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

HCA HOUSTON HEALTHCARE CONROE

Conroe, TX · CCN 450222 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $5,643 across 31 payers · range $300-$16,172

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1801361_HCA-HOUSTON-HEALTHCARE-CONROE_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

40,227 distinct procedures filed
58 distinct payers
2,057,018 rate rows
2026-08-01 last MRF observed
Data quality

1,981,507 of 2,057,018 rate rows are consumer-grade (96.3%)

75,511 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 25,840
per-diem day rate — not a per-procedure price 24,791
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 15,663
template filing: same amount across many unrelated codes — excluded 5,226
exceeds 10× this hospital's gross charge — excluded from medians 2,028
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,010
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 774
placeholder amount (≤ $0.02) — excluded from medians 179
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1801361_HCA-HOUSTON-HEALTHCARE-CONROE_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://hcahoustonhealthcare.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-22
Content fingerprint 3429ad1349bbbe87… · 986,499,033 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$2,994,107
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 22 $5,696.58 $4,910,450.00 $4,640,150.00 nat. median
$17,156
outlier · 270.5×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,467,386
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,401,965
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 23 $3,611,561.66 $4,790,847.10 $3,795,825.01 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,685,267.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 26 $10,314.47 $4,836,939.00 $3,435,894.60 nat. median
$30,519
outlier · 112.6×
714
OTHER 		Inj Delandistrogene Mox R 26 $6,699.95 $4,825,397.00 $3,427,695.80 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 26 $12,753.29 $4,716,136.60 $3,350,083.24 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$14,890
outlier · 224.0×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,327,860.00 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 26 $9,114.05 $4,929,000.00 $3,275,400.00 nat. median
$25,059
outlier · 130.7×
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,252,508.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 26 $11,796.92 $4,556,951.95 $3,028,168.07 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,939,969.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 25 $2,537,201.38 $4,012,920.55 $2,666,650.43 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,588,981.00 $2,588,981.00 $2,588,981.00 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 28 $13,813.90 $4,897,200.00 $2,401,960.00 nat. median
$2,285,360
1.1× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $1,978,603.20 $1,509,600.96 nat. median
$813,967
1.9× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $1,428,840.00 $1,090,152.00 nat. median
$319,951
outlier · 3.4×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $553,169.00 $1,250,478.00 $969,621.79 nat. median
$646,415
1.5× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $32.24 $1,037,313.00 $934,776.65 nat. median
$739,258
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $527,622.00 $1,128,119.40 $911,665.19 nat. median
$622,450
1.5× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $516,442.00 $1,103,378.76 $905,167.53 nat. median
$640,950
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $8.47 $956,745.00 $878,117.20 nat. median
$608,239
1.4× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $489,399.00 $1,003,071.60 $805,025.05 nat. median
$591,721
1.4× median
2067
OTHER 		Afamitresgene Autoleucel 28 $755,207.60 $1,656,833.00 $793,738.60 nat. median
$793,739
1.0× median
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $545,370.00 $751,275.00 $751,275.00 nat. median
$459,112
1.6× median
9498
OTHER 		Ciltacabtagene Car-pos T 28 $575,896.61 $1,263,446.64 $605,279.09 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $587,649.60 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 28 $555,200.67 $1,218,042.30 $583,527.24 nat. median
$577,163
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 28 $550,957.18 $1,208,732.58 $579,067.24 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 28 $546,920.16 $1,199,875.87 $574,824.25 nat. median
$563,449
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $566,531.30 $566,531.30 $566,531.30 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $562,201.20 $562,201.20 $562,201.20 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $558,081.80 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 28 $521,548.36 $1,144,213.23 $548,157.97 nat. median
$533,230
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $532,192.20 $532,192.20 $532,192.20 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 28 $479,661.20 $1,052,317.93 $504,133.71 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $489,450.20 $489,450.20 $489,450.20 nat. median
$474,767
1.0× median
5834
APR_DRG 		Neonate With Ecmo 9 $314,213.53 $400,782.56 $336,657.35 nat. median
$307,206
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $2,585.00 $633,491.68 $336,402.63 nat. median
$359,454
0.9× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $305,667.21 $545,834.00 $327,500.59 nat. median
$170,082
1.9× median
831
OTHER 		Obecbtge Autol Up To 400 29 $3,900.77 $598,237.50 $286,597.50 nat. median
$23,596
outlier · 12.1×
5833
APR_DRG 		Neonate With Ecmo 9 $266,064.46 $339,367.94 $285,069.07 nat. median
$244,017
1.2× median
00831
OTHER 		Obecbtge Autol Up To 400 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$272,685
1.0× median

Other procedures at this hospital

Browse this hospital's 40,227 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 41 22 $12,338.70 — $5,696.58 $4,910,450.00 $4,640,150.00 2026-08-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 $4,463,735.93 — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-08-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 42 23 — — $3,611,561.66 $4,790,847.10 $3,795,825.01 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,685,267.00 $3,685,267.00 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 45 26 $28,731.36 — $10,314.47 $4,836,939.00 $3,435,894.60 2026-08-01
714 OTHER Inj Delandistrogene Mox R 45 26 $13,592.75 — $6,699.95 $4,825,397.00 $3,427,695.80 2026-08-01
748 OTHER Inj, Lovotibeglogene Auto 45 26 $19,799.70 — $12,753.29 $4,716,136.60 $3,350,083.24 2026-08-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,327,860.00 $3,327,860.00 $3,327,860.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 47 26 $24,977.35 — $9,114.05 $4,929,000.00 $3,275,400.00 2026-08-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,252,508.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 47 26 $21,842.26 — $11,796.92 $4,556,951.95 $3,028,168.07 2026-08-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 46 25 — — $2,537,201.38 $4,012,920.55 $2,666,650.43 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,588,981.00 $2,588,981.00 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 49 28 $31,997.78 — $13,813.90 $4,897,200.00 $2,401,960.00 2026-08-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 8 2 — — $1,271,523.00 $1,978,603.20 $1,509,600.96 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 2 — — $459,112.50 $1,428,840.00 $1,090,152.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 12 4 $1,134,693.00 — $553,169.00 $1,250,478.00 $969,621.79 2026-08-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 4 $1,279,352.70 — $32.24 $1,037,313.00 $934,776.65 2026-08-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 12 4 $1,023,663.90 — $527,622.00 $1,128,119.40 $911,665.19 2026-08-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 12 4 $1,360,833.80 — $516,442.00 $1,103,378.76 $905,167.53 2026-08-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 4 $1,179,985.50 — $8.47 $956,745.00 $878,117.20 2026-08-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 12 4 $1,237,121.64 — $489,399.00 $1,003,071.60 $805,025.05 2026-08-01
2067 OTHER Afamitresgene Autoleucel 49 28 — — $755,207.60 $1,656,833.00 $793,738.60 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 5 1 — — $545,370.00 $751,275.00 $751,275.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 49 28 $1,005,795.00 — $575,896.61 $1,263,446.64 $605,279.09 2026-08-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 49 28 $953,098.86 — $555,200.67 $1,218,042.30 $583,527.24 2026-08-01
9413 OTHER Lisocabtagene Car Pos T 49 28 $913,327.80 — $550,957.18 $1,208,732.58 $579,067.24 2026-08-01
9422 OTHER Idecabtagene Vicleucel Ca 49 28 $933,807.00 — $546,920.16 $1,199,875.87 $574,824.25 2026-08-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $566,531.30 $566,531.30 $566,531.30 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $562,201.20 $562,201.20 $562,201.20 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 49 28 $888,058.02 — $521,548.36 $1,144,213.23 $548,157.97 2026-08-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 49 28 $888,174.00 — $479,661.20 $1,052,317.93 $504,133.71 2026-08-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
5834 APR_DRG Neonate With Ecmo 16 9 — — $314,213.53 $400,782.56 $336,657.35 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 58 32 — — $2,585.00 $633,491.68 $336,402.63 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $305,667.21 $545,834.00 $327,500.59 2026-03-01
831 OTHER Obecbtge Autol Up To 400 50 29 $16,375.93 — $3,900.77 $598,237.50 $286,597.50 2026-08-01
5833 APR_DRG Neonate With Ecmo 16 9 — — $266,064.46 $339,367.94 $285,069.07 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 15 8 — — $255,946.48 $457,047.00 $274,228.37 2026-03-01
897 OTHER Revakinagene, Per Implant 49 28 $12,403.24 — $259,700.00 $569,750.00 $272,950.00 2026-08-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
018 OTHER $1,157.00 1 1 $504,984.59 — $229,997.80 $229,997.80 $229,997.80 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 57 32 — — $2,585.00 $419,405.69 $217,307.96 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $198,892.01 $253,688.79 $213,098.58 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 50 29 $19,070.42 — $8,535.53 $433,588.35 $207,719.07 2026-08-01
1614 APR_DRG Implantable Heart Assist Systems 21 10 — — $193,137.78 $246,349.21 $206,933.34 2026-03-01
001 OTHER $1,157.00 1 1 $393,229.16 — $202,171.80 $202,171.80 $202,171.80 2026-08-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $180,939.69 $230,790.42 $193,863.96 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 12 4 — — $63,235.60 $432,000.00 $172,200.00 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 77 38 — — $2,585.00 $317,656.34 $171,923.11 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 70 36 — — $2,585.00 $319,531.58 $167,977.68 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 9 — — $147,988.91 $188,761.36 $158,559.54 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 9 — — $146,677.46 $187,088.60 $157,154.42 2026-03-01
1907 OTHER New Technology - Level 52 49 28 $317,810.74 — $146,948.65 $322,387.34 $154,446.03 2026-08-01
1908 OTHER New Technology - Level 52 49 28 $317,810.74 — $146,948.65 $322,387.34 $154,446.03 2026-08-01
01908 OTHER New Technology - Level 52 1 1 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 13 4 $525,696.69 — $93,760.51 $551,754.93 $147,245.34 2026-08-01
003 OTHER $1,157.00 1 1 $282,732.52 — $142,494.70 $142,494.70 $142,494.70 2026-08-01
5832 APR_DRG Neonate With Ecmo 16 9 — — $132,573.85 $169,099.30 $142,043.41 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 14 5 $402,932.31 — $57,017.10 $422,905.25 $140,983.85 2026-08-01
1905 OTHER New Technology - Level 51 49 28 $286,550.77 — $132,494.73 $290,677.21 $139,254.66 2026-08-01
1906 OTHER New Technology - Level 51 49 28 $286,550.77 — $132,494.73 $290,677.21 $139,254.66 2026-08-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 13 4 $310,013.53 — $74,830.84 $325,380.58 $138,148.31 2026-08-01
01906 OTHER New Technology - Level 51 1 1 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $125,887.55 $160,570.85 $134,879.51 2026-03-01
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 2 1 $127,898.44 — $134,238.24 $134,238.24 $134,238.24 2026-08-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 5 1 — — $94,790.81 $146,008.42 $130,719.58 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 1 $7,874.00 — $117,866.10 $151,959.60 $127,607.10 2026-08-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 16 9 — — $116,984.20 $149,214.54 $125,340.21 2026-03-01
5831 APR_DRG Neonate With Ecmo 16 9 — — $116,733.91 $148,895.29 $125,072.04 2026-03-01
1904 OTHER New Technology - Level 50 49 28 $255,290.80 — $118,040.80 $258,967.07 $124,063.29 2026-08-01
1903 OTHER New Technology - Level 50 49 28 $255,290.80 — $118,040.80 $258,967.07 $124,063.29 2026-08-01
01904 OTHER New Technology - Level 50 1 1 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 52 29 $817,105.39 — $109,262.16 $857,608.46 $115,951.68 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $107,858.28 $192,604.00 $115,562.44 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $106,718.94 $136,121.10 $114,341.72 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $106,231.18 $135,498.95 $113,819.12 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 9 — — $105,956.48 $135,148.58 $113,524.80 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 77 38 — — $2,585.00 $207,300.05 $113,364.93 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 16 9 — — $105,500.99 $134,567.59 $113,036.77 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 9 — — $104,447.28 $133,223.58 $111,907.80 2026-03-01
004 OTHER $1,157.00 1 1 $191,845.58 — $111,277.10 $111,277.10 $111,277.10 2026-08-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 16 9 — — $101,695.73 $129,713.94 $108,959.71 2026-03-01
1901 OTHER New Technology - Level 49 49 28 $224,030.83 — $103,586.88 $227,256.93 $108,871.93 2026-08-01
1902 OTHER New Technology - Level 49 49 28 $224,030.83 — $103,586.88 $227,256.93 $108,871.93 2026-08-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 9 — — $100,784.76 $128,551.99 $107,983.67 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 21 10 — — $100,666.02 $128,400.54 $107,856.45 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $107,674.60 $107,674.60 $107,674.60 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $107,674.60 $107,674.60 $107,674.60 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $100,134.00 $127,721.94 $107,286.43 2026-03-01
7 MS_DRG Lung Transplant 54 30 — — $2,585.00 $193,812.69 $103,173.61 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 55 29 $140,140.00 — $93,179.38 $204,424.15 $99,835.05 2026-08-01
651 OTHER $1,157.00 1 1 $49,543.96 — $99,727.27 $99,727.27 $99,727.27 2026-08-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 14 5 $295,429.26 — $45,212.00 $310,073.39 $99,222.35 2026-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 8 — — $91,684.49 $163,722.00 $98,233.38 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 15 8 — — $91,317.12 $163,066.00 $97,839.77 2026-03-01
1585 OTHER New Technology - Level 48 49 28 $197,980.85 — $91,542.00 $200,831.93 $96,212.51 2026-08-01
1599 OTHER New Technology - Level 48 49 28 $197,980.85 — $91,542.00 $200,831.93 $96,212.51 2026-08-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 16 9 — — $89,694.56 $114,406.32 $96,101.31 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 21 10 — — $89,644.50 $114,342.47 $96,047.68 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 55 31 — — $2,585.00 $179,859.89 $95,981.45 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $88,895.28 $113,386.84 $95,244.94 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 16 9 — — $86,930.18 $110,880.34 $93,139.48 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 9 — — $86,481.73 $110,308.33 $92,658.99 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 57 32 — — $2,585.00 $184,000.00 $90,688.55 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 78 37 — — $2,585.00 $169,397.16 $90,144.19 2026-03-01
64 APR_DRG Pancreas Transplant 15 8 — — $83,927.93 $149,871.00 $89,922.78 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 9 — — $83,921.31 $107,042.49 $89,915.69 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 9 — — $83,670.19 $106,722.18 $89,646.63 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 38 — — $2,585.00 $256,320.05 $87,426.81 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 86 39 — — $2,585.00 $162,741.78 $87,157.62 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 9 — — $81,336.89 $103,746.04 $87,146.67 2026-03-01
1584 OTHER New Technology - Level 47 49 28 $177,140.87 — $81,906.04 $179,691.82 $86,084.92 2026-08-01
1598 OTHER New Technology - Level 47 49 28 $177,140.87 — $81,906.04 $179,691.82 $86,084.92 2026-08-01
007 OTHER $1,157.00 1 1 $170,548.19 — $85,524.09 $85,524.09 $85,524.09 2026-08-01
01598 OTHER New Technology - Level 47 1 1 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 10 — — $78,199.77 $99,744.60 $83,785.46 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 30 — — $2,585.00 $154,306.94 $82,809.74 2026-03-01
215 MS_DRG Other Heart Assist System Implant 92 39 — — $2,585.00 $202,495.51 $82,438.03 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 9 — — $76,916.46 $98,107.72 $82,410.49 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 9 — — $76,292.18 $97,311.45 $81,741.62 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 39 — — $28,050.00 $198,952.80 $81,054.66 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 16 9 — — $73,040.87 $93,164.38 $78,258.07 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $72,468.72 $129,408.00 $77,645.05 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 21 10 — — $72,363.22 $92,300.03 $77,532.02 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 $78,168.72 — $77,046.96 $77,046.96 $77,046.96 2026-08-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $71,535.81 $91,244.65 $76,645.51 2026-03-01
1583 OTHER New Technology - Level 46 49 28 $156,300.89 — $72,270.09 $158,551.73 $75,957.34 2026-08-01
1597 OTHER New Technology - Level 46 49 28 $156,300.89 — $72,270.09 $158,551.73 $75,957.34 2026-08-01
002 OTHER $1,157.00 1 1 $188,232.68 — $75,799.58 $75,799.58 $75,799.58 2026-08-01
8634 APR_DRG Neonatal Aftercare 16 9 — — $70,426.25 $89,829.40 $75,456.70 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 9 — — $69,749.84 $88,966.64 $74,731.98 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc Pediatric 1 1 — — $74,514.68 $74,514.68 $74,514.68 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 21 10 — — $68,629.94 $87,538.19 $73,532.08 2026-03-01
4404 APR_DRG Kidney Transplant 15 8 — — $68,460.32 $122,251.00 $73,350.34 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 9 — — $68,147.56 $86,922.91 $73,015.25 2026-03-01
014 OTHER $1,157.00 1 1 $156,377.40 — $73,002.80 $73,002.80 $73,002.80 2026-08-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 9 — — $68,124.40 $86,893.36 $72,990.42 2026-03-01
005 OTHER $1,157.00 1 1 $159,367.20 — $72,233.86 $72,233.86 $72,233.86 2026-08-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 85 38 — — $2,585.00 $209,536.27 $72,060.49 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 16 9 — — $66,366.56 $84,651.22 $71,107.03 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 9 — — $66,366.56 $84,651.22 $71,107.03 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 16 9 — — $66,178.32 $84,411.13 $70,905.35 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 50 29 — — $67,425.67 $147,923.65 $70,865.75 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 93 39 — — $28,050.00 $171,438.88 $70,310.75 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 72 38 — — $2,585.00 $227,147.34 $70,073.12 2026-03-01
4414 APR_DRG Major Bladder Procedures 16 9 — — $64,788.28 $82,638.11 $69,416.01 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 89 38 — — $28,078.00 $195,437.87 $68,097.44 2026-03-01
423 OTHER $1,157.00 1 1 $54,932.57 — $67,695.52 $67,695.52 $67,695.52 2026-08-01
23 APR_DRG Heart And/or Lung Transplant 15 8 — — $63,039.55 $112,571.00 $67,542.37 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 50 29 $24,732.86 — $12,646.02 $138,190.80 $66,203.03 2026-08-01
83 APR_DRG Autologous Bone Marrow Transplant 15 8 — — $61,723.56 $110,221.00 $66,132.38 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 39 — — $28,050.00 $156,153.59 $65,925.88 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 78 38 — — $2,585.00 $234,000.00 $65,854.85 2026-03-01
1582 OTHER New Technology - Level 45 49 28 $135,460.91 — $62,634.14 $137,411.64 $65,829.76 2026-08-01
1596 OTHER New Technology - Level 45 49 28 $135,460.91 — $62,634.14 $137,411.64 $65,829.76 2026-08-01
474 OTHER $1,157.00 1 1 $57,237.79 — $65,383.86 $65,383.86 $65,383.86 2026-08-01
01596 OTHER New Technology - Level 45 1 1 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
5244 OTHER Level 4 Blood Product Exc 49 28 $85,500.14 — $61,923.99 $135,853.66 $65,083.38 2026-08-01
1784 APR_DRG External Heart Assist Devices 16 9 — — $60,681.42 $77,399.77 $65,015.81 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $64,482.61 $64,482.61 $64,482.61 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $64,367.62 $64,367.62 $64,367.62 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $64,274.79 $64,274.79 $64,274.79 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 93 39 — — $28,050.00 $155,480.43 $64,079.15 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 9 — — $59,758.86 $76,223.04 $64,027.35 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 16 9 — — $59,690.19 $76,135.45 $63,953.78 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 78 38 — — $2,585.00 $128,000.00 $63,878.23 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 21 10 — — $59,426.25 $75,798.79 $63,670.98 2026-03-01
6904 APR_DRG Acute Leukemia 16 9 — — $58,892.57 $75,118.07 $63,099.18 2026-03-01
216 OTHER $1,157.00 1 1 $177,645.46 — $62,825.73 $62,825.73 $62,825.73 2026-08-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 16 9 — — $58,531.81 $74,657.92 $62,712.66 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $58,466.04 $74,574.02 $62,642.18 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 $83,419.50 — $59,725.13 $64,717.64 $61,635.85 2026-08-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $60,979.90 $60,979.90 $60,979.90 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $56,700.34 $72,321.86 $60,750.36 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 28 13 $78,572.57 — $58,741.78 $63,652.08 $60,621.03 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 84 39 — — $50,470.00 $145,010.94 $60,562.26 2026-03-01
429 OTHER $20.00 1 1 $319.00 — $60,266.39 $60,266.39 $60,266.39 2026-08-01
020 OTHER $1,157.00 1 1 $224,580.00 — $59,572.18 $59,572.18 $59,572.18 2026-08-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 16 9 — — $55,508.46 $70,801.61 $59,473.35 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 9 — — $55,170.05 $70,369.96 $59,110.77 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 85 38 — — $2,585.00 $167,882.98 $58,957.32 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 9 — — $54,796.06 $69,892.94 $58,710.07 2026-03-01
10 MS_DRG Pancreas Transplant 54 30 — — $2,585.00 $107,391.53 $58,626.37 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 70 36 — — $2,585.00 $107,346.63 $58,603.22 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 49 28 $125,567.03 — $55,688.06 $122,172.78 $58,529.29 2026-08-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 13 4 $195,249.44 — $39,976.89 $204,927.75 $58,512.24 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 60 34 — — $2,585.00 $106,776.42 $58,309.30 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 78 38 — — $2,585.00 $148,493.11 $58,254.93 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 9 — — $54,259.90 $69,209.05 $58,135.60 2026-03-01
63 APR_DRG Pancreas Transplant 15 8 — — $54,237.56 $96,852.80 $58,111.67 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $56,824.55 $56,824.55 $56,824.55 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 78 38 — — $2,585.00 $104,295.46 $56,819.93 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 39 — — $28,050.00 $133,721.88 $56,455.53 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 39 — — $28,050.00 $133,721.88 $56,455.53 2026-03-01
231 OTHER $1,157.00 1 1 $149,428.00 — $56,388.52 $56,388.52 $56,388.52 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 93 39 — — $16,045.00 $139,875.85 $56,328.99 2026-03-01
275 OTHER $53,746.12 1 1 $55,408.37 — $56,206.54 $56,206.54 $56,206.54 2026-08-01
9273 OTHER Sipuleucel-t Auto Cd54+ 49 28 $112,361.62 — $53,316.03 $116,968.84 $56,036.23 2026-08-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 72 38 — — $2,585.00 $135,983.35 $55,983.88 2026-03-01
1581 OTHER New Technology - Level 44 49 28 $114,620.93 — $52,998.19 $116,271.55 $55,702.18 2026-08-01
1595 OTHER New Technology - Level 44 49 28 $114,620.93 — $52,998.19 $116,271.55 $55,702.18 2026-08-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 16 9 — — $51,704.86 $65,950.07 $55,398.06 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 75 38 — — $11,456.00 $98,048.25 $55,392.87 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 9 — — $51,423.12 $65,590.71 $55,096.20 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
01595 OTHER New Technology - Level 44 1 1 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 16 9 — — $51,302.74 $65,437.16 $54,967.22 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 28 13 $76,020.73 — $53,257.18 $57,709.02 $54,960.97 2026-08-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 83 38 — — $16,516.00 $155,393.97 $54,814.64 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc Pediatric 1 1 — — $54,608.69 $54,608.69 $54,608.69 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 78 38 — — $2,585.00 $138,243.09 $54,466.10 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $54,404.11 $54,404.11 $54,404.11 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 15 8 — — $50,641.64 $90,431.50 $54,258.90 2026-03-01
234 APR_DRG Spinal Procedures 16 9 — — $50,542.76 $64,467.80 $54,152.95 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 16 9 — — $50,359.90 $64,234.56 $53,957.03 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 28 13 $55,200.93 — $51,888.38 $56,225.80 $53,548.38 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $49,712.86 $63,409.26 $53,263.78 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 9 — — $49,710.79 $63,406.63 $53,261.57 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc Pediatric 1 1 — — $53,242.15 $53,242.15 $53,242.15 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 28 13 $71,541.76 — $51,232.19 $55,514.76 $52,871.20 2026-08-01
850 OTHER $322.99 1 1 $699.25 — $52,829.44 $52,829.44 $52,829.44 2026-08-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 9 — — $49,091.07 $62,616.16 $52,597.58 2026-03-01
62 APR_DRG Pancreas Transplant 15 8 — — $49,057.14 $87,602.00 $52,561.23 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 93 39 — — $28,050.00 $156,000.00 $52,492.28 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 16 9 — — $48,864.77 $62,327.51 $52,355.11 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 79 38 — — $28,050.00 $124,633.27 $52,033.66 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 52 29 $366,493.18 — $49,007.06 $384,659.87 $52,007.49 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 78 38 — — $2,585.00 $97,042.06 $51,977.28 2026-03-01
61 APR_DRG Pancreas Transplant 15 8 — — $48,423.76 $86,471.00 $51,882.60 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 52 29 $363,515.32 — $48,608.78 $381,534.40 $51,584.83 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 78 38 — — $2,585.00 $96,564.47 $51,079.90 2026-03-01
957 OTHER $1,157.00 1 1 $122,805.00 — $51,077.02 $51,077.02 $51,077.02 2026-08-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 84 39 — — $47,127.00 $122,156.22 $51,066.40 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $47,585.60 $84,974.30 $50,984.57 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 15 8 — — $47,238.09 $84,353.70 $50,612.24 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 9 — — $47,182.24 $60,181.43 $50,552.40 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 16 9 — — $47,153.69 $60,145.01 $50,521.81 2026-03-01
233 OTHER $1,157.00 1 1 $108,204.00 — $50,407.50 $50,407.50 $50,407.50 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 93 39 — — $28,050.00 $119,349.72 $50,387.80 2026-03-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 $69,341.98 — $48,817.99 $52,898.75 $50,379.76 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 89 38 — — $28,078.00 $138,683.82 $50,368.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 9 — — $46,950.14 $59,885.39 $50,303.73 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 9 — — $46,671.72 $59,530.25 $50,005.41 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 16 9 — — $46,634.07 $59,482.24 $49,965.08 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 78 38 — — $2,585.00 $153,839.57 $49,940.31 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 21 10 — — $46,606.36 $59,446.89 $49,935.39 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc Pediatric 1 1 — — $49,415.04 $49,415.04 $49,415.04 2026-03-01
B2102 HCPCS Burns; M=12-45 28 13 $63,526.20 — $47,853.44 $51,853.57 $49,384.35 2026-08-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 16 9 — — $45,843.48 $58,473.82 $49,118.01 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 9 — — $45,832.32 $58,459.59 $49,106.05 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 $65,810.68 — $47,533.80 $51,507.21 $49,054.49 2026-08-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $49,018.46 $49,018.46 $49,018.46 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 53 29 — — $2,585.00 $88,743.89 $49,014.11 2026-03-01
2054 APR_DRG Cardiomyopathy 16 9 — — $45,702.82 $58,294.41 $48,967.31 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 16 9 — — $45,644.08 $58,219.49 $48,904.37 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 78 38 — — $2,585.00 $104,000.00 $48,872.20 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 16 9 — — $45,597.33 $58,159.86 $48,854.28 2026-03-01
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 28 13 $68,878.73 — $47,308.17 $51,262.73 $48,821.64 2026-08-01
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 28 13 $66,244.82 — $47,293.13 $51,246.43 $48,806.12 2026-08-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 28 13 $66,554.53 — $47,279.97 $51,232.17 $48,792.54 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 29 — — $6,270.00 $76,875.00 $48,639.00 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 78 38 — — $2,585.00 $89,055.68 $48,627.60 2026-03-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 9 — — $44,831.15 $57,182.59 $48,033.37 2026-03-01
010 OTHER $1,157.00 1 1 $57,934.94 — $47,998.82 $47,998.82 $47,998.82 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 93 39 — — $28,050.00 $108,453.15 $47,995.20 2026-03-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 16 9 — — $44,680.97 $56,991.04 $47,872.47 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 85 38 — — $2,585.00 $134,125.44 $47,759.75 2026-03-01
019 OTHER $1,157.00 1 1 $99,677.50 — $47,724.03 $47,724.03 $47,724.03 2026-08-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 9 — — $44,541.55 $56,813.20 $47,723.09 2026-03-01
217 OTHER $1,157.00 1 1 $118,793.00 — $47,683.05 $47,683.05 $47,683.05 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 93 39 — — $28,050.00 $111,094.93 $47,637.50 2026-03-01
B0604 HCPCS Neurological; M < 25.85 28 13 $65,755.09 — $46,061.59 $49,911.94 $47,535.18 2026-08-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 14 5 $139,466.43 — $27,070.50 $146,379.64 $47,307.21 2026-08-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 16 9 — — $44,073.66 $56,216.40 $47,221.78 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 10 — — $43,998.78 $56,120.89 $47,141.55 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 16 9 — — $43,894.51 $55,987.90 $47,029.84 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $47,026.65 $47,026.65 $47,026.65 2026-03-01
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