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

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Hospital

MARSHFIELD MEDICAL CENTER - MINOCQUA

Minocqua, WI · CCN 520212 · Rates published

8,678 distinct procedures filed
27 distinct payers
674,970 rate rows
2026-02-20 last MRF observed
Data quality

666,496 of 674,970 rate rows are consumer-grade (98.7%)

8,474 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 5,150
placeholder amount (≤ $0.02) — excluded from medians 2,489
exceeds 10× this hospital's gross charge — excluded from medians 625
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--minocqua_standardcharges.zip
Found on page https://www.marshfieldclinic.org/patient-resources/billing/cms-hospital-transparency-requirement
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-19
Content fingerprint 3b38be96964898be… · 37,593,037 bytes · first seen 2026-05-18

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 $259,785.82 $729,176.99 $623,356.00 nat. median
$370,174
1.7× median
1
MS_DRG 		Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $194,079.47 $544,634.08 $465,594.68 nat. median
$265,286
1.8× median
927
MS_DRG 		Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 8 $163,475.73 $458,680.34 $392,114.87 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 $147,702.60 $414,379.99 $354,243.56 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 $97,436.85 $273,203.55 $233,555.19 nat. median
$133,161
1.8× median
5834
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $219,421.84 $239,169.60 $223,810.37 nat. median
$309,665
0.7× median
14
MS_DRG 		Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 8 $90,358.51 $253,323.30 $216,560.05 nat. median
$117,357
1.8× median
7
MS_DRG 		Ms-DRG 42.00: Lung Transplant 8 $90,131.34 $252,685.25 $216,014.59 nat. median
$122,708
1.8× median
5833
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $191,054.44 $208,249.16 $194,875.61 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 $76,024.89 $213,065.90 $182,144.95 nat. median
$108,660
1.7× median
212
MS_DRG 		Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 8 $75,158.87 $210,633.56 $180,065.60 nat. median
$102,358
1.8× median
5
MS_DRG 		Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 8 $73,475.66 $205,906.15 $176,024.25 nat. median
$100,136
1.8× median
215
MS_DRG 		Ms-DRG 42.00: Other Heart Assist System Implant 8 $73,099.79 $204,850.46 $175,121.77 nat. median
$99,019
1.8× median
426
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $72,277.82 $202,541.86 $173,148.20 nat. median
$98,894
1.8× median
5884
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $163,679.90 $178,410.94 $166,953.57 nat. median
$246,434
0.7× median
216
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $66,603.17 $186,604.02 $159,523.32 nat. median
$93,672
1.7× median
1614
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $150,914.57 $164,496.74 $153,932.92 nat. median
$207,730
0.7× median
850
MS_DRG 		Ms-DRG 42.00: Acute Leukemia With Other Procedures 8 $63,579.62 $178,112.09 $152,263.77 nat. median
$83,470
1.8× median
24
APR_DRG 		Apr-DRG 41.00: Heart And/or Lung Transplant 5 $146,233.95 $159,394.87 $149,158.69 nat. median
$234,729
0.6× median
231
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 8 $58,499.07 $163,842.86 $140,065.35 nat. median
$79,312
1.8× median
456
MS_DRG 		Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 8 $58,466.72 $163,751.98 $139,987.66 nat. median
$81,118
1.7× median
429
MS_DRG 		Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 $57,581.40 $161,265.50 $137,862.03 nat. median
$82,711
1.7× median
20
MS_DRG 		Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 8 $55,657.27 $155,861.37 $133,242.16 nat. median
$77,570
1.7× median
10
MS_DRG 		Ms-DRG 42.00: Pancreas Transplant 8 $55,050.78 $154,157.95 $131,785.96 nat. median
$68,884
1.9× median
19
MS_DRG 		Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 8 $54,736.16 $153,274.35 $131,030.58 nat. median
$71,271
1.8× median
233
MS_DRG 		Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 8 $53,972.71 $151,130.09 $129,197.51 nat. median
$73,807
1.8× median
219
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 8 $53,429.54 $149,604.56 $127,893.37 nat. median
$74,915
1.7× median
957
MS_DRG 		Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 8 $51,548.08 $144,320.31 $123,375.99 nat. median
$72,135
1.7× median
5832
APR_DRG 		Apr-DRG 41.00: Neonate With Ecmo 5 $119,923.18 $130,716.16 $122,321.70 nat. median
$156,126
0.8× median
427
MS_DRG 		Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 8 $49,059.44 $137,330.70 $117,400.74 nat. median
$68,090
1.7× median
275
MS_DRG 		Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $48,813.68 $136,640.45 $116,810.66 nat. median
$68,886
1.7× median
1613
APR_DRG 		Apr-DRG 41.00: Implantable Heart Assist Systems 5 $114,391.54 $124,686.67 $116,679.42 nat. median
$119,796
1.0× median
114
APR_DRG 		Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $113,611.44 $123,836.36 $115,883.71 nat. median
$117,173
1.0× median
870
MS_DRG 		Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 8 $48,052.96 $134,503.93 $114,984.20 nat. median
$66,526
1.7× median
6304
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 $111,200.21 $121,208.12 $113,424.26 nat. median
$150,721
0.8× median
955
MS_DRG 		Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 7 $47,170.42 $132,025.18 $111,588.11 nat. median
$64,732
1.7× median
447
MS_DRG 		Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 8 $46,319.54 $129,635.37 $110,822.19 nat. median
$63,724
1.7× median
8414
APR_DRG 		Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 5 $108,434.39 $118,193.38 $110,603.12 nat. median
$160,267
0.7× median
928
MS_DRG 		Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 8 $46,141.93 $129,136.53 $110,395.74 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 $46,064.13 $128,918.05 $110,208.96 nat. median
$65,950
1.7× median
5934
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 $107,583.36 $117,265.77 $109,735.08 nat. median
$151,838
0.7× median
5914
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $106,519.59 $116,106.25 $108,650.02 nat. median
$164,289
0.7× median
5883
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $104,959.38 $114,405.63 $107,058.61 nat. median
$182,665
0.6× median
207
MS_DRG 		Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 8 $44,684.53 $125,043.31 $106,896.54 nat. median
$62,134
1.7× median
217
MS_DRG 		Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 8 $44,620.50 $124,863.50 $106,742.82 nat. median
$64,508
1.7× median
6314
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $104,604.79 $114,019.12 $106,696.93 nat. median
$122,924
0.9× median
6094
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $103,470.09 $112,782.30 $105,539.54 nat. median
$162,982
0.6× median
969
MS_DRG 		Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 8 $43,700.78 $122,280.34 $104,534.54 nat. median
$60,185
1.7× median
790
MS_DRG 		Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 7 $41,088.21 $114,942.71 $104,390.69 nat. median
$52,303
2.0× median
5882
APR_DRG 		Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 $102,193.56 $111,390.89 $104,237.47 nat. median
$145,336
0.7× median

Other procedures at this hospital

Browse this hospital's 8,678 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 — — $194,079.47 $544,634.08 $465,594.68 2026-02-20
10 MS_DRG Ms-DRG 42.00: Pancreas Transplant 19 8 — — $55,050.78 $154,157.95 $131,785.96 2026-02-20
11 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $37,309.47 $104,329.73 $89,188.99 2026-02-20
112 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $43,614.88 $47,540.18 $44,487.19 2026-02-20
113 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $61,060.83 $66,556.25 $62,282.07 2026-02-20
114 APR_DRG Apr-DRG 41.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $113,611.44 $123,836.36 $115,883.71 2026-02-20
12 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $28,413.70 $79,345.04 $67,830.18 2026-02-20
12 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $43,543.96 $47,462.88 $44,414.86 2026-02-20
13 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $52,196.02 $56,893.61 $53,239.96 2026-02-20
13 MS_DRG Ms-DRG 42.00: Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Wi… 19 8 — — $18,406.12 $51,237.75 $43,801.93 2026-02-20
14 MS_DRG Ms-DRG 42.00: Allogeneic Bone Marrow Transplant 19 8 — — $90,358.51 $253,323.30 $216,560.05 2026-02-20
14 APR_DRG Apr-DRG 41.00: Liver Transplant And/or Intestinal Transplant 5 5 — — $91,768.54 $100,027.62 $93,603.95 2026-02-20
140 MS_DRG Ms-DRG 42.00: Major Head And Neck Procedures With Mcc 19 8 — — $29,277.67 $81,771.58 $69,904.57 2026-02-20
143 MS_DRG Ms-DRG 42.00: Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 19 8 — — $22,893.94 $63,842.24 $54,577.20 2026-02-20
15360 CDM Or Level 10 Group 37 22 $53,993.00 $51,293.35 $26,996.50 $52,373.21 $45,894.05 2026-02-20
16 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant With Cc/mcc 19 8 — — $41,715.37 $116,704.13 $99,767.57 2026-02-20
1604 APR_DRG Apr-DRG 41.00: Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $68,861.86 $75,059.37 $70,239.13 2026-02-20
1611 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $87,229.76 $95,080.35 $88,974.39 2026-02-20
1612 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $91,697.62 $99,950.32 $93,531.61 2026-02-20
1613 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $114,391.54 $124,686.67 $116,679.42 2026-02-20
1614 APR_DRG Apr-DRG 41.00: Implantable Heart Assist Systems 5 5 — — $150,914.57 $164,496.74 $153,932.92 2026-02-20
1623 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $39,856.20 $43,443.22 $40,653.34 2026-02-20
1624 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $58,862.36 $64,159.91 $60,039.63 2026-02-20
163 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Mcc 19 8 — — $31,893.66 $89,118.88 $76,185.61 2026-02-20
1634 APR_DRG Apr-DRG 41.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 5 5 — — $49,784.79 $54,265.37 $50,780.50 2026-02-20
164 MS_DRG Ms-DRG 42.00: Major Chest Procedures With Cc 19 8 — — $17,490.52 $48,666.19 $41,603.57 2026-02-20
1654 APR_DRG Apr-DRG 41.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $46,097.03 $50,245.71 $47,018.99 2026-02-20
166 MS_DRG Ms-DRG 42.00: Other Respiratory System O.r. Procedures With Mcc 19 8 — — $26,669.24 $74,445.55 $63,641.72 2026-02-20
1664 APR_DRG Apr-DRG 41.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $40,636.30 $44,293.53 $41,449.04 2026-02-20
1674 APR_DRG Apr-DRG 41.00: Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $46,026.11 $50,168.41 $46,946.65 2026-02-20
17 MS_DRG Ms-DRG 42.00: Autologous Bone Marrow Transplant Without Cc/mcc 19 8 — — $41,715.37 $116,704.13 $99,767.57 2026-02-20
173 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis With Principal Diagn… 19 8 — — $21,287.85 $59,331.38 $50,720.98 2026-02-20
1784 APR_DRG Apr-DRG 41.00: External Heart Assist Systems 5 5 — — $47,869.99 $52,178.24 $48,827.41 2026-02-20
1794 APR_DRG Apr-DRG 41.00: Defibrillator Implants 5 5 — — $40,990.89 $44,680.04 $41,810.73 2026-02-20
18 MS_DRG Ms-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 8 — — $259,785.82 $729,176.99 $623,356.00 2026-02-20
1834 APR_DRG Apr-DRG 41.00: Percutaneous Structural Cardiac Procedures 5 5 — — $42,763.86 $46,612.56 $43,619.15 2026-02-20
19 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant With Hemodialysis 19 8 — — $54,736.16 $153,274.35 $131,030.58 2026-02-20
2 MS_DRG Ms-DRG 42.00: Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 8 — — $76,024.89 $213,065.90 $182,144.95 2026-02-20
20 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $55,657.27 $155,861.37 $133,242.16 2026-02-20
207 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support >96 Hours 19 8 — — $44,684.53 $125,043.31 $106,896.54 2026-02-20
208 MS_DRG Ms-DRG 42.00: Respiratory System Diagnosis With Ventilator Support <=96 Hours 19 8 — — $18,638.80 $51,891.27 $44,360.61 2026-02-20
21 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $38,214.06 $106,870.35 $91,360.91 2026-02-20
21 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $54,749.08 $59,676.45 $55,844.09 2026-02-20
212 MS_DRG Ms-DRG 42.00: Concomitant Aortic And Mitral Valve Procedures 19 8 — — $75,158.87 $210,633.56 $180,065.60 2026-02-20
215 MS_DRG Ms-DRG 42.00: Other Heart Assist System Implant 19 8 — — $73,099.79 $204,850.46 $175,121.77 2026-02-20
216 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $66,603.17 $186,604.02 $159,523.32 2026-02-20
217 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $44,620.50 $124,863.50 $106,742.82 2026-02-20
218 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures With Cardi… 19 8 — — $41,119.20 $115,029.72 $98,336.16 2026-02-20
219 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $53,429.54 $149,604.56 $127,893.37 2026-02-20
22 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $66,592.47 $72,585.73 $67,924.35 2026-02-20
22 MS_DRG Ms-DRG 42.00: Intracranial Vascular Procedures With Principal Diagnosis Hemorrha… 19 8 — — $24,466.98 $68,260.28 $58,354.09 2026-02-20
220 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $36,626.57 $102,411.69 $87,549.31 2026-02-20
221 MS_DRG Ms-DRG 42.00: Cardiac Valve And Other Major Cardiothoracic Procedures Without Ca… 19 8 — — $31,779.39 $88,797.92 $75,911.22 2026-02-20
228 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures With Mcc 19 8 — — $34,469.05 $96,352.11 $82,369.12 2026-02-20
229 MS_DRG Ms-DRG 42.00: Other Cardiothoracic Procedures Without Mcc 19 8 — — $21,547.38 $60,060.31 $51,344.13 2026-02-20
23 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $92,548.64 $100,877.94 $94,399.65 2026-02-20
23 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $39,438.07 $110,308.11 $94,299.77 2026-02-20
231 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca With Mcc 19 8 — — $58,499.07 $163,842.86 $140,065.35 2026-02-20
232 MS_DRG Ms-DRG 42.00: Coronary Bypass With Ptca Without Mcc 19 8 — — $42,216.55 $118,111.71 $100,970.89 2026-02-20
233 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $53,972.71 $151,130.09 $129,197.51 2026-02-20
234 MS_DRG Ms-DRG 42.00: Coronary Bypass With Cardiac Catheterization Or Open Ablation With… 19 8 — — $36,788.34 $102,866.07 $87,937.75 2026-02-20
235 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization With Mcc 19 8 — — $40,671.04 $113,771.01 $97,260.12 2026-02-20
236 MS_DRG Ms-DRG 42.00: Coronary Bypass Without Cardiac Catheterization Without Mcc 19 8 — — $28,471.52 $79,507.45 $67,969.02 2026-02-20
239 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $34,838.04 $97,388.46 $83,255.07 2026-02-20
24 APR_DRG Apr-DRG 41.00: Heart And/or Lung Transplant 5 5 — — $146,233.95 $159,394.87 $149,158.69 2026-02-20
24 MS_DRG Ms-DRG 42.00: Craniotomy With Major Device Implant Or Acute Complex Cns Principa… 19 8 — — $26,334.65 $73,505.87 $62,838.41 2026-02-20
240 MS_DRG Ms-DRG 42.00: Amputation For Circulatory System Disorders Except Upper Limb And … 19 8 — — $20,211.16 $56,307.39 $48,135.84 2026-02-20
242 MS_DRG Ms-DRG 42.00: Permanent Cardiac Pacemaker Implant With Mcc 19 8 — — $23,514.20 $65,584.32 $56,066.47 2026-02-20
245 MS_DRG Ms-DRG 42.00: Aicd Generator Procedures 19 8 — — $33,804.72 $94,486.28 $80,774.06 2026-02-20
25 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Mcc 19 8 — — $30,951.22 $86,471.92 $73,922.78 2026-02-20
252 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Mcc 19 8 — — $23,778.55 $66,326.78 $56,701.18 2026-02-20
253 MS_DRG Ms-DRG 42.00: Other Vascular Procedures With Cc 19 8 — — $17,738.35 $49,362.25 $42,198.61 2026-02-20
255 MS_DRG Ms-DRG 42.00: Upper Limb And Toe Amputation For Circulatory System Disorders Wit… 19 8 — — $18,175.49 $50,590.03 $43,248.21 2026-02-20
258 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Device Replacement With Mcc 19 8 — — $19,476.61 $54,244.34 $46,372.19 2026-02-20
26 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures With Cc 19 8 — — $21,219.01 $59,138.03 $50,555.69 2026-02-20
260 MS_DRG Ms-DRG 42.00: Cardiac Pacemaker Revision Except Device Replacement With Mcc 19 8 — — $23,611.97 $65,858.88 $56,301.18 2026-02-20
263 MS_DRG Ms-DRG 42.00: Vein Ligation And Stripping 19 8 — — $18,627.10 $51,858.40 $44,332.51 2026-02-20
264 MS_DRG Ms-DRG 42.00: Other Circulatory System O.r. Procedures 19 8 — — $24,223.96 $67,577.76 $57,770.61 2026-02-20
265 MS_DRG Ms-DRG 42.00: Aicd Lead Procedures 19 8 — — $24,720.31 $68,971.81 $58,962.36 2026-02-20
266 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $41,404.88 $115,832.12 $99,022.11 2026-02-20
267 MS_DRG Ms-DRG 42.00: Endovascular Cardiac Valve Replacement And Supplement Procedures W… 19 8 — — $32,551.11 $90,965.37 $77,764.13 2026-02-20
268 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon With M… 19 8 — — $46,064.13 $128,918.05 $110,208.96 2026-02-20
269 MS_DRG Ms-DRG 42.00: Aortic And Heart Assist Procedures Except Pulsation Balloon Withou… 19 8 — — $28,806.10 $80,447.13 $68,772.34 2026-02-20
27 MS_DRG Ms-DRG 42.00: Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 19 8 — — $17,151.82 $47,714.91 $40,790.34 2026-02-20
270 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Mcc 19 8 — — $35,499.62 $99,246.55 $84,843.51 2026-02-20
271 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures With Cc 19 8 — — $23,874.93 $66,597.47 $56,932.59 2026-02-20
272 MS_DRG Ms-DRG 42.00: Other Major Cardiovascular Procedures Without Cc/mcc 19 8 — — $17,388.64 $48,380.04 $41,358.94 2026-02-20
273 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures With Mcc 19 8 — — $27,082.28 $75,605.65 $64,633.47 2026-02-20
274 MS_DRG Ms-DRG 42.00: Percutaneous And Other Intracardiac Procedures Without Mcc 19 8 — — $21,648.58 $60,344.54 $51,587.10 2026-02-20
275 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 19 8 — — $48,813.68 $136,640.45 $116,810.66 2026-02-20
276 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimu… 19 8 — — $42,806.51 $119,768.72 $102,387.42 2026-02-20
277 MS_DRG Ms-DRG 42.00: Cardiac Defibrillator Implant Without Mcc 19 8 — — $32,187.62 $89,944.49 $76,891.39 2026-02-20
278 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $34,606.73 $96,738.81 $82,699.70 2026-02-20
279 MS_DRG Ms-DRG 42.00: Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascul… 19 8 — — $22,222.73 $61,957.07 $52,965.62 2026-02-20
28 MS_DRG Ms-DRG 42.00: Spinal Procedures With Mcc 19 8 — — $42,015.52 $117,547.13 $100,488.24 2026-02-20
288 MS_DRG Ms-DRG 42.00: Acute And Subacute Endocarditis With Mcc 19 8 — — $18,967.18 $52,813.55 $45,149.05 2026-02-20
29 MS_DRG Ms-DRG 42.00: Spinal Procedures With Cc Or Spinal Neurostimulators 19 8 — — $23,271.19 $64,901.79 $55,483.00 2026-02-20
3 MS_DRG Ms-DRG 42.00: Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Exce… 19 8 — — $147,702.60 $414,379.99 $354,243.56 2026-02-20
3033 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $40,849.06 $44,525.43 $41,666.05 2026-02-20
3034 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $59,784.30 $65,164.83 $60,980.01 2026-02-20
3044 APR_DRG Apr-DRG 41.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $43,402.12 $47,308.27 $44,270.18 2026-02-20
31 MS_DRG Ms-DRG 42.00: Ventricular Shunt Procedures With Mcc 19 8 — — $29,011.93 $81,025.25 $69,266.55 2026-02-20
317 MS_DRG Ms-DRG 42.00: Concomitant Left Atrial Appendage Closure And Cardiac Ablation 19 8 — — $42,751.44 $119,614.04 $102,255.19 2026-02-20
319 MS_DRG Ms-DRG 42.00: Other Endovascular Cardiac Valve Procedures With Mcc 19 8 — — $30,403.93 $84,934.79 $72,608.72 2026-02-20
321 MS_DRG Ms-DRG 42.00: Percutaneous Cardiovascular Procedures With Intraluminal Device Wi… 19 8 — — $19,760.92 $55,042.88 $47,054.84 2026-02-20
323 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device With M… 19 8 — — $29,485.56 $82,355.50 $70,403.75 2026-02-20
324 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy With Intraluminal Device Withou… 19 8 — — $22,158.70 $61,777.26 $52,811.90 2026-02-20
325 MS_DRG Ms-DRG 42.00: Coronary Intravascular Lithotripsy Without Intraluminal Device 19 8 — — $19,866.25 $55,338.70 $47,307.74 2026-02-20
326 MS_DRG Ms-DRG 42.00: Stomach, Esophageal And Duodenal Procedures With Mcc 19 8 — — $35,127.87 $98,202.46 $83,950.94 2026-02-20
329 MS_DRG Ms-DRG 42.00: Major Small And Large Bowel Procedures With Mcc 19 8 — — $31,774.57 $88,784.39 $75,899.65 2026-02-20
332 MS_DRG Ms-DRG 42.00: Rectal Resection With Mcc 19 8 — — $24,042.22 $67,067.31 $57,334.25 2026-02-20
335 MS_DRG Ms-DRG 42.00: Peritoneal Adhesiolysis With Mcc 19 8 — — $25,107.21 $70,058.44 $59,891.29 2026-02-20
34 MS_DRG Ms-DRG 42.00: Carotid Artery Stent Procedures With Mcc 19 8 — — $26,933.58 $75,188.01 $64,276.44 2026-02-20
344 MS_DRG Ms-DRG 42.00: Minor Small And Large Bowel Procedures With Mcc 19 8 — — $18,712.46 $52,098.16 $44,537.47 2026-02-20
353 MS_DRG Ms-DRG 42.00: Hernia Procedures Except Inguinal And Femoral With Mcc 19 8 — — $20,354.34 $56,709.56 $48,479.64 2026-02-20
356 MS_DRG Ms-DRG 42.00: Other Digestive System O.r. Procedures With Mcc 19 8 — — $29,528.94 $82,477.31 $70,507.88 2026-02-20
37 MS_DRG Ms-DRG 42.00: Extracranial Procedures With Mcc 19 8 — — $23,024.74 $64,209.60 $54,891.26 2026-02-20
397 MS_DRG Ms-DRG 42.00: Appendix Procedures With Mcc 19 8 — — $17,220.66 $47,908.26 $40,955.63 2026-02-20
4 MS_DRG Ms-DRG 42.00: Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face,… 19 8 — — $97,436.85 $273,203.55 $233,555.19 2026-02-20
40 MS_DRG Ms-DRG 42.00: Peripheral, Cranial Nerve And Other Nervous System Procedures With… 19 8 — — $26,130.90 $72,933.55 $62,349.15 2026-02-20
402 MS_DRG Ms-DRG 42.00: Single Level Combined Anterior And Posterior Spinal Fusion Except … 19 8 — — $27,095.37 $75,642.39 $64,664.87 2026-02-20
405 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Mcc 19 8 — — $37,535.28 $104,963.91 $89,731.15 2026-02-20
406 MS_DRG Ms-DRG 42.00: Pancreas, Liver And Shunt Procedures With Cc 19 8 — — $19,496.57 $54,300.41 $46,420.13 2026-02-20
408 MS_DRG Ms-DRG 42.00: Biliary Tract Procedures Except Only Cholecystectomy With Or Witho… 19 8 — — $24,266.66 $67,697.64 $57,873.09 2026-02-20
411 MS_DRG Ms-DRG 42.00: Cholecystectomy With C.d.e. With Mcc 19 8 — — $19,000.91 $52,908.29 $45,230.04 2026-02-20
414 MS_DRG Ms-DRG 42.00: Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 19 8 — — $24,283.85 $67,745.97 $57,914.42 2026-02-20
42 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $41,132.73 $44,834.64 $41,955.40 2026-02-20
420 MS_DRG Ms-DRG 42.00: Hepatobiliary Diagnostic Procedures With Mcc 19 8 — — $24,460.78 $68,242.88 $58,339.21 2026-02-20
423 MS_DRG Ms-DRG 42.00: Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 19 8 — — $28,163.80 $78,643.18 $67,230.18 2026-02-20
426 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $72,277.82 $202,541.86 $173,148.20 2026-02-20
427 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $49,059.44 $137,330.70 $117,400.74 2026-02-20
428 MS_DRG Ms-DRG 42.00: Multiple Level Combined Anterior And Posterior Spinal Fusion Excep… 19 8 — — $38,054.35 $106,421.77 $90,977.43 2026-02-20
429 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 19 8 — — $57,581.40 $161,265.50 $137,862.03 2026-02-20
43 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $63,188.38 $68,875.28 $64,452.18 2026-02-20
430 MS_DRG Ms-DRG 42.00: Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 19 8 — — $37,823.04 $105,772.12 $90,422.06 2026-02-20
44 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $95,598.14 $104,201.88 $97,510.14 2026-02-20
4404 APR_DRG Apr-DRG 41.00: Kidney Transplant 5 5 — — $55,458.27 $60,449.46 $56,567.46 2026-02-20
447 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-ma… 19 8 — — $46,319.54 $129,635.37 $110,822.19 2026-02-20
448 MS_DRG Ms-DRG 42.00: Multiple Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $28,274.64 $78,954.47 $67,496.29 2026-02-20
450 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made… 19 8 — — $35,617.34 $99,577.18 $85,126.16 2026-02-20
451 MS_DRG Ms-DRG 42.00: Single Level Spinal Fusion Except Cervical Without Mcc 19 8 — — $21,407.64 $59,667.81 $51,008.59 2026-02-20
456 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $58,466.72 $163,751.98 $139,987.66 2026-02-20
457 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $39,674.19 $110,971.30 $94,866.71 2026-02-20
458 MS_DRG Ms-DRG 42.00: Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, I… 19 8 — — $29,888.98 $83,488.53 $71,372.35 2026-02-20
461 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $42,409.29 $118,653.09 $101,433.70 2026-02-20
462 MS_DRG Ms-DRG 42.00: Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Wi… 19 8 — — $19,877.97 $55,371.57 $47,335.84 2026-02-20
463 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $37,344.58 $104,428.34 $89,273.29 2026-02-20
464 MS_DRG Ms-DRG 42.00: Wound Debridement And Skin Graft Except Hand For Musculoskeletal A… 19 8 — — $20,461.74 $57,011.18 $48,737.50 2026-02-20
466 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Mcc 19 8 — — $35,235.26 $98,504.09 $84,208.80 2026-02-20
467 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement With Cc 19 8 — — $23,742.76 $66,226.24 $56,615.23 2026-02-20
468 MS_DRG Ms-DRG 42.00: Revision Of Hip Or Knee Replacement Without Cc/mcc 19 8 — — $18,222.30 $50,721.51 $43,360.60 2026-02-20
469 MS_DRG Ms-DRG 42.00: Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extr… 19 8 — — $22,665.39 $63,200.31 $54,028.44 2026-02-20
471 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Mcc 19 8 — — $33,601.64 $93,915.90 $80,286.46 2026-02-20
472 MS_DRG Ms-DRG 42.00: Cervical Spinal Fusion With Cc 19 8 — — $20,107.89 $56,017.36 $47,887.91 2026-02-20
474 MS_DRG Ms-DRG 42.00: Amputation For Musculoskeletal System And Connective Tissue Disord… 19 8 — — $31,036.59 $86,711.67 $74,127.74 2026-02-20
477 MS_DRG Ms-DRG 42.00: Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 19 8 — — $23,837.77 $66,493.07 $56,843.33 2026-02-20
480 MS_DRG Ms-DRG 42.00: Hip And Femur Procedures Except Major Joint With Mcc 19 8 — — $20,409.41 $56,864.24 $48,611.88 2026-02-20
483 MS_DRG Ms-DRG 42.00: Major Joint Or Limb Reattachment Procedures Of Upper Extremities 19 8 — — $17,705.31 $49,269.45 $42,119.27 2026-02-20
485 MS_DRG Ms-DRG 42.00: Knee Procedures With Principal Diagnosis Of Infection With Mcc 19 8 — — $22,325.29 $62,245.17 $53,211.91 2026-02-20
492 MS_DRG Ms-DRG 42.00: Lower Extremity And Humerus Procedures Except Hip, Foot And Femur … 19 8 — — $24,610.17 $68,662.45 $58,697.89 2026-02-20
495 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Except Hip… 19 8 — — $24,399.51 $68,070.80 $58,192.10 2026-02-20
498 MS_DRG Ms-DRG 42.00: Local Excision And Removal Of Internal Fixation Devices Of Hip And… 19 8 — — $17,544.90 $48,818.94 $41,734.15 2026-02-20
5 MS_DRG Ms-DRG 42.00: Liver Transplant With Mcc Or Intestinal Transplant 19 8 — — $73,475.66 $205,906.15 $176,024.25 2026-02-20
500 MS_DRG Ms-DRG 42.00: Soft Tissue Procedures With Mcc 19 8 — — $21,976.96 $61,266.81 $52,375.54 2026-02-20
503 MS_DRG Ms-DRG 42.00: Foot Procedures With Mcc 19 8 — — $18,382.70 $51,172.01 $43,745.73 2026-02-20
510 MS_DRG Ms-DRG 42.00: Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedur… 19 8 — — $19,838.73 $55,261.36 $47,241.62 2026-02-20
515 MS_DRG Ms-DRG 42.00: Other Musculoskeletal System And Connective Tissue O.r. Procedures… 19 8 — — $21,451.69 $59,791.55 $51,114.37 2026-02-20
518 MS_DRG Ms-DRG 42.00: Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Dev… 19 8 — — $24,835.97 $69,296.64 $59,240.04 2026-02-20
521 MS_DRG Ms-DRG 42.00: Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 19 8 — — $20,228.38 $56,355.72 $48,177.16 2026-02-20
53 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $46,522.54 $50,709.52 $47,453.01 2026-02-20
54 APR_DRG Apr-DRG 41.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $65,670.53 $71,580.82 $66,983.97 2026-02-20
545 MS_DRG Ms-DRG 42.00: Connective Tissue Disorders With Mcc 19 8 — — $17,558.67 $48,857.61 $41,767.21 2026-02-20
56 MS_DRG Ms-DRG 42.00: Degenerative Nervous System Disorders With Mcc 19 8 — — $17,401.71 $48,416.77 $41,390.34 2026-02-20
570 MS_DRG Ms-DRG 42.00: Skin Debridement With Mcc 19 8 — — $20,885.82 $58,202.22 $49,755.69 2026-02-20
573 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $42,557.30 $119,068.80 $101,789.07 2026-02-20
574 MS_DRG Ms-DRG 42.00: Skin Graft For Skin Ulcer Or Cellulitis With Cc 19 8 — — $24,016.06 $66,993.84 $57,271.44 2026-02-20
57424 CDM Or Level 10 36 21 $53,993.00 $51,293.35 $28,490.10 $52,373.21 $46,838.93 2026-02-20
576 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 19 8 — — $37,305.35 $104,318.13 $89,179.08 2026-02-20
577 MS_DRG Ms-DRG 42.00: Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 19 8 — — $18,494.23 $51,485.24 $44,013.50 2026-02-20
579 MS_DRG Ms-DRG 42.00: Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 19 8 — — $22,601.36 $63,020.50 $53,874.72 2026-02-20
5831 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $97,087.43 $105,825.21 $99,029.22 2026-02-20
5832 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $119,923.18 $130,716.16 $122,321.70 2026-02-20
5833 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $191,054.44 $208,249.16 $194,875.61 2026-02-20
5834 APR_DRG Apr-DRG 41.00: Neonate With Ecmo 5 5 — — $219,421.84 $239,169.60 $223,810.37 2026-02-20
5881 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $67,939.92 $74,054.45 $69,298.75 2026-02-20
5882 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $102,193.56 $111,390.89 $104,237.47 2026-02-20
5883 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $104,959.38 $114,405.63 $107,058.61 2026-02-20
5884 APR_DRG Apr-DRG 41.00: Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $163,679.90 $178,410.94 $166,953.57 2026-02-20
5912 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $41,203.65 $44,911.94 $42,027.74 2026-02-20
5913 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $69,712.89 $75,986.98 $71,107.17 2026-02-20
5914 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $106,519.59 $116,106.25 $108,650.02 2026-02-20
5932 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $56,309.29 $61,377.07 $57,435.50 2026-02-20
5933 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $72,478.71 $79,001.72 $73,928.31 2026-02-20
5934 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $107,583.36 $117,265.77 $109,735.08 2026-02-20
6 MS_DRG Ms-DRG 42.00: Liver Transplant Without Mcc 19 8 — — $33,545.88 $93,759.28 $80,152.57 2026-02-20
6022 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $45,529.68 $49,627.31 $46,440.29 2026-02-20
6023 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $58,649.60 $63,928.01 $59,822.62 2026-02-20
6024 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 5 5 — — $77,655.76 $84,644.70 $79,208.91 2026-02-20
6034 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 5 5 — — $80,705.25 $87,968.65 $82,319.39 2026-02-20
6073 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $45,387.84 $49,472.70 $46,295.62 2026-02-20
6074 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 5 5 — — $60,351.64 $65,783.24 $61,558.70 2026-02-20
6093 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $45,104.17 $49,163.50 $46,006.27 2026-02-20
6094 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $103,470.09 $112,782.30 $105,539.54 2026-02-20
61 MS_DRG Ms-DRG 42.00: Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With … 19 8 — — $18,773.74 $52,270.24 $44,684.58 2026-02-20
6114 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $45,742.43 $49,859.21 $46,657.30 2026-02-20
6124 APR_DRG Apr-DRG 41.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 5 5 — — $43,969.47 $47,926.68 $44,848.88 2026-02-20
616 MS_DRG Ms-DRG 42.00: Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic … 19 8 — — $26,770.43 $74,729.77 $63,884.70 2026-02-20
619 MS_DRG Ms-DRG 42.00: O.r. Procedures For Obesity With Mcc 19 8 — — $18,932.76 $52,716.88 $45,066.40 2026-02-20
62 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $47,586.31 $51,869.04 $48,538.06 2026-02-20
622 MS_DRG Ms-DRG 42.00: Skin Grafts And Wound Debridement For Endocrine, Nutritional And M… 19 8 — — $25,923.67 $72,351.57 $61,851.63 2026-02-20
625 MS_DRG Ms-DRG 42.00: Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 19 8 — — $19,900.69 $55,435.38 $47,390.38 2026-02-20
628 MS_DRG Ms-DRG 42.00: Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mc… 19 8 — — $27,325.99 $76,290.11 $65,218.59 2026-02-20
63 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $57,869.50 $63,077.70 $59,026.91 2026-02-20
6303 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $60,280.72 $65,705.93 $61,486.36 2026-02-20
6304 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 5 5 — — $111,200.21 $121,208.12 $113,424.26 2026-02-20
6314 APR_DRG Apr-DRG 41.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $104,604.79 $114,019.12 $106,696.93 2026-02-20
64 APR_DRG Apr-DRG 41.00: Pancreas Transplant 5 5 — — $73,116.97 $79,697.43 $74,579.34 2026-02-20
650 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis With Mcc 19 8 — — $31,880.59 $89,082.15 $76,154.20 2026-02-20
651 MS_DRG Ms-DRG 42.00: Kidney Transplant With Hemodialysis Without Mcc 19 8 — — $24,068.38 $67,140.79 $57,397.06 2026-02-20
652 MS_DRG Ms-DRG 42.00: Kidney Transplant 19 8 — — $21,307.13 $59,385.52 $50,767.26 2026-02-20
653 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Mcc 19 8 — — $38,539.68 $107,784.89 $92,142.73 2026-02-20
654 MS_DRG Ms-DRG 42.00: Major Bladder Procedures With Cc 19 8 — — $19,590.88 $54,565.30 $46,646.58 2026-02-20
656 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Neoplasm With Mcc 19 8 — — $22,591.73 $62,993.43 $53,851.58 2026-02-20
659 MS_DRG Ms-DRG 42.00: Kidney And Ureter Procedures For Non-neoplasm With Mcc 19 8 — — $17,953.82 $49,967.44 $42,715.97 2026-02-20
662 MS_DRG Ms-DRG 42.00: Minor Bladder Procedures With Mcc 19 8 — — $21,638.93 $60,317.47 $51,563.96 2026-02-20
665 MS_DRG Ms-DRG 42.00: Prostatectomy With Mcc 19 8 — — $23,800.58 $66,388.66 $56,754.08 2026-02-20
668 MS_DRG Ms-DRG 42.00: Transurethral Procedures With Mcc 19 8 — — $20,239.38 $56,386.66 $48,203.61 2026-02-20
673 MS_DRG Ms-DRG 42.00: Other Kidney And Urinary Tract Procedures With Mcc 19 8 — — $29,005.05 $81,005.92 $69,250.02 2026-02-20
6804 APR_DRG Apr-DRG 41.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 5 5 — — $40,068.95 $43,675.12 $40,870.35 2026-02-20
7 MS_DRG Ms-DRG 42.00: Lung Transplant 19 8 — — $90,131.34 $252,685.25 $216,014.59 2026-02-20
72 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $42,763.86 $46,612.56 $43,619.15 2026-02-20
73 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $54,252.65 $59,135.34 $55,337.73 2026-02-20
736 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Wi… 19 8 — — $27,270.23 $76,133.50 $65,084.71 2026-02-20
739 MS_DRG Ms-DRG 42.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mali… 19 8 — — $27,568.31 $76,970.70 $65,800.42 2026-02-20
74 APR_DRG Apr-DRG 41.00: Allogeneic Bone Marrow Transplant 5 5 — — $94,676.20 $103,196.97 $96,569.76 2026-02-20
749 MS_DRG Ms-DRG 42.00: Other Female Reproductive System O.r. Procedures With Cc/mcc 19 8 — — $17,983.43 $50,050.58 $42,787.05 2026-02-20
77371 CPT Gamma Knife 45 25 $73,218.00 $69,557.10 $6,083.48 $71,021.46 $62,235.30 2026-02-20
790 MS_DRG Ms-DRG 42.00: Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 7 — — $41,088.21 $114,942.71 $104,390.69 2026-02-20
799 MS_DRG Ms-DRG 42.00: Splenic Procedures With Mcc 19 8 — — $32,896.01 $91,934.06 $78,592.23 2026-02-20
8 MS_DRG Ms-DRG 42.00: Simultaneous Pancreas And Kidney Transplant 19 8 — — $37,620.63 $105,203.67 $89,936.11 2026-02-20
800 MS_DRG Ms-DRG 42.00: Splenic Procedures With Cc 19 8 — — $20,222.18 $56,338.32 $48,162.29 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 — — $24,841.49 $69,312.11 $59,253.27 2026-02-20
80320 CDM Ecmo Cannulation Bedside-tech 36 21 $53,993.00 $51,293.35 $28,490.10 $52,373.21 $46,838.93 2026-02-20
817 MS_DRG Ms-DRG 42.00: Other Antepartum Diagnoses With O.r. Procedures With Mcc 19 8 — — $17,615.13 $49,016.16 $41,902.74 2026-02-20
820 MS_DRG Ms-DRG 42.00: Lymphoma And Leukemia With Major O.r. Procedures With Mcc 19 8 — — $40,244.90 $112,574.17 $96,236.97 2026-02-20
823 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 19 8 — — $32,377.63 $90,478.13 $77,347.60 2026-02-20
826 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $33,038.51 $92,334.29 $78,934.38 2026-02-20
829 MS_DRG Ms-DRG 42.00: Myeloproliferative Disorders Or Poorly Differentiated Neoplasms Wi… 19 8 — — $21,392.48 $59,625.27 $50,972.22 2026-02-20
834 MS_DRG Ms-DRG 42.00: Acute Leukemia With Mcc 19 8 — — $38,214.06 $106,870.35 $91,360.91 2026-02-20
837 MS_DRG Ms-DRG 42.00: Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With Hi… 19 8 — — $34,633.57 $96,814.21 $82,764.16 2026-02-20
84 APR_DRG Apr-DRG 41.00: Autologous Bone Marrow Transplant 5 5 — — $45,955.19 $50,091.11 $46,874.31 2026-02-20
840 MS_DRG Ms-DRG 42.00: Lymphoma And Non-acute Leukemia With Mcc 19 8 — — $22,116.71 $61,659.32 $52,711.08 2026-02-20
8414 APR_DRG Apr-DRG 41.00: Extensive Third Degree Burns With Skin Graft 5 5 — — $108,434.39 $118,193.38 $110,603.12 2026-02-20
8424 APR_DRG Apr-DRG 41.00: Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $59,146.03 $64,469.12 $60,328.97 2026-02-20
846 MS_DRG Ms-DRG 42.00: Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mc… 19 8 — — $17,743.86 $49,377.72 $42,211.84 2026-02-20
849 MS_DRG Ms-DRG 42.00: Radiotherapy 19 8 — — $18,551.37 $51,645.72 $44,150.69 2026-02-20
850 MS_DRG Ms-DRG 42.00: Acute Leukemia With Other Procedures 19 8 — — $63,579.62 $178,112.09 $152,263.77 2026-02-20
8514 APR_DRG Apr-DRG 41.00: Gender Related Procedures 5 5 — — $52,125.10 $56,816.31 $53,167.62 2026-02-20
853 MS_DRG Ms-DRG 42.00: Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 8 — — $34,592.96 $96,700.14 $82,666.64 2026-02-20
856 MS_DRG Ms-DRG 42.00: Postoperative Or Post-traumatic Infections With O.r. Procedures Wi… 19 8 — — $31,221.77 $87,231.79 $74,572.37 2026-02-20
8634 APR_DRG Apr-DRG 41.00: Neonatal Aftercare 5 5 — — $48,082.74 $52,410.15 $49,044.42 2026-02-20
870 MS_DRG Ms-DRG 42.00: Septicemia Or Severe Sepsis With Mv >96 Hours 19 8 — — $48,052.96 $134,503.93 $114,984.20 2026-02-20
876 MS_DRG Ms-DRG 42.00: O.r. Procedures With Principal Diagnosis Of Mental Illness 19 8 — — $27,215.15 $75,978.82 $64,952.48 2026-02-20
901 MS_DRG Ms-DRG 42.00: Wound Debridements For Injuries With Mcc 19 8 — — $30,663.46 $85,663.72 $73,231.87 2026-02-20
904 MS_DRG Ms-DRG 42.00: Skin Grafts For Injuries With Cc/mcc 19 8 — — $26,743.58 $74,654.37 $63,820.24 2026-02-20
907 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Injuries With Mcc 19 8 — — $27,587.59 $77,024.84 $65,846.70 2026-02-20
9104 APR_DRG Apr-DRG 41.00: Craniotomy For Multiple Significant Trauma 5 5 — — $40,919.97 $44,602.73 $41,738.39 2026-02-20
927 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Ski… 19 8 — — $163,475.73 $458,680.34 $392,114.87 2026-02-20
928 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/m… 19 8 — — $46,141.93 $129,136.53 $110,395.74 2026-02-20
929 MS_DRG Ms-DRG 42.00: Full Thickness Burn With Skin Graft Or Inhalation Injury Without C… 19 8 — — $22,057.50 $61,493.03 $52,568.93 2026-02-20
93 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $44,111.31 $48,081.28 $44,993.55 2026-02-20
933 MS_DRG Ms-DRG 42.00: Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without … 19 8 — — $29,950.24 $83,660.61 $71,519.46 2026-02-20
939 MS_DRG Ms-DRG 42.00: O.r. Procedures With Diagnoses Of Other Contact With Health Servic… 19 8 — — $22,013.45 $61,369.29 $52,463.14 2026-02-20
94 APR_DRG Apr-DRG 41.00: Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $97,442.02 $106,211.71 $99,390.90 2026-02-20
94 MS_DRG Ms-DRG 42.00: Bacterial And Tuberculous Infections Of Nervous System With Mcc 19 8 — — $25,281.38 $70,547.61 $60,309.47 2026-02-20
955 MS_DRG Ms-DRG 42.00: Craniotomy For Multiple Significant Trauma 18 7 — — $47,170.42 $132,025.18 $111,588.11 2026-02-20
956 MS_DRG Ms-DRG 42.00: Limb Reattachment, Hip And Femur Procedures For Multiple Significa… 18 7 — — $26,477.18 $73,906.10 $62,465.68 2026-02-20
957 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Mcc 19 8 — — $51,548.08 $144,320.31 $123,375.99 2026-02-20
958 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma With Cc 19 8 — — $28,455.70 $79,462.98 $67,931.01 2026-02-20
959 MS_DRG Ms-DRG 42.00: Other O.r. Procedures For Multiple Significant Trauma Without Cc/m… 19 8 — — $18,364.13 $51,119.81 $43,701.10 2026-02-20
963 MS_DRG Ms-DRG 42.00: Other Multiple Significant Trauma With Mcc 19 8 — — $18,865.30 $52,527.39 $44,904.42 2026-02-20
969 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures With Mcc 19 8 — — $43,700.78 $122,280.34 $104,534.54 2026-02-20
97 MS_DRG Ms-DRG 42.00: Non-bacterial Infection Of Nervous System Except Viral Meningitis … 19 8 — — $24,840.11 $69,308.24 $59,249.96 2026-02-20
970 MS_DRG Ms-DRG 42.00: HIV With Extensive O.r. Procedures Without Mcc 19 8 — — $18,428.84 $51,301.56 $43,856.48 2026-02-20
974 MS_DRG Ms-DRG 42.00: HIV With Major Related Condition With Mcc 19 8 — — $20,720.60 $57,738.18 $49,358.99 2026-02-20
981 MS_DRG Ms-DRG 42.00: Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mc… 19 8 — — $32,889.80 $91,916.66 $78,577.36 2026-02-20
987 MS_DRG Ms-DRG 42.00: Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Wit… 19 8 — — $24,276.28 $67,724.70 $57,896.23 2026-02-20
A9543 HCPCS Y90 Ibritumomab, Rx 46 25 $116,003.00 $110,202.85 $56,824.55 $112,522.91 $95,586.48 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
C1823 HCPCS Generator Plse 2.9-2.95v H80xl47.5mm Thk14.6mm Impl Remede 86 23 $55,650.00 $52,867.50 $24,151.05 $57,750.00 $47,355.00 2026-02-20
C1824 HCPCS Generator Plse Smrt Mini With Torq Wrnch And. 43 23 $54,600.00 $51,870.00 $24,624.60 $54,600.00 $46,410.00 2026-02-20
C1825 HCPCS System Barostim Neo Ipg & Csl 43 23 $73,500.00 $69,825.00 $33,148.50 $73,500.00 $62,475.00 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
J0177 HCPCS Aflibercept Soln 8 Mg/0.07 Ml (eylea) 46 25 $71,250.00 $67,687.50 $319.74 $69,112.50 $58,531.88 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 $57,751.45 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 $57,751.45 2026-02-20
J3357 HCPCS Ustekinumab Sub Cu Inj 79 25 $45,962.56 $43,664.43 $157.68 $51,314.39 $43,204.81 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
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Soln (kimmtrack) 46 25 $71,288.00 $67,723.60 $217.09 $69,149.36 $58,563.09 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
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