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 SANTA ROSA MEDICAL CENTER

San Antonio, TX · CCN 450237 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $6,708 across 32 payers · range $2,399-$13,416

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109665_santarosahospitalwestoverhills_standardcharges.json · observed 2026-01-13

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.

22,280 distinct procedures filed
46 distinct payers
3,089,772 rate rows
2026-01-13 last MRF observed
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/741109665_santarosaemergencycentercreekside_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint d6144a00fb1957ec… · 188,544,004 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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 25 $3,483,615.80 $4,877,062.12 $3,595,361.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 25 $3,483,615.80 $4,877,062.12 $3,595,361.00 nat. median
$3,705,478
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 46 $2,256,799.70 $4,513,599.40 $3,385,199.55 nat. median
$2,467,989
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 46 $2,189,701.36 $4,379,402.72 $3,284,552.04 nat. median
$2,401,965
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 25 $3,119,086.40 $4,366,720.96 $3,219,138.46 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 25 $2,998,163.14 $4,197,428.40 $3,094,336.30 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 25 $2,786,892.64 $3,901,649.70 $2,876,288.80 nat. median
$2,994,107
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 46 $517,676.89 $2,311,068.60 $1,117,963.15 nat. median
$646,415
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 46 $496,074.81 $2,084,931.78 $1,023,097.21 nat. median
$623,527
1.6× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 46 $484,970.00 $2,039,207.41 $1,000,547.07 nat. median
$640,950
1.6× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 46 $531,109.47 $1,917,108.10 $978,227.19 nat. median
$739,658
1.3× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 46 $458,270.61 $1,853,824.92 $918,282.65 nat. median
$592,235
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 43 $1.67 $1,768,206.50 $597,540.85 nat. median
$608,239
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 46 $59,533.25 $798,400.00 $326,566.62 nat. median
$68,400
outlier · 4.8×
5834
APR_DRG 		Neonate With Ecmo, Severe 11 $265,905.56 $294,195.83 $265,905.56 nat. median
$307,273
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 10 $258,673.17 $286,193.97 $258,673.17 nat. median
$170,172
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $221,738.59 $677,246.46 $252,081.76 nat. median
$359,244
0.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 11 $225,159.06 $249,114.21 $225,159.06 nat. median
$244,017
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 10 $216,596.64 $239,640.82 $216,596.64 nat. median
$241,734
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $165,620.14 $505,846.33 $183,398.58 nat. median
$248,541
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 11 $168,313.86 $186,221.13 $168,313.86 nat. median
$247,815
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 11 $163,444.30 $180,833.49 $163,444.30 nat. median
$202,649
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 28 $139,482.10 $426,014.04 $154,745.08 nat. median
$198,115
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 11 $153,121.57 $169,412.51 $153,121.57 nat. median
$163,718
0.9× median
Q0480
HCPCS 		Dme Pos 46 $99,999.96 $199,999.92 $149,999.94 nat. median
$111,503
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 29 $126,010.60 $384,868.67 $143,254.16 nat. median
$190,359
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 46 $52,147.66 $303,832.07 $139,021.42 nat. median
$65,720
outlier · 2.1×
A9543
HCPCS 		Y90 Ibritumomab, Rx 46 $53,357.12 $272,131.20 $127,841.56 nat. median
$63,504
outlier · 2.0×
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 46 $65,450.00 $186,433.40 $125,941.70 nat. median
$96,983
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 11 $125,236.73 $138,560.93 $125,236.73 nat. median
$154,116
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 11 $124,126.91 $137,333.04 $124,126.91 nat. median
$165,000
0.8× median
5832
APR_DRG 		Neonate With Ecmo, Moderate 11 $112,191.62 $124,127.92 $112,191.62 nat. median
$159,249
0.7× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 46 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,178
1.4× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 11 $98,998.76 $109,531.45 $98,998.76 nat. median
$28,252
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo, Minor 11 $98,786.95 $109,297.11 $98,786.95 nat. median
$147,206
0.7× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 33 $51,415.97 $190,513.21 $96,530.03 nat. median
$75,037
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 $83,079.66 $253,746.54 $94,448.45 nat. median
$126,461
0.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 11 $89,666.47 $110,821.39 $91,657.26 nat. median
$122,016
0.8× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 10 $91,275.88 $100,986.92 $91,275.88 nat. median
$89,273
1.0× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 11 $90,311.70 $99,920.16 $90,311.70 nat. median
$175,429
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 11 $89,898.93 $99,463.48 $89,898.93 nat. median
$145,061
0.6× median
J9226
HCPCS 		Supprelin La Implant 46 $42,499.93 $183,377.61 $89,419.40 nat. median
$55,159
1.6× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 11 $89,281.01 $98,779.81 $89,281.01 nat. median
$158,104
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 11 $88,389.30 $97,793.23 $88,389.30 nat. median
$134,402
0.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 $86,060.78 $95,216.97 $86,060.78 nat. median
$66,663
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 27 $77,034.18 $235,282.12 $85,303.39 nat. median
$110,084
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 11 $85,289.86 $94,364.03 $85,289.86 nat. median
$163,528
0.5× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 11 $85,189.38 $94,252.86 $85,189.38 nat. median
$120,841
0.7× median
7
MS_DRG 		Lung Transplant 27 $76,840.15 $234,689.51 $85,088.54 nat. median
$117,977
0.7× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 11 $84,739.15 $93,754.73 $84,739.15 nat. median
$120,763
0.7× median

Other procedures at this hospital

Browse this hospital's 22,280 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 69 25 — — $3,483,615.80 $4,877,062.12 $3,595,361.00 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 69 25 — — $3,483,615.80 $4,877,062.12 $3,595,361.00 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 222 46 — — $2,256,799.70 $4,513,599.40 $3,385,199.55 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 222 46 — — $2,189,701.36 $4,379,402.72 $3,284,552.04 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 69 25 — — $3,119,086.40 $4,366,720.96 $3,219,138.46 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 69 25 — — $2,998,163.14 $4,197,428.40 $3,094,336.30 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 69 25 — — $2,786,892.64 $3,901,649.70 $2,876,288.80 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 222 46 — — $517,676.89 $2,311,068.60 $1,117,963.15 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 222 46 — — $496,074.81 $2,084,931.78 $1,023,097.21 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 222 46 — — $484,970.00 $2,039,207.41 $1,000,547.07 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 222 46 — — $531,109.47 $1,917,108.10 $978,227.19 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 222 46 — — $458,270.61 $1,853,824.92 $918,282.65 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 134 43 — — $1.67 $1,768,206.50 $597,540.85 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 222 46 — — $59,533.25 $798,400.00 $326,566.62 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 67 11 — — $265,905.56 $294,195.83 $265,905.56 2026-01-13
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 59 10 — — $258,673.17 $286,193.97 $258,673.17 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 98 29 — — $221,738.59 $677,246.46 $252,081.76 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 67 11 — — $225,159.06 $249,114.21 $225,159.06 2026-01-13
24 APR_DRG Heart And/Or Lung Transplant, Severe 59 10 — — $216,596.64 $239,640.82 $216,596.64 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 78 27 — — $165,620.14 $505,846.33 $183,398.58 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 67 11 — — $168,313.86 $186,221.13 $168,313.86 2026-01-13
1614 APR_DRG Implantable Heart Assist Systems, Severe 67 11 — — $163,444.30 $180,833.49 $163,444.30 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 83 28 — — $139,482.10 $426,014.04 $154,745.08 2026-01-13
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 67 11 — — $153,121.57 $169,412.51 $153,121.57 2026-01-13
Q0480 HCPCS Dme Pos 222 46 — — $99,999.96 $199,999.92 $149,999.94 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 98 29 — — $126,010.60 $384,868.67 $143,254.16 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 222 46 — — $52,147.66 $303,832.07 $139,021.42 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 289 46 — — $53,357.12 $272,131.20 $127,841.56 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 222 46 — — $65,450.00 $186,433.40 $125,941.70 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 67 11 — — $125,236.73 $138,560.93 $125,236.73 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 67 11 — — $124,126.91 $137,333.04 $124,126.91 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 67 11 — — $112,191.62 $124,127.92 $112,191.62 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 207 46 — — $67,452.66 $134,905.32 $101,178.99 2026-01-13
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 67 11 — — $98,998.76 $109,531.45 $98,998.76 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 67 11 — — $98,786.95 $109,297.11 $98,786.95 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 175 33 — — $51,415.97 $190,513.21 $96,530.03 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 98 29 — — $83,079.66 $253,746.54 $94,448.45 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 85 11 — — $89,666.47 $110,821.39 $91,657.26 2026-01-13
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 59 10 — — $91,275.88 $100,986.92 $91,275.88 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 67 11 — — $90,311.70 $99,920.16 $90,311.70 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 67 11 — — $89,898.93 $99,463.48 $89,898.93 2026-01-13
J9226 HCPCS Supprelin La Implant 222 46 — — $42,499.93 $183,377.61 $89,419.40 2026-01-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 67 11 — — $89,281.01 $98,779.81 $89,281.01 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 67 11 — — $88,389.30 $97,793.23 $88,389.30 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 67 11 — — $86,060.78 $95,216.97 $86,060.78 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 78 27 — — $77,034.18 $235,282.12 $85,303.39 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 67 11 — — $85,289.86 $94,364.03 $85,289.86 2026-01-13
1613 APR_DRG Implantable Heart Assist Systems, Major 67 11 — — $85,189.38 $94,252.86 $85,189.38 2026-01-13
7 MS_DRG Lung Transplant 78 27 — — $76,840.15 $234,689.51 $85,088.54 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 67 11 — — $84,739.15 $93,754.73 $84,739.15 2026-01-13
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 175 33 — — $64,977.57 $96,319.69 $80,266.41 2026-01-13
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 59 10 — — $77,588.68 $85,843.51 $77,588.68 2026-01-13
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 67 11 — — $77,277.79 $85,499.54 $77,277.79 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 67 11 — — $75,904.70 $83,980.36 $75,904.70 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 67 11 — — $75,862.34 $83,933.49 $75,862.34 2026-01-13
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 67 11 — — $75,228.30 $83,232.00 $75,228.30 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 113 29 — — $64,052.47 $195,632.66 $74,166.02 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 67 11 — — $73,565.32 $81,392.10 $73,565.32 2026-01-13
L7180 HCPCS Dme Pos 222 46 — — $49,026.62 $98,053.24 $73,539.93 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 67 11 — — $73,185.81 $80,972.21 $73,185.81 2026-01-13
L7181 HCPCS Dme Pos 222 46 — — $48,628.26 $97,256.52 $72,942.39 2026-01-13
215 MS_DRG Other Heart Assist System Implant 116 29 — — $36,303.00 $190,261.42 $72,129.74 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 78 27 — — $64,792.14 $197,891.77 $71,747.22 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 59 10 — — $71,024.64 $78,581.10 $71,024.64 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 67 11 — — $71,019.04 $78,574.91 $71,019.04 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 67 11 — — $70,806.53 $78,339.79 $70,806.53 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 98 29 — — $61,591.83 $188,117.23 $70,020.19 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 78 27 — — $62,614.89 $191,241.93 $69,336.26 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 67 11 — — $68,831.96 $76,155.14 $68,831.96 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 30 — — $56,745.23 $173,314.45 $66,657.85 2026-01-13
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 67 11 — — $66,177.14 $73,217.87 $66,177.14 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 67 11 — — $65,091.13 $72,016.31 $65,091.13 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 67 11 — — $64,562.83 $71,431.80 $64,562.83 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 67 11 — — $61,811.38 $68,387.63 $61,811.38 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 98 29 — — $54,162.87 $165,427.30 $61,574.63 2026-01-13
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 59 10 — — $61,327.19 $67,851.92 $61,327.19 2026-01-13
1612 APR_DRG Implantable Heart Assist Systems, Moderate 67 11 — — $61,237.92 $67,753.15 $61,237.92 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 67 11 — — $59,598.74 $65,939.58 $59,598.74 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 67 11 — — $59,026.33 $65,306.27 $59,026.33 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 85 11 — — $57,670.39 $71,276.51 $58,950.79 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 85 11 — — $57,650.78 $71,252.28 $58,930.75 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 119 30 — — $49,823.68 $152,174.30 $58,527.21 2026-01-13
1611 APR_DRG Implantable Heart Assist Systems, Minor 67 11 — — $58,078.60 $64,257.71 $58,078.60 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 59 10 — — $57,935.06 $64,098.90 $57,935.06 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 98 29 — — $49,796.06 $152,089.89 $56,610.25 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 67 11 — — $56,163.20 $62,138.53 $56,163.20 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 67 11 — — $56,163.20 $62,138.53 $56,163.20 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 67 11 — — $56,003.91 $61,962.28 $56,003.91 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 98 29 — — $49,039.92 $149,780.49 $55,750.65 2026-01-13
38240 CPT Transplt Allo Hct/donor 113 28 — — $3,347.00 $111,066.94 $55,533.47 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 67 11 — — $54,827.57 $60,660.79 $54,827.57 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 119 30 — — $45,957.81 $140,366.91 $53,986.01 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 98 29 — — $47,396.56 $144,761.23 $53,882.41 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 119 30 — — $45,493.90 $138,950.03 $53,441.07 2026-01-13
23 APR_DRG Heart And/Or Lung Transplant, Major 59 10 — — $53,347.69 $59,023.47 $53,347.69 2026-01-13
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 67 11 — — $52,234.02 $57,791.31 $52,234.02 2026-01-13
10 MS_DRG Pancreas Transplant 78 27 — — $46,878.56 $143,179.13 $51,910.72 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 222 46 — — $22,750.00 $108,139.29 $51,575.07 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 80 27 — — $46,609.86 $142,358.45 $51,516.16 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 207 46 — — $34,284.44 $68,568.88 $51,426.66 2026-01-13
1784 APR_DRG External Heart Assist Systems, Severe 67 11 — — $51,352.11 $56,815.58 $51,352.11 2026-01-13
C9150 HCPCS Xe129 Xenon, Diagnostic 128 33 — — $51,168.00 $51,168.00 $51,168.00 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 67 11 — — $50,571.39 $55,951.79 $50,571.39 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 67 11 — — $50,513.27 $55,887.49 $50,513.27 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 67 11 — — $50,289.91 $55,640.36 $50,289.91 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 98 29 — — $43,886.99 $134,042.10 $49,892.58 2026-01-13
6904 APR_DRG Acute Leukemia, Severe 67 11 — — $49,838.28 $55,140.68 $49,838.28 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 67 11 — — $49,532.99 $54,802.91 $49,532.99 2026-01-13
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 67 11 — — $49,477.32 $54,741.32 $49,477.32 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 116 29 — — $41,551.58 $126,909.19 $48,461.22 2026-01-13
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 67 11 — — $47,983.09 $53,088.12 $47,983.09 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 98 29 — — $41,761.49 $127,550.29 $47,476.22 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 67 11 — — $46,974.45 $51,972.16 $46,974.45 2026-01-13
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 67 11 — — $46,688.07 $51,655.31 $46,688.07 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 98 29 — — $40,901.88 $124,924.83 $46,498.98 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 67 11 — — $46,371.58 $51,305.15 $46,371.58 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 67 11 — — $45,917.85 $50,803.15 $45,917.85 2026-01-13
63 APR_DRG Pancreas Transplant, Major 59 10 — — $45,898.94 $50,782.23 $45,898.94 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 113 29 — — $39,421.38 $120,403.00 $45,645.81 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 116 29 — — $39,203.25 $119,736.76 $45,393.24 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 173 33 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
J9266 HCPCS Pegaspargase Injection 222 46 — — $25,418.69 $87,430.74 $45,211.15 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 98 29 — — $7,713.00 $122,622.61 $44,978.04 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 30 — — $37,970.28 $115,970.97 $44,603.18 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 67 11 — — $43,755.62 $48,410.88 $43,755.62 2026-01-13
L5856 HCPCS Dme Pos 222 46 — — $29,134.51 $58,269.02 $43,701.76 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 83 28 — — $39,269.68 $119,939.69 $43,566.82 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 67 11 — — $43,517.20 $48,147.09 $43,517.20 2026-01-13
L6880 HCPCS Dme Pos 222 46 — — $28,996.90 $57,993.80 $43,495.35 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 67 11 — — $43,415.32 $48,034.37 $43,415.32 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 98 29 — — $38,024.97 $116,137.98 $43,228.38 2026-01-13
22 APR_DRG Heart And/Or Lung Transplant, Moderate 59 10 — — $42,855.86 $47,415.39 $42,855.86 2026-01-13
234 APR_DRG Spinal Procedures, Severe 67 11 — — $42,772.19 $47,322.81 $42,772.19 2026-01-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 67 11 — — $42,617.44 $47,151.61 $42,617.44 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 116 29 — — $36,420.99 $111,239.04 $42,477.46 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 85 11 — — $41,543.68 $51,345.05 $42,466.04 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 98 29 — — $37,184.76 $113,571.78 $42,273.20 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 110 27 — — $3,553.00 $84,509.14 $42,254.57 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 119 30 — — $35,917.11 $109,700.03 $42,191.33 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 67 11 — — $42,068.14 $46,543.86 $42,068.14 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 59 10 — — $41,514.98 $45,931.84 $41,514.98 2026-01-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 67 11 — — $41,352.18 $45,751.73 $41,352.18 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 101 29 — — $36,373.95 $111,095.37 $41,351.44 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 98 29 — — $36,208.15 $110,588.96 $41,162.95 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 59 10 — — $40,978.97 $45,338.81 $40,978.97 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 164 33 — — $2,349.00 $84,509.14 $40,950.46 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 116 30 — — $34,979.88 $106,837.53 $40,796.71 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 119 30 — — $34,597.12 $105,668.46 $40,640.77 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 98 29 — — $36,081.73 $110,202.86 $40,639.42 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 98 29 — — $35,745.42 $109,175.66 $40,636.90 2026-01-13
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 59 10 — — $40,269.67 $44,554.04 $40,269.67 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 101 29 — — $35,223.89 $107,582.79 $40,044.00 2026-01-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 59 10 — — $39,975.58 $44,228.67 $39,975.58 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 67 11 — — $39,928.32 $44,176.38 $39,928.32 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 67 11 — — $39,904.16 $44,149.65 $39,904.16 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 67 11 — — $39,731.91 $43,959.08 $39,731.91 2026-01-13
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 67 11 — — $39,496.29 $43,698.39 $39,496.29 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 67 11 — — $39,464.44 $43,663.14 $39,464.44 2026-01-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 67 11 — — $39,440.98 $43,637.19 $39,440.98 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 78 27 — — $35,489.06 $108,392.69 $39,298.63 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 78 27 — — $35,489.06 $108,392.69 $39,298.63 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 98 29 — — $34,233.16 $104,556.86 $38,917.70 2026-01-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 67 11 — — $38,795.39 $42,922.92 $38,795.39 2026-01-13
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 67 11 — — $38,785.94 $42,912.46 $38,785.94 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 85 11 — — $37,938.69 $46,889.54 $38,781.02 2026-01-13
L2006 HCPCS Dme Pos 84 27 — — $1,912.17 $77,501.20 $38,750.60 2026-01-13
2054 APR_DRG Cardiomyopathy, Severe 67 11 — — $38,676.36 $42,791.22 $38,676.36 2026-01-13
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 67 11 — — $38,626.64 $42,736.22 $38,626.64 2026-01-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 67 11 — — $38,587.08 $42,692.44 $38,587.08 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 85 11 — — $37,693.62 $46,586.65 $38,530.50 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 98 29 — — $33,745.75 $103,068.15 $38,363.59 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 98 29 — — $33,544.07 $102,452.19 $38,134.31 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 74 28 — — $34,953.43 $91,761.70 $38,017.89 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 67 11 — — $37,811.61 $41,834.47 $37,811.61 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 85 11 — — $36,865.99 $45,563.74 $37,684.49 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 67 11 — — $37,297.66 $41,265.84 $37,297.66 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 98 29 — — $32,776.78 $100,108.67 $37,262.02 2026-01-13
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 67 11 — — $37,234.29 $41,195.73 $37,234.29 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 67 11 — — $37,146.07 $41,098.12 $37,146.07 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 67 11 — — $37,011.98 $40,949.76 $37,011.98 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 98 29 — — $32,498.66 $99,259.25 $36,945.85 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 98 29 — — $32,498.66 $99,259.25 $36,945.85 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 98 29 — — $32,362.26 $98,842.63 $36,790.78 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 119 30 — — $31,280.99 $95,540.15 $36,745.36 2026-01-13
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 67 11 — — $36,663.98 $40,564.74 $36,663.98 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 119 30 — — $31,142.81 $95,118.14 $36,583.05 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 98 29 — — $32,164.70 $98,239.24 $36,566.19 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 67 11 — — $36,438.86 $40,315.67 $36,438.86 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 98 29 — — $31,918.94 $97,488.59 $36,286.79 2026-01-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 67 11 — — $36,105.92 $39,947.30 $36,105.92 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 132 29 — — $31,756.07 $107,144.90 $36,101.64 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 98 29 — — $31,726.08 $96,899.57 $36,067.54 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 98 29 — — $31,722.55 $96,888.80 $36,063.53 2026-01-13
4403 APR_DRG Kidney Transplant, Major 59 10 — — $35,458.93 $39,231.48 $35,458.93 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 67 11 — — $35,456.48 $39,228.77 $35,456.48 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 78 27 — — $31,991.84 $97,711.27 $35,425.99 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 67 11 — — $35,336.04 $39,095.52 $35,336.04 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 116 29 — — $30,180.31 $92,178.41 $35,199.01 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 67 11 — — $35,192.50 $38,936.71 $35,192.50 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 113 29 — — $30,280.86 $92,485.50 $35,062.05 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 67 11 — — $35,058.76 $38,788.74 $35,058.76 2026-01-13
L6975 HCPCS Dme Pos 222 46 — — $23,177.19 $46,354.38 $34,765.79 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 67 11 — — $34,682.76 $38,372.73 $34,682.76 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 67 11 — — $34,636.89 $38,321.99 $34,636.89 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 67 11 — — $34,628.14 $38,312.30 $34,628.14 2026-01-13
L6970 HCPCS Dme Pos 222 46 — — $23,053.46 $46,106.92 $34,580.19 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 119 30 — — $29,300.13 $89,490.10 $34,418.47 2026-01-13
Q0483 HCPCS Dme Pos 222 46 — — $22,755.13 $45,510.26 $34,132.69 2026-01-13
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 67 11 — — $34,112.44 $37,741.74 $34,112.44 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 98 29 — — $29,954.54 $91,488.83 $34,053.58 2026-01-13
L6965 HCPCS Dme Pos 222 46 — — $22,680.77 $45,361.54 $34,021.15 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 98 29 — — $29,862.81 $91,208.68 $33,949.30 2026-01-13
L5858 HCPCS Dme Pos 222 46 — — $22,555.79 $45,111.58 $33,833.68 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 98 29 — — $29,615.28 $90,452.65 $33,667.90 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 98 29 — — $29,440.65 $89,919.30 $33,469.37 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 67 11 — — $33,434.30 $36,991.44 $33,434.30 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 98 29 — — $29,405.97 $89,813.35 $33,429.94 2026-01-13
245 MS_DRG Aicd Generator Procedures 116 30 — — $28,732.74 $87,757.15 $33,269.49 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 67 11 — — $33,251.89 $36,789.63 $33,251.89 2026-01-13
21 APR_DRG Heart And/Or Lung Transplant, Minor 59 10 — — $33,194.83 $36,726.50 $33,194.83 2026-01-13
1783 APR_DRG External Heart Assist Systems, Major 67 11 — — $32,862.58 $36,358.90 $32,862.58 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 67 11 — — $32,843.68 $36,337.98 $32,843.68 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 67 11 — — $32,723.59 $36,205.12 $32,723.59 2026-01-13
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 222 46 — — $4,633.00 $60,210.36 $32,644.68 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 222 46 — — $4,967.00 $60,210.36 $32,588.68 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 156 29 — — $23,218.00 $104,638.99 $32,514.32 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 98 29 — — $28,559.29 $87,227.39 $32,467.40 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 67 11 — — $32,459.26 $35,912.68 $32,459.26 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 67 11 — — $32,365.79 $35,809.25 $32,365.79 2026-01-13
571T OTHER Insj/rplcmt Icds Ss Eltrd 138 43 — — $2,349.00 $60,210.36 $32,212.54 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 67 11 — — $32,058.75 $35,469.55 $32,058.75 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 67 11 — — $32,007.63 $35,412.99 $32,007.63 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 98 29 — — $28,078.33 $85,758.43 $31,920.63 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 116 29 — — $27,351.61 $83,538.82 $31,899.93 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 67 11 — — $31,784.62 $35,166.25 $31,784.62 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 98 29 — — $27,951.34 $85,370.54 $31,776.26 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 67 11 — — $31,695.69 $35,067.87 $31,695.69 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 85 11 — — $30,991.29 $38,303.04 $31,679.36 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 85 11 — — $30,931.77 $38,229.48 $31,618.53 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 78 27 — — $28,511.67 $87,081.93 $31,572.24 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 67 11 — — $31,525.19 $34,879.23 $31,525.19 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 116 30 — — $27,002.94 $82,473.91 $31,493.28 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 101 29 — — $27,662.05 $84,487.00 $31,447.39 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 96 29 — — $9,838.00 $85,386.70 $31,403.94 2026-01-13
L5973 HCPCS Dme Pos 222 46 — — $20,880.34 $41,760.68 $31,320.51 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 175 33 — — $3,439.00 $79,520.64 $31,280.78 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 98 29 — — $27,513.89 $84,034.46 $31,278.95 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 67 11 — — $31,203.45 $34,523.25 $31,203.45 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 98 29 — — $27,100.55 $82,772.01 $30,809.04 2026-01-13
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 59 10 — — $30,704.91 $33,971.67 $30,704.91 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 98 29 — — $26,998.83 $82,461.34 $30,693.41 2026-01-13
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 67 11 — — $30,692.30 $33,957.72 $30,692.30 2026-01-13
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 67 11 — — $30,598.48 $33,853.92 $30,598.48 2026-01-13
268T OTHER Implt/rpl Crtd Sns Dev Gen 222 46 — — $3,553.00 $57,228.18 $30,561.09 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 67 11 — — $30,498.00 $33,742.75 $30,498.00 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 67 11 — — $30,491.70 $33,735.77 $30,491.70 2026-01-13
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 67 11 — — $30,457.39 $33,697.81 $30,457.39 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 98 29 — — $26,526.69 $81,019.31 $30,156.66 2026-01-13
A9604 HCPCS Sm 153 Lexidronam 222 46 — — $4,051.61 $75,632.28 $30,141.62 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 98 29 — — $26,368.53 $80,536.24 $29,976.86 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 80 27 — — $27,089.37 $82,737.89 $29,940.89 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 98 29 — — $26,295.62 $80,313.56 $29,893.97 2026-01-13
69930 CPT Implant Cochlear Device 175 34 — — $812.28 $59,733.82 $29,854.09 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 67 11 — — $29,680.86 $32,838.67 $29,680.86 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 132 29 — — $26,049.86 $79,562.92 $29,614.57 2026-01-13
Q0489 HCPCS Dme Pos 222 46 — — $19,727.48 $39,454.96 $29,591.22 2026-01-13
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 59 10 — — $29,552.03 $32,696.13 $29,552.03 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 101 29 — — $25,828.19 $78,885.90 $29,362.58 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 67 11 — — $29,209.98 $32,317.69 $29,209.98 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 67 11 — — $29,105.65 $32,202.26 $29,105.65 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 113 29 — — $25,043.84 $76,490.31 $28,998.13 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 67 11 — — $28,951.95 $32,032.21 $28,951.95 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 98 29 — — $25,388.39 $77,542.64 $28,862.59 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 67 11 — — $28,838.52 $31,906.71 $28,838.52 2026-01-13
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 67 11 — — $28,656.47 $31,705.29 $28,656.47 2026-01-13
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 110 27 — — $962.13 $57,228.18 $28,614.09 2026-01-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 116 29 — — $24,463.52 $74,717.85 $28,531.57 2026-01-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 98 29 — — $25,080.88 $76,603.44 $28,513.00 2026-01-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 81 28 — — $25,440.72 $77,702.47 $28,501.31 2026-01-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 119 30 — — $24,177.77 $73,845.09 $28,401.30 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 67 11 — — $28,366.93 $31,384.95 $28,366.93 2026-01-13
140 MS_DRG Major Head And Neck Procedures With Mcc 98 29 — — $24,866.28 $75,947.97 $28,269.03 2026-01-13
1782 APR_DRG External Heart Assist Systems, Moderate 67 11 — — $28,204.84 $31,205.61 $28,204.84 2026-01-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 67 11 — — $28,156.87 $31,152.54 $28,156.87 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 132 29 — — $24,639.32 $84,228.92 $28,011.02 2026-01-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 98 29 — — $24,633.44 $75,236.84 $28,004.34 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 67 11 — — $27,909.70 $30,879.07 $27,909.70 2026-01-13
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 67 11 — — $27,803.27 $30,761.32 $27,803.27 2026-01-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 113 29 — — $24,009.61 $73,331.49 $27,800.60 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 222 46 — — $3,553.00 $51,644.84 $27,769.42 2026-01-13
7234 APR_DRG Viral Illness, Severe 85 11 — — $27,000.14 $33,370.26 $27,599.60 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 67 11 — — $27,482.58 $30,406.51 $27,482.58 2026-01-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 98 29 — — $24,164.25 $73,803.79 $27,470.93 2026-01-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 98 29 — — $24,128.38 $73,694.24 $27,430.15 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 164 33 — — $2,130.00 $57,228.18 $27,357.77 2026-01-13
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 67 11 — — $27,313.48 $30,219.42 $27,313.48 2026-01-13
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 67 11 — — $27,190.59 $30,083.46 $27,190.59 2026-01-13
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 98 29 — — $23,914.95 $73,042.37 $27,187.52 2026-01-13
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior, Severe 67 11 — — $27,036.90 $29,913.41 $27,036.90 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 164 33 — — $2,349.00 $57,228.18 $26,923.52 2026-01-13
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