Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

CHRISTUS JASPER MEMORIAL HOSPITAL

Jasper, TX · CCN 450573 · Rates published

20,181 distinct procedures filed
43 distinct payers
1,242,813 rate rows
2026-01-13 last MRF observed
Data quality

912,075 of 1,242,813 rate rows are consumer-grade (73.4%)

330,738 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 312,741
per-diem day rate — not a per-procedure price 12,360
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,811
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 515
template filing: same amount across many unrelated codes — excluded 191
placeholder amount (≤ $0.02) — excluded from medians 114
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 6
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/760591590_southeasttexasjaspermemorial_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-11
Content fingerprint 74f7e5c8f5dd0298… · 258,623,234 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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 22 $3,685,266.67 $4,116,897.79 $3,742,634.35 nat. median
$3,703,693
1.0× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 22 $3,710,000.00 $4,116,897.79 $3,742,634.35 nat. median
$3,710,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 43 $2,423,131.23 $4,849,200.68 $3,636,165.96 nat. median
$2,466,282
1.5× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 43 $2,332,000.00 $4,705,026.04 $3,518,513.02 nat. median
$2,401,960
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 22 $3,322,473.30 $4,691,401.34 $3,351,000.96 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 22 $3,221,086.65 $4,509,521.31 $3,221,086.65 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 22 $2,948,213.33 $4,191,750.47 $2,994,107.48 nat. median
$2,994,107
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 43 $553,169.30 $2,649,160.80 $1,601,165.05 nat. median
$646,415
outlier · 2.5×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 43 $527,622.46 $2,389,941.84 $1,458,782.15 nat. median
$622,245
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 43 $516,442.29 $2,337,528.34 $1,426,985.31 nat. median
$640,950
outlier · 2.2×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 43 $570,599.25 $2,197,566.80 $1,384,083.02 nat. median
$738,272
1.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 43 $489,399.16 $2,125,025.76 $1,307,212.46 nat. median
$591,650
outlier · 2.2×
5834
APR_DRG 		Neonate With Ecmo, Severe 6 $963,956.17 $1,041,072.36 $1,012,153.98 nat. median
$307,273
outlier · 3.3×
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 5 $937,737.45 $994,001.85 $984,624.32 nat. median
$170,172
outlier · 5.8×
5833
APR_DRG 		Neonate With Ecmo, Major 6 $816,242.66 $881,541.81 $857,054.79 nat. median
$244,017
outlier · 3.5×
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 5 $785,202.32 $832,314.58 $824,462.44 nat. median
$241,915
outlier · 3.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 6 $610,168.44 $658,981.72 $640,676.86 nat. median
$247,214
outlier · 2.6×
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 6 $592,515.41 $639,916.46 $622,141.18 nat. median
$202,993
outlier · 3.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 6 $555,093.64 $599,500.96 $582,848.32 nat. median
$163,587
outlier · 3.6×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 25 $2.00 $2,026,882.00 $523,452.49 nat. median
$608,101
0.9× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 43 $63,235.61 $915,200.00 $489,217.80 nat. median
$68,423
outlier · 7.1×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 6 $454,005.99 $490,326.33 $476,706.29 nat. median
$154,011
outlier · 3.1×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 6 $449,982.69 $485,981.17 $472,481.83 nat. median
$165,000
outlier · 2.9×
5832
APR_DRG 		Neonate With Ecmo, Moderate 6 $406,715.08 $439,252.15 $427,050.83 nat. median
$159,249
outlier · 2.7×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 6 $358,888.57 $387,599.54 $376,833.00 nat. median
$28,699
outlier · 13.1×
5831
APR_DRG 		Neonate With Ecmo, Minor 6 $358,120.71 $386,770.26 $376,026.75 nat. median
$146,591
outlier · 2.6×
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 5 $330,891.73 $350,745.28 $347,436.31 nat. median
$89,273
outlier · 3.9×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 6 $327,396.40 $353,588.01 $343,766.22 nat. median
$175,429
2.0× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 6 $325,900.04 $351,971.94 $342,195.04 nat. median
$145,061
outlier · 2.4×
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $325,057.30 $351,061.79 $341,310.17 nat. median
$122,016
outlier · 2.8×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 6 $323,659.94 $349,552.63 $339,842.93 nat. median
$156,153
outlier · 2.2×
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 6 $320,427.34 $346,061.42 $336,448.70 nat. median
$133,164
outlier · 2.5×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 $311,986.02 $336,944.80 $327,585.32 nat. median
$66,842
outlier · 4.9×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 6 $309,191.29 $333,926.49 $324,650.85 nat. median
$162,514
2.0× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 6 $308,827.03 $333,533.10 $324,268.38 nat. median
$120,517
outlier · 2.7×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 6 $307,194.87 $331,770.36 $322,554.61 nat. median
$120,505
outlier · 2.7×
14
APR_DRG 		Liver Transplant And/Or Intestinal Transplant, Severe 5 $281,273.13 $298,149.57 $295,336.79 nat. median
$136,728
outlier · 2.2×
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 6 $280,146.10 $302,557.70 $294,153.41 nat. median
$78,130
outlier · 3.8×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 6 $275,168.38 $297,181.76 $288,926.80 nat. median
$68,108
outlier · 4.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly, Severe 6 $275,014.81 $297,015.90 $288,765.55 nat. median
$98,624
outlier · 2.9×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Major 6 $272,716.32 $294,533.54 $286,352.14 nat. median
$78,898
outlier · 3.6×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency, Severe 6 $266,687.72 $288,022.65 $280,022.10 nat. median
$20,493
outlier · 13.7×
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 6 $265,311.93 $286,536.80 $278,577.52 nat. median
$107,657
outlier · 2.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $238,252.13 $767,056.08 $270,855.06 nat. median
$359,358
0.8× median
64
APR_DRG 		Pancreas Transplant, Severe 5 $257,477.28 $272,925.95 $270,351.14 nat. median
$91,239
outlier · 3.0×
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $257,456.97 $278,053.45 $270,329.82 nat. median
$93,998
outlier · 2.9×
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 6 $256,686.58 $277,221.42 $269,520.91 nat. median
$151,838
1.8× median
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 6 $249,528.40 $269,490.60 $262,004.82 nat. median
$89,188
outlier · 2.9×
1624
APR_DRG 		Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 6 $239,904.21 $259,096.47 $251,899.42 nat. median
$80,771
outlier · 3.1×
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 $235,967.21 $254,844.52 $247,765.58 nat. median
$118,589
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 20,181 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 24 22 — — $3,710,000.00 $4,116,897.79 $3,742,634.35 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 24 22 — — $3,685,266.67 $4,116,897.79 $3,742,634.35 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 75 43 — — $2,423,131.23 $4,849,200.68 $3,636,165.96 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 75 43 — — $2,332,000.00 $4,705,026.04 $3,518,513.02 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 25 22 — — $3,322,473.30 $4,691,401.34 $3,351,000.96 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 25 22 — — $3,221,086.65 $4,509,521.31 $3,221,086.65 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 25 22 — — $2,948,213.33 $4,191,750.47 $2,994,107.48 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 75 43 — — $553,169.30 $2,649,160.80 $1,601,165.05 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 75 43 — — $527,622.46 $2,389,941.84 $1,458,782.15 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 75 43 — — $516,442.29 $2,337,528.34 $1,426,985.31 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 75 43 — — $570,599.25 $2,197,566.80 $1,384,083.02 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 75 43 — — $489,399.16 $2,125,025.76 $1,307,212.46 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 20 6 — — $963,956.17 $1,041,072.36 $1,012,153.98 2026-01-13
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 16 5 — — $937,737.45 $994,001.85 $984,624.32 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 20 6 — — $816,242.66 $881,541.81 $857,054.79 2026-01-13
24 APR_DRG Heart And/Or Lung Transplant, Severe 16 5 — — $785,202.32 $832,314.58 $824,462.44 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 20 6 — — $610,168.44 $658,981.72 $640,676.86 2026-01-13
1614 APR_DRG Implantable Heart Assist Systems, Severe 20 6 — — $592,515.41 $639,916.46 $622,141.18 2026-01-13
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 20 6 — — $555,093.64 $599,500.96 $582,848.32 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 38 25 — — $2.00 $2,026,882.00 $523,452.49 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 75 43 — — $63,235.61 $915,200.00 $489,217.80 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 20 6 — — $454,005.99 $490,326.33 $476,706.29 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 20 6 — — $449,982.69 $485,981.17 $472,481.83 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 20 6 — — $406,715.08 $439,252.15 $427,050.83 2026-01-13
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 20 6 — — $358,888.57 $387,599.54 $376,833.00 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 20 6 — — $358,120.71 $386,770.26 $376,026.75 2026-01-13
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 16 5 — — $330,891.73 $350,745.28 $347,436.31 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 20 6 — — $327,396.40 $353,588.01 $343,766.22 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 20 6 — — $325,900.04 $351,971.94 $342,195.04 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 20 6 — — $325,057.30 $351,061.79 $341,310.17 2026-01-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 20 6 — — $323,659.94 $349,552.63 $339,842.93 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 20 6 — — $320,427.34 $346,061.42 $336,448.70 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 20 6 — — $311,986.02 $336,944.80 $327,585.32 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 20 6 — — $309,191.29 $333,926.49 $324,650.85 2026-01-13
1613 APR_DRG Implantable Heart Assist Systems, Major 20 6 — — $308,827.03 $333,533.10 $324,268.38 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 20 6 — — $307,194.87 $331,770.36 $322,554.61 2026-01-13
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 16 5 — — $281,273.13 $298,149.57 $295,336.79 2026-01-13
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 20 6 — — $280,146.10 $302,557.70 $294,153.41 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 20 6 — — $275,168.38 $297,181.76 $288,926.80 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 20 6 — — $275,014.81 $297,015.90 $288,765.55 2026-01-13
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 20 6 — — $272,716.32 $294,533.54 $286,352.14 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 20 6 — — $266,687.72 $288,022.65 $280,022.10 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 20 6 — — $265,311.93 $286,536.80 $278,577.52 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 29 — — $238,252.13 $767,056.08 $270,855.06 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 16 5 — — $257,477.28 $272,925.95 $270,351.14 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 6 — — $257,456.97 $278,053.45 $270,329.82 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 20 6 — — $256,686.58 $277,221.42 $269,520.91 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 6 — — $249,528.40 $269,490.60 $262,004.82 2026-01-13
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 20 6 — — $239,904.21 $259,096.47 $251,899.42 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $235,967.21 $254,844.52 $247,765.58 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 20 6 — — $234,052.02 $252,776.11 $245,754.62 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 20 6 — — $224,077.54 $242,003.67 $235,281.41 2026-01-13
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 16 5 — — $222,322.26 $235,661.63 $233,438.37 2026-01-13
1612 APR_DRG Implantable Heart Assist Systems, Moderate 20 6 — — $221,998.62 $239,758.44 $233,098.55 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 20 6 — — $216,056.32 $233,340.76 $226,859.13 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 20 6 — — $213,981.21 $231,099.64 $224,680.27 2026-01-13
1611 APR_DRG Implantable Heart Assist Systems, Minor 20 6 — — $210,545.54 $227,389.12 $221,072.82 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 16 5 — — $210,025.18 $222,626.72 $220,526.43 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 20 6 — — $209,065.68 $225,790.86 $219,518.96 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 20 6 — — $208,994.60 $225,714.10 $219,444.33 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 20 6 — — $203,601.86 $219,889.94 $213,781.95 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 20 6 — — $203,601.86 $219,889.94 $213,781.95 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 20 6 — — $203,024.38 $219,266.27 $213,175.60 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 20 6 — — $198,759.93 $214,660.67 $208,697.93 2026-01-13
23 APR_DRG Heart And/Or Lung Transplant, Major 16 5 — — $193,395.11 $204,998.85 $203,064.87 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 75 43 — — $56,025.02 $348,280.45 $202,152.73 2026-01-13
Q0480 HCPCS Dme Pos 59 31 — — $200,311.92 $200,311.92 $200,311.92 2026-01-13
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 20 6 — — $189,357.85 $204,506.42 $198,825.74 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 29 27 — — $177,954.37 $430,836.90 $196,686.41 2026-01-13
1784 APR_DRG External Heart Assist Systems, Severe 20 6 — — $186,160.78 $201,053.59 $195,468.82 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 20 6 — — $183,330.51 $197,996.90 $192,497.04 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 20 6 — — $183,119.83 $197,769.36 $192,275.82 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 20 6 — — $182,310.09 $196,894.84 $191,425.60 2026-01-13
6904 APR_DRG Acute Leukemia, Severe 20 6 — — $180,672.85 $195,126.62 $189,706.49 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 20 6 — — $179,566.12 $193,931.36 $188,544.43 2026-01-13
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 20 6 — — $179,364.33 $193,713.41 $188,332.54 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 75 43 — — $56,824.55 $311,941.97 $184,383.26 2026-01-13
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 20 6 — — $173,947.46 $187,863.21 $182,644.84 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 20 6 — — $170,290.96 $183,914.18 $178,805.51 2026-01-13
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 20 6 — — $169,252.77 $182,792.94 $177,715.41 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 20 6 — — $168,105.43 $181,553.81 $176,510.70 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $166,460.57 $179,777.37 $174,783.60 2026-01-13
63 APR_DRG Pancreas Transplant, Major 16 5 — — $166,392.04 $176,375.58 $174,711.64 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 20 6 — — $158,622.12 $171,311.84 $166,553.22 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 20 6 — — $157,757.80 $170,378.38 $165,645.70 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 28 — — $149,869.75 $379,248.93 $165,645.51 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 20 6 — — $157,388.47 $169,979.50 $165,257.90 2026-01-13
22 APR_DRG Heart And/Or Lung Transplant, Moderate 16 5 — — $155,360.32 $164,681.97 $163,128.34 2026-01-13
234 APR_DRG Spinal Procedures, Severe 20 6 — — $155,056.99 $167,461.50 $162,809.84 2026-01-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 20 6 — — $154,496.01 $166,855.64 $162,220.81 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $152,504.67 $164,704.99 $160,129.90 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 20 6 — — $150,603.44 $162,651.66 $158,133.61 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 16 5 — — $150,499.36 $159,529.35 $158,024.33 2026-01-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 20 6 — — $149,909.20 $161,901.88 $157,404.66 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 16 5 — — $148,556.25 $157,469.65 $155,984.06 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 29 — — $135,395.00 $377,023.23 $153,922.73 2026-01-13
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 16 5 — — $145,984.89 $154,744.01 $153,284.14 2026-01-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 16 5 — — $144,918.78 $153,613.93 $152,164.72 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 20 6 — — $144,747.44 $156,327.19 $151,984.81 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 20 6 — — $144,659.87 $156,232.61 $151,892.86 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 20 6 — — $144,035.43 $155,558.22 $151,237.20 2026-01-13
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 20 6 — — $143,181.27 $154,635.73 $150,340.34 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 20 6 — — $143,065.78 $154,510.99 $150,219.07 2026-01-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 20 6 — — $142,980.74 $154,419.16 $150,129.78 2026-01-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 20 6 — — $140,640.37 $151,891.56 $147,672.39 2026-01-13
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 20 6 — — $140,606.11 $151,854.55 $147,636.41 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 59 31 — — $76,835.25 $218,383.88 $147,609.57 2026-01-13
2054 APR_DRG Cardiomyopathy, Severe 20 6 — — $140,208.85 $151,425.52 $147,219.30 2026-01-13
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 20 6 — — $140,028.63 $151,230.88 $147,030.06 2026-01-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 20 6 — — $139,885.21 $151,075.98 $146,879.47 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 20 6 — — $137,534.69 $148,537.42 $144,411.43 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 20 6 — — $137,073.98 $148,039.85 $143,927.68 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 20 6 — — $136,646.26 $147,577.92 $143,478.58 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 20 6 — — $135,210.82 $146,027.65 $141,971.36 2026-01-13
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 20 6 — — $134,981.10 $145,779.55 $141,730.16 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 20 6 — — $134,661.27 $145,434.13 $141,394.33 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 20 6 — — $134,175.17 $144,909.14 $140,883.93 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 20 6 — — $133,645.92 $144,337.55 $140,328.22 2026-01-13
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 20 6 — — $132,913.61 $143,546.65 $139,559.29 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 20 6 — — $132,097.52 $142,665.28 $138,702.40 2026-01-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 20 6 — — $130,890.53 $141,361.73 $137,435.06 2026-01-13
4403 APR_DRG Kidney Transplant, Major 16 5 — — $128,545.09 $136,257.81 $134,972.34 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 20 6 — — $128,536.20 $138,819.06 $134,963.01 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 20 6 — — $128,099.61 $138,347.53 $134,504.59 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 20 6 — — $127,579.24 $137,785.54 $133,958.20 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 20 6 — — $127,094.42 $137,261.93 $133,449.14 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 20 6 — — $125,731.32 $135,789.78 $132,017.88 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 20 6 — — $125,565.05 $135,610.22 $131,843.31 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 20 6 — — $125,533.32 $135,575.95 $131,809.99 2026-01-13
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 20 6 — — $123,663.82 $133,556.89 $129,847.01 2026-01-13
J9226 HCPCS Supprelin La Implant 75 43 — — $45,212.04 $210,204.39 $127,708.21 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 20 6 — — $121,205.42 $130,901.82 $127,265.69 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 20 6 — — $120,544.18 $130,187.67 $126,571.39 2026-01-13
21 APR_DRG Heart And/Or Lung Transplant, Minor 16 5 — — $120,337.30 $127,557.56 $126,354.17 2026-01-13
1783 APR_DRG External Heart Assist Systems, Major 20 6 — — $119,132.85 $128,663.44 $125,089.49 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 20 6 — — $119,064.31 $128,589.42 $125,017.53 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 20 6 — — $118,628.99 $128,119.27 $124,560.43 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 20 6 — — $117,670.75 $127,084.38 $123,554.29 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $117,331.88 $126,718.40 $123,198.48 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 20 6 — — $116,218.81 $125,516.28 $122,029.75 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 20 6 — — $116,033.51 $125,316.16 $121,835.19 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $115,225.04 $124,443.01 $120,986.30 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 20 6 — — $114,902.67 $124,094.85 $120,647.81 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 20 6 — — $114,284.58 $123,427.31 $119,998.81 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 20 6 — — $113,118.21 $122,167.63 $118,774.12 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 20 6 — — $112,349.08 $121,336.97 $117,966.54 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 20 6 — — $112,133.32 $121,103.95 $117,739.99 2026-01-13
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 16 5 — — $111,310.89 $117,989.56 $116,876.44 2026-01-13
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 20 6 — — $111,265.20 $120,166.38 $116,828.46 2026-01-13
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 20 6 — — $110,925.06 $119,799.03 $116,471.32 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 20 6 — — $110,560.81 $119,405.64 $116,088.85 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 20 6 — — $110,537.96 $119,380.97 $116,064.86 2026-01-13
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 20 6 — — $110,413.58 $119,246.64 $115,934.26 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 20 6 — — $107,598.54 $116,206.39 $112,978.47 2026-01-13
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 16 5 — — $107,131.48 $113,559.39 $112,488.06 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 20 6 — — $105,891.49 $114,362.78 $111,186.07 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $105,513.28 $113,954.31 $110,788.94 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 20 6 — — $104,956.11 $113,352.56 $110,203.91 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 20 6 — — $104,544.89 $112,908.45 $109,772.14 2026-01-13
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 20 6 — — $103,884.92 $112,195.68 $109,079.17 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 20 6 — — $102,835.31 $111,062.10 $107,977.07 2026-01-13
1782 APR_DRG External Heart Assist Systems, Moderate 20 6 — — $102,247.68 $110,427.46 $107,360.06 2026-01-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 20 6 — — $102,073.80 $110,239.67 $107,177.49 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 20 6 — — $101,177.76 $109,271.95 $106,236.65 2026-01-13
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 20 6 — — $100,791.93 $108,855.25 $105,831.53 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 20 6 — — $99,629.36 $107,599.68 $104,610.83 2026-01-13
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia, Severe 20 6 — — $99,016.35 $106,937.62 $103,967.16 2026-01-13
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Moderate 20 6 — — $98,570.86 $106,456.50 $103,499.41 2026-01-13
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior, Severe 20 6 — — $98,013.69 $105,854.76 $102,914.38 2026-01-13
7234 APR_DRG Viral Illness, Severe 20 6 — — $97,880.43 $105,710.83 $102,774.45 2026-01-13
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Severe 20 6 — — $96,828.28 $104,574.51 $101,669.69 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 29 — — $89,266.85 $246,042.42 $101,482.31 2026-01-13
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Major 20 6 — — $95,758.36 $103,419.00 $100,546.28 2026-01-13
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Severe 20 6 — — $95,569.25 $103,214.76 $100,347.72 2026-01-13
6614 APR_DRG Coagulation And Platelet Disorders, Severe 20 6 — — $94,701.13 $102,277.20 $99,436.19 2026-01-13
1781 APR_DRG External Heart Assist Systems, Minor 20 6 — — $93,728.94 $101,227.23 $98,415.39 2026-01-13
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures, Major 20 6 — — $93,393.88 $100,865.36 $98,063.57 2026-01-13
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices, Sev… 20 6 — — $92,843.06 $100,270.47 $97,485.21 2026-01-13
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 20 6 — — $91,526.92 $98,849.04 $96,103.26 2026-01-13
1794 APR_DRG Defibrillator Implants, Severe 20 6 — — $91,471.07 $98,788.73 $96,044.63 2026-01-13
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 20 6 — — $91,346.69 $98,654.40 $95,914.03 2026-01-13
8412 APR_DRG Extensive Third Degree Burns With Skin Graft, Moderate 20 6 — — $90,902.48 $98,174.65 $95,447.60 2026-01-13
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock, Severe 20 6 — — $90,421.46 $97,655.15 $94,942.53 2026-01-13
8411 APR_DRG Extensive Third Degree Burns With Skin Graft, Minor 20 6 — — $90,195.55 $97,411.16 $94,705.32 2026-01-13
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures, Severe 20 6 — — $89,720.87 $96,898.51 $94,206.92 2026-01-13
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Minor 20 6 — — $89,431.50 $96,585.99 $93,903.07 2026-01-13
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 20 6 — — $88,469.46 $95,546.99 $92,892.93 2026-01-13
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure, Severe 20 6 — — $88,381.89 $95,452.41 $92,800.98 2026-01-13
4013 APR_DRG Adrenal Procedures, Major 20 6 — — $88,050.63 $95,094.65 $92,453.16 2026-01-13
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Major 20 6 — — $88,041.75 $95,085.06 $92,443.83 2026-01-13
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 20 6 — — $87,108.90 $94,077.58 $91,464.35 2026-01-13
2334 APR_DRG Appendectomy With Complex Principal Diagnosis, Severe 20 6 — — $87,049.25 $94,013.16 $91,401.71 2026-01-13
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 20 6 — — $86,923.60 $93,877.46 $91,269.78 2026-01-13
7 MS_DRG Lung Transplant 29 27 — — $82,562.68 $199,888.58 $91,253.48 2026-01-13
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 20 6 — — $86,603.77 $93,532.04 $90,933.95 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 30 27 — — $82,771.15 $200,393.32 $90,612.64 2026-01-13
4804 APR_DRG Major Male Pelvic Procedures, Severe 20 6 — — $86,236.97 $93,135.90 $90,548.82 2026-01-13
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure, Severe 20 6 — — $85,721.69 $92,579.39 $90,007.77 2026-01-13
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures, Severe 20 6 — — $85,498.31 $92,338.15 $89,773.23 2026-01-13
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 20 6 — — $85,238.13 $92,057.15 $89,500.04 2026-01-13
3464 APR_DRG Connective Tissue Disorders, Severe 20 6 — — $85,216.55 $92,033.85 $89,477.38 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 59 31 — — $76,230.00 $102,410.00 $89,320.00 2026-01-13
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 20 6 — — $84,950.02 $91,746.00 $89,197.53 2026-01-13
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 59 31 — — $75,679.76 $101,670.79 $88,675.27 2026-01-13
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy, Severe 20 6 — — $84,307.82 $91,052.42 $88,523.21 2026-01-13
1804 APR_DRG Other Circulatory System Procedures, Severe 20 6 — — $84,265.94 $91,007.19 $88,479.23 2026-01-13
294 APR_DRG Other Percutaneous Intracranial Procedures, Severe 20 6 — — $84,202.48 $90,938.65 $88,412.60 2026-01-13
734 APR_DRG Orbit And Eye Procedures, Severe 20 6 — — $84,033.68 $90,756.34 $88,235.36 2026-01-13
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms, Severe 20 6 — — $83,609.77 $90,298.53 $87,790.26 2026-01-13
3134 APR_DRG Knee And Lower Leg Procedures Except Foot, Severe 20 6 — — $83,374.97 $90,044.94 $87,543.72 2026-01-13
4402 APR_DRG Kidney Transplant, Moderate 16 5 — — $82,678.19 $87,638.90 $86,812.10 2026-01-13
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses, Severe 20 6 — — $82,632.50 $89,243.08 $86,764.13 2026-01-13
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Minor 20 6 — — $82,558.89 $89,163.57 $86,686.83 2026-01-13
913 APR_DRG Other Major Head And Neck Procedures, Major 20 6 — — $81,997.91 $88,557.72 $86,097.81 2026-01-13
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami, Severe 20 6 — — $81,867.19 $88,416.54 $85,960.55 2026-01-13
6924 APR_DRG Radiotherapy, Severe 20 6 — — $81,810.07 $88,354.85 $85,900.58 2026-01-13
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures, Severe 20 6 — — $81,703.46 $88,239.71 $85,788.64 2026-01-13
2314 APR_DRG Major Large Bowel Procedures, Severe 20 6 — — $81,392.51 $87,903.89 $85,462.14 2026-01-13
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Major 20 6 — — $81,306.21 $87,810.68 $85,371.52 2026-01-13
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication, Severe 20 6 — — $81,274.48 $87,776.41 $85,338.20 2026-01-13
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Mode… 20 6 — — $81,044.76 $87,528.31 $85,097.00 2026-01-13
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Moderate 20 6 — — $80,751.58 $87,211.68 $84,789.16 2026-01-13
4844 APR_DRG Other Male Reproductive System And Related Procedures, Severe 20 6 — — $80,528.20 $86,970.43 $84,554.61 2026-01-13
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Majo… 20 6 — — $80,463.47 $86,900.53 $84,486.65 2026-01-13
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System, Severe 20 6 — — $80,311.17 $86,736.04 $84,326.73 2026-01-13
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock, Severe 20 6 — — $79,833.96 $86,220.65 $83,825.66 2026-01-13
6903 APR_DRG Acute Leukemia, Major 20 6 — — $79,521.74 $85,883.46 $83,497.83 2026-01-13
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Major 20 6 — — $79,191.76 $85,527.07 $83,151.34 2026-01-13
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders, Severe 20 6 — — $79,022.95 $85,344.77 $82,974.10 2026-01-13
4014 APR_DRG Adrenal Procedures, Severe 20 6 — — $78,738.66 $85,037.73 $82,675.59 2026-01-13
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement, Severe 20 6 — — $78,573.66 $84,859.53 $82,502.35 2026-01-13
6613 APR_DRG Coagulation And Platelet Disorders, Major 20 6 — — $77,644.62 $83,856.17 $81,526.86 2026-01-13
274 APR_DRG Other Open Craniotomy, Severe 20 6 — — $77,551.97 $83,756.11 $81,429.57 2026-01-13
4401 APR_DRG Kidney Transplant, Minor 16 5 — — $77,501.21 $82,151.29 $81,376.27 2026-01-13
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Moderate 20 6 — — $77,239.76 $83,418.91 $81,101.74 2026-01-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 2 2 — — $69,173.00 $92,766.00 $80,969.50 2026-01-13
213 APR_DRG Open Craniotomy Except Trauma, Major 20 6 — — $77,069.69 $83,235.24 $80,923.17 2026-01-13
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment, Sever… 20 6 — — $76,579.78 $82,706.14 $80,408.77 2026-01-13
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 20 6 — — $76,554.40 $82,678.73 $80,382.12 2026-01-13
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Minor 20 6 — — $76,529.02 $82,651.31 $80,355.47 2026-01-13
244 APR_DRG Open Extracranial Vascular Procedures, Severe 20 6 — — $76,398.29 $82,510.13 $80,218.20 2026-01-13
1801 APR_DRG Other Circulatory System Procedures, Minor 20 6 — — $76,342.45 $82,449.82 $80,159.57 2026-01-13
3084 APR_DRG Hip And Femur Fracture Repair, Severe 20 6 — — $76,086.07 $82,172.93 $79,890.38 2026-01-13
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $75,912.19 $81,985.15 $79,707.80 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 29 — — $68,822.66 $193,156.64 $79,689.39 2026-01-13
5144 APR_DRG Female Reproductive System Reconstructive Procedures, Severe 20 6 — — $75,504.79 $81,545.15 $79,280.03 2026-01-13
233 APR_DRG Spinal Procedures, Major 20 6 — — $75,487.02 $81,525.96 $79,261.37 2026-01-13
2224 APR_DRG Other Stomach, Esophageal And Duodenal Procedures, Severe 20 6 — — $75,438.79 $81,473.87 $79,210.73 2026-01-13
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 20 6 — — $75,349.95 $81,377.92 $79,117.44 2026-01-13
4012 APR_DRG Adrenal Procedures, Moderate 20 6 — — $75,032.65 $81,035.24 $78,784.29 2026-01-13
433 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, M… 20 6 — — $74,730.59 $80,709.01 $78,467.12 2026-01-13
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 20 6 — — $74,519.90 $80,481.47 $78,245.90 2026-01-13
6803 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 20 6 — — $74,480.56 $80,438.98 $78,204.59 2026-01-13
404 APR_DRG Spinal Disorders And Injuries, Severe 20 6 — — $74,479.29 $80,437.61 $78,203.25 2026-01-13
293 APR_DRG Other Percutaneous Intracranial Procedures, Major 20 6 — — $74,205.15 $80,141.54 $77,915.40 2026-01-13
215 MS_DRG Other Heart Assist System Implant 44 30 — — $37,068.00 $176,866.19 $77,501.46 2026-01-13
7923 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Major 20 6 — — $73,334.49 $79,201.23 $77,001.21 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 29 27 — — $69,617.40 $168,547.38 $76,945.54 2026-01-13
6813 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Major 20 6 — — $73,054.00 $78,898.30 $76,706.70 2026-01-13
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 20 6 — — $72,548.87 $78,352.75 $76,176.31 2026-01-13
2454 APR_DRG Inflammatory Bowel Disease, Severe 20 6 — — $72,444.79 $78,240.36 $76,067.03 2026-01-13
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Major 20 6 — — $71,720.09 $77,457.68 $75,306.10 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 36 29 — — $66,178.77 $195,769.58 $75,234.81 2026-01-13
203 APR_DRG Open Craniotomy For Trauma, Major 20 6 — — $71,117.23 $76,806.59 $74,673.09 2026-01-13
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 20 6 — — $70,940.82 $76,616.06 $74,487.86 2026-01-13
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Moderate 20 6 — — $70,891.32 $76,562.60 $74,435.88 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 29 27 — — $67,278.01 $162,883.61 $74,359.91 2026-01-13
J9600 HCPCS Porfimer Sodium Injection 75 43 — — $24,228.42 $123,959.26 $74,093.84 2026-01-13
2824 APR_DRG Disorders Of Pancreas Except Malignancy, Severe 20 6 — — $70,525.79 $76,167.84 $74,052.08 2026-01-13
4624 APR_DRG Nephritis And Nephrosis, Severe 20 6 — — $70,365.88 $75,995.13 $73,884.17 2026-01-13
273 APR_DRG Other Open Craniotomy, Major 20 6 — — $70,326.53 $75,952.63 $73,842.86 2026-01-13
7594 APR_DRG Eating Disorders, Severe 20 6 — — $70,304.96 $75,929.33 $73,820.20 2026-01-13
J7310 HCPCS Ganciclovir Long Act Implant 8 3 — — $4,104.77 $91,153.92 $73,783.68 2026-01-13
594 APR_DRG Anoxic And Other Severe Brain Damage, Severe 20 6 — — $70,252.92 $75,873.13 $73,765.57 2026-01-13
6504 APR_DRG Splenectomy, Severe 20 6 — — $70,141.23 $75,752.51 $73,648.29 2026-01-13
1793 APR_DRG Defibrillator Implants, Major 20 6 — — $70,138.69 $75,749.77 $73,645.63 2026-01-13
2634 APR_DRG Cholecystectomy, Severe 20 6 — — $70,103.16 $75,711.39 $73,608.32 2026-01-13
2613 APR_DRG Major Biliary Tract Procedures, Major 20 6 — — $69,994.01 $75,593.51 $73,493.71 2026-01-13
2264 APR_DRG Anal And Perineal Procedures, Severe 20 6 — — $69,898.82 $75,490.70 $73,393.76 2026-01-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 2 2 — — $63,616.00 $82,495.00 $73,055.50 2026-01-13
2074 APR_DRG Other Circulatory System Diagnoses, Severe 20 6 — — $69,293.42 $74,836.87 $72,758.09 2026-01-13
3054 APR_DRG Amputation Of Lower Limb Except Toes, Severe 20 6 — — $69,246.46 $74,786.16 $72,708.78 2026-01-13
1934 APR_DRG Acute And Subacute Endocarditis, Severe 20 6 — — $68,695.64 $74,191.27 $72,130.42 2026-01-13
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 20 6 — — $68,575.06 $74,061.05 $72,003.82 2026-01-13
4454 APR_DRG Other Bladder Procedures, Severe 20 6 — — $68,525.57 $74,007.59 $71,951.84 2026-01-13
1832 APR_DRG Percutaneous Structural Cardiac Procedures, Moderate 20 6 — — $68,138.47 $73,589.52 $71,545.39 2026-01-13
1663 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis, Major 20 6 — — $67,955.70 $73,392.14 $71,353.49 2026-01-13
6902 APR_DRG Acute Leukemia, Moderate 20 6 — — $67,949.36 $73,385.29 $71,346.83 2026-01-13
3814 APR_DRG Major Skin Disorders, Severe 20 6 — — $67,765.33 $73,186.53 $71,153.59 2026-01-13
3164 APR_DRG Hand And Wrist Procedures, Severe 20 6 — — $67,665.06 $73,078.25 $71,048.32 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 31 — — $60,971.22 $173,771.88 $70,646.05 2026-01-13
1652 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Moderate 20 6 — — $67,057.13 $72,421.67 $70,409.98 2026-01-13
6213 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Major 20 6 — — $66,996.20 $72,355.88 $70,346.01 2026-01-13
893 APR_DRG Major Cranial Or Facial Bone Procedures, Major 20 6 — — $66,912.44 $72,265.41 $70,258.06 2026-01-13
5184 APR_DRG Other Female Reproductive System And Related Procedures, Severe 20 6 — — $66,799.48 $72,143.42 $70,139.46 2026-01-13
2294 APR_DRG Other Digestive System And Abdominal Procedures, Severe 20 6 — — $66,751.25 $72,091.33 $70,088.82 2026-01-13
1314 APR_DRG Cystic Fibrosis - Pulmonary Disease, Severe 20 6 — — $66,387.00 $71,697.94 $69,706.35 2026-01-13
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Maj… 20 6 — — $66,227.08 $71,525.23 $69,538.44 2026-01-13
1693 APR_DRG Major Abdominal Vascular Procedures, Major 20 6 — — $65,991.01 $71,270.27 $69,290.56 2026-01-13
4614 APR_DRG Kidney And Urinary Tract Malignancy, Severe 20 6 — — $65,892.02 $71,163.36 $69,186.62 2026-01-13
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