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

HCA HOUSTON HEALTHCARE NORTHWEST

Houston, TX · CCN 450638 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $1,981 across 14 payers · range $317-$4,889

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/26-1512163_HCA-HOUSTON-HEALTHCARE-NORTHWEST_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

35,777 distinct procedures filed
34 distinct payers
1,335,610 rate rows
2026-07-17 last MRF observed
Data quality

1,277,991 of 1,335,610 rate rows are consumer-grade (95.7%)

57,619 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 24,929
per-diem day rate — not a per-procedure price 23,992
template filing: same amount across many unrelated codes — excluded 4,335
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,343
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 810
placeholder amount (≤ $0.02) — excluded from medians 160
exceeds 10× this hospital's gross charge — excluded from medians 46
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/26-1512163_HCA-HOUSTON-HEALTHCARE-NORTHWEST_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 · 2026-10-11
Content fingerprint 7ce857f408fd01b0… · 684,073,072 bytes · first seen 2026-05-06

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
$2,994,107
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 19 $5,466.91 $4,910,450.00 $4,640,150.00 nat. median
$17,156
outlier · 270.5×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
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
$2,467,386
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
$2,401,965
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 18 $3,611,561.66 $4,790,847.10 $3,795,825.01 nat. median
$3,758,972
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 22 $9,898.62 $4,836,939.00 $3,435,894.60 nat. median
$30,519
outlier · 112.6×
714
OTHER 		Inj Delandistrogene Mox R 22 $6,429.82 $4,825,397.00 $3,427,695.80 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 22 $12,239.10 $4,716,136.60 $3,350,083.24 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$14,890
outlier · 224.0×
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 22 $8,746.59 $4,929,000.00 $3,275,400.00 nat. median
$25,059
outlier · 130.7×
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
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 22 $11,321.30 $4,556,951.95 $3,028,168.07 nat. median
$2,939,969
1.0× median
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 20 $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
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 22 $13,256.95 $3,614,600.00 $2,401,960.00 nat. median
$2,285,360
1.1× median
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $2,469,589.92 $1,707,461.28 nat. median
$813,967
outlier · 2.1×
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $1,783,404.00 $1,233,036.00 nat. median
$319,951
outlier · 3.9×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $553,169.00 $1,560,781.80 $1,056,975.40 nat. median
$646,415
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $527,622.00 $1,408,060.14 $967,841.07 nat. median
$622,450
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $516,442.00 $1,377,180.16 $946,811.08 nat. median
$640,950
1.5× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $32.24 $1,294,720.30 $934,776.65 nat. median
$739,258
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $8.47 $1,194,159.50 $878,117.20 nat. median
$608,239
1.4× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $489,399.00 $1,251,981.96 $870,690.48 nat. median
$591,721
1.5× median
2067
OTHER 		Afamitresgene Autoleucel 21 $755,207.60 $2,311,860.00 $809,151.00 nat. median
$793,739
1.0× median
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $545,370.00 $937,702.50 $751,275.00 nat. median
$459,112
1.6× median
9498
OTHER 		Ciltacabtagene Car-pos T 21 $575,896.61 $1,762,948.80 $617,032.08 nat. median
$587,650
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 21 $555,200.67 $1,699,593.90 $594,857.87 nat. median
$577,163
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 21 $550,957.18 $1,686,603.60 $590,311.26 nat. median
$562,201
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $587,649.60 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 21 $546,920.16 $1,674,245.40 $585,985.89 nat. median
$563,449
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $566,531.30 $566,531.30 $566,531.30 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $562,201.20 $562,201.20 $562,201.20 nat. median
$545,335
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 21 $521,548.36 $1,596,576.60 $558,801.81 nat. median
$533,230
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $558,081.80 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $532,192.20 $532,192.20 $532,192.20 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 21 $479,661.20 $1,468,350.60 $513,922.71 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $489,450.20 $489,450.20 $489,450.20 nat. median
$474,767
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $337,720.36 $422,150.45 $354,606.38 nat. median
$307,206
1.2× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $333,668.56 $633,491.68 $351,230.06 nat. median
$359,454
1.0× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $328,534.68 $574,936.00 $344,961.41 nat. median
$170,082
outlier · 2.0×
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
5833
APR_DRG 		Neonate With Ecmo 6 $285,969.19 $357,461.49 $300,267.65 nat. median
$244,017
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $275,094.26 $481,415.00 $288,848.97 nat. median
$241,437
1.2× median
831
OTHER 		Obecbtge Autol Up To 400 23 $3,743.50 $834,750.00 $286,597.50 nat. median
$23,596
outlier · 12.1×

Other procedures at this hospital

Browse this hospital's 35,777 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 38 19 $15,334.79 — $5,466.91 $4,910,450.00 $4,640,150.00 2026-07-17
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 $4,463,735.93 — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-07-17
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 37 18 — — $3,611,561.66 $4,790,847.10 $3,795,825.01 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
908 OTHER Topi Adm Prad Zami Per Tr 40 22 $28,731.36 — $9,898.62 $4,836,939.00 $3,435,894.60 2026-07-17
714 OTHER Inj Delandistrogene Mox R 41 22 $16,531.65 — $6,429.82 $4,825,397.00 $3,427,695.80 2026-07-17
748 OTHER Inj, Lovotibeglogene Auto 41 22 $21,406.21 — $12,239.10 $4,716,136.60 $3,350,083.24 2026-07-17
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
906 OTHER Inj Elivaldogene Autoteme 42 22 $25,341.96 — $8,746.59 $4,929,000.00 $3,275,400.00 2026-07-17
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
746 OTHER Inj, Betibeglogene Autote 43 22 $22,958.84 — $11,321.30 $4,556,951.95 $3,028,168.07 2026-07-17
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 41 20 — — $2,537,201.38 $4,012,920.55 $2,666,650.43 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
824 OTHER Inj, Exagamglogene Autote 43 22 $31,997.78 — $13,256.95 $3,614,600.00 $2,401,960.00 2026-07-17
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 $2,469,589.92 $1,707,461.28 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 2 — — $459,112.50 $1,783,404.00 $1,233,036.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 13 5 $1,134,693.00 — $553,169.00 $1,560,781.80 $1,056,975.40 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 13 5 $1,023,663.90 — $527,622.00 $1,408,060.14 $967,841.07 2026-07-17
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 13 5 $2,811,572.54 — $516,442.00 $1,377,180.16 $946,811.08 2026-07-17
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 5 $2,643,227.20 — $32.24 $1,294,720.30 $934,776.65 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 5 $2,437,928.00 — $8.47 $1,194,159.50 $878,117.20 2026-07-17
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 13 5 $2,555,975.04 — $489,399.00 $1,251,981.96 $870,690.48 2026-07-17
2067 OTHER Afamitresgene Autoleucel 43 21 — — $755,207.60 $2,311,860.00 $809,151.00 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 5 1 — — $545,370.00 $937,702.50 $751,275.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 43 21 $943,531.50 — $575,896.61 $1,762,948.80 $617,032.08 2026-07-17
9194 OTHER Tisagenlecleucel Car-pos 43 21 $894,097.50 — $555,200.67 $1,699,593.90 $594,857.87 2026-07-17
9413 OTHER Lisocabtagene Car Pos T 43 21 $856,788.46 — $550,957.18 $1,686,603.60 $590,311.26 2026-07-17
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 43 21 $875,999.90 — $546,920.16 $1,674,245.40 $585,985.89 2026-07-17
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
9035 OTHER Axicabtagene Ciloleucel C 43 21 $833,083.00 — $521,548.36 $1,596,576.60 $558,801.81 2026-07-17
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 43 21 $833,191.80 — $479,661.20 $1,468,350.60 $513,922.71 2026-07-17
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
5834 APR_DRG Neonate With Ecmo 13 6 — — $337,720.36 $422,150.45 $354,606.38 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 46 21 — — $333,668.56 $633,491.68 $351,230.06 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 12 5 — — $328,534.68 $574,936.00 $344,961.41 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
5833 APR_DRG Neonate With Ecmo 13 6 — — $285,969.19 $357,461.49 $300,267.65 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 12 5 — — $275,094.26 $481,415.00 $288,848.97 2026-03-01
831 OTHER Obecbtge Autol Up To 400 45 23 $19,044.33 — $3,743.50 $834,750.00 $286,597.50 2026-07-17
897 OTHER Revakinagene, Per Implant 43 21 $15,396.38 — $259,700.00 $795,000.00 $278,250.00 2026-07-17
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 21 — — $128,800.00 $426,944.12 $228,572.09 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 6 — — $213,771.45 $267,214.31 $224,460.02 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $504,984.59 — $220,724.80 $220,724.80 $220,724.80 2026-07-17
1614 APR_DRG Implantable Heart Assist Systems 18 7 — — $207,586.74 $259,483.42 $217,966.08 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 45 23 $20,851.85 — $8,191.40 $605,007.00 $207,719.07 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 6 — — $194,476.09 $243,095.11 $204,199.89 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 $393,229.16 — $194,020.60 $194,020.60 $194,020.60 2026-07-17
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 63 26 — — $151,220.03 $411,408.05 $182,039.76 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 57 24 — — $8,960.00 $413,836.74 $177,833.74 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 6 — — $159,060.21 $198,825.26 $167,013.22 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 6 — — $157,650.65 $197,063.31 $165,533.18 2026-03-01
1908 OTHER New Technology - Level 52 43 21 $298,136.74 — $146,948.65 $449,842.80 $157,444.98 2026-07-17
1907 OTHER New Technology - Level 52 43 21 $298,136.74 — $146,948.65 $449,842.80 $157,444.98 2026-07-17
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 13 5 — — $63,235.60 $539,200.00 $157,200.00 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $152,747.50 $152,747.50 $152,747.50 2026-03-01
5832 APR_DRG Neonate With Ecmo 13 6 — — $142,491.92 $178,114.90 $149,616.52 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 13 4 $525,696.69 — $93,760.51 $551,754.93 $147,245.34 2026-07-17
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 15 6 $418,910.75 — $57,017.10 $422,905.25 $146,578.44 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 6 — — $135,305.40 $169,131.75 $142,070.67 2026-03-01
1905 OTHER New Technology - Level 51 43 21 $268,811.91 — $132,494.73 $405,596.10 $141,958.64 2026-07-17
1906 OTHER New Technology - Level 51 43 21 $268,811.91 — $132,494.73 $405,596.10 $141,958.64 2026-07-17
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 13 4 $310,013.53 — $74,830.84 $325,380.58 $138,148.31 2026-07-17
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
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 $282,732.52 — $136,749.60 $136,749.60 $136,749.60 2026-07-17
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 2 1 $127,898.44 — $134,238.24 $134,238.24 $134,238.24 2026-07-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 13 6 — — $125,735.98 $157,169.98 $132,022.78 2026-03-01
5831 APR_DRG Neonate With Ecmo 13 6 — — $125,466.97 $156,833.71 $131,740.32 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
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 1 — — $117,866.10 $151,959.60 $127,607.10 2026-03-01
1903 OTHER New Technology - Level 50 43 21 $239,487.08 — $118,040.80 $361,349.40 $126,472.29 2026-07-17
1904 OTHER New Technology - Level 50 43 21 $239,487.08 — $118,040.80 $361,349.40 $126,472.29 2026-07-17
01903 OTHER New Technology - Level 50 2 2 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $122,699.00 $122,699.00 $122,699.00 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 63 26 — — $112,360.69 $268,481.69 $121,753.07 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 12 5 — — $115,927.34 $202,873.00 $121,723.71 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 6 — — $114,702.76 $143,378.45 $120,437.90 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 6 — — $114,178.51 $142,723.14 $119,887.44 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 6 — — $113,883.26 $142,354.07 $119,577.42 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 13 6 — — $113,393.69 $141,742.11 $119,063.37 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 13 6 — — $112,261.16 $140,326.45 $117,874.22 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 47 23 $817,105.39 — $109,262.16 $857,608.46 $117,066.60 2026-07-17
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 13 6 — — $109,303.76 $136,629.70 $114,768.95 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 6 — — $108,324.63 $135,405.79 $113,740.86 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 18 7 — — $108,197.01 $135,246.26 $113,606.86 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 13 6 — — $107,625.19 $134,531.49 $113,006.45 2026-03-01
7 MS_DRG Lung Transplant 43 20 — — $105,561.12 $197,296.30 $111,116.96 2026-03-01
1902 OTHER New Technology - Level 49 43 21 $210,162.25 — $103,586.88 $317,102.70 $110,985.94 2026-07-17
1901 OTHER New Technology - Level 49 43 21 $210,162.25 — $103,586.88 $317,102.70 $110,985.94 2026-07-17
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
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 $191,845.58 — $106,790.70 $106,790.70 $106,790.70 2026-07-17
14 MS_DRG Allogeneic Bone Marrow Transplant 43 20 — — $98,526.76 $183,092.71 $103,712.38 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 5 — — $98,543.55 $172,451.00 $103,470.73 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 12 5 — — $98,148.70 $171,760.00 $103,056.13 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 6 — — $96,404.76 $120,505.95 $101,225.00 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 18 7 — — $96,350.96 $120,438.70 $101,168.51 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 6 — — $95,545.69 $119,432.11 $100,322.97 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 50 23 $140,140.00 — $93,179.38 $285,243.00 $99,835.05 2026-07-17
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 15 6 $295,429.26 — $45,212.00 $310,073.39 $99,222.35 2026-07-17
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 21 — — $93,350.11 $184,000.00 $98,263.27 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 13 6 — — $93,433.58 $116,791.98 $98,105.26 2026-03-01
1585 OTHER New Technology - Level 48 43 21 $185,724.89 — $91,542.00 $280,230.60 $98,080.71 2026-07-17
1599 OTHER New Technology - Level 48 43 21 $185,724.89 — $91,542.00 $280,230.60 $98,080.71 2026-07-17
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 13 6 — — $92,951.57 $116,189.46 $97,599.15 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 65 26 — — $67,447.00 $172,441.92 $97,197.67 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 $49,543.96 — $95,706.48 $95,706.48 $95,706.48 2026-07-17
01599 OTHER New Technology - Level 48 2 2 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $95,154.40 $95,154.40 $95,154.40 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 27 — — $24,066.00 $289,075.05 $94,857.24 2026-03-01
64 APR_DRG Pancreas Transplant 12 5 — — $90,206.72 $157,862.00 $94,717.06 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 13 6 — — $90,199.60 $112,749.50 $94,709.58 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 6 — — $89,929.70 $112,412.13 $94,426.18 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 73 28 — — $8,960.00 $210,772.68 $93,700.40 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 13 6 — — $87,421.84 $109,277.30 $91,792.93 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 43 20 — — $85,644.32 $157,080.47 $90,151.91 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $84,050.02 $105,062.53 $88,252.52 2026-03-01
1584 OTHER New Technology - Level 47 43 21 $166,175.01 — $81,906.04 $250,732.77 $87,756.47 2026-07-17
1598 OTHER New Technology - Level 47 43 21 $166,175.01 — $81,906.04 $250,732.77 $87,756.47 2026-07-17
215 MS_DRG Other Heart Assist System Implant 78 28 — — $50,784.00 $202,495.51 $87,344.34 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $82,670.70 $103,338.38 $86,804.24 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 13 6 — — $81,999.72 $102,499.65 $86,099.71 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 28 — — $50,784.00 $198,952.80 $85,960.81 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
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 13 6 — — $78,505.17 $98,131.46 $82,430.43 2026-03-01
007 OTHER Lung Transplant 2 2 $170,548.19 — $82,075.93 $82,075.93 $82,075.93 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 12 5 — — $77,890.22 $136,308.00 $81,784.73 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 18 7 — — $77,776.83 $97,221.04 $81,665.67 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 6 — — $76,887.52 $96,109.40 $80,731.90 2026-03-01
8634 APR_DRG Neonatal Aftercare 13 6 — — $75,694.95 $94,618.69 $79,479.70 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 72 27 — — $24,066.00 $236,312.80 $79,037.36 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 13 6 — — $74,967.94 $93,709.93 $78,716.34 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 18 7 — — $73,764.26 $92,205.32 $77,452.47 2026-03-01
1597 OTHER New Technology - Level 46 43 21 $146,625.12 — $72,270.09 $221,234.97 $77,432.24 2026-07-17
1583 OTHER New Technology - Level 46 43 21 $146,625.12 — $72,270.09 $221,234.97 $77,432.24 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 78 28 — — $50,784.00 $171,438.88 $77,428.05 2026-03-01
4404 APR_DRG Kidney Transplant 12 5 — — $73,581.95 $128,768.00 $77,261.05 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 $78,168.72 — $77,046.96 $77,046.96 $77,046.96 2026-07-17
850 MS_DRG Acute Leukemia With Other Procedures 59 26 — — $8,960.00 $227,147.34 $77,039.35 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 6 — — $73,245.79 $91,557.24 $76,908.08 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 6 — — $73,220.89 $91,526.11 $76,881.93 2026-03-01
01583 OTHER New Technology - Level 46 2 2 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
01597 OTHER New Technology - Level 46 2 2 — — $75,122.00 $75,122.00 $75,122.00 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 6 — — $71,331.56 $89,164.45 $74,898.14 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 13 6 — — $71,331.56 $89,164.45 $74,898.14 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 13 6 — — $71,129.24 $88,911.55 $74,685.70 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 77 27 — — $28,078.00 $220,412.78 $74,270.01 2026-03-01
4414 APR_DRG Major Bladder Procedures 13 6 — — $69,635.20 $87,044.00 $73,116.96 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 64 26 — — $67,221.49 $234,000.00 $72,840.62 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 $188,232.68 — $72,743.49 $72,743.49 $72,743.49 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 28 — — $50,784.00 $156,153.59 $71,283.13 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 12 5 — — $67,755.64 $118,572.00 $71,143.42 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 78 28 — — $44,800.00 $155,480.43 $71,012.51 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 45 23 — — $67,425.67 $206,405.10 $70,865.75 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 64 26 — — $65,343.51 $147,696.52 $70,805.66 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 $156,377.40 — $70,059.48 $70,059.48 $70,059.48 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant 12 5 — — $66,341.19 $116,097.00 $69,658.25 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 $159,367.20 — $69,321.54 $69,321.54 $69,321.54 2026-07-17
1784 APR_DRG External Heart Assist Devices 13 6 — — $65,221.11 $81,526.39 $68,482.17 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 6 — — $64,229.53 $80,286.91 $67,441.01 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 13 6 — — $64,155.71 $80,194.64 $67,363.50 2026-03-01
1582 OTHER New Technology - Level 45 43 21 $127,075.24 — $62,634.14 $191,737.17 $67,108.01 2026-07-17
1596 OTHER New Technology - Level 45 43 21 $127,075.24 — $62,634.14 $191,737.17 $67,108.01 2026-07-17
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 18 7 — — $63,872.02 $79,840.02 $67,065.62 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 73 28 — — $50,470.00 $145,010.94 $66,803.61 2026-03-01
6904 APR_DRG Acute Leukemia 13 6 — — $63,298.42 $79,123.02 $66,463.34 2026-03-01
5244 OTHER Level 4 Blood Product Exc 43 21 $80,207.28 — $61,923.99 $189,563.25 $66,347.14 2026-07-17
717 OTHER Instill Adstiladrin, Tx D 45 23 $25,156.11 — $12,136.16 $192,824.37 $66,203.03 2026-07-17
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 13 6 — — $62,910.68 $78,638.35 $66,056.21 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 6 — — $62,839.98 $78,549.98 $65,981.98 2026-03-01
10 MS_DRG Pancreas Transplant 43 20 — — $61,991.98 $111,956.62 $65,254.71 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 57 24 — — $8,960.00 $139,028.44 $65,230.90 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
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 $54,932.57 — $64,966.17 $64,966.17 $64,966.17 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 27 — — $24,066.00 $189,336.66 $64,952.34 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 48 23 — — $61,681.88 $108,695.63 $64,928.29 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $64,367.62 $64,367.62 $64,367.62 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $64,274.79 $64,274.79 $64,274.79 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 64 26 — — $5,119.00 $133,971.42 $64,087.58 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 13 6 — — $60,942.19 $76,177.74 $63,989.30 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 64 26 — — $58,637.44 $130,468.91 $63,539.02 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 26 11 $85,166.93 — $61,524.54 $126,985.64 $63,492.82 2026-07-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 78 28 — — $16,045.00 $139,875.85 $62,889.54 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 $57,237.79 — $62,747.72 $62,747.72 $62,747.72 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 13 6 — — $59,661.14 $74,576.43 $62,644.20 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 26 11 $80,218.48 — $60,511.56 $124,894.86 $62,447.43 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 28 — — $50,784.00 $133,721.88 $62,265.23 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 78 28 — — $50,784.00 $133,721.88 $62,265.23 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 6 — — $59,297.41 $74,121.76 $62,262.28 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 63 26 — — $11,456.00 $126,985.79 $62,069.83 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 13 6 — — $58,895.44 $73,619.30 $61,840.21 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 59 26 — — $46,200.00 $135,983.35 $61,369.40 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $58,319.17 $72,898.96 $61,235.13 2026-03-01
63 APR_DRG Pancreas Transplant 12 5 — — $58,295.16 $102,017.00 $61,209.92 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 72 27 — — $16,516.00 $175,251.69 $60,729.20 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $184,289.44 — $60,292.73 $60,292.73 $60,292.73 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 64 26 — — $5,119.00 $124,723.79 $60,242.64 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 43 21 $117,793.84 — $55,688.06 $170,473.65 $59,665.78 2026-07-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 78 28 — — $50,784.00 $156,000.00 $59,022.44 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 64 26 — — $54,090.02 $125,170.70 $58,611.47 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 13 4 $195,249.44 — $39,976.89 $204,927.75 $58,512.24 2026-07-17
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 13 6 — — $55,572.98 $69,466.23 $58,351.63 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 64 26 — — $8,960.00 $118,649.16 $58,158.76 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 13 6 — — $55,270.17 $69,087.71 $58,033.68 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 13 6 — — $55,140.78 $68,925.98 $57,897.82 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 $319.00 — $57,836.58 $57,836.58 $57,836.58 2026-07-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 73 28 — — $49,700.00 $122,156.22 $57,615.66 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 64 26 — — $21,000.00 $116,458.88 $57,554.69 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 $224,580.00 — $57,170.35 $57,170.35 $57,170.35 2026-07-17
22 APR_DRG Heart And/or Lung Transplant 12 5 — — $54,430.22 $95,252.90 $57,151.73 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 43 21 $105,405.90 — $53,316.03 $163,212.33 $57,124.32 2026-07-17
234 APR_DRG Spinal Procedures 13 6 — — $54,323.95 $67,904.94 $57,040.15 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 13 6 — — $54,127.41 $67,659.26 $56,833.78 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $56,824.55 $56,824.55 2026-03-01
1581 OTHER New Technology - Level 44 43 21 $107,525.35 — $52,998.19 $162,239.37 $56,783.78 2026-07-17
1595 OTHER New Technology - Level 44 43 21 $107,525.35 — $52,998.19 $162,239.37 $56,783.78 2026-07-17
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 26 11 $77,613.17 — $54,861.72 $113,233.69 $56,616.85 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 78 28 — — $44,800.00 $119,349.72 $56,487.41 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 64 26 — — $8,960.00 $153,839.57 $56,456.34 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 6 — — $53,431.97 $66,789.96 $56,103.57 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 13 6 — — $53,429.74 $66,787.18 $56,101.23 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 77 27 — — $28,078.00 $156,406.15 $55,624.02 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 6 — — $52,763.65 $65,954.56 $55,401.83 2026-03-01
62 APR_DRG Pancreas Transplant 12 5 — — $52,727.19 $92,272.60 $55,363.55 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 41 18 — — $52,590.81 $94,978.24 $55,358.75 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 26 — — $51,086.32 $111,070.40 $55,356.69 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 26 11 $56,357.25 — $53,451.69 $110,323.40 $55,161.70 2026-07-17
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 13 6 — — $52,520.43 $65,650.54 $55,146.45 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 64 26 — — $50,853.93 $110,473.41 $55,104.88 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 45 20 — — $6,270.00 $76,875.00 $54,924.54 2026-03-01
61 APR_DRG Pancreas Transplant 12 5 — — $52,046.42 $91,081.20 $54,648.74 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 26 11 $73,040.38 — $52,775.72 $108,928.21 $54,464.11 2026-07-17
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $54,404.11 $54,404.11 $54,404.11 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 $154,001.24 — $54,115.05 $54,115.05 $54,115.05 2026-07-17
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 $53,326.50 — $53,940.40 $53,940.40 $53,940.40 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 28 — — $48,087.15 $108,453.15 $53,767.02 2026-03-01
71 APR_DRG Allogeneic Bone Marrow Transplant 12 5 — — $51,145.55 $89,504.70 $53,702.83 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 72 27 — — $24,066.00 $151,265.27 $53,537.27 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 64 26 — — $5,119.00 $144,005.57 $53,391.23 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 5 — — $50,772.04 $88,851.10 $53,310.64 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 13 6 — — $50,712.01 $63,390.01 $53,247.61 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 63 26 — — $11,456.00 $106,034.70 $53,232.62 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 13 6 — — $50,681.33 $63,351.66 $53,215.40 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 78 28 — — $44,800.00 $111,094.93 $53,168.85 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 65 26 — — $21,308.00 $86,944.62 $53,063.84 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 13 6 — — $50,462.56 $63,078.20 $52,985.69 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 43 20 — — $50,137.90 $90,548.32 $52,776.74 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 13 6 — — $50,163.31 $62,704.14 $52,671.48 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 13 6 — — $50,122.85 $62,653.56 $52,628.99 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 18 7 — — $50,093.05 $62,616.31 $52,597.70 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 47 23 $366,493.18 — $49,007.06 $384,659.87 $52,507.56 2026-07-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 59 26 — — $18,953.00 $107,889.65 $52,471.76 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 27 — — $24,066.00 $147,459.44 $52,396.15 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 64 26 — — $8,960.00 $105,716.82 $52,339.99 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 77 27 — — $16,516.00 $160,614.36 $52,128.65 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 47 23 $363,515.32 — $48,608.78 $381,534.40 $52,080.84 2026-07-17
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 26 11 $70,794.52 — $50,288.78 $103,795.22 $51,897.61 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 64 26 — — $47,792.89 $234,000.00 $51,787.96 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 13 6 — — $49,273.11 $61,591.39 $51,736.77 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 13 6 — — $49,261.10 $61,576.38 $51,724.15 2026-03-01
2054 APR_DRG Cardiomyopathy 13 6 — — $49,121.93 $61,402.41 $51,578.03 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 13 6 — — $49,058.79 $61,323.49 $51,511.73 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 13 6 — — $49,008.54 $61,260.68 $51,458.97 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 19 — — $48,837.88 $88,200.51 $51,408.30 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 78 28 — — $45,281.47 $102,502.55 $51,196.24 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 63 26 — — $11,456.00 $100,721.82 $50,991.63 2026-03-01
B2102 HCPCS Burns; M=12-45 26 11 $64,856.92 — $49,295.17 $101,744.42 $50,872.21 2026-07-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 78 28 — — $45,179.28 $102,000.00 $50,802.43 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 $655.97 — $50,699.46 $50,699.46 $50,699.46 2026-07-17
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 13 6 — — $48,185.04 $60,231.30 $50,594.29 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 26 11 $67,189.26 — $48,965.90 $101,064.82 $50,532.41 2026-07-17
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 13 6 — — $48,023.63 $60,029.54 $50,424.81 2026-03-01
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 26 11 $70,321.57 — $48,733.48 $100,585.10 $50,292.55 2026-07-17
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 26 11 $67,632.48 — $48,717.99 $100,553.12 $50,276.56 2026-07-17
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 13 6 — — $47,873.78 $59,842.22 $50,267.47 2026-03-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 26 11 $67,948.69 — $48,704.43 $100,525.13 $50,262.57 2026-07-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 78 28 — — $16,045.00 $107,304.11 $50,169.32 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 72 27 — — $16,516.00 $139,790.08 $50,096.63 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 13 6 — — $47,370.88 $59,213.60 $49,739.42 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 18 7 — — $47,290.39 $59,112.99 $49,654.91 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 77 27 — — $16,516.00 $151,378.24 $49,606.21 2026-03-01
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