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Hospital

TEXAS HEALTH HARRIS METHODIST HOSPITAL CLEBURNE

Cleburne, TX · CCN 450148 · Rates published

16,876 distinct procedures filed
20 distinct payers
1,038,245 rate rows
2026-04-21 last MRF observed
Data quality

1,031,829 of 1,038,245 rate rows are consumer-grade (99.4%)

6,416 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 5,769
per-diem day rate — not a per-procedure price 316
percent-of-charges filed in the dollar field — excluded from medians 132
exceeds 10× this hospital's gross charge — excluded from medians 77
template filing: same amount across many unrelated codes — excluded 70
placeholder amount (≤ $0.02) — excluded from medians 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/13789/751977850_texas-health-harris-methodist-hospital-cleburne_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/TexasHealthHarrisMethodistHospitalCleburne/13789
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 9a467a6393548f54… · 1,979,837,552 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,505,000.00 $4,955,500.00 $4,707,725.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,685,266.67 $4,164,351.33 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,316,462.59 $3,747,602.72 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,248,445.72 $3,670,743.66 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,945,740.00 $3,328,686.20 $3,093,027.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $2,774,274.98 $2,577,866.14 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,635,160.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $870,800.60 $809,151.00 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $668,650.61 $621,312.51 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.95 $639,431.91 $594,162.39 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $635,668.15 $590,665.09 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $629,769.27 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $602,550.09 $559,891.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $552,914.21 $513,769.84 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $323,397.66 $2,731,764.38 $355,737.43 nat. median
$370,174
1.0× median
0100T
CPT 		Prosth Retina Receive&gen 4 $47,367.00 $1,274,294.18 $305,001.00 nat. median
$11,210
outlier · 27.2×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $314,422.50 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $290,975.00 $270,375.00 nat. median
$265,000
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $267,598.51 $294,358.36 $267,598.51 nat. median
$309,665
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $260,320.08 $286,352.09 $260,320.08 nat. median
$187,061
1.4× median
5833
APR_DRG 		Neonate With Ecmo 7 $226,592.58 $249,251.84 $226,592.58 nat. median
$244,017
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $211,245.19 $238,707.06 $221,807.45 nat. median
$265,286
0.8× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $217,975.65 $239,773.22 $217,975.65 nat. median
$234,729
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $232,373.20 $215,922.00 nat. median
$209,753
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $85,451.44 $552,985.89 $178,218.64 nat. median
$98,894
1.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $161,872.33 $182,915.73 $172,394.03 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 17 $160,945.29 $181,868.18 $171,406.73 nat. median
$202,976
0.8× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $169,385.47 $186,324.02 $169,385.47 nat. median
$246,434
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $164,484.91 $180,933.40 $164,484.91 nat. median
$207,730
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $84,363.13 $605,308.66 $155,782.77 nat. median
$102,358
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $154,096.46 $169,506.11 $154,096.46 nat. median
$164,834
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $77,577.99 $588,689.47 $151,505.64 nat. median
$99,019
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $66,083.76 $447,080.60 $143,991.61 nat. median
$81,118
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $70,568.70 $440,291.93 $141,805.02 nat. median
$82,711
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $67,978.50 $667,273.19 $140,389.36 nat. median
$83,470
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $76,289.19 $536,253.72 $138,010.73 nat. median
$93,672
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $62,128.54 $379,540.77 $137,038.70 nat. median
$77,570
1.8× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $126,034.08 $138,637.49 $126,034.08 nat. median
$150,721
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $124,917.19 $137,408.91 $124,917.19 nat. median
$162,982
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $66,279.81 $470,843.78 $121,176.77 nat. median
$79,312
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $57,318.07 $374,944.43 $120,699.20 nat. median
$68,090
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $109,306.05 $123,515.84 $114,771.35 nat. median
$111,989
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $53,345.08 $233,567.62 $113,991.51 nat. median
$63,724
1.8× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 17 $106,390.56 $120,221.33 $113,305.95 nat. median
$133,161
0.9× median
5832
APR_DRG 		Neonate With Ecmo 7 $112,905.91 $124,196.50 $112,905.91 nat. median
$156,126
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $60,474.24 $434,310.45 $111,774.52 nat. median
$73,807
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $60,719.14 $429,926.45 $110,646.25 nat. median
$74,915
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $107,211.55 $117,932.71 $107,211.55 nat. median
$117,173
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 $55,048.22 $503,901.03 $106,017.06 nat. median
$66,526
1.6× median
7
MS_DRG 		Lung Transplant 8 $99,723.06 $112,687.06 $104,709.21 nat. median
$122,708
0.9× median

Other procedures at this hospital

Browse this hospital's 16,876 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 7 — — $4,505,000.00 $4,955,500.00 $4,707,725.00 2026-04-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 8 — — $3,685,266.67 $4,164,351.33 $3,869,530.00 2026-04-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,316,462.59 $3,747,602.72 $3,482,285.72 2026-04-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 8 — — $3,248,445.72 $3,670,743.66 $3,410,868.00 2026-04-21
J3393 HCPCS Inj, Betibeglogene Autotemce 10 8 — — $2,945,740.00 $3,328,686.20 $3,093,027.00 2026-04-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,455,110.61 $2,774,274.98 $2,577,866.14 2026-04-21
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $2,635,160.00 $2,448,600.00 2026-04-21
Q2057 HCPCS Afamitresgene Autoleucel 10 8 — — $770,620.00 $870,800.60 $809,151.00 2026-04-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $591,726.20 $668,650.61 $621,312.51 2026-04-21
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $565,868.95 $639,431.91 $594,162.39 2026-04-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — — $562,538.19 $635,668.15 $590,665.09 2026-04-21
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — — $557,317.93 $629,769.27 $585,183.83 2026-04-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 8 — — $533,230.17 $602,550.09 $559,891.68 2026-04-21
Q2053 HCPCS Brexucabtagene Car Pos T 10 8 — — $489,304.61 $552,914.21 $513,769.84 2026-04-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $323,397.66 $2,731,764.38 $355,737.43 2026-04-21
0100T CPT Prosth Retina Receive&gen 7 4 — — $47,367.00 $1,274,294.18 $305,001.00 2026-04-21
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 8 — — $278,250.00 $314,422.50 $292,162.50 2026-04-21
J3403 HCPCS Revakinagene, Per Implant 10 8 — — $257,500.00 $290,975.00 $270,375.00 2026-04-21
5834 APR_DRG Neonate With Ecmo 7 7 — — $267,598.51 $294,358.36 $267,598.51 2026-04-21
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $260,320.08 $286,352.09 $260,320.08 2026-04-21
5833 APR_DRG Neonate With Ecmo 7 7 — — $226,592.58 $249,251.84 $226,592.58 2026-04-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 8 — — $211,245.19 $238,707.06 $221,807.45 2026-04-21
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $217,975.65 $239,773.22 $217,975.65 2026-04-21
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 8 — — $205,640.00 $232,373.20 $215,922.00 2026-04-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $85,451.44 $552,985.89 $178,218.64 2026-04-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 26 17 — — $161,872.33 $182,915.73 $172,394.03 2026-04-21
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 26 17 — — $160,945.29 $181,868.18 $171,406.73 2026-04-21
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $169,385.47 $186,324.02 $169,385.47 2026-04-21
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $164,484.91 $180,933.40 $164,484.91 2026-04-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $84,363.13 $605,308.66 $155,782.77 2026-04-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $154,096.46 $169,506.11 $154,096.46 2026-04-21
215 MS_DRG Other Heart Assist System Implant 21 12 — — $77,577.99 $588,689.47 $151,505.64 2026-04-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $66,083.76 $447,080.60 $143,991.61 2026-04-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $70,568.70 $440,291.93 $141,805.02 2026-04-21
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $67,978.50 $667,273.19 $140,389.36 2026-04-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $76,289.19 $536,253.72 $138,010.73 2026-04-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $62,128.54 $379,540.77 $137,038.70 2026-04-21
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $126,034.08 $138,637.49 $126,034.08 2026-04-21
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $124,917.19 $137,408.91 $124,917.19 2026-04-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $66,279.81 $470,843.78 $121,176.77 2026-04-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $57,318.07 $374,944.43 $120,699.20 2026-04-21
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $109,306.05 $123,515.84 $114,771.35 2026-04-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $53,345.08 $233,567.62 $113,991.51 2026-04-21
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 26 17 — — $106,390.56 $120,221.33 $113,305.95 2026-04-21
5832 APR_DRG Neonate With Ecmo 7 7 — — $112,905.91 $124,196.50 $112,905.91 2026-04-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $60,474.24 $434,310.45 $111,774.52 2026-04-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $60,719.14 $429,926.45 $110,646.25 2026-04-21
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $107,211.55 $117,932.71 $107,211.55 2026-04-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 21 12 — — $55,048.22 $503,901.03 $106,017.06 2026-04-21
7 MS_DRG Lung Transplant 10 8 — — $99,723.06 $112,687.06 $104,709.21 2026-04-21
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $48,363.71 $211,789.76 $103,362.94 2026-04-21
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit [91426] 69 20 $156,396.80 $93,838.08 40% off $15,764.80 $342,206.87 $102,111.47 2026-04-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $44,773.25 $497,643.77 $101,854.77 2026-04-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $56,665.52 $392,670.79 $101,058.10 2026-04-21
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $99,629.06 $109,591.97 $99,629.06 2026-04-21
5831 APR_DRG Neonate With Ecmo 7 7 — — $99,415.90 $109,357.49 $99,415.90 2026-04-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 21 12 — — $51,518.40 $468,458.10 $98,560.13 2026-04-21
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $93,216.70 $105,334.87 $97,877.54 2026-04-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $48,029.30 $302,977.19 $97,580.22 2026-04-21
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $92,825.48 $104,892.79 $97,466.75 2026-04-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $49,199.74 $458,106.99 $96,382.33 2026-04-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $54,797.41 $370,478.53 $95,346.68 2026-04-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $52,381.81 $446,075.38 $93,850.97 2026-04-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $45,505.69 $290,555.93 $93,604.92 2026-04-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $46,579.20 $288,782.22 $93,008.11 2026-04-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $52,558.64 $358,826.76 $92,347.97 2026-04-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 8 — — $87,749.40 $99,156.82 $92,136.87 2026-04-21
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $87,653.21 $99,048.13 $92,035.87 2026-04-21
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $91,857.01 $101,042.71 $91,857.01 2026-04-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $46,079.07 $448,650.27 $91,828.10 2026-04-21
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $90,886.69 $99,975.36 $90,886.69 2026-04-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $43,077.52 $251,465.59 $90,795.30 2026-04-21
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $90,471.30 $99,518.43 $90,471.30 2026-04-21
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $90,237.35 $99,261.09 $90,237.35 2026-04-21
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $89,849.43 $98,834.37 $89,849.43 2026-04-21
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $88,952.05 $97,847.26 $88,952.05 2026-04-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $47,302.04 $421,744.12 $88,731.85 2026-04-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $48,351.14 $344,185.64 $88,579.92 2026-04-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $53,381.34 $343,741.13 $88,465.52 2026-04-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $43,342.37 $179,410.40 $87,560.35 2026-04-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $48,765.44 $339,423.81 $87,354.41 2026-04-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $42,423.48 $423,198.23 $86,618.38 2026-04-21
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $86,608.70 $95,269.57 $86,608.70 2026-04-21
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $85,832.87 $94,416.16 $85,832.87 2026-04-21
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $85,731.75 $94,304.93 $85,731.75 2026-04-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $49,252.27 $332,872.81 $85,668.44 2026-04-21
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $85,278.66 $93,806.53 $85,278.66 2026-04-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $52,558.64 $330,566.91 $85,074.99 2026-04-21
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $42,356.90 $403,801.73 $84,956.90 2026-04-21
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $44,528.35 $400,375.50 $84,236.05 2026-04-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 8 — — $80,193.35 $90,618.49 $84,203.02 2026-04-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $47,330.15 $326,949.69 $84,144.06 2026-04-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $44,384.82 $393,233.31 $82,733.39 2026-04-21
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $39,636.49 $256,412.01 $82,583.57 2026-04-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $44,263.49 $390,857.41 $82,233.52 2026-04-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $40,172.87 $390,813.95 $82,224.37 2026-04-21
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $78,082.67 $85,890.94 $78,082.67 2026-04-21
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $77,769.80 $85,546.78 $77,769.80 2026-04-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $40,810.63 $367,902.44 $77,403.96 2026-04-21
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $76,387.96 $84,026.76 $76,387.96 2026-04-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $76,345.33 $83,979.86 $76,345.33 2026-04-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $39,455.96 $362,701.54 $76,309.73 2026-04-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $35,672.40 $372,535.06 $76,248.25 2026-04-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $40,449.58 $362,274.17 $76,219.81 2026-04-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $44,327.11 $295,611.59 $76,078.86 2026-04-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $43,366.05 $294,305.84 $75,742.81 2026-04-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $75,707.26 $83,277.99 $75,707.26 2026-04-21
2464 APR_DRG Gastrointestinal Vascular Insufficiency 7 7 — — $74,033.69 $81,437.06 $74,033.69 2026-04-21
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $73,651.77 $81,016.95 $73,651.77 2026-04-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $34,782.36 $227,942.90 $73,413.85 2026-04-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $42,948.04 $285,210.01 $73,401.90 2026-04-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $38,520.06 $345,918.12 $72,778.62 2026-04-21
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $37,418.43 $344,418.69 $72,463.15 2026-04-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $38,623.64 $344,353.50 $72,449.44 2026-04-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $40,324.55 $279,870.31 $72,027.67 2026-04-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $45,092.85 $278,003.36 $71,547.19 2026-04-21
64 APR_DRG Pancreas Transplant 7 7 — — $71,476.83 $78,624.51 $71,476.83 2026-04-21
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $71,471.20 $78,618.32 $71,471.20 2026-04-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $37,832.00 $338,964.26 $71,315.58 2026-04-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $40,514.68 $276,892.08 $71,261.19 2026-04-21
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $71,257.33 $78,383.06 $71,257.33 2026-04-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $67,452.66 $76,221.51 $70,825.29 2026-04-21
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $37,069.96 $333,872.01 $70,244.21 2026-04-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $37,918.57 $332,618.87 $69,980.56 2026-04-21
245 MS_DRG Aicd Generator Procedures 21 12 — — $37,666.28 $271,530.16 $69,881.24 2026-04-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $35,286.93 $215,563.88 $69,426.65 2026-04-21
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $69,270.19 $76,197.21 $69,270.19 2026-04-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 12 — — $37,564.92 $326,802.26 $68,756.78 2026-04-21
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $34,959.92 $320,927.70 $67,520.82 2026-04-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $39,134.14 $261,411.95 $67,277.21 2026-04-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $36,930.13 $318,196.86 $66,946.27 2026-04-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 12 — — $33,657.06 $206,521.13 $66,808.19 2026-04-21
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $66,598.47 $73,258.32 $66,598.47 2026-04-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $38,081.33 $258,478.17 $66,522.17 2026-04-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 8 — — $63,342.28 $71,576.78 $66,509.40 2026-04-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $32,548.76 $183,091.66 $66,107.90 2026-04-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $41,201.27 $255,183.23 $65,674.18 2026-04-21
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $65,505.55 $72,056.11 $65,505.55 2026-04-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $36,411.50 $308,990.25 $65,009.27 2026-04-21
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $64,973.88 $71,471.27 $64,973.88 2026-04-21
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $35,468.20 $306,346.33 $64,453.01 2026-04-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 17 — — $60,287.07 $68,124.39 $64,205.73 2026-04-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 12 — — $32,478.47 $177,601.78 $64,125.70 2026-04-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $34,996.91 $303,477.87 $63,849.50 2026-04-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $35,103.46 $297,255.61 $62,540.39 2026-04-21
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $62,204.92 $68,425.41 $62,204.92 2026-04-21
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Soln [127557] 69 20 $95,033.99 $57,020.40 40% off $2,429.89 $91,232.63 $62,047.69 2026-04-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $34,637.36 $294,626.19 $61,987.18 2026-04-21
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $61,717.65 $67,889.42 $61,717.65 2026-04-21
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Soln [108958] 69 20 $94,484.28 $56,690.57 40% off $3,660.83 $90,704.91 $61,688.79 2026-04-21
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $61,627.80 $67,790.58 $61,627.80 2026-04-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 12 — — $31,561.82 $189,195.78 $60,935.35 2026-04-21
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $60,923.14 $67,015.45 $60,923.14 2026-04-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $35,927.64 $236,669.30 $60,909.42 2026-04-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $32,316.46 $288,563.29 $60,711.59 2026-04-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 17 — — $56,978.47 $64,385.67 $60,682.07 2026-04-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 12 — — $30,418.76 $288,360.47 $60,668.92 2026-04-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 12 — — $31,075.74 $294,991.08 $60,377.65 2026-04-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 12 — — $31,484.13 $285,810.73 $60,132.47 2026-04-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 12 — — $30,357.34 $285,223.99 $60,009.02 2026-04-21
8634 APR_DRG Neonatal Aftercare 7 7 — — $59,978.19 $65,976.01 $59,978.19 2026-04-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 12 — — $30,736.15 $292,449.20 $59,855.66 2026-04-21
10 MS_DRG Pancreas Transplant 10 8 — — $57,000.67 $64,410.76 $59,850.70 2026-04-21
A9543 HCPCS Y90 Ibritumomab, Rx 10 8 — — $56,824.55 $64,211.74 $59,665.78 2026-04-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 10 8 — — $56,696.59 $64,067.15 $59,531.42 2026-04-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $35,156.71 $231,185.13 $59,498.01 2026-04-21
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $59,402.13 $65,342.34 $59,402.13 2026-04-21
38240 CPT Transplt Allo Hct/donor 17 10 — — $9,883.00 $312,814.21 $59,226.73 2026-04-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 12 — — $29,712.94 $279,965.14 $58,902.60 2026-04-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 12 — — $31,086.83 $279,682.64 $58,843.16 2026-04-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $34,902.21 $228,484.72 $58,803.03 2026-04-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $31,564.76 $278,900.33 $58,678.57 2026-04-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 12 — — $29,470.28 $285,670.85 $58,469.92 2026-04-21
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $58,448.38 $64,293.22 $58,448.38 2026-04-21
4404 APR_DRG Kidney Transplant 7 7 — — $58,303.92 $64,134.31 $58,303.92 2026-04-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 12 — — $30,002.96 $284,524.51 $58,233.57 2026-04-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $58,037.56 $63,841.32 $58,037.56 2026-04-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 8 — — $55,272.32 $62,457.73 $58,035.94 2026-04-21
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $58,017.83 $63,819.61 $58,017.83 2026-04-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 17 — — $53,711.31 $60,693.78 $57,202.54 2026-04-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 12 — — $29,152.14 $116,937.10 $57,070.57 2026-04-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 12 — — $30,244.15 $271,055.51 $57,028.08 2026-04-21
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $56,520.78 $62,172.86 $56,520.78 2026-04-21
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $56,520.78 $62,172.86 $56,520.78 2026-04-21
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $28,268.03 $156,357.93 $56,455.30 2026-04-21
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $56,360.47 $61,996.52 $56,360.47 2026-04-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $34,433.90 $217,271.91 $55,917.29 2026-04-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 12 — — $29,949.69 $264,297.23 $55,606.19 2026-04-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 12 — — $26,352.56 $271,524.37 $55,574.31 2026-04-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 12 — — $30,330.70 $262,464.60 $55,220.62 2026-04-21
4414 APR_DRG Major Bladder Procedures 7 7 — — $55,176.64 $60,694.30 $55,176.64 2026-04-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 12 — — $27,787.12 $267,420.81 $54,810.87 2026-04-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 12 — — $33,387.75 $259,668.57 $54,632.35 2026-04-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 12 — — $30,633.30 $259,654.09 $54,629.30 2026-04-21
500 MS_DRG Soft Tissue Procedures With Mcc 21 12 — — $27,326.20 $263,217.57 $53,874.01 2026-04-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $29,118.85 $255,662.86 $53,789.58 2026-04-21
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $53,687.34 $59,056.07 $53,687.34 2026-04-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 12 — — $30,269.30 $253,801.26 $53,397.91 2026-04-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $29,276.43 $253,721.58 $53,381.15 2026-04-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 12 — — $30,291.50 $253,620.17 $53,359.81 2026-04-21
332 MS_DRG Rectal Resection With Mcc 21 12 — — $30,699.15 $251,258.75 $52,862.99 2026-04-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 12 — — $29,594.57 $250,983.50 $52,805.08 2026-04-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 12 — — $27,489.70 $256,879.48 $52,576.68 2026-04-21
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $52,566.58 $57,823.24 $52,566.58 2026-04-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $27,811.53 $162,906.85 $52,467.86 2026-04-21
665 MS_DRG Prostatectomy With Mcc 21 12 — — $27,003.62 $248,716.25 $52,328.06 2026-04-21
1784 APR_DRG External Heart Assist Systems 7 7 — — $51,679.06 $56,846.97 $51,679.06 2026-04-21
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $49,026.62 $55,400.08 $51,477.95 2026-04-21
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $48,628.26 $54,949.93 $51,059.67 2026-04-21
265 MS_DRG Aicd Lead Procedures 21 12 — — $30,680.65 $198,207.90 $51,010.96 2026-04-21
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $50,893.36 $55,982.70 $50,893.36 2026-04-21
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $50,834.88 $55,918.37 $50,834.88 2026-04-21
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $50,610.09 $55,671.10 $50,610.09 2026-04-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 12 — — $31,630.63 $239,176.43 $50,320.96 2026-04-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 8 — — $47,884.29 $54,109.25 $50,278.50 2026-04-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 10 8 — — $47,782.19 $53,993.87 $50,171.30 2026-04-21
6904 APR_DRG Acute Leukemia 7 7 — — $50,155.58 $55,171.14 $50,155.58 2026-04-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $26,955.54 $244,934.30 $50,135.05 2026-04-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 12 — — $25,458.08 $244,302.99 $50,005.82 2026-04-21
264 MS_DRG Other Circulatory System O.r. Procedures 21 12 — — $28,626.84 $194,201.74 $49,979.93 2026-04-21
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $49,848.35 $54,833.19 $49,848.35 2026-04-21
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $49,792.33 $54,771.56 $49,792.33 2026-04-21
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 21 12 — — $27,871.46 $236,097.90 $49,673.26 2026-04-21
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 12 — — $27,466.77 $235,996.49 $49,651.92 2026-04-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 17 — — $46,306.93 $52,326.83 $49,316.88 2026-04-21
472 MS_DRG Cervical Spinal Fusion With Cc 21 12 — — $25,708.16 $152,940.29 $49,257.69 2026-04-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 12 — — $30,222.69 $191,384.64 $49,254.92 2026-04-21
252 MS_DRG Other Vascular Procedures With Mcc 21 12 — — $29,719.60 $190,606.75 $49,054.72 2026-04-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 12 — — $27,977.26 $189,262.10 $48,708.66 2026-04-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 12 — — $23,591.45 $237,890.14 $48,689.79 2026-04-21
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 21 12 — — $27,844.82 $230,998.40 $48,600.36 2026-04-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 12 — — $26,258.60 $237,416.65 $48,594.57 2026-04-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 12 — — $27,533.36 $188,473.09 $48,505.60 2026-04-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $46,133.82 $52,131.22 $48,440.51 2026-04-21
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 21 12 — — $30,756.87 $229,911.86 $48,371.76 2026-04-21
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $48,288.59 $53,117.45 $48,288.59 2026-04-21
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) Intravenous Solr [138459] 69 20 $73,377.12 $44,026.28 40% off $2,698.05 $70,442.04 $47,907.93 2026-04-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 8 — — $45,376.95 $51,275.95 $47,645.80 2026-04-21
662 MS_DRG Minor Bladder Procedures With Mcc 21 12 — — $26,561.94 $225,971.35 $47,542.70 2026-04-21
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $47,273.53 $52,000.88 $47,273.53 2026-04-21
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 21 12 — — $27,290.68 $223,378.14 $46,997.11 2026-04-21
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $46,985.32 $51,683.85 $46,985.32 2026-04-21
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 21 12 — — $27,419.41 $130,043.25 $46,954.00 2026-04-21
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $46,666.81 $51,333.49 $46,666.81 2026-04-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 8 — — $44,102.19 $49,835.47 $46,307.30 2026-04-21
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $46,210.19 $50,831.21 $46,210.19 2026-04-21
63 APR_DRG Pancreas Transplant 7 7 — — $46,191.17 $50,810.29 $46,191.17 2026-04-21
570 MS_DRG Skin Debridement With Mcc 21 12 — — $25,671.16 $218,046.85 $45,875.45 2026-04-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $30,593.35 $178,049.28 $45,822.92 2026-04-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 12 — — $27,224.10 $177,532.54 $45,689.93 2026-04-21
974 MS_DRG HIV With Major Related Condition With Mcc 21 12 — — $25,263.50 $216,308.38 $45,509.69 2026-04-21
0266T CPT Outpatient Services 17 10 — — $7,857.00 $243,316.19 $45,064.72 2026-04-21
33276 CPT Insj Phrnc Nrv Stim Sys 24 12 — — $32,454.62 $376,024.18 $45,064.72 2026-04-21
503 MS_DRG Foot Procedures With Mcc 21 12 — — $24,561.40 $219,847.77 $44,998.44 2026-04-21
509 MS_DRG Orthopedic 11 6 — — $29,865.77 $145,925.56 $44,976.94 2026-04-21
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 12 — — $25,381.88 $212,454.79 $44,698.92 2026-04-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 12 — — $28,265.06 $173,415.24 $44,630.30 2026-04-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 12 — — $24,242.52 $217,912.28 $44,602.27 2026-04-21
668 MS_DRG Transurethral Procedures With Mcc 21 12 — — $25,515.06 $211,245.11 $44,444.41 2026-04-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $27,213.00 $172,598.45 $44,420.09 2026-04-21
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 21 12 — — $25,146.61 $211,129.21 $44,420.03 2026-04-21
800 MS_DRG Splenic Procedures With Cc 21 12 — — $24,696.79 $211,064.02 $44,406.31 2026-04-21
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $44,034.20 $48,437.62 $44,034.20 2026-04-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 12 — — $25,932.32 $170,503.69 $43,880.98 2026-04-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $43,794.27 $48,173.70 $43,794.27 2026-04-21
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 21 12 — — $26,255.64 $207,681.26 $43,694.60 2026-04-21
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 7 7 — — $43,691.74 $48,060.91 $43,691.74 2026-04-21
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Soln [152604] 69 20 $66,858.00 $40,114.80 40% off $217.09 $64,183.68 $43,651.59 2026-04-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 12 — — $24,419.34 $211,673.88 $43,325.34 2026-04-21
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $43,128.72 $47,441.59 $43,128.72 2026-04-21
234 APR_DRG Spinal Procedures 7 7 — — $43,044.51 $47,348.96 $43,044.51 2026-04-21
654 MS_DRG Major Bladder Procedures With Cc 21 12 — — $24,622.06 $204,421.64 $43,008.80 2026-04-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 12 — — $26,231.23 $209,738.39 $42,927.47 2026-04-21
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $42,888.78 $47,177.66 $42,888.78 2026-04-21
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 12 — — $25,368.56 $203,429.26 $42,800.02 2026-04-21
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $42,337.73 $46,571.50 $42,337.73 2026-04-21
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $42,335.97 $46,569.57 $42,335.97 2026-04-21
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $41,808.18 $45,989.00 $41,808.18 2026-04-21
62 APR_DRG Pancreas Transplant 7 7 — — $41,779.29 $45,957.22 $41,779.29 2026-04-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 12 — — $25,000.86 $161,813.48 $41,644.46 2026-04-21
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 12 — — $23,933.26 $197,858.93 $41,628.06 2026-04-21
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $41,615.46 $45,777.01 $41,615.46 2026-04-21
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 21 12 — — $28,350.89 $196,547.84 $41,352.22 2026-04-21
61 APR_DRG Pancreas Transplant 7 7 — — $41,239.87 $45,363.86 $41,239.87 2026-04-21
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 21 12 — — $24,309.84 $195,823.48 $41,199.82 2026-04-21
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 21 12 — — $23,020.29 $195,178.80 $41,064.18 2026-04-21
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Impl [38567] 69 20 $62,782.50 $37,669.50 40% off $340.31 $60,271.20 $40,990.69 2026-04-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 12 — — $27,663.56 $159,029.72 $40,928.03 2026-04-21
208 MS_DRG Respiratory System Diagnosis With Ventilator Support &lt;=96 Hours 21 12 — — $24,247.70 $194,403.74 $40,901.11 2026-04-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 21 12 — — $22,674.78 $83,648.44 $40,824.20 2026-04-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 12 — — $24,041.28 $158,179.60 $40,709.24 2026-04-21
849 MS_DRG Radiotherapy 21 12 — — $23,957.68 $193,483.80 $40,707.56 2026-04-21
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 8 — — $38,750.60 $43,788.18 $40,688.13 2026-04-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 9 — — $38,694.67 $90,624.30 $40,629.40 2026-04-21
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 12 — — $23,522.65 $192,882.58 $40,581.07 2026-04-21
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $40,526.05 $44,578.66 $40,526.05 2026-04-21
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 12 — — $23,424.25 $192,194.44 $40,436.29 2026-04-21
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 21 12 — — $25,232.43 $191,955.40 $40,386.00 2026-04-21
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 21 12 — — $21,973.41 $124,972.68 $40,249.50 2026-04-21
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $40,230.10 $44,253.11 $40,230.10 2026-04-21
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