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 Southeast Texas - MidCounty

Port Arthur, TX · CCN 450096 · Rates published

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You selected 93306 (CPT)

HC 93306 TTE W/DOPPLER, COMPLETE

This hospital’s price: $1,074 across 43 payers · range $195-$7,610

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/760591590_stmarycentermidcounty_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.

22,353 distinct procedures filed
43 distinct payers
1,481,594 rate rows
2026-01-13 last MRF observed
Data quality

1,207,079 of 1,481,594 rate rows are consumer-grade (81.5%)

274,515 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 255,580
per-diem day rate — not a per-procedure price 13,058
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,846
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 537
exceeds 10× this hospital's gross charge — excluded from medians 374
placeholder amount (≤ $0.02) — excluded from medians 114
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
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/760591590_stmarycentermidcounty_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-18
Content fingerprint 731009060cf7beb0… · 310,701,113 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 22 $3,685,266.67 $4,087,611.22 $3,716,010.20 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 22 $3,710,000.00 $4,087,611.22 $3,716,010.20 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 43 $2,407,352.35 $4,814,704.70 $3,611,028.52 nat. median
$2,466,282
1.5× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 43 $2,332,000.00 $4,671,555.68 $3,501,777.84 nat. median
$2,401,960
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 22 $3,322,473.30 $4,658,027.92 $3,327,162.80 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 22 $3,198,172.66 $4,477,441.72 $3,198,172.66 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 22 $2,948,213.33 $4,161,931.42 $2,972,808.16 nat. median
$2,994,107
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 43 $552,211.48 $2,649,160.80 $1,600,686.14 nat. median
$646,415
outlier · 2.5×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 43 $527,622.46 $2,389,941.84 $1,458,782.15 nat. median
$622,245
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 43 $516,442.29 $2,337,528.34 $1,426,985.31 nat. median
$640,950
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 43 $566,540.15 $2,197,566.80 $1,382,053.48 nat. median
$738,272
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 43 $488,842.15 $2,125,025.76 $1,306,933.96 nat. median
$591,650
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $2.00 $2,026,882.00 $519,728.78 nat. median
$608,101
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 43 $63,235.61 $915,200.00 $489,217.80 nat. median
$68,423
outlier · 7.1×
5834
APR_DRG 		Neonate With Ecmo, Severe 6 $274,453.86 $296,409.80 $288,176.70 nat. median
$307,273
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 5 $266,988.96 $283,008.04 $280,338.56 nat. median
$170,172
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $237,074.05 $767,056.08 $269,515.76 nat. median
$359,358
0.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 6 $232,397.44 $250,988.93 $244,017.44 nat. median
$244,017
1.0× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 5 $223,559.76 $236,973.12 $234,737.87 nat. median
$241,915
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 43 $55,626.47 $348,280.45 $201,953.46 nat. median
$65,720
outlier · 3.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $177,074.44 $428,706.55 $195,713.86 nat. median
$249,124
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 $173,724.79 $187,622.54 $182,411.12 nat. median
$247,214
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 6 $168,698.69 $182,194.36 $177,133.71 nat. median
$202,993
0.9× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 6 $158,044.11 $170,687.42 $165,946.40 nat. median
$163,587
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $149,128.68 $379,248.93 $164,826.44 nat. median
$198,433
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $134,725.51 $377,023.23 $153,161.64 nat. median
$190,557
0.8× median
Q0480
HCPCS 		Dme Pos 43 $99,999.96 $200,311.92 $150,155.94 nat. median
$111,503
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 31 $76,835.25 $218,383.88 $147,609.57 nat. median
$75,037
2.0× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 $129,262.82 $139,603.68 $135,726.04 nat. median
$154,011
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 $128,117.32 $138,366.54 $134,523.26 nat. median
$165,000
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 43 $74,690.00 $186,433.40 $130,561.70 nat. median
$97,020
1.3× median
J9226
HCPCS 		Supprelin La Implant 43 $45,212.04 $210,204.39 $127,708.21 nat. median
$55,159
outlier · 2.3×
5832
APR_DRG 		Neonate With Ecmo, Moderate 6 $115,798.34 $125,062.05 $121,588.32 nat. median
$159,249
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 6 $102,181.36 $110,355.73 $107,290.48 nat. median
$28,699
outlier · 3.7×
5831
APR_DRG 		Neonate With Ecmo, Minor 6 $101,962.74 $110,119.62 $107,060.93 nat. median
$146,591
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 42 $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… 29 $88,825.45 $246,042.42 $100,980.51 nat. median
$126,722
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 5 $94,210.21 $99,862.73 $98,920.77 nat. median
$89,273
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 $93,215.03 $100,672.11 $97,875.84 nat. median
$175,429
0.6× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 $92,788.99 $100,211.99 $97,428.49 nat. median
$145,061
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $92,549.05 $99,952.85 $97,176.56 nat. median
$122,016
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 6 $92,151.20 $99,523.17 $96,758.81 nat. median
$156,153
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 $91,230.83 $98,529.17 $95,792.42 nat. median
$133,164
0.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $88,827.45 $95,933.53 $93,268.87 nat. median
$66,842
1.4× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 $88,031.74 $95,074.16 $92,433.38 nat. median
$162,514
0.6× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 6 $87,928.03 $94,962.16 $92,324.48 nat. median
$120,517
0.8× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 $87,463.33 $94,460.28 $91,836.54 nat. median
$120,505
0.8× median
7
MS_DRG 		Lung Transplant 27 $82,154.42 $198,900.18 $90,802.26 nat. median
$117,894
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $82,361.87 $199,402.43 $90,164.58 nat. median
$110,192
0.8× median
E0767
HCPCS 		Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 31 $74,150.87 $96,319.69 $85,235.28 nat. median
$84,089
1.0× median

Other procedures at this hospital

Browse this hospital's 22,353 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 24 22 — — $3,710,000.00 $4,087,611.22 $3,716,010.20 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 24 22 — — $3,685,266.67 $4,087,611.22 $3,716,010.20 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 75 43 — — $2,407,352.35 $4,814,704.70 $3,611,028.52 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 75 43 — — $2,332,000.00 $4,671,555.68 $3,501,777.84 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 25 22 — — $3,322,473.30 $4,658,027.92 $3,327,162.80 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 25 22 — — $3,198,172.66 $4,477,441.72 $3,198,172.66 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 25 22 — — $2,948,213.33 $4,161,931.42 $2,972,808.16 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 75 43 — — $552,211.48 $2,649,160.80 $1,600,686.14 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 75 43 — — $527,622.46 $2,389,941.84 $1,458,782.15 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 75 43 — — $516,442.29 $2,337,528.34 $1,426,985.31 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 75 43 — — $566,540.15 $2,197,566.80 $1,382,053.48 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 75 43 — — $488,842.15 $2,125,025.76 $1,306,933.96 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 25 — — $2.00 $2,026,882.00 $519,728.78 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 75 43 — — $63,235.61 $915,200.00 $489,217.80 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 20 6 — — $274,453.86 $296,409.80 $288,176.70 2026-01-13
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 16 5 — — $266,988.96 $283,008.04 $280,338.56 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 29 — — $237,074.05 $767,056.08 $269,515.76 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 20 6 — — $232,397.44 $250,988.93 $244,017.44 2026-01-13
24 APR_DRG Heart And/Or Lung Transplant, Severe 16 5 — — $223,559.76 $236,973.12 $234,737.87 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 75 43 — — $55,626.47 $348,280.45 $201,953.46 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 27 — — $177,074.44 $428,706.55 $195,713.86 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 20 6 — — $173,724.79 $187,622.54 $182,411.12 2026-01-13
1614 APR_DRG Implantable Heart Assist Systems, Severe 20 6 — — $168,698.69 $182,194.36 $177,133.71 2026-01-13
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 20 6 — — $158,044.11 $170,687.42 $165,946.40 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 28 — — $149,128.68 $379,248.93 $164,826.44 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 29 — — $134,725.51 $377,023.23 $153,161.64 2026-01-13
Q0480 HCPCS Dme Pos 75 43 — — $99,999.96 $200,311.92 $150,155.94 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 59 31 — — $76,835.25 $218,383.88 $147,609.57 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 20 6 — — $129,262.82 $139,603.68 $135,726.04 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 20 6 — — $128,117.32 $138,366.54 $134,523.26 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 75 43 — — $74,690.00 $186,433.40 $130,561.70 2026-01-13
J9226 HCPCS Supprelin La Implant 75 43 — — $45,212.04 $210,204.39 $127,708.21 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 20 6 — — $115,798.34 $125,062.05 $121,588.32 2026-01-13
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 20 6 — — $102,181.36 $110,355.73 $107,290.48 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 20 6 — — $101,962.74 $110,119.62 $107,060.93 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 70 42 — — $67,452.66 $134,905.32 $101,178.99 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 29 — — $88,825.45 $246,042.42 $100,980.51 2026-01-13
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 16 5 — — $94,210.21 $99,862.73 $98,920.77 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 20 6 — — $93,215.03 $100,672.11 $97,875.84 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 20 6 — — $92,788.99 $100,211.99 $97,428.49 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 20 6 — — $92,549.05 $99,952.85 $97,176.56 2026-01-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 20 6 — — $92,151.20 $99,523.17 $96,758.81 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 20 6 — — $91,230.83 $98,529.17 $95,792.42 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 20 6 — — $88,827.45 $95,933.53 $93,268.87 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 20 6 — — $88,031.74 $95,074.16 $92,433.38 2026-01-13
1613 APR_DRG Implantable Heart Assist Systems, Major 20 6 — — $87,928.03 $94,962.16 $92,324.48 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 20 6 — — $87,463.33 $94,460.28 $91,836.54 2026-01-13
7 MS_DRG Lung Transplant 29 27 — — $82,154.42 $198,900.18 $90,802.26 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 30 27 — — $82,361.87 $199,402.43 $90,164.58 2026-01-13
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 59 31 — — $74,150.87 $96,319.69 $85,235.28 2026-01-13
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 16 5 — — $80,082.99 $84,887.89 $84,087.19 2026-01-13
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 20 6 — — $79,762.11 $86,142.97 $83,750.26 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 20 6 — — $78,344.87 $84,612.36 $82,262.16 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 20 6 — — $78,301.15 $84,565.14 $82,216.25 2026-01-13
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 20 6 — — $77,646.73 $83,858.37 $81,529.11 2026-01-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $69,173.00 $92,766.00 $80,969.50 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 20 6 — — $75,930.29 $82,004.61 $79,726.85 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 20 6 — — $75,538.58 $81,581.57 $79,315.55 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 29 — — $68,482.35 $193,156.64 $79,295.35 2026-01-13
215 MS_DRG Other Heart Assist System Implant 44 30 — — $37,068.00 $176,866.19 $77,118.24 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 16 5 — — $73,307.93 $77,706.33 $76,973.37 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 6 — — $73,302.15 $79,166.22 $76,967.30 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 20 6 — — $73,082.81 $78,929.33 $76,736.99 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 27 — — $69,273.16 $167,713.98 $76,565.08 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 29 — — $65,851.53 $195,769.58 $74,862.79 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 6 — — $71,044.76 $76,728.24 $74,597.03 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 75 43 — — $24,228.42 $123,959.26 $74,093.84 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 27 — — $66,945.34 $162,078.19 $73,992.22 2026-01-13
L7180 HCPCS Dme Pos 75 43 — — $49,026.62 $98,053.24 $73,539.93 2026-01-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $63,616.00 $82,495.00 $73,055.50 2026-01-13
L7181 HCPCS Dme Pos 75 43 — — $48,628.26 $97,256.52 $72,942.39 2026-01-13
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 20 6 — — $68,304.60 $73,768.87 $71,719.86 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 31 — — $60,669.73 $173,771.88 $70,646.05 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $67,183.67 $72,558.27 $70,542.89 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 6 — — $66,638.38 $71,969.36 $69,970.34 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 8 3 — — $4,104.77 $91,153.92 $69,720.00 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 20 6 — — $63,798.49 $68,902.28 $66,988.45 2026-01-13
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 16 5 — — $63,298.73 $67,096.59 $66,463.70 2026-01-13
1612 APR_DRG Implantable Heart Assist Systems, Moderate 20 6 — — $63,206.58 $68,263.03 $66,366.95 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 36 29 — — $57,908.79 $153,818.70 $65,833.15 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 20 6 — — $61,514.72 $66,435.81 $64,590.49 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 20 6 — — $60,923.90 $65,797.73 $63,970.13 2026-01-13
J9266 HCPCS Pegaspargase Injection 75 43 — — $27,070.53 $100,221.21 $63,645.87 2026-01-13
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 2 2 — — $53,693.00 $72,692.00 $63,192.50 2026-01-13
1611 APR_DRG Implantable Heart Assist Systems, Minor 20 6 — — $59,945.71 $64,741.29 $62,943.03 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 16 5 — — $59,797.55 $63,385.35 $62,787.46 2026-01-13
A9543 HCPCS Hc Med: Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Tmt Dose, Up To 40 M… 77 43 $232,855.00 $76,842.15 67% off $23,285.50 $311,941.97 $62,608.27 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 20 6 — — $59,524.37 $64,286.24 $62,500.62 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 20 6 — — $59,504.13 $64,264.38 $62,479.37 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 31 — — $53,269.49 $149,740.31 $61,680.47 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 20 6 — — $57,968.73 $62,606.15 $60,867.20 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 20 6 — — $57,968.73 $62,606.15 $60,867.20 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 20 6 — — $57,804.31 $62,428.58 $60,694.56 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 29 — — $53,239.95 $149,269.59 $60,525.41 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 29 — — $52,431.53 $160,037.52 $59,606.37 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 20 6 — — $56,590.16 $61,117.29 $59,419.70 2026-01-13
38240 CPT Transplt Allo Hct/donor 44 30 — — $3,058.00 $118,476.28 $59,238.14 2026-01-13
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $50,292.00 $67,859.00 $59,075.50 2026-01-13
23 APR_DRG Heart And/Or Lung Transplant, Major 16 5 — — $55,062.70 $58,366.41 $57,815.87 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 29 — — $50,674.51 $139,773.49 $57,608.92 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 45 31 — — $49,136.25 $135,801.69 $56,894.61 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 31 — — $48,640.27 $136,389.64 $56,638.50 2026-01-13
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 20 6 — — $53,913.23 $58,226.22 $56,608.92 2026-01-13
1784 APR_DRG External Heart Assist Systems, Severe 20 6 — — $53,002.98 $57,243.14 $55,653.15 2026-01-13
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $47,204.00 $63,753.00 $55,478.50 2026-01-13
10 MS_DRG Pancreas Transplant 29 27 — — $50,120.69 $121,344.83 $55,396.55 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 20 6 — — $52,197.15 $56,372.85 $54,807.04 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 20 6 — — $52,137.17 $56,308.07 $54,744.05 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 30 27 — — $49,833.40 $120,649.28 $54,554.46 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 20 6 — — $51,906.62 $56,059.08 $54,501.98 2026-01-13
6904 APR_DRG Acute Leukemia, Severe 20 6 — — $51,440.47 $55,555.64 $54,012.52 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 20 6 — — $51,125.37 $55,215.33 $53,681.67 2026-01-13
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 20 6 — — $51,067.91 $55,153.28 $53,621.34 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 29 — — $46,922.22 $135,352.28 $53,343.15 2026-01-13
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 20 6 — — $49,525.65 $53,487.63 $52,001.96 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 29 — — $44,425.30 $126,657.30 $51,439.82 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 70 42 — — $34,284.44 $68,568.88 $51,426.66 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 20 6 — — $48,484.58 $52,363.28 $50,908.84 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 29 — — $44,649.72 $128,223.99 $50,759.68 2026-01-13
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 20 6 — — $48,188.99 $52,044.05 $50,598.47 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 20 6 — — $47,862.32 $51,691.25 $50,255.47 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $47,394.01 $51,185.47 $49,763.73 2026-01-13
63 APR_DRG Pancreas Transplant, Major 16 5 — — $47,374.49 $50,216.92 $49,743.25 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 29 — — $43,730.66 $122,774.30 $49,714.85 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 41 29 — — $42,147.77 $118,685.26 $48,802.68 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 29 — — $41,914.55 $122,172.14 $48,532.64 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 36 29 — — $8,745.00 $119,564.53 $47,894.99 2026-01-13
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $47,669.00 $47,669.00 $47,669.00 2026-01-13
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 2 2 — — $39,969.00 $55,101.00 $47,535.00 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 20 6 — — $45,162.27 $48,775.19 $47,420.41 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 31 — — $40,596.31 $116,797.05 $47,271.83 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 20 6 — — $44,916.19 $48,509.42 $47,162.02 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 20 6 — — $44,811.03 $48,395.86 $47,051.61 2026-01-13
22 APR_DRG Heart And/Or Lung Transplant, Moderate 16 5 — — $44,233.59 $46,887.56 $46,445.29 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 31 28 — — $41,985.58 $127,408.67 $46,405.12 2026-01-13
234 APR_DRG Spinal Procedures, Severe 20 6 — — $44,147.22 $47,678.94 $46,354.61 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 36 29 — — $40,654.78 $114,299.58 $46,218.06 2026-01-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 20 6 — — $43,987.50 $47,506.45 $46,186.90 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $43,420.54 $46,894.12 $45,591.59 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 58 30 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 36 29 — — $39,756.46 $108,732.65 $45,196.82 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 29 — — $38,939.87 $106,695.24 $45,088.27 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 40 26 — — $3,719.00 $90,146.80 $45,073.40 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 58 30 — — $2,242.00 $90,146.80 $45,073.40 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 20 6 — — $42,879.23 $46,309.51 $45,023.21 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 16 5 — — $42,849.59 $45,420.53 $44,992.10 2026-01-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 20 6 — — $42,681.56 $46,096.03 $44,815.67 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 29 — — $38,889.58 $118,772.30 $44,620.68 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 31 — — $38,401.14 $108,822.00 $44,464.48 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 16 5 — — $42,296.36 $44,834.10 $44,411.20 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 36 29 — — $38,712.30 $116,372.52 $44,009.77 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 36 29 — — $38,577.15 $98,105.05 $43,856.13 2026-01-13
L5856 HCPCS Dme Pos 75 43 — — $29,134.51 $58,269.02 $43,701.76 2026-01-13
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 16 5 — — $41,564.25 $44,058.06 $43,642.49 2026-01-13
L6880 HCPCS Dme Pos 75 43 — — $28,996.90 $57,993.80 $43,495.35 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 37 30 — — $38,217.57 $106,725.43 $43,447.34 2026-01-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 16 5 — — $41,260.71 $43,736.31 $43,323.77 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 31 — — $37,399.10 $116,797.05 $43,304.22 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 20 6 — — $41,211.93 $44,508.83 $43,272.55 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 20 6 — — $41,187.00 $44,481.90 $43,246.37 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 38 29 — — $37,659.98 $129,562.00 $43,209.87 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 31 — — $36,989.86 $104,243.94 $43,072.34 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 20 6 — — $41,009.21 $44,289.89 $43,059.69 2026-01-13
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 20 6 — — $40,766.02 $44,027.24 $42,804.34 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 20 6 — — $40,733.13 $43,991.73 $42,769.81 2026-01-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 20 6 — — $40,708.92 $43,965.58 $42,744.39 2026-01-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 20 6 — — $40,042.58 $43,245.93 $42,044.73 2026-01-13
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 20 6 — — $40,032.82 $43,235.40 $42,034.49 2026-01-13
2054 APR_DRG Cardiomyopathy, Severe 20 6 — — $39,919.72 $43,113.24 $41,915.73 2026-01-13
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 20 6 — — $39,868.41 $43,057.83 $41,861.85 2026-01-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 20 6 — — $39,827.57 $43,013.73 $41,818.98 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 36 29 — — $36,600.74 $104,176.44 $41,609.26 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 30 27 — — $37,943.49 $91,863.20 $41,538.15 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 27 — — $37,943.49 $91,863.20 $41,538.15 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 20 6 — — $39,158.34 $42,290.96 $41,116.28 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 29 — — $36,079.60 $105,922.55 $41,016.81 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 20 6 — — $39,027.17 $42,149.29 $40,978.55 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 20 6 — — $38,905.39 $42,017.77 $40,850.68 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 36 29 — — $35,863.98 $101,787.32 $40,771.68 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 26 — — $37,370.81 $105,574.39 $40,517.82 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 20 6 — — $38,496.70 $41,576.38 $40,421.56 2026-01-13
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 20 6 — — $38,431.29 $41,505.75 $40,352.88 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 20 6 — — $38,340.23 $41,407.40 $40,257.27 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 20 6 — — $38,201.83 $41,257.93 $40,111.95 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 20 6 — — $38,051.15 $41,095.19 $39,953.73 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 36 29 — — $35,043.62 $92,303.65 $39,839.06 2026-01-13
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 20 6 — — $37,842.65 $40,870.01 $39,734.80 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 36 29 — — $34,746.28 $97,517.09 $39,501.03 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 36 29 — — $34,746.28 $94,033.77 $39,501.03 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 20 6 — — $37,610.29 $40,619.07 $39,490.83 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 29 — — $34,600.43 $99,863.59 $39,335.23 2026-01-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 20 6 — — $37,266.64 $40,247.93 $39,130.00 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 36 29 — — $34,389.21 $102,441.00 $39,095.10 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 36 29 — — $34,126.45 $97,172.49 $38,796.39 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 31 — — $33,296.65 $94,726.53 $38,771.84 2026-01-13
L2006 HCPCS Dme Pos 30 25 — — $2,182.12 $77,501.20 $38,750.60 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 45 31 — — $33,444.38 $97,033.94 $38,725.07 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 29 — — $33,952.32 $101,240.22 $38,598.42 2026-01-13
C1721 HCPCS Aicd, Dual Chamber 1 1 — — $38,580.24 $38,580.24 $38,580.24 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 29 — — $33,920.25 $96,881.18 $38,561.97 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 36 29 — — $33,916.48 $87,776.14 $38,557.68 2026-01-13
4403 APR_DRG Kidney Transplant, Major 16 5 — — $36,598.86 $38,794.75 $38,428.82 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 20 6 — — $36,596.33 $39,523.99 $38,426.17 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 20 6 — — $36,472.02 $39,389.74 $38,295.64 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 20 6 — — $36,323.87 $39,229.73 $38,140.08 2026-01-13
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 75 43 — — $11,686.87 $64,537.67 $38,112.27 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 20 6 — — $36,185.83 $39,080.65 $37,995.14 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 27 — — $34,204.40 $82,810.65 $37,804.86 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 20 6 — — $35,797.73 $38,661.50 $37,587.64 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 20 6 — — $35,750.39 $38,610.38 $37,537.93 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 20 6 — — $35,741.36 $38,600.62 $37,528.45 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 41 29 — — $32,375.09 $94,669.68 $37,486.94 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 43 29 — — $32,267.59 $93,722.92 $37,362.47 2026-01-13
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 20 6 — — $35,209.08 $38,025.76 $36,969.56 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 31 — — $31,326.53 $87,880.67 $36,477.76 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 36 29 — — $32,026.19 $92,463.52 $36,408.72 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 36 29 — — $31,928.13 $88,591.19 $36,297.24 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 20 6 — — $34,509.14 $37,269.82 $36,234.61 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 20 6 — — $34,320.87 $37,066.49 $36,036.93 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 30 — — $31,663.47 $87,424.16 $35,996.37 2026-01-13
21 APR_DRG Heart And/Or Lung Transplant, Minor 16 5 — — $34,261.97 $36,317.65 $35,975.09 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 36 29 — — $31,476.77 $85,338.78 $35,784.12 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 36 29 — — $31,439.68 $87,724.35 $35,741.95 2026-01-13
1783 APR_DRG External Heart Assist Systems, Major 20 6 — — $33,919.04 $36,632.52 $35,615.01 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 20 6 — — $33,899.53 $36,611.45 $35,594.52 2026-01-13
245 MS_DRG Aicd Generator Procedures 43 31 — — $30,719.90 $81,041.91 $35,570.41 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 20 6 — — $33,775.58 $36,477.59 $35,464.38 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 20 6 — — $33,502.76 $36,182.94 $35,177.92 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $33,406.28 $36,078.74 $35,076.61 2026-01-13
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 40 26 — — $2,647.00 $70,114.40 $35,057.20 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 75 43 — — $5,865.00 $64,227.04 $35,046.02 2026-01-13
L6975 HCPCS Dme Pos 75 43 — — $23,177.19 $46,354.38 $34,765.79 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 20 6 — — $33,089.37 $35,736.47 $34,743.86 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 37 30 — — $30,534.45 $85,772.20 $34,712.85 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 20 6 — — $33,036.61 $35,679.50 $34,688.46 2026-01-13
L6970 HCPCS Dme Pos 75 43 — — $23,053.46 $46,106.92 $34,580.19 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $32,806.43 $35,430.90 $34,446.77 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 20 6 — — $32,714.64 $35,331.77 $34,350.39 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 20 6 — — $32,538.66 $35,141.71 $34,165.61 2026-01-13
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 75 43 — — $4,075.00 $64,227.04 $34,151.02 2026-01-13
Q0483 HCPCS Dme Pos 75 43 — — $22,755.13 $45,510.26 $34,132.69 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 36 29 — — $30,020.24 $83,091.76 $34,128.27 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 29 — — $27,992.00 $98,872.41 $34,100.87 2026-01-13
L6965 HCPCS Dme Pos 75 43 — — $22,680.77 $45,361.54 $34,021.15 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 29 — — $29,884.45 $83,340.44 $33,973.91 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 38 29 — — $29,575.16 $97,285.00 $33,933.61 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 29 — — $29,243.25 $82,038.42 $33,860.61 2026-01-13
L5858 HCPCS Dme Pos 75 43 — — $22,555.79 $45,111.58 $33,833.68 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 20 6 — — $32,206.58 $34,783.06 $33,816.92 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 29 27 — — $30,483.53 $73,802.24 $33,692.33 2026-01-13
81416 CPT Exome Sequence Analysis 75 43 — — $6,000.00 $61,200.00 $33,600.00 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 20 6 — — $31,987.59 $34,546.56 $33,586.99 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 20 6 — — $31,926.16 $34,480.21 $33,522.49 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 29 — — $29,416.75 $81,439.80 $33,442.20 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 31 — — $28,870.47 $89,529.07 $33,428.97 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 36 29 — — $8,745.00 $80,446.85 $33,351.07 2026-01-13
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 16 5 — — $31,692.01 $33,593.49 $33,276.62 2026-01-13
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 20 6 — — $31,679.00 $34,213.27 $33,262.96 2026-01-13
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 20 6 — — $31,582.15 $34,108.68 $33,161.28 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 20 6 — — $31,478.44 $33,996.68 $33,052.38 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 20 6 — — $31,471.94 $33,989.65 $33,045.55 2026-01-13
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 20 6 — — $31,436.53 $33,951.41 $33,008.37 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 36 29 — — $28,974.82 $79,610.21 $32,939.79 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 36 29 — — $28,866.07 $81,647.63 $32,816.17 2026-01-13
268T OTHER Implt/rpl Crtd Sns Dev Gen 75 43 — — $3,719.00 $61,045.92 $32,382.46 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 36 29 — — $28,361.28 $80,798.56 $32,242.30 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 20 6 — — $30,635.04 $33,085.80 $32,166.81 2026-01-13
571T OTHER Insj/rplcmt Icds Ss Eltrd 40 26 — — $2,885.00 $64,227.04 $32,113.52 2026-01-13
33270 CPT Hc 33270 Ins/repl Prm Sq Implt Dfib W/sq Electrode 75 43 $55,709.00 $18,383.97 67% off $2,242.00 $64,227.04 $32,113.52 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 29 — — $28,192.18 $76,254.78 $32,050.06 2026-01-13
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 16 5 — — $30,502.06 $32,332.15 $32,027.18 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 29 — — $28,114.22 $80,763.03 $31,961.43 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 30 27 — — $28,962.88 $70,120.65 $31,706.73 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 38 29 — — $27,614.47 $79,274.49 $31,683.97 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 36 29 — — $27,851.46 $74,544.21 $31,662.72 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 20 6 — — $30,149.02 $32,560.90 $31,656.48 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $30,041.33 $32,444.60 $31,543.41 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 20 6 — — $29,882.70 $32,273.27 $31,376.85 2026-01-13
L5973 HCPCS Dme Pos 75 43 — — $20,880.34 $41,760.68 $31,320.51 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 20 6 — — $29,765.62 $32,146.83 $31,253.91 2026-01-13
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 20 6 — — $29,577.71 $31,943.89 $31,056.61 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 41 29 — — $26,775.87 $76,867.61 $31,003.64 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 36 29 — — $27,144.26 $74,117.89 $30,858.73 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 20 6 — — $29,278.87 $31,621.14 $30,742.83 2026-01-13
1782 APR_DRG External Heart Assist Systems, Moderate 20 6 — — $29,111.56 $31,440.45 $30,567.16 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 59 31 — — $1,935.00 $61,045.92 $30,522.96 2026-01-13
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 40 26 — — $599.00 $61,045.92 $30,522.96 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 58 30 — — $2,242.00 $61,045.92 $30,522.96 2026-01-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 20 6 — — $29,062.06 $31,386.98 $30,515.18 2026-01-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 36 29 — — $26,815.48 $78,029.31 $30,484.97 2026-01-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 29 — — $26,155.42 $75,016.70 $30,285.22 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 20 6 — — $28,806.94 $31,111.46 $30,247.30 2026-01-13
140 MS_DRG Major Head And Neck Procedures With Mcc 36 29 — — $26,586.03 $75,764.52 $30,224.11 2026-01-13
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 20 6 — — $28,697.09 $30,992.82 $30,131.96 2026-01-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 31 28 — — $27,200.20 $69,172.67 $30,063.38 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 36 29 — — $26,343.38 $79,587.12 $29,948.26 2026-01-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 29 — — $26,337.09 $74,633.02 $29,941.11 2026-01-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 45 31 — — $25,849.90 $74,405.65 $29,931.46 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 20 6 — — $28,366.08 $30,635.33 $29,784.40 2026-01-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 41 29 — — $25,670.11 $75,329.33 $29,723.29 2026-01-13
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