Price Transparency 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

7,618 distinct procedures filed
20 distinct payers
641,338 rate rows
2026-02-19 last MRF observed
Data quality

316,366 of 641,338 rate rows are consumer-grade (49.3%)

324,972 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 324,500
per-diem day rate — not a per-procedure price 387
placeholder amount (≤ $0.02) — excluded from medians 44
exceeds 10× this hospital's gross charge — excluded from medians 41
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 · 2026-05-17
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
$674,188
1.1× 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
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Intravenous Suspension 19 $285,026.28 $1,402,899.35 $712,565.70 nat. median
$634,511
1.1× 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
$620,080
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $376,375.71 $1,336,503.92 $385,785.10 nat. median
$370,174
1.0× median
24
APR_DRG 		Heart &/or Lung Transplant 3 $203,433.43 $457,725.22 $310,235.98 nat. median
$234,738
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $281,121.10 $998,256.38 $288,149.13 nat. median
$265,286
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 12 $236,754.80 $840,712.31 $269,308.59 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 12 $213,888.48 $759,514.47 $243,298.14 nat. median
$202,986
1.2× median
5834
APR_DRG 		Neonate W Ecmo 3 $149,914.23 $337,307.02 $228,619.20 nat. median
$309,665
0.7× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $147,289.91 $331,402.30 $224,617.11 nat. median
$182,736
1.2× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $147,289.91 $331,402.30 $224,617.11 nat. median
$246,434
0.9× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 3 $134,773.41 $303,240.17 $205,529.45 nat. median
$207,730
1.0× median
34
APR_DRG 		Bone Marrow Transplant 3 $130,876.16 $294,471.36 $199,586.15 nat. median
$209,067
1.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 3 $113,230.76 $254,769.21 $172,676.91 nat. median
$164,279
1.1× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $112,823.89 $253,853.75 $172,056.43 nat. median
$145,336
1.2× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 3 $112,823.89 $253,853.75 $172,056.43 nat. median
$124,573
1.4× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $109,533.47 $246,450.31 $167,038.54 nat. median
$160,267
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
$105,658
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 12 $141,018.14 $500,753.07 $160,408.13 nat. median
$133,176
1.2× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 3 $102,366.73 $230,325.14 $156,109.26 nat. median
$129,535
1.2× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $101,962.76 $229,416.21 $155,493.21 nat. median
$151,838
1.0× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 3 $93,408.59 $210,169.33 $142,448.10 nat. median
$162,982
0.9× 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
$118,620
1.1× median
23
APR_DRG 		Heart &/or Lung Transplant 3 $88,204.14 $198,459.32 $134,511.32 nat. median
$93,528
1.4× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $130,756.66 $464,314.69 $134,025.58 nat. median
$117,303
1.1× median
7
MS_DRG 		Lung Transplant 10 $130,427.30 $463,145.20 $133,687.98 nat. median
$122,708
1.1× median
8413
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 3 $85,728.62 $192,889.39 $130,736.15 nat. median
$66,693
2.0× median
5833
APR_DRG 		Neonate W Ecmo 3 $85,435.09 $192,228.95 $130,288.51 nat. median
$244,017
0.5× median
5831
APR_DRG 		Neonate W Ecmo 3 $83,848.87 $188,659.96 $127,869.52 nat. median
$145,122
0.9× median
5832
APR_DRG 		Neonate W Ecmo 3 $83,848.87 $188,659.96 $127,869.52 nat. median
$156,126
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
$76,377
1.7× 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
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $108,721.67 $386,068.92 $123,670.90 nat. median
$102,358
1.2× median
54
APR_DRG 		Tracheostomy W Mv 96+ Hours Without Extensive Procedure 3 $80,768.28 $181,728.63 $123,171.62 nat. median
$68,217
1.8× median
5933
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 3 $79,771.45 $179,485.76 $121,651.46 nat. median
$108,996
1.1× median
215
MS_DRG 		Other Heart Assist System Implant 12 $105,736.65 $375,469.12 $120,275.44 nat. median
$99,019
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $104,545.04 $371,237.70 $118,919.99 nat. median
$98,905
1.2× median
22
APR_DRG 		Heart &/or Lung Transplant 3 $75,283.08 $169,386.93 $114,806.70 nat. median
$78,029
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $109,977.18 $390,527.15 $112,726.61 nat. median
$108,660
1.0× 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
$95,507
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $96,318.47 $342,025.33 $109,562.26 nat. median
$93,672
1.2× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 3 $71,700.87 $161,326.96 $109,343.82 nat. median
$150,721
0.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $106,281.57 $377,404.09 $108,938.61 nat. median
$100,136
1.1× median
5892
APR_DRG 		Neonate Bwt <500g Or Ga <24 Weeks 3 $71,174.27 $160,142.11 $108,540.76 nat. median
$89,790
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
$93,260
1.2× median
21
APR_DRG 		Heart &/or Lung Transplant 3 $70,948.75 $159,634.69 $108,196.85 nat. median
$65,130
1.7× median
A9699
HCPCS 		Hc - Lu-177 Pluvicto (lutetium Lu 177 Vipvotide Tetraxtean) 15 $26,580.80 $130,830.70 $106,323.20 nat. median
$21,806
outlier · 4.9×
33
APR_DRG 		Bone Marrow Transplant 3 $69,338.70 $156,012.08 $105,741.51 nat. median
$113,142
0.9× median
5913
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 3 $69,290.46 $155,903.54 $105,667.95 nat. median
$102,636
1.0× median

Other procedures at this hospital

Browse this hospital's 7,618 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
             
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 11 — — $376,375.71 $1,336,503.92 $385,785.10 2026-02-19
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
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $281,121.10 $998,256.38 $288,149.13 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
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 12 — — $236,754.80 $840,712.31 $269,308.59 2026-02-19
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 12 — — $213,888.48 $759,514.47 $243,298.14 2026-02-19
24 APR_DRG Heart &/or Lung Transplant 4 3 — — $203,433.43 $457,725.22 $310,235.98 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 12 — — $141,018.14 $500,753.07 $160,408.13 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
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $130,756.66 $464,314.69 $134,025.58 2026-02-19
7 MS_DRG Lung Transplant 15 10 — — $130,427.30 $463,145.20 $133,687.98 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
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 3 — — $112,823.89 $253,853.75 $172,056.43 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $109,977.18 $390,527.15 $112,726.61 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 12 — — $108,721.67 $386,068.92 $123,670.90 2026-02-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $106,281.57 $377,404.09 $108,938.61 2026-02-19
215 MS_DRG Other Heart Assist System Implant 18 12 — — $105,736.65 $375,469.12 $120,275.44 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
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $104,545.04 $371,237.70 $118,919.99 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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $96,318.47 $342,025.33 $109,562.26 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
850 MS_DRG Acute Leukemia With Other Procedures 18 12 — — $91,935.23 $326,460.52 $104,576.32 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
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 3 — — $85,728.62 $192,889.39 $130,736.15 2026-02-19
5833 APR_DRG Neonate W Ecmo 4 3 — — $85,435.09 $192,228.95 $130,288.51 2026-02-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 12 — — $84,569.97 $300,306.54 $96,198.34 2026-02-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $84,523.05 $300,139.98 $96,144.97 2026-02-19
5831 APR_DRG Neonate W Ecmo 4 3 — — $83,848.87 $188,659.96 $127,869.52 2026-02-19
5832 APR_DRG Neonate W Ecmo 4 3 — — $83,848.87 $188,659.96 $127,869.52 2026-02-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 12 — — $83,239.63 $295,582.52 $94,685.08 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 12 — — $80,450.19 $285,677.32 $91,512.09 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
10 MS_DRG Pancreas Transplant 15 10 — — $79,570.96 $282,555.15 $81,560.23 2026-02-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $79,114.86 $280,935.58 $81,092.73 2026-02-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 12 — — $78,008.09 $277,005.40 $88,734.20 2026-02-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $77,220.66 $274,209.26 $87,838.50 2026-02-19
22 APR_DRG Heart &/or Lung Transplant 4 3 — — $75,283.08 $169,386.93 $114,806.70 2026-02-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $74,493.09 $264,523.78 $84,735.89 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
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $70,885.31 $251,712.59 $80,632.04 2026-02-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 12 — — $70,529.03 $250,447.41 $80,226.77 2026-02-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 12 — — $69,426.23 $246,531.40 $78,972.34 2026-02-19
33 APR_DRG Bone Marrow Transplant 4 3 — — $69,338.70 $156,012.08 $105,741.51 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
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $68,146.80 $241,988.12 $77,516.99 2026-02-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 12 — — $66,913.24 $237,607.86 $76,113.81 2026-02-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 12 — — $66,655.78 $236,693.54 $75,820.95 2026-02-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 12 — — $66,543.00 $236,293.08 $75,692.66 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
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 3 — — $64,681.77 $145,533.98 $98,639.70 2026-02-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 12 — — $64,542.99 $229,191.10 $73,417.65 2026-02-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $64,450.18 $228,861.52 $73,312.08 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
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 3 — — $63,408.27 $142,668.61 $96,697.61 2026-02-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 12 — — $63,116.85 $224,126.87 $71,795.41 2026-02-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 12 — — $61,820.42 $219,523.34 $70,320.73 2026-02-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 12 — — $61,740.59 $219,239.83 $70,229.92 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $61,459.15 $218,240.45 $69,909.79 2026-02-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 12 — — $61,244.58 $217,478.51 $69,665.71 2026-02-19
4404 APR_DRG Kidney Transplant 4 3 — — $60,974.60 $137,192.85 $92,986.26 2026-02-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 12 — — $60,965.15 $216,486.22 $69,347.86 2026-02-19
28 MS_DRG Spinal Procedures With Mcc 18 12 — — $60,673.71 $215,451.40 $69,016.35 2026-02-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 10 — — $60,238.59 $213,906.26 $61,744.55 2026-02-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 10 — — $60,238.59 $213,906.26 $61,744.55 2026-02-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 12 — — $59,788.50 $212,307.96 $68,009.41 2026-02-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $59,374.32 $210,837.24 $67,538.29 2026-02-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 12 — — $59,329.40 $210,677.77 $67,487.20 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 12 — — $58,724.63 $208,530.16 $66,799.27 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
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 12 — — $58,106.86 $206,336.49 $66,096.55 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
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $57,279.52 $203,398.60 $65,155.46 2026-02-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 12 — — $56,937.20 $202,183.04 $64,766.07 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
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
653 MS_DRG Major Bladder Procedures With Mcc 18 12 — — $55,634.78 $197,558.25 $63,284.57 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 12 — — $55,162.73 $195,881.98 $62,747.61 2026-02-19
834 MS_DRG Acute Leukemia With Mcc 18 12 — — $55,162.73 $195,881.98 $62,747.61 2026-02-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 12 — — $54,931.21 $195,059.80 $62,484.25 2026-02-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 12 — — $54,595.88 $193,869.05 $62,102.82 2026-02-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $54,302.47 $192,827.14 $55,660.03 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 12 — — $54,178.72 $192,387.70 $61,628.29 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
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $53,902.24 $191,406.04 $61,313.80 2026-02-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 12 — — $53,851.37 $191,225.30 $61,255.93 2026-02-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 12 — — $53,845.38 $191,204.04 $61,249.12 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 12 — — $53,095.88 $188,542.57 $60,396.57 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
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $52,861.33 $187,709.75 $60,129.76 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
6904 APR_DRG Acute Leukemia 4 3 — — $51,494.51 $115,862.65 $78,529.13 2026-02-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 12 — — $51,398.27 $182,514.39 $58,465.54 2026-02-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 12 — — $51,227.62 $181,908.39 $58,271.42 2026-02-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 12 — — $50,844.39 $180,547.53 $57,835.49 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 12 — — $50,688.68 $179,994.68 $57,658.38 2026-02-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 12 — — $50,268.53 $178,502.70 $57,180.45 2026-02-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 12 — — $49,972.09 $177,450.16 $56,843.25 2026-02-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 12 — — $49,933.20 $177,311.95 $56,799.01 2026-02-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 12 — — $49,913.25 $177,241.07 $56,776.32 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 12 — — $49,733.59 $176,603.17 $56,571.96 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
245 MS_DRG Aicd Generator Procedures 18 12 — — $48,770.52 $173,183.31 $55,476.46 2026-02-19
471 MS_DRG Cervical Spinal Fusion With Mcc 18 12 — — $48,476.11 $172,137.85 $55,141.57 2026-02-19
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $48,395.26 $171,850.80 $49,605.14 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
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 4 3 — — $47,781.52 $107,508.42 $72,866.82 2026-02-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 12 — — $47,659.72 $169,238.94 $54,212.93 2026-02-19
234 APR_DRG Spinal Procedures 4 3 — — $47,594.36 $107,087.31 $72,581.40 2026-02-19
799 MS_DRG Splenic Procedures With Mcc 18 12 — — $47,453.17 $168,505.36 $53,977.98 2026-02-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 12 — — $47,444.18 $168,473.46 $53,967.75 2026-02-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 12 — — $46,953.16 $166,729.86 $53,409.22 2026-02-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 12 — — $46,701.66 $165,836.80 $53,123.13 2026-02-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 12 — — $46,426.20 $164,858.68 $52,809.81 2026-02-19
163 MS_DRG Major Chest Procedures With Mcc 18 12 — — $46,000.06 $163,345.44 $52,325.07 2026-02-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 10 — — $45,981.10 $163,278.10 $47,130.63 2026-02-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 12 — — $45,834.39 $162,757.15 $52,136.62 2026-02-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 12 — — $45,827.41 $162,732.34 $52,128.68 2026-02-19
32 APR_DRG Bone Marrow Transplant 4 3 — — $45,725.66 $102,882.74 $69,731.63 2026-02-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 12 — — $45,025.99 $159,886.59 $51,217.07 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
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 12 — — $44,757.54 $158,933.28 $50,911.71 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 12 — — $44,633.78 $158,493.84 $50,770.92 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
901 MS_DRG Wound Debridements For Injuries With Mcc 18 12 — — $44,216.61 $157,012.49 $50,296.40 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 12 — — $43,840.37 $155,676.44 $49,868.42 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
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
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 12 — — $43,182.70 $153,341.01 $49,120.32 2026-02-19
63 APR_DRG Pancreas Transplant 4 3 — — $43,130.99 $97,044.73 $65,774.76 2026-02-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 12 — — $43,093.87 $153,025.60 $49,019.28 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
214 APR_DRG Craniotomy Except For Trauma 4 3 — — $42,707.84 $96,092.64 $65,129.46 2026-02-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 12 — — $42,571.89 $151,172.14 $48,425.53 2026-02-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 12 — — $42,509.04 $150,948.88 $48,354.04 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
140 MS_DRG Major Head And Neck Procedures With Mcc 18 12 — — $42,207.64 $149,878.62 $48,011.19 2026-02-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 12 — — $41,822.41 $148,510.67 $47,572.99 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
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 12 — — $41,812.43 $148,475.23 $47,561.64 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
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
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 12 — — $41,524.00 $147,451.05 $47,233.55 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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 12 — — $41,038.97 $145,728.71 $46,681.82 2026-02-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 12 — — $41,016.03 $145,647.20 $46,655.74 2026-02-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 12 — — $40,955.13 $145,431.02 $46,586.46 2026-02-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 12 — — $40,753.55 $144,715.16 $46,357.17 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
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 12 — — $40,592.86 $144,144.59 $46,174.38 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
4414 APR_DRG Major Bladder Procedures 4 3 — — $39,928.92 $89,840.07 $60,891.60 2026-02-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 12 — — $39,757.53 $141,178.34 $45,224.19 2026-02-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 12 — — $39,729.59 $141,079.12 $45,192.41 2026-02-19
204 APR_DRG Craniotomy For Trauma 4 3 — — $39,502.86 $88,881.43 $60,241.86 2026-02-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 12 — — $39,378.29 $139,831.66 $44,792.81 2026-02-19
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 12 — — $39,297.46 $139,544.61 $44,700.86 2026-02-19
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 12 — — $39,217.63 $139,261.09 $44,610.06 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
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
4034 APR_DRG Procedures For Obesity 4 3 — — $38,844.31 $87,399.70 $59,237.57 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
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 4 3 — — $38,231.68 $86,021.28 $58,303.31 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
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 4 3 — — $37,677.18 $84,773.65 $57,457.70 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
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 3 — — $37,037.23 $83,333.77 $56,481.78 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
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
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 3 — — $36,233.95 $81,526.39 $55,256.78 2026-02-19
1204 APR_DRG Major Respiratory & Chest Procedures 4 3 — — $36,020.05 $81,045.11 $54,930.58 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
5184 APR_DRG Other Female Reproductive System & Related Procedures 4 3 — — $35,363.83 $79,568.62 $53,929.84 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
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
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
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
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
4403 APR_DRG Kidney Transplant 4 3 — — $33,588.12 $75,573.27 $51,221.88 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
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
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
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
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
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
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
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
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
8444 APR_DRG Partial Thickness Burns Without Skin Graft 4 3 — — $30,143.09 $67,821.95 $45,968.21 2026-02-19
4434 APR_DRG Kidney & Urinary Tract Procedures For Nonmalignancy 4 3 — — $30,073.92 $67,666.32 $45,862.73 2026-02-19
62 APR_DRG Pancreas Transplant 4 3 — — $30,001.85 $67,504.16 $45,752.82 2026-02-19
61 APR_DRG Pancreas Transplant 4 3 — — $30,001.85 $67,504.16 $45,752.82 2026-02-19
6133 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 3 — — $29,957.09 $67,403.45 $45,684.56 2026-02-19
6144 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 3 — — $29,889.67 $67,251.76 $45,581.74 2026-02-19
6143 APR_DRG Neonate Bwt 1500-1999g W Or Without Other Significant Condition 4 3 — — $29,889.67 $67,251.76 $45,581.74 2026-02-19
3204 APR_DRG Other Musculoskeletal System & Connective Tissue Procedures 4 3 — — $29,700.76 $66,826.71 $45,293.66 2026-02-19
6604 APR_DRG Major Hematologic/immunologic Diag Exc Sickle Cell Crisis & Coagul 4 3 — — $29,551.97 $66,491.93 $45,066.76 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
A9699 HCPCS Hc - Lu-177 Pluvicto (lutetium Lu 177 Vipvotide Tetraxtean) 22 15 $132,904.00 $132,904.00 $26,580.80 $130,830.70 $106,323.20 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
0811 RC — 22 15 $120,000.00 $120,000.00 $24,000.00 $118,128.00 $96,000.00 2026-02-19
0812 RC — 22 15 $120,000.00 $120,000.00 $24,000.00 $118,128.00 $96,000.00 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
33231 CPT Pr Insj Implntbl Defib Pulse Gen W/exist Multileads 32 19 $90,509.00 $90,509.00 $18,101.80 $89,097.06 $49,123.72 2026-02-19
33270 CPT Pr Ins/rplcmnt Perm Subq Impltbl Dfb W/subq Eltrd 32 19 $78,323.00 $78,323.00 $15,664.60 $77,101.16 $45,772.57 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
C1822 HCPCS Ipg Kit 58 15 $84,900.00 $84,900.00 $11,574.70 $93,604.63 $51,652.10 2026-02-19
L8614 HCPCS Hc - Cochlear Device, Includes All Internal And External Components, Hifocus Mid… 158 15 $62,304.77 $62,304.77 $9,840.94 $92,613.34 $44,556.58 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
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
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
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
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