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

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Hospital

CHRISTUS SPOHN HOSPITAL ALICE

Alice, TX · CCN 450828 · Rates published

4,444 distinct procedures filed
36 distinct payers
250,410 rate rows
2026-01-13 last MRF observed
Data quality

204,929 of 250,410 rate rows are consumer-grade (81.8%)

45,481 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 42,462
per-diem day rate — not a per-procedure price 1,978
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 827
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 157
placeholder amount (≤ $0.02) — excluded from medians 54
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
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/741109836_spohnhospitalalice_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-03
Content fingerprint 579cd11d25ec1a57… · 202,455,265 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
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 36 $572,452.94 $1,955,527.10 $1,263,990.02 nat. median
$739,258
1.7× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 6 $268,419.04 $281,840.03 $271,103.27 nat. median
$122,016
outlier · 2.2×
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 36 $56,207.02 $309,920.89 $183,063.95 nat. median
$65,720
outlier · 2.8×
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 6 $172,637.89 $181,269.81 $174,364.30 nat. median
$81,521
outlier · 2.1×
43
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 6 $172,579.20 $181,208.19 $174,305.02 nat. median
$74,757
outlier · 2.3×
A9543
HCPCS 		Y90 Ibritumomab, Rx 36 $56,824.55 $277,584.73 $167,204.64 nat. median
$63,528
outlier · 2.6×
234
APR_DRG 		Spinal Procedures, Severe 6 $128,039.73 $134,441.73 $129,320.14 nat. median
$50,013
outlier · 2.6×
53
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 6 $124,362.17 $130,580.29 $125,605.80 nat. median
$50,484
outlier · 2.5×
J9226
HCPCS 		Supprelin La Implant 36 $45,212.04 $187,052.51 $116,132.27 nat. median
$55,159
outlier · 2.1×
52
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 6 $113,570.53 $119,249.07 $114,706.25 nat. median
$42,383
outlier · 2.7×
42
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 6 $112,836.90 $118,478.76 $113,965.29 nat. median
$52,481
outlier · 2.2×
224
APR_DRG 		Ventricular Shunt Procedures, Severe 6 $110,359.34 $115,877.33 $111,462.95 nat. median
$40,053
outlier · 2.8×
3154
APR_DRG 		Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 6 $106,139.95 $111,446.96 $107,201.36 nat. median
$38,246
outlier · 2.8×
1304
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 6 $103,660.29 $108,843.32 $104,696.90 nat. median
$46,267
outlier · 2.3×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $89,573.07 $260,392.47 $99,944.68 nat. median
$126,695
0.8× median
3614
APR_DRG 		Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 6 $94,881.93 $99,626.04 $95,830.76 nat. median
$47,165
outlier · 2.0×
51
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 6 $92,773.28 $97,411.96 $93,701.02 nat. median
$34,289
outlier · 2.7×
41
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 6 $92,595.12 $97,224.89 $93,521.08 nat. median
$42,618
outlier · 2.2×
7234
APR_DRG 		Viral Illness, Severe 6 $80,825.66 $84,866.96 $81,633.93 nat. median
$21,036
outlier · 3.9×
5134
APR_DRG 		Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 6 $75,579.19 $79,358.16 $76,334.99 nat. median
$31,313
outlier · 2.4×
3124
APR_DRG 		Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 6 $75,430.37 $79,201.90 $76,184.68 nat. median
$50,614
1.5× median
3104
APR_DRG 		Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 6 $71,930.97 $75,527.53 $72,650.29 nat. median
$33,472
outlier · 2.2×
5114
APR_DRG 		Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 6 $71,777.96 $75,366.87 $72,495.75 nat. median
$40,339
1.8× median
1303
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 6 $70,386.16 $73,905.48 $71,090.04 nat. median
$35,182
outlier · 2.0×
4044
APR_DRG 		Thyroid, Parathyroid And Thyroglossal Procedures, Severe 6 $70,148.26 $73,655.68 $70,849.75 nat. median
$32,651
outlier · 2.2×
6924
APR_DRG 		Radiotherapy, Severe 6 $67,555.42 $70,933.20 $68,230.98 nat. median
$27,434
outlier · 2.5×
3214
APR_DRG 		Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 6 $63,215.50 $66,376.28 $63,847.66 nat. median
$40,495
1.6× median
233
APR_DRG 		Spinal Procedures, Major 6 $62,334.10 $65,450.81 $62,957.44 nat. median
$29,641
outlier · 2.1×
5124
APR_DRG 		Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 6 $62,220.91 $65,331.96 $62,843.12 nat. median
$38,149
1.6× median
1302
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 6 $61,535.49 $64,612.28 $62,150.85 nat. median
$28,061
outlier · 2.2×
404
APR_DRG 		Spinal Disorders And Injuries, Severe 6 $61,501.96 $64,577.06 $62,116.99 nat. median
$23,276
outlier · 2.7×
4444
APR_DRG 		Renal Dialysis Access Device Procedures, Severe 6 $59,907.89 $62,903.29 $60,506.97 nat. median
$33,197
1.8× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 $53,688.05 $157,975.52 $59,904.57 nat. median
$77,632
0.8× median
38240
CPT 		Transplt Allo Hct/donor 25 $2,380.00 $119,712.78 $59,856.39 nat. median
$12,842
outlier · 4.7×
3224
APR_DRG 		Shoulder And Elbow Joint Replacement, Severe 6 $58,580.03 $61,509.04 $59,165.83 nat. median
$28,183
outlier · 2.1×
6504
APR_DRG 		Splenectomy, Severe 6 $57,919.76 $60,815.76 $58,498.96 nat. median
$35,913
1.6× median
E0738
HCPCS 		Upper Extremity Rehab 26 $51,277.05 $65,261.70 $58,269.38 nat. median
$2,101
outlier · 27.7×
E0739
HCPCS 		Rehab Sys Active Assist Rt 26 $51,277.05 $65,261.70 $58,269.38 nat. median
$1,646
outlier · 35.4×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 $50,252.83 $121,664.76 $54,484.65 nat. median
$66,715
0.8× median
4043
APR_DRG 		Thyroid, Parathyroid And Thyroglossal Procedures, Major 6 $53,322.03 $55,988.14 $53,855.26 nat. median
$20,551
outlier · 2.6×
1301
APR_DRG 		Respiratory System Diagnosis With Ventilator Support > 96 Hours, Minor 6 $52,683.77 $55,317.97 $53,210.61 nat. median
$25,544
outlier · 2.1×
5194
APR_DRG 		Uterine And Adnexa Procedures For Leiomyoma, Severe 6 $52,329.54 $54,946.02 $52,852.84 nat. median
$32,932
1.6× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 24 $44,098.72 $129,934.93 $49,204.89 nat. median
$62,655
0.8× median
4824
APR_DRG 		Transurethral Prostatectomy, Severe 6 $48,385.77 $50,805.07 $48,869.63 nat. median
$22,023
outlier · 2.2×
4464
APR_DRG 		Urethral And Transurethral Procedures, Severe 6 $46,101.05 $48,406.11 $46,562.07 nat. median
$24,287
1.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 24 $40,996.96 $120,965.93 $45,743.97 nat. median
$59,371
0.8× median
A9699
HCPCS 		Radiopharm Rx Agent Noc 25 $45,221.05 $45,221.05 $45,221.05 nat. median
$1,683
outlier · 26.9×
3174
APR_DRG 		Tendon, Muscle And Other Soft Tissue Procedures, Severe 6 $43,342.62 $45,509.76 $43,776.05 nat. median
$31,213
1.4× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 $39,038.13 $123,159.77 $43,558.34 nat. median
$58,135
0.7× median
28
MS_DRG 		Spinal Procedures With Mcc 24 $38,539.24 $112,950.03 $43,001.68 nat. median
$54,460
0.8× median

Other procedures at this hospital

Browse this hospital's 4,444 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
Q2042 HCPCS Tisagenlecleucel Car-pos T 67 36 — — $572,452.94 $1,955,527.10 $1,263,990.02 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 18 6 — — $268,419.04 $281,840.03 $271,103.27 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 67 36 — — $56,207.02 $309,920.89 $183,063.95 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 18 6 — — $172,637.89 $181,269.81 $174,364.30 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 18 6 — — $172,579.20 $181,208.19 $174,305.02 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 67 36 — — $56,824.55 $277,584.73 $167,204.64 2026-01-13
234 APR_DRG Spinal Procedures, Severe 18 6 — — $128,039.73 $134,441.73 $129,320.14 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 18 6 — — $124,362.17 $130,580.29 $125,605.80 2026-01-13
J9226 HCPCS Supprelin La Implant 67 36 — — $45,212.04 $187,052.51 $116,132.27 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 18 6 — — $113,570.53 $119,249.07 $114,706.25 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 18 6 — — $112,836.90 $118,478.76 $113,965.29 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 18 6 — — $110,359.34 $115,877.33 $111,462.95 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 18 6 — — $106,139.95 $111,446.96 $107,201.36 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 18 6 — — $103,660.29 $108,843.32 $104,696.90 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 34 24 — — $89,573.07 $260,392.47 $99,944.68 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 18 6 — — $94,881.93 $99,626.04 $95,830.76 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 18 6 — — $92,773.28 $97,411.96 $93,701.02 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 18 6 — — $92,595.12 $97,224.89 $93,521.08 2026-01-13
7234 APR_DRG Viral Illness, Severe 18 6 — — $80,825.66 $84,866.96 $81,633.93 2026-01-13
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Severe 18 6 — — $75,579.19 $79,358.16 $76,334.99 2026-01-13
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Se… 18 6 — — $75,430.37 $79,201.90 $76,184.68 2026-01-13
3104 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Severe 18 6 — — $71,930.97 $75,527.53 $72,650.29 2026-01-13
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Severe 18 6 — — $71,777.96 $75,366.87 $72,495.75 2026-01-13
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Major 18 6 — — $70,386.16 $73,905.48 $71,090.04 2026-01-13
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Severe 18 6 — — $70,148.26 $73,655.68 $70,849.75 2026-01-13
6924 APR_DRG Radiotherapy, Severe 18 6 — — $67,555.42 $70,933.20 $68,230.98 2026-01-13
3214 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Sev… 18 6 — — $63,215.50 $66,376.28 $63,847.66 2026-01-13
233 APR_DRG Spinal Procedures, Major 18 6 — — $62,334.10 $65,450.81 $62,957.44 2026-01-13
5124 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Severe 18 6 — — $62,220.91 $65,331.96 $62,843.12 2026-01-13
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Moderate 18 6 — — $61,535.49 $64,612.28 $62,150.85 2026-01-13
404 APR_DRG Spinal Disorders And Injuries, Severe 18 6 — — $61,501.96 $64,577.06 $62,116.99 2026-01-13
4444 APR_DRG Renal Dialysis Access Device Procedures, Severe 18 6 — — $59,907.89 $62,903.29 $60,506.97 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 24 — — $53,688.05 $157,975.52 $59,904.57 2026-01-13
38240 CPT Transplt Allo Hct/donor 41 25 — — $2,380.00 $119,712.78 $59,856.39 2026-01-13
3224 APR_DRG Shoulder And Elbow Joint Replacement, Severe 18 6 — — $58,580.03 $61,509.04 $59,165.83 2026-01-13
6504 APR_DRG Splenectomy, Severe 18 6 — — $57,919.76 $60,815.76 $58,498.96 2026-01-13
E0738 HCPCS Upper Extremity Rehab 50 26 — — $51,277.05 $65,261.70 $58,269.38 2026-01-13
E0739 HCPCS Rehab Sys Active Assist Rt 50 26 — — $51,277.05 $65,261.70 $58,269.38 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 27 22 — — $50,252.83 $121,664.76 $54,484.65 2026-01-13
4043 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Major 18 6 — — $53,322.03 $55,988.14 $53,855.26 2026-01-13
1301 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Minor 18 6 — — $52,683.77 $55,317.97 $53,210.61 2026-01-13
5194 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Severe 18 6 — — $52,329.54 $54,946.02 $52,852.84 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 34 24 — — $44,098.72 $129,934.93 $49,204.89 2026-01-13
4824 APR_DRG Transurethral Prostatectomy, Severe 18 6 — — $48,385.77 $50,805.07 $48,869.63 2026-01-13
4464 APR_DRG Urethral And Transurethral Procedures, Severe 18 6 — — $46,101.05 $48,406.11 $46,562.07 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 34 24 — — $40,996.96 $120,965.93 $45,743.97 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 49 25 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
3174 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Severe 18 6 — — $43,342.62 $45,509.76 $43,776.05 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 34 24 — — $39,038.13 $123,159.77 $43,558.34 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 34 24 — — $38,539.24 $112,950.03 $43,001.68 2026-01-13
6624 APR_DRG Sickle Cell Anemia Crisis, Severe 18 6 — — $41,792.57 $43,882.21 $42,210.50 2026-01-13
3213 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Maj… 18 6 — — $41,499.12 $43,574.08 $41,914.12 2026-01-13
3613 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Major 18 6 — — $41,104.01 $43,159.22 $41,515.06 2026-01-13
974 APR_DRG Tonsil And Adenoid Procedures, Severe 18 6 — — $41,084.10 $43,138.31 $41,494.94 2026-01-13
3804 APR_DRG Skin Ulcers, Severe 18 6 — — $40,583.14 $42,612.30 $40,988.97 2026-01-13
3123 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Ma… 18 6 — — $40,221.56 $42,232.65 $40,623.79 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 24 — — $36,383.27 $112,100.32 $40,596.07 2026-01-13
403 APR_DRG Spinal Disorders And Injuries, Major 18 6 — — $39,870.47 $41,864.00 $40,269.18 2026-01-13
514 APR_DRG Viral Meningitis, Severe 18 6 — — $39,338.07 $41,304.98 $39,731.46 2026-01-13
7204 APR_DRG Septicemia And Disseminated Infections, Severe 18 6 — — $39,276.23 $41,240.05 $39,669.00 2026-01-13
3103 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Major 18 6 — — $38,013.35 $39,914.02 $38,393.49 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 24 — — $34,238.09 $107,144.90 $38,202.49 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 34 24 — — $34,205.76 $102,531.63 $38,166.42 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 34 24 — — $34,201.95 $92,137.66 $38,162.17 2026-01-13
6503 APR_DRG Splenectomy, Major 18 6 — — $37,769.16 $39,657.62 $38,146.86 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 22 — — $34,492.29 $83,507.64 $37,759.98 2026-01-13
3612 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Moderate 18 6 — — $36,869.94 $38,713.44 $37,238.65 2026-01-13
3223 APR_DRG Shoulder And Elbow Joint Replacement, Major 18 6 — — $36,856.32 $38,699.14 $37,224.88 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 24 — — $32,647.58 $100,191.15 $37,115.14 2026-01-13
7504 APR_DRG Schizophrenia, Severe 18 6 — — $36,416.14 $38,236.95 $36,780.31 2026-01-13
6923 APR_DRG Radiotherapy, Major 18 6 — — $36,286.19 $38,100.50 $36,649.06 2026-01-13
5123 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Major 18 6 — — $35,907.84 $37,703.24 $36,266.93 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 34 24 — — $32,295.75 $97,856.31 $36,035.26 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 34 24 — — $32,196.86 $93,758.13 $35,924.92 2026-01-13
5113 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Major 18 6 — — $34,735.09 $36,471.85 $35,082.44 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 24 — — $23,218.00 $104,638.99 $33,887.08 2026-01-13
8614 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status, Severe 18 6 — — $33,240.59 $34,902.62 $33,573.00 2026-01-13
4274 APR_DRG Thyroid Disorders, Severe 18 6 — — $32,839.19 $34,481.16 $33,167.59 2026-01-13
2044 APR_DRG Syncope And Collapse, Severe 18 6 — — $32,733.34 $34,370.01 $33,060.68 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 34 24 — — $8,752.00 $85,138.79 $32,997.21 2026-01-13
3212 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Mod… 18 6 — — $31,869.76 $33,463.25 $32,188.46 2026-01-13
1364 APR_DRG Respiratory Malignancy, Severe 18 6 — — $31,706.26 $33,291.58 $32,023.33 2026-01-13
3153 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Major 18 6 — — $31,639.19 $33,221.15 $31,955.58 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 34 24 — — $28,085.88 $78,891.88 $31,337.92 2026-01-13
402 APR_DRG Spinal Disorders And Injuries, Moderate 18 6 — — $30,798.66 $32,338.60 $31,106.65 2026-01-13
232 APR_DRG Spinal Procedures, Moderate 18 6 — — $30,599.54 $32,129.52 $30,905.53 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 54 27 — — $2,380.00 $61,683.04 $30,841.52 2026-01-13
223 APR_DRG Ventricular Shunt Procedures, Major 18 6 — — $30,482.16 $32,006.27 $30,786.99 2026-01-13
4443 APR_DRG Renal Dialysis Access Device Procedures, Major 18 6 — — $30,424.51 $31,945.74 $30,728.76 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 24 — — $27,372.72 $78,440.71 $30,542.19 2026-01-13
5414 APR_DRG Vaginal Delivery With Sterilization And/Or D&c, Severe 18 6 — — $30,230.89 $31,742.43 $30,533.19 2026-01-13
534 APR_DRG Seizure, Severe 18 6 — — $29,864.86 $31,358.11 $30,163.51 2026-01-13
4654 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction, Severe 18 6 — — $29,721.28 $31,207.35 $30,018.49 2026-01-13
1334 APR_DRG Respiratory Failure, Severe 18 6 — — $29,554.64 $31,032.38 $29,850.19 2026-01-13
5424 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/Or D&c, Severe 18 6 — — $29,450.17 $30,922.67 $29,744.67 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 34 24 — — $26,565.11 $84,228.92 $29,641.07 2026-01-13
8604 APR_DRG Rehabilitation, Severe 18 6 — — $29,304.16 $30,769.37 $29,597.21 2026-01-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 34 24 — — $26,014.22 $79,256.58 $29,026.40 2026-01-13
3173 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Major 18 6 — — $27,907.13 $29,302.49 $28,186.21 2026-01-13
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 34 24 — — $25,235.77 $67,353.06 $28,157.81 2026-01-13
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 34 24 — — $24,961.28 $67,197.03 $27,851.53 2026-01-13
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 34 24 — — $24,800.26 $75,581.38 $27,671.88 2026-01-13
3222 APR_DRG Shoulder And Elbow Joint Replacement, Moderate 18 6 — — $27,386.25 $28,755.57 $27,660.12 2026-01-13
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 34 24 — — $8,752.00 $69,050.61 $26,795.15 2026-01-13
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 24 — — $23,721.33 $66,909.40 $26,468.01 2026-01-13
3122 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Mo… 18 6 — — $25,976.65 $27,275.48 $26,236.42 2026-01-13
4823 APR_DRG Transurethral Prostatectomy, Major 18 6 — — $25,733.50 $27,020.18 $25,990.84 2026-01-13
4463 APR_DRG Urethral And Transurethral Procedures, Major 18 6 — — $25,628.70 $26,910.14 $25,884.99 2026-01-13
474 APR_DRG Transient Ischemia, Severe 18 6 — — $25,527.04 $26,803.39 $25,782.31 2026-01-13
3211 APR_DRG Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures, Min… 18 6 — — $25,171.75 $26,430.34 $25,423.47 2026-01-13
3102 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Modera… 18 6 — — $24,835.33 $26,077.10 $25,083.69 2026-01-13
6502 APR_DRG Splenectomy, Moderate 18 6 — — $24,686.51 $25,920.84 $24,933.38 2026-01-13
6922 APR_DRG Radiotherapy, Moderate 18 6 — — $24,636.21 $25,868.02 $24,882.57 2026-01-13
414T OTHER Rmvl & Rpl Car Modulj Pls Gn 67 36 — — $2,380.00 $46,788.55 $24,584.28 2026-01-13
520T OTHER Rmv&rplcmt Pg Wcs Lv Battery 67 36 — — $2,380.00 $46,788.55 $24,584.28 2026-01-13
614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 67 36 — — $2,380.00 $46,788.55 $24,584.28 2026-01-13
332 MS_DRG Rectal Resection With Mcc 34 24 — — $21,988.82 $68,065.54 $24,534.90 2026-01-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 34 24 — — $21,964.73 $65,258.85 $24,508.01 2026-01-13
923T OTHER Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 67 36 — — $2,581.00 $46,239.15 $24,410.08 2026-01-13
5133 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Major 18 6 — — $24,154.11 $25,361.82 $24,395.65 2026-01-13
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 34 24 — — $21,713.07 $66,296.55 $24,227.21 2026-01-13
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 34 24 — — $21,278.83 $64,134.67 $23,742.69 2026-01-13
1444 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses, Severe 18 6 — — $23,384.85 $24,554.10 $23,618.70 2026-01-13
5193 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Major 18 6 — — $23,297.86 $24,462.76 $23,530.85 2026-01-13
4042 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Moderate 18 6 — — $22,893.32 $24,037.99 $23,122.25 2026-01-13
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 24 — — $20,313.38 $67,796.71 $23,076.55 2026-01-13
3221 APR_DRG Shoulder And Elbow Joint Replacement, Minor 18 6 — — $22,707.82 $23,843.21 $22,934.90 2026-01-13
61891 CPT Rev/rplcmt Sk-mnt Crnl Nstm 67 36 — — $2,380.00 $43,406.60 $22,893.30 2026-01-13
1363 APR_DRG Respiratory Malignancy, Major 18 6 — — $22,279.17 $23,393.13 $22,501.96 2026-01-13
500 MS_DRG Soft Tissue Procedures With Mcc 34 24 — — $20,087.07 $59,495.08 $22,412.94 2026-01-13
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 24 — — $19,562.81 $60,728.29 $22,239.82 2026-01-13
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 34 24 — — $19,452.50 $55,953.34 $21,704.90 2026-01-13
570 MS_DRG Skin Debridement With Mcc 34 24 — — $19,082.30 $55,289.74 $21,291.82 2026-01-13
231 APR_DRG Spinal Procedures, Minor 18 6 — — $21,044.58 $22,096.82 $21,255.03 2026-01-13
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 24 — — $18,691.80 $58,553.25 $20,856.11 2026-01-13
8164 APR_DRG Toxic Effects Of Non-medicinal Substances, Severe 18 6 — — $20,586.59 $21,615.92 $20,792.46 2026-01-13
222 APR_DRG Ventricular Shunt Procedures, Moderate 18 6 — — $20,456.63 $21,479.47 $20,661.20 2026-01-13
668 MS_DRG Transurethral Procedures With Mcc 34 24 — — $18,487.05 $54,893.08 $20,627.65 2026-01-13
1333 APR_DRG Respiratory Failure, Major 18 6 — — $20,351.83 $21,369.42 $20,555.35 2026-01-13
825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 67 36 — — $2,380.00 $38,602.84 $20,491.42 2026-01-13
797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 67 36 — — $2,380.00 $38,602.84 $20,491.42 2026-01-13
803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 67 36 — — $2,380.00 $38,602.84 $20,491.42 2026-01-13
823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 67 36 — — $2,380.00 $38,602.84 $20,491.42 2026-01-13
54416 CPT Remv/repl Penis Contain Pros 41 25 — — $1,691.00 $40,743.16 $20,371.58 2026-01-13
54411 CPT Remov/replc Penis Pros Comp 40 24 — — $958.00 $40,743.16 $20,371.58 2026-01-13
53447 CPT Remove/replace Ur Sphincter 59 28 — — $274.41 $40,743.16 $20,371.58 2026-01-13
54410 CPT Remove/replace Penis Prosth 41 25 — — $1,691.00 $40,743.16 $20,371.58 2026-01-13
3152 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Moderate 18 6 — — $20,167.38 $21,175.75 $20,369.06 2026-01-13
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 34 24 — — $18,175.15 $56,774.86 $20,279.65 2026-01-13
5122 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Modera… 18 6 — — $20,022.75 $21,023.89 $20,222.98 2026-01-13
800 MS_DRG Splenic Procedures With Cc 34 24 — — $8,752.00 $52,813.91 $20,221.10 2026-01-13
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 34 24 — — $18,118.11 $56,782.38 $20,215.99 2026-01-13
645T OTHER Tcat Impltj C Sins Rdctj Dev 67 36 — — $5,411.00 $36,347.04 $19,990.87 2026-01-13
3611 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Minor 18 6 — — $19,713.58 $20,699.26 $19,910.72 2026-01-13
27702 CPT Reconstruct Ankle Joint 67 36 — — $2,380.00 $37,224.16 $19,802.08 2026-01-13
23472 CPT Reconstruct Shoulder Joint 67 36 — — $2,380.00 $37,224.16 $19,802.08 2026-01-13
C9797 HCPCS Vasc Emb/occ W/prs Cath 67 36 — — $2,380.00 $36,347.04 $19,363.52 2026-01-13
795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 38 23 — — $1,502.65 $38,602.84 $19,301.42 2026-01-13
802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 38 23 — — $1,502.65 $38,602.84 $19,301.42 2026-01-13
801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 38 23 — — $1,502.65 $38,602.84 $19,301.42 2026-01-13
796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 38 23 — — $1,502.65 $38,602.84 $19,301.42 2026-01-13
3172 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Moderate 18 6 — — $18,951.65 $19,899.24 $19,141.17 2026-01-13
8603 APR_DRG Rehabilitation, Major 18 6 — — $18,796.54 $19,736.37 $18,984.51 2026-01-13
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 34 24 — — $17,013.18 $51,672.81 $18,983.12 2026-01-13
849 MS_DRG Radiotherapy 34 24 — — $16,932.67 $50,935.89 $18,893.29 2026-01-13
5112 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Moderate 18 6 — — $18,702.22 $19,637.33 $18,889.25 2026-01-13
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 34 24 — — $16,880.06 $49,830.51 $18,834.58 2026-01-13
263 MS_DRG Vein Ligation And Stripping 35 25 — — $17,002.40 $57,476.06 $18,792.12 2026-01-13
8163 APR_DRG Toxic Effects Of Non-medicinal Substances, Major 18 6 — — $18,579.60 $19,508.58 $18,765.40 2026-01-13
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 34 24 — — $16,798.92 $54,174.96 $18,744.05 2026-01-13
1443 APR_DRG Respiratory Signs, Symptoms And Miscellaneous Diagnoses, Major 18 6 — — $18,523.01 $19,449.16 $18,708.24 2026-01-13
24371 CPT Revise Reconst Elbow Joint 59 28 — — $1,069.75 $37,224.16 $18,612.08 2026-01-13
24363 CPT Replace Elbow Joint 59 28 — — $821.38 $37,224.16 $18,612.08 2026-01-13
21243 CPT Reconstruction Of Jaw Joint 59 28 — — $592.54 $37,224.16 $18,612.08 2026-01-13
24361 CPT Reconstruct Elbow Joint 59 28 — — $592.54 $37,224.16 $18,612.08 2026-01-13
25446 CPT Wrist Replacement 59 28 — — $821.38 $37,224.16 $18,612.08 2026-01-13
25442 CPT Reconstruct Wrist Joint 59 28 — — $592.54 $37,224.16 $18,612.08 2026-01-13
22856 CPT Tot Disc Arthrp 1ntrspc Crv 67 36 — — $2,380.00 $37,224.16 $18,612.08 2026-01-13
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 34 24 — — $16,629.66 $51,659.65 $18,555.19 2026-01-13
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 34 24 — — $16,586.54 $50,708.42 $18,507.10 2026-01-13
1114 APR_DRG Vertigo And Other Labyrinth Disorders, Severe 18 6 — — $17,938.20 $18,835.11 $18,117.58 2026-01-13
5121 APR_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy, Minor 18 6 — — $17,865.89 $18,759.18 $18,044.55 2026-01-13
973 APR_DRG Tonsil And Adenoid Procedures, Major 18 6 — — $17,799.86 $18,689.86 $17,977.86 2026-01-13
19357 CPT Tiss Xpndr Plmt Brst Rcnstj 59 28 — — $421.38 $35,216.82 $17,608.41 2026-01-13
6501 APR_DRG Splenectomy, Minor 18 6 — — $17,293.66 $18,158.34 $17,466.60 2026-01-13
4442 APR_DRG Renal Dialysis Access Device Procedures, Moderate 18 6 — — $17,261.17 $18,124.23 $17,433.78 2026-01-13
3121 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses, Mi… 18 6 — — $17,230.78 $18,092.32 $17,403.09 2026-01-13
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 34 24 — — $15,392.24 $45,948.52 $17,174.50 2026-01-13
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 34 24 — — $15,284.47 $40,793.83 $17,054.25 2026-01-13
4041 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures, Minor 18 6 — — $16,734.01 $17,570.71 $16,901.35 2026-01-13
221 APR_DRG Ventricular Shunt Procedures, Minor 18 6 — — $16,637.59 $17,469.47 $16,803.97 2026-01-13
4653 APR_DRG Urinary Stones And Acquired Upper Urinary Tract Obstruction, Major 18 6 — — $16,619.77 $17,450.76 $16,785.97 2026-01-13
8162 APR_DRG Toxic Effects Of Non-medicinal Substances, Moderate 18 6 — — $16,572.61 $17,401.24 $16,738.34 2026-01-13
8613 APR_DRG Signs, Symptoms And Other Factors Influencing Health Status, Major 18 6 — — $16,313.74 $17,129.43 $16,476.88 2026-01-13
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 34 24 — — $14,708.24 $42,966.99 $16,411.31 2026-01-13
3171 APR_DRG Tendon, Muscle And Other Soft Tissue Procedures, Minor 18 6 — — $16,237.24 $17,049.10 $16,399.62 2026-01-13
7203 APR_DRG Septicemia And Disseminated Infections, Major 18 6 — — $16,118.81 $16,924.75 $16,280.00 2026-01-13
6623 APR_DRG Sickle Cell Anemia Crisis, Major 18 6 — — $16,028.68 $16,830.11 $16,188.97 2026-01-13
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 34 24 — — $14,364.66 $42,709.45 $16,027.93 2026-01-13
3101 APR_DRG Vertebral And Intervertebral Spinal Procedures Including Disc Procedures, Minor 18 6 — — $15,784.49 $16,573.71 $15,942.33 2026-01-13
1362 APR_DRG Respiratory Malignancy, Moderate 18 6 — — $15,752.00 $16,539.60 $15,909.52 2026-01-13
30 MS_DRG Spinal Procedures Without Cc/mcc 34 24 — — $14,107.28 $41,267.56 $15,740.76 2026-01-13
65770 CPT Revise Cornea With Implant 67 36 — — $2,380.00 $28,923.66 $15,474.16 2026-01-13
5111 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy, Minor 18 6 — — $15,221.69 $15,982.78 $15,373.91 2026-01-13
32 MS_DRG Ventricular Shunt Procedures With Cc 34 24 — — $13,538.02 $40,060.67 $15,105.58 2026-01-13
333 MS_DRG Rectal Resection With Cc 34 24 — — $13,472.73 $44,031.02 $15,032.73 2026-01-13
C9757 HCPCS Spine Device Implant Surgery 67 36 — — $3,611.00 $26,044.34 $14,827.67 2026-01-13
508U OTHER Transplantation Medicine, Quantification Of Donor-derived Cell-free DNA Using 40… 50 26 — — $12,895.20 $16,653.60 $14,774.40 2026-01-13
509U OTHER Transplantation Medicine, Quantification Of Donor-derived Cell-free DNA Using Up… 50 26 — — $12,895.20 $16,653.60 $14,774.40 2026-01-13
5604 APR_DRG Vaginal Delivery, Severe 18 6 — — $14,464.36 $15,187.58 $14,609.01 2026-01-13
592 MS_DRG Skin Ulcers With Mcc 34 24 — — $13,035.32 $36,381.70 $14,544.67 2026-01-13
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 34 24 — — $8,752.00 $39,979.83 $14,507.58 2026-01-13
401 APR_DRG Spinal Disorders And Injuries, Minor 18 6 — — $14,281.60 $14,995.68 $14,424.42 2026-01-13
C9734 HCPCS U/s Trtmt, Not Leiomyomata 67 36 — — $2,715.00 $26,044.34 $14,379.67 2026-01-13
53451 CPT Tprnl Balo Cntnc Dev Bi 67 36 — — $2,380.00 $26,298.58 $14,339.29 2026-01-13
6921 APR_DRG Radiotherapy, Minor 18 6 — — $14,156.88 $14,864.73 $14,298.45 2026-01-13
548 MS_DRG Septic Arthritis With Mcc 34 24 — — $12,770.97 $36,298.99 $14,249.72 2026-01-13
4462 APR_DRG Urethral And Transurethral Procedures, Moderate 18 6 — — $14,096.10 $14,800.90 $14,237.06 2026-01-13
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 34 24 — — $12,757.66 $34,050.63 $14,234.87 2026-01-13
23473 CPT Revis Reconst Shoulder Joint 67 36 — — $2,380.00 $26,044.34 $14,212.17 2026-01-13
24362 CPT Reconstruct Elbow Joint 67 36 — — $2,380.00 $26,044.34 $14,212.17 2026-01-13
27130 CPT Total Hip Arthroplasty 67 36 — — $2,380.00 $26,044.34 $14,212.17 2026-01-13
23470 CPT Reconstruct Shoulder Joint 67 36 — — $2,380.00 $26,044.34 $14,212.17 2026-01-13
27447 CPT Total Knee Arthroplasty 67 36 — — $2,380.00 $26,044.34 $14,212.17 2026-01-13
G0563 HCPCS Stereotactic Body Radiation Therapy, Treatment Delivery, Per Fraction To 1 Or Mo… 67 36 — — $3,795.78 $24,490.77 $14,143.27 2026-01-13
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 34 24 — — $12,668.28 $38,737.22 $14,135.13 2026-01-13
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 34 24 — — $12,657.51 $33,781.80 $14,123.11 2026-01-13
473 APR_DRG Transient Ischemia, Major 18 6 — — $13,925.27 $14,621.53 $14,064.53 2026-01-13
100 MS_DRG Seizures With Mcc 34 24 — — $12,585.24 $36,409.90 $14,042.48 2026-01-13
7233 APR_DRG Viral Illness, Major 18 6 — — $13,790.07 $14,479.58 $13,927.97 2026-01-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 34 24 — — $12,438.17 $36,517.06 $13,878.38 2026-01-13
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 34 24 — — $12,432.46 $39,090.64 $13,872.01 2026-01-13
5192 APR_DRG Uterine And Adnexa Procedures For Leiomyoma, Moderate 18 6 — — $13,558.45 $14,236.38 $13,694.04 2026-01-13
J9225 HCPCS Vantas Implant 50 26 — — $4,560.86 $22,814.19 $13,687.52 2026-01-13
3803 APR_DRG Skin Ulcers, Major 18 6 — — $13,508.15 $14,183.56 $13,643.24 2026-01-13
623 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 34 24 — — $12,125.65 $33,723.53 $13,529.67 2026-01-13
711 MS_DRG Testes Procedures With Cc/mcc 34 24 — — $12,111.70 $39,173.36 $13,514.11 2026-01-13
972 APR_DRG Tonsil And Adenoid Procedures, Moderate 18 6 — — $13,316.36 $13,982.18 $13,449.53 2026-01-13
61798 CPT Srs Cranial Lesion Complex 50 26 — — $1,324.82 $25,560.00 $13,442.41 2026-01-13
902 MS_DRG Wound Debridements For Injuries With Cc 34 24 — — $12,029.29 $35,990.69 $13,422.16 2026-01-13
513 APR_DRG Viral Meningitis, Major 18 6 — — $13,223.08 $13,884.24 $13,355.31 2026-01-13
4822 APR_DRG Transurethral Prostatectomy, Moderate 18 6 — — $13,195.83 $13,855.63 $13,327.79 2026-01-13
5132 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma, Moderate 18 6 — — $13,135.05 $13,791.80 $13,266.40 2026-01-13
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 38 24 — — $11,579.84 $34,492.41 $13,164.44 2026-01-13
54417 CPT Remv/replc Penis Pros Compl 41 25 — — $1,197.00 $36,202.36 $13,149.29 2026-01-13
8602 APR_DRG Rehabilitation, Moderate 18 6 — — $12,896.10 $13,540.90 $13,025.06 2026-01-13
29856 CPT Tibial Arthroscopy/surgery 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
28420 CPT Treat/graft Heel Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
24366 CPT Reconstruct Head Of Radius 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
24430 CPT Repair Of Humerus 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
25491 CPT Reinforce Ulna 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
27428 CPT Reconstruction Knee 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
23485 CPT Revision Of Collar Bone 59 28 — — $821.38 $26,044.34 $13,022.17 2026-01-13
23491 CPT Reinforce Shoulder Bones 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
24365 CPT Reconstruct Head Of Radius 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
28320 CPT Repair Of Foot Bones 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
25365 CPT Revise Radius & Ulna 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
27827 CPT Treat Lower Leg Fracture 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
27828 CPT Treat Lower Leg Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
24410 CPT Revision Of Humerus 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
24666 CPT Treat Radius Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
27429 CPT Reconstruction Knee 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
28737 CPT Revision Of Foot Bones 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
24435 CPT Repair Humerus With Graft 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
29907 CPT Subtalar Arthro W/fusion 59 28 — — $1,069.75 $26,044.34 $13,022.17 2026-01-13
24370 CPT Revise Reconst Elbow Joint 59 28 — — $1,069.75 $26,044.34 $13,022.17 2026-01-13
24586 CPT Treat Elbow Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
27356 CPT Remove Femur Lesion/graft 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
27758 CPT Treatment Of Tibia Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
27759 CPT Treatment Of Tibia Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
24587 CPT Treat Elbow Fracture 59 28 — — $274.41 $26,044.34 $13,022.17 2026-01-13
25444 CPT Reconstruct Wrist Joint 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
737T OTHER Xenograft Impltj Artclr Surf 39 23 — — $958.00 $26,044.34 $13,022.17 2026-01-13
24579 CPT Treat Humerus Fracture 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
27438 CPT Revise Kneecap With Implant 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
27441 CPT Revision Of Knee Joint 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
24545 CPT Treat Humerus Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
27442 CPT Revision Of Knee Joint 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
24546 CPT Treat Humerus Fracture 59 28 — — $1,069.75 $32,848.92 $13,022.17 2026-01-13
25441 CPT Reconstruct Wrist Joint 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
27443 CPT Revision Of Knee Joint 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
27446 CPT Revision Of Knee Joint 59 28 — — $1,069.75 $26,044.34 $13,022.17 2026-01-13
69719 CPT Rplcm Oi Implt Sk Tc Esp<100 67 36 — — $2,380.00 $26,044.34 $13,022.17 2026-01-13
24516 CPT Treat Humerus Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
69730 CPT Rplc Oi Implt Sk Tc Esp>=100 67 36 — — $2,380.00 $26,879.04 $13,022.17 2026-01-13
64628 CPT Trml Dstrj Ios Bvn 1st 2 L/s 67 36 — — $2,380.00 $26,044.34 $13,022.17 2026-01-13
24498 CPT Reinforce Humerus 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
24346 CPT Reconstruct Elbow Med Ligmnt 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
24515 CPT Treat Humerus Fracture 59 28 — — $519.05 $26,044.34 $13,022.17 2026-01-13
27440 CPT Revision Of Knee Joint 59 28 — — $592.54 $26,044.34 $13,022.17 2026-01-13
24575 CPT Treat Humerus Fracture 59 28 — — $421.38 $26,044.34 $13,022.17 2026-01-13
533 APR_DRG Seizure, Major 18 6 — — $12,823.78 $13,464.97 $12,952.02 2026-01-13
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 34 24 — — $11,526.59 $34,018.67 $12,861.24 2026-01-13
501 MS_DRG Soft Tissue Procedures With Cc 34 24 — — $11,313.59 $32,862.53 $12,623.58 2026-01-13
33288 CPT Rmv&rplcmt Phrnc Nrv Stim Ld 67 36 — — $2,263.00 $26,736.64 $12,620.87 2026-01-13
63664 CPT Revise Spine Eltrd Plate 59 28 — — $592.54 $39,715.61 $12,620.87 2026-01-13
64583 CPT Rev/rplct Hpglsl Nstm Ary Pg 67 36 — — $2,263.00 $25,241.74 $12,620.87 2026-01-13
5423 APR_DRG Vaginal Delivery With O.r. Procedure Except Sterilization And/Or D&c, Major 18 6 — — $12,377.12 $12,995.98 $12,500.89 2026-01-13
180 MS_DRG Respiratory Neoplasms With Mcc 34 24 — — $11,079.68 $33,199.03 $12,362.59 2026-01-13
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 34 24 — — $11,005.50 $34,283.74 $12,279.83 2026-01-13
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