Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHRISTUS SPOHN HOSPITAL KLEBERG

Kingsville, TX · CCN 450163 · Rates published

12,320 distinct procedures filed
35 distinct payers
642,330 rate rows
2026-01-13 last MRF observed
Data quality

468,449 of 642,330 rate rows are consumer-grade (72.9%)

173,881 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 163,503
per-diem day rate — not a per-procedure price 6,945
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,984
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 307
placeholder amount (≤ $0.02) — excluded from medians 89
template filing: same amount across many unrelated codes — excluded 50
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
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/741109836_spohnhospitalkleberg_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-09-21
Content fingerprint 75e7edd55aa0a1a7… · 199,370,935 bytes · first seen 2026-05-08

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 20 $221.69 $4,130,272.28 $3,754,792.98 nat. median
$3,685,267
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 20 $3,710,000.00 $4,130,272.28 $3,754,792.98 nat. median
$3,508,750
1.1× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 35 $2,332,000.00 $4,720,311.18 $3,526,155.59 nat. median
$2,332,000
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 20 $441.22 $3,698,076.03 $3,361,887.30 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 20 $3,231,550.94 $3,554,706.03 $3,231,550.94 nat. median
$3,248,446
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 20 $2,948,213.33 $3,304,217.83 $3,003,834.39 nat. median
$2,968,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 21 $263.98 $4,864,954.20 $2,432,477.10 nat. median
$2,455,111
1.0× median
5834
APR_DRG 		Neonate With Ecmo, Severe 6 $661,146.73 $694,204.45 $667,758.27 nat. median
$390,362
1.7× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 21 $30.04 $1,955,527.10 $589,626.53 nat. median
$621,313
0.9× median
5833
APR_DRG 		Neonate With Ecmo, Major 6 $559,834.75 $587,826.81 $565,433.17 nat. median
$268,208
outlier · 2.1×
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 5 $538,545.18 $565,472.75 $538,545.18 nat. median
$225,531
outlier · 2.4×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 21 $152.94 $2,126,713.98 $534,691.05 nat. median
$574,037
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 21 $93.20 $2,080,073.29 $522,721.80 nat. median
$579,571
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 $418,495.03 $439,420.02 $422,680.03 nat. median
$286,698
1.5× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 6 $406,387.39 $426,706.99 $410,451.31 nat. median
$202,242
outlier · 2.0×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 6 $380,720.99 $399,757.26 $384,528.24 nat. median
$152,792
outlier · 2.5×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 $311,388.20 $326,957.79 $314,502.12 nat. median
$187,567
1.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 $308,628.75 $324,060.36 $311,715.07 nat. median
$198,578
1.6× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 6 $278,952.87 $292,900.68 $281,742.43 nat. median
$201,678
1.4× median
5831
APR_DRG 		Neonate With Ecmo, Minor 6 $245,623.55 $257,904.87 $248,079.82 nat. median
$173,909
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 $224,550.73 $235,778.40 $226,796.27 nat. median
$173,134
1.3× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 $223,524.42 $234,700.77 $225,759.69 nat. median
$152,383
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $222,946.42 $234,093.87 $225,175.91 nat. median
$135,630
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 6 $221,988.01 $233,087.54 $224,207.92 nat. median
$173,018
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 $219,770.87 $230,759.54 $221,968.60 nat. median
$181,762
1.2× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $213,981.24 $224,680.43 $216,121.08 nat. median
$50,461
outlier · 4.3×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 $212,064.42 $222,667.76 $214,185.09 nat. median
$171,497
1.2× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 6 $211,814.59 $222,405.44 $213,932.76 nat. median
$155,539
1.4× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 $210,695.14 $221,230.02 $212,802.11 nat. median
$130,862
1.6× median
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 5 $192,916.25 $202,562.18 $192,916.25 nat. median
$136,566
1.4× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $178,564.83 $432,314.85 $190,782.42 nat. median
$186,516
1.0× median
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 6 $188,729.20 $198,165.76 $190,616.51 nat. median
$47,145
outlier · 4.0×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 6 $188,623.87 $198,055.17 $190,510.13 nat. median
$106,926
1.8× median
93
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Major 6 $187,047.41 $196,399.89 $188,917.90 nat. median
$73,618
outlier · 2.6×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency, Severe 6 $182,912.58 $192,058.32 $184,741.73 nat. median
$14,114
outlier · 13.1×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 6 $181,968.97 $191,067.52 $183,788.68 nat. median
$115,963
1.6× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $176,581.51 $185,410.68 $178,347.35 nat. median
$99,483
1.8× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 6 $176,053.12 $184,855.88 $177,813.67 nat. median
$168,439
1.1× median
64
APR_DRG 		Pancreas Transplant, Severe 5 $176,595.44 $185,425.31 $176,595.44 nat. median
$92,994
1.9× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $171,143.56 $179,700.83 $172,855.02 nat. median
$96,548
1.8× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $161,842.37 $169,934.58 $163,460.82 nat. median
$124,731
1.3× median
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $160,528.80 $168,555.33 $162,134.10 nat. median
$77,096
outlier · 2.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $150,383.86 $401,368.05 $160,673.28 nat. median
$131,925
1.2× median
6214
APR_DRG 		Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 6 $153,687.62 $161,372.09 $155,224.52 nat. median
$70,730
outlier · 2.2×
1612
APR_DRG 		Implantable Heart Assist Systems, Moderate 6 $152,261.76 $159,874.93 $153,784.40 nat. median
$109,992
1.4× median
8634
APR_DRG 		Neonatal Aftercare, Severe 6 $148,186.12 $155,595.52 $149,668.00 nat. median
$79,210
1.9× median
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 6 $146,762.87 $154,101.10 $148,230.52 nat. median
$95,499
1.6× median
1611
APR_DRG 		Implantable Heart Assist Systems, Minor 6 $144,406.46 $151,626.86 $145,850.54 nat. median
$108,954
1.3× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 6 $143,391.47 $150,561.12 $144,825.40 nat. median
$91,350
1.6× median
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 6 $143,342.72 $150,509.94 $144,776.16 nat. median
$85,032
1.7× median

Other procedures at this hospital

Browse this hospital's 12,320 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 24 20 — — $3,710,000.00 $4,130,272.28 $3,754,792.98 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 25 20 — — $221.69 $4,130,272.28 $3,754,792.98 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 65 35 — — $2,332,000.00 $4,720,311.18 $3,526,155.59 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 25 20 — — $441.22 $3,698,076.03 $3,361,887.30 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 24 20 — — $3,231,550.94 $3,554,706.03 $3,231,550.94 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 24 20 — — $2,948,213.33 $3,304,217.83 $3,003,834.39 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 26 21 — — $263.98 $4,864,954.20 $2,432,477.10 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 18 6 — — $661,146.73 $694,204.45 $667,758.27 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 35 21 — — $30.04 $1,955,527.10 $589,626.53 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 18 6 — — $559,834.75 $587,826.81 $565,433.17 2026-01-13
24 APR_DRG Heart And/Or Lung Transplant, Severe 14 5 — — $538,545.18 $565,472.75 $538,545.18 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 31 21 — — $152.94 $2,126,713.98 $534,691.05 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 31 21 — — $93.20 $2,080,073.29 $522,721.80 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 18 6 — — $418,495.03 $439,420.02 $422,680.03 2026-01-13
1614 APR_DRG Implantable Heart Assist Systems, Severe 18 6 — — $406,387.39 $426,706.99 $410,451.31 2026-01-13
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 18 6 — — $380,720.99 $399,757.26 $384,528.24 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 18 6 — — $311,388.20 $326,957.79 $314,502.12 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 18 6 — — $308,628.75 $324,060.36 $311,715.07 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 18 6 — — $278,952.87 $292,900.68 $281,742.43 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 18 6 — — $245,623.55 $257,904.87 $248,079.82 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 18 6 — — $224,550.73 $235,778.40 $226,796.27 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 18 6 — — $223,524.42 $234,700.77 $225,759.69 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 18 6 — — $222,946.42 $234,093.87 $225,175.91 2026-01-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 18 6 — — $221,988.01 $233,087.54 $224,207.92 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 18 6 — — $219,770.87 $230,759.54 $221,968.60 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 6 — — $213,981.24 $224,680.43 $216,121.08 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 18 6 — — $212,064.42 $222,667.76 $214,185.09 2026-01-13
1613 APR_DRG Implantable Heart Assist Systems, Major 18 6 — — $211,814.59 $222,405.44 $213,932.76 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 18 6 — — $210,695.14 $221,230.02 $212,802.11 2026-01-13
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 14 5 — — $192,916.25 $202,562.18 $192,916.25 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 26 21 — — $178,564.83 $432,314.85 $190,782.42 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 18 6 — — $188,729.20 $198,165.76 $190,616.51 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 18 6 — — $188,623.87 $198,055.17 $190,510.13 2026-01-13
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 18 6 — — $187,047.41 $196,399.89 $188,917.90 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 18 6 — — $182,912.58 $192,058.32 $184,741.73 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 18 6 — — $181,968.97 $191,067.52 $183,788.68 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 6 — — $176,581.51 $185,410.68 $178,347.35 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 18 6 — — $176,053.12 $184,855.88 $177,813.67 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 14 5 — — $176,595.44 $185,425.31 $176,595.44 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 6 — — $171,143.56 $179,700.83 $172,855.02 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $161,842.37 $169,934.58 $163,460.82 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 18 6 — — $160,528.80 $168,555.33 $162,134.10 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 23 — — $150,383.86 $401,368.05 $160,673.28 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 18 6 — — $153,687.62 $161,372.09 $155,224.52 2026-01-13
1612 APR_DRG Implantable Heart Assist Systems, Moderate 18 6 — — $152,261.76 $159,874.93 $153,784.40 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 18 6 — — $148,186.12 $155,595.52 $149,668.00 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 18 6 — — $146,762.87 $154,101.10 $148,230.52 2026-01-13
1611 APR_DRG Implantable Heart Assist Systems, Minor 18 6 — — $144,406.46 $151,626.86 $145,850.54 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 18 6 — — $143,391.47 $150,561.12 $144,825.40 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 18 6 — — $143,342.72 $150,509.94 $144,776.16 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 14 5 — — $144,049.56 $151,252.12 $144,049.56 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 18 6 — — $139,644.01 $146,626.29 $141,040.47 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 18 6 — — $139,644.01 $146,626.29 $141,040.47 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 18 6 — — $139,247.93 $146,210.41 $140,640.42 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 18 6 — — $136,323.09 $143,139.32 $137,686.33 2026-01-13
23 APR_DRG Heart And/Or Lung Transplant, Major 14 5 — — $132,643.53 $139,275.78 $132,643.53 2026-01-13
1784 APR_DRG External Heart Assist Systems, Severe 18 6 — — $127,681.73 $134,065.89 $128,958.57 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 18 6 — — $125,740.54 $132,027.64 $126,997.96 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 18 6 — — $125,596.04 $131,875.91 $126,852.01 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 18 6 — — $125,040.67 $131,292.77 $126,291.09 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 18 6 — — $123,158.67 $129,316.67 $124,390.27 2026-01-13
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 18 6 — — $123,020.26 $129,171.34 $124,250.48 2026-01-13
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 18 6 — — $119,305.01 $125,270.33 $120,498.07 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 18 6 — — $116,797.13 $122,637.05 $117,965.11 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 18 6 — — $115,298.14 $121,063.11 $116,451.14 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $114,169.99 $119,878.55 $115,311.70 2026-01-13
63 APR_DRG Pancreas Transplant, Major 14 5 — — $114,122.98 $119,829.19 $114,122.98 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 18 6 — — $108,793.84 $114,233.59 $109,881.79 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 18 6 — — $108,201.04 $113,611.15 $109,283.06 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 18 6 — — $107,947.72 $113,345.17 $109,027.21 2026-01-13
234 APR_DRG Spinal Procedures, Severe 18 6 — — $106,348.63 $111,666.13 $107,412.13 2026-01-13
22 APR_DRG Heart And/Or Lung Transplant, Moderate 14 5 — — $106,556.68 $111,884.58 $106,556.68 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $104,598.08 $109,828.04 $105,644.07 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 18 6 — — $103,294.08 $108,458.85 $104,327.04 2026-01-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 18 6 — — $102,817.93 $107,958.88 $103,846.12 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 14 5 — — $103,222.70 $108,383.90 $103,222.70 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 14 5 — — $101,889.98 $106,984.54 $101,889.98 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 23 — — $89,573.07 $260,392.47 $100,887.56 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 18 6 — — $99,277.64 $104,241.58 $100,270.43 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 18 6 — — $99,217.58 $104,178.52 $100,209.76 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 18 6 — — $98,789.30 $103,728.82 $99,777.21 2026-01-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 14 5 — — $99,395.16 $104,364.97 $99,395.16 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 18 6 — — $98,124.24 $103,030.51 $99,105.49 2026-01-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 18 6 — — $96,460.74 $101,283.83 $97,425.36 2026-01-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 18 6 — — $95,942.80 $100,739.99 $96,902.24 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 18 6 — — $94,330.65 $99,047.24 $95,273.96 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 18 6 — — $94,014.66 $98,715.45 $94,954.82 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 18 6 — — $93,721.31 $98,407.42 $94,658.53 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 18 6 — — $92,736.78 $97,373.67 $93,664.16 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 18 6 — — $92,359.86 $96,977.91 $93,283.47 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 18 6 — — $92,026.46 $96,627.84 $92,946.74 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 18 6 — — $91,663.47 $96,246.69 $92,580.11 2026-01-13
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 18 6 — — $91,161.19 $95,719.31 $92,072.82 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 18 6 — — $90,601.47 $95,131.60 $91,507.49 2026-01-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 18 6 — — $89,773.63 $94,262.37 $90,671.38 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 18 6 — — $88,158.87 $92,566.87 $89,040.47 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 18 6 — — $87,859.43 $92,252.45 $88,738.03 2026-01-13
7 MS_DRG Lung Transplant 26 21 — — $82,845.89 $200,574.26 $88,514.29 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 18 6 — — $87,502.53 $91,877.70 $88,377.57 2026-01-13
4403 APR_DRG Kidney Transplant, Major 14 5 — — $88,164.97 $92,573.27 $88,164.97 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 18 6 — — $87,170.00 $91,528.55 $88,041.71 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 18 6 — — $86,235.09 $90,546.90 $87,097.45 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 18 6 — — $86,121.06 $90,427.16 $86,982.28 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 18 6 — — $86,099.30 $90,404.31 $86,960.30 2026-01-13
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 48 26 — — $75,679.76 $96,319.69 $85,999.73 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 18 6 — — $83,130.92 $87,287.52 $83,962.24 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 18 6 — — $82,677.40 $86,811.32 $83,504.18 2026-01-13
21 APR_DRG Heart And/Or Lung Transplant, Minor 14 5 — — $82,535.51 $86,662.33 $82,535.51 2026-01-13
1783 APR_DRG External Heart Assist Systems, Major 18 6 — — $81,709.41 $85,794.93 $82,526.51 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 18 6 — — $81,662.41 $85,745.58 $82,479.04 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 18 6 — — $81,363.83 $85,432.07 $82,177.48 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 18 6 — — $80,706.61 $84,741.99 $81,513.68 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $80,474.19 $84,497.94 $81,278.94 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 18 6 — — $79,710.77 $83,696.35 $80,507.89 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 18 6 — — $79,583.68 $83,562.91 $80,379.52 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $79,029.18 $82,980.68 $79,819.48 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 18 6 — — $78,808.07 $82,748.52 $79,596.16 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 18 6 — — $78,384.14 $82,303.39 $79,167.99 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 18 6 — — $77,584.16 $81,463.41 $78,360.01 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 18 6 — — $77,056.65 $80,909.52 $77,827.23 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 18 6 — — $76,908.66 $80,754.14 $77,677.76 2026-01-13
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 18 6 — — $76,313.25 $80,128.95 $77,076.39 2026-01-13
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 18 6 — — $76,079.96 $79,884.00 $76,840.77 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 18 6 — — $75,830.12 $79,621.67 $76,588.43 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 18 6 — — $75,814.46 $79,605.22 $76,572.61 2026-01-13
215 MS_DRG Other Heart Assist System Implant 39 23 — — $30,085.00 $187,181.64 $76,353.36 2026-01-13
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 14 5 — — $76,344.58 $80,161.86 $76,344.58 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 23 — — $66,405.78 $207,187.54 $74,793.88 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 26 21 — — $69,856.22 $169,125.58 $74,635.86 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 18 6 — — $73,798.40 $77,488.36 $74,536.39 2026-01-13
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 14 5 — — $73,478.06 $77,152.01 $73,478.06 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 18 6 — — $72,627.59 $76,259.01 $73,353.88 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $72,368.19 $75,986.64 $73,091.88 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 18 6 — — $71,986.04 $75,585.38 $72,705.91 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 18 6 — — $71,704.00 $75,289.24 $72,421.05 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 26 21 — — $67,508.81 $163,442.37 $72,127.83 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 18 6 — — $70,531.45 $74,058.07 $71,236.77 2026-01-13
1782 APR_DRG External Heart Assist Systems, Moderate 18 6 — — $70,128.42 $73,634.88 $70,829.71 2026-01-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 18 6 — — $70,009.16 $73,509.66 $70,709.26 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 18 6 — — $69,394.59 $72,864.36 $70,088.54 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 18 6 — — $68,332.59 $71,749.26 $69,015.92 2026-01-13
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 18 6 — — $67,912.15 $71,307.79 $68,591.28 2026-01-13
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior, Severe 18 6 — — $67,224.46 $70,585.72 $67,896.71 2026-01-13
7234 APR_DRG Viral Illness, Severe 18 6 — — $67,133.06 $70,489.75 $67,804.40 2026-01-13
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 18 6 — — $66,411.42 $69,732.03 $67,075.54 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 35 21 — — $2.98 $814,400.00 $66,092.56 2026-01-13
1781 APR_DRG External Heart Assist Systems, Minor 18 6 — — $64,285.69 $67,500.01 $64,928.56 2026-01-13
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Major 18 6 — — $64,055.88 $67,258.71 $64,696.44 2026-01-13
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 18 6 — — $63,678.08 $66,862.03 $64,314.87 2026-01-13
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 18 6 — — $62,775.39 $65,914.19 $63,403.15 2026-01-13
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 18 6 — — $62,651.78 $65,784.40 $63,278.31 2026-01-13
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 18 6 — — $62,347.11 $65,464.50 $62,970.58 2026-01-13
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 18 6 — — $62,017.19 $65,118.08 $62,637.37 2026-01-13
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 18 6 — — $61,862.24 $64,955.39 $62,480.87 2026-01-13
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 18 6 — — $61,536.68 $64,613.55 $62,152.06 2026-01-13
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 18 6 — — $60,678.38 $63,712.33 $61,285.17 2026-01-13
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 18 6 — — $60,618.31 $63,649.26 $61,224.50 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 23 — — $53,688.05 $157,975.52 $60,469.70 2026-01-13
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 18 6 — — $59,745.21 $62,732.51 $60,342.67 2026-01-13
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 18 6 — — $59,618.12 $62,599.06 $60,214.31 2026-01-13
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 18 6 — — $59,398.76 $62,368.73 $59,992.75 2026-01-13
38240 CPT Transplt Allo Hct/donor 40 24 — — $2,295.72 $119,712.78 $59,856.39 2026-01-13
4804 APR_DRG Major Male Pelvic Procedures, Severe 18 6 — — $59,147.18 $62,104.58 $59,738.66 2026-01-13
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 18 6 — — $58,793.77 $61,733.49 $59,381.71 2026-01-13
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 18 6 — — $58,640.56 $61,572.62 $59,226.97 2026-01-13
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 18 6 — — $58,462.11 $61,385.25 $59,046.74 2026-01-13
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 18 6 — — $58,264.51 $61,177.77 $58,847.16 2026-01-13
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 18 6 — — $57,824.04 $60,715.27 $58,402.29 2026-01-13
1804 APR_DRG Other Circulatory System Procedures, Severe 18 6 — — $57,795.31 $60,685.11 $58,373.27 2026-01-13
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 18 6 — — $57,751.79 $60,639.41 $58,329.32 2026-01-13
E0738 HCPCS Upper Extremity Rehab 48 26 — — $51,277.05 $65,261.70 $58,269.38 2026-01-13
E0739 HCPCS Rehab Sys Active Assist Rt 48 26 — — $51,277.05 $65,261.70 $58,269.38 2026-01-13
734 APR_DRG Orbit And Eye Procedures, Severe 18 6 — — $57,636.01 $60,517.85 $58,212.38 2026-01-13
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms, Severe 18 6 — — $57,345.27 $60,212.57 $57,918.73 2026-01-13
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 18 6 — — $57,184.23 $60,043.47 $57,756.08 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 23 — — $51,101.02 $147,925.57 $57,555.89 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 32 21 — — $52.84 $277,584.73 $57,510.63 2026-01-13
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses, Severe 18 6 — — $56,674.99 $59,508.77 $57,241.75 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 33 22 — — $101.23 $309,920.89 $57,017.10 2026-01-13
913 APR_DRG Other Major Head And Neck Procedures, Major 18 6 — — $56,239.75 $59,051.77 $56,802.15 2026-01-13
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 18 6 — — $56,150.09 $58,957.62 $56,711.60 2026-01-13
4402 APR_DRG Kidney Transplant, Moderate 14 5 — — $56,706.33 $59,541.68 $56,706.33 2026-01-13
6924 APR_DRG Radiotherapy, Severe 18 6 — — $56,110.91 $58,916.49 $56,672.03 2026-01-13
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 18 6 — — $56,037.79 $58,839.72 $56,598.18 2026-01-13
2314 APR_DRG Major Large Bowel Procedures, Severe 18 6 — — $55,824.52 $58,615.78 $56,382.77 2026-01-13
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication, Severe 18 6 — — $55,743.57 $58,530.78 $56,301.01 2026-01-13
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 18 6 — — $55,586.01 $58,365.34 $56,141.88 2026-01-13
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 18 6 — — $55,384.93 $58,154.20 $55,938.79 2026-01-13
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 18 6 — — $55,231.72 $57,993.34 $55,784.04 2026-01-13
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 18 6 — — $55,187.33 $57,946.72 $55,739.21 2026-01-13
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 18 6 — — $54,755.56 $57,493.37 $55,303.12 2026-01-13
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 18 6 — — $54,315.09 $57,030.88 $54,858.25 2026-01-13
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 18 6 — — $54,199.32 $56,909.32 $54,741.32 2026-01-13
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 18 6 — — $53,891.17 $56,585.75 $54,430.08 2026-01-13
10 MS_DRG Pancreas Transplant 26 21 — — $50,542.54 $122,366.14 $54,000.71 2026-01-13
274 APR_DRG Other Open Craniotomy, Severe 18 6 — — $53,190.42 $55,849.97 $53,722.33 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 26 21 — — $50,252.83 $121,664.76 $53,691.18 2026-01-13
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 18 6 — — $52,976.28 $55,625.12 $53,506.05 2026-01-13
213 APR_DRG Open Craniotomy Except Trauma, Major 18 6 — — $52,859.63 $55,502.65 $53,388.24 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 23 — — $47,317.14 $143,246.50 $53,294.05 2026-01-13
4401 APR_DRG Kidney Transplant, Minor 14 5 — — $53,155.60 $55,813.41 $53,155.60 2026-01-13
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Sever… 18 6 — — $52,523.63 $55,149.84 $53,048.87 2026-01-13
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 18 6 — — $52,506.22 $55,131.56 $53,031.29 2026-01-13
244 APR_DRG Open Extracranial Vascular Procedures, Severe 18 6 — — $52,399.15 $55,019.13 $52,923.15 2026-01-13
1801 APR_DRG Other Circulatory System Procedures, Minor 18 6 — — $52,360.84 $54,978.92 $52,884.46 2026-01-13
3084 APR_DRG Hip And Femur Fracture Repair, Severe 18 6 — — $52,185.01 $54,794.29 $52,706.87 2026-01-13
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $52,065.75 $54,669.07 $52,586.41 2026-01-13
5144 APR_DRG Female Reproductive System Reconstructive Procedures, Severe 18 6 — — $51,786.32 $54,375.67 $52,304.19 2026-01-13
233 APR_DRG Spinal Procedures, Major 18 6 — — $51,774.13 $54,362.87 $52,291.88 2026-01-13
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 18 6 — — $51,741.06 $54,328.14 $52,258.47 2026-01-13
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 18 6 — — $51,680.12 $54,264.16 $52,196.93 2026-01-13
433 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, M… 18 6 — — $51,255.32 $53,818.12 $51,767.88 2026-01-13
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 18 6 — — $51,110.82 $53,666.39 $51,621.93 2026-01-13
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 18 6 — — $51,083.84 $53,638.06 $51,594.68 2026-01-13
404 APR_DRG Spinal Disorders And Injuries, Severe 18 6 — — $51,082.96 $53,637.14 $51,593.80 2026-01-13
293 APR_DRG Other Percutaneous Intracranial Procedures, Major 18 6 — — $50,894.94 $53,439.72 $51,403.90 2026-01-13
7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Major 18 6 — — $50,297.78 $52,812.70 $50,800.76 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 33 23 — — $45,025.53 $135,702.46 $50,712.96 2026-01-13
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 18 6 — — $50,105.40 $52,610.70 $50,606.46 2026-01-13
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 18 6 — — $49,758.95 $52,246.93 $50,256.54 2026-01-13
2454 APR_DRG Inflammatory Bowel Disease, Severe 18 6 — — $49,687.57 $52,171.98 $50,184.45 2026-01-13
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 18 6 — — $49,190.52 $51,650.07 $49,682.43 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 23 — — $44,098.72 $129,934.93 $49,669.09 2026-01-13
203 APR_DRG Open Craniotomy For Trauma, Major 18 6 — — $48,777.04 $51,215.92 $49,264.82 2026-01-13
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 18 6 — — $48,656.04 $51,088.87 $49,142.60 2026-01-13
4624 APR_DRG Nephritis And Nephrosis, Severe 18 6 — — $48,261.71 $50,674.82 $48,744.33 2026-01-13
273 APR_DRG Other Open Craniotomy, Major 18 6 — — $48,234.72 $50,646.49 $48,717.07 2026-01-13
7594 APR_DRG Eating Disorders, Severe 18 6 — — $48,219.92 $50,630.95 $48,702.12 2026-01-13
6504 APR_DRG Splenectomy, Severe 18 6 — — $48,107.63 $50,513.04 $48,588.71 2026-01-13
2613 APR_DRG Major Biliary Tract Procedures, Major 18 6 — — $48,006.65 $50,407.01 $48,486.73 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 37 23 — — $42,502.52 $125,607.40 $48,318.65 2026-01-13
J9226 HCPCS Supprelin La Implant 37 22 — — $220.99 $187,052.51 $48,098.68 2026-01-13
2074 APR_DRG Other Circulatory System Diagnoses, Severe 18 6 — — $47,526.14 $49,902.48 $48,001.41 2026-01-13
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $47,033.45 $49,385.14 $47,503.79 2026-01-13
4454 APR_DRG Other Bladder Procedures, Severe 18 6 — — $46,999.50 $49,349.50 $47,469.50 2026-01-13
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 18 6 — — $46,734.00 $49,070.72 $47,201.35 2026-01-13
3814 APR_DRG Major Skin Disorders, Severe 18 6 — — $46,478.07 $48,802.00 $46,942.85 2026-01-13
3164 APR_DRG Hand And Wrist Procedures, Severe 18 6 — — $46,409.30 $48,729.80 $46,873.40 2026-01-13
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 18 6 — — $45,950.56 $48,248.11 $46,410.07 2026-01-13
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 18 6 — — $45,893.10 $48,187.78 $46,352.04 2026-01-13
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 18 6 — — $45,815.63 $48,106.44 $46,273.79 2026-01-13
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 18 6 — — $45,782.55 $48,071.70 $46,240.38 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 23 — — $40,996.96 $120,965.93 $46,175.52 2026-01-13
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 18 6 — — $45,423.04 $47,694.22 $45,877.28 2026-01-13
1693 APR_DRG Major Abdominal Vascular Procedures, Major 18 6 — — $45,261.13 $47,524.21 $45,713.74 2026-01-13
4614 APR_DRG Kidney And Urinary Tract Malignancy, Severe 18 6 — — $45,193.23 $47,452.92 $45,645.17 2026-01-13
8503 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 18 6 — — $45,117.50 $47,373.40 $45,568.68 2026-01-13
3434 APR_DRG Musculoskeletal Malignancy And Pathological Fracture Due To Musculoskeletal Mali… 18 6 — — $45,106.18 $47,361.52 $45,557.24 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 38 22 — — $96.57 $91,087.64 $45,543.82 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 53 26 — — $2,380.00 $91,087.64 $45,543.82 2026-01-13
3204 APR_DRG Other Musculoskeletal System And Connective Tissue Procedures, Severe 18 6 — — $45,071.36 $47,324.95 $45,522.08 2026-01-13
1802 APR_DRG Other Circulatory System Procedures, Moderate 18 6 — — $44,883.33 $47,127.53 $45,332.17 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 28 23 — — $42,338.96 $134,839.59 $45,235.84 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 48 25 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 23 — — $40,091.08 $115,074.32 $45,155.22 2026-01-13
1831 APR_DRG Percutaneous Structural Cardiac Procedures, Minor 18 6 — — $44,456.79 $46,679.66 $44,901.37 2026-01-13
4043 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Major 18 6 — — $44,288.79 $46,503.26 $44,731.68 2026-01-13
1213 APR_DRG Other Respiratory And Chest Procedures, Major 18 6 — — $44,165.18 $46,373.47 $44,606.83 2026-01-13
3094 APR_DRG Other Significant Hip And Femur Surgery, Severe 18 6 — — $44,051.15 $46,253.73 $44,491.67 2026-01-13
4214 APR_DRG Malnutrition, Failure To Thrive And Other Nutritional Disorders, Severe 18 6 — — $44,024.16 $46,225.39 $44,464.40 2026-01-13
9304 APR_DRG Multiple Significant Trauma Without O.r. Procedure, Severe 18 6 — — $43,972.80 $46,171.47 $44,412.54 2026-01-13
6312 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Moderate 18 6 — — $43,850.06 $46,042.59 $44,288.57 2026-01-13
3244 APR_DRG Elective Hip Joint Replacement, Severe 18 6 — — $43,811.76 $46,002.37 $44,249.89 2026-01-13
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Minor 18 6 — — $43,758.66 $45,946.62 $44,196.26 2026-01-13
9523 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Major 18 6 — — $43,683.80 $45,868.01 $44,120.65 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 23 — — $39,038.13 $123,159.77 $43,969.26 2026-01-13
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 18 6 — — $43,464.44 $45,637.68 $43,899.09 2026-01-13
1601 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Minor 18 6 — — $43,463.57 $45,636.77 $43,898.21 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 33 23 — — $38,539.24 $112,950.03 $43,407.35 2026-01-13
3644 APR_DRG Other Skin, Subcutaneous Tissue And Related Procedures, Severe 18 6 — — $42,938.66 $45,085.62 $43,368.05 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 35 23 — — $37,976.95 $115,207.79 $43,173.80 2026-01-13
484 APR_DRG Peripheral, Cranial And Autonomic Nerve Disorders, Severe 18 6 — — $42,734.97 $44,871.74 $43,162.32 2026-01-13
6071 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $42,675.77 $44,809.59 $43,102.54 2026-01-13
3234 APR_DRG Non-elective Or Complex Hip Joint Replacement, Severe 18 6 — — $42,666.20 $44,799.53 $43,092.86 2026-01-13
1744 APR_DRG Percutaneous Cardiac Intervention With Ami, Severe 18 6 — — $42,602.65 $44,732.81 $43,028.68 2026-01-13
2834 APR_DRG Other Disorders Of The Liver, Severe 18 6 — — $42,550.42 $44,677.97 $42,975.93 2026-01-13
1672 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Moderate 18 6 — — $42,502.54 $44,627.70 $42,927.57 2026-01-13
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure, Severe 18 6 — — $42,431.16 $44,552.75 $42,855.48 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 49 26 — — $4,104.77 $81,114.24 $42,609.50 2026-01-13
6082 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Mode… 18 6 — — $42,136.07 $44,242.90 $42,557.43 2026-01-13
584 APR_DRG Other Disorders Of Nervous System, Severe 18 6 — — $42,125.62 $44,231.93 $42,546.88 2026-01-13
6404 APR_DRG Neonate Birth Weight > 2499 Grams, Normal Newborn Or Neonate With Other Problem,… 18 6 — — $42,122.14 $44,228.27 $42,543.36 2026-01-13
3514 APR_DRG Other Musculoskeletal System And Connective Tissue Diagnoses, Severe 18 6 — — $41,950.65 $44,048.21 $42,370.17 2026-01-13
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Major 18 6 — — $41,863.61 $43,956.81 $42,282.25 2026-01-13
2064 APR_DRG Malfunction, Reaction, Complication Of Cardiac Or Vascular Device Or Procedure, … 18 6 — — $41,761.76 $43,849.87 $42,179.38 2026-01-13
2524 APR_DRG Malfunction, Reaction And Complication Of Gastrointestinal Device Or Procedure, … 18 6 — — $41,715.62 $43,801.43 $42,132.78 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 23 — — $36,908.79 $110,252.38 $41,570.96 2026-01-13
8434 APR_DRG Extensive Third Degree Burns Without Skin Graft, Severe 18 6 — — $41,081.03 $43,135.11 $41,491.85 2026-01-13
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 18 6 — — $41,018.36 $43,069.30 $41,428.55 2026-01-13
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition, Severe 18 6 — — $40,921.73 $42,967.85 $41,330.96 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 23 — — $36,383.27 $112,100.32 $40,979.05 2026-01-13
8904 APR_DRG HIV With Multiple Major HIV Related Conditions, Severe 18 6 — — $40,337.64 $42,354.54 $40,741.02 2026-01-13
4824 APR_DRG Transurethral Prostatectomy, Severe 18 6 — — $40,188.78 $42,198.24 $40,590.68 2026-01-13
7933 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Major 18 6 — — $40,161.80 $42,169.91 $40,563.42 2026-01-13
3624 APR_DRG Mastectomy Procedures, Severe 18 6 — — $40,066.91 $42,070.28 $40,467.59 2026-01-13
1813 APR_DRG Lower Extremity Arterial Procedures, Major 18 6 — — $40,043.41 $42,045.60 $40,443.85 2026-01-13
2203 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Major 18 6 — — $40,040.80 $42,042.86 $40,441.21 2026-01-13
6021 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 18 6 — — $40,009.46 $42,009.96 $40,409.56 2026-01-13
2484 APR_DRG Major Gastrointestinal And Peritoneal Infections, Severe 18 6 — — $39,874.54 $41,868.29 $40,273.29 2026-01-13
4244 APR_DRG Other Endocrine Disorders, Severe 18 6 — — $39,411.43 $41,382.03 $39,805.55 2026-01-13
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