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

CORPUS CHRISTI MEDICAL CENTER,THE

Corpus Christi, TX · CCN 450788 · Rates published

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You selected 29916 (CPT)

Arthroscopy, hip, surgical; with labral repair

This hospital’s price: $2,638 across 19 payers · range $1,108-$15,749

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/75-2387418_Corpus-Christi-Medical-Center---Doctors-Regional_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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

36,439 distinct procedures filed
67 distinct payers
4,554,043 rate rows
2026-07-17 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/75-2387418_Corpus-Christi-Medical-Center---Doctors-Regional_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.ccmedicalcenter.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-11-02
Content fingerprint f4562632c892a0a6… · 681,309,736 bytes · first seen 2026-05-09

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
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
1.0× median
845
OTHER 		Inj, Atidarsagene Autotem 17 $4,928.82 $4,910,450.00 $4,505,000.00 nat. median
$17,157
outlier · 262.6×
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 16 $3,489,255.00 $4,016,941.03 $3,709,629.00 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,562,713.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 15 $3,424,750.00 $3,857,350.00 $3,629,333.75 nat. median
$3,646,097
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 18 $5,462.27 $4,622,382.45 $3,347,901.82 nat. median
$3,325,455
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 17 $10,031.19 $3,636,043.80 $3,335,820.00 nat. median
$30,519
outlier · 109.3×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$15,086
outlier · 221.1×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,225,691.35 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 18 $9,009.99 $4,567,540.00 $3,286,000.00 nat. median
$3,252,508
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,187,420.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,084,600
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 17 $6,573.31 $3,466,200.00 $3,180,000.00 nat. median
$25,088
outlier · 126.8×
746
OTHER 		Inj, Betibeglogene Autote 19 $8,002.67 $4,739,230.03 $2,969,368.69 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,878,960.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 18 $2,269,183.30 $4,729,455.72 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,316,955.58 $2,588,981.00 $2,588,981.00 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 20 $13,671.02 $4,897,200.00 $2,355,320.00 nat. median
$2,285,360
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $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 $1,590,210.72 $1,751,430.24 $1,670,820.48 nat. median
$813,967
outlier · 2.1×
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $598,237.50 $1,264,788.00 $1,206,576.00 nat. median
$319,951
outlier · 3.8×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 $492,271.12 $1,263,446.58 $1,091,527.05 nat. median
$646,415
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 $470,149.30 $1,199,875.72 $998,594.58 nat. median
$623,527
1.6× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 $459,839.17 $1,208,732.67 $976,694.53 nat. median
$640,950
1.5× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 $435,956.80 $1,052,317.93 $887,904.12 nat. median
$592,235
1.5× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 $23.13 $1,218,042.30 $875,953.20 nat. median
$739,658
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 $6.08 $1,144,213.32 $807,918.00 nat. median
$608,239
1.3× median
2067
OTHER 		Afamitresgene Autoleucel 18 $732,089.00 $1,618,302.00 $778,326.20 nat. median
$793,739
1.0× median
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $603,802.50 $665,017.50 $665,017.50 nat. median
$459,112
1.4× median
9498
OTHER 		Ciltacabtagene Car-pos T 19 $500,767.23 $1,234,064.16 $587,649.60 nat. median
$587,650
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $511,309.70 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $513,317.11 $566,531.30 $566,531.30 nat. median
$549,535
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 19 $502,733.26 $1,189,715.73 $566,531.30 nat. median
$577,862
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $501,224.32 $562,201.20 $562,201.20 nat. median
$545,335
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 19 $490,889.79 $1,180,622.52 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 19 $500,258.22 $1,171,971.78 $558,182.86 nat. median
$563,449
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $510,789.97 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 19 $464,983.20 $1,117,603.62 $532,192.20 nat. median
$533,230
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $474,772.32 $532,192.20 $532,192.20 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 19 $437,503.88 $1,027,845.42 $489,450.20 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $446,714.49 $489,450.20 $489,450.20 nat. median
$474,767
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $433,588.39 $433,588.39 $433,588.39 nat. median
$209,753
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $2,250.00 $601,752.32 $343,946.96 nat. median
$359,244
1.0× median
5834
APR_DRG 		Neonate With Ecmo 9 $1,139.00 $408,749.84 $333,539.87 nat. median
$307,273
1.1× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 8 $1,139.00 $556,685.00 $320,270.82 nat. median
$170,172
1.9× median
5833
APR_DRG 		Neonate With Ecmo 9 $1,139.00 $346,114.34 $282,429.30 nat. median
$244,017
1.2× median
831
OTHER 		Obecbtge Autol Up To 400 20 $3,031.74 $584,325.00 $281,032.50 nat. median
$24,155
outlier · 11.6×
00831
OTHER 		Obecbtge Autol Up To 400 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$272,685
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 8 $1,139.00 $466,133.00 $268,175.34 nat. median
$241,734
1.1× median

Other procedures at this hospital

Browse this hospital's 36,439 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
             
00845 OTHER Inj, Atidarsagene Autotem 3 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 91 17 $12,377.24 — $4,928.82 $4,910,450.00 $4,505,000.00 2026-07-17
9138 OTHER Inj, Hemgenix, Per Tx Dos 113 16 — — $3,489,255.00 $4,016,941.03 $3,709,629.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 4 2 — — $3,562,713.00 $3,685,267.00 $3,685,267.00 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 26 15 $3,406.76 — $3,424,750.00 $3,857,350.00 $3,629,333.75 2026-07-17
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 118 18 $13,658.20 — $5,462.27 $4,622,382.45 $3,347,901.82 2026-07-17
908 OTHER Topi Adm Prad Zami Per Tr 91 17 $26,141.60 — $10,031.19 $3,636,043.80 $3,335,820.00 2026-07-17
00908 OTHER Topi Adm Prad Zami Per Tr 3 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 4 2 — — $3,225,691.35 $3,327,860.00 $3,327,860.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 118 18 $18,875.24 — $9,009.99 $4,567,540.00 $3,286,000.00 2026-07-17
00748 OTHER Inj, Lovotibeglogene Auto 4 2 — — $3,187,420.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 3 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 91 17 $23,087.52 — $6,573.31 $3,466,200.00 $3,180,000.00 2026-07-17
746 OTHER Inj, Betibeglogene Autote 124 19 $20,536.97 — $8,002.67 $4,739,230.03 $2,969,368.69 2026-07-17
00746 OTHER Inj, Betibeglogene Autote 4 2 — — $2,878,960.00 $2,939,969.00 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 121 18 — — $2,269,183.30 $4,729,455.72 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 4 2 — — $2,316,955.58 $2,588,981.00 $2,588,981.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 103 20 $28,798.99 — $13,671.02 $4,897,200.00 $2,355,320.00 2026-07-17
00824 OTHER Inj, Exagamglogene Autote 3 1 — — $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… 21 2 — — $1,590,210.72 $1,751,430.24 $1,670,820.48 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 21 2 — — $598,237.50 $1,264,788.00 $1,206,576.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 33 6 $1,059,735.00 — $492,271.12 $1,263,446.58 $1,091,527.05 2026-07-17
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 33 6 $956,040.50 — $470,149.30 $1,199,875.72 $998,594.58 2026-07-17
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 33 6 $935,073.70 — $459,839.17 $1,208,732.67 $976,694.53 2026-07-17
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 33 6 $964,817.66 — $435,956.80 $1,052,317.93 $887,904.12 2026-07-17
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 39 6 $1,007,149.23 — $23.13 $1,218,042.30 $875,953.20 2026-07-17
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 39 6 $965,878.60 — $6.08 $1,144,213.32 $807,918.00 2026-07-17
2067 OTHER Afamitresgene Autoleucel 99 18 — — $732,089.00 $1,618,302.00 $778,326.20 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 15 1 — — $603,802.50 $665,017.50 $665,017.50 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 128 19 $1,005,795.00 — $500,767.23 $1,234,064.16 $587,649.60 2026-07-17
09498 OTHER Ciltacabtagene Car-pos T 4 2 — — $511,309.70 $587,649.60 $587,649.60 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 4 2 — — $513,317.11 $566,531.30 $566,531.30 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 128 19 $953,098.86 — $502,733.26 $1,189,715.73 $566,531.30 2026-07-17
09413 OTHER Lisocabtagene Car Pos T 4 2 — — $501,224.32 $562,201.20 $562,201.20 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 128 19 $913,327.80 — $490,889.79 $1,180,622.52 $562,201.20 2026-07-17
9422 OTHER Idecabtagene Vicleucel Ca 128 19 $933,807.00 — $500,258.22 $1,171,971.78 $558,182.86 2026-07-17
09422 OTHER Idecabtagene Vicleucel Ca 4 2 — — $510,789.97 $558,081.80 $558,081.80 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 128 19 $888,058.02 — $464,983.20 $1,117,603.62 $532,192.20 2026-07-17
09035 OTHER Axicabtagene Ciloleucel C 4 2 — — $474,772.32 $532,192.20 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 128 19 $888,174.00 — $437,503.88 $1,027,845.42 $489,450.20 2026-07-17
09391 OTHER Brexucabtagene Car Pos T 4 2 — — $446,714.49 $489,450.20 $489,450.20 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 6 1 — — $433,588.39 $433,588.39 $433,588.39 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 144 22 — — $2,250.00 $601,752.32 $343,946.96 2026-03-01
5834 APR_DRG Neonate With Ecmo 61 9 — — $1,139.00 $408,749.84 $333,539.87 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 57 8 — — $1,139.00 $556,685.00 $320,270.82 2026-03-01
5833 APR_DRG Neonate With Ecmo 61 9 — — $1,139.00 $346,114.34 $282,429.30 2026-03-01
831 OTHER Obecbtge Autol Up To 400 103 20 $16,347.42 — $3,031.74 $584,325.00 $281,032.50 2026-07-17
00831 OTHER Obecbtge Autol Up To 400 3 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 57 8 — — $1,139.00 $466,133.00 $268,175.34 2026-03-01
897 OTHER Revakinagene, Per Implant 99 18 $12,130.12 — $251,750.00 $556,500.00 $267,650.00 2026-07-17
00897 OTHER Revakinagene, Per Implant 3 1 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 $413,597.55 — $152,774.51 $227,619.00 $227,619.00 2026-07-17
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 152 21 — — $2,250.00 $392,498.78 $226,711.70 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 63 7 — — $61,600.24 $387,200.00 $222,817.80 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 61 9 — — $1,139.00 $258,731.94 $211,125.26 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 61 9 — — $194,429.06 $251,246.46 $211,047.03 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 103 20 $17,822.01 — $5,716.92 $423,504.90 $203,685.69 2026-07-17
00886 OTHER Inj. Remestemcel-l-rknd/ 3 1 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 $322,678.89 — $185,148.26 $200,080.70 $200,080.70 2026-07-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 61 9 — — $1,139.00 $235,378.38 $192,068.75 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 174 23 — — $2,250.00 $273,511.14 $176,483.37 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 192 25 — — $2,250.00 $297,570.00 $175,464.14 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 61 9 — — $1,139.00 $192,513.81 $157,091.27 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 43 5 $221,151.89 — $77,885.16 $233,455.55 $156,515.70 2026-07-17
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 61 9 — — $1,139.00 $190,807.79 $155,699.15 2026-03-01
1907 OTHER New Technology - Level 52 128 19 $306,012.69 — $139,686.00 $314,889.96 $151,447.08 2026-07-17
1908 OTHER New Technology - Level 52 128 19 $306,012.69 — $139,686.00 $314,889.96 $151,447.08 2026-07-17
01908 OTHER New Technology - Level 52 4 2 — — $142,626.76 $148,318.90 $148,318.90 2026-03-01
01907 OTHER New Technology - Level 52 4 2 — — $142,626.76 $148,318.90 $148,318.90 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 47 7 $287,436.63 — $53,789.99 $303,428.00 $145,522.77 2026-07-17
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 $262,639.00 — $124,012.27 $141,020.90 $141,020.90 2026-07-17
5832 APR_DRG Neonate With Ecmo 61 9 — — $1,139.00 $172,460.88 $140,728.07 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 8 1 $3,000.00 — $121,762.50 $152,933.70 $136,617.52 2026-07-17
1905 OTHER New Technology - Level 51 128 19 $275,913.18 — $125,946.44 $283,917.27 $136,550.69 2026-07-17
1906 OTHER New Technology - Level 51 128 19 $275,913.18 — $125,946.44 $283,917.27 $136,550.69 2026-07-17
01906 OTHER New Technology - Level 51 4 2 — — $128,597.94 $133,730.20 $133,730.20 2026-03-01
01905 OTHER New Technology - Level 51 4 2 — — $128,597.94 $133,730.20 $133,730.20 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 61 9 — — $1,139.00 $163,762.89 $133,630.52 2026-03-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 15 1 — — $113,137.42 $146,008.42 $133,012.91 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 43 5 $375,012.08 — $111,252.03 $395,875.66 $130,339.39 2026-07-17
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 71 8 $210,748.03 — $43,241.44 $222,472.88 $125,851.01 2026-07-17
2004 APR_DRG Cardiac Structural And Valvular Disorders 61 9 — — $1,139.00 $152,180.83 $124,179.55 2026-03-01
5831 APR_DRG Neonate With Ecmo 61 9 — — $1,139.00 $151,855.22 $123,913.86 2026-03-01
1904 OTHER New Technology - Level 50 128 19 $245,813.67 — $112,206.88 $252,944.58 $121,654.30 2026-07-17
1903 OTHER New Technology - Level 50 128 19 $245,813.67 — $112,206.88 $252,944.58 $121,654.30 2026-07-17
01904 OTHER New Technology - Level 50 4 2 — — $114,569.13 $119,141.50 $119,141.50 2026-03-01
01903 OTHER New Technology - Level 50 4 2 — — $114,569.13 $119,141.50 $119,141.50 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 192 25 — — $2,250.00 $234,010.00 $115,487.09 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 61 9 — — $1,139.00 $138,827.09 $113,282.90 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 57 8 — — $1,139.00 $196,433.00 $113,010.90 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 61 9 — — $1,139.00 $138,192.58 $112,765.14 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 61 9 — — $1,139.00 $137,835.22 $112,473.54 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 61 9 — — $1,139.00 $137,242.70 $111,990.04 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 140 21 $582,891.99 — $95,000.00 $615,320.86 $111,492.00 2026-07-17
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 61 9 — — $1,139.00 $135,871.96 $110,871.52 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 $158,843.22 — $87,196.05 $110,126.20 $110,126.20 2026-07-17
1613 APR_DRG Implantable Heart Assist Systems 61 9 — — $101,338.86 $130,953.05 $110,000.56 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 61 9 — — $1,139.00 $132,292.56 $107,950.73 2026-03-01
52184 CDM Ins Lvad Sgl Vtrcl Extr 199 34 $326,446.23 $326,446.23 $300.00 $277,479.30 $107,727.26 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 61 9 — — $1,139.00 $131,107.50 $106,983.72 2026-03-01
1902 OTHER New Technology - Level 49 128 19 $215,714.16 — $98,467.31 $221,971.89 $106,757.91 2026-07-17
1901 OTHER New Technology - Level 49 128 19 $215,714.16 — $98,467.31 $221,971.89 $106,757.91 2026-07-17
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 61 9 — — $1,139.00 $130,260.95 $106,292.94 2026-03-01
7 MS_DRG Lung Transplant 139 20 — — $2,250.00 $182,101.19 $105,066.73 2026-03-01
01901 OTHER New Technology - Level 49 4 2 — — $100,540.31 $104,552.80 $104,552.80 2026-03-01
01902 OTHER New Technology - Level 49 4 2 — — $100,540.31 $104,552.80 $104,552.80 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 135 20 — — $2,250.00 $182,561.04 $101,465.90 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 9 1 $101,856.21 — $100,053.67 $100,394.53 $100,394.53 2026-07-17
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 4 2 $43,073.69 — $78,901.76 $98,695.81 $98,695.81 2026-07-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 61 9 — — $90,243.30 $116,615.52 $97,957.04 2026-03-01
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 8 1 $91,237.90 — $96,313.87 $96,313.87 $96,313.87 2026-07-17
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 150 22 $93,170.00 — $86,480.30 $199,670.10 $96,262.81 2026-07-17
14 APR_DRG Liver Transplant And/or Intestinal Transplant 57 8 — — $1,139.00 $166,977.00 $96,064.62 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 57 8 — — $1,139.00 $166,308.00 $95,680.08 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 61 9 — — $1,139.00 $116,680.65 $95,211.41 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 4 2 — — $70,389.27 $112,534.62 $94,879.89 2024-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 61 9 — — $1,139.00 $115,640.89 $94,362.96 2026-03-01
1585 OTHER New Technology - Level 48 128 19 $190,631.23 — $87,017.71 $196,161.42 $94,344.30 2026-07-17
1599 OTHER New Technology - Level 48 128 19 $190,631.23 — $87,017.71 $196,161.42 $94,344.30 2026-07-17
01599 OTHER New Technology - Level 48 4 2 — — $88,849.66 $92,395.59 $92,395.59 2026-03-01
01585 OTHER New Technology - Level 48 4 2 — — $88,849.66 $92,395.59 $92,395.59 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 152 21 — — $2,250.00 $249,007.00 $92,279.05 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 61 9 — — $1,139.00 $113,084.56 $92,277.00 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 156 24 — — $2,250.00 $157,727.48 $92,176.34 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 61 9 — — $1,139.00 $112,501.18 $91,800.96 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 185 26 — — $2,250.00 $160,385.00 $89,824.87 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 61 9 — — $1,139.00 $109,170.41 $89,083.06 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 61 9 — — $1,139.00 $108,843.74 $88,816.49 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 204 26 — — $2,250.00 $151,795.35 $88,662.57 2026-03-01
64 APR_DRG Pancreas Transplant 57 8 — — $1,139.00 $152,851.00 $87,937.26 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 61 9 — — $1,139.00 $105,808.44 $86,339.68 2026-03-01
64565 CPT HPercutaneous Implantation Of Neurostimulator Electrode Array; Neuromuscular 12 2 $93,169.00 — $11,460.00 $97,883.00 $86,202.00 2026-07-17
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 61 9 — — $78,722.42 $101,727.45 $85,451.06 2026-03-01
007 OTHER Lung Transplant 4 2 $141,516.72 — $69,905.62 $84,639.52 $84,639.52 2026-07-17
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 139 20 — — $2,250.00 $148,388.24 $84,492.96 2026-03-01
1584 OTHER New Technology - Level 47 128 19 $170,564.89 — $77,857.99 $175,512.94 $84,413.37 2026-07-17
1598 OTHER New Technology - Level 47 128 19 $170,564.89 — $77,857.99 $175,512.94 $84,413.37 2026-07-17
215 MS_DRG Other Heart Assist System Implant 204 27 — — $2,250.00 $186,514.14 $84,071.44 2026-03-01
01598 OTHER New Technology - Level 47 4 2 — — $79,497.11 $82,669.79 $82,669.79 2026-03-01
01584 OTHER New Technology - Level 47 4 2 — — $79,497.11 $82,669.79 $82,669.79 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 216 27 — — $37,501.00 $181,600.90 $82,393.88 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 61 9 — — $1,139.00 $100,058.04 $81,647.36 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 61 9 — — $1,139.00 $99,245.93 $80,984.67 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 61 9 — — $72,846.34 $94,134.88 $79,073.29 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 61 9 — — $1,139.00 $95,016.41 $77,533.39 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 61 9 — — $1,139.00 $93,058.53 $75,935.76 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 57 8 — — $1,139.00 $131,981.00 $75,930.84 2026-03-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 8 1 — — $67,612.00 $84,979.00 $75,810.50 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 $234,786.00 — $69,778.80 $75,015.59 $75,015.59 2026-07-17
1611 APR_DRG Implantable Heart Assist Systems 61 9 — — $69,089.02 $89,278.39 $74,993.85 2026-03-01
8634 APR_DRG Neonatal Aftercare 61 9 — — $1,139.00 $91,615.15 $74,757.96 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 67 6 $139,283.54 — $44,209.25 $147,032.50 $74,698.90 2026-07-17
1597 OTHER New Technology - Level 46 128 19 $150,498.55 — $68,698.28 $154,864.48 $74,482.44 2026-07-17
1583 OTHER New Technology - Level 46 128 19 $150,498.55 — $68,698.28 $154,864.48 $74,482.44 2026-07-17
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 61 9 — — $1,139.00 $90,735.22 $74,039.94 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 185 26 — — $2,250.00 $127,699.00 $73,930.40 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 177 25 — — $2,250.00 $128,359.47 $73,257.17 2026-03-01
01597 OTHER New Technology - Level 46 4 2 — — $70,144.56 $72,943.98 $72,943.98 2026-03-01
01583 OTHER New Technology - Level 46 4 2 — — $70,144.56 $72,943.98 $72,943.98 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 61 9 — — $1,139.00 $88,650.88 $72,339.11 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 61 9 — — $1,139.00 $88,620.74 $72,314.52 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 4 2 $129,988.07 — $72,247.75 $81,020.12 $72,247.75 2026-07-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 180 25 — — $64,088.08 $160,820.00 $72,053.49 2026-03-01
4404 APR_DRG Kidney Transplant 57 8 — — $1,139.00 $124,681.00 $71,730.48 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 4 2 $132,420.42 — $57,358.17 $71,486.76 $71,486.76 2026-07-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 220 28 — — $16,050.00 $157,661.92 $71,389.65 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 61 9 — — $1,139.00 $86,334.04 $70,448.57 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 61 9 — — $1,139.00 $86,334.04 $70,448.57 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 61 9 — — $1,139.00 $86,089.16 $70,248.76 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $51,585.34 $82,471.91 $69,533.49 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 132 21 — — $62,578.11 $144,483.57 $69,275.90 2026-03-01
4414 APR_DRG Major Bladder Procedures 61 9 — — $1,139.00 $84,280.90 $68,773.21 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 2 $47,457.60 — $42,505.47 $66,995.35 $66,995.35 2026-07-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 196 26 — — $2,250.00 $185,528.00 $66,895.58 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 57 8 — — $1,139.00 $114,808.00 $66,051.12 2026-03-01
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Pulse… 28 5 $20,364.00 — $10,694.00 $69,884.98 $65,808.35 2026-07-17
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 33 5 $20,364.00 — $766.34 $69,884.98 $65,808.35 2026-07-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 220 28 — — $16,050.00 $145,753.93 $65,276.28 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 71 8 $99,490.06 — $25,008.06 $105,025.13 $65,016.60 2026-07-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 220 28 — — $16,050.00 $127,271.75 $65,007.05 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 61 9 — — $59,823.12 $77,305.61 $64,936.71 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 132 21 $22,888.62 — $12,515.22 $134,977.06 $64,917.54 2026-07-17
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 2 $49,333.01 — $24,521.42 $64,707.61 $64,707.61 2026-07-17
83 APR_DRG Autologous Bone Marrow Transplant 57 8 — — $1,139.00 $112,412.00 $64,672.08 2026-03-01
1582 OTHER New Technology - Level 45 128 19 $130,432.21 — $59,538.57 $134,216.02 $64,551.51 2026-07-17
1596 OTHER New Technology - Level 45 128 19 $130,432.21 — $59,538.57 $134,216.02 $64,551.51 2026-07-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 196 26 — — $2,250.00 $119,216.76 $64,505.23 2026-03-01
1784 APR_DRG External Heart Assist Devices 61 9 — — $1,139.00 $78,938.44 $64,413.76 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 4 2 — — $61,454.13 $64,274.79 $64,274.79 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 61 9 — — $1,139.00 $77,738.30 $63,434.45 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 61 9 — — $1,139.00 $77,648.96 $63,361.55 2026-03-01
01582 OTHER New Technology - Level 45 4 2 — — $60,792.01 $63,218.19 $63,218.19 2026-03-01
01596 OTHER New Technology - Level 45 4 2 — — $60,792.01 $63,218.19 $63,218.19 2026-03-01
5244 OTHER Level 4 Blood Product Exc 128 19 $82,326.13 — $47,691.10 $132,694.27 $63,187.75 2026-07-17
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 4 2 — — $46,679.24 $74,628.29 $62,920.40 2024-10-01
6904 APR_DRG Acute Leukemia 61 9 — — $1,139.00 $76,611.36 $62,514.87 2026-03-01
05244 OTHER Level 4 Blood Product Exc 4 2 — — $48,695.13 $62,501.41 $62,501.41 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 2 $171,240.34 — $51,520.08 $62,175.93 $62,175.93 2026-07-17
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 156 22 — — $2,250.00 $110,458.56 $62,158.45 2026-03-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 61 9 — — $1,139.00 $76,142.08 $62,131.93 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 61 9 — — $1,139.00 $76,056.50 $62,062.10 2026-03-01
10 MS_DRG Pancreas Transplant 139 20 — — $2,250.00 $111,098.18 $61,188.23 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 169 25 — — $53,788.08 $119,006.00 $60,819.77 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 61 9 — — $1,139.00 $73,759.58 $60,187.81 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 50 9 — — $55,461.63 $62,949.42 $59,951.82 2026-07-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 185 26 — — $2,250.00 $100,691.00 $59,778.97 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 128 19 $125,567.03 — $53,983.32 $137,500.82 $59,665.78 2026-07-17
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 1 $350.00 — $59,643.07 $59,643.07 $59,643.07 2026-07-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 174 23 — — $2,250.00 $93,901.03 $59,416.29 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 192 26 — — $2,250.00 $96,938.83 $59,041.72 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 50 9 — — $54,892.02 $61,912.97 $58,964.74 2026-07-17
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 2 $176,592.00 — $58,956.03 $59,518.64 $58,956.03 2026-07-17
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 61 9 — — $1,139.00 $72,209.09 $58,922.62 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 61 9 — — $1,139.00 $71,768.86 $58,563.39 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 61 9 — — $1,139.00 $71,282.35 $58,166.40 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 61 9 — — $1,139.00 $70,584.88 $57,597.26 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 196 26 — — $2,250.00 $101,037.60 $57,571.93 2026-03-01
453 OTHER $950.00 1 1 $106,821.66 — $57,227.25 $57,227.25 $57,227.25 2026-07-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 169 25 — — $29,483.00 $102,654.00 $57,101.04 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 208 26 — — $16,050.00 $125,959.13 $57,086.95 2026-03-01
63 APR_DRG Pancreas Transplant 57 8 — — $1,139.00 $98,778.10 $56,828.28 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 4 2 — — $56,824.55 $63,512.28 $56,824.55 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 220 28 — — $16,050.00 $117,280.03 $56,304.69 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 220 28 — — $16,050.00 $113,952.00 $56,304.69 2026-03-01
54683 CDM Valve Aor 27mm C-e 24 20 $93,812.00 $93,812.00 $13,133.68 $84,430.80 $56,287.20 2024-10-01
53705 CDM Valve Aor 29mm 24 20 $93,812.00 $93,812.00 $13,133.68 $84,430.80 $56,287.20 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 171 25 — — $42,435.05 $91,293.76 $56,110.29 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 4 2 $148,667.11 — $46,248.29 $55,805.31 $55,805.31 2026-07-17
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 4 2 $51,203.34 — $26,764.54 $55,625.20 $55,625.20 2026-07-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 177 25 — — $2,250.00 $93,176.38 $55,574.62 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 128 19 $112,361.62 — $51,683.90 $115,531.98 $55,386.58 2026-07-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 192 26 — — $2,250.00 $90,127.40 $55,160.65 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 61 9 — — $1,139.00 $67,261.11 $54,885.07 2026-03-01
1581 OTHER New Technology - Level 44 128 19 $110,365.87 — $50,378.86 $113,567.56 $54,620.59 2026-07-17
1595 OTHER New Technology - Level 44 128 19 $110,365.87 — $50,378.86 $113,567.56 $54,620.59 2026-07-17
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 61 9 — — $1,139.00 $66,894.61 $54,586.00 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 61 9 — — $1,139.00 $66,738.00 $54,458.21 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 4 2 — — $53,364.77 $54,404.11 $54,404.11 2026-03-01
53742 CDM Valve Mitral 25mm 102 21 $98,150.00 $98,150.00 $12,605.74 $83,427.50 $54,003.55 2026-03-01
53743 CDM Valve Mitral 27mm 102 21 $98,150.00 $98,150.00 $12,605.74 $83,427.50 $54,003.55 2026-03-01
53745 CDM Valve Mitral 31mm 102 21 $98,150.00 $98,150.00 $12,605.74 $83,427.50 $54,003.55 2026-03-01
55389 CDM Valve Mtrl 23mm Crp-ed P 102 21 $98,150.00 $98,150.00 $12,605.74 $83,427.50 $54,003.55 2026-03-01
234 APR_DRG Spinal Procedures 61 9 — — $1,139.00 $65,749.38 $53,651.49 2026-03-01
01581 OTHER New Technology - Level 44 4 2 — — $51,439.47 $53,492.39 $53,492.39 2026-03-01
01595 OTHER New Technology - Level 44 4 2 — — $51,439.47 $53,492.39 $53,492.39 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 50 9 — — $52,015.92 $57,621.30 $53,459.32 2026-07-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 61 9 — — $1,139.00 $65,511.50 $53,457.38 2026-03-01
105624 CDM Pump Pain Infn 20ml 24 20 $88,803.00 $88,803.00 $12,432.42 $79,922.70 $53,281.80 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 57 8 — — $1,139.00 $92,229.20 $53,060.40 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 61 9 — — $1,139.00 $64,669.80 $52,770.56 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 61 9 — — $1,139.00 $64,667.11 $52,768.36 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 184 26 — — $16,050.00 $126,158.00 $52,669.69 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 169 25 — — $47,378.58 $101,305.00 $52,663.36 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 196 26 — — $2,250.00 $94,010.77 $52,611.94 2026-03-01
106019 CDM Pump Pain Infn 148gm 102 21 $94,128.00 $94,128.00 $12,432.42 $80,008.80 $52,526.10 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 220 28 — — $16,050.00 $107,698.29 $52,211.93 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 61 9 — — $1,139.00 $63,860.92 $52,110.51 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 50 9 — — $45,703.62 $54,689.60 $52,085.33 2026-07-17
55391 CDM Valve Mtral 29mm 102 21 $94,632.00 $94,632.00 $12,153.96 $80,437.20 $52,068.00 2026-03-01
55390 CDM Valve Mitral 27mm 102 21 $94,632.00 $94,632.00 $12,153.96 $80,437.20 $52,068.00 2026-03-01
51709 CDM Valve Mitral 25mm 102 21 $94,632.00 $94,632.00 $12,153.96 $80,437.20 $52,068.00 2026-03-01
55392 CDM Valve Mitral 31mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
53700 CDM Valve Aortic 19mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
53744 CDM Valve Mitral 29mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
53746 CDM Valve Mitral 33mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
55393 CDM Valve Mitral 33mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
53702 CDM Valve Aortic 23mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
53701 CDM Valve Aortic 21mm 102 21 $94,554.00 $94,554.00 $12,143.88 $80,370.90 $52,024.95 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 61 9 — — $1,139.00 $63,566.54 $51,870.29 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 196 26 — — $2,250.00 $93,548.10 $51,692.82 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 50 9 — — $48,016.64 $53,997.97 $51,426.64 2026-07-17
62 APR_DRG Pancreas Transplant 57 8 — — $1,139.00 $89,343.50 $51,400.86 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 180 25 — — $44,036.10 $121,473.33 $51,325.18 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 61 9 — — $46,917.50 $60,628.64 $50,928.06 2026-03-01
61 APR_DRG Pancreas Transplant 57 8 — — $1,139.00 $88,190.00 $50,736.84 2026-03-01
C1882 HCPCS Aicd Concerto Crt-d 400 20 $92,449.00 $92,449.00 $11,520.32 $114,034.50 $50,565.98 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 4 2 $104,154.00 — $44,300.89 $50,548.73 $50,548.73 2026-07-17
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 140 21 $261,442.34 — $45,483.72 $275,987.53 $50,507.27 2026-07-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 220 28 — — $16,050.00 $98,062.37 $50,463.26 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 149 22 — — $6,270.00 $75,000.00 $50,401.09 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 135 20 — — $2,250.00 $85,089.16 $50,180.91 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 140 21 $259,318.04 — $45,114.07 $273,745.06 $50,096.81 2026-07-17
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 61 9 — — $1,139.00 $61,377.79 $50,084.27 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 61 9 — — $1,139.00 $61,340.65 $50,053.97 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 2 $90,796.58 — $38,665.08 $49,886.15 $49,886.15 2026-07-17
71 APR_DRG Allogeneic Bone Marrow Transplant 57 8 — — $1,139.00 $86,663.50 $49,858.62 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 61 9 — — $1,139.00 $61,075.86 $49,837.90 2026-03-01
65920 CDM Valve Aortic 23mm 102 21 $90,532.00 $90,532.00 $11,627.42 $76,952.20 $49,812.20 2026-03-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 61 9 — — $1,139.00 $60,713.68 $49,542.36 2026-03-01
1824 APR_DRG Other Upper Vascular Procedures 61 9 — — $1,139.00 $60,664.70 $49,502.40 2026-03-01
53747 CDM Valve Mitral 25mm 102 21 $89,964.00 $89,964.00 $11,554.48 $76,469.40 $49,499.70 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 57 8 — — $1,139.00 $86,030.60 $49,494.48 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 196 26 — — $2,250.00 $114,459.00 $49,431.62 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 4 2 — — $36,629.54 $58,561.36 $49,374.10 2024-10-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 138 22 — — $30,858.00 $79,525.65 $49,241.29 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 192 25 — — $2,250.00 $82,131.23 $49,241.25 2026-03-01
71390 CDM Valve Aortic 25mm 102 21 $89,428.00 $89,428.00 $11,485.60 $76,013.80 $49,204.70 2026-03-01
71388 CDM Valve Aortic 23mm 102 21 $89,428.00 $89,428.00 $11,485.60 $76,013.80 $49,204.70 2026-03-01
71391 CDM Valve Aortic 27/29mm 102 21 $89,428.00 $89,428.00 $11,485.60 $76,013.80 $49,204.70 2026-03-01
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