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

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Hospital

DOCTORS HOSPITAL OF LAREDO

Laredo, TX · CCN 450643 · Rates published

11,519 distinct procedures filed
14 distinct payers
305,048 rate rows
2026-07-15 last MRF observed
Data quality

304,874 of 305,048 rate rows are consumer-grade (99.9%)

174 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 96
placeholder amount (≤ $0.02) — excluded from medians 47
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 20
exceeds 10× this hospital's gross charge — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://uhsfilecdn.eskycity.net/ac/233001904_doctors-hospital-of-laredo_standardcharges.csv
Found on page https://doctorshosplaredo.com/patients-visitors/pricing-guide/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-12
Content fingerprint 4ee980a458b49e80… · 47,443,473 bytes · first seen 2026-06-15

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 9 $3,710,000.00 $3,895,500.00 $3,821,300.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 9 $3,710,000.00 $3,895,500.00 $3,821,300.00 nat. median
$3,646,097
1.0× median
714
OTHER 		Inj Delandistrogene Mox Rokl 10 $3,321,781.50 $4,484,405.03 $3,421,434.95 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Autotem 10 $3,193,000.00 $4,310,550.00 $3,288,790.00 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autotemce 10 $2,968,000.00 $4,006,800.00 $3,057,040.00 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 10 $2,403,458.75 $3,244,669.31 $2,475,562.51 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autotem 10 $2,332,000.00 $3,148,200.00 $2,401,960.00 nat. median
$2,262,040
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos T 10 $565,623.84 $763,592.18 $582,592.56 nat. median
$577,003
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 10 $551,318.34 $744,279.76 $567,857.89 nat. median
$587,650
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Car 10 $528,312.43 $713,221.78 $544,161.80 nat. median
$562,826
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 10 $516,485.97 $697,256.06 $531,980.55 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 10 $489,517.15 $660,848.15 $504,202.66 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 10 $488,051.51 $658,869.54 $502,693.06 nat. median
$492,768
1.0× median
5834
APR_DRG 		Neonate With Ecmo 5 $327,167.72 $343,526.10 $336,982.75 nat. median
$307,273
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $318,269.06 $334,182.51 $327,817.13 nat. median
$170,172
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $275,675.15 $549,777.20 $289,458.90 nat. median
$359,358
0.8× median
5833
APR_DRG 		Neonate With Ecmo 5 $277,033.60 $290,885.28 $285,344.61 nat. median
$244,017
1.2× median
24
APR_DRG 		Heart And/or Lung Transplant 5 $266,498.48 $279,823.40 $274,493.43 nat. median
$241,915
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $205,906.22 $410,637.48 $216,201.53 nat. median
$249,124
0.9× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $207,091.80 $217,446.39 $213,304.55 nat. median
$247,214
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 5 $201,100.34 $211,155.36 $207,133.35 nat. median
$202,993
1.0× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 5 $188,399.35 $197,819.32 $194,051.33 nat. median
$163,587
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $173,410.26 $345,830.98 $182,080.77 nat. median
$198,433
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $156,661.91 $312,429.86 $164,495.01 nat. median
$190,557
0.9× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 $154,090.10 $161,794.61 $158,712.80 nat. median
$154,011
1.0× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 $152,724.59 $160,360.82 $157,306.33 nat. median
$165,000
1.0× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 10 $152,500.50 $205,875.67 $157,075.52 nat. median
$155,877
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 10 $152,500.50 $205,875.67 $157,075.52 nat. median
$155,833
1.0× median
5832
APR_DRG 		Neonate With Ecmo 5 $138,039.52 $144,941.49 $142,180.70 nat. median
$159,249
0.9× median
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 10 $137,500.50 $185,625.67 $141,625.52 nat. median
$140,530
1.0× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 10 $137,500.50 $185,625.67 $141,625.52 nat. median
$140,545
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $131,077.56 $137,631.43 $135,009.88 nat. median
$124,042
1.1× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 10 $122,500.50 $165,375.67 $126,175.51 nat. median
$120,722
1.0× median
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 10 $122,500.50 $165,375.67 $126,175.51 nat. median
$120,722
1.0× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 5 $121,807.15 $127,897.51 $125,461.36 nat. median
$28,699
outlier · 4.4×
5831
APR_DRG 		Neonate With Ecmo 5 $121,546.54 $127,623.87 $125,192.94 nat. median
$146,591
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 5 $112,304.99 $117,920.24 $115,674.14 nat. median
$89,273
1.3× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $111,118.68 $116,674.61 $114,452.24 nat. median
$175,429
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $110,610.81 $116,141.35 $113,929.13 nat. median
$145,061
0.8× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 5 $110,324.78 $115,841.02 $113,634.53 nat. median
$122,016
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 5 $109,850.52 $115,343.04 $113,146.03 nat. median
$156,153
0.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 $108,753.37 $114,191.04 $112,015.97 nat. median
$133,164
0.8× median
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 10 $107,500.50 $145,125.67 $110,725.51 nat. median
$105,940
1.0× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 10 $107,500.50 $145,125.67 $110,725.51 nat. median
$105,940
1.0× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 $105,888.38 $111,182.80 $109,065.03 nat. median
$66,842
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $103,288.27 $205,987.14 $108,452.68 nat. median
$126,722
0.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 5 $104,939.84 $110,186.83 $108,088.04 nat. median
$162,514
0.7× median
1613
APR_DRG 		Implantable Heart Assist Systems 5 $104,816.21 $110,057.02 $107,960.70 nat. median
$120,517
0.9× median
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 5 $104,262.25 $109,475.37 $107,390.12 nat. median
$120,505
0.9× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $95,772.27 $190,998.04 $100,560.89 nat. median
$110,192
0.9× median

Other procedures at this hospital

Browse this hospital's 11,519 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
             
0238T OTHER Atherectomy Translum Iliac Lt 9 7 $61,283.00 $24,513.20 60% off $2,823.00 $56,993.19 $33,092.82 2026-07-15
0275 RC — 1,111 6 $79,278.00 $31,711.20 60% off $0.17 $215,886.48 $33,325.60 2026-07-15
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $205,906.22 $410,637.48 $216,201.53 2026-07-15
10 MS_DRG Pancreas Transplant 15 10 — — $58,281.48 $116,230.39 $61,195.56 2026-07-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $39,443.25 $78,661.43 $41,415.42 2026-07-15
11 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $36,360.54 $38,178.56 $37,451.35 2026-07-15
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $51,762.40 $54,350.52 $53,315.27 2026-07-15
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $74,485.04 $78,209.29 $76,719.59 2026-07-15
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 5 — — $131,077.56 $137,631.43 $135,009.88 2026-07-15
1142 OTHER Supprelin La Implant 11 10 — — $45,261.80 $61,103.42 $46,619.65 2026-07-15
12 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $37,779.03 $39,667.98 $38,912.40 2026-07-15
1204 APR_DRG Major Respiratory And Chest Procedures 5 5 — — $43,300.53 $45,465.55 $44,599.54 2026-07-15
1214 APR_DRG Other Respiratory And Chest Procedures 5 5 — — $40,410.55 $42,431.08 $41,622.87 2026-07-15
13 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $49,185.58 $51,644.86 $50,661.15 2026-07-15
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 5 5 — — $42,606.14 $44,736.45 $43,884.32 2026-07-15
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $95,772.27 $190,998.04 $100,560.89 2026-07-15
14 APR_DRG Liver Transplant And/or Intestinal Transplant 5 5 — — $95,464.39 $100,237.61 $98,328.32 2026-07-15
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 11 10 — — $35,000.50 $47,250.68 $36,050.51 2026-07-15
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 11 10 — — $45,000.50 $60,750.68 $46,350.51 2026-07-15
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 11 10 — — $55,000.50 $74,250.68 $56,650.51 2026-07-15
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 11 10 — — $65,000.50 $87,750.68 $66,950.51 2026-07-15
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 11 10 — — $75,000.50 $101,250.68 $77,250.51 2026-07-15
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 11 10 — — $85,000.50 $114,750.68 $87,550.51 2026-07-15
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 11 10 — — $95,000.50 $128,250.68 $97,850.51 2026-07-15
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 11 10 — — $35,000.50 $47,250.68 $36,050.51 2026-07-15
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 11 10 — — $45,000.50 $60,750.68 $46,350.51 2026-07-15
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 11 10 — — $55,000.50 $74,250.68 $56,650.51 2026-07-15
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 11 10 — — $65,000.50 $87,750.68 $66,950.51 2026-07-15
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 11 10 — — $75,000.50 $101,250.68 $77,250.51 2026-07-15
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 11 10 — — $85,000.50 $114,750.68 $87,550.51 2026-07-15
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 11 10 — — $95,000.50 $128,250.68 $97,850.51 2026-07-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 10 — — $44,121.56 $87,991.35 $46,327.64 2026-07-15
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $39,444.78 $41,417.02 $40,628.13 2026-07-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 5 5 — — $93,340.31 $98,007.32 $96,140.52 2026-07-15
1611 APR_DRG Implantable Heart Assist Systems 5 5 — — $71,459.37 $75,032.34 $73,603.15 2026-07-15
1612 APR_DRG Implantable Heart Assist Systems 5 5 — — $75,346.56 $79,113.89 $77,606.96 2026-07-15
1613 APR_DRG Implantable Heart Assist Systems 5 5 — — $104,816.21 $110,057.02 $107,960.70 2026-07-15
1614 APR_DRG Implantable Heart Assist Systems 5 5 — — $201,100.34 $211,155.36 $207,133.35 2026-07-15
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $34,208.88 $35,919.33 $35,235.15 2026-07-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $45,812.72 $48,103.36 $47,187.11 2026-07-15
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 5 5 — — $81,423.74 $85,494.92 $83,866.45 2026-07-15
163 MS_DRG Major Chest Procedures With Mcc 15 10 — — $33,692.59 $67,192.92 $35,377.22 2026-07-15
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $32,500.49 $34,125.51 $33,475.50 2026-07-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 5 5 — — $48,527.81 $50,954.20 $49,983.65 2026-07-15
1643 OTHER Y90 Ibritumomab, Rx 11 10 — — $56,824.55 $76,713.14 $58,529.29 2026-07-15
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 5 5 — — $41,971.63 $44,070.21 $43,230.78 2026-07-15
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 5 5 — — $32,436.30 $34,058.12 $33,409.39 2026-07-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 5 5 — — $61,876.23 $64,970.04 $63,732.52 2026-07-15
1694 APR_DRG Major Abdominal Vascular Procedures 5 5 — — $43,477.14 $45,651.00 $44,781.45 2026-07-15
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 10 — — $44,121.56 $87,991.35 $46,327.64 2026-07-15
1782 APR_DRG External Heart Assist Systems 5 5 — — $34,702.97 $36,438.12 $35,744.06 2026-07-15
1783 APR_DRG External Heart Assist Systems 5 5 — — $40,433.81 $42,455.50 $41,646.83 2026-07-15
1784 APR_DRG External Heart Assist Systems 5 5 — — $63,183.16 $66,342.32 $65,078.66 2026-07-15
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 10 — — $275,675.15 $549,777.20 $289,458.90 2026-07-15
1814 APR_DRG Lower Extremity Arterial Procedures 5 5 — — $37,763.52 $39,651.70 $38,896.43 2026-07-15
1824 APR_DRG Other Peripheral Vascular Procedures 5 5 — — $48,556.67 $50,984.51 $50,013.37 2026-07-15
1833 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $35,622.21 $37,403.32 $36,690.88 2026-07-15
1834 APR_DRG Percutaneous Structural Cardiac Procedures 5 5 — — $36,519.06 $38,345.01 $37,614.63 2026-07-15
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 15 10 — — $57,947.42 $115,564.18 $60,844.79 2026-07-15
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 11 10 — — $107,500.50 $145,125.67 $110,725.51 2026-07-15
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 11 10 — — $107,500.50 $145,125.67 $110,725.51 2026-07-15
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 11 10 — — $122,500.50 $165,375.67 $126,175.51 2026-07-15
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 11 10 — — $122,500.50 $165,375.67 $126,175.51 2026-07-15
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 11 10 — — $137,500.50 $185,625.67 $141,625.52 2026-07-15
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 11 10 — — $137,500.50 $185,625.67 $141,625.52 2026-07-15
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 11 10 — — $152,500.50 $205,875.67 $157,075.52 2026-07-15
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 11 10 — — $152,500.50 $205,875.67 $157,075.52 2026-07-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $80,552.42 $160,645.19 $84,580.04 2026-07-15
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 10 — — $58,925.48 $117,514.72 $61,871.76 2026-07-15
2004 APR_DRG Cardiac Structural And Valvular Disorders 5 5 — — $121,807.15 $127,897.51 $125,461.36 2026-07-15
204 APR_DRG Open Craniotomy For Trauma 5 5 — — $38,392.44 $40,312.06 $39,544.21 2026-07-15
2054 APR_DRG Cardiomyopathy 5 5 — — $47,587.03 $49,966.38 $49,014.64 2026-07-15
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $47,274.30 $94,278.84 $49,638.02 2026-07-15
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 10 — — $40,403.77 $80,576.98 $42,423.96 2026-07-15
21 APR_DRG Heart And/or Lung Transplant 5 5 — — $40,842.60 $42,884.73 $42,067.88 2026-07-15
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 15 10 — — $79,632.84 $158,811.27 $83,614.48 2026-07-15
214 APR_DRG Open Craniotomy Except Trauma 5 5 — — $45,704.17 $47,989.38 $47,075.30 2026-07-15
215 MS_DRG Other Heart Assist System Implant 15 10 — — $77,446.46 $154,450.99 $81,318.79 2026-07-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $70,548.15 $140,693.74 $74,075.56 2026-07-15
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $47,206.32 $94,143.27 $49,566.64 2026-07-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $43,488.53 $86,728.90 $45,662.95 2026-07-15
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $56,560.01 $112,797.27 $59,388.01 2026-07-15
22 APR_DRG Heart And/or Lung Transplant 5 5 — — $52,729.45 $55,365.93 $54,311.34 2026-07-15
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $38,718.12 $77,215.29 $40,654.02 2026-07-15
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 5 5 — — $53,836.51 $56,528.34 $55,451.61 2026-07-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $33,571.25 $66,950.92 $35,249.81 2026-07-15
2234 APR_DRG Other Small And Large Bowel Procedures 5 5 — — $33,814.31 $35,505.02 $34,828.74 2026-07-15
224 APR_DRG Ventricular Shunt Procedures 5 5 — — $45,359.56 $47,627.54 $46,720.35 2026-07-15
2244 APR_DRG Peritoneal Adhesiolysis 5 5 — — $39,381.89 $41,350.99 $40,563.35 2026-07-15
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 5 5 — — $37,648.08 $39,530.48 $38,777.52 2026-07-15
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 10 — — $36,427.21 $72,646.55 $38,248.57 2026-07-15
23 APR_DRG Heart And/or Lung Transplant 5 5 — — $65,638.50 $68,920.42 $67,607.65 2026-07-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $41,703.46 $83,168.95 $43,788.63 2026-07-15
2304 APR_DRG Major Small Bowel Procedures 5 5 — — $45,539.19 $47,816.15 $46,905.37 2026-07-15
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 10 — — $61,942.99 $123,532.51 $65,040.14 2026-07-15
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 10 — — $44,653.72 $89,052.63 $46,886.40 2026-07-15
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 10 — — $57,136.76 $113,947.48 $59,993.60 2026-07-15
234 APR_DRG Spinal Procedures 5 5 — — $52,626.50 $55,257.83 $54,205.30 2026-07-15
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 15 10 — — $38,889.90 $77,557.88 $40,834.39 2026-07-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $43,012.66 $85,779.87 $45,163.29 2026-07-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 10 — — $36,819.01 $73,427.93 $38,659.97 2026-07-15
24 APR_DRG Heart And/or Lung Transplant 5 5 — — $266,498.48 $279,823.40 $274,493.43 2026-07-15
245 MS_DRG Aicd Generator Procedures 16 10 — — $10,000.00 $71,239.77 $37,150.68 2026-07-15
2464 APR_DRG Gastrointestinal Vascular Insufficiency 5 5 — — $90,514.09 $95,039.79 $93,229.51 2026-07-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $32,691.87 $65,197.19 $34,326.46 2026-07-15
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 5 5 — — $40,912.82 $42,958.46 $42,140.20 2026-07-15
2614 APR_DRG Major Biliary Tract Procedures 5 5 — — $35,939.68 $37,736.67 $37,017.87 2026-07-15
264 APR_DRG Other Nervous System And Related Procedures 5 5 — — $49,097.71 $51,552.59 $50,570.64 2026-07-15
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 15 10 — — $43,791.89 $87,333.88 $45,981.48 2026-07-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 10 — — $34,390.68 $68,585.12 $36,110.21 2026-07-15
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 10 — — $48,739.20 $97,200.27 $51,176.16 2026-07-15
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 10 — — $37,521.49 $74,828.87 $39,397.57 2026-07-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 15 10 — — $51,658.75 $103,022.73 $54,241.69 2026-07-15
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 15 10 — — $45,280.17 $90,301.96 $47,544.18 2026-07-15
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 — — $34,004.72 $67,815.40 $35,704.96 2026-07-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 15 10 — — $36,573.40 $72,938.11 $38,402.07 2026-07-15
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $44,440.27 $88,626.95 $46,662.28 2026-07-15
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $156,661.91 $312,429.86 $164,495.01 2026-07-15
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $35,258.65 $37,021.58 $36,316.41 2026-07-15
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $48,595.87 $51,025.67 $50,053.75 2026-07-15
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 5 5 — — $57,444.56 $60,316.79 $59,167.90 2026-07-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 5 5 — — $47,721.86 $50,107.95 $49,153.51 2026-07-15
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 5 5 — — $43,625.32 $45,806.59 $44,934.08 2026-07-15
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 15 10 — — $45,221.69 $90,185.34 $47,482.78 2026-07-15
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $32,110.74 $64,038.24 $33,716.27 2026-07-15
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $37,126.76 $74,041.66 $38,983.10 2026-07-15
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 10 — — $33,566.13 $66,940.72 $35,244.44 2026-07-15
33231 HCPCS Insert Icd Gen Multi Lead 14 10 $114,737.00 $45,894.80 60% off $311.68 $106,705.41 $40,851.73 2026-07-15
33249 HCPCS Insert Replce Icd W/leads Sr 19 10 $140,598.00 $56,239.20 60% off $711.57 $226,025.34 $70,698.98 2026-07-15
33264 HCPCS Remove Replace Icd Multi Lead 14 10 $163,918.00 $65,567.20 60% off $314.62 $152,443.74 $44,872.87 2026-07-15
33274 HCPCS Insrt/repl Leadless Pm Ventric 13 6 $106,986.00 $42,794.40 60% off $22,156.56 $99,496.98 $56,018.95 2026-07-15
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 5 5 — — $38,998.09 $40,947.99 $40,168.03 2026-07-15
37229 HCPCS Tib/peroneal Atherct Ini Lt Cs 52 10 $159,914.00 $63,965.60 60% off $546.64 $176,019.24 $34,908.53 2026-07-15
37230 HCPCS Tib/peroneal Stent Initl Lt Cs 52 10 $117,389.00 $46,955.60 60% off $543.43 $173,310.15 $34,816.30 2026-07-15
37231 HCPCS Tib/peronl Stent W/athrect Rt 33 10 $168,069.00 $67,227.60 60% off $589.14 $171,934.68 $34,908.53 2026-07-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 10 — — $103,288.27 $205,987.14 $108,452.68 2026-07-15
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $39,683.02 $79,139.59 $41,667.17 2026-07-15
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $38,058.17 $39,961.07 $39,199.91 2026-07-15
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $46,377.88 $48,696.78 $47,769.22 2026-07-15
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $76,573.67 $152,710.38 $80,402.35 2026-07-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $51,919.72 $103,543.16 $54,515.70 2026-07-15
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 — — $40,234.18 $80,238.77 $42,245.89 2026-07-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 10 — — $60,968.59 $121,589.27 $64,017.02 2026-07-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $70,932.98 $74,479.63 $73,060.97 2026-07-15
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 10 — — $39,988.57 $79,748.95 $41,988.00 2026-07-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 5 5 — — $60,944.93 $63,992.17 $62,773.28 2026-07-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 5 5 — — $110,324.78 $115,841.02 $113,634.53 2026-07-15
4403 APR_DRG Kidney Transplant 5 5 — — $43,628.34 $45,809.75 $44,937.19 2026-07-15
4404 APR_DRG Kidney Transplant 5 5 — — $71,282.76 $74,846.90 $73,421.24 2026-07-15
4414 APR_DRG Major Bladder Procedures 5 5 — — $67,459.33 $70,832.29 $69,483.11 2026-07-15
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 5 5 — — $45,111.01 $47,366.57 $46,464.35 2026-07-15
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 15 10 — — $49,010.39 $97,741.12 $51,460.91 2026-07-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 5 5 — — $53,417.81 $56,088.70 $55,020.34 2026-07-15
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 10 — — $37,646.49 $75,078.16 $39,528.82 2026-07-15
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $61,908.63 $123,464.00 $65,004.07 2026-07-15
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $41,954.19 $83,668.97 $44,051.90 2026-07-15
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $31,563.96 $62,947.80 $33,142.16 2026-07-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 15 10 — — $44,858.39 $89,460.81 $47,101.31 2026-07-15
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $39,480.53 $78,735.78 $41,454.56 2026-07-15
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 15 10 — — $37,240.79 $74,269.08 $39,102.83 2026-07-15
471 MS_DRG Cervical Spinal Fusion With Mcc 15 10 — — $35,506.16 $70,809.72 $37,281.47 2026-07-15
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 10 — — $32,782.51 $65,377.96 $34,421.64 2026-07-15
4834 APR_DRG Penis, Testes And Scrotal Procedures 5 5 — — $43,135.98 $45,292.77 $44,430.06 2026-07-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $77,845.58 $155,246.95 $81,737.86 2026-07-15
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 5 5 — — $34,902.41 $36,647.53 $35,949.48 2026-07-15
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $38,131.39 $40,037.96 $39,275.34 2026-07-15
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $46,679.42 $49,013.39 $48,079.80 2026-07-15
5244 OTHER Level 4 Blood Product Exchange And Related Services 11 10 — — $59,142.33 $79,842.15 $60,916.60 2026-07-15
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $51,114.96 $53,670.71 $52,648.41 2026-07-15
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 5 5 — — $70,957.11 $74,504.96 $73,085.82 2026-07-15
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $45,015.56 $89,774.24 $47,266.33 2026-07-15
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $39,438.87 $78,652.68 $41,410.81 2026-07-15
5831 APR_DRG Neonate With Ecmo 5 5 — — $121,546.54 $127,623.87 $125,192.94 2026-07-15
5832 APR_DRG Neonate With Ecmo 5 5 — — $138,039.52 $144,941.49 $142,180.70 2026-07-15
5833 APR_DRG Neonate With Ecmo 5 5 — — $277,033.60 $290,885.28 $285,344.61 2026-07-15
5834 APR_DRG Neonate With Ecmo 5 5 — — $327,167.72 $343,526.10 $336,982.75 2026-07-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $104,262.25 $109,475.37 $107,390.12 2026-07-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $110,610.81 $116,141.35 $113,929.13 2026-07-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $111,118.68 $116,674.61 $114,452.24 2026-07-15
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 5 5 — — $207,091.80 $217,446.39 $213,304.55 2026-07-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $87,381.16 $91,750.22 $90,002.60 2026-07-15
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $84,690.20 $88,924.71 $87,230.90 2026-07-15
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 5 5 — — $79,437.50 $83,409.37 $81,820.62 2026-07-15
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $41,137.24 $43,194.11 $42,371.36 2026-07-15
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $57,055.16 $59,907.91 $58,766.81 2026-07-15
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $69,102.68 $72,557.81 $71,175.76 2026-07-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 5 5 — — $104,939.84 $110,186.83 $108,088.04 2026-07-15
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $48,885.77 $51,330.06 $50,352.35 2026-07-15
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $62,222.56 $65,333.69 $64,089.24 2026-07-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 5 5 — — $87,119.69 $91,475.67 $89,733.28 2026-07-15
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $35,446.95 $70,691.64 $37,219.30 2026-07-15
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $39,107.50 $41,062.87 $40,280.72 2026-07-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $51,760.24 $54,348.25 $53,313.05 2026-07-15
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $80,087.52 $84,091.89 $82,490.14 2026-07-15
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $34,339.84 $36,056.83 $35,370.03 2026-07-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 5 5 — — $90,047.14 $94,549.50 $92,748.56 2026-07-15
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $35,811.32 $37,601.88 $36,885.66 2026-07-15
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $56,496.89 $59,321.73 $58,191.80 2026-07-15
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 5 5 — — $68,906.68 $72,352.02 $70,973.88 2026-07-15
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $49,127.43 $51,583.80 $50,601.25 2026-07-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 5 5 — — $152,724.59 $160,360.82 $157,306.33 2026-07-15
61 APR_DRG Pancreas Transplant 5 5 — — $50,420.14 $52,941.15 $51,932.75 2026-07-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 5 5 — — $62,151.06 $65,258.61 $64,015.59 2026-07-15
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 5 5 — — $39,822.56 $41,813.69 $41,017.24 2026-07-15
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 5 5 — — $53,543.16 $56,220.32 $55,149.46 2026-07-15
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 5 5 — — $45,890.69 $48,185.23 $47,267.41 2026-07-15
62 APR_DRG Pancreas Transplant 5 5 — — $51,079.64 $53,633.62 $52,612.03 2026-07-15
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 5 5 — — $76,052.15 $79,854.75 $78,333.71 2026-07-15
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 5 5 — — $37,516.70 $39,392.53 $38,642.20 2026-07-15
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 5 5 — — $39,937.58 $41,934.45 $41,135.70 2026-07-15
63 APR_DRG Pancreas Transplant 5 5 — — $56,473.63 $59,297.31 $58,167.84 2026-07-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $72,625.44 $76,256.72 $74,804.21 2026-07-15
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 5 5 — — $154,090.10 $161,794.61 $158,712.80 2026-07-15
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $40,262.80 $42,275.94 $41,470.68 2026-07-15
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 5 5 — — $108,753.37 $114,191.04 $112,015.97 2026-07-15
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 5 5 — — $57,796.93 $60,686.77 $59,530.83 2026-07-15
63685 HCPCS Insrt/replace Neurostim/recvr 14 10 $121,975.00 $48,790.00 60% off $277.20 $113,436.75 $39,814.51 2026-07-15
64 APR_DRG Pancreas Transplant 5 5 — — $87,388.05 $91,757.46 $90,009.69 2026-07-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 15 10 — — $33,678.70 $67,165.22 $35,362.64 2026-07-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 5 5 — — $46,523.05 $48,849.20 $47,918.74 2026-07-15
653 MS_DRG Major Bladder Procedures With Mcc 15 10 — — $40,749.52 $81,266.52 $42,787.00 2026-07-15
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 5 5 — — $37,524.45 $39,400.67 $38,650.19 2026-07-15
6614 APR_DRG Coagulation And Platelet Disorders 5 5 — — $32,141.66 $33,748.75 $33,105.91 2026-07-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $69,102.68 $72,557.81 $71,175.76 2026-07-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 5 5 — — $93,392.43 $98,062.05 $96,194.20 2026-07-15
6904 APR_DRG Acute Leukemia 5 5 — — $61,320.55 $64,386.58 $63,160.17 2026-07-15
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 5 5 — — $33,606.25 $35,286.56 $34,614.44 2026-07-15
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 5 5 — — $33,265.95 $34,929.25 $34,263.93 2026-07-15
6954 APR_DRG Chemotherapy For Acute Leukemia 5 5 — — $47,525.86 $49,902.15 $48,951.64 2026-07-15
7 MS_DRG Lung Transplant 15 10 — — $95,531.05 $190,516.97 $100,307.60 2026-07-15
71 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $49,547.42 $52,024.79 $51,033.85 2026-07-15
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 5 5 — — $34,643.95 $36,376.15 $35,683.27 2026-07-15
714 OTHER Inj Delandistrogene Mox Rokl 11 10 — — $3,321,781.50 $4,484,405.03 $3,421,434.95 2026-07-15
717 OTHER Instill Adstiladrin, Tx Dose 11 10 — — $63,402.04 $85,592.76 $65,304.10 2026-07-15
72 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $75,456.40 $79,229.22 $77,720.10 2026-07-15
7234 APR_DRG Viral Illness 5 5 — — $33,220.72 $34,881.76 $34,217.34 2026-07-15
73 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $112,304.99 $117,920.24 $115,674.14 2026-07-15
74 APR_DRG Allogeneic Bone Marrow Transplant 5 5 — — $318,269.06 $334,182.51 $327,817.13 2026-07-15
746 OTHER Inj, Betibeglogene Autotemce 11 10 — — $2,968,000.00 $4,006,800.00 $3,057,040.00 2026-07-15
748 OTHER Inj, Lovotibeglogene Autotem 11 10 — — $3,193,000.00 $4,310,550.00 $3,288,790.00 2026-07-15
773 OTHER Inj, Beqvez, Per Tx Dose 9 9 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2026-07-15
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $43,455.63 $86,663.29 $45,628.41 2026-07-15
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 5 5 — — $47,733.49 $50,120.16 $49,165.49 2026-07-15
799 MS_DRG Splenic Procedures With Mcc 15 10 — — $34,756.90 $69,315.47 $36,494.75 2026-07-15
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $39,773.66 $79,320.36 $41,762.34 2026-07-15
81416 HCPCS Test For Detecting Exome, Sequence Analysis, Each Comparator Exome 2 1 — — $35,880.00 $40,080.00 $37,980.00 2026-07-15
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $33,455.05 $35,127.81 $34,458.70 2026-07-15
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $42,560.18 $84,877.49 $44,688.18 2026-07-15
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $34,206.47 $68,217.75 $35,916.80 2026-07-15
824 OTHER Inj, Exagamglogene Autotem 11 10 — — $2,332,000.00 $3,148,200.00 $2,401,960.00 2026-07-15
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $34,908.22 $69,617.24 $36,653.63 2026-07-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $64,268.25 $67,481.66 $66,196.30 2026-07-15
834 MS_DRG Acute Leukemia With Mcc 15 10 — — $40,403.77 $80,576.98 $42,423.96 2026-07-15
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 10 — — $36,601.91 $72,994.96 $38,432.01 2026-07-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 5 5 — — $95,081.88 $99,835.97 $97,934.33 2026-07-15
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $47,477.19 $49,851.04 $48,901.50 2026-07-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 5 5 — — $109,850.52 $115,343.04 $113,146.03 2026-07-15
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 5 5 — — $37,474.48 $39,348.21 $38,598.72 2026-07-15
850 MS_DRG Acute Leukemia With Other Procedures 15 10 — — $67,337.66 $134,291.08 $70,704.55 2026-07-15
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 5 5 — — $105,888.38 $111,182.80 $109,065.03 2026-07-15
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $36,558.78 $72,908.95 $38,386.72 2026-07-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 10 — — $32,979.15 $65,770.10 $34,628.10 2026-07-15
8634 APR_DRG Neonatal Aftercare 5 5 — — $73,329.74 $76,996.22 $75,529.63 2026-07-15
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $50,851.01 $101,411.86 $53,393.57 2026-07-15
894 APR_DRG Major Cranial Or Facial Bone Procedures 5 5 — — $42,673.34 $44,807.01 $43,953.54 2026-07-15
901 MS_DRG Wound Debridements For Injuries With Mcc 15 10 — — $32,386.32 $64,587.83 $34,005.63 2026-07-15
9035 OTHER Axicabtagene Ciloleucel Car+ 11 10 — — $489,517.15 $660,848.15 $504,202.66 2026-07-15
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $59,037.95 $61,989.85 $60,809.09 2026-07-15
9104 APR_DRG Craniotomy For Multiple Significant Trauma 5 5 — — $52,436.11 $55,057.91 $54,009.19 2026-07-15
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 5 5 — — $44,424.38 $46,645.60 $45,757.11 2026-07-15
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 5 5 — — $42,616.91 $44,747.75 $43,895.42 2026-07-15
9138 OTHER Inj, Hemgenix, Per Tx Dose 9 9 — — $3,710,000.00 $3,895,500.00 $3,821,300.00 2026-07-15
914 APR_DRG Other Major Head And Neck Procedures 5 5 — — $38,788.31 $40,727.72 $39,951.95 2026-07-15
9141 OTHER Inj Onase Abepar-xioi Treat 11 10 — — $2,403,458.75 $3,244,669.31 $2,475,562.51 2026-07-15
9194 OTHER Tisagenlecleucel Car-pos T 11 10 — — $565,623.84 $763,592.18 $582,592.56 2026-07-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $60,876.44 $63,920.26 $62,702.73 2026-07-15
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 5 5 — — $32,863.62 $34,506.80 $33,849.53 2026-07-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $173,410.26 $345,830.98 $182,080.77 2026-07-15
9273 OTHER Sipuleucel-t Auto Cd54+ 11 10 — — $55,536.50 $74,974.27 $57,202.60 2026-07-15
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 10 — — $48,821.80 $97,365.00 $51,262.89 2026-07-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $92,560.20 $97,188.21 $95,337.01 2026-07-15
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 10 — — $31,629.02 $63,077.55 $33,210.47 2026-07-15
9391 OTHER Brexucabtagene Car Pos T 11 10 — — $488,051.51 $658,869.54 $502,693.06 2026-07-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 5 5 — — $188,399.35 $197,819.32 $194,051.33 2026-07-15
9413 OTHER Lisocabtagene Car Pos T 11 10 — — $516,485.97 $697,256.06 $531,980.55 2026-07-15
9422 OTHER Idecabtagene Vicleucel Car 11 10 — — $528,312.43 $713,221.78 $544,161.80 2026-07-15
9498 OTHER Ciltacabtagene Car-pos T 11 10 — — $551,318.34 $744,279.76 $567,857.89 2026-07-15
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $50,879.34 $53,423.30 $52,405.72 2026-07-15
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $35,482.65 $37,256.78 $36,547.12 2026-07-15
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 5 5 — — $44,834.04 $47,075.74 $46,179.06 2026-07-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $49,913.89 $99,542.96 $52,409.59 2026-07-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $54,562.23 $108,813.11 $57,290.34 2026-07-15
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $46,229.72 $92,195.65 $48,541.21 2026-07-15
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $34,750.33 $69,302.35 $36,487.84 2026-07-15
C1721 HCPCS Aicd Iperia Dr-t Df-1 280 6 $101,352.00 $40,540.80 60% off $1,772.80 $215,886.48 $46,763.71 2026-07-15
C1722 HCPCS Aicd Inventra Dx 232 6 $91,255.00 $36,502.00 60% off $101.60 $180,855.24 $38,063.32 2026-07-15
C1767 HCPCS Battery Neurostim Primeadvnced 104 6 $94,740.00 $37,896.00 60% off $186.40 $172,837.71 $45,047.18 2026-07-15
C1772 HCPCS Pump Infusion 20ml Synchromed2 40 6 $115,467.00 $46,186.80 60% off $7,964.60 $151,197.54 $37,484.15 2026-07-15
C1882 HCPCS Aicd Inventra Hf-t Qp Df-4 272 6 $117,912.50 $47,165.00 60% off $15,972.00 $208,538.55 $57,030.81 2026-07-15
C9765 HCPCS Revasc Intravsc Litho W/stent 8 6 $126,449.00 $50,579.60 60% off $13,772.79 $117,597.57 $54,436.29 2026-07-15
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