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

CHRISTUS ST MICHAEL HEALTH SYSTEM

Texarkana, TX · CCN 450801 · Rates published

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You selected 29916 (CPT)

HIP ARTHRO W/LABRAL REPAIR

This hospital’s price: $7,013 across 31 payers · range $297-$16,543

Source: https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/752796815_stmichaelhealthsystemtexarkana_standardcharges.json · observed 2026-01-14

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.

20,626 distinct procedures filed
41 distinct payers
3,250,423 rate rows
2026-01-14 last MRF observed
Data quality

2,534,024 of 3,250,423 rate rows are consumer-grade (78.0%)

716,399 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 666,671
per-diem day rate — not a per-procedure price 30,471
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 12,189
template filing: same amount across many unrelated codes — excluded 5,112
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,703
placeholder amount (≤ $0.02) — excluded from medians 253
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.christushealth.org/-/media/christus-health/plan-care/files/bill-pay/machine-readable-files/752796815_pinestreettexarkana_standardcharges.ashx
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-23
Content fingerprint 4633183b1094f831… · 213,988,211 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
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 19 $3,642,107.00 $4,006,317.70 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 20 $3,642,107.00 $4,187,106.00 $3,685,266.67 nat. median
$3,705,478
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 39 $2,359,475.45 $4,718,950.90 $3,539,213.17 nat. median
$2,467,989
1.4× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 39 $2,289,324.40 $4,578,648.80 $3,433,986.60 nat. median
$2,401,965
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 22 $3,260,992.91 $4,565,390.07 $3,358,822.70 nat. median
$3,324,572
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 20 $3,134,568.10 $4,388,395.34 $3,228,605.14 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 20 $2,913,685.60 $4,079,159.84 $2,948,213.33 nat. median
$2,994,107
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 41 $530,100.00 $2,459,273.40 $1,494,686.70 nat. median
$646,415
outlier · 2.3×
Q2055
HCPCS 		Idecabtagene Vicleucel Car 41 $478,230.00 $2,218,634.82 $1,348,432.41 nat. median
$623,527
outlier · 2.2×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 41 $467,742.00 $2,169,978.23 $1,318,860.11 nat. median
$640,950
outlier · 2.1×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 39 $448,400.09 $2,040,048.90 $1,244,224.50 nat. median
$739,658
1.7× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 41 $454,860.00 $1,972,707.48 $1,213,783.74 nat. median
$592,235
outlier · 2.0×
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $1.80 $1,881,598.50 $502,840.73 nat. median
$608,239
0.8× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 41 $62,241.78 $849,600.00 $455,920.89 nat. median
$68,400
outlier · 6.7×
5834
APR_DRG 		Neonate With Ecmo, Severe 7 $269,033.23 $282,484.93 $269,033.23 nat. median
$307,273
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 6 $261,715.77 $274,801.60 $266,949.81 nat. median
$170,172
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $232,187.23 $679,169.82 $263,960.22 nat. median
$359,244
0.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 7 $227,807.45 $239,197.85 $227,807.45 nat. median
$244,017
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 6 $219,144.31 $230,101.56 $223,526.97 nat. median
$241,734
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $173,424.39 $507,282.91 $191,679.59 nat. median
$248,541
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 41 $52,916.50 $323,316.29 $188,116.39 nat. median
$65,720
outlier · 2.9×
A9543
HCPCS 		Y90 Ibritumomab, Rx 39 $55,784.66 $289,582.50 $172,683.58 nat. median
$63,504
outlier · 2.7×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 7 $170,293.62 $178,808.32 $170,293.62 nat. median
$247,815
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 7 $165,366.79 $173,635.15 $165,366.79 nat. median
$202,649
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $146,054.68 $427,223.91 $161,428.86 nat. median
$198,115
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 7 $154,922.64 $162,668.79 $154,922.64 nat. median
$163,718
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $131,948.41 $385,961.68 $150,004.50 nat. median
$190,359
0.8× median
Q0480
HCPCS 		Dme Pos 39 $99,999.96 $199,999.92 $149,999.94 nat. median
$111,503
1.3× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 39 $72,380.00 $186,433.40 $129,406.70 nat. median
$96,983
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 7 $126,709.80 $133,045.31 $126,709.80 nat. median
$154,116
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 7 $125,586.93 $131,866.29 $125,586.93 nat. median
$165,000
0.8× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $125,017.00 $125,017.00 $125,017.00 nat. median
$47,543
outlier · 2.6×
5832
APR_DRG 		Neonate With Ecmo, Moderate 7 $113,511.25 $119,186.83 $113,511.25 nat. median
$159,249
0.7× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $111,175.00 $111,175.00 $111,175.00 nat. median
$39,601
outlier · 2.8×
J7330
HCPCS 		Cultured Chondrocytes Implnt 32 $16,585.69 $202,730.49 $109,658.09 nat. median
$75,037
1.5× median
J9226
HCPCS 		Supprelin La Implant 41 $14,834.06 $195,137.30 $104,985.68 nat. median
$55,159
1.9× median
L8702
HCPCS 		Ewhf S/d Uprt Micro Sensor 39 $67,452.66 $134,905.32 $101,178.99 nat. median
$70,178
1.4× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders, Severe 7 $100,163.22 $105,171.39 $100,163.22 nat. median
$28,252
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo, Minor 7 $99,948.91 $104,946.37 $99,948.91 nat. median
$147,206
0.7× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $86,994.48 $254,467.17 $98,898.99 nat. median
$126,461
0.8× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $97,964.00 $97,964.00 $97,964.00 nat. median
$38,225
outlier · 2.6×
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 6 $92,349.50 $96,966.99 $94,196.39 nat. median
$89,273
1.1× median
223
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 $91,449.00 $91,449.00 $91,449.00 nat. median
$32,619
outlier · 2.8×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 7 $91,373.98 $95,942.69 $91,373.98 nat. median
$175,429
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 7 $90,956.35 $95,504.19 $90,956.35 nat. median
$145,061
0.6× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 7 $90,721.15 $95,257.22 $90,721.15 nat. median
$122,016
0.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft, Severe 7 $90,331.16 $94,847.73 $90,331.16 nat. median
$158,104
0.6× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 7 $89,428.96 $93,900.42 $89,428.96 nat. median
$134,402
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $80,664.14 $235,950.32 $89,155.10 nat. median
$110,084
0.8× median
7
MS_DRG 		Lung Transplant 22 $80,460.97 $235,356.02 $88,930.55 nat. median
$117,977
0.8× median

Other procedures at this hospital

Browse this hospital's 20,626 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
             
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 63 19 — — $3,642,107.00 $4,006,317.70 $3,710,000.00 2026-01-14
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 66 20 — — $3,642,107.00 $4,187,106.00 $3,685,266.67 2026-01-14
J3399 HCPCS Inj Onase Abepar-xioi Treat 195 39 — — $2,359,475.45 $4,718,950.90 $3,539,213.17 2026-01-14
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 195 39 — — $2,289,324.40 $4,578,648.80 $3,433,986.60 2026-01-14
J1413 HCPCS Inj Delandistrogene Mox Rokl 75 22 — — $3,260,992.91 $4,565,390.07 $3,358,822.70 2026-01-14
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 69 20 — — $3,134,568.10 $4,388,395.34 $3,228,605.14 2026-01-14
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 69 20 — — $2,913,685.60 $4,079,159.84 $2,948,213.33 2026-01-14
Q2056 HCPCS Ciltacabtagene Car-pos T 201 41 — — $530,100.00 $2,459,273.40 $1,494,686.70 2026-01-14
Q2055 HCPCS Idecabtagene Vicleucel Car 201 41 — — $478,230.00 $2,218,634.82 $1,348,432.41 2026-01-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 201 41 — — $467,742.00 $2,169,978.23 $1,318,860.11 2026-01-14
Q2042 HCPCS Tisagenlecleucel Car-pos T 195 39 — — $448,400.09 $2,040,048.90 $1,244,224.50 2026-01-14
Q2053 HCPCS Brexucabtagene Car Pos T 201 41 — — $454,860.00 $1,972,707.48 $1,213,783.74 2026-01-14
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 96 23 — — $1.80 $1,881,598.50 $502,840.73 2026-01-14
J9029 HCPCS Instill Adstiladrin, Tx Dose 201 41 — — $62,241.78 $849,600.00 $455,920.89 2026-01-14
5834 APR_DRG Neonate With Ecmo, Severe 57 7 — — $269,033.23 $282,484.93 $269,033.23 2026-01-14
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 45 6 — — $261,715.77 $274,801.60 $266,949.81 2026-01-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 93 24 — — $232,187.23 $679,169.82 $263,960.22 2026-01-14
5833 APR_DRG Neonate With Ecmo, Major 57 7 — — $227,807.45 $239,197.85 $227,807.45 2026-01-14
24 APR_DRG Heart And/Or Lung Transplant, Severe 45 6 — — $219,144.31 $230,101.56 $223,526.97 2026-01-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 69 22 — — $173,424.39 $507,282.91 $191,679.59 2026-01-14
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 201 41 — — $52,916.50 $323,316.29 $188,116.39 2026-01-14
A9543 HCPCS Y90 Ibritumomab, Rx 195 39 — — $55,784.66 $289,582.50 $172,683.58 2026-01-14
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 57 7 — — $170,293.62 $178,808.32 $170,293.62 2026-01-14
1614 APR_DRG Implantable Heart Assist Systems, Severe 57 7 — — $165,366.79 $173,635.15 $165,366.79 2026-01-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 78 24 — — $146,054.68 $427,223.91 $161,428.86 2026-01-14
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 57 7 — — $154,922.64 $162,668.79 $154,922.64 2026-01-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 93 24 — — $131,948.41 $385,961.68 $150,004.50 2026-01-14
Q0480 HCPCS Dme Pos 195 39 — — $99,999.96 $199,999.92 $149,999.94 2026-01-14
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 195 39 — — $72,380.00 $186,433.40 $129,406.70 2026-01-14
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 57 7 — — $126,709.80 $133,045.31 $126,709.80 2026-01-14
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 57 7 — — $125,586.93 $131,866.29 $125,586.93 2026-01-14
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $125,017.00 $125,017.00 $125,017.00 2026-01-14
5832 APR_DRG Neonate With Ecmo, Moderate 57 7 — — $113,511.25 $119,186.83 $113,511.25 2026-01-14
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $111,175.00 $111,175.00 $111,175.00 2026-01-14
J7330 HCPCS Cultured Chondrocytes Implnt 159 32 — — $16,585.69 $202,730.49 $109,658.09 2026-01-14
J9226 HCPCS Supprelin La Implant 201 41 — — $14,834.06 $195,137.30 $104,985.68 2026-01-14
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 180 39 — — $67,452.66 $134,905.32 $101,178.99 2026-01-14
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 57 7 — — $100,163.22 $105,171.39 $100,163.22 2026-01-14
5831 APR_DRG Neonate With Ecmo, Minor 57 7 — — $99,948.91 $104,946.37 $99,948.91 2026-01-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 93 24 — — $86,994.48 $254,467.17 $98,898.99 2026-01-14
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $97,964.00 $97,964.00 $97,964.00 2026-01-14
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 45 6 — — $92,349.50 $96,966.99 $94,196.39 2026-01-14
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $91,449.00 $91,449.00 $91,449.00 2026-01-14
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 57 7 — — $91,373.98 $95,942.69 $91,373.98 2026-01-14
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 57 7 — — $90,956.35 $95,504.19 $90,956.35 2026-01-14
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 57 7 — — $90,721.15 $95,257.22 $90,721.15 2026-01-14
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 57 7 — — $90,331.16 $94,847.73 $90,331.16 2026-01-14
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 57 7 — — $89,428.96 $93,900.42 $89,428.96 2026-01-14
14 MS_DRG Allogeneic Bone Marrow Transplant 75 23 — — $80,664.14 $235,950.32 $89,155.10 2026-01-14
7 MS_DRG Lung Transplant 69 22 — — $80,460.97 $235,356.02 $88,930.55 2026-01-14
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 57 7 — — $87,073.05 $91,426.72 $87,073.05 2026-01-14
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 57 7 — — $86,293.06 $90,607.73 $86,293.06 2026-01-14
1613 APR_DRG Implantable Heart Assist Systems, Major 57 7 — — $86,191.40 $90,500.98 $86,191.40 2026-01-14
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $85,916.00 $85,916.00 $85,916.00 2026-01-14
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 57 7 — — $85,735.88 $90,022.68 $85,735.88 2026-01-14
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 150 29 — — $71,857.55 $92,497.48 $82,177.51 2026-01-14
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 45 6 — — $78,501.31 $82,426.38 $80,071.25 2026-01-14
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 57 7 — — $78,186.76 $82,096.11 $78,186.76 2026-01-14
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 57 7 — — $76,797.51 $80,637.40 $76,797.51 2026-01-14
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 57 7 — — $76,754.65 $80,592.40 $76,754.65 2026-01-14
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 93 24 — — $67,070.71 $196,188.25 $76,248.81 2026-01-14
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 57 7 — — $76,113.16 $79,918.83 $76,113.16 2026-01-14
C2616 HCPCS Brachytx, Non-str,yttrium-90 195 39 — — $17,165.12 $133,826.99 $75,496.05 2026-01-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 69 22 — — $67,845.23 $198,453.78 $74,986.83 2026-01-14
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 57 7 — — $74,430.62 $78,152.16 $74,430.62 2026-01-14
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $74,258.00 $74,258.00 $74,258.00 2026-01-14
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 57 7 — — $74,046.65 $77,748.99 $74,046.65 2026-01-14
215 MS_DRG Other Heart Assist System Implant 99 24 — — $36,828.00 $190,801.75 $73,468.73 2026-01-14
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 93 24 — — $64,494.12 $188,651.48 $73,319.63 2026-01-14
64 APR_DRG Pancreas Transplant, Severe 45 6 — — $71,860.05 $75,453.07 $73,297.18 2026-01-14
J7310 HCPCS Ganciclovir Long Act Implant 24 3 — — $4,104.77 $84,620.16 $72,747.84 2026-01-14
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 69 22 — — $65,565.40 $191,785.04 $72,467.02 2026-01-14
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 57 7 — — $71,854.39 $75,447.12 $71,854.39 2026-01-14
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 57 7 — — $71,639.38 $75,221.35 $71,639.38 2026-01-14
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 57 7 — — $69,641.58 $73,123.67 $69,641.58 2026-01-14
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 27 — — $52,139.00 $173,806.66 $68,801.11 2026-01-14
L7181 HCPCS Dme Pos 201 41 — — $38,322.56 $97,256.52 $67,789.54 2026-01-14
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 57 7 — — $66,955.54 $70,303.32 $66,955.54 2026-01-14
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 57 7 — — $65,856.75 $69,149.60 $65,856.75 2026-01-14
L7180 HCPCS Dme Pos 201 41 — — $32,758.24 $98,053.24 $65,405.74 2026-01-14
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 57 7 — — $65,322.23 $68,588.36 $65,322.23 2026-01-14
850 MS_DRG Acute Leukemia With Other Procedures 93 24 — — $56,715.10 $165,897.11 $64,476.12 2026-01-14
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 45 6 — — $62,048.54 $65,150.98 $63,289.45 2026-01-14
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 57 7 — — $62,538.43 $65,665.36 $62,538.43 2026-01-14
1612 APR_DRG Implantable Heart Assist Systems, Moderate 57 7 — — $61,958.22 $65,056.14 $61,958.22 2026-01-14
231 MS_DRG Coronary Bypass With Ptca With Mcc 111 27 — — $52,139.00 $152,606.47 $60,409.04 2026-01-14
8634 APR_DRG Neonatal Aftercare, Severe 57 7 — — $60,299.76 $63,314.76 $60,299.76 2026-01-14
4404 APR_DRG Kidney Transplant, Severe 45 6 — — $58,616.51 $61,547.35 $59,788.78 2026-01-14
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 57 7 — — $59,720.61 $62,706.65 $59,720.61 2026-01-14
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 24 — — $52,142.51 $152,521.82 $59,277.80 2026-01-14
1611 APR_DRG Implantable Heart Assist Systems, Minor 57 7 — — $58,761.74 $61,699.84 $58,761.74 2026-01-14
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 93 24 — — $51,350.76 $150,205.87 $58,377.70 2026-01-14
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 57 7 — — $58,348.72 $61,266.17 $58,348.72 2026-01-14
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 57 7 — — $58,328.89 $61,245.34 $58,328.89 2026-01-14
38240 CPT Transplt Allo Hct/donor 105 25 — — $4,020.00 $116,120.06 $58,060.03 2026-01-14
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 57 7 — — $56,823.81 $59,665.01 $56,823.81 2026-01-14
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 57 7 — — $56,823.81 $59,665.01 $56,823.81 2026-01-14
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 57 7 — — $56,662.64 $59,495.78 $56,662.64 2026-01-14
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 93 24 — — $49,629.95 $145,172.35 $56,421.41 2026-01-14
4414 APR_DRG Major Bladder Procedures, Severe 57 7 — — $55,472.47 $58,246.10 $55,472.47 2026-01-14
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 25 — — $47,637.64 $139,344.64 $55,159.37 2026-01-14
23 APR_DRG Heart And/Or Lung Transplant, Major 45 6 — — $53,975.18 $56,673.95 $55,054.63 2026-01-14
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 105 25 — — $48,123.40 $140,765.55 $54,708.71 2026-01-14
10 MS_DRG Pancreas Transplant 69 22 — — $49,087.55 $143,585.76 $54,254.66 2026-01-14
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 75 23 — — $48,806.18 $142,762.75 $53,943.68 2026-01-14
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 57 7 — — $52,848.41 $55,490.84 $52,848.41 2026-01-14
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 93 24 — — $45,955.01 $134,422.78 $52,243.59 2026-01-14
1784 APR_DRG External Heart Assist Systems, Severe 57 7 — — $51,956.13 $54,553.95 $51,956.13 2026-01-14
L8701 HCPCS Ewh S/d Uprt Micro Sensor 180 39 — — $34,284.44 $68,568.88 $51,426.66 2026-01-14
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 57 7 — — $51,166.23 $53,724.54 $51,166.23 2026-01-14
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 57 7 — — $51,107.43 $53,662.80 $51,107.43 2026-01-14
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 57 7 — — $50,881.43 $53,425.51 $50,881.43 2026-01-14
6904 APR_DRG Acute Leukemia, Severe 57 7 — — $50,424.49 $52,945.72 $50,424.49 2026-01-14
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 99 24 — — $43,509.55 $127,269.60 $50,379.48 2026-01-14
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 57 7 — — $50,115.61 $52,621.40 $50,115.61 2026-01-14
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 57 7 — — $50,059.29 $52,562.26 $50,059.29 2026-01-14
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 93 24 — — $43,729.35 $127,912.52 $49,713.36 2026-01-14
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 93 24 — — $42,829.24 $125,279.61 $48,690.08 2026-01-14
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 57 7 — — $48,547.49 $50,974.87 $48,547.49 2026-01-14
955 MS_DRG Craniotomy For Multiple Significant Trauma 93 24 — — $42,039.94 $122,970.85 $47,792.78 2026-01-14
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 102 24 — — $41,050.56 $120,076.81 $47,532.23 2026-01-14
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 57 7 — — $47,526.98 $49,903.34 $47,526.98 2026-01-14
63 APR_DRG Pancreas Transplant, Major 45 6 — — $46,438.82 $48,760.77 $47,367.55 2026-01-14
266T OTHER Implt/rpl Crtd Sns Dev Total 195 39 — — $6,159.00 $88,353.98 $47,256.49 2026-01-14
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 57 7 — — $47,237.23 $49,599.10 $47,237.23 2026-01-14
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 93 24 — — $41,278.97 $120,744.94 $46,927.67 2026-01-14
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 57 7 — — $46,917.01 $49,262.87 $46,917.01 2026-01-14
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 57 7 — — $46,457.95 $48,780.85 $46,457.95 2026-01-14
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 111 27 — — $39,759.50 $128,700.00 $46,037.31 2026-01-14
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $45,687.00 $45,687.00 $45,687.00 2026-01-14
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 78 24 — — $41,120.13 $120,280.31 $45,448.57 2026-01-14
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 93 24 — — $39,816.75 $116,467.80 $45,265.36 2026-01-14
A9699 HCPCS Radiopharm Rx Agent Noc 147 28 — — $45,221.05 $45,221.05 $45,221.05 2026-01-14
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 57 7 — — $44,270.29 $46,483.81 $44,270.29 2026-01-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 93 24 — — $38,936.96 $113,894.32 $44,265.17 2026-01-14
22 APR_DRG Heart And/Or Lung Transplant, Moderate 45 6 — — $43,359.95 $45,527.95 $44,227.10 2026-01-14
33276 CPT Insj Phrnc Nrv Stim Sys 147 28 — — $2,922.00 $119,251.33 $44,176.99 2026-01-14
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 105 26 — — $38,137.20 $111,554.95 $44,158.86 2026-01-14
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 57 7 — — $44,029.07 $46,230.53 $44,029.07 2026-01-14
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 57 7 — — $43,925.99 $46,122.30 $43,925.99 2026-01-14
232 MS_DRG Coronary Bypass With Ptca Without Mcc 111 27 — — $37,609.57 $128,700.00 $43,547.92 2026-01-14
L6880 HCPCS Dme Pos 195 39 — — $28,996.90 $57,993.80 $43,495.35 2026-01-14
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 99 24 — — $38,087.94 $111,410.88 $43,299.98 2026-01-14
234 APR_DRG Spinal Procedures, Severe 57 7 — — $43,275.29 $45,439.06 $43,275.29 2026-01-14
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 57 7 — — $43,118.72 $45,274.67 $43,118.72 2026-01-14
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 93 24 — — $37,914.33 $110,903.02 $43,102.61 2026-01-14
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 93 24 — — $37,781.96 $110,515.83 $42,952.12 2026-01-14
62 APR_DRG Pancreas Transplant, Moderate 45 6 — — $42,003.29 $44,103.46 $42,843.31 2026-01-14
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 99 24 — — $36,883.69 $153,225.00 $42,707.43 2026-01-14
100T OTHER Prosth Retina Receive&gen 33 6 — — $6,159.00 $404,126.33 $42,673.00 2026-01-14
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 57 7 — — $42,562.96 $44,691.11 $42,562.96 2026-01-14
28 MS_DRG Spinal Procedures With Mcc 93 24 — — $37,429.79 $109,485.72 $42,551.76 2026-01-14
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 105 27 — — $36,628.19 $107,140.94 $42,411.59 2026-01-14
A9604 HCPCS Sm 153 Lexidronam 195 39 — — $4,235.95 $80,482.45 $42,359.20 2026-01-14
61 APR_DRG Pancreas Transplant, Minor 45 6 — — $41,460.98 $43,534.03 $42,290.15 2026-01-14
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $42,255.00 $42,255.00 $42,255.00 2026-01-14
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 57 7 — — $42,032.33 $44,133.96 $42,032.33 2026-01-14
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 105 25 — — $36,227.39 $105,968.56 $41,947.50 2026-01-14
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 57 7 — — $41,838.58 $43,930.51 $41,838.58 2026-01-14
268T OTHER Implt/rpl Crtd Sns Dev Gen 195 39 — — $6,159.00 $77,164.66 $41,661.83 2026-01-14
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 45 6 — — $40,743.33 $42,780.50 $41,558.15 2026-01-14
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 45 6 — — $40,445.79 $42,468.08 $41,254.66 2026-01-14
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 75 23 — — $37,161.36 $108,700.52 $41,073.08 2026-01-14
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 75 23 — — $37,161.36 $108,700.52 $41,073.08 2026-01-14
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 93 24 — — $35,846.28 $104,853.80 $40,751.56 2026-01-14
L5856 HCPCS Dme Pos 201 41 — — $22,960.08 $58,269.02 $40,614.55 2026-01-14
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 57 7 — — $40,397.97 $42,417.87 $40,397.97 2026-01-14
264 APR_DRG Other Nervous System And Related Procedures, Severe 57 7 — — $40,373.53 $42,392.21 $40,373.53 2026-01-14
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 57 7 — — $40,199.25 $42,209.22 $40,199.25 2026-01-14
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 24 — — $35,335.89 $103,360.85 $40,171.32 2026-01-14
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 57 7 — — $39,960.86 $41,958.91 $39,960.86 2026-01-14
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 93 24 — — $35,124.71 $102,743.15 $39,931.25 2026-01-14
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 57 7 — — $39,928.63 $41,925.07 $39,928.63 2026-01-14
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 57 7 — — $39,904.90 $41,900.15 $39,904.90 2026-01-14
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 69 22 — — $36,600.48 $93,803.00 $39,682.62 2026-01-14
81416 CPT Exome Sequence Analysis 195 39 — — $6,000.00 $73,320.00 $39,660.00 2026-01-14
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 57 7 — — $39,251.72 $41,214.31 $39,251.72 2026-01-14
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 57 7 — — $39,242.15 $41,204.27 $39,242.15 2026-01-14
2054 APR_DRG Cardiomyopathy, Severe 57 7 — — $39,131.28 $41,087.85 $39,131.28 2026-01-14
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 57 7 — — $39,080.98 $41,035.04 $39,080.98 2026-01-14
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 57 7 — — $39,040.96 $40,993.01 $39,040.96 2026-01-14
653 MS_DRG Major Bladder Procedures With Mcc 93 24 — — $34,321.26 $100,392.97 $39,017.85 2026-01-14
L2006 HCPCS Dme Pos 78 20 — — $2,114.63 $77,501.20 $38,750.60 2026-01-14
834 MS_DRG Acute Leukemia With Mcc 93 24 — — $34,030.05 $99,541.15 $38,686.79 2026-01-14
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 93 24 — — $34,030.05 $99,541.15 $38,686.79 2026-01-14
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 93 24 — — $33,887.21 $99,123.34 $38,524.41 2026-01-14
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 57 7 — — $38,384.94 $40,304.19 $38,384.94 2026-01-14
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 93 24 — — $33,680.35 $98,518.23 $38,289.24 2026-01-14
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 57 7 — — $38,256.36 $40,169.18 $38,256.36 2026-01-14
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 57 7 — — $38,136.99 $40,043.84 $38,136.99 2026-01-14
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 93 24 — — $33,423.00 $97,765.46 $37,996.67 2026-01-14
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 105 25 — — $32,754.99 $95,811.48 $37,926.83 2026-01-14
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 93 24 — — $33,252.45 $97,266.61 $37,802.79 2026-01-14
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 93 24 — — $33,221.05 $97,174.76 $37,767.09 2026-01-14
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 93 24 — — $33,217.36 $97,163.96 $37,762.89 2026-01-14
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 25 — — $32,610.31 $106,607.00 $37,759.30 2026-01-14
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 57 7 — — $37,736.37 $39,623.19 $37,736.37 2026-01-14
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 57 7 — — $37,672.25 $39,555.87 $37,672.25 2026-01-14
214 APR_DRG Open Craniotomy Except Trauma, Severe 57 7 — — $37,582.99 $39,462.14 $37,582.99 2026-01-14
2304 APR_DRG Major Small Bowel Procedures, Severe 57 7 — — $37,447.32 $39,319.70 $37,447.32 2026-01-14
224 APR_DRG Ventricular Shunt Procedures, Severe 57 7 — — $37,299.61 $39,164.60 $37,299.61 2026-01-14
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 57 7 — — $37,095.23 $38,950.00 $37,095.23 2026-01-14
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 69 22 — — $33,499.34 $97,988.77 $37,025.58 2026-01-14
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 57 7 — — $36,867.47 $38,710.85 $36,867.47 2026-01-14
4403 APR_DRG Kidney Transplant, Major 45 6 — — $35,876.01 $37,669.81 $36,593.49 2026-01-14
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 102 24 — — $31,602.45 $92,440.20 $36,592.31 2026-01-14
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 57 7 — — $36,530.61 $38,357.14 $36,530.61 2026-01-14
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 195 39 — — $4,074.00 $68,719.98 $36,396.99 2026-01-14
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 96 24 — — $27,698.00 $92,748.15 $35,879.80 2026-01-14
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 57 7 — — $35,873.53 $37,667.21 $35,873.53 2026-01-14
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 57 7 — — $35,751.68 $37,539.27 $35,751.68 2026-01-14
J1412 HCPCS Inj Roctavian Ml 2x10^13vc G 201 41 — — $11,454.45 $59,911.72 $35,683.08 2026-01-14
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 93 24 — — $31,366.04 $91,748.65 $35,658.23 2026-01-14
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 57 7 — — $35,606.45 $37,386.78 $35,606.45 2026-01-14
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 96 24 — — $31,010.79 $90,709.53 $35,580.81 2026-01-14
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 93 24 — — $31,269.99 $91,467.71 $35,549.04 2026-01-14
228 MS_DRG Other Cardiothoracic Procedures With Mcc 111 27 — — $30,680.79 $106,193.00 $35,525.13 2026-01-14
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 57 7 — — $35,471.14 $37,244.70 $35,471.14 2026-01-14
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 57 7 — — $35,090.71 $36,845.25 $35,090.71 2026-01-14
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 93 24 — — $30,827.94 $90,174.66 $35,046.50 2026-01-14
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 57 7 — — $35,044.30 $36,796.52 $35,044.30 2026-01-14
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 57 7 — — $35,035.45 $36,787.22 $35,035.45 2026-01-14
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 99 24 — — $20,312.00 $90,104.43 $35,019.21 2026-01-14
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 93 24 — — $30,791.62 $90,068.41 $35,005.21 2026-01-14
408T OTHER Insj/rplc Cardiac Modulj Sys 192 38 — — $6,159.00 $62,949.70 $34,554.35 2026-01-14
245 MS_DRG Aicd Generator Procedures 96 25 — — $30,086.67 $88,006.38 $34,520.49 2026-01-14
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 57 7 — — $34,513.68 $36,239.37 $34,513.68 2026-01-14
21 APR_DRG Heart And/Or Lung Transplant, Minor 45 6 — — $33,585.27 $35,264.54 $34,256.94 2026-01-14
Q0483 HCPCS Dme Pos 195 39 — — $22,755.13 $45,510.26 $34,132.69 2026-01-14
471 MS_DRG Cervical Spinal Fusion With Mcc 96 24 — — $13,850.00 $87,475.12 $33,839.93 2026-01-14
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 57 7 — — $33,827.56 $35,518.94 $33,827.56 2026-01-14
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 57 7 — — $33,643.01 $35,325.17 $33,643.01 2026-01-14
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 99 24 — — $28,965.53 $115,051.00 $33,539.03 2026-01-14
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 93 24 — — $29,401.43 $86,001.98 $33,424.78 2026-01-14
799 MS_DRG Splenic Procedures With Mcc 93 24 — — $29,273.98 $85,629.19 $33,279.90 2026-01-14
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 93 24 — — $29,268.45 $85,612.99 $33,273.60 2026-01-14
1783 APR_DRG External Heart Assist Systems, Major 57 7 — — $33,249.12 $34,911.58 $33,249.12 2026-01-14
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 57 7 — — $33,229.99 $34,891.50 $33,229.99 2026-01-14
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 192 38 — — $6,159.00 $60,189.16 $33,174.08 2026-01-14
409T OTHER Insj/rplc Car Modulj Pls Gn 192 38 — — $6,159.00 $60,189.16 $33,174.08 2026-01-14
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 105 26 — — $28,640.46 $89,043.00 $33,162.64 2026-01-14
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 57 7 — — $33,108.50 $34,763.93 $33,108.50 2026-01-14
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 87 21 — — $4,074.00 $84,963.19 $33,048.59 2026-01-14
6 MS_DRG Liver Transplant Without Mcc 69 22 — — $29,855.18 $87,329.24 $32,997.83 2026-01-14
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 57 7 — — $32,841.06 $34,483.12 $32,841.06 2026-01-14
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 93 24 — — $28,810.38 $84,273.12 $32,752.86 2026-01-14
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 57 7 — — $32,746.48 $34,383.81 $32,746.48 2026-01-14
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 99 25 — — $28,275.36 $82,708.13 $32,739.89 2026-01-14
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 57 7 — — $32,435.83 $34,057.63 $32,435.83 2026-01-14
571T OTHER Insj/rplcmt Icds Ss Eltrd 96 22 — — $2,922.00 $85,549.00 $32,419.10 2026-01-14
2244 APR_DRG Peritoneal Adhesiolysis, Severe 57 7 — — $32,384.12 $34,003.33 $32,384.12 2026-01-14
163 MS_DRG Major Chest Procedures With Mcc 93 24 — — $28,377.56 $83,007.08 $32,260.81 2026-01-14
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 57 7 — — $32,158.48 $33,766.41 $32,158.48 2026-01-14
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 93 24 — — $28,271.05 $82,695.53 $32,139.72 2026-01-14
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 192 38 — — $4,074.00 $60,189.16 $32,131.58 2026-01-14
515T OTHER Insj Wcs Lv Compl Sys 192 38 — — $4,074.00 $60,189.16 $32,131.58 2026-01-14
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 192 38 — — $4,074.00 $60,189.16 $32,131.58 2026-01-14
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 57 7 — — $32,068.51 $33,671.94 $32,068.51 2026-01-14
914 APR_DRG Other Major Head And Neck Procedures, Severe 57 7 — — $31,896.00 $33,490.81 $31,896.00 2026-01-14
888T OTHER Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 192 38 — — $17,180.24 $46,376.33 $31,778.28 2026-01-14
916T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 195 39 — — $4,074.00 $59,482.40 $31,778.20 2026-01-14
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 195 39 — — $4,074.00 $59,482.40 $31,778.20 2026-01-14
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 45 6 — — $31,066.07 $32,619.38 $31,687.36 2026-01-14
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 93 24 — — $27,776.67 $81,249.40 $31,577.69 2026-01-14
204 APR_DRG Open Craniotomy For Trauma, Severe 57 7 — — $31,570.48 $33,149.01 $31,570.48 2026-01-14
33270 CPT Ins/rep Subq Defibrillator 52 31 — — $297.00 $85,549.00 $31,474.85 2026-01-13
33231 CPT Insrt Pulse Gen W/mult Leads 54 29 — — $1,051.12 $85,549.00 $31,474.85 2026-01-13
L5858 HCPCS Dme Pos 201 41 — — $17,775.58 $45,111.58 $31,443.58 2026-01-14
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 93 24 — — $27,611.05 $80,764.96 $31,389.40 2026-01-14
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 57 7 — — $31,355.82 $32,923.62 $31,355.82 2026-01-14
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 75 23 — — $28,365.87 $82,972.87 $31,351.75 2026-01-14
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 99 24 — — $27,045.25 $79,109.94 $31,315.55 2026-01-14
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 93 24 — — $27,534.71 $80,541.65 $31,302.61 2026-01-14
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 57 7 — — $31,295.60 $32,860.39 $31,295.60 2026-01-14
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 57 7 — — $31,053.32 $32,605.99 $31,053.32 2026-01-14
901 MS_DRG Wound Debridements For Injuries With Mcc 93 24 — — $27,277.36 $79,788.87 $31,010.05 2026-01-14
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 57 7 — — $30,958.39 $32,506.31 $30,958.39 2026-01-14
L6975 HCPCS Dme Pos 201 41 — — $15,486.36 $46,354.38 $30,920.37 2026-01-14
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 57 7 — — $30,856.73 $32,399.57 $30,856.73 2026-01-14
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 57 7 — — $30,850.35 $32,392.87 $30,850.35 2026-01-14
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 57 7 — — $30,815.64 $32,356.42 $30,815.64 2026-01-14
L6970 HCPCS Dme Pos 201 41 — — $15,403.68 $46,106.92 $30,755.30 2026-01-14
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 45 6 — — $29,899.63 $31,394.61 $30,497.59 2026-01-14
L6965 HCPCS Dme Pos 201 41 — — $15,154.66 $45,361.54 $30,258.10 2026-01-14
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 93 24 — — $26,584.72 $77,762.86 $30,222.63 2026-01-14
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 57 7 — — $30,029.98 $31,531.48 $30,029.98 2026-01-14
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 96 22 — — $952.00 $59,831.84 $29,915.92 2026-01-14
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 147 28 — — $2,922.00 $78,403.67 $29,915.92 2026-01-14
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 147 28 — — $4,020.00 $79,668.22 $29,915.92 2026-01-14
61886 CPT Implant Neurostim Arrays 162 29 — — $414.06 $77,164.66 $29,915.92 2026-01-14
64568 CPT Opn Impltj Crnl Nrv Nea&pg 168 31 — — $1,051.12 $77,164.66 $29,915.92 2026-01-14
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 93 24 — — $26,262.73 $76,820.99 $29,856.58 2026-01-14
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 93 24 — — $26,223.94 $76,707.53 $29,812.48 2026-01-14
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 102 24 — — $25,616.28 $74,930.05 $29,660.95 2026-01-14
817T OTHER Opn Insj/rplcmt Ins Ptn Subf 195 39 — — $4,074.00 $55,233.53 $29,653.76 2026-01-14
816T OTHER Opn Insj/rplcmt Ins Ptn Subq 195 39 — — $4,074.00 $55,233.53 $29,653.76 2026-01-14
140 MS_DRG Major Head And Neck Procedures With Mcc 93 24 — — $26,038.01 $76,163.66 $29,601.10 2026-01-14
Q0489 HCPCS Dme Pos 195 39 — — $19,727.48 $39,454.96 $29,591.22 2026-01-14
2614 APR_DRG Major Biliary Tract Procedures, Severe 57 7 — — $29,553.55 $31,031.24 $29,553.55 2026-01-14
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 54 29 — — $1,051.12 $85,549.00 $29,471.42 2026-01-13
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