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

COLLETON MEDICAL CENTER

Walterboro, SC · CCN 420030 · Rates published

34,155 distinct procedures filed
60 distinct payers
1,145,833 rate rows
2026-06-05 last MRF observed
Data quality

1,053,325 of 1,145,833 rate rows are consumer-grade (91.9%)

92,508 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 46,338
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 27,938
per-diem day rate — not a per-procedure price 17,315
percent-of-charges filed in the dollar field — excluded from medians 433
placeholder amount (≤ $0.02) — excluded from medians 249
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 174
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 54
exceeds 10× this hospital's gross charge — excluded from medians 7
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://core.secure.ehc.com/src/util/json-detail-price-list/57-0712623_colleton-medical-center_standardcharges.json
Found on page https://colletonmedical.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-03
Content fingerprint d39b14c702399e25… · 228,356,553 bytes · first seen 2026-06-08

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 $4,897,200.00 $4,897,200.00 nat. median
$2,968,000
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 17 $4,544.76 $4,865,400.00 $4,595,100.00 nat. median
$4,505,000
1.0× median
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 —
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,332,000
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 18 $3,672,900.00 $4,422,320.40 $3,746,358.00 nat. median
$3,765,001
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 21 $3,605,000.00 $4,946,060.00 $3,677,100.00 nat. median
$3,677,100
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,568,711.00 nat. median
$3,562,713
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 23 $8,865.63 $4,903,655.40 $3,402,536.40 nat. median
$8,800
outlier · 386.6×
714
OTHER 		Inj Delandistrogene Mox R 23 $5,036.63 $4,891,954.20 $3,393,190.65 nat. median
$3,391,964
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 23 $8,307.91 $4,830,420.00 $3,318,209.08 nat. median
$3,351,720
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 23 $6,061.10 $4,674,600.00 $3,243,600.00 nat. median
$2,726
outlier · 1189.7×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 —
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,226,857.78 nat. median
$3,225,691
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,171,176.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 —
746
OTHER 		Inj, Betibeglogene Autote 23 $7,379.08 $4,362,960.00 $2,998,768.38 nat. median
$3,001,835
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,865,364.96 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 23 $2,388,614.00 $4,530,716.75 $2,588,981.00 nat. median
$2,508,045
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,316,956
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 25 $11,873.51 $4,897,200.00 $2,378,640.00 nat. median
$28,063
outlier · 84.8×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 —
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
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $492,271.12 $969,621.79 $837,683.55 nat. median
$599,737
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $470,149.30 $920,834.85 $830,699.97 nat. median
$574,037
1.4× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $459,839.17 $927,632.05 $819,043.85 nat. median
$579,571
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $445,599.57 $878,117.20 $807,075.90 nat. median
$562,501
1.4× median
2067
OTHER 		Afamitresgene Autoleucel 24 $770,620.00 $1,618,302.00 $786,032.40 nat. median
$838,386
0.9× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $435,956.80 $807,592.83 $741,576.00 nat. median
$513,770
1.4× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $934,776.65 $630,230.00 nat. median
$621,313
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 25 $527,123.40 $1,234,064.16 $590,378.21 nat. median
$553,480
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 25 $529,192.90 $1,189,715.73 $572,196.61 nat. median
$555,653
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 25 $526,587.60 $1,171,971.78 $568,714.61 nat. median
$552,917
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 25 $516,726.10 $1,180,622.52 $567,823.21 nat. median
$542,562
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$511,310
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel C 25 $489,456.00 $1,117,603.62 $537,514.12 nat. median
$513,929
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$513,317
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$510,790
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$501,224
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 25 $460,530.40 $1,027,845.42 $497,372.83 nat. median
$483,557
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$474,772
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$446,714
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
$286,598
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $409,345.68 $409,345.68 $409,345.68 nat. median
$135,803
outlier · 3.0×
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$207,733
1.6× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $319,494.08 $319,494.08 $319,494.08 nat. median
$68,335
outlier · 4.7×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $297,478.60 $297,478.60 $297,478.60 nat. median
$152,792
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $2,020.00 $772,885.75 $295,994.20 nat. median
$168,055
1.8× median
831
OTHER 		Obecbtge Autol Up To 400 25 $2,795.50 $584,325.00 $283,815.00 nat. median
$278,250
1.0× median
897
OTHER 		Revakinagene, Per Implant 24 $265,000.00 $556,500.00 $270,300.00 nat. median
$269,427
1.0× median

Other procedures at this hospital

Browse this hospital's 34,155 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,897,200.00 $4,897,200.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 23 17 $14,478.08 — $4,544.76 $4,865,400.00 $4,595,100.00 2026-06-05
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 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
9138 OTHER Inj, Hemgenix, Per Tx Dos 46 18 — — $3,672,900.00 $4,422,320.40 $3,746,358.00 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 26 21 $3,270.49 — $3,605,000.00 $4,946,060.00 $3,677,100.00 2026-06-05
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,562,713.00 $3,574,708.99 $3,568,711.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 29 23 $48,124.47 — $8,865.63 $4,903,655.40 $3,402,536.40 2026-06-05
714 OTHER Inj Delandistrogene Mox R 56 23 $18,864.27 — $5,036.63 $4,891,954.20 $3,393,190.65 2026-06-05
748 OTHER Inj, Lovotibeglogene Auto 56 23 $26,065.22 — $8,307.91 $4,830,420.00 $3,318,209.08 2026-06-05
906 OTHER Inj Elivaldogene Autoteme 29 23 $22,785.59 — $6,061.10 $4,674,600.00 $3,243,600.00 2026-06-05
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 1 — — $3,225,691.35 $3,228,024.20 $3,226,857.78 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,154,932.76 $3,187,420.00 $3,171,176.38 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 56 23 $26,354.56 — $7,379.08 $4,362,960.00 $2,998,768.38 2026-06-05
00746 OTHER Inj, Betibeglogene Autote 2 1 — — $2,851,769.93 $2,878,960.00 $2,865,364.96 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 56 23 — — $2,388,614.00 $4,530,716.75 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,316,955.58 $2,511,311.57 $2,414,133.58 2026-03-01
824 OTHER Inj, Exagamglogene Autote 31 25 $22,986.76 — $11,873.51 $4,897,200.00 $2,378,640.00 2026-06-05
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
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
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 2 — — $492,271.12 $969,621.79 $837,683.55 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 2 — — $470,149.30 $920,834.85 $830,699.97 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 2 — — $459,839.17 $927,632.05 $819,043.85 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 2 — — $445,599.57 $878,117.20 $807,075.90 2026-03-01
2067 OTHER Afamitresgene Autoleucel 29 24 — — $770,620.00 $1,618,302.00 $786,032.40 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 2 — — $435,956.80 $807,592.83 $741,576.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 9 3 $1,129,839.75 — $502,693.77 $934,776.65 $630,230.00 2026-06-05
9498 OTHER Ciltacabtagene Car-pos T 59 25 $1,005,795.00 — $527,123.40 $1,234,064.16 $590,378.21 2026-06-05
9194 OTHER Tisagenlecleucel Car-pos 59 25 $953,098.86 — $529,192.90 $1,189,715.73 $572,196.61 2026-06-05
9422 OTHER Idecabtagene Vicleucel Ca 59 25 $933,807.00 — $526,587.60 $1,171,971.78 $568,714.61 2026-06-05
9413 OTHER Lisocabtagene Car Pos T 59 25 $913,327.80 — $516,726.10 $1,180,622.52 $567,823.21 2026-06-05
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 59 25 $888,058.02 — $489,456.00 $1,117,603.62 $537,514.12 2026-06-05
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $513,317.11 $549,535.36 $531,426.23 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $510,789.97 $541,339.35 $526,064.66 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $501,224.32 $545,335.16 $523,279.74 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 59 25 $888,174.00 — $460,530.40 $1,027,845.42 $497,372.83 2026-06-05
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 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
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $409,345.68 $409,345.68 $409,345.68 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
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $319,494.08 $319,494.08 $319,494.08 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $297,478.60 $297,478.60 $297,478.60 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 77 30 — — $2,020.00 $772,885.75 $295,994.20 2026-03-01
831 OTHER Obecbtge Autol Up To 400 31 25 $15,960.97 — $2,795.50 $584,325.00 $283,815.00 2026-06-05
897 OTHER Revakinagene, Per Implant 29 24 $13,604.00 — $265,000.00 $556,500.00 $270,300.00 2026-06-05
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $269,984.37 $269,984.37 $269,984.37 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $229,004.07 $229,004.07 $229,004.07 2026-03-01
5834 APR_DRG Neonate With Ecmo 6 3 — — $214,313.35 $722,775.46 $214,313.35 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 31 25 $17,919.74 — $5,271.45 $423,504.90 $205,702.38 2026-06-05
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 82 30 — — $2,020.00 $504,122.23 $194,069.72 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $192,753.28 $456,821.18 $192,753.28 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 6 3 — — $177,791.83 $309,099.65 $177,791.83 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $170,720.97 $173,773.37 $172,247.17 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $140,870.00 $197,690.75 $169,280.38 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $168,289.67 $168,289.67 $168,289.67 2026-03-01
34 APR_DRG Bone Marrow Transplant 5 3 — — $162,062.61 $170,165.74 $162,062.61 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 6 3 — — $160,851.78 $371,746.48 $160,851.78 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 82 30 — — $2,020.00 $424,590.67 $157,166.10 2026-03-01
5833 APR_DRG Neonate With Ecmo 6 3 — — $154,129.49 $436,393.15 $154,129.49 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 92 32 — — $2,020.00 $1,009,700.00 $147,656.50 2026-03-01
1908 OTHER New Technology - Level 52 59 25 $302,496.33 — $138,830.40 $294,714.21 $143,146.90 2026-06-05
1907 OTHER New Technology - Level 52 59 25 $302,496.33 — $138,830.40 $294,714.21 $143,146.90 2026-06-05
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $141,592.38 $264,434.24 $141,592.38 2026-03-01
5832 APR_DRG Neonate With Ecmo 6 3 — — $140,117.32 $273,846.59 $140,117.32 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $136,765.96 $210,762.26 $136,765.96 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $136,129.90 $137,017.45 $136,573.67 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $136,129.90 $137,017.45 $136,573.67 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $136,441.51 $136,441.51 $136,441.51 2026-03-01
1905 OTHER New Technology - Level 51 59 25 $272,742.69 — $125,175.00 $265,726.02 $129,066.92 2026-06-05
1906 OTHER New Technology - Level 51 59 25 $272,742.69 — $125,175.00 $265,726.02 $129,066.92 2026-06-05
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $127,135.37 $295,716.68 $127,135.37 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $125,976.14 $227,258.00 $125,976.14 2026-03-01
64 APR_DRG Pancreas Transplant 6 3 — — $124,323.15 $142,129.11 $124,323.15 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $122,740.11 $123,540.36 $123,140.24 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $122,740.11 $123,540.36 $123,140.24 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $120,116.70 $138,148.31 $120,116.70 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $114,348.93 $122,478.99 $118,413.96 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $117,689.83 $314,320.66 $117,689.83 2026-03-01
1903 OTHER New Technology - Level 50 59 25 $242,989.05 — $111,519.60 $236,737.83 $114,986.95 2026-06-05
1904 OTHER New Technology - Level 50 59 25 $242,989.05 — $111,519.60 $236,737.83 $114,986.95 2026-06-05
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $114,055.93 $114,055.93 $114,055.93 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $109,350.33 $110,063.28 $109,706.80 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $109,350.33 $110,063.28 $109,706.80 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $108,942.67 $277,453.72 $108,942.67 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 6 3 — — $107,248.75 $201,027.38 $107,248.75 2026-03-01
8514 APR_DRG Gender Related Procedures 1 1 — — $106,381.71 $106,381.71 $106,381.71 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $105,988.99 $321,238.82 $105,988.99 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 3 — — $102,726.60 $242,623.63 $102,726.60 2026-03-01
2994 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $102,388.63 $102,388.63 $102,388.63 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $101,553.27 $101,553.27 $101,553.27 2026-03-01
1784 APR_DRG External Heart Assist Devices 1 1 — — $101,221.50 $101,221.50 $101,221.50 2026-03-01
1901 OTHER New Technology - Level 49 59 25 $213,235.41 — $97,864.16 $207,749.66 $100,906.98 2026-06-05
1902 OTHER New Technology - Level 49 59 25 $213,235.41 — $97,864.16 $207,749.66 $100,906.98 2026-06-05
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 3 — — $99,705.31 $232,976.00 $99,705.31 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $99,508.48 $99,508.48 $99,508.48 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 92 32 — — $2,020.00 $1,009,700.00 $97,351.11 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $95,960.56 $96,586.21 $96,273.39 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $95,960.56 $96,586.21 $96,273.39 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $94,075.53 $113,169.02 $94,075.53 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 3 — — $93,388.71 $242,623.63 $93,388.71 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $93,176.08 $202,649.20 $93,176.08 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $92,349.75 $92,349.75 $92,349.75 2026-03-01
7 MS_DRG Lung Transplant 77 30 — — $2,020.00 $233,889.27 $90,451.99 2026-03-01
33 APR_DRG Bone Marrow Transplant 5 3 — — $90,178.81 $94,687.75 $90,178.81 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $89,819.87 $89,819.87 $89,819.87 2026-03-01
1599 OTHER New Technology - Level 48 59 25 $188,440.71 — $86,484.66 $183,592.84 $89,173.66 2026-06-05
1585 OTHER New Technology - Level 48 59 25 $188,440.71 — $86,484.66 $183,592.84 $89,173.66 2026-06-05
5831 APR_DRG Neonate With Ecmo 6 3 — — $88,734.89 $231,058.10 $88,734.89 2026-03-01
4404 APR_DRG Kidney Transplant 6 3 — — $88,228.67 $117,525.59 $88,228.67 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $80,401.51 $95,646.38 $88,023.95 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 77 30 — — $2,020.00 $234,479.91 $87,478.11 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 3 — — $86,589.02 $163,421.57 $86,589.02 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $86,283.87 $123,447.14 $86,283.87 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 6 3 — — $86,004.52 $155,165.77 $86,004.52 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 3 — — $85,695.80 $274,175.72 $85,695.80 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $85,333.71 $161,659.65 $85,333.71 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $84,802.41 $85,355.31 $85,078.86 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $84,802.41 $85,355.31 $85,078.86 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 3 — — $84,899.55 $242,623.63 $84,899.55 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 3 — — $84,565.04 $141,411.38 $84,565.04 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $84,532.78 $84,532.78 $84,532.78 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 13 4 $73,999.04 — $73,999.04 $108,036.36 $84,429.31 2026-06-05
1794 APR_DRG Defibrillator Implants 1 1 — — $84,049.01 $84,049.01 $84,049.01 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $82,275.05 $150,645.30 $82,275.05 2026-03-01
1783 APR_DRG External Heart Assist Devices 1 1 — — $82,080.88 $82,080.88 $82,080.88 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 45 31 — — $16,639.00 $208,027.00 $80,947.81 2026-03-01
63 APR_DRG Pancreas Transplant 6 3 — — $80,944.12 $120,962.21 $80,944.12 2026-03-01
2993 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $80,272.70 $80,272.70 $80,272.70 2026-03-01
1598 OTHER New Technology - Level 47 59 25 $168,604.95 — $77,381.05 $164,267.38 $79,787.01 2026-06-05
1584 OTHER New Technology - Level 47 59 25 $168,604.95 — $77,381.05 $164,267.38 $79,787.01 2026-06-05
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 82 30 — — $2,020.00 $256,367.00 $79,448.98 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 $43,022.37 — $72,753.52 $85,718.90 $79,236.21 2026-06-05
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $78,642.56 $116,392.83 $78,642.56 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $78,541.14 $238,826.17 $78,541.14 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 3 — — $78,493.10 $108,522.99 $78,493.10 2026-03-01
3004 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $77,420.31 $77,420.31 $77,420.31 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 33 — — $2,020.00 $197,257.44 $77,337.30 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $76,785.37 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 94 33 — — $2,020.00 $194,964.70 $76,337.22 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $75,875.88 $76,370.58 $76,123.23 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $75,875.88 $76,370.58 $76,123.23 2026-03-01
62 APR_DRG Pancreas Transplant 6 3 — — $75,474.48 $102,286.85 $75,474.48 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 6 3 — — $74,793.88 $248,724.94 $74,793.88 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $74,718.60 $74,718.60 $74,718.60 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 14 5 — — $61,338.53 $106,053.40 $74,713.35 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 3 — — $73,664.01 $198,208.04 $73,664.01 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 77 30 — — $2,020.00 $190,588.64 $73,370.07 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 3 — — $72,651.58 $83,183.24 $72,651.58 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 6 3 — — $72,598.20 $118,945.18 $72,598.20 2026-03-01
215 MS_DRG Other Heart Assist System Implant 86 32 — — $2,020.00 $189,614.99 $71,591.48 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $71,481.67 $97,294.51 $71,481.67 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $70,735.25 $150,843.57 $70,735.25 2026-03-01
1583 OTHER New Technology - Level 46 59 25 $148,769.19 — $68,277.45 $144,941.92 $70,400.36 2026-06-05
1597 OTHER New Technology - Level 46 59 25 $148,769.19 — $68,277.45 $144,941.92 $70,400.36 2026-06-05
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 90 32 — — $62,592.33 $175,092.55 $70,296.16 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $69,030.65 $141,259.38 $69,030.65 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $68,992.40 $75,551.32 $68,992.40 2026-03-01
007 OTHER Lung Transplant 2 1 — — $64,458.39 $73,510.78 $68,984.58 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $62,748.33 $74,706.82 $68,727.58 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $66,949.36 $67,385.86 $67,167.61 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $66,949.36 $67,385.86 $67,167.61 2026-03-01
61 APR_DRG Pancreas Transplant 6 3 — — $67,027.14 $82,540.86 $67,027.14 2026-03-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $66,953.29 $93,912.09 $66,953.29 2026-03-01
11 APR_DRG Liver Transplant And/or Intestinal Transplant 6 3 — — $66,581.41 $77,167.85 $66,581.41 2026-03-01
C1820 HCPCS Nrstm Impl 1.9inx.6in 52 23 $100,000.00 $100,000.00 $15,000.00 $100,000.00 $66,350.00 2026-03-01
1782 APR_DRG External Heart Assist Devices 1 1 — — $66,168.04 $66,168.04 $66,168.04 2026-03-01
5204 APR_DRG Other GYN Procedures For Malignancy 1 1 — — $65,688.23 $65,688.23 $65,688.23 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 61 26 $22,584.19 — $10,869.67 $134,977.06 $65,560.29 2026-06-05
1643 OTHER Y90 Ibritumomab, Rx 59 25 $125,567.03 — $56,824.55 $137,500.82 $65,476.58 2026-06-05
83 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $65,269.23 $65,269.23 $65,269.23 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $64,341.47 $65,152.25 $64,746.86 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 6 3 — — $64,592.13 $82,576.55 $64,592.13 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $64,157.09 $87,099.66 $64,157.09 2026-03-01
4014 APR_DRG Adrenal Procedures 6 3 — — $63,978.26 $69,226.63 $63,978.26 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 94 33 — — $2,020.00 $161,253.82 $63,661.05 2026-03-01
904 APR_DRG Major Larynx & Trachea Procedures 5 3 — — $63,560.12 $66,738.13 $63,560.12 2026-03-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 6 3 — — $63,411.55 $84,130.96 $63,411.55 2026-03-01
4854 APR_DRG Prostatectomy Procedures 1 1 — — $63,383.06 $63,383.06 $63,383.06 2026-03-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 6 3 — — $63,296.78 $66,461.62 $63,296.78 2026-03-01
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $63,287.89 $63,287.89 $63,287.89 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $62,942.70 $146,567.63 $62,942.70 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 94 33 — — $2,020.00 $164,863.85 $62,506.45 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 3 — — $62,306.59 $285,200.64 $62,306.59 2026-03-01
1793 APR_DRG Defibrillator Implants 1 1 — — $62,048.07 $62,048.07 $62,048.07 2026-03-01
473155 CDM Ankl Spn Kit W/clamp 66 29 $100,000.00 $100,000.00 $14,600.00 $100,000.00 $62,000.00 2026-03-01
458600 CDM Set Ex Fix Wrist Disp 66 29 $100,000.00 $100,000.00 $14,600.00 $100,000.00 $62,000.00 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $61,454.13 $62,346.55 $61,900.34 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 3 — — $61,283.48 $79,839.15 $61,283.48 2026-03-01
1582 OTHER New Technology - Level 45 59 25 $128,933.43 — $59,173.86 $125,616.46 $61,013.71 2026-06-05
1596 OTHER New Technology - Level 45 59 25 $128,933.43 — $59,173.86 $125,616.46 $61,013.71 2026-06-05
424255 CDM Device Lnthnr Hgmn2 Exfx 66 29 $97,736.00 $97,736.00 $14,600.00 $100,000.00 $60,791.79 2026-03-01
1781 APR_DRG External Heart Assist Devices 1 1 — — $60,707.79 $60,707.79 $60,707.79 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 93 33 — — $15,925.00 $154,558.00 $60,628.18 2026-03-01
2992 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $60,142.07 $60,142.07 $60,142.07 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $60,053.96 $93,946.46 $60,053.96 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 3 — — $59,727.46 $114,051.97 $59,727.46 2026-03-01
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $59,668.87 $59,668.87 $59,668.87 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $59,645.08 $59,645.08 $59,645.08 2026-03-01
274 APR_DRG Other Open Craniotomy 1 1 — — $59,601.46 $59,601.46 $59,601.46 2026-03-01
1814 APR_DRG Lower Vascular Procedures 1 1 — — $59,549.91 $59,549.91 $59,549.91 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 33 — — $15,925.00 $151,571.00 $59,539.68 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
C1767 HCPCS Ipg Nrstm 44mm 51mm 156 23 $86,363.00 $86,363.00 $12,018.30 $100,000.00 $59,224.96 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 1 1 — — $59,220.79 $59,220.79 $59,220.79 2026-03-01
69930 CPT Cochlear Device Implantation, With Or Without Mastoidectomy 33 11 $117,790.17 — $2,500.00 $161,670.54 $59,042.04 2026-06-05
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $58,973.91 $80,991.74 $58,973.91 2026-03-01
5244 OTHER Level 4 Blood Product Exc 59 25 $81,380.13 — $47,914.41 $122,856.17 $58,502.94 2026-06-05
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 3 — — $58,392.97 $98,649.33 $58,392.97 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 3 — — $58,350.26 $61,267.77 $58,350.26 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $58,022.84 $58,401.14 $58,211.99 2026-03-01
01582 OTHER New Technology - Level 45 2 1 — — $58,022.84 $58,401.14 $58,211.99 2026-03-01
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures 6 3 — — $58,211.47 $61,243.11 $58,211.47 2026-03-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 3 — — $57,753.30 $66,560.61 $57,753.30 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $52,888.68 $62,087.40 $57,488.04 2026-03-01
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $57,263.24 $57,263.24 $57,263.24 2026-03-01
234 APR_DRG Spinal Procedures 6 3 — — $57,167.01 $73,203.85 $57,167.01 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 3 — — $56,997.98 $79,964.72 $56,997.98 2026-03-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 3 — — $56,780.90 $71,773.69 $56,780.90 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 6 3 — — $56,576.28 $75,962.39 $56,576.28 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 3 — — $56,349.41 $88,421.44 $56,349.41 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 6 3 — — $56,261.34 $82,296.33 $56,261.34 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 59 25 $112,361.62 — $54,404.11 $115,531.98 $56,115.53 2026-06-05
214 APR_DRG Open Craniotomy Except Trauma 6 3 — — $56,030.91 $75,869.86 $56,030.91 2026-03-01
33270 CPT Insertion Or Replacement Of Permanent Subcutaneous Implantable Defibrillator Sys… 23 10 $83,609.80 — $3,850.00 $114,756.96 $55,973.08 2026-06-05
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 94 33 — — $2,020.00 $144,266.83 $55,905.10 2026-03-01
32 APR_DRG Bone Marrow Transplant 5 3 — — $55,749.78 $58,537.27 $55,749.78 2026-03-01
4284 APR_DRG Genetic Disorders 1 1 — — $55,716.77 $55,716.77 $55,716.77 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 93 33 — — $15,925.00 $139,887.19 $55,472.61 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $55,422.38 $93,154.71 $55,422.38 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 33 — — $15,925.00 $141,811.00 $55,359.15 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $55,054.95 $105,933.63 $55,054.95 2026-03-01
4414 APR_DRG Major Bladder Procedures 6 3 — — $55,017.59 $66,413.89 $55,017.59 2026-03-01
294 APR_DRG Other Percutaneous Intracranial Procedures 1 1 — — $54,749.23 $54,749.23 $54,749.23 2026-03-01
8634 APR_DRG Neonatal Aftercare 6 3 — — $54,665.28 $121,279.43 $54,665.28 2026-03-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 2 1 — — $53,553.00 $55,695.00 $54,624.00 2026-03-01
4034 APR_DRG Procedures For Obesity 6 3 — — $54,403.72 $57,123.91 $54,403.72 2026-03-01
C1772 HCPCS Pump Infs Pain 40ml 52 23 $81,774.00 $81,774.00 $12,266.10 $81,774.00 $54,257.05 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 94 33 — — $2,020.00 $136,380.97 $54,212.90 2026-03-01
4403 APR_DRG Kidney Transplant 6 3 — — $53,878.82 $78,234.52 $53,878.82 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 19 6 $113,596.70 — $24,076.03 $91,596.09 $53,789.99 2026-06-05
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 3 — — $53,756.94 $73,867.38 $53,756.94 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 3 — — $53,461.57 $68,385.98 $53,461.57 2026-03-01
10 MS_DRG Pancreas Transplant 77 30 — — $2,020.00 $142,693.59 $53,240.64 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $52,771.99 $53,364.77 $53,068.38 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $51,204.26 $54,880.80 $53,042.53 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 3 — — $53,030.08 $69,765.91 $53,030.08 2026-03-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 3 — — $52,970.48 $58,878.45 $52,970.48 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 79 31 — — $2,020.00 $141,872.08 $52,950.04 2026-03-01
3003 APR_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $52,890.81 $52,890.81 $52,890.81 2026-03-01
82 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $52,823.40 $52,823.40 $52,823.40 2026-03-01
453 OTHER $15,537.00 1 1 $107,569.68 — $52,767.95 $52,767.95 $52,767.95 2026-06-05
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 3 — — $52,640.41 $65,468.82 $52,640.41 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 3 — — $52,228.50 $103,267.61 $52,228.50 2026-03-01
2314 APR_DRG Major Large Bowel Procedures 1 1 — — $52,214.06 $52,214.06 $52,214.06 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $46,476.98 $57,738.99 $52,107.99 2026-03-01
429 OTHER $219.00 1 1 $219.00 — $51,800.97 $51,800.97 $51,800.97 2026-06-05
1832 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $51,765.98 $51,765.98 $51,765.98 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 33 — — $2,020.00 $129,198.50 $51,742.01 2026-03-01
4484 APR_DRG Other Kidney, Urinary Tract And Related Percutaneous Procedures 1 1 — — $51,681.39 $51,681.39 $51,681.39 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 3 — — $51,634.20 $83,630.00 $51,634.20 2026-03-01
1581 OTHER New Technology - Level 44 59 25 $109,097.67 — $50,070.25 $106,291.00 $51,627.06 2026-06-05
1595 OTHER New Technology - Level 44 59 25 $109,097.67 — $50,070.25 $106,291.00 $51,627.06 2026-06-05
204 APR_DRG Open Craniotomy For Trauma 6 3 — — $51,519.44 $67,222.82 $51,519.44 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 93 33 — — $15,925.00 $177,734.00 $51,393.79 2026-03-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 3 — — $51,258.77 $70,055.38 $51,258.77 2026-03-01
2991 APR_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 1 — — $51,180.44 $51,180.44 $51,180.44 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 82 30 — — $2,020.00 $128,376.98 $51,172.53 2026-03-01
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 1 1 — — $51,132.85 $51,132.85 $51,132.85 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 3 1 $55,229.39 — $50,010.15 $54,846.85 $51,082.89 2026-06-05
1204 APR_DRG Major Respiratory And Chest Procedures 6 3 — — $51,070.16 $68,764.00 $51,070.16 2026-03-01
1792 APR_DRG Defibrillator Implants 1 1 — — $51,005.96 $51,005.96 $51,005.96 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 $114,326.40 — $47,505.51 $54,000.80 $50,753.15 2026-06-05
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 3 1 $52,020.40 — $49,496.53 $53,943.82 $50,558.25 2026-06-05
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 93 33 — — $15,925.00 $128,248.00 $49,659.95 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 3 — — $49,529.26 $193,924.17 $49,529.26 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 94 33 — — $2,020.00 $124,507.44 $49,398.75 2026-03-01
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 3 — — $49,306.85 $56,470.18 $49,306.85 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $49,096.32 $49,416.42 $49,256.37 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $49,096.32 $49,416.42 $49,256.37 2026-03-01
2214 APR_DRG Major Small & Large Bowel Procedures 5 3 — — $49,242.79 $51,704.93 $49,242.79 2026-03-01
1831 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $48,847.50 $48,847.50 $48,847.50 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 3 1 $50,330.90 — $47,693.10 $48,907.20 $48,716.14 2026-06-05
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 $12,848.34 — $39,193.33 $58,186.54 $48,689.93 2026-06-05
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 93 33 — — $15,925.00 $119,991.77 $48,312.03 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 94 33 — — $2,020.00 $184,147.00 $48,170.22 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 1 1 — — $48,041.22 $48,041.22 $48,041.22 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 94 33 — — $2,020.00 $119,674.98 $47,867.00 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 33 — — $15,925.00 $166,366.00 $47,582.09 2026-03-01
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 3 — — $47,377.17 $71,728.74 $47,377.17 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 $170,255.25 — $34,911.93 $59,547.21 $47,229.57 2026-06-05
1612 APR_DRG Implantable Heart Assist Systems 6 3 — — $47,163.65 $168,107.27 $47,163.65 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 33 — — $15,925.00 $166,366.00 $47,110.98 2026-03-01
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