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

UNIV. OF VERMONT - FLETCHER ALLEN HEALTH CARE

Burlington, VT · CCN 470003 · Rates published

Your selected procedure

You selected 27447 (CPT)

ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)

This hospital’s price: $12,967 across 11 payers · range $7,572-$19,451

Source: https://www.uvmhealth.org/sites/default/files/030219309_university-of-vermont-medical-center_standardcharges.csv · observed 2026-02-19

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.

7,612 distinct procedures filed
20 distinct payers
629,610 rate rows
2026-02-19 last MRF observed
Data quality

313,351 of 629,610 rate rows are consumer-grade (49.8%)

316,259 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
professional (physician) fee — not the facility price 315,765
per-diem day rate — not a per-procedure price 387
placeholder amount (≤ $0.02) — excluded from medians 43
exceeds 10× this hospital's gross charge — excluded from medians 41
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.uvmhealth.org/sites/default/files/030219309_university-of-vermont-medical-center_standardcharges.csv
Found on page https://www.uvmhealth.org/patients-visitors/billing-insurance/price-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint 48ed729ab857fd17… · 270,769,560 bytes · first seen 2026-05-09

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
Q2054
HCPCS 		Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 19 $300,744.33 $1,480,263.57 $751,860.81 nat. median
$624,417
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 19 $299,024.84 $1,471,800.24 $747,562.09 nat. median
$610,161
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 19 $285,026.28 $1,402,899.35 $712,565.70 nat. median
$588,565
1.2× median
Q2053
HCPCS 		Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 19 $261,492.00 $1,287,063.62 $653,730.00 nat. median
$577,541
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $376,375.71 $1,336,503.92 $428,127.37 nat. median
$370,165
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $281,121.10 $998,256.38 $319,775.26 nat. median
$261,939
1.2× median
24
APR_DRG 		Heart &/or Lung Transplant 3 $203,433.43 $457,725.22 $310,235.98 nat. median
$243,231
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $236,754.80 $840,712.31 $295,943.50 nat. median
$205,166
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $213,888.48 $759,514.47 $267,360.60 nat. median
$199,832
1.3× median
5834
APR_DRG 		Neonate W Ecmo 3 $149,914.23 $337,307.02 $228,619.20 nat. median
$311,018
0.7× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $147,289.91 $331,402.30 $224,617.11 nat. median
$254,667
0.9× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $147,289.91 $331,402.30 $224,617.11 nat. median
$180,995
1.2× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $134,773.41 $303,240.17 $205,529.45 nat. median
$209,486
1.0× median
34
APR_DRG 		Bone Marrow Transplant 3 $130,876.16 $294,471.36 $199,586.15 nat. median
$241,408
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $141,018.14 $500,753.07 $176,272.67 nat. median
$132,706
1.3× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 3 $113,230.76 $254,769.21 $172,676.91 nat. median
$168,361
1.0× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $112,823.89 $253,853.75 $172,056.43 nat. median
$120,928
1.4× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $112,823.89 $253,853.75 $172,056.43 nat. median
$147,847
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $109,533.47 $246,450.31 $167,038.54 nat. median
$165,646
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 3 $105,660.64 $237,736.44 $161,132.48 nat. median
$127,600
1.3× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 3 $102,366.73 $230,325.14 $156,109.26 nat. median
$137,901
1.1× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $101,962.76 $229,416.21 $155,493.21 nat. median
$156,285
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $130,756.66 $464,314.69 $148,735.70 nat. median
$114,305
1.3× median
7
MS_DRG 		Lung Transplant 9 $130,427.30 $463,145.20 $148,361.05 nat. median
$122,690
1.2× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 3 $93,408.59 $210,169.33 $142,448.10 nat. median
$168,174
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 11 $108,721.67 $386,068.92 $135,902.09 nat. median
$100,978
1.3× median
6024
APR_DRG 		Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 $88,511.03 $199,149.82 $134,979.32 nat. median
$123,690
1.1× median
23
APR_DRG 		Heart &/or Lung Transplant 3 $88,204.14 $198,459.32 $134,511.32 nat. median
$116,111
1.2× median
215
MS_DRG 		Other Heart Assist System Implant 11 $105,736.65 $375,469.12 $132,170.81 nat. median
$98,002
1.3× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $85,728.62 $192,889.39 $130,736.15 nat. median
$64,013
outlier · 2.0×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 $104,545.04 $371,237.70 $130,681.30 nat. median
$96,835
1.3× median
5833
APR_DRG 		Neonate W Ecmo 3 $85,435.09 $192,228.95 $130,288.51 nat. median
$250,089
0.5× median
5832
APR_DRG 		Neonate W Ecmo 3 $83,848.87 $188,659.96 $127,869.52 nat. median
$169,230
0.8× median
5831
APR_DRG 		Neonate W Ecmo 3 $83,848.87 $188,659.96 $127,869.52 nat. median
$154,685
0.8× median
J7330
HCPCS 		Graft Cartilage Membrane Collagen Maci 3 X 5cm St 15 $31,792.79 $156,484.09 $127,171.14 nat. median
$75,807
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $109,977.18 $390,527.15 $125,099.05 nat. median
$108,240
1.2× median
6034
APR_DRG 		Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 3 $81,583.77 $183,563.48 $124,415.25 nat. median
$109,499
1.1× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 3 $80,768.28 $181,728.63 $123,171.62 nat. median
$88,000
1.4× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $79,771.45 $179,485.76 $121,651.46 nat. median
$112,711
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $106,281.57 $377,404.09 $120,895.29 nat. median
$99,646
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 11 $96,318.47 $342,025.33 $120,398.09 nat. median
$92,900
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 11 $91,935.23 $326,460.52 $114,919.04 nat. median
$81,364
1.4× median
22
APR_DRG 		Heart &/or Lung Transplant 3 $75,283.08 $169,386.93 $114,806.70 nat. median
$94,014
1.2× median
6074
APR_DRG 		Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 3 $72,375.70 $162,845.33 $110,372.94 nat. median
$99,613
1.1× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 $71,700.87 $161,326.96 $109,343.82 nat. median
$160,171
0.7× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 3 $71,174.27 $160,142.11 $108,540.76 nat. median
$89,188
1.2× median
5891
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 3 $71,174.27 $160,142.11 $108,540.76 nat. median
$96,420
1.1× median
21
APR_DRG 		Heart &/or Lung Transplant 3 $70,948.75 $159,634.69 $108,196.85 nat. median
$74,854
1.4× median
A9699
HCPCS 		Hc - Lu-177 Pluvicto (lutetium Lu 177 Vipvotide Tetraxtean) 14 $26,580.80 $130,830.70 $106,323.20 nat. median
$4,125
outlier · 25.8×
33
APR_DRG 		Bone Marrow Transplant 3 $69,338.70 $156,012.08 $105,741.51 nat. median
$129,813
0.8× median

Other procedures at this hospital

Browse this hospital's 7,612 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
             
Q2054 HCPCS Lisocabtagene Maraleucel(cd8) 1.5x To 70x 10exp6 Cell/ml IV Susp(1of2) 31 19 $1,503,721.63 $1,503,721.63 $300,744.33 $1,480,263.57 $751,860.81 2026-02-19
Q2055 HCPCS Idecabtagene Vicleucel 300 X 10exp6 To 510 X 10exp6 Cell IV Suspension 31 19 $1,495,124.18 $1,495,124.18 $299,024.84 $1,471,800.24 $747,562.09 2026-02-19
Q2041 HCPCS Axicabtagene Ciloleucel Intravenous Suspension 31 19 $1,425,131.40 $1,425,131.40 $285,026.28 $1,402,899.35 $712,565.70 2026-02-19
Q2053 HCPCS Brexucabtagene Autoleucel 1x 10exp6 To 1x 10exp8 Cell IV Suspension 31 19 $1,307,460.00 $1,307,460.00 $261,492.00 $1,287,063.62 $653,730.00 2026-02-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 10 — — $376,375.71 $1,336,503.92 $428,127.37 2026-02-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 9 — — $281,121.10 $998,256.38 $319,775.26 2026-02-19
24 APR_DRG Heart &/or Lung Transplant 4 3 — — $203,433.43 $457,725.22 $310,235.98 2026-02-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 11 — — $236,754.80 $840,712.31 $295,943.50 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 11 — — $213,888.48 $759,514.47 $267,360.60 2026-02-19
5834 APR_DRG Neonate W Ecmo 4 3 — — $149,914.23 $337,307.02 $228,619.20 2026-02-19
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 3 — — $147,289.91 $331,402.30 $224,617.11 2026-02-19
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 3 — — $147,289.91 $331,402.30 $224,617.11 2026-02-19
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $134,773.41 $303,240.17 $205,529.45 2026-02-19
34 APR_DRG Bone Marrow Transplant 4 3 — — $130,876.16 $294,471.36 $199,586.15 2026-02-19
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 11 — — $141,018.14 $500,753.07 $176,272.67 2026-02-19
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 3 — — $113,230.76 $254,769.21 $172,676.91 2026-02-19
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 3 — — $112,823.89 $253,853.75 $172,056.43 2026-02-19
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 3 — — $112,823.89 $253,853.75 $172,056.43 2026-02-19
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $109,533.47 $246,450.31 $167,038.54 2026-02-19
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $105,660.64 $237,736.44 $161,132.48 2026-02-19
14 APR_DRG Liver Transplant &/or Intestinal Transplant 4 3 — — $102,366.73 $230,325.14 $156,109.26 2026-02-19
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 3 — — $101,962.76 $229,416.21 $155,493.21 2026-02-19
14 MS_DRG Allogeneic Bone Marrow Transplant 14 9 — — $130,756.66 $464,314.69 $148,735.70 2026-02-19
7 MS_DRG Lung Transplant 14 9 — — $130,427.30 $463,145.20 $148,361.05 2026-02-19
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 3 — — $93,408.59 $210,169.33 $142,448.10 2026-02-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 17 11 — — $108,721.67 $386,068.92 $135,902.09 2026-02-19
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $88,511.03 $199,149.82 $134,979.32 2026-02-19
23 APR_DRG Heart &/or Lung Transplant 4 3 — — $88,204.14 $198,459.32 $134,511.32 2026-02-19
215 MS_DRG Other Heart Assist System Implant 17 11 — — $105,736.65 $375,469.12 $132,170.81 2026-02-19
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $85,728.62 $192,889.39 $130,736.15 2026-02-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $104,545.04 $371,237.70 $130,681.30 2026-02-19
5833 APR_DRG Neonate W Ecmo 4 3 — — $85,435.09 $192,228.95 $130,288.51 2026-02-19
5832 APR_DRG Neonate W Ecmo 4 3 — — $83,848.87 $188,659.96 $127,869.52 2026-02-19
5831 APR_DRG Neonate W Ecmo 4 3 — — $83,848.87 $188,659.96 $127,869.52 2026-02-19
J7330 HCPCS Graft Cartilage Membrane Collagen Maci 3 X 5cm St 20 15 $158,963.93 $158,963.93 $31,792.79 $156,484.09 $127,171.14 2026-02-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 9 — — $109,977.18 $390,527.15 $125,099.05 2026-02-19
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 3 — — $81,583.77 $183,563.48 $124,415.25 2026-02-19
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $80,768.28 $181,728.63 $123,171.62 2026-02-19
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 3 — — $79,771.45 $179,485.76 $121,651.46 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 9 — — $106,281.57 $377,404.09 $120,895.29 2026-02-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $96,318.47 $342,025.33 $120,398.09 2026-02-19
850 MS_DRG Acute Leukemia With Other Procedures 17 11 — — $91,935.23 $326,460.52 $114,919.04 2026-02-19
22 APR_DRG Heart &/or Lung Transplant 4 3 — — $75,283.08 $169,386.93 $114,806.70 2026-02-19
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $72,375.70 $162,845.33 $110,372.94 2026-02-19
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 3 — — $71,700.87 $161,326.96 $109,343.82 2026-02-19
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 3 — — $71,174.27 $160,142.11 $108,540.76 2026-02-19
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 3 — — $71,174.27 $160,142.11 $108,540.76 2026-02-19
21 APR_DRG Heart &/or Lung Transplant 4 3 — — $70,948.75 $159,634.69 $108,196.85 2026-02-19
A9699 HCPCS Hc - Lu-177 Pluvicto (lutetium Lu 177 Vipvotide Tetraxtean) 21 14 $132,904.00 $132,904.00 $26,580.80 $130,830.70 $106,323.20 2026-02-19
33 APR_DRG Bone Marrow Transplant 4 3 — — $69,338.70 $156,012.08 $105,741.51 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 11 — — $84,569.97 $300,306.54 $105,712.46 2026-02-19
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 3 — — $69,290.46 $155,903.54 $105,667.95 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $84,523.05 $300,139.98 $105,653.81 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 11 — — $83,239.63 $295,582.52 $104,049.54 2026-02-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 11 — — $80,450.19 $285,677.32 $100,562.74 2026-02-19
904 APR_DRG Major Larynx & Trachea Procedures 4 3 — — $65,893.67 $148,260.76 $100,487.85 2026-02-19
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $65,496.68 $147,367.53 $99,882.43 2026-02-19
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 3 — — $65,380.43 $147,105.97 $99,705.15 2026-02-19
C9293 HCPCS Glucarpidase 1,000 Unit Intravenous Solution 19 14 $123,556.43 $123,556.43 $24,711.29 $121,628.95 $98,845.14 2026-02-19
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 3 — — $64,681.77 $145,533.98 $98,639.70 2026-02-19
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $63,941.27 $143,867.86 $97,510.43 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 11 — — $78,008.09 $277,005.40 $97,510.11 2026-02-19
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 3 — — $63,408.27 $142,668.61 $96,697.61 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $77,220.66 $274,209.26 $96,525.82 2026-02-19
0812 RC — 21 14 $120,000.00 $120,000.00 $24,000.00 $118,128.00 $96,000.00 2026-02-19
0811 RC — 21 14 $120,000.00 $120,000.00 $24,000.00 $118,128.00 $96,000.00 2026-02-19
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 3 — — $61,726.15 $138,883.84 $94,132.38 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 11 — — $74,493.09 $264,523.78 $93,116.36 2026-02-19
4404 APR_DRG Kidney Transplant 4 3 — — $60,974.60 $137,192.85 $92,986.26 2026-02-19
L8688 HCPCS Generator Neurostimulator Sentiva Duo Epilepsy Vagus Nerve Permanent Ti MRI Comp… 19 14 $113,548.09 $113,548.09 $22,709.62 $111,776.74 $90,838.47 2026-02-19
10 MS_DRG Pancreas Transplant 14 9 — — $79,570.96 $282,555.15 $90,511.96 2026-02-19
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $59,152.40 $133,092.90 $90,207.41 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 9 — — $79,114.86 $280,935.58 $89,993.15 2026-02-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 — — $58,415.96 $131,435.91 $89,084.34 2026-02-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $70,885.31 $251,712.59 $88,606.64 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 11 — — $70,529.03 $250,447.41 $88,161.29 2026-02-19
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $57,809.72 $130,071.87 $88,159.82 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 11 — — $69,426.23 $246,531.40 $86,782.79 2026-02-19
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 4 3 — — $56,419.97 $126,944.93 $86,040.46 2026-02-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 11 — — $68,146.80 $241,988.12 $85,183.50 2026-02-19
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $55,742.82 $125,421.35 $85,007.80 2026-02-19
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 3 — — $55,165.65 $124,122.71 $84,127.62 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 11 — — $66,913.24 $237,607.86 $83,641.55 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 17 11 — — $66,655.78 $236,693.54 $83,319.73 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 11 — — $66,543.00 $236,293.08 $83,178.75 2026-02-19
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $54,282.15 $122,134.84 $82,780.28 2026-02-19
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 3 — — $53,988.63 $121,474.42 $82,332.66 2026-02-19
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $53,796.23 $121,041.52 $82,039.25 2026-02-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 3 — — $52,942.97 $119,121.68 $80,738.03 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 17 11 — — $64,542.99 $229,191.10 $80,678.74 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $64,450.18 $228,861.52 $80,562.73 2026-02-19
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 3 — — $52,804.63 $118,810.42 $80,527.06 2026-02-19
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 3 — — $52,762.20 $118,714.95 $80,462.35 2026-02-19
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 3 — — $52,617.47 $118,389.31 $80,241.64 2026-02-19
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 3 — — $52,286.74 $117,645.16 $79,737.28 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 11 — — $63,116.85 $224,126.87 $78,896.06 2026-02-19
6904 APR_DRG Acute Leukemia 4 3 — — $51,494.51 $115,862.65 $78,529.13 2026-02-19
J0802 HCPCS Corticotropin 80 Unit/ml Injection Gel 22 15 $98,423.46 $98,423.46 $3,760.16 $96,888.05 $77,754.54 2026-02-19
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 3 — — $50,823.75 $114,353.44 $77,506.22 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 11 — — $61,820.42 $219,523.34 $77,275.52 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 11 — — $61,740.59 $219,239.83 $77,175.74 2026-02-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 11 — — $61,459.15 $218,240.45 $76,823.94 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 11 — — $61,244.58 $217,478.51 $76,555.73 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 17 11 — — $60,965.15 $216,486.22 $76,206.44 2026-02-19
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 3 — — $49,869.93 $112,207.34 $76,051.65 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 17 11 — — $60,673.71 $215,451.40 $75,842.14 2026-02-19
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 4 3 — — $49,372.97 $111,089.18 $75,293.78 2026-02-19
13 APR_DRG Liver Transplant &/or Intestinal Transplant 4 3 — — $49,247.42 $110,806.70 $75,102.32 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 11 — — $59,788.50 $212,307.96 $74,735.62 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 11 — — $59,374.32 $210,837.24 $74,217.90 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 11 — — $59,329.40 $210,677.77 $74,161.75 2026-02-19
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 3 — — $48,359.28 $108,808.38 $73,747.90 2026-02-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 17 11 — — $58,724.63 $208,530.16 $73,405.79 2026-02-19
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 3 — — $47,781.52 $107,508.42 $72,866.82 2026-02-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 11 — — $58,106.86 $206,336.49 $72,633.57 2026-02-19
234 APR_DRG Spinal Procedures 4 3 — — $47,594.36 $107,087.31 $72,581.40 2026-02-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $57,279.52 $203,398.60 $71,599.40 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 11 — — $56,937.20 $202,183.04 $71,171.50 2026-02-19
32 APR_DRG Bone Marrow Transplant 4 3 — — $45,725.66 $102,882.74 $69,731.63 2026-02-19
653 MS_DRG Major Bladder Procedures With Mcc 17 11 — — $55,634.78 $197,558.25 $69,543.48 2026-02-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 17 11 — — $55,162.73 $195,881.98 $68,953.41 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 17 11 — — $55,162.73 $195,881.98 $68,953.41 2026-02-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $54,931.21 $195,059.80 $68,664.01 2026-02-19
64 APR_DRG Pancreas Transplant 4 3 — — $45,018.29 $101,291.15 $68,652.89 2026-02-19
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 4 3 — — $44,970.04 $101,182.59 $68,579.31 2026-02-19
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 3 — — $44,947.38 $101,131.60 $68,544.76 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 9 — — $60,238.59 $213,906.26 $68,521.40 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 9 — — $60,238.59 $213,906.26 $68,521.40 2026-02-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 11 — — $54,595.88 $193,869.05 $68,244.85 2026-02-19
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 3 — — $44,656.17 $100,476.38 $68,100.66 2026-02-19
C2699 HCPCS Civasheet Large 5 X 15cm - Trial Item 47 19 $113,200.00 $113,200.00 $35.38 $111,434.08 $67,829.44 2026-02-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 17 11 — — $54,178.72 $192,387.70 $67,723.40 2026-02-19
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 4 3 — — $44,230.70 $99,519.07 $67,451.82 2026-02-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 17 11 — — $53,902.24 $191,406.04 $67,377.80 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 17 11 — — $53,851.37 $191,225.30 $67,314.21 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 11 — — $53,845.38 $191,204.04 $67,306.73 2026-02-19
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $44,085.39 $99,192.13 $67,230.22 2026-02-19
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 3 — — $43,783.73 $98,513.39 $66,770.19 2026-02-19
6954 APR_DRG Chemotherapy For Acute Leukemia # 4 3 — — $43,552.97 $97,994.18 $66,418.28 2026-02-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 17 11 — — $53,095.88 $188,542.57 $66,369.85 2026-02-19
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 4 3 — — $43,358.84 $97,557.39 $66,122.23 2026-02-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $52,861.33 $187,709.75 $66,076.66 2026-02-19
63 APR_DRG Pancreas Transplant 4 3 — — $43,130.99 $97,044.73 $65,774.76 2026-02-19
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 3 — — $42,950.22 $96,637.99 $65,499.08 2026-02-19
J2326 HCPCS Nusinersen (pf) 12 Mg/5 Ml Intrathecal Solution 29 19 $233,288.60 $233,288.60 $1,280.25 $229,649.30 $65,320.81 2026-02-19
214 APR_DRG Craniotomy Except For Trauma 4 3 — — $42,707.84 $96,092.64 $65,129.46 2026-02-19
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $42,400.95 $95,402.14 $64,661.45 2026-02-19
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 3 — — $42,400.95 $95,402.14 $64,661.45 2026-02-19
1694 APR_DRG Major Abdominal Vascular Procedures 4 3 — — $42,367.82 $95,327.60 $64,610.93 2026-02-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 — — $42,365.49 $95,322.35 $64,607.37 2026-02-19
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 3 — — $42,364.91 $95,321.05 $64,606.49 2026-02-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 11 — — $51,398.27 $182,514.39 $64,247.84 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 17 11 — — $51,227.62 $181,908.39 $64,034.53 2026-02-19
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 4 3 — — $41,814.47 $94,082.56 $63,767.07 2026-02-19
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $41,780.76 $94,006.71 $63,715.66 2026-02-19
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 3 — — $41,749.95 $93,937.39 $63,668.67 2026-02-19
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 4 3 — — $41,677.88 $93,775.23 $63,558.76 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 11 — — $50,844.39 $180,547.53 $63,555.49 2026-02-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 3 — — $41,577.90 $93,550.27 $63,406.30 2026-02-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 17 11 — — $50,688.68 $179,994.68 $63,360.85 2026-02-19
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $41,234.97 $92,778.68 $62,883.33 2026-02-19
4014 APR_DRG Pituitary & Adrenal Procedures 4 3 — — $41,233.23 $92,774.77 $62,880.68 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 17 11 — — $50,268.53 $178,502.70 $62,835.66 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 17 11 — — $49,972.09 $177,450.16 $62,465.11 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 17 11 — — $49,933.20 $177,311.95 $62,416.50 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 11 — — $49,913.25 $177,241.07 $62,391.56 2026-02-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 17 11 — — $49,733.59 $176,603.17 $62,166.99 2026-02-19
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 3 — — $40,714.76 $91,608.21 $62,090.01 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 9 — — $54,302.47 $192,827.14 $61,769.06 2026-02-19
3104 APR_DRG Intervertebral Disc Excision & Decompression 4 3 — — $40,387.52 $90,871.92 $61,590.97 2026-02-19
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 3 — — $40,279.41 $90,628.67 $61,426.10 2026-02-19
894 APR_DRG Major Cranial/facial Bone Procedures 4 3 — — $40,250.34 $90,563.26 $61,381.77 2026-02-19
244 APR_DRG Extracranial Vascular Procedures 4 3 — — $40,105.03 $90,236.32 $61,160.17 2026-02-19
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 4 3 — — $40,096.31 $90,216.70 $61,146.88 2026-02-19
245 MS_DRG Aicd Generator Procedures 17 11 — — $48,770.52 $173,183.31 $60,963.15 2026-02-19
4414 APR_DRG Major Bladder Procedures 4 3 — — $39,928.92 $89,840.07 $60,891.60 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 17 11 — — $48,476.11 $172,137.85 $60,595.14 2026-02-19
204 APR_DRG Craniotomy For Trauma 4 3 — — $39,502.86 $88,881.43 $60,241.86 2026-02-19
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 3 — — $39,161.09 $88,112.45 $59,720.66 2026-02-19
31 APR_DRG Bone Marrow Transplant 4 3 — — $39,128.54 $88,039.21 $59,671.02 2026-02-19
1814 APR_DRG Lower Extremity Arterial Procedures # 4 3 — — $39,075.65 $87,920.21 $59,590.37 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 17 11 — — $47,659.72 $169,238.94 $59,574.65 2026-02-19
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 4 3 — — $39,041.94 $87,844.37 $59,538.96 2026-02-19
2214 APR_DRG Major Small & Large Bowel Procedures 4 3 — — $39,027.99 $87,812.98 $59,517.68 2026-02-19
J2351 HCPCS Ocrelizumab 920 Mg-hyaluronidase-ocsq 23,000 Unit/23 Ml Subcut Soln 31 19 $123,880.19 $123,880.19 $47.23 $121,947.66 $59,462.49 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 17 11 — — $47,453.17 $168,505.36 $59,316.46 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 11 — — $47,444.18 $168,473.46 $59,305.22 2026-02-19
4034 APR_DRG Procedures For Obesity 4 3 — — $38,844.31 $87,399.70 $59,237.57 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 11 — — $46,953.16 $166,729.86 $58,691.45 2026-02-19
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $38,356.07 $86,301.16 $58,493.01 2026-02-19
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 4 3 — — $38,342.12 $86,269.77 $58,471.74 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 11 — — $46,701.66 $165,836.80 $58,377.07 2026-02-19
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 4 3 — — $38,231.68 $86,021.28 $58,303.31 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 11 — — $46,426.20 $164,858.68 $58,032.75 2026-02-19
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 4 3 — — $37,871.31 $85,210.45 $57,753.75 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 17 11 — — $46,000.06 $163,345.44 $57,500.07 2026-02-19
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 4 3 — — $37,677.18 $84,773.65 $57,457.70 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 11 — — $45,834.39 $162,757.15 $57,292.99 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 17 11 — — $45,827.41 $162,732.34 $57,284.26 2026-02-19
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 3 — — $37,485.95 $84,343.39 $57,166.07 2026-02-19
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 4 3 — — $37,437.12 $84,233.52 $57,091.61 2026-02-19
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 4 3 — — $37,426.66 $84,209.99 $57,075.65 2026-02-19
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 4 3 — — $37,354.59 $84,047.83 $56,965.75 2026-02-19
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 4 3 — — $37,340.64 $84,016.44 $56,944.47 2026-02-19
3054 APR_DRG Amputation Of Lower Limb Except Toes 4 3 — — $37,246.47 $83,804.56 $56,800.86 2026-02-19
264 APR_DRG Other Nervous System & Related Procedures 4 3 — — $37,095.93 $83,465.84 $56,571.29 2026-02-19
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 4 3 — — $37,091.28 $83,455.38 $56,564.20 2026-02-19
1824 APR_DRG Other Peripheral Vascular Procedures # 4 3 — — $37,073.26 $83,414.84 $56,536.72 2026-02-19
C2624 HCPCS Sensor And Delivery System Cardiomems Pa Cm Patient System 19 14 $70,608.50 $70,608.50 $14,121.70 $69,507.01 $56,486.80 2026-02-19
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 3 — — $37,037.23 $83,333.77 $56,481.78 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 17 11 — — $45,025.99 $159,886.59 $56,282.49 2026-02-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 3 — — $36,836.12 $82,881.27 $56,175.09 2026-02-19
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 4 3 — — $36,808.22 $82,818.49 $56,132.54 2026-02-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 17 11 — — $44,757.54 $158,933.28 $55,946.93 2026-02-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 17 11 — — $44,633.78 $158,493.84 $55,792.22 2026-02-19
4444 APR_DRG Renal Dialysis Access Device Procedure Only 4 3 — — $36,572.81 $82,288.82 $55,773.53 2026-02-19
12 APR_DRG Liver Transplant &/or Intestinal Transplant 4 3 — — $36,441.45 $81,993.26 $55,573.21 2026-02-19
11 APR_DRG Liver Transplant &/or Intestinal Transplant 4 3 — — $36,441.45 $81,993.26 $55,573.21 2026-02-19
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 4 3 — — $36,390.88 $81,879.48 $55,496.09 2026-02-19
2614 APR_DRG Major Biliary Tract Procedures 4 3 — — $36,309.51 $81,696.40 $55,372.01 2026-02-19
901 MS_DRG Wound Debridements For Injuries With Mcc 17 11 — — $44,216.61 $157,012.49 $55,270.76 2026-02-19
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $36,233.95 $81,526.39 $55,256.78 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 14 9 — — $48,395.26 $171,850.80 $55,049.60 2026-02-19
1204 APR_DRG Major Respiratory & Chest Procedures 4 3 — — $36,020.05 $81,045.11 $54,930.58 2026-02-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 17 11 — — $43,840.37 $155,676.44 $54,800.46 2026-02-19
1304 APR_DRG Respiratory System Diagnosis W Ventilator Support 96+ Hours 4 3 — — $35,915.43 $80,809.72 $54,771.03 2026-02-19
6903 APR_DRG Acute Leukemia 4 3 — — $35,857.88 $80,680.23 $54,683.26 2026-02-19
1214 APR_DRG Other Respiratory & Chest Procedures 4 3 — — $35,824.17 $80,604.38 $54,631.86 2026-02-19
3014 APR_DRG Hip Joint Replacement 4 3 — — $35,804.41 $80,559.92 $54,601.72 2026-02-19
2624 APR_DRG Cholecystectomy Except Laparoscopic 4 3 — — $35,803.83 $80,558.62 $54,600.84 2026-02-19
5194 APR_DRG Uterine & Adnexa Procedures For Leiomyoma 4 3 — — $35,775.93 $80,495.84 $54,558.29 2026-02-19
6071 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 3 — — $35,731.75 $80,396.44 $54,490.92 2026-02-19
7114 APR_DRG Post-op, Post-trauma, Other Device Infections W O.r. Procedure 4 3 — — $35,700.95 $80,327.14 $54,443.95 2026-02-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 17 11 — — $43,182.70 $153,341.01 $53,978.38 2026-02-19
5184 APR_DRG Other Female Reproductive System & Related Procedures 4 3 — — $35,363.83 $79,568.62 $53,929.84 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 11 — — $43,093.87 $153,025.60 $53,867.34 2026-02-19
494 APR_DRG Bacterial & Tuberculous Infections Of Nervous System 4 3 — — $35,303.38 $79,432.60 $53,837.65 2026-02-19
1714 APR_DRG Perm Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 4 3 — — $35,281.87 $79,384.21 $53,804.85 2026-02-19
9524 APR_DRG Nonextensive Procedure Unrelated To Principal Diagnosis 4 3 — — $35,094.71 $78,963.10 $53,519.43 2026-02-19
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 3 — — $35,059.25 $78,883.31 $53,465.36 2026-02-19
434 APR_DRG Multiple Sclerosis & Other Demyelinating Diseases 4 3 — — $35,013.92 $78,781.32 $53,396.23 2026-02-19
3814 APR_DRG Major Skin Disorders 4 3 — — $34,927.31 $78,586.45 $53,264.15 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 17 11 — — $42,571.89 $151,172.14 $53,214.86 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 17 11 — — $42,509.04 $150,948.88 $53,136.30 2026-02-19
140 MS_DRG Major Head And Neck Procedures With Mcc 17 11 — — $42,207.64 $149,878.62 $52,759.55 2026-02-19
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $34,583.21 $77,812.22 $52,739.40 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 9 — — $45,981.10 $163,278.10 $52,303.50 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 17 11 — — $41,822.41 $148,510.67 $52,278.01 2026-02-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 17 11 — — $41,812.43 $148,475.23 $52,265.54 2026-02-19
2294 APR_DRG Other Digestive System & Abdominal Procedures 4 3 — — $34,253.07 $77,069.41 $52,235.93 2026-02-19
3084 APR_DRG Hip And Femur Fracture Repair 4 3 — — $34,148.44 $76,833.99 $52,076.37 2026-02-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 17 11 — — $41,524.00 $147,451.05 $51,905.00 2026-02-19
3094 APR_DRG Other Significant Hip And Femur Surgery 4 3 — — $34,010.69 $76,524.05 $51,866.30 2026-02-19
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 3 — — $33,961.86 $76,414.18 $51,791.83 2026-02-19
C1822 HCPCS Ipg Kit 58 15 $84,900.00 $84,900.00 $11,574.70 $93,604.63 $51,652.10 2026-02-19
6504 APR_DRG Splenectomy 4 3 — — $33,765.99 $75,973.48 $51,493.13 2026-02-19
51 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 3 — — $33,725.88 $75,883.23 $51,431.96 2026-02-19
6082 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 3 — — $33,667.17 $75,751.13 $51,342.43 2026-02-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 17 11 — — $41,038.97 $145,728.71 $51,298.71 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 17 11 — — $41,016.03 $145,647.20 $51,270.04 2026-02-19
4403 APR_DRG Kidney Transplant 4 3 — — $33,588.12 $75,573.27 $51,221.88 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 17 11 — — $40,955.13 $145,431.02 $51,193.91 2026-02-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 11 — — $40,753.55 $144,715.16 $50,941.94 2026-02-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 11 — — $40,592.86 $144,144.59 $50,741.07 2026-02-19
J9226 HCPCS Histrelin 50 Mg (65 Mcg/day) Implant Kit 31 19 $146,309.49 $146,309.49 $29,261.90 $144,027.06 $50,652.12 2026-02-19
2234 APR_DRG Other Small & Large Bowel Procedures 4 3 — — $33,042.34 $74,345.26 $50,389.57 2026-02-19
2244 APR_DRG Peritoneal Adhesiolysis 4 3 — — $32,984.79 $74,215.78 $50,301.81 2026-02-19
2224 APR_DRG Other Stomach, Esophageal & Duodenal Procedures 4 3 — — $32,783.68 $73,763.28 $49,995.11 2026-02-19
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 31 18 $90,509.00 $90,509.00 $18,101.80 $89,097.06 $49,779.95 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 17 11 — — $39,757.53 $141,178.34 $49,696.91 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 17 11 — — $39,729.59 $141,079.12 $49,661.99 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 17 11 — — $39,378.29 $139,831.66 $49,222.86 2026-02-19
3024 APR_DRG Knee Joint Replacement 4 3 — — $32,253.59 $72,570.58 $49,186.73 2026-02-19
4234 APR_DRG Inborn Errors Of Metabolism 4 3 — — $32,227.43 $72,511.72 $49,146.83 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 17 11 — — $39,297.46 $139,544.61 $49,121.82 2026-02-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 17 11 — — $39,217.63 $139,261.09 $49,022.04 2026-02-19
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 11 — — $39,043.96 $138,644.46 $48,804.95 2026-02-19
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 17 11 — — $39,025.01 $138,577.12 $48,781.26 2026-02-19
224 APR_DRG Ventricular Shunt Procedures 4 3 — — $31,932.16 $71,847.36 $48,696.54 2026-02-19
8411 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $31,811.84 $71,576.64 $48,513.05 2026-02-19
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 11 — — $38,809.44 $137,811.64 $48,511.80 2026-02-19
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 31 18 $78,323.00 $78,323.00 $15,664.60 $77,101.16 $48,467.49 2026-02-19
6334 APR_DRG Neonate Birthwt >2499g W Major Anomaly 4 3 — — $31,736.86 $71,407.93 $48,398.71 2026-02-19
504 APR_DRG Non-bacterial Infections Of Nervous System Exc Viral Meningitis 4 3 — — $31,693.85 $71,311.16 $48,333.12 2026-02-19
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 17 11 — — $38,572.90 $136,971.73 $48,216.12 2026-02-19
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 17 11 — — $38,533.99 $136,833.52 $48,167.49 2026-02-19
3043 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 3 — — $31,584.00 $71,064.00 $48,165.60 2026-02-19
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 17 11 — — $38,426.21 $136,450.78 $48,032.76 2026-02-19
3644 APR_DRG Other Skin, Subcutaneous Tissue & Related Procedures 4 3 — — $31,477.63 $70,824.67 $48,003.38 2026-02-19
8634 APR_DRG Neonatal Aftercare 4 3 — — $31,417.76 $70,689.96 $47,912.09 2026-02-19
3032 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 3 — — $31,356.15 $70,551.34 $47,818.13 2026-02-19
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral & Umbilical 4 3 — — $31,270.70 $70,359.07 $47,687.82 2026-02-19
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 17 11 — — $38,147.75 $135,462.03 $47,684.69 2026-02-19
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 17 11 — — $37,941.16 $134,728.45 $47,426.45 2026-02-19
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 17 11 — — $37,645.76 $133,679.45 $47,057.20 2026-02-19
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 3 — — $30,715.04 $69,108.84 $46,840.43 2026-02-19
6031 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 3 — — $30,692.37 $69,057.83 $46,805.86 2026-02-19
6224 APR_DRG Neonate Bwt 2000-2499g W Resp Dist Synd/oth Maj Resp Cond 4 3 — — $30,662.14 $68,989.82 $46,759.76 2026-02-19
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 17 11 — — $37,345.33 $132,612.74 $46,681.66 2026-02-19
3154 APR_DRG Shoulder, Upper Arm & Forearm Procedures Except Joint Replacement 4 3 — — $30,455.22 $68,524.24 $46,444.21 2026-02-19
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