Price Transparency Hospital negotiated rates

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

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Hospital

ST MARYS HOSPITAL SUPERIOR

Superior, WI · CCN 521329 · Rates published

16,501 distinct procedures filed
49 distinct payers
454,722 rate rows
2026-01-01 last MRF observed
Data quality

436,844 of 454,722 rate rows are consumer-grade (96.1%)

17,878 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 16,992
placeholder amount (≤ $0.02) — excluded from medians 433
percent-of-charges filed in the dollar field — excluded from medians 339
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 114
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.essentiahealth.org/standard-charges/2026/411811073_Essentia-St-Marys-Superior_standardcharges.csv
Found on page https://www.essentiahealth.org/patients-visitors/billing/price-estimates/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint e5f20116b7e360d8… · 439,477,062 bytes · first seen 2026-05-09

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
J1411
CPT 		Inj- Hemgenix- Per Tx Dose 2 $3,672,900.00 $3,710,000.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
C9172
CPT 		Inj Beqvez Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,570,000
1.0× median
J1414
CPT 		Inj- Beqvez- Per Tx Dose 1 $3,500,000.00 $3,500,000.00 $3,500,000.00 nat. median
$3,710,000
0.9× median
J1413
CPT 		Inj Delandistrogene Mox Rokl 2 $3,321,781.51 $3,325,454.76 $3,323,618.13 nat. median
$3,325,455
1.0× median
J3394
CPT 		Inj- Lovotibeglogene Autotem 2 $3,193,000.00 $3,286,000.00 $3,239,500.00 nat. median
$3,286,000
1.0× median
J3393
CPT 		Inj- Betibeglogene Autotemce 2 $2,968,000.00 $2,968,000.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
CPT 		Inj Onase Abepar-xioi Treat 2 $2,388,614.23 $2,403,458.75 $2,396,036.49 nat. median
$2,469,189
1.0× median
J3392
CPT 		Inj- Exagamglogene Autotem 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
CPT 		Tisagenlecleucel Car-pos T 2 $529,192.86 $565,623.84 $547,408.35 nat. median
$754,974
0.7× median
Q2056
CPT 		Ciltacabtagene Car-pos T 2 $527,123.43 $551,318.34 $539,220.89 nat. median
$675,122
0.8× median
Q2055
CPT 		Idecabtagene Vicleucel Car 2 $526,587.59 $528,312.43 $527,450.01 nat. median
$625,184
0.8× median
Q2054
CPT 		Lisocabtagene Mara Car Pos T 2 $516,485.97 $516,726.08 $516,606.03 nat. median
$674,188
0.8× median
Q2041
CPT 		Axicabtagene Ciloleucel Car+ 2 $489,455.96 $489,517.15 $489,486.56 nat. median
$634,511
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 1 $481,241.73 $481,241.73 $481,241.73 nat. median
$370,174
1.3× median
Q2053
CPT 		Brexucabtagene Car Pos T 2 $460,530.40 $488,051.51 $474,290.96 nat. median
$620,080
0.8× median
5834
APR_DRG 		Neonate W Ecmo 11 $260,426.64 $1,017,143.05 $390,361.97 nat. median
$309,665
1.3× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $359,447.23 $359,447.23 $359,447.23 nat. median
$265,286
1.4× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $302,719.53 $302,719.53 $302,719.53 nat. median
$206,368
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 1 $273,482.22 $273,482.22 $273,482.22 nat. median
$202,986
1.3× median
5884
APR_DRG 		Neonate Bwt 1500g W Major Procedure 11 $213,642.89 $657,968.88 $254,666.60 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate W Ecmo 11 $206,269.84 $594,547.80 $252,888.58 nat. median
$244,017
1.0× median
24
APR_DRG 		Heart Or Lung Transplant 11 $197,053.53 $754,047.70 $225,530.55 nat. median
$234,738
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 11 $193,278.30 $488,832.75 $198,764.66 nat. median
$207,730
1.0× median
114
APR_DRG 		Psychiatric 9 $134,904.95 $198,309.46 $198,309.46 nat. median
$117,173
1.7× median
5832
APR_DRG 		Neonate W Ecmo 11 $152,113.04 $383,912.55 $194,172.15 nat. median
$156,126
1.2× median
6304
APR_DRG 		Neonate Birthwt 2499g W Major Cardiovascular Procedure 10 $116,053.85 $257,266.45 $185,770.26 nat. median
$150,721
1.2× median
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 10 $183,225.66 $649,392.45 $183,225.66 nat. median
$160,267
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 1 $180,308.69 $180,308.69 $180,308.69 nat. median
$133,176
1.4× median
6094
APR_DRG 		Neonate Bwt 15002499g W Major Procedure 10 $167,444.50 $528,575.25 $167,444.50 nat. median
$162,982
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 1 $167,188.14 $167,188.14 $167,188.14 nat. median
$117,303
1.4× median
7
MS_DRG 		Lung Transplant 1 $166,767.04 $166,767.04 $166,767.04 nat. median
$122,708
1.4× median
5883
APR_DRG 		Neonate Bwt 1500g W Major Procedure 11 $137,630.26 $454,407.80 $165,628.52 nat. median
$182,736
0.9× median
6314
APR_DRG 		Neonate Birthwt 2499g W Other Major Procedure 10 $150,542.29 $333,837.00 $164,388.59 nat. median
$122,924
1.3× median
5914
APR_DRG 		Neonate Birthwt 500749g Wo Major Procedure 11 $134,558.16 $617,863.40 $161,780.72 nat. median
$164,279
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 11 $129,203.92 $346,289.65 $153,561.93 nat. median
$187,294
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation Ecmo 11 $125,341.84 $322,974.05 $152,792.37 nat. median
$164,834
0.9× median
5934
APR_DRG 		Neonate Birthwt 750999g Wo Major Procedure 11 $139,297.97 $608,325.20 $150,011.84 nat. median
$151,838
1.0× median
5882
APR_DRG 		Neonate Bwt 1500g W Major Procedure 11 $134,733.70 $368,328.19 $145,335.69 nat. median
$145,336
1.0× median
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 11 $130,777.34 $381,792.95 $143,639.55 nat. median
$119,796
1.2× median
5831
APR_DRG 		Neonate W Ecmo 11 $131,398.28 $313,965.75 $141,137.35 nat. median
$145,122
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $140,619.09 $140,619.09 $140,619.09 nat. median
$108,660
1.3× median
212
MS_DRG 		Testes Procedures Age 0-17 1 $139,013.79 $139,013.79 $139,013.79 nat. median
$102,358
1.4× median
6034
APR_DRG 		Neonate Birthwt 10001249g W Or Wo Other Significant Condition 11 $112,000.13 $360,067.05 $138,755.74 nat. median
$109,499
1.3× median
14
APR_DRG 		Liver Transplant Or Intestinal Transplant 11 $125,956.26 $333,837.00 $136,566.14 nat. median
$129,535
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $135,893.80 $135,893.80 $135,893.80 nat. median
$100,136
1.4× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 11 $127,975.08 $336,486.50 $135,629.87 nat. median
$105,658
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 1 $135,197.06 $135,197.06 $135,197.06 nat. median
$99,019
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $133,673.44 $133,673.44 $133,673.44 nat. median
$98,905
1.4× median
23
APR_DRG 		Heart Or Lung Transplant 11 $121,918.64 $359,802.10 $126,634.07 nat. median
$93,528
1.4× median
5881
APR_DRG 		Neonate Bwt 1500g W Major Procedure 11 $88,739.92 $242,447.80 $124,573.23 nat. median
$124,573
1.0× median

Other procedures at this hospital

Browse this hospital's 16,501 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J9226 CPT Histrelin Acetate (cpp) 50 Mg Kit 51 45 $132,981.50 $98,273.33 26% off $42,554.08 $120,348.26 $51,051.60 2026-01-01
J7330 CPT Autologous Cultured Chondrocytes Sheet 49 43 $197,466.00 $145,927.37 26% off $63,189.12 $178,706.73 $79,381.33 2026-01-01
J1411 CPT Inj- Hemgenix- Per Tx Dose 2 2 — — $3,672,900.00 $3,710,000.00 $3,691,450.00 2026-01-01
C9172 CPT Inj Beqvez Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2026-01-01
J1414 CPT Inj- Beqvez- Per Tx Dose 1 1 — — $3,500,000.00 $3,500,000.00 $3,500,000.00 2026-01-01
J1413 CPT Inj Delandistrogene Mox Rokl 2 2 — — $3,321,781.51 $3,325,454.76 $3,323,618.13 2026-01-01
J3394 CPT Inj- Lovotibeglogene Autotem 2 2 — — $3,193,000.00 $3,286,000.00 $3,239,500.00 2026-01-01
J3393 CPT Inj- Betibeglogene Autotemce 2 2 — — $2,968,000.00 $2,968,000.00 $2,968,000.00 2026-01-01
J3399 CPT Inj Onase Abepar-xioi Treat 2 2 — — $2,388,614.23 $2,403,458.75 $2,396,036.49 2026-01-01
J3392 CPT Inj- Exagamglogene Autotem 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-01-01
Q2042 CPT Tisagenlecleucel Car-pos T 2 2 — — $529,192.86 $565,623.84 $547,408.35 2026-01-01
Q2056 CPT Ciltacabtagene Car-pos T 2 2 — — $527,123.43 $551,318.34 $539,220.89 2026-01-01
Q2055 CPT Idecabtagene Vicleucel Car 2 2 — — $526,587.59 $528,312.43 $527,450.01 2026-01-01
Q2054 CPT Lisocabtagene Mara Car Pos T 2 2 — — $516,485.97 $516,726.08 $516,606.03 2026-01-01
Q2041 CPT Axicabtagene Ciloleucel Car+ 2 2 — — $489,455.96 $489,517.15 $489,486.56 2026-01-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 2 1 — — $481,241.73 $481,241.73 $481,241.73 2026-01-01
Q2053 CPT Brexucabtagene Car Pos T 2 2 — — $460,530.40 $488,051.51 $474,290.96 2026-01-01
5834 APR_DRG Neonate W Ecmo 12 11 — — $260,426.64 $1,017,143.05 $390,361.97 2026-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $359,447.23 $359,447.23 $359,447.23 2026-01-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 1 — — $302,719.53 $302,719.53 $302,719.53 2026-01-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 2 1 — — $273,482.22 $273,482.22 $273,482.22 2026-01-01
5884 APR_DRG Neonate Bwt 1500g W Major Procedure 12 11 — — $213,642.89 $657,968.88 $254,666.60 2026-01-01
5833 APR_DRG Neonate W Ecmo 12 11 — — $206,269.84 $594,547.80 $252,888.58 2026-01-01
24 APR_DRG Heart Or Lung Transplant 12 11 — — $197,053.53 $754,047.70 $225,530.55 2026-01-01
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 12 11 — — $193,278.30 $488,832.75 $198,764.66 2026-01-01
114 APR_DRG Psychiatric 9 9 — — $134,904.95 $198,309.46 $198,309.46 2026-01-01
5832 APR_DRG Neonate W Ecmo 12 11 — — $152,113.04 $383,912.55 $194,172.15 2026-01-01
6304 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 11 10 — — $116,053.85 $257,266.45 $185,770.26 2026-01-01
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 11 10 — — $183,225.66 $649,392.45 $183,225.66 2026-01-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 2 1 — — $180,308.69 $180,308.69 $180,308.69 2026-01-01
6094 APR_DRG Neonate Bwt 15002499g W Major Procedure 11 10 — — $167,444.50 $528,575.25 $167,444.50 2026-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 2 1 — — $167,188.14 $167,188.14 $167,188.14 2026-01-01
7 MS_DRG Lung Transplant 2 1 — — $166,767.04 $166,767.04 $166,767.04 2026-01-01
5883 APR_DRG Neonate Bwt 1500g W Major Procedure 12 11 — — $137,630.26 $454,407.80 $165,628.52 2026-01-01
6314 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 11 10 — — $150,542.29 $333,837.00 $164,388.59 2026-01-01
5914 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 12 11 — — $134,558.16 $617,863.40 $161,780.72 2026-01-01
74 APR_DRG Allogeneic Bone Marrow Transplant 12 11 — — $129,203.92 $346,289.65 $153,561.93 2026-01-01
94 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 12 11 — — $125,341.84 $322,974.05 $152,792.37 2026-01-01
5934 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 12 11 — — $139,297.97 $608,325.20 $150,011.84 2026-01-01
5882 APR_DRG Neonate Bwt 1500g W Major Procedure 12 11 — — $134,733.70 $368,328.19 $145,335.69 2026-01-01
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 12 11 — — $130,777.34 $381,792.95 $143,639.55 2026-01-01
5831 APR_DRG Neonate W Ecmo 12 11 — — $131,398.28 $313,965.75 $141,137.35 2026-01-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $140,619.09 $140,619.09 $140,619.09 2026-01-01
212 MS_DRG Testes Procedures Age 0-17 2 1 — — $139,013.79 $139,013.79 $139,013.79 2026-01-01
6034 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 12 11 — — $112,000.13 $360,067.05 $138,755.74 2026-01-01
14 APR_DRG Liver Transplant Or Intestinal Transplant 12 11 — — $125,956.26 $333,837.00 $136,566.14 2026-01-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $135,893.80 $135,893.80 $135,893.80 2026-01-01
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 12 11 — — $127,975.08 $336,486.50 $135,629.87 2026-01-01
215 MS_DRG Other Heart Assist System Implant 2 1 — — $135,197.06 $135,197.06 $135,197.06 2026-01-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $133,673.44 $133,673.44 $133,673.44 2026-01-01
23 APR_DRG Heart Or Lung Transplant 12 11 — — $121,918.64 $359,802.10 $126,634.07 2026-01-01
5881 APR_DRG Neonate Bwt 1500g W Major Procedure 12 11 — — $88,739.92 $242,447.80 $124,573.23 2026-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $123,154.79 $123,154.79 $123,154.79 2026-01-01
5913 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 12 11 — — $78,821.41 $321,914.25 $120,079.43 2026-01-01
850 MS_DRG Acute Leukemia With Other Procedures 2 1 — — $117,550.29 $117,550.29 $117,550.29 2026-01-01
113 APR_DRG Pediatric 9 9 — — $83,713.09 $115,654.09 $115,654.09 2026-01-01
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 12 11 — — $104,977.03 $306,547.15 $115,291.10 2026-01-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 11 — — $86,457.78 $223,617.80 $112,764.90 2026-01-01
6024 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 12 11 — — $99,887.27 $461,013.00 $111,395.47 2026-01-01
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 12 11 — — $100,018.06 $291,180.05 $109,695.62 2026-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 2 1 — — $108,132.90 $108,132.90 $108,132.90 2026-01-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 2 1 — — $108,072.92 $108,072.92 $108,072.92 2026-01-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $106,431.89 $106,431.89 $106,431.89 2026-01-01
64 APR_DRG Pancreas Transplant 12 11 — — $98,241.53 $313,965.75 $104,769.74 2026-01-01
5933 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 12 11 — — $89,617.66 $472,935.75 $104,038.52 2026-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $102,865.28 $102,865.28 $102,865.28 2026-01-01
10 MS_DRG Pancreas Transplant 2 1 — — $101,741.06 $101,741.06 $101,741.06 2026-01-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $101,157.90 $101,157.90 $101,157.90 2026-01-01
Q0480 CPT Driver Pneumatic Vad- Rep 2 2 — — $99,999.95 $99,999.95 $99,999.95 2026-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 2 1 — — $99,742.74 $99,742.74 $99,742.74 2026-01-01
5891 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 12 11 — — $41,692.84 $676,682.30 $99,482.94 2026-01-01
112 APR_DRG OB 9 9 — — $44,342.46 $99,304.32 $99,304.32 2026-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $98,735.92 $98,735.92 $98,735.92 2026-01-01
5892 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 12 11 — — $34,670.89 $541,292.85 $96,548.35 2026-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $95,248.42 $95,248.42 $95,248.42 2026-01-01
5893 APR_DRG Neonate Bwt 500g Or Ga 24 Weeks 12 11 — — $27,561.16 $459,688.25 $94,491.23 2026-01-01
8424 APR_DRG Full Thickness Burns W Skin Graft 11 10 — — $79,754.75 $176,721.65 $93,836.29 2026-01-01
22 APR_DRG Heart Or Lung Transplant 12 11 — — $90,407.63 $266,804.65 $92,158.00 2026-01-01
5912 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 12 11 — — $41,956.16 $247,463.30 $91,058.73 2026-01-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $90,635.42 $90,635.42 $90,635.42 2026-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $90,179.87 $90,179.87 $90,179.87 2026-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 2 1 — — $88,769.81 $88,769.81 $88,769.81 2026-01-01
6303 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 11 10 — — $86,006.58 $190,764.00 $88,705.40 2026-01-01
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 12 11 — — $84,351.20 $370,400.10 $88,467.98 2026-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 2 1 — — $87,133.89 $87,133.89 $87,133.89 2026-01-01
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 12 11 — — $85,048.88 $259,915.95 $86,323.87 2026-01-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $85,556.67 $85,556.67 $85,556.67 2026-01-01
6074 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 12 11 — — $76,714.83 $400,604.40 $85,371.14 2026-01-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 2 1 — — $85,227.44 $85,227.44 $85,227.44 2026-01-01
5932 APR_DRG Neonate Birthwt 750999g Wo Major Procedure 12 11 — — $71,009.49 $375,434.15 $85,212.62 2026-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 2 1 — — $85,083.24 $85,083.24 $85,083.24 2026-01-01
21 APR_DRG Heart Or Lung Transplant 12 11 — — $77,504.80 $228,916.80 $84,752.67 2026-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 — — $82,526.00 $82,526.00 $82,526.00 2026-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $82,407.32 $82,407.32 $82,407.32 2026-01-01
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 12 11 — — $77,855.89 $189,174.30 $80,990.46 2026-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 2 1 — — $80,702.50 $80,702.50 $80,702.50 2026-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $79,044.88 $79,044.88 $79,044.88 2026-01-01
6023 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 12 11 — — $78,733.64 $363,511.40 $79,016.70 2026-01-01
317 MS_DRG Endovascular Cardiac Valve Replacement With Mcc 2 1 — — $78,942.79 $78,942.79 $78,942.79 2026-01-01
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 12 11 — — $76,982.66 $178,311.35 $78,722.47 2026-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $78,582.94 $78,582.94 $78,582.94 2026-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 2 1 — — $78,308.59 $78,308.59 $78,308.59 2026-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 1 — — $77,951.29 $77,951.29 $77,951.29 2026-01-01
28 MS_DRG Spinal Procedures With Mcc 2 1 — — $77,578.68 $77,578.68 $77,578.68 2026-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 2 1 — — $77,022.31 $77,022.31 $77,022.31 2026-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 2 1 — — $77,022.31 $77,022.31 $77,022.31 2026-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 2 1 — — $76,446.80 $76,446.80 $76,446.80 2026-01-01
84 APR_DRG Autologous Bone Marrow Transplant 12 11 — — $65,391.93 $205,601.20 $76,111.88 2026-01-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $75,917.23 $75,917.23 $75,917.23 2026-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 2 1 — — $75,859.81 $75,859.81 $75,859.81 2026-01-01
73 APR_DRG Allogeneic Bone Marrow Transplant 12 11 — — $75,051.32 $240,574.60 $75,619.75 2026-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 2 1 — — $75,086.51 $75,086.51 $75,086.51 2026-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 2 1 — — $74,296.62 $74,296.62 $74,296.62 2026-01-01
63 APR_DRG Pancreas Transplant 12 11 — — $69,792.42 $221,763.15 $73,999.71 2026-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 2 1 — — $73,238.76 $73,238.76 $73,238.76 2026-01-01
4404 APR_DRG Kidney Transplant 12 11 — — $71,941.82 $210,370.30 $72,967.82 2026-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 1 — — $72,801.07 $72,801.07 $72,801.07 2026-01-01
653 MS_DRG Major Bladder Procedures With Mcc 2 1 — — $71,135.80 $71,135.80 $71,135.80 2026-01-01
8634 APR_DRG Neonatal Aftercare 11 10 — — $71,101.56 $173,277.30 $71,101.56 2026-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $70,532.22 $70,532.22 $70,532.22 2026-01-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 2 1 — — $70,532.22 $70,532.22 $70,532.22 2026-01-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $70,236.17 $70,236.17 $70,236.17 2026-01-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 1 — — $69,807.41 $69,807.41 $69,807.41 2026-01-01
6134 APR_DRG Neonate Birthwt 15001999g W Congenitalperinatal Infection 11 10 — — $69,517.04 $165,063.85 $69,517.04 2026-01-01
8 MS_DRG Simultaneous Pancreas/kidney Transplant 2 1 — — $69,432.24 $69,432.24 $69,432.24 2026-01-01
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 2 1 — — $69,274.01 $69,274.01 $69,274.01 2026-01-01
6114 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 11 10 — — $69,191.81 $364,571.20 $69,191.81 2026-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 2 1 — — $68,920.54 $68,920.54 $68,920.54 2026-01-01
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 2 1 — — $68,855.46 $68,855.46 $68,855.46 2026-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $68,847.80 $68,847.80 $68,847.80 2026-01-01
13 APR_DRG Liver Transplant Or Intestinal Transplant 12 11 — — $63,886.02 $277,932.55 $68,369.38 2026-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 2 1 — — $67,889.48 $67,889.48 $67,889.48 2026-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $67,589.60 $67,589.60 $67,589.60 2026-01-01
1634 APR_DRG Cardiac Valve Procedures Wo Cardiac Catheterization 12 11 — — $64,125.67 $154,730.80 $66,733.73 2026-01-01
L8702 CPT Ewhf S/d Uprt Micro Sensor 2 2 — — $65,871.74 $67,452.66 $66,662.20 2026-01-01
93 APR_DRG Extracorporeal Membrane Oxygenation Ecmo 12 11 — — $57,755.56 $170,362.85 $65,848.62 2026-01-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 2 1 — — $65,718.88 $65,718.88 $65,718.88 2026-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $65,500.67 $65,500.67 $65,500.67 2026-01-01
1784 APR_DRG External Heart Assist Systems 12 11 — — $61,452.31 $219,908.50 $65,133.72 2026-01-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 2 1 — — $65,010.66 $65,010.66 $65,010.66 2026-01-01
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 2 1 — — $64,811.60 $64,811.60 $64,811.60 2026-01-01
6093 APR_DRG Neonate Bwt 15002499g W Major Procedure 12 11 — — $62,520.31 $205,601.20 $64,570.54 2026-01-01
1674 APR_DRG Other Cardiothoracic Procedures 12 11 — — $62,319.82 $158,705.05 $64,561.80 2026-01-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 2 1 — — $64,274.37 $64,274.37 $64,274.37 2026-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 2 1 — — $63,895.38 $63,895.38 $63,895.38 2026-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $63,845.61 $63,845.61 $63,845.61 2026-01-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 2 1 — — $63,820.09 $63,820.09 $63,820.09 2026-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 2 1 — — $63,590.40 $63,590.40 $63,590.40 2026-01-01
J9029 CPT Instill Adstiladrin- Tx Dose 2 2 — — $63,354.77 $63,402.04 $63,378.40 2026-01-01
6022 APR_DRG Neonate Bwt 10001249g W Resp Dist Syndoth Maj Resp Or Maj Anom 12 11 — — $60,125.46 $209,575.45 $63,190.14 2026-01-01
245 MS_DRG Aicd Generator Procedures 2 1 — — $62,358.99 $62,358.99 $62,358.99 2026-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 2 1 — — $61,982.55 $61,982.55 $61,982.55 2026-01-01
62 APR_DRG Pancreas Transplant 12 11 — — $55,882.31 $192,618.65 $61,909.85 2026-01-01
6 MS_DRG Liver Transplant Without Mcc 2 1 — — $61,879.19 $61,879.19 $61,879.19 2026-01-01
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 12 11 — — $59,887.14 $151,021.50 $61,630.13 2026-01-01
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 12 11 — — $61,110.70 $228,916.80 $61,627.49 2026-01-01
6033 APR_DRG Neonate Birthwt 10001249g W Or Wo Other Significant Condition 12 11 — — $54,507.90 $175,131.95 $61,290.06 2026-01-01
A9543 CPT Y90 Ibritumomab- Rx 2 2 — — $56,824.55 $65,476.58 $61,150.57 2026-01-01
6124 APR_DRG Neonate Bwt 15001999g W Resp Dist Syndoth Maj Resp Cond 11 10 — — $60,980.45 $228,651.85 $60,980.45 2026-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 2 1 — — $60,938.72 $60,938.72 $60,938.72 2026-01-01
799 MS_DRG Splenic Procedures With Mcc 2 1 — — $60,674.58 $60,674.58 $60,674.58 2026-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 — — $60,663.09 $60,663.09 $60,663.09 2026-01-01
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 11 10 — — $60,423.01 $147,312.20 $60,423.01 2026-01-01
72 APR_DRG Allogeneic Bone Marrow Transplant 12 11 — — $59,598.82 $188,114.50 $60,182.61 2026-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 2 1 — — $60,035.27 $60,035.27 $60,035.27 2026-01-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 2 1 — — $59,713.70 $59,713.70 $59,713.70 2026-01-01
6073 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 12 11 — — $59,097.49 $280,317.10 $59,392.04 2026-01-01
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 2 1 — — $59,361.50 $59,361.50 $59,361.50 2026-01-01
163 MS_DRG Major Chest Procedures With Mcc 2 1 — — $58,816.62 $58,816.62 $58,816.62 2026-01-01
650 MS_DRG Neonate Birthwt 1500-1999g Without Signif O.r. Proc With Other Prob 2 1 — — $58,792.37 $58,792.37 $58,792.37 2026-01-01
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 11 10 — — $58,636.05 $208,250.70 $58,636.05 2026-01-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $58,604.79 $58,604.79 $58,604.79 2026-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 2 1 — — $58,595.86 $58,595.86 $58,595.86 2026-01-01
6214 APR_DRG Neonate Bwt 20002499g W Major Anomaly 11 10 — — $58,292.30 $353,178.35 $58,572.79 2026-01-01
6804 APR_DRG Major Or Procedures For Lymphatichematopoieticother Neoplasms 11 10 — — $58,522.92 $135,389.45 $58,522.92 2026-01-01
6334 APR_DRG Neonate Birthwt 2499g W Major Anomaly 11 10 — — $52,981.81 $187,849.55 $57,982.60 2026-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 2 1 — — $57,571.17 $57,571.17 $57,571.17 2026-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $57,227.91 $57,227.91 $57,227.91 2026-01-01
71 APR_DRG Allogeneic Bone Marrow Transplant 12 11 — — $53,015.74 $166,653.55 $57,173.59 2026-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 2 1 — — $57,069.68 $57,069.68 $57,069.68 2026-01-01
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 12 11 — — $53,729.16 $119,227.50 $56,785.09 2026-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 2 1 — — $56,536.28 $56,536.28 $56,536.28 2026-01-01
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 12 11 — — $52,481.07 $179,901.05 $56,347.15 2026-01-01
12 APR_DRG Liver Transplant Or Intestinal Transplant 12 11 — — $51,321.52 $173,277.30 $56,206.25 2026-01-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 2 1 — — $56,055.20 $56,055.20 $56,055.20 2026-01-01
38240 CPT Transplt Allo Hct/donor 2 2 — — $52,684.72 $59,142.33 $55,913.53 2026-01-01
Q2043 CPT Sipuleucel-t Auto Cd54+ 2 2 — — $55,015.23 $55,536.49 $55,275.86 2026-01-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 2 1 — — $55,214.27 $55,214.27 $55,214.27 2026-01-01
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 12 11 — — $49,019.08 $108,629.50 $55,192.39 2026-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 2 1 — — $55,100.70 $55,100.70 $55,100.70 2026-01-01
5911 APR_DRG Neonate Birthwt 500749g Wo Major Procedure 12 11 — — $1,141.07 $224,942.55 $54,737.65 2026-01-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 2 1 — — $54,433.32 $54,433.32 $54,433.32 2026-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 2 1 — — $54,352.93 $54,352.93 $54,352.93 2026-01-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 11 10 — — $54,210.72 $157,910.20 $54,210.72 2026-01-01
140 MS_DRG Simple Pneumonia And Pleurisy Age 0-17 2 1 — — $53,967.55 $53,967.55 $53,967.55 2026-01-01
6084 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 12 11 — — $48,539.24 $184,405.20 $53,938.32 2026-01-01
1664 APR_DRG Coronary Bypass Wo Cardiac Cath Or Percutaneous Cardiac Procedure 12 11 — — $52,443.86 $121,877.00 $53,714.57 2026-01-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 12 11 — — $53,487.74 $118,697.60 $53,554.29 2026-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 2 1 — — $53,474.99 $53,474.99 $53,474.99 2026-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 2 1 — — $53,462.23 $53,462.23 $53,462.23 2026-01-01
6814 APR_DRG Other Or Procedures For Lymphatichematopoieticother Neoplasms 11 10 — — $53,325.80 $141,483.30 $53,325.80 2026-01-01
793 MS_DRG Full Term Neonate With Major Problems 2 1 — — $53,218.50 $53,218.50 $53,218.50 2026-01-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 12 11 — — $53,103.51 $142,808.05 $53,178.44 2026-01-01
7404 APR_DRG Mental Illness Diagnosis W Or Procedure 11 10 — — $53,107.73 $142,808.05 $53,107.73 2026-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 2 1 — — $53,093.44 $53,093.44 $53,093.44 2026-01-01
1794 APR_DRG Defibrillator Implants 12 11 — — $49,802.50 $147,577.15 $52,945.17 2026-01-01
6904 APR_DRG Acute Leukemia 11 10 — — $52,824.92 $156,850.40 $52,824.92 2026-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 2 1 — — $52,473.27 $52,473.27 $52,473.27 2026-01-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 2 1 — — $52,443.92 $52,443.92 $52,443.92 2026-01-01
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 2 1 — — $52,366.08 $52,366.08 $52,366.08 2026-01-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 2 1 — — $52,108.32 $52,108.32 $52,108.32 2026-01-01
914 APR_DRG Other Major Head & Neck Procedures 12 11 — — $51,369.90 $148,636.95 $52,105.04 2026-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $51,902.87 $51,902.87 $51,902.87 2026-01-01
791 MS_DRG Prematurity With Major Problems 2 1 — — $51,807.17 $51,807.17 $51,807.17 2026-01-01
3614 APR_DRG Skin Graft For Skin & Subcutaneous Tissue Diagnoses 12 11 — — $44,940.49 $131,415.20 $51,523.96 2026-01-01
9114 APR_DRG Extensive AbdominalThoraic Procedures For Mult Si 11 10 — — $50,840.74 $153,935.95 $50,840.74 2026-01-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 2 1 — — $50,834.80 $50,834.80 $50,834.80 2026-01-01
739 MS_DRG Uterineadnexa Proc For Non-ovarian/adnexal Malig W Mcc 2 1 — — $50,799.07 $50,799.07 $50,799.07 2026-01-01
6302 APR_DRG Neonate Birthwt 2499g W Major Cardiovascular Procedure 11 10 — — $48,261.35 $107,039.80 $50,761.84 2026-01-01
3060 EAPG Ventricular Assist Device Procedures 2 1 — — $44,046.93 $57,407.60 $50,727.26 2026-01-01
214 APR_DRG Craniotomy Except For Trauma 12 11 — — $49,943.63 $140,688.45 $50,531.13 2026-01-01
628 MS_DRG Other Endocrine- Nutritional And Metabolic O.r. Procedures With Mcc 2 1 — — $50,349.89 $50,349.89 $50,349.89 2026-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 2 1 — — $50,246.53 $50,246.53 $50,246.53 2026-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 2 1 — — $50,144.45 $50,144.45 $50,144.45 2026-01-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $49,922.41 $49,922.41 $49,922.41 2026-01-01
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 2 1 — — $49,898.17 $49,898.17 $49,898.17 2026-01-01
7594 APR_DRG Eating Disorders 11 10 — — $43,608.63 $96,706.75 $49,869.48 2026-01-01
1694 APR_DRG Major Thoracic Abdominal Vascular Procedures 12 11 — — $46,217.43 $185,994.90 $49,836.02 2026-01-01
6144 APR_DRG Neonate Bwt 15001999g W Or Wo Other Significant Condition 11 10 — — $49,786.13 $142,278.15 $49,786.13 2026-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 2 1 — — $49,622.53 $49,622.53 $49,622.53 2026-01-01
11 APR_DRG Liver Transplant Or Intestinal Transplant 12 11 — — $44,623.24 $153,935.95 $49,433.91 2026-01-01
6313 APR_DRG Neonate Birthwt 2499g W Other Major Procedure 11 10 — — $43,131.77 $95,646.95 $49,361.90 2026-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine- Nutritional And Metabolic Disorders With… 2 1 — — $49,320.11 $49,320.11 $49,320.11 2026-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 2 1 — — $49,270.34 $49,270.34 $49,270.34 2026-01-01
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 12 11 — — $47,943.44 $106,244.95 $49,179.56 2026-01-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 2 1 — — $49,132.52 $49,132.52 $49,132.52 2026-01-01
956 MS_DRG Limb Reattachment- Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $48,776.50 $48,776.50 $48,776.50 2026-01-01
6254 APR_DRG Neonate Bwt 20002499g W Other Significant Condition 11 10 — — $38,899.95 $95,382.00 $48,706.96 2026-01-01
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 12 11 — — $48,086.25 $126,381.15 $48,663.85 2026-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $25,471.83 $48,512.35 $48,512.35 2026-01-01
234 APR_DRG Spinal Procedures 12 11 — — $46,393.07 $165,328.80 $48,475.56 2026-01-01
1204 APR_DRG Major Respiratory & Chest Procedures 12 11 — — $45,818.24 $140,688.45 $48,475.50 2026-01-01
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 3 2 — — $25,282.98 $48,134.64 $48,134.64 2026-01-01
1783 APR_DRG External Heart Assist Systems 12 11 — — $45,265.53 $144,397.75 $48,087.34 2026-01-01
L7181 CPT Electronic Elbo Simultaneous 2 2 — — $47,237.07 $48,370.76 $47,803.92 2026-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine- Nutritional And Metabolic Disor… 3 2 — — $25,090.93 $47,750.54 $47,750.54 2026-01-01
61 APR_DRG Pancreas Transplant 12 11 — — $41,792.09 $151,286.45 $47,579.46 2026-01-01
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 11 10 — — $47,544.43 $135,919.35 $47,544.43 2026-01-01
274 APR_DRG Other Open Craniotomy 12 11 — — $43,974.97 $128,500.75 $47,365.81 2026-01-01
2324 APR_DRG Gastric Fundoplication 12 11 — — $34,846.44 $100,151.10 $47,044.30 2026-01-01
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 12 11 — — $46,521.08 $171,157.70 $46,915.74 2026-01-01
6954 APR_DRG Chemotherapy For Acute Leukemia 11 10 — — $46,812.83 $121,347.10 $46,812.83 2026-01-01
41 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 12 11 — — $40,200.68 $120,022.35 $46,572.44 2026-01-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 2 — — $24,495.65 $46,559.97 $46,559.97 2026-01-01
L7180 CPT Electronic Elbow Sequential 2 2 — — $45,879.28 $46,980.38 $46,429.83 2026-01-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 2 — — $24,334.22 $46,237.12 $46,237.12 2026-01-01
4403 APR_DRG Kidney Transplant 12 11 — — $43,599.14 $170,362.85 $46,200.85 2026-01-01
4414 APR_DRG Major Bladder Procedures 12 11 — — $42,484.25 $134,329.65 $46,170.06 2026-01-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 3 2 — — $24,087.94 $45,744.56 $45,744.56 2026-01-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 2 — — $24,086.67 $45,742.01 $45,742.01 2026-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 3 2 — — $24,082.83 $45,734.35 $45,734.35 2026-01-01
204 APR_DRG Craniotomy For Trauma 12 11 — — $45,271.48 $140,158.55 $45,676.52 2026-01-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 11 — — $40,798.84 $90,347.95 $45,671.15 2026-01-01
265 MS_DRG Aicd Lead Procedures 3 2 — — $23,975.65 $45,519.97 $45,519.97 2026-01-01
1782 APR_DRG External Heart Assist Systems 12 11 — — $43,513.55 $142,013.20 $45,499.75 2026-01-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip- Foot And Femur With Mcc 3 2 — — $23,873.56 $45,315.80 $45,315.80 2026-01-01
111 APR_DRG Medical/Surgical/Gyn 9 9 — — $30,096.13 $45,282.65 $45,282.65 2026-01-01
0266T CPT Implt/rpl Crtd Sns Dev Total 2 2 — — $45,000.50 $45,535.10 $45,267.80 2026-01-01
33276 CPT Insj Phrnc Nrv Stim Sys 2 2 — — $45,000.50 $45,535.10 $45,267.80 2026-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 2 — — $23,740.85 $45,050.38 $45,050.38 2026-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 2 — — $23,735.10 $45,038.89 $45,038.89 2026-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 2 — — $23,678.32 $44,925.32 $44,925.32 2026-01-01
6072 APR_DRG Neonate Bwt 12501499g W Resp Dist Syndoth Maj Resp Or Maj Anom 12 11 — — $43,647.52 $162,944.25 $44,908.43 2026-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 3 2 — — $23,571.13 $44,710.94 $44,710.94 2026-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 2 — — $23,564.11 $44,696.90 $44,696.90 2026-01-01
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 11 10 — — $44,684.27 $153,671.00 $44,684.27 2026-01-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 2 — — $23,555.18 $44,679.04 $44,679.04 2026-01-01
6083 APR_DRG Neonate Bwt 12501499g W Or Wo Other Significant Condition 12 11 — — $42,947.92 $169,832.95 $44,602.51 2026-01-01
264 MS_DRG Other Circulatory System O.r. Procedures 3 2 — — $23,515.62 $44,599.92 $44,599.92 2026-01-01
894 APR_DRG Major CranialFacial Bone Procedures 12 11 — — $42,074.91 $133,269.85 $44,517.11 2026-01-01
250 EAPG Cochlear Device Implantation 2 1 — — $38,557.16 $50,252.62 $44,404.89 2026-01-01
651 MS_DRG Neonate Birthwt 2000-2499g With Signif O.r. Proc With Mult Major Prob 3 2 — — $23,371.42 $44,311.53 $44,311.53 2026-01-01
332 MS_DRG Rectal Resection With Mcc 3 2 — — $23,347.18 $44,263.04 $44,263.04 2026-01-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 2 — — $23,322.94 $44,214.55 $44,214.55 2026-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 2 — — $23,192.14 $43,952.96 $43,952.96 2026-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 3 2 — — $23,157.69 $43,884.05 $43,884.05 2026-01-01
665 MS_DRG Prostatectomy With Mcc 3 2 — — $23,123.23 $43,815.14 $43,815.14 2026-01-01
252 MS_DRG Other Vascular Procedures With Mcc 3 2 — — $23,102.81 $43,774.31 $43,774.31 2026-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 3 2 — — $23,069.63 $43,707.95 $43,707.95 2026-01-01
924 APR_DRG Facial Bone Procedures Except Major Cranialfacial Bone Procedures 12 11 — — $41,780.61 $119,492.45 $43,572.35 2026-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 2 — — $22,948.41 $43,465.50 $43,465.50 2026-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 2 — — $22,857.81 $43,284.29 $43,284.29 2026-01-01
52 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 12 11 — — $40,350.47 $161,354.55 $42,908.81 2026-01-01
1653 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 12 11 — — $40,078.82 $101,475.85 $42,902.03 2026-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 3 2 — — $22,632.58 $42,833.84 $42,833.84 2026-01-01
6113 APR_DRG Neonate Birthwt 15001999g W Major Anomaly 11 10 — — $42,747.72 $269,454.15 $42,747.72 2026-01-01
2614 APR_DRG Major Biliary Tract Procedures 12 11 — — $41,681.20 $145,722.50 $42,476.99 2026-01-01
1764 APR_DRG Cardiac Pacemaker & Defibrillator Device Replacement 12 11 — — $41,373.08 $119,757.40 $42,410.71 2026-01-01
37 MS_DRG Extracranial Procedures With Mcc 3 2 — — $22,404.17 $42,377.01 $42,377.01 2026-01-01
1814 APR_DRG Lower Extremity Arterial Procedures 12 11 — — $40,232.88 $128,500.75 $42,235.59 2026-01-01
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