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

CAROMONT REGIONAL MEDICAL CENTER

Gastonia, NC · CCN 340032 · Rates published

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You selected 93306 (CPT)

HCHG 2D ECHO DPLR/CLRFLW W CONTRAST

This hospital’s price: $1,705 across 49 payers · range $409-$3,414

Source: https://sthpiprd.blob.core.windows.net/machine-readable-files/100268/560619359_gaston-memorial-hospital_standardcharges.csv · observed 2026-07-15

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.

16,693 distinct procedures filed
58 distinct payers
1,800,361 rate rows
2026-07-15 last MRF observed
Data quality

1,786,824 of 1,800,361 rate rows are consumer-grade (99.2%)

13,537 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
template filing: same amount across many unrelated codes — excluded 9,954
placeholder amount (≤ $0.02) — excluded from medians 1,430
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,008
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 537
per-diem day rate — not a per-procedure price 271
exceeds 10× this hospital's gross charge — excluded from medians 195
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 96
percent-of-charges filed in the dollar field — excluded from medians 46
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://caromonthealth.org/media/0nkb3bup/560619359_caromont-regional-medical-center_standardcharges.csv
Found on page https://caromonthealth.org/patients-visitors/care-cost-estimate/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-22
Content fingerprint 5c4457d9375d3c39… · 135,819,005 bytes · first seen 2026-05-05

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $4,505,000.00 $4,820,350.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 1 $4,682,002.50 $4,682,002.50 $4,682,002.50 nat. median
$3,710,000
1.3× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $0.28 $3,949,851.50 $3,876,022.50 nat. median
$3,705,478
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $3,569,327.40 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $0.28 $3,553,872.73 $3,487,445.20 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $0.28 $3,472,558.09 $3,407,650.46 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,180,000.00 $3,402,600.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $0.28 $4,868,633.01 $3,085,236.00 nat. median
$2,994,107
1.0× median
C9309
HCPCS 		Inj Onase Abepar-brve Treat 10 $2,664,228.59 $4,955,465.18 $2,797,440.02 nat. median
$2,664,229
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $0.28 $4,811,982.30 $2,716,441.62 nat. median
$2,467,386
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,332,000.00 $4,337,520.00 $2,448,600.00 nat. median
$2,401,965
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 14 $0.28 $2,072,967.80 $809,151.00 nat. median
$813,967
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 49 $259,601.38 $1,150,130.70 $738,416.62 nat. median
$359,454
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $0.28 $1,652,146.37 $644,889.85 nat. median
$739,258
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $0.28 $1,583,051.03 $617,919.55 nat. median
$646,415
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $0.28 $1,512,481.65 $590,373.88 nat. median
$640,950
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $0.28 $1,505,811.11 $587,770.14 nat. median
$622,450
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $0.28 $1,430,674.13 $558,441.57 nat. median
$608,239
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 49 $194,256.41 $746,388.55 $551,535.31 nat. median
$249,036
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $0.28 $1,316,191.72 $513,755.13 nat. median
$591,721
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 49 $139,183.95 $580,805.31 $420,284.59 nat. median
$198,418
outlier · 2.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 $148,134.61 $565,311.98 $417,818.06 nat. median
$190,559
outlier · 2.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $278,250.00 $748,492.50 $292,162.50 nat. median
$319,951
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 14 $262,233.77 $705,408.85 $277,967.80 nat. median
$265,000
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 $98,145.31 $462,692.45 $272,664.81 nat. median
$126,695
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 49 $87,822.15 $542,199.92 $257,908.93 nat. median
$110,307
outlier · 2.3×
7
MS_DRG 		Lung Transplant 49 $90,879.97 $541,604.97 $255,887.10 nat. median
$117,974
outlier · 2.2×
5834
APR_DRG 		Neonate W Ecmo 2 $252,898.14 $252,898.14 $252,898.14 nat. median
$307,206
0.8× median
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 2 $227,456.42 $227,456.42 $227,456.42 nat. median
$247,214
0.9× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 49 $76,851.12 $571,076.28 $216,922.79 nat. median
$104,013
outlier · 2.1×
212
MS_DRG 		Concomitant Aortic And Mitral Valve�procedures 49 $75,989.84 $325,848.95 $213,302.56 nat. median
$97,323
outlier · 2.2×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 14 $0.28 $545,299.54 $212,849.26 nat. median
$209,753
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 2 $209,801.33 $209,801.33 $209,801.33 nat. median
$202,993
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 49 $74,315.91 $448,703.27 $209,633.44 nat. median
$95,038
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 49 $73,124.65 $293,538.64 $205,108.33 nat. median
$93,276
outlier · 2.2×
215
MS_DRG 		Other Heart Assist System Implant 49 $73,117.12 $265,194.74 $196,003.55 nat. median
$93,901
outlier · 2.1×
34
APR_DRG 		Bone Marrow Transplant 2 $191,240.23 $191,240.23 $191,240.23 nat. median
$241,408
0.8× median
24
APR_DRG 		Heart &/or Lung Transplant 2 $189,811.40 $189,811.40 $189,811.40 nat. median
$241,437
0.8× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 $67,481.20 $277,974.22 $188,968.54 nat. median
$90,551
outlier · 2.1×
5833
APR_DRG 		Neonate W Ecmo 2 $181,878.84 $181,878.84 $181,878.84 nat. median
$244,017
0.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 49 $63,859.14 $230,637.12 $170,462.26 nat. median
$78,268
outlier · 2.2×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 2 $167,084.55 $167,084.55 $167,084.55 nat. median
$155,939
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 49 $59,421.68 $224,521.96 $165,918.96 nat. median
$77,028
outlier · 2.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 49 $59,389.50 $223,816.16 $165,420.93 nat. median
$77,632
outlier · 2.1×
5832
APR_DRG 		Neonate W Ecmo 2 $165,343.92 $165,343.92 $165,343.92 nat. median
$159,249
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 49 $58,509.06 $239,961.69 $163,308.95 nat. median
$78,049
outlier · 2.1×
14
APR_DRG 		Liver Transplant &/or Intestinal Transplant 2 $161,389.19 $161,389.19 $161,389.19 nat. median
$136,566
1.2× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 49 $52,978.60 $319,406.97 $155,216.53 nat. median
$66,715
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 49 $56,595.51 $283,377.82 $154,897.33 nat. median
$74,370
outlier · 2.1×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 $54,380.03 $204,503.84 $151,147.34 nat. median
$72,398
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 16,693 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 8 — — $4,505,000.00 $4,820,350.00 $4,730,250.00 2026-05-11
J1414 HCPCS Inj, Beqvez, Per Tx Dose 1 1 — — $4,682,002.50 $4,682,002.50 $4,682,002.50 2026-05-11
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $0.28 $3,949,851.50 $3,876,022.50 2026-05-11
J3389 HCPCS Topi Adm Prad Zami Per Treat 8 8 — — $3,335,820.00 $3,569,327.40 $3,502,611.00 2026-05-11
J1413 HCPCS Inj Delandistrogene Mox Rokl 9 9 — — $0.28 $3,553,872.73 $3,487,445.20 2026-05-11
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 9 — — $0.28 $3,472,558.09 $3,407,650.46 2026-05-11
J3387 HCPCS Inj Elivaldogene Autotemecel 8 8 — — $3,180,000.00 $3,402,600.00 $3,339,000.00 2026-05-11
J3393 HCPCS Inj, Betibeglogene Autotemce 10 9 — — $0.28 $4,868,633.01 $3,085,236.00 2026-05-11
C9309 HCPCS Inj Onase Abepar-brve Treat 10 10 — — $2,664,228.59 $4,955,465.18 $2,797,440.02 2026-05-11
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 10 — — $0.28 $4,811,982.30 $2,716,441.62 2026-05-11
J3392 HCPCS Inj, Exagamglogene Autotem 11 10 — — $2,332,000.00 $4,337,520.00 $2,448,600.00 2026-05-11
Q2057 HCPCS Afamitresgene Autoleucel 15 14 — — $0.28 $2,072,967.80 $809,151.00 2026-05-11
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 115 49 — — $259,601.38 $1,150,130.70 $738,416.62 2026-07-15
Q2042 HCPCS Tisagenlecleucel Car-pos T 14 12 — — $0.28 $1,652,146.37 $644,889.85 2026-05-11
Q2056 HCPCS Ciltacabtagene Car-pos T 14 12 — — $0.28 $1,583,051.03 $617,919.55 2026-05-11
Q2054 HCPCS Lisocabtagene Mara Car Pos T 14 12 — — $0.28 $1,512,481.65 $590,373.88 2026-05-11
Q2055 HCPCS Idecabtagene Vicleucel Car 14 12 — — $0.28 $1,505,811.11 $587,770.14 2026-05-11
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 14 12 — — $0.28 $1,430,674.13 $558,441.57 2026-05-11
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 115 49 — — $194,256.41 $746,388.55 $551,535.31 2026-07-15
Q2053 HCPCS Brexucabtagene Car Pos T 14 12 — — $0.28 $1,316,191.72 $513,755.13 2026-05-11
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 115 49 — — $139,183.95 $580,805.31 $420,284.59 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 115 49 — — $148,134.61 $565,311.98 $417,818.06 2026-07-15
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 12 — — $278,250.00 $748,492.50 $292,162.50 2026-05-11
J3403 HCPCS Revakinagene, Per Implant 14 14 — — $262,233.77 $705,408.85 $277,967.80 2026-05-11
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 115 49 — — $98,145.31 $462,692.45 $272,664.81 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 115 49 — — $87,822.15 $542,199.92 $257,908.93 2026-07-15
7 MS_DRG Lung Transplant 115 49 — — $90,879.97 $541,604.97 $255,887.10 2026-07-15
5834 APR_DRG Neonate W Ecmo 2 2 — — $252,898.14 $252,898.14 $252,898.14 2026-05-11
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 2 2 — — $227,456.42 $227,456.42 $227,456.42 2026-05-11
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 115 49 — — $76,851.12 $571,076.28 $216,922.79 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 115 49 — — $75,989.84 $325,848.95 $213,302.56 2026-07-15
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 14 — — $0.28 $545,299.54 $212,849.26 2026-05-11
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 2 — — $209,801.33 $209,801.33 $209,801.33 2026-05-11
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 115 49 — — $74,315.91 $448,703.27 $209,633.44 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 115 49 — — $73,124.65 $293,538.64 $205,108.33 2026-07-15
215 MS_DRG Other Heart Assist System Implant 115 49 — — $73,117.12 $265,194.74 $196,003.55 2026-07-15
34 APR_DRG Bone Marrow Transplant 2 2 — — $191,240.23 $191,240.23 $191,240.23 2026-05-11
24 APR_DRG Heart &/or Lung Transplant 2 2 — — $189,811.40 $189,811.40 $189,811.40 2026-05-11
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 115 49 — — $67,481.20 $277,974.22 $188,968.54 2026-07-15
5833 APR_DRG Neonate W Ecmo 2 2 — — $181,878.84 $181,878.84 $181,878.84 2026-05-11
850 MS_DRG Acute Leukemia With Other Procedures 115 49 — — $63,859.14 $230,637.12 $170,462.26 2026-07-15
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 2 — — $167,084.55 $167,084.55 $167,084.55 2026-05-11
231 MS_DRG Coronary Bypass With Ptca With Mcc 115 49 — — $59,421.68 $224,521.96 $165,918.96 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 115 49 — — $59,389.50 $223,816.16 $165,420.93 2026-07-15
5832 APR_DRG Neonate W Ecmo 2 2 — — $165,343.92 $165,343.92 $165,343.92 2026-05-11
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 115 49 — — $58,509.06 $239,961.69 $163,308.95 2026-07-15
14 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $161,389.19 $161,389.19 $161,389.19 2026-05-11
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 115 49 — — $52,978.60 $319,406.97 $155,216.53 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 115 49 — — $56,595.51 $283,377.82 $154,897.33 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 115 49 — — $54,380.03 $204,503.84 $151,147.34 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 115 49 — — $54,920.21 $203,622.26 $150,495.76 2026-07-15
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 2 2 — — $150,024.71 $150,024.71 $150,024.71 2026-05-11
J7330 HCPCS Cultured Chondrocytes Implnt 2 2 — — $130,327.56 $167,954.36 $149,140.96 2026-05-11
44 APR_DRG Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure 2 2 — — $148,656.78 $148,656.78 $148,656.78 2026-05-11
64 APR_DRG Pancreas Transplant 2 2 — — $146,706.18 $146,706.18 $146,706.18 2026-05-11
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 115 49 — — $52,508.92 $202,948.42 $146,149.04 2026-07-15
10 MS_DRG Pancreas Transplant 115 49 — — $53,271.85 $280,180.23 $142,891.93 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 115 49 — — $50,033.97 $192,260.19 $139,070.87 2026-07-15
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $138,878.61 $138,878.61 $138,878.61 2026-05-11
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 115 49 — — $49,789.55 $189,911.07 $138,371.86 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 115 49 — — $49,033.03 $184,088.88 $136,058.78 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 115 49 — — $48,155.33 $195,590.03 $132,501.70 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 115 49 — — $47,309.12 $177,957.73 $131,278.03 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 115 49 — — $47,132.49 $191,037.69 $130,772.86 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 115 49 — — $47,055.12 $190,915.09 $130,551.61 2026-07-15
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $128,556.62 $128,556.62 $128,556.62 2026-05-11
J3404 HCPCS Inj Zopapogene Per Ther Dose 12 12 — — $121,900.00 $327,911.00 $127,995.00 2026-05-11
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 115 49 — — $45,683.11 $171,381.80 $126,627.78 2026-07-15
23 APR_DRG Heart &/or Lung Transplant 2 2 — — $126,557.73 $126,557.73 $126,557.73 2026-05-11
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 115 49 — — $45,619.44 $195,240.19 $126,445.68 2026-07-15
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 2 — — $125,071.16 $125,071.16 $125,071.16 2026-05-11
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 115 49 — — $36,847.13 $255,805.00 $121,224.17 2026-07-15
5891 APR_DRG Neonate Bwt <500g 2 2 — — $121,221.41 $121,221.41 $121,221.41 2026-05-11
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 115 49 — — $43,760.66 $178,088.24 $121,129.71 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 115 49 — — $44,704.77 $163,034.70 $120,497.79 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 115 49 — — $43,228.70 $166,889.71 $119,342.28 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 115 49 — — $43,028.78 $163,108.31 $118,273.39 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc 115 49 — — $43,815.43 $159,979.78 $118,239.92 2026-07-15
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 2 2 — — $117,656.17 $117,656.17 $117,656.17 2026-05-11
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 115 49 — — $42,421.51 $170,454.97 $117,299.86 2026-07-15
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 12 — — $111,502.61 $299,942.02 $117,077.74 2026-05-11
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 115 49 — — $42,730.28 $157,931.63 $116,726.14 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 115 49 — — $42,137.39 $190,244.37 $116,487.29 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 115 49 — — $41,691.69 $156,304.29 $115,212.64 2026-07-15
90288 CPT Botulism Ig IV 1 1 — — $114,943.80 $114,943.80 $114,943.80 2026-05-11
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 115 49 — — $41,267.90 $191,302.81 $114,000.63 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 115 49 — — $40,700.34 $158,821.21 $112,377.45 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 115 49 — — $40,465.51 $173,367.34 $111,705.86 2026-07-15
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 2 — — $111,012.81 $111,012.81 $111,012.81 2026-05-11
5244 OTHER Level 4 Blood Product Exchange And Related Services 18 8 — — $57,733.25 $275,930.95 $110,372.38 2026-07-15
5892 APR_DRG Neonate Bwt <500g 2 2 — — $110,202.33 $110,202.33 $110,202.33 2026-05-11
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 115 49 — — $41,479.43 $215,649.06 $109,981.04 2026-07-15
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $109,951.42 $109,951.42 $109,951.42 2026-05-11
J9334 HCPCS Efgartigimod Alfa 1008 Mg-hyaluron-qvfc 11,200 Unit/5.6 Ml Subcut Soln 72 32 $124,805.60 $124,805.60 $34.33 $118,565.32 $108,705.68 2026-05-11
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 115 49 — — $39,248.23 $240,908.91 $108,224.53 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 115 49 — — $39,089.40 $149,736.35 $107,770.28 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 115 49 — — $40,832.27 $147,776.94 $107,679.62 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 115 49 — — $38,859.36 $153,600.94 $107,112.39 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 115 49 — — $38,658.08 $218,837.74 $107,108.05 2026-07-15
33 APR_DRG Bone Marrow Transplant 2 2 — — $106,414.53 $106,414.53 $106,414.53 2026-05-11
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 115 49 — — $38,573.18 $145,701.30 $106,293.95 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 115 49 — — $38,383.54 $151,800.48 $105,751.58 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 115 49 — — $38,348.62 $145,264.50 $105,651.72 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 103 49 — — $42,106.58 $190,821.50 $105,266.45 2026-07-15
5831 APR_DRG Neonate W Ecmo 2 2 — — $104,710.64 $104,710.64 $104,710.64 2026-05-11
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 115 49 — — $39,248.23 $163,444.78 $104,208.45 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 115 49 — — $37,830.35 $145,493.55 $104,169.52 2026-07-15
4404 APR_DRG Kidney Transplant 2 2 — — $104,113.29 $104,113.29 $104,113.29 2026-05-11
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 115 49 — — $37,669.46 $142,033.80 $103,709.39 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 115 49 — — $39,149.06 $138,400.92 $102,291.13 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $102,178.44 $102,178.44 $102,178.44 2026-05-11
J9298 HCPCS Nivolumab 240 Mg-relatlimab-rmbw 80 Mg/20 Ml Intravenous Solution 72 32 $117,296.80 $117,296.80 $201.76 $111,431.96 $102,165.51 2026-05-11
1624 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 2 2 — — $101,818.34 $101,818.34 $101,818.34 2026-05-11
22 APR_DRG Heart &/or Lung Transplant 2 2 — — $101,488.70 $101,488.70 $101,488.70 2026-05-11
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 2 2 — — $101,124.40 $101,124.40 $101,124.40 2026-05-11
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 115 49 — — $36,665.79 $141,948.57 $100,838.96 2026-07-15
54 APR_DRG Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure 2 2 — — $100,697.12 $100,697.12 $100,697.12 2026-05-11
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 115 49 — — $36,548.72 $140,528.97 $100,504.14 2026-07-15
33262 CPT Hchg Rem/rpl Def Gen Only Sgl Ld Sy 143 51 $211,522.00 $211,522.00 $2,440.19 $200,945.90 $100,407.42 2026-07-15
33263 CPT Hchg Rem/rpl Def Gen Only Dua Ld Sy 144 51 $211,522.00 $211,522.00 $2,440.19 $200,945.90 $100,407.42 2026-07-15
33264 CPT Hchg Rem/rpl Def Gen Only Mul Ld Sy 144 51 $211,522.00 $211,522.00 $2,440.19 $200,945.90 $100,407.42 2026-07-15
5893 APR_DRG Neonate Bwt <500g 2 2 — — $100,184.80 $100,184.80 $100,184.80 2026-05-11
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 12 — — $95,081.03 $255,767.97 $99,835.08 2026-05-11
8424 APR_DRG Full Thickness Burns W Skin Graft 2 2 — — $99,790.06 $99,790.06 $99,790.06 2026-05-11
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 115 49 — — $36,285.82 $138,640.62 $99,752.27 2026-07-15
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 160 57 $198,685.10 $39,737.02 80% off $216.36 $204,544.12 $98,746.49 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 115 49 — — $36,179.01 $132,834.41 $98,176.97 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 115 49 — — $35,660.74 $148,250.17 $97,964.61 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 115 49 — — $37,042.74 $191,371.89 $97,599.67 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 115 49 — — $35,523.82 $193,900.99 $97,573.01 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 115 49 — — $35,647.05 $131,534.67 $97,216.34 2026-07-15
43 APR_DRG Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure 2 2 — — $97,087.78 $97,087.78 $97,087.78 2026-05-11
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 115 49 — — $35,890.78 $131,084.56 $96,883.66 2026-07-15
63 APR_DRG Pancreas Transplant 2 2 — — $95,517.23 $95,517.23 $95,517.23 2026-05-11
471 MS_DRG Cervical Spinal Fusion With Mcc 115 49 — — $34,661.18 $128,607.60 $95,052.96 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 115 49 — — $34,605.72 $318,495.60 $94,947.34 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 115 49 — — $35,687.44 $127,957.73 $94,572.65 2026-07-15
33231 CPT Hchg Plc Def Gen Only Mult Ld Sys 143 51 $198,865.00 $198,865.00 $1,270.23 $188,921.75 $94,399.19 2026-07-15
33230 CPT Hchg Plc Def Gen Only Dual Ld Sys 143 51 $198,865.00 $198,865.00 $1,270.23 $188,921.75 $94,399.19 2026-07-15
13 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $92,801.30 $92,801.30 $92,801.30 2026-05-11
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 2 2 — — $92,681.62 $92,681.62 $92,681.62 2026-05-11
1634 APR_DRG Cardiac Valve Procedures Without Cardiac Catheterization 2 2 — — $92,624.93 $92,624.93 $92,624.93 2026-05-11
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 115 49 — — $33,616.42 $126,799.15 $92,118.03 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 115 49 — — $34,101.15 $126,297.02 $92,082.49 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 115 49 — — $33,254.94 $123,009.13 $90,915.17 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 115 49 — — $32,949.59 $295,813.88 $90,694.70 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 115 49 — — $33,443.90 $122,111.56 $90,251.79 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 115 49 — — $32,848.95 $134,240.69 $89,923.11 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 115 49 — — $32,844.16 $122,423.18 $89,909.40 2026-07-15
245 MS_DRG Aicd Generator Procedures 115 49 — — $34,625.31 $121,514.96 $89,810.84 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 115 49 — — $33,959.43 $120,622.72 $89,151.40 2026-07-15
62 APR_DRG Pancreas Transplant 2 2 — — $89,062.84 $89,062.84 $89,062.84 2026-05-11
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 115 49 — — $33,953.26 $124,961.40 $88,871.53 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 115 49 — — $32,294.39 $121,150.08 $88,337.13 2026-07-15
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 2 2 — — $88,259.71 $88,259.71 $88,259.71 2026-05-11
163 MS_DRG Major Chest Procedures With Mcc 115 49 — — $32,962.60 $119,368.26 $88,224.23 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 115 49 — — $32,025.33 $121,096.81 $87,567.63 2026-07-15
209 MS_DRG Complex Aortic Arch Procedures 30 24 — — $79,103.04 $301,464.92 $86,975.60 2026-05-11
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 2 2 — — $86,926.42 $86,926.42 $86,926.42 2026-05-11
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 115 49 — — $31,481.05 $118,864.88 $86,011.02 2026-07-15
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 2 2 — — $85,731.71 $85,731.71 $85,731.71 2026-05-11
21 APR_DRG Heart &/or Lung Transplant 2 2 — — $85,668.72 $85,668.72 $85,668.72 2026-05-11
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 30 24 — — $42,791.60 $167,662.92 $84,669.78 2026-05-11
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 115 49 — — $27,017.99 $114,337.10 $84,505.74 2026-07-15
1654 APR_DRG Coronary Bypass W Cardiac Cath Or Percutaneous Cardiac Procedure 2 2 — — $84,351.17 $84,351.17 $84,351.17 2026-05-11
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 18 8 — — $43,928.35 $209,951.67 $83,980.67 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 115 49 — — $30,610.88 $116,997.84 $83,522.41 2026-07-15
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $83,470.36 $83,470.36 $83,470.36 2026-05-11
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 115 49 — — $30,567.75 $115,255.97 $83,399.05 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 115 49 — — $30,360.99 $113,602.00 $82,807.74 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 115 49 — — $31,739.16 $119,511.89 $82,610.07 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 115 49 — — $30,968.94 $111,133.03 $82,137.63 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 115 49 — — $29,256.60 $119,333.64 $82,051.95 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 115 49 — — $30,089.87 $111,905.41 $82,032.37 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 115 49 — — $29,892.01 $112,480.71 $81,466.51 2026-07-15
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $81,458.87 $81,458.87 $81,458.87 2026-05-11
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 2 2 — — $81,413.73 $81,413.73 $81,413.73 2026-05-11
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 115 49 — — $29,559.28 $111,564.50 $80,514.92 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 115 49 — — $29,543.53 $112,233.01 $80,469.88 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 115 49 — — $29,501.77 $112,288.94 $80,350.45 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 115 49 — — $29,363.47 $112,949.47 $79,954.93 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 115 49 — — $29,253.25 $110,611.00 $79,639.69 2026-07-15
61 APR_DRG Pancreas Transplant 2 2 — — $79,094.64 $79,094.64 $79,094.64 2026-05-11
12 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $79,007.51 $79,007.51 $79,007.51 2026-05-11
11 APR_DRG Liver Transplant &/or Intestinal Transplant 2 2 — — $78,568.68 $78,568.68 $78,568.68 2026-05-11
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 115 49 — — $29,857.55 $152,051.55 $78,194.59 2026-07-15
J9029 HCPCS Instill Adstiladrin, Tx Dose 16 14 — — $64,282.30 $172,919.38 $78,121.89 2026-05-11
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 91 29 — — $28,309.82 $102,937.75 $77,354.18 2026-07-15
J9183 HCPCS Gemcitabine Intravesical Sys 12 12 — — $73,088.26 $196,607.42 $76,742.67 2026-05-11
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 115 49 — — $28,190.69 $107,082.00 $76,600.88 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 115 49 — — $28,177.68 $109,878.57 $76,563.67 2026-07-15
1674 APR_DRG Other Cardiothoracic Procedures 2 2 — — $76,221.24 $76,221.24 $76,221.24 2026-05-11
34 MS_DRG Carotid Artery Stent Procedures With Mcc 115 49 — — $28,029.80 $103,092.22 $76,140.75 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $75,707.87 $75,707.87 $75,707.87 2026-05-11
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 115 49 — — $28,680.21 $108,624.49 $75,576.62 2026-07-15
4014 APR_DRG Pituitary & Adrenal Procedures 2 2 — — $75,496.86 $75,496.86 $75,496.86 2026-05-11
J2329 HCPCS Ublituximab-xiiy 25 Mg/ml Intravenous Solution 72 32 $86,222.60 $86,222.60 $68.75 $81,911.47 $75,099.88 2026-05-11
904 APR_DRG Major Larynx & Trachea Procedures 2 2 — — $75,003.43 $75,003.43 $75,003.43 2026-05-11
1664 APR_DRG Coronary Bypass Without Cardiac Cath Or Percutaneous Cardiac Procedure 2 2 — — $74,828.11 $74,828.11 $74,828.11 2026-05-11
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 2 2 — — $74,692.68 $74,692.68 $74,692.68 2026-05-11
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $74,614.73 $74,614.73 $74,614.73 2026-05-11
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 115 49 — — $27,434.17 $104,189.54 $74,437.29 2026-07-15
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 2 — — $74,274.85 $74,274.85 $74,274.85 2026-05-11
33270 CPT Hchg Ins/replc Sq Defib W Electrde 143 51 $156,144.00 $156,144.00 $23,499.67 $148,336.80 $74,120.10 2026-07-15
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 115 49 — — $27,575.89 $134,084.88 $74,074.66 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 115 49 — — $27,231.52 $102,839.20 $73,857.72 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 115 49 — — $27,766.90 $122,332.90 $73,576.62 2026-07-15
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 2 2 — — $73,524.21 $73,524.21 $73,524.21 2026-05-11
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 115 49 — — $28,420.05 $99,259.59 $73,362.06 2026-07-15
33990 CPT Hchg Insrt Vent Asst Device Perc Lh Arterial Only 143 51 $149,249.00 $149,249.00 $291.70 $141,786.55 $73,127.64 2026-07-15
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 2 2 — — $72,316.90 $72,316.90 $72,316.90 2026-05-11
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 115 49 — — $27,840.84 $110,387.06 $72,304.97 2026-07-15
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 12 — — $68,801.71 $185,076.60 $72,241.80 2026-05-11
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 115 49 — — $27,635.64 $97,464.37 $72,225.12 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 115 49 — — $27,576.41 $96,404.26 $71,478.08 2026-07-15
42 APR_DRG Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure 2 2 — — $70,866.03 $70,866.03 $70,866.03 2026-05-11
53 APR_DRG Tracheostomy W Long Term Mechanical Ventilation Without Extensive Procedure 2 2 — — $70,480.74 $70,480.74 $70,480.74 2026-05-11
335 MS_DRG Peritoneal Adhesiolysis With Mcc 115 49 — — $26,213.47 $95,107.35 $70,293.17 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 115 49 — — $26,954.93 $94,626.79 $70,225.52 2026-07-15
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 115 49 — — $25,949.20 $106,112.52 $70,190.38 2026-07-15
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 115 49 — — $25,947.83 $120,648.32 $70,186.47 2026-07-15
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 115 49 — — $25,943.72 $99,539.25 $70,174.72 2026-07-15
J2327 HCPCS Risankizumab-rzaa 60 Mg/ml Intravenous Solution 72 32 $80,508.50 $80,508.50 $14.60 $76,483.08 $70,122.90 2026-05-11
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 115 49 — — $25,648.54 $94,795.73 $70,062.85 2026-07-15
265 MS_DRG Aicd Lead Procedures 115 49 — — $25,828.70 $96,367.14 $69,845.78 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 2 — — $69,591.53 $69,591.53 $69,591.53 2026-05-11
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 115 49 — — $25,719.16 $97,789.39 $69,532.50 2026-07-15
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 115 49 — — $26,386.68 $100,843.31 $69,279.39 2026-07-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 115 49 — — $25,509.66 $96,566.89 $68,933.35 2026-07-15
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 2 2 — — $68,905.99 $68,905.99 $68,905.99 2026-05-11
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 2 2 — — $68,855.59 $68,855.59 $68,855.59 2026-05-11
3214 APR_DRG Cervical Spinal Fusion & Other Back/neck Proc Exc Disc Excis/decomp 2 2 — — $68,691.82 $68,691.82 $68,691.82 2026-05-11
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 16 14 — — $56,269.19 $151,364.13 $68,674.48 2026-05-11
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 115 49 — — $25,394.64 $94,886.29 $68,604.40 2026-07-15
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 115 49 — — $25,377.53 $96,576.14 $68,555.45 2026-07-15
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 115 49 — — $25,180.35 $198,339.74 $68,356.16 2026-07-15
332 MS_DRG Rectal Resection With Mcc 115 49 — — $25,154.34 $141,373.61 $68,281.36 2026-07-15
41 APR_DRG Ecmo Or Tracheostomy W Long Term Mechanical Ventilation W Extensive Procedure 2 2 — — $68,151.15 $68,151.15 $68,151.15 2026-05-11
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 115 49 — — $25,128.32 $92,457.27 $67,842.74 2026-07-15
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Solution 160 57 $216,220.60 $43,244.12 80% off $3,621.05 $221,089.70 $67,711.63 2026-07-15
38240 CPT Transplt Allo Hct/donor 13 12 — — $16,438.00 $172,868.87 $67,476.70 2026-05-11
234 APR_DRG Spinal Procedures 2 2 — — $67,459.31 $67,459.31 $67,459.31 2026-05-11
271 MS_DRG Other Major Cardiovascular Procedures With Cc 115 49 — — $24,987.97 $94,718.49 $67,441.35 2026-07-15
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 115 49 — — $24,715.32 $92,009.82 $67,335.62 2026-07-15
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 2 2 — — $67,259.84 $67,259.84 $67,259.84 2026-05-11
252 MS_DRG Other Vascular Procedures With Mcc 115 49 — — $24,892.12 $92,907.38 $67,167.23 2026-07-15
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 115 49 — — $25,570.60 $99,840.58 $67,068.76 2026-07-15
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 115 49 — — $24,856.52 $93,927.46 $67,065.42 2026-07-15
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 2 2 — — $67,003.68 $67,003.68 $67,003.68 2026-05-11
1694 APR_DRG Major Thoracic & Abdominal Vascular Procedures 2 2 — — $66,762.22 $66,762.22 $66,762.22 2026-05-11
1623 APR_DRG Cardiac Valve Procedures W Cardiac Catheterization 2 2 — — $66,494.51 $66,494.51 $66,494.51 2026-05-11
914 APR_DRG Other Major Head & Neck Procedures 2 2 — — $66,390.58 $66,390.58 $66,390.58 2026-05-11
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 115 49 — — $25,387.11 $107,528.17 $66,334.85 2026-07-15
214 APR_DRG Craniotomy Except For Trauma 2 2 — — $66,118.67 $66,118.67 $66,118.67 2026-05-11
32 APR_DRG Bone Marrow Transplant 2 2 — — $65,786.92 $65,786.92 $65,786.92 2026-05-11
264 MS_DRG Other Circulatory System O.r. Procedures 115 49 — — $25,335.08 $88,973.54 $65,759.71 2026-07-15
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 115 49 — — $24,387.55 $90,864.55 $65,724.19 2026-07-15
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 2 2 — — $65,400.58 $65,400.58 $65,400.58 2026-05-11
37 MS_DRG Extracranial Procedures With Mcc 115 49 — — $24,142.45 $98,686.33 $65,371.92 2026-07-15
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 18 8 — — $34,166.60 $163,296.26 $65,318.50 2026-07-15
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $64,967.00 $64,967.00 $64,967.00 2026-05-11
4414 APR_DRG Major Bladder Procedures 2 2 — — $64,922.91 $64,922.91 $64,922.91 2026-05-11
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 115 49 — — $24,012.37 $99,786.94 $64,651.20 2026-07-15
8634 APR_DRG Neonatal Aftercare 2 2 — — $64,507.17 $64,507.17 $64,507.17 2026-05-11
4034 APR_DRG Procedures For Obesity 2 2 — — $64,198.52 $64,198.52 $64,198.52 2026-05-11
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 115 49 — — $24,742.99 $102,634.85 $64,104.05 2026-07-15
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 115 49 — — $24,726.44 $96,293.15 $64,031.37 2026-07-15
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 115 49 — — $23,721.40 $89,155.95 $63,749.87 2026-07-15
4403 APR_DRG Kidney Transplant 2 2 — — $63,579.12 $63,579.12 $63,579.12 2026-05-11
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 2 2 — — $63,435.29 $63,435.29 $63,435.29 2026-05-11
9504 APR_DRG Extensive Procedure Unrelated To Principal Diagnosis 2 2 — — $63,086.74 $63,086.74 $63,086.74 2026-05-11
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 115 49 — — $23,446.86 $91,910.11 $63,033.89 2026-07-15
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 115 49 — — $24,629.22 $86,170.05 $62,850.27 2026-07-15
665 MS_DRG Prostatectomy With Mcc 115 49 — — $24,342.00 $84,064.83 $62,782.67 2026-07-15
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 115 49 — — $23,344.85 $96,230.76 $62,742.15 2026-07-15
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 115 49 — — $23,711.81 $84,797.33 $62,673.10 2026-07-15
2204 APR_DRG Major Stomach, Esophageal & Duodenal Procedures 2 2 — — $62,577.57 $62,577.57 $62,577.57 2026-05-11
6514 APR_DRG Other Procedures Of Blood & Blood-forming Organs 2 2 — — $62,507.24 $62,507.24 $62,507.24 2026-05-11
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 115 49 — — $23,239.41 $86,158.33 $62,440.62 2026-07-15
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 115 49 — — $19,990.71 $85,782.79 $62,272.23 2026-07-15
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 115 49 — — $23,136.72 $120,735.22 $62,146.92 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 2 2 — — $62,117.75 $62,117.75 $62,117.75 2026-05-11
500 MS_DRG Soft Tissue Procedures With Mcc 115 49 — — $23,100.43 $84,291.28 $62,043.15 2026-07-15
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 115 49 — — $23,281.18 $83,923.73 $62,027.44 2026-07-15
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 2 2 — — $61,631.67 $61,631.67 $61,631.67 2026-05-11
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 115 49 — — $22,773.86 $87,671.14 $61,109.18 2026-07-15
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 2 2 — — $60,930.38 $60,930.38 $60,930.38 2026-05-11
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 115 49 — — $22,673.22 $83,883.78 $60,821.35 2026-07-15
204 APR_DRG Craniotomy For Trauma 2 2 — — $60,794.95 $60,794.95 $60,794.95 2026-05-11
652 MS_DRG Kidney Transplant 115 49 — — $22,434.28 $277,876.18 $60,761.51 2026-07-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 115 49 — — $22,578.06 $85,214.11 $60,549.19 2026-07-15
894 APR_DRG Major Cranial/facial Bone Procedures 2 2 — — $60,487.35 $60,487.35 $60,487.35 2026-05-11
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 115 49 — — $22,534.24 $86,038.47 $60,423.88 2026-07-15
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 115 49 — — $22,519.18 $84,163.44 $60,380.80 2026-07-15
662 MS_DRG Minor Bladder Procedures With Mcc 115 49 — — $21,458.45 $81,539.99 $60,265.63 2026-07-15
1204 APR_DRG Major Respiratory & Chest Procedures 2 2 — — $60,264.79 $60,264.79 $60,264.79 2026-05-11
A9543 HCPCS Y90 Ibritumomab, Rx 14 12 — — $56,824.55 $163,224.30 $60,234.02 2026-05-11
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 115 49 — — $23,714.09 $83,868.23 $59,937.68 2026-07-15
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 115 49 — — $22,346.65 $82,810.43 $59,887.39 2026-07-15
5232 OTHER Level 2 Icd And Similar Procedures 18 8 — — $31,297.70 $149,584.61 $59,833.84 2026-07-15
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