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

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Hospital

MARSHFIELD MEDICAL CENTER - WESTON

Weston, WI · CCN 520202 · Rates published

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You selected 27447 (CPT)

ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH OR WITHOUT PATELLA RESURFACING (TOTAL KNEE ARTHROPLASTY)

This hospital’s price: $8,037 across 5 payers · range $6,030-$12,951

Source: https://www.marshfieldclinic.org/mPatientResources/Documents/810977948_marshfield-medical-center--weston_standardcharges.zip · observed 2026-02-20

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

8,779 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 · 2026-08-17
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
$370,165
1.5× median
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
$261,939
1.7× median
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
$205,166
1.7× median
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
$199,832
1.6× median
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $219,421.84 $239,169.91 $223,810.37 nat. median
$311,018
0.7× 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
$132,706
1.6× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 7 $88,572.26 $249,760.27 $197,809.60 nat. median
$114,305
1.7× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 7 $88,349.66 $249,131.19 $197,311.37 nat. median
$122,690
1.6× median
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $191,054.44 $208,249.43 $194,875.61 nat. median
$250,089
0.8× 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
$254,667
0.7× 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
$108,240
1.5× median
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
$100,978
1.6× median
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
$99,646
1.6× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 7 $71,661.78 $201,969.20 $159,959.18 nat. median
$98,002
1.6× median
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
$96,835
1.6× median
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $150,914.57 $164,496.95 $153,932.92 nat. median
$209,486
0.7× 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
$243,231
0.6× 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
$92,900
1.6× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 7 $62,333.70 $175,606.91 $139,080.30 nat. median
$81,364
1.7× median
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
$79,040
1.6× median
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
$80,459
1.6× median
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
$81,124
1.6× median
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $119,923.18 $130,716.33 $122,321.70 nat. median
$169,230
0.7× 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
$77,385
1.6× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 7 $53,976.95 $151,989.70 $120,375.51 nat. median
$67,750
1.8× median
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
$69,153
1.7× median
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
$73,475
1.6× median
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
$74,472
1.6× median
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $114,391.54 $124,686.84 $116,679.42 nat. median
$127,938
0.9× 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
$119,243
1.0× 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
$160,171
0.7× 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
$71,485
1.6× median
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
$165,646
0.7× 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
$156,285
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
$168,361
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
$66,640
1.6× median
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
$180,995
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
$147,677
0.7× 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
$68,581
1.6× median
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
$168,174
0.6× 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
$65,958
1.6× median
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
$147,847
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
$62,262
1.6× median
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
$62,911
1.6× median
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
$65,792
1.5× median
94
APR_DRG 		Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 $97,442.02 $106,211.85 $99,390.90 nat. median
$165,599
0.6× median
5831
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $97,087.43 $105,825.34 $99,029.22 nat. median
$154,685
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
$64,357
1.5× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 22 $56,824.55 $112,522.91 $98,602.55 nat. median
$63,643
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
$62,218
1.6× median

Other procedures at this hospital

Browse this hospital's 8,779 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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