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 MOTHER FRANCES HOSPITAL

Tyler, TX · CCN 450102 · Rates published

18,124 distinct procedures filed
25 distinct payers
2,011,890 rate rows
2026-01-12 last MRF observed
Data quality

1,611,639 of 2,011,890 rate rows are consumer-grade (80.1%)

400,251 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 379,689
per-diem day rate — not a per-procedure price 18,189
template filing: same amount across many unrelated codes — excluded 2,139
placeholder amount (≤ $0.02) — excluded from medians 234
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/750818167_motherfranceshospitalsouthtyler_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 30943c1f83d3cb67… · 133,237,084 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 17 $3,506,766.20 $4,909,472.68 $3,506,766.20 nat. median
$3,710,000
0.9× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 17 $3,506,766.20 $4,909,472.68 $3,506,766.20 nat. median
$3,710,000
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 25 $2,271,797.28 $4,543,594.56 $3,407,695.92 nat. median
$2,468,984
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 25 $2,204,253.04 $4,408,506.08 $3,306,379.56 nat. median
$2,448,600
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $3,139,814.32 $4,395,740.05 $3,139,814.32 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 17 $3,018,087.46 $4,225,322.44 $3,018,087.46 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 17 $2,805,412.96 $3,927,578.14 $2,805,412.96 nat. median
$3,004,655
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 25 $521,117.12 $1,134,693.00 $827,905.06 nat. median
$674,867
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 25 $508,971.54 $1,069,277.94 $789,124.74 nat. median
$753,246
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 25 $499,371.48 $1,023,663.90 $761,517.69 nat. median
$625,184
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 25 $488,192.87 $1,001,214.06 $744,703.46 nat. median
$673,137
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $462,701.40 $925,402.80 $694,052.10 nat. median
$634,303
1.1× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 25 $461,316.05 $922,632.10 $691,974.07 nat. median
$619,808
1.1× median
Q3001
HCPCS 		Brachytherapy Radioelements 17 $573,228.83 $573,228.83 $573,228.83 nat. median
$402
outlier · 1426.2×
5834
APR_DRG 		5 $307,273.09 $322,636.48 $322,636.48 nat. median
$309,665
1.0× median
74
APR_DRG 		5 $298,915.54 $313,861.06 $313,861.06 nat. median
$187,061
1.7× median
5833
APR_DRG 		5 $260,187.56 $273,196.71 $273,196.71 nat. median
$244,017
1.1× median
24
APR_DRG 		5 $250,293.06 $262,807.50 $262,807.50 nat. median
$234,729
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $223,264.83 $624,146.84 $253,816.86 nat. median
$370,174
0.7× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 25 $59,928.88 $392,000.00 $225,964.44 nat. median
$69,774
outlier · 3.2×
5884
APR_DRG 		5 $194,498.82 $204,223.59 $204,223.59 nat. median
$246,434
0.8× median
1614
APR_DRG 		5 $188,871.70 $198,315.12 $198,315.12 nat. median
$207,730
1.0× median
94
APR_DRG 		5 $176,943.04 $185,790.04 $185,790.04 nat. median
$164,834
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 18 $166,760.11 $466,185.37 $180,803.07 nat. median
$265,286
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $140,442.16 $392,612.34 $152,268.87 nat. median
$206,474
0.7× median
6304
APR_DRG 		5 $144,720.09 $151,955.97 $151,955.97 nat. median
$150,721
1.0× median
6094
APR_DRG 		5 $143,437.61 $150,609.37 $150,609.37 nat. median
$162,982
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $126,877.94 $354,692.98 $142,236.85 nat. median
$202,976
0.7× median
5832
APR_DRG 		5 $129,645.52 $136,127.68 $136,127.68 nat. median
$156,126
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 25 $52,494.21 $588,102.87 $127,256.32 nat. median
$66,682
1.9× median
2004
APR_DRG 		5 $114,400.22 $120,120.13 $120,120.13 nat. median
$32,541
outlier · 3.7×
5831
APR_DRG 		5 $114,155.46 $119,863.13 $119,863.13 nat. median
$144,745
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 25 $66,220.00 $186,433.40 $114,432.54 nat. median
$96,983
1.2× median
100T
CPT 		Prosth Retina Receive&gen 4 $2,406.64 $268,400.88 $113,554.32 —
73
APR_DRG 		5 $105,475.88 $110,749.58 $110,749.58 nat. median
$89,273
1.2× median
5883
APR_DRG 		5 $104,361.70 $109,579.69 $109,579.69 nat. median
$182,665
0.6× median
5882
APR_DRG 		5 $103,884.71 $109,078.86 $109,078.86 nat. median
$145,336
0.8× median
44
APR_DRG 		5 $103,616.08 $108,796.80 $108,796.80 nat. median
$105,658
1.0× median
8414
APR_DRG 		5 $103,170.65 $108,329.10 $108,329.10 nat. median
$160,267
0.7× median
Q0480
HCPCS 		Dme Pos 25 $15,986.14 $199,999.92 $107,993.03 nat. median
$111,989
1.0× median
6314
APR_DRG 		5 $102,140.22 $107,247.14 $107,247.14 nat. median
$122,924
0.9× median
8504
APR_DRG 		5 $99,449.45 $104,421.83 $104,421.83 nat. median
$73,845
1.4× median
5914
APR_DRG 		5 $98,558.59 $103,486.43 $103,486.43 nat. median
$164,289
0.6× median
1613
APR_DRG 		5 $98,442.48 $103,364.52 $103,364.52 nat. median
$119,796
0.9× median
5881
APR_DRG 		5 $97,922.21 $102,818.23 $102,818.23 nat. median
$124,573
0.8× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 25 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,825
1.4× median
14
APR_DRG 		5 $89,659.33 $94,142.22 $94,142.22 nat. median
$129,535
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $83,651.49 $233,851.50 $93,777.73 nat. median
$133,161
0.7× median
84
APR_DRG 		5 $89,300.07 $93,765.00 $93,765.00 nat. median
$79,774
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 25 $53,711.70 $133,611.51 $93,661.60 nat. median
$62,507
1.5× median

Other procedures at this hospital

Browse this hospital's 18,124 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 63 17 — — $3,506,766.20 $4,909,472.68 $3,506,766.20 2026-01-12
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 63 17 — — $3,506,766.20 $4,909,472.68 $3,506,766.20 2026-01-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 138 25 — — $2,271,797.28 $4,543,594.56 $3,407,695.92 2026-01-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 138 25 — — $2,204,253.04 $4,408,506.08 $3,306,379.56 2026-01-12
J1413 HCPCS Inj Delandistrogene Mox Rokl 63 17 — — $3,139,814.32 $4,395,740.05 $3,139,814.32 2026-01-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 63 17 — — $3,018,087.46 $4,225,322.44 $3,018,087.46 2026-01-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 63 17 — — $2,805,412.96 $3,927,578.14 $2,805,412.96 2026-01-12
Q2056 HCPCS Ciltacabtagene Car-pos T 138 25 — — $521,117.12 $1,134,693.00 $827,905.06 2026-01-12
Q2042 HCPCS Tisagenlecleucel Car-pos T 138 25 — — $508,971.54 $1,069,277.94 $789,124.74 2026-01-12
Q2055 HCPCS Idecabtagene Vicleucel Car 138 25 — — $499,371.48 $1,023,663.90 $761,517.69 2026-01-12
Q2054 HCPCS Lisocabtagene Mara Car Pos T 138 25 — — $488,192.87 $1,001,214.06 $744,703.46 2026-01-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 138 25 — — $462,701.40 $925,402.80 $694,052.10 2026-01-12
Q2053 HCPCS Brexucabtagene Car Pos T 138 25 — — $461,316.05 $922,632.10 $691,974.07 2026-01-12
Q3001 HCPCS Brachytherapy Radioelements 102 17 — — $573,228.83 $573,228.83 $573,228.83 2026-01-12
5834 APR_DRG — 30 5 — — $307,273.09 $322,636.48 $322,636.48 2026-01-12
74 APR_DRG — 30 5 — — $298,915.54 $313,861.06 $313,861.06 2026-01-12
5833 APR_DRG — 30 5 — — $260,187.56 $273,196.71 $273,196.71 2026-01-12
24 APR_DRG — 30 5 — — $250,293.06 $262,807.50 $262,807.50 2026-01-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 81 19 — — $223,264.83 $624,146.84 $253,816.86 2026-01-12
J9029 HCPCS Instill Adstiladrin, Tx Dose 138 25 — — $59,928.88 $392,000.00 $225,964.44 2026-01-12
5884 APR_DRG — 30 5 — — $194,498.82 $204,223.59 $204,223.59 2026-01-12
1614 APR_DRG — 30 5 — — $188,871.70 $198,315.12 $198,315.12 2026-01-12
94 APR_DRG — 30 5 — — $176,943.04 $185,790.04 $185,790.04 2026-01-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 63 18 — — $166,760.11 $466,185.37 $180,803.07 2026-01-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 69 19 — — $140,442.16 $392,612.34 $152,268.87 2026-01-12
6304 APR_DRG — 30 5 — — $144,720.09 $151,955.97 $151,955.97 2026-01-12
6094 APR_DRG — 30 5 — — $143,437.61 $150,609.37 $150,609.37 2026-01-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 84 19 — — $126,877.94 $354,692.98 $142,236.85 2026-01-12
5832 APR_DRG — 30 5 — — $129,645.52 $136,127.68 $136,127.68 2026-01-12
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 138 25 — — $52,494.21 $588,102.87 $127,256.32 2026-01-12
2004 APR_DRG — 30 5 — — $114,400.22 $120,120.13 $120,120.13 2026-01-12
5831 APR_DRG — 30 5 — — $114,155.46 $119,863.13 $119,863.13 2026-01-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 138 25 — — $66,220.00 $186,433.40 $114,432.54 2026-01-12
100T CPT Prosth Retina Receive&gen 30 4 — — $2,406.64 $268,400.88 $113,554.32 2026-01-12
73 APR_DRG — 30 5 — — $105,475.88 $110,749.58 $110,749.58 2026-01-12
5883 APR_DRG — 30 5 — — $104,361.70 $109,579.69 $109,579.69 2026-01-12
5882 APR_DRG — 30 5 — — $103,884.71 $109,078.86 $109,078.86 2026-01-12
44 APR_DRG — 30 5 — — $103,616.08 $108,796.80 $108,796.80 2026-01-12
8414 APR_DRG — 30 5 — — $103,170.65 $108,329.10 $108,329.10 2026-01-12
Q0480 HCPCS Dme Pos 138 25 — — $15,986.14 $199,999.92 $107,993.03 2026-01-12
6314 APR_DRG — 30 5 — — $102,140.22 $107,247.14 $107,247.14 2026-01-12
8504 APR_DRG — 30 5 — — $99,449.45 $104,421.83 $104,421.83 2026-01-12
5914 APR_DRG — 30 5 — — $98,558.59 $103,486.43 $103,486.43 2026-01-12
1613 APR_DRG — 30 5 — — $98,442.48 $103,364.52 $103,364.52 2026-01-12
5881 APR_DRG — 30 5 — — $97,922.21 $102,818.23 $102,818.23 2026-01-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 123 25 — — $67,452.66 $134,905.32 $101,178.99 2026-01-12
14 APR_DRG — 30 5 — — $89,659.33 $94,142.22 $94,142.22 2026-01-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 84 19 — — $83,651.49 $233,851.50 $93,777.73 2026-01-12
84 APR_DRG — 30 5 — — $89,300.07 $93,765.00 $93,765.00 2026-01-12
A9543 HCPCS Y90 Ibritumomab, Rx 138 25 — — $53,711.70 $133,611.51 $93,661.60 2026-01-12
6814 APR_DRG — 30 5 — — $87,713.36 $92,098.95 $92,098.95 2026-01-12
1604 APR_DRG — 30 5 — — $87,664.41 $92,047.55 $92,047.55 2026-01-12
93 APR_DRG — 30 5 — — $86,931.74 $91,278.25 $91,278.25 2026-01-12
2464 APR_DRG — 30 5 — — $85,010.05 $89,260.47 $89,260.47 2026-01-12
6034 APR_DRG — 30 5 — — $84,571.49 $88,800.00 $88,800.00 2026-01-12
64 APR_DRG — 30 5 — — $82,074.10 $86,177.74 $86,177.74 2026-01-12
5891 APR_DRG — 30 5 — — $82,067.63 $86,170.94 $86,170.94 2026-01-12
5934 APR_DRG — 30 5 — — $81,822.06 $85,913.09 $85,913.09 2026-01-12
14 MS_DRG Allogeneic Bone Marrow Transplant 66 19 — — $77,564.41 $216,834.79 $84,096.15 2026-01-12
7 MS_DRG Lung Transplant 63 18 — — $77,369.05 $216,288.64 $83,884.33 2026-01-12
5892 APR_DRG — 30 5 — — $79,540.30 $83,517.25 $83,517.25 2026-01-12
1624 APR_DRG — 30 5 — — $76,472.47 $80,296.03 $80,296.03 2026-01-12
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 102 17 — — $65,742.01 $93,261.92 $79,501.96 2026-01-12
J7330 HCPCS Cultured Chondrocytes Implnt 102 17 — — $65,286.09 $93,538.55 $79,412.32 2026-01-12
6024 APR_DRG — 30 5 — — $75,217.50 $78,978.31 $78,978.31 2026-01-12
5893 APR_DRG — 30 5 — — $74,607.01 $78,337.30 $78,337.30 2026-01-12
6214 APR_DRG — 30 5 — — $71,427.52 $74,998.83 $74,998.83 2026-01-12
72 APR_DRG — 30 5 — — $70,868.00 $74,411.34 $74,411.34 2026-01-12
1612 APR_DRG — 30 5 — — $70,764.84 $74,303.02 $74,303.02 2026-01-12
L7180 HCPCS Dme Pos 138 25 — — $49,026.62 $98,053.24 $73,539.93 2026-01-12
L7181 HCPCS Dme Pos 138 25 — — $48,628.26 $97,256.52 $72,942.39 2026-01-12
8634 APR_DRG — 30 5 — — $68,870.65 $72,314.13 $72,314.13 2026-01-12
6303 APR_DRG — 30 5 — — $68,209.19 $71,619.59 $71,619.59 2026-01-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 63 18 — — $65,238.10 $182,376.04 $70,731.83 2026-01-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 90 20 — — $30,294.00 $180,294.05 $70,603.24 2026-01-12
1611 APR_DRG — 30 5 — — $67,114.02 $70,469.67 $70,469.67 2026-01-12
4404 APR_DRG — 30 5 — — $66,948.15 $70,295.50 $70,295.50 2026-01-12
54 APR_DRG — 30 5 — — $66,642.30 $69,974.36 $69,974.36 2026-01-12
43 APR_DRG — 30 5 — — $66,619.64 $69,950.57 $69,950.57 2026-01-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 84 19 — — $62,015.77 $173,367.87 $69,522.95 2026-01-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 63 18 — — $63,045.88 $176,247.57 $68,355.00 2026-01-12
6804 APR_DRG — 30 5 — — $64,900.64 $68,145.61 $68,145.61 2026-01-12
5913 APR_DRG — 30 5 — — $64,900.64 $68,145.61 $68,145.61 2026-01-12
215 MS_DRG Other Heart Assist System Implant 96 20 — — $19,215.00 $175,343.94 $68,004.54 2026-01-12
6084 APR_DRG — 30 5 — — $64,716.56 $67,952.33 $67,952.33 2026-01-12
4414 APR_DRG — 30 5 — — $63,357.22 $66,525.02 $66,525.02 2026-01-12
J9226 HCPCS Supprelin La Implant 138 25 — — $42,782.36 $90,035.10 $66,408.73 2026-01-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 105 21 — — $30,294.00 $159,725.71 $66,157.25 2026-01-12
23 APR_DRG — 30 5 — — $61,647.11 $64,729.41 $64,729.41 2026-01-12
Q0481 HCPCS Dme Pos 138 25 — — $17,635.28 $109,999.96 $63,817.62 2026-01-12
83 APR_DRG — 30 5 — — $60,360.18 $63,378.14 $63,378.14 2026-01-12
1784 APR_DRG — 30 5 — — $59,341.08 $62,308.08 $62,308.08 2026-01-12
5933 APR_DRG — 30 5 — — $58,438.89 $61,360.79 $61,360.79 2026-01-12
6114 APR_DRG — 30 5 — — $58,371.74 $61,290.27 $61,290.27 2026-01-12
850 MS_DRG Acute Leukemia With Other Procedures 84 19 — — $54,535.68 $152,456.95 $61,137.37 2026-01-12
1674 APR_DRG — 30 5 — — $58,113.62 $61,019.25 $61,019.25 2026-01-12
6904 APR_DRG — 30 5 — — $57,591.73 $60,471.27 $60,471.27 2026-01-12
434 APR_DRG — 30 5 — — $57,238.95 $60,100.85 $60,100.85 2026-01-12
92 APR_DRG — 30 5 — — $57,174.62 $60,033.30 $60,033.30 2026-01-12
999 MS_DRG Ungroupable 3 1 — — $58,341.67 $58,341.67 $58,341.67 2026-01-12
91 APR_DRG — 30 5 — — $55,447.93 $58,220.28 $58,220.28 2026-01-12
6334 APR_DRG — 30 5 — — $54,282.37 $56,996.44 $56,996.44 2026-01-12
3034 APR_DRG — 30 5 — — $53,951.44 $56,648.96 $56,648.96 2026-01-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 105 21 — — $30,294.00 $140,243.05 $56,407.00 2026-01-12
5912 APR_DRG — 30 5 — — $53,585.71 $56,264.95 $56,264.95 2026-01-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 19 — — $50,138.80 $140,165.26 $56,208.22 2026-01-12
38240 CPT Transplt Allo Hct/donor 90 18 — — $2,050.00 $111,805.02 $55,902.51 2026-01-12
6074 APR_DRG — 30 5 — — $53,061.39 $55,714.41 $55,714.41 2026-01-12
63 APR_DRG — 30 5 — — $53,039.54 $55,691.47 $55,691.47 2026-01-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 84 19 — — $49,377.47 $138,036.93 $55,354.74 2026-01-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 105 21 — — $30,294.00 $129,361.42 $53,580.58 2026-01-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 84 19 — — $47,722.79 $133,411.21 $53,499.76 2026-01-12
2204 APR_DRG — 30 5 — — $50,562.78 $53,090.88 $53,090.88 2026-01-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 21 — — $30,294.00 $128,055.63 $53,039.72 2026-01-12
6134 APR_DRG — 30 5 — — $50,287.27 $52,801.59 $52,801.59 2026-01-12
4474 APR_DRG — 30 5 — — $50,169.54 $52,677.98 $52,677.98 2026-01-12
22 APR_DRG — 30 5 — — $49,523.05 $51,999.16 $51,999.16 2026-01-12
234 APR_DRG — 30 5 — — $49,426.35 $51,897.63 $51,897.63 2026-01-12
9104 APR_DRG — 30 5 — — $49,247.54 $51,709.87 $51,709.87 2026-01-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 123 25 — — $34,284.44 $68,568.88 $51,426.66 2026-01-12
10 MS_DRG Pancreas Transplant 63 18 — — $47,201.23 $131,953.15 $51,176.07 2026-01-12
6023 APR_DRG — 30 5 — — $48,612.77 $51,043.37 $51,043.37 2026-01-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 66 19 — — $46,930.67 $131,196.82 $50,882.73 2026-01-12
53 APR_DRG — 30 5 — — $48,006.73 $50,407.02 $50,407.02 2026-01-12
62 APR_DRG — 30 5 — — $47,973.55 $50,372.19 $50,372.19 2026-01-12
9504 APR_DRG — 30 5 — — $47,785.43 $50,174.66 $50,174.66 2026-01-12
61 APR_DRG — 30 5 — — $47,354.16 $49,721.83 $49,721.83 2026-01-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 19 — — $44,189.06 $123,532.51 $49,538.26 2026-01-12
71 APR_DRG — 30 5 — — $46,534.51 $48,861.20 $48,861.20 2026-01-12
13 APR_DRG — 30 5 — — $46,194.67 $48,504.37 $48,504.37 2026-01-12
6093 APR_DRG — 30 5 — — $46,140.06 $48,447.02 $48,447.02 2026-01-12
264 APR_DRG — 30 5 — — $46,112.14 $48,417.71 $48,417.71 2026-01-12
5932 APR_DRG — 30 5 — — $45,913.10 $48,208.71 $48,208.71 2026-01-12
3033 APR_DRG — 30 5 — — $45,640.82 $47,922.82 $47,922.82 2026-01-12
1824 APR_DRG — 30 5 — — $45,604.01 $47,884.17 $47,884.17 2026-01-12
1634 APR_DRG — 30 5 — — $45,576.90 $47,855.71 $47,855.71 2026-01-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 84 19 — — $42,048.94 $117,549.69 $47,139.07 2026-01-12
7924 APR_DRG — 30 5 — — $44,830.88 $47,072.38 $47,072.38 2026-01-12
3044 APR_DRG — 30 5 — — $44,819.96 $47,060.91 $47,060.91 2026-01-12
2054 APR_DRG — 30 5 — — $44,693.33 $46,927.95 $46,927.95 2026-01-12
6954 APR_DRG — 30 5 — — $44,635.88 $46,867.63 $46,867.63 2026-01-12
8413 APR_DRG — 30 5 — — $44,590.16 $46,819.63 $46,819.63 2026-01-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 19 — — $41,183.41 $115,130.08 $46,168.78 2026-01-12
52 APR_DRG — 30 5 — — $43,840.90 $46,032.91 $46,032.91 2026-01-12
6514 APR_DRG — 30 5 — — $43,694.05 $45,878.71 $45,878.71 2026-01-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 19 — — $26,114.00 $116,958.85 $45,801.15 2026-01-12
42 APR_DRG — 30 5 — — $43,557.71 $45,735.55 $45,735.55 2026-01-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 19 — — $40,424.45 $113,008.37 $45,317.93 2026-01-12
6144 APR_DRG — 30 5 — — $43,100.14 $45,255.11 $45,255.11 2026-01-12
A9699 HCPCS Radiopharm Rx Agent Noc 102 17 — — $45,221.05 $45,221.05 $45,221.05 2026-01-12
1623 APR_DRG — 30 5 — — $43,026.91 $45,178.22 $45,178.22 2026-01-12
214 APR_DRG — 30 5 — — $42,924.96 $45,071.17 $45,071.17 2026-01-12
2304 APR_DRG — 30 5 — — $42,770.01 $44,908.48 $44,908.48 2026-01-12
224 APR_DRG — 30 5 — — $42,601.31 $44,731.34 $44,731.34 2026-01-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 84 19 — — $39,692.72 $110,962.79 $44,497.62 2026-01-12
4424 APR_DRG — 30 5 — — $42,367.87 $44,486.23 $44,486.23 2026-01-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 105 21 — — $30,294.00 $106,878.25 $44,268.20 2026-01-12
9524 APR_DRG — 30 5 — — $42,107.74 $44,213.09 $44,213.09 2026-01-12
9114 APR_DRG — 30 5 — — $41,722.99 $43,809.11 $43,809.11 2026-01-12
L5856 HCPCS Dme Pos 138 25 — — $29,134.51 $58,269.02 $43,701.76 2026-01-12
L6880 HCPCS Dme Pos 138 25 — — $28,996.90 $57,993.80 $43,495.35 2026-01-12
4403 APR_DRG — 30 5 — — $40,975.35 $43,024.09 $43,024.09 2026-01-12
3154 APR_DRG — 30 5 — — $40,972.52 $43,021.11 $43,021.11 2026-01-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 19 — — $38,286.69 $107,032.16 $42,921.40 2026-01-12
1694 APR_DRG — 30 5 — — $40,833.35 $42,874.98 $42,874.98 2026-01-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 69 19 — — $39,539.98 $110,535.80 $42,869.66 2026-01-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 20 — — $30,294.00 $110,348.78 $42,797.14 2026-01-12
1204 APR_DRG — 30 5 — — $40,667.48 $42,700.82 $42,700.82 2026-01-12
4834 APR_DRG — 30 5 — — $40,512.93 $42,538.55 $42,538.55 2026-01-12
266T CPT Implt/rpl Crtd Sns Dev Total 87 18 — — $2,050.00 $85,070.74 $42,535.37 2026-01-12
894 APR_DRG — 30 5 — — $40,078.43 $42,082.32 $42,082.32 2026-01-12
9124 APR_DRG — 30 5 — — $40,025.43 $42,026.67 $42,026.67 2026-01-12
1304 APR_DRG — 30 5 — — $40,015.32 $42,016.05 $42,016.05 2026-01-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 19 — — $37,440.71 $104,667.17 $41,973.00 2026-01-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 105 21 — — $30,294.00 $101,098.99 $41,874.48 2026-01-12
1654 APR_DRG — 30 5 — — $39,419.39 $41,390.33 $41,390.33 2026-01-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 84 19 — — $36,457.37 $101,918.21 $40,870.63 2026-01-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 84 19 — — $36,330.09 $101,562.39 $40,727.94 2026-01-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 90 19 — — $35,466.34 $99,147.74 $40,692.96 2026-01-12
5911 APR_DRG — 30 5 — — $38,635.74 $40,567.50 $40,567.50 2026-01-12
28 MS_DRG Spinal Procedures With Mcc 84 19 — — $35,991.45 $100,615.73 $40,348.32 2026-01-12
2604 APR_DRG — 30 5 — — $38,424.96 $40,346.18 $40,346.18 2026-01-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 105 21 — — $30,294.00 $97,383.51 $40,335.56 2026-01-12
21 APR_DRG — 30 5 — — $38,359.02 $40,276.94 $40,276.94 2026-01-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 90 19 — — $13,853.00 $102,517.32 $40,145.84 2026-01-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 90 19 — — $30,390.00 $102,384.92 $40,093.99 2026-01-12
1783 APR_DRG — 30 5 — — $37,975.09 $39,873.81 $39,873.81 2026-01-12
1214 APR_DRG — 30 5 — — $37,953.24 $39,850.87 $39,850.87 2026-01-12
6313 APR_DRG — 30 5 — — $37,814.47 $39,705.16 $39,705.16 2026-01-12
6254 APR_DRG — 30 5 — — $37,509.02 $39,384.44 $39,384.44 2026-01-12
6124 APR_DRG — 30 5 — — $37,401.01 $39,271.02 $39,271.02 2026-01-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 20 — — $30,294.00 $98,460.92 $38,928.09 2026-01-12
1603 APR_DRG — 30 5 — — $37,046.20 $38,898.48 $38,898.48 2026-01-12
2244 APR_DRG — 30 5 — — $36,987.13 $38,836.46 $38,836.46 2026-01-12
L2006 HCPCS Dme Pos 75 18 — — $1,934.66 $77,501.20 $38,750.60 2026-01-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 66 19 — — $35,733.34 $99,894.15 $38,742.46 2026-01-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 66 19 — — $35,733.34 $99,894.15 $38,742.46 2026-01-12
6022 APR_DRG — 30 5 — — $36,729.42 $38,565.86 $38,565.86 2026-01-12
3614 APR_DRG — 30 5 — — $36,626.66 $38,457.97 $38,457.97 2026-01-12
914 APR_DRG — 30 5 — — $36,429.64 $38,251.09 $38,251.09 2026-01-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 84 19 — — $33,978.01 $94,987.07 $38,091.15 2026-01-12
J9600 HCPCS Porfimer Sodium Injection 138 25 — — $22,901.19 $53,094.44 $37,997.82 2026-01-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 19 — — $33,774.96 $94,419.41 $37,863.51 2026-01-12
204 APR_DRG — 30 5 — — $36,057.84 $37,860.70 $37,860.70 2026-01-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 19 — — $9,225.00 $96,359.07 $37,734.26 2026-01-12
51 APR_DRG — 30 5 — — $35,812.68 $37,603.28 $37,603.28 2026-01-12
41 APR_DRG — 30 5 — — $35,743.90 $37,531.06 $37,531.06 2026-01-12
12 APR_DRG — 30 5 — — $35,481.74 $37,255.80 $37,255.80 2026-01-12
1814 APR_DRG — 30 5 — — $35,467.18 $37,240.50 $37,240.50 2026-01-12
2274 APR_DRG — 30 5 — — $35,358.75 $37,126.66 $37,126.66 2026-01-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 63 19 — — $1,946.88 $85,206.56 $37,046.33 2026-01-12
6604 APR_DRG — 30 5 — — $35,242.64 $37,004.74 $37,004.74 2026-01-12
653 MS_DRG Major Bladder Procedures With Mcc 84 19 — — $33,002.38 $92,259.63 $36,997.41 2026-01-12
6234 APR_DRG — 30 5 — — $35,235.36 $36,997.10 $36,997.10 2026-01-12
8424 APR_DRG — 30 5 — — $35,195.71 $36,955.47 $36,955.47 2026-01-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 84 19 — — $32,722.36 $91,476.82 $36,683.49 2026-01-12
834 MS_DRG Acute Leukemia With Mcc 84 19 — — $32,722.36 $91,476.82 $36,683.49 2026-01-12
J9266 HCPCS Pegaspargase Injection 138 25 — — $25,587.61 $51,175.22 $36,619.29 2026-01-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 84 19 — — $32,585.01 $91,092.86 $36,529.51 2026-01-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 105 21 — — $30,294.00 $88,049.31 $36,469.40 2026-01-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 21 — — $30,294.00 $87,660.39 $36,308.31 2026-01-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 84 19 — — $32,386.09 $90,536.78 $36,306.51 2026-01-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 84 19 — — $32,138.63 $89,844.99 $36,029.10 2026-01-12
1834 APR_DRG — 30 5 — — $34,298.38 $36,013.27 $36,013.27 2026-01-12
11 APR_DRG — 30 5 — — $34,149.50 $35,856.95 $35,856.95 2026-01-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 84 19 — — $31,974.64 $89,386.55 $35,845.26 2026-01-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 84 19 — — $31,944.45 $89,302.15 $35,811.42 2026-01-12
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 84 19 — — $31,940.90 $89,292.22 $35,807.43 2026-01-12
2614 APR_DRG — 30 5 — — $33,754.24 $35,441.92 $35,441.92 2026-01-12
6073 APR_DRG — 30 5 — — $33,633.68 $35,315.33 $35,315.33 2026-01-12
1833 APR_DRG — 30 5 — — $33,456.07 $35,128.85 $35,128.85 2026-01-12
9514 APR_DRG — 30 5 — — $33,324.99 $34,991.21 $34,991.21 2026-01-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 63 18 — — $32,212.04 $90,050.21 $34,924.63 2026-01-12
3032 APR_DRG — 30 5 — — $33,114.62 $34,770.32 $34,770.32 2026-01-12
L6975 HCPCS Dme Pos 138 25 — — $23,177.19 $46,354.38 $34,765.79 2026-01-12
L6970 HCPCS Dme Pos 138 25 — — $23,053.46 $46,106.92 $34,580.19 2026-01-12
504 APR_DRG — 30 5 — — $32,780.04 $34,419.01 $34,419.01 2026-01-12
1782 APR_DRG — 30 5 — — $32,592.73 $34,222.33 $34,222.33 2026-01-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 84 19 — — $30,489.28 $85,234.16 $34,180.09 2026-01-12
7104 APR_DRG — 30 5 — — $32,537.30 $34,164.14 $34,164.14 2026-01-12
L6965 HCPCS Dme Pos 138 25 — — $22,680.77 $45,361.54 $34,021.15 2026-01-12
6033 APR_DRG — 30 5 — — $32,251.68 $33,864.23 $33,864.23 2026-01-12
L5858 HCPCS Dme Pos 138 25 — — $22,555.79 $45,111.58 $33,833.68 2026-01-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 84 19 — — $30,160.71 $84,315.63 $33,811.75 2026-01-12
1622 APR_DRG — 30 5 — — $32,128.69 $33,735.09 $33,735.09 2026-01-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 84 19 — — $30,068.36 $84,057.45 $33,708.22 2026-01-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 105 21 — — $29,501.80 $82,473.62 $33,704.00 2026-01-12
2234 APR_DRG — 30 5 — — $31,758.10 $33,345.98 $33,345.98 2026-01-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 84 19 — — $29,643.30 $82,869.16 $33,231.69 2026-01-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 84 19 — — $29,608.37 $82,771.52 $33,192.54 2026-01-12
6914 APR_DRG — 30 5 — — $31,562.70 $33,140.81 $33,140.81 2026-01-12
620T CPT Evasc Ven Artlz Tibl/prnl Vn 90 18 — — $2,050.00 $66,166.34 $33,083.17 2026-01-12
82 APR_DRG — 30 5 — — $31,420.70 $32,991.70 $32,991.70 2026-01-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 20 — — $24,959.00 $84,951.15 $32,947.04 2026-01-12
6944 APR_DRG — 30 5 — — $31,243.09 $32,805.22 $32,805.22 2026-01-12
7234 APR_DRG — 30 5 — — $31,200.61 $32,760.62 $32,760.62 2026-01-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 90 20 — — $29,819.12 $83,360.70 $32,644.10 2026-01-12
245 MS_DRG Aicd Generator Procedures 84 19 — — $28,930.51 $80,876.54 $32,432.62 2026-01-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 96 20 — — $25,771.00 $82,804.62 $32,426.32 2026-01-12
924 APR_DRG — 30 5 — — $30,865.23 $32,408.46 $32,408.46 2026-01-12
471 MS_DRG Cervical Spinal Fusion With Mcc 84 19 — — $28,755.86 $80,388.32 $32,236.84 2026-01-12
1633 APR_DRG — 30 5 — — $30,524.18 $32,050.36 $32,050.36 2026-01-12
1664 APR_DRG — 30 5 — — $30,463.90 $31,987.06 $31,987.06 2026-01-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 90 19 — — $27,852.45 $77,862.79 $31,957.03 2026-01-12
6614 APR_DRG — 30 5 — — $30,187.17 $31,696.50 $31,696.50 2026-01-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 19 — — $28,143.72 $78,677.05 $31,550.60 2026-01-12
1781 APR_DRG — 30 5 — — $29,877.27 $31,371.11 $31,371.11 2026-01-12
L5973 HCPCS Dme Pos 138 25 — — $20,880.34 $41,760.68 $31,320.51 2026-01-12
923 APR_DRG — 30 5 — — $29,770.47 $31,258.96 $31,258.96 2026-01-12
915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 87 18 — — $2,050.00 $60,610.50 $31,214.41 2026-01-12
6 MS_DRG Liver Transplant Without Mcc 63 18 — — $28,707.92 $80,254.26 $31,125.43 2026-01-12
1764 APR_DRG — 30 5 — — $29,594.89 $31,074.60 $31,074.60 2026-01-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 19 — — $9,225.00 $79,034.53 $30,949.97 2026-01-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 21 — — $27,188.81 $76,007.53 $30,909.38 2026-01-12
799 MS_DRG Splenic Procedures With Mcc 84 19 — — $9,225.00 $78,691.94 $30,815.81 2026-01-12
571T CPT Insj/rplcmt Icds Ss Eltrd 90 18 — — $2,050.00 $60,610.50 $30,759.83 2026-01-12
5134 APR_DRG — 30 5 — — $29,175.35 $30,634.09 $30,634.09 2026-01-12
1794 APR_DRG — 30 5 — — $29,157.55 $30,615.40 $30,615.40 2026-01-12
163 MS_DRG Major Chest Procedures With Mcc 84 19 — — $27,287.08 $76,282.26 $30,590.25 2026-01-12
3124 APR_DRG — 30 5 — — $29,117.90 $30,573.77 $30,573.77 2026-01-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 84 19 — — $27,184.67 $75,995.95 $30,475.44 2026-01-12
8412 APR_DRG — 30 5 — — $28,976.30 $30,425.09 $30,425.09 2026-01-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 84 19 — — $9,225.00 $77,445.73 $30,327.78 2026-01-12
408T CPT Insj/rplc Cardiac Modulj Sys 90 18 — — $2,050.00 $60,610.50 $30,305.25 2026-01-12
1714 APR_DRG — 30 5 — — $28,822.97 $30,264.09 $30,264.09 2026-01-12
8411 APR_DRG — 30 5 — — $28,750.96 $30,188.48 $30,188.48 2026-01-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 90 19 — — $13,853.00 $76,988.95 $30,148.92 2026-01-12
69930 CPT Implant Cochlear Device 138 25 — — $3,544.00 $60,130.78 $30,065.39 2026-01-12
2644 APR_DRG — 30 5 — — $28,599.65 $30,029.61 $30,029.61 2026-01-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 84 19 — — $26,709.28 $74,666.98 $29,942.50 2026-01-12
1621 APR_DRG — 30 5 — — $28,507.41 $29,932.75 $29,932.75 2026-01-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 84 19 — — $26,550.02 $74,221.79 $29,763.97 2026-01-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 84 19 — — $26,476.61 $74,016.57 $29,681.68 2026-01-12
5104 APR_DRG — 30 5 — — $28,200.75 $29,610.76 $29,610.76 2026-01-12
Q0489 HCPCS Dme Pos 138 25 — — $19,727.48 $39,454.96 $29,591.22 2026-01-12
7404 APR_DRG — 30 5 — — $28,172.83 $29,581.45 $29,581.45 2026-01-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 66 19 — — $27,275.83 $76,250.82 $29,572.74 2026-01-12
4013 APR_DRG — 30 5 — — $28,067.24 $29,470.58 $29,470.58 2026-01-12
3043 APR_DRG — 30 5 — — $28,064.41 $29,467.60 $29,467.60 2026-01-12
901 MS_DRG Wound Debridements For Injuries With Mcc 84 19 — — $26,229.16 $73,324.78 $29,404.26 2026-01-12
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