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 Santa Rosa Hospital - New Braunfels

New Braunfels, TX · CCN 450059 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

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

This hospital’s price: $4,892 across 23 payers · range $2,857-$9,072

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109665_SantaRosaHospitalNewBraunfels_standardcharges.ashx · observed 2026-01-12

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.

18,603 distinct procedures filed
34 distinct payers
906,649 rate rows
2026-01-12 last MRF observed
Data quality

648,516 of 906,649 rate rows are consumer-grade (71.5%)

258,133 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 241,052
per-diem day rate — not a per-procedure price 10,104
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,375
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 522
placeholder amount (≤ $0.02) — excluded from medians 67
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 13
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/741109665_SantaRosaHospitalNewBraunfels_standardcharges.ashx
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-02
Content fingerprint 2fe2f30bc78cd7ab… · 188,543,989 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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 15 $3,595,361.00 $4,877,062.12 $3,703,221.83 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 15 $3,595,361.00 $4,877,062.12 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 34 $2,329,191.87 $4,513,599.40 $3,421,395.63 nat. median
$2,460,273
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 34 $2,259,941.20 $4,379,402.72 $3,319,671.96 nat. median
$2,405,851
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 15 $3,219,138.46 $4,366,720.96 $3,315,712.61 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 15 $3,094,336.30 $4,197,428.40 $3,187,166.39 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 15 $2,876,288.80 $3,901,649.70 $2,948,213.33 nat. median
$2,997,086
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 34 $534,282.60 $2,311,068.60 $1,422,675.60 nat. median
$631,793
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 34 $511,987.58 $2,084,931.78 $1,298,459.68 nat. median
$610,161
outlier · 2.1×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 34 $500,526.55 $2,039,207.41 $1,269,866.98 nat. median
$624,417
outlier · 2.0×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 34 $548,146.06 $1,917,108.10 $1,232,627.08 nat. median
$691,418
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 34 $472,970.72 $1,853,824.92 $1,163,397.82 nat. median
$577,541
outlier · 2.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 34 $474,391.07 $1,768,206.50 $1,121,298.78 nat. median
$588,565
1.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 34 $61,442.92 $798,400.00 $429,921.46 nat. median
$69,291
outlier · 6.2×
5834
APR_DRG 		Neonate With Ecmo, Severe 6 $266,479.75 $294,195.83 $274,474.36 nat. median
$311,018
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 5 $259,231.75 $286,193.97 $272,193.45 nat. median
$175,480
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 $229,120.06 $677,246.46 $260,473.33 nat. median
$370,165
0.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 6 $225,645.26 $249,114.21 $232,414.80 nat. median
$250,089
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 5 $217,064.35 $239,640.82 $227,917.66 nat. median
$243,231
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $171,133.48 $505,846.33 $186,042.65 nat. median
$261,939
0.7× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 34 $53,820.42 $303,832.07 $178,826.24 nat. median
$65,655
outlier · 2.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 $168,677.31 $186,221.13 $173,737.77 nat. median
$254,667
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 6 $163,797.24 $180,833.49 $168,711.29 nat. median
$209,486
0.8× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 34 $55,068.67 $272,131.20 $163,599.93 nat. median
$63,643
outlier · 2.6×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 6 $153,452.22 $169,412.51 $158,055.91 nat. median
$165,599
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $144,125.32 $426,014.04 $157,100.89 nat. median
$205,166
0.8× median
Q0480
HCPCS 		Dme Pos 34 $99,999.96 $199,999.92 $149,999.94 nat. median
$111,503
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 $130,205.39 $384,868.67 $148,022.96 nat. median
$199,832
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 27 $78,986.40 $190,513.21 $134,749.80 nat. median
$75,807
1.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 34 $72,380.00 $186,433.40 $129,406.70 nat. median
$97,404
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 $125,507.16 $138,560.93 $129,272.48 nat. median
$160,171
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 $124,394.95 $137,333.04 $128,126.90 nat. median
$168,174
0.8× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 6 $112,433.88 $124,127.92 $115,806.99 nat. median
$169,230
0.7× median
J9226
HCPCS 		Supprelin La Implant 34 $43,863.21 $183,377.61 $113,620.41 nat. median
$55,200
outlier · 2.1×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 6 $99,212.54 $109,531.45 $102,188.99 nat. median
$28,828
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo, Minor 6 $99,000.27 $109,297.11 $101,970.36 nat. median
$154,685
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 34 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,178
1.4× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 $85,845.30 $253,746.54 $97,592.55 nat. median
$132,706
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 5 $91,472.98 $100,986.92 $96,046.67 nat. median
$89,814
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 $90,506.72 $99,920.16 $93,222.00 nat. median
$180,995
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 $90,093.06 $99,463.48 $92,795.93 nat. median
$147,847
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $89,860.09 $99,206.28 $92,555.97 nat. median
$127,600
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 6 $89,473.80 $98,779.81 $92,158.09 nat. median
$165,646
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 $88,580.17 $97,793.23 $91,237.64 nat. median
$147,677
0.6× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $86,246.62 $95,216.97 $88,834.08 nat. median
$67,813
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 $85,474.03 $94,364.03 $88,038.32 nat. median
$168,361
0.5× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 6 $85,373.33 $94,252.86 $87,934.60 nat. median
$127,938
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 $84,922.13 $93,754.73 $87,469.86 nat. median
$120,928
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $79,598.58 $235,282.12 $86,533.21 nat. median
$114,305
0.8× median
7
MS_DRG 		Lung Transplant 16 $79,398.09 $234,689.51 $86,315.26 nat. median
$122,690
0.7× median

Other procedures at this hospital

Browse this hospital's 18,603 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 17 15 — — $3,595,361.00 $4,877,062.12 $3,703,221.83 2026-01-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 15 — — $3,595,361.00 $4,877,062.12 $3,685,266.67 2026-01-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 58 34 — — $2,329,191.87 $4,513,599.40 $3,421,395.63 2026-01-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 58 34 — — $2,259,941.20 $4,379,402.72 $3,319,671.96 2026-01-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 15 — — $3,219,138.46 $4,366,720.96 $3,315,712.61 2026-01-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 17 15 — — $3,094,336.30 $4,197,428.40 $3,187,166.39 2026-01-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 17 15 — — $2,876,288.80 $3,901,649.70 $2,948,213.33 2026-01-12
Q2056 HCPCS Ciltacabtagene Car-pos T 58 34 — — $534,282.60 $2,311,068.60 $1,422,675.60 2026-01-12
Q2055 HCPCS Idecabtagene Vicleucel Car 58 34 — — $511,987.58 $2,084,931.78 $1,298,459.68 2026-01-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 58 34 — — $500,526.55 $2,039,207.41 $1,269,866.98 2026-01-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 58 34 — — $548,146.06 $1,917,108.10 $1,232,627.08 2026-01-12
Q2053 HCPCS Brexucabtagene Car Pos T 58 34 — — $472,970.72 $1,853,824.92 $1,163,397.82 2026-01-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 58 34 — — $474,391.07 $1,768,206.50 $1,121,298.78 2026-01-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 58 34 — — $61,442.92 $798,400.00 $429,921.46 2026-01-12
5834 APR_DRG Neonate With Ecmo, Severe 13 6 — — $266,479.75 $294,195.83 $274,474.36 2026-01-12
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 11 5 — — $259,231.75 $286,193.97 $272,193.45 2026-01-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 18 — — $229,120.06 $677,246.46 $260,473.33 2026-01-12
5833 APR_DRG Neonate With Ecmo, Major 13 6 — — $225,645.26 $249,114.21 $232,414.80 2026-01-12
24 APR_DRG Heart And/Or Lung Transplant, Severe 11 5 — — $217,064.35 $239,640.82 $227,917.66 2026-01-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 20 16 — — $171,133.48 $505,846.33 $186,042.65 2026-01-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 58 34 — — $53,820.42 $303,832.07 $178,826.24 2026-01-12
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 13 6 — — $168,677.31 $186,221.13 $173,737.77 2026-01-12
1614 APR_DRG Implantable Heart Assist Systems, Severe 13 6 — — $163,797.24 $180,833.49 $168,711.29 2026-01-12
A9543 HCPCS Y90 Ibritumomab, Rx 58 34 — — $55,068.67 $272,131.20 $163,599.93 2026-01-12
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 13 6 — — $153,452.22 $169,412.51 $158,055.91 2026-01-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 17 — — $144,125.32 $426,014.04 $157,100.89 2026-01-12
Q0480 HCPCS Dme Pos 58 34 — — $99,999.96 $199,999.92 $149,999.94 2026-01-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 18 — — $130,205.39 $384,868.67 $148,022.96 2026-01-12
J7330 HCPCS Cultured Chondrocytes Implnt 47 27 — — $78,986.40 $190,513.21 $134,749.80 2026-01-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 58 34 — — $72,380.00 $186,433.40 $129,406.70 2026-01-12
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 13 6 — — $125,507.16 $138,560.93 $129,272.48 2026-01-12
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 13 6 — — $124,394.95 $137,333.04 $128,126.90 2026-01-12
5832 APR_DRG Neonate With Ecmo, Moderate 13 6 — — $112,433.88 $124,127.92 $115,806.99 2026-01-12
J9226 HCPCS Supprelin La Implant 58 34 — — $43,863.21 $183,377.61 $113,620.41 2026-01-12
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 13 6 — — $99,212.54 $109,531.45 $102,188.99 2026-01-12
5831 APR_DRG Neonate With Ecmo, Minor 13 6 — — $99,000.27 $109,297.11 $101,970.36 2026-01-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 53 34 — — $67,452.66 $134,905.32 $101,178.99 2026-01-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 18 — — $85,845.30 $253,746.54 $97,592.55 2026-01-12
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 11 5 — — $91,472.98 $100,986.92 $96,046.67 2026-01-12
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 13 6 — — $90,506.72 $99,920.16 $93,222.00 2026-01-12
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 13 6 — — $90,093.06 $99,463.48 $92,795.93 2026-01-12
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 13 6 — — $89,860.09 $99,206.28 $92,555.97 2026-01-12
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 13 6 — — $89,473.80 $98,779.81 $92,158.09 2026-01-12
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 13 6 — — $88,580.17 $97,793.23 $91,237.64 2026-01-12
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 13 6 — — $86,246.62 $95,216.97 $88,834.08 2026-01-12
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 13 6 — — $85,474.03 $94,364.03 $88,038.32 2026-01-12
1613 APR_DRG Implantable Heart Assist Systems, Major 13 6 — — $85,373.33 $94,252.86 $87,934.60 2026-01-12
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 13 6 — — $84,922.13 $93,754.73 $87,469.86 2026-01-12
14 MS_DRG Allogeneic Bone Marrow Transplant 20 16 — — $79,598.58 $235,282.12 $86,533.21 2026-01-12
7 MS_DRG Lung Transplant 20 16 — — $79,398.09 $234,689.51 $86,315.26 2026-01-12
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 47 27 — — $71,857.55 $96,319.69 $84,088.62 2026-01-12
215 MS_DRG Other Heart Assist System Implant 32 18 — — $39,705.00 $190,261.42 $83,571.49 2026-01-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 20 — — $3,602.00 $173,314.45 $82,100.79 2026-01-12
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 11 5 — — $77,756.23 $85,843.51 $81,644.07 2026-01-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 31 18 — — $66,184.71 $195,632.66 $80,908.38 2026-01-12
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 13 6 — — $77,444.67 $85,499.54 $79,768.07 2026-01-12
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 13 6 — — $76,068.60 $83,980.36 $78,350.73 2026-01-12
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 13 6 — — $76,026.15 $83,933.49 $78,307.00 2026-01-12
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 13 6 — — $75,390.75 $83,232.00 $77,652.53 2026-01-12
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 13 6 — — $73,724.18 $81,392.10 $75,935.96 2026-01-12
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 13 6 — — $73,343.85 $80,972.21 $75,544.23 2026-01-12
64 APR_DRG Pancreas Transplant, Severe 11 5 — — $71,178.01 $78,581.10 $74,736.94 2026-01-12
L7180 HCPCS Dme Pos 58 34 — — $49,026.62 $98,053.24 $73,539.93 2026-01-12
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 6 — — $71,172.40 $78,574.91 $73,307.63 2026-01-12
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 13 6 — — $70,959.42 $78,339.79 $73,088.27 2026-01-12
L7181 HCPCS Dme Pos 58 34 — — $48,628.26 $97,256.52 $72,942.39 2026-01-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 20 16 — — $66,949.00 $197,891.77 $72,781.61 2026-01-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 19 — — $51,482.27 $152,174.30 $72,363.00 2026-01-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 18 — — $63,642.16 $188,117.23 $72,351.09 2026-01-12
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 6 — — $68,980.59 $76,155.14 $71,050.07 2026-01-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 20 16 — — $64,699.28 $191,241.93 $70,335.89 2026-01-12
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 13 6 — — $66,320.04 $73,217.87 $68,309.70 2026-01-12
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $65,231.68 $72,016.31 $67,188.69 2026-01-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 19 — — $47,008.35 $138,950.03 $67,043.65 2026-01-12
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 13 6 — — $64,702.24 $71,431.80 $66,643.36 2026-01-12
J9600 HCPCS Porfimer Sodium Injection 58 34 — — $23,479.76 $108,139.29 $65,809.52 2026-01-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 34 20 — — $3,602.00 $140,366.91 $64,600.06 2026-01-12
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 11 5 — — $61,459.62 $67,851.92 $64,532.63 2026-01-12
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 13 6 — — $61,944.86 $68,387.63 $63,803.25 2026-01-12
850 MS_DRG Acute Leukemia With Other Procedures 26 18 — — $55,965.91 $165,427.30 $63,624.40 2026-01-12
1612 APR_DRG Implantable Heart Assist Systems, Moderate 13 6 — — $61,370.15 $67,753.15 $63,211.31 2026-01-12
8634 APR_DRG Neonatal Aftercare, Severe 13 6 — — $59,727.44 $65,939.58 $61,519.31 2026-01-12
4404 APR_DRG Kidney Transplant, Severe 11 5 — — $58,060.17 $64,098.90 $60,963.20 2026-01-12
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 13 6 — — $59,153.79 $65,306.27 $60,928.45 2026-01-12
1611 APR_DRG Implantable Heart Assist Systems, Minor 13 6 — — $58,204.02 $64,257.71 $59,950.19 2026-01-12
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 13 6 — — $57,794.92 $63,806.06 $59,528.81 2026-01-12
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 13 6 — — $57,775.27 $63,784.37 $59,508.58 2026-01-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 19 — — $3,602.00 $126,909.19 $59,002.38 2026-01-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $51,453.71 $152,089.89 $58,494.74 2026-01-12
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 13 6 — — $56,284.48 $62,138.53 $57,973.06 2026-01-12
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 13 6 — — $56,284.48 $62,138.53 $57,973.06 2026-01-12
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 13 6 — — $56,124.84 $61,962.28 $57,808.63 2026-01-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 18 — — $50,672.42 $149,780.49 $57,606.54 2026-01-12
38240 CPT Transplt Allo Hct/donor 31 18 — — $3,347.00 $111,066.94 $57,314.83 2026-01-12
J9266 HCPCS Pegaspargase Injection 58 34 — — $26,234.05 $87,430.74 $56,832.39 2026-01-12
4414 APR_DRG Major Bladder Procedures, Severe 13 6 — — $54,945.96 $60,660.79 $56,594.38 2026-01-12
23 APR_DRG Heart And/Or Lung Transplant, Major 11 5 — — $53,462.89 $59,023.47 $56,136.06 2026-01-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 18 — — $48,974.34 $144,761.23 $55,676.10 2026-01-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 34 20 — — $3,602.00 $115,970.97 $54,936.61 2026-01-12
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 13 6 — — $52,346.81 $57,791.31 $53,917.26 2026-01-12
1784 APR_DRG External Heart Assist Systems, Severe 13 6 — — $51,463.00 $56,815.58 $53,006.94 2026-01-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 19 — — $37,112.75 $109,700.03 $52,930.47 2026-01-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 32 18 — — $37,633.41 $111,239.04 $52,695.04 2026-01-12
10 MS_DRG Pancreas Transplant 20 16 — — $48,439.10 $143,179.13 $52,659.12 2026-01-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 16 — — $48,161.46 $142,358.45 $52,357.29 2026-01-12
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 13 6 — — $50,680.59 $55,951.79 $52,201.05 2026-01-12
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 13 6 — — $50,622.35 $55,887.49 $52,141.06 2026-01-12
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 13 6 — — $50,398.50 $55,640.36 $51,910.50 2026-01-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 18 — — $45,347.95 $134,042.10 $51,553.45 2026-01-12
6904 APR_DRG Acute Leukemia, Severe 13 6 — — $49,945.90 $55,140.68 $51,444.32 2026-01-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 53 34 — — $34,284.44 $68,568.88 $51,426.66 2026-01-12
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 13 6 — — $49,639.95 $54,802.91 $51,129.19 2026-01-12
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 13 6 — — $49,584.16 $54,741.32 $51,071.73 2026-01-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 19 — — $35,748.82 $105,668.46 $50,936.00 2026-01-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 31 18 — — $40,733.68 $120,403.00 $49,795.43 2026-01-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 20 — — $3,602.00 $106,837.53 $49,670.71 2026-01-12
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 13 6 — — $48,086.71 $53,088.12 $49,529.35 2026-01-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 32 18 — — $40,508.29 $119,736.76 $49,518.00 2026-01-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 18 — — $43,151.69 $127,550.29 $49,056.66 2026-01-12
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 13 6 — — $47,075.89 $51,972.16 $48,488.20 2026-01-12
63 APR_DRG Pancreas Transplant, Major 11 5 — — $45,998.05 $50,782.23 $48,297.98 2026-01-12
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 13 6 — — $46,788.89 $51,655.31 $48,192.59 2026-01-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 18 — — $42,263.47 $124,924.83 $48,046.89 2026-01-12
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 13 6 — — $46,471.71 $51,305.15 $47,865.90 2026-01-12
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $46,017.00 $50,803.15 $47,397.55 2026-01-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 19 — — $32,179.53 $95,118.14 $45,894.67 2026-01-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 18 — — $10,460.00 $122,622.61 $45,535.43 2026-01-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 34 20 — — $3,602.00 $95,540.15 $45,258.32 2026-01-12
A9699 HCPCS Radiopharm Rx Agent Noc 47 27 — — $45,221.05 $45,221.05 $45,221.05 2026-01-12
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 13 6 — — $43,850.11 $48,410.88 $45,165.65 2026-01-12
22 APR_DRG Heart And/Or Lung Transplant, Moderate 11 5 — — $42,948.41 $47,415.39 $45,095.84 2026-01-12
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 13 6 — — $43,611.17 $48,147.09 $44,919.55 2026-01-12
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 13 6 — — $43,509.07 $48,034.37 $44,814.38 2026-01-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 18 — — $39,290.77 $116,137.98 $44,667.41 2026-01-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 21 17 — — $40,576.94 $119,939.69 $44,230.07 2026-01-12
234 APR_DRG Spinal Procedures, Severe 13 6 — — $42,864.55 $47,322.81 $44,150.52 2026-01-12
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 13 6 — — $42,709.47 $47,151.61 $43,990.79 2026-01-12
L5856 HCPCS Dme Pos 58 34 — — $29,134.51 $58,269.02 $43,701.76 2026-01-12
62 APR_DRG Pancreas Transplant, Moderate 11 5 — — $41,604.62 $45,931.84 $43,684.87 2026-01-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 18 — — $38,422.61 $113,571.78 $43,680.44 2026-01-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 18 — — $31,184.99 $92,178.41 $43,665.83 2026-01-12
266T OTHER Implt/rpl Crtd Sns Dev Total 30 17 — — $3,553.00 $84,509.14 $43,609.98 2026-01-12
L6880 HCPCS Dme Pos 58 34 — — $28,996.90 $57,993.80 $43,495.35 2026-01-12
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $42,158.98 $46,543.86 $43,423.78 2026-01-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 19 — — $30,275.50 $89,490.10 $43,179.14 2026-01-12
61 APR_DRG Pancreas Transplant, Minor 11 5 — — $41,067.46 $45,338.81 $43,120.85 2026-01-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 31 18 — — $31,288.88 $92,485.50 $42,998.18 2026-01-12
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 13 6 — — $41,633.39 $45,963.61 $42,882.43 2026-01-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 27 18 — — $37,584.81 $111,095.37 $42,728.00 2026-01-12
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 13 6 — — $41,441.47 $45,751.73 $42,684.75 2026-01-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 18 — — $37,413.48 $110,588.96 $42,533.22 2026-01-12
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 11 5 — — $40,356.62 $44,554.04 $42,374.47 2026-01-12
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 11 5 — — $40,061.90 $44,228.67 $42,065.02 2026-01-12
28 MS_DRG Spinal Procedures With Mcc 26 18 — — $36,935.34 $109,175.66 $41,989.65 2026-01-12
33276 CPT Insj Phrnc Nrv Stim Sys 42 21 — — $2,808.00 $84,509.14 $41,830.21 2026-01-12
J7310 HCPCS Ganciclovir Long Act Implant 47 27 — — $4,104.77 $79,520.64 $41,812.71 2026-01-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 18 — — $36,725.86 $110,202.86 $41,796.06 2026-01-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 18 — — $36,396.46 $107,582.79 $41,377.02 2026-01-12
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 13 6 — — $40,014.54 $44,176.38 $41,215.01 2026-01-12
264 APR_DRG Other Nervous System And Related Procedures, Severe 13 6 — — $39,990.33 $44,149.65 $41,190.07 2026-01-12
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 13 6 — — $39,817.71 $43,959.08 $41,012.27 2026-01-12
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 13 6 — — $39,581.58 $43,698.39 $40,769.06 2026-01-12
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 13 6 — — $39,549.65 $43,663.14 $40,736.18 2026-01-12
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 13 6 — — $39,526.15 $43,637.19 $40,711.96 2026-01-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 18 — — $35,372.76 $104,556.86 $40,213.24 2026-01-12
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 13 6 — — $38,879.17 $42,922.92 $40,045.57 2026-01-12
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 13 6 — — $38,869.69 $42,912.46 $40,035.82 2026-01-12
2054 APR_DRG Cardiomyopathy, Severe 13 6 — — $38,759.87 $42,791.22 $39,922.70 2026-01-12
A9604 HCPCS Sm 153 Lexidronam 58 34 — — $4,181.58 $75,632.28 $39,906.93 2026-01-12
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 13 6 — — $38,710.05 $42,736.22 $39,871.39 2026-01-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 16 — — $36,670.47 $108,392.69 $39,865.19 2026-01-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 16 — — $36,670.47 $108,392.69 $39,865.19 2026-01-12
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 13 6 — — $38,670.41 $42,692.44 $39,830.55 2026-01-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $34,869.10 $103,068.15 $39,640.67 2026-01-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 32 18 — — $28,262.12 $83,538.82 $39,573.18 2026-01-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 18 — — $34,660.72 $102,452.19 $39,403.77 2026-01-12
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 13 6 — — $38,020.62 $41,975.07 $39,161.27 2026-01-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 17 — — $36,117.00 $91,761.70 $39,158.43 2026-01-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 19 — — $27,901.85 $82,473.91 $39,068.71 2026-01-12
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 13 6 — — $37,893.26 $41,834.47 $39,030.09 2026-01-12
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 13 6 — — $37,775.02 $41,703.93 $38,908.30 2026-01-12
L2006 HCPCS Dme Pos 22 17 — — $2,114.63 $77,501.20 $38,750.60 2026-01-12
653 MS_DRG Major Bladder Procedures With Mcc 26 18 — — $33,867.88 $100,108.67 $38,502.43 2026-01-12
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 13 6 — — $37,378.20 $41,265.84 $38,499.58 2026-01-12
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 13 6 — — $37,314.69 $41,195.73 $38,434.17 2026-01-12
214 APR_DRG Open Craniotomy Except Trauma, Severe 13 6 — — $37,226.28 $41,098.12 $38,343.10 2026-01-12
2304 APR_DRG Major Small Bowel Procedures, Severe 13 6 — — $37,091.90 $40,949.76 $38,204.69 2026-01-12
834 MS_DRG Acute Leukemia With Mcc 26 18 — — $33,580.51 $99,259.25 $38,175.74 2026-01-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 18 — — $33,580.51 $99,259.25 $38,175.74 2026-01-12
224 APR_DRG Ventricular Shunt Procedures, Severe 13 6 — — $36,945.59 $40,788.24 $38,053.99 2026-01-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 18 — — $33,439.57 $98,842.63 $38,015.51 2026-01-12
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 13 6 — — $36,743.15 $40,564.74 $37,845.47 2026-01-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 18 — — $33,235.44 $98,239.24 $37,783.44 2026-01-12
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 13 6 — — $36,517.55 $40,315.67 $37,613.10 2026-01-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 18 — — $32,981.48 $97,488.59 $37,494.74 2026-01-12
4403 APR_DRG Kidney Transplant, Major 11 5 — — $35,535.50 $39,231.48 $37,312.29 2026-01-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 18 — — $32,813.20 $96,991.16 $37,303.43 2026-01-12
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 13 6 — — $36,183.88 $39,947.30 $37,269.43 2026-01-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 18 — — $32,782.21 $96,899.57 $37,268.20 2026-01-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 18 — — $32,778.56 $96,888.80 $37,264.05 2026-01-12
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 13 6 — — $35,533.04 $39,228.77 $36,599.06 2026-01-12
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 13 6 — — $35,412.35 $39,095.52 $36,474.75 2026-01-12
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 13 6 — — $35,268.50 $38,936.71 $36,326.58 2026-01-12
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 13 6 — — $35,134.47 $38,788.74 $36,188.53 2026-01-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 20 16 — — $33,056.82 $97,711.27 $35,936.73 2026-01-12
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 13 6 — — $34,757.65 $38,372.73 $35,800.41 2026-01-12
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 13 6 — — $34,711.69 $38,321.99 $35,753.07 2026-01-12
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 13 6 — — $34,702.92 $38,312.30 $35,744.03 2026-01-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 19 — — $24,982.63 $73,845.09 $35,630.39 2026-01-12
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 13 6 — — $34,186.10 $37,741.74 $35,211.71 2026-01-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 18 — — $30,951.69 $91,488.83 $35,187.19 2026-01-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 18 — — $30,856.92 $91,208.68 $35,079.45 2026-01-12
21 APR_DRG Heart And/Or Lung Transplant, Minor 11 5 — — $33,266.51 $36,726.50 $34,929.85 2026-01-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 26 18 — — $30,601.14 $90,452.65 $34,788.67 2026-01-12
L6975 HCPCS Dme Pos 58 34 — — $23,177.19 $46,354.38 $34,765.79 2026-01-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 18 — — $30,420.71 $89,919.30 $34,583.54 2026-01-12
L6970 HCPCS Dme Pos 58 34 — — $23,053.46 $46,106.92 $34,580.19 2026-01-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 18 — — $30,384.86 $89,813.35 $34,542.78 2026-01-12
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 13 6 — — $33,506.49 $36,991.44 $34,511.72 2026-01-12
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 13 6 — — $33,323.70 $36,789.63 $34,323.43 2026-01-12
245 MS_DRG Aicd Generator Procedures 32 19 — — $29,689.23 $87,757.15 $34,227.00 2026-01-12
Q0483 HCPCS Dme Pos 58 34 — — $22,755.13 $45,510.26 $34,132.69 2026-01-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 31 18 — — $24,808.87 $73,331.49 $34,093.14 2026-01-12
L6965 HCPCS Dme Pos 58 34 — — $22,680.77 $45,361.54 $34,021.15 2026-01-12
1783 APR_DRG External Heart Assist Systems, Major 13 6 — — $32,933.54 $36,358.90 $33,921.58 2026-01-12
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 13 6 — — $32,914.60 $36,337.98 $33,902.06 2026-01-12
L5858 HCPCS Dme Pos 58 34 — — $22,555.79 $45,111.58 $33,833.68 2026-01-12
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 58 34 — — $11,307.43 $56,301.22 $33,804.32 2026-01-12
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 13 6 — — $32,794.25 $36,205.12 $33,778.11 2026-01-12
408T OTHER Insj/rplc Cardiac Modulj Sys 58 34 — — $7,136.00 $60,210.36 $33,673.18 2026-01-12
471 MS_DRG Cervical Spinal Fusion With Mcc 26 18 — — $29,510.00 $87,227.39 $33,548.21 2026-01-12
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 13 6 — — $32,529.36 $35,912.68 $33,505.26 2026-01-12
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $32,435.68 $35,809.25 $33,408.77 2026-01-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 32 18 — — $25,277.89 $74,717.85 $33,176.34 2026-01-12
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 13 6 — — $32,127.98 $35,469.55 $33,091.84 2026-01-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 32 18 — — $27,327.00 $89,849.26 $33,045.20 2026-01-12
2244 APR_DRG Peritoneal Adhesiolysis, Severe 13 6 — — $32,076.75 $35,412.99 $33,039.08 2026-01-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 18 — — $29,013.04 $85,758.43 $32,983.24 2026-01-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 18 — — $28,881.81 $85,370.54 $32,834.05 2026-01-12
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $31,853.25 $35,166.25 $32,808.88 2026-01-12
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 13 6 — — $31,764.14 $35,067.87 $32,717.09 2026-01-12
L8614 HCPCS Dme Pos 58 34 — — $19,316.01 $46,461.66 $32,706.00 2026-01-12
914 APR_DRG Other Major Head And Neck Procedures, Severe 13 6 — — $31,593.27 $34,879.23 $32,541.09 2026-01-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 18 — — $28,582.90 $84,487.00 $32,494.24 2026-01-12
571T OTHER Insj/rplcmt Icds Ss Eltrd 58 34 — — $4,633.00 $60,210.36 $32,421.68 2026-01-12
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 58 34 — — $4,633.00 $60,210.36 $32,421.68 2026-01-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 18 — — $28,429.80 $84,034.46 $32,320.19 2026-01-12
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 11 5 — — $30,771.21 $33,971.67 $32,309.79 2026-01-12
204 APR_DRG Open Craniotomy For Trauma, Severe 13 6 — — $31,270.83 $34,523.25 $32,208.98 2026-01-12
6 MS_DRG Liver Transplant Without Mcc 20 16 — — $29,460.79 $87,081.93 $32,027.42 2026-01-12
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 13 6 — — $31,058.21 $34,288.52 $31,989.98 2026-01-12
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 13 6 — — $30,998.57 $34,222.67 $31,928.55 2026-01-12
163 MS_DRG Major Chest Procedures With Mcc 26 18 — — $28,002.70 $82,772.01 $31,834.65 2026-01-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 18 — — $27,897.60 $82,461.34 $31,715.16 2026-01-12
799 MS_DRG Splenic Procedures With Mcc 26 18 — — $10,460.00 $85,386.70 $31,708.01 2026-01-12
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 13 6 — — $30,758.58 $33,957.72 $31,681.36 2026-01-12
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 13 6 — — $30,664.55 $33,853.92 $31,584.51 2026-01-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 31 18 — — $25,877.53 $76,490.31 $31,531.00 2026-01-12
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 13 6 — — $30,563.85 $33,742.75 $31,480.80 2026-01-12
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 13 6 — — $30,557.54 $33,735.77 $31,474.29 2026-01-12
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 13 6 — — $30,523.16 $33,697.81 $31,438.88 2026-01-12
L5973 HCPCS Dme Pos 58 34 — — $20,880.34 $41,760.68 $31,320.51 2026-01-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 18 — — $27,409.74 $81,019.31 $31,160.55 2026-01-12
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 11 5 — — $29,615.84 $32,696.13 $31,096.64 2026-01-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 18 — — $27,246.31 $80,536.24 $30,974.76 2026-01-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 18 — — $27,170.98 $80,313.56 $30,889.11 2026-01-12
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 13 6 — — $29,744.95 $32,838.67 $30,637.33 2026-01-12
901 MS_DRG Wound Debridements For Injuries With Mcc 26 18 — — $26,917.02 $79,562.92 $30,600.41 2026-01-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 16 — — $27,991.15 $82,737.89 $30,429.74 2026-01-12
268T OTHER Implt/rpl Crtd Sns Dev Gen 58 34 — — $3,553.00 $57,228.18 $30,390.59 2026-01-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 18 — — $26,687.98 $78,885.90 $30,340.02 2026-01-12
2614 APR_DRG Major Biliary Tract Procedures, Severe 13 6 — — $29,273.05 $32,317.69 $30,151.27 2026-01-12
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $29,168.50 $32,202.26 $30,043.58 2026-01-12
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 13 6 — — $29,014.47 $32,032.21 $29,884.93 2026-01-12
69930 CPT Implant Cochlear Device 45 22 — — $837.50 $59,733.82 $29,854.09 2026-01-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 18 — — $26,233.55 $77,542.64 $29,823.40 2026-01-12
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 13 6 — — $28,900.79 $31,906.71 $29,767.84 2026-01-12
Q0489 HCPCS Dme Pos 58 34 — — $19,727.48 $39,454.96 $29,591.22 2026-01-12
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 13 6 — — $28,718.35 $31,705.29 $29,579.92 2026-01-12
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 30 17 — — $962.13 $57,228.18 $29,531.96 2026-01-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 18 — — $25,915.80 $76,603.44 $29,462.17 2026-01-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 33 19 — — $20,607.73 $60,913.54 $29,390.90 2026-01-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 32 18 — — $20,926.08 $61,854.54 $29,301.11 2026-01-12
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 13 6 — — $28,428.19 $31,384.95 $29,281.06 2026-01-12
140 MS_DRG Major Head And Neck Procedures With Mcc 26 18 — — $25,694.05 $75,947.97 $29,210.08 2026-01-12
1782 APR_DRG External Heart Assist Systems, Moderate 13 6 — — $28,265.74 $31,205.61 $29,113.74 2026-01-12
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 13 6 — — $28,217.67 $31,152.54 $29,064.23 2026-01-12
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 18 — — $25,459.54 $75,254.79 $28,943.48 2026-01-12
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 18 — — $25,453.46 $75,236.84 $28,936.57 2026-01-12
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 13 6 — — $27,969.97 $30,879.07 $28,809.09 2026-01-12
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 13 6 — — $27,863.31 $30,761.32 $28,699.23 2026-01-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 17 — — $26,287.61 $77,702.47 $28,654.28 2026-01-12
252 MS_DRG Other Vascular Procedures With Mcc 33 19 — — $20,841.02 $61,603.12 $28,640.41 2026-01-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 18 — — $24,968.65 $73,803.79 $28,385.41 2026-01-12
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 13 6 — — $27,541.92 $30,406.51 $28,368.20 2026-01-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 18 — — $24,931.59 $73,694.24 $28,343.28 2026-01-12
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 13 6 — — $27,372.46 $30,219.42 $28,193.66 2026-01-12
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 42 21 — — $2,130.00 $57,228.18 $28,144.23 2026-01-12
265 MS_DRG Aicd Lead Procedures 32 19 — — $21,672.14 $64,059.78 $28,137.97 2026-01-12
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 42 21 — — $2,808.00 $57,228.18 $28,132.48 2026-01-12
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