Price Transparency 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

22,355 distinct procedures filed
43 distinct payers
1,481,594 rate rows
2026-01-13 last MRF observed
Data quality

1,209,997 of 1,481,594 rate rows are consumer-grade (81.7%)

271,597 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 258,051
per-diem day rate — not a per-procedure price 13,058
exceeds 10× this hospital's gross charge — excluded from medians 374
placeholder amount (≤ $0.02) — excluded from medians 114
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 Latest re-check couldn't be parsed — showing last good data · 2026-05-18
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
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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 22 $3,685,266.67 $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
$2,469,189
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
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 22 $3,322,473.30 $4,658,027.92 $3,327,162.80 nat. median
$3,325,455
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
$3,006,423
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 43 $552,211.48 $2,649,160.80 $1,600,686.14 nat. median
$675,122
outlier · 2.4×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 43 $527,622.46 $2,389,941.84 $1,458,782.15 nat. median
$625,184
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 43 $516,442.29 $2,337,528.34 $1,426,985.31 nat. median
$674,188
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 43 $566,540.15 $2,197,566.80 $1,382,053.48 nat. median
$754,974
1.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 43 $488,842.15 $2,125,025.76 $1,306,933.96 nat. median
$620,080
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $2.00 $2,026,882.00 $519,728.78 nat. median
$634,511
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 43 $63,235.61 $915,200.00 $489,217.80 nat. median
$69,774
outlier · 7.0×
5834
APR_DRG 		6 $274,453.86 $296,409.80 $288,176.70 nat. median
$309,665
0.9× median
74
APR_DRG 		5 $266,988.96 $283,008.04 $280,338.56 nat. median
$187,294
1.5× 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
$370,174
0.7× median
5833
APR_DRG 		6 $232,397.44 $250,988.93 $244,017.44 nat. median
$244,017
1.0× median
24
APR_DRG 		5 $223,559.76 $236,973.12 $234,737.87 nat. median
$234,738
1.0× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 43 $55,626.47 $348,280.45 $201,953.46 nat. median
$66,682
outlier · 3.0×
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
$265,286
0.7× median
5884
APR_DRG 		6 $173,724.79 $187,622.54 $182,411.12 nat. median
$246,434
0.7× median
1614
APR_DRG 		6 $168,698.69 $182,194.36 $177,133.71 nat. median
$207,730
0.9× median
94
APR_DRG 		6 $158,044.11 $170,687.42 $165,946.40 nat. median
$164,834
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
$206,368
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
$202,986
0.8× median
Q0480
HCPCS 		Dme Pos 43 $99,999.96 $200,311.92 $150,155.94 nat. median
$111,989
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 31 $76,835.25 $218,383.88 $147,609.57 nat. median
$76,377
1.9× median
6304
APR_DRG 		6 $129,262.82 $139,603.68 $135,726.04 nat. median
$150,721
0.9× median
6094
APR_DRG 		6 $128,117.32 $138,366.54 $134,523.26 nat. median
$162,982
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 43 $74,690.00 $186,433.40 $130,561.70 nat. median
$96,983
1.3× median
J9226
HCPCS 		Supprelin La Implant 43 $45,212.04 $210,204.39 $127,708.21 nat. median
$60,368
outlier · 2.1×
5832
APR_DRG 		6 $115,798.34 $125,062.05 $121,588.32 nat. median
$156,126
0.8× median
2004
APR_DRG 		6 $102,181.36 $110,355.73 $107,290.48 nat. median
$32,636
outlier · 3.3×
5831
APR_DRG 		6 $101,962.74 $110,119.62 $107,060.93 nat. median
$145,122
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 42 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,825
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
$133,176
0.8× median
73
APR_DRG 		5 $94,210.21 $99,862.73 $98,920.77 nat. median
$89,273
1.1× median
5883
APR_DRG 		6 $93,215.03 $100,672.11 $97,875.84 nat. median
$182,736
0.5× median
5882
APR_DRG 		6 $92,788.99 $100,211.99 $97,428.49 nat. median
$145,336
0.7× median
44
APR_DRG 		6 $92,549.05 $99,952.85 $97,176.56 nat. median
$105,658
0.9× median
8414
APR_DRG 		6 $92,151.20 $99,523.17 $96,758.81 nat. median
$160,267
0.6× median
6314
APR_DRG 		6 $91,230.83 $98,529.17 $95,792.42 nat. median
$122,924
0.8× median
8504
APR_DRG 		6 $88,827.45 $95,933.53 $93,268.87 nat. median
$73,845
1.3× median
5914
APR_DRG 		6 $88,031.74 $95,074.16 $92,433.38 nat. median
$164,279
0.6× median
1613
APR_DRG 		6 $87,928.03 $94,962.16 $92,324.48 nat. median
$119,796
0.8× median
5881
APR_DRG 		6 $87,463.33 $94,460.28 $91,836.54 nat. median
$124,573
0.7× median
7
MS_DRG 		Lung Transplant 27 $82,154.42 $198,900.18 $90,802.26 nat. median
$122,708
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $82,361.87 $199,402.43 $90,164.58 nat. median
$117,303
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
$85,235
1.0× median

Other procedures at this hospital

Browse this hospital's 22,355 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
             
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
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
J9029 HCPCS Instill Adstiladrin, Tx Dose 75 43 — — $63,235.61 $915,200.00 $489,217.80 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 75 43 — — $55,626.47 $348,280.45 $201,953.46 2026-01-13
Q0480 HCPCS Dme Pos 75 43 — — $99,999.96 $200,311.92 $150,155.94 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
J9600 HCPCS Porfimer Sodium Injection 75 43 — — $24,228.42 $123,959.26 $74,093.84 2026-01-13
L7180 HCPCS Dme Pos 75 43 — — $49,026.62 $98,053.24 $73,539.93 2026-01-13
L7181 HCPCS Dme Pos 75 43 — — $48,628.26 $97,256.52 $72,942.39 2026-01-13
J9266 HCPCS Pegaspargase Injection 75 43 — — $27,070.53 $100,221.21 $63,645.87 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
L5856 HCPCS Dme Pos 75 43 — — $29,134.51 $58,269.02 $43,701.76 2026-01-13
L6880 HCPCS Dme Pos 75 43 — — $28,996.90 $57,993.80 $43,495.35 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
408T CPT 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
L6970 HCPCS Dme Pos 75 43 — — $23,053.46 $46,106.92 $34,580.19 2026-01-13
915T CPT 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
L6965 HCPCS Dme Pos 75 43 — — $22,680.77 $45,361.54 $34,021.15 2026-01-13
L5858 HCPCS Dme Pos 75 43 — — $22,555.79 $45,111.58 $33,833.68 2026-01-13
81416 CPT Exome Sequence Analysis 75 43 — — $6,000.00 $61,200.00 $33,600.00 2026-01-13
268T CPT Implt/rpl Crtd Sns Dev Gen 75 43 — — $3,719.00 $61,045.92 $32,382.46 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
L5973 HCPCS Dme Pos 75 43 — — $20,880.34 $41,760.68 $31,320.51 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
L8701 HCPCS Ewh S/d Uprt Micro Sensor 70 42 — — $34,284.44 $68,568.88 $51,426.66 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 59 31 — — $76,835.25 $218,383.88 $147,609.57 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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 45 31 — — $53,269.49 $149,740.31 $61,680.47 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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 45 31 — — $38,401.14 $108,822.00 $44,464.48 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 45 31 — — $36,989.86 $104,243.94 $43,072.34 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 45 31 — — $31,326.53 $87,880.67 $36,477.76 2026-01-13
245 MS_DRG Aicd Generator Procedures 43 31 — — $30,719.90 $81,041.91 $35,570.41 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
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 59 31 — — $1,935.00 $61,045.92 $30,522.96 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
215 MS_DRG Other Heart Assist System Implant 44 30 — — $37,068.00 $176,866.19 $77,118.24 2026-01-13
38240 CPT Transplt Allo Hct/donor 44 30 — — $3,058.00 $118,476.28 $59,238.14 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 58 30 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 58 30 — — $2,242.00 $90,146.80 $45,073.40 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 37 30 — — $38,217.57 $106,725.43 $43,447.34 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
471 MS_DRG Cervical Spinal Fusion With Mcc 37 30 — — $30,534.45 $85,772.20 $34,712.85 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
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
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
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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 29 — — $68,482.35 $193,156.64 $79,295.35 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
850 MS_DRG Acute Leukemia With Other Procedures 36 29 — — $57,908.79 $153,818.70 $65,833.15 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
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
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
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
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
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
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
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
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
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
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
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
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
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
653 MS_DRG Major Bladder Procedures With Mcc 36 29 — — $35,043.62 $92,303.65 $39,839.06 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
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
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
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
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
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
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
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
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
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
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
799 MS_DRG Splenic Procedures With Mcc 36 29 — — $8,745.00 $80,446.85 $33,351.07 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
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
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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 36 29 — — $28,114.22 $80,763.03 $31,961.43 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
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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 36 29 — — $26,586.03 $75,764.52 $30,224.11 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
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
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
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
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
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
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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 27 — — $66,945.34 $162,078.19 $73,992.22 2026-01-13
10 MS_DRG Pancreas Transplant 29 27 — — $50,120.69 $121,344.83 $55,396.55 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 30 27 — — $37,943.49 $91,863.20 $41,538.15 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 29 27 — — $34,204.40 $82,810.65 $37,804.86 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 29 27 — — $30,483.53 $73,802.24 $33,692.33 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
266T CPT Implt/rpl Crtd Sns Dev Total 40 26 — — $3,719.00 $90,146.80 $45,073.40 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
620T CPT Evasc Ven Artlz Tibl/prnl Vn 40 26 — — $2,647.00 $70,114.40 $35,057.20 2026-01-13
571T CPT Insj/rplcmt Icds Ss Eltrd 40 26 — — $2,885.00 $64,227.04 $32,113.52 2026-01-13
674T CPT Laps Insj Nw/rpcmt Prm Isdss 40 26 — — $599.00 $61,045.92 $30,522.96 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 25 — — $2.00 $2,026,882.00 $519,728.78 2026-01-13
L2006 HCPCS Dme Pos 30 25 — — $2,182.12 $77,501.20 $38,750.60 2026-01-13
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
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
5834 APR_DRG — 20 6 — — $274,453.86 $296,409.80 $288,176.70 2026-01-13
5833 APR_DRG — 20 6 — — $232,397.44 $250,988.93 $244,017.44 2026-01-13
5884 APR_DRG — 20 6 — — $173,724.79 $187,622.54 $182,411.12 2026-01-13
1614 APR_DRG — 20 6 — — $168,698.69 $182,194.36 $177,133.71 2026-01-13
94 APR_DRG — 20 6 — — $158,044.11 $170,687.42 $165,946.40 2026-01-13
6304 APR_DRG — 20 6 — — $129,262.82 $139,603.68 $135,726.04 2026-01-13
6094 APR_DRG — 20 6 — — $128,117.32 $138,366.54 $134,523.26 2026-01-13
5832 APR_DRG — 20 6 — — $115,798.34 $125,062.05 $121,588.32 2026-01-13
2004 APR_DRG — 20 6 — — $102,181.36 $110,355.73 $107,290.48 2026-01-13
5831 APR_DRG — 20 6 — — $101,962.74 $110,119.62 $107,060.93 2026-01-13
5883 APR_DRG — 20 6 — — $93,215.03 $100,672.11 $97,875.84 2026-01-13
5882 APR_DRG — 20 6 — — $92,788.99 $100,211.99 $97,428.49 2026-01-13
44 APR_DRG — 20 6 — — $92,549.05 $99,952.85 $97,176.56 2026-01-13
8414 APR_DRG — 20 6 — — $92,151.20 $99,523.17 $96,758.81 2026-01-13
6314 APR_DRG — 20 6 — — $91,230.83 $98,529.17 $95,792.42 2026-01-13
8504 APR_DRG — 20 6 — — $88,827.45 $95,933.53 $93,268.87 2026-01-13
5914 APR_DRG — 20 6 — — $88,031.74 $95,074.16 $92,433.38 2026-01-13
1613 APR_DRG — 20 6 — — $87,928.03 $94,962.16 $92,324.48 2026-01-13
5881 APR_DRG — 20 6 — — $87,463.33 $94,460.28 $91,836.54 2026-01-13
84 APR_DRG — 20 6 — — $79,762.11 $86,142.97 $83,750.26 2026-01-13
6814 APR_DRG — 20 6 — — $78,344.87 $84,612.36 $82,262.16 2026-01-13
1604 APR_DRG — 20 6 — — $78,301.15 $84,565.14 $82,216.25 2026-01-13
93 APR_DRG — 20 6 — — $77,646.73 $83,858.37 $81,529.11 2026-01-13
2464 APR_DRG — 20 6 — — $75,930.29 $82,004.61 $79,726.85 2026-01-13
6034 APR_DRG — 20 6 — — $75,538.58 $81,581.57 $79,315.55 2026-01-13
5891 APR_DRG — 20 6 — — $73,302.15 $79,166.22 $76,967.30 2026-01-13
5934 APR_DRG — 20 6 — — $73,082.81 $78,929.33 $76,736.99 2026-01-13
5892 APR_DRG — 20 6 — — $71,044.76 $76,728.24 $74,597.03 2026-01-13
1624 APR_DRG — 20 6 — — $68,304.60 $73,768.87 $71,719.86 2026-01-13
6024 APR_DRG — 20 6 — — $67,183.67 $72,558.27 $70,542.89 2026-01-13
5893 APR_DRG — 20 6 — — $66,638.38 $71,969.36 $69,970.34 2026-01-13
6214 APR_DRG — 20 6 — — $63,798.49 $68,902.28 $66,988.45 2026-01-13
1612 APR_DRG — 20 6 — — $63,206.58 $68,263.03 $66,366.95 2026-01-13
8634 APR_DRG — 20 6 — — $61,514.72 $66,435.81 $64,590.49 2026-01-13
6303 APR_DRG — 20 6 — — $60,923.90 $65,797.73 $63,970.13 2026-01-13
1611 APR_DRG — 20 6 — — $59,945.71 $64,741.29 $62,943.03 2026-01-13
54 APR_DRG — 20 6 — — $59,524.37 $64,286.24 $62,500.62 2026-01-13
43 APR_DRG — 20 6 — — $59,504.13 $64,264.38 $62,479.37 2026-01-13
5913 APR_DRG — 20 6 — — $57,968.73 $62,606.15 $60,867.20 2026-01-13
6804 APR_DRG — 20 6 — — $57,968.73 $62,606.15 $60,867.20 2026-01-13
6084 APR_DRG — 20 6 — — $57,804.31 $62,428.58 $60,694.56 2026-01-13
4414 APR_DRG — 20 6 — — $56,590.16 $61,117.29 $59,419.70 2026-01-13
83 APR_DRG — 20 6 — — $53,913.23 $58,226.22 $56,608.92 2026-01-13
1784 APR_DRG — 20 6 — — $53,002.98 $57,243.14 $55,653.15 2026-01-13
5933 APR_DRG — 20 6 — — $52,197.15 $56,372.85 $54,807.04 2026-01-13
6114 APR_DRG — 20 6 — — $52,137.17 $56,308.07 $54,744.05 2026-01-13
1674 APR_DRG — 20 6 — — $51,906.62 $56,059.08 $54,501.98 2026-01-13
6904 APR_DRG — 20 6 — — $51,440.47 $55,555.64 $54,012.52 2026-01-13
434 APR_DRG — 20 6 — — $51,125.37 $55,215.33 $53,681.67 2026-01-13
92 APR_DRG — 20 6 — — $51,067.91 $55,153.28 $53,621.34 2026-01-13
91 APR_DRG — 20 6 — — $49,525.65 $53,487.63 $52,001.96 2026-01-13
6334 APR_DRG — 20 6 — — $48,484.58 $52,363.28 $50,908.84 2026-01-13
3034 APR_DRG — 20 6 — — $48,188.99 $52,044.05 $50,598.47 2026-01-13
5912 APR_DRG — 20 6 — — $47,862.32 $51,691.25 $50,255.47 2026-01-13
6074 APR_DRG — 20 6 — — $47,394.01 $51,185.47 $49,763.73 2026-01-13
2204 APR_DRG — 20 6 — — $45,162.27 $48,775.19 $47,420.41 2026-01-13
6134 APR_DRG — 20 6 — — $44,916.19 $48,509.42 $47,162.02 2026-01-13
4474 APR_DRG — 20 6 — — $44,811.03 $48,395.86 $47,051.61 2026-01-13
234 APR_DRG — 20 6 — — $44,147.22 $47,678.94 $46,354.61 2026-01-13
9104 APR_DRG — 20 6 — — $43,987.50 $47,506.45 $46,186.90 2026-01-13
6023 APR_DRG — 20 6 — — $43,420.54 $46,894.12 $45,591.59 2026-01-13
53 APR_DRG — 20 6 — — $42,879.23 $46,309.51 $45,023.21 2026-01-13
9504 APR_DRG — 20 6 — — $42,681.56 $46,096.03 $44,815.67 2026-01-13
6093 APR_DRG — 20 6 — — $41,211.93 $44,508.83 $43,272.55 2026-01-13
264 APR_DRG — 20 6 — — $41,187.00 $44,481.90 $43,246.37 2026-01-13
5932 APR_DRG — 20 6 — — $41,009.21 $44,289.89 $43,059.69 2026-01-13
3033 APR_DRG — 20 6 — — $40,766.02 $44,027.24 $42,804.34 2026-01-13
1824 APR_DRG — 20 6 — — $40,733.13 $43,991.73 $42,769.81 2026-01-13
1634 APR_DRG — 20 6 — — $40,708.92 $43,965.58 $42,744.39 2026-01-13
7924 APR_DRG — 20 6 — — $40,042.58 $43,245.93 $42,044.73 2026-01-13
3044 APR_DRG — 20 6 — — $40,032.82 $43,235.40 $42,034.49 2026-01-13
2054 APR_DRG — 20 6 — — $39,919.72 $43,113.24 $41,915.73 2026-01-13
6954 APR_DRG — 20 6 — — $39,868.41 $43,057.83 $41,861.85 2026-01-13
8413 APR_DRG — 20 6 — — $39,827.57 $43,013.73 $41,818.98 2026-01-13
52 APR_DRG — 20 6 — — $39,158.34 $42,290.96 $41,116.28 2026-01-13
6514 APR_DRG — 20 6 — — $39,027.17 $42,149.29 $40,978.55 2026-01-13
42 APR_DRG — 20 6 — — $38,905.39 $42,017.77 $40,850.68 2026-01-13
6144 APR_DRG — 20 6 — — $38,496.70 $41,576.38 $40,421.56 2026-01-13
1623 APR_DRG — 20 6 — — $38,431.29 $41,505.75 $40,352.88 2026-01-13
214 APR_DRG — 20 6 — — $38,340.23 $41,407.40 $40,257.27 2026-01-13
2304 APR_DRG — 20 6 — — $38,201.83 $41,257.93 $40,111.95 2026-01-13
224 APR_DRG — 20 6 — — $38,051.15 $41,095.19 $39,953.73 2026-01-13
4424 APR_DRG — 20 6 — — $37,842.65 $40,870.01 $39,734.80 2026-01-13
9524 APR_DRG — 20 6 — — $37,610.29 $40,619.07 $39,490.83 2026-01-13
9114 APR_DRG — 20 6 — — $37,266.64 $40,247.93 $39,130.00 2026-01-13
3154 APR_DRG — 20 6 — — $36,596.33 $39,523.99 $38,426.17 2026-01-13
1694 APR_DRG — 20 6 — — $36,472.02 $39,389.74 $38,295.64 2026-01-13
1204 APR_DRG — 20 6 — — $36,323.87 $39,229.73 $38,140.08 2026-01-13
4834 APR_DRG — 20 6 — — $36,185.83 $39,080.65 $37,995.14 2026-01-13
894 APR_DRG — 20 6 — — $35,797.73 $38,661.50 $37,587.64 2026-01-13
9124 APR_DRG — 20 6 — — $35,750.39 $38,610.38 $37,537.93 2026-01-13
1304 APR_DRG — 20 6 — — $35,741.36 $38,600.62 $37,528.45 2026-01-13
1654 APR_DRG — 20 6 — — $35,209.08 $38,025.76 $36,969.56 2026-01-13
5911 APR_DRG — 20 6 — — $34,509.14 $37,269.82 $36,234.61 2026-01-13
2604 APR_DRG — 20 6 — — $34,320.87 $37,066.49 $36,036.93 2026-01-13
1783 APR_DRG — 20 6 — — $33,919.04 $36,632.52 $35,615.01 2026-01-13
1214 APR_DRG — 20 6 — — $33,899.53 $36,611.45 $35,594.52 2026-01-13
6313 APR_DRG — 20 6 — — $33,775.58 $36,477.59 $35,464.38 2026-01-13
6254 APR_DRG — 20 6 — — $33,502.76 $36,182.94 $35,177.92 2026-01-13
6124 APR_DRG — 20 6 — — $33,406.28 $36,078.74 $35,076.61 2026-01-13
1603 APR_DRG — 20 6 — — $33,089.37 $35,736.47 $34,743.86 2026-01-13
2244 APR_DRG — 20 6 — — $33,036.61 $35,679.50 $34,688.46 2026-01-13
6022 APR_DRG — 20 6 — — $32,806.43 $35,430.90 $34,446.77 2026-01-13
3614 APR_DRG — 20 6 — — $32,714.64 $35,331.77 $34,350.39 2026-01-13
914 APR_DRG — 20 6 — — $32,538.66 $35,141.71 $34,165.61 2026-01-13
204 APR_DRG — 20 6 — — $32,206.58 $34,783.06 $33,816.92 2026-01-13
51 APR_DRG — 20 6 — — $31,987.59 $34,546.56 $33,586.99 2026-01-13
41 APR_DRG — 20 6 — — $31,926.16 $34,480.21 $33,522.49 2026-01-13
1814 APR_DRG — 20 6 — — $31,679.00 $34,213.27 $33,262.96 2026-01-13
2274 APR_DRG — 20 6 — — $31,582.15 $34,108.68 $33,161.28 2026-01-13
6604 APR_DRG — 20 6 — — $31,478.44 $33,996.68 $33,052.38 2026-01-13
6234 APR_DRG — 20 6 — — $31,471.94 $33,989.65 $33,045.55 2026-01-13
8424 APR_DRG — 20 6 — — $31,436.53 $33,951.41 $33,008.37 2026-01-13
1834 APR_DRG — 20 6 — — $30,635.04 $33,085.80 $32,166.81 2026-01-13
2614 APR_DRG — 20 6 — — $30,149.02 $32,560.90 $31,656.48 2026-01-13
6073 APR_DRG — 20 6 — — $30,041.33 $32,444.60 $31,543.41 2026-01-13
1833 APR_DRG — 20 6 — — $29,882.70 $32,273.27 $31,376.85 2026-01-13
9514 APR_DRG — 20 6 — — $29,765.62 $32,146.83 $31,253.91 2026-01-13
3032 APR_DRG — 20 6 — — $29,577.71 $31,943.89 $31,056.61 2026-01-13
504 APR_DRG — 20 6 — — $29,278.87 $31,621.14 $30,742.83 2026-01-13
1782 APR_DRG — 20 6 — — $29,111.56 $31,440.45 $30,567.16 2026-01-13
7104 APR_DRG — 20 6 — — $29,062.06 $31,386.98 $30,515.18 2026-01-13
6033 APR_DRG — 20 6 — — $28,806.94 $31,111.46 $30,247.30 2026-01-13
1622 APR_DRG — 20 6 — — $28,697.09 $30,992.82 $30,131.96 2026-01-13
2234 APR_DRG — 20 6 — — $28,366.08 $30,635.33 $29,784.40 2026-01-13
74 APR_DRG — 16 5 — — $266,988.96 $283,008.04 $280,338.56 2026-01-13
24 APR_DRG — 16 5 — — $223,559.76 $236,973.12 $234,737.87 2026-01-13
73 APR_DRG — 16 5 — — $94,210.21 $99,862.73 $98,920.77 2026-01-13
14 APR_DRG — 16 5 — — $80,082.99 $84,887.89 $84,087.19 2026-01-13
64 APR_DRG — 16 5 — — $73,307.93 $77,706.33 $76,973.37 2026-01-13
72 APR_DRG — 16 5 — — $63,298.73 $67,096.59 $66,463.70 2026-01-13
4404 APR_DRG — 16 5 — — $59,797.55 $63,385.35 $62,787.46 2026-01-13
23 APR_DRG — 16 5 — — $55,062.70 $58,366.41 $57,815.87 2026-01-13
63 APR_DRG — 16 5 — — $47,374.49 $50,216.92 $49,743.25 2026-01-13
22 APR_DRG — 16 5 — — $44,233.59 $46,887.56 $46,445.29 2026-01-13
62 APR_DRG — 16 5 — — $42,849.59 $45,420.53 $44,992.10 2026-01-13
61 APR_DRG — 16 5 — — $42,296.36 $44,834.10 $44,411.20 2026-01-13
71 APR_DRG — 16 5 — — $41,564.25 $44,058.06 $43,642.49 2026-01-13
13 APR_DRG — 16 5 — — $41,260.71 $43,736.31 $43,323.77 2026-01-13
4403 APR_DRG — 16 5 — — $36,598.86 $38,794.75 $38,428.82 2026-01-13
21 APR_DRG — 16 5 — — $34,261.97 $36,317.65 $35,975.09 2026-01-13
12 APR_DRG — 16 5 — — $31,692.01 $33,593.49 $33,276.62 2026-01-13
11 APR_DRG — 16 5 — — $30,502.06 $32,332.15 $32,027.18 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 8 3 — — $4,104.77 $91,153.92 $69,720.00 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
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
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
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
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
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
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $47,669.00 $47,669.00 $47,669.00 2026-01-13
C1721 HCPCS Aicd, Dual Chamber 1 1 — — $38,580.24 $38,580.24 $38,580.24 2026-01-13
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