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 MEDICAL CENTER

Houston, TX · CCN 450659 · Rates published

33,704 distinct procedures filed
34 distinct payers
1,178,176 rate rows
2026-07-17 last MRF observed
Data quality

1,115,061 of 1,178,176 rate rows are consumer-grade (94.6%)

63,115 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 24,764
per-diem day rate — not a per-procedure price 23,949
template filing: same amount across many unrelated codes — excluded 10,952
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,573
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 648
placeholder amount (≤ $0.02) — excluded from medians 171
exceeds 10× this hospital's gross charge — excluded from medians 54
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/82-1635538_HCA-HOUSTON-HEALTHCARE-MEDICAL-CENTER_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 not_modified · 2026-08-11
Content fingerprint a00333089cce48e5… · 606,868,134 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
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 19 $5,518.19 $4,910,450.00 $4,640,150.00 nat. median
$16,015
outlier · 289.7×
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
$2,460,273
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
$2,405,851
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 $9,991.47 $4,836,939.00 $3,435,894.60 nat. median
$29,683
outlier · 115.8×
714
OTHER 		Inj Delandistrogene Mox R 22 $6,490.13 $4,825,397.00 $3,427,695.80 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 22 $12,353.91 $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
$14,170
outlier · 235.4×
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 $8,828.64 $4,929,000.00 $3,275,400.00 nat. median
$24,604
outlier · 133.1×
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 $11,427.49 $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 $13,381.31 $3,614,600.00 $2,401,960.00 nat. median
$58,186
outlier · 41.3×
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 $1,978,603.20 $1,509,600.96 nat. median
$809,151
1.9× 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
$302,242
outlier · 3.6×
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
$631,793
1.5× 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
$610,161
1.5× 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
$624,417
1.4× 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
$691,418
1.3× 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
$588,565
1.4× 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
$577,541
1.4× median
2067
OTHER 		Afamitresgene Autoleucel 21 $755,207.60 $1,656,833.00 $801,444.80 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 21 $575,896.61 $1,263,446.64 $611,155.58 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 21 $555,200.67 $1,218,042.30 $589,192.55 nat. median
$576,820
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $587,649.60 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 21 $550,957.18 $1,208,732.58 $584,689.25 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 21 $546,920.16 $1,199,875.87 $580,405.07 nat. median
$560,872
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
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $558,081.80 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 21 $521,548.36 $1,144,213.23 $553,479.89 nat. median
$533,230
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 $1,052,317.93 $509,028.21 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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $312,866.36 $633,491.68 $335,790.52 nat. median
$370,165
0.9× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 4 $268,954.74 $461,442.00 $303,233.29 nat. median
$175,480
1.7× median
831
OTHER 		Obecbtge Autol Up To 400 23 $3,778.61 $598,237.50 $286,597.50 nat. median
$20,175
outlier · 14.2×
5834
APR_DRG 		Neonate With Ecmo 5 $276,474.60 $338,816.91 $284,606.21 nat. median
$311,018
0.9× median
00831
OTHER 		Obecbtge Autol Up To 400 2 $278,250.00 $278,250.00 $278,250.00 nat. median
$272,685
1.0× median
897
OTHER 		Revakinagene, Per Implant 21 $259,700.00 $569,750.00 $275,600.00 nat. median
$19,528
outlier · 14.1×

Other procedures at this hospital

Browse this hospital's 33,704 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
             
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 $11,812.48 — $5,518.19 $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 — $9,991.47 $4,836,939.00 $3,435,894.60 2026-07-17
714 OTHER Inj Delandistrogene Mox R 41 22 $13,387.01 — $6,490.13 $4,825,397.00 $3,427,695.80 2026-07-17
748 OTHER Inj, Lovotibeglogene Auto 41 22 $19,799.70 — $12,353.91 $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 $24,977.35 — $8,828.64 $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 $21,842.26 — $11,427.49 $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 — $13,381.31 $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 $1,978,603.20 $1,509,600.96 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
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 13 5 $1,407,945.60 — $553,169.00 $1,250,478.00 $969,621.79 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 13 5 $1,270,178.88 — $527,622.00 $1,128,119.40 $902,495.52 2026-07-17
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 13 5 $1,242,322.75 — $516,442.00 $1,103,378.76 $882,703.01 2026-07-17
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 5 $1,167,937.60 — $32.24 $1,037,313.00 $882,313.53 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 5 $1,077,224.00 — $8.47 $956,745.00 $821,756.60 2026-07-17
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 13 5 $1,129,384.32 — $489,399.00 $1,003,071.60 $802,457.28 2026-07-17
2067 OTHER Afamitresgene Autoleucel 42 21 — — $755,207.60 $1,656,833.00 $801,444.80 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
9498 OTHER Ciltacabtagene Car-pos T 42 21 $943,531.50 — $575,896.61 $1,263,446.64 $611,155.58 2026-07-17
9194 OTHER Tisagenlecleucel Car-pos 42 21 $894,097.50 — $555,200.67 $1,218,042.30 $589,192.55 2026-07-17
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 42 21 $856,788.46 — $550,957.18 $1,208,732.58 $584,689.25 2026-07-17
9422 OTHER Idecabtagene Vicleucel Ca 42 21 $875,999.90 — $546,920.16 $1,199,875.87 $580,405.07 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
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 42 21 $833,083.00 — $521,548.36 $1,144,213.23 $553,479.89 2026-07-17
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 42 21 $833,191.80 — $479,661.20 $1,052,317.93 $509,028.21 2026-07-17
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 45 21 — — $312,866.36 $633,491.68 $335,790.52 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
74 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $268,954.74 $461,442.00 $303,233.29 2026-03-01
831 OTHER Obecbtge Autol Up To 400 44 23 $16,122.63 — $3,778.61 $598,237.50 $286,597.50 2026-07-17
5834 APR_DRG Neonate With Ecmo 11 5 — — $276,474.60 $338,816.91 $284,606.21 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
897 OTHER Revakinagene, Per Implant 42 21 $11,893.51 — $259,700.00 $569,750.00 $275,600.00 2026-07-17
00897 OTHER Revakinagene, Per Implant 2 2 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 10 4 — — $225,205.77 $386,382.00 $253,908.47 2026-03-01
5833 APR_DRG Neonate With Ecmo 11 5 — — $234,108.52 $286,897.70 $240,994.07 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 $504,984.59 — $222,795.30 $222,795.30 $222,795.30 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 21 — — $128,800.00 $412,960.19 $216,384.46 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 44 23 $19,070.42 — $8,268.24 $433,588.35 $207,719.07 2026-07-17
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 — $195,840.60 $195,840.60 $195,840.60 2026-07-17
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 5 — — $175,003.88 $214,465.54 $180,151.05 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 16 6 — — $169,940.77 $208,260.75 $174,939.03 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 63 26 — — $151,220.03 $312,774.55 $167,469.44 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 24 — — $8,960.00 $314,620.97 $166,844.08 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 5 — — $159,207.75 $195,107.54 $163,890.33 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
1908 OTHER New Technology - Level 52 42 21 $298,136.74 — $146,948.65 $322,387.34 $155,945.51 2026-07-17
1907 OTHER New Technology - Level 52 42 21 $298,136.74 — $146,948.65 $322,387.34 $155,945.51 2026-07-17
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
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
1905 OTHER New Technology - Level 51 42 21 $268,811.91 — $132,494.73 $290,677.21 $140,606.65 2026-07-17
1906 OTHER New Technology - Level 51 42 21 $268,811.91 — $132,494.73 $290,677.21 $140,606.65 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
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 $282,732.52 — $138,032.40 $138,032.40 $138,032.40 2026-07-17
01905 OTHER New Technology - Level 51 2 2 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $137,723.20 $137,723.20 $137,723.20 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 15 6 $402,932.31 — $57,017.10 $422,905.25 $135,389.25 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
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 5 — — $130,214.56 $159,576.66 $134,044.40 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 5 — — $129,060.62 $158,162.52 $132,856.52 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 42 21 $239,487.08 — $118,040.80 $258,967.07 $125,267.79 2026-07-17
1904 OTHER New Technology - Level 50 42 21 $239,487.08 — $118,040.80 $258,967.07 $125,267.79 2026-07-17
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
5832 APR_DRG Neonate With Ecmo 11 5 — — $116,650.93 $142,954.58 $120,081.84 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 46 23 $817,105.39 — $109,262.16 $857,608.46 $115,951.68 2026-07-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 5 — — $110,767.70 $135,744.73 $114,025.57 2026-03-01
1901 OTHER New Technology - Level 49 42 21 $210,162.25 — $103,586.88 $227,256.93 $109,928.93 2026-07-17
1902 OTHER New Technology - Level 49 42 21 $210,162.25 — $103,586.88 $227,256.93 $109,928.93 2026-07-17
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 63 26 — — $101,384.63 $216,318.86 $109,859.51 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 $191,845.58 — $107,792.40 $107,792.40 $107,792.40 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
73 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $94,903.85 $162,825.00 $106,999.44 2026-03-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 11 5 — — $102,933.70 $126,144.24 $105,961.16 2026-03-01
5831 APR_DRG Neonate With Ecmo 11 5 — — $102,713.47 $125,874.35 $105,734.45 2026-03-01
7 MS_DRG Lung Transplant 42 20 — — $94,886.94 $190,834.15 $101,839.44 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 49 23 $140,140.00 — $93,179.38 $204,424.15 $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
1585 OTHER New Technology - Level 48 42 21 $185,724.89 — $91,542.00 $200,831.93 $97,146.61 2026-07-17
1599 OTHER New Technology - Level 48 42 21 $185,724.89 — $91,542.00 $200,831.93 $97,146.61 2026-07-17
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 5 — — $93,901.35 $115,075.19 $96,663.16 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 $49,543.96 — $96,604.23 $96,604.23 $96,604.23 2026-07-17
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 5 — — $93,472.18 $114,549.24 $96,221.36 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 5 — — $93,230.47 $114,253.02 $95,972.54 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 11 5 — — $92,829.69 $113,761.88 $95,559.98 2026-03-01
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
14 MS_DRG Allogeneic Bone Marrow Transplant 42 20 — — $88,164.98 $177,095.77 $94,624.95 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 11 5 — — $91,902.54 $112,625.66 $94,605.56 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 11 5 — — $89,481.47 $109,658.66 $92,113.28 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 5 — — $88,679.90 $108,676.35 $91,288.13 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 16 6 — — $88,575.42 $108,548.31 $91,180.58 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $80,672.63 $138,409.00 $90,954.43 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 11 5 — — $88,107.30 $107,974.64 $90,698.70 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 10 4 — — $80,349.38 $137,854.00 $90,589.99 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 21 — — $83,218.15 $184,000.00 $89,315.66 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 64 26 — — $67,447.00 $166,793.84 $88,357.22 2026-03-01
1598 OTHER New Technology - Level 47 42 21 $166,175.01 — $81,906.04 $179,691.82 $86,920.70 2026-07-17
1584 OTHER New Technology - Level 47 42 21 $166,175.01 — $81,906.04 $179,691.82 $86,920.70 2026-07-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 27 — — $24,066.00 $256,320.05 $86,100.00 2026-03-01
01598 OTHER New Technology - Level 47 2 2 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $85,138.20 $85,138.20 $85,138.20 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 80 28 — — $8,960.00 $160,240.74 $84,600.37 2026-03-01
64 APR_DRG Pancreas Transplant 10 4 — — $73,847.68 $126,699.00 $83,259.64 2026-03-01
007 OTHER Lung Transplant 2 2 $170,548.19 — $82,845.83 $82,845.83 $82,845.83 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 20 — — $75,854.49 $151,935.53 $81,412.46 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 5 — — $78,921.70 $96,717.77 $81,242.93 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 6 — — $78,877.66 $96,663.80 $81,197.59 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 5 — — $78,218.42 $95,855.91 $80,518.97 2026-03-01
215 MS_DRG Other Heart Assist System Implant 80 28 — — $50,784.00 $202,495.51 $79,433.46 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 11 5 — — $76,489.35 $93,736.95 $78,739.04 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 11 5 — — $76,094.75 $93,253.38 $78,332.84 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 28 — — $50,784.00 $198,952.80 $78,072.47 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
1597 OTHER New Technology - Level 46 42 21 $146,625.12 — $72,270.09 $158,551.73 $76,694.79 2026-07-17
1583 OTHER New Technology - Level 46 42 21 $146,625.12 — $72,270.09 $158,551.73 $76,694.79 2026-07-17
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 11 5 — — $73,841.86 $90,492.47 $76,013.68 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 5 — — $73,620.90 $90,221.69 $75,786.22 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
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 11 5 — — $71,567.84 $87,705.69 $73,672.78 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 $188,232.68 — $73,425.85 $73,425.85 $73,425.85 2026-07-17
72 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $63,764.78 $109,400.00 $71,891.66 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 44 23 — — $67,425.67 $147,923.65 $70,865.75 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 6 — — $68,807.51 $84,322.92 $70,831.26 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 $156,377.40 — $70,716.66 $70,716.66 $70,716.66 2026-07-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 71 27 — — $24,066.00 $209,536.27 $69,973.58 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 $159,367.20 — $69,971.80 $69,971.80 $69,971.80 2026-07-17
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 5 — — $67,678.33 $82,939.13 $69,668.87 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 11 5 — — $67,129.03 $82,265.96 $69,103.41 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 58 26 — — $8,960.00 $227,147.34 $68,636.41 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 80 28 — — $50,784.00 $171,438.88 $68,145.45 2026-03-01
4404 APR_DRG Kidney Transplant 10 4 — — $60,237.82 $103,349.00 $67,915.19 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 28 — — $50,784.00 $157,205.68 $67,447.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 76 27 — — $28,078.00 $195,437.87 $66,654.62 2026-03-01
1582 OTHER New Technology - Level 45 42 21 $127,075.24 — $62,634.14 $137,411.64 $66,468.88 2026-07-17
1596 OTHER New Technology - Level 45 42 21 $127,075.24 — $62,634.14 $137,411.64 $66,468.88 2026-07-17
717 OTHER Instill Adstiladrin, Tx D 44 23 $24,732.86 — $12,250.00 $138,190.80 $66,203.03 2026-07-17
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 11 5 — — $64,268.22 $78,760.07 $66,158.46 2026-03-01
5244 OTHER Level 4 Blood Product Exc 42 21 $80,207.28 — $61,923.99 $135,853.66 $65,715.26 2026-07-17
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 $54,932.57 — $65,575.58 $65,575.58 $65,575.58 2026-07-17
1612 APR_DRG Implantable Heart Assist Systems 16 6 — — $63,671.96 $78,029.36 $65,544.66 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $65,105.80 $65,105.80 $65,105.80 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 5 — — $62,943.92 $77,137.16 $64,795.22 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
8634 APR_DRG Neonatal Aftercare 11 5 — — $61,967.63 $75,940.73 $63,790.21 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 $57,237.79 — $63,336.31 $63,336.31 $63,336.31 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 11 5 — — $61,372.47 $75,211.36 $63,177.54 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 80 28 — — $44,800.00 $155,480.43 $63,125.37 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 63 26 — — $58,249.65 $234,000.00 $63,118.82 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 10 4 — — $55,468.12 $95,165.90 $62,537.59 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 16 6 — — $60,387.07 $74,003.76 $62,163.16 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 5 — — $59,962.63 $73,483.61 $61,726.23 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 11 5 — — $59,942.25 $73,458.64 $61,705.26 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 10 4 — — $54,310.19 $93,179.20 $61,232.07 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 63 26 — — $8,960.00 $112,286.85 $61,174.21 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $180,743.20 — $60,858.29 $60,858.29 $60,858.29 2026-07-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 80 28 — — $50,470.00 $145,010.94 $60,651.21 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 5 — — $58,395.54 $71,563.16 $60,113.06 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 11 5 — — $58,395.54 $71,563.16 $60,113.06 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 11 5 — — $58,229.91 $71,360.19 $59,942.56 2026-03-01
103338 CDM Ins Lvad Sgl Vtrcl Extr 33 15 $313,606.08 $313,606.08 $18,816.36 $250,884.86 $59,585.16 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 42 21 $117,793.84 — $55,688.06 $122,172.78 $59,097.54 2026-07-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 28 — — $48,923.40 $133,721.88 $59,006.50 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 80 28 — — $48,923.40 $133,721.88 $59,006.50 2026-03-01
4414 APR_DRG Major Bladder Procedures 11 5 — — $57,006.82 $69,861.30 $58,683.49 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
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 $319.00 — $58,379.11 $58,379.11 $58,379.11 2026-07-17
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 $224,580.00 — $57,706.62 $57,706.62 $57,706.62 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 27 — — $24,066.00 $167,882.98 $57,486.19 2026-03-01
10 MS_DRG Pancreas Transplant 42 20 — — $53,252.34 $105,741.12 $57,154.22 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 24 — — $8,960.00 $105,696.91 $57,131.01 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 47 23 — — $52,956.01 $105,135.47 $56,836.17 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $56,824.55 $56,824.55 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 42 21 $105,405.90 — $53,316.03 $116,968.84 $56,580.28 2026-07-17
1595 OTHER New Technology - Level 44 42 21 $107,525.35 — $52,998.19 $116,271.55 $56,242.98 2026-07-17
1581 OTHER New Technology - Level 44 42 21 $107,525.35 — $52,998.19 $116,271.55 $56,242.98 2026-07-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 63 26 — — $4,843.00 $148,493.11 $55,641.98 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
01595 OTHER New Technology - Level 44 2 2 — — $55,089.60 $55,089.60 $55,089.60 2026-03-01
1784 APR_DRG External Heart Assist Devices 11 5 — — $53,393.23 $65,432.88 $54,963.62 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 80 28 — — $16,045.00 $139,875.85 $54,849.72 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 $151,037.83 — $54,622.67 $54,622.67 $54,622.67 2026-07-17
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 $53,108.76 — $54,446.38 $54,446.38 $54,446.38 2026-07-17
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $54,404.11 $54,404.11 $54,404.11 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 63 26 — — $8,960.00 $99,189.49 $54,230.21 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 5 — — $52,581.47 $64,438.07 $54,127.98 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 11 5 — — $52,521.04 $64,364.03 $54,065.78 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 58 26 — — $46,200.00 $135,983.35 $53,881.76 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 16 6 — — $52,288.80 $64,079.41 $53,826.71 2026-03-01
63 APR_DRG Pancreas Transplant 10 4 — — $47,723.30 $81,878.20 $53,805.68 2026-03-01
6904 APR_DRG Acute Leukemia 11 5 — — $51,819.21 $63,503.94 $53,343.31 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 71 27 — — $16,516.00 $155,393.97 $53,330.69 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 80 28 — — $45,226.81 $156,000.00 $53,202.24 2026-03-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 11 5 — — $51,501.79 $63,114.94 $53,016.55 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 5 — — $51,443.91 $63,044.01 $52,956.97 2026-03-01
900839 CDM Revasc Tibper Stnt Ather 33 15 $278,700.42 $278,700.42 $16,722.03 $222,960.34 $52,953.08 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 63 26 — — $8,960.00 $96,541.43 $52,826.26 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 46 23 $366,493.18 — $49,007.06 $384,659.87 $52,007.49 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 63 26 — — $4,843.00 $138,243.09 $51,914.51 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 46 23 $363,515.32 — $48,608.78 $381,534.40 $51,584.83 2026-07-17
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 11 5 — — $49,890.29 $61,140.06 $51,357.65 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 $655.97 — $51,175.04 $51,175.04 $51,175.04 2026-07-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 28 — — $39,964.88 $108,453.15 $51,169.15 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 80 28 — — $44,823.04 $122,156.22 $50,833.35 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 11 5 — — $48,841.56 $59,854.85 $50,278.07 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 10 4 — — $44,559.27 $76,449.70 $50,238.39 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 80 28 — — $43,828.04 $119,349.72 $50,070.50 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 5 — — $48,543.80 $59,489.95 $49,971.56 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 11 5 — — $48,214.73 $59,086.67 $49,632.81 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 64 26 — — $45,701.23 $124,633.27 $49,521.45 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 $103,532.10 — $49,477.50 $49,477.50 $49,477.50 2026-07-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 63 26 — — $8,960.00 $90,203.48 $49,465.98 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 11 5 — — $47,742.96 $58,508.53 $49,147.16 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 80 28 — — $37,855.22 $102,502.55 $48,832.84 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 $108,204.00 — $48,828.95 $48,828.95 $48,828.95 2026-07-17
62 APR_DRG Pancreas Transplant 10 4 — — $43,165.08 $74,057.80 $48,666.52 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 63 26 — — $21,000.00 $88,538.31 $48,583.14 2026-03-01
61 APR_DRG Pancreas Transplant 10 4 — — $42,607.78 $73,101.60 $48,038.18 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 76 27 — — $28,078.00 $138,683.82 $47,770.66 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 80 28 — — $40,901.48 $111,094.93 $47,700.87 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 18 — — $44,268.58 $87,380.06 $47,512.20 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $47,483.41 $47,483.41 $47,483.41 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 63 26 — — $8,960.00 $153,839.57 $47,462.01 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 15 6 $139,466.43 — $27,070.50 $146,379.64 $47,307.21 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 10 4 — — $41,870.28 $71,836.30 $47,206.68 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 10 4 — — $41,564.50 $71,311.60 $46,861.94 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 11 5 — — $45,494.79 $55,753.42 $46,832.88 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 20 — — $6,270.00 $76,875.00 $46,703.25 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 11 5 — — $45,246.89 $55,449.63 $46,577.68 2026-03-01
010 OTHER Pancreas Transplant 2 2 $57,934.94 — $46,495.70 $46,495.70 $46,495.70 2026-07-17
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 11 5 — — $45,140.97 $55,319.81 $46,468.64 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 63 26 — — $42,830.89 $104,000.00 $46,411.19 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 80 28 — — $34,814.73 $93,926.43 $46,330.65 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 80 28 — — $37,186.12 $102,000.00 $46,304.85 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 71 27 — — $24,066.00 $134,125.44 $46,253.95 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 $99,677.50 — $46,229.51 $46,229.51 $46,229.51 2026-07-17
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $118,793.00 — $46,189.82 $46,189.82 $46,189.82 2026-07-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 63 26 — — $42,608.82 $85,000.00 $46,170.55 2026-03-01
1594 OTHER New Technology - Level 43 42 21 $87,975.46 — $43,362.25 $95,131.46 $46,017.08 2026-07-17
1580 OTHER New Technology - Level 43 42 21 $87,975.46 — $43,362.25 $95,131.46 $46,017.08 2026-07-17
234 APR_DRG Spinal Procedures 11 5 — — $44,472.27 $54,500.33 $45,780.27 2026-03-01
J2505 HCPCS Injection, Pegfilgrastim, 6 Mg 2 1 $43,501.95 — $45,658.30 $45,658.30 $45,658.30 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 11 5 — — $44,311.37 $54,303.15 $45,614.65 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 $53,148.48 — $45,166.50 $45,166.50 $45,166.50 2026-07-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 71 27 — — $24,066.00 $130,750.85 $45,131.11 2026-03-01
01580 OTHER New Technology - Level 43 2 2 — — $45,073.40 $45,073.40 $45,073.40 2026-03-01
01594 OTHER New Technology - Level 43 2 2 — — $45,073.40 $45,073.40 $45,073.40 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 5 — — $43,742.06 $53,605.46 $45,028.59 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 11 5 — — $43,740.23 $53,603.23 $45,026.71 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 20 — — $41,924.59 $82,589.39 $44,996.46 2026-03-01
1142 OTHER Supprelin La Implant 42 21 $75,389.78 — $42,321.63 $92,848.48 $44,912.76 2026-07-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 64 26 — — $21,308.00 $84,096.88 $44,907.56 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 $14,000.00 — $44,897.98 $44,897.98 $44,897.98 2026-07-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 58 26 — — $18,953.00 $82,023.52 $44,699.31 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 63 26 — — $4,843.00 $144,005.57 $44,533.00 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 11 5 — — $43,194.94 $52,934.98 $44,465.38 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 $72,163.01 — $44,397.70 $44,397.70 $44,397.70 2026-07-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 63 26 — — $8,960.00 $86,574.65 $44,381.42 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 76 27 — — $16,516.00 $135,655.93 $44,365.01 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 11 5 — — $42,995.82 $52,690.95 $44,260.40 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 63 26 — — $8,960.00 $80,371.62 $44,253.30 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 41 19 — — $40,682.29 $80,050.37 $43,663.14 2026-03-01
01142 OTHER Supprelin La Implant 2 2 — — $43,185.34 $43,185.34 $43,185.34 2026-03-01
J7310 HCPCS Ganciclovir, 4.5 Mg, Long-acting Implant 10 3 $157,388.80 — $31,234.56 $165,190.40 $43,027.20 2026-07-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 63 26 — — $39,683.70 $234,000.00 $43,000.91 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 71 27 — — $16,516.00 $123,950.51 $42,868.40 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 11 5 — — $41,515.37 $50,876.67 $42,736.41 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 11 5 — — $41,490.24 $50,845.89 $42,710.55 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 $118,793.00 — $42,605.59 $42,605.59 $42,605.59 2026-07-17
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 11 5 — — $41,311.15 $50,626.41 $42,526.19 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 80 28 — — $16,045.00 $247,434.08 $42,455.95 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 $82,016.76 — $42,450.89 $42,450.89 $42,450.89 2026-07-17
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 11 5 — — $41,066.17 $50,326.19 $42,274.00 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 63 26 — — $8,960.00 $82,373.87 $42,239.95 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 11 5 — — $41,033.04 $50,285.59 $42,239.89 2026-03-01
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