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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

TUCSON MEDICAL CENTER

Tucson, AZ · CCN 030006 · Rates published

18,911 distinct procedures filed
12 distinct payers
265,172 rate rows
2026-04-30 last MRF observed
Data quality

222,266 of 265,172 rate rows are consumer-grade (83.8%)

42,906 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 42,400
exceeds 10× this hospital's gross charge — excluded from medians 174
placeholder amount (≤ $0.02) — excluded from medians 153
template filing: same amount across many unrelated codes — excluded 117
per-diem day rate — not a per-procedure price 51
percent-of-charges filed in the dollar field — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8289/860137567_tucson-medical-center_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/TucsonMedicalCenter/8289
Discovered viaPublic MRF directory
Last fetch not_modified · 2026-05-15
Content fingerprint b2fa0a14152444f1… · 510,613,074 bytes · first seen 2026-05-06

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,505,000.00 $4,820,350.00 $4,572,575.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $0.03 $4,725,056.00 $3,691,450.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 7 $3,335,820.00 $4,269,849.60 $3,394,196.85 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 10 $2,636,800.00 $4,982,064.57 $3,346,286.70 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $2,628,800.00 $4,868,072.08 $3,269,721.75 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,180,000.00 $4,770,000.00 $3,243,600.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,374,400.00 $4,407,480.00 $2,960,357.40 nat. median
$3,006,423
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 8 $2,664,228.59 $3,996,342.89 $2,717,513.16 nat. median
$10,376
outlier · 261.9×
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $1,316,994.07 $3,880,630.89 $2,587,087.26 nat. median
$2,469,189
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $2,374,400.00 $2,374,400.00 $2,374,400.00 nat. median
$3,710,000
0.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $1,492,480.00 $3,498,000.00 $2,349,490.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $1,155,930.00 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $408,858.00 $1,184,365.00 $623,393.52 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $405,756.74 $1,184,365.00 $597,322.23 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $0.03 $843,391.25 $562,260.84 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $0.03 $839,671.62 $559,781.08 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $359,552.00 $1,184,365.00 $539,826.85 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $1,413.84 $733,935.90 $489,290.60 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $114,328.38 $616,938.87 $356,263.12 nat. median
$370,174
1.0× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $417,375.00 $283,815.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $262,233.77 $393,350.66 $267,478.45 nat. median
$265,000
1.0× median
E0766
HCPCS 		Elec Stim Cancer Treatment 1 $239,668.62 $239,668.62 $239,668.62 nat. median
$16,785
outlier · 14.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $226,873.22 $460,802.30 $234,813.78 nat. median
$265,286
0.9× median
5834
APR_DRG 		Neonate With Ecmo 3 $227,217.12 $227,217.12 $227,217.12 nat. median
$309,665
0.7× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $202,713.58 $304,070.38 $206,767.86 nat. median
$209,753
1.0× median
5833
APR_DRG 		Neonate With Ecmo 3 $182,534.52 $182,534.52 $182,534.52 nat. median
$244,017
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $179,983.39 $179,983.39 $179,983.39 nat. median
$246,434
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 9 $172,987.15 $329,014.32 $179,041.70 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 9 $171,975.39 $350,598.07 $177,994.53 nat. median
$202,986
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant 3 $158,105.93 $158,105.93 $158,105.93 nat. median
$234,738
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $139,350.25 $139,350.25 $139,350.25 nat. median
$207,730
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 3 $125,447.20 $125,447.20 $125,447.20 nat. median
$160,267
0.8× median
J3404
HCPCS 		Inj Zopapogene Per Ther Dose 8 $121,900.00 $182,850.00 $124,338.00 nat. median
$121,900
1.0× median
5832
APR_DRG 		Neonate With Ecmo 3 $123,852.44 $123,852.44 $123,852.44 nat. median
$156,126
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $122,883.26 $122,883.26 $122,883.26 nat. median
$164,279
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $120,376.07 $120,376.07 $120,376.07 nat. median
$162,982
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $119,912.23 $119,912.23 $119,912.23 nat. median
$187,294
0.6× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 9 $112,433.78 $231,152.08 $116,368.96 nat. median
$133,176
0.9× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 11 $68,407.23 $273,145.48 $110,137.61 nat. median
$111,989
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $109,710.76 $109,710.76 $109,710.76 nat. median
$182,736
0.6× median
7
MS_DRG 		Lung Transplant 9 $105,156.83 $213,790.84 $108,837.32 nat. median
$122,708
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo) 3 $108,350.36 $108,350.36 $108,350.36 nat. median
$164,834
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $107,322.59 $107,322.59 $107,322.59 nat. median
$122,924
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $103,363.46 $103,363.46 $103,363.46 nat. median
$150,721
0.7× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant 3 $102,463.24 $102,463.24 $102,463.24 nat. median
$129,535
0.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 3 $102,018.93 $102,018.93 $102,018.93 nat. median
$151,838
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $97,628.73 $214,330.72 $101,045.74 nat. median
$117,303
0.9× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $96,092.85 $100,345.32 $98,219.09 nat. median
$76,377
1.3× median
5831
APR_DRG 		Neonate With Ecmo 3 $97,858.39 $97,858.39 $97,858.39 nat. median
$145,122
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 3 $97,152.25 $97,152.25 $97,152.25 nat. median
$119,796
0.8× median

Other procedures at this hospital

Browse this hospital's 18,911 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
             
33270 CPT Ins/rep Subq Defibrillator 16 12 — — $950.12 $49,246.02 $32,830.68 2026-04-30
33249 CPT Insj/rplcmt Defib W/lead(s) 16 12 — — $1,545.85 $49,246.02 $32,830.68 2026-04-30
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 16 12 — — $683.13 $49,246.02 $32,830.68 2026-04-30
33231 CPT Insrt Pulse Gen W/mult Leads 16 12 — — $673.78 $49,246.02 $32,830.68 2026-04-30
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 9 — — $31,765.41 $61,706.65 $32,877.20 2026-04-30
246 MS_DRG Other Inpatient Ms-DRG 1 1 — — $32,889.00 $32,889.00 $32,889.00 2026-04-30
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 9 — — $31,795.29 $64,284.98 $32,908.12 2026-04-30
0908T CPT Opn Imp Int Nstm Sys Vgs Nrv 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
64656 CPT Revj/rplcmt Bat Mod Sys Pg 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
0909T CPT Rplcmt Int Nstim Sys Vgs Nrv 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 9 8 — — $32,275.12 $48,412.68 $32,920.62 2026-04-30
34 MS_DRG Carotid Artery Stent Procedures With Mcc 12 9 — — $31,842.12 $63,615.86 $32,956.60 2026-04-30
4403 APR_DRG Kidney Transplant 3 3 — — $33,006.61 $33,006.61 $33,006.61 2026-04-30
1204 APR_DRG Major Respiratory And Chest Procedures 3 3 — — $33,057.26 $33,057.26 $33,057.26 2026-04-30
0408T CPT Insj/rplc Cardiac Modulj Sys 12 9 — — $4,225.08 $49,246.02 $33,076.91 2026-04-30
0571T CPT Insj/rplcmt Icds Ss Eltrd 12 9 — — $4,225.08 $49,246.02 $33,076.91 2026-04-30
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 12 9 — — $32,031.88 $70,784.81 $33,153.00 2026-04-30
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 9 — — $32,174.79 $69,031.32 $33,300.91 2026-04-30
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 9 8 — — $32,830.68 $49,246.02 $33,487.30 2026-04-30
1783 APR_DRG External Heart Assist Systems 3 3 — — $33,861.05 $33,861.05 $33,861.05 2026-04-30
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $33,879.36 $33,879.36 $33,879.36 2026-04-30
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $33,886.69 $33,886.69 $33,886.69 2026-04-30
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 12 9 — — $32,757.79 $58,644.06 $33,904.32 2026-04-30
791 MS_DRG Prematurity With Major Problems 12 9 — — $33,362.59 $66,423.24 $34,029.84 2026-04-30
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 3 3 — — $34,120.44 $34,120.44 $34,120.44 2026-04-30
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 12 9 — — $33,051.70 $80,320.56 $34,208.51 2026-04-30
4414 APR_DRG Major Bladder Procedures 3 3 — — $34,213.82 $34,213.82 $34,213.82 2026-04-30
69930 CPT Implant Cochlear Device 16 12 — — $2,072.34 $51,730.00 $34,486.67 2026-04-30
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $34,519.59 $34,519.59 $34,519.59 2026-04-30
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 3 3 — — $34,525.69 $34,525.69 $34,525.69 2026-04-30
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 13 10 — — $32,889.00 $63,967.60 $34,577.56 2026-04-30
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 3 3 — — $34,599.54 $34,599.54 $34,599.54 2026-04-30
K0864 HCPCS Pwc Gp3 Xhd Mult Pow Opt S/b 2 2 — — $32,245.50 $37,085.63 $34,665.57 2026-04-30
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 3 3 — — $34,809.49 $34,809.49 $34,809.49 2026-04-30
224 APR_DRG Ventricular Shunt Procedures 3 3 — — $34,874.79 $34,874.79 $34,874.79 2026-04-30
204 APR_DRG Open Craniotomy For Trauma 3 3 — — $34,908.36 $34,908.36 $34,908.36 2026-04-30
793 MS_DRG Full Term Neonate With Major Problems 12 9 — — $12,248.89 $68,231.02 $34,940.76 2026-04-30
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 9 — — $27,549.49 $68,548.40 $35,204.32 2026-04-30
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 9 — — $34,121.62 $66,537.76 $35,315.88 2026-04-30
234 APR_DRG Spinal Procedures 3 3 — — $35,325.82 $35,325.82 $35,325.82 2026-04-30
71 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $35,378.30 $35,378.30 $35,378.30 2026-04-30
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 13 10 — — $34,151.00 $68,064.14 $35,382.21 2026-04-30
L8701 HCPCS Ewh S/d Uprt Micro Sensor 10 8 — — $34,970.13 $110,302.15 $35,669.53 2026-04-30
901 MS_DRG Wound Debridements For Injuries With Mcc 12 9 — — $34,473.67 $72,478.07 $35,680.24 2026-04-30
274 APR_DRG Other Open Craniotomy 3 3 — — $35,680.41 $35,680.41 $35,680.41 2026-04-30
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $35,766.47 $35,766.47 $35,766.47 2026-04-30
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 9 — — $34,613.36 $67,231.42 $35,824.83 2026-04-30
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 9 — — $34,630.33 $67,131.62 $35,842.40 2026-04-30
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $35,905.01 $35,905.01 $35,905.01 2026-04-30
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $34,279.89 $71,104.71 $35,993.88 2026-04-30
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 9 — — $34,830.56 $66,801.15 $36,049.63 2026-04-30
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 13 10 — — $34,410.70 $67,269.05 $36,131.24 2026-04-30
140 MS_DRG Major Head And Neck Procedures With Mcc 12 9 — — $35,028.41 $69,186.44 $36,254.40 2026-04-30
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 9 — — $35,251.28 $73,364.78 $36,485.07 2026-04-30
0870T CPT Imp Subq Prtl Ascts Pmp Sys 9 8 — — $35,832.11 $53,748.17 $36,548.75 2026-04-30
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 9 — — $35,529.86 $69,680.51 $36,773.40 2026-04-30
894 APR_DRG Major Cranial Or Facial Bone Procedures 3 3 — — $37,018.84 $37,018.84 $37,018.84 2026-04-30
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $37,022.50 $37,022.50 $37,022.50 2026-04-30
1694 APR_DRG Major Abdominal Vascular Procedures 3 3 — — $37,195.83 $37,195.83 $37,195.83 2026-04-30
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $37,217.19 $37,217.19 $37,217.19 2026-04-30
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $37,267.85 $37,267.85 $37,267.85 2026-04-30
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 9 — — $36,057.95 $69,781.94 $37,319.98 2026-04-30
1794 APR_DRG Defibrillator Implants 3 3 — — $37,825.07 $37,825.07 $37,825.07 2026-04-30
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 9 — — $36,623.97 $83,906.97 $37,905.81 2026-04-30
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 3 3 — — $38,016.71 $38,016.71 $38,016.71 2026-04-30
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 9 — — $36,766.09 $68,553.31 $38,052.90 2026-04-30
163 MS_DRG Major Chest Procedures With Mcc 12 9 — — $36,776.60 $75,401.60 $38,063.78 2026-04-30
245 MS_DRG Aicd Generator Procedures 13 10 — — $36,265.00 $79,943.14 $38,175.96 2026-04-30
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $38,381.68 $38,381.68 $38,381.68 2026-04-30
799 MS_DRG Splenic Procedures With Mcc 12 9 — — $37,156.92 $77,783.62 $38,457.41 2026-04-30
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $38,515.34 $38,515.34 $38,515.34 2026-04-30
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 9 — — $37,300.65 $92,317.28 $38,606.17 2026-04-30
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 9 — — $37,316.80 $73,804.87 $38,622.89 2026-04-30
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 3 3 — — $38,891.29 $38,891.29 $38,891.29 2026-04-30
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 9 — — $37,608.30 $76,551.71 $38,924.60 2026-04-30
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 9 — — $37,702.75 $75,120.21 $39,022.35 2026-04-30
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $39,028.62 $39,028.62 $39,028.62 2026-04-30
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 9 — — $37,880.41 $76,109.99 $39,206.22 2026-04-30
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 9 — — $10,745.38 $63,502.28 $39,356.46 2026-04-30
6 MS_DRG Liver Transplant Without Mcc 12 9 — — $38,029.80 $104,365.36 $39,360.85 2026-04-30
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $39,394.81 $39,394.81 $39,394.81 2026-04-30
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 9 — — $38,359.23 $78,122.27 $39,701.80 2026-04-30
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 9 — — $38,472.29 $77,780.35 $39,818.82 2026-04-30
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 9 — — $38,549.82 $75,370.52 $39,899.07 2026-04-30
J9999 HCPCS Carmustine In Polifeprosan 7.7 Mg Wafr 8 Each Box 1 1 $85,299.88 $23,883.97 72% off $40,090.94 $40,090.94 $40,090.94 2026-04-30
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 3 3 — — $40,146.11 $40,146.11 $40,146.11 2026-04-30
2324 APR_DRG Gastric Fundoplication 3 3 — — $40,290.75 $40,290.75 $40,290.75 2026-04-30
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 3 3 — — $40,363.99 $40,363.99 $40,363.99 2026-04-30
471 MS_DRG Cervical Spinal Fusion With Mcc 13 10 — — $25,901.00 $79,460.52 $40,369.28 2026-04-30
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $40,481.78 $40,481.78 $40,481.78 2026-04-30
12 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $40,753.37 $40,753.37 $40,753.37 2026-04-30
11 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $40,753.37 $40,753.37 $40,753.37 2026-04-30
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 9 — — $39,380.68 $81,911.25 $40,759.00 2026-04-30
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 13 10 — — $39,029.45 $114,578.21 $40,980.92 2026-04-30
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $40,995.06 $40,995.06 $40,995.06 2026-04-30
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 3 3 — — $40,996.28 $40,996.28 $40,996.28 2026-04-30
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 13 10 — — $38,849.00 $82,397.14 $41,135.24 2026-04-30
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $41,147.03 $41,147.03 $41,147.03 2026-04-30
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $41,408.86 $41,408.86 $41,408.86 2026-04-30
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $40,163.14 $88,260.56 $41,568.85 2026-04-30
K0891 HCPCS Pwc Gp5 Ped Mult Pow Opt S/b 1 1 — — $41,717.87 $41,717.87 $41,717.87 2026-04-30
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 9 — — $40,465.15 $81,824.54 $41,881.43 2026-04-30
J9226 HCPCS Supprelin La Implant 15 12 — — $35,660.75 $135,017.20 $41,996.90 2026-04-30
6904 APR_DRG Acute Leukemia 3 3 — — $42,205.93 $42,205.93 $42,205.93 2026-04-30
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $42,219.97 $42,219.97 $42,219.97 2026-04-30
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 9 — — $40,859.19 $83,087.53 $42,289.26 2026-04-30
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $42,553.20 $42,553.20 $42,553.20 2026-04-30
228 MS_DRG Other Cardiothoracic Procedures With Mcc 13 10 — — $40,536.21 $102,170.55 $42,563.02 2026-04-30
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $42,804.65 $42,804.65 $42,804.65 2026-04-30
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $41,285.53 $82,893.62 $43,349.81 2026-04-30
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 13 10 — — $33,009.00 $83,342.75 $43,471.86 2026-04-30
L7180 HCPCS Electronic Elbow Sequential 14 11 — — $28,032.50 $111,931.88 $43,493.40 2026-04-30
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $43,541.92 $43,541.92 $43,541.92 2026-04-30
9104 APR_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $43,604.17 $43,604.17 $43,604.17 2026-04-30
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $43,759.19 $43,759.19 $43,759.19 2026-04-30
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $43,886.75 $43,886.75 $43,886.75 2026-04-30
653 MS_DRG Major Bladder Procedures With Mcc 12 9 — — $42,546.80 $91,193.91 $44,035.94 2026-04-30
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 13 10 — — $42,086.00 $83,972.61 $44,055.82 2026-04-30
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $44,114.40 $44,114.40 $44,114.40 2026-04-30
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $44,402.47 $44,402.47 $44,402.47 2026-04-30
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 9 — — $43,622.36 $84,249.09 $44,494.81 2026-04-30
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $44,560.54 $44,560.54 $44,560.54 2026-04-30
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 9 — — $43,333.31 $138,100.00 $44,849.98 2026-04-30
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $44,929.78 $44,929.78 $44,929.78 2026-04-30
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $45,564.51 $45,564.51 $45,564.51 2026-04-30
62 APR_DRG Pancreas Transplant 3 3 — — $45,675.59 $45,675.59 $45,675.59 2026-04-30
61 APR_DRG Pancreas Transplant 3 3 — — $45,675.59 $45,675.59 $45,675.59 2026-04-30
L5969 HCPCS Ak/ft Power Asst Incl Motors 1 1 — — $45,828.36 $45,828.36 $45,828.36 2026-04-30
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $43,648.21 $87,411.65 $45,830.62 2026-04-30
C1823 HCPCS Ld Tv Respistim Lqs Quad 65 Lt 3 2 $45,000.00 $12,600.00 72% off $21,150.00 $59,925.00 $45,895.00 2026-04-30
C1822 HCPCS Gen, Neuro, Hf, Rechg Bat 1 1 — — $45,895.00 $45,895.00 $45,895.00 2026-04-30
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 9 — — $44,451.63 $98,740.78 $46,007.43 2026-04-30
33276 CPT Insj Phrnc Nrv Stim Sys 13 10 — — $9,350.00 $69,104.57 $46,069.71 2026-04-30
64568 CPT Opn Impltj Crnl Nrv Nea&pg 16 12 — — $1,031.71 $69,104.57 $46,069.71 2026-04-30
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $46,074.74 $46,074.74 $46,074.74 2026-04-30
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 9 — — $44,627.68 $88,272.02 $46,189.65 2026-04-30
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 3 3 — — $46,260.27 $46,260.27 $46,260.27 2026-04-30
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 9 — — $44,760.11 $88,808.62 $46,326.71 2026-04-30
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 12 9 — — $1,893.34 $69,104.57 $46,415.24 2026-04-30
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 9 — — $38,887.76 $81,847.44 $46,443.50 2026-04-30
834 MS_DRG Acute Leukemia With Mcc 12 9 — — $44,916.76 $90,420.08 $46,488.85 2026-04-30
C9150 HCPCS Apc 2 2 — — $434.34 $92,894.13 $46,664.24 2026-04-30
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 9 — — $45,184.03 $98,002.94 $46,765.47 2026-04-30
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 13 10 — — $44,697.12 $87,033.56 $46,931.98 2026-04-30
64654 CPT 1st Opn Implt Bat Modulj Sys 9 8 — — $46,069.71 $69,104.57 $46,991.11 2026-04-30
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $45,842.93 $122,808.74 $47,447.43 2026-04-30
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $45,983.43 $93,706.54 $47,592.85 2026-04-30
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 9 8 — — $46,668.98 $70,003.47 $47,602.36 2026-04-30
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $47,634.10 $47,634.10 $47,634.10 2026-04-30
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $47,799.50 $47,799.50 $47,799.50 2026-04-30
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $47,955.13 $47,955.13 $47,955.13 2026-04-30
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $48,139.44 $48,139.44 $48,139.44 2026-04-30
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $48,239.53 $48,239.53 $48,239.53 2026-04-30
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 9 — — $46,609.22 $88,355.45 $48,240.54 2026-04-30
1784 APR_DRG External Heart Assist Systems 3 3 — — $48,279.82 $48,279.82 $48,279.82 2026-04-30
13 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $48,296.90 $48,296.90 $48,296.90 2026-04-30
C1825 HCPCS Procedure Charge Bartostim Neo2 2 2 $157,500.00 $44,100.00 72% off $22,947.50 $74,025.00 $48,486.25 2026-04-30
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 9 — — $46,857.93 $93,328.89 $48,497.96 2026-04-30
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 9 — — $47,155.08 $93,706.54 $48,805.51 2026-04-30
L7181 HCPCS Electronic Elbo Simultaneous 14 11 — — $30,433.14 $121,517.49 $48,998.22 2026-04-30
Q0488 HCPCS Pwr Pack Base Elec Vad, Rep 1 1 — — $49,297.12 $49,297.12 $49,297.12 2026-04-30
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 9 — — $47,943.98 $95,246.28 $49,622.02 2026-04-30
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $49,832.46 $49,832.46 $49,832.46 2026-04-30
460 MS_DRG Inpatient Ms-DRG 1 1 — — $50,130.30 $50,130.30 $50,130.30 2026-04-30
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $48,468.03 $108,612.54 $50,164.41 2026-04-30
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 9 — — $48,579.46 $97,260.20 $50,279.74 2026-04-30
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 13 10 — — $47,974.66 $96,258.97 $50,373.39 2026-04-30
4404 APR_DRG Kidney Transplant 3 3 — — $50,803.48 $50,803.48 $50,803.48 2026-04-30
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 9 — — $49,088.96 $101,333.84 $50,807.07 2026-04-30
28 MS_DRG Spinal Procedures With Mcc 12 9 — — $49,102.70 $99,454.08 $50,821.29 2026-04-30
63 APR_DRG Pancreas Transplant 3 3 — — $50,954.23 $50,954.23 $50,954.23 2026-04-30
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $48,737.71 $93,890.04 $51,174.60 2026-04-30
72 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $51,259.39 $51,259.39 $51,259.39 2026-04-30
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $51,608.49 $51,608.49 $51,608.49 2026-04-30
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 9 — — $50,015.17 $103,459.00 $51,765.70 2026-04-30
232 MS_DRG Coronary Bypass With Ptca Without Mcc 13 10 — — $49,541.15 $99,931.79 $52,018.21 2026-04-30
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 10 — — $50,072.48 $124,457.17 $52,576.10 2026-04-30
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $52,964.62 $52,964.62 $52,964.62 2026-04-30
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $52,964.62 $52,964.62 $52,964.62 2026-04-30
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $53,045.18 $53,045.18 $53,045.18 2026-04-30
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $53,823.94 $53,823.94 $53,823.94 2026-04-30
21 APR_DRG Heart And/Or Lung Transplant 3 3 — — $53,862.39 $53,862.39 $53,862.39 2026-04-30
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 3 3 — — $54,093.70 $54,093.70 $54,093.70 2026-04-30
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 12 9 — — $52,545.75 $105,811.57 $54,384.85 2026-04-30
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 9 — — $42,941.15 $100,741.61 $54,557.86 2026-04-30
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 9 — — $53,849.80 $101,202.96 $55,670.60 2026-04-30
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $53,681.09 $99,324.00 $56,365.14 2026-04-30
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $53,681.09 $107,407.73 $56,365.14 2026-04-30
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 9 — — $54,539.43 $109,680.71 $56,448.31 2026-04-30
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 9 — — $54,939.13 $111,704.44 $56,862.00 2026-04-30
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 13 10 — — $56,124.50 $109,075.39 $57,246.99 2026-04-30
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 11 — — $42,741.32 $160,086.39 $57,253.90 2026-04-30
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $57,460.83 $57,460.83 $57,460.83 2026-04-30
A9543 HCPCS Y90 Ibritumomab, Rx 14 11 — — $52,381.27 $152,325.70 $57,818.98 2026-04-30
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $57,820.31 $57,820.31 $57,820.31 2026-04-30
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $58,301.24 $58,301.24 $58,301.24 2026-04-30
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 9 — — $56,398.24 $113,808.34 $58,372.18 2026-04-30
C1604 HCPCS Detour System Procedure Charge 1 1 $125,000.00 $35,000.00 72% off $58,750.00 $58,750.00 $58,750.00 2026-04-30
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 9 — — $58,163.38 $142,363.52 $60,199.10 2026-04-30
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $58,197.29 $145,637.05 $60,234.19 2026-04-30
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 9 — — $58,504.95 $109,260.26 $60,552.62 2026-04-30
10 MS_DRG Pancreas Transplant 12 9 — — $58,529.18 $130,431.74 $60,577.70 2026-04-30
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $58,875.58 $116,134.73 $60,936.22 2026-04-30
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $61,200.86 $61,200.86 $61,200.86 2026-04-30
73 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $61,720.85 $61,720.85 $61,720.85 2026-04-30
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $62,383.65 $62,383.65 $62,383.65 2026-04-30
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $62,436.14 $62,436.14 $62,436.14 2026-04-30
8634 APR_DRG Neonatal Aftercare 3 3 — — $62,743.13 $62,743.13 $62,743.13 2026-04-30
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 9 — — $62,115.98 $122,106.13 $64,290.04 2026-04-30
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $65,049.52 $65,049.52 $65,049.52 2026-04-30
J9029 HCPCS Instill Adstiladrin, Tx Dose 14 11 — — $49,440.00 $107,185.54 $65,407.24 2026-04-30
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 10 — — $62,320.27 $127,866.49 $65,436.28 2026-04-30
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 10 — — $62,587.55 $126,577.32 $65,716.93 2026-04-30
38240 CPT Transplt Allo Hct/donor 16 12 — — $408.76 $98,685.63 $65,790.42 2026-04-30
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $65,815.47 $65,815.47 $65,815.47 2026-04-30
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $65,858.81 $65,858.81 $65,858.81 2026-04-30
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $66,066.92 $66,066.92 $66,066.92 2026-04-30
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 9 — — $64,125.77 $158,815.23 $66,370.18 2026-04-30
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $66,555.18 $66,555.18 $66,555.18 2026-04-30
K0606 HCPCS Aed Garment W Elec Analysis 2 2 — — $52,496.93 $81,570.07 $67,033.50 2026-04-30
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $68,044.96 $68,044.96 $68,044.96 2026-04-30
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $68,044.96 $68,044.96 $68,044.96 2026-04-30
22 APR_DRG Heart And/Or Lung Transplant 3 3 — — $69,675.12 $69,675.12 $69,675.12 2026-04-30
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 10 — — $60,668.00 $138,546.30 $69,811.39 2026-04-30
459 MS_DRG Inpatient Ms-DRG 1 1 — — $69,983.96 $69,983.96 $69,983.96 2026-04-30
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $68,801.71 $110,302.15 $70,177.74 2026-04-30
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $70,650.41 $70,650.41 $70,650.41 2026-04-30
231 MS_DRG Coronary Bypass With Ptca With Mcc 13 10 — — $68,656.52 $138,624.82 $72,089.35 2026-04-30
850 MS_DRG Acute Leukemia With Other Procedures 12 9 — — $70,510.49 $150,696.87 $72,978.35 2026-04-30
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $73,030.04 $73,030.04 $73,030.04 2026-04-30
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $73,210.70 $73,210.70 $73,210.70 2026-04-30
J9183 HCPCS Gemcitabine Intravesical Sys 9 8 — — $73,088.26 $109,632.39 $74,550.03 2026-04-30
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 3 — — $75,895.48 $75,895.48 $75,895.48 2026-04-30
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 9 — — $73,337.46 $136,442.40 $75,904.27 2026-04-30
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $78,947.07 $78,947.07 $78,947.07 2026-04-30
23 APR_DRG Heart And/Or Lung Transplant 3 3 — — $83,108.22 $83,108.22 $83,108.22 2026-04-30
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 10 — — $79,580.85 $157,880.54 $83,559.89 2026-04-30
215 MS_DRG Other Heart Assist System Implant 12 9 — — $80,987.49 $200,934.49 $83,822.05 2026-04-30
64 APR_DRG Pancreas Transplant 3 3 — — $84,684.06 $84,684.06 $84,684.06 2026-04-30
90288 CPT Hc Babybig Botulism Immune Globulin 3 2 $182,700.00 $51,156.00 72% off $32,668.80 $87,357.29 $85,869.00 2026-04-30
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $83,841.91 $174,211.10 $86,776.38 2026-04-30
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 9 — — $88,392.82 $178,211.12 $91,486.57 2026-04-30
E0194 HCPCS Air Fluidized Bed 2 2 — — $67,840.73 $117,034.44 $92,437.58 2026-04-30
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 9 — — $89,580.63 $171,478.98 $92,715.95 2026-04-30
209 MS_DRG Complex Aortic Arch Procedures 9 8 — — $91,983.68 $137,975.52 $93,823.35 2026-04-30
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $95,130.88 $95,130.88 $95,130.88 2026-04-30
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 9 — — $92,088.64 $212,172.36 $95,311.74 2026-04-30
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $95,570.92 $95,570.92 $95,570.92 2026-04-30
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $10,119.40 $142,621.55 $96,744.95 2026-04-30
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $97,152.25 $97,152.25 $97,152.25 2026-04-30
5831 APR_DRG Neonate With Ecmo 3 3 — — $97,858.39 $97,858.39 $97,858.39 2026-04-30
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $96,092.85 $100,345.32 $98,219.09 2026-04-30
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $97,628.73 $214,330.72 $101,045.74 2026-04-30
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $102,018.93 $102,018.93 $102,018.93 2026-04-30
14 APR_DRG Liver Transplant And/Or Intestinal Transplant 3 3 — — $102,463.24 $102,463.24 $102,463.24 2026-04-30
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $103,363.46 $103,363.46 $103,363.46 2026-04-30
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $107,322.59 $107,322.59 $107,322.59 2026-04-30
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo) 3 3 — — $108,350.36 $108,350.36 $108,350.36 2026-04-30
7 MS_DRG Lung Transplant 12 9 — — $105,156.83 $213,790.84 $108,837.32 2026-04-30
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $109,710.76 $109,710.76 $109,710.76 2026-04-30
Q0480 HCPCS Driver Pneumatic Vad, Rep 14 11 — — $68,407.23 $273,145.48 $110,137.61 2026-04-30
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 9 — — $112,433.78 $231,152.08 $116,368.96 2026-04-30
74 APR_DRG Allogeneic Bone Marrow Transplant 3 3 — — $119,912.23 $119,912.23 $119,912.23 2026-04-30
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $120,376.07 $120,376.07 $120,376.07 2026-04-30
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $122,883.26 $122,883.26 $122,883.26 2026-04-30
5832 APR_DRG Neonate With Ecmo 3 3 — — $123,852.44 $123,852.44 $123,852.44 2026-04-30
J3404 HCPCS Inj Zopapogene Per Ther Dose 9 8 — — $121,900.00 $182,850.00 $124,338.00 2026-04-30
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $125,447.20 $125,447.20 $125,447.20 2026-04-30
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $139,350.25 $139,350.25 $139,350.25 2026-04-30
24 APR_DRG Heart And/Or Lung Transplant 3 3 — — $158,105.93 $158,105.93 $158,105.93 2026-04-30
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 9 — — $171,975.39 $350,598.07 $177,994.53 2026-04-30
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 9 — — $172,987.15 $329,014.32 $179,041.70 2026-04-30
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $179,983.39 $179,983.39 $179,983.39 2026-04-30
5833 APR_DRG Neonate With Ecmo 3 3 — — $182,534.52 $182,534.52 $182,534.52 2026-04-30
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 9 8 — — $202,713.58 $304,070.38 $206,767.86 2026-04-30
5834 APR_DRG Neonate With Ecmo 3 3 — — $227,217.12 $227,217.12 $227,217.12 2026-04-30
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 9 — — $226,873.22 $460,802.30 $234,813.78 2026-04-30
E0766 HCPCS Elec Stim Cancer Treatment 1 1 — — $239,668.62 $239,668.62 $239,668.62 2026-04-30
J3403 HCPCS Revakinagene, Per Implant 9 8 — — $262,233.77 $393,350.66 $267,478.45 2026-04-30
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 9 8 — — $278,250.00 $417,375.00 $283,815.00 2026-04-30
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $114,328.38 $616,938.87 $356,263.12 2026-04-30
Q2053 HCPCS Brexucabtagene Car Pos T 13 10 — — $1,413.84 $733,935.90 $489,290.60 2026-04-30
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 10 — — $359,552.00 $1,184,365.00 $539,826.85 2026-04-30
Q2055 HCPCS Idecabtagene Vicleucel Car 13 10 — — $0.03 $839,671.62 $559,781.08 2026-04-30
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 10 — — $0.03 $843,391.25 $562,260.84 2026-04-30
Q2056 HCPCS Ciltacabtagene Car-pos T 13 10 — — $405,756.74 $1,184,365.00 $597,322.23 2026-04-30
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 10 — — $408,858.00 $1,184,365.00 $623,393.52 2026-04-30
Q2057 HCPCS Afamitresgene Autoleucel 9 8 — — $770,620.00 $1,155,930.00 $786,032.40 2026-04-30
J3392 HCPCS Inj, Exagamglogene Autotem 12 10 — — $1,492,480.00 $3,498,000.00 $2,349,490.00 2026-04-30
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $2,374,400.00 $2,374,400.00 $2,374,400.00 2026-04-30
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 10 — — $1,316,994.07 $3,880,630.89 $2,587,087.26 2026-04-30
C9309 HCPCS Inj Onase Abepar-brve Treat 9 8 — — $2,664,228.59 $3,996,342.89 $2,717,513.16 2026-04-30
J3393 HCPCS Inj, Betibeglogene Autotemce 12 10 — — $2,374,400.00 $4,407,480.00 $2,960,357.40 2026-04-30
J3387 HCPCS Inj Elivaldogene Autotemecel 9 8 — — $3,180,000.00 $4,770,000.00 $3,243,600.00 2026-04-30
J3394 HCPCS Inj, Lovotibeglogene Autotem 12 10 — — $2,628,800.00 $4,868,072.08 $3,269,721.75 2026-04-30
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 10 — — $2,636,800.00 $4,982,064.57 $3,346,286.70 2026-04-30
J3389 HCPCS Topi Adm Prad Zami Per Treat 8 7 — — $3,335,820.00 $4,269,849.60 $3,394,196.85 2026-04-30
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 9 — — $0.03 $4,725,056.00 $3,691,450.00 2026-04-30
J3391 HCPCS Inj, Atidarsagene Autotemcel 7 7 — — $4,505,000.00 $4,820,350.00 $4,572,575.00 2026-04-30
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