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

WEST VALLEY MEDICAL CENTER

Caldwell, ID · CCN 130014 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $3,272 across 18 payers · range $55-$5,373

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/36-3525049_WEST-VALLEY-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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.

30,858 distinct procedures filed
26 distinct payers
496,378 rate rows
2026-07-17 last MRF observed
Data quality

453,185 of 496,378 rate rows are consumer-grade (91.3%)

43,193 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 22,587
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,829
template filing: same amount across many unrelated codes — excluded 7,849
per-diem day rate — not a per-procedure price 1,058
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 609
exceeds 10× this hospital's gross charge — excluded from medians 169
placeholder amount (≤ $0.02) — excluded from medians 92
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/36-3525049_WEST-VALLEY-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint cdb7c51f266f9585… · 217,474,827 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$2,994,107
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 6 $4,505,000.00 $4,595,100.00 $4,505,000.00 nat. median
$17,156
outlier · 262.6×
J3399
HCPCS 		$4,463,735.93 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,467,386
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,401,965
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 6 $3,685,267.00 $3,758,972.34 $3,685,267.00 nat. median
$3,758,972
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 6 $3,335,820.00 $3,402,536.40 $3,335,820.00 nat. median
$30,519
outlier · 109.3×
714
OTHER 		Inj Delandistrogene Mox R 6 $3,327,860.00 $3,394,417.20 $3,327,860.00 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 6 $3,252,508.00 $3,317,558.16 $3,252,508.00 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 6 $3,180,000.00 $3,243,600.00 $3,180,000.00 nat. median
$25,059
outlier · 126.9×
746
OTHER 		Inj, Betibeglogene Autote 6 $2,939,969.00 $2,998,768.38 $2,939,969.00 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 6 $2,588,981.00 $2,640,760.62 $2,588,981.00 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 6 $2,332,000.00 $2,378,640.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$813,967
1.6× median
5834
APR_DRG 		Neonate With Ecmo 2 $1,000,101.88 $1,000,101.88 $1,000,101.88 nat. median
$307,206
outlier · 3.3×
2067
OTHER 		Afamitresgene Autoleucel 6 $770,620.00 $786,032.40 $770,620.00 nat. median
$793,739
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $488,698.99 $934,776.65 $696,848.56 nat. median
$739,258
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $476,339.04 $969,621.79 $679,224.19 nat. median
$646,415
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $456,461.93 $920,834.85 $650,880.91 nat. median
$622,450
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $446,243.88 $927,632.05 $636,310.72 nat. median
$640,950
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $632,101.78 $632,101.78 $632,101.78 nat. median
$247,214
outlier · 2.6×
5833
APR_DRG 		Neonate With Ecmo 2 $603,835.83 $603,835.83 $603,835.83 nat. median
$244,017
outlier · 2.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $422,942.82 $878,117.20 $603,085.13 nat. median
$608,239
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $421,676.51 $807,592.83 $601,279.47 nat. median
$591,721
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 6 $587,649.60 $599,402.59 $587,649.60 nat. median
$587,650
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $515,976.07 $630,033.94 $573,005.01 nat. median
$123,836
outlier · 4.6×
9194
OTHER 		Tisagenlecleucel Car-pos 6 $566,531.30 $577,861.93 $566,531.30 nat. median
$577,163
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 6 $562,201.20 $573,445.22 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 6 $558,081.80 $569,243.44 $558,081.80 nat. median
$563,449
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 6 $532,192.20 $542,836.04 $532,192.20 nat. median
$533,230
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 2 $458,541.69 $559,903.54 $509,222.61 nat. median
$241,437
outlier · 2.1×
9391
OTHER 		Brexucabtagene Car Pos T 6 $489,450.20 $499,239.20 $489,450.20 nat. median
$492,768
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
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $402,719.32 $491,741.48 $447,230.40 nat. median
$67,735
outlier · 6.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $444,497.60 $444,497.60 $444,497.60 nat. median
$165,000
outlier · 2.7×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure Pediatric 2 $434,924.61 $434,924.61 $434,924.61 nat. median
$162,342
outlier · 2.7×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 2 $409,181.78 $409,181.78 $409,181.78 nat. median
$175,204
outlier · 2.3×
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 2 $394,631.23 $394,631.23 $394,631.23 nat. median
$145,061
outlier · 2.7×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 2 $383,911.88 $383,911.88 $383,911.88 nat. median
$151,838
outlier · 2.5×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure Pediatric 2 $379,376.26 $379,376.26 $379,376.26 nat. median
$133,164
outlier · 2.8×
5832
APR_DRG 		Neonate With Ecmo 2 $378,921.04 $378,921.04 $378,921.04 nat. median
$159,249
outlier · 2.4×
112
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $340,313.20 $415,540.33 $377,926.77 nat. median
$67,994
outlier · 5.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $310,528.26 $825,853.38 $348,481.72 nat. median
$359,454
1.0× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 2 $335,717.99 $335,717.99 $335,717.99 nat. median
$89,188
outlier · 3.8×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 2 $335,717.99 $335,717.99 $335,717.99 nat. median
$93,998
outlier · 3.6×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 2 $335,717.99 $335,717.99 $335,717.99 nat. median
$71,350
outlier · 4.7×
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $330,463.54 $330,463.54 $330,463.54 nat. median
$101,406
outlier · 3.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $322,368.09 $322,368.09 $322,368.09 nat. median
$154,011
outlier · 2.1×
5831
APR_DRG 		Neonate With Ecmo 2 $319,714.28 $319,714.28 $319,714.28 nat. median
$146,500
outlier · 2.2×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $282,471.62 $344,912.71 $313,692.17 nat. median
$170,082
1.8× median

Other procedures at this hospital

Browse this hospital's 30,858 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 1 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 7 6 $18,060.08 — $4,505,000.00 $4,595,100.00 $4,505,000.00 2026-07-17
J3399 HCPCS $4,463,735.93 1 1 $4,463,735.93 — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-07-17
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 7 6 — — $3,685,267.00 $3,758,972.34 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 7 6 $43,030.08 — $3,335,820.00 $3,402,536.40 $3,335,820.00 2026-07-17
714 OTHER Inj Delandistrogene Mox R 7 6 $19,092.50 — $3,327,860.00 $3,394,417.20 $3,327,860.00 2026-07-17
748 OTHER Inj, Lovotibeglogene Auto 7 6 $27,566.70 — $3,252,508.00 $3,317,558.16 $3,252,508.00 2026-07-17
906 OTHER Inj Elivaldogene Autoteme 7 6 $36,309.95 — $3,180,000.00 $3,243,600.00 $3,180,000.00 2026-07-17
746 OTHER Inj, Betibeglogene Autote 7 6 $34,017.77 — $2,939,969.00 $2,998,768.38 $2,939,969.00 2026-07-17
9141 OTHER Inj Onase Abepar-xioi Tre 7 6 — — $2,588,981.00 $2,640,760.62 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 7 6 $48,494.61 — $2,332,000.00 $2,378,640.00 $2,332,000.00 2026-07-17
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 3 2 — — $1,000,101.88 $1,000,101.88 $1,000,101.88 2026-03-01
2067 OTHER Afamitresgene Autoleucel 7 6 — — $770,620.00 $786,032.40 $770,620.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 4 $772,928.48 — $488,698.99 $934,776.65 $696,848.56 2026-07-17
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 4 $813,285.00 — $476,339.04 $969,621.79 $679,224.19 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 4 $733,705.50 — $456,461.93 $920,834.85 $650,880.91 2026-07-17
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 4 $717,614.70 — $446,243.88 $927,632.05 $636,310.72 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 2 — — $632,101.78 $632,101.78 $632,101.78 2026-03-01
5833 APR_DRG Neonate With Ecmo 3 2 — — $603,835.83 $603,835.83 $603,835.83 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 4 $741,255.67 — $422,942.82 $878,117.20 $603,085.13 2026-07-17
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 4 $740,441.46 — $421,676.51 $807,592.83 $601,279.47 2026-07-17
9498 OTHER Ciltacabtagene Car-pos T 7 6 $481,344.75 — $587,649.60 $599,402.59 $587,649.60 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $515,976.07 $630,033.94 $573,005.01 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 7 6 $456,125.88 — $566,531.30 $577,861.93 $566,531.30 2026-07-17
9413 OTHER Lisocabtagene Car Pos T 7 6 $437,092.59 — $562,201.20 $573,445.22 $562,201.20 2026-07-17
9422 OTHER Idecabtagene Vicleucel Ca 7 6 $446,893.35 — $558,081.80 $569,243.44 $558,081.80 2026-07-17
9035 OTHER Axicabtagene Ciloleucel C 7 6 $424,999.19 — $532,192.20 $542,836.04 $532,192.20 2026-07-17
24 APR_DRG Heart And/or Lung Transplant 6 2 — — $458,541.69 $559,903.54 $509,222.61 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 7 6 $425,054.70 — $489,450.20 $499,239.20 $489,450.20 2026-07-17
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 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $402,719.32 $491,741.48 $447,230.40 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $444,497.60 $444,497.60 $444,497.60 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure Pediatric 3 2 — — $434,924.61 $434,924.61 $434,924.61 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 3 2 — — $409,181.78 $409,181.78 $409,181.78 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 3 2 — — $394,631.23 $394,631.23 $394,631.23 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $383,911.88 $383,911.88 $383,911.88 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure Pediatric 3 2 — — $379,376.26 $379,376.26 $379,376.26 2026-03-01
5832 APR_DRG Neonate With Ecmo 3 2 — — $378,921.04 $378,921.04 $378,921.04 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $340,313.20 $415,540.33 $377,926.77 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 10 — — $310,528.26 $825,853.38 $348,481.72 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 3 2 — — $335,717.99 $335,717.99 $335,717.99 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 3 2 — — $335,717.99 $335,717.99 $335,717.99 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 3 2 — — $335,717.99 $335,717.99 $335,717.99 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $330,463.54 $330,463.54 $330,463.54 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $322,368.09 $322,368.09 $322,368.09 2026-03-01
5831 APR_DRG Neonate With Ecmo 3 2 — — $319,714.28 $319,714.28 $319,714.28 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $282,471.62 $344,912.71 $313,692.17 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 6 2 — — $278,298.51 $339,817.13 $309,057.82 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $267,835.24 $327,040.92 $297,438.08 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 2 — — $259,970.94 $317,438.20 $288,704.57 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $280,405.55 $280,405.55 $280,405.55 2026-03-01
831 OTHER Obecbtge Autol Up To 400 7 6 $22,494.27 — $278,250.00 $283,815.00 $278,250.00 2026-07-17
23 APR_DRG Heart And/or Lung Transplant 6 2 — — $247,963.01 $302,775.88 $275,369.45 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure Pediatric 3 2 — — $274,259.48 $274,259.48 $274,259.48 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 2 — — $268,332.71 $268,332.71 $268,332.71 2026-03-01
897 OTHER Revakinagene, Per Implant 7 6 $12,579.50 — $265,000.00 $270,300.00 $265,000.00 2026-07-17
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 2 — — $238,083.71 $290,712.75 $264,398.23 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 19 12 — — $202,084.65 $616,844.16 $263,539.28 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Pediatric 3 2 — — $262,474.62 $262,474.62 $262,474.62 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 6 2 — — $223,939.77 $273,442.25 $248,691.01 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 2 — — $204,611.54 $249,841.46 $227,226.50 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure Pediatric 3 2 — — $213,240.69 $213,240.69 $213,240.69 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 6 2 — — $191,393.56 $233,701.61 $212,547.58 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $208,721.68 $208,721.68 $208,721.68 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition Pedia… 3 2 — — $202,804.88 $202,804.88 $202,804.88 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 7 6 $18,613.70 — $201,669.00 $205,702.38 $201,669.00 2026-07-17
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $195,460.39 $195,460.39 $195,460.39 2026-03-01
64 APR_DRG Pancreas Transplant 6 2 — — $175,313.53 $214,067.05 $194,690.29 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $168,298.38 $205,501.18 $186,899.78 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly Pediatric 3 2 — — $175,889.10 $175,889.10 $175,889.10 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $175,078.33 $175,078.33 $175,078.33 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 11 — — $153,448.11 $469,321.38 $173,907.86 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 10 — — $29,226.00 $519,529.32 $171,493.90 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $151,519.68 $185,013.50 $168,266.59 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 6 2 — — $151,355.53 $184,813.07 $168,084.30 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 6 2 — — $151,355.53 $184,813.07 $168,084.30 2026-03-01
8634 APR_DRG Neonatal Aftercare Pediatric 3 2 — — $167,813.58 $167,813.58 $167,813.58 2026-03-01
64565 CPT $2,350.00 1 1 $156,835.00 — $166,455.00 $166,455.00 $166,455.00 2026-07-17
63 APR_DRG Pancreas Transplant 6 2 — — $149,204.80 $182,186.91 $165,695.85 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 2 — — $147,137.18 $179,662.25 $163,399.71 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 6 2 — — $146,716.30 $179,148.32 $162,932.31 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $145,550.44 $177,724.74 $161,637.59 2026-03-01
4404 APR_DRG Kidney Transplant 6 2 — — $144,965.40 $177,010.39 $160,987.90 2026-03-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 2 — — $143,766.92 $175,546.98 $159,656.95 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 2 — — $143,568.05 $175,304.15 $159,436.10 2026-03-01
1908 OTHER New Technology - Level 52 7 6 $147,745.53 — $150,816.90 $153,833.24 $150,816.90 2026-07-17
1907 OTHER New Technology - Level 52 7 6 $147,745.53 — $150,816.90 $153,833.24 $150,816.90 2026-07-17
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 2 — — $135,633.26 $165,615.35 $150,624.30 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $146,579.78 $146,579.78 $146,579.78 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $142,891.48 $142,891.48 $142,891.48 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 2 — — $127,319.67 $155,464.02 $141,391.85 2026-03-01
62 APR_DRG Pancreas Transplant 6 2 — — $126,168.54 $154,058.43 $140,113.48 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $125,263.63 $152,953.49 $139,108.56 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure Pediatric 3 2 — — $136,500.62 $136,500.62 $136,500.62 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 6 2 — — $122,741.46 $149,873.79 $136,307.62 2026-03-01
1905 OTHER New Technology - Level 51 7 6 $133,213.23 — $135,982.50 $138,702.15 $135,982.50 2026-07-17
1906 OTHER New Technology - Level 51 7 6 $133,213.23 — $135,982.50 $138,702.15 $135,982.50 2026-07-17
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $130,000.00 $130,000.00 $130,000.00 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $130,000.00 $130,000.00 $130,000.00 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $128,898.06 $128,898.06 $128,898.06 2026-03-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 2 — — $115,838.90 $141,445.39 $128,642.15 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 2 — — $126,180.01 $126,180.01 $126,180.01 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 2 — — $111,146.00 $135,715.11 $123,430.55 2026-03-01
44709 CDM Ins Icd Lead/generator 26 16 $168,296.68 $168,296.68 $53,686.64 $159,881.85 $121,257.76 2026-03-01
1903 OTHER New Technology - Level 50 7 6 $118,680.93 — $121,148.10 $123,571.06 $121,148.10 2026-07-17
1904 OTHER New Technology - Level 50 7 6 $118,680.93 — $121,148.10 $123,571.06 $121,148.10 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 2 — — $120,424.92 $120,424.92 $120,424.92 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 6 2 — — $104,269.74 $127,318.84 $115,794.29 2026-03-01
C9610 HCPCS Cath Blndil 3mm 15mm 25 16 $145,792.00 $145,792.00 $46,507.65 $138,502.40 $115,321.47 2026-03-01
7 MS_DRG Lung Transplant 18 11 — — $94,250.43 $286,187.01 $114,301.00 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 11 — — $100,697.49 $309,427.29 $114,123.82 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $102,687.20 $125,386.48 $114,036.84 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 2 — — $101,891.72 $124,415.16 $113,153.44 2026-03-01
61 APR_DRG Pancreas Transplant 6 2 — — $101,812.81 $124,318.80 $113,065.80 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $112,261.91 $112,261.91 $112,261.91 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 2 — — $97,709.15 $119,308.01 $108,508.58 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 15 7 $232,308.00 — $86,399.92 $655,319.41 $108,243.00 2026-07-17
4403 APR_DRG Kidney Transplant 6 2 — — $96,501.20 $117,833.04 $107,167.12 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 19 12 — — $82,672.77 $317,763.00 $106,565.27 2026-03-01
8514 APR_DRG Gender Related Procedures 6 2 — — $95,780.43 $116,952.95 $106,366.69 2026-03-01
1901 OTHER New Technology - Level 49 7 6 $104,148.63 — $106,313.70 $108,439.97 $106,313.70 2026-07-17
1902 OTHER New Technology - Level 49 7 6 $104,148.63 — $106,313.70 $108,439.97 $106,313.70 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 18 11 — — $87,580.98 $286,909.71 $106,137.93 2026-03-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 2 — — $105,709.34 $105,709.34 $105,709.34 2026-03-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 2 — — $95,184.87 $116,225.74 $105,705.30 2026-03-01
97145 CDM Patch Wndcls 40x20cm 26 16 $145,792.00 $145,792.00 $46,507.65 $138,502.40 $105,043.14 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure Pediatric 3 2 — — $104,918.52 $104,918.52 $104,918.52 2026-03-01
C1761 HCPCS Cath Ivl 4.0x12mm 25 16 $132,009.00 $132,009.00 $42,110.87 $125,408.55 $104,419.12 2026-03-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $92,186.05 $112,564.01 $102,375.03 2026-03-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition Pedia… 3 2 — — $102,210.44 $102,210.44 $102,210.44 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 2 — — $102,210.44 $102,210.44 $102,210.44 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 9 6 — — $54,779.37 $126,998.66 $101,443.27 2026-03-01
1784 APR_DRG External Heart Assist Devices 6 2 — — $91,134.88 $111,280.48 $101,207.68 2026-03-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $99,840.17 $99,840.17 $99,840.17 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $80,450.79 $277,023.00 $97,410.96 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 2 — — $87,599.42 $106,963.50 $97,281.46 2026-03-01
6904 APR_DRG Acute Leukemia 6 2 — — $86,842.87 $106,039.72 $96,441.29 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 9 6 — — $95,081.00 $596,550.44 $95,081.00 2026-03-01
1585 OTHER New Technology - Level 48 7 6 $92,038.38 — $93,951.70 $95,830.73 $93,951.70 2026-07-17
1599 OTHER New Technology - Level 48 7 6 $92,038.38 — $93,951.70 $95,830.73 $93,951.70 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 2 — — $84,584.81 $103,282.50 $93,933.65 2026-03-01
100260 CDM Valve Aor With Intro 23mm 23 16 $116,640.00 $116,640.00 $37,208.16 $110,808.00 $93,312.00 2026-03-01
C1820 HCPCS Ipg With Control 13.80 22 16 $116,640.00 $116,640.00 $37,208.16 $110,808.00 $93,312.00 2026-03-01
99113 CDM Stent Eprsth 34mm 15cm 22 16 $116,640.00 $116,640.00 $37,208.16 $110,808.00 $93,312.00 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 7 5 $235,640.72 — $63,883.41 $130,953.16 $93,280.04 2026-07-17
4402 APR_DRG Kidney Transplant 6 2 — — $83,294.79 $101,707.32 $92,501.05 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $83,147.48 $101,527.45 $92,337.46 2026-03-01
5204 APR_DRG Other GYN Procedures For Malignancy 6 2 — — $82,799.19 $101,102.17 $91,950.68 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 12 10 — — $82,579.77 $172,886.00 $91,755.30 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 18 11 — — $75,366.59 $233,204.34 $91,188.17 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $80,869.42 $98,745.82 $89,807.62 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 6 2 — — $80,508.51 $98,305.13 $89,406.82 2026-03-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $89,188.38 $89,188.38 $89,188.38 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 20 12 — — $29,226.00 $238,558.89 $89,102.73 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 9 6 $206,851.92 — $47,983.54 $111,025.56 $88,858.40 2026-07-17
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 2 — — $79,609.91 $97,207.89 $88,408.90 2026-03-01
215 MS_DRG Other Heart Assist System Implant 20 12 — — $72,837.73 $364,122.00 $88,092.98 2026-03-01
C1767 HCPCS Device Ipg Sleep 51mm 44 16 $111,886.50 $111,886.50 $34,175.43 $110,808.00 $87,849.06 2026-03-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure Pediatric 3 2 — — $87,406.25 $87,406.25 $87,406.25 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 3 2 — — $51,289.00 $87,175.44 $87,175.44 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 2 — — $78,419.85 $95,754.77 $87,087.31 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $71,591.54 $211,935.00 $86,567.71 2026-03-01
C1882 HCPCS Crt-d Volume 36mm 22 16 $108,000.00 $108,000.00 $34,452.00 $102,600.00 $86,400.00 2026-03-01
25059 CDM Bne Grw Stm Xtrn 26 16 $119,370.00 $119,370.00 $38,079.03 $113,401.50 $86,006.08 2026-03-01
0408T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 3 2 $169,497.24 — $51,289.00 $85,229.72 $85,229.72 2026-07-17
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 3 2 $241,582.57 — $51,289.00 $85,229.72 $85,229.72 2026-07-17
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 2 — — $84,977.29 $84,977.29 $84,977.29 2026-03-01
4401 APR_DRG Kidney Transplant 6 2 — — $76,098.65 $92,920.46 $84,509.55 2026-03-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 2 — — $75,747.21 $92,491.33 $84,119.27 2026-03-01
1584 OTHER New Technology - Level 47 7 6 $82,350.18 — $84,062.09 $85,743.33 $84,062.09 2026-07-17
1598 OTHER New Technology - Level 47 7 6 $82,350.18 — $84,062.09 $85,743.33 $84,062.09 2026-07-17
1794 APR_DRG Defibrillator Implants 6 2 — — $75,673.56 $92,401.40 $84,037.48 2026-03-01
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $83,788.83 $83,788.83 $83,788.83 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 2 — — $75,296.86 $91,941.43 $83,619.14 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 6 2 — — $75,182.17 $91,801.39 $83,491.78 2026-03-01
44708 CDM Ins Icd Gen Only Sgl Ld 26 16 $115,529.94 $115,529.94 $36,854.05 $109,753.44 $83,239.32 2026-03-01
43542 CDM Rem/replace Icd Gen Mult 26 16 $115,529.94 $115,529.94 $36,854.05 $109,753.44 $83,239.32 2026-03-01
43540 CDM Rem/replace Icd Gen Sgl 26 16 $115,529.94 $115,529.94 $36,854.05 $109,753.44 $83,239.32 2026-03-01
43541 CDM Rem/replace Icd Gen Dual 26 16 $115,529.94 $115,529.94 $36,854.05 $109,753.44 $83,239.32 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 2 — — $74,893.86 $91,449.35 $83,171.61 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $83,002.44 $83,002.44 $83,002.44 2026-03-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 2 — — $82,783.13 $82,783.13 $82,783.13 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 2 — — $74,347.76 $90,782.53 $82,565.14 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 6 2 — — $74,095.23 $90,474.17 $82,284.70 2026-03-01
1783 APR_DRG External Heart Assist Devices 6 2 — — $73,901.62 $90,237.77 $82,069.70 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 2 — — $72,920.95 $89,040.32 $80,980.64 2026-03-01
93654 CPT Ep Repos Ele Vt 3d Map 31 18 $129,688.20 $129,688.20 $743.53 $123,203.79 $80,795.75 2026-07-17
93653 CPT Ep Repos Ele Svt Sgl 31 18 $129,688.20 $129,688.20 $617.04 $123,203.79 $80,795.75 2026-07-17
93656 CPT Com Ep Repo Cth Tx Afib 31 18 $129,688.20 $129,688.20 $699.54 $123,203.79 $80,795.75 2026-07-17
64582 CPT Open Implantation Of Hypoglossal Nerve Neurostimulator Array, Pulse Generator, A… 3 2 $10,575.00 — $11,207.00 $80,445.12 $80,445.12 2026-07-17
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $72,273.84 $88,250.16 $80,262.00 2026-03-01
97050 CDM Substitute Bngf 120mm 23 16 $100,000.00 $100,000.00 $31,900.00 $95,000.00 $80,000.00 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 2 — — $71,996.05 $87,910.97 $79,953.51 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 2 — — $71,883.46 $87,773.49 $79,828.48 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 20 12 — — $66,060.23 $221,939.00 $79,797.67 2026-03-01
573887 CDM Kit Bn Grft Del 11ga 5cc 26 16 $108,697.00 $108,697.00 $34,674.34 $103,262.15 $78,316.19 2026-03-01
8633 APR_DRG Neonatal Aftercare 3 2 — — $77,683.74 $77,683.74 $77,683.74 2026-03-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 2 — — $69,705.37 $85,113.92 $77,409.64 2026-03-01
A9699 HCPCS $78,168.72 1 1 $78,168.72 — $77,046.96 $77,046.96 $77,046.96 2026-07-17
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 2 — — $76,462.06 $76,462.06 $76,462.06 2026-03-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 2 — — $68,765.73 $83,966.58 $76,366.15 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 6 2 — — $68,393.25 $83,511.76 $75,952.51 2026-03-01
335643 CDM Sheath Rtvr Clot 26fr 26 16 $105,327.00 $105,327.00 $33,599.31 $100,060.65 $75,888.11 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 6 2 — — $68,309.07 $83,408.97 $75,859.02 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 2 — — $68,022.87 $83,059.50 $75,541.18 2026-03-01
33289 CPT Transcatheter Implantation Of Wireless Pulmonary Artery Pressure Sensor For Long… 3 2 $211,983.36 — $51,289.00 $75,295.83 $75,295.83 2026-07-17
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $75,281.36 $75,281.36 $75,281.36 2026-03-01
0620T CPT Endovascular Venous Arterialization, Tibial Or Peroneal Vein, With Transcatheter… 3 2 $118,176.42 — $24,899.00 $74,773.86 $74,773.86 2026-07-17
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 3 2 $202,310.17 — $51,289.00 $74,773.86 $74,773.86 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 12 — — $61,913.17 $185,567.46 $74,721.90 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 2 — — $67,272.63 $82,143.43 $74,708.03 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 20 12 — — $61,723.59 $185,462.34 $74,489.87 2026-03-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 2 — — $66,790.72 $81,554.98 $74,172.85 2026-03-01
1583 OTHER New Technology - Level 46 7 6 $72,661.98 — $74,172.49 $75,655.94 $74,172.49 2026-07-17
1597 OTHER New Technology - Level 46 7 6 $72,661.98 — $74,172.49 $75,655.94 $74,172.49 2026-07-17
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 2 — — $65,965.78 $80,547.68 $73,256.73 2026-03-01
234 APR_DRG Spinal Procedures 6 2 — — $65,908.96 $80,478.30 $73,193.63 2026-03-01
402822 CDM System Embl Plug Lq 1gm 26 16 $101,013.00 $101,013.00 $32,223.15 $95,962.35 $72,779.86 2026-03-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 2 — — $72,361.72 $72,361.72 $72,361.72 2026-03-01
82 APR_DRG Autologous Bone Marrow Transplant 6 2 — — $65,156.62 $79,559.66 $72,358.14 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 2 — — $64,895.67 $79,241.03 $72,068.35 2026-03-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 2 — — $64,672.60 $78,968.65 $71,820.62 2026-03-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 2 — — $64,621.04 $78,905.69 $71,763.37 2026-03-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 2 — — $64,581.05 $78,856.87 $71,718.96 2026-03-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 2 — — $71,474.54 $71,474.54 $71,474.54 2026-03-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 2 — — $71,410.29 $71,410.29 $71,410.29 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 20 12 — — $29,226.00 $201,727.47 $71,323.60 2026-03-01
C1747 HCPCS Scope Uret Asp Disp 26 16 $98,165.00 $98,165.00 $31,314.63 $93,256.75 $70,727.88 2026-03-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 2 — — $70,435.61 $70,435.61 $70,435.61 2026-03-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 2 — — $70,355.86 $70,355.86 $70,355.86 2026-03-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 2 — — $63,074.28 $77,017.01 $70,045.64 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 20 12 — — $57,899.17 $193,397.00 $69,808.98 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 2 — — $62,813.33 $76,698.38 $69,755.86 2026-03-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 6 2 — — $62,657.60 $76,508.22 $69,582.91 2026-03-01
4014 APR_DRG Adrenal Procedures 6 2 — — $62,328.25 $76,106.08 $69,217.17 2026-03-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 2 — — $68,963.61 $68,963.61 $68,963.61 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 9 6 — — $68,801.70 $431,670.69 $68,801.70 2026-03-01
1204 APR_DRG Major Respiratory And Chest Procedures 6 2 — — $61,911.57 $75,597.29 $68,754.43 2026-03-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition Pediatric 3 2 — — $68,736.55 $68,736.55 $68,736.55 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 2 — — $61,571.71 $75,182.29 $68,377.00 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $56,536.38 $172,886.00 $68,140.99 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 12 — — $56,299.58 $171,166.02 $67,851.17 2026-03-01
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 2 — — $60,926.69 $74,394.70 $67,660.70 2026-03-01
204 APR_DRG Open Craniotomy For Trauma 6 2 — — $60,523.69 $73,902.62 $67,213.15 2026-03-01
C1722 HCPCS Icd Xt MRI Df4 110 16 $84,666.00 $84,666.00 $24,669.23 $97,224.90 $66,746.55 2026-03-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 2 — — $59,928.14 $73,175.41 $66,551.77 2026-03-01
C1721 HCPCS Icd Defib Card 7.68cm 154 16 $84,269.00 $84,269.00 $24,669.23 $97,224.90 $66,534.81 2026-03-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 2 — — $59,823.97 $73,048.21 $66,436.09 2026-03-01
4414 APR_DRG Major Bladder Procedures 6 2 — — $59,795.56 $73,013.52 $66,404.54 2026-03-01
1782 APR_DRG External Heart Assist Devices 6 2 — — $59,574.59 $72,743.71 $66,159.15 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 5 3 $103,458.96 — $65,826.62 $138,148.31 $65,826.62 2026-07-17
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 2 — — $58,945.36 $71,975.39 $65,460.38 2026-03-01
C1748 HCPCS Endoscope 108d 1240mm 25 16 $82,295.00 $82,295.00 $26,252.10 $78,180.25 $65,095.34 2026-03-01
41587 CDM Tray Intro Osteo 26 16 $90,313.00 $90,313.00 $28,809.85 $85,797.35 $65,070.51 2026-03-01
83114 CDM Tray Intro Osteo 26 16 $89,551.00 $89,551.00 $28,566.77 $85,073.45 $64,521.49 2026-03-01
45895 CDM Prc D-e Cor Revsc Chrn S 26 16 $89,268.09 $89,268.09 $28,476.52 $84,804.69 $64,317.66 2026-03-01
45890 CDM Prc D-el Cor Stnt Ath Sl 26 16 $89,268.09 $89,268.09 $28,476.52 $84,804.69 $64,317.66 2026-03-01
45894 CDM Prc D-e Cor Revsc Ami Sl 26 16 $89,268.09 $89,268.09 $28,476.52 $84,804.69 $64,317.66 2026-03-01
1582 OTHER New Technology - Level 45 7 6 $62,973.78 — $64,282.89 $65,568.55 $64,282.89 2026-07-17
1596 OTHER New Technology - Level 45 7 6 $62,973.78 — $64,282.89 $65,568.55 $64,282.89 2026-07-17
717 OTHER Instill Adstiladrin, Tx D 7 6 $36,798.01 — $64,274.79 $65,560.29 $64,274.79 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 20 12 — — $53,247.78 $188,999.00 $64,115.92 2026-03-01
45950 CDM Ather Iliac W/plasty 26 16 $88,569.36 $88,569.36 $28,253.63 $84,140.89 $63,814.22 2026-03-01
10 MS_DRG Pancreas Transplant 18 11 — — $52,940.88 $174,599.94 $63,740.29 2026-03-01
2614 APR_DRG Major Biliary Tract Procedures 6 2 — — $57,240.77 $69,893.99 $63,567.38 2026-03-01
5244 OTHER Level 4 Blood Product Exc 7 6 $39,747.76 — $63,554.05 $64,825.13 $63,554.05 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 18 11 — — $52,646.86 $173,594.73 $63,380.43 2026-03-01
4854 APR_DRG Prostatectomy Procedures 6 2 — — $57,067.15 $69,682.00 $63,374.57 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 20 12 — — $52,616.81 $154,756.35 $63,343.65 2026-03-01
C9608 HCPCS $9,012.00 1 1 $60,013.00 — $63,300.00 $63,300.00 $63,300.00 2026-07-17
C9601 HCPCS $9,012.00 1 1 $60,013.00 — $63,300.00 $63,300.00 $63,300.00 2026-07-17
C9603 HCPCS $9,012.00 1 1 $60,013.00 — $63,300.00 $63,300.00 $63,300.00 2026-07-17
C9605 HCPCS $9,012.00 1 1 $60,013.00 — $63,300.00 $63,300.00 $63,300.00 2026-07-17
45937 CDM Revsc Fem/pop W Stnt/ath 26 16 $87,847.93 $87,847.93 $28,023.49 $83,455.53 $63,294.43 2026-03-01
45943 CDM Revsc Tib/per St/ath Ini 26 16 $87,847.93 $87,847.93 $28,023.49 $83,455.53 $63,294.43 2026-03-01
45941 CDM Revsc Tib/per W Ath Init 26 16 $87,847.93 $87,847.93 $28,023.49 $83,455.53 $63,294.43 2026-03-01
45942 CDM Revsc Tib/per Stnt Init 26 16 $87,847.93 $87,847.93 $28,023.49 $83,455.53 $63,294.43 2026-03-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 6 2 — — $56,980.87 $69,576.64 $63,278.76 2026-03-01
87533 CDM Fixator Exfix Crtck 70mm 26 16 $87,323.00 $87,323.00 $27,856.04 $82,956.85 $62,916.22 2026-03-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 2 — — $56,331.65 $68,783.91 $62,557.78 2026-03-01
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 2 — — $62,405.51 $62,405.51 $62,405.51 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 11 — — $29,226.00 $163,455.03 $62,353.99 2026-03-01
1793 APR_DRG Defibrillator Implants 6 2 — — $55,865.52 $68,214.74 $62,040.13 2026-03-01
96368 CDM Graft Bn Disc 20mm 23 16 $77,384.00 $77,384.00 $24,685.50 $73,514.80 $61,907.20 2026-03-01
93657 CPT Add Intracrd Afib/pv Iso 29 17 $95,065.33 $95,065.33 $226.67 $90,312.06 $61,792.46 2026-07-17
C1759 HCPCS Cath Ultsnd 10fr 90cm 100 16 $80,989.50 $80,989.50 $24,585.65 $80,928.60 $61,656.80 2026-03-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition Pedia… 3 2 — — $61,655.66 $61,655.66 $61,655.66 2026-03-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 2 — — $55,140.54 $67,329.50 $61,235.02 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 20 12 — — $50,810.48 $170,270.00 $61,132.80 2026-03-01
81 APR_DRG Autologous Bone Marrow Transplant 6 2 — — $54,999.54 $67,157.33 $61,078.43 2026-03-01
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 2 — — $54,989.02 $67,144.48 $61,066.75 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 3 2 $169,497.24 — $51,289.00 $61,065.07 $61,065.07 2026-07-17
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 3 2 $169,497.24 — $51,289.00 $61,065.07 $61,065.07 2026-07-17
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 3 2 $169,497.24 — $51,289.00 $61,065.07 $61,065.07 2026-07-17
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 3 2 $169,497.24 — $51,289.00 $61,065.07 $61,065.07 2026-07-17
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 3 2 — — $51,289.00 $61,031.19 $61,031.19 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 3 2 — — $51,289.00 $61,031.19 $61,031.19 2026-03-01
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