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

TEXOMA MEDICAL CENTER

Denison, TX · CCN 450324 · Rates published

Your selected procedure

You selected 93306 (HCPCS)

TTE W/DOPPLER COMPLETE

This hospital’s price: $2,352 across 10 payers · range $159-$6,299

Source: https://uhsfilecdn.eskycity.net/ac/205908627_texoma-medical-center_standardcharges.csv · observed 2026-07-15

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.

10,850 distinct procedures filed
14 distinct payers
382,257 rate rows
2026-07-15 last MRF observed
Data quality

382,010 of 382,257 rate rows are consumer-grade (99.9%)

247 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
per-diem day rate — not a per-procedure price 191
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 26
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 15
placeholder amount (≤ $0.02) — excluded from medians 8
exceeds 10× this hospital's gross charge — excluded from medians 4
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/205908627_texoma-medical-center_standardcharges.csv
Found on page https://texomamedicalcenter.net/patients-visitors/pricing-guide/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 11e7fa7791e5b8b1… · 47,318,291 bytes · first seen 2026-05-13

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
773
OTHER 		Inj, Beqvez, Per Tx Dose 7 $3,710,000.00 $3,974,894.00 $3,821,300.00 nat. median
$3,646,097
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 7 $3,710,000.00 $3,974,894.00 $3,821,300.00 nat. median
$3,758,972
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 9 $3,321,781.50 $4,982,672.26 $3,487,870.58 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 9 $3,193,000.00 $4,789,500.00 $3,352,650.00 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 9 $2,968,000.00 $4,452,000.00 $3,116,400.00 nat. median
$2,939,969
1.1× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 9 $2,403,458.75 $3,605,188.13 $2,523,631.69 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $3,498,000.00 $2,448,600.00 nat. median
$2,262,040
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos T 9 $565,623.84 $848,435.76 $593,905.03 nat. median
$577,003
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 9 $551,318.34 $826,977.51 $578,884.26 nat. median
$587,650
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 9 $528,312.43 $792,468.65 $554,728.05 nat. median
$562,826
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 9 $516,485.97 $774,728.95 $542,310.27 nat. median
$562,201
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 9 $489,517.15 $734,275.72 $513,993.01 nat. median
$533,230
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 9 $488,051.51 $732,077.27 $512,454.09 nat. median
$492,768
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 $275,675.15 $575,195.63 $372,161.45 nat. median
$359,358
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $340,254.43 $666,440.64 $343,526.10 nat. median
$307,273
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $330,999.82 $648,314.07 $334,182.51 nat. median
$170,172
2.0× median
5833
APR_DRG 		Neonate With Ecmo 5 $288,114.94 $564,317.44 $290,885.28 nat. median
$244,017
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $277,158.42 $542,857.40 $279,823.40 nat. median
$241,915
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 11 $205,906.22 $429,622.91 $277,973.40 nat. median
$249,124
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 11 $173,410.26 $361,820.15 $234,103.85 nat. median
$198,433
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $215,375.47 $421,845.99 $217,446.39 nat. median
$247,214
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $156,661.91 $326,874.76 $211,493.58 nat. median
$190,557
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $209,144.36 $409,641.40 $211,155.36 nat. median
$202,993
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $195,935.33 $383,769.48 $197,819.32 nat. median
$163,587
1.2× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $160,253.71 $313,881.54 $161,794.61 nat. median
$154,011
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $158,833.57 $311,099.99 $160,360.82 nat. median
$165,000
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 9 $152,500.50 $228,750.75 $160,125.52 nat. median
$155,833
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 9 $152,500.50 $228,750.75 $160,125.52 nat. median
$155,877
1.0× median
5832
APR_DRG 		Neonate With Ecmo 5 $143,561.10 $281,186.49 $144,941.49 nat. median
$159,249
0.9× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 9 $137,500.50 $206,250.75 $144,375.52 nat. median
$140,545
1.0× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 9 $137,500.50 $206,250.75 $144,375.52 nat. median
$140,530
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 11 $103,288.27 $215,510.76 $139,439.16 nat. median
$126,722
1.1× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $136,320.66 $267,004.98 $137,631.43 nat. median
$124,042
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 11 $95,772.27 $199,828.65 $129,292.57 nat. median
$110,192
1.2× median
7
MS_DRG 		Lung Transplant 11 $95,531.05 $199,325.34 $128,966.92 nat. median
$117,894
1.1× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 9 $122,500.50 $183,750.75 $128,625.52 nat. median
$120,722
1.1× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 9 $122,500.50 $183,750.75 $128,625.52 nat. median
$120,722
1.1× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 5 $126,679.44 $248,121.16 $127,897.51 nat. median
$28,699
outlier · 4.5×
5831
APR_DRG 		Neonate With Ecmo 5 $126,408.40 $247,590.30 $127,623.87 nat. median
$146,591
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $116,797.19 $228,765.27 $117,920.24 nat. median
$89,273
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $115,563.42 $226,348.74 $116,674.61 nat. median
$175,429
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $115,035.24 $225,314.22 $116,141.35 nat. median
$145,061
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $114,737.78 $224,731.59 $115,841.02 nat. median
$122,016
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $114,244.54 $223,765.50 $115,343.04 nat. median
$156,153
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $113,103.50 $221,530.61 $114,191.04 nat. median
$133,164
0.9× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 9 $107,500.50 $161,250.75 $112,875.52 nat. median
$105,940
1.1× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 9 $107,500.50 $161,250.75 $112,875.52 nat. median
$105,940
1.1× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 $110,123.91 $215,694.62 $111,182.80 nat. median
$66,842
1.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $109,137.43 $213,762.46 $110,186.83 nat. median
$162,514
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $109,008.86 $213,510.63 $110,057.02 nat. median
$120,517
0.9× median

Other procedures at this hospital

Browse this hospital's 10,850 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
             
9138 OTHER Inj, Hemgenix, Per Tx Dose 7 7 — — $3,710,000.00 $3,974,894.00 $3,821,300.00 2026-07-15
773 OTHER Inj, Beqvez, Per Tx Dose 7 7 — — $3,710,000.00 $3,974,894.00 $3,821,300.00 2026-07-15
714 OTHER Inj Delandistrogene Mox Rokl 10 9 — — $3,321,781.50 $4,982,672.26 $3,487,870.58 2026-07-15
748 OTHER Inj, Lovotibeglogene Autotem 10 9 — — $3,193,000.00 $4,789,500.00 $3,352,650.00 2026-07-15
746 OTHER Inj, Betibeglogene Autotemce 10 9 — — $2,968,000.00 $4,452,000.00 $3,116,400.00 2026-07-15
9141 OTHER Inj Onase Abepar-xioi Treat 10 9 — — $2,403,458.75 $3,605,188.13 $2,523,631.69 2026-07-15
824 OTHER Inj, Exagamglogene Autotem 10 9 — — $2,332,000.00 $3,498,000.00 $2,448,600.00 2026-07-15
9194 OTHER Tisagenlecleucel Car-pos T 10 9 — — $565,623.84 $848,435.76 $593,905.03 2026-07-15
9498 OTHER Ciltacabtagene Car-pos T 10 9 — — $551,318.34 $826,977.51 $578,884.26 2026-07-15
9422 OTHER Idecabtagene Vicleucel Car 10 9 — — $528,312.43 $792,468.65 $554,728.05 2026-07-15
9413 OTHER Lisocabtagene Car Pos T 10 9 — — $516,485.97 $774,728.95 $542,310.27 2026-07-15
9035 OTHER Axicabtagene Ciloleucel Car+ 10 9 — — $489,517.15 $734,275.72 $513,993.01 2026-07-15
9391 OTHER Brexucabtagene Car Pos T 10 9 — — $488,051.51 $732,077.27 $512,454.09 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 11 — — $275,675.15 $575,195.63 $372,161.45 2026-07-15
5834 APR_DRG Neonate With Ecmo 5 5 — — $340,254.43 $666,440.64 $343,526.10 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $330,999.82 $648,314.07 $334,182.51 2026-07-15
5833 APR_DRG Neonate With Ecmo 5 5 — — $288,114.94 $564,317.44 $290,885.28 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $277,158.42 $542,857.40 $279,823.40 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 11 — — $205,906.22 $429,622.91 $277,973.40 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 11 — — $173,410.26 $361,820.15 $234,103.85 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $215,375.47 $421,845.99 $217,446.39 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 11 — — $156,661.91 $326,874.76 $211,493.58 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $209,144.36 $409,641.40 $211,155.36 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $195,935.33 $383,769.48 $197,819.32 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $160,253.71 $313,881.54 $161,794.61 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $158,833.57 $311,099.99 $160,360.82 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 10 9 — — $152,500.50 $228,750.75 $160,125.52 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 10 9 — — $152,500.50 $228,750.75 $160,125.52 2026-07-15
5832 APR_DRG Neonate With Ecmo 5 5 — — $143,561.10 $281,186.49 $144,941.49 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 10 9 — — $137,500.50 $206,250.75 $144,375.52 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 10 9 — — $137,500.50 $206,250.75 $144,375.52 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 11 — — $103,288.27 $215,510.76 $139,439.16 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $136,320.66 $267,004.98 $137,631.43 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 16 11 — — $95,772.27 $199,828.65 $129,292.57 2026-07-15
7 MS_DRG Lung Transplant 16 11 — — $95,531.05 $199,325.34 $128,966.92 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 10 9 — — $122,500.50 $183,750.75 $128,625.52 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 10 9 — — $122,500.50 $183,750.75 $128,625.52 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 5 5 — — $126,679.44 $248,121.16 $127,897.51 2026-07-15
5831 APR_DRG Neonate With Ecmo 5 5 — — $126,408.40 $247,590.30 $127,623.87 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $116,797.19 $228,765.27 $117,920.24 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $115,563.42 $226,348.74 $116,674.61 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $115,035.24 $225,314.22 $116,141.35 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $114,737.78 $224,731.59 $115,841.02 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $114,244.54 $223,765.50 $115,343.04 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $113,103.50 $221,530.61 $114,191.04 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 10 9 — — $107,500.50 $161,250.75 $112,875.52 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 10 9 — — $107,500.50 $161,250.75 $112,875.52 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $110,123.91 $215,694.62 $111,182.80 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $109,137.43 $213,762.46 $110,186.83 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $109,008.86 $213,510.63 $110,057.02 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $108,432.74 $212,382.21 $109,475.37 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 11 — — $80,552.42 $225,646.68 $108,745.77 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 11 — — $79,632.84 $166,153.76 $107,504.34 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 11 — — $77,845.58 $162,424.65 $105,091.54 2026-07-15
215 MS_DRG Other Heart Assist System Implant 16 11 — — $77,446.46 $161,591.89 $104,552.73 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $99,282.97 $194,460.97 $100,237.61 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $98,885.15 $193,681.78 $99,835.97 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 10 9 — — $95,000.50 $142,500.75 $99,750.52 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 10 9 — — $95,000.50 $142,500.75 $99,750.52 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $97,128.13 $190,240.38 $98,062.05 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $97,073.92 $190,134.21 $98,007.32 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $96,262.61 $188,545.13 $97,188.21 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $35,234.00 $147,731.94 $95,117.51 2026-07-15
2464 APR_DRG Gastrointestinal Vascular Insufficiency 5 5 — — $94,134.65 $184,377.19 $95,039.79 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $93,649.03 $183,426.03 $94,549.50 2026-07-15
64 APR_DRG Pancreas Transplant 5 5 — — $90,883.58 $178,009.46 $91,757.46 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $90,876.41 $177,995.43 $91,750.22 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $90,604.48 $177,462.81 $91,475.67 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 15 11 — — $67,337.66 $140,499.90 $90,905.85 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 10 9 — — $85,000.50 $127,500.75 $89,250.52 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 10 9 — — $85,000.50 $127,500.75 $89,250.52 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $88,077.81 $172,513.93 $88,924.71 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $84,680.69 $165,860.15 $85,494.92 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $83,291.02 $163,138.27 $84,091.89 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $82,615.00 $161,814.18 $83,409.37 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $51,151.00 $159,770.80 $82,041.03 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $79,094.23 $154,918.22 $79,854.75 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 11 — — $58,925.48 $146,173.90 $79,549.40 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $78,474.66 $153,704.70 $79,229.22 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $78,360.42 $153,480.94 $79,113.89 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 10 9 — — $75,000.50 $112,500.75 $78,750.52 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 10 9 — — $75,000.50 $112,500.75 $78,750.52 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 11 — — $57,947.42 $120,907.18 $78,229.02 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $77,464.44 $151,726.02 $78,209.29 2026-07-15
8634 APR_DRG Neonatal Aftercare 5 5 — — $76,262.93 $149,372.67 $76,996.22 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $35,234.00 $118,012.35 $76,356.02 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $75,530.46 $147,938.03 $76,256.72 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $74,317.75 $145,562.74 $75,032.34 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 20 12 — — $35,234.00 $129,243.92 $74,994.38 2026-07-15
4404 APR_DRG Kidney Transplant 5 5 — — $74,134.07 $145,202.98 $74,846.90 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $73,795.39 $144,539.62 $74,504.96 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $73,770.30 $144,490.49 $74,479.63 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $71,866.79 $140,762.16 $72,557.81 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $71,866.79 $140,762.16 $72,557.81 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $71,662.95 $140,362.91 $72,352.02 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 20 12 — — $35,234.00 $119,215.73 $71,603.32 2026-07-15
4414 APR_DRG Major Bladder Procedures 5 5 — — $70,157.70 $137,414.65 $70,832.29 2026-07-15
10 MS_DRG Pancreas Transplant 16 11 — — $51,241.10 $121,604.20 $70,561.39 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $68,264.04 $133,705.62 $68,920.42 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 16 11 — — $50,851.01 $106,100.54 $68,648.87 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 10 9 — — $65,000.50 $97,500.75 $68,250.52 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 10 9 — — $65,000.50 $97,500.75 $68,250.52 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $66,838.98 $130,914.42 $67,481.66 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 12 — — $35,234.00 $98,495.89 $67,269.01 2026-07-15
717 OTHER Instill Adstiladrin, Tx Dose 10 9 — — $63,402.04 $95,103.06 $66,572.15 2026-07-15
1784 APR_DRG External Heart Assist Systems 5 5 — — $65,710.49 $128,704.10 $66,342.32 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $17,360.00 $129,172.24 $66,328.91 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 17 11 — — $51,658.75 $107,785.88 $66,072.00 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 12 — — $4,496.00 $113,843.98 $66,058.49 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 11 — — $48,821.80 $101,866.58 $65,909.43 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 11 — — $48,739.20 $101,694.24 $65,797.92 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $64,711.47 $126,747.36 $65,333.69 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 11 — — $51,151.00 $127,210.83 $65,321.74 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $64,637.10 $126,601.71 $65,258.61 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $64,351.28 $126,041.89 $64,970.04 2026-07-15
6904 APR_DRG Acute Leukemia 5 5 — — $63,773.37 $124,909.96 $64,386.58 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 5 — — $63,382.72 $124,144.82 $63,992.17 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $63,311.49 $124,005.30 $63,920.26 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 11 — — $47,274.30 $98,637.73 $63,820.31 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 11 — — $46,229.72 $96,458.22 $62,410.13 2026-07-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 10 9 — — $59,142.33 $88,713.49 $62,099.45 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $61,399.47 $120,260.30 $61,989.85 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 17 11 — — $45,280.17 $94,476.99 $61,128.23 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 11 — — $45,221.69 $94,354.97 $61,049.29 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 20 12 — — $35,234.00 $93,169.89 $60,832.76 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $45,015.56 $93,924.87 $60,771.00 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $60,108.80 $117,732.34 $60,686.77 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 12 — — $4,496.00 $104,145.23 $60,430.74 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $59,742.35 $117,014.58 $60,316.79 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $59,337.36 $116,221.35 $59,907.91 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 20 12 — — $35,234.00 $89,745.82 $59,725.04 2026-07-15
1643 OTHER Y90 Ibritumomab, Rx 10 9 — — $56,824.55 $85,236.82 $59,665.78 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 11 — — $44,121.56 $95,269.90 $59,564.11 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 11 — — $44,121.56 $92,059.55 $59,564.11 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $58,756.77 $115,084.16 $59,321.73 2026-07-15
63 APR_DRG Pancreas Transplant 5 5 — — $58,732.57 $115,036.78 $59,297.31 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 11 — — $43,791.89 $100,524.74 $59,119.05 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 12 — — $35,234.00 $90,738.72 $58,709.51 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 11 — — $43,455.63 $90,670.09 $58,665.10 2026-07-15
9273 OTHER Sipuleucel-t Auto Cd54+ 10 9 — — $55,536.50 $83,304.75 $58,313.32 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 10 9 — — $55,000.50 $82,500.75 $57,750.53 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 10 9 — — $55,000.50 $82,500.75 $57,750.53 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 11 — — $42,560.18 $88,801.72 $57,456.24 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $55,989.97 $109,664.97 $56,528.34 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $55,684.89 $109,067.42 $56,220.32 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 5 — — $55,554.52 $108,812.08 $56,088.70 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $51,151.00 $108,330.38 $55,626.78 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 20 12 — — $35,234.00 $88,830.00 $55,418.10 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $54,838.63 $107,409.90 $55,365.93 2026-07-15
234 APR_DRG Spinal Procedures 5 5 — — $54,731.56 $107,200.18 $55,257.83 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $35,234.00 $88,830.00 $55,173.32 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 11 — — $49,010.39 $102,260.08 $55,058.00 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $17,360.00 $92,094.33 $55,058.00 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $54,533.55 $106,812.35 $55,057.91 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 16 11 — — $40,749.52 $85,023.80 $55,011.86 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 11 — — $40,403.77 $106,677.58 $54,545.09 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 16 11 — — $40,403.77 $85,693.62 $54,545.09 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $53,832.89 $105,440.00 $54,350.52 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $53,830.65 $105,435.61 $54,348.25 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 11 — — $40,234.18 $83,948.53 $54,316.14 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 11 — — $39,988.57 $83,436.07 $53,984.57 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 11 — — $39,773.66 $82,987.66 $53,694.44 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $53,159.56 $104,121.18 $53,670.71 2026-07-15
62 APR_DRG Pancreas Transplant 5 5 — — $53,122.82 $104,049.23 $53,633.62 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 11 — — $39,683.02 $82,798.53 $53,572.07 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 11 — — $37,521.49 $78,288.52 $53,468.12 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $52,914.51 $103,641.21 $53,423.30 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 11 — — $39,443.25 $82,298.27 $53,248.39 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 11 — — $39,438.87 $82,289.12 $53,242.47 2026-07-15
61 APR_DRG Pancreas Transplant 5 5 — — $52,436.95 $102,705.83 $52,941.15 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $51,529.32 $100,928.10 $52,024.79 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 12 — — $35,234.00 $88,830.00 $51,908.77 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $51,153.01 $100,191.03 $51,644.86 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $51,092.53 $100,072.58 $51,583.80 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $51,061.62 $100,012.03 $51,552.59 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $50,841.20 $99,580.32 $51,330.06 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $50,539.71 $98,989.79 $51,025.67 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 5 5 — — $50,498.94 $98,909.94 $50,984.51 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $50,468.92 $98,851.15 $50,954.20 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 17 11 — — $37,646.49 $78,549.33 $50,822.76 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 11 — — $37,126.76 $77,464.91 $50,121.13 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $49,642.83 $97,233.11 $50,120.16 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $49,630.73 $97,209.42 $50,107.95 2026-07-15
2054 APR_DRG Cardiomyopathy 5 5 — — $49,490.51 $96,934.78 $49,966.38 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $49,426.90 $96,810.18 $49,902.15 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $49,376.27 $96,711.03 $49,851.04 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 11 — — $36,819.01 $76,822.80 $49,705.67 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 11 — — $36,601.91 $80,723.47 $49,412.58 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 11 — — $36,573.40 $76,310.33 $49,374.09 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 11 — — $36,558.78 $76,279.83 $49,354.36 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $48,546.59 $95,085.97 $49,013.39 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $48,383.97 $94,767.45 $48,849.20 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $48,233.00 $94,471.75 $48,696.78 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $17,111.00 $87,014.19 $48,551.50 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $47,726.32 $93,479.34 $48,185.23 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $47,645.23 $93,320.52 $48,103.36 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $47,532.34 $93,099.40 $47,989.38 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 16 11 — — $35,446.95 $73,960.00 $47,853.39 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 12 — — $33,571.25 $88,830.00 $47,839.03 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $47,360.76 $92,763.33 $47,816.15 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 12 — — $4,496.00 $82,376.05 $47,799.08 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $47,173.95 $92,397.43 $47,627.54 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 20 12 — — $4,496.00 $93,596.95 $47,581.29 2026-07-15
1142 OTHER Supprelin La Implant 10 9 — — $45,261.80 $67,892.69 $47,524.89 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $46,915.46 $91,891.14 $47,366.57 2026-07-15
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 10 9 — — $45,000.50 $67,500.75 $47,250.53 2026-07-15
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 10 9 — — $45,000.50 $67,500.75 $47,250.53 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 20 12 — — $12,730.00 $92,724.53 $47,137.79 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 11 — — $34,908.22 $72,835.93 $47,126.09 2026-07-15
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $46,627.40 $91,326.93 $47,075.74 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 16 11 — — $34,756.90 $72,858.20 $46,921.82 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 11 — — $34,750.33 $72,506.48 $46,912.94 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $46,201.36 $90,492.47 $46,645.60 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 11 — — $34,390.68 $79,331.15 $46,427.42 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 11 — — $34,206.47 $71,371.73 $46,178.74 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 17 11 — — $34,004.72 $70,950.78 $45,906.37 2026-07-15
4403 APR_DRG Kidney Transplant 5 5 — — $45,373.47 $88,870.92 $45,809.75 2026-07-15
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 5 5 — — $45,370.33 $88,864.78 $45,806.59 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $45,216.22 $88,562.93 $45,651.00 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 16 11 — — $33,692.59 $70,299.52 $45,485.00 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 11 — — $33,678.70 $70,270.54 $45,466.25 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $45,032.55 $88,203.17 $45,465.55 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 11 — — $33,566.13 $70,035.66 $45,314.27 2026-07-15
4834 APR_DRG Penis, Testes And Scrotal Procedures 5 5 — — $44,861.41 $87,867.98 $45,292.77 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $44,380.27 $86,925.59 $44,807.01 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $44,321.59 $86,810.64 $44,747.75 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $44,310.39 $86,788.71 $44,736.45 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 11 — — $32,979.15 $68,810.92 $44,521.85 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 12 — — $17,111.00 $68,211.52 $44,134.02 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $43,650.49 $85,496.21 $44,070.21 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 16 11 — — $32,386.32 $67,573.99 $43,721.53 2026-07-15
69930 HCPCS Insertion Of Cochlear Device 11 8 — — $1,993.30 $57,254.08 $43,371.90 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 11 — — $32,110.74 $66,998.99 $43,349.49 2026-07-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $42,782.73 $83,796.57 $43,194.11 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $42,549.33 $83,339.41 $42,958.46 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $42,476.31 $83,196.38 $42,884.73 2026-07-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 20 12 — — $30,058.86 $88,830.00 $42,833.88 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 19 12 — — $17,360.00 $71,066.45 $42,611.34 2026-07-15
1783 APR_DRG External Heart Assist Systems 5 5 — — $42,051.16 $82,363.68 $42,455.50 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $42,026.97 $82,316.29 $42,431.08 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $41,873.31 $82,015.32 $42,275.94 2026-07-15
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 11 — — $31,181.65 $65,060.46 $42,095.23 2026-07-15
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 15 11 — — $31,135.60 $64,964.37 $42,033.06 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $41,535.08 $81,352.84 $41,934.45 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $41,415.46 $81,118.56 $41,813.69 2026-07-15
140 MS_DRG Major Head And Neck Procedures With Mcc 16 11 — — $30,914.84 $64,503.76 $41,735.04 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $41,022.58 $80,349.03 $41,417.02 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 5 5 — — $40,957.17 $80,220.92 $41,350.99 2026-07-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 11 — — $30,625.37 $63,899.78 $41,344.25 2026-07-15
793 MS_DRG Full Term Neonate With Major Problems 16 11 — — $30,485.76 $63,608.47 $41,155.77 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $40,671.80 $79,661.98 $41,062.87 2026-07-15
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 11 — — $30,414.12 $63,459.00 $41,059.06 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $40,558.01 $79,439.10 $40,947.99 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $40,339.84 $79,011.78 $40,727.72 2026-07-15
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 11 — — $29,997.46 $62,589.63 $40,496.57 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $39,928.13 $78,205.39 $40,312.06 2026-07-15
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 17 11 — — $29,849.80 $62,281.54 $40,297.23 2026-07-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 11 — — $29,732.11 $62,035.98 $40,138.35 2026-07-15
791 MS_DRG Prematurity With Major Problems 16 11 — — $29,677.29 $61,921.59 $40,064.34 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $39,656.65 $77,673.65 $40,037.96 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $39,580.49 $77,524.48 $39,961.07 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $39,290.19 $76,955.89 $39,667.98 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $39,274.07 $76,924.30 $39,651.70 2026-07-15
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 20 12 — — $17,111.00 $57,983.53 $39,600.58 2026-07-15
33264 HCPCS Remove Replace Icd Multi Lead 16 12 $76,733.00 $57,549.75 25% off $21,485.24 $85,884.00 $39,578.26 2026-07-15
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 5 5 — — $39,154.00 $76,689.14 $39,530.48 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 20 12 — — $4,628.00 $77,702.84 $39,501.31 2026-07-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 5 5 — — $39,025.43 $76,437.31 $39,400.67 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $39,017.37 $76,421.51 $39,392.53 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $38,973.46 $76,335.52 $39,348.21 2026-07-15
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 11 — — $29,120.27 $60,759.39 $39,312.37 2026-07-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 11 — — $29,099.81 $60,716.69 $39,284.74 2026-07-15
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 11 — — $28,842.50 $60,179.82 $38,937.37 2026-07-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 11 — — $28,783.29 $60,313.14 $38,857.44 2026-07-15
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 17 11 — — $28,597.62 $59,668.87 $38,606.79 2026-07-15
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 11 — — $28,583.73 $59,639.90 $38,588.04 2026-07-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 17 12 — — $12,730.00 $59,310.45 $38,374.88 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $37,979.82 $74,389.32 $38,345.01 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 16 11 — — $31,629.02 $65,993.88 $38,293.25 2026-07-15
245 MS_DRG Aicd Generator Procedures 19 12 — — $14,094.00 $76,683.90 $38,272.34 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $37,814.96 $74,066.41 $38,178.56 2026-07-15
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 11 — — $28,252.59 $58,948.98 $38,141.00 2026-07-15
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 11 — — $28,224.09 $58,889.50 $38,102.52 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 19 12 — — $17,360.00 $74,083.54 $38,041.30 2026-07-15
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 11 — — $28,145.14 $58,724.78 $37,995.94 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $37,377.27 $73,209.13 $37,736.67 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $37,243.77 $72,947.65 $37,601.88 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $37,047.10 $72,562.45 $37,403.32 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $36,901.95 $72,278.15 $37,256.78 2026-07-15
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 12 — — $17,111.00 $57,532.07 $37,224.24 2026-07-15
31 MS_DRG Ventricular Shunt Procedures With Mcc 20 12 — — $17,111.00 $63,915.03 $37,086.99 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $36,669.00 $71,821.87 $37,021.58 2026-07-15
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 11 — — $27,353.48 $57,072.98 $36,927.20 2026-07-15
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 10 9 — — $35,000.50 $52,500.75 $36,750.53 2026-07-15
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 10 9 — — $35,000.50 $52,500.75 $36,750.53 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $36,298.51 $71,096.21 $36,647.53 2026-07-15
1782 APR_DRG External Heart Assist Systems 5 5 — — $36,091.09 $70,689.95 $36,438.12 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $36,029.71 $70,569.73 $36,376.15 2026-07-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 12 — — $4,496.00 $62,682.67 $36,371.90 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $35,713.43 $69,950.25 $36,056.83 2026-07-15
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