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

SOUTHWESTERN VERMONT MEDICAL CENTER

Bennington, VT · CCN 470012 · Rates published

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You selected 93306 (CPT)

ECHOCARDIOGRAPHY W DOP&COLOR

This hospital’s price: $225 across 21 payers · range $57-$3,042

Source: https://svmc.org/222563241_Southwestern-Vermont-Medical-Center-Inc._standardcharges.zip · observed 2026-10-12

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.

19,879 distinct procedures filed
22 distinct payers
1,040,684 rate rows
2026-10-12 last MRF observed
Data quality

1,032,822 of 1,040,684 rate rows are consumer-grade (99.2%)

7,862 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
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 4,849
placeholder amount (≤ $0.02) — excluded from medians 1,359
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,096
template filing: same amount across many unrelated codes — excluded 189
exceeds 10× this hospital's gross charge — excluded from medians 161
percent-of-charges filed in the dollar field — excluded from medians 145
per-diem day rate — not a per-procedure price 59
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://svmc.org/222563241_Southwestern-Vermont-Medical-Center-Inc._standardcharges.zip
Found on page https://svmc.org/patients-visitors/price-transparency-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-28
Content fingerprint 0de903e921b49a88… · 5,335,580 bytes · first seen 2026-10-12

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 9 $4,250,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj- Hemgenix- Per Tx Dose 10 $2,839,151.70 $3,691,450.00 $3,691,450.00 nat. median
$3,705,478
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $2,570,576.53 $3,316,897.12 $3,316,897.12 nat. median
$3,324,572
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 9 $3,147,000.00 $3,285,782.70 $3,285,782.70 nat. median
$3,335,820
1.0× median
J3394
HCPCS 		Inj- Lovotibeglogene Autotem 10 $2,540,078.00 $3,235,303.98 $3,235,303.98 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 9 $3,000,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,180,000
1.0× median
J1414
HCPCS 		Inj- Beqvez- Per Tx Dose 3 $2,867,830.00 $3,500,000.00 $2,939,525.75 nat. median
$3,710,000
0.8× median
J3393
HCPCS 		Inj- Betibeglogene Autotemce 10 $2,294,264.00 $2,930,260.35 $2,930,260.35 nat. median
$2,994,107
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $1,846,398.80 $2,680,037.38 $2,680,037.38 nat. median
$2,467,386
1.1× median
J3405
HCPCS 		Inj Onase Abepar-brve Treat 9 $2,664,228.59 $2,664,228.59 $2,664,228.59 nat. median
$2,612,500
1.0× median
J3392
HCPCS 		Inj- Exagamglogene Autotem 10 $1,802,636.00 $2,300,906.67 $2,300,906.67 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $77,062.00 $1,123,274.98 $813,967.38 nat. median
$813,967
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $59,172.20 $844,136.58 $611,693.17 nat. median
$739,258
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $56,586.95 $811,409.30 $587,977.76 nat. median
$646,415
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $56,253.19 $799,807.45 $579,570.61 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $55,731.93 $783,809.34 $567,977.78 nat. median
$622,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $53,323.17 $776,251.23 $562,500.89 nat. median
$608,239
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $48,930.61 $703,943.41 $510,103.92 nat. median
$591,721
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 $70,059.66 $353,882.54 $337,030.99 nat. median
$359,454
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $278,250.00 $278,250.00 $278,250.00 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene- Per Implant 9 $261,579.65 $265,000.00 $261,579.65 nat. median
$265,000
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $70,059.66 $260,288.24 $247,893.56 nat. median
$249,036
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $70,059.66 $265,108.48 $241,125.08 nat. median
$198,418
1.2× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $20,564.00 $281,050.47 $203,659.76 nat. median
$209,753
1.0× median
24
APR_DRG 		Heart &/or Lung Transplant 2 $202,815.79 $202,815.79 $202,815.79 nat. median
$241,437
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $70,059.66 $212,519.50 $195,034.62 nat. median
$190,559
1.0× median
5834
APR_DRG 		Neonate W Ecmo 6 $149,296.59 $475,891.84 $149,296.59 nat. median
$307,206
outlier · 0.5×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $146,672.27 $382,287.66 $146,672.27 nat. median
$247,214
0.6× median
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $146,672.27 $246,284.37 $146,672.27 nat. median
$175,204
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $99,329.72 $192,664.22 $134,473.20 nat. median
$126,695
1.1× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 6 $134,155.77 $337,983.02 $134,155.77 nat. median
$202,993
0.7× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 9 $121,900.00 $121,900.00 $121,900.00 nat. median
$127,995
1.0× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 6 $112,613.12 $196,570.07 $112,613.12 nat. median
$162,342
0.7× median
7
MS_DRG 		Lung Transplant 13 $70,059.66 $117,821.57 $112,211.02 nat. median
$117,974
1.0× median
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $112,206.25 $241,160.31 $112,206.25 nat. median
$145,061
0.8× median
5881
APR_DRG 		Neonate Bwt <1500g W Major Procedure 6 $112,206.25 $158,741.61 $112,206.25 nat. median
$120,208
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $70,059.66 $121,232.77 $112,007.02 nat. median
$104,013
1.1× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 6 $108,915.83 $215,918.03 $108,915.83 nat. median
$155,939
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 10 $87,499.92 $108,243.35 $108,243.35 nat. median
$111,503
1.0× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 $105,043.00 $105,043.00 $105,043.00 nat. median
$122,016
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $70,059.66 $146,566.24 $104,842.44 nat. median
$110,307
1.0× median
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 2 $101,749.09 $101,749.09 $101,749.09 nat. median
$136,566
0.7× median
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 6 $101,345.12 $173,053.19 $101,345.12 nat. median
$151,838
0.7× median
1784
APR_DRG 		External Heart Assist Systems 2 $100,234.41 $100,234.41 $100,234.41 nat. median
$62,917
1.6× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 13 $6,280.07 $103,455.03 $98,528.60 nat. median
$97,323
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $70,059.66 $100,478.64 $94,680.11 nat. median
$95,038
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 13 $70,059.66 $98,115.49 $93,443.32 nat. median
$93,901
1.0× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 6 $92,790.95 $264,129.71 $92,790.95 nat. median
$165,000
0.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 3 $79,652.94 $95,583.53 $91,031.93 nat. median
$96,983
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $70,059.66 $102,028.59 $88,782.50 nat. median
$90,551
1.0× median

Other procedures at this hospital

Browse this hospital's 19,879 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 10 9 — — $4,250,000.00 $4,505,000.00 $4,505,000.00 2026-10-12
J1411 HCPCS Inj- Hemgenix- Per Tx Dose 13 10 — — $2,839,151.70 $3,691,450.00 $3,691,450.00 2026-10-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 13 10 — — $2,570,576.53 $3,316,897.12 $3,316,897.12 2026-10-12
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 9 — — $3,147,000.00 $3,285,782.70 $3,285,782.70 2026-10-12
J3394 HCPCS Inj- Lovotibeglogene Autotem 13 10 — — $2,540,078.00 $3,235,303.98 $3,235,303.98 2026-10-12
J3387 HCPCS Inj Elivaldogene Autotemecel 10 9 — — $3,000,000.00 $3,180,000.00 $3,180,000.00 2026-10-12
J1414 HCPCS Inj- Beqvez- Per Tx Dose 4 3 — — $2,867,830.00 $3,500,000.00 $2,939,525.75 2026-10-12
J3393 HCPCS Inj- Betibeglogene Autotemce 13 10 — — $2,294,264.00 $2,930,260.35 $2,930,260.35 2026-10-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 10 — — $1,846,398.80 $2,680,037.38 $2,680,037.38 2026-10-12
J3405 HCPCS Inj Onase Abepar-brve Treat 9 9 — — $2,664,228.59 $2,664,228.59 $2,664,228.59 2026-10-12
J3392 HCPCS Inj- Exagamglogene Autotem 13 10 — — $1,802,636.00 $2,300,906.67 $2,300,906.67 2026-10-12
Q2057 HCPCS Afamitresgene Autoleucel 14 9 — — $77,062.00 $1,123,274.98 $813,967.38 2026-10-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 18 11 — — $59,172.20 $844,136.58 $611,693.17 2026-10-12
Q2056 HCPCS Ciltacabtagene Car-pos T 18 11 — — $56,586.95 $811,409.30 $587,977.76 2026-10-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 18 11 — — $56,253.19 $799,807.45 $579,570.61 2026-10-12
Q2055 HCPCS Idecabtagene Vicleucel Car 18 11 — — $55,731.93 $783,809.34 $567,977.78 2026-10-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 18 11 — — $53,323.17 $776,251.23 $562,500.89 2026-10-12
Q2053 HCPCS Brexucabtagene Car Pos T 18 11 — — $48,930.61 $703,943.41 $510,103.92 2026-10-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 13 — — $70,059.66 $353,882.54 $337,030.99 2026-10-12
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 9 — — $278,250.00 $278,250.00 $278,250.00 2026-10-12
J3403 HCPCS Revakinagene- Per Implant 10 9 — — $261,579.65 $265,000.00 $261,579.65 2026-10-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 13 — — $70,059.66 $260,288.24 $247,893.56 2026-10-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 13 — — $70,059.66 $265,108.48 $241,125.08 2026-10-12
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 17 10 — — $20,564.00 $281,050.47 $203,659.76 2026-10-12
24 APR_DRG Heart &/or Lung Transplant 2 2 — — $202,815.79 $202,815.79 $202,815.79 2026-10-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 13 — — $70,059.66 $212,519.50 $195,034.62 2026-10-12
5834 APR_DRG Neonate W Ecmo 9 6 — — $149,296.59 $475,891.84 $149,296.59 2026-10-12
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 9 6 — — $146,672.27 $246,284.37 $146,672.27 2026-10-12
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 9 6 — — $146,672.27 $382,287.66 $146,672.27 2026-10-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 13 — — $99,329.72 $192,664.22 $134,473.20 2026-10-12
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 6 — — $134,155.77 $337,983.02 $134,155.77 2026-10-12
J3404 HCPCS Inj Zopapogene Per Ther Dose 9 9 — — $121,900.00 $121,900.00 $121,900.00 2026-10-12
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 6 — — $112,613.12 $196,570.07 $112,613.12 2026-10-12
7 MS_DRG Lung Transplant 28 13 — — $70,059.66 $117,821.57 $112,211.02 2026-10-12
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 9 6 — — $112,206.25 $158,741.61 $112,206.25 2026-10-12
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 9 6 — — $112,206.25 $241,160.31 $112,206.25 2026-10-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 13 — — $70,059.66 $121,232.77 $112,007.02 2026-10-12
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 6 — — $108,915.83 $215,918.03 $108,915.83 2026-10-12
Q0480 HCPCS Driver Pneumatic Vad- Rep 16 10 — — $87,499.92 $108,243.35 $108,243.35 2026-10-12
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $105,043.00 $105,043.00 $105,043.00 2026-10-12
14 MS_DRG Allogeneic Bone Marrow Transplant 28 13 — — $70,059.66 $146,566.24 $104,842.44 2026-10-12
14 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $101,749.09 $101,749.09 $101,749.09 2026-10-12
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 6 — — $101,345.12 $173,053.19 $101,345.12 2026-10-12
1784 APR_DRG External Heart Assist Systems 2 2 — — $100,234.41 $100,234.41 $100,234.41 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 28 13 — — $6,280.07 $103,455.03 $98,528.60 2026-10-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 13 — — $70,059.66 $100,478.64 $94,680.11 2026-10-12
215 MS_DRG Other Heart Assist System Implant 28 13 — — $70,059.66 $98,115.49 $93,443.32 2026-10-12
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 6 — — $92,790.95 $264,129.71 $92,790.95 2026-10-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 7 3 — — $79,652.94 $95,583.53 $91,031.93 2026-10-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 13 — — $70,059.66 $102,028.59 $88,782.50 2026-10-12
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $87,893.39 $144,305.60 $87,893.39 2026-10-12
23 APR_DRG Heart &/or Lung Transplant 2 2 — — $87,586.50 $87,586.50 $87,586.50 2026-10-12
E0766 HCPCS Elec Stim Cancer Treatment 3 1 — — $13,356.47 $114,438.18 $85,828.82 2026-10-12
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 6 — — $85,110.98 $104,610.72 $85,110.98 2026-10-12
5833 APR_DRG Neonate W Ecmo 9 6 — — $84,817.45 $388,443.88 $84,817.45 2026-10-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $84,334.89 $84,334.89 $84,334.89 2026-07-15
1794 APR_DRG Defibrillator Implants 2 2 — — $83,582.39 $83,582.39 $83,582.39 2026-07-15
5832 APR_DRG Neonate W Ecmo 9 6 — — $83,231.23 $287,475.94 $83,231.23 2026-10-12
5831 APR_DRG Neonate W Ecmo 9 6 — — $83,231.23 $230,271.09 $83,231.23 2026-10-12
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 8 8 — — $81,168.20 $81,168.20 $81,168.20 2026-10-12
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 20 12 — — $74,472.35 $85,115.77 $81,062.64 2026-10-12
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 6 — — $80,966.13 $215,759.23 $80,966.13 2026-10-12
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $80,150.64 $80,150.64 $80,150.64 2026-10-12
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 6 — — $79,153.81 $134,801.68 $79,153.81 2026-10-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $70,059.66 $79,034.08 $79,034.08 2026-10-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 28 13 — — $56,427.92 $81,187.23 $77,321.17 2026-10-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 13 — — $54,328.62 $80,966.31 $77,110.77 2026-10-12
22 APR_DRG Heart &/or Lung Transplant 2 2 — — $74,665.44 $74,665.44 $74,665.44 2026-10-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 28 13 — — $60,451.62 $85,051.25 $74,236.52 2026-10-12
1783 APR_DRG External Heart Assist Systems 2 2 — — $74,153.13 $74,153.13 $74,153.13 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 13 — — $51,162.90 $76,779.39 $73,123.23 2026-10-12
J9183 HCPCS Gemcitabine Intravesical Sys 11 9 — — $72,984.24 $100,718.25 $72,984.24 2026-10-12
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $71,758.06 $156,951.03 $71,758.06 2026-10-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 28 13 — — $54,824.46 $74,916.94 $71,349.47 2026-10-12
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 9 6 — — $71,083.23 $239,948.02 $71,083.24 2026-10-12
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 6 — — $70,556.63 $96,101.03 $70,556.63 2026-10-12
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 9 6 — — $70,556.63 $115,761.83 $70,556.63 2026-10-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 13 — — $50,764.62 $74,067.84 $70,540.80 2026-10-12
21 APR_DRG Heart &/or Lung Transplant 2 2 — — $70,331.11 $70,331.11 $70,331.11 2026-10-12
90288 CPT Botulism Ig IV 1 1 — — $69,300.00 $69,300.00 $69,300.00 2026-10-12
1782 APR_DRG External Heart Assist Systems 2 2 — — $69,087.13 $69,087.13 $69,087.13 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 16 10 — — $57,637.77 $69,165.33 $68,801.71 2026-10-12
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 6 — — $68,672.82 $124,047.55 $68,672.82 2026-10-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 28 13 — — $54,643.03 $69,469.81 $66,161.73 2026-10-12
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $65,879.26 $65,879.26 $65,879.26 2026-07-15
2324 APR_DRG Gastric Fundoplication 2 2 — — $65,761.94 $65,761.94 $65,761.94 2026-07-15
904 APR_DRG Major Larynx & Trachea Procedures 7 4 — — $65,276.03 $78,331.24 $65,276.03 2026-10-12
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $64,879.04 $124,171.97 $64,879.04 2026-10-12
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 6 — — $64,762.79 $104,340.53 $64,762.79 2026-10-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 9 — — $64,608.71 $73,562.64 $64,608.71 2026-10-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 13 — — $46,090.03 $73,562.64 $64,362.35 2026-10-12
J9029 HCPCS Instill Adstiladrin- Tx Dose 22 11 — — $47,573.29 $88,777.63 $64,331.61 2026-10-12
5912 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 6 — — $64,064.13 $81,177.97 $64,064.13 2026-10-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 28 13 — — $49,565.18 $67,620.76 $63,713.77 2026-10-12
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 6 — — $63,323.63 $126,819.33 $63,323.63 2026-10-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 13 — — $51,436.12 $73,562.64 $63,300.28 2026-10-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 28 13 — — $46,143.85 $66,352.92 $63,193.25 2026-10-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 28 13 — — $43,896.43 $73,562.64 $62,869.42 2026-10-12
5931 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 9 6 — — $2,486.19 $75,348.76 $62,790.63 2026-10-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 28 13 — — $14,640.25 $73,562.64 $62,705.67 2026-10-12
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $62,436.76 $62,436.76 $62,436.76 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 28 13 — — $39,605.96 $73,562.64 $62,374.52 2026-10-12
850 MS_DRG Acute Leukemia With Other Procedures 12 9 — — $62,098.11 $73,562.64 $62,098.11 2026-10-12
1781 APR_DRG External Heart Assist Systems 2 2 — — $61,620.27 $61,620.27 $61,620.27 2026-07-15
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 9 6 — — $61,108.51 $150,590.99 $61,108.51 2026-10-12
459 MS_DRG Spinal Fusion Except Cervical With Mcc 20 12 — — $40,027.31 $63,704.76 $60,671.20 2026-10-12
1793 APR_DRG Defibrillator Implants 2 2 — — $60,553.75 $60,553.75 $60,553.75 2026-07-15
4404 APR_DRG Kidney Transplant 9 6 — — $60,356.96 $111,146.15 $60,356.96 2026-10-12
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $59,715.93 $59,715.93 $59,715.93 2026-07-15
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $58,534.76 $58,534.76 $58,534.76 2026-10-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 13 — — $47,152.11 $73,562.64 $58,228.72 2026-10-12
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $57,876.77 $57,876.77 $57,876.77 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 9 6 — — $57,798.32 $209,215.51 $57,798.32 2026-10-12
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 9 6 — — $57,192.08 $258,928.62 $57,192.08 2026-10-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 13 — — $40,780.77 $59,995.22 $57,138.30 2026-10-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 28 13 — — $40,780.77 $59,726.27 $56,882.16 2026-10-12
A9543 HCPCS Y90 Ibritumomab- Rx 13 10 — — $50,613.40 $67,806.71 $56,824.55 2026-10-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc 28 13 — — $31,763.50 $59,650.39 $56,809.89 2026-10-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 13 — — $38,955.54 $59,331.50 $56,506.19 2026-10-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 13 — — $36,555.94 $59,331.50 $56,506.19 2026-10-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 28 13 — — $37,962.35 $64,657.86 $56,180.52 2026-10-12
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 20 12 — — $50,418.88 $69,553.95 $55,950.91 2026-10-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 11 — — $41,959.48 $77,186.75 $55,932.43 2026-10-12
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 9 6 — — $55,802.33 $83,288.51 $55,802.33 2026-10-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 28 13 — — $46,723.61 $69,601.17 $55,712.15 2026-10-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 13 — — $42,761.96 $58,354.64 $55,575.85 2026-10-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 28 13 — — $40,780.77 $75,076.27 $55,314.22 2026-10-12
28 MS_DRG Spinal Procedures With Mcc 28 13 — — $31,423.03 $57,882.07 $55,125.78 2026-10-12
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $55,125.18 $106,381.15 $55,125.18 2026-10-12
120 EAPG Immunotherapy 2 2 — — $55,027.46 $55,027.46 $55,027.46 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 28 13 — — $5,660.73 $86,440.29 $54,887.93 2026-10-12
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 9 6 — — $54,548.01 $87,686.15 $54,548.01 2026-10-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 28 13 — — $40,780.77 $57,137.66 $54,416.82 2026-10-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 28 13 — — $37,281.12 $56,484.51 $53,794.77 2026-10-12
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 2 2 — — $53,664.51 $53,664.51 $53,664.51 2026-10-12
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 9 6 — — $53,370.99 $70,811.35 $53,370.99 2026-10-12
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $53,178.59 $68,275.39 $53,178.59 2026-10-12
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 9 6 — — $52,325.33 $89,266.97 $52,325.33 2026-10-12
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 6 — — $52,186.99 $102,917.31 $52,186.99 2026-10-12
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 9 6 — — $52,144.56 $65,257.12 $52,144.56 2026-10-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 28 13 — — $40,780.77 $54,718.10 $52,112.48 2026-10-12
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 9 6 — — $51,999.83 $94,740.62 $51,999.83 2026-10-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 28 13 — — $35,146.98 $54,587.47 $51,988.07 2026-10-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 28 13 — — $41,092.53 $61,930.02 $51,857.26 2026-10-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 28 13 — — $40,780.77 $59,353.81 $51,810.60 2026-10-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $51,765.27 $73,562.64 $51,765.27 2026-10-12
5911 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 9 6 — — $2,153.20 $62,002.92 $51,669.10 2026-10-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 28 13 — — $39,368.60 $85,652.34 $51,218.74 2026-10-12
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 9 8 — — $20,966.03 $50,910.87 $50,910.87 2026-10-12
0870T CPT Imp Subq Prtl Ascts Pmp Sys 8 8 — — $50,910.87 $50,910.87 $50,910.87 2026-10-12
6904 APR_DRG Acute Leukemia 9 6 — — $50,876.87 $93,408.65 $50,876.87 2026-10-12
1832 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $50,610.18 $50,610.18 $50,610.18 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 28 13 — — $35,913.58 $52,878.70 $50,360.67 2026-10-12
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 9 6 — — $50,206.11 $118,057.23 $50,206.11 2026-10-12
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $49,762.88 $49,762.88 $49,762.88 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 28 13 — — $30,228.95 $51,998.86 $49,522.73 2026-10-12
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 9 6 — — $49,252.29 $79,438.35 $49,252.29 2026-10-12
4054 APR_DRG Other Procedures For Endocrine, Nutritional & Metabolic Disorders 9 6 — — $48,755.33 $62,107.32 $48,755.33 2026-10-12
13 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $48,629.78 $48,629.78 $48,629.78 2026-10-12
1831 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $48,176.13 $48,176.13 $48,176.13 2026-07-15
L7181 HCPCS Electronic Elbo Simultaneous 16 10 — — $39,255.31 $48,410.00 $48,155.50 2026-10-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 13 — — $40,191.12 $50,539.83 $48,133.17 2026-10-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 13 — — $25,761.06 $50,375.58 $47,976.74 2026-10-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 9 — — $40,780.77 $47,949.53 $47,949.53 2026-10-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 9 — — $47,914.40 $73,562.64 $47,914.40 2026-10-12
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 6 — — $47,741.64 $104,288.39 $47,741.64 2026-10-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 28 13 — — $39,173.55 $49,927.02 $47,549.54 2026-10-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 13 — — $37,328.42 $49,818.48 $47,446.17 2026-10-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 28 13 — — $36,212.32 $49,527.44 $47,168.99 2026-10-12
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 9 6 — — $47,163.88 $68,552.68 $47,163.88 2026-10-12
234 APR_DRG Spinal Procedures 9 6 — — $46,976.72 $56,372.06 $46,976.72 2026-10-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 28 13 — — $33,922.25 $48,784.95 $46,461.86 2026-10-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 27 12 — — $37,836.85 $48,572.68 $46,259.69 2026-10-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 13 — — $35,478.28 $50,653.96 $46,093.20 2026-10-12
L7180 HCPCS Electronic Elbow Sequential 16 10 — — $37,564.63 $46,325.04 $46,081.51 2026-10-12
246 EAPG Class IV Therapeutic Radiopharmaceuticals 2 2 — — $45,780.28 $45,780.28 $45,780.28 2026-07-15
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $45,771.71 $45,771.71 $45,771.71 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 28 13 — — $35,415.17 $55,115.25 $45,732.78 2026-10-12
799 MS_DRG Splenic Procedures With Mcc 28 13 — — $32,477.18 $47,590.06 $45,323.87 2026-10-12
471 MS_DRG Cervical Spinal Fusion With Mcc 28 13 — — $34,627.07 $47,248.12 $44,998.21 2026-10-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 12 — — $34,140.15 $46,875.44 $44,643.27 2026-10-12
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $44,453.96 $44,453.96 $44,453.96 2026-07-15
64 APR_DRG Pancreas Transplant 2 2 — — $44,400.65 $44,400.65 $44,400.65 2026-10-12
4474 APR_DRG Other Kidney, Urinary Tract & Related Procedures 9 6 — — $44,352.40 $53,222.88 $44,352.40 2026-10-12
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 9 6 — — $44,329.74 $62,390.54 $44,329.74 2026-10-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 28 13 — — $29,033.25 $46,527.73 $44,312.12 2026-10-12
6 MS_DRG Liver Transplant Without Mcc 28 13 — — $33,252.37 $51,577.29 $44,247.17 2026-10-12
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 9 6 — — $44,038.53 $59,960.05 $44,038.53 2026-10-12
10 MS_DRG Pancreas Transplant 28 13 — — $36,367.07 $51,457.63 $44,034.03 2026-10-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 28 13 — — $32,857.87 $46,170.41 $43,971.82 2026-10-12
1792 APR_DRG Defibrillator Implants 2 2 — — $43,958.61 $43,958.61 $43,958.61 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 28 13 — — $33,119.71 $46,679.37 $43,748.61 2026-10-12
5124 APR_DRG Uterine & Adnexa Procedures For Non-ovarian & Non-adnexal Malig 9 6 — — $43,613.06 $63,745.03 $43,613.06 2026-10-12
6072 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $43,467.75 $53,122.44 $43,467.75 2026-10-12
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 2 2 — — $43,377.95 $43,377.95 $43,377.95 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 28 13 — — $33,645.35 $45,868.73 $43,364.40 2026-10-12
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 9 6 — — $43,166.09 $65,149.28 $43,166.09 2026-10-12
163 MS_DRG Major Chest Procedures With Mcc 28 13 — — $32,139.42 $45,275.20 $43,119.24 2026-10-12
6954 APR_DRG Chemotherapy For Acute Leukemia # 9 6 — — $42,935.33 $71,767.67 $42,935.33 2026-10-12
924 APR_DRG Facial Bone Procedures Except Major Cranial/facial Bone Procedures 9 6 — — $42,741.20 $80,157.66 $42,741.20 2026-10-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 13 — — $36,143.76 $44,650.86 $42,524.63 2026-10-12
63 APR_DRG Pancreas Transplant 2 2 — — $42,513.35 $42,513.35 $42,513.35 2026-10-12
7944 APR_DRG Non-extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $42,387.27 $42,387.27 $42,387.27 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 28 13 — — $33,544.95 $44,450.11 $42,333.44 2026-10-12
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 9 6 — — $42,332.58 $142,115.67 $42,332.58 2026-10-12
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 20 12 — — $34,901.51 $44,237.84 $42,131.28 2026-10-12
214 APR_DRG Craniotomy Except For Trauma 9 6 — — $42,090.20 $74,275.18 $42,090.20 2026-10-12
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $41,783.31 $41,783.31 $41,783.31 2026-10-12
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure 2 2 — — $41,783.31 $41,783.31 $41,783.31 2026-10-12
1694 APR_DRG Major Abdominal Vascular Procedures 9 6 — — $41,750.18 $65,195.50 $41,750.18 2026-10-12
9104 APR_DRG Craniotomy For Multiple Significant Trauma 9 6 — — $41,747.85 $86,296.11 $41,747.85 2026-10-12
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 6 — — $41,747.27 $91,765.01 $41,747.27 2026-10-12
245 MS_DRG Aicd Generator Procedures 28 13 — — $32,717.41 $45,165.63 $41,452.51 2026-10-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 28 13 — — $29,922.12 $47,733.21 $41,448.85 2026-10-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 9 — — $40,780.77 $42,819.81 $41,356.43 2026-10-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 28 13 — — $26,002.45 $43,384.90 $41,318.95 2026-10-12
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 9 6 — — $41,196.83 $101,808.13 $41,196.83 2026-10-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 28 13 — — $32,878.04 $66,981.16 $41,182.64 2026-10-12
8412 APR_DRG Extensive 3rd Degree Burns W Skin Graft 9 6 — — $29,238.20 $49,395.74 $41,163.12 2026-10-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 28 13 — — $19,607.07 $43,199.51 $41,142.39 2026-10-12
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 9 6 — — $41,132.31 $63,327.90 $41,132.31 2026-10-12
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 9 6 — — $41,060.24 $49,272.29 $41,060.24 2026-10-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 9 6 — — $40,960.26 $80,043.90 $40,960.26 2026-10-12
213 MS_DRG Splenic Procedures Age 0-17 8 8 — — $40,924.73 $40,924.73 $40,924.73 2026-10-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 13 — — $28,490.93 $42,843.16 $40,803.01 2026-10-12
E0194 HCPCS Air Fluidized Bed 9 3 — — $3,780.69 $48,954.97 $40,795.81 2026-10-12
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 16 10 — — $34,028.78 $40,834.53 $40,619.86 2026-10-12
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 9 6 — — $40,617.33 $86,009.33 $40,617.33 2026-10-12
4014 APR_DRG Pituitary & Adrenal Procedures 9 6 — — $40,615.59 $70,652.55 $40,615.59 2026-10-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 28 13 — — $22,594.71 $42,535.79 $40,510.28 2026-10-12
J2789 HCPCS Riboflavin Epioxa/hd<=2ml 9 9 — — $40,427.50 $40,427.50 $40,427.50 2026-10-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 28 13 — — $28,720.36 $42,416.69 $40,396.85 2026-10-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $40,315.90 $42,819.81 $40,315.90 2026-10-12
6032 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 9 6 — — $40,097.12 $48,116.54 $40,097.12 2026-10-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 13 — — $32,003.88 $52,821.63 $39,901.95 2026-10-12
3104 APR_DRG Intervertebral Disc Excision & Decompression 9 6 — — $39,769.88 $47,723.86 $39,769.88 2026-10-12
6083 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 9 6 — — $39,661.77 $83,097.72 $39,661.77 2026-10-12
894 APR_DRG Major Cranial/facial Bone Procedures 9 6 — — $39,632.70 $70,747.36 $39,632.70 2026-10-12
0871T CPT Rplcmt Subq Prtl Ascites Pmp 8 8 — — $39,597.47 $39,597.47 $39,597.47 2026-10-12
901 MS_DRG Wound Debridements For Injuries With Mcc 28 13 — — $30,094.22 $50,207.30 $39,590.01 2026-10-12
244 APR_DRG Extracranial Vascular Procedures 9 6 — — $39,487.39 $47,384.87 $39,487.39 2026-10-12
6214 APR_DRG Neonate Bwt 2000-2499g W Major Anomaly 9 6 — — $39,478.67 $91,264.93 $39,478.67 2026-10-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 28 13 — — $18,177.09 $41,329.38 $39,361.31 2026-10-12
4414 APR_DRG Major Bladder Procedures 9 6 — — $39,311.28 $75,846.53 $39,311.28 2026-10-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 28 13 — — $20,056.58 $46,525.35 $39,140.85 2026-10-12
1791 APR_DRG Defibrillator Implants 2 2 — — $38,969.65 $38,969.65 $38,969.65 2026-07-15
204 APR_DRG Craniotomy For Trauma 9 6 — — $38,885.22 $60,201.79 $38,885.22 2026-10-12
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $38,767.01 $38,767.01 $38,767.01 2026-07-15
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 9 6 — — $38,543.45 $95,406.60 $38,543.45 2026-10-12
793 MS_DRG Full Term Neonate With Major Problems 28 13 — — $8,942.54 $40,431.29 $38,505.99 2026-10-12
1814 APR_DRG Lower Extremity Arterial Procedures # 9 6 — — $38,458.01 $55,187.94 $38,458.01 2026-10-12
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 5 3 — — $38,424.30 $46,109.16 $38,424.30 2026-07-15
2214 APR_DRG Major Small & Large Bowel Procedures 5 3 — — $38,410.35 $46,092.42 $38,410.35 2026-07-15
4034 APR_DRG Procedures For Obesity 9 6 — — $38,226.67 $49,876.64 $38,226.67 2026-10-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 9 — — $38,219.07 $42,819.81 $38,219.07 2026-10-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 27 12 — — $30,284.97 $39,944.30 $38,042.19 2026-10-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 27 12 — — $31,032.20 $39,765.65 $37,872.04 2026-10-12
6021 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 9 6 — — $23,583.24 $45,286.12 $37,738.43 2026-10-12
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement 2 2 — — $37,731.29 $37,731.29 $37,731.29 2026-07-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 9 6 — — $37,724.48 $64,316.21 $37,724.48 2026-10-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 28 13 — — $18,423.53 $39,540.88 $37,657.98 2026-10-12
3134 APR_DRG Knee & Lower Leg Procedures Except Foot 9 6 — — $37,614.04 $47,168.85 $37,614.04 2026-10-12
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $37,508.51 $37,508.51 $37,508.51 2026-07-15
J9226 HCPCS Supprelin La Implant 22 11 — — $34,170.29 $51,738.92 $37,491.97 2026-10-12
791 MS_DRG Prematurity With Major Problems 28 13 — — $2,162.80 $39,359.34 $37,485.09 2026-10-12
5474 APR_DRG Antepartum With O.r. Procedure 2 2 — — $37,367.49 $37,367.49 $37,367.49 2026-07-15
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy & Other Radical GYN Procs 9 6 — — $37,253.67 $80,020.20 $37,253.67 2026-10-12
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 2 2 — — $37,221.73 $37,221.73 $37,221.73 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 28 13 — — $26,803.41 $38,976.10 $37,120.09 2026-10-12
4424 APR_DRG Kidney & Urinary Tract Procedures For Malignancy 9 6 — — $37,059.54 $44,471.45 $37,059.54 2026-10-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 28 13 — — $23,603.70 $41,527.72 $37,001.17 2026-10-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 28 13 — — $27,319.49 $41,224.54 $36,968.24 2026-10-12
6123 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 9 6 — — $36,868.31 $63,165.55 $36,868.31 2026-10-12
1774 APR_DRG Cardiac Pacemaker & Defibrillator Revision Except Device Replacement 9 6 — — $27,961.92 $44,183.38 $36,819.48 2026-10-12
6914 APR_DRG Lymphoma, Myeloma & Non-acute Leukemia 9 6 — — $36,809.02 $44,170.82 $36,809.02 2026-10-12
7104 APR_DRG Infectious & Parasitic Diseases Including HIV W O.r. Procedure 9 6 — — $36,736.95 $52,111.61 $36,736.95 2026-10-12
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 28 13 — — $26,725.24 $38,560.19 $36,723.99 2026-10-12
3174 APR_DRG Tendon, Muscle & Other Soft Tissue Procedures 9 6 — — $36,723.00 $53,648.59 $36,723.00 2026-10-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 28 13 — — $30,233.34 $38,467.98 $36,636.17 2026-10-12
3054 APR_DRG Amputation Of Lower Limb Except Toes 9 6 — — $36,628.83 $46,314.45 $36,628.83 2026-10-12
264 APR_DRG Other Nervous System & Related Procedures 9 6 — — $36,478.29 $65,971.69 $36,478.29 2026-10-12
9514 APR_DRG Moderately Extensive Procedure Unrelated To Principal Diagnosis 9 6 — — $36,473.64 $50,390.95 $36,473.64 2026-10-12
1824 APR_DRG Other Peripheral Vascular Procedures # 9 6 — — $36,455.62 $51,834.31 $36,455.62 2026-10-12
6113 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 9 6 — — $36,419.59 $69,193.78 $36,419.59 2026-10-12
0571T CPT Insj/rplcmt Icds Ss Eltrd 9 8 — — $807.42 $36,280.64 $36,280.64 2026-10-12
0408T CPT Insj/rplc Cardiac Modulj Sys 9 8 — — $1,274.56 $36,280.64 $36,280.64 2026-10-12
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 9 — — $36,280.64 $36,280.64 $36,280.64 2026-10-12
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 9 6 — — $36,218.48 $59,298.80 $36,218.48 2026-10-12
3060 EAPG Ventricular Assist Device Procedures 2 2 — — $36,206.50 $36,206.50 $36,206.50 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 28 13 — — $22,023.60 $38,185.42 $36,204.39 2026-10-12
5114 APR_DRG Uterine & Adnexa Procedures For Ovarian & Adnexal Malignancy 9 6 — — $36,190.58 $67,291.81 $36,190.58 2026-10-12
3253 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $36,039.07 $36,039.07 $36,039.07 2026-07-15
4444 APR_DRG Renal Dialysis Access Device Procedure Only 9 6 — — $35,955.17 $46,553.82 $35,955.17 2026-10-12
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 2 2 — — $35,951.38 $35,951.38 $35,951.38 2026-07-15
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 28 13 — — $22,785.44 $39,218.19 $35,884.22 2026-10-12
12 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $35,823.81 $35,823.81 $35,823.81 2026-10-12
11 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $35,823.81 $35,823.81 $35,823.81 2026-10-12
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 28 13 — — $29,781.56 $38,185.42 $35,776.27 2026-10-12
2644 APR_DRG Other Hepatobiliary, Pancreas & Abdominal Procedures 9 6 — — $35,773.24 $58,673.11 $35,773.24 2026-10-12
5434 APR_DRG Abortion With D&c, Aspiration Curettage Or Hysterotomy 2 2 — — $35,764.15 $35,764.15 $35,764.15 2026-07-15
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