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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

WELLSPAN YORK HOSPITAL

York, PA · CCN 390046 · Rates published

5,382 distinct procedures filed
33 distinct payers
411,526 rate rows
2026-01-01 last MRF observed
Data quality

388,266 of 411,526 rate rows are consumer-grade (94.3%)

23,260 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 11,347
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,979
exceeds 10× this hospital's gross charge — excluded from medians 456
per-diem day rate — not a per-procedure price 396
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 44
placeholder amount (≤ $0.02) — excluded from medians 38
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://content.wellspan.org/MRF/231352222_york-hospital_standardcharges.csv
Found on page https://www.wellspan.org/Patient-Resources/Billing-and-Insurance/Cost-Estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint ed74e36e56c4a75b… · 86,660,145 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
APR588 SOI 4
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $313,094.36 $715,644.26 $313,094.36 —
APR161 SOI 4
OTHER 		Implantable Heart Assist Systems 7 $218,275.36 $498,915.10 $218,275.36 —
APR009 SOI 4
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $213,980.13 $489,097.44 $213,980.13 —
APR588 SOI 3
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $208,520.78 $476,618.93 $208,520.78 —
APR591 SOI 4
OTHER 		Neonate Birth Weight 500-749 Grams Without Major Procedure 7 $205,311.79 $469,284.08 $205,311.79 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With McC 17 $188,354.53 $883,789.73 $205,306.43 nat. median
$186,516
1.1× median
APR593 SOI 4
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $180,508.99 $412,591.98 $180,508.99 —
APR588 SOI 2
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $178,679.54 $408,410.38 $178,679.54 —
APR161 SOI 3
OTHER 		Implantable Heart Assist Systems 7 $170,914.33 $390,661.32 $170,914.33 —
APR004 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $164,445.80 $375,876.11 $164,445.80 —
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $142,659.03 $669,379.13 $155,498.34 nat. median
$145,435
1.1× median
APR589 SOI 1
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $145,944.99 $333,588.55 $145,944.99 —
APR589 SOI 3
OTHER 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 7 $145,944.99 $333,588.55 $145,944.99 —
APR009 SOI 3
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $143,808.15 $328,704.34 $143,808.15 —
APR602 SOI 4
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $135,983.28 $310,818.91 $135,983.28 —
APR593 SOI 3
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $132,047.64 $301,823.17 $132,047.64 —
APR161 SOI 2
OTHER 		Implantable Heart Assist Systems 7 $125,759.74 $287,450.82 $125,759.74 —
APR005 SOI 4
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $104,670.73 $261,849.89 $114,559.33 —
APR004 SOI 3
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $113,397.69 $259,194.73 $113,397.69 —
APR593 SOI 2
OTHER 		Neonate Birth Weight 750-999 Grams Without Major Procedure 7 $106,209.98 $242,765.67 $106,209.98 —
APR607 SOI 4
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $105,115.46 $240,263.91 $105,115.46 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $93,098.17 $436,831.60 $101,477.01 nat. median
$97,418
1.0× median
APR602 SOI 3
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $94,415.50 $215,806.86 $94,415.50 —
APR611 SOI 4
OTHER 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 $87,425.81 $199,830.42 $87,425.81 —
APR162 SOI 4
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 $84,207.70 $192,474.75 $84,207.70 —
APR005 SOI 3
OTHER 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 $83,138.87 $190,031.69 $83,138.87 —
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $74,075.80 $347,575.58 $80,742.62 nat. median
$2,736
outlier · 29.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $73,087.11 $342,936.49 $79,664.95 nat. median
$74,509
1.1× median
APR602 SOI 2
OTHER 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 $75,443.25 $172,441.71 $75,443.25 —
APR163 SOI 4
OTHER 		Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 $73,685.05 $168,422.98 $73,685.05 —
215
MS_DRG 		Other Heart Assist System Implant 17 $66,923.09 $314,013.91 $72,946.17 nat. median
$73,023
1.0× median
APR004 SOI 2
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 7 $72,465.42 $165,635.25 $72,465.42 —
APR299 SOI 4
OTHER 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 $72,198.63 $165,025.43 $72,198.63 —
APR009 SOI 2
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 7 $72,177.08 $164,976.19 $72,177.08 —
APR607 SOI 3
OTHER 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 $72,069.37 $164,729.99 $72,069.37 —
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $65,752.26 $308,520.16 $71,669.96 nat. median
$69,822
1.0× median
APR178 SOI 4
OTHER 		External Heart Assist Devices 7 $70,068.41 $160,156.37 $70,068.41 —
APR633 SOI 4
OTHER 		Neonate Birth Weight > 2499 Grams With Major Anomaly 7 $68,688.04 $157,001.23 $68,688.04 —
APR165 SOI 4
OTHER 		Coronary Bypass With Ami Or Complex Principal Diagnosis 7 $66,198.23 $151,310.24 $66,198.23 —
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With McC 17 $60,555.42 $284,135.76 $66,005.40 nat. median
$2,596
outlier · 25.4×
APR167 SOI 4
OTHER 		Other Cardiothoracic And Thoracic Circulatory Procedures 7 $64,861.77 $148,255.48 $64,861.77 —
850
MS_DRG 		Acute Leukemia With Other Procedures 18 $58,202.32 $332,542.12 $64,022.55 nat. median
$2,633
outlier · 24.3×
APR183 SOI 4
OTHER 		Percutaneous Structural Cardiac Procedures 7 $63,062.15 $144,142.06 $63,062.15 —
APR910 SOI 4
OTHER 		Craniotomy For Multiple Significant Trauma 7 $62,876.55 $143,717.84 $62,876.55 —
231
MS_DRG 		Coronary Bypass With Ptca With McC 17 $56,659.13 $265,853.76 $61,758.45 nat. median
$60,505
1.0× median
APR162 SOI 3
OTHER 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 $61,598.09 $140,795.64 $61,598.09 —
APR680 SOI 4
OTHER 		Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 $61,116.70 $139,695.32 $61,116.70 —
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $55,000.00 $244,981.06 $60,999.50 nat. median
$59,651
1.0× median
APR911 SOI 4
OTHER 		Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 $59,805.10 $136,697.37 $59,805.10 —
APR304 SOI 4
OTHER 		Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 $59,100.00 $135,085.71 $59,100.00 —

Other procedures at this hospital

Browse this hospital's 5,382 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
             
APR588 SOI 4 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $313,094.36 $715,644.26 $313,094.36 2026-01-01
APR161 SOI 4 OTHER Implantable Heart Assist Systems 7 7 — — $218,275.36 $498,915.10 $218,275.36 2026-01-01
APR009 SOI 4 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $213,980.13 $489,097.44 $213,980.13 2026-01-01
APR588 SOI 3 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $208,520.78 $476,618.93 $208,520.78 2026-01-01
APR591 SOI 4 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $205,311.79 $469,284.08 $205,311.79 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With McC 24 17 — $838,813.66 $188,354.53 $883,789.73 $205,306.43 2026-01-01
APR593 SOI 4 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $180,508.99 $412,591.98 $180,508.99 2026-01-01
APR588 SOI 2 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $178,679.54 $408,410.38 $178,679.54 2026-01-01
APR161 SOI 3 OTHER Implantable Heart Assist Systems 7 7 — — $170,914.33 $390,661.32 $170,914.33 2026-01-01
APR004 SOI 4 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $164,445.80 $375,876.11 $164,445.80 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 17 — $442,800.78 $142,659.03 $669,379.13 $155,498.34 2026-01-01
APR589 SOI 3 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $145,944.99 $333,588.55 $145,944.99 2026-01-01
APR589 SOI 1 OTHER Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $145,944.99 $333,588.55 $145,944.99 2026-01-01
APR009 SOI 3 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $143,808.15 $328,704.34 $143,808.15 2026-01-01
APR602 SOI 4 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $135,983.28 $310,818.91 $135,983.28 2026-01-01
APR593 SOI 3 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $132,047.64 $301,823.17 $132,047.64 2026-01-01
APR161 SOI 2 OTHER Implantable Heart Assist Systems 7 7 — — $125,759.74 $287,450.82 $125,759.74 2026-01-01
APR005 SOI 4 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 7 — — $104,670.73 $261,849.89 $114,559.33 2026-01-01
APR004 SOI 3 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $113,397.69 $259,194.73 $113,397.69 2026-01-01
APR593 SOI 2 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $106,209.98 $242,765.67 $106,209.98 2026-01-01
APR607 SOI 4 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $105,115.46 $240,263.91 $105,115.46 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 17 — $331,451.22 $93,098.17 $436,831.60 $101,477.01 2026-01-01
APR602 SOI 3 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $94,415.50 $215,806.86 $94,415.50 2026-01-01
APR611 SOI 4 OTHER Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $87,425.81 $199,830.42 $87,425.81 2026-01-01
APR162 SOI 4 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $84,207.70 $192,474.75 $84,207.70 2026-01-01
APR005 SOI 3 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $83,138.87 $190,031.69 $83,138.87 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 17 — $374,689.39 $74,075.80 $347,575.58 $80,742.62 2026-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 17 — $506,781.57 $73,087.11 $342,936.49 $79,664.95 2026-01-01
APR602 SOI 2 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $75,443.25 $172,441.71 $75,443.25 2026-01-01
APR163 SOI 4 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $73,685.05 $168,422.98 $73,685.05 2026-01-01
215 MS_DRG Other Heart Assist System Implant 24 17 — $344,837.90 $66,923.09 $314,013.91 $72,946.17 2026-01-01
APR004 SOI 2 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $72,465.42 $165,635.25 $72,465.42 2026-01-01
APR299 SOI 4 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $72,198.63 $165,025.43 $72,198.63 2026-01-01
APR009 SOI 2 OTHER Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $72,177.08 $164,976.19 $72,177.08 2026-01-01
APR607 SOI 3 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $72,069.37 $164,729.99 $72,069.37 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 17 — $455,870.94 $65,752.26 $308,520.16 $71,669.96 2026-01-01
APR178 SOI 4 OTHER External Heart Assist Devices 7 7 — — $70,068.41 $160,156.37 $70,068.41 2026-01-01
APR633 SOI 4 OTHER Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $68,688.04 $157,001.23 $68,688.04 2026-01-01
APR165 SOI 4 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $66,198.23 $151,310.24 $66,198.23 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With McC 24 17 — $178,774.27 $60,555.42 $284,135.76 $66,005.40 2026-01-01
APR167 SOI 4 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $64,861.77 $148,255.48 $64,861.77 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 25 18 — $41,556.20 $58,202.32 $332,542.12 $64,022.55 2026-01-01
APR183 SOI 4 OTHER Percutaneous Structural Cardiac Procedures 7 7 — — $63,062.15 $144,142.06 $63,062.15 2026-01-01
APR910 SOI 4 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $62,876.55 $143,717.84 $62,876.55 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With McC 24 17 — $291,338.27 $56,659.13 $265,853.76 $61,758.45 2026-01-01
APR162 SOI 3 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $61,598.09 $140,795.64 $61,598.09 2026-01-01
APR680 SOI 4 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $61,116.70 $139,695.32 $61,116.70 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 17 — $365,030.69 $55,000.00 $244,981.06 $60,999.50 2026-01-01
APR911 SOI 4 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $59,805.10 $136,697.37 $59,805.10 2026-01-01
APR304 SOI 4 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $59,100.00 $135,085.71 $59,100.00 2026-01-01
APR166 SOI 4 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $59,015.49 $134,892.54 $59,015.49 2026-01-01
APR179 SOI 4 OTHER Defibrillator Implants 14 7 — — $53,218.07 $133,133.16 $58,245.76 2026-01-01
APR303 SOI 3 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $58,157.10 $132,930.52 $58,157.10 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With McC 24 17 — $341,107.62 $52,887.86 $248,158.35 $57,647.77 2026-01-01
APR021 SOI 4 OTHER Open Craniotomy Except Trauma 7 7 — — $56,935.81 $130,139.00 $56,935.81 2026-01-01
APR178 SOI 3 OTHER External Heart Assist Devices 7 7 — — $56,537.28 $129,228.07 $56,537.28 2026-01-01
APR299 SOI 3 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $56,456.08 $129,042.47 $56,456.08 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 17 — $323,138.90 $51,607.47 $242,150.55 $56,252.15 2026-01-01
APR602 SOI 1 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $56,200.06 $128,457.27 $56,200.06 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With McC 24 17 — $322,875.54 $51,385.00 $241,106.67 $56,009.65 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With McC 24 17 — $285,040.75 $51,214.95 $240,308.79 $55,824.30 2026-01-01
APR912 SOI 4 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $55,605.98 $127,099.39 $55,605.98 2026-01-01
APR005 SOI 2 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $55,436.13 $126,711.15 $55,436.13 2026-01-01
APR690 SOI 4 OTHER Acute Leukemia 7 7 — — $54,630.77 $124,870.34 $54,630.77 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And McC 49 19 — $218,903.66 $47,924.92 $273,821.62 $54,180.07 2026-01-01
APR607 SOI 2 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $53,827.90 $123,035.21 $53,827.90 2026-01-01
APR260 SOI 4 OTHER Major Pancreas, Liver And Shunt Procedures 7 7 — — $53,122.80 $121,423.55 $53,122.80 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/McC 25 18 — $31,234.00 $48,209.23 $275,446.03 $53,030.15 2026-01-01
APR163 SOI 3 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $52,972.01 $121,078.87 $52,972.01 2026-01-01
APR169 SOI 4 OTHER Major Abdominal Vascular Procedures 7 7 — — $52,616.56 $120,266.42 $52,616.56 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 49 19 — $208,297.52 $46,455.66 $265,426.94 $52,519.04 2026-01-01
APR023 SOI 4 OTHER Spinal Procedures 7 7 — — $51,913.94 $118,660.44 $51,913.94 2026-01-01
APR120 SOI 4 OTHER Major Respiratory And Chest Procedures 7 7 — — $51,214.64 $117,062.04 $51,214.64 2026-01-01
APR681 SOI 4 OTHER Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $51,131.79 $116,872.65 $51,131.79 2026-01-01
APR130 SOI 4 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $50,612.28 $115,685.22 $50,612.28 2026-01-01
APR220 SOI 4 OTHER Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $50,445.74 $115,304.55 $50,445.74 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With McC 24 17 — $193,755.09 $46,227.81 $216,908.33 $50,388.31 2026-01-01
APR020 SOI 4 OTHER Open Craniotomy For Trauma 7 7 — — $49,740.64 $113,692.90 $49,740.64 2026-01-01
APR361 SOI 4 OTHER Skin Graft For Skin And Subcutaneous Tissue Diagnoses 7 7 — — $49,655.30 $113,497.83 $49,655.30 2026-01-01
APR950 SOI 4 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $49,387.68 $112,886.12 $49,387.68 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 17 — $205,278.62 $45,241.14 $212,278.70 $49,312.84 2026-01-01
APR165 SOI 3 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $49,192.97 $112,441.07 $49,192.97 2026-01-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 17 — $230,398.15 $44,941.37 $210,872.15 $48,986.10 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomicall… 24 17 — $188,594.90 $44,908.44 $193,925.26 $48,950.20 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 49 19 — $213,340.80 $43,248.97 $247,105.35 $48,893.81 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With McC 25 18 — $165,969.06 $44,033.34 $251,586.86 $48,436.67 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 17 — $352,372.02 $44,193.97 $207,365.24 $48,171.43 2026-01-01
APR027 SOI 4 OTHER Other Open Craniotomy 7 7 — — $47,918.65 $109,528.34 $47,918.65 2026-01-01
APR612 SOI 3 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $47,690.80 $109,007.54 $47,690.80 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With McC 24 18 — — $43,067.09 $195,990.91 $46,943.13 2026-01-01
APR162 SOI 2 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $46,568.11 $106,441.38 $46,568.11 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With McC Or Carotid Sinus Neurostimulator 50 19 — $137,050.87 $40,371.62 $230,665.45 $46,063.52 2026-01-01
APR178 SOI 2 OTHER External Heart Assist Devices 7 7 — — $46,033.69 $105,219.86 $46,033.69 2026-01-01
APR183 SOI 3 OTHER Percutaneous Structural Cardiac Procedures 7 7 — — $45,824.89 $104,742.61 $45,824.89 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With McC 25 18 — $125,437.39 $41,190.27 $235,342.82 $45,309.30 2026-01-01
APR511 SOI 4 OTHER Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 7 7 — — $44,855.48 $102,526.82 $44,855.48 2026-01-01
APR622 SOI 4 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $44,659.94 $102,079.87 $44,659.94 2026-01-01
APR321 SOI 4 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $44,519.92 $101,759.81 $44,519.92 2026-01-01
APR022 SOI 4 OTHER Ventricular Shunt Procedures 7 7 — — $44,490.92 $101,693.53 $44,490.92 2026-01-01
28 MS_DRG Spinal Procedures With McC 25 18 — $165,620.72 $40,383.05 $230,730.74 $44,421.36 2026-01-01
APR792 SOI 4 OTHER Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $44,358.35 $101,390.51 $44,358.35 2026-01-01
APR179 SOI 3 OTHER Defibrillator Implants 14 7 — — $40,527.88 $101,386.72 $44,356.69 2026-01-01
APR863 SOI 3 OTHER Neonatal Aftercare 7 7 — — $43,741.08 $99,979.60 $43,741.08 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 17 — $216,324.36 $40,079.25 $166,010.90 $43,686.38 2026-01-01
APR304 SOI 3 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $43,567.91 $99,583.79 $43,567.91 2026-01-01
APR030 SOI 4 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $43,432.02 $99,273.20 $43,432.02 2026-01-01
APR170 SOI 4 OTHER Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 7 7 — — $43,398.88 $99,197.45 $43,398.88 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With McC 25 18 — $56,720.38 $39,418.55 $225,220.05 $43,360.41 2026-01-01
APR181 SOI 4 OTHER Lower Extremity Vascular Procedures 7 7 — — $43,302.77 $98,977.76 $43,302.77 2026-01-01
APR166 SOI 3 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $43,296.97 $98,964.50 $43,296.97 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 17 — $269,165.00 $6,897.00 $80,873.50 $43,143.31 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With McC 24 17 — $229,783.52 $39,444.10 $185,078.04 $42,994.07 2026-01-01
APR121 SOI 4 OTHER Other Respiratory And Chest Procedures 7 7 — — $42,929.09 $98,123.64 $42,929.09 2026-01-01
APR512 SOI 4 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 7 7 — — $42,911.69 $98,083.87 $42,911.69 2026-01-01
93654 CPT Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 46 28 $69,012.00 $55,209.60 20% off $1,092.75 $148,069.32 $42,753.93 2026-01-01
APR230 SOI 4 OTHER Major Small Bowel Procedures 14 7 — — $38,988.07 $97,534.65 $42,671.41 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without McC 25 18 — $128,168.35 $38,761.89 $221,468.17 $42,638.08 2026-01-01
93656 CPT Insert Catheters For Recording, Pacing, And Destruct Tissue 46 28 $68,414.00 $54,731.20 20% off $1,093.13 $148,069.32 $42,565.57 2026-01-01
C1824 HCPCS Optimizer Smart Mini Ipg 29 19 $52,000.00 $41,600.00 20% off $13,000.00 $49,400.00 $42,312.40 2026-01-01
APR303 SOI 2 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $42,297.73 $96,680.53 $42,297.73 2026-01-01
APR405 SOI 4 OTHER Other Procedures For Endocrine, Nutritional And Metabolic Disorders 7 7 — — $42,193.33 $96,441.91 $42,193.33 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 18 — $129,943.21 $38,307.54 $218,872.20 $42,138.29 2026-01-01
APR264 SOI 4 OTHER Other Hepatobiliary, Pancreas And Abdominal Procedures 7 7 — — $42,110.48 $96,252.52 $42,110.48 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 17 — $200,033.94 $38,514.55 $180,716.47 $41,980.86 2026-01-01
APR710 SOI 4 OTHER Infectious And Parasitic Diseases Including HIV With O.r. Procedure 14 7 — — $38,337.02 $95,905.95 $41,958.85 2026-01-01
APR176 SOI 4 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $41,788.17 $95,515.82 $41,788.17 2026-01-01
APR634 SOI 4 OTHER Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $41,663.89 $95,231.74 $41,663.89 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 18 — $164,293.96 $37,786.64 $215,896.04 $41,565.30 2026-01-01
APR299 SOI 2 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $41,522.21 $94,907.90 $41,522.21 2026-01-01
APR178 SOI 1 OTHER External Heart Assist Devices 7 7 — — $41,430.24 $94,697.68 $41,430.24 2026-01-01
APR167 SOI 3 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $41,170.90 $94,104.91 $41,170.90 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 25 18 — $115,218.60 $37,411.60 $213,753.21 $41,152.76 2026-01-01
APR711 SOI 4 OTHER Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $40,907.42 $93,502.67 $40,907.42 2026-01-01
834 MS_DRG Acute Leukemia With McC 25 18 — $238,023.58 $36,898.77 $210,823.14 $40,588.65 2026-01-01
APR910 SOI 3 OTHER Craniotomy For Multiple Significant Trauma 7 7 — — $40,588.42 $92,773.54 $40,588.42 2026-01-01
C1822 HCPCS Kit Neuromuscular Senza Ipg Ipg3000 Sterile Latex Free Disposable 29 19 $49,740.00 $39,792.00 20% off $12,435.00 $47,253.00 $40,473.44 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With McC 50 19 — $167,925.90 $35,463.12 $202,620.47 $40,462.98 2026-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With McC 25 18 — $150,564.14 $36,768.38 $210,078.14 $40,445.22 2026-01-01
APR026 SOI 4 OTHER Other Nervous System And Related Procedures 7 7 — — $40,381.29 $92,300.08 $40,381.29 2026-01-01
APR021 SOI 3 OTHER Open Craniotomy Except Trauma 7 7 — — $40,068.09 $91,584.21 $40,068.09 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without McC 24 17 — $263,870.79 $36,715.96 $172,277.17 $40,020.40 2026-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With McC 24 17 — $450,584.80 $36,658.15 $172,005.95 $39,957.39 2026-01-01
APR175 SOI 4 OTHER Percutaneous Cardiac Intervention Without Ami 14 7 — — $36,498.19 $91,305.81 $39,946.29 2026-01-01
APR165 SOI 2 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $39,665.41 $90,663.80 $39,665.41 2026-01-01
APR447 SOI 4 OTHER Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 7 7 — — $39,565.99 $90,436.54 $39,565.99 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With McC 48 18 — $218,245.48 $34,986.59 $164,162.70 $39,553.02 2026-01-01
APR448 SOI 4 OTHER Other Kidney, Urinary Tract And Related Percutaneous Procedures 7 7 — — $39,233.74 $89,677.11 $39,233.74 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 18 — $124,639.71 $35,580.74 $203,292.51 $39,138.81 2026-01-01
APR163 SOI 2 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $39,095.37 $89,360.84 $39,095.37 2026-01-01
APR650 SOI 4 OTHER Splenic Procedures 7 7 — — $39,077.14 $89,319.18 $39,077.14 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 24 17 — $251,775.39 $35,842.87 $168,180.51 $39,068.73 2026-01-01
APR614 SOI 3 OTHER Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $39,035.71 $89,224.48 $39,035.71 2026-01-01
APR162 SOI 1 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $38,803.72 $88,694.21 $38,803.72 2026-01-01
APR951 SOI 4 OTHER Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $35,382.32 $88,514.29 $38,725.00 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With McC Or Custom-made Anatomically … 25 18 — $136,762.06 $35,821.36 $204,667.30 $38,700.00 2026-01-01
APR091 SOI 3 OTHER Other Major Head And Neck Procedures 7 7 — — $38,691.86 $88,438.54 $38,691.86 2026-01-01
APR300 SOI 3 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $38,511.24 $88,025.68 $38,511.24 2026-01-01
653 MS_DRG Major Bladder Procedures With McC 25 18 — $139,577.81 $34,926.10 $199,552.15 $38,418.71 2026-01-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With McC 50 19 — $125,247.57 $33,521.36 $191,526.13 $38,247.46 2026-01-01
APR130 SOI 3 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 14 7 — — $34,886.46 $87,273.83 $38,182.30 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With McC 50 19 — $130,436.80 $33,252.52 $189,990.05 $37,940.71 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With McC 50 19 — $127,622.00 $33,193.37 $189,652.12 $37,873.22 2026-01-01
APR231 SOI 4 OTHER Major Large Bowel Procedures 14 7 — — $34,417.10 $86,099.65 $37,668.60 2026-01-01
92972 HCPCS Coronary Lithotripsy 42 12 $41,760.00 $33,408.00 20% off $7,516.80 $39,672.00 $37,581.91 2026-01-01
93653 CPT Insert Catheters For Recording And Pacing Of Right Heart Chambers Rhythm 46 28 $57,731.00 $46,184.80 $818.88 $148,069.32 $37,491.38 2026-01-01
APR182 SOI 4 OTHER Other Peripheral Vascular And Related Procedures 7 7 — — $37,463.94 $85,631.87 $37,463.94 2026-01-01
APR222 SOI 4 OTHER Other Stomach, Esophageal And Duodenal Procedures 7 7 — — $37,414.23 $85,518.24 $37,414.23 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 18 — $120,699.77 $33,876.24 $193,553.76 $37,263.86 2026-01-01
APR229 SOI 4 OTHER Other Digestive System And Abdominal Procedures 7 7 — — $37,144.95 $84,902.74 $37,144.95 2026-01-01
APR444 SOI 4 OTHER Renal Dialysis Access Device Procedures 7 7 — — $37,052.15 $84,690.63 $37,052.15 2026-01-01
APR690 SOI 3 OTHER Acute Leukemia 7 7 — — $36,903.01 $84,349.74 $36,903.01 2026-01-01
APR483 SOI 4 OTHER Penis, Testes And Scrotal Procedures 7 7 — — $36,883.13 $84,304.29 $36,883.13 2026-01-01
APR169 SOI 3 OTHER Major Abdominal Vascular Procedures 7 7 — — $36,779.56 $84,067.56 $36,779.56 2026-01-01
APR183 SOI 2 OTHER Percutaneous Structural Cardiac Procedures 7 7 — — $36,732.33 $83,959.61 $36,732.33 2026-01-01
APR313 SOI 4 OTHER Knee And Lower Leg Procedures Except Foot 7 7 — — $36,677.64 $83,834.62 $36,677.64 2026-01-01
APR179 SOI 2 OTHER Defibrillator Implants 14 7 — — $33,507.90 $83,825.15 $36,673.50 2026-01-01
APR303 SOI 1 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $36,665.22 $83,806.21 $36,665.22 2026-01-01
APR309 SOI 4 OTHER Other Significant Hip And Femur Surgery 7 7 — — $36,584.02 $83,620.61 $36,584.02 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With McC 25 18 — $143,035.40 $33,079.78 $189,003.12 $36,387.76 2026-01-01
APR623 SOI 3 OTHER Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 7 7 — — $36,285.74 $82,938.83 $36,285.74 2026-01-01
APR513 SOI 4 OTHER Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 7 7 — — $36,188.80 $82,717.25 $36,188.80 2026-01-01
APR315 SOI 4 OTHER Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 7 7 — — $36,026.40 $82,346.06 $36,026.40 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With McC 50 19 — $151,353.92 $31,534.57 $180,174.50 $35,980.55 2026-01-01
APR325 SOI 4 OTHER Non-elective Or Complex Knee Joint Replacement 7 7 — — $35,975.86 $82,230.53 $35,975.86 2026-01-01
APR098 SOI 4 OTHER Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures 7 7 — — $35,891.35 $82,037.36 $35,891.35 2026-01-01
C1882 HCPCS Defibrillator Cardiac Gallant Hf 51x74mm Thk12mm Df4 Is-4 Is-1 Connector 34cc 76… 306 19 $47,700.00 $38,160.00 20% off $253.84 $53,094.08 $35,846.78 2026-01-01
APR023 SOI 3 OTHER Spinal Procedures 7 7 — — $35,757.12 $81,730.56 $35,757.12 2026-01-01
APR608 SOI 2 OTHER Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $35,753.81 $81,722.98 $35,753.81 2026-01-01
APR223 SOI 4 OTHER Other Small And Large Bowel Procedures 7 7 — — $35,747.18 $81,707.83 $35,747.18 2026-01-01
APR180 SOI 4 OTHER Other Circulatory System Procedures 7 7 — — $35,599.69 $81,370.73 $35,599.69 2026-01-01
APR165 SOI 1 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $35,543.35 $81,241.95 $35,543.35 2026-01-01
APR174 SOI 4 OTHER Percutaneous Cardiac Intervention With Ami 14 7 — — $32,439.72 $81,152.94 $35,504.41 2026-01-01
471 MS_DRG Cervical Spinal Fusion With McC 24 17 — $239,372.54 $32,454.71 $152,282.71 $35,375.63 2026-01-01
33270 CPT Insertion Or Replacement Of Defibrillator With Electrode 55 31 $88,353.00 $70,682.40 20% off $970.00 $193,513.65 $35,341.20 2026-01-01
APR305 SOI 4 OTHER Amputation Of Lower Limb Except Toes 7 7 — — $35,303.90 $80,694.63 $35,303.90 2026-01-01
APR171 SOI 4 OTHER Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 7 7 — — $35,292.30 $80,668.11 $35,292.30 2026-01-01
APR952 SOI 4 OTHER Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $32,226.99 $80,620.77 $35,271.59 2026-01-01
APR912 SOI 3 OTHER Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $35,270.76 $80,618.87 $35,270.76 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With McC 50 19 — $143,463.80 $30,894.04 $176,514.79 $35,249.72 2026-01-01
APR050 SOI 4 OTHER Non-bacterial Infections Of Nervous System Except Viral Meningitis 7 7 — — $35,207.79 $80,474.94 $35,207.79 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without McC 25 18 — $110,722.58 $31,998.34 $182,824.24 $35,198.17 2026-01-01
APR224 SOI 4 OTHER Peritoneal Adhesiolysis 14 7 — — $32,156.59 $80,444.64 $35,194.53 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With McC 50 19 — $65,353.60 $30,815.41 $176,065.49 $35,159.99 2026-01-01
277 MS_DRG Cardiac Defibrillator Implant Without McC 49 19 — $197,733.54 $31,041.91 $177,359.64 $35,093.49 2026-01-01
APR793 SOI 4 OTHER Moderately Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $35,006.45 $80,014.74 $35,006.45 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With McC 50 19 — $102,637.27 $30,572.77 $174,679.18 $34,883.15 2026-01-01
APR166 SOI 2 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $34,669.23 $79,243.95 $34,669.23 2026-01-01
APR911 SOI 3 OTHER Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $34,607.09 $79,101.91 $34,607.09 2026-01-01
0914T CPT Perc Transcath Therapeutic Drug Delivery Separate Target Lesion 42 12 $38,452.00 $30,761.60 20% off $6,921.36 $36,529.40 $34,604.88 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 18 — $100,401.91 $31,440.48 $179,636.88 $34,584.53 2026-01-01
APR299 SOI 1 OTHER Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 7 7 — — $34,537.49 $78,942.83 $34,537.49 2026-01-01
APR691 SOI 4 OTHER Lymphoma, Myeloma And Non-acute Leukemia 14 7 — — $31,427.56 $78,620.87 $34,396.63 2026-01-01
APR020 SOI 3 OTHER Open Craniotomy For Trauma 7 7 — — $34,343.60 $78,499.67 $34,343.60 2026-01-01
APR310 SOI 4 OTHER Vertebral And Intervertebral Spinal Procedures Including Disc Procedures 7 7 — — $34,146.41 $78,048.93 $34,146.41 2026-01-01
APR320 SOI 4 OTHER Other Musculoskeletal System And Connective Tissue Procedures 7 7 — — $34,130.67 $78,012.95 $34,130.67 2026-01-01
APR794 SOI 4 OTHER Non-extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $33,994.78 $77,702.36 $33,994.78 2026-01-01
APR621 SOI 3 OTHER Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $33,989.81 $77,691.00 $33,989.81 2026-01-01
33990 CPT Insert Blood Flow Assist Device Low Heart Chamber Artery Access, Radiology 45 23 $42,440.00 $33,952.00 20% off $332.48 $40,318.00 $33,952.00 2026-01-01
C9606 HCPCS Percutaneous Transluminal Revascularization 34 14 $38,452.00 $30,761.60 20% off $6,921.36 $36,529.40 $33,831.99 2026-01-01
APR183 SOI 1 OTHER Percutaneous Structural Cardiac Procedures 7 7 — — $33,821.62 $77,306.55 $33,821.62 2026-01-01
C1772 HCPCS Pump Infusion Synchromed Iii 20ml 60 19 $40,140.37 $32,112.29 20% off $10,034.27 $38,136.50 $33,731.87 2026-01-01
APR443 SOI 4 OTHER Kidney And Urinary Tract Procedures For Non-malignancy 7 7 — — $33,658.39 $76,933.46 $33,658.39 2026-01-01
APR027 SOI 3 OTHER Other Open Craniotomy 7 7 — — $33,650.10 $76,914.52 $33,650.10 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With McC 25 18 — $177,876.94 $30,559.33 $174,602.37 $33,615.26 2026-01-01
799 MS_DRG Splenic Procedures With McC 25 18 — $111,233.41 $30,439.69 $173,918.82 $33,483.66 2026-01-01
APR177 SOI 4 OTHER Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 7 7 — — $33,436.34 $76,425.91 $33,436.34 2026-01-01
245 MS_DRG Aicd Generator Procedures 24 17 — $206,765.34 $30,664.85 $143,884.41 $33,424.69 2026-01-01
APR612 SOI 2 OTHER Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $33,397.39 $76,336.90 $33,397.39 2026-01-01
APR321 SOI 3 OTHER Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 7 7 — — $33,360.11 $76,251.68 $33,360.11 2026-01-01
APR680 SOI 3 OTHER Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $33,289.68 $76,090.70 $33,289.68 2026-01-01
163 MS_DRG Major Chest Procedures With McC 25 18 — $112,304.50 $30,123.12 $172,110.08 $33,135.43 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With McC 25 18 — $144,673.70 $30,114.38 $172,060.16 $33,125.82 2026-01-01
APR323 SOI 4 OTHER Non-elective Or Complex Hip Joint Replacement 7 7 — — $32,983.12 $75,389.98 $32,983.12 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With McC 49 19 — $217,654.06 $29,085.37 $166,180.81 $32,881.58 2026-01-01
APR163 SOI 1 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $32,765.21 $74,891.90 $32,765.21 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With McC 24 17 — $261,603.74 $29,996.09 $140,746.48 $32,695.74 2026-01-01
APR317 SOI 4 OTHER Tendon, Muscle And Other Soft Tissue Procedures 7 7 — — $32,671.58 $74,677.90 $32,671.58 2026-01-01
C2624 HCPCS Sensor Pressure Delivery System 29 19 $40,000.00 $32,000.00 20% off $10,000.00 $38,000.00 $32,548.00 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without McC 50 19 — $182,912.08 $28,503.31 $162,855.20 $32,521.92 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With McC 25 18 — $156,310.84 $29,524.93 $168,692.31 $32,477.42 2026-01-01
APR120 SOI 3 OTHER Major Respiratory And Chest Procedures 7 7 — — $32,306.19 $73,842.72 $32,306.19 2026-01-01
APR030 SOI 3 OTHER Percutaneous Intracranial And Extracranial Vascular Procedures 7 7 — — $32,229.96 $73,668.48 $32,229.96 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With McC 50 19 — $119,541.61 $28,239.84 $161,349.84 $32,221.31 2026-01-01
APR850 SOI 3 OTHER Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $32,141.31 $73,465.84 $32,141.31 2026-01-01
APR263 SOI 4 OTHER Cholecystectomy 7 7 — — $31,972.28 $73,079.50 $31,972.28 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With McC 25 18 — $130,230.60 $28,853.48 $164,855.95 $31,738.83 2026-01-01
APR890 SOI 4 OTHER HIV With Multiple Major HIV Related Conditions 7 7 — — $31,654.12 $72,352.26 $31,654.12 2026-01-01
APR324 SOI 4 OTHER Elective Hip Joint Replacement 7 7 — — $31,549.72 $72,113.64 $31,549.72 2026-01-01
140 MS_DRG Major Head And Neck Procedures With McC 25 18 — $140,614.74 $28,667.98 $163,796.05 $31,534.78 2026-01-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy 46 28 $51,099.00 $40,879.20 20% off $673.61 $108,381.12 $31,478.46 2026-01-01
92933 CPT Remove Plaque, Insert Stent/Balloon Dilation, Single Coronary Artery 46 28 $51,099.00 $40,879.20 20% off $673.61 $108,381.12 $31,478.46 2026-01-01
APR260 SOI 3 OTHER Major Pancreas, Liver And Shunt Procedures 7 7 — — $31,428.75 $71,837.14 $31,428.75 2026-01-01
33264 CPT Removal And Replacement Of Multiple Lead Defibrillator 93 29 $26,899.00 $21,519.20 20% off $395.83 $193,513.65 $31,392.13 2026-01-01
APR312 SOI 3 OTHER Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $31,339.26 $71,632.60 $31,339.26 2026-01-01
63655 CPT Removal Of Spine Bone For Insertion Of Neurostimulator Electrode Plate In Spine 30 22 — $110,686.90 $970.00 $183,929.05 $31,329.17 2026-01-01
61886 CPT Insertion Of Brain Neurostimulator Pulse Device With Connection To 2 Or More Ele… 30 22 — $35,659.01 $970.00 $183,929.05 $31,329.17 2026-01-01
64582 CPT Insertion Of Hypoglossal Nerve Neurostimulator Electrode And Generator And Breat… 31 23 — $107,318.90 $970.00 $183,929.05 $31,329.17 2026-01-01
63685 CPT Insertion Or Replacement Of Spinal Neurostimulator Generator Or Receiver 30 22 — $78,794.90 $970.00 $183,929.05 $31,329.17 2026-01-01
APR304 SOI 2 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $31,299.49 $71,541.70 $31,299.49 2026-01-01
APR130 SOI 2 OTHER Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $31,299.49 $71,541.70 $31,299.49 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without McC 25 18 — $168,056.18 $28,385.02 $162,179.33 $31,223.52 2026-01-01
J2350 HCPCS Ocrelizumab 30 Mg/ml Intravenous Solution 49 30 $55,131.50 $44,105.20 20% off $70.06 $109,875.50 $31,192.35 2026-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 25 18 — $136,788.70 $28,336.62 $161,902.83 $31,170.28 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 25 18 — $174,342.63 $28,322.51 $161,822.19 $31,154.76 2026-01-01
APR179 SOI 1 OTHER Defibrillator Implants 7 7 — — $31,000.39 $70,858.02 $31,000.39 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 48 18 — $12,740.00 $5,748.00 $129,265.98 $30,814.86 2026-01-01
C1767 HCPCS Neurostimulator Implantable 2inx1.7in Interstim X Thk.3in 10-14hz 0-4v Sacral Ne… 173 19 $40,592.05 $32,473.64 20% off $8,197.70 $76,233.70 $30,800.00 2026-01-01
APR160 SOI 1 OTHER Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $30,770.88 $70,333.43 $30,770.88 2026-01-01
92941 CPT Remove Plaque/Blood Clot, Insert Stent And/or Balloon Dilation, One Vessel 45 23 $38,452.00 $30,761.60 20% off $608.80 $36,529.40 $30,761.60 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With McC 25 18 — $92,002.00 $27,913.19 $159,483.51 $30,704.51 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without McC 24 17 — $219,970.52 $28,153.81 $132,102.19 $30,687.65 2026-01-01
33289 CPT Insert Wireless Pressure Sensor Lung Artery Through Tube With Radiology 55 30 $70,670.00 $56,536.00 20% off $970.00 $171,584.53 $30,618.23 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 17 — $256,618.88 $28,044.92 $131,591.29 $30,568.96 2026-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With McC 25 18 — $159,573.73 $27,728.35 $158,427.45 $30,501.19 2026-01-01
APR029 SOI 3 OTHER Other Percutaneous Intracranial Procedures 7 7 — — $30,432.83 $69,560.74 $30,432.83 2026-01-01
APR548 SOI 4 OTHER Postpartum And Post Abortion Diagnosis With O.r. Procedure 7 7 — — $30,398.03 $69,481.20 $30,398.03 2026-01-01
APR049 SOI 4 OTHER Bacterial And Tuberculous Infections Of Nervous System 14 7 — — $27,735.50 $69,384.62 $30,355.77 2026-01-01
APR167 SOI 2 OTHER Other Cardiothoracic And Thoracic Circulatory Procedures 14 7 — — $27,590.91 $69,022.89 $30,197.52 2026-01-01
APR692 SOI 4 OTHER Radiotherapy 7 7 — — $30,181.77 $68,986.91 $30,181.77 2026-01-01
APR220 SOI 3 OTHER Major Stomach, Esophageal And Duodenal Procedures 14 7 — — $27,455.40 $68,683.90 $30,049.20 2026-01-01
791 MS_DRG Prematurity With Major Problems 48 18 — $68,192.00 $5,748.00 $125,825.92 $29,997.48 2026-01-01
0646T OTHER Perc Transcath Replprostc Tricuspid Valve 23 14 $33,576.00 $26,860.80 20% off $6,043.68 $31,897.20 $29,973.30 2026-01-01
0483T CPT Insert Artificial Valve Between Left Heart Chambers, Skin Access 23 14 $33,576.00 $26,860.80 20% off $6,043.68 $31,897.20 $29,973.30 2026-01-01
APR622 SOI 3 OTHER Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $29,952.26 $68,462.32 $29,952.26 2026-01-01
APR166 SOI 1 OTHER Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $29,852.01 $68,233.16 $29,852.01 2026-01-01
C9607 HCPCS Percutaneous Transluminal Revascularization 93 29 $44,562.00 $35,649.60 20% off $674.98 $108,381.12 $29,807.52 2026-01-01
APR181 SOI 3 OTHER Lower Extremity Vascular Procedures 7 7 — — $29,754.24 $68,009.69 $29,754.24 2026-01-01
APR192 SOI 4 OTHER Cardiac Catheterization For Other Non-coronary Conditions 14 7 — — $27,172.27 $67,975.60 $29,739.32 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 25 18 — $151,825.88 $27,022.63 $154,395.24 $29,724.89 2026-01-01
APR228 SOI 4 OTHER Inguinal, Femoral And Umbilical Hernia Procedures 7 7 — — $29,712.81 $67,915.00 $29,712.81 2026-01-01
APR950 SOI 3 OTHER Extensive O.r. Procedure Unrelated To Principal Diagnosis 14 7 — — $27,108.68 $67,816.52 $29,669.73 2026-01-01
APR176 SOI 3 OTHER Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 7 7 — — $29,642.38 $67,754.02 $29,642.38 2026-01-01
APR300 SOI 2 OTHER Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 7 — — $26,967.11 $67,462.37 $29,514.79 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With McC 25 18 — $62,654.62 $26,777.97 $152,997.41 $29,455.77 2026-01-01
APR401 SOI 3 OTHER Adrenal Procedures 7 7 — — $29,406.25 $67,214.28 $29,406.25 2026-01-01
APR175 SOI 3 OTHER Percutaneous Cardiac Intervention Without Ami 14 7 — — $26,626.45 $66,610.14 $29,141.94 2026-01-01
APR169 SOI 2 OTHER Major Abdominal Vascular Procedures 7 7 — — $29,132.82 $66,589.31 $29,132.82 2026-01-01
APR441 SOI 3 OTHER Major Bladder Procedures 7 7 — — $29,080.00 $66,468.56 $29,080.00 2026-01-01
APR021 SOI 2 OTHER Open Craniotomy Except Trauma 7 7 — — $29,006.88 $66,301.44 $29,006.88 2026-01-01
APR314 SOI 4 OTHER Foot And Toe Procedures 7 7 — — $28,974.57 $66,227.58 $28,974.57 2026-01-01
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