Hospital

SANFORD USD MEDICAL CENTER

Sioux Falls, SD · CCN 430027 · Rates published

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You selected 93306 (CPT)

ECHO (2D) COMPLETE W DOPPLER & COLOR

This hospital’s price: $2,175 across 3 payers · range $565-$3,134

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/8368/460227855_sanford-usd-medical-center_standardcharges.csv · observed 2026-03-04

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.

15,779 distinct procedures filed

3 distinct payers

84,906 rate rows

2026-03-04 last MRF observed

Data quality

84,812 of 84,906 rate rows are consumer-grade (99.9%)

94 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 — reason	Rows
per-diem day rate — not a per-procedure price	37
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	27
percent-of-charges filed in the dollar field — excluded from medians	24
placeholder amount (≤ $0.02) — excluded from medians	4
exceeds 10× this hospital's gross charge — excluded from medians	2

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://sthpiprd.blob.core.windows.net/machine-readable-files/8368/460227855_sanford-usd-medical-center_standardcharges.csv
Found on page	https://search.hospitalpriceindex.com/hpi2/machineReadable/SanfordUSDMedicalCenter/8368
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-10-22
Content fingerprint	2c94d6436b2e6081… · 1,007,368,312 bytes · first seen 2026-05-06

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
J3391 HCPCS	Inj, Atidarsagene Autotemcel	1	$4,640,150.00	$4,640,150.00	$4,640,150.00	nat. median $4,505,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	1	$3,795,824.67	$3,795,824.67	$3,795,824.67	nat. median $3,705,478 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	1	$3,415,956.47	$3,415,956.47	$3,415,956.47	nat. median $3,324,572 1.0× median
J3394 HCPCS	Inj, Lovotibeglogene Autotem	1	$3,345,899.09	$3,345,899.09	$3,345,899.09	nat. median $3,286,000 1.0× median
J3393 HCPCS	Inj, Betibeglogene Autotemce	1	$3,034,112.20	$3,034,112.20	$3,034,112.20	nat. median $2,994,107 1.0× median
J3392 HCPCS	Inj, Exagamglogene Autotem	1	$2,401,960.00	$2,401,960.00	$2,401,960.00	nat. median $2,401,965 1.0× median
J3399 HCPCS	Onasemnogene Abeparvovec-xioi 2x8.3 Ml Susp Kit	3	$1,285,625.00	$2,528,763.92	$1,694,687.50	nat. median $2,467,386 0.7× median
Q2057 HCPCS	Afamitresgene Autoleucel	1	$793,738.60	$793,738.60	$793,738.60	nat. median $813,967 1.0× median
5834 APR_DRG	Neonate With Ecmo	1	$775,963.00	$775,963.00	$775,963.00	nat. median $307,206 outlier · 2.5×
5833 APR_DRG	Neonate With Ecmo	1	$675,764.00	$675,764.00	$675,764.00	nat. median $244,017 outlier · 2.8×
5894 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$639,958.00	$639,958.00	$639,958.00	nat. median $4,615 outlier · 138.7×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$623,404.00	$623,404.00	$623,404.00	nat. median $247,214 outlier · 2.5×
1614 APR_DRG	Implantable Heart Assist Systems	1	$620,723.00	$620,723.00	$620,723.00	nat. median $202,993 outlier · 3.1×
Q2042 HCPCS	Tisagenlecleucel Car-pos T	1	$609,477.99	$609,477.99	$609,477.99	nat. median $739,258 0.8× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	1	$582,845.01	$582,845.01	$582,845.01	nat. median $646,415 0.9× median
5893 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$581,779.00	$581,779.00	$581,779.00	nat. median $71,350 outlier · 8.2×
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	1	$579,414.33	$579,414.33	$579,414.33	nat. median $640,950 0.9× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	1	$574,037.47	$574,037.47	$574,037.47	nat. median $622,450 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	1	$549,227.08	$549,227.08	$549,227.08	nat. median $608,239 0.9× median
5892 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$528,890.00	$528,890.00	$528,890.00	nat. median $89,188 outlier · 5.9×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$353,732.75	$684,148.00	$518,940.38	nat. median $359,454 1.4× median
Q2053 HCPCS	Brexucabtagene Car Pos T	1	$503,983.75	$503,983.75	$503,983.75	nat. median $591,721 0.9× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$466,061.00	$466,061.00	$466,061.00	nat. median $162,342 outlier · 2.9×
1613 APR_DRG	Implantable Heart Assist Systems	1	$456,671.00	$456,671.00	$456,671.00	nat. median $120,517 outlier · 3.8×
5832 APR_DRG	Neonate With Ecmo	1	$424,058.00	$424,058.00	$424,058.00	nat. median $159,249 outlier · 2.7×
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	$418,080.00	$418,080.00	$418,080.00	nat. median $165,000 outlier · 2.5×
5934 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$392,122.00	$392,122.00	$392,122.00	nat. median $151,838 outlier · 2.6×
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	$390,412.00	$390,412.00	$390,412.00	nat. median $163,587 outlier · 2.4×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$230,096.40	$511,001.00	$370,548.70	nat. median $249,036 1.5× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$352,428.00	$352,428.00	$352,428.00	nat. median $175,204 outlier · 2.0×
5831 APR_DRG	Neonate With Ecmo	1	$343,409.00	$343,409.00	$343,409.00	nat. median $146,500 outlier · 2.3×
5891 APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational…	1	$343,359.00	$343,359.00	$343,359.00	nat. median $93,998 outlier · 3.7×
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	$343,056.00	$343,056.00	$343,056.00	nat. median $145,061 outlier · 2.4×
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft	1	$341,317.00	$341,317.00	$341,317.00	nat. median $155,939 outlier · 2.2×
74 APR_DRG	Allogeneic Bone Marrow Transplant	1	$334,815.00	$334,815.00	$334,815.00	nat. median $170,082 2.0× median
14 APR_DRG	Liver Transplant And/or Intestinal Transplant	1	$324,591.00	$324,591.00	$324,591.00	nat. median $136,566 outlier · 2.4×
1612 APR_DRG	Implantable Heart Assist Systems	1	$324,403.00	$324,403.00	$324,403.00	nat. median $84,880 outlier · 3.8×
6024 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	$321,383.00	$321,383.00	$321,383.00	nat. median $118,620 outlier · 2.7×
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	$313,304.00	$313,304.00	$313,304.00	nat. median $122,016 outlier · 2.6×
5933 APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	$310,573.00	$310,573.00	$310,573.00	nat. median $108,695 outlier · 2.9×
1611 APR_DRG	Implantable Heart Assist Systems	1	$308,552.00	$308,552.00	$308,552.00	nat. median $76,852 outlier · 4.0×
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	1	$175,667.96	$430,355.00	$303,011.48	nat. median $198,418 1.5× median
24 APR_DRG	Heart And/or Lung Transplant	1	$302,786.00	$302,786.00	$302,786.00	nat. median $241,437 1.3× median
6074 APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	$292,311.00	$292,311.00	$292,311.00	nat. median $96,883 outlier · 3.0×
Q2058 HCPCS	Obecbtge Autol Up To 400 Mil	1	$286,597.50	$286,597.50	$286,597.50	nat. median $319,951 0.9× median
6034 APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	$285,412.00	$285,412.00	$285,412.00	nat. median $107,681 outlier · 2.7×
5913 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	$282,101.00	$282,101.00	$282,101.00	nat. median $101,406 outlier · 2.8×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	1	$174,646.03	$388,791.00	$281,718.52	nat. median $190,559 1.5× median
4404 APR_DRG	Kidney Transplant	1	$273,801.00	$273,801.00	$273,801.00	nat. median $78,303 outlier · 3.5×
8424 APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	1	$267,986.00	$267,986.00	$267,986.00	nat. median $82,180 outlier · 3.3×

Other procedures at this hospital

Browse this hospital's 15,779 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J3391	HCPCS	Inj, Atidarsagene Autotemcel	1	1	—	—	$4,640,150.00	$4,640,150.00	$4,640,150.00	2026-03-04
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	1	1	—	—	$3,795,824.67	$3,795,824.67	$3,795,824.67	2026-03-04
J1413	HCPCS	Inj Delandistrogene Mox Rokl	1	1	—	—	$3,415,956.47	$3,415,956.47	$3,415,956.47	2026-03-04
J3394	HCPCS	Inj, Lovotibeglogene Autotem	1	1	—	—	$3,345,899.09	$3,345,899.09	$3,345,899.09	2026-03-04
J3393	HCPCS	Inj, Betibeglogene Autotemce	1	1	—	—	$3,034,112.20	$3,034,112.20	$3,034,112.20	2026-03-04
J3392	HCPCS	Inj, Exagamglogene Autotem	1	1	—	—	$2,401,960.00	$2,401,960.00	$2,401,960.00	2026-03-04
J3399	HCPCS	Onasemnogene Abeparvovec-xioi 2x8.3 Ml Susp Kit	10	3	$2,337,500.00	$1,870,000.00 20% off	$1,285,625.00	$2,528,763.92	$1,694,687.50	2026-03-04
Q2057	HCPCS	Afamitresgene Autoleucel	1	1	—	—	$793,738.60	$793,738.60	$793,738.60	2026-03-04
5834	APR_DRG	Neonate With Ecmo	1	1	—	—	$775,963.00	$775,963.00	$775,963.00	2026-03-04
5833	APR_DRG	Neonate With Ecmo	1	1	—	—	$675,764.00	$675,764.00	$675,764.00	2026-03-04
5894	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	1	1	—	—	$639,958.00	$639,958.00	$639,958.00	2026-03-04
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$623,404.00	$623,404.00	$623,404.00	2026-03-04
1614	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$620,723.00	$620,723.00	$620,723.00	2026-03-04
Q2042	HCPCS	Tisagenlecleucel Car-pos T	1	1	—	—	$609,477.99	$609,477.99	$609,477.99	2026-03-04
Q2056	HCPCS	Ciltacabtagene Car-pos T	1	1	—	—	$582,845.01	$582,845.01	$582,845.01	2026-03-04
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	1	1	—	—	$581,779.00	$581,779.00	$581,779.00	2026-03-04
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	1	1	—	—	$579,414.33	$579,414.33	$579,414.33	2026-03-04
Q2055	HCPCS	Idecabtagene Vicleucel Car	1	1	—	—	$574,037.47	$574,037.47	$574,037.47	2026-03-04
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	1	1	—	—	$549,227.08	$549,227.08	$549,227.08	2026-03-04
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	1	1	—	—	$528,890.00	$528,890.00	$528,890.00	2026-03-04
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$353,732.75	$684,148.00	$518,940.38	2026-03-04
Q2053	HCPCS	Brexucabtagene Car Pos T	1	1	—	—	$503,983.75	$503,983.75	$503,983.75	2026-03-04
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$466,061.00	$466,061.00	$466,061.00	2026-03-04
1613	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$456,671.00	$456,671.00	$456,671.00	2026-03-04
5832	APR_DRG	Neonate With Ecmo	1	1	—	—	$424,058.00	$424,058.00	$424,058.00	2026-03-04
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$418,080.00	$418,080.00	$418,080.00	2026-03-04
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$392,122.00	$392,122.00	$392,122.00	2026-03-04
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$390,412.00	$390,412.00	$390,412.00	2026-03-04
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	1	—	—	$230,096.40	$511,001.00	$370,548.70	2026-03-04
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$352,428.00	$352,428.00	$352,428.00	2026-03-04
5831	APR_DRG	Neonate With Ecmo	1	1	—	—	$343,409.00	$343,409.00	$343,409.00	2026-03-04
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	1	1	—	—	$343,359.00	$343,359.00	$343,359.00	2026-03-04
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$343,056.00	$343,056.00	$343,056.00	2026-03-04
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	1	1	—	—	$341,317.00	$341,317.00	$341,317.00	2026-03-04
74	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$334,815.00	$334,815.00	$334,815.00	2026-03-04
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$324,591.00	$324,591.00	$324,591.00	2026-03-04
1612	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$324,403.00	$324,403.00	$324,403.00	2026-03-04
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$321,383.00	$321,383.00	$321,383.00	2026-03-04
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$313,304.00	$313,304.00	$313,304.00	2026-03-04
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$310,573.00	$310,573.00	$310,573.00	2026-03-04
1611	APR_DRG	Implantable Heart Assist Systems	1	1	—	—	$308,552.00	$308,552.00	$308,552.00	2026-03-04
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	2	1	—	—	$175,667.96	$430,355.00	$303,011.48	2026-03-04
24	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$302,786.00	$302,786.00	$302,786.00	2026-03-04
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$292,311.00	$292,311.00	$292,311.00	2026-03-04
Q2058	HCPCS	Obecbtge Autol Up To 400 Mil	1	1	—	—	$286,597.50	$286,597.50	$286,597.50	2026-03-04
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	1	—	—	$285,412.00	$285,412.00	$285,412.00	2026-03-04
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$282,101.00	$282,101.00	$282,101.00	2026-03-04
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo…	2	1	—	—	$174,646.03	$388,791.00	$281,718.52	2026-03-04
4404	APR_DRG	Kidney Transplant	1	1	—	—	$273,801.00	$273,801.00	$273,801.00	2026-03-04
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	1	1	—	—	$267,986.00	$267,986.00	$267,986.00	2026-03-04
J3403	HCPCS	Revakinagene, Per Implant	1	1	—	—	$265,225.00	$265,225.00	$265,225.00	2026-03-04
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$253,215.00	$253,215.00	$253,215.00	2026-03-04
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	1	1	—	—	$240,328.00	$240,328.00	$240,328.00	2026-03-04
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$239,399.00	$239,399.00	$239,399.00	2026-03-04
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$230,861.00	$230,861.00	$230,861.00	2026-03-04
64	APR_DRG	Pancreas Transplant	1	1	—	—	$224,604.00	$224,604.00	$224,604.00	2026-03-04
J3402	HCPCS	Inj. Remestemcel-l-rknd/ Td	1	1	—	—	$211,809.20	$211,809.20	$211,809.20	2026-03-04
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$211,048.00	$211,048.00	$211,048.00	2026-03-04
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$209,400.00	$209,400.00	$209,400.00	2026-03-04
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$208,832.00	$208,832.00	$208,832.00	2026-03-04
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$205,721.00	$205,721.00	$205,721.00	2026-03-04
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$200,988.00	$200,988.00	$200,988.00	2026-03-04
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$200,852.00	$200,852.00	$200,852.00	2026-03-04
1784	APR_DRG	External Heart Assist Systems	1	1	—	—	$193,753.00	$193,753.00	$193,753.00	2026-03-04
23	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$191,635.00	$191,635.00	$191,635.00	2026-03-04
5931	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	1	1	—	—	$189,848.00	$189,848.00	$189,848.00	2026-03-04
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And …	2	1	—	—	$114,505.13	$256,332.00	$185,418.57	2026-03-04
8514	APR_DRG	Gender Related Procedures	1	1	—	—	$184,240.00	$184,240.00	$184,240.00	2026-03-04
73	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$180,982.00	$180,982.00	$180,982.00	2026-03-04
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	1	1	—	—	$180,878.00	$180,878.00	$180,878.00	2026-03-04
63	APR_DRG	Pancreas Transplant	1	1	—	—	$177,816.00	$177,816.00	$177,816.00	2026-03-04
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$176,249.00	$176,249.00	$176,249.00	2026-03-04
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$175,196.00	$175,196.00	$175,196.00	2026-03-04
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$173,063.00	$173,063.00	$173,063.00	2026-03-04
7	MS_DRG	Lung Transplant	2	1	—	—	$107,154.91	$237,081.00	$172,117.96	2026-03-04
4403	APR_DRG	Kidney Transplant	1	1	—	—	$171,093.00	$171,093.00	$171,093.00	2026-03-04
8634	APR_DRG	Neonatal Aftercare	1	1	—	—	$169,955.00	$169,955.00	$169,955.00	2026-03-04
14	MS_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$99,551.05	$237,680.00	$168,615.53	2026-03-04
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	1	—	—	$166,542.00	$166,542.00	$166,542.00	2026-03-04
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$164,329.00	$164,329.00	$164,329.00	2026-03-04
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$163,478.00	$163,478.00	$163,478.00	2026-03-04
84	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	1	1	—	—	$162,521.00	$162,521.00	$162,521.00	2026-03-04
6904	APR_DRG	Acute Leukemia	1	1	—	—	$162,027.00	$162,027.00	$162,027.00	2026-03-04
204	APR_DRG	Open Craniotomy For Trauma	1	1	—	—	$161,272.00	$161,272.00	$161,272.00	2026-03-04
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	1	1	—	—	$160,856.00	$160,856.00	$160,856.00	2026-03-04
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures	1	1	—	—	$159,806.00	$159,806.00	$159,806.00	2026-03-04
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$156,043.00	$156,043.00	$156,043.00	2026-03-04
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$155,819.00	$155,819.00	$155,819.00	2026-03-04
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$155,789.00	$155,789.00	$155,789.00	2026-03-04
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$154,090.00	$154,090.00	$154,090.00	2026-03-04
234	APR_DRG	Spinal Procedures	1	1	—	—	$153,498.00	$153,498.00	$153,498.00	2026-03-04
4402	APR_DRG	Kidney Transplant	1	1	—	—	$151,459.00	$151,459.00	$151,459.00	2026-03-04
72	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$151,179.00	$151,179.00	$151,179.00	2026-03-04
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	1	1	—	—	$150,401.00	$150,401.00	$150,401.00	2026-03-04
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$150,176.00	$150,176.00	$150,176.00	2026-03-04
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	1	—	—	$149,889.00	$149,889.00	$149,889.00	2026-03-04
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	2	1	—	—	$93,955.21	$199,908.00	$146,931.61	2026-03-04
2244	APR_DRG	Peritoneal Adhesiolysis	1	1	—	—	$146,732.00	$146,732.00	$146,732.00	2026-03-04
62	APR_DRG	Pancreas Transplant	1	1	—	—	$146,063.00	$146,063.00	$146,063.00	2026-03-04
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$145,775.00	$145,775.00	$145,775.00	2026-03-04
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	1	1	—	—	$144,885.00	$144,885.00	$144,885.00	2026-03-04
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$144,219.00	$144,219.00	$144,219.00	2026-03-04
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	2	1	—	—	$90,222.20	$197,626.00	$143,924.10	2026-03-04
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$143,221.00	$143,221.00	$143,221.00	2026-03-04
214	APR_DRG	Open Craniotomy Except Trauma	1	1	—	—	$141,845.00	$141,845.00	$141,845.00	2026-03-04
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	1	1	—	—	$141,714.00	$141,714.00	$141,714.00	2026-03-04
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	1	—	—	$91,421.93	$190,034.00	$140,727.96	2026-03-04
914	APR_DRG	Other Major Head And Neck Procedures	1	1	—	—	$140,050.00	$140,050.00	$140,050.00	2026-03-04
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	2	1	—	—	$85,625.46	$193,191.00	$139,408.23	2026-03-04
4414	APR_DRG	Major Bladder Procedures	1	1	—	—	$138,427.00	$138,427.00	$138,427.00	2026-03-04
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$138,129.00	$138,129.00	$138,129.00	2026-03-04
22	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$137,924.00	$137,924.00	$137,924.00	2026-03-04
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	1	1	—	—	$137,817.00	$137,817.00	$137,817.00	2026-03-04
215	MS_DRG	Other Heart Assist System Implant	2	1	—	—	$82,742.31	$192,200.00	$137,471.15	2026-03-04
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	1	1	—	—	$137,341.00	$137,341.00	$137,341.00	2026-03-04
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	—	—	$135,667.00	$135,667.00	$135,667.00	2026-03-04
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	1	1	—	—	$132,522.00	$132,522.00	$132,522.00	2026-03-04
1824	APR_DRG	Other Peripheral Vascular And Related Procedures	1	1	—	—	$132,338.00	$132,338.00	$132,338.00	2026-03-04
1783	APR_DRG	External Heart Assist Systems	1	1	—	—	$132,054.00	$132,054.00	$132,054.00	2026-03-04
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	1	1	—	—	$131,875.00	$131,875.00	$131,875.00	2026-03-04
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	1	1	—	—	$130,655.00	$130,655.00	$130,655.00	2026-03-04
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	1	1	—	—	$129,160.00	$129,160.00	$129,160.00	2026-03-04
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$81,321.51	$175,081.00	$128,201.26	2026-03-04
1694	APR_DRG	Major Abdominal Vascular Procedures	1	1	—	—	$127,465.00	$127,465.00	$127,465.00	2026-03-04
504	APR_DRG	Non-bacterial Infections Of Nervous System Except Viral Meningitis	1	1	—	—	$125,443.00	$125,443.00	$125,443.00	2026-03-04
6224	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$124,784.00	$124,784.00	$124,784.00	2026-03-04
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$124,070.00	$124,070.00	$124,070.00	2026-03-04
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	1	1	—	—	$123,565.00	$123,565.00	$123,565.00	2026-03-04
61	APR_DRG	Pancreas Transplant	1	1	—	—	$121,336.00	$121,336.00	$121,336.00	2026-03-04
1794	APR_DRG	Defibrillator Implants	1	1	—	—	$121,101.00	$121,101.00	$121,101.00	2026-03-04
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	1	1	—	—	$120,037.00	$120,037.00	$120,037.00	2026-03-04
850	MS_DRG	Acute Leukemia With Other Procedures	2	1	—	—	$72,159.87	$167,113.00	$119,636.43	2026-03-04
71	APR_DRG	Allogeneic Bone Marrow Transplant	1	1	—	—	$119,231.00	$119,231.00	$119,231.00	2026-03-04
894	APR_DRG	Major Cranial Or Facial Bone Procedures	1	1	—	—	$118,938.00	$118,938.00	$118,938.00	2026-03-04
J1823	HCPCS	Inebilizumab-cdon IV Soln 100 Mg/10ml (10 Mg/ml)	7	3	$163,900.01	$131,120.01	$510.41	$144,395.91	$118,827.51	2026-03-04
3124	APR_DRG	Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses	1	1	—	—	$118,454.00	$118,454.00	$118,454.00	2026-03-04
6113	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$118,186.00	$118,186.00	$118,186.00	2026-03-04
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$117,706.00	$117,706.00	$117,706.00	2026-03-04
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses	1	1	—	—	$116,898.00	$116,898.00	$116,898.00	2026-03-04
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	—	—	$116,556.00	$116,556.00	$116,556.00	2026-03-04
304	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$116,356.00	$116,356.00	$116,356.00	2026-03-04
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	1	1	—	—	$116,351.00	$116,351.00	$116,351.00	2026-03-04
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	1	1	—	—	$116,344.00	$116,344.00	$116,344.00	2026-03-04
3254	APR_DRG	Non-elective Or Complex Knee Joint Replacement	1	1	—	—	$116,249.00	$116,249.00	$116,249.00	2026-03-04
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	1	1	—	—	$115,131.00	$115,131.00	$115,131.00	2026-03-04
1782	APR_DRG	External Heart Assist Systems	1	1	—	—	$115,089.00	$115,089.00	$115,089.00	2026-03-04
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	1	1	—	—	$114,903.00	$114,903.00	$114,903.00	2026-03-04
1814	APR_DRG	Lower Extremity Arterial Procedures	1	1	—	—	$114,635.00	$114,635.00	$114,635.00	2026-03-04
6083	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	—	—	$113,957.00	$113,957.00	$113,957.00	2026-03-04
Q0480	HCPCS	Driver Pneumatic Vad, Rep	1	1	—	—	$113,443.37	$113,443.37	$113,443.37	2026-03-04
21	APR_DRG	Heart And/or Lung Transplant	1	1	—	—	$113,389.00	$113,389.00	$113,389.00	2026-03-04
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	1	—	—	$75,015.29	$151,307.00	$113,161.14	2026-03-04
3094	APR_DRG	Other Significant Hip And Femur Surgery	1	1	—	—	$113,050.00	$113,050.00	$113,050.00	2026-03-04
231	MS_DRG	Coronary Bypass With Ptca With Mcc	2	1	—	—	$70,287.24	$153,725.00	$112,006.12	2026-03-04
7114	APR_DRG	Post-operative, Post-trauma, Other Device Infections With O.r. Procedure	1	1	—	—	$111,895.00	$111,895.00	$111,895.00	2026-03-04
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$70,071.10	$153,640.00	$111,855.55	2026-03-04
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$110,637.00	$110,637.00	$110,637.00	2026-03-04
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	1	1	—	—	$110,442.00	$110,442.00	$110,442.00	2026-03-04
294	APR_DRG	Other Percutaneous Intracranial Procedures	1	1	—	—	$110,141.00	$110,141.00	$110,141.00	2026-03-04
9103	APR_DRG	Craniotomy For Multiple Significant Trauma	1	1	—	—	$110,141.00	$110,141.00	$110,141.00	2026-03-04
2614	APR_DRG	Major Biliary Tract Procedures	1	1	—	—	$110,092.00	$110,092.00	$110,092.00	2026-03-04
274	APR_DRG	Other Open Craniotomy	1	1	—	—	$109,773.00	$109,773.00	$109,773.00	2026-03-04
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$109,229.00	$109,229.00	$109,229.00	2026-03-04
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$109,080.00	$109,080.00	$109,080.00	2026-03-04
1214	APR_DRG	Other Respiratory And Chest Procedures	1	1	—	—	$108,696.00	$108,696.00	$108,696.00	2026-03-04
7404	APR_DRG	Mental Illness Diagnosis With O.r. Procedure	1	1	—	—	$108,391.00	$108,391.00	$108,391.00	2026-03-04
1781	APR_DRG	External Heart Assist Systems	1	1	—	—	$108,299.00	$108,299.00	$108,299.00	2026-03-04
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$108,277.00	$108,277.00	$108,277.00	2026-03-04
924	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	1	1	—	—	$108,207.00	$108,207.00	$108,207.00	2026-03-04
1204	APR_DRG	Major Respiratory And Chest Procedures	1	1	—	—	$107,864.00	$107,864.00	$107,864.00	2026-03-04
4014	APR_DRG	Adrenal Procedures	1	1	—	—	$107,121.00	$107,121.00	$107,121.00	2026-03-04
1714	APR_DRG	Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock	1	1	—	—	$106,309.00	$106,309.00	$106,309.00	2026-03-04
3234	APR_DRG	Non-elective Or Complex Hip Joint Replacement	1	1	—	—	$106,132.00	$106,132.00	$106,132.00	2026-03-04
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	1	—	—	$65,710.90	$146,236.00	$105,973.45	2026-03-04
5104	APR_DRG	Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced…	1	1	—	—	$105,427.00	$105,427.00	$105,427.00	2026-03-04
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	1	1	—	—	$105,336.00	$105,336.00	$105,336.00	2026-03-04
4034	APR_DRG	Procedures For Obesity	1	1	—	—	$104,120.00	$104,120.00	$104,120.00	2026-03-04
7104	APR_DRG	Infectious And Parasitic Diseases Including HIV With O.r. Procedure	1	1	—	—	$103,531.00	$103,531.00	$103,531.00	2026-03-04
3043	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	1	1	—	—	$103,219.00	$103,219.00	$103,219.00	2026-03-04
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	2	1	—	—	$63,887.20	$141,797.00	$102,842.10	2026-03-04
10	MS_DRG	Pancreas Transplant	2	1	—	—	$60,057.95	$144,638.00	$102,347.98	2026-03-04
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	2	1	—	—	$64,157.18	$140,366.00	$102,261.59	2026-03-04
1764	APR_DRG	Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices	1	1	—	—	$102,158.00	$102,158.00	$102,158.00	2026-03-04
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	2	1	—	—	$59,722.74	$143,809.00	$101,765.87	2026-03-04
1303	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours	1	1	—	—	$101,144.00	$101,144.00	$101,144.00	2026-03-04
5114	APR_DRG	Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy	1	1	—	—	$101,082.00	$101,082.00	$101,082.00	2026-03-04
6344	APR_DRG	Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma…	1	1	—	—	$101,017.00	$101,017.00	$101,017.00	2026-03-04
293	APR_DRG	Other Percutaneous Intracranial Procedures	1	1	—	—	$101,003.00	$101,003.00	$101,003.00	2026-03-04
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$100,835.00	$100,835.00	$100,835.00	2026-03-04
6123	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$100,141.00	$100,141.00	$100,141.00	2026-03-04
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	2	1	—	—	$63,680.86	$135,408.00	$99,544.43	2026-03-04
2324	APR_DRG	Gastric Fundoplication	1	1	—	—	$98,535.00	$98,535.00	$98,535.00	2026-03-04
2644	APR_DRG	Other Hepatobiliary, Pancreas And Abdominal Procedures	1	1	—	—	$97,782.00	$97,782.00	$97,782.00	2026-03-04
4401	APR_DRG	Kidney Transplant	1	1	—	—	$97,417.00	$97,417.00	$97,417.00	2026-03-04
494	APR_DRG	Bacterial And Tuberculous Infections Of Nervous System	1	1	—	—	$96,802.00	$96,802.00	$96,802.00	2026-03-04
6072	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$96,790.00	$96,790.00	$96,790.00	2026-03-04
1704	APR_DRG	Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock	1	1	—	—	$96,322.00	$96,322.00	$96,322.00	2026-03-04
6302	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	1	1	—	—	$96,255.00	$96,255.00	$96,255.00	2026-03-04
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	1	1	—	—	$96,013.20	$96,013.20	$96,013.20	2026-03-04
6082	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	1	1	—	—	$95,925.00	$95,925.00	$95,925.00	2026-03-04
5184	APR_DRG	Other Female Reproductive System And Related Procedures	1	1	—	—	$95,649.00	$95,649.00	$95,649.00	2026-03-04
8423	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	1	1	—	—	$95,640.00	$95,640.00	$95,640.00	2026-03-04
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	2	1	—	—	$60,407.84	$128,850.00	$94,628.92	2026-03-04
6133	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	1	1	—	—	$94,618.00	$94,618.00	$94,618.00	2026-03-04
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	1	1	—	—	$94,606.00	$94,606.00	$94,606.00	2026-03-04
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	2	1	—	—	$59,688.48	$128,202.00	$93,945.24	2026-03-04
209	MS_DRG	Complex Aortic Arch Procedures	1	1	—	—	$93,849.18	$93,849.18	$93,849.18	2026-03-04
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures	1	1	—	—	$93,741.00	$93,741.00	$93,741.00	2026-03-04
4044	APR_DRG	Thyroid, Parathyroid And Thyroglossal Procedures	1	1	—	—	$93,736.00	$93,736.00	$93,736.00	2026-03-04
4054	APR_DRG	Other Procedures For Endocrine, Nutritional And Metabolic Disorders	1	1	—	—	$93,692.00	$93,692.00	$93,692.00	2026-03-04
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	1	1	—	—	$93,303.00	$93,303.00	$93,303.00	2026-03-04
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	1	1	—	—	$93,042.00	$93,042.00	$93,042.00	2026-03-04
5124	APR_DRG	Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy	1	1	—	—	$92,574.00	$92,574.00	$92,574.00	2026-03-04
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	1	1	—	—	$92,066.00	$92,066.00	$92,066.00	2026-03-04
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	2	1	—	—	$57,905.58	$126,198.00	$92,051.79	2026-03-04
3104	APR_DRG	Vertebral And Intervertebral Spinal Procedures Including Disc Procedures	1	1	—	—	$92,011.00	$92,011.00	$92,011.00	2026-03-04
2304	APR_DRG	Major Small Bowel Procedures	1	1	—	—	$91,391.00	$91,391.00	$91,391.00	2026-03-04
6092	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$91,379.00	$91,379.00	$91,379.00	2026-03-04
6112	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	1	1	—	—	$91,221.00	$91,221.00	$91,221.00	2026-03-04
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$91,105.00	$91,105.00	$91,105.00	2026-03-04
1793	APR_DRG	Defibrillator Implants	1	1	—	—	$90,658.00	$90,658.00	$90,658.00	2026-03-04
264	APR_DRG	Other Nervous System And Related Procedures	1	1	—	—	$90,609.00	$90,609.00	$90,609.00	2026-03-04
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	2	1	—	—	$60,033.49	$121,162.00	$90,597.74	2026-03-04
1653	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	1	1	—	—	$90,495.00	$90,495.00	$90,495.00	2026-03-04
83	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	1	1	—	—	$90,352.00	$90,352.00	$90,352.00	2026-03-04
955	MS_DRG	Craniotomy For Multiple Significant Trauma	2	1	—	—	$56,431.78	$123,872.00	$90,151.89	2026-03-04
5144	APR_DRG	Female Reproductive System Reconstructive Procedures	1	1	—	—	$89,628.00	$89,628.00	$89,628.00	2026-03-04
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	2	1	—	—	$57,629.09	$120,957.00	$89,293.04	2026-03-04
1633	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	1	1	—	—	$88,997.00	$88,997.00	$88,997.00	2026-03-04
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	1	—	—	$56,028.06	$121,630.00	$88,829.03	2026-03-04
3031	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	1	1	—	—	$88,774.00	$88,774.00	$88,774.00	2026-03-04
923	APR_DRG	Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures	1	1	—	—	$88,411.00	$88,411.00	$88,411.00	2026-03-04
6143	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition	1	1	—	—	$88,268.00	$88,268.00	$88,268.00	2026-03-04
8633	APR_DRG	Neonatal Aftercare	1	1	—	—	$87,963.00	$87,963.00	$87,963.00	2026-03-04
7934	APR_DRG	Moderately Extensive O.r. Procedures For Other Complications Of Treatment	1	1	—	—	$87,658.00	$87,658.00	$87,658.00	2026-03-04
1622	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	1	1	—	—	$87,072.00	$87,072.00	$87,072.00	2026-03-04
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	1	—	—	$86,550.00	$86,550.00	$86,550.00	2026-03-04
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$55,161.07	$117,153.00	$86,157.04	2026-03-04
3134	APR_DRG	Knee And Lower Leg Procedures Except Foot	1	1	—	—	$85,740.00	$85,740.00	$85,740.00	2026-03-04
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	2	1	—	—	$54,014.33	$117,321.00	$85,667.67	2026-03-04
2224	APR_DRG	Other Stomach, Esophageal And Duodenal Procedures	1	1	—	—	$85,498.00	$85,498.00	$85,498.00	2026-03-04
3154	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement	1	1	—	—	$85,097.00	$85,097.00	$85,097.00	2026-03-04
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis	1	1	—	—	$84,790.00	$84,790.00	$84,790.00	2026-03-04
4804	APR_DRG	Major Male Pelvic Procedures	1	1	—	—	$84,532.00	$84,532.00	$84,532.00	2026-03-04
6504	APR_DRG	Splenic Procedures	1	1	—	—	$84,494.00	$84,494.00	$84,494.00	2026-03-04
233	APR_DRG	Spinal Procedures	1	1	—	—	$84,459.00	$84,459.00	$84,459.00	2026-03-04
1754	APR_DRG	Percutaneous Cardiac Intervention Without Ami	1	1	—	—	$84,262.00	$84,262.00	$84,262.00	2026-03-04
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	2	1	—	—	$56,068.03	$112,227.00	$84,147.51	2026-03-04
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy	1	1	—	—	$83,900.00	$83,900.00	$83,900.00	2026-03-04
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	1	1	—	—	$83,826.00	$83,826.00	$83,826.00	2026-03-04
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition	1	1	—	—	$83,759.00	$83,759.00	$83,759.00	2026-03-04
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection	1	1	—	—	$83,393.00	$83,393.00	$83,393.00	2026-03-04
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	2	1	—	—	$54,966.16	$111,716.00	$83,341.08	2026-03-04
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	2	1	—	—	$51,458.23	$114,729.00	$83,093.62	2026-03-04
444	APR_DRG	Intracranial Hemorrhage	1	1	—	—	$83,088.00	$83,088.00	$83,088.00	2026-03-04
6903	APR_DRG	Acute Leukemia	1	1	—	—	$83,056.00	$83,056.00	$83,056.00	2026-03-04
984	APR_DRG	Other Ear, Nose, Mouth, Throat, Craniofacial, And Neck Procedures	1	1	—	—	$83,025.00	$83,025.00	$83,025.00	2026-03-04
1832	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$82,981.00	$82,981.00	$82,981.00	2026-03-04
6091	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	1	1	—	—	$82,240.00	$82,240.00	$82,240.00	2026-03-04
4844	APR_DRG	Other Male Reproductive System And Related Procedures	1	1	—	—	$82,078.00	$82,078.00	$82,078.00	2026-03-04
4444	APR_DRG	Renal Dialysis Access Device Procedures	1	1	—	—	$81,772.00	$81,772.00	$81,772.00	2026-03-04
224	APR_DRG	Ventricular Shunt Procedures	1	1	—	—	$81,698.00	$81,698.00	$81,698.00	2026-03-04
244	APR_DRG	Open Extracranial Vascular Procedures	1	1	—	—	$81,605.00	$81,605.00	$81,605.00	2026-03-04
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$55,161.07	$107,926.00	$81,543.54	2026-03-04
213	APR_DRG	Open Craniotomy Except Trauma	1	1	—	—	$81,514.00	$81,514.00	$81,514.00	2026-03-04
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	2	1	—	—	$50,522.76	$112,373.00	$81,447.88	2026-03-04
1831	APR_DRG	Percutaneous Structural Cardiac Procedures	1	1	—	—	$81,214.00	$81,214.00	$81,214.00	2026-03-04
3084	APR_DRG	Hip And Femur Fracture Repair	1	1	—	—	$81,085.00	$81,085.00	$81,085.00	2026-03-04
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	2	1	—	—	$50,979.48	$110,818.00	$80,898.74	2026-03-04
8503	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	1	1	—	—	$80,697.00	$80,697.00	$80,697.00	2026-03-04
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	1	1	—	—	$80,666.00	$80,666.00	$80,666.00	2026-03-04
28	MS_DRG	Spinal Procedures With Mcc	2	1	—	—	$50,536.62	$110,288.00	$80,412.31	2026-03-04
2314	APR_DRG	Major Large Bowel Procedures	1	1	—	—	$80,408.00	$80,408.00	$80,408.00	2026-03-04
5194	APR_DRG	Uterine And Adnexa Procedures For Leiomyoma	1	1	—	—	$80,340.00	$80,340.00	$80,340.00	2026-03-04
3224	APR_DRG	Shoulder And Elbow Joint Replacement	1	1	—	—	$80,319.00	$80,319.00	$80,319.00	2026-03-04
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral And Umbilical	1	1	—	—	$80,145.00	$80,145.00	$80,145.00	2026-03-04
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	2	1	—	—	$51,516.15	$108,679.00	$80,097.57	2026-03-04
3244	APR_DRG	Elective Hip Joint Replacement	1	1	—	—	$79,998.00	$79,998.00	$79,998.00	2026-03-04
913	APR_DRG	Other Major Head And Neck Procedures	1	1	—	—	$79,914.00	$79,914.00	$79,914.00	2026-03-04
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	2	1	—	—	$49,895.54	$109,497.00	$79,696.27	2026-03-04
250	EAPG	Cochlear Device Implantation	1	1	—	—	$79,459.66	$79,459.66	$79,459.66	2026-03-04
82	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy	1	1	—	—	$79,425.00	$79,425.00	$79,425.00	2026-03-04
7524	APR_DRG	Disorders Of Personality And Impulse Control	1	1	—	—	$79,088.00	$79,088.00	$79,088.00	2026-03-04
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	2	1	—	—	$46,578.48	$111,326.00	$78,952.24	2026-03-04
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	2	1	—	—	$50,008.11	$107,845.00	$78,926.55	2026-03-04
7754	APR_DRG	Alcohol Abuse And Dependence	1	1	—	—	$78,764.00	$78,764.00	$78,764.00	2026-03-04
7594	APR_DRG	Eating Disorders	1	1	—	—	$78,643.00	$78,643.00	$78,643.00	2026-03-04
6122	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	1	1	—	—	$78,471.00	$78,471.00	$78,471.00	2026-03-04
303	APR_DRG	Percutaneous Intracranial And Extracranial Vascular Procedures	1	1	—	—	$78,140.00	$78,140.00	$78,140.00	2026-03-04
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	2	1	—	—	$49,397.22	$106,745.00	$78,071.11	2026-03-04
4234	APR_DRG	Inborn Errors Of Metabolism	1	1	—	—	$77,959.00	$77,959.00	$77,959.00	2026-03-04
1792	APR_DRG	Defibrillator Implants	1	1	—	—	$77,847.00	$77,847.00	$77,847.00	2026-03-04
3634	APR_DRG	Breast Procedures Except Mastectomy	1	1	—	—	$77,756.00	$77,756.00	$77,756.00	2026-03-04
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	1	1	—	—	$77,719.00	$77,719.00	$77,719.00	2026-03-04
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	2	1	—	—	$45,838.73	$109,497.00	$77,667.87	2026-03-04
3624	APR_DRG	Mastectomy Procedures	1	1	—	—	$77,656.00	$77,656.00	$77,656.00	2026-03-04
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	2	1	—	—	$49,366.23	$105,622.00	$77,494.12	2026-03-04
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	2	1	—	—	$50,167.96	$104,118.00	$77,142.98	2026-03-04
3204	APR_DRG	Other Musculoskeletal System And Connective Tissue Procedures	1	1	—	—	$77,095.00	$77,095.00	$77,095.00	2026-03-04
3060	EAPG	Ventricular Assist Device Procedures	1	1	—	—	$76,770.07	$76,770.07	$76,770.07	2026-03-04

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