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

LICKING MEMORIAL HOSPITAL

Newark, OH · CCN 360218 · Rates published

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You selected 93306 (CPT)

HC Tte W/Doppler Complete - Tte Complete

This hospital’s price: $1,877 across 58 payers · range $516-$2,606

Source: https://www.lmhealth.org/LMHealth.org/media/314379519_licking-memorial-hospital_standardcharges.zip · observed 2026-03-16

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

9,167 distinct procedures filed
65 distinct payers
1,404,662 rate rows
2026-03-16 last MRF observed
Data quality

1,347,442 of 1,404,662 rate rows are consumer-grade (95.9%)

57,220 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 56,495
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 376
percent-of-charges filed in the dollar field — excluded from medians 206
per-diem day rate — not a per-procedure price 54
exceeds 10× this hospital's gross charge — excluded from medians 46
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 40
exceeds 3× this hospital's gross charge for a DRG stay — excluded 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.lmhealth.org/LMHealth.org/media/314379519_licking-memorial-hospital_standardcharges.zip
Found on page https://www.lmhealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-21
Content fingerprint 720c78549b4c9001… · 37,940,194 bytes · first seen 2026-05-14

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
5884
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $258,480.84 $263,499.89 $258,480.84 nat. median
$247,214
1.0× median
5833
APR_DRG 		Neonate With Ecmo 7 $250,049.13 $254,904.45 $250,049.13 nat. median
$244,017
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $250,049.13 $254,904.45 $250,049.13 nat. median
$307,206
0.8× median
5832
APR_DRG 		Neonate With Ecmo 7 $237,858.65 $242,477.26 $237,858.65 nat. median
$159,249
1.5× median
5831
APR_DRG 		Neonate With Ecmo 7 $237,858.65 $242,477.26 $237,858.65 nat. median
$146,500
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $210,467.79 $214,554.54 $210,467.79 nat. median
$202,993
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $185,130.07 $188,724.83 $185,130.07 nat. median
$241,437
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $165,862.23 $169,082.86 $165,862.23 nat. median
$165,000
1.0× median
1611
APR_DRG 		Implantable Heart Assist Systems 7 $162,936.24 $166,100.05 $162,936.24 nat. median
$76,852
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems 7 $162,936.24 $166,100.05 $162,936.24 nat. median
$120,517
1.4× median
1612
APR_DRG 		Implantable Heart Assist Systems 7 $162,936.24 $166,100.05 $162,936.24 nat. median
$84,880
1.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 $160,974.52 $164,100.24 $160,974.52 nat. median
$154,011
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $158,283.33 $161,356.80 $158,283.33 nat. median
$170,082
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $149,213.02 $189,851.80 $149,213.02 nat. median
$190,559
0.8× median
8412
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$32,402
outlier · 4.5×
8411
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$31,109
outlier · 4.7×
8414
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$155,939
0.9× median
8413
APR_DRG 		Extensive 3rd Degree Burns With Skin Graft 7 $147,350.78 $150,211.96 $147,350.78 nat. median
$61,012
outlier · 2.4×
6314
APR_DRG 		Neonate Birth Weight > 2499g With Other Major Procedure 7 $142,114.93 $144,874.45 $142,114.93 nat. median
$133,164
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $130,680.84 $133,218.33 $130,680.84 nat. median
$175,204
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $124,314.79 $126,728.67 $124,314.79 nat. median
$145,061
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500g With Major Procedure 7 $124,314.79 $126,728.67 $124,314.79 nat. median
$120,208
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 7 $120,482.13 $122,821.59 $120,482.13 nat. median
$151,838
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749g Without Major Procedure 7 $111,864.45 $114,036.58 $111,864.45 nat. median
$162,342
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $97,744.64 $115,479.78 $97,744.64 nat. median
$126,695
0.8× median
EAPG3060
EAPG 		Ventricular Assist Device Procedures 7 $91,777.84 $93,559.93 $91,777.84 nat. median
$91,778
1.0× median
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 7 $91,435.11 $93,210.55 $91,435.11 nat. median
$98,624
0.9× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 $82,532.54 $84,135.11 $82,532.54 nat. median
$118,620
0.7× median
22
APR_DRG 		Heart And/or Lung Transplant 7 $82,181.27 $83,777.02 $82,181.27 nat. median
$92,229
0.9× median
23
APR_DRG 		Heart And/or Lung Transplant 7 $82,181.27 $83,777.02 $82,181.27 nat. median
$110,944
0.7× median
21
APR_DRG 		Heart And/or Lung Transplant 7 $82,181.27 $83,777.02 $82,181.27 nat. median
$73,922
1.1× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $82,049.78 $83,642.97 $82,049.78 nat. median
$163,587
0.5× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 $81,625.87 $83,210.84 $81,625.87 nat. median
$96,883
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $77,363.05 $78,865.25 $77,363.05 nat. median
$89,273
0.9× median
C1604
HCPCS 		Endocross 8f 58 $51,592.75 $93,805.00 $76,732.49 nat. median
$28,000
outlier · 2.7×
5933
APR_DRG 		Neonate Birth Weight 750-999g Without Major Procedure 7 $75,470.21 $76,935.65 $75,470.21 nat. median
$108,695
0.7× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 $74,531.61 $75,978.83 $74,531.61 nat. median
$122,016
0.6× median
J3357
HCPCS 		Ustekinumab 90 Mg/ml Subcutaneous Syringe 52 $43,643.68 $85,451.13 $71,416.94 nat. median
$14,744
outlier · 4.8×
6303
APR_DRG 		Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 $71,226.18 $72,609.21 $71,226.18 nat. median
$75,456
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 19 $68,987.64 $70,562.13 $70,562.13 nat. median
$93,901
0.8× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 $70,231.23 $71,594.94 $70,231.23 nat. median
$66,667
1.1× median
6334
APR_DRG 		Neonate Birth Weight > 2499g With Major Anomaly 7 $69,451.04 $70,799.61 $69,451.04 nat. median
$58,630
1.2× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 $68,108.58 $69,431.08 $68,108.58 nat. median
$82,615
0.8× median
8514
APR_DRG 		Gender Related Procedures 7 $67,973.96 $69,293.84 $67,973.96 nat. median
$69,605
1.0× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $67,540.67 $68,852.14 $67,540.67 nat. median
$69,685
1.0× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 $66,765.49 $68,061.91 $66,765.49 nat. median
$88,008
0.8× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 7 $65,441.19 $66,711.89 $65,441.19 nat. median
$136,566
outlier · 0.5×
6092
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $64,255.27 $65,502.94 $64,255.27 nat. median
$35,997
1.8× median
6091
APR_DRG 		Neonate Birth Weight 1500-2499g With Major Procedure 7 $64,255.27 $65,502.94 $64,255.27 nat. median
$33,638
1.9× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999g With Major Anomaly 7 $64,036.74 $65,280.17 $64,036.74 nat. median
$74,798
0.9× median

Other procedures at this hospital

Browse this hospital's 9,167 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
             
5884 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $258,480.84 $263,499.89 $258,480.84 2026-03-16
5834 APR_DRG Neonate With Ecmo 7 7 — — $250,049.13 $254,904.45 $250,049.13 2026-03-16
5833 APR_DRG Neonate With Ecmo 7 7 — — $250,049.13 $254,904.45 $250,049.13 2026-03-16
5831 APR_DRG Neonate With Ecmo 7 7 — — $237,858.65 $242,477.26 $237,858.65 2026-03-16
5832 APR_DRG Neonate With Ecmo 7 7 — — $237,858.65 $242,477.26 $237,858.65 2026-03-16
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $210,467.79 $214,554.54 $210,467.79 2026-03-16
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $185,130.07 $188,724.83 $185,130.07 2026-03-16
6094 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $165,862.23 $169,082.86 $165,862.23 2026-03-16
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $162,936.24 $166,100.05 $162,936.24 2026-03-16
6304 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $160,974.52 $164,100.24 $160,974.52 2026-03-16
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $158,283.33 $161,356.80 $158,283.33 2026-03-16
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 43 19 $136,553.59 $136,553.59 $149,213.02 $189,851.80 $149,213.02 2026-03-16
8411 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
8412 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
8413 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
8414 APR_DRG Extensive 3rd Degree Burns With Skin Graft 7 7 — — $147,350.78 $150,211.96 $147,350.78 2026-03-16
6314 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $142,114.93 $144,874.45 $142,114.93 2026-03-16
5883 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $130,680.84 $133,218.33 $130,680.84 2026-03-16
5881 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $124,314.79 $126,728.67 $124,314.79 2026-03-16
5882 APR_DRG Neonate Birth Weight < 1500g With Major Procedure 7 7 — — $124,314.79 $126,728.67 $124,314.79 2026-03-16
5934 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $120,482.13 $122,821.59 $120,482.13 2026-03-16
5914 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $111,864.45 $114,036.58 $111,864.45 2026-03-16
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 43 19 $49,091.64 $49,091.64 $97,744.64 $115,479.78 $97,744.64 2026-03-16
EAPG3060 EAPG Ventricular Assist Device Procedures 7 7 — — $91,777.84 $93,559.93 $91,777.84 2026-03-16
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $91,435.11 $93,210.55 $91,435.11 2026-03-16
6024 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $82,532.54 $84,135.11 $82,532.54 2026-03-16
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $82,181.27 $83,777.02 $82,181.27 2026-03-16
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $82,049.78 $83,642.97 $82,049.78 2026-03-16
6074 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $81,625.87 $83,210.84 $81,625.87 2026-03-16
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $77,363.05 $78,865.25 $77,363.05 2026-03-16
C1604 HCPCS Endocross 8f 150 58 $93,805.00 $93,805.00 $51,592.75 $93,805.00 $76,732.49 2026-03-16
5933 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $75,470.21 $76,935.65 $75,470.21 2026-03-16
44 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $74,531.61 $75,978.83 $74,531.61 2026-03-16
J3357 HCPCS Ustekinumab 90 Mg/ml Subcutaneous Syringe 276 52 $79,527.15 $79,527.15 $43,643.68 $85,451.13 $71,416.94 2026-03-16
6303 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $71,226.18 $72,609.21 $71,226.18 2026-03-16
215 MS_DRG Other Heart Assist System Implant 43 19 $170,037.01 $170,037.01 $68,987.64 $70,562.13 $70,562.13 2026-03-16
8504 APR_DRG Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 7 — — $70,231.23 $71,594.94 $70,231.23 2026-03-16
6334 APR_DRG Neonate Birth Weight > 2499g With Major Anomaly 7 7 — — $69,451.04 $70,799.61 $69,451.04 2026-03-16
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $68,108.58 $69,431.08 $68,108.58 2026-03-16
8514 APR_DRG Gender Related Procedures 7 7 — — $67,973.96 $69,293.84 $67,973.96 2026-03-16
6093 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $67,540.67 $68,852.14 $67,540.67 2026-03-16
6023 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $66,765.49 $68,061.91 $66,765.49 2026-03-16
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $65,441.19 $66,711.89 $65,441.19 2026-03-16
6091 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $64,255.27 $65,502.94 $64,255.27 2026-03-16
6092 APR_DRG Neonate Birth Weight 1500-2499g With Major Procedure 7 7 — — $64,255.27 $65,502.94 $64,255.27 2026-03-16
6114 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $64,036.74 $65,280.17 $64,036.74 2026-03-16
6214 APR_DRG Neonate Birth Weight 2000-2499g With Major Anomaly 7 7 — — $62,884.00 $64,105.05 $62,884.00 2026-03-16
84 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $62,127.61 $63,333.98 $62,127.61 2026-03-16
5913 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $62,064.37 $63,269.51 $62,064.37 2026-03-16
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,973.58 $63,176.95 $61,973.58 2026-03-16
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,973.58 $63,176.95 $61,973.58 2026-03-16
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 7 — — $61,651.74 $62,848.86 $61,651.74 2026-03-16
6124 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $59,875.36 $61,037.99 $59,875.36 2026-03-16
C1767 HCPCS Interstim Stimulator 3058 856 39 $71,194.24 $71,194.24 $13,940.85 $94,775.21 $59,662.46 2026-03-16
6073 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $57,425.87 $58,540.93 $57,425.87 2026-03-16
5894 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $56,641.93 $57,741.77 $56,641.93 2026-03-16
5893 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $56,641.93 $57,741.77 $56,641.93 2026-03-16
1834 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $56,637.55 $57,737.30 $56,637.55 2026-03-16
43 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $56,528.60 $57,626.24 $56,528.60 2026-03-16
8634 APR_DRG Neonatal Aftercare 7 7 — — $56,446.57 $57,542.62 $56,446.57 2026-03-16
1784 APR_DRG External Heart Assist Devices 7 7 — — $56,427.79 $57,523.47 $56,427.79 2026-03-16
6904 APR_DRG Acute Leukemia 7 7 — — $56,208.01 $57,299.43 $56,208.01 2026-03-16
6313 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $54,070.96 $55,120.88 $54,070.96 2026-03-16
5892 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $53,889.38 $54,935.78 $53,889.38 2026-03-16
5891 APR_DRG Neonate Birth Weight < 500g, Or Birth Weight 500-999g And Gestational Age <24 Wk… 7 7 — — $53,889.38 $54,935.78 $53,889.38 2026-03-16
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $52,680.91 $53,703.84 $52,680.91 2026-03-16
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $51,138.71 $52,131.70 $51,138.71 2026-03-16
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 40 18 $143,753.02 $143,753.02 $50,832.73 $50,832.73 $50,832.73 2026-03-16
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $49,511.35 $50,472.74 $49,511.35 2026-03-16
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 43 19 $143,372.82 $143,372.82 $49,306.95 $57,863.20 $49,306.95 2026-03-16
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $49,230.21 $50,186.14 $49,230.21 2026-03-16
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 43 19 $160,371.63 $160,371.63 $15,698.38 $49,070.32 $49,070.32 2026-03-16
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $49,043.62 $49,995.92 $49,043.62 2026-03-16
6022 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $48,907.74 $49,857.41 $48,907.74 2026-03-16
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 7 — — $48,828.85 $49,776.98 $48,828.85 2026-03-16
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $48,280.34 $49,217.83 $48,280.34 2026-03-16
6034 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $48,130.69 $49,065.27 $48,130.69 2026-03-16
6033 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $48,130.69 $49,065.27 $48,130.69 2026-03-16
5931 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $47,825.13 $48,753.78 $47,825.13 2026-03-16
5932 APR_DRG Neonate Birth Weight 750-999g Without Major Procedure 7 7 — — $47,825.13 $48,753.78 $47,825.13 2026-03-16
SUP-042362 CDM Impella Cp Pump Set 0048-0003 107 39 $56,000.00 $56,000.00 $30,800.00 $56,000.00 $47,600.00 2026-03-16
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $46,959.17 $47,871.00 $46,959.17 2026-03-16
5912 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $46,875.89 $47,786.10 $46,875.89 2026-03-16
5911 APR_DRG Neonate Birth Weight 500-749g Without Major Procedure 7 7 — — $46,875.89 $47,786.10 $46,875.89 2026-03-16
6301 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $46,745.65 $47,653.34 $46,745.65 2026-03-16
6302 APR_DRG Neonate Birth Weight > 2499g With Major Cardiovascular Procedure 7 7 — — $46,745.65 $47,653.34 $46,745.65 2026-03-16
83 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $46,721.23 $47,628.44 $46,721.23 2026-03-16
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $46,279.80 $47,178.44 $46,279.80 2026-03-16
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 19 $74,737.36 $74,737.36 $45,976.82 $56,396.30 $45,976.82 2026-03-16
C1822 HCPCS Ipg Kit Nipg3000 428 39 $56,033.77 $56,033.77 $21,641.51 $65,909.44 $45,558.55 2026-03-16
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $45,457.04 $46,339.70 $45,457.04 2026-03-16
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $44,181.58 $45,039.47 $44,181.58 2026-03-16
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 40 18 $89,819.13 $89,819.13 $42,988.75 $42,988.75 $42,988.75 2026-03-16
8633 APR_DRG Neonatal Aftercare 7 7 — — $42,699.48 $43,528.60 $42,699.48 2026-03-16
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 19 $35,956.39 $35,956.39 $5,427.15 $42,548.29 $42,548.29 2026-03-16
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $42,531.05 $43,356.90 $42,531.05 2026-03-16
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 43 19 $59,951.40 $59,951.40 $41,998.99 $42,390.06 $41,998.99 2026-03-16
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $41,737.72 $42,548.16 $41,737.72 2026-03-16
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 19 $39,764.30 $39,764.30 $40,845.19 $44,925.43 $40,845.19 2026-03-16
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $40,725.24 $41,516.02 $40,725.24 2026-03-16
6083 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $40,532.38 $41,319.42 $40,532.38 2026-03-16
6084 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $40,532.38 $41,319.42 $40,532.38 2026-03-16
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $40,438.46 $41,223.67 $40,438.46 2026-03-16
6344 APR_DRG Neonate Birth Weight > 2499g With Respiratory Distress Syndrome Or Other Major R… 7 7 — — $40,412.79 $41,197.50 $40,412.79 2026-03-16
6072 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $40,196.14 $40,976.65 $40,196.14 2026-03-16
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $40,192.39 $40,972.82 $40,192.39 2026-03-16
6224 APR_DRG Neonate Birth Weight 2000-2499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $39,936.29 $40,711.75 $39,936.29 2026-03-16
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 18 $192,503.29 $192,503.29 $39,914.78 $39,914.78 $39,914.78 2026-03-16
1833 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $39,898.10 $40,672.82 $39,898.10 2026-03-16
834 MS_DRG Acute Leukemia With McC 43 19 $44,193.55 $44,193.55 $39,382.22 $60,841.22 $39,382.22 2026-03-16
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 43 19 $133,815.11 $133,815.11 $35,453.23 $39,132.33 $39,132.33 2026-03-16
1794 APR_DRG Defibrillator Implants 7 7 — — $38,823.63 $39,577.48 $38,823.63 2026-03-16
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $38,570.66 $39,319.61 $38,570.66 2026-03-16
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $38,501.78 $39,249.39 $38,501.78 2026-03-16
1204 APR_DRG Major Respiratory And Chest Procedures 7 7 — — $38,284.51 $39,027.90 $38,284.51 2026-03-16
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 7 7 — — $38,186.83 $38,928.32 $38,186.83 2026-03-16
6604 APR_DRG Major Hematologic/immunologic Diagnoses Except Sickle Cell Crisis And Coagulatio… 7 7 — — $38,173.68 $38,914.92 $38,173.68 2026-03-16
270 MS_DRG Other Major Cardiovascular Procedures With McC 40 18 $130,864.16 $130,864.16 $20,078.99 $37,891.32 $37,891.32 2026-03-16
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $37,613.91 $38,344.27 $37,613.91 2026-03-16
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 43 19 $94,319.86 $94,319.86 $37,396.44 $42,839.11 $37,396.44 2026-03-16
6123 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $37,380.98 $38,106.82 $37,380.98 2026-03-16
653 MS_DRG Major Bladder Procedures With McC 43 19 $81,919.19 $81,919.19 $37,333.63 $38,464.04 $37,333.63 2026-03-16
37277 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Complex L… 150 58 $45,596.70 $45,596.70 $17,322.03 $45,596.70 $37,298.10 2026-03-16
37275 CPT Stent Placement In Artery In Thigh/behind Knee With Removal Of Plaque, Straightf… 150 58 $45,596.70 $45,596.70 $17,322.03 $45,596.70 $37,298.10 2026-03-16
C9765 HCPCS Hc Revascularize Any Vessel - Intravascular Lithotripsy And Stent 150 58 $45,596.70 $45,596.70 $17,322.03 $45,596.70 $37,298.10 2026-03-16
C1816 HCPCS Neurostimulator Kt Fr8a-rcv-ao 107 39 $43,452.00 $43,452.00 $23,898.60 $43,452.00 $36,934.20 2026-03-16
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $36,879.43 $37,595.54 $36,879.43 2026-03-16
C1820 HCPCS Wavewriter 16 Ipg Kit Sc-1216 1,284 39 $42,848.50 $42,848.50 $17,260.10 $80,297.08 $36,531.06 2026-03-16
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $35,915.17 $36,612.55 $35,915.17 2026-03-16
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 43 19 $83,523.42 $83,523.42 $31,409.60 $35,874.81 $35,874.81 2026-03-16
1832 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $35,846.29 $36,542.33 $35,846.29 2026-03-16
6903 APR_DRG Acute Leukemia 7 7 — — $35,694.14 $36,387.23 $35,694.14 2026-03-16
228 MS_DRG Other Cardiothoracic Procedures With McC 43 19 $152,243.74 $152,243.74 $35,595.62 $67,859.31 $35,595.62 2026-03-16
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 43 19 $113,233.90 $113,233.90 $33,619.23 $35,534.19 $35,534.19 2026-03-16
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 43 19 $112,439.19 $112,439.19 $29,194.97 $35,416.25 $35,416.25 2026-03-16
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $35,260.21 $35,944.88 $35,260.21 2026-03-16
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $35,057.97 $35,738.71 $35,057.97 2026-03-16
1654 APR_DRG Coronary Bypass With Ami Or Complex Pdx 7 7 — — $34,997.23 $35,676.79 $34,997.23 2026-03-16
1831 APR_DRG Percutaneous Structural Cardiac Procedures 7 7 — — $34,845.08 $35,521.68 $34,845.08 2026-03-16
6113 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $34,712.96 $35,387.00 $34,712.96 2026-03-16
C1813 HCPCS Ams 700 Cx Ms Pump 72404238 856 39 $41,254.50 $41,254.50 $6,748.62 $56,170.43 $34,578.35 2026-03-16
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Multiple Significant Trauma 7 7 — — $34,565.19 $35,236.36 $34,565.19 2026-03-16
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $34,331.01 $34,997.63 $34,331.01 2026-03-16
C1772 HCPCS Programmable Pump 13827 321 39 $40,148.54 $40,148.54 $19,605.25 $43,503.01 $34,126.26 2026-03-16
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 43 19 $115,690.40 $115,690.40 $33,811.57 $36,170.29 $33,811.57 2026-03-16
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 2026-03-16
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 2026-03-16
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $33,774.99 $34,430.82 $33,774.99 2026-03-16
234 APR_DRG Spinal Procedures 7 7 — — $33,630.35 $34,283.37 $33,630.35 2026-03-16
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $33,603.43 $34,255.92 $33,603.43 2026-03-16
1782 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
1781 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
1783 APR_DRG External Heart Assist Devices 7 7 — — $33,562.73 $34,214.43 $33,562.73 2026-03-16
C9364 HCPCS Permacol Porcine Imp 10x10 642 39 $41,092.91 $41,092.91 $2,841.45 $72,258.03 $33,449.26 2026-03-16
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $33,305.38 $33,952.09 $33,305.38 2026-03-16
277 MS_DRG Cardiac Defibrillator Implant Without McC 40 18 $132,228.69 $132,228.69 $33,299.94 $33,299.94 $33,299.94 2026-03-16
329 MS_DRG Major Small And Large Bowel Procedures With McC 43 19 $183,466.51 $183,466.51 $27,750.16 $33,146.38 $33,146.38 2026-03-16
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 7 7 — — $33,114.40 $33,757.40 $33,114.40 2026-03-16
6213 APR_DRG Neonate Birth Weight 2000-2499g With Major Anomaly 7 7 — — $33,083.72 $33,726.13 $33,083.72 2026-03-16
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 43 19 $154,136.07 $154,136.07 $33,064.71 $49,342.57 $33,064.71 2026-03-16
245 MS_DRG Aicd Generator Procedures 43 19 $109,016.44 $109,016.44 $32,908.36 $42,865.48 $32,908.36 2026-03-16
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 43 19 $113,181.60 $113,181.60 $27,390.21 $32,812.73 $32,812.73 2026-03-16
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $32,608.48 $33,241.65 $32,608.48 2026-03-16
C1882 HCPCS Defibrillator Momentum G124 1,605 39 $39,348.20 $39,348.20 $9,980.42 $69,793.62 $32,569.91 2026-03-16
204 APR_DRG Open Craniotomy For Trauma 7 7 — — $32,518.94 $33,150.37 $32,518.94 2026-03-16
8423 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 7 7 — — $32,500.78 $33,131.86 $32,500.78 2026-03-16
163 MS_DRG Major Chest Procedures With McC 43 19 $62,858.41 $62,858.41 $32,345.79 $33,253.58 $32,345.79 2026-03-16
894 APR_DRG Major Cranial/facial Bone Procedures 7 7 — — $32,291.65 $32,918.67 $32,291.65 2026-03-16
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 7 7 — — $32,269.10 $32,895.69 $32,269.10 2026-03-16
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 7 7 — — $32,143.25 $32,767.39 $32,143.25 2026-03-16
304 APR_DRG Percutaneous Intra And Extracranial Vascular Procedures 7 7 — — $31,853.34 $32,471.85 $31,853.34 2026-03-16
274 APR_DRG Other Open Craniotomy 7 7 — — $31,817.65 $32,435.47 $31,817.65 2026-03-16
1694 APR_DRG Major Abdominal Vascular Procedures 7 7 — — $31,764.43 $32,381.21 $31,764.43 2026-03-16
356 MS_DRG Other Digestive System O.r. Procedures With McC 43 19 $56,816.74 $56,816.74 $23,440.66 $31,724.56 $31,724.56 2026-03-16
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 40 18 $153,252.94 $153,252.94 $31,268.09 $31,268.09 $31,268.09 2026-03-16
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $31,203.40 $31,809.29 $31,203.40 2026-03-16
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 43 19 $139,395.48 $139,395.48 $31,027.27 $32,249.98 $31,027.27 2026-03-16
294 APR_DRG Other Percutaneous Intracranial Procedures 7 7 — — $30,967.34 $31,568.65 $30,967.34 2026-03-16
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $30,957.95 $31,559.08 $30,957.95 2026-03-16
1814 APR_DRG Lower Vascular Procedures 7 7 — — $30,822.70 $31,421.20 $30,822.70 2026-03-16
33274 CPT Hc Tcat Insj/Rpl Perm Leadless Pacemaker Rv W/Img 150 58 $37,648.65 $37,648.65 $18,200.86 $37,648.65 $30,796.60 2026-03-16
6122 APR_DRG Neonate Birth Weight 1500-1999g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $30,686.83 $31,282.69 $30,686.83 2026-03-16
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $30,611.69 $31,206.09 $30,611.69 2026-03-16
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 43 19 $163,976.51 $163,976.51 $30,540.78 $34,141.00 $30,540.78 2026-03-16
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 19 $68,939.90 $68,939.90 $30,490.53 $33,593.58 $30,490.53 2026-03-16
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $30,404.43 $30,994.81 $30,404.43 2026-03-16
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 43 19 $65,405.89 $65,405.89 $24,995.24 $30,390.01 $30,390.01 2026-03-16
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 7 7 — — $30,331.18 $30,920.13 $30,331.18 2026-03-16
1824 APR_DRG Other Upper Vascular Procedures 7 7 — — $30,268.56 $30,856.30 $30,268.56 2026-03-16
6144 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 7 7 — — $30,243.51 $30,830.77 $30,243.51 2026-03-16
6143 APR_DRG Neonate Birth Weight 1500-1999g With Or Without Other Significant Condition 7 7 — — $30,243.51 $30,830.77 $30,243.51 2026-03-16
793 MS_DRG Full Term Neonate With Major Problems 43 19 $10,527.96 $10,527.96 $30,166.66 $31,483.02 $30,166.66 2026-03-16
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $30,028.12 $30,611.19 $30,028.12 2026-03-16
6071 APR_DRG Neonate Birth Weight 1250-1499g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $29,930.44 $30,511.61 $29,930.44 2026-03-16
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 43 19 $107,513.76 $107,513.76 $29,858.85 $33,923.59 $29,858.85 2026-03-16
41 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $29,620.50 $30,195.65 $29,620.50 2026-03-16
42 APR_DRG Tracheostomy W Mv 96+ Hours With Extensive Procedure 7 7 — — $29,620.50 $30,195.65 $29,620.50 2026-03-16
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $29,606.10 $30,180.97 $29,606.10 2026-03-16
791 MS_DRG Prematurity With Major Problems 43 19 $22,739.32 $22,739.32 $2,047.83 $29,394.68 $29,394.68 2026-03-16
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $29,381.93 $29,952.46 $29,381.93 2026-03-16
EAPG97 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 7 7 — — $29,381.31 $29,951.82 $29,381.31 2026-03-16
2294 APR_DRG Other Digestive System And Abdominal Procedures 7 7 — — $29,363.78 $29,933.95 $29,363.78 2026-03-16
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 7 7 — — $29,318.07 $29,887.35 $29,318.07 2026-03-16
4284 APR_DRG Genetic Disorders 7 7 — — $29,284.26 $29,852.88 $29,284.26 2026-03-16
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 7 7 — — $29,147.13 $29,713.09 $29,147.13 2026-03-16
93653 CPT Evaluation And Insertion Of Catheters For Creation Of Complete Heart Block 193 58 $36,377.25 $36,377.25 $20,007.49 $40,323.79 $29,101.80 2026-03-16
93656 CPT Evaluation And Insertion Of Catheters For Recording, Pacing, And Treatment Of Ab… 193 58 $36,377.25 $36,377.25 $20,007.49 $40,323.79 $29,101.80 2026-03-16
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 7 7 — — $29,030.67 $29,594.37 $29,030.67 2026-03-16
7104 APR_DRG Infections And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $29,028.16 $29,591.81 $29,028.16 2026-03-16
92930 CPT Insertion Of 2 Stents For 2 Or More Lesions In 2 Or More Coronary Segments In Th… 150 58 $35,351.50 $35,351.50 $10,908.40 $35,351.50 $28,917.53 2026-03-16
1324 APR_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 7 7 — — $28,787.09 $29,346.07 $28,787.09 2026-03-16
6021 APR_DRG Neonate Birth Weight 1000-1249g With Respiratory Distress Syndrome Or Other Majo… 7 7 — — $28,731.37 $29,289.26 $28,731.37 2026-03-16
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $28,654.35 $29,210.75 $28,654.35 2026-03-16
1793 APR_DRG Defibrillator Implants 7 7 — — $28,598.62 $29,153.94 $28,598.62 2026-03-16
6032 APR_DRG Neonate Birth Weight 1000-1249g With Or Without Significant Condition 7 7 — — $28,592.36 $29,147.55 $28,592.36 2026-03-16
82 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $28,458.99 $29,011.59 $28,458.99 2026-03-16
81 APR_DRG Autologous Bone Marrow Transplant 7 7 — — $28,458.99 $29,011.59 $28,458.99 2026-03-16
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $28,322.49 $28,872.44 $28,322.49 2026-03-16
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $28,314.35 $28,864.14 $28,314.35 2026-03-16
34 MS_DRG Carotid Artery Stent Procedures With McC 43 19 $104,416.63 $104,416.63 $28,080.36 $31,474.46 $28,080.36 2026-03-16
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 18 $61,805.34 $61,805.34 $19,168.94 $28,039.89 $28,039.89 2026-03-16
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With McC 43 19 $143,548.72 $143,548.72 $28,014.05 $38,972.96 $28,014.05 2026-03-16
1214 APR_DRG Other Respiratory And Chest Procedures 7 7 — — $27,948.05 $28,490.74 $27,948.05 2026-03-16
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $27,867.28 $28,408.39 $27,867.28 2026-03-16
907 MS_DRG Other O.r. Procedures For Injuries With McC 43 19 $102,422.43 $102,422.43 $24,029.42 $27,861.20 $27,861.20 2026-03-16
6312 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $27,817.82 $28,357.97 $27,817.82 2026-03-16
6311 APR_DRG Neonate Birth Weight > 2499g With Other Major Procedure 7 7 — — $27,817.82 $28,357.97 $27,817.82 2026-03-16
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 7 7 — — $27,795.27 $28,334.99 $27,795.27 2026-03-16
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $27,778.99 $28,318.39 $27,778.99 2026-03-16
8503 APR_DRG Procedure With Diagnosis Of Rehab, Aftercare Or Other Contact With Health Servic… 7 7 — — $27,726.40 $28,264.78 $27,726.40 2026-03-16
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 43 19 $120,287.50 $120,287.50 $27,328.64 $56,934.44 $27,328.64 2026-03-16
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 7 7 — — $27,286.22 $27,816.05 $27,286.22 2026-03-16
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Pdx 7 7 — — $27,285.59 $27,815.41 $27,285.59 2026-03-16
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $27,267.43 $27,796.90 $27,267.43 2026-03-16
166 MS_DRG Other Respiratory System O.r. Procedures With McC 43 19 $43,001.81 $43,001.81 $22,783.47 $27,152.03 $27,152.03 2026-03-16
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With McC 43 19 $116,155.44 $116,155.44 $25,378.73 $27,075.95 $27,075.95 2026-03-16
4414 APR_DRG Major Bladder Procedures 7 7 — — $26,882.35 $27,404.34 $26,882.35 2026-03-16
37238 CPT Hc Open/Perq Placement Intravascular Stent Same 1st 300 58 $47,168.48 $47,168.48 $10,908.40 $62,891.30 $26,728.80 2026-03-16
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With McC 43 19 $117,848.68 $117,848.68 $26,690.66 $26,949.71 $26,690.66 2026-03-16
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 19 $71,219.82 $71,219.82 $19,530.32 $26,370.29 $26,370.29 2026-03-16
6082 APR_DRG Neonate Birth Weight 1250-1499g With Or Without Significant Condition 7 7 — — $26,334.47 $26,845.82 $26,334.47 2026-03-16
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With McC 43 19 $155,901.64 $155,901.64 $20,102.68 $26,273.27 $26,273.27 2026-03-16
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 18 $100,612.37 $100,612.37 $26,235.58 $26,235.58 $26,235.58 2026-03-16
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $26,008.87 $26,513.90 $26,008.87 2026-03-16
2244 APR_DRG Peritoneal Adhesiolysis 7 7 — — $25,995.10 $26,499.86 $25,995.10 2026-03-16
335 MS_DRG Peritoneal Adhesiolysis With McC 43 19 $93,289.59 $93,289.59 $19,964.40 $25,987.79 $25,987.79 2026-03-16
37269 CPT Stent Placement In Artery In Thigh/behind Knee, Complex Lesion In Initial Vessel 150 58 $31,760.40 $31,760.40 $10,908.40 $31,760.40 $25,980.01 2026-03-16
37267 CPT Stent Placement In Artery In Thigh/behind Knee, Straightforward Lesion In Initia… 150 58 $31,760.40 $31,760.40 $10,908.40 $31,760.40 $25,980.01 2026-03-16
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 19 $46,326.25 $46,326.25 $25,906.12 $32,005.49 $25,906.12 2026-03-16
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 18 $97,159.05 $97,159.05 $14,955.49 $25,885.88 $25,885.88 2026-03-16
EAPG224 EAPG Level Ii Neurostimulator And Related Device Implantation 7 7 — — $25,804.57 $26,305.62 $25,804.57 2026-03-16
37236 CPT Hc Open/Perq Placement Intravascular Stent Initial 150 58 $31,445.65 $31,445.65 $10,908.40 $31,445.65 $25,722.54 2026-03-16
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 19 $39,919.72 $39,919.72 $24,164.85 $25,678.58 $25,678.58 2026-03-16
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $25,670.75 $26,169.21 $25,670.75 2026-03-16
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With McC 43 19 $68,768.86 $68,768.86 $25,628.31 $29,798.70 $25,628.31 2026-03-16
6112 APR_DRG Neonate Birth Weight 1500-1999g With Major Anomaly 7 7 — — $25,589.98 $26,086.87 $25,589.98 2026-03-16
8624 APR_DRG Other Aftercare And Convalescence 7 7 — — $25,502.32 $25,997.51 $25,502.32 2026-03-16
6333 APR_DRG Neonate Birth Weight > 2499g With Major Anomaly 7 7 — — $25,431.56 $25,925.38 $25,431.56 2026-03-16
6964 APR_DRG Other Chemotherapy 7 7 — — $25,428.43 $25,922.19 $25,428.43 2026-03-16
252 MS_DRG Other Vascular Procedures With McC 43 19 $38,343.80 $38,343.80 $25,411.25 $26,877.72 $25,411.25 2026-03-16
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 19 $80,786.28 $80,786.28 $25,404.97 $31,380.37 $25,404.97 2026-03-16
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 19 $119,713.96 $119,713.96 $25,293.30 $25,685.94 $25,293.30 2026-03-16
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With McC 43 19 $103,444.03 $103,444.03 $21,782.01 $25,176.03 $25,176.03 2026-03-16
1653 APR_DRG Coronary Bypass With Ami Or Complex Pdx 7 7 — — $25,137.27 $25,625.38 $25,137.27 2026-03-16
EAPG246 EAPG Class IV Therapeutic Radiopharmaceuticals 7 7 — — $25,133.39 $25,621.42 $25,133.39 2026-03-16
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With McC 40 18 $95,801.10 $95,801.10 $25,064.35 $25,064.35 $25,064.35 2026-03-16
1792 APR_DRG Defibrillator Implants 7 7 — — $25,039.60 $25,525.80 $25,039.60 2026-03-16
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 43 19 $157,800.08 $157,800.08 $24,993.16 $27,542.03 $24,993.16 2026-03-16
734 APR_DRG Orbit And Eye Procedures 7 7 — — $24,987.00 $25,472.18 $24,987.00 2026-03-16
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 7 7 — — $24,965.08 $25,449.84 $24,965.08 2026-03-16
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $24,933.15 $25,417.29 $24,933.15 2026-03-16
37271 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Straightfor… 150 58 $30,356.15 $30,356.15 $16,695.88 $30,356.15 $24,831.33 2026-03-16
37273 CPT Removal Of Plaque With Balloon Dilation Artery In Thigh/behind Knee, Complex Les… 150 58 $30,356.15 $30,356.15 $16,695.88 $30,356.15 $24,831.33 2026-03-16
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $24,657.02 $25,135.80 $24,657.02 2026-03-16
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $24,553.08 $25,029.84 $24,553.08 2026-03-16
9103 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $24,456.03 $24,930.90 $24,456.03 2026-03-16
264 MS_DRG Other Circulatory System O.r. Procedures 43 19 $86,470.92 $86,470.92 $19,466.17 $24,380.33 $24,380.33 2026-03-16
213 APR_DRG Open Craniotomy Except Trauma 7 7 — — $24,369.62 $24,842.81 $24,369.62 2026-03-16
EAPG466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 7 7 — — $24,331.60 $24,804.06 $24,331.60 2026-03-16
4403 APR_DRG Kidney Transplant 7 7 — — $24,150.47 $24,619.41 $24,150.47 2026-03-16
4404 APR_DRG Kidney Transplant 7 7 — — $24,150.47 $24,619.41 $24,150.47 2026-03-16
0238T CPT Catheter Removal Of Plaque From Groin Artery, Accessed Through The Skin Or Open … 150 58 $29,484.05 $29,484.05 $16,216.23 $29,484.05 $24,117.95 2026-03-16
2234 APR_DRG Other Small And Large Bowel Procedures 7 7 — — $24,049.03 $24,516.00 $24,049.03 2026-03-16
37 MS_DRG Extracranial Procedures With McC 43 19 $56,317.40 $56,317.40 $24,041.79 $33,321.29 $24,041.79 2026-03-16
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 7 7 — — $24,017.10 $24,483.45 $24,017.10 2026-03-16
4854 APR_DRG Prostatectomy Procedures 7 7 — — $23,974.52 $24,440.04 $23,974.52 2026-03-16
1791 APR_DRG Defibrillator Implants 7 7 — — $23,948.85 $24,413.87 $23,948.85 2026-03-16
8632 APR_DRG Neonatal Aftercare 7 7 — — $23,893.12 $24,357.06 $23,893.12 2026-03-16
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With McC 43 19 $33,265.72 $33,265.72 $23,767.49 $28,224.17 $23,767.49 2026-03-16
2614 APR_DRG Major Biliary Tract Procedures 7 7 — — $23,707.15 $24,167.49 $23,707.15 2026-03-16
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With McC 43 19 $204,237.34 $204,237.34 $20,144.03 $23,667.68 $23,667.68 2026-03-16
840 MS_DRG Lymphoma And Non-acute Leukemia With McC 43 19 $94,275.56 $94,275.56 $21,070.65 $23,642.54 $23,642.54 2026-03-16
C1721 HCPCS Momentum Defibrillator D121 1,605 39 $28,098.96 $28,098.96 $9,957.75 $57,146.62 $23,596.85 2026-03-16
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