Price Transparency 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

8,782 distinct procedures filed
26 distinct payers
694,989 rate rows
2026-02-20 last MRF observed
Data quality

686,278 of 694,989 rate rows are consumer-grade (98.7%)

8,711 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 5,397
placeholder amount (≤ $0.02) — excluded from medians 2,517
exceeds 10× this hospital's gross charge — excluded from medians 587
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 210
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marshfieldclinic.org/mPatientResources/Documents/810977948_marshfield-medical-center--weston_standardcharges.zip
Found on page https://www.marshfieldclinic.org/patient-resources/billing/cms-hospital-transparency-requirement
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
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 8 $254,580.90 $728,649.01 $609,249.53 nat. median
$370,174
1.6× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $190,200.36 $544,239.72 $455,058.32 nat. median
$265,286
1.7× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 8 $160,214.13 $458,348.22 $383,241.36 nat. median
$206,474
1.9× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 8 $144,759.27 $414,079.94 $346,227.07 nat. median
$202,976
1.7× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 8 $95,507.77 $273,005.73 $228,269.87 nat. median
$133,161
1.7× median
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $219,421.84 $239,169.91 $221,616.10 nat. median
$309,665
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 8 $88,572.26 $253,139.88 $211,659.32 nat. median
$117,357
1.8× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 8 $88,349.66 $252,502.28 $211,126.20 nat. median
$122,708
1.7× median
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $191,054.44 $208,249.43 $192,965.02 nat. median
$244,017
0.8× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $74,527.85 $212,911.62 $178,023.03 nat. median
$108,660
1.6× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 8 $73,679.30 $210,481.04 $175,990.74 nat. median
$102,358
1.7× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 8 $72,030.07 $205,757.06 $172,040.84 nat. median
$100,136
1.7× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 8 $71,661.78 $204,702.13 $171,158.78 nat. median
$99,019
1.7× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $70,856.39 $202,395.20 $169,229.88 nat. median
$98,894
1.7× median
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $163,679.90 $178,411.17 $165,316.73 nat. median
$246,434
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $65,296.23 $186,468.90 $155,913.33 nat. median
$93,672
1.7× median
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 6 $150,914.57 $164,496.95 $152,423.74 nat. median
$207,730
0.7× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 8 $62,333.70 $177,983.12 $148,818.06 nat. median
$83,470
1.8× median
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 6 $146,233.95 $159,395.07 $147,696.32 nat. median
$234,729
0.6× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 8 $57,355.67 $163,724.22 $136,895.69 nat. median
$79,312
1.7× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 8 $57,323.96 $163,633.41 $136,819.76 nat. median
$81,118
1.7× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $56,456.51 $161,148.73 $134,742.23 nat. median
$82,711
1.6× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 8 $54,571.21 $155,748.51 $130,226.91 nat. median
$77,570
1.7× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 8 $53,976.95 $154,046.33 $128,803.66 nat. median
$68,884
1.9× median
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $53,668.68 $153,163.36 $128,065.37 nat. median
$71,271
1.8× median
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 8 $52,920.63 $151,020.66 $126,273.79 nat. median
$73,807
1.7× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 8 $52,388.42 $149,496.24 $124,999.16 nat. median
$74,915
1.7× median
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 6 $119,923.18 $130,716.33 $121,122.44 nat. median
$156,126
0.8× median
957
MS_DRG 		Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $50,544.93 $144,215.81 $120,584.00 nat. median
$72,135
1.7× median
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 6 $114,391.54 $124,686.84 $115,535.48 nat. median
$119,796
1.0× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $113,611.44 $123,836.52 $114,747.58 nat. median
$117,173
1.0× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $48,106.52 $137,231.27 $114,743.98 nat. median
$68,090
1.7× median
275
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $47,865.70 $136,541.51 $114,167.24 nat. median
$68,886
1.7× median
870
MS_DRG 		Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 8 $47,120.34 $134,406.54 $112,382.12 nat. median
$66,526
1.7× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 $111,200.21 $121,208.28 $112,312.24 nat. median
$150,721
0.7× median
955
MS_DRG 		Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 $46,255.59 $131,929.58 $109,816.07 nat. median
$64,732
1.7× median
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 6 $108,434.39 $118,193.53 $109,518.76 nat. median
$160,267
0.7× median
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 $107,583.36 $117,265.92 $108,659.22 nat. median
$151,838
0.7× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 8 $45,421.88 $129,541.51 $108,314.29 nat. median
$63,724
1.7× median
928
MS_DRG 		Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 8 $45,247.86 $129,043.03 $107,897.50 nat. median
$64,023
1.7× median
268
MS_DRG 		Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 8 $45,171.63 $128,824.70 $107,714.94 nat. median
$65,950
1.6× median
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $106,519.59 $116,106.40 $107,584.80 nat. median
$164,289
0.7× median
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $104,959.38 $114,405.78 $106,008.99 nat. median
$182,665
0.6× median
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $104,604.79 $114,019.27 $105,650.86 nat. median
$122,924
0.9× median
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $103,470.09 $112,782.45 $104,504.82 nat. median
$162,982
0.6× median
207
MS_DRG 		Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $43,819.87 $124,952.77 $104,477.49 nat. median
$62,134
1.7× median
217
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $43,757.14 $124,773.09 $104,327.25 nat. median
$64,508
1.6× median
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 $102,193.56 $111,391.03 $103,215.51 nat. median
$145,336
0.7× median
969
MS_DRG 		Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 8 $42,855.96 $122,191.80 $102,168.94 nat. median
$60,185
1.7× median
276
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 8 $41,979.75 $119,682.00 $100,070.41 nat. median
$59,099
1.7× median

Other procedures at this hospital

Browse this hospital's 8,782 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
             
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 19 8 — — $190,200.36 $544,239.72 $455,058.32 2026-02-20
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 19 8 — — $53,976.95 $154,046.33 $128,803.66 2026-02-20
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $36,593.62 $104,254.18 $87,170.66 2026-02-20
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $43,614.88 $47,540.24 $44,051.04 2026-02-20
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $61,060.83 $66,556.33 $61,671.45 2026-02-20
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $113,611.44 $123,836.52 $114,747.58 2026-02-20
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $27,877.35 $79,287.59 $66,295.19 2026-02-20
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $43,543.96 $47,462.94 $43,979.41 2026-02-20
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $52,196.02 $56,893.68 $52,717.99 2026-02-20
13 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $18,071.71 $51,200.65 $42,810.70 2026-02-20
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 19 8 — — $88,572.26 $253,139.88 $211,659.32 2026-02-20
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 6 6 — — $91,768.54 $100,027.75 $92,686.24 2026-02-20
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 19 8 — — $28,723.88 $81,712.37 $68,322.64 2026-02-20
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 8 — — $22,468.97 $63,796.01 $53,342.13 2026-02-20
15360 CDM Or Level 10 Group 38 22 $56,069.00 $53,265.55 $28,034.50 $54,386.93 $47,658.65 2026-02-20
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 19 8 — — $40,910.61 $116,619.62 $97,509.84 2026-02-20
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $68,861.86 $75,059.47 $69,550.49 2026-02-20
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 6 — — $87,229.76 $95,080.48 $88,102.07 2026-02-20
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 6 — — $91,697.62 $99,950.45 $92,614.61 2026-02-20
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 6 — — $114,391.54 $124,686.84 $115,535.48 2026-02-20
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 6 6 — — $150,914.57 $164,496.95 $152,423.74 2026-02-20
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $39,856.20 $43,443.27 $40,254.77 2026-02-20
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $58,862.36 $64,160.00 $59,450.99 2026-02-20
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 19 8 — — $31,287.10 $89,054.35 $74,461.53 2026-02-20
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 6 6 — — $49,784.79 $54,265.44 $50,282.65 2026-02-20
164 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Cc 19 8 — — $17,174.57 $48,630.96 $40,662.08 2026-02-20
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $46,097.03 $50,245.78 $46,558.01 2026-02-20
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 19 8 — — $26,168.09 $74,391.65 $62,201.52 2026-02-20
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 6 — — $40,636.30 $44,293.59 $41,042.67 2026-02-20
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $46,026.11 $50,168.48 $46,486.38 2026-02-20
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 19 8 — — $40,910.61 $116,619.62 $97,509.84 2026-02-20
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 19 8 — — $20,895.28 $59,288.42 $49,573.17 2026-02-20
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 6 6 — — $47,869.99 $52,178.31 $48,348.70 2026-02-20
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 6 6 — — $40,990.89 $44,680.09 $41,400.81 2026-02-20
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 8 — — $254,580.90 $728,649.01 $609,249.53 2026-02-20
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 6 6 — — $42,763.86 $46,612.62 $43,191.51 2026-02-20
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 8 — — $53,668.68 $153,163.36 $128,065.37 2026-02-20
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 8 — — $74,527.85 $212,911.62 $178,023.03 2026-02-20
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $54,571.21 $155,748.51 $130,226.91 2026-02-20
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 19 8 — — $43,819.87 $124,952.77 $104,477.49 2026-02-20
208 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 8 — — $18,299.68 $51,853.70 $43,356.74 2026-02-20
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $37,479.95 $106,792.96 $89,293.42 2026-02-20
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 6 6 — — $54,749.08 $59,676.53 $55,296.58 2026-02-20
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 19 8 — — $73,679.30 $210,481.04 $175,990.74 2026-02-20
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 19 8 — — $71,661.78 $204,702.13 $171,158.78 2026-02-20
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $65,296.23 $186,468.90 $155,913.33 2026-02-20
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $43,757.14 $124,773.09 $104,327.25 2026-02-20
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $40,326.46 $114,946.43 $96,110.82 2026-02-20
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $52,388.42 $149,496.24 $124,999.16 2026-02-20
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 6 6 — — $66,592.47 $72,585.83 $67,258.41 2026-02-20
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $24,010.26 $68,210.86 $57,033.54 2026-02-20
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $35,924.49 $102,337.54 $85,568.08 2026-02-20
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $31,175.12 $88,733.62 $74,193.36 2026-02-20
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 19 8 — — $33,810.52 $96,282.34 $80,505.11 2026-02-20
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 19 8 — — $21,149.58 $60,016.82 $50,182.21 2026-02-20
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 6 6 — — $92,548.64 $100,878.07 $93,474.14 2026-02-20
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $38,679.28 $110,228.24 $92,165.78 2026-02-20
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 19 8 — — $57,355.67 $163,724.22 $136,895.69 2026-02-20
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 19 8 — — $41,401.67 $118,026.19 $98,685.93 2026-02-20
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $52,920.63 $151,020.66 $126,273.79 2026-02-20
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $36,083.02 $102,791.58 $85,947.72 2026-02-20
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 19 8 — — $39,887.36 $113,688.63 $95,059.13 2026-02-20
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 19 8 — — $27,934.01 $79,449.88 $66,430.89 2026-02-20
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $34,172.06 $97,317.94 $81,371.02 2026-02-20
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 6 6 — — $146,233.95 $159,395.07 $147,696.32 2026-02-20
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $25,840.25 $73,452.65 $61,416.39 2026-02-20
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $19,840.31 $56,266.62 $47,046.53 2026-02-20
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 19 8 — — $23,076.70 $65,536.83 $54,797.69 2026-02-20
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 19 8 — — $33,159.58 $94,417.86 $78,946.16 2026-02-20
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 19 8 — — $30,363.67 $86,409.31 $72,249.92 2026-02-20
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 19 8 — — $23,335.74 $66,278.76 $55,418.04 2026-02-20
253 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Cc 19 8 — — $17,417.41 $49,326.51 $41,243.66 2026-02-20
255 MS_DRG Ms-DRG 42.00: Upper Limb And Toe Amputation For Circulatory System Disorders Wit… 19 8 — — $17,845.72 $50,553.40 $42,269.51 2026-02-20
258 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Device Replacement With Mcc 19 8 — — $19,120.59 $54,205.07 $45,322.80 2026-02-20
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 19 8 — — $20,827.83 $59,095.21 $49,411.62 2026-02-20
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 8 — — $23,172.49 $65,811.19 $55,027.09 2026-02-20
263 MS_DRG Ms-DRG 42.00: Vein Ligation And Stripping 19 8 — — $18,288.23 $51,820.85 $43,329.27 2026-02-20
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 19 8 — — $23,772.16 $67,528.83 $56,463.27 2026-02-20
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 19 8 — — $24,258.48 $68,921.87 $57,628.04 2026-02-20
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $40,606.40 $115,748.25 $96,781.25 2026-02-20
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $31,931.28 $90,899.51 $76,004.33 2026-02-20
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 19 8 — — $45,171.63 $128,824.70 $107,714.94 2026-02-20
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 19 8 — — $28,261.83 $80,388.88 $67,216.03 2026-02-20
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 19 8 — — $34,820.29 $99,174.69 $82,923.51 2026-02-20
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 19 8 — — $23,430.16 $66,549.25 $55,644.21 2026-02-20
272 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures Without Cc/mcc 19 8 — — $17,074.75 $48,345.01 $40,422.99 2026-02-20
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 19 8 — — $26,572.79 $75,550.91 $63,170.82 2026-02-20
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 19 8 — — $21,248.74 $60,300.84 $50,419.69 2026-02-20
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 8 — — $47,865.70 $136,541.51 $114,167.24 2026-02-20
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 19 8 — — $41,979.75 $119,682.00 $100,070.41 2026-02-20
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 19 8 — — $31,575.13 $89,879.36 $75,151.35 2026-02-20
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $33,945.43 $96,668.76 $80,828.21 2026-02-20
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $21,811.30 $61,912.21 $51,767.02 2026-02-20
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 19 8 — — $41,204.71 $117,462.02 $98,214.20 2026-02-20
288 MS_DRG Ms-DRG 42.00: Acute And Subacute Endocarditis With Mcc 19 8 — — $18,621.43 $52,775.31 $44,127.33 2026-02-20
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 19 8 — — $22,838.61 $64,854.80 $54,227.42 2026-02-20
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 19 8 — — $144,759.27 $414,079.94 $346,227.07 2026-02-20
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $40,849.06 $44,525.49 $41,257.56 2026-02-20
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $59,784.30 $65,164.91 $60,382.15 2026-02-20
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $43,402.12 $47,308.33 $43,836.15 2026-02-20
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 19 8 — — $28,463.51 $80,966.58 $67,699.06 2026-02-20
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 8 — — $41,925.80 $119,527.43 $99,941.17 2026-02-20
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 19 8 — — $29,827.41 $84,873.29 $70,965.60 2026-02-20
321 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 19 8 — — $19,399.17 $55,003.02 $45,990.00 2026-02-20
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 19 8 — — $28,927.58 $82,295.87 $68,810.52 2026-02-20
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 19 8 — — $21,748.55 $61,732.53 $51,616.78 2026-02-20
325 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy Without Intraluminal Device 19 8 — — $19,502.38 $55,298.63 $46,237.17 2026-02-20
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 19 8 — — $34,456.04 $98,131.36 $82,051.14 2026-02-20
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 19 8 — — $31,170.40 $88,720.10 $74,182.05 2026-02-20
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 19 8 — — $23,594.07 $67,018.75 $56,036.78 2026-02-20
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 19 8 — — $24,637.57 $70,007.71 $58,535.95 2026-02-20
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 19 8 — — $26,427.11 $75,133.57 $62,821.87 2026-02-20
344 MS_DRG Ms-DRG 42.00: Minor Small And Large Bowel Procedures With Mcc 19 8 — — $18,371.87 $52,060.43 $43,529.59 2026-02-20
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 19 8 — — $19,980.62 $56,668.49 $47,382.56 2026-02-20
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 19 8 — — $28,970.08 $82,417.59 $68,912.30 2026-02-20
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 19 8 — — $22,597.12 $64,163.11 $53,649.07 2026-02-20
397 MS_DRG Ms-DRG 42.00: Appendix Procedures With Mcc 19 8 — — $16,910.15 $47,873.57 $40,028.81 2026-02-20
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 19 8 — — $95,507.77 $273,005.73 $228,269.87 2026-02-20
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 19 8 — — $25,640.60 $72,880.74 $60,938.20 2026-02-20
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 19 8 — — $26,585.62 $75,587.62 $63,201.51 2026-02-20
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 19 8 — — $36,814.87 $104,887.91 $87,700.54 2026-02-20
406 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Cc 19 8 — — $19,140.15 $54,261.10 $45,369.65 2026-02-20
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 19 8 — — $23,813.97 $67,648.62 $56,563.43 2026-02-20
411 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Mcc 19 8 — — $18,654.48 $52,869.98 $44,206.49 2026-02-20
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 8 — — $23,830.83 $67,696.92 $56,603.82 2026-02-20
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $41,132.73 $44,834.70 $41,544.07 2026-02-20
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $24,004.17 $68,193.47 $57,019.00 2026-02-20
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 8 — — $27,632.49 $78,586.24 $65,708.77 2026-02-20
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $70,856.39 $202,395.20 $169,229.88 2026-02-20
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $48,106.52 $137,231.27 $114,743.98 2026-02-20
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $37,323.47 $106,344.72 $88,918.63 2026-02-20
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 8 — — $56,456.51 $161,148.73 $134,742.23 2026-02-20
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $63,188.38 $68,875.37 $63,820.28 2026-02-20
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 8 — — $37,096.82 $105,695.53 $88,375.82 2026-02-20
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $95,598.14 $104,202.02 $96,554.14 2026-02-20
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 6 6 — — $55,458.27 $60,449.54 $56,012.86 2026-02-20
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 19 8 — — $45,421.88 $129,541.51 $108,314.29 2026-02-20
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $27,741.10 $78,897.30 $65,968.86 2026-02-20
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 19 8 — — $34,935.62 $99,505.08 $83,199.76 2026-02-20
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $21,012.65 $59,624.61 $49,854.27 2026-02-20
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $57,323.96 $163,633.41 $136,819.76 2026-02-20
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $38,910.63 $110,890.95 $92,719.89 2026-02-20
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $29,322.86 $83,428.08 $69,757.20 2026-02-20
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $41,590.53 $118,567.18 $99,138.27 2026-02-20
462 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $19,513.84 $55,331.48 $46,264.63 2026-02-20
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $36,628.02 $104,352.72 $87,253.05 2026-02-20
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $20,085.84 $56,969.90 $47,634.57 2026-02-20
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 19 8 — — $34,561.27 $98,432.77 $82,303.16 2026-02-20
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 19 8 — — $23,300.66 $66,178.29 $55,334.04 2026-02-20
468 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement Without Cc/mcc 19 8 — — $17,891.60 $50,684.78 $42,379.36 2026-02-20
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 19 8 — — $22,245.02 $63,154.55 $52,805.78 2026-02-20
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 19 8 — — $32,960.61 $93,847.89 $78,469.58 2026-02-20
472 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Cc 19 8 — — $19,739.13 $55,976.80 $46,804.21 2026-02-20
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 19 8 — — $30,447.31 $86,648.89 $72,450.24 2026-02-20
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 8 — — $23,393.74 $66,444.92 $55,556.98 2026-02-20
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 19 8 — — $20,034.58 $56,823.06 $47,511.80 2026-02-20
483 MS_DRG Ms-DRG 42.00: Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 8 — — $17,385.02 $49,233.77 $41,166.12 2026-02-20
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 8 — — $21,911.80 $62,200.10 $52,007.73 2026-02-20
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 19 8 — — $24,150.56 $68,612.74 $57,369.56 2026-02-20
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 19 8 — — $23,944.16 $68,021.51 $56,875.22 2026-02-20
498 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Of Hip And… 19 8 — — $17,227.86 $48,783.59 $40,789.71 2026-02-20
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 19 8 — — $72,030.07 $205,757.06 $172,040.84 2026-02-20
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 19 8 — — $21,570.48 $61,222.45 $51,190.29 2026-02-20
503 MS_DRG Ms-DRG 42.00: Foot Procedures With Mcc 19 8 — — $18,048.76 $51,134.96 $42,755.77 2026-02-20
510 MS_DRG Ms-DRG 42.00: Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedur… 19 8 — — $19,475.40 $55,221.35 $46,172.55 2026-02-20
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 19 8 — — $21,055.81 $59,748.26 $49,957.66 2026-02-20
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 19 8 — — $24,371.81 $69,246.46 $57,899.45 2026-02-20
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 8 — — $19,857.18 $56,314.92 $47,086.92 2026-02-20
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $46,522.54 $50,709.59 $46,987.78 2026-02-20
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $65,670.53 $71,580.91 $66,327.25 2026-02-20
545 MS_DRG Ms-DRG 42.00: Connective Tissue Disorders With Mcc 19 8 — — $17,241.35 $48,822.23 $40,822.02 2026-02-20
56 MS_DRG Ms-DRG 42.00: Degenerative Nervous System Disorders With Mcc 19 8 — — $17,087.56 $48,381.72 $40,453.69 2026-02-20
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 19 8 — — $20,501.36 $58,160.07 $48,629.72 2026-02-20
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $41,735.57 $118,982.58 $99,485.60 2026-02-20
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 8 — — $23,568.44 $66,945.33 $55,975.39 2026-02-20
57424 CDM Or Level 10 37 21 $56,069.00 $53,265.55 $29,496.97 $54,386.93 $47,658.65 2026-02-20
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $36,589.58 $104,242.59 $87,160.96 2026-02-20
577 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 8 — — $18,158.04 $51,447.96 $43,017.48 2026-02-20
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 8 — — $22,182.28 $62,974.87 $52,655.54 2026-02-20
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 6 — — $97,087.43 $105,825.34 $98,058.32 2026-02-20
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 6 — — $119,923.18 $130,716.33 $121,122.44 2026-02-20
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 6 — — $191,054.44 $208,249.43 $192,965.02 2026-02-20
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 6 6 — — $219,421.84 $239,169.91 $221,616.10 2026-02-20
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $67,939.92 $74,054.55 $68,619.33 2026-02-20
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $102,193.56 $111,391.03 $103,215.51 2026-02-20
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $104,959.38 $114,405.78 $106,008.99 2026-02-20
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $163,679.90 $178,411.17 $165,316.73 2026-02-20
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $41,203.65 $44,912.00 $41,615.69 2026-02-20
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $69,712.89 $75,987.08 $70,410.03 2026-02-20
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $106,519.59 $116,106.40 $107,584.80 2026-02-20
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $56,309.29 $61,377.15 $56,872.40 2026-02-20
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $72,478.71 $79,001.83 $73,203.51 2026-02-20
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $107,583.36 $117,265.92 $108,659.22 2026-02-20
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 19 8 — — $32,905.98 $93,691.39 $78,338.73 2026-02-20
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $45,529.68 $49,627.37 $45,984.99 2026-02-20
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $58,649.60 $63,928.09 $59,236.11 2026-02-20
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 6 6 — — $77,655.76 $84,644.81 $78,432.33 2026-02-20
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 6 6 — — $80,705.25 $87,968.77 $81,512.32 2026-02-20
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $45,387.84 $49,472.77 $45,841.73 2026-02-20
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 6 6 — — $60,351.64 $65,783.32 $60,955.17 2026-02-20
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $45,104.17 $49,163.56 $45,555.22 2026-02-20
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $103,470.09 $112,782.45 $104,504.82 2026-02-20
61 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 19 8 — — $18,431.89 $52,232.39 $43,673.37 2026-02-20
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $45,742.43 $49,859.27 $46,199.87 2026-02-20
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 6 6 — — $43,969.47 $47,926.74 $44,409.18 2026-02-20
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 19 8 — — $26,267.23 $74,675.66 $62,439.00 2026-02-20
619 MS_DRG Ms-DRG 42.00: O.r. Procedures For Obesity With Mcc 19 8 — — $18,587.71 $52,678.71 $44,046.55 2026-02-20
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 6 6 — — $47,586.31 $51,869.11 $48,062.18 2026-02-20
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 19 8 — — $25,437.56 $72,299.18 $60,451.94 2026-02-20
625 MS_DRG Ms-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 8 — — $19,536.11 $55,395.24 $46,317.94 2026-02-20
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 19 8 — — $26,811.58 $76,234.87 $63,742.70 2026-02-20
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 6 6 — — $57,869.50 $63,077.78 $58,448.21 2026-02-20
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $60,280.72 $65,706.02 $60,883.54 2026-02-20
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 6 6 — — $111,200.21 $121,208.28 $112,312.24 2026-02-20
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $104,604.79 $114,019.27 $105,650.86 2026-02-20
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 6 6 — — $73,116.97 $79,697.54 $73,848.15 2026-02-20
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 19 8 — — $31,274.29 $89,017.64 $74,430.84 2026-02-20
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 19 8 — — $23,619.71 $67,092.17 $56,098.17 2026-02-20
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 19 8 — — $20,914.16 $59,342.52 $49,618.41 2026-02-20
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 19 8 — — $37,799.01 $107,706.85 $90,057.55 2026-02-20
654 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Cc 19 8 — — $19,232.56 $54,525.79 $45,590.97 2026-02-20
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 19 8 — — $22,172.84 $62,947.82 $52,632.92 2026-02-20
659 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 8 — — $17,628.53 $49,931.26 $41,749.31 2026-02-20
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 19 8 — — $21,239.28 $60,273.79 $50,397.08 2026-02-20
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 19 8 — — $23,357.31 $66,340.59 $55,469.74 2026-02-20
668 MS_DRG Ms-DRG 42.00: Transurethral Procedures With Mcc 19 8 — — $19,867.97 $56,345.83 $47,112.77 2026-02-20
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 19 8 — — $28,456.77 $80,947.26 $67,682.90 2026-02-20
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 6 6 — — $40,068.95 $43,675.18 $40,469.65 2026-02-20
7 MS_DRG Ms-DRG 42.00: Lung Transplant 19 8 — — $88,349.66 $252,502.28 $211,126.20 2026-02-20
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 6 6 — — $42,763.86 $46,612.62 $43,191.51 2026-02-20
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 6 6 — — $54,252.65 $59,135.42 $54,795.19 2026-02-20
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 19 8 — — $26,756.96 $76,078.37 $63,611.85 2026-02-20
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 19 8 — — $27,049.03 $76,914.97 $64,311.36 2026-02-20
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 6 6 — — $94,676.20 $103,197.10 $95,622.98 2026-02-20
749 MS_DRG Ms-DRG 42.00: Other Female Reproductive System O.r. Procedures With Cc/mcc 19 8 — — $17,657.52 $50,014.34 $41,818.78 2026-02-20
77371 CPT Gamma Knife 46 24 $73,218.00 $69,557.10 $6,083.48 $71,021.46 $61,686.17 2026-02-20
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 7 — — $40,296.13 $114,859.48 $95,176.25 2026-02-20
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 19 8 — — $32,269.21 $91,867.49 $76,813.70 2026-02-20
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 19 8 — — $36,898.51 $105,127.49 $87,900.86 2026-02-20
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 19 8 — — $19,851.11 $56,297.53 $47,072.38 2026-02-20
802 MS_DRG Ms-DRG 42.00: Other O.r. Procedures Of The Blood And Blood Forming Organs With M… 19 8 — — $24,377.21 $69,261.92 $57,912.37 2026-02-20
80320 CDM Ecmo Cannulation Bedside-tech 37 21 $56,069.00 $53,265.55 $29,496.97 $54,386.93 $47,658.65 2026-02-20
817 MS_DRG Ms-DRG 42.00: Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 8 — — $17,296.67 $48,980.67 $40,954.49 2026-02-20
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 8 — — $39,469.81 $112,492.66 $94,059.14 2026-02-20
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 8 — — $31,761.29 $90,412.62 $75,597.23 2026-02-20
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $32,408.83 $92,267.44 $77,148.11 2026-02-20
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $20,997.80 $59,582.10 $49,818.73 2026-02-20
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 19 8 — — $37,479.95 $106,792.96 $89,293.42 2026-02-20
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 19 8 — — $33,971.72 $96,744.11 $80,891.22 2026-02-20
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 6 6 — — $45,955.19 $50,091.18 $46,414.75 2026-02-20
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 19 8 — — $21,707.41 $61,614.67 $51,518.23 2026-02-20
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 6 6 — — $108,434.39 $118,193.53 $109,518.76 2026-02-20
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 6 6 — — $59,146.03 $64,469.20 $59,737.50 2026-02-20
846 MS_DRG Ms-DRG 42.00: Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mc… 19 8 — — $17,422.80 $49,341.97 $41,256.59 2026-02-20
849 MS_DRG Ms-DRG 42.00: Radiotherapy 19 8 — — $18,214.01 $51,608.32 $43,151.57 2026-02-20
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 19 8 — — $62,333.70 $177,983.12 $148,818.06 2026-02-20
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 6 6 — — $52,125.10 $56,816.38 $52,646.36 2026-02-20
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 8 — — $33,931.93 $96,630.12 $80,795.90 2026-02-20
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 19 8 — — $30,628.75 $87,168.62 $72,884.81 2026-02-20
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 6 6 — — $48,082.74 $52,410.21 $48,563.58 2026-02-20
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 19 8 — — $47,120.34 $134,406.54 $112,382.12 2026-02-20
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 19 8 — — $26,702.98 $75,923.80 $63,482.61 2026-02-20
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 19 8 — — $30,081.71 $85,601.69 $71,574.64 2026-02-20
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 19 8 — — $26,240.93 $74,600.31 $62,375.99 2026-02-20
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 19 8 — — $27,067.91 $76,969.07 $64,356.59 2026-02-20
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 6 6 — — $40,919.97 $44,602.79 $41,329.18 2026-02-20
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 19 8 — — $160,214.13 $458,348.22 $383,241.36 2026-02-20
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 19 8 — — $45,247.86 $129,043.03 $107,897.50 2026-02-20
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 19 8 — — $21,649.40 $61,448.51 $51,379.30 2026-02-20
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $44,111.31 $48,081.35 $44,552.43 2026-02-20
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 19 8 — — $29,382.89 $83,600.03 $69,900.98 2026-02-20
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 19 8 — — $21,606.25 $61,324.85 $51,275.91 2026-02-20
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $97,442.02 $106,211.85 $98,416.46 2026-02-20
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 8 — — $24,808.23 $70,496.53 $58,944.68 2026-02-20
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 18 7 — — $46,255.59 $131,929.58 $109,816.07 2026-02-20
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 18 7 — — $25,979.90 $73,852.59 $61,473.71 2026-02-20
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 8 — — $50,544.93 $144,215.81 $120,584.00 2026-02-20
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 19 8 — — $27,918.49 $79,405.45 $66,393.74 2026-02-20
959 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma Without Cc/m… 19 8 — — $18,030.55 $51,082.79 $42,712.15 2026-02-20
963 MS_DRG Ms-DRG 42.00: Other Multiple Significant Trauma With Mcc 19 8 — — $18,521.59 $52,489.36 $43,888.23 2026-02-20
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 19 8 — — $42,855.96 $122,191.80 $102,168.94 2026-02-20
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 19 8 — — $24,375.86 $69,258.06 $57,909.14 2026-02-20
970 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures Without Mcc 19 8 — — $18,093.95 $51,264.41 $42,864.01 2026-02-20
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 19 8 — — $20,339.47 $57,696.37 $48,242.00 2026-02-20
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 19 8 — — $32,263.15 $91,850.10 $76,799.16 2026-02-20
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 19 8 — — $23,823.42 $67,675.67 $56,586.05 2026-02-20
A9543 HCPCS Y90 Ibritumomab, Rx 47 24 $116,003.00 $110,202.85 $56,824.55 $112,522.91 $95,818.48 2026-02-20
A9699 HCPCS Pluvicto Per Dose 42 23 $90,041.00 $85,538.95 $45,020.50 $87,339.77 $76,534.85 2026-02-20
C1823 HCPCS Generator Plse 2.9-2.95v H80xl47.5mm Thk14.6mm Impl Remede 88 23 $55,650.00 $52,867.50 $25,596.90 $57,750.00 $47,355.00 2026-02-20
C1824 HCPCS Generator Plse Smrt Mini With Torq Wrnch And. 44 23 $54,600.00 $51,870.00 $26,098.80 $54,600.00 $46,000.50 2026-02-20
C1825 HCPCS System Barostim Neo Ipg & Csl 44 23 $73,500.00 $69,825.00 $35,133.00 $73,500.00 $61,923.75 2026-02-20
C9293 HCPCS Glucarpidase Powd-inj 1000 Units 41 23 $60,150.20 $57,142.69 $30,075.10 $58,345.69 $51,127.67 2026-02-20
J0177 HCPCS Aflibercept Soln 8 Mg/0.07 Ml (eylea) 47 24 $71,250.00 $67,687.50 $319.74 $69,112.50 $58,852.50 2026-02-20
J0178 HCPCS Aflibercept Soln 2 Mg/0.05 Ml (eylea) 47 24 $70,300.00 $66,785.00 $790.04 $68,191.00 $58,067.80 2026-02-20
J0179 HCPCS Brolucizumab-dbll Soln 6 Mg/0.05 Ml (beovu) 47 24 $70,300.00 $66,785.00 $346.19 $68,191.00 $58,067.80 2026-02-20
J3357 HCPCS Ustekinumab Sub Cu Inj 81 24 $45,962.56 $43,664.43 $157.68 $51,314.39 $43,204.81 2026-02-20
J9226 HCPCS Histrelin 50 Mg/12 Months 76 24 $10,088.89 $9,584.45 $5,044.44 $87,345.24 $69,707.29 2026-02-20
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Soln (kimmtrack) 47 24 $71,288.00 $67,723.60 $217.09 $69,149.36 $58,883.89 2026-02-20
J9359 HCPCS Loncastuximab Tesirine-lpyl Powd-inj 10 Mg (zynlonta) 47 24 $48,514.58 $46,088.85 $216.74 $47,059.14 $40,073.04 2026-02-20
Q2043 HCPCS Sipuleucel-t,per Infusion 76 24 $75,805.34 $72,015.07 $270.99 $94,648.39 $60,731.56 2026-02-20
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