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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

MARSHFIELD MEDICAL CENTER - BEAVER DAM (MMC-BD)

Beaver Dam, WI · CCN 520076 · Rates published

8,405 distinct procedures filed
22 distinct payers
459,101 rate rows
2026-02-20 last MRF observed
Data quality

454,945 of 459,101 rate rows are consumer-grade (99.1%)

4,156 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
per-diem day rate — not a per-procedure price 2,419
placeholder amount (≤ $0.02) — excluded from medians 1,283
exceeds 10× this hospital's gross charge — excluded from medians 442
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshfieldclinic.org/mPatientResources/Documents/391157876_marshfield-medical-center--beaver-dam_standardcharges.csv
Found on page https://www.marshfieldclinic.org/patient-resources/billing/cms-hospital-transparency-requirement
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8048974e6005520b… · 185,806,839 bytes · first seen 2026-05-08

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
18
MS_DRG 		Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $316,841.69 $1,000,520.58 $326,346.94 nat. median
$370,174
0.9× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $237,018.10 $747,305.00 $244,128.64 nat. median
$265,286
0.9× median
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 10 $223,733.33 $246,106.66 $223,733.33 nat. median
$309,665
0.7× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 12 $199,839.02 $629,365.88 $205,834.19 nat. median
$206,474
1.0× median
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 10 $194,808.53 $214,289.38 $194,808.53 nat. median
$244,017
0.8× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 12 $180,677.02 $568,580.35 $186,097.33 nat. median
$202,976
0.9× median
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $166,896.10 $183,585.71 $166,896.10 nat. median
$246,434
0.7× median
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 10 $153,879.94 $169,267.93 $153,879.94 nat. median
$207,730
0.7× median
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 10 $149,107.34 $164,018.08 $149,107.34 nat. median
$234,729
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 12 $119,611.50 $374,868.90 $123,199.85 nat. median
$133,161
0.9× median
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 10 $122,279.59 $134,507.55 $122,279.59 nat. median
$156,126
0.8× median
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 10 $116,639.26 $128,303.18 $116,639.26 nat. median
$119,796
1.0× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $115,843.82 $127,428.21 $115,843.82 nat. median
$117,173
1.0× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 12 $111,012.32 $347,590.75 $114,342.69 nat. median
$117,357
1.0× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 12 $110,736.36 $346,715.26 $114,058.45 nat. median
$122,708
0.9× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 $113,385.22 $124,723.74 $113,385.22 nat. median
$150,721
0.8× median
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 10 $110,565.05 $121,621.55 $110,565.05 nat. median
$160,267
0.7× median
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $109,697.30 $120,667.03 $109,697.30 nat. median
$151,838
0.7× median
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $108,612.62 $119,473.89 $108,612.62 nat. median
$164,289
0.7× median
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $107,021.76 $117,723.94 $107,021.76 nat. median
$182,665
0.6× median
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $106,660.20 $117,326.22 $106,660.20 nat. median
$122,924
0.9× median
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $105,503.21 $116,053.53 $105,503.21 nat. median
$162,982
0.6× median
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 $104,201.59 $114,621.75 $104,201.59 nat. median
$145,336
0.7× median
94
APR_DRG 		Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 10 $99,356.69 $109,292.36 $99,356.69 nat. median
$164,834
0.6× median
5831
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 10 $98,995.13 $108,894.64 $98,995.13 nat. median
$144,745
0.7× median
44
APR_DRG 		Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 $97,476.58 $107,224.23 $97,476.58 nat. median
$105,658
0.9× median
74
APR_DRG 		Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 $96,536.52 $106,190.17 $96,536.52 nat. median
$187,061
0.5× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $93,599.09 $292,352.64 $96,407.06 nat. median
$108,660
0.9× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 12 $92,546.99 $289,015.17 $95,323.40 nat. median
$102,358
0.9× median
23
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 10 $94,367.16 $103,803.88 $94,367.16 nat. median
$93,528
1.0× median
14
APR_DRG 		Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 $93,571.73 $102,928.90 $93,571.73 nat. median
$129,535
0.7× median
1612
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 10 $93,499.42 $102,849.36 $93,499.42 nat. median
$85,444
1.1× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 12 $90,502.17 $282,528.58 $93,217.24 nat. median
$100,136
0.9× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 12 $90,045.54 $281,080.04 $92,746.91 nat. median
$99,019
0.9× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 12 $89,046.95 $277,912.36 $91,718.36 nat. median
$98,894
0.9× median
1611
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 10 $88,943.76 $97,838.14 $88,943.76 nat. median
$76,806
1.2× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 12 $82,153.08 $256,043.68 $84,617.67 nat. median
$93,672
0.9× median
6034
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 10 $82,291.06 $90,520.16 $82,291.06 nat. median
$109,499
0.8× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 12 $78,479.92 $244,391.71 $80,834.32 nat. median
$83,470
1.0× median
6024
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 $79,181.64 $87,099.80 $79,181.64 nat. median
$118,620
0.7× median
77371
CPT 		Gamma Knife 21 $7,286.73 $108,950.40 $77,173.20 nat. median
$9,046
outlier · 8.5×
64
APR_DRG 		Apr-DRG 41.00: Pancreas Transplant 10 $74,553.67 $82,009.04 $74,553.67 nat. median
$91,009
0.8× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 12 $72,307.79 $224,812.57 $74,477.02 nat. median
$79,312
0.9× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 12 $72,268.49 $224,687.88 $74,436.54 nat. median
$81,118
0.9× median
5933
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $73,902.86 $81,293.15 $73,902.86 nat. median
$108,996
0.7× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $71,192.97 $221,276.12 $73,328.76 nat. median
$82,711
0.9× median
5913
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $71,082.70 $78,190.97 $71,082.70 nat. median
$102,919
0.7× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 12 $68,855.42 $213,860.98 $70,921.08 nat. median
$77,570
0.9× median
1604
APR_DRG 		Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 10 $70,214.95 $77,236.45 $70,214.95 nat. median
$97,957
0.7× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 12 $68,118.62 $211,523.69 $70,162.18 nat. median
$68,884
1.0× median

Other procedures at this hospital

Browse this hospital's 8,405 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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 Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 12 — — $316,841.69 $1,000,520.58 $326,346.94 2026-02-20
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 17 12 — — $237,018.10 $747,305.00 $244,128.64 2026-02-20
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 10 — — $223,733.33 $246,106.66 $223,733.33 2026-02-20
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 17 12 — — $199,839.02 $629,365.88 $205,834.19 2026-02-20
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 10 — — $194,808.53 $214,289.38 $194,808.53 2026-02-20
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 17 12 — — $180,677.02 $568,580.35 $186,097.33 2026-02-20
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $166,896.10 $183,585.71 $166,896.10 2026-02-20
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 10 — — $153,879.94 $169,267.93 $153,879.94 2026-02-20
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 10 — — $149,107.34 $164,018.08 $149,107.34 2026-02-20
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 17 12 — — $119,611.50 $374,868.90 $123,199.85 2026-02-20
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 10 — — $122,279.59 $134,507.55 $122,279.59 2026-02-20
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 10 — — $116,639.26 $128,303.18 $116,639.26 2026-02-20
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $115,843.82 $127,428.21 $115,843.82 2026-02-20
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 17 12 — — $111,012.32 $347,590.75 $114,342.69 2026-02-20
7 MS_DRG Ms-DRG 42.00: Lung Transplant 17 12 — — $110,736.36 $346,715.26 $114,058.45 2026-02-20
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 10 — — $113,385.22 $124,723.74 $113,385.22 2026-02-20
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 10 10 — — $110,565.05 $121,621.55 $110,565.05 2026-02-20
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $109,697.30 $120,667.03 $109,697.30 2026-02-20
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $108,612.62 $119,473.89 $108,612.62 2026-02-20
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $107,021.76 $117,723.94 $107,021.76 2026-02-20
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $106,660.20 $117,326.22 $106,660.20 2026-02-20
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $105,503.21 $116,053.53 $105,503.21 2026-02-20
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $104,201.59 $114,621.75 $104,201.59 2026-02-20
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $99,356.69 $109,292.36 $99,356.69 2026-02-20
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 10 10 — — $98,995.13 $108,894.64 $98,995.13 2026-02-20
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $97,476.58 $107,224.23 $97,476.58 2026-02-20
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 10 — — $96,536.52 $106,190.17 $96,536.52 2026-02-20
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 17 12 — — $93,599.09 $292,352.64 $96,407.06 2026-02-20
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 17 12 — — $92,546.99 $289,015.17 $95,323.40 2026-02-20
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 10 — — $94,367.16 $103,803.88 $94,367.16 2026-02-20
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 10 — — $93,571.73 $102,928.90 $93,571.73 2026-02-20
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 10 — — $93,499.42 $102,849.36 $93,499.42 2026-02-20
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 17 12 — — $90,502.17 $282,528.58 $93,217.24 2026-02-20
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 17 12 — — $90,045.54 $281,080.04 $92,746.91 2026-02-20
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 12 — — $89,046.95 $277,912.36 $91,718.36 2026-02-20
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 10 10 — — $88,943.76 $97,838.14 $88,943.76 2026-02-20
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 17 12 — — $82,153.08 $256,043.68 $84,617.67 2026-02-20
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 10 — — $82,291.06 $90,520.16 $82,291.06 2026-02-20
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 17 12 — — $78,479.92 $244,391.71 $80,834.32 2026-02-20
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $79,181.64 $87,099.80 $79,181.64 2026-02-20
77371 CPT Gamma Knife 37 21 $113,490.00 $107,815.50 $7,286.73 $108,950.40 $77,173.20 2026-02-20
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 10 — — $74,553.67 $82,009.04 $74,553.67 2026-02-20
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 17 12 — — $72,307.79 $224,812.57 $74,477.02 2026-02-20
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 17 12 — — $72,268.49 $224,687.88 $74,436.54 2026-02-20
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $73,902.86 $81,293.15 $73,902.86 2026-02-20
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 12 — — $71,192.97 $221,276.12 $73,328.76 2026-02-20
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $71,082.70 $78,190.97 $71,082.70 2026-02-20
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 17 12 — — $68,855.42 $213,860.98 $70,921.08 2026-02-20
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $70,214.95 $77,236.45 $70,214.95 2026-02-20
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 17 12 — — $68,118.62 $211,523.69 $70,162.18 2026-02-20
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 17 12 — — $67,736.40 $210,311.27 $69,768.49 2026-02-20
57424 CDM Or Level 10 23 17 $84,492.00 $80,267.40 $42,905.04 $81,112.32 $69,283.44 2026-02-20
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 10 10 — — $69,274.90 $76,202.39 $69,274.90 2026-02-20
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 17 12 — — $66,808.92 $207,369.09 $68,813.19 2026-02-20
33946 CPT Ecmo/ecls Initiation Venous 23 17 $83,622.00 $79,440.90 $4,726.00 $80,277.12 $68,570.04 2026-02-20
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 17 12 — — $66,149.06 $205,275.88 $68,133.53 2026-02-20
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 10 — — $67,900.97 $74,691.06 $67,900.97 2026-02-20
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $66,960.91 $73,657.00 $66,960.91 2026-02-20
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 12 — — $63,863.37 $198,025.23 $65,779.27 2026-02-20
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $64,429.99 $70,872.99 $64,429.99 2026-02-20
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 12 — — $60,840.02 $188,434.63 $62,665.22 2026-02-20
C9293 HCPCS Glucarpidase Powd-inj 1000 Units 26 18 $81,044.48 $76,992.26 $41,154.39 $77,802.70 $62,363.73 2026-02-20
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 12 — — $60,541.46 $187,487.51 $62,357.70 2026-02-20
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $62,260.63 $68,486.70 $62,260.63 2026-02-20
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $61,537.51 $67,691.26 $61,537.51 2026-02-20
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 10 — — $61,465.20 $67,611.72 $61,465.20 2026-02-20
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 17 12 — — $59,617.31 $184,555.95 $61,405.83 2026-02-20
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $60,959.02 $67,054.92 $60,959.02 2026-02-20
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 10 10 — — $60,308.21 $66,339.03 $60,308.21 2026-02-20
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 17 12 — — $58,545.13 $181,154.80 $60,301.48 2026-02-20
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $60,018.96 $66,020.86 $60,018.96 2026-02-20
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $59,802.02 $65,782.23 $59,802.02 2026-02-20
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 17 12 — — $57,511.43 $177,875.69 $59,236.77 2026-02-20
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 17 12 — — $57,295.67 $177,191.22 $59,014.54 2026-02-20
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 10 — — $59,006.59 $64,907.25 $59,006.59 2026-02-20
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 17 12 — — $57,201.15 $176,891.43 $58,917.18 2026-02-20
Q2043 HCPCS Sipuleucel-t,per Infusion 65 21 $117,498.00 $111,623.10 $370.85 $151,198.13 $57,624.35 2026-02-20
J0177 HCPCS Aflibercept Soln 8 Mg/0.07 Ml (eylea) 40 21 $96,000.00 $91,200.00 $319.74 $92,160.00 $57,484.80 2026-02-20
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 10 10 — — $57,415.73 $63,157.30 $57,415.73 2026-02-20
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 17 12 — — $55,525.15 $171,574.82 $57,190.90 2026-02-20
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 17 12 — — $55,447.39 $171,328.09 $57,110.81 2026-02-20
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 10 10 — — $56,547.98 $62,202.78 $56,547.98 2026-02-20
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 17 12 — — $54,330.03 $167,783.68 $55,959.93 2026-02-20
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 10 10 — — $55,824.86 $61,407.35 $55,824.86 2026-02-20
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Soln (kimmtrack) 41 21 $96,051.20 $91,248.64 $217.09 $92,209.15 $55,479.17 2026-02-20
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 10 — — $55,318.68 $60,850.55 $55,318.68 2026-02-20
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 17 12 — — $53,243.63 $164,337.43 $54,840.94 2026-02-20
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 12 — — $53,176.73 $164,125.19 $54,772.03 2026-02-20
J0179 HCPCS Brolucizumab-dbll Soln 6 Mg/0.05 Ml (beovu) 41 21 $94,720.00 $89,984.00 $346.19 $90,931.20 $54,710.27 2026-02-20
J0178 HCPCS Aflibercept Soln 2 Mg/0.05 Ml (eylea) 41 21 $94,720.00 $89,984.00 $790.04 $90,931.20 $54,710.27 2026-02-20
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $52,940.90 $163,377.05 $54,529.13 2026-02-20
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 17 12 — — $52,761.08 $162,806.65 $54,343.91 2026-02-20
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 17 12 — — $52,526.91 $162,063.81 $54,102.72 2026-02-20
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 17 12 — — $52,282.69 $161,289.14 $53,851.17 2026-02-20
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 17 12 — — $51,918.06 $160,132.43 $53,475.60 2026-02-20
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 17 12 — — $51,918.06 $160,132.43 $53,475.60 2026-02-20
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 10 — — $53,221.63 $58,543.80 $53,221.63 2026-02-20
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 10 10 — — $53,149.32 $58,464.25 $53,149.32 2026-02-20
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 17 12 — — $51,540.87 $158,935.92 $53,087.10 2026-02-20
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 17 12 — — $51,193.78 $157,834.93 $52,729.59 2026-02-20
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 12 — — $51,156.15 $157,715.54 $52,690.83 2026-02-20
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 17 12 — — $50,649.32 $156,107.83 $52,168.80 2026-02-20
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 17 12 — — $50,131.66 $154,465.62 $51,635.61 2026-02-20
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 17 12 — — $49,438.34 $152,266.28 $50,921.49 2026-02-20
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 10 — — $50,763.02 $55,839.33 $50,763.02 2026-02-20
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 17 12 — — $49,151.46 $151,356.30 $50,626.00 2026-02-20
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 17 12 — — $48,060.05 $147,894.14 $49,501.85 2026-02-20
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 17 12 — — $47,664.47 $146,639.27 $49,094.40 2026-02-20
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 17 12 — — $47,664.47 $146,639.27 $49,094.40 2026-02-20
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 10 10 — — $49,027.54 $53,930.29 $49,027.54 2026-02-20
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 17 12 — — $47,470.45 $146,023.77 $48,894.56 2026-02-20
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 10 10 — — $48,810.60 $53,691.66 $48,810.60 2026-02-20
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 12 — — $47,189.43 $145,132.36 $48,605.11 2026-02-20
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 10 — — $48,521.35 $53,373.49 $48,521.35 2026-02-20
J3357 HCPCS Ustekinumab Sub Cu Inj 61 21 $61,928.50 $58,832.07 $157.68 $68,426.61 $48,468.85 2026-02-20
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 17 12 — — $46,943.54 $144,352.38 $48,351.85 2026-02-20
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 17 12 — — $46,839.85 $144,023.41 $48,245.05 2026-02-20
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 17 12 — — $46,608.18 $143,288.53 $48,006.43 2026-02-20
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 17 12 — — $46,565.54 $143,153.23 $47,962.51 2026-02-20
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 17 12 — — $46,560.52 $143,137.31 $47,957.34 2026-02-20
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $47,436.67 $52,180.34 $47,436.67 2026-02-20
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 17 12 — — $45,932.44 $141,144.91 $47,310.41 2026-02-20
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 17 12 — — $45,735.90 $140,521.45 $47,107.98 2026-02-20
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $47,002.80 $51,703.08 $47,002.80 2026-02-20
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 10 10 — — $46,930.49 $51,623.54 $46,930.49 2026-02-20
J9226 HCPCS Histrelin 50 Mg/12 Months 65 21 $13,598.07 $12,918.17 $6,905.10 $123,225.25 $46,927.20 2026-02-20
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 10 10 — — $46,858.18 $51,543.99 $46,858.18 2026-02-20
57405 CDM Or Level 9 23 17 $57,033.00 $54,181.35 $28,961.36 $54,751.68 $46,767.06 2026-02-20
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 10 — — $46,641.24 $51,305.36 $46,641.24 2026-02-20
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 10 10 — — $46,424.30 $51,066.73 $46,424.30 2026-02-20
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $46,279.68 $50,907.65 $46,279.68 2026-02-20
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 10 — — $45,990.43 $50,589.48 $45,990.43 2026-02-20
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 17 12 — — $44,509.83 $136,632.15 $45,845.12 2026-02-20
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 17 12 — — $44,366.82 $136,178.49 $45,697.82 2026-02-20
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 17 12 — — $44,045.66 $135,159.74 $45,367.03 2026-02-20
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 17 12 — — $43,915.20 $134,745.87 $45,232.66 2026-02-20
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 10 10 — — $44,978.06 $49,475.87 $44,978.06 2026-02-20
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 17 12 — — $43,563.12 $133,628.96 $44,870.01 2026-02-20
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 10 10 — — $44,833.44 $49,316.78 $44,833.44 2026-02-20
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 17 12 — — $43,314.72 $132,841.02 $44,614.16 2026-02-20
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 17 12 — — $43,282.11 $132,737.55 $44,580.57 2026-02-20
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 17 12 — — $43,265.38 $132,684.49 $44,563.34 2026-02-20
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 10 — — $44,471.88 $48,919.07 $44,471.88 2026-02-20
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 17 12 — — $43,114.84 $132,206.95 $44,408.29 2026-02-20
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 10 — — $44,399.57 $48,839.52 $44,399.57 2026-02-20
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 10 10 — — $44,254.94 $48,680.44 $44,254.94 2026-02-20
60930 CDM Ribavirin 6 G Inh Pwdr For Recon 52 18 $57,550.40 $54,672.88 $25,999.36 $61,344.76 $43,997.47 2026-02-20
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 10 — — $43,604.14 $47,964.55 $43,604.14 2026-02-20
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 10 10 — — $43,604.14 $47,964.55 $43,604.14 2026-02-20
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 17 12 — — $42,307.77 $129,646.80 $43,577.00 2026-02-20
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 17 12 — — $42,061.06 $128,864.17 $43,322.89 2026-02-20
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 17 12 — — $41,993.32 $128,649.28 $43,253.12 2026-02-20
C1823 HCPCS Generator Plse 2.9-2.95v H80xl47.5mm Thk14.6mm Impl Remede 52 18 $55,650.00 $52,867.50 $27,192.69 $55,440.00 $42,994.88 2026-02-20
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 17 12 — — $41,376.95 $126,694.01 $42,618.26 2026-02-20
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 17 12 — — $41,203.81 $126,144.84 $42,439.92 2026-02-20
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 17 12 — — $41,196.29 $126,120.97 $42,432.18 2026-02-20
C1824 HCPCS Generator Plse Smrt Mini With Torq Wrnch And. 26 18 $54,600.00 $51,870.00 $27,725.88 $52,416.00 $42,014.70 2026-02-20
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 10 10 — — $42,013.27 $46,214.60 $42,013.27 2026-02-20
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 17 12 — — $40,784.81 $124,815.69 $42,008.35 2026-02-20
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $41,940.96 $46,135.06 $41,940.96 2026-02-20
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 10 10 — — $41,796.34 $45,975.97 $41,796.34 2026-02-20
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 17 12 — — $40,574.06 $124,147.13 $41,791.28 2026-02-20
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 10 10 — — $41,724.02 $45,896.43 $41,724.02 2026-02-20
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $41,651.71 $45,816.88 $41,651.71 2026-02-20
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 17 12 — — $40,343.23 $123,414.91 $41,553.53 2026-02-20
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 10 10 — — $41,434.78 $45,578.25 $41,434.78 2026-02-20
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 17 12 — — $39,986.13 $122,282.08 $41,185.71 2026-02-20
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 17 12 — — $39,970.23 $122,231.67 $41,169.34 2026-02-20
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 17 12 — — $39,847.29 $121,841.68 $41,042.71 2026-02-20
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 17 12 — — $39,841.43 $121,823.11 $41,036.67 2026-02-20
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 10 10 — — $40,856.28 $44,941.91 $40,856.28 2026-02-20
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $40,639.34 $44,703.28 $40,639.34 2026-02-20
914 APR_DRG Apr-DRG 41.00: Other Major Head And Neck Procedures 10 10 — — $40,350.10 $44,385.11 $40,350.10 2026-02-20
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 17 12 — — $39,169.86 $119,692.75 $40,344.96 2026-02-20
61 APR_DRG Apr-DRG 41.00: Pancreas Transplant 10 10 — — $40,277.78 $44,305.56 $40,277.78 2026-02-20
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 17 12 — — $38,944.89 $118,979.09 $40,113.24 2026-02-20
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 17 12 — — $38,841.18 $118,650.12 $40,006.42 2026-02-20
6033 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 10 10 — — $39,771.60 $43,748.76 $39,771.60 2026-02-20
5891 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 10 10 — — $39,699.29 $43,669.22 $39,699.29 2026-02-20
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 17 12 — — $38,491.60 $117,541.16 $39,646.35 2026-02-20
11 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 10 10 — — $39,626.98 $43,589.67 $39,626.98 2026-02-20
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 17 12 — — $38,176.29 $116,540.98 $39,321.58 2026-02-20
8504 APR_DRG Apr-DRG 41.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 10 10 — — $38,976.17 $42,873.78 $38,976.17 2026-02-20
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 17 12 — — $37,625.17 $114,792.66 $38,753.93 2026-02-20
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 17 12 — — $37,550.73 $114,556.54 $38,677.25 2026-02-20
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 17 12 — — $37,113.32 $113,169.02 $38,226.72 2026-02-20
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 17 12 — — $37,060.65 $113,001.88 $38,172.47 2026-02-20
6134 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 10 10 — — $38,036.11 $41,839.72 $38,036.11 2026-02-20
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 17 12 — — $36,808.06 $112,200.68 $37,912.30 2026-02-20
J9359 HCPCS Loncastuximab Tesirine-lpyl Powd-inj 10 Mg (zynlonta) 41 21 $65,367.01 $62,098.66 $216.74 $62,752.33 $37,755.98 2026-02-20
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 17 12 — — $36,485.23 $111,176.62 $37,579.79 2026-02-20
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 17 12 — — $36,476.88 $111,150.09 $37,571.19 2026-02-20
1783 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 10 10 — — $37,385.30 $41,123.83 $37,385.30 2026-02-20
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 17 12 — — $36,235.18 $110,383.37 $37,322.24 2026-02-20
9124 APR_DRG Apr-DRG 41.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 10 10 — — $37,240.68 $40,964.75 $37,240.68 2026-02-20
9114 APR_DRG Apr-DRG 41.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 10 10 — — $37,168.37 $40,885.20 $37,168.37 2026-02-20
1694 APR_DRG Apr-DRG 41.00: Major Abdominal Vascular Procedures 10 10 — — $37,096.06 $40,805.66 $37,096.06 2026-02-20
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 17 12 — — $35,828.72 $109,094.01 $36,903.58 2026-02-20
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 17 12 — — $35,809.48 $109,032.99 $36,883.76 2026-02-20
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 17 12 — — $35,758.48 $108,871.16 $36,831.23 2026-02-20
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 17 12 — — $35,589.53 $108,335.26 $36,657.22 2026-02-20
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 17 12 — — $35,454.88 $107,908.12 $36,518.53 2026-02-20
6214 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 10 10 — — $36,445.25 $40,089.77 $36,445.25 2026-02-20
8413 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 10 10 — — $36,372.94 $40,010.23 $36,372.94 2026-02-20
793 MS_DRG Ms-DRG 42.00: Full Term Neonate With Major Problems 14 12 — — $36,317.14 $69,718.25 $36,317.14 2026-02-20
214 APR_DRG Apr-DRG 41.00: Open Craniotomy Except Trauma 10 10 — — $36,300.62 $39,930.69 $36,300.62 2026-02-20
234 APR_DRG Apr-DRG 41.00: Spinal Procedures 10 10 — — $36,156.00 $39,771.60 $36,156.00 2026-02-20
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 17 12 — — $34,754.86 $105,687.56 $35,797.51 2026-02-20
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 17 12 — — $34,731.46 $105,613.28 $35,773.40 2026-02-20
1204 APR_DRG Apr-DRG 41.00: Major Respiratory And Chest Procedures 10 10 — — $35,649.82 $39,214.80 $35,649.82 2026-02-20
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 17 12 — — $34,437.07 $104,679.42 $35,470.18 2026-02-20
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 17 12 — — $34,369.33 $104,464.53 $35,400.41 2026-02-20
791 MS_DRG Ms-DRG 42.00: Prematurity With Major Problems 14 12 — — $35,392.15 $67,869.35 $35,392.15 2026-02-20
4403 APR_DRG Apr-DRG 41.00: Kidney Transplant 10 10 — — $35,360.57 $38,896.62 $35,360.57 2026-02-20
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 17 12 — — $34,302.42 $104,252.29 $35,331.49 2026-02-20
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 17 12 — — $34,156.90 $103,790.67 $35,181.61 2026-02-20
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 17 12 — — $34,141.02 $103,740.26 $35,165.25 2026-02-20
6814 APR_DRG Apr-DRG 41.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 10 10 — — $34,999.01 $38,498.91 $34,999.01 2026-02-20
2204 APR_DRG Apr-DRG 41.00: Major Stomach, Esophageal And Duodenal Procedures 10 10 — — $34,999.01 $38,498.91 $34,999.01 2026-02-20
6313 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 10 — — $34,999.01 $38,498.91 $34,999.01 2026-02-20
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 17 12 — — $33,960.36 $103,167.21 $34,979.17 2026-02-20
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 17 12 — — $33,762.14 $102,538.45 $34,775.00 2026-02-20
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 17 12 — — $33,729.53 $102,434.98 $34,741.42 2026-02-20
2604 APR_DRG Apr-DRG 41.00: Major Pancreas, Liver And Shunt Procedures 10 10 — — $34,709.76 $38,180.74 $34,709.76 2026-02-20
6904 APR_DRG Apr-DRG 41.00: Acute Leukemia 10 10 — — $34,709.76 $38,180.74 $34,709.76 2026-02-20
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 17 12 — — $33,639.20 $102,148.46 $34,648.38 2026-02-20
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 17 12 — — $33,405.87 $101,408.27 $34,408.05 2026-02-20
71 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 10 10 — — $34,348.20 $37,783.02 $34,348.20 2026-02-20
6334 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 10 10 — — $34,275.89 $37,703.48 $34,275.89 2026-02-20
894 APR_DRG Apr-DRG 41.00: Major Cranial Or Facial Bone Procedures 10 10 — — $34,275.89 $37,703.48 $34,275.89 2026-02-20
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 17 12 — — $33,232.75 $100,859.10 $34,229.73 2026-02-20
9504 APR_DRG Apr-DRG 41.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 10 10 — — $34,131.26 $37,544.39 $34,131.26 2026-02-20
204 APR_DRG Apr-DRG 41.00: Open Craniotomy For Trauma 10 10 — — $34,131.26 $37,544.39 $34,131.26 2026-02-20
3124 APR_DRG Apr-DRG 41.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 10 10 — — $34,131.26 $37,544.39 $34,131.26 2026-02-20
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 17 12 — — $32,985.19 $100,073.81 $33,974.75 2026-02-20
1653 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 10 10 — — $33,769.70 $37,146.67 $33,769.70 2026-02-20
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 17 12 — — $32,733.47 $99,275.26 $33,715.47 2026-02-20
3614 APR_DRG Apr-DRG 41.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 10 10 — — $33,697.39 $37,067.13 $33,697.39 2026-02-20
6072 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 10 10 — — $33,697.39 $37,067.13 $33,697.39 2026-02-20
J1930 HCPCS Lanreotide Soln 120 Mg/0.5 Ml (somatuline Depot) 137 21 $45,530.42 $43,253.90 $36.66 $63,561.72 $33,692.51 2026-02-20
6084 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 10 — — $33,625.08 $36,987.59 $33,625.08 2026-02-20
4414 APR_DRG Apr-DRG 41.00: Major Bladder Procedures 10 10 — — $33,625.08 $36,987.59 $33,625.08 2026-02-20
1633 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 10 10 — — $33,480.46 $36,828.50 $33,480.46 2026-02-20
1304 APR_DRG Apr-DRG 41.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 10 10 — — $33,263.52 $36,589.87 $33,263.52 2026-02-20
1782 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 10 10 — — $33,191.21 $36,510.33 $33,191.21 2026-02-20
1603 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 10 10 — — $33,118.90 $36,430.79 $33,118.90 2026-02-20
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 17 12 — — $31,953.16 $96,800.01 $32,911.75 2026-02-20
6083 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 10 10 — — $32,829.65 $36,112.61 $32,829.65 2026-02-20
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 17 12 — — $31,741.57 $96,128.80 $32,693.82 2026-02-20
J2781 HCPCS Pegcetacoplan Soln 15 Mg/ 0.1 Ml 41 21 $56,064.00 $53,260.80 $141.91 $53,821.44 $32,382.57 2026-02-20
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 17 12 — — $31,418.74 $95,104.74 $32,361.30 2026-02-20
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 17 12 — — $31,417.07 $95,099.44 $32,359.58 2026-02-20
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 17 12 — — $31,412.06 $95,083.52 $32,354.42 2026-02-20
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 17 12 — — $31,271.55 $94,637.82 $32,209.70 2026-02-20
J2782 HCPCS Avacincaptad Pegol Soln 2 Mg/0.1 Ml (izervay) 40 21 $53,760.00 $51,072.00 $105.90 $51,609.60 $32,191.49 2026-02-20
274 APR_DRG Apr-DRG 41.00: Other Open Craniotomy 10 10 — — $32,178.84 $35,396.72 $32,178.84 2026-02-20
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 17 12 — — $31,137.76 $94,213.34 $32,071.89 2026-02-20
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 17 12 — — $30,963.78 $93,661.51 $31,892.69 2026-02-20
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 17 12 — — $30,956.26 $93,637.63 $31,884.95 2026-02-20
6144 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 10 10 — — $31,817.28 $34,999.01 $31,817.28 2026-02-20
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 17 12 — — $30,881.81 $93,401.52 $31,808.26 2026-02-20
1622 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 10 10 — — $31,744.97 $34,919.46 $31,744.97 2026-02-20
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 17 12 — — $30,741.33 $92,955.81 $31,663.57 2026-02-20
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 17 12 — — $30,732.11 $92,926.63 $31,654.07 2026-02-20
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 17 12 — — $30,720.41 $92,889.49 $31,642.02 2026-02-20
2614 APR_DRG Apr-DRG 41.00: Major Biliary Tract Procedures 10 10 — — $31,600.34 $34,760.38 $31,600.34 2026-02-20
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 17 12 — — $30,668.56 $92,725.00 $31,588.62 2026-02-20
52 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 10 10 — — $31,455.72 $34,601.29 $31,455.72 2026-02-20
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 17 12 — — $30,479.55 $92,125.43 $31,393.94 2026-02-20
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 17 12 — — $30,447.77 $92,024.61 $31,361.20 2026-02-20
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 17 12 — — $30,415.99 $91,923.80 $31,328.47 2026-02-20
1814 APR_DRG Apr-DRG 41.00: Lower Extremity Arterial Procedures 10 10 — — $31,311.10 $34,442.21 $31,311.10 2026-02-20
7404 APR_DRG Apr-DRG 41.00: Mental Illness Diagnosis With O.r. Procedure 10 10 — — $31,238.78 $34,362.66 $31,238.78 2026-02-20
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 17 12 — — $30,244.55 $91,379.93 $31,151.89 2026-02-20
J9229 HCPCS Inotuzumab Ozogamicin Powd-inj 0.9 Mg 41 21 $53,903.92 $51,208.73 $2,698.05 $51,747.76 $31,134.90 2026-02-20
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 17 12 — — $30,199.39 $91,236.67 $31,105.37 2026-02-20
4402 APR_DRG Apr-DRG 41.00: Kidney Transplant 10 10 — — $31,094.16 $34,203.58 $31,094.16 2026-02-20
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 17 12 — — $30,154.22 $91,093.41 $31,058.85 2026-02-20
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 17 12 — — $30,127.46 $91,008.51 $31,031.28 2026-02-20
1764 APR_DRG Apr-DRG 41.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 10 10 — — $31,021.85 $34,124.03 $31,021.85 2026-02-20
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 17 12 — — $30,083.96 $90,870.56 $30,986.48 2026-02-20
4014 APR_DRG Apr-DRG 41.00: Adrenal Procedures 10 10 — — $30,877.22 $33,964.95 $30,877.22 2026-02-20
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 17 12 — — $29,925.07 $90,366.49 $30,822.82 2026-02-20
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 17 12 — — $29,806.32 $89,989.76 $30,700.51 2026-02-20
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 17 12 — — $29,511.08 $89,053.25 $30,396.41 2026-02-20
1781 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 10 10 — — $30,371.04 $33,408.14 $30,371.04 2026-02-20
5104 APR_DRG Apr-DRG 41.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 10 10 — — $30,371.04 $33,408.14 $30,371.04 2026-02-20
41 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 10 10 — — $30,371.04 $33,408.14 $30,371.04 2026-02-20
3032 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 10 — — $30,226.42 $33,249.06 $30,226.42 2026-02-20
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 17 12 — — $29,211.67 $88,103.48 $30,088.02 2026-02-20
6302 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 10 10 — — $30,009.48 $33,010.43 $30,009.48 2026-02-20
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 17 12 — — $29,052.76 $87,599.41 $29,924.34 2026-02-20
6954 APR_DRG Apr-DRG 41.00: Chemotherapy For Acute Leukemia 10 10 — — $29,864.86 $32,851.34 $29,864.86 2026-02-20
7924 APR_DRG Apr-DRG 41.00: Extensive O.r. Procedures For Other Complications Of Treatment 10 10 — — $29,720.23 $32,692.26 $29,720.23 2026-02-20
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 17 12 — — $28,775.11 $86,718.61 $29,638.36 2026-02-20
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 17 12 — — $28,697.33 $86,471.88 $29,558.25 2026-02-20
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 17 12 — — $28,685.62 $86,434.74 $29,546.19 2026-02-20
57389 CDM Or Level 8 23 17 $35,909.00 $34,113.55 $18,234.59 $34,472.64 $29,445.38 2026-02-20
2304 APR_DRG Apr-DRG 41.00: Major Small Bowel Procedures 10 10 — — $29,430.98 $32,374.08 $29,430.98 2026-02-20
C1767 HCPCS Dev Neurostim 74mm X 79mm Nrechrg Wrlss #9772501 156 18 $39,576.60 $37,597.77 $571.27 $63,504.00 $29,425.61 2026-02-20
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