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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

UNITYPOINT HEALTH - MERITER

Madison, WI · CCN 520089 · Rates published

15,238 distinct procedures filed
19 distinct payers
1,277,226 rate rows
2026-01-28 last MRF observed
Data quality

518,674 of 1,277,226 rate rows are consumer-grade (40.6%)

758,552 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 709,800
per-diem day rate — not a per-procedure price 47,304
placeholder amount (≤ $0.02) — excluded from medians 1,036
percent-of-charges filed in the dollar field — excluded from medians 200
exceeds 10× this hospital's gross charge — excluded from medians 198
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/7949/390806367_meriter-hospital,-inc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/UnityPointHealth-MeriterHospital/7949
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 4f55ab884b13a3ce… · 223,469,141 bytes · first seen 2026-05-13

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 8 $4,377,500.00 $4,377,500.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 8 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,685,266.67 $3,685,266.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,324,571.90 $3,324,571.90 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,261,355.00 $3,261,355.00 $3,261,355.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,950,686.67 $2,950,686.67 $2,950,686.67 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 1x5.5ml 2x8.3ml IV 19 $1,105,205.53 $4,564,979.38 $2,835,092.46 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 7 $770,620.00 $770,620.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $578,324.58 $578,324.58 $578,324.58 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 7 $553,378.83 $553,378.83 $553,378.83 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $541,635.66 $541,635.66 $541,635.66 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $541,260.45 $541,260.45 $541,260.45 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $533,076.48 $533,076.48 $533,076.48 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $489,720.00 $489,720.00 $489,720.00 nat. median
$619,808
0.8× median
5834
APR_DRG 		Neonate With Ecmo 6 $409,273.90 $409,273.90 $409,273.90 nat. median
$309,665
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $286,308.18 $936,748.24 $406,939.97 nat. median
$370,174
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $213,984.29 $699,672.40 $303,950.05 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 7 $270,375.00 $270,375.00 $270,375.00 nat. median
$324,450
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $267,004.48 $267,004.48 $267,004.48 nat. median
$246,434
1.1× median
5833
APR_DRG 		Neonate With Ecmo 6 $265,140.31 $265,140.31 $265,140.31 nat. median
$244,017
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 $180,298.30 $589,250.63 $255,980.88 nat. median
$206,474
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $236,456.86 $236,456.86 $236,456.86 nat. median
$234,729
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 $162,936.64 $532,339.51 $231,257.68 nat. median
$202,976
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $207,916.99 $207,916.99 $207,916.99 nat. median
$117,173
1.8× median
5832
APR_DRG 		Neonate With Ecmo 6 $203,579.24 $203,579.24 $203,579.24 nat. median
$156,126
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $202,642.08 $202,642.08 $202,642.08 nat. median
$207,730
1.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $194,770.31 $194,770.31 $194,770.31 nat. median
$150,721
1.3× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $192,102.42 $192,102.42 $192,102.42 nat. median
$160,267
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $175,556.71 $175,556.71 $175,556.71 nat. median
$162,982
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $173,652.75 $173,652.75 $173,652.75 nat. median
$182,665
1.0× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $172,352.75 $172,352.75 $172,352.75 nat. median
$122,924
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $169,618.54 $169,618.54 $169,618.54 nat. median
$164,289
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $161,001.57 $161,001.57 $161,001.57 nat. median
$187,061
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $160,194.73 $160,194.73 $160,194.73 nat. median
$164,834
1.0× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $157,279.49 $157,279.49 $157,279.49 nat. median
$151,838
1.0× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 12 $107,608.42 $350,975.07 $152,469.77 nat. median
$133,161
1.1× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $152,376.79 $152,376.79 $152,376.79 nat. median
$145,336
1.0× median
5831
APR_DRG 		Neonate With Ecmo 6 $147,975.06 $147,975.06 $147,975.06 nat. median
$144,745
1.0× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 $145,478.06 $145,478.06 $145,478.06 nat. median
$109,499
1.3× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 6 $143,182.39 $143,182.39 $143,182.39 nat. median
$129,535
1.1× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $142,200.76 $142,200.76 $142,200.76 nat. median
$105,658
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 12 $99,817.19 $325,435.61 $141,374.98 nat. median
$117,357
1.2× median
7
MS_DRG 		Lung Transplant 12 $99,567.12 $324,615.92 $141,018.89 nat. median
$122,708
1.1× median
1613
APR_DRG 		Implantable Heart Assist Systems 6 $137,113.13 $137,113.13 $137,113.13 nat. median
$119,796
1.1× median
23
APR_DRG 		Heart And/or Lung Transplant 6 $132,769.14 $132,769.14 $132,769.14 nat. median
$93,528
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $130,608.46 $130,608.46 $130,608.46 nat. median
$124,573
1.0× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $125,896.94 $125,896.94 $125,896.94 nat. median
$102,919
1.2× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $121,257.21 $121,257.21 $121,257.21 nat. median
$60,831
2.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 $84,039.97 $273,718.33 $118,908.07 nat. median
$108,660
1.1× median

Other procedures at this hospital

Browse this hospital's 15,238 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
             
0266T CPT Outpatient Services 16 7 — — $9,504.00 $43,466.88 $43,466.88 2026-01-28
0614T CPT Hc Rem & Repl Substernal Impl Dfb Pg 84 19 $101,383.11 $81,106.49 $10,396.00 $96,313.95 $59,172.25 2026-01-28
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 12 — — $213,984.29 $699,672.40 $303,950.05 2026-01-28
10 MS_DRG Pancreas Transplant 32 12 — — $60,953.45 $198,041.35 $86,032.65 2026-01-28
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 12 — — $41,425.37 $134,028.76 $58,224.46 2026-01-28
11 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $46,785.11 $46,785.11 $46,785.11 2026-01-28
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $47,476.46 $47,476.46 $47,476.46 2026-01-28
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $104,115.34 $104,115.34 $104,115.34 2026-01-28
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $121,257.21 $121,257.21 $121,257.21 2026-01-28
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 6 — — $207,916.99 $207,916.99 $207,916.99 2026-01-28
12 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $53,807.91 $53,807.91 $53,807.91 2026-01-28
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 32 12 — — $31,633.67 $101,931.80 $44,280.97 2026-01-28
1204 APR_DRG Major Respiratory And Chest Procedures 12 6 — — $50,824.00 $50,824.00 $50,824.00 2026-01-28
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $66,981.12 $66,981.12 $66,981.12 2026-01-28
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 6 — — $42,820.35 $42,820.35 $42,820.35 2026-01-28
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 6 — — $143,182.39 $143,182.39 $143,182.39 2026-01-28
14 MS_DRG Allogeneic Bone Marrow Transplant 32 12 — — $99,817.19 $325,435.61 $141,374.98 2026-01-28
140 MS_DRG Major Head And Neck Procedures With Mcc 32 12 — — $32,584.64 $105,049.10 $45,635.18 2026-01-28
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 12 — — $46,274.99 $149,925.72 $65,130.38 2026-01-28
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $47,883.78 $47,883.78 $47,883.78 2026-01-28
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 6 — — $118,228.04 $118,228.04 $118,228.04 2026-01-28
1611 APR_DRG Implantable Heart Assist Systems 12 6 — — $104,863.65 $104,863.65 $104,863.65 2026-01-28
1612 APR_DRG Implantable Heart Assist Systems 12 6 — — $110,062.87 $110,062.87 $110,062.87 2026-01-28
1613 APR_DRG Implantable Heart Assist Systems 12 6 — — $137,113.13 $137,113.13 $137,113.13 2026-01-28
1614 APR_DRG Implantable Heart Assist Systems 12 6 — — $202,642.08 $202,642.08 $202,642.08 2026-01-28
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $51,562.17 $51,562.17 $51,562.17 2026-01-28
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 6 — — $80,712.25 $80,712.25 $80,712.25 2026-01-28
163 MS_DRG Major Chest Procedures With Mcc 32 12 — — $35,464.11 $114,487.92 $49,735.57 2026-01-28
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 — — $42,905.40 $42,905.40 $42,905.40 2026-01-28
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 6 — — $67,232.38 $67,232.38 $67,232.38 2026-01-28
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 — — $42,020.53 $42,020.53 $42,020.53 2026-01-28
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 6 — — $62,788.50 $62,788.50 $62,788.50 2026-01-28
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 32 12 — — $29,713.50 $95,637.60 $41,546.67 2026-01-28
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 6 — — $54,984.61 $54,984.61 $54,984.61 2026-01-28
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 12 6 — — $67,689.64 $67,689.64 $67,689.64 2026-01-28
1694 APR_DRG Major Abdominal Vascular Procedures 12 6 — — $48,456.53 $48,456.53 $48,456.53 2026-01-28
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 12 — — $46,274.99 $149,925.72 $65,130.38 2026-01-28
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 12 6 — — $43,377.49 $43,377.49 $43,377.49 2026-01-28
1782 APR_DRG External Heart Assist Systems 12 6 — — $45,621.66 $45,621.66 $45,621.66 2026-01-28
1783 APR_DRG External Heart Assist Systems 12 6 — — $47,458.52 $47,458.52 $47,458.52 2026-01-28
1784 APR_DRG External Heart Assist Systems 12 6 — — $64,429.50 $64,429.50 $64,429.50 2026-01-28
1794 APR_DRG Defibrillator Implants 12 6 — — $52,215.29 $52,215.29 $52,215.29 2026-01-28
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 12 — — $286,308.18 $936,748.24 $406,939.97 2026-01-28
1814 APR_DRG Lower Extremity Arterial Procedures 12 6 — — $42,182.05 $42,182.05 $42,182.05 2026-01-28
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 6 — — $56,148.84 $56,148.84 $56,148.84 2026-01-28
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 12 — — $60,607.16 $196,906.20 $85,539.54 2026-01-28
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 12 — — $84,039.97 $273,718.33 $118,908.07 2026-01-28
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 12 — — $61,621.04 $200,229.66 $86,983.30 2026-01-28
204 APR_DRG Open Craniotomy For Trauma 12 6 — — $47,464.76 $47,464.76 $47,464.76 2026-01-28
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 32 12 — — $49,543.20 $160,638.78 $69,784.32 2026-01-28
21 APR_DRG Heart And/or Lung Transplant 12 6 — — $88,858.70 $88,858.70 $88,858.70 2026-01-28
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 12 — — $42,421.05 $137,292.60 $59,642.33 2026-01-28
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 12 — — $83,086.72 $270,593.58 $117,550.63 2026-01-28
214 APR_DRG Open Craniotomy Except Trauma 12 6 — — $52,979.22 $52,979.22 $52,979.22 2026-01-28
215 MS_DRG Other Heart Assist System Implant 32 12 — — $80,820.28 $263,164.24 $114,323.19 2026-01-28
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 12 — — $73,669.34 $239,723.67 $104,140.20 2026-01-28
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 12 — — $49,472.71 $160,407.78 $69,683.97 2026-01-28
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 12 — — $45,618.78 $147,774.66 $64,195.93 2026-01-28
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 12 — — $59,168.95 $192,191.76 $83,491.49 2026-01-28
22 APR_DRG Heart And/or Lung Transplant 12 6 — — $96,622.79 $96,622.79 $96,622.79 2026-01-28
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 12 — — $40,673.66 $131,564.73 $57,154.04 2026-01-28
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 12 6 — — $48,774.90 $48,774.90 $48,774.90 2026-01-28
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 12 — — $35,338.33 $114,075.59 $49,556.45 2026-01-28
224 APR_DRG Ventricular Shunt Procedures 12 6 — — $41,054.50 $41,054.50 $41,054.50 2026-01-28
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 12 — — $38,298.86 $123,780.19 $53,772.30 2026-01-28
23 APR_DRG Heart And/or Lung Transplant 12 6 — — $132,769.14 $132,769.14 $132,769.14 2026-01-28
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 12 — — $43,768.35 $141,708.98 $61,560.88 2026-01-28
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 12 — — $64,749.05 $210,483.20 $91,437.62 2026-01-28
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 12 — — $46,826.63 $151,734.00 $65,915.93 2026-01-28
2324 APR_DRG Gastric Fundoplication 12 6 — — $49,323.46 $49,323.46 $49,323.46 2026-01-28
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 32 12 — — $59,766.83 $194,151.56 $84,342.87 2026-01-28
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 12 — — $40,851.74 $132,148.45 $57,407.62 2026-01-28
234 APR_DRG Spinal Procedures 12 6 — — $48,640.69 $48,640.69 $48,640.69 2026-01-28
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 12 — — $45,125.47 $146,157.64 $63,493.46 2026-01-28
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 32 12 — — $31,697.31 $102,140.45 $44,371.62 2026-01-28
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 12 — — $38,705.03 $125,111.56 $54,350.67 2026-01-28
24 APR_DRG Heart And/or Lung Transplant 12 6 — — $236,456.86 $236,456.86 $236,456.86 2026-01-28
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 12 — — $29,345.24 $94,430.43 $41,022.24 2026-01-28
245 MS_DRG Aicd Generator Procedures 32 12 — — $37,567.63 $121,383.23 $52,731.01 2026-01-28
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 12 — — $34,426.74 $111,087.46 $48,258.35 2026-01-28
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 12 6 — — $50,415.89 $50,415.89 $50,415.89 2026-01-28
2614 APR_DRG Major Biliary Tract Procedures 12 6 — — $43,700.54 $43,700.54 $43,700.54 2026-01-28
264 APR_DRG Other Nervous System And Related Procedures 12 6 — — $40,299.16 $40,299.16 $40,299.16 2026-01-28
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 12 6 — — $40,563.69 $40,563.69 $40,563.69 2026-01-28
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 12 — — $45,933.25 $148,805.48 $64,643.72 2026-01-28
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 12 — — $36,187.75 $116,860.04 $50,766.07 2026-01-28
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 12 — — $51,061.73 $165,616.52 $71,946.74 2026-01-28
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 12 — — $32,065.58 $103,347.63 $44,896.04 2026-01-28
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 12 — — $39,433.23 $127,498.59 $55,387.63 2026-01-28
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 32 12 — — $30,168.16 $97,127.94 $42,194.10 2026-01-28
274 APR_DRG Other Open Craniotomy 12 6 — — $49,660.55 $49,660.55 $49,660.55 2026-01-28
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 32 12 — — $54,088.20 $175,537.21 $76,256.46 2026-01-28
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 12 — — $47,476.04 $153,862.70 $66,840.68 2026-01-28
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 12 — — $35,787.66 $115,548.54 $50,196.33 2026-01-28
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 12 — — $38,450.41 $124,276.97 $53,988.11 2026-01-28
28 MS_DRG Spinal Procedures With Mcc 32 12 — — $46,605.37 $151,008.70 $65,600.85 2026-01-28
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 32 12 — — $162,936.64 $532,339.51 $231,257.68 2026-01-28
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $40,605.04 $40,605.04 $40,605.04 2026-01-28
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $57,866.30 $57,866.30 $57,866.30 2026-01-28
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 6 — — $84,914.22 $84,914.22 $84,914.22 2026-01-28
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 6 — — $59,536.17 $59,536.17 $59,536.17 2026-01-28
31 MS_DRG Ventricular Shunt Procedures With Mcc 32 12 — — $32,292.15 $104,090.31 $45,218.67 2026-01-28
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 12 6 — — $55,754.78 $55,754.78 $55,754.78 2026-01-28
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 12 — — $47,415.41 $153,663.99 $66,754.35 2026-01-28
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 32 12 — — $33,824.33 $109,112.76 $47,400.51 2026-01-28
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 32 12 — — $32,813.49 $105,799.24 $45,961.06 2026-01-28
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 12 — — $39,024.05 $126,157.28 $54,804.95 2026-01-28
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 32 12 — — $35,333.02 $114,058.20 $49,548.90 2026-01-28
33231 CPT Hc Insert Pulse Gen W/mult Leads 82 19 $115,878.61 $92,702.89 $10,396.00 $110,084.68 $68,368.38 2026-01-28
33262 CPT Hc Remove & Replace Cvd Gen Sgl Lead 82 19 $102,753.63 $82,202.91 $10,396.00 $97,615.95 $53,390.79 2026-01-28
33263 CPT Hc Remove & Replace Cvd Gen Dual Leads 82 19 $102,753.63 $82,202.91 $10,396.00 $97,615.95 $43,505.89 2026-01-28
33264 CPT Hc Remove & Replace Cvd Gen Mult Leads 82 19 $102,753.63 $82,202.91 $10,396.00 $97,615.95 $43,505.89 2026-01-28
33276 CPT Pr Insertion Phrenic Nerve Stimulator System 16 7 — — $10,396.00 $43,466.88 $43,466.88 2026-01-28
34 MS_DRG Carotid Artery Stent Procedures With Mcc 32 12 — — $30,004.49 $96,591.42 $41,961.02 2026-01-28
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 32 12 — — $32,861.22 $105,955.72 $46,029.04 2026-01-28
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 6 — — $54,020.15 $54,020.15 $54,020.15 2026-01-28
3634 APR_DRG Breast Procedures Except Mastectomy 12 6 — — $40,411.53 $40,411.53 $40,411.53 2026-01-28
36837 CPT Hc Prq Av Fstl Crt Uxtr Sep Acs 82 19 $68,515.93 $54,812.75 $8,650.00 $65,090.13 $40,424.39 2026-01-28
37227 CPT Hc Fem/popl Revasc Stnt & Ather 82 19 $68,859.87 $55,087.90 $9,504.00 $65,416.88 $40,627.32 2026-01-28
38240 CPT Transplt Allo Hct/donor 16 7 — — $7,301.00 $57,126.76 $57,126.76 2026-01-28
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 32 12 — — $107,608.42 $350,975.07 $152,469.77 2026-01-28
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 32 12 — — $29,120.94 $93,695.19 $40,702.85 2026-01-28
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 12 — — $30,182.55 $97,175.14 $42,214.60 2026-01-28
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 12 — — $41,673.90 $134,843.48 $58,578.39 2026-01-28
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $48,828.74 $48,828.74 $48,828.74 2026-01-28
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $55,023.63 $55,023.63 $55,023.63 2026-01-28
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 32 12 — — $31,358.59 $101,030.15 $43,889.28 2026-01-28
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 12 — — $79,915.52 $260,198.46 $113,034.80 2026-01-28
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 12 — — $54,358.73 $176,423.97 $76,641.68 2026-01-28
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 12 — — $42,245.25 $136,716.34 $59,391.99 2026-01-28
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 12 — — $63,738.98 $207,172.16 $89,999.24 2026-01-28
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $89,169.26 $89,169.26 $89,169.26 2026-01-28
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 12 — — $41,990.64 $135,881.75 $59,029.43 2026-01-28
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 6 — — $142,200.76 $142,200.76 $142,200.76 2026-01-28
4403 APR_DRG Kidney Transplant 12 6 — — $45,711.40 $45,711.40 $45,711.40 2026-01-28
4404 APR_DRG Kidney Transplant 12 6 — — $75,427.20 $75,427.20 $75,427.20 2026-01-28
4414 APR_DRG Major Bladder Procedures 12 6 — — $44,542.49 $44,542.49 $44,542.49 2026-01-28
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 12 — — $51,342.85 $166,538.04 $72,347.07 2026-01-28
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 12 — — $31,480.59 $101,430.06 $44,063.01 2026-01-28
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 12 — — $39,562.81 $127,923.33 $55,572.15 2026-01-28
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 12 — — $64,713.44 $210,366.46 $91,386.90 2026-01-28
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 12 — — $44,028.25 $142,560.96 $61,930.99 2026-01-28
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 12 — — $33,257.53 $107,254.80 $46,593.38 2026-01-28
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 12 — — $47,038.80 $152,429.49 $66,218.07 2026-01-28
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 32 12 — — $41,464.01 $134,155.44 $58,279.49 2026-01-28
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 12 — — $39,142.24 $126,544.77 $54,973.28 2026-01-28
471 MS_DRG Cervical Spinal Fusion With Mcc 32 12 — — $37,344.10 $120,650.47 $52,412.70 2026-01-28
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 32 12 — — $34,520.70 $111,395.46 $48,392.16 2026-01-28
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 12 — — $81,234.01 $264,520.45 $114,912.35 2026-01-28
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 12 6 — — $42,331.87 $42,331.87 $42,331.87 2026-01-28
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 12 6 — — $40,335.84 $40,335.84 $40,335.84 2026-01-28
5144 APR_DRG Female Reproductive System Reconstructive Procedures 12 6 — — $42,501.20 $42,501.20 $42,501.20 2026-01-28
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $42,305.34 $42,305.34 $42,305.34 2026-01-28
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $64,071.34 $64,071.34 $64,071.34 2026-01-28
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 6 — — $92,754.01 $92,754.01 $92,754.01 2026-01-28
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 32 12 — — $47,201.74 $152,963.53 $66,450.05 2026-01-28
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 12 — — $41,420.81 $134,013.86 $58,217.99 2026-01-28
5831 APR_DRG Neonate With Ecmo 12 6 — — $147,975.06 $147,975.06 $147,975.06 2026-01-28
5832 APR_DRG Neonate With Ecmo 12 6 — — $203,579.24 $203,579.24 $203,579.24 2026-01-28
5833 APR_DRG Neonate With Ecmo 12 6 — — $265,140.31 $265,140.31 $265,140.31 2026-01-28
5834 APR_DRG Neonate With Ecmo 12 6 — — $409,273.90 $409,273.90 $409,273.90 2026-01-28
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $130,608.46 $130,608.46 $130,608.46 2026-01-28
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $152,376.79 $152,376.79 $152,376.79 2026-01-28
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $173,652.75 $173,652.75 $173,652.75 2026-01-28
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 6 — — $267,004.48 $267,004.48 $267,004.48 2026-01-28
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 6 — — $104,302.61 $104,302.61 $104,302.61 2026-01-28
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 6 — — $101,225.84 $101,225.84 $101,225.84 2026-01-28
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 6 — — $99,069.06 $99,069.06 $99,069.06 2026-01-28
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $57,389.53 $57,389.53 $57,389.53 2026-01-28
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $95,470.27 $95,470.27 $95,470.27 2026-01-28
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $125,896.94 $125,896.94 $125,896.94 2026-01-28
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 6 — — $169,618.54 $169,618.54 $169,618.54 2026-01-28
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $89,340.93 $89,340.93 $89,340.93 2026-01-28
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $109,078.89 $109,078.89 $109,078.89 2026-01-28
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 6 — — $157,279.49 $157,279.49 $157,279.49 2026-01-28
6 MS_DRG Liver Transplant Without Mcc 32 12 — — $37,282.72 $120,449.28 $52,325.29 2026-01-28
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $66,251.53 $66,251.53 $66,251.53 2026-01-28
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $82,844.84 $82,844.84 $82,844.84 2026-01-28
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $116,792.27 $116,792.27 $116,792.27 2026-01-28
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 6 — — $64,259.39 $64,259.39 $64,259.39 2026-01-28
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 6 — — $145,478.06 $145,478.06 $145,478.06 2026-01-28
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $45,762.12 $45,762.12 $45,762.12 2026-01-28
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $61,960.59 $61,960.59 $61,960.59 2026-01-28
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $89,507.13 $89,507.13 $89,507.13 2026-01-28
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 6 — — $45,028.63 $45,028.63 $45,028.63 2026-01-28
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 12 6 — — $56,551.48 $56,551.48 $56,551.48 2026-01-28
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 6 — — $65,549.25 $65,549.25 $65,549.25 2026-01-28
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 6 — — $175,556.71 $175,556.71 $175,556.71 2026-01-28
61 APR_DRG Pancreas Transplant 12 6 — — $43,816.80 $43,816.80 $43,816.80 2026-01-28
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 6 — — $44,818.72 $44,818.72 $44,818.72 2026-01-28
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 6 — — $72,543.95 $72,543.95 $72,543.95 2026-01-28
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 6 — — $63,934.78 $63,934.78 $63,934.78 2026-01-28
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 6 — — $44,235.05 $44,235.05 $44,235.05 2026-01-28
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 6 — — $72,884.95 $72,884.95 $72,884.95 2026-01-28
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 12 6 — — $52,198.12 $52,198.12 $52,198.12 2026-01-28
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 32 12 — — $29,824.90 $96,002.74 $41,705.29 2026-01-28
62 APR_DRG Pancreas Transplant 12 6 — — $58,589.65 $58,589.65 $58,589.65 2026-01-28
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 6 — — $61,410.48 $61,410.48 $61,410.48 2026-01-28
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 32 12 — — $28,892.86 $92,947.54 $40,378.05 2026-01-28
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 12 6 — — $43,025.57 $43,025.57 $43,025.57 2026-01-28
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 12 6 — — $51,066.67 $51,066.67 $51,066.67 2026-01-28
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 32 12 — — $30,436.41 $98,007.24 $42,576.08 2026-01-28
63 APR_DRG Pancreas Transplant 12 6 — — $73,173.66 $73,173.66 $73,173.66 2026-01-28
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $53,221.11 $53,221.11 $53,221.11 2026-01-28
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $93,002.93 $93,002.93 $93,002.93 2026-01-28
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 6 — — $194,770.31 $194,770.31 $194,770.31 2026-01-28
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 6 — — $51,753.35 $51,753.35 $51,753.35 2026-01-28
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 6 — — $172,352.75 $172,352.75 $172,352.75 2026-01-28
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 12 6 — — $60,791.69 $60,791.69 $60,791.69 2026-01-28
64 APR_DRG Pancreas Transplant 12 6 — — $103,001.05 $103,001.05 $103,001.05 2026-01-28
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 12 — — $35,449.71 $114,440.72 $49,715.07 2026-01-28
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 12 6 — — $41,975.27 $41,975.27 $41,975.27 2026-01-28
653 MS_DRG Major Bladder Procedures With Mcc 32 12 — — $42,779.48 $138,467.49 $60,152.72 2026-01-28
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 32 12 — — $32,284.57 $104,065.47 $45,207.88 2026-01-28
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 6 — — $61,358.19 $61,358.19 $61,358.19 2026-01-28
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 12 6 — — $55,909.28 $55,909.28 $55,909.28 2026-01-28
6904 APR_DRG Acute Leukemia 12 6 — — $55,384.13 $55,384.13 $55,384.13 2026-01-28
6954 APR_DRG Chemotherapy For Acute Leukemia 12 6 — — $49,080.78 $49,080.78 $49,080.78 2026-01-28
7 MS_DRG Lung Transplant 32 12 — — $99,567.12 $324,615.92 $141,018.89 2026-01-28
71 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $59,943.49 $59,943.49 $59,943.49 2026-01-28
72 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $63,098.29 $63,098.29 $63,098.29 2026-01-28
73 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $78,687.34 $78,687.34 $78,687.34 2026-01-28
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 32 12 — — $30,375.03 $97,806.05 $42,488.68 2026-01-28
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 32 12 — — $30,703.13 $98,881.58 $42,955.90 2026-01-28
74 APR_DRG Allogeneic Bone Marrow Transplant 12 6 — — $161,001.57 $161,001.57 $161,001.57 2026-01-28
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 12 6 — — $55,680.65 $55,680.65 $55,680.65 2026-01-28
7584 APR_DRG Behavioral Disorders 12 6 — — $40,724.43 $40,724.43 $40,724.43 2026-01-28
7594 APR_DRG Eating Disorders 12 6 — — $52,285.52 $52,285.52 $52,285.52 2026-01-28
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 11 — — $45,584.68 $132,913.84 $45,584.68 2026-01-28
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 12 6 — — $42,413.02 $42,413.02 $42,413.02 2026-01-28
799 MS_DRG Splenic Procedures With Mcc 32 12 — — $36,567.40 $118,104.48 $51,306.67 2026-01-28
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 12 — — $41,767.87 $135,151.48 $58,712.19 2026-01-28
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 12 — — $44,656.42 $144,620.11 $62,825.53 2026-01-28
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 32 12 — — $35,996.81 $116,234.10 $50,494.15 2026-01-28
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 32 12 — — $36,724.25 $118,618.64 $51,530.04 2026-01-28
83 APR_DRG Autologous Bone Marrow Transplant 12 6 — — $40,715.85 $40,715.85 $40,715.85 2026-01-28
834 MS_DRG Acute Leukemia With Mcc 32 12 — — $42,421.05 $137,292.60 $59,642.33 2026-01-28
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 12 — — $38,479.97 $124,373.84 $54,030.19 2026-01-28
84 APR_DRG Autologous Bone Marrow Transplant 12 6 — — $79,799.28 $79,799.28 $79,799.28 2026-01-28
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $41,711.52 $41,711.52 $41,711.52 2026-01-28
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $41,711.52 $41,711.52 $41,711.52 2026-01-28
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $61,476.80 $61,476.80 $61,476.80 2026-01-28
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 6 — — $192,102.42 $192,102.42 $192,102.42 2026-01-28
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 6 — — $98,382.39 $98,382.39 $98,382.39 2026-01-28
850 MS_DRG Acute Leukemia With Other Procedures 32 12 — — $70,341.29 $228,814.38 $99,401.01 2026-01-28
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 6 — — $63,350.33 $63,350.33 $63,350.33 2026-01-28
8514 APR_DRG Gender Related Procedures 12 6 — — $99,872.00 $99,872.00 $99,872.00 2026-01-28
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 12 — — $38,435.26 $124,227.29 $53,966.53 2026-01-28
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 32 12 — — $34,724.54 $112,063.63 $48,682.42 2026-01-28
8634 APR_DRG Neonatal Aftercare 12 6 — — $74,546.23 $74,546.23 $74,546.23 2026-01-28
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 32 12 — — $53,250.89 $172,792.50 $75,064.12 2026-01-28
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 32 12 — — $30,314.41 $97,607.33 $42,402.35 2026-01-28
894 APR_DRG Major Cranial Or Facial Bone Procedures 12 6 — — $44,113.32 $44,113.32 $44,113.32 2026-01-28
901 MS_DRG Wound Debridements For Injuries With Mcc 32 12 — — $34,110.00 $110,049.19 $47,807.32 2026-01-28
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 32 12 — — $29,795.35 $95,905.86 $41,663.20 2026-01-28
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 32 12 — — $30,724.35 $98,951.12 $42,986.12 2026-01-28
9104 APR_DRG Craniotomy For Multiple Significant Trauma 12 6 — — $56,837.07 $56,837.07 $56,837.07 2026-01-28
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 12 6 — — $53,303.82 $53,303.82 $53,303.82 2026-01-28
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 12 6 — — $49,847.83 $49,847.83 $49,847.83 2026-01-28
914 APR_DRG Other Major Head And Neck Procedures 12 6 — — $53,858.63 $53,858.63 $53,858.63 2026-01-28
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $41,650.66 $41,650.66 $41,650.66 2026-01-28
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 12 6 — — $45,683.31 $45,683.31 $45,683.31 2026-01-28
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 32 12 — — $180,298.30 $589,250.63 $255,980.88 2026-01-28
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 32 12 — — $51,147.36 $165,897.20 $72,068.67 2026-01-28
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $69,038.80 $69,038.80 $69,038.80 2026-01-28
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 32 12 — — $33,324.98 $107,475.87 $46,689.42 2026-01-28
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 6 — — $160,194.73 $160,194.73 $160,194.73 2026-01-28
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 6 — — $46,849.09 $46,849.09 $46,849.09 2026-01-28
955 MS_DRG Craniotomy For Multiple Significant Trauma 32 12 — — $52,279.45 $169,608.14 $73,680.77 2026-01-28
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 32 12 — — $29,502.09 $94,944.59 $41,245.60 2026-01-28
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 32 12 — — $57,098.00 $185,403.26 $80,542.45 2026-01-28
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 32 12 — — $31,679.89 $102,083.32 $44,346.79 2026-01-28
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 12 — — $48,460.37 $157,089.29 $68,242.36 2026-01-28
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 12 — — $36,560.59 $118,082.12 $51,296.96 2026-01-28
A9543 HCPCS Y90 Ibritumomab, Rx 22 8 — — $56,824.55 $56,824.55 $56,824.55 2026-01-28
C9765 HCPCS Hc Revasc Intra Lithotrip-stent 82 19 $68,515.93 $54,812.75 $8,650.00 $65,090.13 $40,424.39 2026-01-28
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 8 — — $3,685,266.67 $3,685,266.67 $3,685,266.67 2026-01-28
J1413 HCPCS Inj Delandistrogene Mox Rokl 22 8 — — $3,324,571.90 $3,324,571.90 $3,324,571.90 2026-01-28
J1414 HCPCS Inj, Beqvez, Per Tx Dose 22 8 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-01-28
J3391 HCPCS Inj, Atidarsagene Autotemcel 22 8 — — $4,377,500.00 $4,377,500.00 $4,377,500.00 2026-01-28
J3392 HCPCS Inj, Exagamglogene Autotem 22 8 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-28
J3393 HCPCS Inj, Betibeglogene Autotemce 22 8 — — $2,950,686.67 $2,950,686.67 $2,950,686.67 2026-01-28
J3394 HCPCS Inj, Lovotibeglogene Autotem 22 8 — — $3,261,355.00 $3,261,355.00 $3,261,355.00 2026-01-28
J3399 HCPCS Onasemnogene Abeparvovec-xioi 1x5.5ml 2x8.3ml IV 90 19 $4,805,241.45 $3,844,193.16 20% off $1,105,205.53 $4,564,979.38 $2,835,092.46 2026-01-28
J9029 HCPCS Instill Adstiladrin, Tx Dose 22 8 — — $63,431.05 $63,431.05 $63,431.05 2026-01-28
J9226 HCPCS Supprelin La Implant 22 8 — — $45,560.39 $45,560.39 $45,560.39 2026-01-28
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 22 8 — — $93,216.70 $93,216.70 $93,216.70 2026-01-28
L7180 HCPCS Electronic Elbow Sequential 14 7 — — $46,980.38 $46,980.38 $46,980.38 2026-01-28
L7181 HCPCS Electronic Elbo Simultaneous 14 7 — — $48,370.76 $48,370.76 $48,370.76 2026-01-28
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 14 7 — — $67,452.66 $67,452.66 $67,452.66 2026-01-28
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 7 — — $108,727.20 $108,727.20 $108,727.20 2026-01-28
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 7 — — $533,076.48 $533,076.48 $533,076.48 2026-01-28
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 7 — — $578,324.58 $578,324.58 $578,324.58 2026-01-28
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 8 — — $55,945.97 $55,945.97 $55,945.97 2026-01-28
Q2053 HCPCS Brexucabtagene Car Pos T 14 7 — — $489,720.00 $489,720.00 $489,720.00 2026-01-28
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 7 — — $541,635.66 $541,635.66 $541,635.66 2026-01-28
Q2055 HCPCS Idecabtagene Vicleucel Car 14 7 — — $541,260.45 $541,260.45 $541,260.45 2026-01-28
Q2056 HCPCS Ciltacabtagene Car-pos T 14 7 — — $553,378.83 $553,378.83 $553,378.83 2026-01-28
Q2057 HCPCS Afamitresgene Autoleucel 14 7 — — $770,620.00 $770,620.00 $770,620.00 2026-01-28
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 14 7 — — $270,375.00 $270,375.00 $270,375.00 2026-01-28
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