Hospital

VALLEY REGIONAL MEDICAL CENTER

Brownsville, TX · CCN 450662 · Rates published

27,488 distinct procedures filed

44 distinct payers

1,073,137 rate rows

2026-03-01 last MRF observed

Data quality

1,040,262 of 1,073,137 rate rows are consumer-grade (96.9%)

32,875 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	17,134
per-diem day rate — not a per-procedure price	9,777
template filing: same amount across many unrelated codes — excluded	4,779
exceeds 10× this hospital's gross charge — excluded from medians	1,018
placeholder amount (≤ $0.02) — excluded from medians	167

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://valleyregionalmedicalcenter.com/dA/5753c2b90b/fileAsset/62-1669572_VALLEY-REGIONAL-MEDICAL-CENTER_standardcharges.json
Discovered via	Discovered by HANK (automated)
Last fetch	not_modified · 2026-05-17
Content fingerprint	c75c4b239292e2e0… · 538,814,112 bytes · first seen 2026-05-13

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
J3393 HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	1	$4,850,948.67	$4,850,948.67	$4,850,948.67	nat. median $3,006,423 1.6× median
845 OTHER	Inj, Atidarsagene Autotem	15	$4,491,485.00	$4,910,450.00	$4,505,000.00	nat. median $9,966 outlier · 452.1×
J3399 HCPCS	Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge…	1	$4,271,819.03	$4,271,819.03	$4,271,819.03	nat. median $2,469,189 1.7× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	1	$3,847,800.00	$3,847,800.00	$3,847,800.00	nat. median $2,448,600 1.6× median
9138 OTHER	Inj, Hemgenix, Per Tx Dos	15	$3,674,211.20	$4,016,941.03	$3,685,267.00	nat. median $3,746,358 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	15	$3,325,812.54	$3,636,043.80	$3,335,820.00	nat. median $22,747 outlier · 146.6×
714 OTHER	Inj Delandistrogene Mox R	15	$3,317,876.42	$3,627,367.40	$3,327,860.00	nat. median $13,041 outlier · 255.2×
748 OTHER	Inj, Lovotibeglogene Auto	15	$3,242,750.48	$3,545,233.72	$3,252,508.00	nat. median $17,963 outlier · 181.1×
906 OTHER	Inj Elivaldogene Autoteme	16	$3,170,460.00	$4,929,000.00	$3,193,515.00	nat. median $20,756 outlier · 153.9×
746 OTHER	Inj, Betibeglogene Autote	16	$2,931,149.09	$4,556,951.95	$2,952,463.87	nat. median $21,896 outlier · 134.8×
9141 OTHER	Inj Onase Abepar-xioi Tre	16	$2,581,214.06	$4,012,920.55	$2,599,984.17	nat. median $2,588,981 1.0× median
824 OTHER	Inj, Exagamglogene Autote	19	$2,325,004.00	$4,897,200.00	$2,378,640.00	nat. median $25,250 outlier · 94.2×
Q2057 HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	2	$1,033,270.56	$1,700,133.12	$1,516,929.12	nat. median $824,563 1.8× median
Q2058 HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,…	2	$459,112.50	$1,227,744.00	$1,095,444.00	nat. median $324,450 outlier · 3.4×
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	2	$653,027.40	$1,074,484.80	$969,621.79	nat. median $675,122 1.4× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	2	$589,129.02	$969,347.04	$919,208.40	nat. median $625,184 1.5× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	2	$576,208.91	$948,088.42	$899,049.36	nat. median $674,188 1.3× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	2	$523,826.28	$861,898.56	$807,592.83	nat. median $620,080 1.3× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	3	$48.69	$934,776.65	$795,273.30	nat. median $754,974 1.1× median
2067 OTHER	Afamitresgene Autoleucel	19	$768,308.14	$1,618,302.00	$786,032.40	nat. median $786,032 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	3	$12.80	$878,117.20	$733,504.50	nat. median $634,511 1.2× median
9498 OTHER	Ciltacabtagene Car-pos T	19	$585,886.65	$1,234,064.16	$599,402.59	nat. median $587,650 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos	19	$564,831.71	$1,189,715.73	$577,861.93	nat. median $566,531 1.0× median
C9301 HCPCS	Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc…	1	$392,332.50	$645,540.00	$575,977.50	nat. median $459,112 1.3× median
9413 OTHER	Lisocabtagene Car Pos T	19	$560,514.60	$1,180,622.52	$573,445.22	nat. median $562,201 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	19	$556,407.55	$1,171,971.78	$569,243.44	nat. median $558,082 1.0× median
9035 OTHER	Axicabtagene Ciloleucel C	19	$530,595.62	$1,117,603.62	$542,836.04	nat. median $532,192 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	19	$487,981.85	$1,027,845.42	$499,239.20	nat. median $489,450 1.0× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	19	$322,871.08	$1,045,326.04	$344,846.60	nat. median $370,174 0.9× median
J3402 HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	$332,753.88	$332,753.88	$332,753.88	nat. median $209,753 1.6× median
5834 APR_DRG	Neonate With Ecmo	7	$288,154.47	$334,375.72	$293,975.77	nat. median $309,665 0.9× median
831 OTHER	Obecbtge Autol Up To 400	19	$277,415.25	$584,325.00	$283,815.00	nat. median $12,362 outlier · 23.0×
74 APR_DRG	Allogeneic Bone Marrow Transplant	6	$280,316.94	$495,510.00	$283,148.42	nat. median $187,294 1.5× median
897 OTHER	Revakinagene, Per Implant	19	$264,205.00	$556,500.00	$270,300.00	nat. median $9,577 outlier · 28.2×
5833 APR_DRG	Neonate With Ecmo	7	$243,998.62	$283,137.07	$248,927.89	nat. median $244,017 1.0× median
24 APR_DRG	Heart And/or Lung Transplant	6	$234,719.75	$414,909.00	$237,090.66	nat. median $234,738 1.0× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	20	$158,818.00	$678,374.55	$224,719.26	nat. median $265,286 0.8× median
886 OTHER	Inj. Remestemcel-l-rknd/	19	$201,063.99	$423,504.90	$205,702.38	nat. median $17,985 outlier · 11.4×
L5969 HCPCS	Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty…	1	$202,735.57	$202,735.57	$202,735.57	nat. median $15,234 outlier · 13.3×
J9029 HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	3	$106,053.40	$371,200.00	$191,400.00	nat. median $69,774 outlier · 2.7×
1614 APR_DRG	Implantable Heart Assist Systems	7	$177,120.05	$205,530.89	$187,854.60	nat. median $207,730 0.9× median
453 MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc Pediatric	1	$121,639.93	$249,049.93	$187,848.66	nat. median $87,411 outlier · 2.1×
5884 APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	7	$182,397.06	$211,654.34	$186,081.85	nat. median $246,434 0.8× median
3 MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	21	$123,311.00	$517,873.68	$175,867.55	nat. median $202,986 0.9× median
927 MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	20	$19,840.00	$516,831.55	$171,835.63	nat. median $206,368 0.8× median
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	7	$165,933.59	$192,550.08	$169,285.79	nat. median $164,834 1.0× median
222 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	1	$105,263.29	$215,519.81	$162,558.19	nat. median $63,570 outlier · 2.6×
224 MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	1	$99,545.36	$203,812.72	$153,728.00	nat. median $54,196 outlier · 2.8×
1908 OTHER	New Technology - Level 52	19	$149,497.76	$314,889.96	$152,946.55	nat. median $152,962 1.0× median
1907 OTHER	New Technology - Level 52	19	$149,497.76	$314,889.96	$152,946.55	nat. median $153,199 1.0× median

Other procedures at this hospital

Browse this hospital's 27,488 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

906	OTHER	Inj Elivaldogene Autoteme	32	16	—	—	$3,170,460.00	$4,929,000.00	$3,193,515.00	2026-03-01
845	OTHER	Inj, Atidarsagene Autotem	31	15	—	—	$4,491,485.00	$4,910,450.00	$4,505,000.00	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	35	19	—	—	$2,325,004.00	$4,897,200.00	$2,378,640.00	2026-03-01
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	2	1	—	—	$4,850,948.67	$4,850,948.67	$4,850,948.67	2026-03-01
746	OTHER	Inj, Betibeglogene Autote	32	16	—	—	$2,931,149.09	$4,556,951.95	$2,952,463.87	2026-03-01
J3399	HCPCS	Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge…	2	1	—	—	$4,271,819.03	$4,271,819.03	$4,271,819.03	2026-03-01
9138	OTHER	Inj, Hemgenix, Per Tx Dos	31	15	—	—	$3,674,211.20	$4,016,941.03	$3,685,267.00	2026-03-01
9141	OTHER	Inj Onase Abepar-xioi Tre	32	16	—	—	$2,581,214.06	$4,012,920.55	$2,599,984.17	2026-03-01
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	2	1	—	—	$3,847,800.00	$3,847,800.00	$3,847,800.00	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	31	15	—	—	$3,325,812.54	$3,636,043.80	$3,335,820.00	2026-03-01
714	OTHER	Inj Delandistrogene Mox R	31	15	—	—	$3,317,876.42	$3,627,367.40	$3,327,860.00	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	31	15	—	—	$3,242,750.48	$3,545,233.72	$3,252,508.00	2026-03-01
Q2057	HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	7	2	—	—	$1,033,270.56	$1,700,133.12	$1,516,929.12	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	35	19	—	—	$768,308.14	$1,618,302.00	$786,032.40	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	37	19	—	—	$111,157.52	$1,295,217.71	$114,836.76	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	35	19	—	—	$585,886.65	$1,234,064.16	$599,402.59	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	7	2	—	—	$459,112.50	$1,227,744.00	$1,095,444.00	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	35	19	—	—	$564,831.71	$1,189,715.73	$577,861.93	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	35	19	—	—	$560,514.60	$1,180,622.52	$573,445.22	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	35	19	—	—	$556,407.55	$1,171,971.78	$569,243.44	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	35	19	—	—	$530,595.62	$1,117,603.62	$542,836.04	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	7	2	—	—	$653,027.40	$1,074,484.80	$969,621.79	2026-03-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	19	—	—	$322,871.08	$1,045,326.04	$344,846.60	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	35	19	—	—	$487,981.85	$1,027,845.42	$499,239.20	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	7	2	—	—	$589,129.02	$969,347.04	$919,208.40	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	7	2	—	—	$576,208.91	$948,088.42	$899,049.36	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	9	3	—	—	$48.69	$934,776.65	$795,273.30	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	9	3	—	—	$12.80	$878,117.20	$733,504.50	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	7	2	—	—	$523,826.28	$861,898.56	$807,592.83	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	12	4	—	—	$76,894.79	$833,297.23	$123,249.80	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	40	20	—	—	$158,818.00	$678,374.55	$224,719.26	2026-03-01
C9301	HCPCS	Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc…	5	1	—	—	$392,332.50	$645,540.00	$575,977.50	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	12	4	—	—	$85,852.35	$638,699.82	$126,038.55	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	35	19	—	—	$277,415.25	$584,325.00	$283,815.00	2026-03-01
L7180	HCPCS	Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device…	37	19	—	—	$49,857.18	$580,939.09	$51,507.42	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	37	19	—	—	$49,452.00	$576,218.80	$51,088.82	2026-03-01
897	OTHER	Revakinagene, Per Implant	35	19	—	—	$264,205.00	$556,500.00	$270,300.00	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	51	21	—	—	$123,311.00	$517,873.68	$175,867.55	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	41	20	—	—	$19,840.00	$516,831.55	$171,835.63	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	13	6	—	—	$280,316.94	$495,510.00	$283,148.42	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	12	4	—	—	$53,832.39	$491,411.53	$134,534.14	2026-03-01
J9226	HCPCS	Histrelin Implant (supprelin La), 50 Mg	12	4	—	—	$51,816.12	$468,293.59	$83,052.79	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	35	19	—	—	$201,063.99	$423,504.90	$205,702.38	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	13	6	—	—	$234,719.75	$414,909.00	$237,090.66	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	10	3	—	—	$106,053.40	$371,200.00	$191,400.00	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	57	22	—	—	$105,245.49	$335,300.84	$115,714.93	2026-03-01
5834	APR_DRG	Neonate With Ecmo	14	7	—	—	$288,154.47	$334,375.72	$293,975.77	2026-03-01
J3402	HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	2	1	—	—	$332,753.88	$332,753.88	$332,753.88	2026-03-01
1907	OTHER	New Technology - Level 52	35	19	—	—	$149,497.76	$314,889.96	$152,946.55	2026-03-01
1908	OTHER	New Technology - Level 52	35	19	—	—	$149,497.76	$314,889.96	$152,946.55	2026-03-01
J9600	HCPCS	Injection, Porfimer Sodium, 75 Mg	18	5	—	—	$30,556.39	$309,495.61	$57,570.49	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	67	25	—	—	$42,318.00	$286,195.99	$83,945.87	2026-03-01
1906	OTHER	New Technology - Level 51	35	19	—	—	$134,793.10	$283,917.27	$137,902.67	2026-03-01
1905	OTHER	New Technology - Level 51	35	19	—	—	$134,793.10	$283,917.27	$137,902.67	2026-03-01
5833	APR_DRG	Neonate With Ecmo	14	7	—	—	$243,998.62	$283,137.07	$248,927.89	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	59	24	—	—	$60,857.28	$282,532.00	$66,911.15	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	59	24	—	—	$41,751.95	$282,532.00	$45,905.29	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	40	20	—	—	$86,551.16	$274,308.88	$92,442.08	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	53	24	—	—	$46,758.00	$273,994.19	$92,339.06	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	67	25	—	—	$42,318.00	$272,125.27	$82,524.82	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	55	24	—	—	$23,594.00	$266,790.19	$88,216.39	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	51	24	—	—	$19,840.00	$263,229.34	$87,073.55	2026-03-01
1904	OTHER	New Technology - Level 50	35	19	—	—	$120,088.45	$252,944.58	$122,858.80	2026-03-01
1903	OTHER	New Technology - Level 50	35	19	—	—	$120,088.45	$252,944.58	$122,858.80	2026-03-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc Pediatric	5	1	—	—	$121,639.93	$249,049.93	$187,848.66	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	67	25	—	—	$42,318.00	$236,253.19	$71,488.39	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	65	24	—	—	$27,527.00	$233,111.60	$69,914.65	2026-03-01
1901	OTHER	New Technology - Level 49	35	19	—	—	$105,383.80	$221,971.89	$107,814.92	2026-03-01
1902	OTHER	New Technology - Level 49	35	19	—	—	$105,383.80	$221,971.89	$107,814.92	2026-03-01
J9266	HCPCS	Injection, Pegaspargase, Per Single Dose Vial	18	5	—	—	$24,704.88	$221,072.32	$68,786.23	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	67	25	—	—	$42,318.00	$218,409.31	$65,357.12	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	55	24	—	—	$23,594.00	$218,095.39	$72,587.95	2026-03-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	5	1	—	—	$105,263.29	$215,519.81	$162,558.19	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	65	24	—	—	$39,895.00	$214,741.86	$66,326.86	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	14	7	—	—	$182,397.06	$211,654.34	$186,081.85	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	43	23	—	—	$19,840.00	$209,620.52	$71,265.34	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$177,120.05	$205,530.89	$187,854.60	2026-03-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	5	1	—	—	$99,545.36	$203,812.72	$153,728.00	2026-03-01
L5969	HCPCS	Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty…	2	1	—	—	$202,735.57	$202,735.57	$202,735.57	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	59	24	—	—	$43,279.00	$201,150.92	$64,880.72	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	40	19	—	—	$89,320.00	$199,670.10	$98,884.24	2026-03-01
1599	OTHER	New Technology - Level 48	35	19	—	—	$93,129.97	$196,161.42	$95,278.40	2026-03-01
1585	OTHER	New Technology - Level 48	35	19	—	—	$93,129.97	$196,161.42	$95,278.40	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$165,933.59	$192,550.08	$169,285.79	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	59	24	—	—	$47,944.30	$191,040.38	$52,713.63	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	67	25	—	—	$15,728.00	$188,747.21	$58,827.77	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	67	25	—	—	$42,041.32	$185,369.00	$52,939.00	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	67	25	—	—	$39,870.36	$185,369.00	$49,614.06	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc Pediatric	5	1	—	—	$89,144.81	$182,518.25	$137,666.41	2026-03-01
37233	CPT	Revsc Tb/pr Ath Add Bi	86	26	$201,004.44	$201,004.44	$300.00	$180,904.00	$49,681.60	2026-03-01
37229	CPT	Revsc Tb/pr W Ath Ini Bi	86	29	$201,004.44	$201,004.44	$300.00	$180,904.00	$46,231.02	2026-03-01
37230	CPT	Revsc Tib/per Stnt Init	86	29	$134,002.95	$134,002.95	$300.00	$180,904.00	$46,231.02	2026-03-01
37225	CPT	Revsc Fem/pop W Ath Bi	86	29	$201,004.44	$201,004.44	$300.00	$180,904.00	$46,231.02	2026-03-01
37226	CPT	Revsc Fem/pop W Stnt	86	29	$134,002.95	$134,002.95	$300.00	$180,904.00	$46,231.02	2026-03-01
7	MS_DRG	Lung Transplant	35	19	—	—	$98,558.96	$180,605.43	$105,267.16	2026-03-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc Pediatric	5	1	—	—	$86,914.04	$177,950.89	$134,221.43	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	65	24	—	—	$27,527.00	$176,077.87	$51,365.18	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	67	25	—	—	$42,318.00	$175,741.75	$56,359.28	2026-03-01
1598	OTHER	New Technology - Level 47	35	19	—	—	$83,326.86	$175,512.94	$85,249.14	2026-03-01
1584	OTHER	New Technology - Level 47	35	19	—	—	$83,326.86	$175,512.94	$85,249.14	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	13	6	—	—	$98,913.14	$174,846.00	$99,912.26	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	55	24	—	—	$23,594.00	$174,740.65	$58,673.40	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	59	24	—	—	$7,093.00	$174,535.53	$59,104.31	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	41	20	—	—	$19,840.00	$173,629.55	$59,483.13	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	38	20	—	—	$55,409.85	$172,707.26	$59,181.21	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	57	25	—	—	$42,318.00	$172,605.59	$60,887.57	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	59	24	—	—	$49,464.00	$170,477.77	$57,630.23	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	35	19	—	—	$91,641.71	$167,929.84	$97,879.11	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	67	25	—	—	$42,318.00	$165,598.69	$56,359.28	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	67	25	—	—	$34,096.00	$165,457.73	$52,521.69	2026-03-01
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc Pediatric	5	1	—	—	$80,666.55	$165,159.57	$124,573.43	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	65	24	—	—	$16,222.00	$164,850.56	$46,865.02	2026-03-01
834	MS_DRG	Acute Leukemia With Mcc	59	24	—	—	$7,093.00	$164,050.93	$47,505.00	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	43	23	—	—	$45,575.00	$161,860.11	$55,630.22	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	55	24	—	—	$16,222.00	$161,741.49	$55,591.39	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	67	25	—	—	$42,318.00	$161,383.70	$54,164.55	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	59	24	—	—	$19,840.00	$158,621.60	$52,655.72	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	59	24	—	—	$19,840.00	$158,589.74	$54,559.62	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	59	24	—	—	$19,814.00	$157,840.95	$50,255.80	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	7	—	—	$135,715.57	$157,484.94	$138,457.29	2026-03-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	5	1	—	—	$76,767.67	$157,176.85	$118,552.38	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	7	—	—	$134,512.88	$156,089.34	$137,230.32	2026-03-01
137227	CDM	Fem/pop Revas Stnt/ather	46	24	$173,394.56	$173,394.56	$300.00	$156,055.10	$56,873.41	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	59	24	—	—	$7,093.00	$155,764.78	$55,212.32	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	59	24	—	—	$19,840.00	$155,523.39	$47,346.74	2026-03-01
1583	OTHER	New Technology - Level 46	35	19	—	—	$73,523.76	$154,864.48	$75,219.89	2026-03-01
1597	OTHER	New Technology - Level 46	35	19	—	—	$73,523.76	$154,864.48	$75,219.89	2026-03-01
837	MS_DRG	Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot…	59	24	—	—	$7,093.00	$154,485.23	$41,912.14	2026-03-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	59	24	—	—	$19,840.00	$154,279.22	$50,563.29	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	59	24	—	—	$29,175.00	$153,742.52	$48,523.88	2026-03-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	5	1	—	—	$74,374.05	$152,276.09	$114,855.92	2026-03-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	59	24	—	—	$37,797.33	$151,739.39	$41,557.28	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	13	6	—	—	$84,080.70	$148,628.00	$84,930.00	2026-03-01
84	APR_DRG	Autologous Bone Marrow Transplant	13	6	—	—	$83,743.80	$148,032.00	$84,589.70	2026-03-01
653	MS_DRG	Major Bladder Procedures With Mcc	59	24	—	—	$19,840.00	$147,977.08	$45,110.74	2026-03-01
E0767	HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	5	1	—	—	$88,675.27	$146,008.42	$130,719.58	2026-03-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective	59	24	—	—	$31,443.00	$145,567.35	$48,277.41	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	57	25	—	—	$42,318.00	$145,401.77	$51,720.04	2026-03-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	65	24	—	—	$16,222.00	$144,900.54	$43,893.18	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	35	19	—	—	$78,973.58	$144,715.99	$84,348.75	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	65	24	—	—	$34,733.00	$144,637.62	$48,183.75	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	35	19	—	—	$68,595.29	$144,483.57	$70,177.73	2026-03-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	65	24	—	—	$39,181.83	$144,483.11	$44,720.62	2026-03-01
326	MS_DRG	Stomach, Esophageal And Duodenal Procedures With Mcc	59	24	—	—	$19,840.00	$144,103.63	$43,405.80	2026-03-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc Pediat…	5	1	—	—	$69,002.99	$141,279.18	$106,561.38	2026-03-01
5832	APR_DRG	Neonate With Ecmo	14	7	—	—	$121,578.94	$141,080.74	$124,035.08	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	67	25	—	—	$15,728.00	$140,598.82	$45,762.53	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	55	24	—	—	$23,594.00	$139,604.19	$48,344.39	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	54	24	—	—	$25,286.00	$138,146.93	$47,867.34	2026-03-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	59	24	—	—	$19,840.00	$137,256.65	$42,702.61	2026-03-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	59	24	—	—	$19,840.00	$136,110.07	$47,212.96	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	55	24	—	—	$23,594.00	$136,091.75	$47,194.54	2026-03-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	65	24	—	—	$6,488.00	$136,063.99	$41,309.07	2026-03-01
64	APR_DRG	Pancreas Transplant	13	6	—	—	$76,967.43	$136,054.00	$77,744.88	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	35	19	—	—	$64,081.97	$134,977.06	$65,560.29	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	43	23	—	—	$13,314.00	$134,741.00	$46,752.35	2026-03-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	59	24	—	—	$19,840.00	$134,657.19	$43,007.71	2026-03-01
1596	OTHER	New Technology - Level 45	35	19	—	—	$63,720.65	$134,216.02	$65,190.64	2026-03-01
1582	OTHER	New Technology - Level 45	35	19	—	—	$63,720.65	$134,216.02	$65,190.64	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	7	—	—	$115,447.16	$133,965.39	$117,779.42	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	35	19	—	—	$62,998.19	$132,694.27	$64,451.51	2026-03-01
239	MS_DRG	Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc	59	24	—	—	$19,840.00	$130,542.50	$42,869.84	2026-03-01
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc Pediatric	5	1	—	—	$63,299.63	$129,601.92	$97,753.68	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	55	24	—	—	$16,222.00	$129,013.63	$44,877.41	2026-03-01
90288	CPT	Botulism Immune Globulin, Human, For Intravenous Use	3	1	—	—	$94,974.75	$127,607.10	$108,125.10	2026-03-01
L8687	HCPCS	Implantable Neurostimulator Pulse Generator, Dual Array, Rechargeable, Includes …	4	3	—	—	$14,324.19	$127,518.34	$71,342.57	2026-03-01
2004	APR_DRG	Cardiac Structural And Valvular Disorders	14	7	—	—	$107,282.21	$124,490.75	$109,449.53	2026-03-01
92924	CPT	Ptca Cor Sgl Arty Ld	75	24	$136,804.76	$136,804.76	$300.00	$124,264.32	$53,307.62	2026-03-01
5831	APR_DRG	Neonate With Ecmo	14	7	—	—	$107,052.67	$124,224.39	$109,215.35	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	35	19	—	—	$56,654.08	$119,331.56	$57,961.04	2026-03-01
72	APR_DRG	Allogeneic Bone Marrow Transplant	13	6	—	—	$66,458.57	$117,477.00	$67,129.87	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	35	19	—	—	$54,240.90	$114,248.63	$55,492.19	2026-03-01
1581	OTHER	New Technology - Level 44	35	19	—	—	$53,917.55	$113,567.56	$55,161.39	2026-03-01
1595	OTHER	New Technology - Level 44	35	19	—	—	$53,917.55	$113,567.56	$55,161.39	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	14	7	—	—	$97,868.28	$113,566.79	$99,845.42	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	14	7	—	—	$97,420.98	$113,047.73	$99,389.08	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	7	—	—	$97,169.06	$112,755.41	$99,132.08	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	14	7	—	—	$96,751.34	$112,270.69	$98,705.92	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	14	7	—	—	$95,785.02	$111,149.37	$97,720.08	2026-03-01
236	MS_DRG	Coronary Bypass Without Cardiac Catheterization Without Mcc	67	25	—	—	$33,553.36	$111,053.28	$42,318.00	2026-03-01
4404	APR_DRG	Kidney Transplant	13	6	—	—	$62,782.62	$110,979.00	$63,416.79	2026-03-01
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	14	7	—	—	$93,261.67	$108,221.26	$95,145.74	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	7	—	—	$92,426.25	$107,251.83	$94,293.45	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$92,317.36	$107,125.47	$97,912.35	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	14	7	—	—	$91,829.46	$106,559.31	$93,684.60	2026-03-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc Pediatric	5	1	—	—	$52,038.54	$106,545.55	$80,363.16	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	13	6	—	—	$57,811.41	$102,192.00	$58,395.36	2026-03-01
10	MS_DRG	Pancreas Transplant	35	19	—	—	$55,714.80	$102,095.18	$59,506.90	2026-03-01
83	APR_DRG	Autologous Bone Marrow Transplant	13	6	—	—	$56,604.56	$100,059.00	$57,176.32	2026-03-01
L8685	HCPCS	Implantable Neurostimulator Pulse Generator, Single Array, Rechargeable, Include…	4	3	—	—	$12,132.45	$97,983.31	$55,414.72	2026-03-01
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	7	—	—	$82,255.81	$95,450.01	$83,917.54	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	14	7	—	—	$82,209.91	$95,396.74	$87,192.33	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$81,522.82	$94,599.44	$83,169.74	2026-03-01
1580	OTHER	New Technology - Level 43	35	19	—	—	$44,114.45	$92,919.10	$45,132.13	2026-03-01
1594	OTHER	New Technology - Level 43	35	19	—	—	$44,114.45	$92,919.10	$45,132.13	2026-03-01
2464	APR_DRG	Gastrointestinal Vascular Insufficiency	14	7	—	—	$79,720.70	$92,508.25	$81,331.22	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	14	7	—	—	$79,309.43	$92,031.02	$80,911.64	2026-03-01
C8004	HCPCS	Simulation Angiogram With Use Of A Pressure-generating Catheter (e.g., One-way V…	5	1	—	—	$48,651.05	$91,064.78	$61,012.27	2026-03-01
1142	OTHER	Supprelin La Implant	35	19	—	—	$43,055.78	$90,689.21	$44,049.05	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	14	7	—	—	$76,961.36	$89,306.30	$78,516.14	2026-03-01
275506	CDM	Cage Spn 0d 16-25mm 14mm	26	16	$99,041.50	$99,041.50	$15,252.39	$89,137.35	$44,568.68	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	7	—	—	$76,731.07	$89,039.07	$78,281.19	2026-03-01
101281	CDM	Graft Evas 10cm 10mm	26	16	$97,710.00	$97,710.00	$15,047.34	$87,939.00	$43,969.50	2026-03-01
101961	CDM	Graft Evas 26x14.5m 14cm	26	16	$97,710.00	$97,710.00	$15,047.34	$87,939.00	$43,969.50	2026-03-01
101554	CDM	Graft Evas 31x14.5m 17cm	26	16	$97,710.00	$97,710.00	$15,047.34	$87,939.00	$43,969.50	2026-03-01
190662	CDM	Graft Evas 23x12mm 14cm	26	16	$97,710.00	$97,710.00	$15,047.34	$87,939.00	$43,969.50	2026-03-01
190680	CDM	Graft Evas 23x14.5m 16cm	26	16	$97,710.00	$97,710.00	$15,047.34	$87,939.00	$43,969.50	2026-03-01
101409	CDM	Graft Evas 35x14.5m 18cm	26	16	$97,710.00	$97,710.00	$15,047.34	$87,939.00	$43,969.50	2026-03-01
63	APR_DRG	Pancreas Transplant	13	6	—	—	$49,739.41	$87,923.20	$50,241.83	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	14	7	—	—	$74,591.28	$86,556.05	$76,098.17	2026-03-01
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	5	1	—	—	$41,864.37	$85,714.59	$64,651.18	2026-03-01
168691	CDM	Occluder Cv 18x18mm	26	16	$94,863.00	$94,863.00	$14,608.90	$85,376.70	$42,688.35	2026-03-01
C1817	HCPCS	Occluder Cv 9f 30mm	26	16	$94,863.00	$94,863.00	$14,608.90	$85,376.70	$42,688.35	2026-03-01
177256	CDM	Occluder Cv 25x18mm	26	16	$94,863.00	$94,863.00	$14,608.90	$85,376.70	$42,688.35	2026-03-01
168694	CDM	Occluder Cv 35x18mm	26	16	$94,863.00	$94,863.00	$14,608.90	$85,376.70	$42,688.35	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	35	19	—	—	$46,470.04	$85,154.53	$49,632.92	2026-03-01
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	5	1	—	—	$41,362.61	$84,687.28	$63,876.31	2026-03-01
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	7	—	—	$71,714.33	$83,217.63	$76,060.66	2026-03-01
734294	CDM	Valve Aortic Med	26	16	$92,367.00	$92,367.00	$14,224.52	$83,130.30	$41,565.15	2026-03-01
734296	CDM	Valve Aortic Lg	26	16	$92,367.00	$92,367.00	$14,224.52	$83,130.30	$41,565.15	2026-03-01
101364	CDM	Valve Aortic 29mm	26	16	$92,367.00	$92,367.00	$14,224.52	$83,130.30	$41,565.15	2026-03-01
739927	CDM	Valve Aortic Sm	26	16	$92,367.00	$92,367.00	$14,224.52	$83,130.30	$41,565.15	2026-03-01
739928	CDM	Valve Aortic Xl	26	16	$92,367.00	$92,367.00	$14,224.52	$83,130.30	$41,565.15	2026-03-01
101359	CDM	Valve Aortic 27mm	26	16	$92,367.00	$92,367.00	$14,224.52	$83,130.30	$41,565.15	2026-03-01
771101	CDM	Spcr Spn 19x50mm	26	16	$92,285.00	$92,285.00	$14,211.89	$83,056.50	$41,528.25	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	13	6	—	—	$46,441.71	$82,093.90	$46,910.82	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	7	—	—	$70,537.45	$81,851.97	$71,962.45	2026-03-01
L8688	HCPCS	Implantable Neurostimulator Pulse Generator, Dual Array, Non-rechargeable, Inclu…	4	3	—	—	$10,028.31	$81,367.92	$45,993.06	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	14	7	—	—	$69,964.94	$81,187.63	$71,378.38	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	35	19	—	—	$44,057.95	$80,734.47	$47,056.66	2026-03-01
62	APR_DRG	Pancreas Transplant	13	6	—	—	$44,988.63	$79,525.40	$45,443.06	2026-03-01
61	APR_DRG	Pancreas Transplant	13	6	—	—	$44,407.78	$78,498.60	$44,856.34	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	35	19	—	—	$42,779.56	$78,391.86	$45,691.26	2026-03-01
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	14	7	—	—	$66,983.28	$77,727.69	$68,336.48	2026-03-01
71	APR_DRG	Allogeneic Bone Marrow Transplant	13	6	—	—	$43,639.12	$77,139.90	$44,079.92	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	2	1	—	—	$77,046.96	$77,046.96	$77,046.96	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$66,361.83	$77,006.56	$70,383.76	2026-03-01
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	13	6	—	—	$43,320.43	$76,576.50	$43,758.01	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	7	—	—	$65,603.04	$76,126.06	$66,928.35	2026-03-01
338	MS_DRG	Appendectomy With Complicated Principal Diagnosis With Mcc	10	1	—	—	$35,791.45	$75,823.61	$53,485.78	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	40	19	—	—	$6,270.00	$75,000.00	$49,742.29	2026-03-01
8634	APR_DRG	Neonatal Aftercare	14	7	—	—	$64,585.50	$74,945.30	$65,890.26	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	14	7	—	—	$63,965.20	$74,225.49	$65,257.42	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	14	7	—	—	$62,938.17	$73,033.73	$66,752.61	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	7	—	—	$62,495.80	$72,520.40	$63,758.34	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	7	—	—	$62,474.55	$72,495.74	$63,736.67	2026-03-01
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	14	7	—	—	$60,862.51	$70,625.12	$62,092.06	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	7	—	—	$60,862.51	$70,625.12	$62,092.06	2026-03-01
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	14	7	—	—	$60,689.88	$70,424.80	$61,915.94	2026-03-01
J2505	HCPCS	Injection, Pegfilgrastim, 6 Mg	2	1	—	—	$68,956.21	$68,956.21	$68,956.21	2026-03-01
4414	APR_DRG	Major Bladder Procedures	14	7	—	—	$59,415.11	$68,945.56	$60,615.42	2026-03-01
1784	APR_DRG	External Heart Assist Devices	14	7	—	—	$55,648.86	$64,575.18	$59,021.52	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	7	—	—	$54,802.81	$63,593.42	$55,909.93	2026-03-01
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	14	7	—	—	$54,739.83	$63,520.34	$55,845.69	2026-03-01
1674	APR_DRG	Other Cardiothoracic And Thoracic Circulatory Procedures	14	7	—	—	$54,497.78	$63,239.46	$57,800.67	2026-03-01
341	MS_DRG	Appendectomy Without Complicated Principal Diagnosis With Mcc	10	1	—	—	$29,715.11	$62,950.97	$44,405.44	2026-03-01
6904	APR_DRG	Acute Leukemia	14	7	—	—	$54,008.36	$62,671.54	$55,099.44	2026-03-01
C2616	HCPCS	Brachytherapy Source, Non-stranded, Yttrium-90, Per Source	7	2	—	—	$16,257.00	$62,384.23	$55,718.52	2026-03-01
434	APR_DRG	Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies	14	7	—	—	$53,677.52	$62,287.64	$54,761.92	2026-03-01
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$53,617.20	$62,217.64	$54,700.38	2026-03-01
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	14	7	—	—	$51,997.95	$60,338.64	$53,048.41	2026-03-01
6334	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Anomaly	14	7	—	—	$50,904.91	$59,070.28	$51,933.29	2026-03-01
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	7	—	—	$50,594.56	$58,710.16	$51,616.68	2026-03-01
J0800	HCPCS	Injection, Corticotropin, Up To 40 Units	2	1	—	—	$58,615.82	$58,615.82	$58,615.82	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	14	7	—	—	$50,251.59	$58,312.17	$51,266.77	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	14	7	—	—	$49,759.89	$57,741.60	$50,765.14	2026-03-01
S3865	HCPCS	Comprehensive Gene Sequence Analysis For Hypertrophic Cardiomyopathy	6	1	—	—	$26,647.64	$57,324.93	$44,066.10	2026-03-01
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	14	7	—	—	$47,416.75	$55,022.61	$48,374.67	2026-03-01
6134	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection	14	7	—	—	$47,158.38	$54,722.80	$48,111.07	2026-03-01
4474	APR_DRG	Other Kidney, Urinary Tract And Related Non-percutaneous Procedures	14	7	—	—	$47,047.98	$54,594.69	$47,998.44	2026-03-01
234	APR_DRG	Spinal Procedures	14	7	—	—	$46,351.04	$53,785.94	$47,287.42	2026-03-01
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	14	7	—	—	$46,183.34	$53,591.35	$47,116.34	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	14	7	—	—	$45,589.97	$52,902.80	$46,510.98	2026-03-01
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	14	7	—	—	$45,588.07	$52,900.60	$46,509.04	2026-03-01
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	7	—	—	$45,019.74	$52,241.10	$45,929.23	2026-03-01
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	14	7	—	—	$44,812.21	$52,000.28	$45,717.51	2026-03-01
A0431	HCPCS	Ambulance Service, Conventional Air Services, Transport, One Way (rotary Wing)	2	1	—	—	$50,540.62	$50,540.62	$50,540.62	2026-03-01
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	14	7	—	—	$43,269.21	$50,209.78	$44,143.33	2026-03-01
264	APR_DRG	Other Nervous System And Related Procedures	14	7	—	—	$43,243.03	$50,179.41	$44,116.63	2026-03-01
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	14	7	—	—	$43,056.37	$49,962.80	$43,926.19	2026-03-01
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	14	7	—	—	$42,801.04	$49,666.51	$43,665.71	2026-03-01
1824	APR_DRG	Other Upper Vascular Procedures	14	7	—	—	$42,766.51	$49,626.45	$43,630.49	2026-03-01
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	14	7	—	—	$42,741.09	$49,596.95	$45,331.46	2026-03-01
7924	APR_DRG	Extensive O.r. Procedures For Other Complications Of Treatment	14	7	—	—	$42,041.49	$48,785.13	$42,890.81	2026-03-01
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	14	7	—	—	$42,031.24	$48,773.24	$42,880.36	2026-03-01
2054	APR_DRG	Cardiomyopathy	14	7	—	—	$41,912.49	$48,635.44	$42,759.21	2026-03-01
6954	APR_DRG	Chemotherapy For Acute Leukemia	14	7	—	—	$41,858.62	$48,572.93	$42,704.24	2026-03-01
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	14	7	—	—	$41,815.75	$48,523.18	$42,660.51	2026-03-01
52	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	14	7	—	—	$41,113.11	$47,707.83	$41,943.68	2026-03-01
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	14	7	—	—	$40,975.39	$47,548.02	$41,803.18	2026-03-01
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	14	7	—	—	$40,847.53	$47,399.66	$41,672.73	2026-03-01
0896T	CPT	Connection Of Liver Allograft To Normothermic Machine Perfusion Device, Hemostas…	5	1	—	—	$28,596.17	$47,078.18	$42,093.86	2026-03-01
0895T	CPT	Connection Of Liver Allograft To Normothermic Machine Perfusion Device, Hemostas…	5	1	—	—	$28,596.17	$47,078.18	$42,093.86	2026-03-01
0894T	CPT	Cannulation Of The Liver Allograft In Preparation For Connection To The Normothe…	7	2	—	—	$1,017.00	$47,078.18	$42,093.86	2026-03-01
0936T	CPT	Photobiomodulation Therapy Of Retina, Single Session	5	1	—	—	$28,596.17	$47,078.18	$42,093.86	2026-03-01
6144	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition…	14	7	—	—	$40,418.44	$46,901.73	$41,234.97	2026-03-01
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	14	7	—	—	$40,349.77	$46,822.05	$42,795.21	2026-03-01
A0430	HCPCS	Ambulance Service, Conventional Air Services, Transport, One Way (fixed Wing)	2	1	—	—	$43,470.26	$43,470.26	$43,470.26	2026-03-01
J9371	HCPCS	Injection, Vincristine Sulfate Liposome, 1 Mg	8	2	—	—	$42,903.48	$42,903.48	$42,903.48	2026-03-01
J0350	HCPCS	Injection, Anistreplase, Per 30 Units	2	1	—	—	$41,711.38	$41,711.38	$41,711.38	2026-03-01

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