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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 HOSPITAL-SAN MARCOS

San Marcos, TX · CCN 450272 · Rates published

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 — reasonRows
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 viaDiscovered 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.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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
10 MS_DRG Pancreas Transplant 20 16 — — $48,439.10 $139,391.96 $53,028.07 2026-01-13
100T OTHER Prosth Retina Receive&gen 8 4 — — $14,777.00 $382,776.26 $101,471.80 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
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 8 5 — — $29,615.84 $32,696.13 $31,096.64 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
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 10 6 — — $35,268.50 $38,936.71 $36,502.90 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
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 8 5 — — $40,061.90 $44,228.67 $42,065.02 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
14 MS_DRG Allogeneic Bone Marrow Transplant 20 16 — — $79,598.58 $229,058.77 $87,139.50 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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 20 16 — — $36,670.47 $105,525.64 $40,144.51 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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 10 6 — — $76,026.15 $83,933.49 $78,687.07 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
1612 APR_DRG Implantable Heart Assist Systems, Moderate 10 6 — — $61,370.15 $67,753.15 $63,518.11 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
1614 APR_DRG Implantable Heart Assist Systems, Severe 10 6 — — $163,797.24 $180,833.49 $169,530.15 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
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
163 MS_DRG Major Chest Procedures With Mcc 24 17 — — $28,002.70 $80,582.64 $31,834.65 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
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
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 10 6 — — $50,398.50 $55,640.36 $52,162.45 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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 20 16 — — $36,670.47 $105,525.64 $40,144.51 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
1784 APR_DRG External Heart Assist Systems, Severe 10 6 — — $51,463.00 $56,815.58 $53,264.21 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
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 10 6 — — $30,758.58 $33,957.72 $31,835.13 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
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 10 6 — — $29,014.47 $32,032.21 $30,029.98 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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 16 — — $48,161.46 $138,592.99 $52,724.12 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
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
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 10 6 — — $99,212.54 $109,531.45 $102,684.98 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
2054 APR_DRG Cardiomyopathy, Severe 10 6 — — $38,759.87 $42,791.22 $40,116.47 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
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
21 APR_DRG Heart And/Or Lung Transplant, Minor 8 5 — — $33,266.51 $36,726.50 $34,929.85 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
214 APR_DRG Open Craniotomy Except Trauma, Severe 10 6 — — $37,226.28 $41,098.12 $38,529.20 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
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
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
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
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
22 APR_DRG Heart And/Or Lung Transplant, Moderate 8 5 — — $42,948.41 $47,415.39 $45,095.84 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
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 10 6 — — $43,850.11 $48,410.88 $45,384.86 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
224 APR_DRG Ventricular Shunt Procedures, Severe 10 6 — — $36,945.59 $40,788.24 $38,238.69 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 10 6 — — $32,076.75 $35,412.99 $33,199.43 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 24 17 — — $30,275.50 $87,123.03 $34,418.47 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
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
2304 APR_DRG Major Small Bowel Procedures, Severe 10 6 — — $37,091.90 $40,949.76 $38,390.12 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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 24 17 — — $37,112.75 $106,798.40 $42,191.33 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
234 APR_DRG Spinal Procedures, Severe 10 6 — — $42,864.55 $47,322.81 $44,364.81 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 24 17 — — $35,748.82 $102,873.47 $40,640.77 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
24 APR_DRG Heart And/Or Lung Transplant, Severe 8 5 — — $217,064.35 $239,640.82 $227,917.66 2026-01-13
245 MS_DRG Aicd Generator Procedures 24 17 — — $29,689.23 $85,435.92 $33,751.97 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 10 6 — — $73,724.18 $81,392.10 $76,304.52 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
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 10 6 — — $33,323.70 $36,789.63 $34,490.03 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
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
266T OTHER Implt/rpl Crtd Sns Dev Total 47 27 — — $7,347.00 $110,333.25 $58,840.12 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
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
268T OTHER Implt/rpl Crtd Sns Dev Gen 47 27 — — $7,347.00 $74,715.86 $41,031.43 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
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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 17 — — $28,262.12 $81,329.17 $32,129.57 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
28 MS_DRG Spinal Procedures With Mcc 24 17 — — $36,935.34 $106,287.90 $41,989.65 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
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
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
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
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
308T OTHER Insj Ocular Telescope Prosth 47 27 — — $7,931.00 $51,895.81 $29,913.40 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
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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 17 — — $26,687.98 $76,799.32 $30,340.02 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
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
33231 CPT Insrt Pulse Gen W/mult Leads 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
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 36 21 — — $1,090.73 $81,029.43 $31,070.88 2026-01-13
33270 CPT Ins/rep Subq Defibrillator 34 21 — — $4,020.00 $81,029.43 $31,070.88 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 34 21 — — $4,020.00 $112,951.26 $43,609.98 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
33289 CPT Tcat Impl Wrls P-art Prs Snr 47 27 — — $4,020.00 $71,589.04 $37,804.52 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
38240 CPT Transplt Allo Hct/donor 26 18 — — $4,020.00 $145,006.52 $57,314.83 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 17 — — $32,981.48 $94,909.96 $37,494.74 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 47 27 — — $7,347.00 $78,609.33 $42,978.17 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
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
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 47 27 — — $7,347.00 $57,009.35 $32,178.17 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
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
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
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
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
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
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
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
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
4403 APR_DRG Kidney Transplant, Major 8 5 — — $35,535.50 $39,231.48 $37,312.29 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 8 5 — — $58,060.17 $64,098.90 $60,963.20 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 10 6 — — $54,945.96 $60,660.79 $56,869.07 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
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
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
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
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
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
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
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
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
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
471 MS_DRG Cervical Spinal Fusion With Mcc 24 17 — — $29,510.00 $84,920.18 $33,548.21 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
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 10 6 — — $35,134.47 $38,788.74 $36,364.18 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
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
515T OTHER Insj Wcs Lv Compl Sys 47 27 — — $7,347.00 $57,009.35 $32,178.17 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
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 47 27 — — $7,347.00 $57,009.35 $30,662.40 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
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
571T OTHER Insj/rplcmt Icds Ss Eltrd 47 27 — — $6,989.00 $81,029.43 $44,009.21 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
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
5831 APR_DRG Neonate With Ecmo, Minor 10 6 — — $99,000.27 $109,297.11 $102,465.27 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 10 6 — — $112,433.88 $124,127.92 $116,369.07 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 10 6 — — $225,645.26 $249,114.21 $233,542.85 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 10 6 — — $266,479.75 $294,195.83 $275,806.54 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
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
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
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
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
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
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
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
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
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
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
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
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
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
6 MS_DRG Liver Transplant Without Mcc 20 16 — — $29,460.79 $84,778.56 $32,251.82 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
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
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
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
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
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
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
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
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
61 APR_DRG Pancreas Transplant, Minor 8 5 — — $41,067.46 $45,338.81 $43,120.85 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
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
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
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
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 47 27 — — $7,347.00 $57,009.35 $32,178.17 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 8 5 — — $41,604.62 $45,931.84 $43,684.87 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
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
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
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
63 APR_DRG Pancreas Transplant, Major 8 5 — — $45,998.05 $50,782.23 $48,297.98 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
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
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
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
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
64 APR_DRG Pancreas Transplant, Severe 8 5 — — $71,178.01 $78,581.10 $74,736.94 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 20 16 — — $27,991.15 $80,549.43 $30,642.94 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
653 MS_DRG Major Bladder Procedures With Mcc 24 17 — — $33,867.88 $97,460.73 $38,502.43 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
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
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
6904 APR_DRG Acute Leukemia, Severe 10 6 — — $49,945.90 $55,140.68 $51,694.01 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
69930 CPT Implant Cochlear Device 36 21 — — $837.50 $83,101.88 $30,824.96 2026-01-13
7 MS_DRG Lung Transplant 20 16 — — $79,398.09 $228,481.83 $86,920.02 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
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 8 5 — — $61,459.62 $67,851.92 $64,532.63 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
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 8 5 — — $259,231.75 $286,193.97 $272,193.45 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
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
799 MS_DRG Splenic Procedures With Mcc 24 17 — — $10,460.00 $83,128.17 $31,623.97 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
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
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
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
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
834 MS_DRG Acute Leukemia With Mcc 24 17 — — $33,580.51 $96,633.79 $38,175.74 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
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
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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 24 17 — — $55,965.91 $161,051.65 $63,624.40 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
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
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
8634 APR_DRG Neonatal Aftercare, Severe 10 6 — — $59,727.44 $65,939.58 $61,817.90 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
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
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 10 6 — — $34,757.65 $38,372.73 $35,974.17 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
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 10 6 — — $48,086.71 $53,088.12 $49,769.74 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
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
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
914 APR_DRG Other Major Head And Neck Procedures, Severe 10 6 — — $31,593.27 $34,879.23 $32,699.03 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
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
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 10 6 — — $49,584.16 $54,741.32 $51,319.61 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
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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 10 6 — — $75,390.75 $83,232.00 $78,029.43 2026-01-13
93653 CPT Compre Ep Eval Tx Svt 47 27 — — $3,965.25 $60,148.85 $32,057.05 2026-01-13
93654 CPT Compre Ep Eval Tx Vt 47 27 — — $5,310.12 $60,148.85 $32,729.49 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
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 10 6 — — $153,452.22 $169,412.51 $158,823.05 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 17 — — $10,460.00 $119,379.17 $45,414.72 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
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
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
A9543 HCPCS Y90 Ibritumomab, Rx 47 27 — — $55,068.67 $259,138.86 $157,103.77 2026-01-13
A9604 HCPCS Sm 153 Lexidronam 47 27 — — $4,181.58 $65,780.38 $34,980.98 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 36 20 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
C2616 HCPCS Brachytx, Non-str,yttrium-90 47 27 — — $16,944.81 $74,177.41 $45,561.11 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 47 27 — — $13,967.00 $67,426.35 $40,696.68 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
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 14 13 — — $3,595,361.00 $3,882,989.88 $3,631,314.61 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
J1413 HCPCS Inj Delandistrogene Mox Rokl 15 13 — — $3,219,138.46 $4,506,793.84 $3,283,521.23 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
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 17 15 — — $2,259,941.20 $4,519,882.40 $2,327,739.44 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
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 15 13 — — $3,094,336.30 $4,332,070.82 $3,156,223.03 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
J7310 HCPCS Ganciclovir Long Act Implant 37 21 — — $4,104.77 $80,560.00 $42,332.39 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 37 21 — — $78,986.40 $165,696.86 $122,341.63 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 47 27 — — $61,442.92 $694,400.00 $377,921.46 2026-01-13
J9226 HCPCS Supprelin La Implant 47 27 — — $43,863.21 $159,490.75 $101,676.98 2026-01-13
J9266 HCPCS Pegaspargase Injection 47 27 — — $26,234.05 $76,041.96 $51,138.00 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 47 27 — — $23,479.76 $99,939.10 $61,709.43 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
L2006 HCPCS Dme Pos 21 17 — — $2,159.63 $87,188.85 $38,750.60 2026-01-13
L5856 HCPCS Dme Pos 47 27 — — $29,134.51 $65,552.65 $47,343.58 2026-01-13
L5858 HCPCS Dme Pos 47 27 — — $22,555.79 $50,750.53 $36,653.16 2026-01-13
L5973 HCPCS Dme Pos 47 27 — — $20,880.34 $46,980.77 $33,930.56 2026-01-13
L6880 HCPCS Dme Pos 47 27 — — $28,996.90 $65,243.03 $47,119.96 2026-01-13
L6965 HCPCS Dme Pos 47 27 — — $22,680.77 $51,031.73 $36,856.25 2026-01-13
L6970 HCPCS Dme Pos 47 27 — — $23,053.46 $51,870.29 $37,461.88 2026-01-13
L6975 HCPCS Dme Pos 47 27 — — $23,177.19 $52,148.68 $37,662.93 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
L8614 HCPCS Dme Pos 47 27 — — $19,316.01 $52,269.37 $32,523.16 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
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 43 27 — — $67,452.66 $151,768.49 $109,610.57 2026-01-13
Q0479 HCPCS Dme Pos 47 27 — — $14,532.85 $55,475.87 $35,004.36 2026-01-13
Q0480 HCPCS Dme Pos 47 27 — — $99,999.96 $413,687.67 $256,843.82 2026-01-13
Q0481 HCPCS Dme Pos 47 27 — — $17,635.28 $66,743.77 $42,189.53 2026-01-13
Q0483 HCPCS Dme Pos 47 27 — — $22,755.13 $86,120.73 $54,437.93 2026-01-13
Q0489 HCPCS Dme Pos 47 27 — — $19,727.48 $74,662.07 $47,194.78 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 23 17 — — $4.13 $1,537,879.00 $498,110.62 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
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 47 27 — — $53,820.42 $264,254.74 $159,037.58 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
Q2054 HCPCS Lisocabtagene Mara Car Pos T 47 27 — — $500,526.55 $1,773,579.19 $1,137,052.87 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 47 27 — — $511,987.58 $1,813,347.48 $1,162,667.53 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
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