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

DOCTORS HOSPITAL OF MANTECA

Manteca, CA · CCN 050118 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $2,080 across 25 payers · range $725-$8,994

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/58-1162801_DOCTORS-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D · observed 2026-09-02

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.

30,798 distinct procedures filed
69 distinct payers
1,123,548 rate rows
2026-09-02 last MRF observed
Data quality

1,047,044 of 1,123,548 rate rows are consumer-grade (93.2%)

76,504 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 59,928
per-diem day rate — not a per-procedure price 8,342
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,317
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,304
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 265
placeholder amount (≤ $0.02) — excluded from medians 177
exceeds 10× this hospital's gross charge — excluded from medians 171
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/58-1162801_DOCTORS-HOSPITAL_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D
Found on page https://doctors-hospital.net/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch success · 2026-10-22
Content fingerprint 3a9afa81806ddb59… · 498,515,949 bytes · first seen 2026-10-22

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 3 $3,195,292.80 $4,848,228.00 $4,698,960.00 nat. median
$2,994,107
1.6× median
845
OTHER 		Inj, Atidarsagene Autotemc 18 $4,611.37 $4,730,250.00 $4,595,100.00 nat. median
$17,156
outlier · 267.8×
C9309
HCPCS 		Injection, Onasemnogene Abeparvovec-brve, Per Treatment 1 $4,395,977.17 $4,395,977.17 $4,395,977.17 nat. median
$2,664,229
1.6× median
00845
OTHER 		Inj, Atidarsagene Autotemc 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
1.0× median
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 $3,994,116.00 $4,111,590.00 $4,052,853.00 nat. median
$3,705,478
1.1× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 18 $3,580,706.50 $4,429,740.00 $3,765,279.00 nat. median
$3,758,972
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 3 $2,510,587.20 $3,847,800.00 $3,692,040.00 nat. median
$2,401,965
1.5× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 $3,651,763.20 $3,651,763.20 $3,651,763.20 nat. median
$3,324,572
1.1× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $3,580,706.50 $3,580,706.50 $3,580,706.50 nat. median
$3,574,709
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 1 $3,537,645.60 $3,537,645.60 $3,537,645.60 nat. median
$3,286,000
1.1× median
714
OTHER 		Inj Delandistrogene Mox Ro 19 $5,423.59 $3,980,276.40 $3,383,234.94 nat. median
$3,325,455
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tre 19 $8,349.54 $3,942,939.60 $3,351,498.66 nat. median
$30,519
outlier · 109.8×
748
OTHER 		Inj, Lovotibeglogene Autot 19 $10,323.75 $3,882,364.80 $3,300,010.08 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autotemec 19 $7,377.80 $3,816,000.00 $3,243,600.00 nat. median
$25,059
outlier · 129.4×
00714
OTHER 		Inj Delandistrogene Mox Ro 1 $3,217,390.09 $3,217,390.09 $3,217,390.09 nat. median
$3,228,024
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tre 1 $3,187,209.51 $3,187,209.51 $3,187,209.51 nat. median
$14,890
outlier · 214.1×
00748
OTHER 		Inj, Lovotibeglogene Autot 1 $3,138,244.88 $3,138,244.88 $3,138,244.88 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autotemec 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autotem 19 $9,549.58 $3,516,312.00 $2,988,865.20 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autotem 1 $2,842,352.20 $2,842,352.20 $2,842,352.20 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Trea 18 $2,599,636.86 $3,216,045.60 $2,733,638.76 nat. median
$2,588,981
1.1× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 5 $31,607.91 $4,268,693.98 $2,729,357.14 nat. median
$2,467,386
1.1× median
922
OTHER 		Inj Onase Abepar-brve Trea 19 $6,498.75 $3,197,073.60 $2,717,512.56 nat. median
$711
outlier · 3823.2×
09141
OTHER 		Inj Onase Abepar-xioi Trea 1 $2,599,636.86 $2,599,636.86 $2,599,636.86 nat. median
$2,511,312
1.0× median
00922
OTHER 		Inj Onase Abepar-brve Trea 1 $2,584,301.16 $2,584,301.16 $2,584,301.16 nat. median
$29
outlier · 90455.1×
824
OTHER 		Inj, Exagamglogene Autotem 19 $11,182.32 $2,761,088.40 $2,346,925.14 nat. median
$2,285,360
1.0× median
00824
OTHER 		Inj, Exagamglogene Autotem 1 $2,231,879.79 $2,231,879.79 $2,231,879.79 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 4 $747,501.40 $1,362,610.29 $1,099,049.00 nat. median
$813,967
1.4× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 $570,840.15 $1,444,178.39 $949,848.40 nat. median
$646,415
1.5× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 9 $545,393.17 $1,352,935.00 $949,164.08 nat. median
$640,950
1.5× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 8 $542,987.57 $1,383,914.41 $915,991.03 nat. median
$622,450
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 9 $515,893.53 $1,282,290.17 $899,091.85 nat. median
$608,239
1.5× median
2067
OTHER 		Afamitresgene Autoleucel 18 $789,548.38 $976,760.88 $830,246.75 nat. median
$793,739
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 $474,612.27 $1,278,450.93 $814,588.80 nat. median
$591,721
1.4× median
02067
OTHER 		Afamitresgene Autoleucel 1 $679,785.31 $679,785.31 $679,785.31 nat. median
$800,342
0.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 $1.00 $1,481,651.65 $632,574.87 nat. median
$739,258
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos T 18 $593,342.40 $734,031.84 $623,927.06 nat. median
$577,163
1.1× median
9498
OTHER 		Ciltacabtagene Car-pos T 18 $570,338.47 $705,573.36 $599,737.36 nat. median
$587,650
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos T 1 $593,342.40 $593,342.40 $593,342.40 nat. median
$549,535
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 18 $562,183.48 $695,484.72 $591,162.01 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 18 $550,938.47 $681,573.36 $579,337.36 nat. median
$563,449
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Ca 18 $545,625.87 $675,001.08 $573,750.92 nat. median
$533,230
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $570,338.47 $570,338.47 $570,338.47 nat. median
$570,020
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $562,183.48 $562,183.48 $562,183.48 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Car 1 $550,938.47 $550,938.47 $550,938.47 nat. median
$541,339
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel Ca 1 $545,625.87 $545,625.87 $545,625.87 nat. median
$516,226
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 18 $494,800.78 $612,124.68 $520,305.98 nat. median
$492,768
1.1× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $494,800.78 $494,800.78 $494,800.78 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$319,951
1.4× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 $3,440.00 $952,180.74 $285,695.01 nat. median
$359,454
0.8× median

Other procedures at this hospital

Browse this hospital's 30,798 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 3 — — $3,195,292.80 $4,848,228.00 $4,698,960.00 2026-09-01
845 OTHER Inj, Atidarsagene Autotemc 26 18 — — $4,611.37 $4,730,250.00 $4,595,100.00 2026-09-01
C9309 HCPCS Injection, Onasemnogene Abeparvovec-brve, Per Treatment 1 1 — — $4,395,977.17 $4,395,977.17 $4,395,977.17 2026-09-01
00845 OTHER Inj, Atidarsagene Autotemc 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-09-01
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 2 — — $3,994,116.00 $4,111,590.00 $4,052,853.00 2026-09-01
9138 OTHER Inj, Hemgenix, Per Tx Dose 25 18 — — $3,580,706.50 $4,429,740.00 $3,765,279.00 2026-09-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 3 — — $2,510,587.20 $3,847,800.00 $3,692,040.00 2026-09-01
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 1 — — $3,651,763.20 $3,651,763.20 $3,651,763.20 2026-09-01
09138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $3,580,706.50 $3,580,706.50 $3,580,706.50 2026-09-01
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 1 1 — — $3,537,645.60 $3,537,645.60 $3,537,645.60 2026-09-01
714 OTHER Inj Delandistrogene Mox Ro 27 19 — — $5,423.59 $3,980,276.40 $3,383,234.94 2026-09-01
908 OTHER Topi Adm Prad Zami Per Tre 27 19 — — $8,349.54 $3,942,939.60 $3,351,498.66 2026-09-02
748 OTHER Inj, Lovotibeglogene Autot 27 19 — — $10,323.75 $3,882,364.80 $3,300,010.08 2026-09-01
906 OTHER Inj Elivaldogene Autotemec 27 19 — — $7,377.80 $3,816,000.00 $3,243,600.00 2026-09-01
00714 OTHER Inj Delandistrogene Mox Ro 1 1 — — $3,217,390.09 $3,217,390.09 $3,217,390.09 2026-09-01
00908 OTHER Topi Adm Prad Zami Per Tre 1 1 — — $3,187,209.51 $3,187,209.51 $3,187,209.51 2026-09-01
00748 OTHER Inj, Lovotibeglogene Autot 1 1 — — $3,138,244.88 $3,138,244.88 $3,138,244.88 2026-09-01
00906 OTHER Inj Elivaldogene Autotemec 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-09-01
746 OTHER Inj, Betibeglogene Autotem 27 19 — — $9,549.58 $3,516,312.00 $2,988,865.20 2026-09-01
00746 OTHER Inj, Betibeglogene Autotem 1 1 — — $2,842,352.20 $2,842,352.20 $2,842,352.20 2026-09-01
9141 OTHER Inj Onase Abepar-xioi Trea 25 18 — — $2,599,636.86 $3,216,045.60 $2,733,638.76 2026-09-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 5 5 — — $31,607.91 $4,268,693.98 $2,729,357.14 2026-09-01
922 OTHER Inj Onase Abepar-brve Trea 27 19 — — $6,498.75 $3,197,073.60 $2,717,512.56 2026-09-01
09141 OTHER Inj Onase Abepar-xioi Trea 1 1 — — $2,599,636.86 $2,599,636.86 $2,599,636.86 2026-09-01
00922 OTHER Inj Onase Abepar-brve Trea 1 1 — — $2,584,301.16 $2,584,301.16 $2,584,301.16 2026-09-01
824 OTHER Inj, Exagamglogene Autotem 27 19 — — $11,182.32 $2,761,088.40 $2,346,925.14 2026-09-01
00824 OTHER Inj, Exagamglogene Autotem 1 1 — — $2,231,879.79 $2,231,879.79 $2,231,879.79 2026-09-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 4 4 — — $747,501.40 $1,362,610.29 $1,099,049.00 2026-09-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 8 — — $570,840.15 $1,444,178.39 $949,848.40 2026-09-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 12 9 — — $545,393.17 $1,352,935.00 $949,164.08 2026-09-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 8 8 — — $542,987.57 $1,383,914.41 $915,991.03 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 9 — — $515,893.53 $1,282,290.17 $899,091.85 2026-09-01
2067 OTHER Afamitresgene Autoleucel 25 18 — — $789,548.38 $976,760.88 $830,246.75 2026-09-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 8 — — $474,612.27 $1,278,450.93 $814,588.80 2026-09-01
02067 OTHER Afamitresgene Autoleucel 1 1 — — $679,785.31 $679,785.31 $679,785.31 2026-09-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 21 11 — — $1.00 $1,481,651.65 $632,574.87 2026-09-02
9194 OTHER Tisagenlecleucel Car-pos T 25 18 — — $593,342.40 $734,031.84 $623,927.06 2026-09-01
9498 OTHER Ciltacabtagene Car-pos T 25 18 — — $570,338.47 $705,573.36 $599,737.36 2026-09-01
09194 OTHER Tisagenlecleucel Car-pos T 1 1 — — $593,342.40 $593,342.40 $593,342.40 2026-09-01
9413 OTHER Lisocabtagene Car Pos T 25 18 — — $562,183.48 $695,484.72 $591,162.01 2026-09-01
9422 OTHER Idecabtagene Vicleucel Car 25 18 — — $550,938.47 $681,573.36 $579,337.36 2026-09-01
9035 OTHER Axicabtagene Ciloleucel Ca 25 18 — — $545,625.87 $675,001.08 $573,750.92 2026-09-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $570,338.47 $570,338.47 $570,338.47 2026-09-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $562,183.48 $562,183.48 $562,183.48 2026-09-01
09422 OTHER Idecabtagene Vicleucel Car 1 1 — — $550,938.47 $550,938.47 $550,938.47 2026-09-01
09035 OTHER Axicabtagene Ciloleucel Ca 1 1 — — $545,625.87 $545,625.87 $545,625.87 2026-09-01
9391 OTHER Brexucabtagene Car Pos T 25 18 — — $494,800.78 $612,124.68 $520,305.98 2026-09-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $494,800.78 $494,800.78 $494,800.78 2026-09-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 57 33 — — $3,440.00 $952,180.74 $285,695.01 2026-09-02
831 OTHER Obecbtge Autol Up To 400 M 27 19 — — $3,157.66 $333,900.00 $283,815.00 2026-09-01
00831 OTHER Obecbtge Autol Up To 400 M 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-09-01
897 OTHER Revakinagene, Per Implant 25 18 — — $253,732.31 $313,895.64 $266,811.29 2026-09-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 2 2 — — $196,632.58 $334,477.41 $265,554.99 2026-09-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $253,732.31 $253,732.31 $253,732.31 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $205,687.58 $357,305.82 $238,203.88 2026-09-01
5834 APR_DRG Neonate With Ecmo 7 7 — — $227,503.02 $576,528.65 $232,053.08 2026-09-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 2 2 — — $162,432.84 $254,800.29 $208,616.57 2026-09-02
886 OTHER Inj. Remestemcel-l-rknd/ T 27 19 — — $6,909.49 $244,391.76 $207,733.00 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $205,075.21 $307,612.82 $207,125.96 2026-09-01
J3404 HCPCS Injection, Zopapogene Imadenovec-drba Suspension, Per Therapeutic Dose 1 1 — — $201,135.00 $201,135.00 $201,135.00 2026-09-01
00886 OTHER Inj. Remestemcel-l-rknd/ T 1 1 — — $197,550.01 $197,550.01 $197,550.01 2026-09-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $186,182.67 $201,537.95 $193,860.31 2026-09-01
34 APR_DRG Bone Marrow Transplant 1 1 — — $187,490.42 $187,490.42 $187,490.42 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 71 35 — — $3,894.00 $617,926.99 $184,392.74 2026-09-02
5833 APR_DRG Neonate With Ecmo 7 7 — — $178,312.59 $348,093.11 $180,155.42 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $86,529.13 $261,657.79 $174,438.53 2026-09-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $145,741.94 $257,480.07 $171,653.38 2026-09-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $115,349.19 $257,260.18 $171,506.79 2026-09-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $168,135.29 $364,387.72 $171,498.00 2026-09-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $163,657.53 $177,155.06 $170,406.29 2026-09-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $108,334.14 $183,011.96 $145,673.05 2026-09-02
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 4 4 — — $93,760.51 $148,851.91 $144,386.35 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 34 — — $3,894.00 $470,778.53 $141,017.55 2026-09-02
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 50 34 — — $3,894.00 $468,015.66 $140,203.08 2026-09-02
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $138,148.31 $138,148.31 $138,148.31 2026-09-01
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $135,226.51 $296,527.08 $137,931.04 2026-09-01
5832 APR_DRG Neonate With Ecmo 7 7 — — $132,881.12 $218,436.32 $135,538.74 2026-09-01
1908 OTHER New Technology - Level 52 25 18 — — $127,360.90 $157,559.88 $133,925.90 2026-09-01
1907 OTHER New Technology - Level 52 25 18 — — $127,360.90 $157,559.88 $133,925.90 2026-09-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $125,844.94 $210,928.46 $128,361.84 2026-09-01
01908 OTHER New Technology - Level 52 1 1 — — $127,360.90 $127,360.90 $127,360.90 2026-09-01
01907 OTHER New Technology - Level 52 1 1 — — $127,360.90 $127,360.90 $127,360.90 2026-09-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $100,685.32 $152,204.13 $126,444.73 2026-09-02
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $123,206.37 $250,720.83 $125,670.50 2026-09-01
924 OTHER Inj Zopapogene Per Ther Do 25 18 — — $118,243.00 $146,280.00 $124,338.00 2026-09-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $120,201.34 $235,881.19 $122,605.37 2026-09-01
1906 OTHER New Technology - Level 51 25 18 — — $114,833.64 $142,062.24 $120,752.90 2026-09-01
1905 OTHER New Technology - Level 51 25 18 — — $114,833.64 $142,062.24 $120,752.90 2026-09-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $115,349.10 $124,862.43 $120,105.76 2026-09-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $116,756.55 $256,239.17 $119,091.68 2026-09-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $98,722.67 $178,542.96 $119,028.64 2026-09-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $117,342.89 $326,518.44 $118,516.32 2026-09-01
00924 OTHER Inj Zopapogene Per Ther Do 1 1 — — $118,243.00 $118,243.00 $118,243.00 2026-09-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $72,082.56 $227,492.98 $117,709.36 2026-09-01
5831 APR_DRG Neonate With Ecmo 7 7 — — $102,657.49 $184,305.67 $114,850.91 2026-09-01
01906 OTHER New Technology - Level 51 1 1 — — $114,833.64 $114,833.64 $114,833.64 2026-09-01
01905 OTHER New Technology - Level 51 1 1 — — $114,833.64 $114,833.64 $114,833.64 2026-09-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $94,400.51 $133,771.46 $114,085.98 2026-09-02
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 26 18 — — $108,157.91 $133,803.60 $113,733.06 2026-09-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 2 — — $84,678.99 $142,656.85 $113,667.92 2026-09-02
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $54,563.68 $164,580.55 $109,720.37 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $108,327.79 $182,667.25 $109,411.07 2026-09-01
211U OTHER Onc Pan-tum Dna&rna Gnrj Seq 7 2 — — $5,831.72 $159,714.95 $108,139.45 2026-09-02
1904 OTHER New Technology - Level 50 25 18 — — $102,306.38 $126,564.60 $107,579.91 2026-09-01
1903 OTHER New Technology - Level 50 25 18 — — $102,306.38 $126,564.60 $107,579.91 2026-09-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 7 7 — — $62,353.83 $166,081.64 $106,449.99 2026-09-01
33 APR_DRG Bone Marrow Transplant 1 1 — — $104,327.97 $104,327.97 $104,327.97 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $41,270.91 $156,335.04 $104,223.36 2026-09-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $102,024.55 $221,313.57 $104,065.04 2026-09-01
01904 OTHER New Technology - Level 50 1 1 — — $102,306.38 $102,306.38 $102,306.38 2026-09-01
01903 OTHER New Technology - Level 50 1 1 — — $102,306.38 $102,306.38 $102,306.38 2026-09-01
64 APR_DRG Pancreas Transplant 7 7 — — $97,187.18 $145,780.77 $99,130.92 2026-09-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $72,818.48 $146,770.23 $97,846.82 2026-09-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 26 18 — — $92,228.57 $114,097.20 $96,982.62 2026-09-01
J9183 HCPCS Gemcitabine Intravesical System, 225 Mg 2 2 — — $70,895.65 $120,595.63 $95,745.64 2026-09-01
1902 OTHER New Technology - Level 49 25 18 — — $89,779.11 $111,066.94 $94,406.90 2026-09-01
1901 OTHER New Technology - Level 49 25 18 — — $89,779.11 $111,066.94 $94,406.90 2026-09-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $90,078.55 $97,507.70 $93,793.12 2026-09-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $69,098.77 $139,404.24 $92,936.16 2026-09-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 9 9 — — $54,581.12 $145,477.86 $92,844.16 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 62 35 — — $3,894.00 $305,423.37 $92,275.51 2026-09-02
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $89,344.78 $168,116.50 $91,131.68 2026-09-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $89,344.78 $134,017.17 $90,981.67 2026-09-01
7 MS_DRG Lung Transplant 71 36 — — $3,894.00 $285,551.91 $90,654.15 2026-09-02
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $53,777.34 $135,886.15 $90,590.77 2026-09-01
01902 OTHER New Technology - Level 49 1 1 — — $89,779.11 $89,779.11 $89,779.11 2026-09-01
01901 OTHER New Technology - Level 49 1 1 — — $89,779.11 $89,779.11 $89,779.11 2026-09-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $74,909.86 $134,017.17 $89,344.78 2026-09-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $85,221.98 $158,102.51 $88,098.79 2026-09-01
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $84,580.70 $160,351.39 $86,272.31 2026-09-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $84,287.53 $126,431.29 $85,973.28 2026-09-01
8514 APR_DRG Gender Related Procedures 1 1 — — $84,856.37 $84,856.37 $84,856.37 2026-09-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $80,728.98 $87,387.04 $84,058.01 2026-09-01
1599 OTHER New Technology - Level 48 25 18 — — $79,339.72 $98,152.24 $83,429.40 2026-09-01
1585 OTHER New Technology - Level 48 25 18 — — $79,339.72 $98,152.24 $83,429.40 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $81,722.25 $122,583.38 $83,356.70 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $81,135.90 $130,354.76 $82,758.62 2026-09-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $81,671.25 $81,671.25 $81,671.25 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 59 35 — — $3,440.00 $264,994.70 $81,146.10 2026-09-02
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 71 35 — — $3,894.00 $443,081.18 $81,107.56 2026-09-02
01599 OTHER New Technology - Level 48 1 1 — — $79,339.72 $79,339.72 $79,339.72 2026-09-01
01585 OTHER New Technology - Level 48 1 1 — — $79,339.72 $79,339.72 $79,339.72 2026-09-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $66,948.46 $91,291.44 $79,119.95 2026-09-02
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $77,031.47 $218,698.84 $78,572.10 2026-09-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $49,825.01 $151,308.43 $77,471.23 2026-09-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-09-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $40,889.05 $114,887.57 $76,591.71 2026-09-01
209 MS_DRG Complex Aortic Arch Procedures 55 29 — — $3,894.00 $249,579.54 $75,814.33 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $54,548.72 $113,018.58 $75,345.72 2026-09-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 7 7 — — $41,203.06 $112,139.05 $74,759.37 2026-09-01
1584 OTHER New Technology - Level 47 25 18 — — $70,988.22 $87,820.48 $74,647.40 2026-09-01
1598 OTHER New Technology - Level 47 25 18 — — $70,988.22 $87,820.48 $74,647.40 2026-09-01
926 OTHER Gemcitabine Intravesical S 25 18 — — $70,794.71 $87,581.09 $74,443.92 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 37 — — $3,894.00 $243,017.46 $73,880.01 2026-09-02
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 61 34 — — $3,894.00 $239,773.90 $73,638.84 2026-09-02
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $72,194.10 $161,645.05 $73,637.98 2026-09-01
904 APR_DRG Major Larynx & Trachea Procedures 1 1 — — $73,532.78 $73,532.78 $73,532.78 2026-09-01
007 OTHER Lung Transplant 2 2 — — $69,231.53 $74,941.35 $72,086.44 2026-09-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $70,141.88 $120,163.64 $71,544.72 2026-09-01
01584 OTHER New Technology - Level 47 1 1 — — $70,988.22 $70,988.22 $70,988.22 2026-09-01
01598 OTHER New Technology - Level 47 1 1 — — $70,988.22 $70,988.22 $70,988.22 2026-09-01
00926 OTHER Gemcitabine Intravesical S 1 1 — — $70,794.71 $70,794.71 $70,794.71 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 71 36 — — $3,894.00 $239,590.38 $70,224.15 2026-09-02
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $68,822.60 $190,501.95 $70,199.05 2026-09-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 26 18 — — $66,737.65 $82,562.04 $70,177.73 2026-09-01
215 MS_DRG Other Heart Assist System Implant 66 36 — — $3,894.00 $352,283.88 $69,589.02 2026-09-02
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $69,475.87 $104,223.36 $69,482.24 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 35 — — $44,473.00 $217,371.21 $69,057.76 2026-09-02
0209 RC — 5 2 — — $3,830.00 $68,541.00 $68,541.00 2026-09-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 9 9 — — $39,938.20 $118,563.29 $67,936.16 2026-09-01
473U OTHER Oncology (solid Tumor), Next-generation Sequencing (ngs) Of DNA From Formalin-fi… 5 1 — — $9,000.00 $85,005.00 $67,320.00 2026-09-02
335U OTHER Rare Ds Whl Gen Seq Feta 7 2 — — $3,550.34 $98,692.69 $66,822.63 2026-09-02
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 7 7 — — $65,304.51 $97,956.76 $66,610.60 2026-09-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $65,011.33 $112,676.87 $66,311.56 2026-09-01
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $64,644.87 $123,769.44 $65,937.77 2026-09-01
21 APR_DRG Heart And/or Lung Transplant 7 7 — — $64,644.87 $96,967.31 $65,937.77 2026-09-01
1597 OTHER New Technology - Level 46 25 18 — — $62,636.71 $77,488.72 $65,865.41 2026-09-01
1583 OTHER New Technology - Level 46 25 18 — — $62,636.71 $77,488.72 $65,865.41 2026-09-01
717 OTHER Instill Adstiladrin, Tx Do 27 19 — — $10,236.92 $77,197.93 $65,618.24 2026-09-01
32 APR_DRG Bone Marrow Transplant 1 1 — — $64,496.98 $64,496.98 $64,496.98 2026-09-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $63,105.70 $108,836.09 $64,367.81 2026-09-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 7 7 — — $62,959.12 $112,798.12 $64,218.30 2026-09-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $64,030.27 $64,030.27 $64,030.27 2026-09-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $53,431.51 $122,927.03 $63,985.23 2026-09-01
242U OTHER Trgt Gen Seq Alys Pnl 55-74 7 2 — — $3,448.68 $94,450.00 $63,950.00 2026-09-02
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $61,359.56 $66,420.14 $63,889.85 2026-09-01
01583 OTHER New Technology - Level 46 1 1 — — $62,636.71 $62,636.71 $62,636.71 2026-09-01
01597 OTHER New Technology - Level 46 1 1 — — $62,636.71 $62,636.71 $62,636.71 2026-09-01
00717 OTHER Instill Adstiladrin, Tx Do 1 1 — — $62,401.66 $62,401.66 $62,401.66 2026-09-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $61,755.04 $61,755.04 $61,755.04 2026-09-01
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 7 7 — — $43,492.00 $92,349.81 $61,566.54 2026-09-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $59,095.59 $63,969.45 $61,532.52 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 66 35 — — $3,894.00 $198,661.68 $61,401.32 2026-09-02
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $60,518.31 $92,019.99 $61,346.66 2026-09-01
36U OTHER Xome Tum & Nml Spec Seq Alys 7 2 — — $3,296.94 $90,294.20 $61,136.20 2026-09-02
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $58,473.12 $63,295.65 $60,884.39 2026-09-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $59,807.50 $89,711.25 $60,423.21 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $59,514.32 $108,833.86 $60,109.46 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 73 36 — — $17,625.25 $185,879.30 $59,833.24 2026-09-02
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 62 36 — — $14,326.00 $214,634.61 $59,095.05 2026-09-02
84 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $57,975.16 $86,962.74 $58,554.91 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 71 35 — — $3,894.00 $190,941.97 $58,529.63 2026-09-02
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $57,755.28 $254,847.46 $58,332.83 2026-09-01
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 2 2 — — $46,088.03 $70,071.96 $58,080.00 2026-09-02
83 APR_DRG Autologous Bone Marrow Transplant 6 6 — — $52,062.62 $86,962.74 $57,975.16 2026-09-01
1643 OTHER Y90 Ibritumomab, Rx 25 18 — — $55,119.81 $68,189.46 $57,961.04 2026-09-01
498U OTHER Oncology (colorectal), Next-generation Sequencing For Mutation Detection In 43 G… 5 1 — — $7,746.00 $73,160.97 $57,940.08 2026-09-02
1582 OTHER New Technology - Level 45 25 18 — — $54,285.21 $67,156.96 $57,083.41 2026-09-01
1596 OTHER New Technology - Level 45 25 18 — — $54,285.21 $67,156.96 $57,083.41 2026-09-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $54,799.34 $59,318.88 $57,059.11 2026-09-01
9273 OTHER Sipuleucel-t Auto Cd54+ 25 18 — — $54,254.46 $67,118.92 $57,051.08 2026-09-01
2214 APR_DRG Major Small & Large Bowel Procedures 1 1 — — $56,969.04 $56,969.04 $56,969.04 2026-09-01
642780 CDM Rv Fpvt Stn/ath Cl In 29 17 $202,465.38 $202,465.38 $25,510.64 $182,218.84 $56,690.31 2026-09-01
642775 CDM Rvsc Fpvt Ath Cl In 29 17 $202,465.38 $202,465.38 $25,510.64 $182,218.84 $56,690.31 2026-09-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 7 7 — — $55,483.18 $83,224.77 $56,592.84 2026-09-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $49,552.26 $84,873.87 $56,582.58 2026-09-01
5244 OTHER Level 4 Blood Product Exch 25 18 — — $53,669.72 $66,395.53 $56,436.20 2026-09-01
1784 APR_DRG External Heart Assist Devices 6 6 — — $55,263.30 $82,894.95 $55,815.93 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 36 — — $14,326.00 $175,897.72 $55,219.88 2026-09-02
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $55,119.81 $55,119.81 $55,119.81 2026-09-01
474 OTHER Anesth Surgery Of Rib 2 2 — — $52,928.07 $57,293.27 $55,110.67 2026-09-02
C1604 HCPCS System Graft Stent Case 13 10 $99,675.00 $99,675.00 $14,153.85 $89,707.50 $54,950.83 2026-09-02
01596 OTHER New Technology - Level 45 1 1 — — $54,285.21 $54,285.21 $54,285.21 2026-09-01
01582 OTHER New Technology - Level 45 1 1 — — $54,285.21 $54,285.21 $54,285.21 2026-09-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $54,254.46 $54,254.46 $54,254.46 2026-09-01
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 4 3 — — $53,377.85 $55,274.53 $54,190.71 2026-09-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $53,064.49 $79,596.74 $54,125.78 2026-09-01
1734 APR_DRG Other Vascular Procedures 1 1 — — $54,078.91 $54,078.91 $54,078.91 2026-09-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 7 7 — — $52,771.32 $79,156.98 $53,826.75 2026-09-01
05244 OTHER Level 4 Blood Product Exch 1 1 — — $53,669.72 $53,669.72 $53,669.72 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 37 — — $3,894.00 $215,511.06 $53,652.02 2026-09-02
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 7 7 — — $37,499.73 $80,366.33 $53,577.55 2026-09-01
841938 CDM Kit Bngf Ca Phos 10ml 14 10 $92,970.50 $92,970.50 $13,201.81 $83,673.45 $53,518.47 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 71 37 — — $14,326.00 $168,576.66 $53,464.53 2026-09-02
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $52,331.56 $78,497.34 $53,378.19 2026-09-01
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 4 3 — — $52,499.00 $54,364.45 $53,298.48 2026-09-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $50,857.26 $55,051.68 $52,954.47 2026-09-01
4404 APR_DRG Kidney Transplant 7 7 — — $51,745.21 $102,071.85 $52,780.11 2026-09-01
5204 APR_DRG Other GYN Procedures For Malignancy 1 1 — — $52,396.84 $52,396.84 $52,396.84 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 61 35 — — $3,894.00 $168,018.80 $52,280.10 2026-09-02
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $51,085.57 $120,321.79 $52,107.28 2026-09-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $50,938.98 $101,394.53 $51,957.76 2026-09-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $50,938.98 $76,408.47 $51,957.76 2026-09-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 7 7 — — $50,938.98 $76,408.47 $51,957.76 2026-09-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $50,792.40 $79,817.39 $51,808.25 2026-09-01
63 APR_DRG Pancreas Transplant 7 7 — — $50,572.52 $96,486.64 $51,583.97 2026-09-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $50,206.05 $78,688.57 $51,210.17 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 34 — — $14,326.00 $157,225.32 $50,972.82 2026-09-02
316T OTHER Replacement Of Pulse Generator For Vagus Nerve Blocking Therapy For Treatment Of… 1 1 — — $50,959.18 $50,959.18 $50,959.18 2026-09-02
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $50,425.93 $134,237.84 $50,930.19 2026-09-01
8634 APR_DRG Neonatal Aftercare 7 7 — — $49,912.87 $96,739.68 $50,911.13 2026-09-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $48,785.49 $52,809.04 $50,797.26 2026-09-01
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $39,742.82 $76,188.60 $50,792.40 2026-09-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $45,043.97 $76,188.60 $50,792.40 2026-09-01
7914 APR_DRG O.r. Procedure For Other Complications Of Treatment 1 1 — — $50,753.40 $50,753.40 $50,753.40 2026-09-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $49,619.70 $74,429.55 $50,612.09 2026-09-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 26 18 — — $48,117.24 $59,526.48 $50,597.51 2026-09-01
4854 APR_DRG Prostatectomy Procedures 1 1 — — $50,558.09 $50,558.09 $50,558.09 2026-09-01
6934 APR_DRG Chemotherapy 1 1 — — $50,518.73 $50,518.73 $50,518.73 2026-09-01
4403 APR_DRG Kidney Transplant 7 7 — — $49,473.11 $74,209.67 $50,462.57 2026-09-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $48,223.52 $52,200.72 $50,212.12 2026-09-01
340U OTHER Onc Pan Ca Alys Mrd Plasma 7 2 — — $2,439.56 $74,048.80 $50,136.80 2026-09-02
1794 APR_DRG Defibrillator Implants 6 6 — — $49,546.41 $74,319.62 $50,041.88 2026-09-01
47U OTHER Onc Prst8 Mrna 17 Gene Alg 7 2 — — $2,752.29 $73,160.97 $49,535.67 2026-09-02
45U OTHER Onc Brst Dux Carc Is 12 Gene 7 2 — — $2,752.29 $73,160.97 $49,535.67 2026-09-02
914 APR_DRG Other Major Head And Neck Procedures 7 7 — — $48,520.30 $72,780.45 $49,490.71 2026-09-01
10 MS_DRG Pancreas Transplant 59 35 — — $3,894.00 $158,224.18 $49,364.62 2026-09-02
1824 APR_DRG Other Upper Vascular Procedures 6 6 — — $38,320.53 $73,989.79 $49,326.53 2026-09-01
823254 CDM Ins Perm Subq Defib 29 17 $175,932.90 $175,932.90 $22,167.55 $158,339.61 $49,261.21 2026-09-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 13 10 — — $27,571.38 $70,911.25 $49,241.32 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $48,740.18 $81,004.92 $49,227.58 2026-09-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 6 6 — — $45,676.57 $73,769.91 $49,179.94 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 78 37 — — $3,894.00 $159,170.13 $49,164.19 2026-09-02
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 57 33 — — $3,894.00 $157,317.93 $49,094.86 2026-09-02
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 34 — — $3,894.00 $158,158.04 $48,865.85 2026-09-02
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $47,787.36 $71,681.04 $48,743.11 2026-09-01
806367 CDM Ins Dual Chamber Icd 29 17 $173,155.40 $173,155.40 $21,817.58 $155,839.86 $48,483.51 2026-09-01
817684 CDM Rem/repl Aicd Dual Ld 29 17 $173,155.40 $173,155.40 $21,817.58 $155,839.86 $48,483.51 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 61 35 — — $14,326.00 $151,657.70 $48,330.61 2026-09-02
B0106 HCPCS Stroke M <41.50 And A <84.50 4 3 — — $47,597.28 $49,288.55 $48,322.11 2026-09-01
1581 OTHER New Technology - Level 44 25 18 — — $45,933.70 $56,825.20 $48,301.42 2026-09-01
1595 OTHER New Technology - Level 44 25 18 — — $45,933.70 $56,825.20 $48,301.42 2026-09-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $47,347.60 $77,028.12 $48,294.55 2026-09-01
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $47,972.89 $47,972.89 $47,972.89 2026-09-01
913 APR_DRG Other Major Head And Neck Procedures 7 7 — — $37,017.01 $71,900.92 $47,933.95 2026-09-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $47,640.78 $71,461.17 $47,848.48 2026-09-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 6 — — $47,274.31 $71,645.67 $47,747.06 2026-09-01
2624 APR_DRG Cholecystectomy Except Laparoscopic 1 1 — — $47,718.13 $47,718.13 $47,718.13 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 36 — — $14,326.00 $144,985.37 $47,628.98 2026-09-02
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 36 — — $14,326.00 $144,985.37 $47,628.98 2026-09-02
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $46,687.96 $84,498.96 $47,621.72 2026-09-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $45,646.37 $49,411.02 $47,528.69 2026-09-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $45,499.04 $49,251.54 $47,375.29 2026-09-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 7 7 — — $46,394.79 $73,228.12 $47,322.69 2026-09-01
806368 CDM Ins/repos Sgl Icd+lead 29 17 $168,987.50 $168,987.50 $21,292.42 $152,088.75 $47,316.50 2026-09-01
642773 CDM Rvsc Fpvt Ath Sfl In 29 17 $168,721.15 $168,721.15 $21,258.86 $151,849.04 $47,241.92 2026-09-01
642778 CDM Rv Fpvt Stn/ath Sfl In 29 17 $168,721.15 $168,721.15 $21,258.86 $151,849.04 $47,241.92 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 66 36 — — $3,440.00 $152,405.19 $47,170.08 2026-09-02
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 7 7 — — $44,987.04 $70,691.58 $47,127.72 2026-09-01
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