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

DUNES SURGICAL HOSPITAL

Dakota Dunes, SD · CCN 430089 · Rates published

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You selected 93306 (CPT)

ECHO COMPLT W CLR&SP

This hospital’s price: $670 across 16 payers · range $513-$1,747

Source: https://mrfs.hyvehealthcare.com/USPI/460423353_dunes-surgical-hospital_standardcharges.json · observed 2026-04-07

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.

15,474 distinct procedures filed
16 distinct payers
86,951 rate rows
2026-04-07 last MRF observed
Data quality

81,701 of 86,951 rate rows are consumer-grade (94.0%)

5,250 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 5,200
exceeds 10× this hospital's gross charge — excluded from medians 29
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 14
placeholder amount (≤ $0.02) — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://mrfs.hyvehealthcare.com/USPI/460423353_dunes-surgical-hospital_standardcharges.json
Found on page https://dunessurgicalhospital.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-11
Content fingerprint 1f7d06384ceb971a… · 25,405,919 bytes · first seen 2026-05-17

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
5894
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $523,073.70 $523,073.70 $523,073.70 nat. median
$4,675
outlier · 111.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 1 $518,240.68 $518,240.68 $518,240.68 nat. median
$738,272
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $507,495.55 $507,495.55 $507,495.55 nat. median
$646,415
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 1 $490,101.99 $490,101.99 $490,101.99 nat. median
$162,514
outlier · 3.0×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $484,690.30 $484,690.30 $484,690.30 nat. median
$622,245
0.8× median
5834
APR_DRG 		Neonate With Ecmo, Severe 1 $480,780.36 $480,780.36 $480,780.36 nat. median
$307,273
1.6× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $475,521.08 $475,521.08 $475,521.08 nat. median
$71,350
outlier · 6.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $474,060.62 $474,060.62 $474,060.62 nat. median
$640,950
0.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $459,381.45 $459,381.45 $459,381.45 nat. median
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $449,440.00 $449,440.00 $449,440.00 nat. median
$591,650
0.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 1 $432,292.24 $432,292.24 $432,292.24 nat. median
$89,188
outlier · 4.8×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 1 $378,620.46 $378,620.46 $378,620.46 nat. median
$247,214
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 1 $374,931.02 $374,931.02 $374,931.02 nat. median
$202,993
1.8× median
5833
APR_DRG 		Neonate With Ecmo, Major 1 $365,554.28 $365,554.28 $365,554.28 nat. median
$244,017
1.5× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 1 $358,034.44 $358,034.44 $358,034.44 nat. median
$241,915
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 1 $341,542.82 $341,542.82 $341,542.82 nat. median
$163,587
outlier · 2.1×
1613
APR_DRG 		Implantable Heart Assist Systems, Major 1 $299,259.72 $299,259.72 $299,259.72 nat. median
$120,517
outlier · 2.5×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 1 $297,400.27 $297,400.27 $297,400.27 nat. median
$156,153
1.9× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 1 $270,015.89 $270,015.89 $270,015.89 nat. median
$159,249
1.7× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 1 $260,088.11 $260,088.11 $260,088.11 nat. median
$136,728
1.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 1 $259,020.62 $259,020.62 $259,020.62 nat. median
$165,000
1.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 1 $254,161.18 $254,161.18 $254,161.18 nat. median
$122,016
outlier · 2.1×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 1 $246,460.64 $246,460.64 $246,460.64 nat. median
$151,838
1.6× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 1 $243,505.50 $243,505.50 $243,505.50 nat. median
$175,429
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 1 $242,248.35 $242,248.35 $242,248.35 nat. median
$170,172
1.4× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 1 $238,829.31 $238,829.31 $238,829.31 nat. median
$145,061
1.6× median
5831
APR_DRG 		Neonate With Ecmo, Minor 1 $232,949.79 $232,949.79 $232,949.79 nat. median
$146,591
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $229,570.41 $229,570.41 $229,570.41 nat. median
$359,358
0.6× median
4404
APR_DRG 		Kidney Transplant, Severe 1 $225,328.71 $225,328.71 $225,328.71 nat. median
$78,303
outlier · 2.9×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 1 $225,104.45 $225,104.45 $225,104.45 nat. median
$84,808
outlier · 2.7×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 1 $223,612.78 $223,612.78 $223,612.78 nat. median
$81,668
outlier · 2.7×
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 1 $219,937.44 $219,937.44 $219,937.44 nat. median
$108,798
outlier · 2.0×
23
APR_DRG 		Heart And/Or Lung Transplant, Major 1 $216,014.77 $216,014.77 $216,014.77 nat. median
$111,046
1.9× median
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 1 $211,525.67 $211,525.67 $211,525.67 nat. median
$76,852
outlier · 2.8×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 1 $198,477.44 $198,477.44 $198,477.44 nat. median
$107,657
1.8× median
64
APR_DRG 		Pancreas Transplant, Severe 1 $197,206.19 $197,206.19 $197,206.19 nat. median
$91,239
outlier · 2.2×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $191,317.70 $191,317.70 $191,317.70 nat. median
$118,589
1.6× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $180,413.81 $180,413.81 $180,413.81 nat. median
$249,124
0.7× median
22
APR_DRG 		Heart And/Or Lung Transplant, Moderate 1 $160,306.68 $160,306.68 $160,306.68 nat. median
$92,229
1.7× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 1 $160,120.86 $160,120.86 $160,120.86 nat. median
$101,541
1.6× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 1 $158,108.91 $158,108.91 $158,108.91 nat. median
$74,798
outlier · 2.1×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 1 $157,206.73 $157,206.73 $157,206.73 nat. median
$120,505
1.3× median
2604
APR_DRG 		Major Pancreas, Liver And Shunt Procedures, Severe 1 $150,981.20 $150,981.20 $150,981.20 nat. median
$49,442
outlier · 3.1×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 1 $150,059.81 $150,059.81 $150,059.81 nat. median
$98,624
1.5× median
4403
APR_DRG 		Kidney Transplant, Major 1 $148,529.69 $148,529.69 $148,529.69 nat. median
$49,270
outlier · 3.0×
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 $146,356.27 $146,356.27 $146,356.27 nat. median
$88,157
1.7× median
4402
APR_DRG 		Kidney Transplant, Moderate 1 $145,117.06 $145,117.06 $145,117.06 nat. median
$41,406
outlier · 3.5×
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 1 $144,291.77 $144,291.77 $144,291.77 nat. median
$85,523
1.7× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 1 $143,097.42 $143,097.42 $143,097.42 nat. median
$74,757
1.9× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 1 $140,542.11 $140,542.11 $140,542.11 nat. median
$133,164
1.1× median

Other procedures at this hospital

Browse this hospital's 15,474 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
             
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $523,073.70 $523,073.70 $523,073.70 2026-04-07
Q2042 HCPCS Tisagenlecleucel Car-pos T 1 1 — $821,037.96 $518,240.68 $518,240.68 $518,240.68 2026-04-07
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — $814,810.25 $507,495.55 $507,495.55 $507,495.55 2026-04-07
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 1 1 — — $490,101.99 $490,101.99 $490,101.99 2026-04-07
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — $778,654.97 $484,690.30 $484,690.30 $484,690.30 2026-04-07
5834 APR_DRG Neonate With Ecmo, Severe 1 1 — — $480,780.36 $480,780.36 $480,780.36 2026-04-07
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $475,521.08 $475,521.08 $475,521.08 2026-04-07
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — $761,245.68 $474,060.62 $474,060.62 $474,060.62 2026-04-07
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — $722,025.36 $459,381.45 $459,381.45 $459,381.45 2026-04-07
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — $722,025.36 $449,440.00 $449,440.00 $449,440.00 2026-04-07
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $432,292.24 $432,292.24 $432,292.24 2026-04-07
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 1 1 — — $378,620.46 $378,620.46 $378,620.46 2026-04-07
1614 APR_DRG Implantable Heart Assist Systems, Severe 1 1 — — $374,931.02 $374,931.02 $374,931.02 2026-04-07
5833 APR_DRG Neonate With Ecmo, Major 1 1 — — $365,554.28 $365,554.28 $365,554.28 2026-04-07
24 APR_DRG Heart And/Or Lung Transplant, Severe 1 1 — — $358,034.44 $358,034.44 $358,034.44 2026-04-07
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 1 1 — — $341,542.82 $341,542.82 $341,542.82 2026-04-07
1613 APR_DRG Implantable Heart Assist Systems, Major 1 1 — — $299,259.72 $299,259.72 $299,259.72 2026-04-07
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 1 1 — — $297,400.27 $297,400.27 $297,400.27 2026-04-07
5832 APR_DRG Neonate With Ecmo, Moderate 1 1 — — $270,015.89 $270,015.89 $270,015.89 2026-04-07
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 1 1 — — $260,088.11 $260,088.11 $260,088.11 2026-04-07
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 1 1 — — $259,020.62 $259,020.62 $259,020.62 2026-04-07
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 1 1 — — $254,161.18 $254,161.18 $254,161.18 2026-04-07
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 1 1 — — $246,460.64 $246,460.64 $246,460.64 2026-04-07
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 1 1 — — $243,505.50 $243,505.50 $243,505.50 2026-04-07
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 1 1 — — $242,248.35 $242,248.35 $242,248.35 2026-04-07
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 1 1 — — $238,829.31 $238,829.31 $238,829.31 2026-04-07
5831 APR_DRG Neonate With Ecmo, Minor 1 1 — — $232,949.79 $232,949.79 $232,949.79 2026-04-07
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — $411,332.70 $229,570.41 $229,570.41 $229,570.41 2026-04-07
4404 APR_DRG Kidney Transplant, Severe 1 1 — — $225,328.71 $225,328.71 $225,328.71 2026-04-07
1612 APR_DRG Implantable Heart Assist Systems, Moderate 1 1 — — $225,104.45 $225,104.45 $225,104.45 2026-04-07
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 1 1 — — $223,612.78 $223,612.78 $223,612.78 2026-04-07
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 1 1 — — $219,937.44 $219,937.44 $219,937.44 2026-04-07
23 APR_DRG Heart And/Or Lung Transplant, Major 1 1 — — $216,014.77 $216,014.77 $216,014.77 2026-04-07
1611 APR_DRG Implantable Heart Assist Systems, Minor 1 1 — — $211,525.67 $211,525.67 $211,525.67 2026-04-07
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 1 1 — — $198,477.44 $198,477.44 $198,477.44 2026-04-07
64 APR_DRG Pancreas Transplant, Severe 1 1 — — $197,206.19 $197,206.19 $197,206.19 2026-04-07
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $191,317.70 $191,317.70 $191,317.70 2026-04-07
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — $302,544.08 $180,413.81 $180,413.81 $180,413.81 2026-04-07
22 APR_DRG Heart And/Or Lung Transplant, Moderate 1 1 — — $160,306.68 $160,306.68 $160,306.68 2026-04-07
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 1 1 — — $160,120.86 $160,120.86 $160,120.86 2026-04-07
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 1 1 — — $158,108.91 $158,108.91 $158,108.91 2026-04-07
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 1 1 — — $157,206.73 $157,206.73 $157,206.73 2026-04-07
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 1 1 — — $150,981.20 $150,981.20 $150,981.20 2026-04-07
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 1 1 — — $150,059.81 $150,059.81 $150,059.81 2026-04-07
4403 APR_DRG Kidney Transplant, Major 1 1 — — $148,529.69 $148,529.69 $148,529.69 2026-04-07
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $146,356.27 $146,356.27 $146,356.27 2026-04-07
4402 APR_DRG Kidney Transplant, Moderate 1 1 — — $145,117.06 $145,117.06 $145,117.06 2026-04-07
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 1 1 — — $144,291.77 $144,291.77 $144,291.77 2026-04-07
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 1 1 — — $143,097.42 $143,097.42 $143,097.42 2026-04-07
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 1 1 — — $140,542.11 $140,542.11 $140,542.11 2026-04-07
63 APR_DRG Pancreas Transplant, Major 1 1 — — $138,664.71 $138,664.71 $138,664.71 2026-04-07
21 APR_DRG Heart And/Or Lung Transplant, Minor 1 1 — — $137,425.50 $137,425.50 $137,425.50 2026-04-07
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 1 1 — — $136,028.66 $136,028.66 $136,028.66 2026-04-07
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Minor 1 1 — — $131,174.34 $131,174.34 $131,174.34 2026-04-07
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — $294,283.41 $129,338.32 $129,338.32 $129,338.32 2026-04-07
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 1 1 — — $129,100.87 $129,100.87 $129,100.87 2026-04-07
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 1 1 — — $127,531.04 $127,531.04 $127,531.04 2026-04-07
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $126,320.02 $126,320.02 $126,320.02 2026-04-07
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 1 1 — — $125,612.63 $125,612.63 $125,612.63 2026-04-07
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 1 1 — — $122,018.02 $122,018.02 $122,018.02 2026-04-07
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 1 1 — — $121,067.15 $121,067.15 $121,067.15 2026-04-07
62 APR_DRG Pancreas Transplant, Moderate 1 1 — — $120,375.14 $120,375.14 $120,375.14 2026-04-07
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 1 1 — — $118,254.26 $118,254.26 $118,254.26 2026-04-07
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $114,835.22 $114,835.22 $114,835.22 2026-04-07
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 1 1 — — $113,424.28 $113,424.28 $113,424.28 2026-04-07
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 1 1 — — $112,866.83 $112,866.83 $112,866.83 2026-04-07
6904 APR_DRG Acute Leukemia, Severe 1 1 — — $111,977.47 $111,977.47 $111,977.47 2026-04-07
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 1 1 — — $111,710.92 $111,710.92 $111,710.92 2026-04-07
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 1 1 — — $110,674.18 $110,674.18 $110,674.18 2026-04-07
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 1 1 — — $110,474.27 $110,474.27 $110,474.27 2026-04-07
1784 APR_DRG External Heart Assist Systems, Severe 1 1 — — $110,335.87 $110,335.87 $110,335.87 2026-04-07
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 1 1 — — $109,142.79 $109,142.79 $109,142.79 2026-04-07
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 1 1 — — $108,454.63 $108,454.63 $108,454.63 2026-04-07
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 1 1 — — $108,303.41 $108,303.41 $108,303.41 2026-04-07
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 1 1 — — $108,021.48 $108,021.48 $108,021.48 2026-04-07
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $107,888.20 $107,888.20 $107,888.20 2026-04-07
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 1 1 — — $107,502.47 $107,502.47 $107,502.47 2026-04-07
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 1 1 — — $106,884.79 $106,884.79 $106,884.79 2026-04-07
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 1 1 — — $106,722.04 $106,722.04 $106,722.04 2026-04-07
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 1 1 — — $105,972.36 $105,972.36 $105,972.36 2026-04-07
4401 APR_DRG Kidney Transplant, Minor 1 1 — — $104,382.02 $104,382.02 $104,382.02 2026-04-07
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 1 1 — — $103,900.18 $103,900.18 $103,900.18 2026-04-07
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $102,200.91 $102,200.91 $102,200.91 2026-04-07
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 1 1 — — $101,838.24 $101,838.24 $101,838.24 2026-04-07
8634 APR_DRG Neonatal Aftercare, Severe 1 1 — — $101,278.23 $101,278.23 $101,278.23 2026-04-07
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 1 1 — — $99,759.65 $99,759.65 $99,759.65 2026-04-07
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 1 1 — $115,553.25 $99,220.68 $99,220.68 $99,220.68 2026-04-07
214 APR_DRG Open Craniotomy Except Trauma, Severe 1 1 — — $99,097.11 $99,097.11 $99,097.11 2026-04-07
234 APR_DRG Spinal Procedures, Severe 1 1 — — $98,848.50 $98,848.50 $98,848.50 2026-04-07
1794 APR_DRG Defibrillator Implants, Severe 1 1 — — $98,848.50 $98,848.50 $98,848.50 2026-04-07
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 1 1 — — $98,590.92 $98,590.92 $98,590.92 2026-04-07
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 1 1 — — $98,423.04 $98,423.04 $98,423.04 2026-04-07
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 1 1 — — $98,419.20 $98,419.20 $98,419.20 2026-04-07
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 1 1 — — $97,502.93 $97,502.93 $97,502.93 2026-04-07
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $97,340.18 $97,340.18 $97,340.18 2026-04-07
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 1 1 — — $96,921.13 $96,921.13 $96,921.13 2026-04-07
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 1 1 — — $96,068.93 $96,068.93 $96,068.93 2026-04-07
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — $238,031.87 $95,176.30 $95,176.30 $95,176.30 2026-04-07
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 1 1 — — $95,064.23 $95,064.23 $95,064.23 2026-04-07
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 1 1 — — $94,793.84 $94,793.84 $94,793.84 2026-04-07
7 MS_DRG Lung Transplant 1 1 — $136,949.01 $94,702.27 $94,702.27 $94,702.27 2026-04-07
61 APR_DRG Pancreas Transplant, Minor 1 1 — — $94,620.83 $94,620.83 $94,620.83 2026-04-07
1783 APR_DRG External Heart Assist Systems, Major 1 1 — — $94,540.10 $94,540.10 $94,540.10 2026-04-07
204 APR_DRG Open Craniotomy For Trauma, Severe 1 1 — — $94,370.94 $94,370.94 $94,370.94 2026-04-07
914 APR_DRG Other Major Head And Neck Procedures, Severe 1 1 — — $94,328.65 $94,328.65 $94,328.65 2026-04-07
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 1 1 — — $94,095.42 $94,095.42 $94,095.42 2026-04-07
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 1 1 — — $93,999.31 $93,999.31 $93,999.31 2026-04-07
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 1 1 — — $93,883.97 $93,883.97 $93,883.97 2026-04-07
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 1 1 — — $93,831.43 $93,831.43 $93,831.43 2026-04-07
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 1 1 — — $93,394.44 $93,394.44 $93,394.44 2026-04-07
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 1 1 — — $92,784.44 $92,784.44 $92,784.44 2026-04-07
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — $136,700.04 $89,682.76 $89,682.76 $89,682.76 2026-04-07
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $89,614.01 $89,614.01 $89,614.01 2026-04-07
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 1 1 — — $89,000.18 $89,000.18 $89,000.18 2026-04-07
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 1 1 — — $88,898.94 $88,898.94 $88,898.94 2026-04-07
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 1 1 — — $88,820.77 $88,820.77 $88,820.77 2026-04-07
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 1 1 — — $88,638.79 $88,638.79 $88,638.79 2026-04-07
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $87,480.32 $87,480.32 $87,480.32 2026-04-07
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 1 1 — — $87,189.42 $87,189.42 $87,189.42 2026-04-07
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 1 1 — — $86,202.66 $86,202.66 $86,202.66 2026-04-07
14 MS_DRG Allogeneic Bone Marrow Transplant 1 1 — $127,955.96 $86,116.72 $86,116.72 $86,116.72 2026-04-07
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 1 1 — — $86,074.51 $86,074.51 $86,074.51 2026-04-07
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 1 1 — — $85,463.24 $85,463.24 $85,463.24 2026-04-07
1782 APR_DRG External Heart Assist Systems, Moderate 1 1 — — $84,922.44 $84,922.44 $84,922.44 2026-04-07
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 1 1 — $58,744.59 $84,449.91 $84,449.91 $84,449.91 2026-04-07
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 1 1 — — $84,266.31 $84,266.31 $84,266.31 2026-04-07
652 MS_DRG Kidney Transplant 1 1 — $33,542.82 $83,758.84 $83,758.84 $83,758.84 2026-04-07
4414 APR_DRG Major Bladder Procedures, Severe 1 1 — — $83,207.80 $83,207.80 $83,207.80 2026-04-07
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 1 1 — — $82,779.77 $82,779.77 $82,779.77 2026-04-07
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 1 1 — — $81,172.77 $81,172.77 $81,172.77 2026-04-07
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 1 1 — — $81,140.74 $81,140.74 $81,140.74 2026-04-07
7594 APR_DRG Eating Disorders, Severe 1 1 — — $80,662.74 $80,662.74 $80,662.74 2026-04-07
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 1 1 — — $80,494.86 $80,494.86 $80,494.86 2026-04-07
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 1 1 — — $79,882.30 $79,882.30 $79,882.30 2026-04-07
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 1 1 — — $79,686.23 $79,686.23 $79,686.23 2026-04-07
8904 APR_DRG HIV With Multiple Major HIV Related Conditions, Severe 1 1 — — $79,656.76 $79,656.76 $79,656.76 2026-04-07
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 1 1 — — $78,868.64 $78,868.64 $78,868.64 2026-04-07
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 1 1 — — $78,813.53 $78,813.53 $78,813.53 2026-04-07
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 1 1 — — $78,805.84 $78,805.84 $78,805.84 2026-04-07
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 1 1 — — $78,284.27 $78,284.27 $78,284.27 2026-04-07
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 1 1 — — $77,887.01 $77,887.01 $77,887.01 2026-04-07
274 APR_DRG Other Open Craniotomy, Severe 1 1 — — $77,517.94 $77,517.94 $77,517.94 2026-04-07
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 1 1 — — $76,983.55 $76,983.55 $76,983.55 2026-04-07
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 1 1 — — $76,837.46 $76,837.46 $76,837.46 2026-04-07
2614 APR_DRG Major Biliary Tract Procedures, Severe 1 1 — — $76,751.60 $76,751.60 $76,751.60 2026-04-07
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $75,058.74 $75,058.74 $75,058.74 2026-04-07
1781 APR_DRG External Heart Assist Systems, Minor 1 1 — — $75,013.88 $75,013.88 $75,013.88 2026-04-07
6504 APR_DRG Splenectomy, Severe 1 1 — — $74,904.96 $74,904.96 $74,904.96 2026-04-07
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 1 1 — — $74,883.17 $74,883.17 $74,883.17 2026-04-07
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 1 1 — — $74,652.50 $74,652.50 $74,652.50 2026-04-07
4014 APR_DRG Adrenal Procedures, Severe 1 1 — — $73,756.73 $73,756.73 $73,756.73 2026-04-07
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 1 1 — — $72,728.97 $72,728.97 $72,728.97 2026-04-07
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 1 1 — — $72,289.42 $72,289.42 $72,289.42 2026-04-07
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 1 1 — — $72,240.72 $72,240.72 $72,240.72 2026-04-07
2304 APR_DRG Major Small Bowel Procedures, Severe 1 1 — — $71,260.37 $71,260.37 $71,260.37 2026-04-07
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 1 1 — — $69,959.65 $69,959.65 $69,959.65 2026-04-07
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 1 1 — — $69,653.37 $69,653.37 $69,653.37 2026-04-07
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 1 1 — — $69,407.32 $69,407.32 $69,407.32 2026-04-07
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Moderate 1 1 — — $69,167.68 $69,167.68 $69,167.68 2026-04-07
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 1 1 — — $69,057.47 $69,057.47 $69,057.47 2026-04-07
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — $108,355.46 $68,670.81 $68,670.81 $68,670.81 2026-04-07
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 1 1 — — $68,470.55 $68,470.55 $68,470.55 2026-04-07
224 APR_DRG Ventricular Shunt Procedures, Severe 1 1 — — $67,815.70 $67,815.70 $67,815.70 2026-04-07
264 APR_DRG Other Nervous System And Related Procedures, Severe 1 1 — — $67,172.39 $67,172.39 $67,172.39 2026-04-07
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 1 1 — — $66,912.24 $66,912.24 $66,912.24 2026-04-07
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 1 1 — — $66,869.95 $66,869.95 $66,869.95 2026-04-07
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $66,750.77 $66,750.77 $66,750.77 2026-04-07
2244 APR_DRG Peritoneal Adhesiolysis, Severe 1 1 — — $66,749.49 $66,749.49 $66,749.49 2026-04-07
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 1 1 — — $66,054.92 $66,054.92 $66,054.92 2026-04-07
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 1 1 — — $65,907.55 $65,907.55 $65,907.55 2026-04-07
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 1 1 — — $65,866.54 $65,866.54 $65,866.54 2026-04-07
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 1 1 — — $65,307.80 $65,307.80 $65,307.80 2026-04-07
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 1 1 — — $65,300.11 $65,300.11 $65,300.11 2026-04-07
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 1 1 — — $65,125.83 $65,125.83 $65,125.83 2026-04-07
9103 APR_DRG Craniotomy For Multiple Significant Trauma, Major 1 1 — — $64,897.72 $64,897.72 $64,897.72 2026-04-07
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 1 1 — — $64,633.73 $64,633.73 $64,633.73 2026-04-07
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 1 1 — — $64,542.75 $64,542.75 $64,542.75 2026-04-07
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 1 1 — — $64,306.95 $64,306.95 $64,306.95 2026-04-07
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 1 1 — — $64,237.75 $64,237.75 $64,237.75 2026-04-07
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 1 1 — — $63,935.32 $63,935.32 $63,935.32 2026-04-07
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 1 1 — — $63,748.22 $63,748.22 $63,748.22 2026-04-07
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 1 1 — — $63,679.02 $63,679.02 $63,679.02 2026-04-07
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 1 1 — — $63,218.96 $63,218.96 $63,218.96 2026-04-07
1793 APR_DRG Defibrillator Implants, Major 1 1 — — $63,160.01 $63,160.01 $63,160.01 2026-04-07
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Major 1 1 — — $63,135.66 $63,135.66 $63,135.66 2026-04-07
444 APR_DRG Intracranial Hemorrhage, Severe 1 1 — — $62,849.89 $62,849.89 $62,849.89 2026-04-07
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 1 1 — — $62,578.21 $62,578.21 $62,578.21 2026-04-07
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Sever… 1 1 — — $62,473.13 $62,473.13 $62,473.13 2026-04-07
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 1 1 — — $62,464.15 $62,464.15 $62,464.15 2026-04-07
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — $164,119.10 $62,389.05 $62,389.05 $62,389.05 2026-04-07
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 1 1 — — $62,293.72 $62,293.72 $62,293.72 2026-04-07
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 1 1 — — $62,097.65 $62,097.65 $62,097.65 2026-04-07
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 1 1 — — $62,061.76 $62,061.76 $62,061.76 2026-04-07
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 1 1 — — $62,001.53 $62,001.53 $62,001.53 2026-04-07
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 1 1 — — $61,907.98 $61,907.98 $61,907.98 2026-04-07
2324 APR_DRG Gastric Fundoplication, Severe 1 1 — — $61,683.72 $61,683.72 $61,683.72 2026-04-07
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 1 1 — — $61,596.58 $61,596.58 $61,596.58 2026-04-07
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 1 1 — — $61,267.23 $61,267.23 $61,267.23 2026-04-07
6903 APR_DRG Acute Leukemia, Major 1 1 — — $61,013.50 $61,013.50 $61,013.50 2026-04-07
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 1 1 — — $60,891.75 $60,891.75 $60,891.75 2026-04-07
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 1 1 — — $60,611.11 $60,611.11 $60,611.11 2026-04-07
1831 APR_DRG Percutaneous Structural Cardiac Procedures, Minor 1 1 — — $60,558.56 $60,558.56 $60,558.56 2026-04-07
734 APR_DRG Orbit And Eye Procedures, Severe 1 1 — — $60,089.54 $60,089.54 $60,089.54 2026-04-07
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 1 1 — — $59,829.39 $59,829.39 $59,829.39 2026-04-07
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $59,783.26 $59,783.26 $59,783.26 2026-04-07
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 1 1 — — $59,658.95 $59,658.95 $59,658.95 2026-04-07
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 1 1 — $50,212.64 $59,648.74 $59,648.74 $59,648.74 2026-04-07
244 APR_DRG Open Extracranial Vascular Procedures, Severe 1 1 — — $59,141.23 $59,141.23 $59,141.23 2026-04-07
913 APR_DRG Other Major Head And Neck Procedures, Major 1 1 — — $58,855.45 $58,855.45 $58,855.45 2026-04-07
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 1 1 — — $58,708.08 $58,708.08 $58,708.08 2026-04-07
3624 APR_DRG Mastectomy Procedures, Severe 1 1 — — $58,523.54 $58,523.54 $58,523.54 2026-04-07
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $57,843.07 $57,843.07 $57,843.07 2026-04-07
5144 APR_DRG Female Reproductive System Reconstructive Procedures, Severe 1 1 — — $57,757.21 $57,757.21 $57,757.21 2026-04-07
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 1 1 — — $57,409.92 $57,409.92 $57,409.92 2026-04-07
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 1 1 — — $57,201.03 $57,201.03 $57,201.03 2026-04-07
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 1 1 — — $57,181.81 $57,181.81 $57,181.81 2026-04-07
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 1 1 — — $56,924.23 $56,924.23 $56,924.23 2026-04-07
7524 APR_DRG Disorders Of Personality And Impulse Control, Severe 1 1 — — $56,528.25 $56,528.25 $56,528.25 2026-04-07
4034 APR_DRG Procedures For Obesity, Severe 1 1 — — $56,406.50 $56,406.50 $56,406.50 2026-04-07
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Moderate 1 1 — — $56,064.34 $56,064.34 $56,064.34 2026-04-07
4804 APR_DRG Major Male Pelvic Procedures, Severe 1 1 — — $55,841.36 $55,841.36 $55,841.36 2026-04-07
6 MS_DRG Liver Transplant Without Mcc 1 1 — $54,001.88 $55,812.79 $55,812.79 $55,812.79 2026-04-07
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 1 1 — — $55,755.50 $55,755.50 $55,755.50 2026-04-07
33975 CPT Implant Ventricular Device 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33995 CPT Insj Perq Vad R Hrt Venous 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33990 CPT Insj Perq Vad L Hrt Arterial 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33983 CPT Replace Vad Intra W/bp 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33991 CPT Insj Perq Vad L Hrt Artl&ven 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33981 CPT Replace Vad Pump Ext 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33982 CPT Replace Vad Intra Without Bp 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33976 CPT Implant Ventricular Device 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
33979 CPT Insert Intracorporeal Device 1 1 — — $55,608.54 $55,608.54 $55,608.54 2026-04-07
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 1 1 — — $55,481.26 $55,481.26 $55,481.26 2026-04-07
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — $85,829.93 $55,453.57 $55,453.57 $55,453.57 2026-04-07
5103 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $55,447.94 $55,447.94 $55,447.94 2026-04-07
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 1 1 — — $55,418.47 $55,418.47 $55,418.47 2026-04-07
233 APR_DRG Spinal Procedures, Major 1 1 — — $55,140.38 $55,140.38 $55,140.38 2026-04-07
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 1 1 — — $55,058.37 $55,058.37 $55,058.37 2026-04-07
6902 APR_DRG Acute Leukemia, Moderate 1 1 — — $55,018.64 $55,018.64 $55,018.64 2026-04-07
3244 APR_DRG Elective Hip Joint Replacement, Severe 1 1 — — $54,647.00 $54,647.00 $54,647.00 2026-04-07
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 1 1 — — $54,175.41 $54,175.41 $54,175.41 2026-04-07
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 1 1 — — $54,084.43 $54,084.43 $54,084.43 2026-04-07
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 1 1 — — $53,847.35 $53,847.35 $53,847.35 2026-04-07
6142 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 1 1 — — $53,584.64 $53,584.64 $53,584.64 2026-04-07
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement, Severe 1 1 — — $53,461.62 $53,461.62 $53,461.62 2026-04-07
1792 APR_DRG Defibrillator Implants, Moderate 1 1 — — $53,336.03 $53,336.03 $53,336.03 2026-04-07
3084 APR_DRG Hip And Femur Fracture Repair, Severe 1 1 — — $53,287.33 $53,287.33 $53,287.33 2026-04-07
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Minor 1 1 — — $53,261.70 $53,261.70 $53,261.70 2026-04-07
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 1 1 — — $53,178.41 $53,178.41 $53,178.41 2026-04-07
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 1 1 — — $53,145.09 $53,145.09 $53,145.09 2026-04-07
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 1 1 — — $53,145.09 $53,145.09 $53,145.09 2026-04-07
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 1 1 — — $53,006.68 $53,006.68 $53,006.68 2026-04-07
9102 APR_DRG Craniotomy For Multiple Significant Trauma, Moderate 1 1 — — $52,943.89 $52,943.89 $52,943.89 2026-04-07
2314 APR_DRG Major Large Bowel Procedures, Severe 1 1 — — $52,838.81 $52,838.81 $52,838.81 2026-04-07
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 1 1 — — $52,687.59 $52,687.59 $52,687.59 2026-04-07
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — $94,367.37 $52,448.41 $52,448.41 $52,448.41 2026-04-07
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 1 1 — — $52,358.25 $52,358.25 $52,358.25 2026-04-07
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 1 1 — — $52,358.25 $52,358.25 $52,358.25 2026-04-07
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 1 1 — — $52,019.93 $52,019.93 $52,019.93 2026-04-07
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $51,691.87 $51,691.87 $51,691.87 2026-04-07
1763 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Maj… 1 1 — — $51,666.24 $51,666.24 $51,666.24 2026-04-07
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 1 1 — — $51,579.09 $51,579.09 $51,579.09 2026-04-07
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures, Severe 1 1 — — $51,572.69 $51,572.69 $51,572.69 2026-04-07
1693 APR_DRG Major Abdominal Vascular Procedures, Major 1 1 — — $51,453.51 $51,453.51 $51,453.51 2026-04-07
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement, Major 1 1 — — $51,348.42 $51,348.42 $51,348.42 2026-04-07
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 1 1 — — $51,206.18 $51,206.18 $51,206.18 2026-04-07
213 APR_DRG Open Craniotomy Except Trauma, Major 1 1 — — $51,030.61 $51,030.61 $51,030.61 2026-04-07
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 1 1 — — $50,929.37 $50,929.37 $50,929.37 2026-04-07
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure, Severe 1 1 — — $50,708.96 $50,708.96 $50,708.96 2026-04-07
9123 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Major 1 1 — — $50,605.15 $50,605.15 $50,605.15 2026-04-07
215 MS_DRG Other Heart Assist System Implant 1 1 — $114,043.80 $50,601.45 $50,601.45 $50,601.45 2026-04-07
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 1 1 — — $50,503.92 $50,503.92 $50,503.92 2026-04-07
6924 APR_DRG Radiotherapy, Severe 1 1 — — $50,427.03 $50,427.03 $50,427.03 2026-04-07
1791 APR_DRG Defibrillator Implants, Minor 1 1 — — $50,382.17 $50,382.17 $50,382.17 2026-04-07
8633 APR_DRG Neonatal Aftercare, Major 1 1 — — $50,168.16 $50,168.16 $50,168.16 2026-04-07
2794 APR_DRG Hepatic Coma And Other Major Acute Liver Disorders, Severe 1 1 — — $50,114.34 $50,114.34 $50,114.34 2026-04-07
9503 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Major 1 1 — — $50,105.37 $50,105.37 $50,105.37 2026-04-07
6031 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mino… 1 1 — — $50,052.83 $50,052.83 $50,052.83 2026-04-07
3264 APR_DRG Elective Knee Joint Replacement, Severe 1 1 — — $49,669.66 $49,669.66 $49,669.66 2026-04-07
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $49,560.54 $49,560.54 $49,560.54 2026-04-07
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure, Severe 1 1 — — $49,382.60 $49,382.60 $49,382.60 2026-04-07
3042 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Moderate 1 1 — — $49,262.14 $49,262.14 $49,262.14 2026-04-07
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 1 1 — — $48,855.91 $48,855.91 $48,855.91 2026-04-07
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Minor 1 1 — — $48,600.89 $48,600.89 $48,600.89 2026-04-07
1631 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Minor 1 1 — — $48,557.32 $48,557.32 $48,557.32 2026-04-07
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 1 1 — — $48,495.80 $48,495.80 $48,495.80 2026-04-07
4454 APR_DRG Other Bladder Procedures, Severe 1 1 — — $48,489.40 $48,489.40 $48,489.40 2026-04-07
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Maj… 1 1 — — $48,412.51 $48,412.51 $48,412.51 2026-04-07
1823 APR_DRG Other Peripheral Vascular And Related Procedures, Major 1 1 — — $48,366.37 $48,366.37 $48,366.37 2026-04-07
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 1 1 — — $48,174.15 $48,174.15 $48,174.15 2026-04-07
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Ma… 1 1 — — $48,115.20 $48,115.20 $48,115.20 2026-04-07
1924 APR_DRG Cardiac Catheterization For Other Non-coronary Conditions, Severe 1 1 — — $48,089.57 $48,089.57 $48,089.57 2026-04-07
1703 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Major 1 1 — — $47,529.55 $47,529.55 $47,529.55 2026-04-07
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $47,391.15 $47,391.15 $47,391.15 2026-04-07
5394 APR_DRG Cesarean Section With Sterilization, Severe 1 1 — — $47,370.65 $47,370.65 $47,370.65 2026-04-07
2824 APR_DRG Disorders Of Pancreas Except Malignancy, Severe 1 1 — — $47,316.82 $47,316.82 $47,316.82 2026-04-07
3634 APR_DRG Breast Procedures Except Mastectomy, Severe 1 1 — — $47,296.32 $47,296.32 $47,296.32 2026-04-07
554 APR_DRG Head Trauma With Coma > 1 Hour Or Hemorrhage, Severe 1 1 — — $47,268.13 $47,268.13 $47,268.13 2026-04-07
2444 APR_DRG Diverticulitis And Diverticulosis, Severe 1 1 — — $46,990.04 $46,990.04 $46,990.04 2026-04-07
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 1 1 — — $46,981.07 $46,981.07 $46,981.07 2026-04-07
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