Price Transparencybeta Hospital negotiated rates

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

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Hospital

MARSHFIELD MEDICAL CENTER - EAU CLAIRE

Eau Claire, WI · CCN 520210 · 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: $8,198 across 6 payers · range $6,030-$13,580

Source: https://www.marshfieldclinic.org/mPatientResources/Documents/810977948_marshfield-medical-center--eau-claire_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.

8,944 distinct procedures filed
27 distinct payers
680,274 rate rows
2026-02-20 last MRF observed
Data quality

671,059 of 680,274 rate rows are consumer-grade (98.6%)

9,215 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 6,027
placeholder amount (≤ $0.02) — excluded from medians 2,489
exceeds 10× this hospital's gross charge — excluded from medians 634
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 65
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--eau-claire_standardcharges.zip
Found on page https://www.marshfieldclinic.org/patient-resources/billing/cms-hospital-transparency-requirement
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-14
Content fingerprint 5141abfa293dde76… · 37,865,773 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 $263,447.21 $729,176.99 $623,356.00 nat. median
$370,165
1.7× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $196,889.93 $544,634.08 $465,594.68 nat. median
$261,939
1.8× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 8 $165,889.84 $458,680.34 $392,114.87 nat. median
$205,166
1.9× median
3
MS_DRG 		Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 8 $149,912.47 $414,379.99 $354,243.56 nat. median
$199,832
1.8× median
4
MS_DRG 		Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 8 $98,995.75 $273,203.55 $233,555.19 nat. median
$132,706
1.8× median
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $220,435.43 $240,274.47 $224,844.07 nat. median
$311,018
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 8 $91,825.74 $253,323.30 $216,560.05 nat. median
$114,305
1.9× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 8 $91,595.62 $252,685.25 $216,014.59 nat. median
$122,690
1.8× median
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $191,936.99 $209,211.19 $195,775.67 nat. median
$250,089
0.8× median
2
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $77,306.49 $213,065.90 $182,144.95 nat. median
$108,240
1.7× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 8 $76,429.24 $210,633.56 $180,065.60 nat. median
$100,978
1.8× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 8 $74,724.26 $205,906.15 $176,024.25 nat. median
$99,646
1.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 8 $74,343.50 $204,850.46 $175,121.77 nat. median
$98,002
1.8× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $73,510.89 $202,541.86 $173,148.20 nat. median
$96,835
1.8× median
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $164,436.00 $179,235.13 $167,724.67 nat. median
$254,667
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $67,762.75 $186,604.02 $159,523.32 nat. median
$92,900
1.7× median
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $151,611.70 $165,256.65 $154,643.89 nat. median
$209,486
0.7× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 8 $64,700.04 $178,112.09 $152,263.77 nat. median
$81,364
1.9× median
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 5 $146,909.46 $160,131.21 $149,847.60 nat. median
$243,231
0.6× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 8 $59,553.70 $163,842.86 $140,065.35 nat. median
$79,040
1.8× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 8 $59,520.92 $163,751.98 $139,987.66 nat. median
$80,459
1.7× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $58,624.16 $161,265.50 $137,862.03 nat. median
$81,124
1.7× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 8 $56,675.09 $155,861.37 $133,242.16 nat. median
$77,385
1.7× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 8 $56,060.74 $154,157.95 $131,785.96 nat. median
$67,750
1.9× median
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $55,742.06 $153,274.35 $131,030.58 nat. median
$69,153
1.9× median
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 8 $54,968.71 $151,130.09 $129,197.51 nat. median
$73,475
1.8× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 8 $54,418.52 $149,604.56 $127,893.37 nat. median
$74,472
1.7× median
957
MS_DRG 		Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $52,512.70 $144,320.31 $123,375.99 nat. median
$71,485
1.7× median
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $120,477.16 $131,320.02 $122,886.66 nat. median
$169,230
0.7× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $49,991.82 $137,330.70 $117,400.74 nat. median
$66,640
1.8× median
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $114,919.96 $125,262.68 $117,218.32 nat. median
$127,938
0.9× median
275
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $49,742.88 $136,640.45 $116,810.66 nat. median
$68,581
1.7× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $114,136.25 $124,408.44 $116,418.94 nat. median
$119,243
1.0× median
870
MS_DRG 		Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 8 $48,972.31 $134,503.93 $114,984.20 nat. median
$65,958
1.7× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $111,713.88 $121,768.06 $113,948.13 nat. median
$160,171
0.7× median
955
MS_DRG 		Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 $48,078.33 $132,025.18 $111,588.11 nat. median
$64,357
1.7× median
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 5 $108,935.29 $118,739.39 $111,113.96 nat. median
$165,646
0.7× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 8 $47,216.43 $129,635.37 $110,822.19 nat. median
$62,262
1.8× median
928
MS_DRG 		Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 8 $47,036.50 $129,136.53 $110,395.74 nat. median
$62,911
1.8× median
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $108,080.33 $117,807.49 $110,241.91 nat. median
$156,285
0.7× median
268
MS_DRG 		Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 8 $46,957.71 $128,918.05 $110,208.96 nat. median
$65,792
1.7× median
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $107,011.64 $116,642.62 $109,151.84 nat. median
$168,361
0.6× median
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $105,444.23 $114,934.14 $107,553.08 nat. median
$180,995
0.6× median
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $105,088.00 $114,545.85 $107,189.73 nat. median
$147,677
0.7× median
207
MS_DRG 		Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $45,560.25 $125,043.31 $106,896.54 nat. median
$62,218
1.7× median
217
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $45,495.40 $124,863.50 $106,742.82 nat. median
$63,840
1.7× median
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $103,948.06 $113,303.31 $106,026.99 nat. median
$168,174
0.6× median
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $102,665.63 $111,905.47 $104,718.91 nat. median
$147,847
0.7× median
969
MS_DRG 		Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 8 $44,563.75 $122,280.34 $104,534.54 nat. median
$60,294
1.7× median
790
MS_DRG 		Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $41,917.36 $114,942.71 $104,390.69 nat. median
$51,433
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 8,944 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 19 8 — — $263,447.21 $729,176.99 $623,356.00 2026-02-20
1 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 19 8 — — $196,889.93 $544,634.08 $465,594.68 2026-02-20
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 19 8 — — $165,889.84 $458,680.34 $392,114.87 2026-02-20
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 19 8 — — $149,912.47 $414,379.99 $354,243.56 2026-02-20
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 19 8 — — $98,995.75 $273,203.55 $233,555.19 2026-02-20
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $220,435.43 $240,274.47 $224,844.07 2026-02-20
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 19 8 — — $91,825.74 $253,323.30 $216,560.05 2026-02-20
7 MS_DRG Ms-DRG 42.00: Lung Transplant 19 8 — — $91,595.62 $252,685.25 $216,014.59 2026-02-20
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $191,936.99 $209,211.19 $195,775.67 2026-02-20
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 8 — — $77,306.49 $213,065.90 $182,144.95 2026-02-20
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 19 8 — — $76,429.24 $210,633.56 $180,065.60 2026-02-20
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 19 8 — — $74,724.26 $205,906.15 $176,024.25 2026-02-20
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 19 8 — — $74,343.50 $204,850.46 $175,121.77 2026-02-20
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $73,510.89 $202,541.86 $173,148.20 2026-02-20
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $164,436.00 $179,235.13 $167,724.67 2026-02-20
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $67,762.75 $186,604.02 $159,523.32 2026-02-20
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $151,611.70 $165,256.65 $154,643.89 2026-02-20
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 19 8 — — $64,700.04 $178,112.09 $152,263.77 2026-02-20
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $146,909.46 $160,131.21 $149,847.60 2026-02-20
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 19 8 — — $59,553.70 $163,842.86 $140,065.35 2026-02-20
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $59,520.92 $163,751.98 $139,987.66 2026-02-20
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 8 — — $58,624.16 $161,265.50 $137,862.03 2026-02-20
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $56,675.09 $155,861.37 $133,242.16 2026-02-20
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 19 8 — — $56,060.74 $154,157.95 $131,785.96 2026-02-20
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 8 — — $55,742.06 $153,274.35 $131,030.58 2026-02-20
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $54,968.71 $151,130.09 $129,197.51 2026-02-20
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $54,418.52 $149,604.56 $127,893.37 2026-02-20
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 8 — — $52,512.70 $144,320.31 $123,375.99 2026-02-20
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $120,477.16 $131,320.02 $122,886.66 2026-02-20
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $49,991.82 $137,330.70 $117,400.74 2026-02-20
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $114,919.96 $125,262.68 $117,218.32 2026-02-20
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 8 — — $49,742.88 $136,640.45 $116,810.66 2026-02-20
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $114,136.25 $124,408.44 $116,418.94 2026-02-20
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 19 8 — — $48,972.31 $134,503.93 $114,984.20 2026-02-20
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $111,713.88 $121,768.06 $113,948.13 2026-02-20
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 18 7 — — $48,078.33 $132,025.18 $111,588.11 2026-02-20
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $108,935.29 $118,739.39 $111,113.96 2026-02-20
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 19 8 — — $47,216.43 $129,635.37 $110,822.19 2026-02-20
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 19 8 — — $47,036.50 $129,136.53 $110,395.74 2026-02-20
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $108,080.33 $117,807.49 $110,241.91 2026-02-20
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 19 8 — — $46,957.71 $128,918.05 $110,208.96 2026-02-20
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $107,011.64 $116,642.62 $109,151.84 2026-02-20
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $105,444.23 $114,934.14 $107,553.08 2026-02-20
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $105,088.00 $114,545.85 $107,189.73 2026-02-20
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 19 8 — — $45,560.25 $125,043.31 $106,896.54 2026-02-20
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $45,495.40 $124,863.50 $106,742.82 2026-02-20
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $103,948.06 $113,303.31 $106,026.99 2026-02-20
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $102,665.63 $111,905.47 $104,718.91 2026-02-20
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 19 8 — — $44,563.75 $122,280.34 $104,534.54 2026-02-20
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 7 — — $41,917.36 $114,942.71 $104,390.69 2026-02-20
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 19 8 — — $43,657.91 $119,768.72 $102,387.42 2026-02-20
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 8 — — $43,602.12 $119,614.04 $102,255.19 2026-02-20
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $43,405.48 $119,068.80 $101,789.07 2026-02-20
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $43,255.55 $118,653.09 $101,433.70 2026-02-20
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 19 8 — — $43,060.29 $118,111.71 $100,970.89 2026-02-20
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 19 8 — — $42,856.68 $117,547.13 $100,488.24 2026-02-20
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $97,892.14 $106,702.37 $99,849.95 2026-02-20
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 19 8 — — $42,552.64 $116,704.13 $99,767.57 2026-02-20
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 19 8 — — $42,552.64 $116,704.13 $99,767.57 2026-02-20
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $97,535.91 $106,314.08 $99,486.60 2026-02-20
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $42,238.13 $115,832.12 $99,022.11 2026-02-20
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $41,948.76 $115,029.72 $98,336.16 2026-02-20
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $96,039.74 $104,683.25 $97,960.51 2026-02-20
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 19 8 — — $41,494.77 $113,771.01 $97,260.12 2026-02-20
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $95,113.54 $103,673.70 $97,015.79 2026-02-20
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 8 — — $41,063.13 $112,574.17 $96,236.97 2026-02-20
A9543 HCPCS Y90 Ibritumomab, Rx 46 25 $116,003.00 $110,202.85 $56,824.55 $112,522.91 $95,818.48 2026-02-20
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $40,485.03 $110,971.30 $94,866.71 2026-02-20
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $92,976.16 $101,343.95 $94,835.65 2026-02-20
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $40,245.85 $110,308.11 $94,299.77 2026-02-20
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $92,192.45 $100,489.71 $94,036.27 2026-02-20
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $92,121.21 $100,412.05 $93,963.60 2026-02-20
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 19 8 — — $39,335.81 $107,784.89 $92,142.73 2026-02-20
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $39,005.98 $106,870.35 $91,360.91 2026-02-20
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 19 8 — — $39,005.98 $106,870.35 $91,360.91 2026-02-20
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $38,844.19 $106,421.77 $90,977.43 2026-02-20
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 8 — — $38,609.90 $105,772.12 $90,422.06 2026-02-20
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 19 8 — — $38,404.88 $105,203.67 $89,936.11 2026-02-20
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 19 8 — — $38,318.41 $104,963.91 $89,731.15 2026-02-20
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $87,632.70 $95,519.59 $89,385.33 2026-02-20
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $38,125.25 $104,428.34 $89,273.29 2026-02-20
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $38,089.69 $104,329.73 $89,188.99 2026-02-20
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $38,085.50 $104,318.13 $89,179.08 2026-02-20
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $37,561.81 $102,866.07 $87,937.75 2026-02-20
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $37,397.92 $102,411.69 $87,549.31 2026-02-20
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 19 8 — — $36,375.63 $99,577.18 $85,126.16 2026-02-20
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 19 8 — — $36,256.38 $99,246.55 $84,843.51 2026-02-20
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 19 8 — — $35,988.62 $98,504.09 $84,208.80 2026-02-20
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 19 8 — — $35,879.82 $98,202.46 $83,950.94 2026-02-20
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $35,586.25 $97,388.46 $83,255.07 2026-02-20
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 19 8 — — $35,379.14 $96,814.21 $82,764.16 2026-02-20
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $35,351.93 $96,738.81 $82,699.70 2026-02-20
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $81,078.06 $88,375.03 $82,699.60 2026-02-20
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 8 — — $35,337.99 $96,700.14 $82,666.64 2026-02-20
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 19 8 — — $35,212.48 $96,352.11 $82,369.12 2026-02-20
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 19 8 — — $34,539.54 $94,486.28 $80,774.06 2026-02-20
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 19 8 — — $34,333.82 $93,915.90 $80,286.46 2026-02-20
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 19 8 — — $34,277.34 $93,759.28 $80,152.57 2026-02-20
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $78,014.48 $85,035.73 $79,574.74 2026-02-20
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $33,763.40 $92,334.29 $78,934.38 2026-02-20
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 19 8 — — $33,619.05 $91,934.06 $78,592.23 2026-02-20
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 19 8 — — $33,612.79 $91,916.66 $78,577.36 2026-02-20
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $33,269.69 $90,965.37 $77,764.13 2026-02-20
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 8 — — $33,093.97 $90,478.13 $77,347.60 2026-02-20
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 19 8 — — $32,901.50 $89,944.49 $76,891.39 2026-02-20
A9699 HCPCS Pluvicto Per Dose 41 23 $90,041.00 $85,538.95 $45,020.50 $87,339.77 $76,534.85 2026-02-20
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 19 8 — — $32,603.73 $89,118.88 $76,185.61 2026-02-20
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 19 8 — — $32,590.49 $89,082.15 $76,154.20 2026-02-20
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $32,487.97 $88,797.92 $75,911.22 2026-02-20
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 19 8 — — $32,483.10 $88,784.39 $75,899.65 2026-02-20
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $73,454.73 $80,065.60 $74,923.80 2026-02-20
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 19 8 — — $31,923.13 $87,231.79 $74,572.37 2026-02-20
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $72,813.51 $79,366.68 $74,269.76 2026-02-20
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 19 8 — — $31,735.56 $86,711.67 $74,127.74 2026-02-20
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 19 8 — — $31,649.09 $86,471.92 $73,922.78 2026-02-20
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 19 8 — — $31,357.60 $85,663.72 $73,231.87 2026-02-20
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 19 8 — — $31,094.69 $84,934.79 $72,608.72 2026-02-20
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 19 8 — — $30,635.15 $83,660.61 $71,519.46 2026-02-20
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $70,034.92 $76,338.01 $71,435.59 2026-02-20
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $30,573.08 $83,488.53 $71,372.35 2026-02-20
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $69,179.96 $75,406.11 $70,563.54 2026-02-20
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 19 8 — — $30,208.38 $82,477.31 $70,507.88 2026-02-20
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 19 8 — — $30,164.45 $82,355.50 $70,403.75 2026-02-20
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 19 8 — — $29,953.86 $81,771.58 $69,904.57 2026-02-20
J9226 HCPCS Histrelin 50 Mg/12 Months 74 25 $10,088.89 $9,584.45 $5,044.44 $87,345.24 $69,707.29 2026-02-20
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $68,253.76 $74,396.56 $69,618.82 2026-02-20
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 19 8 — — $29,684.68 $81,025.25 $69,266.55 2026-02-20
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 19 8 — — $29,677.72 $81,005.92 $69,250.02 2026-02-20
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 19 8 — — $29,476.19 $80,447.13 $68,772.34 2026-02-20
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $66,900.09 $72,921.05 $68,238.07 2026-02-20
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 19 8 — — $29,137.26 $79,507.45 $67,969.02 2026-02-20
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 19 8 — — $29,121.25 $79,462.98 $67,931.01 2026-02-20
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $29,078.71 $79,345.04 $67,830.18 2026-02-20
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $28,937.85 $78,954.47 $67,496.29 2026-02-20
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $65,973.89 $71,911.49 $67,293.35 2026-02-20
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 8 — — $28,825.57 $78,643.18 $67,230.18 2026-02-20
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 19 8 — — $28,241.89 $77,024.84 $65,846.70 2026-02-20
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 19 8 — — $28,222.37 $76,970.70 $65,800.42 2026-02-20
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 19 8 — — $27,976.91 $76,290.11 $65,218.59 2026-02-20
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 19 8 — — $27,920.43 $76,133.50 $65,084.71 2026-02-20
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 19 8 — — $27,864.64 $75,978.82 $64,952.48 2026-02-20
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,480.28 $69,193.46 $64,749.86 2026-02-20
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 19 8 — — $27,743.30 $75,642.39 $64,664.87 2026-02-20
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 19 8 — — $27,730.05 $75,605.65 $64,633.47 2026-02-20
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 19 8 — — $27,579.43 $75,188.01 $64,276.44 2026-02-20
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 19 8 — — $27,414.16 $74,729.77 $63,884.70 2026-02-20
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 19 8 — — $27,386.96 $74,654.37 $63,820.24 2026-02-20
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 19 8 — — $27,311.64 $74,445.55 $63,641.72 2026-02-20
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $26,972.75 $73,505.87 $62,838.41 2026-02-20
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $61,342.89 $66,863.71 $62,569.73 2026-02-20
C1825 HCPCS System Barostim Neo Ipg & Csl 43 23 $73,500.00 $69,825.00 $33,442.50 $73,500.00 $62,475.00 2026-02-20
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 18 7 — — $27,117.09 $73,906.10 $62,465.68 2026-02-20
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 19 8 — — $26,766.33 $72,933.55 $62,349.15 2026-02-20
77371 CPT Gamma Knife 45 25 $73,260.00 $69,597.00 $6,083.48 $71,062.20 $62,271.00 2026-02-20
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 19 8 — — $26,556.43 $72,351.57 $61,851.63 2026-02-20
Q2043 HCPCS Sipuleucel-t,per Infusion 74 25 $75,805.34 $72,015.07 $270.99 $94,648.39 $61,850.47 2026-02-20
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $60,630.43 $66,087.13 $61,843.02 2026-02-20
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $60,559.18 $66,009.47 $61,770.35 2026-02-20
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $60,060.46 $65,465.86 $61,261.65 2026-02-20
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $59,419.25 $64,766.94 $60,607.61 2026-02-20
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $59,134.26 $64,456.31 $60,316.93 2026-02-20
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 8 — — $25,905.82 $70,547.61 $60,309.47 2026-02-20
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $58,920.52 $64,223.33 $60,098.92 2026-02-20
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 19 8 — — $25,729.41 $70,058.44 $59,891.29 2026-02-20
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $58,136.82 $63,369.09 $59,299.54 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 — — $25,460.23 $69,312.11 $59,253.27 2026-02-20
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 19 8 — — $25,458.83 $69,308.24 $59,249.96 2026-02-20
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 19 8 — — $25,454.64 $69,296.64 $59,240.04 2026-02-20
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 19 8 — — $25,337.50 $68,971.81 $58,962.36 2026-02-20
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 19 8 — — $25,225.91 $68,662.45 $58,697.89 2026-02-20
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Soln (kimmtrack) 46 25 $71,288.00 $67,723.60 $217.09 $69,149.36 $58,598.74 2026-02-20
J0177 HCPCS Aflibercept Soln 8 Mg/0.07 Ml (eylea) 46 25 $71,250.00 $67,687.50 $319.74 $69,112.50 $58,567.50 2026-02-20
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $25,080.87 $68,260.28 $58,354.09 2026-02-20
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $25,074.59 $68,242.88 $58,339.21 2026-02-20
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 19 8 — — $25,012.54 $68,070.80 $58,192.10 2026-02-20
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 8 — — $24,895.38 $67,745.97 $57,914.42 2026-02-20
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 19 8 — — $24,887.71 $67,724.70 $57,896.23 2026-02-20
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 19 8 — — $24,877.94 $67,697.64 $57,873.09 2026-02-20
J0179 HCPCS Brolucizumab-dbll Soln 6 Mg/0.05 Ml (beovu) 46 25 $70,300.00 $66,785.00 $346.19 $68,191.00 $57,786.60 2026-02-20
J0178 HCPCS Aflibercept Soln 2 Mg/0.05 Ml (eylea) 46 25 $70,300.00 $66,785.00 $790.04 $68,191.00 $57,786.60 2026-02-20
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 19 8 — — $24,834.71 $67,577.76 $57,770.61 2026-02-20
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $56,569.40 $61,660.61 $57,700.77 2026-02-20
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 19 8 — — $24,677.11 $67,140.79 $57,397.06 2026-02-20
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 19 8 — — $24,650.61 $67,067.31 $57,334.25 2026-02-20
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 8 — — $24,624.11 $66,993.84 $57,271.44 2026-02-20
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 19 8 — — $24,481.16 $66,597.47 $56,932.59 2026-02-20
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 8 — — $24,443.51 $66,493.07 $56,843.33 2026-02-20
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 5 5 — — $55,714.45 $60,728.71 $56,828.72 2026-02-20
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 19 8 — — $24,405.85 $66,388.66 $56,754.08 2026-02-20
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 19 8 — — $24,383.53 $66,326.78 $56,701.18 2026-02-20
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 19 8 — — $24,347.27 $66,226.24 $56,615.23 2026-02-20
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 8 — — $24,214.77 $65,858.88 $56,301.18 2026-02-20
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $55,001.99 $59,952.13 $56,102.01 2026-02-20
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 19 8 — — $24,115.75 $65,584.32 $56,066.47 2026-02-20
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $54,503.27 $59,408.52 $55,593.32 2026-02-20
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 19 8 — — $23,869.59 $64,901.79 $55,483.00 2026-02-20
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 19 8 — — $23,619.94 $64,209.60 $54,891.26 2026-02-20
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 8 — — $23,487.46 $63,842.24 $54,577.20 2026-02-20
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 19 8 — — $23,255.94 $63,200.31 $54,028.44 2026-02-20
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 8 — — $23,191.08 $63,020.50 $53,874.72 2026-02-20
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 19 8 — — $23,181.33 $62,993.43 $53,851.58 2026-02-20
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $52,437.13 $57,156.44 $53,485.86 2026-02-20
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 5 5 — — $52,365.88 $57,078.78 $53,413.18 2026-02-20
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 8 — — $22,911.46 $62,245.17 $53,211.91 2026-02-20
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $22,807.55 $61,957.07 $52,965.62 2026-02-20
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 19 8 — — $22,742.70 $61,777.26 $52,811.90 2026-02-20
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 19 8 — — $22,700.16 $61,659.32 $52,711.08 2026-02-20
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 19 8 — — $22,640.19 $61,493.03 $52,568.93 2026-02-20
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 19 8 — — $22,595.56 $61,369.29 $52,463.14 2026-02-20
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 19 8 — — $22,558.60 $61,266.81 $52,375.54 2026-02-20
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 19 8 — — $22,225.97 $60,344.54 $51,587.10 2026-02-20
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 19 8 — — $22,216.21 $60,317.47 $51,563.96 2026-02-20
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 19 8 — — $22,123.46 $60,060.31 $51,344.13 2026-02-20
C9293 HCPCS Glucarpidase Powd-inj 1000 Units 40 23 $60,150.20 $57,142.69 $30,075.10 $58,345.69 $51,127.67 2026-02-20
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 19 8 — — $22,026.54 $59,791.55 $51,114.37 2026-02-20
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $50,014.76 $54,516.06 $51,015.04 2026-02-20
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $21,981.91 $59,667.81 $51,008.59 2026-02-20
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $21,966.56 $59,625.27 $50,972.22 2026-02-20
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 19 8 — — $21,880.10 $59,385.52 $50,767.26 2026-02-20
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 19 8 — — $21,860.57 $59,331.38 $50,720.98 2026-02-20
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 19 8 — — $21,790.83 $59,138.03 $50,555.69 2026-02-20
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 19 8 — — $21,453.32 $58,202.22 $49,755.69 2026-02-20
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 19 8 — — $21,285.97 $57,738.18 $49,358.99 2026-02-20
57424 CDM Or Level 10 36 21 $56,848.00 $54,005.60 $30,328.41 $55,142.56 $49,315.64 2026-02-20
80320 CDM Ecmo Cannulation Bedside-tech 36 21 $56,848.00 $54,005.60 $30,328.41 $55,142.56 $49,315.64 2026-02-20
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 5 5 — — $48,304.86 $52,652.26 $49,270.94 2026-02-20
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 5 5 — — $48,091.12 $52,419.29 $49,052.93 2026-02-20
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $47,806.13 $52,108.65 $48,762.24 2026-02-20
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $21,023.77 $57,011.18 $48,737.50 2026-02-20
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 19 8 — — $20,970.78 $56,864.24 $48,611.88 2026-02-20
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 19 8 — — $20,914.98 $56,709.56 $48,479.64 2026-02-20
15360 CDM Or Level 10 Group 37 22 $56,848.00 $54,005.60 $28,424.00 $55,142.56 $48,320.80 2026-02-20
668 MS_DRG Ms-DRG 42.00: Transurethral Procedures With Mcc 19 8 — — $20,798.53 $56,386.66 $48,203.61 2026-02-20
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 8 — — $20,787.37 $56,355.72 $48,177.16 2026-02-20
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 19 8 — — $20,781.09 $56,338.32 $48,162.29 2026-02-20
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $20,769.93 $56,307.39 $48,135.84 2026-02-20
472 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Cc 19 8 — — $20,665.33 $56,017.36 $47,887.91 2026-02-20
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $46,737.44 $50,943.78 $47,672.18 2026-02-20
625 MS_DRG Ms-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 8 — — $20,455.44 $55,435.38 $47,390.38 2026-02-20
C1823 HCPCS Generator Plse 2.9-2.95v H80xl47.5mm Thk14.6mm Impl Remede 86 23 $55,650.00 $52,867.50 $24,365.25 $57,750.00 $47,355.00 2026-02-20
462 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $20,432.42 $55,371.57 $47,335.84 2026-02-20
325 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy Without Intraluminal Device 19 8 — — $20,420.56 $55,338.70 $47,307.74 2026-02-20
510 MS_DRG Ms-DRG 42.00: Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedur… 19 8 — — $20,392.68 $55,261.36 $47,241.62 2026-02-20
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $46,309.96 $50,477.83 $47,236.15 2026-02-20
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $46,238.72 $50,400.17 $47,163.48 2026-02-20
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 5 5 — — $46,167.47 $50,322.51 $47,090.81 2026-02-20
321 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 19 8 — — $20,313.87 $55,042.88 $47,054.84 2026-02-20
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $45,953.73 $50,089.54 $46,872.79 2026-02-20
33946 CPT Ecmo/ecls Initiation Venous 36 21 $53,950.00 $51,252.50 $28,782.33 $52,331.50 $46,801.62 2026-02-20
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $45,740.00 $49,856.56 $46,654.78 2026-02-20
654 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Cc 19 8 — — $20,141.64 $54,565.30 $46,646.58 2026-02-20
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $45,597.50 $49,701.25 $46,509.44 2026-02-20
406 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Cc 19 8 — — $20,046.09 $54,300.41 $46,420.13 2026-02-20
C1824 HCPCS Generator Plse Smrt Mini With Torq Wrnch And. 43 23 $54,600.00 $51,870.00 $24,843.00 $54,600.00 $46,410.00 2026-02-20
258 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Device Replacement With Mcc 19 8 — — $20,025.88 $54,244.34 $46,372.19 2026-02-20
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,312.52 $49,390.62 $46,218.76 2026-02-20
411 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Mcc 19 8 — — $19,544.03 $52,908.29 $45,230.04 2026-02-20
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $44,315.07 $48,303.40 $45,201.36 2026-02-20
288 MS_DRG Ms-DRG 42.00: Acute And Subacute Endocarditis With Mcc 19 8 — — $19,509.85 $52,813.55 $45,149.05 2026-02-20
619 MS_DRG Ms-DRG 42.00: O.r. Procedures For Obesity With Mcc 19 8 — — $19,474.97 $52,716.88 $45,066.40 2026-02-20
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $44,172.58 $48,148.08 $45,056.02 2026-02-20
963 MS_DRG Ms-DRG 42.00: Other Multiple Significant Trauma With Mcc 19 8 — — $19,406.64 $52,527.39 $44,904.42 2026-02-20
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $43,816.35 $47,759.79 $44,692.67 2026-02-20
61 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 19 8 — — $19,313.89 $52,270.24 $44,684.58 2026-02-20
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $43,745.11 $47,682.13 $44,619.99 2026-02-20
344 MS_DRG Ms-DRG 42.00: Minor Small And Large Bowel Procedures With Mcc 19 8 — — $19,251.83 $52,098.16 $44,537.47 2026-02-20
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $43,602.61 $47,526.82 $44,474.65 2026-02-20
208 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 8 — — $19,177.22 $51,891.27 $44,360.61 2026-02-20
263 MS_DRG Ms-DRG 42.00: Vein Ligation And Stripping 19 8 — — $19,165.36 $51,858.40 $44,332.51 2026-02-20
849 MS_DRG Ms-DRG 42.00: Radiotherapy 19 8 — — $19,088.66 $51,645.72 $44,150.69 2026-02-20
577 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 8 — — $19,030.78 $51,485.24 $44,013.50 2026-02-20
970 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures Without Mcc 19 8 — — $18,964.53 $51,301.56 $43,856.48 2026-02-20
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $42,961.40 $46,827.89 $43,820.61 2026-02-20
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 5 5 — — $42,961.40 $46,827.89 $43,820.61 2026-02-20
13 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $18,941.51 $51,237.75 $43,801.93 2026-02-20
503 MS_DRG Ms-DRG 42.00: Foot Procedures With Mcc 19 8 — — $18,917.81 $51,172.01 $43,745.73 2026-02-20
959 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma Without Cc/m… 19 8 — — $18,898.97 $51,119.81 $43,701.10 2026-02-20
J3357 HCPCS Ustekinumab Sub Cu Inj 79 25 $45,962.56 $43,664.43 $157.68 $51,314.39 $43,379.17 2026-02-20
468 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement Without Cc/mcc 19 8 — — $18,755.33 $50,721.51 $43,360.60 2026-02-20
255 MS_DRG Ms-DRG 42.00: Upper Limb And Toe Amputation For Circulatory System Disorders Wit… 19 8 — — $18,707.91 $50,590.03 $43,248.21 2026-02-20
749 MS_DRG Ms-DRG 42.00: Other Female Reproductive System O.r. Procedures With Cc/mcc 19 8 — — $18,513.37 $50,050.58 $42,787.05 2026-02-20
659 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 8 — — $18,483.37 $49,967.44 $42,715.97 2026-02-20
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $41,393.98 $45,119.41 $42,221.85 2026-02-20
846 MS_DRG Ms-DRG 42.00: Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mc… 19 8 — — $18,270.69 $49,377.72 $42,211.84 2026-02-20
253 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Cc 19 8 — — $18,265.10 $49,362.25 $42,198.61 2026-02-20
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $41,322.74 $45,041.76 $42,149.18 2026-02-20
483 MS_DRG Ms-DRG 42.00: Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 8 — — $18,231.63 $49,269.45 $42,119.27 2026-02-20
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 5 5 — — $41,180.25 $44,886.44 $42,003.84 2026-02-20
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 5 5 — — $41,109.00 $44,808.78 $41,931.17 2026-02-20
817 MS_DRG Ms-DRG 42.00: Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 8 — — $18,140.28 $49,016.16 $41,902.74 2026-02-20
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $41,037.75 $44,731.12 $41,858.50 2026-02-20
545 MS_DRG Ms-DRG 42.00: Connective Tissue Disorders With Mcc 19 8 — — $18,083.10 $48,857.61 $41,767.21 2026-02-20
498 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Of Hip And… 19 8 — — $18,069.15 $48,818.94 $41,734.15 2026-02-20
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $40,824.02 $44,498.15 $41,640.48 2026-02-20
164 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Cc 19 8 — — $18,014.06 $48,666.19 $41,603.57 2026-02-20
56 MS_DRG Ms-DRG 42.00: Degenerative Nervous System Disorders With Mcc 19 8 — — $17,924.10 $48,416.77 $41,390.34 2026-02-20
272 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures Without Cc/mcc 19 8 — — $17,910.85 $48,380.04 $41,358.94 2026-02-20
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $40,254.05 $43,876.88 $41,059.11 2026-02-20
397 MS_DRG Ms-DRG 42.00: Appendix Procedures With Mcc 19 8 — — $17,740.70 $47,908.26 $40,955.63 2026-02-20
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $40,040.31 $43,643.91 $40,841.10 2026-02-20
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