
HCPCS 		Op Rates 3 $3,500,000.00 $3,691,450.00 $3,500,000.00 nat. median
$3,691,450
0.9× median
C9172
HCPCS 		Medicaid Fee Schedule 2 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,605,000
1.0× median
J3392
HCPCS 		Op Rates 4 $2,300,906.67 $4,555,795.20 $3,336,314.67 nat. median
$2,401,960
1.4× median
J1413
HCPCS 		Op Rates 5 $3,200,000.00 $4,975,345.69 $3,316,897.12 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Op Rates 5 $3,100,000.00 $4,852,955.97 $3,235,303.98 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Op Rates 5 $2,800,000.00 $4,395,390.52 $2,930,260.35 nat. median
$2,983,626
1.0× median
Q2057
HCPCS 		Op Rates 4 $813,967.38 $1,611,655.40 $1,180,252.70 nat. median
$813,967
1.4× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 4 $611,693.17 $1,211,152.48 $886,955.10 nat. median
$739,658
1.2× median
Q2056
HCPCS 		Op Rates 4 $587,977.76 $1,164,195.95 $852,567.74 nat. median
$646,415
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 4 $579,570.61 $1,147,549.82 $840,377.39 nat. median
$637,620
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 4 $567,977.78 $1,124,596.00 $823,567.78 nat. median
$621,967
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 4 $562,500.89 $1,113,751.77 $815,626.29 nat. median
$607,251
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 4 $510,103.92 $1,010,005.76 $739,650.69 nat. median
$589,091
1.3× median
Q2058
HCPCS 		Op Rates 4 $278,250.00 $550,935.00 $403,462.50 nat. median
$319,951
1.3× median
J3403
HCPCS 		Op Rates 4 $261,579.65 $517,927.71 $379,290.49 nat. median
$265,000
1.4× median
J3402
HCPCS 		Op Rates 4 $203,659.76 $403,246.33 $295,306.66 nat. median
$209,753
1.4× 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
$249,123
0.7× median
J3404
HCPCS 		Op Rates 4 $121,900.00 $241,362.00 $176,755.00 nat. median
$127,995
1.4× 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
$202,660
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $167,295.99 $167,295.99 $167,295.99 nat. median
$243,231
0.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 4 $95,081.03 $188,260.44 $137,867.49 nat. median
$97,404
1.4× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 6 $99,999.95 $222,437.10 $134,810.36 nat. median
$111,503
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $132,810.56 $132,810.56 $132,810.56 nat. median
$121,888
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
$154,211
0.9× median
5832
APR_DRG 		Neonate With Ecmo 2 $129,097.22 $129,097.22 $129,097.22 nat. median
$159,829
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
$160,390
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
$152,569
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
$177,531
0.7× 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
$165,334
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
$122,909
0.9× 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
$165,846
0.7× median
5831
APR_DRG 		Neonate With Ecmo 2 $111,563.19 $111,563.19 $111,563.19 nat. median
$148,245
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $109,676.72 $109,676.72 $109,676.72 nat. median
$171,358
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
$138,094
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $108,635.14 $108,635.14 $108,635.14 nat. median
$122,016
0.9× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $106,946.11 $106,946.11 $106,946.11 nat. median
$137,215
0.8× median
1612
APR_DRG 		Implantable Heart Assist Systems 2 $106,635.42 $106,635.42 $106,635.42 nat. median
$85,665
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $106,356.78 $106,356.78 $106,356.78 nat. median
$165,169
0.6× median
J9183
HCPCS 		Op Rates 4 $72,984.24 $144,508.80 $105,827.15 nat. median
$80,283
1.3× median
23
APR_DRG 		Heart And/or Lung Transplant 2 $103,453.31 $103,453.31 $103,453.31 nat. median
$111,079
0.9× median
1611
APR_DRG 		Implantable Heart Assist Systems 2 $101,303.09 $101,303.09 $101,303.09 nat. median
$77,137
1.3× median

Other procedures at this hospital

Browse this hospital's 16,200 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
             
T2025 HCPCS Waiver Service, Nos 2 2 — — $88,188.00 $88,188.00 $88,188.00 2026-08-06
Q2058 HCPCS Op Rates 4 4 — — $278,250.00 $550,935.00 $403,462.50 2026-08-06
Q2057 HCPCS Op Rates 4 4 — — $813,967.38 $1,611,655.40 $1,180,252.70 2026-08-06
Q2056 HCPCS Op Rates 4 4 — — $587,977.76 $1,164,195.95 $852,567.74 2026-08-06
Q2055 HCPCS Idecabtagene Vicleucel Car 4 4 — — $567,977.78 $1,124,596.00 $823,567.78 2026-08-06
Q2054 HCPCS Lisocabtagene Mara Car Pos T 4 4 — — $579,570.61 $1,147,549.82 $840,377.39 2026-08-06
Q2053 HCPCS Brexucabtagene Car Pos T 4 4 — — $510,103.92 $1,010,005.76 $739,650.69 2026-08-06
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 6 — — $55,015.22 $110,746.21 $67,118.91 2026-08-06
Q2042 HCPCS Tisagenlecleucel Car-pos T 4 4 — — $611,693.17 $1,211,152.48 $886,955.10 2026-08-06
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 4 — — $562,500.89 $1,113,751.77 $815,626.29 2026-08-06
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 6 — — $99,999.95 $222,437.10 $134,810.36 2026-08-06
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 4 4 — — $68,801.71 $136,227.39 $99,762.48 2026-08-06
L8701 HCPCS Ewh S/d Uprt Micro Sensor 4 4 — — $34,970.13 $69,240.86 $50,706.69 2026-08-06
L7181 HCPCS Electronic Elbo Simultaneous 6 6 — — $47,237.07 $98,760.70 $59,854.97 2026-08-06
L7180 HCPCS Electronic Elbow Sequential 6 6 — — $43,710.99 $86,547.76 $53,537.33 2026-08-06
L6880 HCPCS Elec Hand Ind Art Digits 6 6 — — $28,167.32 $59,008.53 $35,762.75 2026-08-06
L6700 HCPCS Op Rates 4 4 — — $29,510.19 $58,430.18 $42,789.78 2026-08-06
L5856 HCPCS Elec Knee-shin Swing/stance 6 6 — — $28,300.96 $59,128.48 $35,835.44 2026-08-06
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 4 4 — — $40,272.05 $79,738.66 $58,394.48 2026-08-06
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 4 4 — — $95,081.03 $188,260.44 $137,867.49 2026-08-06
J9266 HCPCS Pegaspargase Injection 6 6 — — $13,413.30 $58,734.65 $35,596.76 2026-08-06
J9226 HCPCS Supprelin La Implant 6 6 — — $37,491.97 $74,234.11 $48,919.49 2026-08-06
J9183 HCPCS Op Rates 4 4 — — $72,984.24 $144,508.80 $105,827.15 2026-08-06
J9029 HCPCS Op Rates 6 6 — — $63,354.77 $127,376.60 $77,197.93 2026-08-06
J3405 HCPCS Op Rates 3 3 — — $2,664,228.59 $3,996,342.89 $3,729,920.03 2026-08-06
J3404 HCPCS Op Rates 4 4 — — $121,900.00 $241,362.00 $176,755.00 2026-08-06
J3403 HCPCS Op Rates 4 4 — — $261,579.65 $517,927.71 $379,290.49 2026-08-06
J3402 HCPCS Op Rates 4 4 — — $203,659.76 $403,246.33 $295,306.66 2026-08-06
J3399 HCPCS Inj Onase Abepar-xioi Treat 3 3 — — $2,680,037.38 $4,020,056.07 $3,752,052.34 2026-08-06
J3394 HCPCS Op Rates 5 5 — — $3,100,000.00 $4,852,955.97 $3,235,303.98 2026-08-06
J3393 HCPCS Op Rates 5 5 — — $2,800,000.00 $4,395,390.52 $2,930,260.35 2026-08-06
J3392 HCPCS Op Rates 4 4 — — $2,300,906.67 $4,555,795.20 $3,336,314.67 2026-08-06
J3391 HCPCS Op Rates 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-08-06
J3389 HCPCS Op Rates 3 3 — — $3,285,782.70 $4,928,674.05 $4,600,095.78 2026-08-06
J3387 HCPCS Op Rates 3 3 — — $3,180,000.00 $4,770,000.00 $4,452,000.00 2026-08-06
J2789 HCPCS Op Rates 4 4 — — $40,427.50 $80,046.45 $58,619.88 2026-08-06
J1413 HCPCS Op Rates 5 5 — — $3,200,000.00 $4,975,345.69 $3,316,897.12 2026-08-06
J1411 HCPCS Op Rates 3 3 — — $3,500,000.00 $3,691,450.00 $3,500,000.00 2026-08-06
D1904 HCPCS Guillain-barr M <38.50 16 14 — — $47,024.79 $93,109.08 $47,024.79 2026-08-06
D1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 16 14 — — $48,756.30 $96,537.47 $48,756.30 2026-08-06
D1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 16 14 — — $33,652.52 $66,631.99 $33,652.52 2026-08-06
D1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 16 14 — — $33,906.84 $67,135.54 $33,906.84 2026-08-06
D0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 16 14 — — $40,286.35 $79,766.97 $40,286.35 2026-08-06
D0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 16 14 — — $65,066.71 $128,832.09 $65,066.71 2026-08-06
D0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 16 14 — — $47,513.58 $94,076.89 $47,513.58 2026-08-06
D0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 16 14 — — $36,118.11 $71,513.86 $36,118.11 2026-08-06
D0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 16 14 — — $45,598.10 $90,284.24 $45,598.10 2026-08-06
D0205 HCPCS Traumatic Brain Injury M <35.50 16 14 — — $35,699.67 $70,685.35 $35,699.67 2026-08-06
D0106 HCPCS Stroke M <41.50 And A <84.50 16 14 — — $41,103.40 $81,384.73 $41,103.40 2026-08-06
D0105 HCPCS Stroke M <41.50 And A >=84.50 16 14 — — $36,489.66 $72,249.53 $36,489.66 2026-08-06
C9760 HCPCS Non-blind Interatrial Shunt 4 4 — — $25,398.36 $50,288.76 $36,827.62 2026-08-06
C9309 HCPCS Op Rates 3 3 — — $2,664,228.59 $3,996,342.89 $3,729,920.03 2026-08-06
C9172 HCPCS Medicaid Fee Schedule 2 2 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-08-06
C8011 HCPCS Op Rates 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
C8007 HCPCS Op Rates 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
C2102 HCPCS Burns M <52.50 16 14 — — $38,592.72 $76,413.59 $38,592.72 2026-08-06
C1904 HCPCS Guillain-barr M <38.50 16 14 — — $54,093.30 $107,104.73 $54,093.30 2026-08-06
C1903 HCPCS Guillain-barr M >=38.50 And M <51.50 16 14 — — $35,178.41 $69,653.25 $35,178.41 2026-08-06
C1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 16 14 — — $53,000.29 $104,940.57 $53,000.29 2026-08-06
C1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 16 14 — — $36,581.65 $72,431.67 $36,581.65 2026-08-06
C1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 16 14 — — $36,518.52 $72,306.67 $36,518.52 2026-08-06
C1504 HCPCS Pulmonary M <45.50 16 14 — — $33,971.77 $67,264.10 $33,971.77 2026-08-06
C1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 16 14 — — $33,039.28 $65,417.77 $33,039.28 2026-08-06
C1103 HCPCS Amputation Non-lower Extremity M <52.50 16 14 — — $33,030.26 $65,399.91 $33,030.26 2026-08-06
C1004 HCPCS Amputation Lower Extremity M <47.50 16 14 — — $35,420.10 $70,131.80 $35,420.10 2026-08-06
C0704 HCPCS Fracture Of Lower Extremity M <41.50 16 14 — — $33,082.57 $65,503.49 $33,082.57 2026-08-06
C0604 HCPCS Neurological M <43.50 16 14 — — $33,463.14 $66,257.02 $33,463.14 2026-08-06
C0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 16 14 — — $43,303.86 $85,741.64 $43,303.86 2026-08-06
C0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 16 14 — — $66,825.27 $132,314.03 $66,825.27 2026-08-06
C0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 16 14 — — $48,797.78 $96,619.60 $48,797.78 2026-08-06
C0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 16 14 — — $37,093.89 $73,445.90 $37,093.89 2026-08-06
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 16 14 — — $46,830.00 $92,723.40 $46,830.00 2026-08-06
C0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 16 14 — — $33,877.98 $67,078.40 $33,877.98 2026-08-06
C0205 HCPCS Traumatic Brain Injury M <35.50 16 14 — — $39,076.10 $77,370.68 $39,076.10 2026-08-06
C0106 HCPCS Stroke M <41.50 And A <84.50 16 14 — — $45,367.24 $89,827.14 $45,367.24 2026-08-06
C0105 HCPCS Stroke M <41.50 And A >=84.50 16 14 — — $40,275.53 $79,745.55 $40,275.53 2026-08-06
B2102 HCPCS Burns M <52.50 16 14 — — $45,904.72 $90,891.35 $45,904.72 2026-08-06
B2005 HCPCS Miscellaneous M <46.50 And A <77.50 16 14 — — $39,893.15 $78,988.44 $39,893.15 2026-08-06
B2004 HCPCS Miscellaneous M <46.50 And A >=77.50 16 14 — — $38,112.95 $75,463.64 $38,112.95 2026-08-06
B1904 HCPCS Guillain-barr M <38.50 16 14 — — $76,539.74 $151,548.69 $76,539.74 2026-08-06
B1903 HCPCS Guillain-barr M >=38.50 And M <51.50 16 14 — — $49,775.36 $98,555.21 $49,775.36 2026-08-06
B1902 HCPCS Guillain-barr M >=51.50 And M <66.50 16 14 — — $35,180.21 $69,656.82 $35,180.21 2026-08-06
B1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 16 14 — — $64,785.34 $128,274.97 $64,785.34 2026-08-06
B1805 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=30.50 And M <40.50 16 14 — — $44,716.12 $88,537.92 $44,716.12 2026-08-06
B1804 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M >=40.50 And M <45.50 16 14 — — $37,272.45 $73,799.45 $37,272.45 2026-08-06
B1705 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M <36.50 16 14 — — $46,095.91 $91,269.90 $46,095.91 2026-08-06
B1704 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=36.50 And M <41.50 16 14 — — $39,595.55 $78,399.19 $39,595.55 2026-08-06
B1703 HCPCS Major Multiple Trauma Without Brain Or Spinal Cord Injury M >=41.50 And M <50.50 16 14 — — $34,410.06 $68,131.92 $34,410.06 2026-08-06
B1604 HCPCS Pain Syndrome M <43.50 16 14 — — $36,161.40 $71,599.57 $36,161.40 2026-08-06
B1504 HCPCS Pulmonary M <45.50 16 14 — — $42,250.53 $83,656.05 $42,250.53 2026-08-06
B1503 HCPCS Pulmonary M >=45.50 And M <56.50 16 14 — — $33,692.20 $66,710.56 $33,692.20 2026-08-06
B1404 HCPCS Cardiac M <45.50 16 14 — — $38,720.78 $76,667.14 $38,720.78 2026-08-06
B1305 HCPCS Rheumatoid Other Arthritis M <51.50 And A <64.50 16 14 — — $41,244.09 $81,663.30 $41,244.09 2026-08-06
B1304 HCPCS Rheumatoid Other Arthritis M <44.50 And A >=64.50 16 14 — — $41,325.25 $81,824.00 $41,325.25 2026-08-06
B1204 HCPCS Osteoarthritis M <49.50 And A <74.50 16 14 — — $38,715.37 $76,656.43 $38,715.37 2026-08-06
B1203 HCPCS Osteoarthritis M <49.50 And A >=74.50 16 14 — — $37,606.12 $74,460.12 $37,606.12 2026-08-06
B1103 HCPCS Amputation Non-lower Extremity M <52.50 16 14 — — $34,889.83 $69,081.86 $34,889.83 2026-08-06
B1004 HCPCS Amputation Lower Extremity M <47.50 16 14 — — $42,627.49 $84,402.43 $42,627.49 2026-08-06
B0904 HCPCS Other Orthopedic M <44.5 16 14 — — $40,549.68 $80,288.37 $40,549.68 2026-08-06
B0903 HCPCS Other Orthopedic M >=44.50 And M <51.50 16 14 — — $33,674.17 $66,674.86 $33,674.17 2026-08-06
B0805 HCPCS Replacement Of Lower-extremity Joint M <42.50 16 14 — — $37,714.34 $74,674.39 $37,714.34 2026-08-06
B0704 HCPCS Fracture Of Lower Extremity M <41.50 16 14 — — $41,375.76 $81,924.00 $41,375.76 2026-08-06
B0703 HCPCS Fracture Of Lower Extremity M >=41.50 And M <52.50 16 14 — — $33,508.23 $66,346.30 $33,508.23 2026-08-06
B0604 HCPCS Neurological M <43.50 16 14 — — $44,185.84 $87,487.96 $44,185.84 2026-08-06
B0603 HCPCS Neurological M >=43.50 And M <52.50 16 14 — — $34,936.72 $69,174.71 $34,936.72 2026-08-06
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 16 14 — — $56,349.67 $111,572.35 $56,349.67 2026-08-06
B0504 HCPCS Non-traumatic Spinal Cord Injury M >=39.50 And M <48.50 16 14 — — $39,660.48 $78,527.75 $39,660.48 2026-08-06
B0503 HCPCS Non-traumatic Spinal Cord Injury M >=48.50 And M <53.50 16 14 — — $33,190.79 $65,717.76 $33,190.79 2026-08-06
B0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 16 14 — — $81,755.90 $161,876.68 $81,755.90 2026-08-06
B0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 16 14 — — $59,700.85 $118,207.68 $59,700.85 2026-08-06
B0405 HCPCS Traumatic Spinal Cord Injury M >=31.50 And M <41.50 16 14 — — $45,381.66 $89,855.69 $45,381.66 2026-08-06
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 16 14 — — $57,292.98 $113,440.10 $57,292.98 2026-08-06
B0403 HCPCS Traumatic Spinal Cord Injury M >=41.50 And M <47.50 16 14 — — $35,358.78 $70,010.38 $35,358.78 2026-08-06
B0305 HCPCS Non-traumatic Brain Injury M <42.50 And A <78.50 16 14 — — $42,744.73 $84,634.57 $42,744.73 2026-08-06
B0304 HCPCS Non-traumatic Brain Injury M <42.50 And A >=78.50 16 14 — — $39,021.99 $77,263.54 $39,021.99 2026-08-06
B0205 HCPCS Traumatic Brain Injury M <35.50 16 14 — — $49,145.88 $97,308.84 $49,145.88 2026-08-06
B0204 HCPCS Traumatic Brain Injury M >=35.50 And M <49.50 16 14 — — $38,307.75 $75,849.35 $38,307.75 2026-08-06
B0106 HCPCS Stroke M <41.50 And A <84.50 16 14 — — $51,088.42 $101,155.07 $51,088.42 2026-08-06
B0105 HCPCS Stroke M <41.50 And A >=84.50 16 14 — — $45,354.61 $89,802.13 $45,354.61 2026-08-06
B0104 HCPCS Stroke M >=41.50 And M <50.50 16 14 — — $36,392.27 $72,056.69 $36,392.27 2026-08-06
A9543 HCPCS Y90 Ibritumomab, Rx 6 6 — — $31,500.00 $112,512.61 $68,189.46 2026-08-06
A1904 HCPCS Guillain-barr M <38.50 16 14 — — $47,039.22 $93,137.66 $47,039.22 2026-08-06
A1806 HCPCS Major Multiple Trauma With Brain Or Spinal Cord Injury M <30.50 16 14 — — $45,762.24 $90,609.24 $45,762.24 2026-08-06
A0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 16 14 — — $37,126.35 $73,510.17 $37,126.35 2026-08-06
A0407 HCPCS Traumatic Spinal Cord Injury M <24.50 And A >=61.50 16 14 — — $58,878.39 $116,579.21 $58,878.39 2026-08-06
A0406 HCPCS Traumatic Spinal Cord Injury M >=24.50 And M <31.50 And A >=61.50 16 14 — — $42,995.43 $85,130.95 $42,995.43 2026-08-06
A0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 16 14 — — $41,262.13 $81,699.02 $41,262.13 2026-08-06
A0205 HCPCS Traumatic Brain Injury M <35.50 16 14 — — $33,540.70 $66,410.59 $33,540.70 2026-08-06
A0106 HCPCS Stroke M <41.50 And A <84.50 16 14 — — $38,987.72 $77,195.69 $38,987.72 2026-08-06
A0105 HCPCS Stroke M <41.50 And A >=84.50 16 14 — — $34,612.06 $68,531.88 $34,612.06 2026-08-06
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $39,457.16 $39,457.16 $39,457.16 2026-08-06
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $106,356.78 $106,356.78 $106,356.78 2026-08-06
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $49,019.14 $49,019.14 $49,019.14 2026-08-06
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $35,462.94 $35,462.94 $35,462.94 2026-08-06
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $35,752.76 $35,752.76 $35,752.76 2026-08-06
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $44,827.48 $44,827.48 $44,827.48 2026-08-06
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $43,975.15 $43,975.15 $43,975.15 2026-08-06
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $45,261.10 $45,261.10 $45,261.10 2026-08-06
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $47,908.27 $47,908.27 $47,908.27 2026-08-06
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $39,849.80 $39,849.80 $39,849.80 2026-08-06
8634 APR_DRG Neonatal Aftercare 2 2 — — $48,503.57 $48,503.57 $48,503.57 2026-08-06
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 2026-08-06
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $61,783.35 $61,783.35 $61,783.35 2026-08-06
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $122,253.18 $122,253.18 $122,253.18 2026-08-06
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $44,865.48 $44,865.48 $44,865.48 2026-08-06
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $55,480.97 $55,480.97 $55,480.97 2026-08-06
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $34,935.44 $34,935.44 $34,935.44 2026-08-06
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $35,290.83 $35,290.83 $35,290.83 2026-08-06
7594 APR_DRG Eating Disorders 2 2 — — $38,630.89 $38,630.89 $38,630.89 2026-08-06
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $41,283.28 $41,283.28 $41,283.28 2026-08-06
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $109,676.72 $109,676.72 $109,676.72 2026-08-06
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $64,635.41 $64,635.41 $64,635.41 2026-08-06
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $50,558.42 $50,558.42 $50,558.42 2026-08-06
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $45,018.22 $45,018.22 $45,018.22 2026-08-06
69930 CPT Implant Cochlear Device 6 6 — — $871.12 $61,600.38 $37,333.56 2026-08-06
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $36,422.56 $36,422.56 $36,422.56 2026-08-06
6904 APR_DRG Acute Leukemia 2 2 — — $38,700.18 $38,700.18 $38,700.18 2026-08-06
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $40,430.19 $40,430.19 $40,430.19 2026-08-06
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $47,413.56 $47,413.56 $47,413.56 2026-08-06
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $34,995.05 $34,995.05 $34,995.05 2026-08-06
64656 CPT Op Rates 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
64654 CPT Op Rates 4 4 — — $41,560.66 $82,290.11 $60,262.96 2026-08-06
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 6 6 — — $592.97 $57,650.09 $34,939.45 2026-08-06
64568 CPT Opn Impltj Crnl Nrv Nea&pg 6 6 — — $422.91 $82,290.11 $49,872.79 2026-08-06
64 APR_DRG Pancreas Transplant 2 2 — — $94,445.64 $94,445.64 $94,445.64 2026-08-06
63685 CPT Insrt/redo Spine N Generator 6 6 — — $237.98 $57,650.09 $34,939.45 2026-08-06
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $35,278.16 $35,278.16 $35,278.16 2026-08-06
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $108,929.44 $108,929.44 $108,929.44 2026-08-06
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $41,831.63 $41,831.63 $41,831.63 2026-08-06
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $131,605.06 $131,605.06 $131,605.06 2026-08-06
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $63,588.61 $63,588.61 $63,588.61 2026-08-06
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $40,344.51 $40,344.51 $40,344.51 2026-08-06
63 APR_DRG Pancreas Transplant 2 2 — — $66,409.38 $66,409.38 $66,409.38 2026-08-06
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $38,814.18 $38,814.18 $38,814.18 2026-08-06
62 APR_DRG Pancreas Transplant 2 2 — — $57,649.81 $57,649.81 $57,649.81 2026-08-06
61891 CPT Op Rates 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
61886 CPT Implant Neurostim Arrays 6 6 — — $606.85 $57,650.09 $34,939.45 2026-08-06
61885 CPT Insrt/redo Neurostim 1 Array 6 6 — — $364.90 $57,650.09 $34,939.45 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $49,475.11 $49,475.11 $49,475.11 2026-08-06
61 APR_DRG Pancreas Transplant 2 2 — — $45,315.49 $45,315.49 $45,315.49 2026-08-06
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $113,463.07 $113,463.07 $113,463.07 2026-08-06
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $56,527.76 $56,527.76 $56,527.76 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
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 2026-08-06
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $118,251.51 $118,251.51 $118,251.51 2026-08-06
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $76,043.63 $76,043.63 $76,043.63 2026-08-06
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $60,271.65 $60,271.65 $60,271.65 2026-08-06
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $114,191.73 $114,191.73 $114,191.73 2026-08-06
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $66,898.87 $66,898.87 $66,898.87 2026-08-06
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $35,598.54 $35,598.54 $35,598.54 2026-08-06
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 2026-08-06
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $181,314.87 $181,314.87 $181,314.87 2026-08-06
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $116,809.84 $116,809.84 $116,809.84 2026-08-06
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $114,379.48 $114,379.48 $114,379.48 2026-08-06
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $75,288.89 $75,288.89 $75,288.89 2026-08-06
5834 APR_DRG Neonate With Ecmo 2 2 — — $221,042.48 $221,042.48 $221,042.48 2026-08-06
5833 APR_DRG Neonate With Ecmo 2 2 — — $175,069.85 $175,069.85 $175,069.85 2026-08-06
5832 APR_DRG Neonate With Ecmo 2 2 — — $129,097.22 $129,097.22 $129,097.22 2026-08-06
5831 APR_DRG Neonate With Ecmo 2 2 — — $111,563.19 $111,563.19 $111,563.19 2026-08-06
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $71,592.70 $71,592.70 $71,592.70 2026-08-06
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $52,719.81 $52,719.81 $52,719.81 2026-08-06
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $38,589.92 $38,589.92 $38,589.92 2026-08-06
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $35,946.48 $35,946.48 $35,946.48 2026-08-06
4414 APR_DRG Major Bladder Procedures 2 2 — — $42,350.19 $42,350.19 $42,350.19 2026-08-06
4404 APR_DRG Kidney Transplant 2 2 — — $62,836.11 $62,836.11 $62,836.11 2026-08-06
4403 APR_DRG Kidney Transplant 2 2 — — $41,418.88 $41,418.88 $41,418.88 2026-08-06
4402 APR_DRG Kidney Transplant 2 2 — — $35,523.29 $35,523.29 $35,523.29 2026-08-06
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $108,635.14 $108,635.14 $108,635.14 2026-08-06
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $74,341.93 $74,341.93 $74,341.93 2026-08-06
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $51,110.50 $51,110.50 $51,110.50 2026-08-06
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $34,130.79 $34,130.79 $34,130.79 2026-08-06
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $34,609.11 $34,609.11 $34,609.11 2026-08-06
4014 APR_DRG Adrenal Procedures 2 2 — — $35,217.82 $35,217.82 $35,217.82 2026-08-06
38240 CPT Transplt Allo Hct/donor 6 6 — — $174.76 $117,515.41 $71,221.46 2026-08-06
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $38,163.00 $38,163.00 $38,163.00 2026-08-06
33287 CPT Op Rates 6 6 — — $261.78 $57,650.09 $34,939.45 2026-08-06
33276 CPT Op Rates 6 6 — — $388.45 $82,290.11 $49,872.79 2026-08-06
33270 CPT Ins/rep Subq Defibrillator 6 6 — — $376.56 $58,642.44 $35,540.88 2026-08-06
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 6 6 — — $272.44 $58,642.44 $35,540.88 2026-08-06
33249 CPT Insj/rplcmt Defib W/lead(s) 6 6 — — $611.81 $58,642.44 $35,540.88 2026-08-06
33231 CPT Insrt Pulse Gen W/mult Leads 6 6 — — $271.20 $58,642.44 $35,540.88 2026-08-06
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 2026-08-06
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $45,063.66 $45,063.66 $45,063.66 2026-08-06
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $50,732.01 $50,732.01 $50,732.01 2026-08-06
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $34,285.01 $34,285.01 $34,285.01 2026-08-06
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $33,048.97 $33,048.97 $33,048.97 2026-08-06
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $66,096.45 $66,096.45 $66,096.45 2026-08-06
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $50,045.82 $50,045.82 $50,045.82 2026-08-06
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $36,360.72 $36,360.72 $36,360.72 2026-08-06
274 APR_DRG Other Open Craniotomy 2 2 — — $37,336.00 $37,336.00 $37,336.00 2026-08-06
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $36,757.84 $36,757.84 $36,757.84 2026-08-06
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $41,818.97 $41,818.97 $41,818.97 2026-08-06
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $167,295.99 $167,295.99 $167,295.99 2026-08-06
234 APR_DRG Spinal Procedures 2 2 — — $42,946.23 $42,946.23 $42,946.23 2026-08-06
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $35,959.89 $35,959.89 $35,959.89 2026-08-06
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $103,453.31 $103,453.31 $103,453.31 2026-08-06
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $40,121.00 $40,121.00 $40,121.00 2026-08-06
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $76,773.78 $76,773.78 $76,773.78 2026-08-06
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $42,357.64 $42,357.64 $42,357.64 2026-08-06
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $65,815.57 $65,815.57 $65,815.57 2026-08-06
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $39,077.92 $39,077.92 $39,077.92 2026-08-06
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $49,867.75 $49,867.75 $49,867.75 2026-08-06
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $35,030.06 $35,030.06 $35,030.06 2026-08-06
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $37,528.96 $37,528.96 $37,528.96 2026-08-06
1794 APR_DRG Defibrillator Implants 2 2 — — $47,610.99 $47,610.99 $47,610.99 2026-08-06
1793 APR_DRG Defibrillator Implants 2 2 — — $34,715.65 $34,715.65 $34,715.65 2026-08-06
1784 APR_DRG External Heart Assist Systems 2 2 — — $58,438.08 $58,438.08 $58,438.08 2026-08-06
1783 APR_DRG External Heart Assist Systems 2 2 — — $43,232.33 $43,232.33 $43,232.33 2026-08-06
1782 APR_DRG External Heart Assist Systems 2 2 — — $40,278.95 $40,278.95 $40,278.95 2026-08-06
1781 APR_DRG External Heart Assist Systems 2 2 — — $35,925.61 $35,925.61 $35,925.61 2026-08-06
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $36,868.10 $36,868.10 $36,868.10 2026-08-06
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $45,390.00 $45,390.00 $45,390.00 2026-08-06
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $52,918.74 $52,918.74 $52,918.74 2026-08-06
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $48,495.37 $48,495.37 $48,495.37 2026-08-06
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $33,034.82 $33,034.82 $33,034.82 2026-08-06
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $53,799.39 $53,799.39 $53,799.39 2026-08-06
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $39,734.31 $39,734.31 $39,734.31 2026-08-06
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $33,047.48 $33,047.48 $33,047.48 2026-08-06
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $58,830.72 $58,830.72 $58,830.72 2026-08-06
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $39,165.10 $39,165.10 $39,165.10 2026-08-06
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $69,136.26 $69,136.26 $69,136.26 2026-08-06
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $47,352.46 $47,352.46 $47,352.46 2026-08-06
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $37,528.96 $37,528.96 $37,528.96 2026-08-06
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $173,358.47 $173,358.47 $173,358.47 2026-08-06
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $132,810.56 $132,810.56 $132,810.56 2026-08-06
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $106,635.42 $106,635.42 $106,635.42 2026-08-06
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $101,303.09 $101,303.09 $101,303.09 2026-08-06
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $73,355.49 $73,355.49 $73,355.49 2026-08-06
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $39,377.44 $39,377.44 $39,377.44 2026-08-06
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $106,946.11 $106,946.11 $106,946.11 2026-08-06
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $36,913.55 $36,913.55 $36,913.55 2026-08-06
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $61,828.80 $61,828.80 $61,828.80 2026-08-06
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $38,897.62 $38,897.62 $38,897.62 2026-08-06
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $51,819.79 $51,819.79 $51,819.79 2026-08-06
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $114,044.96 $114,044.96 $114,044.96 2026-08-06
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $56,135.87 $56,135.87 $56,135.87 2026-08-06
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $46,009.13 $46,009.13 $46,009.13 2026-08-06
0960T CPT Op Rates 4 4 — — $25,602.68 $50,693.31 $37,123.88 2026-08-06
0956T CPT Op Rates 4 4 — — $25,602.68 $50,693.31 $37,123.88 2026-08-06
0915T CPT Op Rates 4 4 — — $29,617.40 $58,642.44 $42,945.22 2026-08-06
0909T CPT Op Rates 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
0908T CPT Op Rates 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
0871T CPT Op Rates 4 4 — — $32,325.06 $64,003.62 $46,871.34 2026-08-06
0870T CPT Op Rates 4 4 — — $41,560.66 $82,290.11 $60,262.96 2026-08-06
0674T CPT Laps Insj Nw/rpcmt Prm Isdss 4 4 — — $29,116.21 $57,650.09 $42,218.50 2026-08-06
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 4 4 — — $41,560.66 $82,290.11 $60,262.96 2026-08-06
0571T CPT Insj/rplcmt Icds Ss Eltrd 4 4 — — $29,617.40 $58,642.44 $42,945.22 2026-08-06
0408T CPT Insj/rplc Cardiac Modulj Sys 4 4 — — $29,617.40 $58,642.44 $42,945.22 2026-08-06
See an error in this hospital's data? Submit a correction