Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

MARSHFIELD MEDICAL CENTER - WESTON

Weston, WI · CCN 520202 · Rates published

8,778 distinct procedures filed
24 distinct payers
550,185 rate rows
2026-02-20 last MRF observed
Data quality

545,793 of 550,185 rate rows are consumer-grade (99.2%)

4,392 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 2,257
placeholder amount (≤ $0.02) — excluded from medians 1,858
exceeds 10× this hospital's gross charge — excluded from medians 226
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 51
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshfieldclinic.org/-/media/marshfieldclinic/files/patient%20resources/cms-hpt-documents/810977948_marshfield-medical-center--weston_standardcharges.zip
Found on page https://www.marshfieldclinic.org/patient-resources/billing/cms-hospital-transparency-requirement
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-14
Content fingerprint 1fbe82a22872996b… · 37,842,758 bytes · first seen 2026-05-15

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 7 $254,580.90 $718,920.99 $569,383.90 nat. median
$168,055
outlier · 3.4×
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 6 $190,200.36 $536,973.71 $443,406.79 nat. median
$186,516
outlier · 2.4×
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 7 $160,214.13 $452,228.92 $358,164.34 nat. median
$131,925
outlier · 2.7×
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 7 $144,759.27 $408,551.66 $323,572.04 nat. median
$145,435
outlier · 2.2×
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $219,421.84 $239,169.91 $223,810.37 nat. median
$390,362
0.6× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 7 $95,507.77 $269,360.90 $213,333.26 nat. median
$97,418
outlier · 2.2×
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 7 $88,572.26 $249,760.27 $197,809.60 nat. median
$72,715
outlier · 2.7×
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 7 $88,349.66 $249,131.19 $197,311.37 nat. median
$70,649
outlier · 2.8×
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $191,054.44 $208,249.43 $194,875.61 nat. median
$268,208
0.7× median
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $163,679.90 $178,411.17 $166,953.57 nat. median
$286,698
0.6× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 7 $74,527.85 $210,069.09 $166,374.27 nat. median
$65,418
outlier · 2.5×
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 7 $73,679.30 $207,670.96 $164,474.95 nat. median
$74,509
outlier · 2.2×
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 7 $72,030.07 $203,010.04 $160,783.52 nat. median
$69,922
outlier · 2.3×
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 7 $71,661.78 $201,969.20 $159,959.18 nat. median
$73,023
outlier · 2.2×
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 7 $70,856.39 $199,693.07 $158,156.49 nat. median
$2,736
outlier · 57.8×
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $150,914.57 $164,496.95 $153,932.92 nat. median
$202,242
0.8× median
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 5 $146,233.95 $159,395.07 $149,158.69 nat. median
$225,531
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 7 $65,296.23 $183,979.40 $145,711.29 nat. median
$69,822
outlier · 2.1×
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 7 $62,333.70 $175,606.91 $139,080.30 nat. median
$2,633
outlier · 52.8×
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 7 $57,355.67 $161,538.38 $127,938.05 nat. median
$60,505
outlier · 2.1×
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 7 $57,323.96 $161,448.78 $127,867.10 nat. median
$59,651
outlier · 2.1×
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 7 $56,456.51 $158,997.27 $125,925.51 nat. median
$2,596
outlier · 48.5×
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $119,923.18 $130,716.33 $122,321.70 nat. median
$201,678
0.6× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 7 $54,571.21 $153,669.15 $121,705.65 nat. median
$56,428
outlier · 2.2×
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 7 $53,976.95 $151,989.70 $120,375.51 nat. median
$23,080
outlier · 5.2×
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 $53,668.68 $151,118.52 $119,685.54 nat. median
$45,605
outlier · 2.6×
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 7 $52,920.63 $149,004.42 $118,011.18 nat. median
$55,935
outlier · 2.1×
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 7 $52,388.42 $147,500.35 $116,819.96 nat. median
$55,923
outlier · 2.1×
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $114,391.54 $124,686.84 $116,679.42 nat. median
$155,539
0.8× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $113,611.44 $123,836.52 $115,883.71 nat. median
$135,803
0.9× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $111,200.21 $121,208.28 $113,424.26 nat. median
$187,567
0.6× median
957
MS_DRG 		Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 $50,544.93 $142,290.42 $112,693.71 nat. median
$52,327
outlier · 2.2×
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 5 $108,434.39 $118,193.53 $110,603.12 nat. median
$173,018
0.6× median
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $107,583.36 $117,265.92 $109,735.08 nat. median
$168,439
0.7× median
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $106,519.59 $116,106.40 $108,650.02 nat. median
$171,497
0.6× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 7 $48,106.52 $135,399.13 $107,235.82 nat. median
$9,905
outlier · 10.8×
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $104,959.38 $114,405.78 $107,058.61 nat. median
$173,134
0.6× median
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $104,604.79 $114,019.27 $106,696.93 nat. median
$181,762
0.6× median
275
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 7 $47,865.70 $134,718.57 $106,696.83 nat. median
$51,518
outlier · 2.1×
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $103,470.09 $112,782.45 $105,539.54 nat. median
$198,578
0.5× median
870
MS_DRG 		Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 7 $47,120.34 $132,612.11 $105,028.51 nat. median
$48,611
outlier · 2.2×
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $102,193.56 $111,391.03 $104,237.47 nat. median
$152,383
0.7× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 7 $45,421.88 $127,812.03 $101,226.86 nat. median
$2,958
outlier · 34.2×
928
MS_DRG 		Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 7 $45,247.86 $127,320.20 $100,837.33 nat. median
$37,013
outlier · 2.7×
268
MS_DRG 		Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 7 $45,171.63 $127,104.79 $100,666.73 nat. median
$49,569
outlier · 2.0×
94
APR_DRG 		Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 $97,442.02 $106,211.85 $99,390.90 nat. median
$152,792
0.7× median
5831
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $97,087.43 $105,825.34 $99,029.22 nat. median
$173,909
0.6× median
955
MS_DRG 		Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 6 $46,255.59 $130,168.22 $98,699.32 nat. median
$47,340
outlier · 2.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 22 $56,824.55 $112,522.91 $98,602.55 nat. median
$65,477
1.5× median
207
MS_DRG 		Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 7 $43,819.87 $123,284.56 $97,641.11 nat. median
$47,121
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 8,778 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 7 — — $254,580.90 $718,920.99 $569,383.90 2026-02-20
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 13 6 — — $190,200.36 $536,973.71 $443,406.79 2026-02-20
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 14 7 — — $160,214.13 $452,228.92 $358,164.34 2026-02-20
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 14 7 — — $144,759.27 $408,551.66 $323,572.04 2026-02-20
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $219,421.84 $239,169.91 $223,810.37 2026-02-20
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 14 7 — — $95,507.77 $269,360.90 $213,333.26 2026-02-20
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 14 7 — — $88,572.26 $249,760.27 $197,809.60 2026-02-20
7 MS_DRG Ms-DRG 42.00: Lung Transplant 14 7 — — $88,349.66 $249,131.19 $197,311.37 2026-02-20
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $191,054.44 $208,249.43 $194,875.61 2026-02-20
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $163,679.90 $178,411.17 $166,953.57 2026-02-20
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 7 — — $74,527.85 $210,069.09 $166,374.27 2026-02-20
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 14 7 — — $73,679.30 $207,670.96 $164,474.95 2026-02-20
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 14 7 — — $72,030.07 $203,010.04 $160,783.52 2026-02-20
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 14 7 — — $71,661.78 $201,969.20 $159,959.18 2026-02-20
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 14 7 — — $70,856.39 $199,693.07 $158,156.49 2026-02-20
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $150,914.57 $164,496.95 $153,932.92 2026-02-20
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $146,233.95 $159,395.07 $149,158.69 2026-02-20
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 14 7 — — $65,296.23 $183,979.40 $145,711.29 2026-02-20
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 14 7 — — $62,333.70 $175,606.91 $139,080.30 2026-02-20
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 14 7 — — $57,355.67 $161,538.38 $127,938.05 2026-02-20
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 14 7 — — $57,323.96 $161,448.78 $127,867.10 2026-02-20
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 7 — — $56,456.51 $158,997.27 $125,925.51 2026-02-20
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $119,923.18 $130,716.33 $122,321.70 2026-02-20
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 14 7 — — $54,571.21 $153,669.15 $121,705.65 2026-02-20
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 14 7 — — $53,976.95 $151,989.70 $120,375.51 2026-02-20
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 7 — — $53,668.68 $151,118.52 $119,685.54 2026-02-20
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 14 7 — — $52,920.63 $149,004.42 $118,011.18 2026-02-20
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 14 7 — — $52,388.42 $147,500.35 $116,819.96 2026-02-20
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $114,391.54 $124,686.84 $116,679.42 2026-02-20
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $113,611.44 $123,836.52 $115,883.71 2026-02-20
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $111,200.21 $121,208.28 $113,424.26 2026-02-20
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 7 — — $50,544.93 $142,290.42 $112,693.71 2026-02-20
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $108,434.39 $118,193.53 $110,603.12 2026-02-20
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $107,583.36 $117,265.92 $109,735.08 2026-02-20
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $106,519.59 $116,106.40 $108,650.02 2026-02-20
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 14 7 — — $48,106.52 $135,399.13 $107,235.82 2026-02-20
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $104,959.38 $114,405.78 $107,058.61 2026-02-20
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $104,604.79 $114,019.27 $106,696.93 2026-02-20
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 7 — — $47,865.70 $134,718.57 $106,696.83 2026-02-20
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $103,470.09 $112,782.45 $105,539.54 2026-02-20
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 14 7 — — $47,120.34 $132,612.11 $105,028.51 2026-02-20
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $102,193.56 $111,391.03 $104,237.47 2026-02-20
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 14 7 — — $45,421.88 $127,812.03 $101,226.86 2026-02-20
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 14 7 — — $45,247.86 $127,320.20 $100,837.33 2026-02-20
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 14 7 — — $45,171.63 $127,104.79 $100,666.73 2026-02-20
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $97,442.02 $106,211.85 $99,390.90 2026-02-20
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $97,087.43 $105,825.34 $99,029.22 2026-02-20
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 13 6 — — $46,255.59 $130,168.22 $98,699.32 2026-02-20
A9543 HCPCS Y90 Ibritumomab, Rx 38 22 $116,003.00 $110,202.85 $56,824.55 $112,522.91 $98,602.55 2026-02-20
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 14 7 — — $43,819.87 $123,284.56 $97,641.11 2026-02-20
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $95,598.14 $104,202.02 $97,510.14 2026-02-20
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 14 7 — — $43,757.14 $123,107.27 $97,500.70 2026-02-20
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $94,676.20 $103,197.10 $96,569.76 2026-02-20
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 14 7 — — $42,855.96 $120,560.45 $95,483.62 2026-02-20
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $92,548.64 $100,878.07 $94,399.65 2026-02-20
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $91,768.54 $100,027.75 $93,603.95 2026-02-20
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $91,697.62 $99,950.45 $93,531.61 2026-02-20
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 14 7 — — $41,979.75 $118,084.16 $93,522.40 2026-02-20
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 7 — — $41,925.80 $117,931.65 $93,401.62 2026-02-20
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 7 — — $41,735.57 $117,394.07 $92,975.86 2026-02-20
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 14 7 — — $41,590.53 $116,984.22 $92,651.25 2026-02-20
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 14 7 — — $41,401.67 $116,450.45 $92,228.51 2026-02-20
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 14 7 — — $41,204.71 $115,893.81 $91,787.65 2026-02-20
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 14 7 — — $40,910.61 $115,062.66 $91,129.38 2026-02-20
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 14 7 — — $40,910.61 $115,062.66 $91,129.38 2026-02-20
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 14 7 — — $40,606.40 $114,202.92 $90,448.47 2026-02-20
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 14 7 — — $40,326.46 $113,411.80 $89,821.90 2026-02-20
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $87,229.76 $95,080.48 $88,974.39 2026-02-20
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 14 7 — — $39,887.36 $112,170.80 $88,839.03 2026-02-20
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 7 — — $39,469.81 $110,990.80 $87,904.47 2026-02-20
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 14 7 — — $38,910.63 $109,410.47 $86,652.86 2026-02-20
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 14 7 — — $38,679.28 $108,756.61 $86,135.00 2026-02-20
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 14 7 — — $37,799.01 $106,268.88 $84,164.73 2026-02-20
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 14 7 — — $37,479.95 $105,367.20 $83,450.60 2026-02-20
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 14 7 — — $37,479.95 $105,367.20 $83,450.60 2026-02-20
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 14 7 — — $37,323.47 $104,924.93 $83,100.33 2026-02-20
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 7 — — $37,096.82 $104,284.42 $82,593.04 2026-02-20
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $80,705.25 $87,968.77 $82,319.39 2026-02-20
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 14 7 — — $36,898.51 $103,723.96 $82,149.16 2026-02-20
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 14 7 — — $36,814.87 $103,487.58 $81,961.94 2026-02-20
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 14 7 — — $36,628.02 $102,959.53 $81,543.73 2026-02-20
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 14 7 — — $36,593.62 $102,862.31 $81,466.74 2026-02-20
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 7 — — $36,589.58 $102,850.87 $81,457.67 2026-02-20
A9699 HCPCS Pluvicto Per Dose 33 20 $90,041.00 $85,538.95 $45,020.50 $87,339.77 $81,036.90 2026-02-20
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 14 7 — — $36,083.02 $101,419.24 $80,323.82 2026-02-20
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 14 7 — — $35,924.49 $100,971.26 $79,969.02 2026-02-20
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,655.76 $84,644.81 $79,208.91 2026-02-20
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 14 7 — — $34,935.62 $98,176.61 $77,755.67 2026-02-20
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 14 7 — — $34,820.29 $97,850.64 $77,497.49 2026-02-20
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 14 7 — — $34,561.27 $97,118.61 $76,917.74 2026-02-20
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 14 7 — — $34,456.04 $96,821.23 $76,682.21 2026-02-20
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 14 7 — — $34,172.06 $96,018.68 $76,046.59 2026-02-20
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 14 7 — — $33,971.72 $95,452.50 $75,598.18 2026-02-20
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 14 7 — — $33,945.43 $95,378.16 $75,539.30 2026-02-20
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 7 — — $33,931.93 $95,340.03 $75,509.10 2026-02-20
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 14 7 — — $33,810.52 $94,996.90 $75,237.34 2026-02-20
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $73,116.97 $79,697.54 $74,579.34 2026-02-20
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $72,478.71 $79,001.83 $73,928.31 2026-02-20
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 14 7 — — $33,159.58 $93,157.31 $73,780.39 2026-02-20
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 14 7 — — $32,960.61 $92,594.95 $73,335.01 2026-02-20
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 14 7 — — $32,905.98 $92,440.54 $73,212.71 2026-02-20
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 14 7 — — $32,408.83 $91,035.60 $72,100.00 2026-02-20
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 14 7 — — $32,269.21 $90,640.99 $71,787.47 2026-02-20
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 14 7 — — $32,263.15 $90,623.83 $71,773.88 2026-02-20
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $69,712.89 $75,987.08 $71,107.17 2026-02-20
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 14 7 — — $31,931.28 $89,685.93 $71,031.07 2026-02-20
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 7 — — $31,761.29 $89,205.54 $70,650.60 2026-02-20
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $68,861.86 $75,059.47 $70,239.13 2026-02-20
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 14 7 — — $31,575.13 $88,679.40 $70,233.90 2026-02-20
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 14 7 — — $31,287.10 $87,865.41 $69,589.21 2026-02-20
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 14 7 — — $31,274.29 $87,829.19 $69,560.54 2026-02-20
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 14 7 — — $31,175.12 $87,548.96 $69,338.60 2026-02-20
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 14 7 — — $31,170.40 $87,535.62 $69,328.02 2026-02-20
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $67,939.92 $74,054.55 $69,298.75 2026-02-20
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 14 7 — — $30,628.75 $86,004.86 $68,115.67 2026-02-20
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $66,592.47 $72,585.83 $67,924.35 2026-02-20
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 14 7 — — $30,447.31 $85,492.06 $67,709.53 2026-02-20
C1825 HCPCS System Barostim Neo Ipg & Csl 32 20 $73,500.00 $69,825.00 $36,750.00 $73,500.00 $67,620.00 2026-02-20
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 14 7 — — $30,363.67 $85,255.68 $67,522.32 2026-02-20
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $65,670.53 $71,580.91 $66,983.97 2026-02-20
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 14 7 — — $30,081.71 $84,458.84 $66,891.23 2026-02-20
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 14 7 — — $29,827.41 $83,740.17 $66,322.04 2026-02-20
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 14 7 — — $29,382.89 $82,483.91 $65,327.08 2026-02-20
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 14 7 — — $29,322.86 $82,314.25 $65,192.71 2026-02-20
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,188.38 $68,875.37 $64,452.18 2026-02-20
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 14 7 — — $28,970.08 $81,317.25 $64,403.09 2026-02-20
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 14 7 — — $28,927.58 $81,197.16 $64,307.97 2026-02-20
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 14 7 — — $28,723.88 $80,621.45 $63,852.02 2026-02-20
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 14 7 — — $28,463.51 $79,885.62 $63,269.24 2026-02-20
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 14 7 — — $28,456.77 $79,866.55 $63,254.14 2026-02-20
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 14 7 — — $28,261.83 $79,315.63 $62,817.81 2026-02-20
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $61,060.83 $66,556.33 $62,282.07 2026-02-20
77371 CPT Gamma Knife 37 22 $73,218.00 $69,557.10 $6,083.48 $71,021.46 $62,235.30 2026-02-20
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 14 7 — — $27,934.01 $78,389.17 $62,084.05 2026-02-20
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 14 7 — — $27,918.49 $78,345.32 $62,049.33 2026-02-20
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 14 7 — — $27,877.35 $78,229.04 $61,957.24 2026-02-20
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 14 7 — — $27,741.10 $77,843.96 $61,652.26 2026-02-20
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $60,351.64 $65,783.32 $61,558.70 2026-02-20
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $60,280.72 $65,706.02 $61,486.36 2026-02-20
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 7 — — $27,632.49 $77,537.05 $61,409.18 2026-02-20
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $59,784.30 $65,164.91 $60,980.01 2026-02-20
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Soln (kimmtrack) 38 22 $71,288.00 $67,723.60 $217.09 $69,149.36 $60,594.80 2026-02-20
J0177 HCPCS Aflibercept Soln 8 Mg/0.07 Ml (eylea) 38 22 $71,250.00 $67,687.50 $319.74 $69,112.50 $60,562.50 2026-02-20
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $59,146.03 $64,469.20 $60,328.97 2026-02-20
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 14 7 — — $27,067.91 $75,941.47 $60,145.49 2026-02-20
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 14 7 — — $27,049.03 $75,888.10 $60,103.21 2026-02-20
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $58,862.36 $64,160.00 $60,039.63 2026-02-20
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $58,649.60 $63,928.09 $59,822.62 2026-02-20
J0178 HCPCS Aflibercept Soln 2 Mg/0.05 Ml (eylea) 38 22 $70,300.00 $66,785.00 $790.04 $68,191.00 $59,755.00 2026-02-20
J0179 HCPCS Brolucizumab-dbll Soln 6 Mg/0.05 Ml (beovu) 38 22 $70,300.00 $66,785.00 $346.19 $68,191.00 $59,755.00 2026-02-20
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 14 7 — — $26,811.58 $75,217.08 $59,571.76 2026-02-20
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 14 7 — — $26,756.96 $75,062.67 $59,449.47 2026-02-20
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 14 7 — — $26,702.98 $74,910.16 $59,328.69 2026-02-20
Q2043 HCPCS Sipuleucel-t,per Infusion 63 22 $75,805.34 $72,015.07 $270.99 $94,648.39 $59,302.73 2026-02-20
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 14 7 — — $26,585.62 $74,578.46 $59,065.99 2026-02-20
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 14 7 — — $26,572.79 $74,542.24 $59,037.30 2026-02-20
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $57,869.50 $63,077.78 $59,026.91 2026-02-20
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 14 7 — — $26,427.11 $74,130.48 $58,711.18 2026-02-20
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 14 7 — — $26,267.23 $73,678.69 $58,353.36 2026-02-20
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 14 7 — — $26,240.93 $73,604.34 $58,294.49 2026-02-20
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 14 7 — — $26,168.09 $73,398.46 $58,131.43 2026-02-20
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $56,309.29 $61,377.15 $57,435.50 2026-02-20
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 14 7 — — $25,840.25 $72,472.00 $57,397.67 2026-02-20
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 14 7 — — $25,640.60 $71,907.73 $56,950.77 2026-02-20
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 5 5 — — $55,458.27 $60,449.54 $56,567.46 2026-02-20
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 14 7 — — $25,437.56 $71,333.93 $56,496.32 2026-02-20
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $54,749.08 $59,676.53 $55,844.09 2026-02-20
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $54,252.65 $59,135.42 $55,337.73 2026-02-20
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 13 6 — — $25,979.90 $72,866.60 $55,250.69 2026-02-20
C9293 HCPCS Glucarpidase Powd-inj 1000 Units 32 20 $60,150.20 $57,142.69 $30,075.10 $58,345.69 $55,097.58 2026-02-20
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 7 — — $24,808.23 $69,555.35 $55,087.69 2026-02-20
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 14 7 — — $24,637.57 $69,073.06 $54,705.71 2026-02-20
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 14 7 — — $24,377.21 $68,337.22 $54,122.93 2026-02-20
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 14 7 — — $24,375.86 $68,333.41 $54,119.92 2026-02-20
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 14 7 — — $24,371.81 $68,321.97 $54,110.85 2026-02-20
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 14 7 — — $24,258.48 $68,001.71 $53,857.21 2026-02-20
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 14 7 — — $24,150.56 $67,696.70 $53,615.65 2026-02-20
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 14 7 — — $24,010.26 $67,300.19 $53,301.61 2026-02-20
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 14 7 — — $24,004.17 $67,283.03 $53,288.02 2026-02-20
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $52,196.02 $56,893.68 $53,239.96 2026-02-20
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 5 5 — — $52,125.10 $56,816.38 $53,167.62 2026-02-20
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 14 7 — — $23,944.16 $67,113.37 $53,153.65 2026-02-20
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 7 — — $23,830.83 $66,793.11 $52,900.01 2026-02-20
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 14 7 — — $23,823.42 $66,772.15 $52,883.40 2026-02-20
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 14 7 — — $23,813.97 $66,745.46 $52,862.26 2026-02-20
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 14 7 — — $23,772.16 $66,627.27 $52,768.65 2026-02-20
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 14 7 — — $23,619.71 $66,196.44 $52,427.44 2026-02-20
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 14 7 — — $23,594.07 $66,124.00 $52,370.07 2026-02-20
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 7 — — $23,568.44 $66,051.56 $52,312.69 2026-02-20
57424 CDM Or Level 10 31 19 $56,069.00 $53,265.55 $29,856.74 $54,386.93 $52,256.31 2026-02-20
80320 CDM Ecmo Cannulation Bedside-tech 31 19 $56,069.00 $53,265.55 $29,856.74 $54,386.93 $52,256.31 2026-02-20
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 14 7 — — $23,430.16 $65,660.77 $52,003.19 2026-02-20
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 7 — — $23,393.74 $65,557.83 $51,921.66 2026-02-20
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 14 7 — — $23,357.31 $65,454.89 $51,840.14 2026-02-20
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 14 7 — — $23,335.74 $65,393.89 $51,791.82 2026-02-20
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 14 7 — — $23,300.66 $65,294.76 $51,713.31 2026-02-20
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 14 7 — — $23,172.49 $64,932.56 $51,426.45 2026-02-20
15360 CDM Or Level 10 Group 32 20 $56,069.00 $53,265.55 $28,034.50 $54,386.93 $51,359.21 2026-02-20
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 14 7 — — $23,076.70 $64,661.87 $51,212.06 2026-02-20
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $49,784.79 $54,265.44 $50,780.50 2026-02-20
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 14 7 — — $22,838.61 $63,988.94 $50,679.10 2026-02-20
C1823 HCPCS Generator Plse 2.9-2.95v H80xl47.5mm Thk14.6mm Impl Remede 64 20 $55,650.00 $52,867.50 $26,775.00 $57,750.00 $50,604.75 2026-02-20
C1824 HCPCS Generator Plse Smrt Mini With Torq Wrnch And. 32 20 $54,600.00 $51,870.00 $27,300.00 $54,600.00 $50,232.00 2026-02-20
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 14 7 — — $22,597.12 $63,306.48 $50,138.60 2026-02-20
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 7 — — $22,468.97 $62,944.28 $49,851.74 2026-02-20
J9226 HCPCS Histrelin 50 Mg/12 Months 63 22 $10,088.89 $9,584.45 $5,044.44 $87,345.24 $49,525.65 2026-02-20
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 14 7 — — $22,245.02 $62,311.39 $49,350.49 2026-02-20
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 7 — — $22,182.28 $62,134.11 $49,210.07 2026-02-20
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 14 7 — — $22,172.84 $62,107.42 $49,188.94 2026-02-20
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 5 5 — — $48,082.74 $52,410.21 $49,044.42 2026-02-20
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 5 5 — — $47,869.99 $52,178.31 $48,827.41 2026-02-20
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 14 7 — — $21,911.80 $61,369.68 $48,604.65 2026-02-20
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $47,586.31 $51,869.11 $48,538.06 2026-02-20
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 14 7 — — $21,811.30 $61,085.64 $48,379.69 2026-02-20
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 14 7 — — $21,748.55 $60,908.35 $48,239.29 2026-02-20
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 14 7 — — $21,707.41 $60,792.07 $48,147.18 2026-02-20
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 14 7 — — $21,649.40 $60,628.12 $48,017.35 2026-02-20
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 14 7 — — $21,606.25 $60,506.12 $47,920.71 2026-02-20
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 14 7 — — $21,570.48 $60,405.09 $47,840.70 2026-02-20
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $46,522.54 $50,709.59 $47,453.01 2026-02-20
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 14 7 — — $21,248.74 $59,495.78 $47,120.53 2026-02-20
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 14 7 — — $21,239.28 $59,469.09 $47,099.39 2026-02-20
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $46,097.03 $50,245.78 $47,018.99 2026-02-20
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $46,026.11 $50,168.48 $46,946.65 2026-02-20
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 14 7 — — $21,149.58 $59,215.55 $46,898.59 2026-02-20
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 5 5 — — $45,955.19 $50,091.18 $46,874.31 2026-02-20
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 14 7 — — $21,055.81 $58,950.58 $46,688.73 2026-02-20
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $45,742.43 $49,859.27 $46,657.30 2026-02-20
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 14 7 — — $21,012.65 $58,828.57 $46,592.10 2026-02-20
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 14 7 — — $20,997.80 $58,786.63 $46,558.88 2026-02-20
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $45,529.68 $49,627.37 $46,440.29 2026-02-20
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 14 7 — — $20,914.16 $58,550.25 $46,371.68 2026-02-20
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 14 7 — — $20,895.28 $58,496.88 $46,329.40 2026-02-20
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $45,387.84 $49,472.77 $46,295.62 2026-02-20
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 14 7 — — $20,827.83 $58,306.24 $46,178.42 2026-02-20
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,104.17 $49,163.56 $46,006.27 2026-02-20
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 14 7 — — $20,501.36 $57,383.59 $45,447.68 2026-02-20
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 14 7 — — $20,339.47 $56,926.08 $45,085.33 2026-02-20
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $44,111.31 $48,081.35 $44,993.55 2026-02-20
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $43,969.47 $47,926.74 $44,848.88 2026-02-20
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 14 7 — — $20,085.84 $56,209.31 $44,517.65 2026-02-20
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $43,614.88 $47,540.24 $44,487.19 2026-02-20
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $43,543.96 $47,462.94 $44,414.86 2026-02-20
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 14 7 — — $20,034.58 $56,064.43 $44,402.91 2026-02-20
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 14 7 — — $19,980.62 $55,911.93 $44,282.12 2026-02-20
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $43,402.12 $47,308.33 $44,270.18 2026-02-20
668 MS_DRG Ms-DRG 42.00: Transurethral Procedures With Mcc 14 7 — — $19,867.97 $55,593.57 $44,029.99 2026-02-20
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 14 7 — — $19,857.18 $55,563.07 $44,005.83 2026-02-20
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 14 7 — — $19,851.11 $55,545.92 $43,992.25 2026-02-20
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 14 7 — — $19,840.31 $55,515.41 $43,968.09 2026-02-20
472 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Cc 14 7 — — $19,739.13 $55,229.47 $43,741.62 2026-02-20
J3357 HCPCS Ustekinumab Sub Cu Inj 63 22 $45,962.56 $43,664.43 $157.68 $51,314.39 $43,664.43 2026-02-20
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 5 5 — — $42,763.86 $46,612.62 $43,619.15 2026-02-20
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $42,763.86 $46,612.62 $43,619.15 2026-02-20
C2624 HCPCS System Crd Cardiomems Pa Snsr Dlv 32 20 $47,250.00 $44,887.50 $23,625.00 $47,250.00 $43,470.00 2026-02-20
625 MS_DRG Ms-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 14 7 — — $19,536.11 $54,655.67 $43,287.18 2026-02-20
462 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 14 7 — — $19,513.84 $54,592.76 $43,237.35 2026-02-20
325 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy Without Intraluminal Device 14 7 — — $19,502.38 $54,560.36 $43,211.68 2026-02-20
510 MS_DRG Ms-DRG 42.00: Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedur… 14 7 — — $19,475.40 $54,484.10 $43,151.29 2026-02-20
321 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 14 7 — — $19,399.17 $54,268.69 $42,980.69 2026-02-20
654 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Cc 14 7 — — $19,232.56 $53,797.83 $42,607.77 2026-02-20
406 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Cc 14 7 — — $19,140.15 $53,536.67 $42,400.93 2026-02-20
258 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Device Replacement With Mcc 14 7 — — $19,120.59 $53,481.39 $42,357.15 2026-02-20
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $41,203.65 $44,912.00 $42,027.74 2026-02-20
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $41,132.73 $44,834.70 $41,955.40 2026-02-20
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 5 5 — — $40,990.89 $44,680.09 $41,810.73 2026-02-20
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 5 5 — — $40,919.97 $44,602.79 $41,738.39 2026-02-20
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $40,849.06 $44,525.49 $41,666.05 2026-02-20
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $40,636.30 $44,293.59 $41,449.04 2026-02-20
411 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Mcc 14 7 — — $18,654.48 $52,164.13 $41,313.88 2026-02-20
288 MS_DRG Ms-DRG 42.00: Acute And Subacute Endocarditis With Mcc 14 7 — — $18,621.43 $52,070.72 $41,239.90 2026-02-20
J9359 HCPCS Loncastuximab Tesirine-lpyl Powd-inj 10 Mg (zynlonta) 38 22 $48,514.58 $46,088.85 $216.74 $47,059.14 $41,237.39 2026-02-20
619 MS_DRG Ms-DRG 42.00: O.r. Procedures For Obesity With Mcc 14 7 — — $18,587.71 $51,975.41 $41,164.41 2026-02-20
963 MS_DRG Ms-DRG 42.00: Other Multiple Significant Trauma With Mcc 14 7 — — $18,521.59 $51,788.59 $41,016.45 2026-02-20
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $40,296.13 $113,326.02 $40,900.57 2026-02-20
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $40,068.95 $43,675.18 $40,870.35 2026-02-20
61 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 14 7 — — $18,431.89 $51,535.05 $40,815.65 2026-02-20
344 MS_DRG Ms-DRG 42.00: Minor Small And Large Bowel Procedures With Mcc 14 7 — — $18,371.87 $51,365.39 $40,681.28 2026-02-20
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $39,856.20 $43,443.27 $40,653.34 2026-02-20
208 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support <=96 Hours 14 7 — — $18,299.68 $51,161.41 $40,519.73 2026-02-20
263 MS_DRG Ms-DRG 42.00: Vein Ligation And Stripping 14 7 — — $18,288.23 $51,129.01 $40,494.07 2026-02-20
914 APR_DRG Apr-DRG 41.00: Other Major Head And Neck Procedures 5 5 — — $39,572.52 $43,134.07 $40,363.99 2026-02-20
77372 CPT Rad Del Stereotactic Cranl Linear-tech 37 22 $47,476.00 $45,102.20 $5,651.91 $46,051.72 $40,354.60 2026-02-20
849 MS_DRG Ms-DRG 42.00: Radiotherapy 14 7 — — $18,214.01 $50,919.31 $40,327.99 2026-02-20
61 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $39,501.60 $43,056.77 $40,291.65 2026-02-20
577 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 14 7 — — $18,158.04 $50,761.09 $40,202.68 2026-02-20
970 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures Without Mcc 14 7 — — $18,093.95 $50,579.99 $40,059.24 2026-02-20
13 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 14 7 — — $18,071.71 $50,517.08 $40,009.42 2026-02-20
503 MS_DRG Ms-DRG 42.00: Foot Procedures With Mcc 14 7 — — $18,048.76 $50,452.27 $39,958.09 2026-02-20
959 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma Without Cc/m… 14 7 — — $18,030.55 $50,400.80 $39,917.32 2026-02-20
33946 CPT Ecmo/ecls Initiation Venous 31 19 $42,710.00 $40,574.50 $22,743.08 $41,428.70 $39,805.72 2026-02-20
6033 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $39,005.18 $42,515.66 $39,785.29 2026-02-20
5891 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 5 5 — — $38,934.26 $42,438.36 $39,712.96 2026-02-20
11 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $38,863.34 $42,361.06 $39,640.62 2026-02-20
468 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement Without Cc/mcc 14 7 — — $17,891.60 $50,008.10 $39,606.31 2026-02-20
255 MS_DRG Ms-DRG 42.00: Upper Limb And Toe Amputation For Circulatory System Disorders Wit… 14 7 — — $17,845.72 $49,878.47 $39,503.65 2026-02-20
749 MS_DRG Ms-DRG 42.00: Other Female Reproductive System O.r. Procedures With Cc/mcc 14 7 — — $17,657.52 $49,346.61 $39,082.41 2026-02-20
659 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Non-neoplasm With Mcc 14 7 — — $17,628.53 $49,264.64 $39,017.49 2026-02-20
8504 APR_DRG Apr-DRG 41.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 5 5 — — $38,225.07 $41,665.35 $38,989.59 2026-02-20
846 MS_DRG Ms-DRG 42.00: Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mc… 14 7 — — $17,422.80 $48,683.22 $38,557.00 2026-02-20
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