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

CHRISTUS GOOD SHEPHERD MEDICAL CENTER

Longview, TX · CCN 450032 · Rates published

18,880 distinct procedures filed
24 distinct payers
1,966,361 rate rows
2026-01-14 last MRF observed
Data quality

1,681,830 of 1,966,361 rate rows are consumer-grade (85.5%)

284,531 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 262,045
per-diem day rate — not a per-procedure price 7,797
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 7,494
placeholder amount (≤ $0.02) — excluded from medians 4,422
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,731
template filing: same amount across many unrelated codes — excluded 1,042
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/750974351_christus_good_shepherd_hospital_northpark_standardcharges.ashx
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-17
Content fingerprint d72179c1cc7225c8… · 127,469,094 bytes · first seen 2026-05-09

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 16 $3,365,897.50 $4,960,270.00 $3,543,050.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 16 $3,365,897.50 $4,960,270.00 $3,543,050.00 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 24 $2,180,537.95 $4,590,606.22 $3,385,572.08 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 24 $2,115,707.00 $4,454,120.00 $3,284,913.50 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 16 $3,013,686.27 $4,441,221.88 $3,172,301.34 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 16 $2,896,849.25 $4,269,041.00 $3,049,315.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 16 $2,692,718.00 $3,968,216.00 $2,834,440.00 nat. median
$2,997,086
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 24 $513,162.23 $2,616,333.90 $1,080,341.54 nat. median
$691,418
1.6× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 24 $500,183.56 $3,153,983.40 $1,053,018.02 nat. median
$631,793
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 24 $479,311.45 $2,845,367.82 $1,009,076.74 nat. median
$610,161
1.7× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 24 $468,581.90 $2,782,966.43 $986,488.20 nat. median
$624,417
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 24 $444,114.44 $2,413,123.50 $934,977.76 nat. median
$588,565
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 24 $442,784.73 $2,529,969.48 $932,178.38 nat. median
$577,541
1.6× median
5834
APR_DRG 		Neonate With Ecmo, Severe 5 $287,870.62 $302,264.11 $287,870.62 nat. median
$311,018
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 4 $280,040.80 $294,042.81 $287,041.80 nat. median
$175,480
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $225,671.70 $578,363.50 $249,426.62 nat. median
$370,165
0.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 5 $243,758.26 $255,946.14 $243,758.26 nat. median
$250,089
1.0× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 4 $234,488.54 $246,212.94 $240,350.74 nat. median
$243,231
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 5 $182,217.38 $191,328.22 $182,217.38 nat. median
$254,667
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $168,557.84 $408,087.39 $180,977.89 nat. median
$261,939
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 5 $176,945.57 $185,792.83 $176,945.57 nat. median
$209,486
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 5 $165,770.14 $174,058.63 $165,770.14 nat. median
$165,599
1.0× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 16 $51,415.97 $259,998.99 $155,707.48 nat. median
$75,807
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $141,956.16 $343,683.34 $149,427.54 nat. median
$205,166
0.7× median
Q0480
HCPCS 		Dme Pos 24 $94,999.96 $199,999.92 $147,499.94 nat. median
$111,503
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $128,245.73 $328,675.02 $141,745.29 nat. median
$199,832
0.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 5 $135,581.88 $142,360.95 $135,581.88 nat. median
$160,171
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 5 $134,380.38 $141,099.38 $134,380.38 nat. median
$168,174
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 24 $80,080.00 $186,433.40 $123,970.00 nat. median
$97,404
1.3× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 5 $121,459.17 $127,532.12 $121,459.17 nat. median
$169,230
0.7× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 24 $51,554.08 $371,385.46 $108,534.90 nat. median
$63,643
1.7× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 5 $107,176.53 $112,535.34 $107,176.53 nat. median
$28,828
outlier · 3.7×
5831
APR_DRG 		Neonate With Ecmo, Minor 5 $106,947.22 $112,294.57 $106,947.22 nat. median
$154,685
0.7× median
100T
OTHER 		Prosth Retina Receive&gen 4 $1,426.53 $632,877.08 $104,856.76 nat. median
$6,568
outlier · 16.0×
E0767
HCPCS 		Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 16 $79,501.97 $123,075.16 $101,288.57 nat. median
$84,089
1.2× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 4 $98,815.70 $103,756.47 $101,286.08 nat. median
$89,814
1.1× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 23 $64,080.03 $134,905.32 $99,492.68 nat. median
$70,178
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 5 $97,771.88 $102,660.46 $97,771.88 nat. median
$180,995
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 5 $97,325.01 $102,191.25 $97,325.01 nat. median
$147,847
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 5 $97,073.34 $101,927.00 $97,073.34 nat. median
$127,600
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 5 $96,656.04 $101,488.83 $96,656.04 nat. median
$165,646
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 5 $95,690.67 $100,475.19 $95,690.67 nat. median
$147,677
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $84,553.29 $216,697.68 $93,453.63 nat. median
$132,706
0.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 $93,169.81 $97,828.28 $93,169.81 nat. median
$67,813
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 5 $92,335.20 $96,951.95 $92,335.20 nat. median
$168,361
0.5× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 5 $92,226.42 $96,837.73 $92,226.42 nat. median
$127,938
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 5 $91,739.00 $96,325.94 $91,739.00 nat. median
$120,928
0.8× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 4 $83,997.88 $88,197.76 $86,097.82 nat. median
$137,901
0.6× median
7
MS_DRG 		Lung Transplant 17 $78,203.11 $189,333.84 $83,965.44 nat. median
$122,690
0.7× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 5 $83,661.31 $87,844.36 $83,661.31 nat. median
$79,228
1.1× median

Other procedures at this hospital

Browse this hospital's 18,880 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 60 16 — — $3,365,897.50 $4,960,270.00 $3,543,050.00 2026-01-14
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 60 16 — — $3,365,897.50 $4,960,270.00 $3,543,050.00 2026-01-14
J3399 HCPCS Inj Onase Abepar-xioi Treat 129 24 — — $2,180,537.95 $4,590,606.22 $3,385,572.08 2026-01-14
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 129 24 — — $2,115,707.00 $4,454,120.00 $3,284,913.50 2026-01-14
J1413 HCPCS Inj Delandistrogene Mox Rokl 60 16 — — $3,013,686.27 $4,441,221.88 $3,172,301.34 2026-01-14
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 60 16 — — $2,896,849.25 $4,269,041.00 $3,049,315.00 2026-01-14
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 60 16 — — $2,692,718.00 $3,968,216.00 $2,834,440.00 2026-01-14
Q2042 HCPCS Tisagenlecleucel Car-pos T 129 24 — — $513,162.23 $2,616,333.90 $1,080,341.54 2026-01-14
Q2056 HCPCS Ciltacabtagene Car-pos T 129 24 — — $500,183.56 $3,153,983.40 $1,053,018.02 2026-01-14
Q2055 HCPCS Idecabtagene Vicleucel Car 129 24 — — $479,311.45 $2,845,367.82 $1,009,076.74 2026-01-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 129 24 — — $468,581.90 $2,782,966.43 $986,488.20 2026-01-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 129 24 — — $444,114.44 $2,413,123.50 $934,977.76 2026-01-14
Q2053 HCPCS Brexucabtagene Car Pos T 129 24 — — $442,784.73 $2,529,969.48 $932,178.38 2026-01-14
5834 APR_DRG Neonate With Ecmo, Severe 30 5 — — $287,870.62 $302,264.11 $287,870.62 2026-01-14
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 24 4 — — $280,040.80 $294,042.81 $287,041.80 2026-01-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 81 19 — — $225,671.70 $578,363.50 $249,426.62 2026-01-14
5833 APR_DRG Neonate With Ecmo, Major 30 5 — — $243,758.26 $255,946.14 $243,758.26 2026-01-14
24 APR_DRG Heart And/Or Lung Transplant, Severe 24 4 — — $234,488.54 $246,212.94 $240,350.74 2026-01-14
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 30 5 — — $182,217.38 $191,328.22 $182,217.38 2026-01-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 17 — — $168,557.84 $408,087.39 $180,977.89 2026-01-14
1614 APR_DRG Implantable Heart Assist Systems, Severe 30 5 — — $176,945.57 $185,792.83 $176,945.57 2026-01-14
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 30 5 — — $165,770.14 $174,058.63 $165,770.14 2026-01-14
J7330 HCPCS Cultured Chondrocytes Implnt 96 16 — — $51,415.97 $259,998.99 $155,707.48 2026-01-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 66 18 — — $141,956.16 $343,683.34 $149,427.54 2026-01-14
Q0480 HCPCS Dme Pos 129 24 — — $94,999.96 $199,999.92 $147,499.94 2026-01-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 81 19 — — $128,245.73 $328,675.02 $141,745.29 2026-01-14
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 30 5 — — $135,581.88 $142,360.95 $135,581.88 2026-01-14
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 30 5 — — $134,380.38 $141,099.38 $134,380.38 2026-01-14
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 129 24 — — $80,080.00 $186,433.40 $123,970.00 2026-01-14
5832 APR_DRG Neonate With Ecmo, Moderate 30 5 — — $121,459.17 $127,532.12 $121,459.17 2026-01-14
A9543 HCPCS Y90 Ibritumomab, Rx 129 24 — — $51,554.08 $371,385.46 $108,534.90 2026-01-14
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 30 5 — — $107,176.53 $112,535.34 $107,176.53 2026-01-14
5831 APR_DRG Neonate With Ecmo, Minor 30 5 — — $106,947.22 $112,294.57 $106,947.22 2026-01-14
100T OTHER Prosth Retina Receive&gen 30 4 — — $1,426.53 $632,877.08 $104,856.76 2026-01-14
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 96 16 — — $79,501.97 $123,075.16 $101,288.57 2026-01-14
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 24 4 — — $98,815.70 $103,756.47 $101,286.08 2026-01-14
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 114 23 — — $64,080.03 $134,905.32 $99,492.68 2026-01-14
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 30 5 — — $97,771.88 $102,660.46 $97,771.88 2026-01-14
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 30 5 — — $97,325.01 $102,191.25 $97,325.01 2026-01-14
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 30 5 — — $97,073.34 $101,927.00 $97,073.34 2026-01-14
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 30 5 — — $96,656.04 $101,488.83 $96,656.04 2026-01-14
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 30 5 — — $95,690.67 $100,475.19 $95,690.67 2026-01-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 81 19 — — $84,553.29 $216,697.68 $93,453.63 2026-01-14
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 30 5 — — $93,169.81 $97,828.28 $93,169.81 2026-01-14
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 30 5 — — $92,335.20 $96,951.95 $92,335.20 2026-01-14
1613 APR_DRG Implantable Heart Assist Systems, Major 30 5 — — $92,226.42 $96,837.73 $92,226.42 2026-01-14
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 30 5 — — $91,739.00 $96,325.94 $91,739.00 2026-01-14
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 24 4 — — $83,997.88 $88,197.76 $86,097.82 2026-01-14
7 MS_DRG Lung Transplant 63 17 — — $78,203.11 $189,333.84 $83,965.44 2026-01-14
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 30 5 — — $83,661.31 $87,844.36 $83,661.31 2026-01-14
14 MS_DRG Allogeneic Bone Marrow Transplant 66 18 — — $78,400.58 $189,811.94 $82,526.93 2026-01-14
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 30 5 — — $82,174.78 $86,283.51 $82,174.78 2026-01-14
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 30 5 — — $82,128.92 $86,235.36 $82,128.92 2026-01-14
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 30 5 — — $81,442.52 $85,514.63 $81,442.52 2026-01-14
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 30 5 — — $79,642.17 $83,624.26 $79,642.17 2026-01-14
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 30 5 — — $79,231.31 $83,192.86 $79,231.31 2026-01-14
64 APR_DRG Pancreas Transplant, Severe 24 4 — — $76,891.61 $80,736.18 $78,813.89 2026-01-14
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 5 — — $76,885.55 $80,729.81 $76,885.55 2026-01-14
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 30 5 — — $76,655.48 $80,488.25 $76,655.48 2026-01-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 87 20 — — $65,941.39 $159,647.58 $76,353.19 2026-01-14
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 5 — — $74,517.80 $78,243.68 $74,517.80 2026-01-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 87 20 — — $63,725.53 $154,282.87 $73,787.46 2026-01-14
L7180 HCPCS Dme Pos 129 24 — — $46,575.29 $98,053.24 $72,314.26 2026-01-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 81 19 — — $65,188.61 $167,068.85 $72,050.57 2026-01-14
L7181 HCPCS Dme Pos 129 24 — — $46,196.85 $97,256.52 $71,726.68 2026-01-14
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 30 5 — — $71,643.69 $75,225.86 $71,643.69 2026-01-14
215 MS_DRG Other Heart Assist System Implant 96 20 — — $17,941.00 $162,481.85 $70,830.71 2026-01-14
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 5 — — $70,467.96 $73,991.35 $70,467.96 2026-01-14
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 30 5 — — $69,896.02 $73,390.81 $69,896.02 2026-01-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 81 19 — — $62,684.33 $160,650.73 $69,282.68 2026-01-14
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 24 4 — — $66,393.11 $69,712.76 $68,052.93 2026-01-14
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 30 5 — — $66,917.29 $70,263.15 $66,917.29 2026-01-14
1612 APR_DRG Implantable Heart Assist Systems, Moderate 30 5 — — $66,296.46 $69,611.27 $66,296.46 2026-01-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 20 — — $57,751.74 $148,009.27 $66,262.52 2026-01-14
8634 APR_DRG Neonatal Aftercare, Severe 30 5 — — $64,521.88 $67,747.97 $64,521.88 2026-01-14
4404 APR_DRG Kidney Transplant, Severe 24 4 — — $62,720.77 $65,856.80 $64,288.79 2026-01-14
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 30 5 — — $63,902.18 $67,097.28 $63,902.18 2026-01-14
1611 APR_DRG Implantable Heart Assist Systems, Minor 30 5 — — $62,876.17 $66,019.97 $62,876.17 2026-01-14
J9029 HCPCS Instill Adstiladrin, Tx Dose 84 18 — — $6.22 $1,089,600.00 $62,800.51 2026-01-14
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 30 5 — — $62,434.23 $65,555.94 $62,434.23 2026-01-14
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 30 5 — — $62,413.01 $65,533.65 $62,413.01 2026-01-14
850 MS_DRG Acute Leukemia With Other Procedures 81 19 — — $55,123.60 $141,273.70 $60,926.08 2026-01-14
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 30 5 — — $60,802.55 $63,842.67 $60,802.55 2026-01-14
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 30 5 — — $60,802.55 $63,842.67 $60,802.55 2026-01-14
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 30 5 — — $60,630.09 $63,661.59 $60,630.09 2026-01-14
4414 APR_DRG Major Bladder Procedures, Severe 30 5 — — $59,356.58 $62,324.41 $59,356.58 2026-01-14
23 APR_DRG Heart And/Or Lung Transplant, Major 24 4 — — $57,754.46 $60,642.18 $59,198.32 2026-01-14
J7310 HCPCS Ganciclovir Long Act Implant 24 3 — — $3,439.00 $108,524.16 $58,724.16 2026-01-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 96 20 — — $41,390.00 $129,955.73 $56,651.60 2026-01-14
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 30 5 — — $56,548.80 $59,376.23 $56,548.80 2026-01-14
38240 CPT Transplt Allo Hct/donor 87 19 — — $2,052.00 $155,358.90 $56,480.93 2026-01-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 19 — — $50,679.31 $129,883.65 $56,013.97 2026-01-14
1784 APR_DRG External Heart Assist Systems, Severe 30 5 — — $55,594.04 $58,373.74 $55,594.04 2026-01-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 81 19 — — $49,909.78 $127,911.44 $55,163.44 2026-01-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 84 18 — — $46.06 $414,648.57 $55,158.86 2026-01-14
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 30 5 — — $54,748.83 $57,486.26 $54,748.83 2026-01-14
10 MS_DRG Pancreas Transplant 90 20 — — $47,710.07 $115,508.60 $54,741.03 2026-01-14
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 30 5 — — $54,685.91 $57,420.20 $54,685.91 2026-01-14
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 30 5 — — $54,444.09 $57,166.29 $54,444.09 2026-01-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 90 20 — — $47,436.61 $114,846.52 $54,427.26 2026-01-14
6904 APR_DRG Acute Leukemia, Severe 30 5 — — $53,955.16 $56,652.91 $53,955.16 2026-01-14
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 30 5 — — $53,624.65 $56,305.87 $53,624.65 2026-01-14
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 30 5 — — $53,564.38 $56,242.60 $53,564.38 2026-01-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 96 20 — — $46,772.98 $119,872.31 $53,518.75 2026-01-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 81 19 — — $48,237.26 $123,625.03 $53,314.86 2026-01-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 20 — — $46,300.85 $118,662.30 $53,124.14 2026-01-14
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 30 5 — — $51,946.72 $54,544.05 $51,946.72 2026-01-14
C9150 HCPCS Xe129 Xenon, Diagnostic 96 16 — — $51,168.00 $51,168.00 $51,168.00 2026-01-14
63 APR_DRG Pancreas Transplant, Major 24 4 — — $49,690.41 $52,174.93 $50,932.67 2026-01-14
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 30 5 — — $50,854.76 $53,397.50 $50,854.76 2026-01-14
L8701 HCPCS Ewh S/d Uprt Micro Sensor 114 23 — — $32,570.22 $68,568.88 $50,569.55 2026-01-14
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 30 5 — — $50,544.72 $53,071.95 $50,544.72 2026-01-14
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 30 5 — — $50,202.09 $52,712.19 $50,202.09 2026-01-14
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 5 — — $49,710.88 $52,196.42 $49,710.88 2026-01-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 81 19 — — $44,665.44 $114,470.97 $49,367.06 2026-01-14
22 APR_DRG Heart And/Or Lung Transplant, Moderate 24 4 — — $46,395.96 $48,715.75 $47,555.85 2026-01-14
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 30 5 — — $47,370.04 $49,738.54 $47,370.04 2026-01-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 96 20 — — $24,383.00 $108,379.51 $47,245.89 2026-01-14
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 30 5 — — $47,111.93 $49,467.52 $47,111.93 2026-01-14
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 30 5 — — $47,001.64 $49,351.71 $47,001.64 2026-01-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 81 19 — — $42,502.24 $108,927.01 $46,976.16 2026-01-14
234 APR_DRG Spinal Procedures, Severe 30 5 — — $46,305.37 $48,620.64 $46,305.37 2026-01-14
J9600 HCPCS Porfimer Sodium Injection 129 24 — — $21,981.23 $147,580.87 $46,276.28 2026-01-14
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 30 5 — — $46,137.85 $48,444.73 $46,137.85 2026-01-14
62 APR_DRG Pancreas Transplant, Moderate 24 4 — — $44,944.31 $47,191.52 $46,067.91 2026-01-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 81 19 — — $41,627.39 $106,684.88 $46,009.22 2026-01-14
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 5 — — $45,543.16 $47,820.32 $45,543.16 2026-01-14
61 APR_DRG Pancreas Transplant, Minor 24 4 — — $44,364.03 $46,582.22 $45,473.12 2026-01-14
A9699 HCPCS Radiopharm Rx Agent Noc 96 16 — — $45,221.05 $45,221.05 $45,221.05 2026-01-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 81 19 — — $40,860.24 $104,718.81 $45,161.32 2026-01-14
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 30 5 — — $44,975.39 $47,224.15 $44,975.39 2026-01-14
J9226 HCPCS Supprelin La Implant 84 18 — — $13.77 $250,260.83 $44,866.90 2026-01-14
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 5 — — $44,768.07 $47,006.46 $44,768.07 2026-01-14
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 24 4 — — $43,596.13 $45,775.93 $44,686.03 2026-01-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 20 — — $30,911.00 $102,254.31 $44,575.73 2026-01-14
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 24 4 — — $43,277.75 $45,441.64 $44,359.69 2026-01-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 81 19 — — $40,120.62 $102,823.28 $44,343.84 2026-01-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 20 — — $38,643.79 $99,038.35 $44,338.66 2026-01-14
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 129 24 — — $15,877.33 $72,627.08 $44,252.21 2026-01-14
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 30 5 — — $43,226.59 $45,387.91 $43,226.59 2026-01-14
264 APR_DRG Other Nervous System And Related Procedures, Severe 30 5 — — $43,200.43 $45,360.45 $43,200.43 2026-01-14
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 30 5 — — $43,013.96 $45,164.65 $43,013.96 2026-01-14
266T OTHER Implt/rpl Crtd Sns Dev Total 84 18 — — $2,052.00 $120,842.77 $42,975.48 2026-01-14
33276 CPT Insj Phrnc Nrv Stim Sys 111 22 — — $2,052.00 $186,752.08 $42,975.48 2026-01-14
L5856 HCPCS Dme Pos 129 24 — — $27,677.78 $58,269.02 $42,973.40 2026-01-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 81 19 — — $38,699.44 $99,180.98 $42,773.06 2026-01-14
L6880 HCPCS Dme Pos 129 24 — — $27,547.06 $57,993.80 $42,770.43 2026-01-14
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 30 5 — — $42,758.88 $44,896.81 $42,758.88 2026-01-14
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 30 5 — — $42,724.38 $44,860.60 $42,724.38 2026-01-14
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 30 5 — — $42,698.99 $44,833.93 $42,698.99 2026-01-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 66 18 — — $39,966.23 $96,760.36 $42,069.72 2026-01-14
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 30 5 — — $42,000.08 $44,100.07 $42,000.08 2026-01-14
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 30 5 — — $41,989.84 $44,089.33 $41,989.84 2026-01-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 96 20 — — $36,554.19 $93,683.02 $41,926.17 2026-01-14
2054 APR_DRG Cardiomyopathy, Severe 30 5 — — $41,871.21 $43,964.76 $41,871.21 2026-01-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 81 19 — — $37,844.32 $96,989.46 $41,827.94 2026-01-14
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 30 5 — — $41,817.39 $43,908.25 $41,817.39 2026-01-14
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 30 5 — — $41,774.56 $43,863.28 $41,774.56 2026-01-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 96 20 — — $12,934.00 $94,997.32 $41,412.18 2026-01-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 96 20 — — $28,166.00 $94,874.63 $41,358.70 2026-01-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 96 20 — — $35,848.68 $91,874.91 $41,131.65 2026-01-14
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 30 5 — — $41,072.61 $43,126.24 $41,072.61 2026-01-14
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 30 5 — — $40,935.03 $42,981.77 $40,935.03 2026-01-14
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 30 5 — — $40,807.30 $42,847.66 $40,807.30 2026-01-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 81 19 — — $36,850.40 $94,442.16 $40,729.38 2026-01-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 81 19 — — $36,721.74 $91,874.91 $40,479.84 2026-01-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 96 20 — — $35,210.79 $90,240.09 $40,399.75 2026-01-14
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 30 5 — — $40,378.62 $42,397.55 $40,378.62 2026-01-14
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 30 5 — — $40,310.02 $42,325.52 $40,310.02 2026-01-14
214 APR_DRG Open Craniotomy Except Trauma, Severe 30 5 — — $40,214.51 $42,225.23 $40,214.51 2026-01-14
28 MS_DRG Spinal Procedures With Mcc 81 19 — — $36,379.45 $93,235.21 $40,208.87 2026-01-14
2304 APR_DRG Major Small Bowel Procedures, Severe 30 5 — — $40,069.34 $42,072.80 $40,069.34 2026-01-14
224 APR_DRG Ventricular Shunt Procedures, Severe 30 5 — — $39,911.29 $41,906.85 $39,911.29 2026-01-14
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 30 5 — — $39,692.60 $41,677.22 $39,692.60 2026-01-14
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 5 — — $39,448.88 $41,421.32 $39,448.88 2026-01-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 81 19 — — $35,600.35 $91,238.46 $39,347.75 2026-01-14
4403 APR_DRG Kidney Transplant, Major 24 4 — — $38,388.00 $40,307.40 $39,347.70 2026-01-14
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 30 5 — — $39,088.44 $41,042.85 $39,088.44 2026-01-14
L2006 HCPCS Dme Pos 72 18 — — $2,339.59 $77,501.20 $38,750.60 2026-01-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 90 20 — — $34,139.06 $87,493.41 $38,680.04 2026-01-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 81 19 — — $34,840.39 $89,290.79 $38,507.79 2026-01-14
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 30 5 — — $38,385.35 $40,304.61 $38,385.35 2026-01-14
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 30 5 — — $38,254.97 $40,167.71 $38,254.97 2026-01-14
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 30 5 — — $38,099.57 $40,004.54 $38,099.57 2026-01-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 66 18 — — $36,118.55 $87,444.92 $38,019.53 2026-01-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 66 18 — — $36,118.55 $87,444.92 $38,019.53 2026-01-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 81 19 — — $34,344.31 $88,019.44 $37,959.51 2026-01-14
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 30 5 — — $37,954.78 $39,852.52 $37,954.78 2026-01-14
653 MS_DRG Major Bladder Procedures With Mcc 90 20 — — $33,358.16 $85,492.07 $37,795.26 2026-01-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 87 20 — — $32,559.29 $78,827.76 $37,700.23 2026-01-14
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 30 5 — — $37,547.72 $39,425.10 $37,547.72 2026-01-14
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 30 5 — — $37,498.06 $39,372.96 $37,498.06 2026-01-14
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 30 5 — — $37,488.59 $39,363.01 $37,488.59 2026-01-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 57 17 — — $35,573.42 $86,125.11 $37,445.70 2026-01-14
C2616 HCPCS Brachytx, Non-str,yttrium-90 129 24 — — $15,863.36 $58,965.92 $37,414.64 2026-01-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 90 20 — — $32,936.29 $84,410.88 $37,317.28 2026-01-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 90 20 — — $32,735.22 $83,895.59 $37,089.47 2026-01-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 90 20 — — $33,075.11 $81,908.04 $37,078.94 2026-01-14
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 30 5 — — $36,930.29 $38,776.80 $36,930.29 2026-01-14
21 APR_DRG Heart And/Or Lung Transplant, Minor 24 4 — — $35,936.88 $37,733.72 $36,835.30 2026-01-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 90 20 — — $32,485.10 $83,254.54 $36,806.08 2026-01-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 90 20 — — $32,319.34 $82,829.74 $36,618.27 2026-01-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 90 20 — — $32,288.82 $82,751.52 $36,583.69 2026-01-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 90 20 — — $32,285.24 $82,742.32 $36,579.63 2026-01-14
834 MS_DRG Acute Leukemia With Mcc 81 19 — — $33,075.11 $84,766.67 $36,556.71 2026-01-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 20 — — $31,835.84 $81,590.59 $36,527.43 2026-01-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 96 20 — — $31,695.21 $81,230.19 $36,366.08 2026-01-14
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 30 5 — — $36,196.13 $38,005.93 $36,196.13 2026-01-14
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 30 5 — — $35,998.66 $37,798.58 $35,998.66 2026-01-14
1783 APR_DRG External Heart Assist Systems, Major 30 5 — — $35,577.19 $37,356.04 $35,577.19 2026-01-14
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 30 5 — — $35,556.72 $37,334.55 $35,556.72 2026-01-14
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 30 5 — — $35,426.71 $37,198.04 $35,426.71 2026-01-14
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 30 5 — — $35,140.55 $36,897.58 $35,140.55 2026-01-14
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 30 5 — — $35,039.35 $36,791.32 $35,039.35 2026-01-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 90 20 — — $30,817.96 $78,981.93 $34,917.20 2026-01-14
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 30 5 — — $34,706.95 $36,442.30 $34,706.95 2026-01-14
2244 APR_DRG Peritoneal Adhesiolysis, Severe 30 5 — — $34,651.62 $36,384.19 $34,651.62 2026-01-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 90 20 — — $30,485.86 $78,130.79 $34,540.91 2026-01-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 90 20 — — $30,392.50 $77,891.54 $34,435.14 2026-01-14
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 30 5 — — $34,410.18 $36,130.68 $34,410.18 2026-01-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 20 — — $23,302.00 $78,719.69 $34,316.27 2026-01-14
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 30 5 — — $34,313.91 $36,029.60 $34,313.91 2026-01-14
L6975 HCPCS Dme Pos 129 24 — — $22,018.33 $46,354.38 $34,186.36 2026-01-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 90 20 — — $30,140.58 $77,245.90 $34,149.71 2026-01-14
914 APR_DRG Other Major Head And Neck Procedures, Severe 30 5 — — $34,129.32 $35,835.79 $34,129.32 2026-01-14
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 24 4 — — $33,241.28 $34,903.34 $34,072.31 2026-01-14
L6970 HCPCS Dme Pos 129 24 — — $21,900.79 $46,106.92 $34,003.86 2026-01-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 90 20 — — $29,927.56 $76,699.94 $33,908.35 2026-01-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 96 20 — — $29,819.84 $76,423.89 $33,786.31 2026-01-14
204 APR_DRG Open Craniotomy For Trauma, Severe 30 5 — — $33,781.00 $35,470.05 $33,781.00 2026-01-14
6 MS_DRG Liver Transplant Without Mcc 87 20 — — $29,017.40 $70,252.65 $33,599.09 2026-01-14
Q0483 HCPCS Dme Pos 129 24 — — $21,617.37 $45,510.26 $33,563.82 2026-01-14
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 30 5 — — $33,551.32 $35,228.88 $33,551.32 2026-01-14
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 30 5 — — $33,486.88 $35,161.22 $33,486.88 2026-01-14
L6965 HCPCS Dme Pos 129 24 — — $21,546.73 $45,361.54 $33,454.14 2026-01-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 96 20 — — $24,063.00 $76,730.61 $33,449.18 2026-01-14
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 84 18 — — $2,052.00 $66,850.96 $33,425.48 2026-01-14
L5858 HCPCS Dme Pos 129 24 — — $21,428.00 $45,111.58 $33,269.79 2026-01-14
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 30 5 — — $33,227.63 $34,889.01 $33,227.63 2026-01-14
245 MS_DRG Aicd Generator Procedures 90 20 — — $29,242.39 $74,943.96 $33,132.04 2026-01-14
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 30 5 — — $33,126.06 $34,782.35 $33,126.06 2026-01-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 81 19 — — $29,962.86 $76,790.42 $33,116.84 2026-01-14
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 30 5 — — $33,017.28 $34,668.14 $33,017.28 2026-01-14
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 30 5 — — $33,010.45 $34,660.97 $33,010.45 2026-01-14
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 30 5 — — $32,973.31 $34,621.97 $32,973.31 2026-01-14
471 MS_DRG Cervical Spinal Fusion With Mcc 90 20 — — $29,065.87 $74,491.55 $32,932.04 2026-01-14
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 24 4 — — $31,993.16 $33,592.82 $32,792.99 2026-01-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 90 20 — — $28,576.38 $73,237.07 $32,377.44 2026-01-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 96 20 — — $28,152.71 $72,151.28 $32,301.53 2026-01-14
799 MS_DRG Splenic Procedures With Mcc 90 20 — — $28,452.51 $72,919.61 $32,237.10 2026-01-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 90 20 — — $28,447.12 $72,905.81 $32,230.99 2026-01-14
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 30 5 — — $32,132.64 $33,739.27 $32,132.64 2026-01-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 90 20 — — $28,001.92 $71,764.81 $31,726.57 2026-01-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 90 20 — — $27,569.87 $66,748.12 $31,632.80 2026-01-14
2614 APR_DRG Major Biliary Tract Procedures, Severe 30 5 — — $31,622.86 $33,204.00 $31,622.86 2026-01-14
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 30 5 — — $31,509.91 $33,085.40 $31,509.91 2026-01-14
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 84 18 — — $2,052.00 $133,055.56 $31,384.28 2026-01-14
571T OTHER Insj/rplcmt Icds Ss Eltrd 84 18 — — $2,052.00 $133,972.96 $31,384.28 2026-01-14
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 30 5 — — $31,343.52 $32,910.69 $31,343.52 2026-01-14
163 MS_DRG Major Chest Procedures With Mcc 90 20 — — $27,581.25 $70,686.69 $31,249.94 2026-01-14
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 30 5 — — $31,220.72 $32,781.75 $31,220.72 2026-01-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 90 20 — — $27,481.91 $70,432.11 $31,137.40 2026-01-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 90 20 — — $27,477.72 $70,421.38 $31,132.65 2026-01-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 96 20 — — $12,934.00 $71,341.54 $31,099.92 2026-01-14
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 30 5 — — $31,023.63 $32,574.80 $31,023.63 2026-01-14
L5973 HCPCS Dme Pos 129 24 — — $19,836.32 $41,760.68 $30,798.50 2026-01-14
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 30 5 — — $30,710.18 $32,245.68 $30,710.18 2026-01-14
408T OTHER Insj/rplc Cardiac Modulj Sys 84 18 — — $2,052.00 $94,258.49 $30,618.81 2026-01-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 90 20 — — $26,997.21 $69,189.90 $30,588.22 2026-01-14
1782 APR_DRG External Heart Assist Systems, Moderate 30 5 — — $30,534.69 $32,061.42 $30,534.69 2026-01-14
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 30 5 — — $30,482.76 $32,006.90 $30,482.76 2026-01-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 90 20 — — $26,836.25 $68,777.36 $30,405.85 2026-01-14
69930 CPT Implant Cochlear Device 117 22 — — $828.27 $137,399.53 $30,376.47 2026-01-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 90 20 — — $26,762.04 $68,587.19 $30,321.78 2026-01-14
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 30 5 — — $30,215.18 $31,725.93 $30,215.18 2026-01-14
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 30 5 — — $30,099.95 $31,604.95 $30,099.95 2026-01-14
901 MS_DRG Wound Debridements For Injuries With Mcc 90 20 — — $26,511.92 $67,946.15 $30,038.38 2026-01-14
268T OTHER Implt/rpl Crtd Sns Dev Gen 84 18 — — $2,052.00 $120,842.77 $29,829.84 2026-01-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 96 20 — — $26,166.00 $67,367.98 $29,782.77 2026-01-14
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 30 5 — — $29,752.77 $31,240.40 $29,752.77 2026-01-14
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 90 20 — — $25,891.97 $62,685.83 $29,707.64 2026-01-14
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 30 5 — — $29,569.70 $31,048.18 $29,569.70 2026-01-14
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 30 5 — — $29,436.67 $30,908.50 $29,436.67 2026-01-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 20 — — $25,838.72 $66,220.85 $29,275.64 2026-01-14
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior, Severe 30 5 — — $29,270.28 $30,733.79 $29,270.28 2026-01-14
7234 APR_DRG Viral Illness, Severe 30 5 — — $29,230.48 $30,692.00 $29,230.48 2026-01-14
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 84 18 — — $1,124.28 $58,204.56 $29,102.28 2026-01-14
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 117 22 — — $370.51 $120,842.77 $29,102.28 2026-01-14
64568 CPT Opn Impltj Crnl Nrv Nea&pg 117 22 — — $1,078.72 $120,842.77 $29,102.28 2026-01-14
61886 CPT Implant Neurostim Arrays 117 22 — — $424.92 $120,842.77 $29,102.28 2026-01-14
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 111 22 — — $2,052.00 $122,783.10 $29,102.28 2026-01-14
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 111 22 — — $2,052.00 $124,763.44 $29,102.28 2026-01-14
Q0489 HCPCS Dme Pos 129 24 — — $18,741.11 $39,454.96 $29,098.03 2026-01-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 90 20 — — $25,525.76 $65,418.78 $28,921.04 2026-01-14
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 30 5 — — $28,916.27 $30,362.08 $28,916.27 2026-01-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 90 20 — — $25,488.05 $65,322.16 $28,878.33 2026-01-14
140 MS_DRG Major Head And Neck Procedures With Mcc 90 20 — — $25,307.34 $64,859.01 $28,673.58 2026-01-14
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 30 5 — — $28,596.76 $30,026.59 $28,596.76 2026-01-14
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 30 5 — — $28,540.28 $29,967.29 $28,540.28 2026-01-14
31 MS_DRG Ventricular Shunt Procedures With Mcc 90 20 — — $25,076.36 $64,267.04 $28,411.87 2026-01-14
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