Hospital

CHRISTUS SANTA ROSA HOSPITAL-SAN MARCOS

San Marcos, TX · CCN 450272 · Rates published

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You selected 27447 (CPT)

TOTAL KNEE ARTHROPLASTY

This hospital’s price: $12,843 across 18 payers · range $4,020-$31,547

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/741109665_santarosahospitalsanmarcos_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.

20,973 distinct procedures filed

27 distinct payers

832,370 rate rows

2026-01-13 last MRF observed

Data quality

638,789 of 832,370 rate rows are consumer-grade (76.7%)

193,581 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	181,685
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	7,089
per-diem day rate — not a per-procedure price	4,047
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	380
template filing: same amount across many unrelated codes — excluded	320
placeholder amount (≤ $0.02) — excluded from medians	53
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	7

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_santarosahospitalsanmarcos_standardcharges.json
Found on page	https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-16
Content fingerprint	50243b197b5f3a9b… · 171,344,773 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	13	$3,595,361.00	$3,882,989.88	$3,631,314.61	nat. median $3,710,000 1.0× median
J1414 HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	13	$3,595,361.00	$3,882,989.88	$3,631,314.61	nat. median $3,710,000 1.0× median
J1413 HCPCS	Inj Delandistrogene Mox Rokl	13	$3,219,138.46	$4,506,793.84	$3,283,521.23	nat. median $3,324,572 1.0× median
J3394 HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	13	$3,094,336.30	$4,332,070.82	$3,156,223.03	nat. median $3,286,000 1.0× median
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	14	$2,876,288.80	$4,918,453.85	$2,941,013.96	nat. median $2,997,086 1.0× median
J3399 HCPCS	Inj Onase Abepar-xioi Treat	15	$2,329,191.87	$4,658,383.74	$2,399,067.63	nat. median $2,460,273 1.0× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	15	$2,259,941.20	$4,519,882.40	$2,327,739.44	nat. median $2,405,851 1.0× median
Q2056 HCPCS	Ciltacabtagene Car-pos T	27	$534,282.60	$2,010,027.60	$1,272,155.10	nat. median $631,793 outlier · 2.0×
Q2055 HCPCS	Idecabtagene Vicleucel Car	27	$511,987.58	$1,813,347.48	$1,162,667.53	nat. median $610,161 1.9× median
Q2054 HCPCS	Lisocabtagene Mara Car Pos T	27	$500,526.55	$1,773,579.19	$1,137,052.87	nat. median $624,417 1.8× median
Q2042 HCPCS	Tisagenlecleucel Car-pos T	27	$548,146.06	$1,667,384.60	$1,107,765.33	nat. median $691,418 1.6× median
Q2053 HCPCS	Brexucabtagene Car Pos T	27	$472,970.72	$1,612,344.72	$1,042,657.72	nat. median $577,541 1.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel Car+	17	$4.13	$1,537,879.00	$498,110.62	nat. median $588,565 0.8× median
J9029 HCPCS	Instill Adstiladrin, Tx Dose	27	$61,442.92	$694,400.00	$377,921.46	nat. median $69,291 outlier · 5.5×
5834 APR_DRG	Neonate With Ecmo, Severe	6	$266,479.75	$294,195.83	$275,806.54	nat. median $311,018 0.9× median
74 APR_DRG	Allogeneic Bone Marrow Transplant, Severe	5	$259,231.75	$286,193.97	$272,193.45	nat. median $175,480 1.6× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	17	$229,120.06	$659,332.88	$260,473.33	nat. median $370,165 0.7× median
Q0480 HCPCS	Dme Pos	27	$99,999.96	$413,687.67	$256,843.82	nat. median $111,503 outlier · 2.3×
5833 APR_DRG	Neonate With Ecmo, Major	6	$225,645.26	$249,114.21	$233,542.85	nat. median $250,089 0.9× median
24 APR_DRG	Heart And/Or Lung Transplant, Severe	5	$217,064.35	$239,640.82	$227,917.66	nat. median $243,231 0.9× median
K1007 HCPCS	Bil Hkaf Pc S/d Micro Sensor	27	$73,920.00	$323,400.00	$198,660.00	nat. median $97,404 outlier · 2.0×
E0767 HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	21	$73,386.43	$321,065.64	$197,226.04	nat. median $84,089 outlier · 2.3×
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	16	$171,133.48	$492,466.39	$187,346.12	nat. median $261,939 0.7× median
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Severe	6	$168,677.31	$186,221.13	$174,581.02	nat. median $254,667 0.7× median
1614 APR_DRG	Implantable Heart Assist Systems, Severe	6	$163,797.24	$180,833.49	$169,530.15	nat. median $209,486 0.8× median
Q2043 HCPCS	Sipuleucel-t Auto Cd54+	27	$53,820.42	$264,254.74	$159,037.58	nat. median $65,655 outlier · 2.4×
94 APR_DRG	Extracorporeal Membrane Oxygenation (Ecmo), Severe	6	$153,452.22	$169,412.51	$158,823.05	nat. median $165,599 1.0× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	16	$144,125.32	$414,745.71	$157,779.29	nat. median $205,166 0.8× median
A9543 HCPCS	Y90 Ibritumomab, Rx	27	$55,068.67	$259,138.86	$157,103.77	nat. median $63,643 outlier · 2.5×
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	17	$130,205.39	$374,688.66	$148,022.96	nat. median $199,832 0.7× median
6304 APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe	6	$125,507.16	$138,560.93	$129,899.92	nat. median $160,171 0.8× median
6094 APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe	6	$124,394.95	$137,333.04	$128,748.77	nat. median $168,174 0.8× median
J7330 HCPCS	Cultured Chondrocytes Implnt	21	$78,986.40	$165,696.86	$122,341.63	nat. median $75,807 1.6× median
5832 APR_DRG	Neonate With Ecmo, Moderate	6	$112,433.88	$124,127.92	$116,369.07	nat. median $169,230 0.7× median
L8702 HCPCS	Ewhf S/d Uprt Micro Sensor	27	$67,452.66	$151,768.49	$109,610.57	nat. median $70,178 1.6× median
2004 APR_DRG	Cardiac Structural And Valvular Disorders, Severe	6	$99,212.54	$109,531.45	$102,684.98	nat. median $28,828 outlier · 3.6×
5831 APR_DRG	Neonate With Ecmo, Minor	6	$99,000.27	$109,297.11	$102,465.27	nat. median $154,685 0.7× median
J9226 HCPCS	Supprelin La Implant	27	$43,863.21	$159,490.75	$101,676.98	nat. median $55,200 1.8× median
100T OTHER	Prosth Retina Receive&gen	4	$14,777.00	$382,776.26	$101,471.80	nat. median $6,568 outlier · 15.4×
4 MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	17	$85,845.30	$247,034.79	$97,592.55	nat. median $132,706 0.7× median
73 APR_DRG	Allogeneic Bone Marrow Transplant, Major	5	$91,472.98	$100,986.92	$96,046.67	nat. median $89,814 1.1× median
5883 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Major	6	$90,506.72	$99,920.16	$93,674.46	nat. median $180,995 0.5× median
5882 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate	6	$90,093.06	$99,463.48	$93,246.32	nat. median $147,847 0.6× median
44 APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe	6	$89,860.09	$99,206.28	$93,005.20	nat. median $127,600 0.7× median
8414 APR_DRG	Extensive Third Degree Burns With Skin Graft, Severe	6	$89,473.80	$98,779.81	$92,605.39	nat. median $165,646 0.6× median
6314 APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe	6	$88,580.17	$97,793.23	$91,680.47	nat. median $147,677 0.6× median
8504 APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	6	$86,246.62	$95,216.97	$89,265.24	nat. median $67,813 1.3× median
5914 APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe	6	$85,474.03	$94,364.03	$88,465.62	nat. median $168,361 0.5× median
1613 APR_DRG	Implantable Heart Assist Systems, Major	6	$85,373.33	$94,252.86	$88,361.40	nat. median $127,938 0.7× median
5881 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Minor	6	$84,922.13	$93,754.73	$87,894.40	nat. median $120,928 0.7× median

Other procedures at this hospital

Browse this hospital's 20,973 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

J1411	HCPCS	Inj, Hemgenix, Per Tx Dose	14	13	—	—	$3,595,361.00	$3,882,989.88	$3,631,314.61	2026-01-13
J1414	HCPCS	Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose	14	13	—	—	$3,595,361.00	$3,882,989.88	$3,631,314.61	2026-01-13
J1413	HCPCS	Inj Delandistrogene Mox Rokl	15	13	—	—	$3,219,138.46	$4,506,793.84	$3,283,521.23	2026-01-13
J3394	HCPCS	Injection, Lovotibeglogene Autotemcel, Per Treatment	15	13	—	—	$3,094,336.30	$4,332,070.82	$3,156,223.03	2026-01-13
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	16	14	—	—	$2,876,288.80	$4,918,453.85	$2,941,013.96	2026-01-13
J3399	HCPCS	Inj Onase Abepar-xioi Treat	17	15	—	—	$2,329,191.87	$4,658,383.74	$2,399,067.63	2026-01-13
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	17	15	—	—	$2,259,941.20	$4,519,882.40	$2,327,739.44	2026-01-13
Q2056	HCPCS	Ciltacabtagene Car-pos T	47	27	—	—	$534,282.60	$2,010,027.60	$1,272,155.10	2026-01-13
Q2055	HCPCS	Idecabtagene Vicleucel Car	47	27	—	—	$511,987.58	$1,813,347.48	$1,162,667.53	2026-01-13
Q2054	HCPCS	Lisocabtagene Mara Car Pos T	47	27	—	—	$500,526.55	$1,773,579.19	$1,137,052.87	2026-01-13
Q2042	HCPCS	Tisagenlecleucel Car-pos T	47	27	—	—	$548,146.06	$1,667,384.60	$1,107,765.33	2026-01-13
Q2053	HCPCS	Brexucabtagene Car Pos T	47	27	—	—	$472,970.72	$1,612,344.72	$1,042,657.72	2026-01-13
Q2041	HCPCS	Axicabtagene Ciloleucel Car+	23	17	—	—	$4.13	$1,537,879.00	$498,110.62	2026-01-13
J9029	HCPCS	Instill Adstiladrin, Tx Dose	47	27	—	—	$61,442.92	$694,400.00	$377,921.46	2026-01-13
5834	APR_DRG	Neonate With Ecmo, Severe	10	6	—	—	$266,479.75	$294,195.83	$275,806.54	2026-01-13
74	APR_DRG	Allogeneic Bone Marrow Transplant, Severe	8	5	—	—	$259,231.75	$286,193.97	$272,193.45	2026-01-13
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	24	17	—	—	$229,120.06	$659,332.88	$260,473.33	2026-01-13
Q0480	HCPCS	Dme Pos	47	27	—	—	$99,999.96	$413,687.67	$256,843.82	2026-01-13
5833	APR_DRG	Neonate With Ecmo, Major	10	6	—	—	$225,645.26	$249,114.21	$233,542.85	2026-01-13
24	APR_DRG	Heart And/Or Lung Transplant, Severe	8	5	—	—	$217,064.35	$239,640.82	$227,917.66	2026-01-13
K1007	HCPCS	Bil Hkaf Pc S/d Micro Sensor	47	27	—	—	$73,920.00	$323,400.00	$198,660.00	2026-01-13
E0767	HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	37	21	—	—	$73,386.43	$321,065.64	$197,226.04	2026-01-13
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	16	—	—	$171,133.48	$492,466.39	$187,346.12	2026-01-13
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Severe	10	6	—	—	$168,677.31	$186,221.13	$174,581.02	2026-01-13
1614	APR_DRG	Implantable Heart Assist Systems, Severe	10	6	—	—	$163,797.24	$180,833.49	$169,530.15	2026-01-13
Q2043	HCPCS	Sipuleucel-t Auto Cd54+	47	27	—	—	$53,820.42	$264,254.74	$159,037.58	2026-01-13
94	APR_DRG	Extracorporeal Membrane Oxygenation (Ecmo), Severe	10	6	—	—	$153,452.22	$169,412.51	$158,823.05	2026-01-13
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	20	16	—	—	$144,125.32	$414,745.71	$157,779.29	2026-01-13
A9543	HCPCS	Y90 Ibritumomab, Rx	47	27	—	—	$55,068.67	$259,138.86	$157,103.77	2026-01-13
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	24	17	—	—	$130,205.39	$374,688.66	$148,022.96	2026-01-13
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe	10	6	—	—	$125,507.16	$138,560.93	$129,899.92	2026-01-13
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe	10	6	—	—	$124,394.95	$137,333.04	$128,748.77	2026-01-13
J7330	HCPCS	Cultured Chondrocytes Implnt	37	21	—	—	$78,986.40	$165,696.86	$122,341.63	2026-01-13
5832	APR_DRG	Neonate With Ecmo, Moderate	10	6	—	—	$112,433.88	$124,127.92	$116,369.07	2026-01-13
L8702	HCPCS	Ewhf S/d Uprt Micro Sensor	43	27	—	—	$67,452.66	$151,768.49	$109,610.57	2026-01-13
2004	APR_DRG	Cardiac Structural And Valvular Disorders, Severe	10	6	—	—	$99,212.54	$109,531.45	$102,684.98	2026-01-13
5831	APR_DRG	Neonate With Ecmo, Minor	10	6	—	—	$99,000.27	$109,297.11	$102,465.27	2026-01-13
J9226	HCPCS	Supprelin La Implant	47	27	—	—	$43,863.21	$159,490.75	$101,676.98	2026-01-13
100T	OTHER	Prosth Retina Receive&gen	8	4	—	—	$14,777.00	$382,776.26	$101,471.80	2026-01-13
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	24	17	—	—	$85,845.30	$247,034.79	$97,592.55	2026-01-13
73	APR_DRG	Allogeneic Bone Marrow Transplant, Major	8	5	—	—	$91,472.98	$100,986.92	$96,046.67	2026-01-13
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Major	10	6	—	—	$90,506.72	$99,920.16	$93,674.46	2026-01-13
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate	10	6	—	—	$90,093.06	$99,463.48	$93,246.32	2026-01-13
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe	10	6	—	—	$89,860.09	$99,206.28	$93,005.20	2026-01-13
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft, Severe	10	6	—	—	$89,473.80	$98,779.81	$92,605.39	2026-01-13
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe	10	6	—	—	$88,580.17	$97,793.23	$91,680.47	2026-01-13
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	10	6	—	—	$86,246.62	$95,216.97	$89,265.24	2026-01-13
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe	10	6	—	—	$85,474.03	$94,364.03	$88,465.62	2026-01-13
1613	APR_DRG	Implantable Heart Assist Systems, Major	10	6	—	—	$85,373.33	$94,252.86	$88,361.40	2026-01-13
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure, Minor	10	6	—	—	$84,922.13	$93,754.73	$87,894.40	2026-01-13
14	MS_DRG	Allogeneic Bone Marrow Transplant	20	16	—	—	$79,598.58	$229,058.77	$87,139.50	2026-01-13
7	MS_DRG	Lung Transplant	20	16	—	—	$79,398.09	$228,481.83	$86,920.02	2026-01-13
14	APR_DRG	Liver Transplant And/Or Intestinal Transplant, Severe	8	5	—	—	$77,756.23	$85,843.51	$81,644.07	2026-01-13
84	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe	10	6	—	—	$77,444.67	$85,499.54	$80,155.23	2026-01-13
L7180	HCPCS	Dme Pos	47	27	—	—	$49,026.62	$110,309.90	$79,668.26	2026-01-13
L7181	HCPCS	Dme Pos	47	27	—	—	$48,628.26	$109,413.59	$79,020.93	2026-01-13
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe	10	6	—	—	$76,068.60	$83,980.36	$78,731.01	2026-01-13
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly, Severe	10	6	—	—	$76,026.15	$83,933.49	$78,687.07	2026-01-13
93	APR_DRG	Extracorporeal Membrane Oxygenation (Ecmo), Major	10	6	—	—	$75,390.75	$83,232.00	$78,029.43	2026-01-13
2464	APR_DRG	Gastrointestinal Vascular Insufficiency, Severe	10	6	—	—	$73,724.18	$81,392.10	$76,304.52	2026-01-13
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve…	10	6	—	—	$73,343.85	$80,972.21	$75,910.89	2026-01-13
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	24	17	—	—	$66,184.71	$190,458.05	$75,241.57	2026-01-13
64	APR_DRG	Pancreas Transplant, Severe	8	5	—	—	$71,178.01	$78,581.10	$74,736.94	2026-01-13
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$71,172.40	$78,574.91	$73,663.43	2026-01-13
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe	10	6	—	—	$70,959.42	$78,339.79	$73,443.01	2026-01-13
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	20	16	—	—	$66,949.00	$192,657.42	$73,291.54	2026-01-13
215	MS_DRG	Other Heart Assist System Implant	24	17	—	—	$64,367.57	$185,228.89	$73,175.77	2026-01-13
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	17	—	—	$63,642.16	$183,141.42	$72,351.09	2026-01-13
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$68,980.59	$76,155.14	$71,394.91	2026-01-13
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	20	16	—	—	$64,699.28	$186,183.46	$70,828.70	2026-01-13
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe	10	6	—	—	$66,320.04	$73,217.87	$68,641.24	2026-01-13
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$65,231.68	$72,016.31	$67,514.79	2026-01-13
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational …	10	6	—	—	$64,702.24	$71,431.80	$66,966.82	2026-01-13
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	18	—	—	$3,602.00	$168,730.18	$66,657.85	2026-01-13
72	APR_DRG	Allogeneic Bone Marrow Transplant, Moderate	8	5	—	—	$61,459.62	$67,851.92	$64,532.63	2026-01-13
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe	10	6	—	—	$61,944.86	$68,387.63	$64,112.93	2026-01-13
850	MS_DRG	Acute Leukemia With Other Procedures	24	17	—	—	$55,965.91	$161,051.65	$63,624.40	2026-01-13
1612	APR_DRG	Implantable Heart Assist Systems, Moderate	10	6	—	—	$61,370.15	$67,753.15	$63,518.11	2026-01-13
8634	APR_DRG	Neonatal Aftercare, Severe	10	6	—	—	$59,727.44	$65,939.58	$61,817.90	2026-01-13
J9600	HCPCS	Porfimer Sodium Injection	47	27	—	—	$23,479.76	$99,939.10	$61,709.43	2026-01-13
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major	10	6	—	—	$59,153.79	$65,306.27	$61,224.17	2026-01-13
4404	APR_DRG	Kidney Transplant, Severe	8	5	—	—	$58,060.17	$64,098.90	$60,963.20	2026-01-13
1611	APR_DRG	Implantable Heart Assist Systems, Minor	10	6	—	—	$58,204.02	$64,257.71	$60,241.16	2026-01-13
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe	10	6	—	—	$57,794.92	$63,806.06	$59,817.74	2026-01-13
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Major	10	6	—	—	$57,775.27	$63,784.37	$59,797.40	2026-01-13
266T	OTHER	Implt/rpl Crtd Sns Dev Total	47	27	—	—	$7,347.00	$110,333.25	$58,840.12	2026-01-13
231	MS_DRG	Coronary Bypass With Ptca With Mcc	24	17	—	—	$51,482.27	$148,149.19	$58,527.21	2026-01-13
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	17	—	—	$51,453.71	$148,067.02	$58,494.74	2026-01-13
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Major	10	6	—	—	$56,284.48	$62,138.53	$58,254.44	2026-01-13
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe	10	6	—	—	$56,284.48	$62,138.53	$58,254.44	2026-01-13
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve…	10	6	—	—	$56,124.84	$61,962.28	$58,089.21	2026-01-13
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	24	17	—	—	$50,672.42	$145,818.71	$57,606.54	2026-01-13
38240	CPT	Transplt Allo Hct/donor	26	18	—	—	$4,020.00	$145,006.52	$57,314.83	2026-01-13
4414	APR_DRG	Major Bladder Procedures, Severe	10	6	—	—	$54,945.96	$60,660.79	$56,869.07	2026-01-13
23	APR_DRG	Heart And/Or Lung Transplant, Major	8	5	—	—	$53,462.89	$59,023.47	$56,136.06	2026-01-13
L8701	HCPCS	Ewh S/d Uprt Micro Sensor	43	27	—	—	$34,284.44	$77,139.99	$55,712.21	2026-01-13
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	24	17	—	—	$48,974.34	$140,932.21	$55,676.10	2026-01-13
Q0483	HCPCS	Dme Pos	47	27	—	—	$22,755.13	$86,120.73	$54,437.93	2026-01-13
83	APR_DRG	Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major	10	6	—	—	$52,346.81	$57,791.31	$54,178.95	2026-01-13
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	25	18	—	—	$3,602.00	$136,654.12	$53,986.01	2026-01-13
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	17	—	—	$47,008.35	$135,274.71	$53,441.07	2026-01-13
1784	APR_DRG	External Heart Assist Systems, Severe	10	6	—	—	$51,463.00	$56,815.58	$53,264.21	2026-01-13
10	MS_DRG	Pancreas Transplant	20	16	—	—	$48,439.10	$139,391.96	$53,028.07	2026-01-13
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	20	16	—	—	$48,161.46	$138,592.99	$52,724.12	2026-01-13
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Major	10	6	—	—	$50,680.59	$55,951.79	$52,454.41	2026-01-13
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe	10	6	—	—	$50,622.35	$55,887.49	$52,394.13	2026-01-13
1674	APR_DRG	Other Cardiothoracic And Thoracic Vascular Procedures, Severe	10	6	—	—	$50,398.50	$55,640.36	$52,162.45	2026-01-13
6904	APR_DRG	Acute Leukemia, Severe	10	6	—	—	$49,945.90	$55,140.68	$51,694.01	2026-01-13
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	24	17	—	—	$45,347.95	$130,496.61	$51,553.45	2026-01-13
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S…	10	6	—	—	$49,639.95	$54,802.91	$51,377.35	2026-01-13
92	APR_DRG	Extracorporeal Membrane Oxygenation (Ecmo), Moderate	10	6	—	—	$49,584.16	$54,741.32	$51,319.61	2026-01-13
J9266	HCPCS	Pegaspargase Injection	47	27	—	—	$26,234.05	$76,041.96	$51,138.00	2026-01-13
915T	OTHER	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	47	27	—	—	$19,943.00	$80,474.57	$50,208.79	2026-01-13
91	APR_DRG	Extracorporeal Membrane Oxygenation (Ecmo), Minor	10	6	—	—	$48,086.71	$53,088.12	$49,769.74	2026-01-13
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	17	—	—	$43,151.69	$124,176.50	$49,056.66	2026-01-13
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	25	18	—	—	$3,602.00	$123,552.36	$48,810.09	2026-01-13
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe	10	6	—	—	$47,075.89	$51,972.16	$48,723.54	2026-01-13
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe	10	6	—	—	$46,788.89	$51,655.31	$48,426.50	2026-01-13
63	APR_DRG	Pancreas Transplant, Major	8	5	—	—	$45,998.05	$50,782.23	$48,297.98	2026-01-13
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate	10	6	—	—	$46,471.71	$51,305.15	$48,098.22	2026-01-13
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	24	17	—	—	$42,263.47	$121,620.49	$48,046.89	2026-01-13
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$46,017.00	$50,803.15	$47,627.60	2026-01-13
L5856	HCPCS	Dme Pos	47	27	—	—	$29,134.51	$65,552.65	$47,343.58	2026-01-13
Q0489	HCPCS	Dme Pos	47	27	—	—	$19,727.48	$74,662.07	$47,194.78	2026-01-13
L6880	HCPCS	Dme Pos	47	27	—	—	$28,996.90	$65,243.03	$47,119.96	2026-01-13
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	24	17	—	—	$40,733.68	$117,218.27	$46,307.76	2026-01-13
620T	OTHER	Evasc Ven Artlz Tibl/prnl Vn	47	27	—	—	$6,364.00	$85,815.02	$46,089.51	2026-01-13
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	24	17	—	—	$40,508.29	$116,569.65	$46,051.52	2026-01-13
C2616	HCPCS	Brachytx, Non-str,yttrium-90	47	27	—	—	$16,944.81	$74,177.41	$45,561.11	2026-01-13
955	MS_DRG	Craniotomy For Multiple Significant Trauma	24	17	—	—	$10,460.00	$119,379.17	$45,414.72	2026-01-13
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures, Severe	10	6	—	—	$43,850.11	$48,410.88	$45,384.86	2026-01-13
A9699	HCPCS	Radiopharm Rx Agent Noc	36	20	—	—	$45,221.05	$45,221.05	$45,221.05	2026-01-13
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev…	10	6	—	—	$43,611.17	$48,147.09	$45,137.57	2026-01-13
22	APR_DRG	Heart And/Or Lung Transplant, Moderate	8	5	—	—	$42,948.41	$47,415.39	$45,095.84	2026-01-13
4474	APR_DRG	Other Kidney, Urinary Tract And Related Procedures, Severe	10	6	—	—	$43,509.07	$48,034.37	$45,031.90	2026-01-13
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	24	17	—	—	$39,290.77	$113,066.06	$44,667.41	2026-01-13
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	18	—	—	$3,602.00	$112,903.47	$44,603.18	2026-01-13
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	20	16	—	—	$40,576.94	$116,767.21	$44,421.07	2026-01-13
234	APR_DRG	Spinal Procedures, Severe	10	6	—	—	$42,864.55	$47,322.81	$44,364.81	2026-01-13
9104	APR_DRG	Craniotomy For Multiple Significant Trauma, Severe	10	6	—	—	$42,709.47	$47,151.61	$44,204.30	2026-01-13
571T	OTHER	Insj/rplcmt Icds Ss Eltrd	47	27	—	—	$6,989.00	$81,029.43	$44,009.21	2026-01-13
62	APR_DRG	Pancreas Transplant, Moderate	8	5	—	—	$41,604.62	$45,931.84	$43,684.87	2026-01-13
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	24	17	—	—	$38,422.61	$110,567.74	$43,680.44	2026-01-13
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$42,158.98	$46,543.86	$43,634.54	2026-01-13
33276	CPT	Insj Phrnc Nrv Stim Sys	34	21	—	—	$4,020.00	$112,951.26	$43,609.98	2026-01-13
61	APR_DRG	Pancreas Transplant, Minor	8	5	—	—	$41,067.46	$45,338.81	$43,120.85	2026-01-13
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major	10	6	—	—	$41,633.39	$45,963.61	$43,090.56	2026-01-13
408T	OTHER	Insj/rplc Cardiac Modulj Sys	47	27	—	—	$7,347.00	$78,609.33	$42,978.17	2026-01-13
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe	10	6	—	—	$41,441.47	$45,751.73	$42,891.93	2026-01-13
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	24	17	—	—	$37,633.41	$108,296.70	$42,783.25	2026-01-13
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	24	17	—	—	$37,584.81	$108,156.83	$42,728.00	2026-01-13
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	24	17	—	—	$37,413.48	$107,663.81	$42,533.22	2026-01-13
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	24	17	—	—	$37,282.86	$107,287.93	$42,384.73	2026-01-13
71	APR_DRG	Allogeneic Bone Marrow Transplant, Minor	8	5	—	—	$40,356.62	$44,554.04	$42,374.47	2026-01-13
J7310	HCPCS	Ganciclovir Long Act Implant	37	21	—	—	$4,104.77	$80,560.00	$42,332.39	2026-01-13
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	24	17	—	—	$37,112.75	$106,798.40	$42,191.33	2026-01-13
Q0481	HCPCS	Dme Pos	47	27	—	—	$17,635.28	$66,743.77	$42,189.53	2026-01-13
13	APR_DRG	Liver Transplant And/Or Intestinal Transplant, Major	8	5	—	—	$40,061.90	$44,228.67	$42,065.02	2026-01-13
28	MS_DRG	Spinal Procedures With Mcc	24	17	—	—	$36,935.34	$106,287.90	$41,989.65	2026-01-13
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major	10	6	—	—	$40,014.54	$44,176.38	$41,415.04	2026-01-13
264	APR_DRG	Other Nervous System And Related Procedures, Severe	10	6	—	—	$39,990.33	$44,149.65	$41,389.99	2026-01-13
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	24	17	—	—	$36,396.46	$104,737.16	$41,377.02	2026-01-13
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate	10	6	—	—	$39,817.71	$43,959.08	$41,211.33	2026-01-13
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	25	18	—	—	$3,602.00	$104,011.61	$41,090.40	2026-01-13
268T	OTHER	Implt/rpl Crtd Sns Dev Gen	47	27	—	—	$7,347.00	$74,715.86	$41,031.43	2026-01-13
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major	10	6	—	—	$39,581.58	$43,698.39	$40,966.94	2026-01-13
1824	APR_DRG	Other Peripheral Vascular And Related Procedures, Severe	10	6	—	—	$39,549.65	$43,663.14	$40,933.89	2026-01-13
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe	10	6	—	—	$39,526.15	$43,637.19	$40,909.56	2026-01-13
C9760	HCPCS	Non-blind Interatrial Shunt	47	27	—	—	$13,967.00	$67,426.35	$40,696.68	2026-01-13
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	24	17	—	—	$35,748.82	$102,873.47	$40,640.77	2026-01-13
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment, Severe	10	6	—	—	$38,879.17	$42,922.92	$40,239.93	2026-01-13
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe	10	6	—	—	$38,869.69	$42,912.46	$40,230.13	2026-01-13
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	24	17	—	—	$35,372.76	$101,791.27	$40,213.24	2026-01-13
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	20	16	—	—	$36,670.47	$105,525.64	$40,144.51	2026-01-13
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	20	16	—	—	$36,670.47	$105,525.64	$40,144.51	2026-01-13
2054	APR_DRG	Cardiomyopathy, Severe	10	6	—	—	$38,759.87	$42,791.22	$40,116.47	2026-01-13
6954	APR_DRG	Chemotherapy For Acute Leukemia, Severe	10	6	—	—	$38,710.05	$42,736.22	$40,064.90	2026-01-13
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft, Major	10	6	—	—	$38,670.41	$42,692.44	$40,023.87	2026-01-13
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	17	—	—	$34,869.10	$100,341.93	$39,640.67	2026-01-13
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	24	17	—	—	$34,660.72	$99,742.26	$39,403.77	2026-01-13
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate	10	6	—	—	$38,020.62	$41,975.07	$39,351.35	2026-01-13
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs, Severe	10	6	—	—	$37,893.26	$41,834.47	$39,219.53	2026-01-13
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate	10	6	—	—	$37,775.02	$41,703.93	$39,097.15	2026-01-13
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	16	15	—	—	$36,117.00	$87,441.15	$38,968.34	2026-01-13
L2006	HCPCS	Dme Pos	21	17	—	—	$2,159.63	$87,188.85	$38,750.60	2026-01-13
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…	10	6	—	—	$37,378.20	$41,265.84	$38,686.44	2026-01-13
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major	10	6	—	—	$37,314.69	$41,195.73	$38,620.71	2026-01-13
214	APR_DRG	Open Craniotomy Except Trauma, Severe	10	6	—	—	$37,226.28	$41,098.12	$38,529.20	2026-01-13
653	MS_DRG	Major Bladder Procedures With Mcc	24	17	—	—	$33,867.88	$97,460.73	$38,502.43	2026-01-13
2304	APR_DRG	Major Small Bowel Procedures, Severe	10	6	—	—	$37,091.90	$40,949.76	$38,390.12	2026-01-13
224	APR_DRG	Ventricular Shunt Procedures, Severe	10	6	—	—	$36,945.59	$40,788.24	$38,238.69	2026-01-13
834	MS_DRG	Acute Leukemia With Mcc	24	17	—	—	$33,580.51	$96,633.79	$38,175.74	2026-01-13
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	24	17	—	—	$33,580.51	$96,633.79	$38,175.74	2026-01-13
916T	OTHER	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	47	27	—	—	$19,943.00	$56,339.94	$38,141.47	2026-01-13
923T	OTHER	Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla…	47	27	—	—	$19,943.00	$56,339.94	$38,141.47	2026-01-13
4424	APR_DRG	Kidney And Urinary Tract Procedures For Malignancy, Severe	10	6	—	—	$36,743.15	$40,564.74	$38,029.16	2026-01-13
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	24	17	—	—	$33,439.57	$96,228.18	$38,015.51	2026-01-13
33289	CPT	Tcat Impl Wrls P-art Prs Snr	47	27	—	—	$4,020.00	$71,589.04	$37,804.52	2026-01-13
9524	APR_DRG	Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe	10	6	—	—	$36,517.55	$40,315.67	$37,795.66	2026-01-13
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	24	17	—	—	$33,235.44	$95,640.75	$37,783.44	2026-01-13
L6975	HCPCS	Dme Pos	47	27	—	—	$23,177.19	$52,148.68	$37,662.93	2026-01-13
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	24	17	—	—	$32,981.48	$94,909.96	$37,494.74	2026-01-13
L6970	HCPCS	Dme Pos	47	27	—	—	$23,053.46	$51,870.29	$37,461.88	2026-01-13
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve…	10	6	—	—	$36,183.88	$39,947.30	$37,450.32	2026-01-13
4403	APR_DRG	Kidney Transplant, Major	8	5	—	—	$35,535.50	$39,231.48	$37,312.29	2026-01-13
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective …	24	17	—	—	$32,813.20	$94,425.68	$37,303.43	2026-01-13
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	24	17	—	—	$32,782.21	$94,336.52	$37,268.20	2026-01-13
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	24	17	—	—	$32,778.56	$94,326.03	$37,264.05	2026-01-13
L6965	HCPCS	Dme Pos	47	27	—	—	$22,680.77	$51,031.73	$36,856.25	2026-01-13
3154	APR_DRG	Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe	10	6	—	—	$35,533.04	$39,228.77	$36,776.70	2026-01-13
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	25	18	—	—	$3,602.00	$93,013.06	$36,745.36	2026-01-13
L5858	HCPCS	Dme Pos	47	27	—	—	$22,555.79	$50,750.53	$36,653.16	2026-01-13
1694	APR_DRG	Major Abdominal Vascular Procedures, Severe	10	6	—	—	$35,412.35	$39,095.52	$36,651.78	2026-01-13
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	17	—	—	$32,179.53	$92,602.21	$36,583.05	2026-01-13
1204	APR_DRG	Major Respiratory And Chest Procedures, Severe	10	6	—	—	$35,268.50	$38,936.71	$36,502.90	2026-01-13
4834	APR_DRG	Penis, Testes And Scrotal Procedures, Severe	10	6	—	—	$35,134.47	$38,788.74	$36,364.18	2026-01-13
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	20	16	—	—	$33,056.82	$95,126.75	$36,188.51	2026-01-13
894	APR_DRG	Major Cranial Or Facial Bone Procedures, Severe	10	6	—	—	$34,757.65	$38,372.73	$35,974.17	2026-01-13
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe	10	6	—	—	$34,711.69	$38,321.99	$35,926.60	2026-01-13
1304	APR_DRG	Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe	10	6	—	—	$34,702.92	$38,312.30	$35,917.52	2026-01-13
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically …	24	17	—	—	$31,288.88	$90,039.20	$35,570.51	2026-01-13
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	24	17	—	—	$31,184.99	$89,740.24	$35,452.40	2026-01-13
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe	10	6	—	—	$34,186.10	$37,741.74	$35,382.61	2026-01-13
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	24	17	—	—	$30,951.69	$89,068.89	$35,187.19	2026-01-13
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	24	17	—	—	$30,856.92	$88,796.16	$35,079.45	2026-01-13
Q0479	HCPCS	Dme Pos	47	27	—	—	$14,532.85	$55,475.87	$35,004.36	2026-01-13
A9604	HCPCS	Sm 153 Lexidronam	47	27	—	—	$4,181.58	$65,780.38	$34,980.98	2026-01-13
21	APR_DRG	Heart And/Or Lung Transplant, Minor	8	5	—	—	$33,266.51	$36,726.50	$34,929.85	2026-01-13
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	24	17	—	—	$30,601.14	$88,060.12	$34,788.67	2026-01-13
5911	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor	10	6	—	—	$33,506.49	$36,991.44	$34,679.22	2026-01-13
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	24	17	—	—	$30,420.71	$87,540.88	$34,583.54	2026-01-13
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures …	24	17	—	—	$30,397.01	$87,472.69	$34,556.60	2026-01-13
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	24	17	—	—	$30,384.86	$87,437.73	$34,542.78	2026-01-13
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures, Severe	10	6	—	—	$33,323.70	$36,789.63	$34,490.03	2026-01-13
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	24	17	—	—	$30,275.50	$87,123.03	$34,418.47	2026-01-13
1783	APR_DRG	External Heart Assist Systems, Major	10	6	—	—	$32,933.54	$36,358.90	$34,086.21	2026-01-13
1214	APR_DRG	Other Respiratory And Chest Procedures, Severe	10	6	—	—	$32,914.60	$36,337.98	$34,066.61	2026-01-13
6313	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major	10	6	—	—	$32,794.25	$36,205.12	$33,942.05	2026-01-13
L5973	HCPCS	Dme Pos	47	27	—	—	$20,880.34	$46,980.77	$33,930.56	2026-01-13
245	MS_DRG	Aicd Generator Procedures	24	17	—	—	$29,689.23	$85,435.92	$33,751.97	2026-01-13
6254	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe	10	6	—	—	$32,529.36	$35,912.68	$33,667.88	2026-01-13
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$32,435.68	$35,809.25	$33,570.93	2026-01-13
471	MS_DRG	Cervical Spinal Fusion With Mcc	24	17	—	—	$29,510.00	$84,920.18	$33,548.21	2026-01-13
1603	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly, Major	10	6	—	—	$32,127.98	$35,469.55	$33,252.46	2026-01-13
2244	APR_DRG	Peritoneal Adhesiolysis, Severe	10	6	—	—	$32,076.75	$35,412.99	$33,199.43	2026-01-13
826	MS_DRG	Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. …	24	17	—	—	$29,013.04	$83,490.07	$32,983.24	2026-01-13
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$31,853.25	$35,166.25	$32,968.12	2026-01-13
3614	APR_DRG	Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe	10	6	—	—	$31,764.14	$35,067.87	$32,875.89	2026-01-13
981	MS_DRG	Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc	24	17	—	—	$28,881.81	$83,112.43	$32,834.05	2026-01-13
93656	CPT	Compre Ep Eval Abltj Atr Fib	47	27	—	—	$5,327.79	$60,148.85	$32,738.32	2026-01-13
93654	CPT	Compre Ep Eval Tx Vt	47	27	—	—	$5,310.12	$60,148.85	$32,729.49	2026-01-13
914	APR_DRG	Other Major Head And Neck Procedures, Severe	10	6	—	—	$31,593.27	$34,879.23	$32,699.03	2026-01-13
L8614	HCPCS	Dme Pos	47	27	—	—	$19,316.01	$52,269.37	$32,523.16	2026-01-13
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	24	17	—	—	$28,582.90	$82,252.27	$32,494.24	2026-01-13
204	APR_DRG	Open Craniotomy For Trauma, Severe	10	6	—	—	$31,270.83	$34,523.25	$32,365.32	2026-01-13
823	MS_DRG	Lymphoma And Non-acute Leukemia With Other Procedures With Mcc	24	17	—	—	$28,429.80	$81,811.70	$32,320.19	2026-01-13
12	APR_DRG	Liver Transplant And/Or Intestinal Transplant, Moderate	8	5	—	—	$30,771.21	$33,971.67	$32,309.79	2026-01-13
6	MS_DRG	Liver Transplant Without Mcc	20	16	—	—	$29,460.79	$84,778.56	$32,251.82	2026-01-13
614T	OTHER	Rmvl&rplcmt Ss Impl Dfb Pg	47	27	—	—	$7,347.00	$57,009.35	$32,178.17	2026-01-13
414T	OTHER	Rmvl & Rpl Car Modulj Pls Gn	47	27	—	—	$7,347.00	$57,009.35	$32,178.17	2026-01-13
409T	OTHER	Insj/rplc Car Modulj Pls Gn	47	27	—	—	$7,347.00	$57,009.35	$32,178.17	2026-01-13
515T	OTHER	Insj Wcs Lv Compl Sys	47	27	—	—	$7,347.00	$57,009.35	$32,178.17	2026-01-13
51	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor	10	6	—	—	$31,058.21	$34,288.52	$32,145.25	2026-01-13
277	MS_DRG	Cardiac Defibrillator Implant Without Mcc	24	17	—	—	$28,262.12	$81,329.17	$32,129.57	2026-01-13
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor	10	6	—	—	$30,998.57	$34,222.67	$32,083.52	2026-01-13
93653	CPT	Compre Ep Eval Tx Svt	47	27	—	—	$3,965.25	$60,148.85	$32,057.05	2026-01-13
1814	APR_DRG	Lower Extremity Arterial Procedures, Severe	10	6	—	—	$30,758.58	$33,957.72	$31,835.13	2026-01-13
163	MS_DRG	Major Chest Procedures With Mcc	24	17	—	—	$28,002.70	$80,582.64	$31,834.65	2026-01-13
2274	APR_DRG	Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe	10	6	—	—	$30,664.55	$33,853.92	$31,737.81	2026-01-13
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	24	17	—	—	$27,901.85	$80,292.43	$31,720.00	2026-01-13
329	MS_DRG	Major Small And Large Bowel Procedures With Mcc	24	17	—	—	$27,897.60	$80,280.19	$31,715.16	2026-01-13
6604	APR_DRG	Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula…	10	6	—	—	$30,563.85	$33,742.75	$31,633.59	2026-01-13
6234	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev…	10	6	—	—	$30,557.54	$33,735.77	$31,627.06	2026-01-13
799	MS_DRG	Splenic Procedures With Mcc	24	17	—	—	$10,460.00	$83,128.17	$31,623.97	2026-01-13
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns, Severe	10	6	—	—	$30,523.16	$33,697.81	$31,591.47	2026-01-13
856	MS_DRG	Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc	24	17	—	—	$27,409.74	$78,876.30	$31,160.55	2026-01-13
11	APR_DRG	Liver Transplant And/Or Intestinal Transplant, Minor	8	5	—	—	$29,615.84	$32,696.13	$31,096.64	2026-01-13
33270	CPT	Ins/rep Subq Defibrillator	34	21	—	—	$4,020.00	$81,029.43	$31,070.88	2026-01-13
33264	CPT	Rmvl & Rplcmt Dfb Gen Mlt Ld	36	21	—	—	$1,090.73	$81,029.43	$31,070.88	2026-01-13
33249	CPT	Insj/rplcmt Defib W/lead(s)	36	21	—	—	$429.66	$81,029.43	$31,070.88	2026-01-13
33231	CPT	Insrt Pulse Gen W/mult Leads	36	21	—	—	$1,090.73	$81,029.43	$31,070.88	2026-01-13
33287	CPT	Rmv&rplcmt Phrnc Nrv Stim Pg	47	27	—	—	$4,020.00	$74,715.86	$31,008.56	2026-01-13
64582	CPT	Opn Mpltj Hpglsl Nstm Ary Pg	47	27	—	—	$4,020.00	$75,459.33	$31,008.56	2026-01-13
474	MS_DRG	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	24	17	—	—	$27,246.31	$78,406.01	$30,974.76	2026-01-13
25	MS_DRG	Craniotomy And Endovascular Intracranial Procedures With Mcc	24	17	—	—	$27,170.98	$78,189.22	$30,889.11	2026-01-13
69930	CPT	Implant Cochlear Device	36	21	—	—	$837.50	$83,101.88	$30,824.96	2026-01-13
1834	APR_DRG	Percutaneous Structural Cardiac Procedures, Severe	10	6	—	—	$29,744.95	$32,838.67	$30,786.03	2026-01-13
520T	OTHER	Rmv&rplcmt Pg Wcs Lv Battery	47	27	—	—	$7,347.00	$57,009.35	$30,662.40	2026-01-13
650	MS_DRG	Kidney Transplant With Hemodialysis With Mcc	20	16	—	—	$27,991.15	$80,549.43	$30,642.94	2026-01-13
901	MS_DRG	Wound Debridements For Injuries With Mcc	24	17	—	—	$26,917.02	$77,458.43	$30,600.41	2026-01-13
888T	OTHER	Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant…	47	27	—	—	$16,959.73	$43,926.26	$30,442.99	2026-01-13
319	MS_DRG	Other Endovascular Cardiac Valve Procedures With Mcc	24	17	—	—	$26,687.98	$76,799.32	$30,340.02	2026-01-13
2614	APR_DRG	Major Biliary Tract Procedures, Severe	10	6	—	—	$29,273.05	$32,317.69	$30,297.61	2026-01-13
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	10	6	—	—	$29,168.50	$32,202.26	$30,189.39	2026-01-13
J1412	HCPCS	Inj Roctavian Ml 2x10^13vc G	47	27	—	—	$11,307.43	$48,967.40	$30,137.42	2026-01-13
1833	APR_DRG	Percutaneous Structural Cardiac Procedures, Major	10	6	—	—	$29,014.47	$32,032.21	$30,029.98	2026-01-13
308T	OTHER	Insj Ocular Telescope Prosth	47	27	—	—	$7,931.00	$51,895.81	$29,913.40	2026-01-13
9514	APR_DRG	Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe	10	6	—	—	$28,900.79	$31,906.71	$29,912.32	2026-01-13
458	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	24	17	—	—	$26,233.55	$75,491.59	$29,823.40	2026-01-13
3032	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate	10	6	—	—	$28,718.35	$31,705.29	$29,723.49	2026-01-13

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