Price Transparency 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

HCA HOUSTON HEALTHCARE CLEAR LAKE

Webster, TX · CCN 450617 · Rates published

38,362 distinct procedures filed
63 distinct payers
2,400,405 rate rows
2026-03-01 last MRF observed
Data quality

2,347,014 of 2,400,405 rate rows are consumer-grade (97.8%)

53,391 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 26,585
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 19,754
template filing: same amount across many unrelated codes — excluded 4,781
exceeds 10× this hospital's gross charge — excluded from medians 2,014
placeholder amount (≤ $0.02) — excluded from medians 257
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1801360_HCA-HOUSTON-HEALTHCARE-CLEAR-LAKE_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://hcahoustonhealthcare.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint cf2ce4249fa61e06… · 1,179,641,092 bytes · first seen 2026-05-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,006,423
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 24 $5,652.40 $4,910,450.00 $4,572,575.00 nat. median
$9,966
outlier · 458.8×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,469,189
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 25 $3,611,561.66 $4,790,847.10 $3,795,825.01 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,685,267.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 29 $10,234.46 $4,836,939.00 $3,435,894.60 nat. median
$22,747
outlier · 151.0×
714
OTHER 		Inj Delandistrogene Mox R 29 $6,647.98 $4,825,397.00 $3,427,695.80 nat. median
$13,041
outlier · 262.8×
748
OTHER 		Inj, Lovotibeglogene Auto 29 $12,654.36 $4,716,136.60 $3,350,083.24 nat. median
$17,963
outlier · 186.5×
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$12,675
outlier · 263.2×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,327,860.00 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 29 $9,043.35 $4,929,000.00 $3,275,400.00 nat. median
$20,756
outlier · 157.8×
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,252,508.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$21
outlier · 153697.4×
746
OTHER 		Inj, Betibeglogene Autote 29 $11,705.41 $4,556,951.95 $3,028,168.07 nat. median
$21,896
outlier · 138.3×
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,939,969.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 27 $2,537,201.38 $4,012,920.55 $2,666,650.43 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,588,981.00 $2,588,981.00 $2,588,981.00 nat. median
$2,457,321
1.1× median
824
OTHER 		Inj, Exagamglogene Autote 31 $13,706.74 $4,897,200.00 $2,401,960.00 nat. median
$25,250
outlier · 95.1×
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $1,978,603.20 $1,509,600.96 nat. median
$824,563
1.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $1,428,840.00 $1,090,152.00 nat. median
$324,450
outlier · 3.4×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $553,169.00 $1,250,478.00 $969,621.79 nat. median
$675,122
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $527,622.00 $1,128,119.40 $902,495.52 nat. median
$625,184
1.4× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $516,442.00 $1,103,378.76 $882,703.01 nat. median
$674,188
1.3× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $32.24 $1,037,313.00 $882,313.53 nat. median
$754,974
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $8.47 $956,745.00 $821,756.60 nat. median
$634,511
1.3× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $489,399.00 $1,003,071.60 $802,457.28 nat. median
$620,080
1.3× median
2067
OTHER 		Afamitresgene Autoleucel 30 $755,207.60 $1,656,833.00 $793,738.60 nat. median
$786,032
1.0× median
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $545,370.00 $751,275.00 $751,275.00 nat. median
$459,112
1.6× median
9498
OTHER 		Ciltacabtagene Car-pos T 30 $575,896.61 $1,263,446.64 $605,279.09 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $587,649.60 $587,649.60 $587,649.60 nat. median
$554,552
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 30 $555,200.67 $1,218,042.30 $583,527.24 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 30 $550,957.18 $1,208,732.58 $579,067.24 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 30 $546,920.16 $1,199,875.87 $574,824.25 nat. median
$558,082
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $566,531.30 $566,531.30 $566,531.30 nat. median
$538,205
1.1× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $562,201.20 $562,201.20 $562,201.20 nat. median
$534,091
1.1× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $558,081.80 $558,081.80 $558,081.80 nat. median
$530,178
1.1× median
9035
OTHER 		Axicabtagene Ciloleucel C 30 $521,548.36 $1,144,213.23 $548,157.97 nat. median
$532,192
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $532,192.20 $532,192.20 $532,192.20 nat. median
$505,583
1.1× median
9391
OTHER 		Brexucabtagene Car Pos T 30 $479,661.20 $1,052,317.93 $504,133.71 nat. median
$489,450
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $489,450.20 $489,450.20 $489,450.20 nat. median
$464,978
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $321,406.44 $573,940.00 $360,762.34 nat. median
$187,294
1.9× median
5834
APR_DRG 		Neonate With Ecmo 9 $330,392.83 $421,419.42 $353,992.32 nat. median
$309,665
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 $2,585.00 $633,491.68 $339,285.66 nat. median
$370,174
0.9× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $269,125.53 $480,581.00 $302,079.68 nat. median
$234,738
1.3× median
5833
APR_DRG 		Neonate With Ecmo 9 $279,764.50 $356,842.47 $299,747.68 nat. median
$244,017
1.2× median
831
OTHER 		Obecbtge Autol Up To 400 32 $3,870.51 $598,237.50 $286,597.50 nat. median
$12,362
outlier · 23.2×

Other procedures at this hospital

Browse this hospital's 38,362 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
             
906 OTHER Inj Elivaldogene Autoteme 51 29 — — $9,043.35 $4,929,000.00 $3,275,400.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 44 24 — — $5,652.40 $4,910,450.00 $4,572,575.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 53 31 — — $13,706.74 $4,897,200.00 $2,401,960.00 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 49 29 — — $10,234.46 $4,836,939.00 $3,435,894.60 2026-03-01
714 OTHER Inj Delandistrogene Mox R 49 29 — — $6,647.98 $4,825,397.00 $3,427,695.80 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 45 25 — — $3,611,561.66 $4,790,847.10 $3,795,825.01 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 49 29 — — $12,654.36 $4,716,136.60 $3,350,083.24 2026-03-01
746 OTHER Inj, Betibeglogene Autote 51 29 — — $11,705.41 $4,556,951.95 $3,028,168.07 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 49 27 — — $2,537,201.38 $4,012,920.55 $2,666,650.43 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,685,267.00 $3,685,267.00 $3,685,267.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,327,860.00 $3,327,860.00 $3,327,860.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,252,508.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,588,981.00 $2,588,981.00 $2,588,981.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 8 2 — — $1,271,523.00 $1,978,603.20 $1,509,600.96 2026-03-01
2067 OTHER Afamitresgene Autoleucel 52 30 — — $755,207.60 $1,656,833.00 $793,738.60 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 2 — — $459,112.50 $1,428,840.00 $1,090,152.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 52 30 — — $575,896.61 $1,263,446.64 $605,279.09 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 13 5 — — $553,169.00 $1,250,478.00 $969,621.79 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 52 30 — — $555,200.67 $1,218,042.30 $583,527.24 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 52 30 — — $550,957.18 $1,208,732.58 $579,067.24 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 52 30 — — $546,920.16 $1,199,875.87 $574,824.25 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 52 30 — — $521,548.36 $1,144,213.23 $548,157.97 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 13 5 — — $527,622.00 $1,128,119.40 $902,495.52 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 13 5 — — $516,442.00 $1,103,378.76 $882,703.01 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 52 30 — — $479,661.20 $1,052,317.93 $504,133.71 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 5 — — $32.24 $1,037,313.00 $882,313.53 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 13 5 — — $489,399.00 $1,003,071.60 $802,457.28 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 5 — — $8.47 $956,745.00 $821,756.60 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 56 32 — — $109,262.16 $857,608.46 $114,836.76 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 5 1 — — $545,370.00 $751,275.00 $751,275.00 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 60 34 — — $2,585.00 $633,491.68 $339,285.66 2026-03-01
831 OTHER Obecbtge Autol Up To 400 54 32 — — $3,870.51 $598,237.50 $286,597.50 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $321,406.44 $573,940.00 $360,762.34 2026-03-01
897 OTHER Revakinagene, Per Implant 52 30 — — $259,700.00 $569,750.00 $272,950.00 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $566,531.30 $566,531.30 $566,531.30 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $562,201.20 $562,201.20 $562,201.20 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 13 4 — — $93,760.51 $551,754.93 $147,245.34 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 15 8 — — $269,125.53 $480,581.00 $302,079.68 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 54 32 — — $8,469.32 $433,588.35 $207,719.07 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 13 5 — — $63,235.60 $432,000.00 $157,200.00 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 15 6 — — $57,017.10 $422,905.25 $135,389.25 2026-03-01
5834 APR_DRG Neonate With Ecmo 16 9 — — $330,392.83 $421,419.42 $353,992.32 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 61 34 — — $2,585.00 $418,440.15 $220,940.87 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 56 32 — — $49,007.06 $384,659.87 $51,507.42 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 56 32 — — $48,608.78 $381,534.40 $51,088.82 2026-03-01
5833 APR_DRG Neonate With Ecmo 16 9 — — $279,764.50 $356,842.47 $299,747.68 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 13 4 — — $74,830.84 $325,380.58 $138,148.31 2026-03-01
1907 OTHER New Technology - Level 52 52 30 — — $146,948.65 $322,387.34 $154,446.03 2026-03-01
1908 OTHER New Technology - Level 52 52 30 — — $146,948.65 $322,387.34 $154,446.03 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 72 38 — — $2,585.00 $313,211.84 $168,842.03 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 83 40 — — $2,585.00 $312,394.03 $172,800.92 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 15 6 — — $45,212.00 $310,073.39 $99,222.35 2026-03-01
1905 OTHER New Technology - Level 51 52 30 — — $132,494.73 $290,677.21 $139,254.66 2026-03-01
1906 OTHER New Technology - Level 51 52 30 — — $132,494.73 $290,677.21 $139,254.66 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 87 40 — — $2,585.00 $269,424.26 $87,336.95 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $209,133.23 $266,751.58 $224,071.32 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 74 40 — — $2,585.00 $263,179.52 $69,764.01 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 21 10 — — $203,082.72 $259,034.09 $223,805.00 2026-03-01
1903 OTHER New Technology - Level 50 52 30 — — $118,040.80 $258,967.07 $124,063.29 2026-03-01
1904 OTHER New Technology - Level 50 52 30 — — $118,040.80 $258,967.07 $124,063.29 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $190,256.53 $242,674.15 $203,846.29 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 84 40 — — $2,585.00 $234,000.00 $65,461.38 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $228,213.70 $228,213.70 $228,213.70 2026-03-01
1902 OTHER New Technology - Level 49 52 30 — — $103,586.88 $227,256.93 $108,871.93 2026-03-01
1901 OTHER New Technology - Level 49 52 30 — — $103,586.88 $227,256.93 $108,871.93 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 87 40 — — $2,585.00 $220,248.68 $71,786.47 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 97 40 — — $2,585.00 $205,429.52 $67,764.65 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 13 4 — — $39,976.89 $204,927.75 $58,512.24 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 59 32 — — $93,179.38 $204,424.15 $97,933.43 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 83 40 — — $2,585.00 $203,200.04 $113,540.91 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $113,412.06 $202,522.00 $127,299.25 2026-03-01
215 MS_DRG Other Heart Assist System Implant 98 41 — — $2,585.00 $202,495.51 $82,243.33 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
1599 OTHER New Technology - Level 48 52 30 — — $91,542.00 $200,831.93 $96,212.51 2026-03-01
1585 OTHER New Technology - Level 48 52 30 — — $91,542.00 $200,831.93 $96,212.51 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $200,603.50 $200,603.50 $200,603.50 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 41 — — $28,050.00 $198,952.80 $80,843.36 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 9 — — $155,609.07 $198,480.96 $166,724.01 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 9 — — $154,230.10 $196,722.06 $165,246.53 2026-03-01
7 MS_DRG Lung Transplant 56 32 — — $2,585.00 $189,979.43 $103,261.33 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 59 34 — — $2,585.00 $184,000.00 $90,626.52 2026-03-01
1598 OTHER New Technology - Level 47 52 30 — — $81,906.04 $179,691.82 $86,084.92 2026-03-01
1584 OTHER New Technology - Level 47 52 30 — — $81,906.04 $179,691.82 $86,084.92 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 40 — — $2,585.00 $178,243.00 $49,356.11 2026-03-01
5832 APR_DRG Neonate With Ecmo 16 9 — — $139,400.27 $177,806.46 $149,357.43 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 87 40 — — $2,585.00 $176,465.90 $58,514.97 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 57 33 — — $2,585.00 $176,302.59 $95,982.87 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 8 — — $96,405.45 $172,153.00 $108,210.20 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 15 8 — — $96,019.17 $171,463.00 $107,776.61 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 99 41 — — $28,050.00 $171,438.88 $71,303.47 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $132,369.68 $168,838.88 $141,824.65 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 80 39 — — $2,585.00 $166,046.80 $90,081.28 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 87 40 — — $2,585.00 $163,338.39 $54,322.65 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 88 41 — — $2,585.00 $159,523.05 $87,053.28 2026-03-01
1597 OTHER New Technology - Level 46 52 30 — — $72,270.09 $158,551.73 $75,957.34 2026-03-01
1583 OTHER New Technology - Level 46 52 30 — — $72,270.09 $158,551.73 $75,957.34 2026-03-01
64 APR_DRG Pancreas Transplant 15 8 — — $88,249.50 $157,588.00 $99,055.56 2026-03-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 16 9 — — $123,007.88 $156,897.81 $131,794.16 2026-03-01
5831 APR_DRG Neonate With Ecmo 16 9 — — $122,744.71 $156,562.13 $131,512.18 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 41 — — $28,050.00 $156,153.59 $67,447.00 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 99 41 — — $28,050.00 $156,000.00 $53,371.73 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 99 41 — — $28,050.00 $155,480.43 $64,877.06 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 1 — — $117,866.10 $151,959.60 $127,607.10 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 56 32 — — $2,585.00 $151,255.04 $82,653.28 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc Pediatric 5 1 — — $102,556.46 $150,232.99 $128,200.16 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 54 32 — — $67,425.67 $147,923.65 $70,865.75 2026-03-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 5 1 — — $94,790.81 $146,008.42 $130,719.58 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 97 40 — — $2,585.00 $145,773.94 $50,146.10 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 88 41 — — $2,585.00 $145,010.94 $59,527.18 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $112,214.05 $143,130.16 $120,229.34 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $111,701.17 $142,475.99 $119,679.83 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 9 — — $111,412.33 $142,107.56 $119,370.35 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 16 9 — — $110,933.38 $141,496.66 $118,857.20 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $141,389.40 $141,389.40 $141,389.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 9 — — $109,825.42 $140,083.45 $117,670.10 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 99 41 — — $16,045.00 $139,875.85 $55,855.15 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 40 — — $2,585.00 $138,961.74 $57,770.39 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 54 32 — — $12,547.92 $138,190.80 $66,203.03 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
1582 OTHER New Technology - Level 45 52 30 — — $62,634.14 $137,411.64 $65,829.76 2026-03-01
1596 OTHER New Technology - Level 45 52 30 — — $62,634.14 $137,411.64 $65,829.76 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 16 9 — — $106,932.19 $136,393.10 $114,570.20 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $76,200.23 $136,072.00 $85,530.87 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 74 40 — — $2,585.00 $135,983.35 $55,730.88 2026-03-01
5244 OTHER Level 4 Blood Product Exc 52 30 — — $61,923.99 $135,853.66 $65,083.38 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 9 — — $105,974.30 $135,171.30 $113,543.89 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 21 10 — — $105,849.46 $135,012.06 $116,650.00 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 9 — — $105,290.03 $134,298.51 $112,810.75 2026-03-01
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 2 1 — — $134,238.24 $134,238.24 $134,238.24 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 41 — — $28,050.00 $133,721.88 $58,100.00 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 99 41 — — $28,050.00 $133,721.88 $58,100.00 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 1 — — $88,749.06 $130,006.80 $110,940.30 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 40 — — $2,585.00 $129,369.64 $53,936.15 2026-03-01
4404 APR_DRG Kidney Transplant 15 8 — — $71,985.44 $128,545.00 $80,799.98 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 40 — — $2,585.00 $128,000.00 $63,461.08 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 85 40 — — $28,050.00 $124,633.27 $51,474.55 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 1 — — $83,928.19 $122,944.80 $104,914.00 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 52 30 — — $55,688.06 $122,172.78 $58,529.29 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 88 41 — — $2,585.00 $122,156.22 $50,495.69 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 16 9 — — $94,313.06 $120,297.28 $101,049.71 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 21 10 — — $94,260.43 $120,230.14 $103,879.00 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 99 41 — — $28,050.00 $119,349.72 $51,268.04 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $93,472.63 $119,225.29 $100,149.24 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 15 8 — — $66,285.54 $118,367.00 $74,402.14 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 52 30 — — $53,316.03 $116,968.84 $56,036.23 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 16 9 — — $91,406.34 $116,589.73 $97,935.37 2026-03-01
1595 OTHER New Technology - Level 44 52 30 — — $52,998.19 $116,271.55 $55,702.18 2026-03-01
1581 OTHER New Technology - Level 44 52 30 — — $52,998.19 $116,271.55 $55,702.18 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 9 — — $90,934.80 $115,988.26 $97,430.14 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 15 8 — — $64,901.78 $115,896.00 $72,848.94 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 9 — — $88,242.53 $112,554.25 $94,545.57 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 9 — — $87,978.49 $112,217.46 $94,262.67 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $110,413.90 $110,413.90 $110,413.90 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc Pediatric 5 1 — — $75,159.33 $110,099.46 $93,952.53 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 9 — — $85,525.04 $109,088.06 $91,633.97 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 41 — — $28,050.00 $108,453.15 $49,374.05 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $107,674.60 $107,674.60 $107,674.60 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $107,674.60 $107,674.60 $107,674.60 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc Pediatric 5 1 — — $73,278.53 $107,344.32 $91,601.45 2026-03-01
10 MS_DRG Pancreas Transplant 56 32 — — $2,585.00 $105,267.52 $58,180.06 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 72 38 — — $2,585.00 $105,223.51 $58,156.64 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 10 — — $82,226.38 $104,880.59 $90,616.80 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 36 — — $2,585.00 $104,664.58 $57,859.19 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 9 — — $80,876.99 $103,159.42 $86,653.92 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 40 — — $2,585.00 $102,836.34 $56,318.18 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 9 — — $80,220.57 $102,322.15 $85,950.61 2026-03-01
63 APR_DRG Pancreas Transplant 15 8 — — $57,030.33 $101,840.00 $64,013.63 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc Pediatric 5 1 — — $68,011.18 $99,628.28 $85,017.02 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $98,953.68 $98,953.68 $98,953.68 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 16 9 — — $76,801.85 $97,961.54 $82,287.69 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 21 10 — — $76,089.30 $97,052.68 $83,853.50 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 84 40 — — $2,585.00 $96,109.04 $54,874.01 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $75,219.28 $95,942.96 $80,592.09 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 40 — — $2,585.00 $95,684.42 $51,417.48 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 84 40 — — $2,585.00 $95,213.51 $50,509.35 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
01599 OTHER New Technology - Level 48 2 2 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 15 8 — — $53,249.24 $95,087.90 $59,769.56 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 5 1 — — $64,723.97 $94,812.91 $80,907.87 2026-03-01
8634 APR_DRG Neonatal Aftercare 16 9 — — $74,052.60 $94,454.85 $79,342.07 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 9 — — $73,341.36 $93,547.65 $78,580.03 2026-03-01
62 APR_DRG Pancreas Transplant 15 8 — — $51,583.16 $92,112.80 $57,899.47 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 21 10 — — $72,163.80 $92,045.66 $79,527.40 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 5 1 — — $62,705.88 $91,856.65 $78,385.16 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 9 — — $71,656.58 $91,398.70 $76,774.91 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 9 — — $71,632.22 $91,367.63 $76,748.81 2026-03-01
61 APR_DRG Pancreas Transplant 15 8 — — $50,917.17 $90,923.50 $57,151.93 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 15 8 — — $50,035.84 $89,349.70 $56,162.68 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 16 9 — — $69,783.87 $89,010.04 $74,768.43 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 9 — — $69,783.87 $89,010.04 $74,768.43 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 16 9 — — $69,585.94 $88,757.57 $74,556.36 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 15 8 — — $49,670.44 $88,697.20 $55,752.53 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 55 31 — — $2,585.00 $86,988.70 $48,452.60 2026-03-01
4414 APR_DRG Major Bladder Procedures 16 9 — — $68,124.32 $86,893.26 $72,990.34 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc Pediat… 5 1 — — $58,177.46 $85,223.05 $72,724.43 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
01598 OTHER New Technology - Level 47 2 2 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
007 OTHER Lung Transplant 2 2 — — $84,860.66 $84,860.66 $84,860.66 2026-03-01
1784 APR_DRG External Heart Assist Devices 16 9 — — $63,806.00 $81,385.20 $68,363.57 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 9 — — $62,835.93 $80,147.88 $67,324.22 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 16 9 — — $62,763.73 $80,055.78 $67,246.85 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 21 10 — — $62,486.19 $79,701.77 $68,862.30 2026-03-01
6904 APR_DRG Acute Leukemia 16 9 — — $61,925.03 $78,986.01 $66,348.25 2026-03-01
4403 APR_DRG Kidney Transplant 15 8 — — $44,058.41 $78,675.70 $49,453.32 2026-03-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 16 9 — — $61,545.71 $78,502.18 $65,941.83 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $61,476.54 $78,413.95 $65,867.72 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc Pediatric 5 1 — — $53,368.87 $78,179.04 $66,713.48 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $77,046.96 $77,046.96 $77,046.96 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 9 — — $59,619.93 $76,045.83 $63,878.49 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $75,211.59 $75,211.59 $75,211.59 2026-03-01
01597 OTHER New Technology - Level 46 2 2 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
01583 OTHER New Technology - Level 46 2 2 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 16 9 — — $58,366.67 $74,447.29 $62,535.72 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 9 — — $58,010.84 $73,993.41 $62,154.47 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 9 — — $57,617.59 $73,491.82 $61,733.13 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 9 — — $57,053.82 $72,772.73 $61,129.09 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $72,436.52 $72,436.52 $72,436.52 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $71,673.53 $71,673.53 $71,673.53 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 16 9 — — $54,367.21 $69,345.94 $58,250.59 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 16 9 — — $54,070.97 $68,968.07 $57,933.18 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 16 9 — — $53,944.38 $68,806.61 $57,797.55 2026-03-01
234 APR_DRG Spinal Procedures 16 9 — — $53,145.27 $67,787.34 $56,941.36 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 16 9 — — $52,953.01 $67,542.10 $56,735.36 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $67,170.39 $67,170.39 $67,170.39 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 9 — — $52,272.65 $66,674.30 $56,006.41 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 9 — — $52,270.48 $66,671.52 $56,004.08 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 9 — — $51,618.83 $65,840.35 $55,305.89 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 16 9 — — $51,380.89 $65,536.85 $55,050.95 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $64,876.67 $64,876.67 $64,876.67 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $64,367.62 $64,367.62 $64,367.62 2026-03-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 — — $59,345.39 $64,306.15 $61,243.95 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $64,274.79 $64,274.79 $64,274.79 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc Pediatric 5 1 — — $43,874.47 $64,270.88 $54,845.06 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 9 — — $49,611.72 $63,280.25 $53,155.41 2026-03-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 28 13 — — $58,368.29 $63,247.37 $60,235.59 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 16 9 — — $49,581.70 $63,241.96 $53,123.25 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 9 — — $49,367.68 $62,968.97 $52,893.94 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 9 — — $49,074.91 $62,595.55 $52,580.26 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 16 9 — — $49,035.33 $62,545.06 $52,537.85 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 21 10 — — $49,006.18 $62,507.89 $54,006.80 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $62,338.38 $62,338.38 $62,338.38 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 16 9 — — $48,204.02 $61,484.72 $51,647.17 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 16 9 — — $48,192.28 $61,469.75 $51,634.59 2026-03-01
2054 APR_DRG Cardiomyopathy 16 9 — — $48,056.12 $61,296.07 $51,488.70 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 16 9 — — $47,994.35 $61,217.29 $51,422.52 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 16 9 — — $47,945.20 $61,154.59 $51,369.85 2026-03-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 9 — — $47,139.57 $60,127.00 $50,506.68 2026-03-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 16 9 — — $46,981.66 $59,925.59 $50,337.49 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $59,798.90 $59,798.90 $59,798.90 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 9 — — $46,835.06 $59,738.60 $50,180.42 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 16 9 — — $46,343.06 $59,111.05 $49,653.28 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $59,110.07 $59,110.07 $59,110.07 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 21 10 — — $46,264.33 $59,010.63 $50,985.20 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 16 9 — — $46,154.71 $58,870.80 $49,451.47 2026-03-01
2304 APR_DRG Major Small Bowel Procedures 16 9 — — $45,988.10 $58,658.29 $49,272.96 2026-03-01
224 APR_DRG Ventricular Shunt Procedures 16 9 — — $45,806.70 $58,426.91 $49,078.61 2026-03-01
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 16 9 — — $45,555.70 $58,106.76 $48,809.68 2026-03-01
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 16 9 — — $45,275.99 $57,749.99 $48,509.99 2026-03-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 28 13 — — $52,918.56 $57,342.10 $54,611.52 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $56,824.55 $56,824.55 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 21 10 — — $43,905.72 $56,002.20 $48,385.90 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $55,951.11 $55,951.11 $55,951.11 2026-03-01
B1903 OTHER Guillian Barre; M < 18.05 28 13 — — $51,558.47 $55,868.31 $53,207.91 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $55,770.53 $55,770.53 $55,770.53 2026-03-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 28 13 — — $50,906.44 $55,161.78 $52,535.03 2026-03-01
01595 OTHER New Technology - Level 44 2 2 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $54,404.11 $54,404.11 $54,404.11 2026-03-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 — — $48,507.59 $52,562.41 $50,059.44 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 — — $52,419.64 $52,419.64 $52,419.64 2026-03-01
B2102 OTHER Burns; M=12-45 28 13 — — $47,549.17 $51,523.87 $49,070.36 2026-03-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 28 13 — — $47,231.57 $51,179.72 $48,742.59 2026-03-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 28 13 — — $47,007.38 $50,936.79 $48,511.23 2026-03-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 28 13 — — $46,992.43 $50,920.59 $48,495.80 2026-03-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 28 13 — — $46,979.35 $50,906.42 $48,482.31 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $50,680.80 $50,680.80 $50,680.80 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $50,016.48 $50,016.48 $50,016.48 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $48,638.22 $48,638.22 $48,638.22 2026-03-01
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