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

Research Medical Center

Kansas City, MO · CCN 269801 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $4,001 across 31 payers · range $292-$12,094

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/54-2092552_RESEARCH-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.

31,074 distinct procedures filed
45 distinct payers
1,293,612 rate rows
2026-03-01 last MRF observed
Data quality

1,259,793 of 1,293,612 rate rows are consumer-grade (97.4%)

33,819 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 15,551
per-diem day rate — not a per-procedure price 12,118
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,373
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,103
placeholder amount (≤ $0.02) — excluded from medians 397
template filing: same amount across many unrelated codes — excluded 225
exceeds 10× this hospital's gross charge — excluded from medians 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/54-2092552_RESEARCH-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 · 2026-10-03
Content fingerprint c1da0ed0a4089c00… · 669,981,104 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
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
1.0× median
845
OTHER 		Inj, Atidarsagene Autotem 12 $5,919.73 $4,820,350.00 $4,505,000.00 nat. median
$17,146
outlier · 262.7×
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,401,960
1.6× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,685,267.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 11 $3,648,414.33 $3,943,235.69 $3,685,267.00 nat. median
$3,758,972
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$14,694
outlier · 227.0×
908
OTHER 		Topi Adm Prad Zami Per Tr 11 $10,718.52 $3,569,327.40 $3,335,820.00 nat. median
$30,329
outlier · 110.0×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,327,860.00 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 12 $6,962.40 $3,560,810.20 $3,327,860.00 nat. median
$3,325,455
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,252,508.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 12 $13,252.86 $3,480,183.56 $3,252,508.00 nat. median
$3,252,508
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,084,600
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 11 $9,471.07 $3,402,600.00 $3,180,000.00 nat. median
$24,952
outlier · 127.4×
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 7 $2,968,000.00 $4,850,948.67 $3,086,720.00 nat. median
$2,994,107
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,939,969.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 12 $12,259.04 $3,145,766.83 $2,939,969.00 nat. median
$2,939,969
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,588,981.00 $2,588,981.00 $2,588,981.00 nat. median
$2,511,312
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 11 $2,455,110.00 $2,770,209.67 $2,588,981.00 nat. median
$2,588,981
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 12 $14,355.02 $2,495,240.00 $2,332,000.00 nat. median
$2,262,040
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 7 $2,222,890.60 $4,271,819.03 $2,311,806.22 nat. median
$2,466,282
0.9× median
5834
APR_DRG 		Neonate With Ecmo 3 $893,751.36 $1,117,189.20 $1,090,376.66 nat. median
$307,273
outlier · 3.5×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 7 $770,620.00 $1,271,523.00 $801,444.80 nat. median
$809,217
1.0× median
2067
OTHER 		Afamitresgene Autoleucel 11 $762,913.80 $824,563.40 $770,620.00 nat. median
$789,886
1.0× median
5833
APR_DRG 		Neonate With Ecmo 3 $539,624.08 $674,530.10 $658,341.38 nat. median
$244,017
outlier · 2.7×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 10 $553,169.00 $969,621.79 $611,155.55 nat. median
$646,415
0.9× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 9 $566,531.30 $934,776.65 $589,192.55 nat. median
$738,272
0.8× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $587,649.60 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 11 $565,868.90 $628,785.07 $587,649.60 nat. median
$587,650
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 9 $516,442.00 $927,632.05 $584,689.29 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 $527,622.00 $920,834.85 $580,405.00 nat. median
$622,245
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $566,531.30 $566,531.30 $566,531.30 nat. median
$549,535
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 11 $560,865.99 $606,188.49 $566,531.30 nat. median
$577,003
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $562,201.20 $562,201.20 $562,201.20 nat. median
$545,335
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 11 $556,579.19 $601,555.28 $562,201.20 nat. median
$562,201
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $558,081.80 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 11 $552,500.98 $597,147.53 $558,081.80 nat. median
$562,826
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 10 $502,841.00 $878,117.20 $553,479.93 nat. median
$608,101
0.9× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $532,192.20 $532,192.20 $532,192.20 nat. median
$516,226
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 11 $526,870.28 $569,445.65 $532,192.20 nat. median
$533,230
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 9 $489,399.00 $807,592.83 $509,028.21 nat. median
$591,650
0.9× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $489,450.20 $489,450.20 $489,450.20 nat. median
$474,767
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 11 $484,555.70 $523,711.71 $489,450.20 nat. median
$492,768
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $397,228.86 $496,536.07 $484,619.21 nat. median
$165,000
outlier · 2.9×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $390,054.88 $487,568.60 $475,866.95 nat. median
$124,042
outlier · 3.8×
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $390,054.88 $487,568.60 $475,866.95 nat. median
$67,766
outlier · 7.0×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 3 $380,904.28 $476,130.35 $464,703.22 nat. median
$162,514
outlier · 2.9×
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
5832
APR_DRG 		Neonate With Ecmo 3 $338,626.07 $423,282.59 $413,123.81 nat. median
$159,249
outlier · 2.6×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 $317,524.21 $396,905.26 $387,379.54 nat. median
$133,164
outlier · 2.9×

Other procedures at this hospital

Browse this hospital's 31,074 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
             
845 OTHER Inj, Atidarsagene Autotem 17 12 — — $5,919.73 $4,820,350.00 $4,505,000.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,685,267.00 $3,685,267.00 $3,685,267.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 15 11 — — $3,648,414.33 $3,943,235.69 $3,685,267.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 16 11 — — $10,718.52 $3,569,327.40 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,327,860.00 $3,327,860.00 $3,327,860.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 17 12 — — $6,962.40 $3,560,810.20 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 17 12 — — $13,252.86 $3,480,183.56 $3,252,508.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,252,508.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 16 11 — — $9,471.07 $3,402,600.00 $3,180,000.00 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 9 7 — — $2,968,000.00 $4,850,948.67 $3,086,720.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 17 12 — — $12,259.04 $3,145,766.83 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 15 11 — — $2,455,110.00 $2,770,209.67 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,588,981.00 $2,588,981.00 $2,588,981.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 17 12 — — $14,355.02 $2,495,240.00 $2,332,000.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 9 7 — — $2,222,890.60 $4,271,819.03 $2,311,806.22 2026-03-01
5834 APR_DRG Neonate With Ecmo 3 3 — — $893,751.36 $1,117,189.20 $1,090,376.66 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 7 — — $770,620.00 $1,271,523.00 $801,444.80 2026-03-01
2067 OTHER Afamitresgene Autoleucel 15 11 — — $762,913.80 $824,563.40 $770,620.00 2026-03-01
5833 APR_DRG Neonate With Ecmo 3 3 — — $539,624.08 $674,530.10 $658,341.38 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 12 10 — — $553,169.00 $969,621.79 $611,155.55 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 9 — — $566,531.30 $934,776.65 $589,192.55 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 15 11 — — $565,868.90 $628,785.07 $587,649.60 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 9 — — $516,442.00 $927,632.05 $584,689.29 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 11 9 — — $527,622.00 $920,834.85 $580,405.00 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 15 11 — — $560,865.99 $606,188.49 $566,531.30 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $566,531.30 $566,531.30 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 15 11 — — $556,579.19 $601,555.28 $562,201.20 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $562,201.20 $562,201.20 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 15 11 — — $552,500.98 $597,147.53 $558,081.80 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 10 — — $502,841.00 $878,117.20 $553,479.93 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 15 11 — — $526,870.28 $569,445.65 $532,192.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 9 — — $489,399.00 $807,592.83 $509,028.21 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 15 11 — — $484,555.70 $523,711.71 $489,450.20 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $397,228.86 $496,536.07 $484,619.21 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $390,054.88 $487,568.60 $475,866.95 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $390,054.88 $487,568.60 $475,866.95 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $380,904.28 $476,130.35 $464,703.22 2026-03-01
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 2026-03-01
5832 APR_DRG Neonate With Ecmo 3 3 — — $338,626.07 $423,282.59 $413,123.81 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $317,524.21 $396,905.26 $387,379.54 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $305,888.72 $382,360.90 $373,184.24 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 22 — — $127,712.10 $961,594.59 $351,781.88 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $286,610.18 $358,262.72 $349,664.42 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $286,610.18 $358,262.72 $349,664.42 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $286,610.18 $358,262.72 $349,664.42 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $273,402.26 $341,752.83 $333,550.76 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $259,646.28 $324,557.85 $316,768.46 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $257,034.75 $321,293.44 $313,582.40 2026-03-01
5831 APR_DRG Neonate With Ecmo 3 3 — — $247,357.70 $309,197.13 $301,776.39 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 3 3 — — $239,798.41 $299,748.01 $292,554.06 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 3 3 — — $234,562.72 $293,203.40 $286,166.52 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
831 OTHER Obecbtge Autol Up To 400 17 12 — — $4,053.57 $297,727.50 $278,250.00 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $224,834.64 $281,043.30 $274,298.26 2026-03-01
J3403 HCPCS Revakinagene Taroretcel-lwey, Per Implant 6 6 — — $265,000.00 $275,600.00 $274,275.00 2026-03-01
897 OTHER Revakinagene, Per Implant 14 10 — — $262,350.00 $283,550.00 $265,000.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $205,466.57 $256,833.21 $250,669.22 2026-03-01
903540 CDM Kidney Acq N/l 60 29 $625,901.28 $625,901.28 $81,367.17 $625,901.28 $245,040.35 2026-03-01
903539 CDM Kidney Acq L/r 60 29 $625,901.28 $625,901.28 $81,367.17 $625,901.28 $245,040.35 2026-03-01
918153 CDM Pancreas Transplant 60 29 $625,901.28 $625,901.28 $81,367.17 $625,901.28 $245,040.35 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $239,007.40 $239,007.40 $239,007.40 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 3 3 — — $195,548.17 $244,435.21 $238,568.77 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $195,456.73 $244,320.91 $238,457.21 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 3 3 — — $192,345.79 $240,432.24 $234,661.86 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $186,956.63 $233,695.79 $228,087.09 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 37 24 — — $81,258.66 $542,682.82 $224,983.00 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $181,238.55 $226,548.19 $221,111.03 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 3 3 — — $179,798.92 $224,748.65 $219,354.68 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 3 3 — — $179,798.92 $224,748.65 $219,354.68 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 3 3 — — $179,798.92 $224,748.65 $219,354.68 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $175,886.68 $219,858.35 $214,581.75 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $210,091.30 $210,091.30 $210,091.30 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 7 6 — — $201,669.02 $332,753.88 $209,735.78 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $171,839.32 $214,799.15 $209,643.97 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $170,610.59 $213,263.24 $208,144.92 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 17 12 — — $8,869.89 $215,785.83 $201,669.00 2026-03-01
885940 CDM Tavr 52 25 $493,882.65 $493,882.65 $64,204.74 $493,882.65 $200,516.36 2026-03-01
118585 CDM Ttvr - Initial Device 46 24 $440,966.66 $440,966.66 $57,325.67 $440,966.66 $198,435.00 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $162,003.15 $202,503.94 $197,643.84 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $157,552.95 $196,941.19 $192,214.60 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $157,184.20 $196,480.25 $191,764.72 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $154,492.89 $193,116.11 $188,481.33 2026-03-01
780219 CDM Or Room Tavr 52 25 $455,498.85 $455,498.85 $59,214.85 $455,498.85 $184,932.54 2026-03-01
943363 CDM Inst/rp Gen Sg/dl Icd 46 24 $408,432.11 $408,432.11 $53,096.17 $408,432.11 $183,794.45 2026-03-01
946210 CDM Inst/rp Gen Sg/dl Icd 46 24 $408,432.11 $408,432.11 $53,096.17 $408,432.11 $183,794.45 2026-03-01
121165 CDM Ins/repl Ccm System 46 24 $408,432.11 $408,432.11 $53,096.17 $408,432.11 $183,794.45 2026-03-01
88556 CDM Ins/rplc Card Mod W Elec 46 24 $408,432.11 $408,432.11 $53,096.17 $408,432.11 $183,794.45 2026-03-01
8634 APR_DRG Neonatal Aftercare 3 3 — — $149,968.40 $187,460.50 $182,961.45 2026-03-01
888494 CDM Tmvr Initial 52 25 $440,966.66 $440,966.66 $57,325.67 $440,966.66 $179,032.46 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 21 — — $82,130.16 $328,797.70 $172,198.90 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 21 — — $57,937.32 $326,868.08 $171,207.80 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $136,783.21 $170,979.01 $166,875.52 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $136,363.96 $170,454.95 $166,364.03 2026-03-01
955643 CDM Ins Icd Gen W Dual Lead 46 24 $343,863.80 $343,863.80 $44,702.29 $343,863.80 $154,738.71 2026-03-01
955635 CDM Rmv Icd W Rplc Sgl Ld 46 24 $343,863.80 $343,863.80 $44,702.29 $343,863.80 $154,738.71 2026-03-01
955634 CDM Ins Icd Gen W Mult Lead 46 24 $343,863.80 $343,863.80 $44,702.29 $343,863.80 $154,738.71 2026-03-01
955637 CDM Rmv Icd W Rplc Mult Ld 46 24 $343,863.80 $343,863.80 $44,702.29 $343,863.80 $154,738.71 2026-03-01
955636 CDM Rmv Icd W Rplc Dual Ld 46 24 $343,863.80 $343,863.80 $44,702.29 $343,863.80 $154,738.71 2026-03-01
943361 CDM Ins Imp Icd Gen Sng Lead 46 24 $336,504.22 $336,504.22 $43,745.55 $336,504.22 $151,426.90 2026-03-01
1907 OTHER New Technology - Level 52 15 11 — — $143,460.30 $159,973.99 $149,508.40 2026-03-01
1908 OTHER New Technology - Level 52 15 11 — — $143,460.30 $159,973.99 $149,508.40 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 3 3 — — $122,278.89 $152,848.61 $149,180.25 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 3 3 — — $122,278.89 $152,848.61 $149,180.25 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $148,076.60 $148,076.60 $148,076.60 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 3 3 — — $118,870.74 $148,588.43 $145,022.30 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $143,460.30 $143,460.30 $143,460.30 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $143,460.30 $143,460.30 $143,460.30 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $117,054.50 $146,318.13 $142,806.49 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $114,160.91 $142,701.14 $139,276.31 2026-03-01
888493 CDM Ins Ecmo Perc Periph=>6y 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
122255 CDM Ins Ecmo Central <6y 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
122246 CDM Ins Ecmo Open Periph=>6y 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
122253 CDM Ins Ecmo Perc Periph <6y 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
889184 CDM Init Ecmo Veno-venous 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
888492 CDM Init Ecmo Veno-arterial 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
872931 CDM Ecmo Ins Strno/thor>6yrs 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
122247 CDM Ins Ecmo Open Periph <6y 52 25 $342,391.28 $342,391.28 $44,510.87 $342,391.28 $139,010.86 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $138,148.31 $138,148.31 $138,148.31 2026-03-01
1905 OTHER New Technology - Level 51 15 11 — — $129,349.50 $144,238.89 $134,802.70 2026-03-01
1906 OTHER New Technology - Level 51 15 11 — — $129,349.50 $144,238.89 $134,802.70 2026-03-01
884421 CDM Sp Ex Carotid Angio Bi 52 25 $331,401.08 $331,401.08 $43,082.14 $331,401.08 $134,548.84 2026-03-01
958446 CDM Sp Subcl Angio Bi 52 25 $331,401.08 $331,401.08 $43,082.14 $331,401.08 $134,548.84 2026-03-01
958438 CDM Sp Com Carotidangio Bi 52 25 $331,401.08 $331,401.08 $43,082.14 $331,401.08 $134,548.84 2026-03-01
958450 CDM Sp Vert Angio Bi 52 25 $331,401.08 $331,401.08 $43,082.14 $331,401.08 $134,548.84 2026-03-01
958442 CDM Sp Int Carotid Angio Bi 52 25 $331,401.08 $331,401.08 $43,082.14 $331,401.08 $134,548.84 2026-03-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 3 — — $108,681.01 $135,851.26 $132,590.83 2026-03-01
30253X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Artery, Percutan… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30233X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Vein, Percutaneo… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30243X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Vein, Percutaneous … 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30243Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Vein, Percutaneo… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30233Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Vein, Percuta… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30233G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Vein, Percutaneous Approac… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30230C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30263Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Artery, Percutan… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30260Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Artery, Open App… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30263G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Artery, Percutaneous Approach… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30263X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Artery, Percutaneou… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30260X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Artery, Open Approa… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30260G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Artery, Open Approach 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30253Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Artery, Percu… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30253G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Artery, Percutaneous Appro… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30250X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Artery, Open App… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30250Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Artery, Open … 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30250G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Artery, Open Approach 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30243G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Vein, Percutaneous Approach 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30243C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30240C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30240G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Vein, Open Approach 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30240Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Vein, Open Appro… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30240X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Vein, Open Approach… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30233C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30230Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Vein, Open Ap… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30230G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Vein, Open Approach 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
30230X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Vein, Open Appro… 3 1 — — $103,500.00 $214,245.00 $131,963.00 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $107,618.20 $134,522.75 $131,294.20 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $129,349.50 $129,349.50 $129,349.50 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $129,349.50 $129,349.50 $129,349.50 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $105,381.51 $131,726.89 $128,565.44 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $103,505.17 $129,381.46 $126,276.31 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 3 3 — — $102,860.31 $128,575.39 $125,489.58 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $100,324.11 $125,405.14 $122,395.41 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $98,843.78 $123,554.73 $120,589.41 2026-03-01
1904 OTHER New Technology - Level 50 15 11 — — $115,238.70 $128,503.79 $120,097.00 2026-03-01
1903 OTHER New Technology - Level 50 15 11 — — $115,238.70 $128,503.79 $120,097.00 2026-03-01
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $95,551.88 $119,439.85 $116,573.29 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $115,636.10 $115,636.10 $115,636.10 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $94,701.70 $118,377.13 $115,536.07 2026-03-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 3 3 — — $94,467.11 $118,083.89 $115,249.87 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $115,238.70 $115,238.70 $115,238.70 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $115,238.70 $115,238.70 $115,238.70 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 28 21 — — $43,017.24 $213,311.56 $112,883.80 2026-03-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $91,341.61 $114,177.01 $111,436.76 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $91,341.61 $114,177.01 $111,436.76 2026-03-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 3 3 — — $90,884.47 $113,605.59 $110,879.05 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 17 12 — — $108,193.00 $118,081.99 $110,357.00 2026-03-01
953004 CDM Revasc Tib Stnt/ath Init 46 24 $242,130.10 $242,130.10 $31,476.91 $242,130.10 $108,958.54 2026-03-01
952987 CDM Revasc Tib Stnt/ath Init 46 24 $242,130.10 $242,130.10 $31,476.91 $242,130.10 $108,958.54 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 3 3 — — $87,976.77 $109,970.96 $107,331.66 2026-03-01
994772 CDM Transcth Stnt Plc Ia 46 24 $237,812.18 $237,812.18 $30,915.58 $237,812.18 $107,015.48 2026-03-01
994783 CDM Transcth Stnt Plc In Vn 46 24 $237,812.18 $237,812.18 $30,915.58 $237,812.18 $107,015.48 2026-03-01
7 MS_DRG Lung Transplant 35 25 — — $38,295.10 $250,780.62 $106,979.30 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $87,261.41 $109,076.76 $106,458.92 2026-03-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 3 3 — — $87,261.41 $109,076.76 $106,458.92 2026-03-01
1902 OTHER New Technology - Level 49 15 11 — — $101,127.90 $112,768.69 $105,391.30 2026-03-01
1901 OTHER New Technology - Level 49 15 11 — — $101,127.90 $112,768.69 $105,391.30 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $103,633.80 $103,633.80 $103,633.80 2026-03-01
883401 CDM Ins/repl Subq Imp Icd Sy 52 25 $251,839.89 $251,839.89 $32,739.19 $251,839.89 $102,246.99 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $101,127.90 $101,127.90 $101,127.90 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $101,127.90 $101,127.90 $101,127.90 2026-03-01
953006 CDM Revasc Tib Ath Ea Add 46 24 $224,656.72 $224,656.72 $29,205.37 $224,656.72 $101,095.52 2026-03-01
953040 CDM Revasc Tib Ath Ea Add 46 24 $224,656.72 $224,656.72 $29,205.37 $224,656.72 $101,095.52 2026-03-01
952989 CDM Revasc Tib Ath Ea Add 46 24 $224,656.72 $224,656.72 $29,205.37 $224,656.72 $101,095.52 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $81,895.14 $102,368.93 $99,912.07 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 36 24 — — $39,707.20 $232,726.63 $98,949.31 2026-03-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $80,664.40 $100,830.50 $98,410.57 2026-03-01
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 3 3 — — $80,331.01 $100,413.76 $98,003.83 2026-03-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $80,103.71 $100,129.64 $97,726.53 2026-03-01
952983 CDM Revasc Fem/pop Stnt/ath 46 24 $214,597.27 $214,597.27 $27,897.65 $214,597.27 $96,568.77 2026-03-01
953000 CDM Revasc Fem/pop Stnt/ath 46 24 $214,597.27 $214,597.27 $27,897.65 $214,597.27 $96,568.77 2026-03-01
953034 CDM Revasc Fem/pop Stnt/ath 46 24 $214,597.27 $214,597.27 $27,897.65 $214,597.27 $96,568.77 2026-03-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $78,112.23 $97,640.29 $95,296.92 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 17 12 — — $93,216.70 $101,736.67 $95,081.00 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 3 3 — — $77,935.06 $97,418.82 $95,080.77 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 37 24 — — $32,872.98 $292,256.00 $94,813.82 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 37 20 — — $44,516.22 $252,047.04 $94,708.95 2026-03-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 3 3 — — $77,530.06 $96,912.57 $94,586.67 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $77,394.27 $96,742.84 $94,421.01 2026-03-01
8514 APR_DRG Gender Related Procedures 3 3 — — $77,380.16 $96,725.20 $94,403.80 2026-03-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 3 3 — — $76,646.86 $95,808.57 $93,509.17 2026-03-01
1585 OTHER New Technology - Level 48 15 11 — — $89,368.87 $99,656.15 $93,136.59 2026-03-01
1599 OTHER New Technology - Level 48 15 11 — — $89,368.87 $99,656.15 $93,136.59 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 3 — — $75,941.42 $94,926.77 $92,648.53 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 37 20 — — $45,771.18 $245,420.08 $92,307.97 2026-03-01
124789 CDM Insrt Replac Implnt Icd 53 25 $228,945.35 $228,945.35 $29,762.90 $228,945.35 $92,036.03 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 3 3 — — $75,330.22 $94,162.77 $91,902.87 2026-03-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 3 — — $74,475.65 $93,094.56 $90,860.29 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 21 — — $15,163.00 $242,144.46 $90,561.00 2026-03-01
789349 CDM Cath Rh W Wirls Sens Plc 46 24 $201,178.24 $201,178.24 $26,153.17 $201,178.24 $90,530.21 2026-03-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 3 3 — — $73,980.25 $92,475.31 $90,255.90 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 3 3 — — $73,300.48 $91,625.60 $89,426.59 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $89,368.87 $89,368.87 $89,368.87 2026-03-01
01599 OTHER New Technology - Level 48 2 2 — — $89,368.87 $89,368.87 $89,368.87 2026-03-01
007 OTHER Lung Transplant 2 2 — — $88,874.27 $88,874.27 $88,874.27 2026-03-01
1784 APR_DRG External Heart Assist Devices 3 3 — — $72,753.01 $90,941.26 $88,758.67 2026-03-01
953038 CDM Revasc Tib Stnt/ath Init 46 24 $194,314.54 $194,314.54 $25,260.89 $194,314.54 $87,441.54 2026-03-01
7524 APR_DRG Personality Disorders 3 3 — — $71,105.83 $88,882.29 $86,749.11 2026-03-01
959471 CDM Perc Clsr Lt Atrl W/imp 52 25 $212,768.36 $212,768.36 $27,659.89 $212,768.36 $86,383.96 2026-03-01
791996 CDM Perc Clsr Lt Atrl W/imp 52 25 $212,768.36 $212,768.36 $27,659.89 $212,768.36 $86,383.96 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 3 3 — — $70,678.25 $88,347.81 $86,227.46 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 35 25 — — $30,508.08 $199,662.83 $85,850.86 2026-03-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 3 — — $70,142.52 $87,678.15 $85,573.87 2026-03-01
215 MS_DRG Other Heart Assist System Implant 42 24 — — $39,147.78 $334,366.00 $84,953.41 2026-03-01
8633 APR_DRG Neonatal Aftercare 3 3 — — $69,422.71 $86,778.39 $84,695.71 2026-03-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $69,317.89 $86,647.36 $84,567.83 2026-03-01
6223 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $69,317.89 $86,647.36 $84,567.83 2026-03-01
6333 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 3 3 — — $69,202.97 $86,503.71 $84,427.62 2026-03-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 3 3 — — $69,031.23 $86,289.04 $84,218.10 2026-03-01
4284 APR_DRG Genetic Disorders 3 3 — — $68,897.37 $86,121.71 $84,054.79 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 3 3 — — $68,763.96 $85,954.95 $83,892.03 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 3 3 — — $68,335.34 $85,419.17 $83,369.11 2026-03-01
1584 OTHER New Technology - Level 47 15 11 — — $79,961.67 $89,166.09 $83,332.79 2026-03-01
1598 OTHER New Technology - Level 47 15 11 — — $79,961.67 $89,166.09 $83,332.79 2026-03-01
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $68,241.96 $85,302.45 $83,255.19 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 3 3 — — $67,173.54 $83,966.92 $81,951.72 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 47 24 — — $38,485.44 $217,843.39 $80,702.73 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 3 3 — — $65,862.42 $82,328.02 $80,352.15 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $79,961.67 $79,961.67 $79,961.67 2026-03-01
01598 OTHER New Technology - Level 47 2 2 — — $79,961.67 $79,961.67 $79,961.67 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 3 3 — — $65,005.19 $81,256.49 $79,306.33 2026-03-01
6904 APR_DRG Acute Leukemia 3 3 — — $64,856.62 $81,070.78 $79,125.08 2026-03-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 3 3 — — $64,666.90 $80,833.63 $78,893.62 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $78,768.84 $78,768.84 $78,768.84 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 3 3 — — $64,529.77 $80,662.21 $78,726.32 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 3 3 — — $64,326.97 $80,408.71 $78,478.90 2026-03-01
6122 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 3 3 — — $64,314.57 $80,393.21 $78,463.78 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 3 3 — — $64,254.92 $80,318.65 $78,391.00 2026-03-01
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 3 3 — — $63,546.77 $79,433.46 $77,527.06 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $77,046.96 $77,046.96 $77,046.96 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 37 20 — — $37,439.64 $200,625.77 $76,078.75 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $75,862.51 $75,862.51 $75,862.51 2026-03-01
994794 CDM Transcth Stnt Plc Ea Vn 46 24 $167,145.15 $167,145.15 $21,728.87 $167,145.15 $75,215.32 2026-03-01
994776 CDM Transcth Stnt Plc Ea Ad 46 24 $167,145.15 $167,145.15 $21,728.87 $167,145.15 $75,215.32 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $75,063.45 $75,063.45 $75,063.45 2026-03-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 3 3 — — $61,495.27 $76,869.09 $75,024.23 2026-03-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 3 3 — — $61,427.74 $76,784.68 $74,941.84 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 3 3 — — $60,406.26 $75,507.82 $73,695.64 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 3 3 — — $60,371.35 $75,464.19 $73,653.05 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 36 20 — — $15,163.00 $192,829.75 $73,613.29 2026-03-01
1583 OTHER New Technology - Level 46 15 11 — — $70,554.47 $78,676.02 $73,528.99 2026-03-01
1597 OTHER New Technology - Level 46 15 11 — — $70,554.47 $78,676.02 $73,528.99 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 3 3 — — $59,861.02 $74,826.27 $73,030.44 2026-03-01
0NH005Z OTHER Insertion Of External Fixation Device Into Skull, Open Approach 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3BXYZ OTHER Immobilization Of Left Upper Arm Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3DXYZ OTHER Immobilization Of Left Lower Arm Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3KXYZ OTHER Immobilization Of Left Finger Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3SX3Z OTHER Immobilization Of Right Foot Using Brace 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3UXYZ OTHER Immobilization Of Right Toe Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3PXYZ OTHER Immobilization Of Left Upper Leg Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W40X5Z OTHER Packing Of Head Using Packing Material 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3JXYZ OTHER Immobilization Of Right Finger Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W10X7Z OTHER Compression Of Head Using Intermittent Pressure Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3LX3Z OTHER Immobilization Of Right Lower Extremity Using Brace 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3SXYZ OTHER Immobilization Of Right Foot Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W4CX5Z OTHER Packing Of Right Lower Arm Using Packing Material 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W4FX5Z OTHER Packing Of Left Hand Using Packing Material 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3EX3Z OTHER Immobilization Of Right Hand Using Brace 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3TX3Z OTHER Immobilization Of Left Foot Using Brace 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
2W3NXYZ OTHER Immobilization Of Right Upper Leg Using Other Device 1 1 — — $72,905.50 $72,905.50 $72,905.50 2026-03-01
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