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

UPLAND HILLS HEALTH

Dodgeville, WI · CCN 521352 · Rates published

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You selected 93306 (HCPCS)

HC TTE 2D CMPLT WO CON W DOPPLER AND COLOR

This hospital’s price: $1,683 across 16 payers · range $136-$2,578

Source: https://upland.pt.panaceainc.com/MRFDownload/upland/upland · observed 2026-03-20

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.

26,382 distinct procedures filed
16 distinct payers
375,652 rate rows
2026-03-20 last MRF observed
Data quality

319,036 of 375,652 rate rows are consumer-grade (84.9%)

56,616 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
professional (physician) fee — not the facility price 30,312
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,376
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 8,724
template filing: same amount across many unrelated codes — excluded 2,124
placeholder amount (≤ $0.02) — excluded from medians 1,316
per-diem day rate — not a per-procedure price 428
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 140
percent-of-charges filed in the dollar field — excluded from medians 126
exceeds 10× this hospital's gross charge — excluded from medians 70
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://upland.pt.panaceainc.com/MRFDownload/upland/upland
Found on page https://www.uplandhillshealth.org/about-us/quality-and-pricing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-17
Content fingerprint 2aee2fdb5e7f11d9… · 56,420,245 bytes · first seen 2026-05-13

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
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 1 $2,322,044.36 $4,045,990.74 $3,184,017.55 nat. median
$2,466,282
1.3× median
5834
APR_DRG 		Neonate With Ecmo 3 $1,176,547.16 $1,176,547.16 $1,176,547.16 nat. median
$307,273
outlier · 3.8×
24
APR_DRG 		Heart And/or Lung Transplant 3 $776,779.18 $776,779.18 $776,779.18 nat. median
$241,915
outlier · 3.2×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $720,613.60 $720,613.60 $720,613.60 nat. median
$247,214
outlier · 2.9×
5833
APR_DRG 		Neonate With Ecmo 3 $670,082.07 $670,082.07 $670,082.07 nat. median
$244,017
outlier · 2.7×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $518,194.77 $518,194.77 $518,194.77 nat. median
$124,042
outlier · 4.2×
5832
APR_DRG 		Neonate With Ecmo 3 $514,500.68 $514,500.68 $514,500.68 nat. median
$159,249
outlier · 3.2×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $502,068.89 $502,068.89 $502,068.89 nat. median
$165,000
outlier · 3.0×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $53,727.15 $913,075.07 $497,024.65 nat. median
$646,415
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 6 $53,727.15 $954,235.56 $484,623.49 nat. median
$738,272
0.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 6 $53,727.15 $893,079.74 $483,453.66 nat. median
$622,245
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $482,900.11 $482,900.11 $482,900.11 nat. median
$133,164
outlier · 3.6×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $479,928.64 $479,928.64 $479,928.64 nat. median
$175,429
outlier · 2.7×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 6 $53,727.15 $893,698.84 $473,458.43 nat. median
$640,950
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $472,542.36 $472,542.36 $472,542.36 nat. median
$162,514
outlier · 2.9×
5831
APR_DRG 		Neonate With Ecmo 3 $461,826.87 $461,826.87 $461,826.87 nat. median
$146,591
outlier · 3.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 6 $53,727.15 $808,038.00 $449,440.00 nat. median
$591,650
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 6 $53,727.15 $879,576.19 $449,341.85 nat. median
$608,101
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $437,941.37 $437,941.37 $437,941.37 nat. median
$154,011
outlier · 2.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 5 $358,573.30 $599,949.44 $433,697.20 nat. median
$359,358
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 3 $432,371.12 $432,371.12 $432,371.12 nat. median
$136,728
outlier · 3.2×
23
APR_DRG 		Heart And/or Lung Transplant 3 $423,123.15 $423,123.15 $423,123.15 nat. median
$111,046
outlier · 3.8×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $415,455.80 $415,455.80 $415,455.80 nat. median
$151,838
outlier · 2.7×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $411,245.70 $411,245.70 $411,245.70 nat. median
$145,061
outlier · 2.8×
1614
APR_DRG 		Implantable Heart Assist Systems 3 $386,445.43 $386,445.43 $386,445.43 nat. median
$202,993
1.9× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $385,646.93 $385,646.93 $385,646.93 nat. median
$67,766
outlier · 5.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $378,840.59 $378,840.59 $378,840.59 nat. median
$163,587
outlier · 2.3×
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $356,379.99 $356,379.99 $356,379.99 nat. median
$101,541
outlier · 3.5×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $352,496.61 $352,496.61 $352,496.61 nat. median
$120,505
outlier · 2.9×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $343,752.71 $343,752.71 $343,752.71 nat. median
$156,153
outlier · 2.2×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $335,906.42 $335,906.42 $335,906.42 nat. median
$93,998
outlier · 3.6×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $335,906.42 $335,906.42 $335,906.42 nat. median
$71,350
outlier · 4.7×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 3 $335,906.42 $335,906.42 $335,906.42 nat. median
$89,188
outlier · 3.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $267,824.20 $389,343.05 $323,935.45 nat. median
$249,124
1.3× median
22
APR_DRG 		Heart And/or Lung Transplant 3 $320,405.33 $320,405.33 $320,405.33 nat. median
$92,229
outlier · 3.5×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 $312,976.26 $312,976.26 $312,976.26 nat. median
$118,589
outlier · 2.6×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $306,584.28 $306,584.28 $306,584.28 nat. median
$68,020
outlier · 4.5×
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $305,670.62 $305,670.62 $305,670.62 nat. median
$82,224
outlier · 3.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $304,891.84 $304,891.84 $304,891.84 nat. median
$170,172
1.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $303,917.10 $303,917.10 $303,917.10 nat. median
$108,798
outlier · 2.8×
1613
APR_DRG 		Implantable Heart Assist Systems 3 $302,594.96 $302,594.96 $302,594.96 nat. median
$120,517
outlier · 2.5×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 3 $291,143.96 $291,143.96 $291,143.96 nat. median
$122,016
outlier · 2.4×
21
APR_DRG 		Heart And/or Lung Transplant 3 $283,186.80 $283,186.80 $283,186.80 nat. median
$73,922
outlier · 3.8×
64
APR_DRG 		Pancreas Transplant 3 $282,423.29 $282,423.29 $282,423.29 nat. median
$91,239
outlier · 3.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $225,556.38 $324,266.95 $272,812.20 nat. median
$198,433
1.4× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $254,605.42 $254,605.42 $254,605.42 nat. median
$78,898
outlier · 3.2×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $203,771.65 $294,887.01 $246,463.40 nat. median
$190,557
1.3× median
5932
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $244,450.47 $244,450.47 $244,450.47 nat. median
$85,523
outlier · 2.9×
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 $241,931.86 $241,931.86 $241,931.86 nat. median
$96,883
outlier · 2.5×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $241,404.56 $241,404.56 $241,404.56 nat. median
$75,282
outlier · 3.2×

Other procedures at this hospital

Browse this hospital's 26,382 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
             
J3399 HCPCS Inj Onase Abepar-xioi Treat 4 1 — — $2,322,044.36 $4,045,990.74 $3,184,017.55 2026-03-20
5834 APR_DRG Neonate With Ecmo 6 3 — — $1,176,547.16 $1,176,547.16 $1,176,547.16 2026-03-20
24 APR_DRG Heart And/or Lung Transplant 6 3 — — $776,779.18 $776,779.18 $776,779.18 2026-03-20
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $720,613.60 $720,613.60 $720,613.60 2026-03-20
5833 APR_DRG Neonate With Ecmo 6 3 — — $670,082.07 $670,082.07 $670,082.07 2026-03-20
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $518,194.77 $518,194.77 $518,194.77 2026-03-20
5832 APR_DRG Neonate With Ecmo 6 3 — — $514,500.68 $514,500.68 $514,500.68 2026-03-20
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $502,068.89 $502,068.89 $502,068.89 2026-03-20
Q2056 HCPCS Ciltacabtagene Car-pos T 14 6 — — $53,727.15 $913,075.07 $497,024.65 2026-03-20
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 6 — — $53,727.15 $954,235.56 $484,623.49 2026-03-20
Q2055 HCPCS Idecabtagene Vicleucel Car 14 6 — — $53,727.15 $893,079.74 $483,453.66 2026-03-20
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $482,900.11 $482,900.11 $482,900.11 2026-03-20
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $479,928.64 $479,928.64 $479,928.64 2026-03-20
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 6 — — $53,727.15 $893,698.84 $473,458.43 2026-03-20
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $472,542.36 $472,542.36 $472,542.36 2026-03-20
5831 APR_DRG Neonate With Ecmo 6 3 — — $461,826.87 $461,826.87 $461,826.87 2026-03-20
Q2053 HCPCS Brexucabtagene Car Pos T 14 6 — — $53,727.15 $808,038.00 $449,440.00 2026-03-20
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 6 — — $53,727.15 $879,576.19 $449,341.85 2026-03-20
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 3 — — $437,941.37 $437,941.37 $437,941.37 2026-03-20
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 10 5 — — $358,573.30 $599,949.44 $433,697.20 2026-03-20
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $432,371.12 $432,371.12 $432,371.12 2026-03-20
23 APR_DRG Heart And/or Lung Transplant 6 3 — — $423,123.15 $423,123.15 $423,123.15 2026-03-20
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $415,455.80 $415,455.80 $415,455.80 2026-03-20
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $411,245.70 $411,245.70 $411,245.70 2026-03-20
1614 APR_DRG Implantable Heart Assist Systems 6 3 — — $386,445.43 $386,445.43 $386,445.43 2026-03-20
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $385,646.93 $385,646.93 $385,646.93 2026-03-20
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $378,840.59 $378,840.59 $378,840.59 2026-03-20
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $356,379.99 $356,379.99 $356,379.99 2026-03-20
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $352,496.61 $352,496.61 $352,496.61 2026-03-20
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $343,752.71 $343,752.71 $343,752.71 2026-03-20
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 3 — — $335,906.42 $335,906.42 $335,906.42 2026-03-20
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 3 — — $335,906.42 $335,906.42 $335,906.42 2026-03-20
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 3 — — $335,906.42 $335,906.42 $335,906.42 2026-03-20
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 5 — — $267,824.20 $389,343.05 $323,935.45 2026-03-20
22 APR_DRG Heart And/or Lung Transplant 6 3 — — $320,405.33 $320,405.33 $320,405.33 2026-03-20
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $312,976.26 $312,976.26 $312,976.26 2026-03-20
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $306,584.28 $306,584.28 $306,584.28 2026-03-20
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $305,670.62 $305,670.62 $305,670.62 2026-03-20
74 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $304,891.84 $304,891.84 $304,891.84 2026-03-20
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $303,917.10 $303,917.10 $303,917.10 2026-03-20
1613 APR_DRG Implantable Heart Assist Systems 6 3 — — $302,594.96 $302,594.96 $302,594.96 2026-03-20
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $291,143.96 $291,143.96 $291,143.96 2026-03-20
21 APR_DRG Heart And/or Lung Transplant 6 3 — — $283,186.80 $283,186.80 $283,186.80 2026-03-20
64 APR_DRG Pancreas Transplant 6 3 — — $282,423.29 $282,423.29 $282,423.29 2026-03-20
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 5 — — $225,556.38 $324,266.95 $272,812.20 2026-03-20
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $254,605.42 $254,605.42 $254,605.42 2026-03-20
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 5 — — $203,771.65 $294,887.01 $246,463.40 2026-03-20
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $244,450.47 $244,450.47 $244,450.47 2026-03-20
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $241,931.86 $241,931.86 $241,931.86 2026-03-20
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 3 — — $241,404.56 $241,404.56 $241,404.56 2026-03-20
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $228,914.87 $228,914.87 $228,914.87 2026-03-20
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $224,475.56 $224,475.56 $224,475.56 2026-03-20
1611 APR_DRG Implantable Heart Assist Systems 6 3 — — $222,651.10 $222,651.10 $222,651.10 2026-03-20
1612 APR_DRG Implantable Heart Assist Systems 6 3 — — $222,651.10 $222,651.10 $222,651.10 2026-03-20
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $221,839.88 $221,839.88 $221,839.88 2026-03-20
4404 APR_DRG Kidney Transplant 6 3 — — $218,975.93 $218,975.93 $218,975.93 2026-03-20
63 APR_DRG Pancreas Transplant 6 3 — — $217,651.73 $217,651.73 $217,651.73 2026-03-20
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $217,304.01 $217,304.01 $217,304.01 2026-03-20
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $202,822.21 $202,822.21 $202,822.21 2026-03-20
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $201,218.37 $201,218.37 $201,218.37 2026-03-20
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $200,765.52 $200,765.52 $200,765.52 2026-03-20
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 3 — — $199,367.66 $199,367.66 $199,367.66 2026-03-20
8634 APR_DRG Neonatal Aftercare 6 3 — — $196,799.42 $196,799.42 $196,799.42 2026-03-20
73 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $193,914.64 $193,914.64 $193,914.64 2026-03-20
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $192,451.25 $192,451.25 $192,451.25 2026-03-20
62 APR_DRG Pancreas Transplant 6 3 — — $187,641.17 $187,641.17 $187,641.17 2026-03-20
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $186,036.37 $186,036.37 $186,036.37 2026-03-20
8513 APR_DRG Gender Related Procedures 6 3 — — $177,585.15 $177,585.15 $177,585.15 2026-03-20
8514 APR_DRG Gender Related Procedures 6 3 — — $177,585.15 $177,585.15 $177,585.15 2026-03-20
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $174,162.90 $174,162.90 $174,162.90 2026-03-20
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $173,639.74 $173,639.74 $173,639.74 2026-03-20
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $173,478.13 $173,478.13 $173,478.13 2026-03-20
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $165,872.97 $165,872.97 $165,872.97 2026-03-20
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 5 — — $134,348.04 $193,142.97 $162,495.00 2026-03-20
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $158,505.30 $158,505.30 $158,505.30 2026-03-20
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 3 — — $158,089.66 $158,089.66 $158,089.66 2026-03-20
209 MS_DRG Complex Aortic Arch Procedures 2 1 — — $157,254.92 $157,254.92 $157,254.92 2026-03-20
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 3 — — $155,444.91 $155,444.91 $155,444.91 2026-03-20
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $152,402.97 $152,402.97 $152,402.97 2026-03-20
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 3 — — $150,994.46 $150,994.46 $150,994.46 2026-03-20
14 MS_DRG Allogeneic Bone Marrow Transplant 10 5 — — $124,571.91 $179,088.50 $150,670.70 2026-03-20
7 MS_DRG Lung Transplant 10 5 — — $124,258.15 $179,920.37 $150,291.20 2026-03-20
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $149,085.70 $149,085.70 $149,085.70 2026-03-20
4403 APR_DRG Kidney Transplant 6 3 — — $148,876.53 $148,876.53 $148,876.53 2026-03-20
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $148,365.14 $148,365.14 $148,365.14 2026-03-20
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $143,188.24 $153,120.29 $148,154.27 2026-03-20
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $147,194.43 $147,194.43 $147,194.43 2026-03-20
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $141,931.65 $141,931.65 $141,931.65 2026-03-20
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 3 — — $137,990.36 $137,990.36 $137,990.36 2026-03-20
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 3 — — $137,787.72 $137,787.72 $137,787.72 2026-03-20
72 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $136,556.24 $136,556.24 $136,556.24 2026-03-20
84 APR_DRG Autologous Bone Marrow Transplant 6 3 — — $135,606.63 $135,606.63 $135,606.63 2026-03-20
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 3 — — $133,025.51 $133,025.51 $133,025.51 2026-03-20
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $130,454.56 $130,454.56 $130,454.56 2026-03-20
61 APR_DRG Pancreas Transplant 6 3 — — $130,332.87 $130,332.87 $130,332.87 2026-03-20
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $129,623.93 $129,623.93 $129,623.93 2026-03-20
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $129,348.91 $129,348.91 $129,348.91 2026-03-20
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $128,296.06 $128,296.06 $128,296.06 2026-03-20
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $127,823.64 $127,823.64 $127,823.64 2026-03-20
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $127,785.47 $127,785.47 $127,785.47 2026-03-20
4402 APR_DRG Kidney Transplant 6 3 — — $126,873.24 $126,873.24 $126,873.24 2026-03-20
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 5 — — $104,775.31 $157,435.53 $126,726.55 2026-03-20
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $103,579.20 $151,076.59 $125,279.85 2026-03-20
1784 APR_DRG External Heart Assist Devices 6 3 — — $124,052.24 $124,052.24 $124,052.24 2026-03-20
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $123,889.84 $123,889.84 $123,889.84 2026-03-20
850 MS_DRG Acute Leukemia With Other Procedures 4 2 — — $120,308.60 $125,917.46 $123,113.03 2026-03-20
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 5 — — $101,254.50 $145,566.65 $122,468.10 2026-03-20
215 MS_DRG Other Heart Assist System Implant 10 5 — — $100,735.36 $144,820.32 $121,840.20 2026-03-20
71 APR_DRG Allogeneic Bone Marrow Transplant 6 3 — — $120,543.29 $120,543.29 $120,543.29 2026-03-20
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 2 — — $114,007.66 $125,172.63 $119,590.15 2026-03-20
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 3 — — $119,115.22 $119,115.22 $119,115.22 2026-03-20
4401 APR_DRG Kidney Transplant 6 3 — — $118,732.35 $118,732.35 $118,732.35 2026-03-20
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $117,201.36 $117,201.36 $117,201.36 2026-03-20
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 3 — — $114,834.50 $114,834.50 $114,834.50 2026-03-20
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $113,643.74 $113,643.74 $113,643.74 2026-03-20
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $111,793.20 $111,793.20 $111,793.20 2026-03-20
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $111,648.45 $111,648.45 $111,648.45 2026-03-20
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $111,319.19 $111,319.19 $111,319.19 2026-03-20
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 3 — — $111,042.41 $111,042.41 $111,042.41 2026-03-20
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $91,762.66 $135,914.89 $110,987.65 2026-03-20
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 3 — — $110,018.84 $110,018.84 $110,018.84 2026-03-20
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $109,764.50 $109,764.50 $109,764.50 2026-03-20
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $109,055.71 $109,055.71 $109,055.71 2026-03-20
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $108,204.72 $108,204.72 $108,204.72 2026-03-20
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 3 — — $107,733.89 $107,733.89 $107,733.89 2026-03-20
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $107,309.98 $107,309.98 $107,309.98 2026-03-20
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 3 — — $105,880.80 $105,880.80 $105,880.80 2026-03-20
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $105,763.25 $105,763.25 $105,763.25 2026-03-20
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $104,633.74 $104,633.74 $104,633.74 2026-03-20
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $104,484.22 $104,484.22 $104,484.22 2026-03-20
7594 APR_DRG Eating Disorders 6 3 — — $103,157.02 $103,157.02 $103,157.02 2026-03-20
1794 APR_DRG Defibrillator Implants 6 3 — — $103,121.04 $103,121.04 $103,121.04 2026-03-20
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $102,965.16 $102,965.16 $102,965.16 2026-03-20
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $102,823.59 $102,823.59 $102,823.59 2026-03-20
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $102,789.71 $102,789.71 $102,789.71 2026-03-20
914 APR_DRG Other Major Head And Neck Procedures 6 3 — — $102,519.78 $102,519.78 $102,519.78 2026-03-20
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 3 — — $100,945.05 $100,945.05 $100,945.05 2026-03-20
214 APR_DRG Open Craniotomy Except Trauma 6 3 — — $100,801.89 $100,801.89 $100,801.89 2026-03-20
8633 APR_DRG Neonatal Aftercare 6 3 — — $100,674.32 $100,674.32 $100,674.32 2026-03-20
1783 APR_DRG External Heart Assist Devices 6 3 — — $100,097.24 $100,097.24 $100,097.24 2026-03-20
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $99,954.08 $99,954.08 $99,954.08 2026-03-20
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $97,086.81 $100,289.81 $98,688.31 2026-03-20
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 3 — — $98,447.75 $98,447.75 $98,447.75 2026-03-20
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $98,147.11 $98,147.11 $98,147.11 2026-03-20
7584 APR_DRG Disorders Of Impulse Control & Development 6 3 — — $97,754.64 $97,754.64 $97,754.64 2026-03-20
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $97,515.63 $97,515.63 $97,515.63 2026-03-20
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 — — $80,569.84 $117,118.71 $97,449.85 2026-03-20
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $80,525.15 $116,750.54 $97,395.80 2026-03-20
6904 APR_DRG Acute Leukemia 6 3 — — $96,720.31 $96,720.31 $96,720.31 2026-03-20
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 6 3 — — $95,893.50 $95,893.50 $95,893.50 2026-03-20
83 APR_DRG Autologous Bone Marrow Transplant 6 3 — — $95,446.21 $95,446.21 $95,446.21 2026-03-20
E0766 HCPCS Elec Stim Cancer Treatment 4 1 — — $78,861.43 $109,441.39 $94,151.41 2026-03-20
E0766NU OTHER Elec Stim Cancer Treatment 4 1 — — $78,861.43 $109,441.39 $94,151.41 2026-03-20
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 3 — — $94,051.22 $94,051.22 $94,051.22 2026-03-20
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $93,785.59 $93,785.59 $93,785.59 2026-03-20
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 3 — — $93,575.62 $93,575.62 $93,575.62 2026-03-20
1694 APR_DRG Major Abdominal Vascular Procedures 6 3 — — $93,155.69 $93,155.69 $93,155.69 2026-03-20
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 5 — — $76,644.94 $110,187.18 $92,702.65 2026-03-20
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 2 — — $91,646.54 $92,829.14 $92,237.84 2026-03-20
234 APR_DRG Spinal Procedures 6 3 — — $91,910.22 $91,910.22 $91,910.22 2026-03-20
10 MS_DRG Pancreas Transplant 10 5 — — $75,807.28 $108,982.94 $91,689.50 2026-03-20
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 3 — — $91,660.49 $91,660.49 $91,660.49 2026-03-20
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $91,284.31 $91,284.31 $91,284.31 2026-03-20
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 5 — — $75,372.77 $108,358.26 $91,163.95 2026-03-20
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $91,031.93 $91,031.93 $91,031.93 2026-03-20
1204 APR_DRG Major Respiratory And Chest Procedures 6 3 — — $90,672.71 $90,672.71 $90,672.71 2026-03-20
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $90,526.37 $90,526.37 $90,526.37 2026-03-20
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 3 — — $90,356.17 $90,356.17 $90,356.17 2026-03-20
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 10 5 — — $74,318.33 $106,842.37 $89,888.60 2026-03-20
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 3 — — $89,845.10 $89,845.10 $89,845.10 2026-03-20
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 3 — — $89,606.98 $89,606.98 $89,606.98 2026-03-20
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 3 — — $89,311.12 $89,311.12 $89,311.12 2026-03-20
6954 APR_DRG Chemotherapy For Acute Leukemia 6 3 — — $89,020.04 $89,020.04 $89,020.04 2026-03-20
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $73,568.15 $106,676.54 $88,981.25 2026-03-20
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $88,762.35 $88,762.35 $88,762.35 2026-03-20
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 2 — — $84,561.90 $92,897.22 $88,729.56 2026-03-20
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $88,565.11 $88,565.11 $88,565.11 2026-03-20
7574 APR_DRG Organic Mental Health Conditions And Disturbances 6 3 — — $88,281.25 $88,281.25 $88,281.25 2026-03-20
204 APR_DRG Open Craniotomy For Trauma 6 3 — — $88,062.47 $88,062.47 $88,062.47 2026-03-20
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 3 — — $88,009.98 $88,009.98 $88,009.98 2026-03-20
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 3 — — $87,911.36 $87,911.36 $87,911.36 2026-03-20
4284 APR_DRG Genetic Disorders 6 3 — — $87,804.79 $87,804.79 $87,804.79 2026-03-20
2614 APR_DRG Major Biliary Tract Procedures 6 3 — — $87,451.67 $87,451.67 $87,451.67 2026-03-20
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $87,438.94 $87,438.94 $87,438.94 2026-03-20
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $87,093.77 $87,093.77 $87,093.77 2026-03-20
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $70,969.61 $105,865.18 $85,838.30 2026-03-20
274 APR_DRG Other Open Craniotomy 6 3 — — $84,838.25 $84,838.25 $84,838.25 2026-03-20
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 6 3 — — $83,895.00 $83,895.00 $83,895.00 2026-03-20
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 6 3 — — $83,515.47 $83,515.47 $83,515.47 2026-03-20
4014 APR_DRG Adrenal Procedures 6 3 — — $83,211.03 $83,211.03 $83,211.03 2026-03-20
5204 APR_DRG Other GYN Procedures For Malignancy 6 3 — — $82,904.03 $82,904.03 $82,904.03 2026-03-20
7524 APR_DRG Personality Disorders 6 3 — — $82,491.29 $82,491.29 $82,491.29 2026-03-20
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $82,445.93 $82,445.93 $82,445.93 2026-03-20
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 3 — — $82,289.25 $82,289.25 $82,289.25 2026-03-20
4414 APR_DRG Major Bladder Procedures 6 3 — — $82,065.77 $82,065.77 $82,065.77 2026-03-20
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $81,755.75 $81,755.75 $81,755.75 2026-03-20
1782 APR_DRG External Heart Assist Devices 6 3 — — $81,501.09 $81,501.09 $81,501.09 2026-03-20
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 — — $67,193.04 $99,064.43 $81,270.50 2026-03-20
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $81,130.47 $81,130.47 $81,130.47 2026-03-20
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 5 — — $66,142.40 $96,027.37 $79,999.75 2026-03-20
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 6 3 — — $79,414.17 $79,414.17 $79,414.17 2026-03-20
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 2 1 — — $79,287.39 $79,287.39 $79,287.39 2026-03-20
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 3 — — $78,820.87 $78,820.87 $78,820.87 2026-03-20
224 APR_DRG Ventricular Shunt Procedures 6 3 — — $78,769.97 $78,769.97 $78,769.97 2026-03-20
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 3 — — $78,534.55 $78,534.55 $78,534.55 2026-03-20
1793 APR_DRG Defibrillator Implants 6 3 — — $78,531.37 $78,531.37 $78,531.37 2026-03-20
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $64,923.48 $93,516.86 $78,525.45 2026-03-20
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 3 — — $78,230.10 $78,230.10 $78,230.10 2026-03-20
7614 APR_DRG Schizoaffective Disorders 6 3 — — $78,183.59 $78,183.59 $78,183.59 2026-03-20
8423 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $77,736.05 $77,736.05 $77,736.05 2026-03-20
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 3 — — $77,723.33 $77,723.33 $77,723.33 2026-03-20
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 2 — — $74,776.26 $80,123.76 $77,450.01 2026-03-20
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $77,134.79 $77,134.79 $77,134.79 2026-03-20
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $77,034.58 $77,034.58 $77,034.58 2026-03-20
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 3 — — $76,894.60 $76,894.60 $76,894.60 2026-03-20
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $76,867.40 $76,867.40 $76,867.40 2026-03-20
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 6 3 — — $76,835.75 $76,835.75 $76,835.75 2026-03-20
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 5 — — $63,502.98 $99,652.11 $76,807.35 2026-03-20
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 5 — — $63,395.54 $95,556.38 $76,677.40 2026-03-20
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 2 — — $75,235.54 $78,107.85 $76,671.70 2026-03-20
1814 APR_DRG Lower Extremity Vascular Procedures 6 3 — — $76,665.55 $76,665.55 $76,665.55 2026-03-20
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $76,654.42 $76,654.42 $76,654.42 2026-03-20
7754 APR_DRG Alcohol Abuse And Dependence 6 3 — — $76,547.50 $76,547.50 $76,547.50 2026-03-20
Q0480 HCPCS Driver Pneumatic Vad, Rep 4 1 — — $72,648.53 $79,999.96 $76,324.24 2026-03-20
1214 APR_DRG Other Respiratory And Chest Procedures 6 3 — — $76,003.85 $76,003.85 $76,003.85 2026-03-20
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy 6 3 — — $75,973.62 $75,973.62 $75,973.62 2026-03-20
2304 APR_DRG Major Small Bowel Procedures 6 3 — — $75,547.33 $75,547.33 $75,547.33 2026-03-20
82 APR_DRG Autologous Bone Marrow Transplant 6 3 — — $74,914.26 $74,914.26 $74,914.26 2026-03-20
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $74,885.63 $74,885.63 $74,885.63 2026-03-20
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 4 — — $56,523.16 $82,574.53 $74,812.33 2026-03-20
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 6 3 — — $74,701.11 $74,701.11 $74,701.11 2026-03-20
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 6 3 — — $74,554.78 $74,554.78 $74,554.78 2026-03-20
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 5 — — $61,490.14 $89,398.90 $74,372.80 2026-03-20
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 6 3 — — $74,285.96 $74,285.96 $74,285.96 2026-03-20
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $61,401.71 $91,352.29 $74,265.85 2026-03-20
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 6 3 — — $73,983.74 $73,983.74 $73,983.74 2026-03-20
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 6 3 — — $73,807.18 $73,807.18 $73,807.18 2026-03-20
4034 APR_DRG Procedures For Obesity 6 3 — — $73,601.98 $73,601.98 $73,601.98 2026-03-20
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $73,512.91 $73,512.91 $73,512.91 2026-03-20
1781 APR_DRG External Heart Assist Devices 6 3 — — $73,350.66 $73,350.66 $73,350.66 2026-03-20
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $73,250.45 $73,250.45 $73,250.45 2026-03-20
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $73,250.45 $73,250.45 $73,250.45 2026-03-20
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 3 — — $72,890.97 $72,890.97 $72,890.97 2026-03-20
7504 APR_DRG Schizophrenia And Other Severe Psychotic Disorders 6 3 — — $72,784.17 $72,784.17 $72,784.17 2026-03-20
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $60,131.44 $86,446.86 $72,729.45 2026-03-20
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 6 3 — — $72,424.91 $72,424.91 $72,424.91 2026-03-20
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 2 — — $70,396.72 $74,045.47 $72,221.10 2026-03-20
294 APR_DRG Other Percutaneous Intracranial Procedures 6 3 — — $71,938.18 $71,938.18 $71,938.18 2026-03-20
4844 APR_DRG Other Male Reproductive System And Related Procedures 6 3 — — $71,933.41 $71,933.41 $71,933.41 2026-03-20
9103 APR_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $71,860.24 $71,860.24 $71,860.24 2026-03-20
4854 APR_DRG Prostatectomy Procedures 6 3 — — $71,764.80 $71,764.80 $71,764.80 2026-03-20
264 APR_DRG Other Nervous System And Related Procedures 6 3 — — $71,492.80 $71,492.80 $71,492.80 2026-03-20
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $58,896.36 $84,671.25 $71,235.60 2026-03-20
213 APR_DRG Open Craniotomy Except Trauma 6 3 — — $70,937.67 $70,937.67 $70,937.67 2026-03-20
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $58,552.17 $91,020.24 $70,819.30 2026-03-20
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 6 3 — — $70,722.93 $70,722.93 $70,722.93 2026-03-20
E0766UE OTHER Elec Stim Cancer Treatment 4 1 — — $59,146.20 $82,081.21 $70,613.71 2026-03-20
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 10 5 — — $58,347.74 $83,882.55 $70,572.05 2026-03-20
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 5 — — $58,081.52 $84,229.22 $70,250.05 2026-03-20
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $70,225.06 $70,225.06 $70,225.06 2026-03-20
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 6 3 — — $70,048.50 $70,048.50 $70,048.50 2026-03-20
28 MS_DRG Spinal Procedures With Mcc 10 5 — — $57,803.89 $83,474.81 $69,914.25 2026-03-20
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 3 — — $69,830.58 $69,830.58 $69,830.58 2026-03-20
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 6 3 — — $69,461.55 $69,461.55 $69,461.55 2026-03-20
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 5 — — $57,389.34 $82,504.72 $69,412.85 2026-03-20
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 5 — — $57,389.34 $82,504.72 $69,412.85 2026-03-20
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $69,216.60 $69,216.60 $69,216.60 2026-03-20
6504 APR_DRG Splenic Procedures 6 3 — — $69,184.78 $69,184.78 $69,184.78 2026-03-20
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $68,937.28 $68,937.28 $68,937.28 2026-03-20
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 10 5 — — $56,960.53 $85,143.39 $68,894.20 2026-03-20
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $68,701.23 $68,701.23 $68,701.23 2026-03-20
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $68,561.25 $68,561.25 $68,561.25 2026-03-20
913 APR_DRG Other Major Head And Neck Procedures 6 3 — — $68,502.40 $68,502.40 $68,502.40 2026-03-20
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $56,565.94 $91,352.29 $68,416.95 2026-03-20
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $68,182.68 $68,182.68 $68,182.68 2026-03-20
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 5 — — $55,946.97 $81,533.93 $67,668.30 2026-03-20
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 3 — — $67,598.92 $67,598.92 $67,598.92 2026-03-20
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 3 — — $67,506.66 $67,506.66 $67,506.66 2026-03-20
5144 APR_DRG Female Reproductive System Reconstructive Procedures 6 3 — — $67,164.67 $67,164.67 $67,164.67 2026-03-20
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $55,358.43 $81,481.13 $66,956.45 2026-03-20
7724 APR_DRG Alcohol And Drug Dependence With Rehabilitation And/or Detoxification Therapy 6 3 — — $66,831.50 $66,831.50 $66,831.50 2026-03-20
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 6 3 — — $66,766.06 $66,766.06 $66,766.06 2026-03-20
2314 APR_DRG Major Large Bowel Procedures 6 3 — — $66,689.07 $66,689.07 $66,689.07 2026-03-20
1824 APR_DRG Other Peripheral Vascular And Related Procedures 6 3 — — $66,328.00 $66,328.00 $66,328.00 2026-03-20
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures 6 3 — — $66,238.92 $66,238.92 $66,238.92 2026-03-20
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $54,570.22 $82,846.84 $66,003.10 2026-03-20
6112 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 3 — — $65,922.39 $65,922.39 $65,922.39 2026-03-20
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 2 1 — — $65,871.74 $65,871.74 $65,871.74 2026-03-20
2294 APR_DRG Other Digestive System And Abdominal Procedures 6 3 — — $65,763.32 $65,763.32 $65,763.32 2026-03-20
5184 APR_DRG Other Female Reproductive System And Related Procedures 6 3 — — $65,656.75 $65,656.75 $65,656.75 2026-03-20
893 APR_DRG Major Cranial Or Facial Bone Procedures 6 3 — — $65,626.53 $65,626.53 $65,626.53 2026-03-20
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $54,244.09 $79,612.49 $65,608.65 2026-03-20
4444 APR_DRG Renal Dialysis Access Device Procedures 6 3 — — $65,597.89 $65,597.89 $65,597.89 2026-03-20
6903 APR_DRG Acute Leukemia 6 3 — — $65,335.44 $65,335.44 $65,335.44 2026-03-20
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 3 — — $65,298.86 $65,298.86 $65,298.86 2026-03-20
1693 APR_DRG Major Abdominal Vascular Procedures 6 3 — — $65,115.93 $65,115.93 $65,115.93 2026-03-20
1832 APR_DRG Percutaneous Structural Cardiac Procedures 6 3 — — $65,033.22 $65,033.22 $65,033.22 2026-03-20
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 6 3 — — $64,936.19 $64,936.19 $64,936.19 2026-03-20
1792 APR_DRG Defibrillator Implants 6 3 — — $64,928.24 $64,928.24 $64,928.24 2026-03-20
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $64,915.35 $64,915.35 $64,915.35 2026-03-20
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