Hospital

CHRISTUS SPOHN HOSPITAL BEEVILLE

Beeville, TX · CCN 450082 · Rates published

19,292 distinct procedures filed

36 distinct payers

1,025,784 rate rows

2026-01-13 last MRF observed

Data quality

791,013 of 1,025,784 rate rows are consumer-grade (77.1%)

234,771 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	224,538
per-diem day rate — not a per-procedure price	9,306
template filing: same amount across many unrelated codes — excluded	814
placeholder amount (≤ $0.02) — excluded from medians	113

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_spohnhospitalbeeville_standardcharges.json
Found on page	https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-05-15
Content fingerprint	78561c1cb884d1c0… · 210,563,589 bytes · first seen 2026-05-06

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	21	$3,710,000.00	$4,130,272.28	$3,754,792.98	nat. median $3,710,000 1.0× median
J1411 HCPCS	Inj, Hemgenix, Per Tx Dose	21	$3,685,266.67	$4,130,272.28	$3,754,792.98	nat. median $3,710,000 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	36	$2,423,131.23	$4,864,954.20	$3,644,042.71	nat. median $2,468,984 1.5× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	36	$2,332,000.00	$4,720,311.18	$3,526,155.59	nat. median $2,448,600 1.4× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	21	$3,322,473.30	$4,706,642.22	$3,361,887.30	nat. median $3,325,455 1.0× median
J3394 HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	21	$3,231,550.94	$4,524,171.32	$3,231,550.94	nat. median $3,286,000 1.0× median
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	21	$2,948,213.33	$4,205,368.15	$3,003,834.39	nat. median $3,004,655 1.0× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	36	$553,169.30	$1,769,194.80	$1,161,182.05	nat. median $674,867 1.7× median
Q2055 HCPCS	Idecabtagene Vicleucel Car	36	$527,622.46	$1,596,080.04	$1,061,851.25	nat. median $625,184 1.7× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	36	$516,442.29	$1,561,076.62	$1,038,759.45	nat. median $673,137 1.5× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	36	$572,452.94	$1,467,605.80	$1,020,029.37	nat. median $753,246 1.4× median
Q2053 HCPCS	Brexucabtagene Car Pos T	36	$489,399.16	$1,419,160.56	$954,279.86	nat. median $619,808 1.5× median
5834 APR_DRG		6	$838,113.55	$880,019.57	$846,494.76	nat. median $309,665 outlier · 2.7×
74 APR_DRG		5	$815,317.64	$856,083.85	$815,317.64	nat. median $187,061 outlier · 4.4×
5833 APR_DRG		6	$709,683.75	$745,168.23	$716,780.65	nat. median $244,017 outlier · 2.9×
24 APR_DRG		5	$682,695.67	$716,830.74	$682,695.67	nat. median $234,729 outlier · 2.9×
5884 APR_DRG		6	$530,512.13	$557,037.95	$535,817.29	nat. median $246,434 outlier · 2.2×
1614 APR_DRG		6	$515,163.67	$540,922.06	$520,315.35	nat. median $207,730 outlier · 2.5×
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	22	$1.73	$1,353,617.00	$510,290.19	nat. median $634,303 0.8× median
94 APR_DRG		6	$482,627.24	$506,758.80	$487,453.55	nat. median $164,834 outlier · 3.0×
6304 APR_DRG		6	$394,736.39	$414,473.37	$398,683.79	nat. median $150,721 outlier · 2.6×
6094 APR_DRG		6	$391,238.32	$410,800.40	$395,150.73	nat. median $162,982 outlier · 2.4×
5832 APR_DRG		6	$353,619.21	$371,300.31	$357,155.43	nat. median $156,126 outlier · 2.3×
J9029 HCPCS	Instill Adstiladrin, Tx Dose	36	$63,235.61	$611,200.00	$337,217.80	nat. median $69,774 outlier · 4.8×
2004 APR_DRG		6	$312,036.36	$327,638.30	$315,156.75	nat. median $32,541 outlier · 9.7×
5831 APR_DRG		6	$311,368.74	$326,937.31	$314,482.45	nat. median $144,745 outlier · 2.2×
73 APR_DRG		5	$287,694.45	$302,079.29	$287,694.45	nat. median $89,273 outlier · 3.2×
5883 APR_DRG		6	$284,655.43	$298,888.32	$287,502.01	nat. median $182,665 1.6× median
5882 APR_DRG		6	$283,354.42	$297,522.26	$286,187.98	nat. median $145,336 2.0× median
44 APR_DRG		6	$282,621.70	$296,752.90	$285,447.94	nat. median $105,658 outlier · 2.7×
8414 APR_DRG		6	$281,406.76	$295,477.21	$284,220.85	nat. median $160,267 1.8× median
6314 APR_DRG		6	$278,596.17	$292,526.09	$281,382.15	nat. median $122,924 outlier · 2.3×
8504 APR_DRG		6	$271,256.85	$284,819.80	$273,969.44	nat. median $73,845 outlier · 3.7×
5914 APR_DRG		6	$268,826.96	$282,268.42	$271,515.25	nat. median $164,289 1.7× median
1613 APR_DRG		6	$268,510.26	$281,935.88	$271,195.39	nat. median $119,796 outlier · 2.3×
5881 APR_DRG		6	$267,091.17	$280,445.84	$269,762.10	nat. median $124,573 outlier · 2.2×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	23	$239,069.44	$811,793.46	$269,267.68	nat. median $370,174 0.7× median
84 APR_DRG		6	$243,573.57	$255,752.35	$246,009.33	nat. median $79,774 outlier · 3.1×
14 APR_DRG		5	$244,553.47	$256,781.24	$244,553.47	nat. median $129,535 1.9× median
6814 APR_DRG		6	$239,245.68	$251,208.06	$241,638.15	nat. median $73,288 outlier · 3.3×
1604 APR_DRG		6	$239,112.15	$251,067.86	$241,503.29	nat. median $97,957 outlier · 2.5×
93 APR_DRG		6	$237,113.73	$248,969.52	$239,484.89	nat. median $78,990 outlier · 3.0×
2464 APR_DRG		6	$231,872.15	$243,465.85	$234,190.89	nat. median $22,749 outlier · 10.3×
6034 APR_DRG		6	$230,675.97	$242,209.86	$232,982.74	nat. median $109,499 outlier · 2.1×
5891 APR_DRG		6	$223,846.46	$235,038.87	$226,084.95	nat. median $93,370 outlier · 2.4×
5934 APR_DRG		6	$223,176.64	$234,335.56	$225,408.42	nat. median $151,838 1.5× median
64 APR_DRG		5	$223,864.12	$235,057.41	$223,864.12	nat. median $91,009 outlier · 2.5×
5892 APR_DRG		6	$216,952.95	$227,800.69	$219,122.50	nat. median $89,796 outlier · 2.4×
1624 APR_DRG		6	$208,585.18	$219,014.52	$210,671.05	nat. median $81,781 outlier · 2.6×
6024 APR_DRG		6	$205,162.15	$215,420.34	$207,213.79	nat. median $118,620 1.7× median

Other procedures at this hospital

Browse this hospital's 19,292 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	24	22	—	—	$178,564.83	$432,314.85	$195,481.50	2026-01-13
11	APR_DRG	—	14	5	—	—	$93,145.68	$97,803.00	$93,145.68	2026-01-13
12	APR_DRG	—	14	5	—	—	$96,779.47	$101,618.48	$96,779.47	2026-01-13
1204	APR_DRG	—	18	6	—	—	$110,924.02	$116,470.26	$112,033.27	2026-01-13
1214	APR_DRG	—	18	6	—	—	$103,520.70	$108,696.77	$104,555.92	2026-01-13
13	APR_DRG	—	14	5	—	—	$125,999.91	$132,299.96	$125,999.91	2026-01-13
1302	APR_DRG	—	18	6	—	—	$64,791.47	$68,031.07	$65,439.39	2026-01-13
1303	APR_DRG	—	18	6	—	—	$74,110.46	$77,816.01	$74,851.57	2026-01-13
1304	APR_DRG	—	18	6	—	—	$109,145.19	$114,602.50	$110,236.65	2026-01-13
1314	APR_DRG	—	18	6	—	—	$57,720.30	$60,606.34	$58,297.51	2026-01-13
14	APR_DRG	—	14	5	—	—	$244,553.47	$256,781.24	$244,553.47	2026-01-13
14	MS_DRG	Allogeneic Bone Marrow Transplant	27	22	—	—	$83,055.09	$201,080.74	$90,049.20	2026-01-13
1602	APR_DRG	—	18	6	—	—	$70,209.61	$73,720.12	$70,911.71	2026-01-13
1603	APR_DRG	—	18	6	—	—	$101,046.67	$106,099.05	$102,057.14	2026-01-13
1604	APR_DRG	—	18	6	—	—	$239,112.15	$251,067.86	$241,503.29	2026-01-13
1611	APR_DRG	—	18	6	—	—	$183,059.23	$192,212.26	$184,889.84	2026-01-13
1612	APR_DRG	—	18	6	—	—	$193,017.13	$202,668.06	$194,947.32	2026-01-13
1613	APR_DRG	—	18	6	—	—	$268,510.26	$281,935.88	$271,195.39	2026-01-13
1614	APR_DRG	—	18	6	—	—	$515,163.67	$540,922.06	$520,315.35	2026-01-13
1621	APR_DRG	—	18	6	—	—	$77,756.39	$81,644.24	$78,533.96	2026-01-13
1622	APR_DRG	—	18	6	—	—	$87,633.74	$92,015.46	$88,510.08	2026-01-13
1623	APR_DRG	—	18	6	—	—	$117,359.58	$123,227.61	$118,533.18	2026-01-13
1624	APR_DRG	—	18	6	—	—	$208,585.18	$219,014.52	$210,671.05	2026-01-13
1632	APR_DRG	—	18	6	—	—	$61,636.59	$64,718.45	$62,252.96	2026-01-13
1633	APR_DRG	—	18	6	—	—	$83,257.29	$87,420.19	$84,089.87	2026-01-13
1634	APR_DRG	—	18	6	—	—	$124,314.88	$130,530.68	$125,558.04	2026-01-13
1652	APR_DRG	—	18	6	—	—	$58,302.95	$61,218.12	$58,885.99	2026-01-13
1653	APR_DRG	—	18	6	—	—	$70,691.84	$74,226.46	$71,398.76	2026-01-13
1654	APR_DRG	—	18	6	—	—	$107,519.75	$112,895.78	$108,594.96	2026-01-13
1663	APR_DRG	—	18	6	—	—	$59,084.22	$62,038.45	$59,675.07	2026-01-13
1664	APR_DRG	—	18	6	—	—	$83,092.87	$87,247.55	$83,923.80	2026-01-13
1673	APR_DRG	—	18	6	—	—	$68,853.42	$72,296.12	$69,541.96	2026-01-13
1674	APR_DRG	—	18	6	—	—	$158,509.86	$166,435.42	$160,094.97	2026-01-13
1694	APR_DRG	—	18	6	—	—	$111,376.45	$116,945.32	$112,490.23	2026-01-13
1704	APR_DRG	—	18	6	—	—	$69,411.79	$72,882.41	$70,105.91	2026-01-13
1714	APR_DRG	—	18	6	—	—	$78,617.11	$82,548.00	$79,403.29	2026-01-13
1754	APR_DRG	—	18	6	—	—	$71,179.58	$74,738.59	$71,891.39	2026-01-13
1764	APR_DRG	—	18	6	—	—	$80,722.57	$84,758.74	$81,529.80	2026-01-13
1781	APR_DRG	—	18	6	—	—	$81,492.81	$85,567.48	$82,307.74	2026-01-13
1782	APR_DRG	—	18	6	—	—	$88,899.44	$93,344.45	$89,788.45	2026-01-13
1783	APR_DRG	—	18	6	—	—	$103,580.29	$108,759.34	$104,616.10	2026-01-13
1784	APR_DRG	—	18	6	—	—	$161,857.85	$169,950.81	$163,476.45	2026-01-13
1793	APR_DRG	—	18	6	—	—	$60,982.22	$64,031.36	$61,592.05	2026-01-13
1794	APR_DRG	—	18	6	—	—	$79,529.70	$83,506.22	$80,325.01	2026-01-13
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	33	23	—	—	$239,069.44	$811,793.46	$269,267.68	2026-01-13
1801	APR_DRG	—	18	6	—	—	$66,376.09	$69,694.92	$67,039.85	2026-01-13
1804	APR_DRG	—	18	6	—	—	$73,265.18	$76,928.47	$73,997.84	2026-01-13
1814	APR_DRG	—	18	6	—	—	$96,739.75	$101,576.77	$97,707.15	2026-01-13
1824	APR_DRG	—	18	6	—	—	$124,388.82	$130,608.31	$125,632.71	2026-01-13
1832	APR_DRG	—	18	6	—	—	$59,243.12	$62,205.30	$59,835.56	2026-01-13
1833	APR_DRG	—	18	6	—	—	$91,254.29	$95,817.04	$92,166.84	2026-01-13
1834	APR_DRG	—	18	6	—	—	$93,551.76	$98,229.39	$94,487.29	2026-01-13
1934	APR_DRG	—	18	6	—	—	$59,727.55	$62,713.96	$60,324.83	2026-01-13
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	24	22	—	—	$69,856.22	$169,125.58	$76,474.18	2026-01-13
2004	APR_DRG	—	18	6	—	—	$312,036.36	$327,638.30	$315,156.75	2026-01-13
203	APR_DRG	—	18	6	—	—	$61,833.01	$64,924.69	$62,451.35	2026-01-13
204	APR_DRG	—	18	6	—	—	$98,350.84	$103,268.42	$99,334.36	2026-01-13
2054	APR_DRG	—	18	6	—	—	$121,904.86	$128,000.15	$123,123.92	2026-01-13
2074	APR_DRG	—	18	6	—	—	$60,247.30	$63,259.69	$60,849.78	2026-01-13
21	APR_DRG	—	14	5	—	—	$104,627.50	$109,858.92	$104,627.50	2026-01-13
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	38	24	—	—	$69,058.74	$204,422.21	$78,145.42	2026-01-13
213	APR_DRG	—	18	6	—	—	$67,008.39	$70,358.83	$67,678.48	2026-01-13
214	APR_DRG	—	18	6	—	—	$117,081.50	$122,935.62	$118,252.32	2026-01-13
215	MS_DRG	Other Heart Assist System Implant	40	24	—	—	$30,085.00	$187,181.64	$75,999.88	2026-01-13
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	41	25	—	—	$61,180.37	$183,906.86	$70,840.43	2026-01-13
22	APR_DRG	—	14	5	—	—	$135,078.33	$141,832.31	$135,078.33	2026-01-13
2204	APR_DRG	—	18	6	—	—	$137,914.31	$144,810.08	$139,293.46	2026-01-13
2224	APR_DRG	—	18	6	—	—	$65,590.40	$68,869.95	$66,246.31	2026-01-13
2234	APR_DRG	—	18	6	—	—	$86,622.94	$90,954.12	$87,489.18	2026-01-13
224	APR_DRG	—	18	6	—	—	$116,198.71	$122,008.69	$117,360.71	2026-01-13
2244	APR_DRG	—	18	6	—	—	$100,885.56	$105,929.88	$101,894.42	2026-01-13
2264	APR_DRG	—	18	6	—	—	$60,773.66	$63,812.37	$61,381.40	2026-01-13
2274	APR_DRG	—	18	6	—	—	$96,444.01	$101,266.25	$97,408.46	2026-01-13
2294	APR_DRG	—	18	6	—	—	$58,037.01	$60,938.88	$58,617.39	2026-01-13
23	APR_DRG	—	14	5	—	—	$168,147.75	$176,555.21	$168,147.75	2026-01-13
2304	APR_DRG	—	18	6	—	—	$116,658.86	$122,491.85	$117,825.46	2026-01-13
231	MS_DRG	Coronary Bypass With Ptca With Mcc	41	25	—	—	$53,717.85	$158,473.69	$62,199.61	2026-01-13
2314	APR_DRG	—	18	6	—	—	$70,766.88	$74,305.25	$71,474.55	2026-01-13
233	APR_DRG	—	18	6	—	—	$65,632.33	$68,913.98	$66,288.66	2026-01-13
2334	APR_DRG	—	18	6	—	—	$75,685.14	$79,469.42	$76,441.99	2026-01-13
234	APR_DRG	—	18	6	—	—	$134,814.60	$141,555.38	$136,162.76	2026-01-13
24	APR_DRG	—	14	5	—	—	$682,695.67	$716,830.74	$682,695.67	2026-01-13
244	APR_DRG	—	18	6	—	—	$66,424.64	$69,745.90	$67,088.89	2026-01-13
2454	APR_DRG	—	18	6	—	—	$62,987.27	$66,136.66	$63,617.14	2026-01-13
2464	APR_DRG	—	18	6	—	—	$231,872.15	$243,465.85	$234,190.89	2026-01-13
2604	APR_DRG	—	18	6	—	—	$104,807.37	$110,047.78	$105,855.45	2026-01-13
2613	APR_DRG	—	18	6	—	—	$60,856.43	$63,899.27	$61,464.99	2026-01-13
2614	APR_DRG	—	18	6	—	—	$92,067.56	$96,670.98	$92,988.24	2026-01-13
2634	APR_DRG	—	18	6	—	—	$60,951.33	$63,998.92	$61,560.85	2026-01-13
264	APR_DRG	—	18	6	—	—	$125,774.80	$132,063.59	$127,032.56	2026-01-13
2644	APR_DRG	—	18	6	—	—	$78,007.99	$81,908.42	$78,788.08	2026-01-13
273	APR_DRG	—	18	6	—	—	$61,145.54	$64,202.84	$61,757.00	2026-01-13
274	APR_DRG	—	18	6	—	—	$67,427.71	$70,799.13	$68,101.99	2026-01-13
2824	APR_DRG	—	18	6	—	—	$61,318.79	$64,384.75	$61,931.98	2026-01-13
293	APR_DRG	—	18	6	—	—	$64,517.81	$67,743.73	$65,162.99	2026-01-13
294	APR_DRG	—	18	6	—	—	$73,210.01	$76,870.54	$73,942.11	2026-01-13
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	34	24	—	—	$135,859.45	$399,012.53	$151,590.55	2026-01-13
3031	APR_DRG	—	18	6	—	—	$66,538.30	$69,865.24	$67,203.69	2026-01-13
3032	APR_DRG	—	18	6	—	—	$90,322.95	$94,839.13	$91,226.18	2026-01-13
3033	APR_DRG	—	18	6	—	—	$124,489.23	$130,713.75	$125,734.13	2026-01-13
3034	APR_DRG	—	18	6	—	—	$147,157.15	$154,515.06	$148,628.73	2026-01-13
304	APR_DRG	—	18	6	—	—	$74,336.67	$78,053.54	$75,080.04	2026-01-13
3043	APR_DRG	—	18	6	—	—	$76,548.07	$80,375.50	$77,313.55	2026-01-13
3044	APR_DRG	—	18	6	—	—	$122,250.25	$128,362.81	$123,472.76	2026-01-13
3054	APR_DRG	—	18	6	—	—	$60,206.47	$63,216.82	$60,808.54	2026-01-13
3084	APR_DRG	—	18	6	—	—	$66,153.18	$69,460.87	$66,814.72	2026-01-13
3104	APR_DRG	—	18	6	—	—	$75,737.00	$79,523.88	$76,494.38	2026-01-13
3124	APR_DRG	—	18	6	—	—	$79,421.56	$83,392.67	$80,215.78	2026-01-13
3134	APR_DRG	—	18	6	—	—	$72,490.53	$76,115.09	$73,215.44	2026-01-13
3154	APR_DRG	—	18	6	—	—	$111,756.05	$117,343.90	$112,873.62	2026-01-13
3164	APR_DRG	—	18	6	—	—	$58,831.52	$61,773.12	$59,419.84	2026-01-13
3214	APR_DRG	—	18	6	—	—	$66,560.37	$69,888.42	$67,225.98	2026-01-13
3224	APR_DRG	—	18	6	—	—	$61,679.63	$64,763.64	$62,296.43	2026-01-13
3254	APR_DRG	—	18	6	—	—	$68,316.02	$71,731.85	$68,999.19	2026-01-13
3464	APR_DRG	—	18	6	—	—	$74,091.70	$77,796.31	$74,832.62	2026-01-13
3614	APR_DRG	—	18	6	—	—	$99,902.35	$104,897.51	$100,901.38	2026-01-13
3814	APR_DRG	—	18	6	—	—	$58,918.69	$61,864.65	$59,507.89	2026-01-13
38240	CPT	Transplt Allo Hct/donor	41	25	—	—	$2,380.00	$119,712.78	$59,856.39	2026-01-13
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	34	24	—	—	$89,573.07	$260,392.47	$99,944.68	2026-01-13
4012	APR_DRG	—	18	6	—	—	$65,237.28	$68,499.18	$65,889.66	2026-01-13
4013	APR_DRG	—	18	6	—	—	$76,555.79	$80,383.61	$77,321.35	2026-01-13
4014	APR_DRG	—	18	6	—	—	$68,459.48	$71,882.48	$69,144.08	2026-01-13
404	APR_DRG	—	18	6	—	—	$64,756.16	$67,994.00	$65,403.73	2026-01-13
4044	APR_DRG	—	18	6	—	—	$73,859.96	$77,552.99	$74,598.57	2026-01-13
4054	APR_DRG	—	18	6	—	—	$68,706.66	$72,142.02	$69,393.73	2026-01-13
41	APR_DRG	—	18	6	—	—	$97,494.53	$102,369.30	$98,469.49	2026-01-13
42	APR_DRG	—	18	6	—	—	$118,807.36	$124,747.77	$119,995.45	2026-01-13
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	34	24	—	—	$66,405.78	$207,187.54	$74,094.87	2026-01-13
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	34	24	—	—	$52,872.83	$169,371.47	$58,994.94	2026-01-13
43	APR_DRG	—	18	6	—	—	$181,710.76	$190,796.37	$183,527.88	2026-01-13
433	APR_DRG	—	18	6	—	—	$64,974.65	$68,223.41	$65,624.40	2026-01-13
434	APR_DRG	—	18	6	—	—	$156,124.11	$163,930.38	$157,685.36	2026-01-13
44	APR_DRG	—	18	6	—	—	$282,621.70	$296,752.90	$285,447.94	2026-01-13
4401	APR_DRG	—	14	5	—	—	$67,383.57	$70,752.78	$67,383.57	2026-01-13
4402	APR_DRG	—	14	5	—	—	$71,884.71	$75,478.98	$71,884.71	2026-01-13
4403	APR_DRG	—	14	5	—	—	$111,763.78	$117,352.01	$111,763.78	2026-01-13
4404	APR_DRG	—	14	5	—	—	$182,606.79	$191,737.21	$182,606.79	2026-01-13
4414	APR_DRG	—	18	6	—	—	$172,812.21	$181,452.89	$174,540.35	2026-01-13
4424	APR_DRG	—	18	6	—	—	$115,561.99	$121,340.14	$116,717.62	2026-01-13
4434	APR_DRG	—	18	6	—	—	$73,301.60	$76,966.71	$74,034.62	2026-01-13
4444	APR_DRG	—	18	6	—	—	$63,077.75	$66,231.67	$63,708.54	2026-01-13
4454	APR_DRG	—	18	6	—	—	$59,579.69	$62,558.69	$60,175.49	2026-01-13
4474	APR_DRG	—	18	6	—	—	$136,841.71	$143,683.85	$138,210.14	2026-01-13
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	34	24	—	—	$53,688.05	$157,975.52	$59,904.57	2026-01-13
4624	APR_DRG	—	18	6	—	—	$61,179.75	$64,238.76	$61,791.55	2026-01-13
4684	APR_DRG	—	18	6	—	—	$72,694.68	$76,329.44	$73,421.63	2026-01-13
4804	APR_DRG	—	18	6	—	—	$74,978.90	$78,727.88	$75,728.70	2026-01-13
4834	APR_DRG	—	18	6	—	—	$110,502.49	$116,027.65	$111,607.52	2026-01-13
4844	APR_DRG	—	18	6	—	—	$70,015.40	$73,516.20	$70,715.56	2026-01-13
494	APR_DRG	—	18	6	—	—	$69,826.70	$73,318.07	$70,524.98	2026-01-13
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	24	22	—	—	$67,508.81	$163,442.37	$73,904.38	2026-01-13
504	APR_DRG	—	18	6	—	—	$89,410.36	$93,880.91	$90,304.47	2026-01-13
51	APR_DRG	—	18	6	—	—	$97,682.13	$102,566.27	$98,658.96	2026-01-13
5104	APR_DRG	—	18	6	—	—	$76,919.94	$80,765.97	$77,689.15	2026-01-13
5114	APR_DRG	—	18	6	—	—	$75,575.89	$79,354.72	$76,331.65	2026-01-13
5124	APR_DRG	—	18	6	—	—	$65,513.16	$68,788.84	$66,168.29	2026-01-13
5134	APR_DRG	—	18	6	—	—	$79,578.25	$83,557.20	$80,374.04	2026-01-13
5144	APR_DRG	—	18	6	—	—	$65,647.78	$68,930.20	$66,304.26	2026-01-13
5184	APR_DRG	—	18	6	—	—	$58,078.94	$60,982.91	$58,659.74	2026-01-13
52	APR_DRG	—	18	6	—	—	$119,579.80	$125,558.84	$120,775.61	2026-01-13
53	APR_DRG	—	18	6	—	—	$130,942.45	$137,489.62	$132,251.89	2026-01-13
54	APR_DRG	—	18	6	—	—	$181,772.55	$190,861.26	$183,590.29	2026-01-13
5831	APR_DRG	—	18	6	—	—	$311,368.74	$326,937.31	$314,482.45	2026-01-13
5832	APR_DRG	—	18	6	—	—	$353,619.21	$371,300.31	$357,155.43	2026-01-13
5833	APR_DRG	—	18	6	—	—	$709,683.75	$745,168.23	$716,780.65	2026-01-13
5834	APR_DRG	—	18	6	—	—	$838,113.55	$880,019.57	$846,494.76	2026-01-13
5881	APR_DRG	—	18	6	—	—	$267,091.17	$280,445.84	$269,762.10	2026-01-13
5882	APR_DRG	—	18	6	—	—	$283,354.42	$297,522.26	$286,187.98	2026-01-13
5883	APR_DRG	—	18	6	—	—	$284,655.43	$298,888.32	$287,502.01	2026-01-13
5884	APR_DRG	—	18	6	—	—	$530,512.13	$557,037.95	$535,817.29	2026-01-13
5891	APR_DRG	—	18	6	—	—	$223,846.46	$235,038.87	$226,084.95	2026-01-13
5892	APR_DRG	—	18	6	—	—	$216,952.95	$227,800.69	$219,122.50	2026-01-13
5893	APR_DRG	—	18	6	—	—	$203,496.98	$213,671.91	$205,531.97	2026-01-13
5911	APR_DRG	—	18	6	—	—	$105,382.29	$110,651.44	$106,436.12	2026-01-13
5912	APR_DRG	—	18	6	—	—	$146,159.59	$153,467.63	$147,621.20	2026-01-13
5913	APR_DRG	—	18	6	—	—	$177,022.03	$185,873.20	$178,792.27	2026-01-13
5914	APR_DRG	—	18	6	—	—	$268,826.96	$282,268.42	$271,515.25	2026-01-13
5932	APR_DRG	—	18	6	—	—	$125,231.88	$131,493.53	$126,484.21	2026-01-13
5933	APR_DRG	—	18	6	—	—	$159,397.07	$167,366.99	$160,991.05	2026-01-13
5934	APR_DRG	—	18	6	—	—	$223,176.64	$234,335.56	$225,408.42	2026-01-13
594	APR_DRG	—	18	6	—	—	$61,081.54	$64,135.64	$61,692.36	2026-01-13
6022	APR_DRG	—	18	6	—	—	$100,182.64	$105,191.81	$101,184.48	2026-01-13
6023	APR_DRG	—	18	6	—	—	$132,595.48	$139,225.31	$133,921.45	2026-01-13
6024	APR_DRG	—	18	6	—	—	$205,162.15	$215,420.34	$207,213.79	2026-01-13
6032	APR_DRG	—	18	6	—	—	$70,464.52	$73,987.78	$71,169.17	2026-01-13
6033	APR_DRG	—	18	6	—	—	$87,969.20	$92,367.69	$88,848.90	2026-01-13
6034	APR_DRG	—	18	6	—	—	$230,675.97	$242,209.86	$232,982.74	2026-01-13
6072	APR_DRG	—	18	6	—	—	$66,002.00	$69,302.13	$66,662.02	2026-01-13
6073	APR_DRG	—	18	6	—	—	$91,738.72	$96,325.70	$92,656.11	2026-01-13
6074	APR_DRG	—	18	6	—	—	$144,729.47	$151,966.00	$146,176.77	2026-01-13
6083	APR_DRG	—	18	6	—	—	$69,959.12	$73,457.11	$70,658.72	2026-01-13
6084	APR_DRG	—	18	6	—	—	$176,519.94	$185,346.01	$178,285.15	2026-01-13
6093	APR_DRG	—	18	6	—	—	$125,850.94	$132,143.54	$127,109.46	2026-01-13
6094	APR_DRG	—	18	6	—	—	$391,238.32	$410,800.40	$395,150.73	2026-01-13
61	APR_DRG	—	14	5	—	—	$129,162.52	$135,620.70	$129,162.52	2026-01-13
6113	APR_DRG	—	18	6	—	—	$62,357.17	$65,475.06	$62,980.75	2026-01-13
6114	APR_DRG	—	18	6	—	—	$159,213.89	$167,174.65	$160,806.04	2026-01-13
6123	APR_DRG	—	18	6	—	—	$59,622.72	$62,603.88	$60,218.96	2026-01-13
6124	APR_DRG	—	18	6	—	—	$102,014.43	$107,115.20	$103,034.58	2026-01-13
6134	APR_DRG	—	18	6	—	—	$137,162.83	$144,021.03	$138,534.47	2026-01-13
6144	APR_DRG	—	18	6	—	—	$117,559.31	$123,437.32	$118,734.92	2026-01-13
62	APR_DRG	—	14	5	—	—	$130,851.96	$137,394.61	$130,851.96	2026-01-13
6213	APR_DRG	—	18	6	—	—	$58,249.98	$61,162.50	$58,832.49	2026-01-13
6214	APR_DRG	—	18	6	—	—	$194,824.65	$204,565.96	$196,772.91	2026-01-13
6234	APR_DRG	—	18	6	—	—	$96,107.45	$100,912.86	$97,068.53	2026-01-13
6254	APR_DRG	—	18	6	—	—	$102,309.06	$107,424.56	$103,332.16	2026-01-13
63	APR_DRG	—	14	5	—	—	$144,669.88	$151,903.43	$144,669.88	2026-01-13
6302	APR_DRG	—	18	6	—	—	$67,156.26	$70,514.10	$67,827.82	2026-01-13
6303	APR_DRG	—	18	6	—	—	$186,046.38	$195,348.77	$187,906.85	2026-01-13
6304	APR_DRG	—	18	6	—	—	$394,736.39	$414,473.37	$398,683.79	2026-01-13
6313	APR_DRG	—	18	6	—	—	$103,142.20	$108,299.35	$104,173.63	2026-01-13
6314	APR_DRG	—	18	6	—	—	$278,596.17	$292,526.09	$281,382.15	2026-01-13
6334	APR_DRG	—	18	6	—	—	$148,059.80	$155,462.85	$149,540.41	2026-01-13
6344	APR_DRG	—	18	6	—	—	$75,297.81	$79,062.73	$76,050.79	2026-01-13
64	APR_DRG	—	14	5	—	—	$223,864.12	$235,057.41	$223,864.12	2026-01-13
6504	APR_DRG	—	18	6	—	—	$60,984.43	$64,033.68	$61,594.28	2026-01-13
6514	APR_DRG	—	18	6	—	—	$119,179.23	$125,138.25	$120,371.04	2026-01-13
6604	APR_DRG	—	18	6	—	—	$96,127.31	$100,933.71	$97,088.59	2026-01-13
6613	APR_DRG	—	18	6	—	—	$67,508.27	$70,883.71	$68,183.36	2026-01-13
6614	APR_DRG	—	18	6	—	—	$82,338.08	$86,455.02	$83,161.47	2026-01-13
6803	APR_DRG	—	18	6	—	—	$64,757.27	$67,995.16	$65,404.85	2026-01-13
6804	APR_DRG	—	18	6	—	—	$177,022.03	$185,873.20	$178,792.27	2026-01-13
6813	APR_DRG	—	18	6	—	—	$63,516.94	$66,692.81	$64,152.12	2026-01-13
6814	APR_DRG	—	18	6	—	—	$239,245.68	$251,208.06	$241,638.15	2026-01-13
6902	APR_DRG	—	18	6	—	—	$59,078.70	$62,032.66	$59,669.49	2026-01-13
6903	APR_DRG	—	18	6	—	—	$69,140.33	$72,597.38	$69,831.74	2026-01-13
6904	APR_DRG	—	18	6	—	—	$157,086.36	$164,940.74	$158,657.23	2026-01-13
6914	APR_DRG	—	18	6	—	—	$86,089.95	$90,394.49	$86,950.86	2026-01-13
6924	APR_DRG	—	18	6	—	—	$71,129.93	$74,686.45	$71,841.23	2026-01-13
6944	APR_DRG	—	18	6	—	—	$85,218.20	$89,479.14	$86,070.39	2026-01-13
6954	APR_DRG	—	18	6	—	—	$121,748.16	$127,835.62	$122,965.65	2026-01-13
7	MS_DRG	Lung Transplant	24	22	—	—	$82,845.89	$200,574.26	$90,694.45	2026-01-13
71	APR_DRG	—	14	5	—	—	$126,926.85	$133,273.24	$126,926.85	2026-01-13
7104	APR_DRG	—	18	6	—	—	$88,748.26	$93,185.71	$89,635.75	2026-01-13
7114	APR_DRG	—	18	6	—	—	$74,530.89	$78,257.46	$75,276.21	2026-01-13
72	APR_DRG	—	14	5	—	—	$193,298.52	$202,963.52	$193,298.52	2026-01-13
7234	APR_DRG	—	18	6	—	—	$85,102.33	$89,357.48	$85,953.36	2026-01-13
73	APR_DRG	—	14	5	—	—	$287,694.45	$302,079.29	$287,694.45	2026-01-13
734	APR_DRG	—	18	6	—	—	$73,063.24	$76,716.43	$73,793.88	2026-01-13
74	APR_DRG	—	14	5	—	—	$815,317.64	$856,083.85	$815,317.64	2026-01-13
7404	APR_DRG	—	18	6	—	—	$76,843.80	$80,686.02	$77,612.24	2026-01-13
7594	APR_DRG	—	18	6	—	—	$61,126.78	$64,183.14	$61,738.06	2026-01-13
7923	APR_DRG	—	18	6	—	—	$63,760.81	$66,948.88	$64,398.43	2026-01-13
7924	APR_DRG	—	18	6	—	—	$122,280.04	$128,394.10	$123,502.85	2026-01-13
7934	APR_DRG	—	18	6	—	—	$66,582.44	$69,911.59	$67,248.27	2026-01-13
81	APR_DRG	—	18	6	—	—	$71,780.99	$75,370.06	$72,498.80	2026-01-13
8104	APR_DRG	—	18	6	—	—	$70,664.25	$74,197.49	$71,370.90	2026-01-13
8154	APR_DRG	—	18	6	—	—	$71,844.99	$75,437.27	$72,563.45	2026-01-13
82	APR_DRG	—	18	6	—	—	$85,702.63	$89,987.79	$86,559.67	2026-01-13
83	APR_DRG	—	18	6	—	—	$164,637.55	$172,869.49	$166,283.93	2026-01-13
84	APR_DRG	—	18	6	—	—	$243,573.57	$255,752.35	$246,009.33	2026-01-13
8411	APR_DRG	—	18	6	—	—	$78,420.69	$82,341.76	$79,204.90	2026-01-13
8412	APR_DRG	—	18	6	—	—	$79,035.34	$82,987.13	$79,825.70	2026-01-13
8413	APR_DRG	—	18	6	—	—	$121,623.47	$127,704.69	$122,839.71	2026-01-13
8414	APR_DRG	—	18	6	—	—	$281,406.76	$295,477.21	$284,220.85	2026-01-13
8424	APR_DRG	—	18	6	—	—	$95,999.30	$100,799.31	$96,959.30	2026-01-13
850	MS_DRG	Acute Leukemia With Other Procedures	34	24	—	—	$58,396.19	$162,789.94	$65,157.85	2026-01-13
8504	APR_DRG	—	18	6	—	—	$271,256.85	$284,819.80	$273,969.44	2026-01-13
8634	APR_DRG	—	18	6	—	—	$187,850.58	$197,243.19	$189,729.10	2026-01-13
893	APR_DRG	—	18	6	—	—	$58,177.15	$61,086.03	$58,758.93	2026-01-13
894	APR_DRG	—	18	6	—	—	$109,317.34	$114,783.25	$110,410.52	2026-01-13
91	APR_DRG	—	18	6	—	—	$151,238.96	$158,800.97	$152,751.36	2026-01-13
9104	APR_DRG	—	18	6	—	—	$134,326.86	$141,043.25	$135,670.14	2026-01-13
9114	APR_DRG	—	18	6	—	—	$113,803.03	$119,493.22	$114,941.07	2026-01-13
9124	APR_DRG	—	18	6	—	—	$109,172.78	$114,631.46	$110,264.51	2026-01-13
913	APR_DRG	—	18	6	—	—	$71,293.24	$74,857.93	$72,006.18	2026-01-13
914	APR_DRG	—	18	6	—	—	$99,364.95	$104,333.24	$100,358.61	2026-01-13
92	APR_DRG	—	18	6	—	—	$155,948.66	$163,746.16	$157,508.16	2026-01-13
923	APR_DRG	—	18	6	—	—	$81,201.49	$85,261.60	$82,013.51	2026-01-13
924	APR_DRG	—	18	6	—	—	$84,187.54	$88,396.95	$85,029.42	2026-01-13
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	29	24	—	—	$150,383.86	$401,368.05	$163,047.76	2026-01-13
93	APR_DRG	—	18	6	—	—	$237,113.73	$248,969.52	$239,484.89	2026-01-13
94	APR_DRG	—	18	6	—	—	$482,627.24	$506,758.80	$487,453.55	2026-01-13
9504	APR_DRG	—	18	6	—	—	$130,338.84	$136,855.83	$131,642.24	2026-01-13
9514	APR_DRG	—	18	6	—	—	$90,896.76	$95,441.64	$91,805.74	2026-01-13
9524	APR_DRG	—	18	6	—	—	$114,852.45	$120,595.12	$116,000.98	2026-01-13
984	APR_DRG	—	18	6	—	—	$71,037.23	$74,589.12	$71,747.61	2026-01-13
A9543	HCPCS	Y90 Ibritumomab, Rx	67	36	—	—	$56,824.55	$208,324.88	$132,574.71	2026-01-13
E0738	HCPCS	Upper Extremity Rehab	50	26	—	—	$51,277.05	$65,261.70	$58,269.38	2026-01-13
E0739	HCPCS	Rehab Sys Active Assist Rt	50	26	—	—	$51,277.05	$65,261.70	$58,269.38	2026-01-13
E0767	HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	50	26	—	—	$75,679.76	$96,319.69	$85,999.73	2026-01-13
J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	25	21	—	—	$3,685,266.67	$4,130,272.28	$3,754,792.98	2026-01-13
J1413	HCPCS	Inj Delandistrogene Mox Rokl	26	21	—	—	$3,322,473.30	$4,706,642.22	$3,361,887.30	2026-01-13
J1414	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	25	21	—	—	$3,710,000.00	$4,130,272.28	$3,754,792.98	2026-01-13
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	67	36	—	—	$2,332,000.00	$4,720,311.18	$3,526,155.59	2026-01-13
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	26	21	—	—	$2,948,213.33	$4,205,368.15	$3,003,834.39	2026-01-13
J3394	HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	26	21	—	—	$3,231,550.94	$4,524,171.32	$3,231,550.94	2026-01-13
J3399	HCPCS	Inj Onase Abepar-xioi Treat	67	36	—	—	$2,423,131.23	$4,864,954.20	$3,644,042.71	2026-01-13
J7330	HCPCS	Cultured Chondrocytes Implnt	50	26	—	—	$66,479.19	$145,843.78	$106,161.49	2026-01-13
J9029	HCPCS	Instill Adstiladrin, Tx Dose	67	36	—	—	$63,235.61	$611,200.00	$337,217.80	2026-01-13
J9226	HCPCS	Supprelin La Implant	67	36	—	—	$45,212.04	$141,336.37	$93,274.21	2026-01-13
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	50	26	—	—	$76,230.00	$97,020.00	$86,625.00	2026-01-13
Q0480	HCPCS	Dme Pos	50	26	—	—	$99,999.96	$173,313.36	$136,656.66	2026-01-13
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	37	22	—	—	$1.73	$1,353,617.00	$510,290.19	2026-01-13
Q2042	HCPCS	Tisagenlecleucel Car-pos T	67	36	—	—	$572,452.94	$1,467,605.80	$1,020,029.37	2026-01-13
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	67	36	—	—	$56,207.02	$232,592.89	$144,399.95	2026-01-13
Q2053	HCPCS	Brexucabtagene Car Pos T	67	36	—	—	$489,399.16	$1,419,160.56	$954,279.86	2026-01-13
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	67	36	—	—	$516,442.29	$1,561,076.62	$1,038,759.45	2026-01-13
Q2055	HCPCS	Idecabtagene Vicleucel Car	67	36	—	—	$527,622.46	$1,596,080.04	$1,061,851.25	2026-01-13
Q2056	HCPCS	Ciltacabtagene Car-pos T	67	36	—	—	$553,169.30	$1,769,194.80	$1,161,182.05	2026-01-13

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