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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

TEXAS HEALTH PRESBYTERIAN HOSPITAL DALLAS

Dallas, TX · CCN 450462 · Rates published

17,356 distinct procedures filed
23 distinct payers
1,134,315 rate rows
2026-04-21 last MRF observed
Data quality

1,126,246 of 1,134,315 rate rows are consumer-grade (99.3%)

8,069 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 7,296
per-diem day rate — not a per-procedure price 378
percent-of-charges filed in the dollar field — excluded from medians 176
exceeds 10× this hospital's gross charge — excluded from medians 112
template filing: same amount across many unrelated codes — excluded 70
placeholder amount (≤ $0.02) — excluded from medians 37
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/13790/751047527_texas-health-presbyterian-hospital-dallas_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/TexasHealthPresbyterianHospitalDallas/13790
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 819c8106514d686a… · 2,230,408,489 bytes · first seen 2026-05-09

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,505,000.00 $4,955,500.00 $4,707,725.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,685,266.67 $4,164,351.33 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $3,769,476.60 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,316,462.59 $3,747,602.72 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,248,445.72 $3,670,743.66 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,090,000.00 $3,491,700.00 $3,244,500.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,945,740.00 $3,328,686.20 $3,093,027.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $2,774,274.98 $2,577,866.14 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,635,160.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $870,800.60 $809,151.00 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $668,650.61 $621,312.51 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.95 $639,431.91 $594,162.39 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $635,668.15 $590,665.09 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $629,769.27 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $602,550.09 $559,891.68 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $552,914.21 $513,769.84 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $328,195.77 $2,731,764.38 $364,297.30 nat. median
$370,174
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $360,205.69 $389,022.15 $360,205.69 nat. median
$309,665
1.2× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $350,408.42 $378,441.09 $350,408.42 nat. median
$187,294
1.9× median
5833
APR_DRG 		Neonate With Ecmo 6 $305,008.94 $329,409.66 $305,008.94 nat. median
$244,017
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $293,409.96 $316,882.76 $293,409.96 nat. median
$234,738
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $314,422.50 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $290,975.00 $270,375.00 nat. median
$265,000
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $228,004.29 $246,244.63 $228,004.29 nat. median
$246,434
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $213,900.54 $638,575.36 $224,595.57 nat. median
$265,286
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $221,407.81 $239,120.43 $221,407.81 nat. median
$207,730
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $232,373.20 $215,922.00 nat. median
$209,753
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $207,424.25 $224,018.19 $207,424.25 nat. median
$164,834
1.3× median
0100T
CPT 		Prosth Retina Receive&gen 4 $47,367.00 $1,274,294.18 $191,693.13 nat. median
$11,210
outlier · 17.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 $163,584.39 $184,850.36 $174,217.38 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 $25,459.22 $183,782.78 $173,211.20 nat. median
$202,986
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $169,650.39 $183,222.42 $169,650.39 nat. median
$150,721
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $168,146.99 $181,598.75 $168,146.99 nat. median
$162,982
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $84,594.32 $605,308.66 $155,782.77 nat. median
$102,358
1.5× median
5832
APR_DRG 		Neonate With Ecmo 6 $151,978.99 $164,137.31 $151,978.99 nat. median
$156,126
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $77,679.55 $588,689.47 $151,505.64 nat. median
$99,019
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $144,314.00 $155,859.12 $144,314.00 nat. median
$117,173
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $76,366.13 $536,253.72 $138,010.73 nat. median
$93,672
1.5× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 6 $134,107.45 $144,836.05 $134,107.45 nat. median
$32,636
outlier · 4.1×
5831
APR_DRG 		Neonate With Ecmo 6 $133,820.52 $144,526.16 $133,820.52 nat. median
$145,122
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $123,645.75 $133,537.41 $123,645.75 nat. median
$89,273
1.4× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $122,339.64 $132,126.81 $122,339.64 nat. median
$182,736
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $121,780.48 $131,522.92 $121,780.48 nat. median
$145,336
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 6 $121,465.57 $131,182.82 $121,465.57 nat. median
$105,658
1.1× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $66,165.51 $470,843.78 $121,176.77 nat. median
$79,312
1.5× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 6 $120,943.41 $130,618.88 $120,943.41 nat. median
$160,267
0.8× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 $119,735.47 $129,314.31 $119,735.47 nat. median
$122,924
1.0× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $125,986.15 $117,066.78 nat. median
$111,989
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $116,581.17 $125,907.66 $116,581.17 nat. median
$73,845
1.6× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 6 $115,536.85 $124,779.80 $115,536.85 nat. median
$164,279
0.7× median

Other procedures at this hospital

Browse this hospital's 17,356 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 7 — — $4,505,000.00 $4,955,500.00 $4,707,725.00 2026-04-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 8 — — $3,685,266.67 $4,164,351.33 $3,869,530.00 2026-04-21
J3389 HCPCS Topi Adm Prad Zami Per Treat 10 8 — — $3,335,820.00 $3,769,476.60 $3,502,611.00 2026-04-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,316,462.59 $3,747,602.72 $3,482,285.72 2026-04-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 8 — — $3,248,445.72 $3,670,743.66 $3,410,868.00 2026-04-21
J3387 HCPCS Inj Elivaldogene Autotemecel 10 8 — — $3,090,000.00 $3,491,700.00 $3,244,500.00 2026-04-21
J3393 HCPCS Inj, Betibeglogene Autotemce 10 8 — — $2,945,740.00 $3,328,686.20 $3,093,027.00 2026-04-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,455,110.61 $2,774,274.98 $2,577,866.14 2026-04-21
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $2,635,160.00 $2,448,600.00 2026-04-21
Q2057 HCPCS Afamitresgene Autoleucel 10 8 — — $770,620.00 $870,800.60 $809,151.00 2026-04-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $591,726.20 $668,650.61 $621,312.51 2026-04-21
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $565,868.95 $639,431.91 $594,162.39 2026-04-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — — $562,538.19 $635,668.15 $590,665.09 2026-04-21
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — — $557,317.93 $629,769.27 $585,183.83 2026-04-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 8 — — $533,230.17 $602,550.09 $559,891.68 2026-04-21
Q2053 HCPCS Brexucabtagene Car Pos T 10 8 — — $489,304.61 $552,914.21 $513,769.84 2026-04-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 10 — — $328,195.77 $2,731,764.38 $364,297.30 2026-04-21
5834 APR_DRG Neonate With Ecmo 6 6 — — $360,205.69 $389,022.15 $360,205.69 2026-04-21
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $350,408.42 $378,441.09 $350,408.42 2026-04-21
5833 APR_DRG Neonate With Ecmo 6 6 — — $305,008.94 $329,409.66 $305,008.94 2026-04-21
24 APR_DRG Heart And/or Lung Transplant 6 6 — — $293,409.96 $316,882.76 $293,409.96 2026-04-21
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 8 — — $278,250.00 $314,422.50 $292,162.50 2026-04-21
J3403 HCPCS Revakinagene, Per Implant 10 8 — — $257,500.00 $290,975.00 $270,375.00 2026-04-21
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $228,004.29 $246,244.63 $228,004.29 2026-04-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 9 — — $213,900.54 $638,575.36 $224,595.57 2026-04-21
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $221,407.81 $239,120.43 $221,407.81 2026-04-21
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 8 — — $205,640.00 $232,373.20 $215,922.00 2026-04-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $207,424.25 $224,018.19 $207,424.25 2026-04-21
0100T CPT Prosth Retina Receive&gen 7 4 — — $47,367.00 $1,274,294.18 $191,693.13 2026-04-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 26 17 — — $163,584.39 $184,850.36 $174,217.38 2026-04-21
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 26 17 — — $25,459.22 $183,782.78 $173,211.20 2026-04-21
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $169,650.39 $183,222.42 $169,650.39 2026-04-21
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $168,146.99 $181,598.75 $168,146.99 2026-04-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $84,594.32 $605,308.66 $155,782.77 2026-04-21
5832 APR_DRG Neonate With Ecmo 6 6 — — $151,978.99 $164,137.31 $151,978.99 2026-04-21
215 MS_DRG Other Heart Assist System Implant 21 12 — — $77,679.55 $588,689.47 $151,505.64 2026-04-21
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $144,314.00 $155,859.12 $144,314.00 2026-04-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $76,366.13 $536,253.72 $138,010.73 2026-04-21
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 6 — — $134,107.45 $144,836.05 $134,107.45 2026-04-21
5831 APR_DRG Neonate With Ecmo 6 6 — — $133,820.52 $144,526.16 $133,820.52 2026-04-21
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $123,645.75 $133,537.41 $123,645.75 2026-04-21
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $122,339.64 $132,126.81 $122,339.64 2026-04-21
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $121,780.48 $131,522.92 $121,780.48 2026-04-21
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $121,465.57 $131,182.82 $121,465.57 2026-04-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $66,165.51 $470,843.78 $121,176.77 2026-04-21
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $120,943.41 $130,618.88 $120,943.41 2026-04-21
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $119,735.47 $129,314.31 $119,735.47 2026-04-21
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $111,492.17 $125,986.15 $117,066.78 2026-04-21
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $116,581.17 $125,907.66 $116,581.17 2026-04-21
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $115,536.85 $124,779.80 $115,536.85 2026-04-21
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $115,400.74 $124,632.80 $115,400.74 2026-04-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $85,703.43 $552,985.89 $115,229.40 2026-04-21
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $114,790.84 $123,974.11 $114,790.84 2026-04-21
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 26 17 — — $107,042.59 $120,958.13 $114,000.36 2026-04-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $52,983.65 $233,567.62 $114,000.01 2026-04-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $60,249.03 $434,310.45 $111,774.52 2026-04-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $60,498.59 $429,926.45 $110,646.25 2026-04-21
7 MS_DRG Lung Transplant 12 9 — — $100,247.71 $296,269.70 $105,260.10 2026-04-21
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $105,104.55 $113,512.91 $105,104.55 2026-04-21
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 6 — — $104,683.41 $113,058.08 $104,683.41 2026-04-21
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $47,907.10 $211,789.76 $103,369.74 2026-04-21
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $102,823.36 $111,049.23 $102,823.36 2026-04-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $102,765.98 $110,987.26 $102,765.98 2026-04-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $101,907.09 $110,059.66 $101,907.09 2026-04-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $44,248.05 $497,643.77 $101,861.57 2026-04-21
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $67,896.65 $667,273.19 $101,330.90 2026-04-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $56,367.53 $392,670.79 $101,058.10 2026-04-21
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit [91426] 74 23 $156,396.80 $93,838.08 40% off $14,638.74 $342,206.87 $100,625.70 2026-04-21
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $95,081.03 $107,441.56 $99,835.08 2026-04-21
2464 APR_DRG Gastrointestinal Vascular Insufficiency 6 6 — — $99,654.36 $107,626.71 $99,654.36 2026-04-21
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $99,140.26 $107,071.48 $99,140.26 2026-04-21
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $93,218.35 $297,017.81 $97,879.27 2026-04-21
64 APR_DRG Pancreas Transplant 6 6 — — $96,212.65 $103,909.66 $96,212.65 2026-04-21
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $96,205.06 $103,901.46 $96,205.06 2026-04-21
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $95,917.19 $103,590.57 $95,917.19 2026-04-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $54,463.73 $370,478.53 $95,346.68 2026-04-21
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $93,242.36 $100,701.75 $93,242.36 2026-04-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $65,965.71 $447,080.60 $93,161.20 2026-04-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 9 — — $88,045.29 $213,200.02 $92,447.55 2026-04-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $52,182.19 $358,826.76 $92,347.97 2026-04-21
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $87,947.27 $99,380.42 $92,344.63 2026-04-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $45,578.82 $448,650.27 $91,833.20 2026-04-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $70,536.33 $440,291.93 $91,746.60 2026-04-21
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $89,646.05 $96,817.73 $89,646.05 2026-04-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $47,894.29 $344,185.64 $88,579.92 2026-04-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $53,020.61 $343,741.13 $88,465.52 2026-04-21
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $88,174.89 $95,228.88 $88,174.89 2026-04-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $42,789.84 $179,410.40 $87,567.15 2026-04-21
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $87,459.24 $94,455.98 $87,459.24 2026-04-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $48,316.51 $339,423.81 $87,354.41 2026-04-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $41,853.39 $423,198.23 $86,623.48 2026-04-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $61,934.92 $379,540.77 $85,834.59 2026-04-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $48,812.64 $332,872.81 $85,668.44 2026-04-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $52,182.19 $330,566.91 $85,074.99 2026-04-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $80,344.88 $241,421.90 $84,362.12 2026-04-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $46,853.80 $326,949.69 $84,144.06 2026-04-21
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $83,732.03 $90,430.59 $83,732.03 2026-04-21
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $83,076.12 $89,722.21 $83,076.12 2026-04-21
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $82,955.19 $89,591.61 $82,955.19 2026-04-21
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $82,006.67 $88,567.20 $82,006.67 2026-04-21
8634 APR_DRG Neonatal Aftercare 6 6 — — $80,734.70 $87,193.48 $80,734.70 2026-04-21
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $79,959.29 $86,356.03 $79,959.29 2026-04-21
0915T CPT Insj Perm Ccm-d Sys Pg & Eltrd 78 23 $112,215.75 $67,329.45 40% off $10,503.39 $267,906.56 $79,168.21 2026-04-21
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $78,675.47 $84,969.51 $78,675.47 2026-04-21
4404 APR_DRG Kidney Transplant 6 6 — — $78,481.02 $84,759.50 $78,481.02 2026-04-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $57,032.54 $374,944.43 $78,129.70 2026-04-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $78,122.48 $84,372.28 $78,122.48 2026-04-21
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $78,095.92 $84,343.59 $78,095.92 2026-04-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 21 12 — — $54,719.34 $503,901.03 $76,521.50 2026-04-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $34,973.32 $372,535.06 $76,253.35 2026-04-21
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $76,080.79 $82,167.25 $76,080.79 2026-04-21
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $76,080.79 $82,167.25 $76,080.79 2026-04-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $43,793.38 $295,611.59 $76,078.86 2026-04-21
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $75,865.00 $81,934.20 $75,865.00 2026-04-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $42,813.95 $294,305.84 $75,742.81 2026-04-21
4414 APR_DRG Major Bladder Procedures 6 6 — — $74,271.49 $80,213.21 $74,271.49 2026-04-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $42,387.96 $285,210.01 $73,401.90 2026-04-21
23 APR_DRG Heart And/or Lung Transplant 6 6 — — $72,266.79 $78,048.13 $72,266.79 2026-04-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $68,801.71 $77,745.93 $72,241.80 2026-04-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $39,714.35 $279,870.31 $72,027.67 2026-04-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $44,573.76 $278,003.36 $71,547.19 2026-04-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $39,908.13 $276,892.08 $71,261.19 2026-04-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 21 12 — — $51,122.08 $468,458.10 $71,139.20 2026-04-21
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 6 — — $70,758.17 $76,418.82 $70,758.17 2026-04-21
245 MS_DRG Aicd Generator Procedures 21 12 — — $37,005.29 $271,530.16 $69,881.24 2026-04-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $48,759.10 $458,106.99 $69,567.30 2026-04-21
1784 APR_DRG External Heart Assist Systems 6 6 — — $69,563.51 $75,128.59 $69,563.51 2026-04-21
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $68,505.91 $73,986.38 $68,505.91 2026-04-21
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $68,427.18 $73,901.35 $68,427.18 2026-04-21
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $68,124.60 $73,574.57 $68,124.60 2026-04-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $52,001.99 $446,075.38 $67,740.20 2026-04-21
6904 APR_DRG Acute Leukemia 6 6 — — $67,512.81 $72,913.83 $67,512.81 2026-04-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $38,501.20 $261,411.95 $67,277.21 2026-04-21
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 6 — — $67,099.25 $72,467.19 $67,099.25 2026-04-21
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $67,023.85 $72,385.76 $67,023.85 2026-04-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $37,428.28 $258,478.17 $66,522.17 2026-04-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 8 — — $63,342.28 $71,576.78 $66,509.40 2026-04-21
38240 CPT Transplt Allo Hct/donor 17 10 — — $9,883.00 $312,814.21 $66,347.14 2026-04-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $40,607.83 $255,183.23 $65,674.18 2026-04-21
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $64,999.70 $70,199.68 $64,999.70 2026-04-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $46,825.15 $421,744.12 $64,045.30 2026-04-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 17 — — $60,058.27 $67,865.85 $63,962.06 2026-04-21
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $63,633.36 $68,724.03 $63,633.36 2026-04-21
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $63,245.42 $68,305.05 $63,245.42 2026-04-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $47,566.30 $302,977.19 $63,133.40 2026-04-21
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $62,816.69 $67,842.03 $62,816.69 2026-04-21
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $62,202.04 $67,178.20 $62,202.04 2026-04-21
63 APR_DRG Pancreas Transplant 6 6 — — $62,176.43 $67,150.54 $62,176.43 2026-04-21
77371 CPT Outpt Stereotactic Radiosurg 73 23 $87,547.75 $52,528.65 40% off $1,211.88 $82,382.43 $61,764.93 2026-04-21
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $41,785.54 $403,801.73 $61,320.60 2026-04-21
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Soln [127557] 73 23 $95,033.99 $57,020.40 40% off $2,429.89 $89,426.98 $61,144.86 2026-04-21
33249 CPT Insrt/replace Sgl Chbr Icd+gen 78 23 $86,388.00 $51,832.80 40% off $21,852.74 $269,753.74 $60,946.74 2026-04-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $35,233.43 $236,669.30 $60,909.42 2026-04-21
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $43,998.48 $400,375.50 $60,800.30 2026-04-21
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Soln [108958] 74 23 $94,484.28 $56,690.57 40% off $3,627.97 $88,909.71 $60,791.18 2026-04-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $44,994.47 $290,555.93 $60,545.10 2026-04-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 12 — — $30,288.85 $294,991.08 $60,381.05 2026-04-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 17 — — $56,686.47 $64,055.71 $60,371.09 2026-04-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $46,088.50 $288,782.22 $60,175.50 2026-04-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 12 — — $29,942.76 $292,449.20 $59,860.76 2026-04-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $43,852.20 $393,233.31 $59,715.70 2026-04-21
A9543 HCPCS Y90 Ibritumomab, Rx 10 8 — — $56,824.55 $64,211.74 $59,665.78 2026-04-21
10 MS_DRG Pancreas Transplant 12 9 — — $56,709.08 $180,747.91 $59,544.53 2026-04-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $34,447.78 $231,185.13 $59,498.01 2026-04-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $43,728.54 $390,857.41 $59,354.90 2026-04-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $39,559.79 $390,813.95 $59,348.30 2026-04-21
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $59,273.01 $64,014.85 $59,273.01 2026-04-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $56,399.19 $179,711.89 $59,219.15 2026-04-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $58,950.04 $63,666.04 $58,950.04 2026-04-21
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 6 — — $58,812.03 $63,516.99 $58,812.03 2026-04-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $34,188.42 $228,484.72 $58,803.03 2026-04-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 12 — — $28,652.70 $285,670.85 $58,473.32 2026-04-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 12 — — $29,195.57 $284,524.51 $58,238.68 2026-04-21
22 APR_DRG Heart And/or Lung Transplant 6 6 — — $58,054.17 $62,698.50 $58,054.17 2026-04-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 8 — — $55,272.32 $62,457.73 $58,035.94 2026-04-21
234 APR_DRG Spinal Procedures 6 6 — — $57,940.82 $62,576.09 $57,940.82 2026-04-21
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $57,731.20 $62,349.70 $57,731.20 2026-04-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 12 — — $28,328.48 $116,937.10 $57,073.97 2026-04-21
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $56,989.45 $61,548.61 $56,989.45 2026-04-21
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $56,987.08 $61,546.05 $56,987.08 2026-04-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $42,519.93 $251,465.59 $56,869.90 2026-04-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 17 — — $53,356.89 $60,293.29 $56,825.09 2026-04-21
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $56,276.64 $60,778.77 $56,276.64 2026-04-21
62 APR_DRG Pancreas Transplant 6 6 — — $56,237.75 $60,736.77 $56,237.75 2026-04-21
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $56,017.22 $60,498.60 $56,017.22 2026-04-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $33,711.16 $217,271.91 $55,917.29 2026-04-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $40,209.72 $367,902.44 $55,869.00 2026-04-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 12 — — $25,475.42 $271,524.37 $55,577.71 2026-04-21
61 APR_DRG Pancreas Transplant 6 6 — — $55,511.66 $59,952.59 $55,511.66 2026-04-21
0916T CPT Insj Perm Ccm-d Sys Pg Only 78 23 $78,561.75 $47,137.05 40% off $7,353.38 $187,560.36 $55,425.32 2026-04-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $38,829.18 $362,701.54 $55,079.20 2026-04-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $39,841.76 $362,274.17 $55,014.30 2026-04-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 12 — — $26,937.39 $267,420.81 $54,737.76 2026-04-21
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $54,550.81 $58,914.87 $54,550.81 2026-04-21
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $54,152.43 $58,484.62 $54,152.43 2026-04-21
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $54,088.40 $58,415.47 $54,088.40 2026-04-21
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $54,055.68 $58,380.13 $54,055.68 2026-04-21
500 MS_DRG Soft Tissue Procedures With Mcc 21 12 — — $26,467.66 $263,217.57 $53,877.41 2026-04-21
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $53,822.34 $58,128.13 $53,822.34 2026-04-21
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $53,503.17 $57,783.42 $53,503.17 2026-04-21
1824 APR_DRG Other Peripheral Vascular Procedures 6 6 — — $53,460.01 $57,736.81 $53,460.01 2026-04-21
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $39,013.15 $256,412.01 $53,430.30 2026-04-21
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $53,428.23 $57,702.49 $53,428.23 2026-04-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 12 — — $26,634.27 $256,879.48 $52,580.08 2026-04-21
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $52,553.70 $56,758.00 $52,553.70 2026-04-21
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $52,540.89 $56,744.16 $52,540.89 2026-04-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $37,875.40 $345,918.12 $52,530.50 2026-04-21
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $50,007.15 $56,508.08 $52,507.51 2026-04-21
2054 APR_DRG Cardiomyopathy 6 6 — — $52,392.45 $56,583.85 $52,392.45 2026-04-21
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $52,325.11 $56,511.12 $52,325.11 2026-04-21
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $36,752.72 $344,418.69 $52,302.80 2026-04-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $37,980.95 $344,353.50 $52,292.90 2026-04-21
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $52,271.51 $56,453.23 $52,271.51 2026-04-21
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $49,600.83 $56,048.94 $52,080.87 2026-04-21
0614T CPT Rmvl And Rplcmt Ss Impl Dfb Pg 78 23 $73,545.75 $44,127.45 40% off $6,883.88 $189,788.91 $51,886.53 2026-04-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $37,174.19 $338,964.26 $51,474.50 2026-04-21
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $51,393.18 $55,504.63 $51,393.18 2026-04-21
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $51,221.03 $55,318.71 $51,221.03 2026-04-21
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $51,061.20 $55,146.10 $51,061.20 2026-04-21
265 MS_DRG Aicd Lead Procedures 21 12 — — $29,886.20 $198,207.90 $51,010.96 2026-04-21
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $36,397.59 $333,872.01 $50,701.20 2026-04-21
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $50,524.81 $54,566.79 $50,524.81 2026-04-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $37,262.40 $332,618.87 $50,510.90 2026-04-21
33230 CPT Insrt Icd Pulse Gen Dual Lead 78 23 $71,587.50 $42,952.50 40% off $16,993.10 $189,788.91 $50,504.99 2026-04-21
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $50,438.97 $54,474.09 $50,438.97 2026-04-21
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $50,319.46 $54,345.02 $50,319.46 2026-04-21
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $50,137.82 $54,148.85 $50,137.82 2026-04-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $26,089.93 $244,934.30 $50,135.05 2026-04-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 12 — — $24,563.85 $244,302.99 $50,005.82 2026-04-21
264 MS_DRG Other Circulatory System O.r. Procedures 21 12 — — $27,793.16 $194,201.74 $49,979.93 2026-04-21
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $49,940.05 $53,935.25 $49,940.05 2026-04-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 8 — — $47,418.53 $53,582.94 $49,789.46 2026-04-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $47,314.48 $136,833.85 $49,680.20 2026-04-21
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 6 6 — — $49,666.40 $53,639.71 $49,666.40 2026-04-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 12 — — $36,902.00 $326,802.26 $49,627.60 2026-04-21
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $49,361.46 $53,310.38 $49,361.46 2026-04-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 12 — — $29,419.50 $191,384.64 $49,254.92 2026-04-21
252 MS_DRG Other Vascular Procedures With Mcc 21 12 — — $28,906.78 $190,606.75 $49,054.72 2026-04-21
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 6 6 — — $48,910.43 $52,823.26 $48,910.43 2026-04-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 17 — — $3,376.03 $51,766.48 $48,788.76 2026-04-21
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $34,247.22 $320,927.70 $48,735.50 2026-04-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 12 — — $27,131.16 $189,262.10 $48,708.66 2026-04-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 12 — — $22,661.57 $237,890.14 $48,693.19 2026-04-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 12 — — $25,379.66 $237,416.65 $48,596.27 2026-04-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 12 — — $26,678.78 $188,473.09 $48,505.60 2026-04-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $36,255.09 $318,196.86 $48,320.80 2026-04-21
4403 APR_DRG Kidney Transplant 6 6 — — $48,034.00 $51,876.72 $48,034.00 2026-04-21
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 6 6 — — $48,030.68 $51,873.13 $48,030.68 2026-04-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $45,634.61 $51,567.11 $47,916.34 2026-04-21
1694 APR_DRG Major Abdominal Vascular Procedures 6 6 — — $47,867.54 $51,696.94 $47,867.54 2026-04-21
33274 CPT Tcat Insj/rpl Perm Ldls Pm 78 23 $67,578.00 $40,546.80 40% off $6,325.30 $133,194.39 $47,676.28 2026-04-21
1204 APR_DRG Major Respiratory And Chest Procedures 6 6 — — $47,673.09 $51,486.94 $47,673.09 2026-04-21
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 78 23 $67,420.50 $40,452.30 40% off $6,310.56 $238,325.90 $47,565.17 2026-04-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $34,066.28 $227,942.90 $47,498.00 2026-04-21
4834 APR_DRG Penis, Testes And Scrotal Procedures 6 6 — — $47,491.92 $51,291.27 $47,491.92 2026-04-21
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) Intravenous Solr [138459] 72 22 $73,377.12 $44,026.28 40% off $2,698.05 $69,047.87 $47,210.84 2026-04-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $44,863.29 $123,349.74 $47,106.45 2026-04-21
894 APR_DRG Major Cranial Or Facial Bone Procedures 6 6 — — $46,982.57 $50,741.18 $46,982.57 2026-04-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $35,726.55 $308,990.25 $46,922.70 2026-04-21
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 6 6 — — $46,920.44 $50,674.08 $46,920.44 2026-04-21
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 6 6 — — $46,908.58 $50,661.27 $46,908.58 2026-04-21
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $34,765.22 $306,346.33 $46,521.20 2026-04-21
64568 CPT Opn Impltj Crnl Nrv Nea&pg 23 11 — — $19,861.72 $243,316.19 $46,459.55 2026-04-21
33276 CPT Insj Phrnc Nrv Stim Sys 23 11 — — $32,454.62 $376,024.18 $46,459.55 2026-04-21
64654 CPT 1st Opn Implt Bat Modulj Sys 10 8 — — $44,247.19 $49,999.33 $46,459.55 2026-04-21
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 6 6 — — $46,210.00 $49,906.80 $46,210.00 2026-04-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $34,284.94 $303,477.87 $46,085.60 2026-04-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $29,797.24 $178,049.28 $45,822.92 2026-04-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 9 — — $43,564.17 $136,833.85 $45,742.38 2026-04-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 12 — — $26,363.61 $177,532.54 $45,689.93 2026-04-21
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $45,291.36 $48,914.67 $45,291.36 2026-04-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $34,393.50 $297,255.61 $45,140.70 2026-04-21
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 17 10 — — $14,351.00 $134,230.78 $45,132.14 2026-04-21
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 6 6 — — $45,044.27 $48,647.81 $45,044.27 2026-04-21
503 MS_DRG Foot Procedures With Mcc 21 12 — — $23,650.03 $219,847.77 $45,000.14 2026-04-21
509 MS_DRG Orthopedic 11 6 — — $29,869.17 $145,925.56 $44,976.94 2026-04-21
21 APR_DRG Heart And/or Lung Transplant 6 6 — — $44,966.96 $48,564.32 $44,966.96 2026-04-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $34,580.49 $215,563.88 $44,918.50 2026-04-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $33,918.51 $294,626.19 $44,741.40 2026-04-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 12 — — $27,424.46 $173,415.24 $44,630.30 2026-04-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 12 — — $23,325.08 $217,912.28 $44,603.97 2026-04-21
1783 APR_DRG External Heart Assist Systems 6 6 — — $44,516.89 $48,078.24 $44,516.89 2026-04-21
1214 APR_DRG Other Respiratory And Chest Procedures 6 6 — — $44,491.28 $48,050.58 $44,491.28 2026-04-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $26,352.30 $172,598.45 $44,420.09 2026-04-21
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $44,328.61 $47,874.90 $44,328.61 2026-04-21
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 6 6 — — $43,970.54 $47,488.18 $43,970.54 2026-04-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 12 — — $25,047.16 $170,503.69 $43,880.98 2026-04-21
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $43,843.91 $47,351.42 $43,843.91 2026-04-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $31,553.26 $288,563.29 $43,820.70 2026-04-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 12 — — $29,619.31 $288,360.47 $43,789.90 2026-04-21
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $43,427.99 $46,902.23 $43,427.99 2026-04-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 12 — — $30,705.03 $285,810.73 $43,402.70 2026-04-21
2244 APR_DRG Peritoneal Adhesiolysis 6 6 — — $43,358.75 $46,827.45 $43,358.75 2026-04-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 12 — — $23,505.27 $211,673.88 $43,327.04 2026-04-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 12 — — $29,556.71 $285,223.99 $43,313.60 2026-04-21
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $43,056.64 $46,501.17 $43,056.64 2026-04-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 12 — — $32,919.49 $206,521.13 $43,034.20 2026-04-21
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Soln [152604] 74 23 $66,858.00 $40,114.80 40% off $217.09 $62,913.38 $43,016.44 2026-04-21
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 6 6 — — $42,936.18 $46,371.07 $42,936.18 2026-04-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 12 — — $25,351.78 $209,738.39 $42,930.87 2026-04-21
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