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 SPOHN HOSPITAL CORPUS CHRISTI

Corpus Christi, TX · CCN 450046 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,377 across 28 payers · range $3,823-$9,409

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109836_spohnhospitalcorpuschristisouth_standardcharges.json · observed 2026-01-13

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.

19,735 distinct procedures filed
36 distinct payers
1,725,497 rate rows
2026-01-13 last MRF observed
Data quality

1,352,089 of 1,725,497 rate rows are consumer-grade (78.4%)

373,408 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 347,987
per-diem day rate — not a per-procedure price 15,739
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,723
template filing: same amount across many unrelated codes — excluded 1,906
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 815
placeholder amount (≤ $0.02) — excluded from medians 229
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 9
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/741109836_spohnhospitalcorpuschristisouth_standardcharges.json
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 991be3e080c95d6e… · 220,996,725 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 21 $3,608,271.80 $3,969,098.98 $3,608,271.80 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 21 $3,608,271.80 $3,969,098.98 $3,608,271.80 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 36 $2,337,555.91 $4,675,111.82 $3,506,333.87 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 36 $2,268,056.56 $4,536,113.12 $3,402,084.84 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 21 $3,230,698.26 $4,522,977.56 $3,230,698.26 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 21 $3,105,447.94 $4,347,627.12 $3,105,447.94 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 21 $2,886,617.44 $4,041,264.42 $2,886,617.44 nat. median
$2,997,086
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 36 $536,201.19 $1,639,515.60 $1,087,858.40 nat. median
$631,793
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 36 $513,826.10 $1,479,089.88 $996,457.99 nat. median
$610,161
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 36 $502,323.92 $1,446,652.15 $974,488.04 nat. median
$624,417
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 36 $550,114.43 $1,360,032.60 $955,073.52 nat. median
$691,418
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 36 $474,669.14 $1,315,138.32 $894,903.73 nat. median
$577,541
1.5× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 22 $1.73 $1,254,399.00 $502,840.73 nat. median
$588,565
0.9× median
5834
APR_DRG 		Neonate With Ecmo, Severe 6 $312,990.69 $328,640.41 $316,120.64 nat. median
$311,018
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 36 $61,663.56 $566,400.00 $314,031.78 nat. median
$69,291
outlier · 4.5×
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 5 $304,477.63 $319,701.69 $304,477.63 nat. median
$175,480
1.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 6 $265,029.01 $278,280.62 $267,679.33 nat. median
$250,089
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $229,971.32 $811,793.46 $256,599.57 nat. median
$370,165
0.7× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 5 $254,950.40 $267,698.08 $254,950.40 nat. median
$243,231
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 $198,117.97 $208,023.99 $200,099.17 nat. median
$254,667
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 6 $192,386.14 $202,005.56 $194,310.03 nat. median
$209,486
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 23 $171,769.29 $420,693.56 $186,234.07 nat. median
$261,939
0.7× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 6 $180,235.52 $189,247.40 $182,037.89 nat. median
$165,599
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $144,660.79 $401,368.05 $156,842.76 nat. median
$205,166
0.8× median
Q0480
HCPCS 		Dme Pos 36 $99,999.96 $199,999.92 $149,999.94 nat. median
$111,503
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 $147,412.98 $154,783.71 $148,887.12 nat. median
$160,171
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 $146,106.63 $153,412.05 $147,567.71 nat. median
$168,174
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $130,689.13 $399,012.53 $145,821.57 nat. median
$199,832
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 36 $54,013.69 $215,544.19 $134,778.94 nat. median
$65,655
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo, Moderate 6 $132,057.90 $138,660.88 $133,378.49 nat. median
$169,230
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 36 $76,230.00 $186,433.40 $131,331.70 nat. median
$97,404
1.3× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 36 $55,266.42 $193,055.00 $124,160.71 nat. median
$63,643
2.0× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 6 $116,528.93 $122,355.44 $117,694.23 nat. median
$28,828
outlier · 4.1×
5831
APR_DRG 		Neonate With Ecmo, Minor 6 $116,279.61 $122,093.66 $117,442.42 nat. median
$154,685
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 5 $107,438.52 $112,810.52 $107,438.52 nat. median
$89,814
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 $106,303.61 $111,618.86 $107,366.66 nat. median
$180,995
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 $105,817.75 $111,108.71 $106,875.94 nat. median
$147,847
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $105,544.12 $110,821.39 $106,599.57 nat. median
$127,600
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 6 $105,090.41 $110,344.99 $106,141.33 nat. median
$165,646
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 $104,040.80 $109,242.90 $105,081.22 nat. median
$147,677
0.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $101,299.96 $106,365.02 $102,312.97 nat. median
$67,813
1.5× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 $100,392.52 $105,412.21 $101,396.46 nat. median
$168,361
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 6 $100,274.25 $105,288.03 $101,277.01 nat. median
$127,938
0.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 36 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,178
1.4× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 26 $66,479.19 $135,153.66 $100,816.43 nat. median
$75,807
1.3× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 $99,744.30 $104,731.57 $100,741.76 nat. median
$120,928
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $86,164.24 $260,392.47 $96,141.15 nat. median
$132,706
0.7× median
J9226
HCPCS 		Supprelin La Implant 36 $44,020.72 $141,336.37 $92,678.54 nat. median
$55,200
1.7× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 6 $90,961.73 $95,509.87 $91,871.36 nat. median
$79,228
1.2× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 5 $91,327.67 $95,894.11 $91,327.67 nat. median
$137,901
0.7× median

Other procedures at this hospital

Browse this hospital's 19,735 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 49 21 — — $3,608,271.80 $3,969,098.98 $3,608,271.80 2026-01-13
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 49 21 — — $3,608,271.80 $3,969,098.98 $3,608,271.80 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 133 36 — — $2,337,555.91 $4,675,111.82 $3,506,333.87 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 133 36 — — $2,268,056.56 $4,536,113.12 $3,402,084.84 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 51 21 — — $3,230,698.26 $4,522,977.56 $3,230,698.26 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 51 21 — — $3,105,447.94 $4,347,627.12 $3,105,447.94 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 51 21 — — $2,886,617.44 $4,041,264.42 $2,886,617.44 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 67 36 — — $536,201.19 $1,639,515.60 $1,087,858.40 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 133 36 — — $513,826.10 $1,479,089.88 $996,457.99 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 133 36 — — $502,323.92 $1,446,652.15 $974,488.04 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 133 36 — — $550,114.43 $1,360,032.60 $955,073.52 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 67 36 — — $474,669.14 $1,315,138.32 $894,903.73 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 37 22 — — $1.73 $1,254,399.00 $502,840.73 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 36 6 — — $312,990.69 $328,640.41 $316,120.64 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 133 36 — — $61,663.56 $566,400.00 $314,031.78 2026-01-13
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 14 5 — — $304,477.63 $319,701.69 $304,477.63 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 36 6 — — $265,029.01 $278,280.62 $267,679.33 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 24 — — $229,971.32 $811,793.46 $256,599.57 2026-01-13
24 APR_DRG Heart And/Or Lung Transplant, Severe 28 5 — — $254,950.40 $267,698.08 $254,950.40 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 36 6 — — $198,117.97 $208,023.99 $200,099.17 2026-01-13
1614 APR_DRG Implantable Heart Assist Systems, Severe 36 6 — — $192,386.14 $202,005.56 $194,310.03 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 23 — — $171,769.29 $420,693.56 $186,234.07 2026-01-13
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 18 6 — — $180,235.52 $189,247.40 $182,037.89 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 24 — — $144,660.79 $401,368.05 $156,842.76 2026-01-13
Q0480 HCPCS Dme Pos 67 36 — — $99,999.96 $199,999.92 $149,999.94 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 36 6 — — $147,412.98 $154,783.71 $148,887.12 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 36 6 — — $146,106.63 $153,412.05 $147,567.71 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 24 — — $130,689.13 $399,012.53 $145,821.57 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 133 36 — — $54,013.69 $215,544.19 $134,778.94 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 36 6 — — $132,057.90 $138,660.88 $133,378.49 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 67 36 — — $76,230.00 $186,433.40 $131,331.70 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 133 36 — — $55,266.42 $193,055.00 $124,160.71 2026-01-13
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 18 6 — — $116,528.93 $122,355.44 $117,694.23 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 36 6 — — $116,279.61 $122,093.66 $117,442.42 2026-01-13
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 14 5 — — $107,438.52 $112,810.52 $107,438.52 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 36 6 — — $106,303.61 $111,618.86 $107,366.66 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 36 6 — — $105,817.75 $111,108.71 $106,875.94 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 36 6 — — $105,544.12 $110,821.39 $106,599.57 2026-01-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 18 6 — — $105,090.41 $110,344.99 $106,141.33 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 36 6 — — $104,040.80 $109,242.90 $105,081.22 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 36 6 — — $101,299.96 $106,365.02 $102,312.97 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 36 6 — — $100,392.52 $105,412.21 $101,396.46 2026-01-13
1613 APR_DRG Implantable Heart Assist Systems, Major 36 6 — — $100,274.25 $105,288.03 $101,277.01 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 62 36 — — $67,452.66 $134,905.32 $101,178.99 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 50 26 — — $66,479.19 $135,153.66 $100,816.43 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 36 6 — — $99,744.30 $104,731.57 $100,741.76 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 68 24 — — $86,164.24 $260,392.47 $96,141.15 2026-01-13
J9226 HCPCS Supprelin La Implant 133 36 — — $44,020.72 $141,336.37 $92,678.54 2026-01-13
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 18 6 — — $90,961.73 $95,509.87 $91,871.36 2026-01-13
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 28 5 — — $91,327.67 $95,894.11 $91,327.67 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 36 6 — — $89,345.49 $93,812.82 $90,238.96 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 36 6 — — $89,295.63 $93,760.46 $90,188.60 2026-01-13
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 18 6 — — $88,549.33 $92,976.85 $89,434.83 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 18 6 — — $86,591.87 $90,921.52 $87,457.80 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 36 6 — — $86,145.16 $90,452.47 $87,006.62 2026-01-13
7 MS_DRG Lung Transplant 50 23 — — $79,693.08 $195,182.53 $86,404.07 2026-01-13
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 99 26 — — $75,679.76 $96,319.69 $85,999.73 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 28 23 — — $79,894.32 $195,675.38 $85,360.77 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 36 6 — — $83,594.71 $87,774.49 $84,430.67 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 36 6 — — $83,344.57 $87,511.84 $84,178.02 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 28 5 — — $83,601.30 $87,781.42 $83,601.30 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 36 6 — — $81,020.35 $85,071.42 $81,830.57 2026-01-13
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 18 6 — — $77,895.43 $81,790.25 $78,674.39 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 6 — — $76,617.11 $80,448.02 $77,383.29 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 36 6 — — $75,995.26 $79,795.07 $76,755.23 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 38 24 — — $66,430.61 $204,422.21 $75,521.12 2026-01-13
L7180 HCPCS Dme Pos 67 36 — — $49,026.62 $98,053.24 $73,539.93 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 36 6 — — $72,756.61 $76,394.48 $73,484.18 2026-01-13
215 MS_DRG Other Heart Assist System Implant 79 24 — — $30,085.00 $187,181.64 $73,447.64 2026-01-13
L7181 HCPCS Dme Pos 67 36 — — $48,628.26 $97,256.52 $72,942.39 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 23 — — $67,197.74 $164,579.22 $72,856.49 2026-01-13
1612 APR_DRG Implantable Heart Assist Systems, Moderate 36 6 — — $72,081.60 $75,685.72 $72,802.43 2026-01-13
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 14 5 — — $72,186.68 $75,796.06 $72,186.68 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 24 — — $63,878.62 $207,187.54 $71,275.09 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 36 6 — — $70,152.17 $73,659.82 $70,853.70 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 23 — — $64,939.66 $159,048.79 $70,408.27 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 36 6 — — $69,478.39 $72,952.35 $70,173.18 2026-01-13
1611 APR_DRG Implantable Heart Assist Systems, Minor 36 6 — — $68,362.85 $71,781.04 $69,046.49 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 36 6 — — $67,882.35 $71,276.51 $68,561.18 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 36 6 — — $67,859.27 $71,252.28 $68,537.87 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 28 5 — — $68,193.89 $71,603.63 $68,193.89 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 25 — — $58,852.06 $183,906.86 $68,144.49 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 36 6 — — $66,108.28 $69,413.73 $66,769.37 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 36 6 — — $66,108.28 $69,413.73 $66,769.37 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 36 6 — — $65,920.78 $69,216.86 $66,579.99 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 36 6 — — $64,536.14 $67,762.98 $65,181.51 2026-01-13
23 APR_DRG Heart And/Or Lung Transplant, Major 28 5 — — $62,794.21 $65,933.96 $62,794.21 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 34 24 — — $56,173.84 $162,789.94 $62,678.18 2026-01-13
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 18 6 — — $61,483.34 $64,557.54 $62,098.18 2026-01-13
1784 APR_DRG External Heart Assist Systems, Severe 18 6 — — $60,445.27 $63,467.57 $61,049.73 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 36 6 — — $59,526.30 $62,502.65 $60,121.57 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 36 6 — — $59,457.89 $62,430.82 $60,052.47 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 25 — — $51,673.54 $158,473.69 $59,832.52 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 36 6 — — $59,194.97 $62,154.76 $59,786.93 2026-01-13
6904 APR_DRG Acute Leukemia, Severe 18 6 — — $58,663.37 $61,596.58 $59,250.01 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 36 6 — — $58,304.02 $61,219.26 $58,887.07 2026-01-13
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 18 6 — — $58,238.50 $61,150.46 $58,820.90 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 24 — — $51,644.88 $157,975.52 $57,624.81 2026-01-13
38240 CPT Transplt Allo Hct/donor 81 25 — — $2,380.00 $115,041.30 $57,520.65 2026-01-13
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 18 6 — — $56,479.68 $59,303.70 $57,044.49 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 34 24 — — $50,860.68 $169,371.47 $56,749.82 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 36 6 — — $55,292.43 $58,057.09 $55,845.37 2026-01-13
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 18 6 — — $54,955.34 $57,703.14 $55,504.90 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 25 — — $47,664.13 $143,722.11 $55,190.05 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 36 6 — — $54,582.81 $57,311.98 $55,128.65 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 68 24 — — $49,156.31 $147,925.57 $54,848.08 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 25 — — $47,183.00 $144,344.36 $54,632.95 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 36 6 — — $54,048.73 $56,751.20 $54,589.23 2026-01-13
63 APR_DRG Pancreas Transplant, Major 28 5 — — $54,026.48 $56,727.84 $54,026.48 2026-01-13
J9266 HCPCS Pegaspargase Injection 133 36 — — $26,328.26 $84,531.57 $53,870.35 2026-01-13
10 MS_DRG Pancreas Transplant 50 23 — — $48,619.07 $119,076.76 $52,713.31 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 36 6 — — $51,503.63 $54,078.85 $52,018.68 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 36 6 — — $51,223.00 $53,784.18 $51,735.24 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 23 — — $48,340.40 $118,394.23 $51,647.90 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 36 6 — — $51,103.08 $53,658.26 $51,614.12 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 62 36 — — $34,284.44 $68,568.88 $51,426.66 2026-01-13
234 APR_DRG Spinal Procedures, Severe 36 6 — — $50,346.06 $52,863.39 $50,849.52 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 24 — — $45,516.43 $143,246.50 $50,786.75 2026-01-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 18 6 — — $50,163.91 $52,672.14 $50,665.56 2026-01-13
22 APR_DRG Heart And/Or Lung Transplant, Moderate 28 5 — — $50,444.55 $52,966.81 $50,444.55 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 133 36 — — $23,564.08 $76,716.05 $50,140.07 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 6 — — $49,517.34 $51,993.23 $50,012.51 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 40 24 — — $43,094.32 $134,044.39 $49,445.06 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 36 6 — — $48,900.02 $51,345.05 $49,389.02 2026-01-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 18 6 — — $48,674.60 $51,108.36 $49,161.35 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 28 5 — — $48,866.23 $51,309.57 $48,866.23 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 24 — — $43,312.01 $135,702.46 $48,327.08 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 28 5 — — $48,235.31 $50,647.10 $48,235.31 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 36 6 — — $46,998.61 $49,348.57 $47,468.60 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 36 6 — — $46,970.18 $49,318.71 $47,439.88 2026-01-13
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 14 5 — — $47,400.40 $49,770.45 $47,400.40 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 24 — — $42,420.49 $129,934.93 $47,332.34 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 36 6 — — $46,767.43 $49,105.82 $47,235.11 2026-01-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 28 5 — — $47,054.24 $49,406.98 $47,054.24 2026-01-13
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 18 6 — — $46,490.09 $48,814.62 $46,954.99 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 36 6 — — $46,452.58 $48,775.24 $46,917.12 2026-01-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 18 6 — — $46,424.97 $48,746.25 $46,889.23 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 40 24 — — $40,658.78 $129,297.64 $46,650.60 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 76 24 — — $40,885.03 $125,607.40 $46,479.82 2026-01-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 18 6 — — $45,665.07 $47,948.35 $46,121.72 2026-01-13
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 18 6 — — $45,653.94 $47,936.67 $46,110.49 2026-01-13
2054 APR_DRG Cardiomyopathy, Severe 18 6 — — $45,524.96 $47,801.23 $45,980.21 2026-01-13
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 18 6 — — $45,466.44 $47,739.79 $45,921.11 2026-01-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 18 6 — — $45,419.87 $47,690.90 $45,874.07 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 41 25 — — $39,380.05 $123,609.06 $45,597.95 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 34 24 — — $8,752.00 $126,537.95 $45,583.45 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 97 25 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 36 6 — — $44,656.67 $46,889.54 $45,103.24 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 36 6 — — $44,507.08 $46,732.47 $44,952.16 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 36 6 — — $44,368.21 $46,586.65 $44,811.90 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 36 6 — — $43,902.13 $46,097.26 $44,341.15 2026-01-13
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 18 6 — — $43,827.54 $46,018.94 $44,265.82 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 36 6 — — $43,723.69 $45,909.90 $44,160.93 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 24 — — $40,727.70 $134,839.59 $44,157.40 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 68 24 — — $39,436.75 $120,965.93 $44,003.11 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 36 6 — — $43,565.86 $45,744.18 $44,001.53 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 36 6 — — $43,394.02 $45,563.74 $43,827.96 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 77 23 — — $2,380.00 $87,533.18 $43,766.59 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 107 27 — — $2,380.00 $87,533.18 $43,766.59 2026-01-13
L5856 HCPCS Dme Pos 67 36 — — $29,134.51 $58,269.02 $43,701.76 2026-01-13
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 36 6 — — $43,156.24 $45,314.07 $43,587.81 2026-01-13
L6880 HCPCS Dme Pos 67 36 — — $28,996.90 $57,993.80 $43,495.35 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 40 24 — — $37,773.24 $112,918.07 $43,339.82 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 36 6 — — $42,891.26 $45,035.85 $43,320.18 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 25 — — $37,250.64 $113,970.82 $43,132.32 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 24 — — $38,565.35 $115,074.32 $43,030.82 2026-01-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 18 6 — — $42,499.36 $44,624.35 $42,924.35 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 36 24 — — $37,724.44 $125,699.51 $42,688.19 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 36 6 — — $41,734.92 $43,821.69 $42,152.27 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 36 6 — — $41,593.16 $43,672.84 $42,009.10 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 68 24 — — $37,552.48 $123,159.77 $41,900.67 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 36 6 — — $41,424.20 $43,495.44 $41,838.45 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 34 24 — — $37,421.38 $103,826.88 $41,754.39 2026-01-13
4403 APR_DRG Kidney Transplant, Major 28 5 — — $41,737.81 $43,824.72 $41,737.81 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 36 6 — — $41,266.78 $43,330.15 $41,679.46 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 25 — — $35,881.64 $110,323.81 $41,547.17 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 68 24 — — $37,072.57 $112,950.03 $41,365.18 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 24 — — $36,531.69 $115,207.79 $41,338.49 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 25 — — $36,278.62 $123,609.06 $41,243.06 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 36 6 — — $40,824.19 $42,865.43 $41,232.43 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 36 6 — — $40,770.21 $42,808.74 $41,177.92 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 36 6 — — $40,759.90 $42,797.92 $41,167.51 2026-01-13
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 18 6 — — $40,152.89 $42,160.56 $40,554.43 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 36 6 — — $39,354.66 $41,322.42 $39,748.21 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 24 — — $35,504.18 $110,252.38 $39,615.19 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 36 6 — — $39,139.96 $41,096.98 $39,531.36 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 23 — — $36,806.71 $90,146.17 $39,325.06 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 23 — — $36,806.71 $90,146.17 $39,325.06 2026-01-13
21 APR_DRG Heart And/Or Lung Transplant, Minor 28 5 — — $39,072.79 $41,026.45 $39,072.79 2026-01-13
1783 APR_DRG External Heart Assist Systems, Major 18 6 — — $38,681.71 $40,615.82 $39,068.53 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 24 — — $34,998.66 $112,100.32 $39,051.13 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 36 6 — — $38,659.46 $40,592.45 $39,046.06 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 36 6 — — $38,518.11 $40,444.04 $38,903.29 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 34 24 — — $34,789.49 $107,723.91 $38,817.76 2026-01-13
L2006 HCPCS Dme Pos 30 22 — — $2,227.11 $77,501.20 $38,750.60 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 36 6 — — $38,206.98 $40,117.35 $38,589.05 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 36 6 — — $38,096.95 $40,001.82 $38,477.92 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 23 — — $36,251.18 $111,731.86 $38,159.14 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 36 6 — — $37,735.54 $39,622.34 $38,112.90 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 36 6 — — $37,675.37 $39,559.16 $38,052.13 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 68 24 — — $33,993.72 $97,687.12 $37,929.83 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 6 — — $37,412.87 $39,283.53 $37,787.01 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 36 6 — — $37,308.20 $39,173.63 $37,681.29 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 34 24 — — $33,705.28 $103,204.63 $37,607.99 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 68 24 — — $33,705.28 $99,518.15 $37,607.99 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 25 — — $32,442.40 $102,693.30 $37,564.88 2026-01-13
C2616 HCPCS Brachytx, Non-str,yttrium-90 67 36 — — $17,005.66 $58,111.34 $37,558.50 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 36 6 — — $37,107.51 $38,962.90 $37,478.59 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 24 — — $33,563.80 $105,687.98 $37,450.14 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 41 25 — — $32,299.09 $100,251.31 $37,398.94 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 34 24 — — $33,358.92 $108,415.71 $37,221.53 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 36 6 — — $36,728.79 $38,565.25 $37,096.08 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 24 — — $33,104.02 $102,839.93 $36,937.12 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 36 6 — — $36,479.06 $38,303.04 $36,843.85 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 36 6 — — $36,409.01 $38,229.48 $36,773.10 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 68 24 — — $32,935.10 $107,144.90 $36,748.65 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 24 — — $32,904.01 $102,531.63 $36,713.95 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 68 24 — — $32,900.35 $92,137.66 $36,709.87 2026-01-13
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 36 6 — — $36,127.13 $37,933.51 $36,488.40 2026-01-13
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 36 6 — — $36,016.69 $37,817.55 $36,376.86 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 36 6 — — $35,898.42 $37,693.36 $36,257.41 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 36 6 — — $35,891.00 $37,685.57 $36,249.92 2026-01-13
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 18 6 — — $35,850.62 $37,643.17 $36,209.13 2026-01-13
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 28 5 — — $36,141.97 $37,949.09 $36,141.97 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 23 — — $33,179.63 $81,262.83 $35,973.71 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 76 24 — — $31,405.13 $100,191.15 $35,702.67 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 79 24 — — $31,300.86 $99,189.16 $35,584.13 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 36 6 — — $34,936.59 $36,683.44 $35,285.96 2026-01-13
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 133 36 — — $8,039.00 $62,364.90 $35,201.95 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 81 25 — — $30,387.98 $93,006.17 $35,186.09 2026-01-13
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 28 5 — — $34,784.94 $36,524.21 $34,784.94 2026-01-13
L6975 HCPCS Dme Pos 67 36 — — $23,177.19 $46,354.38 $34,765.79 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 36 6 — — $34,382.32 $36,101.46 $34,726.15 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 24 — — $31,066.69 $97,856.31 $34,663.89 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 36 6 — — $34,259.52 $35,972.51 $34,602.12 2026-01-13
L6970 HCPCS Dme Pos 67 36 — — $23,053.46 $46,106.92 $34,580.19 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 24 — — $30,971.56 $93,758.13 $34,557.74 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 36 6 — — $34,078.61 $35,782.56 $34,419.40 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 36 6 — — $33,945.09 $35,642.36 $34,284.54 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 34 24 — — $30,714.84 $92,523.04 $34,271.29 2026-01-13
Q0483 HCPCS Dme Pos 67 36 — — $22,755.13 $45,510.26 $34,132.69 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 34 24 — — $30,533.73 $90,316.04 $34,069.21 2026-01-13
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 18 6 — — $33,730.80 $35,417.36 $34,068.11 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 68 24 — — $30,497.75 $92,840.74 $34,029.06 2026-01-13
L6965 HCPCS Dme Pos 67 36 — — $22,680.77 $45,361.54 $34,021.15 2026-01-13
245 MS_DRG Aicd Generator Procedures 39 25 — — $29,799.53 $85,768.56 $33,877.36 2026-01-13
L5858 HCPCS Dme Pos 67 36 — — $22,555.79 $45,111.58 $33,833.68 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 36 6 — — $33,390.00 $35,059.52 $33,723.90 2026-01-13
1782 APR_DRG External Heart Assist Systems, Moderate 18 6 — — $33,199.20 $34,859.18 $33,531.19 2026-01-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 36 6 — — $33,142.74 $34,799.90 $33,474.17 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 36 6 — — $32,851.80 $34,494.41 $33,180.32 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 79 24 — — $23,218.00 $104,638.99 $33,079.20 2026-01-13
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 18 6 — — $32,726.52 $34,362.87 $33,053.79 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 34 24 — — $29,619.64 $90,774.73 $33,049.29 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 36 6 — — $32,349.05 $33,966.52 $32,672.54 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 40 24 — — $28,367.12 $86,823.18 $32,547.54 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 68 24 — — $29,120.83 $87,937.96 $32,492.72 2026-01-13
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 36 6 — — $32,150.00 $33,757.52 $32,471.51 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 36 24 — — $28,689.10 $89,498.28 $32,463.97 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 34 24 — — $28,989.12 $88,201.15 $32,345.75 2026-01-13
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 18 6 — — $32,005.36 $33,605.65 $32,325.42 2026-01-13
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior, Severe 36 6 — — $31,824.45 $33,415.69 $32,142.70 2026-01-13
7234 APR_DRG Viral Illness, Severe 36 6 — — $31,781.18 $33,370.26 $32,099.00 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 50 23 — — $29,570.25 $72,422.80 $32,060.38 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 68 24 — — $28,535.43 $86,189.66 $31,839.53 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 25 — — $28,005.52 $94,750.72 $31,837.85 2026-01-13
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 18 6 — — $31,439.55 $33,011.55 $31,753.95 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 68 24 — — $8,752.00 $85,138.79 $31,741.46 2026-01-13
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 18 6 — — $31,092.16 $32,646.78 $31,403.08 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 68 24 — — $28,106.74 $84,253.36 $31,361.20 2026-01-13
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 18 6 — — $31,030.75 $32,582.31 $31,341.07 2026-01-13
L5973 HCPCS Dme Pos 67 36 — — $20,880.34 $41,760.68 $31,320.51 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 68 24 — — $28,001.24 $86,409.60 $31,243.49 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 79 24 — — $2,380.00 $62,364.90 $31,182.45 2026-01-13
6614 APR_DRG Coagulation And Platelet Disorders, Severe 18 6 — — $30,748.88 $32,286.34 $31,056.38 2026-01-13
69930 CPT Implant Cochlear Device 117 28 — — $848.07 $61,871.30 $30,935.65 2026-01-13
1781 APR_DRG External Heart Assist Systems, Minor 18 6 — — $30,433.22 $31,954.90 $30,737.56 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 68 24 — — $27,511.57 $85,511.01 $30,697.12 2026-01-13
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Major 18 6 — — $30,324.42 $31,840.66 $30,627.67 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 34 24 — — $27,347.55 $80,702.23 $30,514.10 2026-01-13
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 36 6 — — $30,145.57 $31,652.87 $30,447.03 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 34 24 — — $27,271.93 $85,473.41 $30,429.72 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 50 26 — — $4,104.77 $56,413.44 $30,259.10 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 71 24 — — $26,787.14 $83,898.06 $30,170.78 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 68 24 — — $27,017.03 $78,891.88 $30,145.32 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 56 23 — — $28,095.15 $68,810.03 $30,017.45 2026-01-13
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 36 6 — — $29,718.23 $31,204.16 $30,015.42 2026-01-13
1794 APR_DRG Defibrillator Implants, Severe 18 6 — — $29,700.10 $31,185.12 $29,997.10 2026-01-13
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 36 6 — — $29,659.71 $31,142.72 $29,956.31 2026-01-13
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 18 6 — — $29,515.48 $30,991.27 $29,810.64 2026-01-13
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 36 6 — — $29,359.30 $30,827.28 $29,652.90 2026-01-13
268T OTHER Implt/rpl Crtd Sns Dev Gen 79 24 — — $2,380.00 $59,276.00 $29,638.00 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 107 27 — — $2,263.00 $59,276.00 $29,638.00 2026-01-13
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 77 23 — — $843.21 $59,276.00 $29,638.00 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 107 27 — — $2,380.00 $59,276.00 $29,638.00 2026-01-13
Q0489 HCPCS Dme Pos 67 36 — — $19,727.48 $39,454.96 $29,591.22 2026-01-13
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 18 6 — — $29,285.94 $30,750.26 $29,578.81 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 38 24 — — $25,973.67 $81,350.79 $29,527.97 2026-01-13
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 36 6 — — $29,131.82 $30,588.43 $29,423.14 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 133 36 — — $6,021.00 $53,492.88 $29,421.08 2026-01-13
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