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

HCA HOUSTON HEALTHCARE SOUTHEAST

Pasadena, TX · CCN 450097 · Rates published

59,480 distinct procedures filed
66 distinct payers
3,956,503 rate rows
2026-03-01 last MRF observed
Data quality

3,899,175 of 3,956,503 rate rows are consumer-grade (98.6%)

57,328 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
per-diem day rate — not a per-procedure price 26,741
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 21,848
template filing: same amount across many unrelated codes — excluded 7,342
exceeds 10× this hospital's gross charge — excluded from medians 1,215
placeholder amount (≤ $0.02) — excluded from medians 182
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1801359_HCA-HOUSTON-HEALTHCARE-SOUTHEAST_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://hcahoustonhealthcare.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint a321b16e03ab12d9… · 1,908,249,804 bytes · first seen 2026-05-17

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,006,423
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 22 $5,455.45 $4,910,450.00 $4,617,625.00 nat. median
$9,966
outlier · 463.4×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,469,189
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 24 $3,611,561.66 $4,790,847.10 $3,795,825.01 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,685,267.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 27 $9,877.87 $4,836,939.00 $3,435,894.60 nat. median
$22,747
outlier · 151.0×
714
OTHER 		Inj Delandistrogene Mox R 27 $6,416.35 $4,825,397.00 $3,427,695.80 nat. median
$13,041
outlier · 262.8×
748
OTHER 		Inj, Lovotibeglogene Auto 27 $12,213.45 $4,716,136.60 $3,350,083.24 nat. median
$17,963
outlier · 186.5×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$12,675
outlier · 263.2×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,327,860.00 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 27 $8,728.26 $4,929,000.00 $3,275,400.00 nat. median
$20,756
outlier · 157.8×
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,252,508.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$21
outlier · 153697.4×
746
OTHER 		Inj, Betibeglogene Autote 27 $11,297.57 $4,556,951.95 $3,028,168.07 nat. median
$21,896
outlier · 138.3×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,939,969.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 26 $2,537,201.38 $4,012,920.55 $2,666,650.43 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,588,981.00 $2,588,981.00 $2,588,981.00 nat. median
$2,457,321
1.1× median
824
OTHER 		Inj, Exagamglogene Autote 29 $13,229.17 $4,897,200.00 $2,401,960.00 nat. median
$25,250
outlier · 95.1×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $1,978,603.20 $1,509,600.96 nat. median
$824,563
1.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $1,428,840.00 $1,090,152.00 nat. median
$324,450
outlier · 3.4×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $553,169.00 $1,250,478.00 $969,621.79 nat. median
$675,122
1.4× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $32.24 $1,037,313.00 $934,776.65 nat. median
$754,974
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $527,622.00 $1,128,119.40 $911,665.19 nat. median
$625,184
1.5× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $516,442.00 $1,103,378.76 $905,167.53 nat. median
$674,188
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $8.47 $956,745.00 $878,117.20 nat. median
$634,511
1.4× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $489,399.00 $1,003,071.60 $805,025.05 nat. median
$620,080
1.3× median
2067
OTHER 		Afamitresgene Autoleucel 29 $755,207.60 $1,656,833.00 $793,738.60 nat. median
$786,032
1.0× median
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $545,370.00 $751,275.00 $751,275.00 nat. median
$459,112
1.6× median
9498
OTHER 		Ciltacabtagene Car-pos T 29 $575,896.61 $1,263,446.64 $605,279.09 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $587,649.60 $587,649.60 $587,649.60 nat. median
$554,552
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 29 $555,200.67 $1,218,042.30 $583,527.24 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 29 $550,957.18 $1,208,732.58 $579,067.24 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 29 $546,920.16 $1,199,875.87 $574,824.25 nat. median
$558,082
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $566,531.30 $566,531.30 $566,531.30 nat. median
$538,205
1.1× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $562,201.20 $562,201.20 $562,201.20 nat. median
$534,091
1.1× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $558,081.80 $558,081.80 $558,081.80 nat. median
$530,178
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel C 29 $521,548.36 $1,144,213.23 $548,157.97 nat. median
$532,192
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $532,192.20 $532,192.20 $532,192.20 nat. median
$505,583
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 29 $479,661.20 $1,052,317.93 $504,133.71 nat. median
$489,450
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $489,450.20 $489,450.20 $489,450.20 nat. median
$464,978
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 $2,585.00 $633,491.68 $340,724.78 nat. median
$370,174
0.9× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
5834
APR_DRG 		Neonate With Ecmo 8 $299,176.76 $381,603.01 $320,546.53 nat. median
$309,665
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $291,039.43 $519,713.00 $311,827.96 nat. median
$187,294
1.7× median
831
OTHER 		Obecbtge Autol Up To 400 30 $3,735.66 $598,237.50 $286,597.50 nat. median
$12,362
outlier · 23.2×
00831
OTHER 		Obecbtge Autol Up To 400 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$278,250
1.0× median
897
OTHER 		Revakinagene, Per Implant 29 $259,700.00 $569,750.00 $272,950.00 nat. median
$9,577
outlier · 28.5×

Other procedures at this hospital

Browse this hospital's 59,480 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 42 22 — — $5,455.45 $4,910,450.00 $4,617,625.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 44 24 — — $3,611,561.66 $4,790,847.10 $3,795,825.01 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,685,267.00 $3,685,267.00 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 47 27 — — $9,877.87 $4,836,939.00 $3,435,894.60 2026-03-01
714 OTHER Inj Delandistrogene Mox R 47 27 — — $6,416.35 $4,825,397.00 $3,427,695.80 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 47 27 — — $12,213.45 $4,716,136.60 $3,350,083.24 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,327,860.00 $3,327,860.00 $3,327,860.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 49 27 — — $8,728.26 $4,929,000.00 $3,275,400.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,252,508.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 49 27 — — $11,297.57 $4,556,951.95 $3,028,168.07 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 48 26 — — $2,537,201.38 $4,012,920.55 $2,666,650.43 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,588,981.00 $2,588,981.00 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 51 29 — — $13,229.17 $4,897,200.00 $2,401,960.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 8 2 — — $1,271,523.00 $1,978,603.20 $1,509,600.96 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 2 — — $459,112.50 $1,428,840.00 $1,090,152.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 12 4 — — $553,169.00 $1,250,478.00 $969,621.79 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 4 — — $32.24 $1,037,313.00 $934,776.65 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 12 4 — — $527,622.00 $1,128,119.40 $911,665.19 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 12 4 — — $516,442.00 $1,103,378.76 $905,167.53 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 4 — — $8.47 $956,745.00 $878,117.20 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 12 4 — — $489,399.00 $1,003,071.60 $805,025.05 2026-03-01
2067 OTHER Afamitresgene Autoleucel 51 29 — — $755,207.60 $1,656,833.00 $793,738.60 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 5 1 — — $545,370.00 $751,275.00 $751,275.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 51 29 — — $575,896.61 $1,263,446.64 $605,279.09 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 51 29 — — $555,200.67 $1,218,042.30 $583,527.24 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 51 29 — — $550,957.18 $1,208,732.58 $579,067.24 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 51 29 — — $546,920.16 $1,199,875.87 $574,824.25 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $566,531.30 $566,531.30 $566,531.30 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $562,201.20 $562,201.20 $562,201.20 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 51 29 — — $521,548.36 $1,144,213.23 $548,157.97 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 51 29 — — $479,661.20 $1,052,317.93 $504,133.71 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 59 33 — — $2,585.00 $633,491.68 $340,724.78 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
5834 APR_DRG Neonate With Ecmo 15 8 — — $299,176.76 $381,603.01 $320,546.53 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 14 7 — — $291,039.43 $519,713.00 $311,827.96 2026-03-01
831 OTHER Obecbtge Autol Up To 400 52 30 — — $3,735.66 $598,237.50 $286,597.50 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
897 OTHER Revakinagene, Per Implant 51 29 — — $259,700.00 $569,750.00 $272,950.00 2026-03-01
5833 APR_DRG Neonate With Ecmo 15 8 — — $253,331.88 $323,127.40 $271,427.02 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 14 7 — — $243,698.10 $435,175.00 $261,105.11 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 33 — — $2,585.00 $430,979.56 $222,658.32 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $220,262.20 $220,262.20 $220,262.20 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 52 30 — — $8,174.23 $433,588.35 $207,719.07 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 8 — — $189,373.98 $241,548.45 $202,900.70 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 20 9 — — $183,895.13 $234,560.11 $197,030.49 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $193,614.00 $193,614.00 $193,614.00 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 8 — — $172,280.78 $219,745.89 $184,586.55 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 77 39 — — $2,585.00 $411,408.05 $176,332.91 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 71 37 — — $2,585.00 $413,836.74 $172,261.68 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 4 — — $63,235.60 $432,000.00 $172,200.00 2026-03-01
1908 OTHER New Technology - Level 52 51 29 — — $146,948.65 $322,387.34 $154,446.03 2026-03-01
1907 OTHER New Technology - Level 52 51 29 — — $146,948.65 $322,387.34 $154,446.03 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 8 — — $140,906.87 $179,728.15 $150,971.65 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 8 — — $139,658.18 $178,135.44 $149,633.77 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 13 4 — — $93,760.51 $551,754.93 $147,245.34 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 14 5 — — $57,017.10 $422,905.25 $140,983.85 2026-03-01
1905 OTHER New Technology - Level 51 51 29 — — $132,494.73 $290,677.21 $139,254.66 2026-03-01
1906 OTHER New Technology - Level 51 51 29 — — $132,494.73 $290,677.21 $139,254.66 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 13 4 — — $74,830.84 $325,380.58 $138,148.31 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $136,463.10 $136,463.10 $136,463.10 2026-03-01
5832 APR_DRG Neonate With Ecmo 15 8 — — $126,229.50 $161,007.01 $135,245.89 2026-03-01
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 2 1 — — $134,238.24 $134,238.24 $134,238.24 2026-03-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 5 1 — — $94,790.81 $146,008.42 $130,719.58 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 8 — — $119,863.16 $152,886.69 $128,424.82 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 1 — — $117,866.10 $151,959.60 $127,607.10 2026-03-01
1903 OTHER New Technology - Level 50 51 29 — — $118,040.80 $258,967.07 $124,063.29 2026-03-01
1904 OTHER New Technology - Level 50 51 29 — — $118,040.80 $258,967.07 $124,063.29 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 15 8 — — $111,385.89 $142,073.84 $119,342.02 2026-03-01
5831 APR_DRG Neonate With Ecmo 15 8 — — $111,147.58 $141,769.88 $119,086.69 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 77 39 — — $2,585.00 $268,481.69 $117,761.49 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 54 30 — — $109,262.16 $857,608.46 $115,951.68 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 14 7 — — $102,696.70 $183,387.00 $110,032.18 2026-03-01
1901 OTHER New Technology - Level 49 51 29 — — $103,586.88 $227,256.93 $108,871.93 2026-03-01
1902 OTHER New Technology - Level 49 51 29 — — $103,586.88 $227,256.93 $108,871.93 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 8 — — $101,611.88 $129,606.99 $108,869.87 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 8 — — $101,147.46 $129,014.61 $108,372.27 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 8 — — $100,885.90 $128,681.00 $108,092.04 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $107,674.60 $107,674.60 $107,674.60 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $107,674.60 $107,674.60 $107,674.60 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 8 — — $100,452.21 $128,127.82 $107,627.37 2026-03-01
7 MS_DRG Lung Transplant 55 31 — — $2,585.00 $199,161.13 $107,443.03 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $106,566.90 $106,566.90 $106,566.90 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 8 — — $99,448.93 $126,848.13 $106,552.43 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 15 8 — — $96,829.06 $123,506.45 $103,745.42 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 8 — — $95,961.67 $122,400.09 $102,816.07 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 20 9 — — $95,848.63 $122,255.90 $102,694.96 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 8 — — $95,342.05 $121,609.76 $102,152.20 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 56 32 — — $2,585.00 $184,823.28 $100,249.19 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 57 30 — — $93,179.38 $204,424.15 $99,835.05 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 14 5 — — $45,212.00 $310,073.39 $99,222.35 2026-03-01
1585 OTHER New Technology - Level 48 51 29 — — $91,542.00 $200,831.93 $96,212.51 2026-03-01
1599 OTHER New Technology - Level 48 51 29 — — $91,542.00 $200,831.93 $96,212.51 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $95,505.91 $95,505.91 $95,505.91 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 58 33 — — $2,585.00 $184,000.00 $94,955.07 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 7 — — $87,296.90 $155,887.00 $93,532.39 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 14 7 — — $86,947.11 $155,263.00 $93,157.62 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 79 38 — — $2,585.00 $174,071.83 $92,994.87 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 86 39 — — $2,585.00 $289,075.05 $92,104.71 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 8 — — $85,402.21 $108,931.39 $91,502.37 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 20 9 — — $85,354.54 $108,870.59 $91,451.29 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 87 40 — — $2,585.00 $210,772.68 $91,100.00 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 8 — — $84,641.18 $107,960.69 $90,686.98 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 15 8 — — $82,770.12 $105,574.14 $88,682.28 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 8 — — $82,343.13 $105,029.50 $88,224.78 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 55 31 — — $2,585.00 $158,565.18 $87,074.49 2026-03-01
1584 OTHER New Technology - Level 47 51 29 — — $81,906.04 $179,691.82 $86,084.92 2026-03-01
1598 OTHER New Technology - Level 47 51 29 — — $81,906.04 $179,691.82 $86,084.92 2026-03-01
64 APR_DRG Pancreas Transplant 14 7 — — $79,911.53 $142,699.00 $85,619.50 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 8 — — $79,905.23 $101,919.94 $85,612.75 2026-03-01
215 MS_DRG Other Heart Assist System Implant 92 40 — — $2,585.00 $202,495.51 $85,587.21 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 8 — — $79,666.13 $101,614.96 $85,356.57 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 40 — — $28,050.00 $198,952.80 $84,323.00 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 8 — — $77,444.50 $98,781.25 $82,976.25 2026-03-01
007 OTHER Lung Transplant 1 1 — — $81,903.93 $81,903.93 $81,903.93 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 9 — — $74,457.50 $94,971.30 $79,775.89 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 8 — — $73,235.60 $93,412.75 $78,466.71 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 8 — — $72,641.20 $92,654.59 $77,829.85 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $77,046.96 $77,046.96 $77,046.96 2026-03-01
1597 OTHER New Technology - Level 46 51 29 — — $72,270.09 $158,551.73 $75,957.34 2026-03-01
1583 OTHER New Technology - Level 46 51 29 — — $72,270.09 $158,551.73 $75,957.34 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 86 39 — — $2,585.00 $236,312.80 $75,921.10 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 93 40 — — $28,050.00 $171,438.88 $74,697.56 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 15 8 — — $69,545.47 $88,705.96 $74,513.01 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 73 39 — — $2,585.00 $227,147.34 $74,335.00 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 14 7 — — $69,000.70 $123,216.00 $73,929.32 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 20 9 — — $68,900.25 $87,882.98 $73,821.70 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 8 — — $68,112.44 $86,878.11 $72,977.61 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $72,591.05 $72,591.05 $72,591.05 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 91 39 — — $2,585.00 $220,412.78 $72,358.86 2026-03-01
8634 APR_DRG Neonatal Aftercare 15 8 — — $67,055.98 $85,530.59 $71,845.69 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 8 — — $66,411.94 $84,709.11 $71,155.65 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 52 30 — — $67,425.67 $147,923.65 $70,865.75 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 39 — — $2,585.00 $234,000.00 $70,240.64 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 20 9 — — $65,345.64 $83,349.02 $70,013.18 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $69,912.66 $69,912.66 $69,912.66 2026-03-01
4404 APR_DRG Kidney Transplant 14 7 — — $65,184.14 $116,400.00 $69,840.15 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 8 — — $64,886.34 $82,763.19 $69,521.08 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 8 — — $64,864.29 $82,735.06 $69,497.45 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $69,176.27 $69,176.27 $69,176.27 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 40 — — $28,050.00 $156,153.59 $68,727.47 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 93 40 — — $28,050.00 $155,480.43 $68,464.55 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 79 39 — — $2,585.00 $147,696.52 $68,263.59 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 8 — — $63,190.58 $80,600.23 $67,704.19 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 8 — — $63,190.58 $80,600.23 $67,704.19 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 8 — — $63,011.34 $80,371.61 $67,512.15 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 52 30 — — $12,110.72 $138,190.80 $66,203.03 2026-03-01
4414 APR_DRG Major Bladder Procedures 15 8 — — $61,687.82 $78,683.44 $66,094.09 2026-03-01
1596 OTHER New Technology - Level 45 51 29 — — $62,634.14 $137,411.64 $65,829.76 2026-03-01
1582 OTHER New Technology - Level 45 51 29 — — $62,634.14 $137,411.64 $65,829.76 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
01596 OTHER New Technology - Level 45 1 1 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
5244 OTHER Level 4 Blood Product Exc 51 29 — — $61,923.99 $135,853.66 $65,083.38 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $64,830.03 $64,830.03 $64,830.03 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 87 40 — — $2,585.00 $145,010.94 $64,375.41 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $64,367.62 $64,367.62 $64,367.62 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 14 7 — — $60,022.78 $107,184.00 $64,310.12 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $64,274.79 $64,274.79 $64,274.79 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 86 39 — — $2,585.00 $189,336.66 $63,216.67 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 14 7 — — $58,769.76 $104,946.00 $62,967.60 2026-03-01
10 MS_DRG Pancreas Transplant 55 31 — — $2,585.00 $110,355.09 $62,885.65 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 71 37 — — $2,585.00 $139,028.44 $62,862.50 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $62,616.22 $62,616.22 $62,616.22 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 61 35 — — $2,585.00 $109,723.01 $62,568.51 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 78 39 — — $2,585.00 $133,971.42 $62,422.61 2026-03-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 — — $59,993.88 $65,008.85 $61,913.19 2026-03-01
1784 APR_DRG External Heart Assist Devices 15 8 — — $57,777.51 $73,695.80 $61,904.47 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 78 39 — — $2,585.00 $130,468.91 $61,203.69 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 8 — — $56,899.09 $72,575.38 $60,963.32 2026-03-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 28 13 — — $59,006.10 $63,938.50 $60,893.81 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 8 — — $56,833.70 $72,491.96 $60,893.25 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 20 9 — — $56,582.39 $72,171.41 $60,623.99 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 93 40 — — $16,045.00 $139,875.85 $60,587.76 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 73 39 — — $2,585.00 $135,983.35 $60,178.50 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $60,166.38 $60,166.38 $60,166.38 2026-03-01
6904 APR_DRG Acute Leukemia 15 8 — — $56,074.25 $71,523.28 $60,079.55 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 40 — — $28,050.00 $133,721.88 $59,966.14 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 40 — — $28,050.00 $133,721.88 $59,966.14 2026-03-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 15 8 — — $55,730.76 $71,085.15 $59,711.53 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 8 — — $55,668.13 $71,005.26 $59,644.42 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 78 39 — — $2,585.00 $126,985.79 $59,273.79 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 86 39 — — $2,585.00 $175,251.69 $58,783.49 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 51 29 — — $55,688.06 $122,172.78 $58,529.29 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 13 4 — — $39,976.89 $204,927.75 $58,512.24 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 78 39 — — $2,585.00 $124,723.79 $58,217.95 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 8 — — $53,986.94 $68,860.89 $57,843.15 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $57,715.38 $57,715.38 $57,715.38 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $57,050.54 $57,050.54 $57,050.54 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $56,824.55 $56,824.55 $56,824.55 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 15 8 — — $52,852.09 $67,413.38 $56,627.24 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 39 — — $28,050.00 $124,633.27 $56,416.33 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 8 — — $52,529.87 $67,002.39 $56,282.01 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 51 29 — — $53,316.03 $116,968.84 $56,036.23 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 78 39 — — $2,585.00 $118,649.16 $56,016.58 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 8 — — $52,173.78 $66,548.19 $55,900.48 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 93 40 — — $28,050.00 $156,000.00 $55,893.67 2026-03-01
1595 OTHER New Technology - Level 44 51 29 — — $52,998.19 $116,271.55 $55,702.18 2026-03-01
1581 OTHER New Technology - Level 44 51 29 — — $52,998.19 $116,271.55 $55,702.18 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 87 40 — — $2,585.00 $122,156.22 $55,448.85 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 8 — — $51,663.28 $65,897.04 $55,353.51 2026-03-01
63 APR_DRG Pancreas Transplant 14 7 — — $51,642.00 $92,217.90 $55,330.72 2026-03-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 28 13 — — $53,496.82 $57,968.69 $55,208.28 2026-03-01
01595 OTHER New Technology - Level 44 1 1 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 78 39 — — $2,585.00 $116,458.88 $55,053.92 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $54,404.11 $54,404.11 $54,404.11 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 94 40 — — $28,050.00 $162,886.28 $54,352.69 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $54,001.65 $54,001.65 $54,001.65 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 78 39 — — $2,585.00 $153,839.57 $53,831.44 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $53,827.36 $53,827.36 $53,827.36 2026-03-01
B1903 OTHER Guillian Barre; M < 18.05 28 13 — — $52,121.86 $56,478.80 $53,789.33 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 91 39 — — $2,585.00 $156,406.15 $53,528.95 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 30 — — $2,585.00 $91,396.71 $53,271.22 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 79 39 — — $2,585.00 $276,485.37 $53,254.15 2026-03-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 28 13 — — $51,462.72 $55,764.55 $53,109.10 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 78 39 — — $2,585.00 $110,473.41 $53,009.50 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 15 8 — — $49,230.51 $62,794.01 $52,746.97 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 8 — — $48,962.26 $62,451.86 $52,459.56 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 15 8 — — $48,847.63 $62,305.65 $52,336.75 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 55 30 — — $6,270.00 $78,575.13 $52,331.09 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 54 30 — — $49,007.06 $384,659.87 $52,007.49 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 86 39 — — $2,585.00 $151,265.27 $51,705.25 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 14 7 — — $48,218.17 $86,103.90 $51,662.32 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 54 30 — — $48,608.78 $381,534.40 $51,584.83 2026-03-01
234 APR_DRG Spinal Procedures 15 8 — — $48,124.02 $61,382.68 $51,561.45 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 15 8 — — $47,949.91 $61,160.60 $51,374.90 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 93 40 — — $28,050.00 $111,094.93 $51,128.56 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 40 — — $28,050.00 $108,453.15 $50,784.00 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 55 31 — — $2,585.00 $87,092.83 $50,762.68 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 8 — — $47,333.84 $60,374.80 $50,714.83 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 8 — — $47,331.87 $60,372.29 $50,712.72 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 86 39 — — $2,585.00 $147,459.44 $50,694.00 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 78 39 — — $2,585.00 $144,005.57 $50,637.62 2026-03-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 — — $49,037.65 $53,136.78 $50,606.45 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $50,593.22 $50,593.22 $50,593.22 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 79 38 — — $2,585.00 $87,766.42 $50,541.22 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 78 39 — — $2,585.00 $106,034.70 $50,472.36 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 73 39 — — $2,585.00 $107,889.65 $50,466.38 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 91 39 — — $2,585.00 $160,614.36 $50,133.03 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 8 — — $46,741.81 $59,619.65 $50,080.51 2026-03-01
62 APR_DRG Pancreas Transplant 14 7 — — $46,709.50 $83,409.80 $50,045.90 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 8 — — $46,526.33 $59,344.81 $49,849.64 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 78 39 — — $2,585.00 $234,000.00 $49,786.96 2026-03-01
B2102 OTHER Burns; M=12-45 28 13 — — $48,068.76 $52,086.89 $49,606.56 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 78 39 — — $2,585.00 $105,716.82 $49,603.21 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 55 31 — — $2,585.00 $84,811.81 $49,433.17 2026-03-01
61 APR_DRG Pancreas Transplant 14 7 — — $46,106.43 $82,332.90 $49,399.75 2026-03-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 — — $47,747.69 $51,738.98 $49,275.22 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 40 — — $28,050.00 $102,502.55 $49,137.49 2026-03-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 28 13 — — $47,521.04 $51,493.39 $49,041.32 2026-03-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 28 13 — — $47,505.93 $51,477.02 $49,025.73 2026-03-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 28 13 — — $47,492.71 $51,462.69 $49,012.09 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $48,914.98 $48,914.98 $48,914.98 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 14 7 — — $45,308.37 $80,907.80 $48,544.68 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 78 39 — — $2,585.00 $100,721.82 $48,313.10 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $48,273.80 $48,273.80 $48,273.80 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 14 7 — — $44,977.49 $80,316.90 $48,190.17 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 8 — — $44,924.32 $57,301.43 $48,133.20 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 15 8 — — $44,897.13 $57,266.75 $48,104.07 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 93 40 — — $16,045.00 $107,304.11 $47,987.95 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 93 40 — — $28,050.00 $102,000.00 $47,931.36 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 8 — — $44,703.34 $57,019.56 $47,896.43 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 86 39 — — $2,585.00 $139,790.08 $47,826.68 2026-03-01
B0604 OTHER Neurological; M < 25.85 28 13 — — $46,268.85 $50,136.52 $47,749.07 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 91 39 — — $2,585.00 $151,378.24 $47,682.36 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 8 — — $44,438.24 $56,681.43 $47,612.40 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 15 8 — — $44,402.39 $56,635.70 $47,573.99 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 20 9 — — $44,376.00 $56,602.04 $47,545.71 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 14 5 — — $27,070.50 $146,379.64 $47,307.21 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 79 39 — — $2,585.00 $95,724.88 $46,965.54 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $46,943.55 $46,943.55 $46,943.55 2026-03-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 28 13 — — $45,345.29 $49,135.76 $46,795.96 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 15 8 — — $43,649.63 $55,675.55 $46,767.46 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 8 — — $43,639.00 $55,661.99 $46,756.07 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 78 39 — — $2,585.00 $96,670.77 $46,676.69 2026-03-01
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