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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

TEXAS HEALTH CENTER FOR DIAGNOSTICS & SURGERY

Plano, TX · CCN 450891 · Rates published

16,842 distinct procedures filed
20 distinct payers
1,010,706 rate rows
2026-04-21 last MRF observed
Data quality

1,004,352 of 1,010,706 rate rows are consumer-grade (99.4%)

6,354 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 5,766
per-diem day rate — not a per-procedure price 310
percent-of-charges filed in the dollar field — excluded from medians 91
template filing: same amount across many unrelated codes — excluded 70
exceeds 10× this hospital's gross charge — excluded from medians 65
placeholder amount (≤ $0.02) — excluded from medians 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/13788/481281376_physicians-medical-center-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/TexasHealthCenterForDiagnosticsSurgeryPlano/13788
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint f4595f3f5eac44c2… · 1,900,686,930 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 7 $4,505,000.00 $4,955,500.00 $4,707,725.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,685,266.67 $4,164,351.33 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,316,462.59 $3,747,602.72 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,248,445.72 $3,670,743.66 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,945,740.00 $3,328,686.20 $3,093,027.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $2,774,274.98 $2,577,866.14 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,635,160.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $870,800.60 $809,151.00 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 8 $591,726.20 $668,650.61 $621,312.51 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 8 $565,868.95 $639,431.91 $594,162.39 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 8 $562,538.19 $635,668.15 $590,665.09 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 8 $557,317.93 $629,769.27 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 8 $533,230.17 $602,550.09 $559,891.68 nat. median
$634,511
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 8 $489,304.61 $552,914.21 $513,769.84 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $308,752.42 $2,731,764.38 $342,715.19 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $314,422.50 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $290,975.00 $270,375.00 nat. median
$265,000
1.0× median
5834
APR_DRG 		Neonate With Ecmo 6 $265,580.49 $286,826.93 $265,580.49 nat. median
$309,665
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 6 $258,356.95 $279,025.51 $258,356.95 nat. median
$187,294
1.4× median
5833
APR_DRG 		Neonate With Ecmo 6 $224,883.80 $242,874.50 $224,883.80 nat. median
$244,017
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 6 $216,331.85 $233,638.40 $216,331.85 nat. median
$234,738
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $232,373.20 $215,922.00 nat. median
$209,753
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $200,367.90 $638,575.36 $210,386.30 nat. median
$265,286
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $78,800.41 $552,985.89 $178,113.23 nat. median
$98,905
1.8× median
0100T
CPT 		Prosth Retina Receive&gen 4 $47,367.00 $1,274,294.18 $175,375.58 nat. median
$11,210
outlier · 15.6×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 6 $168,108.09 $181,556.74 $168,108.09 nat. median
$246,434
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 6 $163,244.49 $176,304.05 $163,244.49 nat. median
$207,730
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 $152,653.80 $172,498.79 $162,576.30 nat. median
$206,368
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 $151,757.91 $171,486.44 $161,622.17 nat. median
$202,986
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $77,748.66 $605,308.66 $155,782.77 nat. median
$102,358
1.5× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 6 $152,934.38 $165,169.13 $152,934.38 nat. median
$164,834
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 12 $71,191.48 $588,689.47 $151,505.64 nat. median
$99,019
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $60,083.41 $447,080.60 $144,001.81 nat. median
$81,118
1.8× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $64,417.68 $440,291.93 $141,815.22 nat. median
$82,712
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $69,945.98 $536,253.72 $138,010.73 nat. median
$93,672
1.5× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 $125,083.63 $135,090.32 $125,083.63 nat. median
$150,721
0.8× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 $123,975.16 $133,893.17 $123,975.16 nat. median
$162,982
0.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $60,272.89 $470,843.78 $121,176.77 nat. median
$79,312
1.5× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $51,612.22 $374,944.43 $120,767.21 nat. median
$68,090
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $109,306.05 $123,515.84 $114,771.35 nat. median
$111,989
1.0× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 $47,772.72 $233,567.62 $114,000.01 nat. median
$63,738
1.8× median
5832
APR_DRG 		Neonate With Ecmo 6 $112,054.46 $121,018.82 $112,054.46 nat. median
$156,126
0.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 $54,662.36 $434,310.45 $111,774.52 nat. median
$73,807
1.5× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $54,899.03 $429,926.45 $110,646.25 nat. median
$74,915
1.5× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $106,403.05 $114,915.29 $106,403.05 nat. median
$117,173
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $56,261.08 $379,540.77 $105,600.41 nat. median
$77,576
1.4× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 17 $99,036.04 $111,910.73 $105,473.38 nat. median
$133,176
0.8× median
28
MS_DRG 		Spinal Procedures With Mcc 12 $42,958.71 $211,789.76 $103,369.74 nat. median
$57,823
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 12 $61,914.50 $667,273.19 $103,357.52 nat. median
$83,442
1.2× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 $39,488.86 $497,643.77 $101,861.57 nat. median
$55,736
1.8× median

Other procedures at this hospital

Browse this hospital's 16,842 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
             
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit [91426] 69 20 $156,396.80 $93,838.08 40% off $22,474.22 $342,206.87 $100,625.70 2026-04-21
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Soln [127557] 69 20 $95,033.99 $57,020.40 40% off $2,429.89 $89,426.98 $61,144.86 2026-04-21
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Soln [108958] 69 20 $94,484.28 $56,690.57 40% off $3,660.83 $88,909.71 $60,791.18 2026-04-21
64590 CPT Insrt/redo Perph/sac/gas Neurogen 69 20 $75,868.00 $45,520.80 40% off $7,857.00 $161,098.83 $53,524.88 2026-04-21
63655 CPT Lami Prior Implant Neuroelectrodes 69 20 $75,868.00 $45,520.80 40% off $13,714.30 $161,098.83 $53,524.88 2026-04-21
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) Intravenous Solr [138459] 69 20 $73,377.12 $44,026.28 40% off $2,698.05 $69,047.87 $47,210.84 2026-04-21
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Soln [152604] 69 20 $66,858.00 $40,114.80 40% off $217.09 $62,913.38 $43,016.44 2026-04-21
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Impl [38567] 69 20 $62,782.50 $37,669.50 40% off $340.31 $59,078.33 $40,394.26 2026-04-21
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 7 — — $4,505,000.00 $4,955,500.00 $4,707,725.00 2026-04-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 8 — — $3,685,266.67 $4,164,351.33 $3,869,530.00 2026-04-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 8 — — $3,316,462.59 $3,747,602.72 $3,482,285.72 2026-04-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 8 — — $3,248,445.72 $3,670,743.66 $3,410,868.00 2026-04-21
J3393 HCPCS Inj, Betibeglogene Autotemce 10 8 — — $2,945,740.00 $3,328,686.20 $3,093,027.00 2026-04-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 8 — — $2,455,110.61 $2,774,274.98 $2,577,866.14 2026-04-21
J3392 HCPCS Inj, Exagamglogene Autotem 10 8 — — $2,332,000.00 $2,635,160.00 $2,448,600.00 2026-04-21
Q2057 HCPCS Afamitresgene Autoleucel 10 8 — — $770,620.00 $870,800.60 $809,151.00 2026-04-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 8 — — $591,726.20 $668,650.61 $621,312.51 2026-04-21
Q2056 HCPCS Ciltacabtagene Car-pos T 10 8 — — $565,868.95 $639,431.91 $594,162.39 2026-04-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 8 — — $562,538.19 $635,668.15 $590,665.09 2026-04-21
Q2055 HCPCS Idecabtagene Vicleucel Car 10 8 — — $557,317.93 $629,769.27 $585,183.83 2026-04-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 8 — — $533,230.17 $602,550.09 $559,891.68 2026-04-21
Q2053 HCPCS Brexucabtagene Car Pos T 10 8 — — $489,304.61 $552,914.21 $513,769.84 2026-04-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 10 — — $308,752.42 $2,731,764.38 $342,715.19 2026-04-21
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 10 8 — — $278,250.00 $314,422.50 $292,162.50 2026-04-21
J3403 HCPCS Revakinagene, Per Implant 10 8 — — $257,500.00 $290,975.00 $270,375.00 2026-04-21
5834 APR_DRG Neonate With Ecmo 6 6 — — $265,580.49 $286,826.93 $265,580.49 2026-04-21
74 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $258,356.95 $279,025.51 $258,356.95 2026-04-21
5833 APR_DRG Neonate With Ecmo 6 6 — — $224,883.80 $242,874.50 $224,883.80 2026-04-21
24 APR_DRG Heart And/or Lung Transplant 6 6 — — $216,331.85 $233,638.40 $216,331.85 2026-04-21
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 10 8 — — $205,640.00 $232,373.20 $215,922.00 2026-04-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 9 — — $200,367.90 $638,575.36 $210,386.30 2026-04-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $78,800.41 $552,985.89 $178,113.23 2026-04-21
0100T CPT Prosth Retina Receive&gen 7 4 — — $47,367.00 $1,274,294.18 $175,375.58 2026-04-21
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $168,108.09 $181,556.74 $168,108.09 2026-04-21
1614 APR_DRG Implantable Heart Assist Systems 6 6 — — $163,244.49 $176,304.05 $163,244.49 2026-04-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 26 17 — — $152,653.80 $172,498.79 $162,576.30 2026-04-21
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 26 17 — — $151,757.91 $171,486.44 $161,622.17 2026-04-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 21 12 — — $77,748.66 $605,308.66 $155,782.77 2026-04-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $152,934.38 $165,169.13 $152,934.38 2026-04-21
215 MS_DRG Other Heart Assist System Implant 21 12 — — $71,191.48 $588,689.47 $151,505.64 2026-04-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $60,083.41 $447,080.60 $144,001.81 2026-04-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 12 — — $64,417.68 $440,291.93 $141,815.22 2026-04-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $69,945.98 $536,253.72 $138,010.73 2026-04-21
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $125,083.63 $135,090.32 $125,083.63 2026-04-21
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $123,975.16 $133,893.17 $123,975.16 2026-04-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 21 12 — — $60,272.89 $470,843.78 $121,176.77 2026-04-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $51,612.22 $374,944.43 $120,767.21 2026-04-21
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 8 — — $109,306.05 $123,515.84 $114,771.35 2026-04-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 21 12 — — $47,772.72 $233,567.62 $114,000.01 2026-04-21
5832 APR_DRG Neonate With Ecmo 6 6 — — $112,054.46 $121,018.82 $112,054.46 2026-04-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 21 12 — — $54,662.36 $434,310.45 $111,774.52 2026-04-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $54,899.03 $429,926.45 $110,646.25 2026-04-21
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $106,403.05 $114,915.29 $106,403.05 2026-04-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 12 — — $56,261.08 $379,540.77 $105,600.41 2026-04-21
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 26 17 — — $99,036.04 $111,910.73 $105,473.38 2026-04-21
28 MS_DRG Spinal Procedures With Mcc 21 12 — — $42,958.71 $211,789.76 $103,369.74 2026-04-21
850 MS_DRG Acute Leukemia With Other Procedures 21 12 — — $61,914.50 $667,273.19 $103,357.52 2026-04-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 21 12 — — $39,488.86 $497,643.77 $101,861.57 2026-04-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 12 — — $50,981.60 $392,670.79 $101,058.10 2026-04-21
2004 APR_DRG Cardiac Structural And Valvular Disorders 6 6 — — $98,877.73 $106,787.95 $98,877.73 2026-04-21
5831 APR_DRG Neonate With Ecmo 6 6 — — $98,666.18 $106,559.47 $98,666.18 2026-04-21
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 10 8 — — $93,216.70 $105,334.87 $97,877.54 2026-04-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $42,635.53 $302,977.19 $97,587.02 2026-04-21
7 MS_DRG Lung Transplant 12 9 — — $92,592.55 $296,269.70 $97,222.18 2026-04-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 12 — — $49,176.25 $370,478.53 $95,346.68 2026-04-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 21 12 — — $40,196.70 $290,555.93 $93,586.21 2026-04-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 21 12 — — $41,234.15 $288,782.22 $93,014.91 2026-04-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $47,012.70 $358,826.76 $92,347.97 2026-04-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $40,750.82 $448,650.27 $91,833.20 2026-04-21
73 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $91,164.30 $98,457.44 $91,164.30 2026-04-21
14 MS_DRG Allogeneic Bone Marrow Transplant 12 9 — — $85,926.70 $297,017.81 $90,223.04 2026-04-21
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $90,201.30 $97,417.40 $90,201.30 2026-04-21
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $89,789.03 $96,972.15 $89,789.03 2026-04-21
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $89,556.85 $96,721.40 $89,556.85 2026-04-21
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $89,171.86 $96,305.61 $89,171.86 2026-04-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 12 — — $42,946.55 $344,185.64 $88,579.92 2026-04-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 21 12 — — $47,807.76 $343,741.13 $88,465.52 2026-04-21
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 6 — — $88,281.24 $95,343.74 $88,281.24 2026-04-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 21 12 — — $38,106.07 $179,410.40 $87,567.15 2026-04-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 21 12 — — $43,346.94 $339,423.81 $87,354.41 2026-04-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 12 — — $37,218.05 $423,198.23 $86,623.48 2026-04-21
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 6 6 — — $85,955.57 $92,832.02 $85,955.57 2026-04-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 12 — — $43,817.41 $332,872.81 $85,668.44 2026-04-21
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $85,185.59 $92,000.44 $85,185.59 2026-04-21
1613 APR_DRG Implantable Heart Assist Systems 6 6 — — $85,085.23 $91,892.05 $85,085.23 2026-04-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 12 — — $47,012.70 $330,566.91 $85,074.99 2026-04-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 9 — — $81,021.17 $213,200.02 $85,072.23 2026-04-21
209 MS_DRG Complex Aortic Arch Procedures 10 8 — — $80,928.21 $91,448.88 $84,974.62 2026-04-21
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 6 — — $84,635.55 $91,406.39 $84,635.55 2026-04-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 12 — — $41,959.87 $326,949.69 $84,144.06 2026-04-21
471 MS_DRG Cervical Spinal Fusion With Mcc 21 12 — — $34,524.69 $256,412.01 $82,588.67 2026-04-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 21 12 — — $49,418.64 $503,901.03 $78,051.93 2026-04-21
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $77,493.83 $83,693.34 $77,493.83 2026-04-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 9 — — $73,718.97 $241,421.90 $77,404.92 2026-04-21
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 6 — — $77,183.32 $83,357.99 $77,183.32 2026-04-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 21 12 — — $30,693.78 $372,535.06 $76,253.35 2026-04-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 21 12 — — $39,057.72 $295,611.59 $76,078.86 2026-04-21
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $75,811.90 $81,876.85 $75,811.90 2026-04-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 6 — — $75,769.59 $81,831.16 $75,769.59 2026-04-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $38,128.95 $294,305.84 $75,742.81 2026-04-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $75,136.34 $81,147.25 $75,136.34 2026-04-21
2464 APR_DRG Gastrointestinal Vascular Insufficiency 6 6 — — $73,475.39 $79,353.42 $73,475.39 2026-04-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 12 — — $29,833.64 $227,942.90 $73,418.95 2026-04-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $37,724.98 $285,210.01 $73,401.90 2026-04-21
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 6 — — $73,096.34 $78,944.05 $73,096.34 2026-04-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 21 12 — — $46,007.41 $468,458.10 $72,561.98 2026-04-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 12 — — $35,189.63 $279,870.31 $72,027.67 2026-04-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $39,797.74 $278,003.36 $71,547.19 2026-04-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 21 12 — — $35,373.38 $276,892.08 $71,261.19 2026-04-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 12 — — $43,766.64 $458,106.99 $70,958.65 2026-04-21
64 APR_DRG Pancreas Transplant 6 6 — — $70,937.81 $76,612.83 $70,937.81 2026-04-21
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $70,932.22 $76,606.80 $70,932.22 2026-04-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 10 8 — — $67,452.66 $76,221.51 $70,825.29 2026-04-21
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $70,719.97 $76,377.57 $70,719.97 2026-04-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 21 12 — — $37,850.11 $251,465.59 $69,965.79 2026-04-21
245 MS_DRG Aicd Generator Procedures 21 12 — — $32,620.67 $271,530.16 $69,881.24 2026-04-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $30,321.26 $215,563.88 $69,431.75 2026-04-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $46,841.81 $446,075.38 $69,095.00 2026-04-21
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $68,747.81 $74,247.63 $68,747.81 2026-04-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 12 — — $34,039.21 $261,411.95 $67,277.21 2026-04-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 12 — — $33,021.78 $258,478.17 $66,522.17 2026-04-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 21 12 — — $28,746.15 $206,521.13 $66,519.14 2026-04-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 10 8 — — $63,342.28 $71,576.78 $66,509.40 2026-04-21
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $66,096.24 $71,383.94 $66,096.24 2026-04-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 12 — — $36,036.90 $255,183.23 $65,674.18 2026-04-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 12 — — $41,932.70 $421,744.12 $65,326.21 2026-04-21
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $65,011.55 $70,212.47 $65,011.55 2026-04-21
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 6 6 — — $64,483.90 $69,642.61 $64,483.90 2026-04-21
653 MS_DRG Major Bladder Procedures With Mcc 21 12 — — $37,153.71 $403,801.73 $62,547.01 2026-04-21
834 MS_DRG Acute Leukemia With Mcc 21 12 — — $39,252.20 $400,375.50 $62,016.31 2026-04-21
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 6 6 — — $61,735.82 $66,674.69 $61,735.82 2026-04-21
72 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $61,252.22 $66,152.40 $61,252.22 2026-04-21
1612 APR_DRG Implantable Heart Assist Systems 6 6 — — $61,163.05 $66,056.09 $61,163.05 2026-04-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 21 12 — — $26,721.30 $189,195.78 $60,938.75 2026-04-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 21 12 — — $39,113.49 $393,233.31 $60,910.01 2026-04-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 12 — — $30,940.45 $236,669.30 $60,909.42 2026-04-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 21 12 — — $38,996.23 $390,857.41 $60,542.00 2026-04-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 12 — — $35,043.06 $390,813.95 $60,535.27 2026-04-21
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $60,463.71 $65,300.81 $60,463.71 2026-04-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 21 12 — — $26,251.55 $294,991.08 $60,381.05 2026-04-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 12 — — $25,923.37 $292,449.20 $59,860.76 2026-04-21
38240 CPT Transplt Allo Hct/donor 17 10 — — $9,883.00 $312,814.21 $59,722.28 2026-04-21
A9543 HCPCS Y90 Ibritumomab, Rx 10 8 — — $56,824.55 $64,211.74 $59,665.78 2026-04-21
8634 APR_DRG Neonatal Aftercare 6 6 — — $59,525.88 $64,287.95 $59,525.88 2026-04-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 12 — — $30,195.42 $231,185.13 $59,498.01 2026-04-21
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 6 — — $58,954.17 $63,670.50 $58,954.17 2026-04-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 12 — — $29,949.47 $228,484.72 $58,803.03 2026-04-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 21 12 — — $24,700.03 $285,670.85 $58,473.32 2026-04-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 12 — — $25,214.81 $284,524.51 $58,238.68 2026-04-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 10 8 — — $55,272.32 $62,457.73 $58,035.94 2026-04-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 17 — — $54,481.47 $61,564.06 $58,022.76 2026-04-21
1611 APR_DRG Implantable Heart Assist Systems 6 6 — — $58,007.60 $62,648.21 $58,007.60 2026-04-21
4404 APR_DRG Kidney Transplant 6 6 — — $57,864.24 $62,493.38 $57,864.24 2026-04-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $57,599.88 $62,207.87 $57,599.88 2026-04-21
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $57,580.30 $62,186.72 $57,580.30 2026-04-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 12 — — $24,392.58 $116,937.10 $57,073.97 2026-04-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 21 12 — — $35,659.38 $367,902.44 $56,986.38 2026-04-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 21 12 — — $34,350.23 $362,701.54 $56,180.78 2026-04-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 21 12 — — $35,310.46 $362,274.17 $56,114.59 2026-04-21
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $56,094.54 $60,582.10 $56,094.54 2026-04-21
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 6 6 — — $56,094.54 $60,582.10 $56,094.54 2026-04-21
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 6 6 — — $55,935.44 $60,410.28 $55,935.44 2026-04-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 21 12 — — $29,496.89 $217,271.91 $55,917.29 2026-04-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 21 12 — — $21,687.06 $271,524.37 $55,577.71 2026-04-21
4414 APR_DRG Major Bladder Procedures 6 6 — — $54,760.54 $59,141.38 $54,760.54 2026-04-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 12 — — $23,073.42 $267,420.81 $54,737.76 2026-04-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 17 — — $51,284.04 $57,950.97 $54,617.50 2026-04-21
500 MS_DRG Soft Tissue Procedures With Mcc 21 12 — — $22,627.98 $263,217.57 $53,877.41 2026-04-21
10 MS_DRG Pancreas Transplant 12 9 — — $51,305.49 $180,747.91 $53,870.76 2026-04-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 12 — — $33,445.77 $345,918.12 $53,581.11 2026-04-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 9 — — $51,011.63 $179,711.89 $53,562.21 2026-04-21
799 MS_DRG Splenic Procedures With Mcc 21 12 — — $32,381.15 $344,418.69 $53,348.86 2026-04-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $33,545.87 $344,353.50 $53,338.76 2026-04-21
23 APR_DRG Heart And/or Lung Transplant 6 6 — — $53,282.47 $57,545.07 $53,282.47 2026-04-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 21 12 — — $22,785.99 $256,879.48 $52,580.08 2026-04-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 21 12 — — $32,780.83 $338,964.26 $52,503.99 2026-04-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 21 12 — — $23,097.02 $162,906.85 $52,471.26 2026-04-21
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 6 6 — — $52,170.16 $56,343.77 $52,170.16 2026-04-21
163 MS_DRG Major Chest Procedures With Mcc 21 12 — — $32,044.39 $333,872.01 $51,715.22 2026-04-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 12 — — $32,864.48 $332,618.87 $51,521.12 2026-04-21
L7180 HCPCS Electronic Elbow Sequential 10 8 — — $49,026.62 $55,400.08 $51,477.95 2026-04-21
1784 APR_DRG External Heart Assist Systems 6 6 — — $51,289.34 $55,392.49 $51,289.34 2026-04-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 17 — — $48,126.65 $54,383.11 $51,254.88 2026-04-21
L7181 HCPCS Electronic Elbo Simultaneous 10 8 — — $48,628.26 $54,949.93 $51,059.67 2026-04-21
265 MS_DRG Aicd Lead Procedures 21 12 — — $25,869.74 $198,207.90 $51,010.96 2026-04-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 12 — — $27,675.09 $183,091.66 $50,941.97 2026-04-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 21 12 — — $32,522.72 $326,802.26 $50,620.15 2026-04-21
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $50,509.57 $54,550.34 $50,509.57 2026-04-21
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 6 — — $50,451.52 $54,487.64 $50,451.52 2026-04-21
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 6 6 — — $50,228.43 $54,246.70 $50,228.43 2026-04-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 21 12 — — $22,269.78 $244,934.30 $50,135.05 2026-04-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 21 12 — — $20,822.63 $244,302.99 $50,005.82 2026-04-21
264 MS_DRG Other Circulatory System O.r. Procedures 21 12 — — $23,884.93 $194,201.74 $49,979.93 2026-04-21
6904 APR_DRG Acute Leukemia 6 6 — — $49,777.35 $53,759.54 $49,777.35 2026-04-21
901 MS_DRG Wound Debridements For Injuries With Mcc 21 12 — — $30,005.24 $320,927.70 $49,710.21 2026-04-21
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 6 6 — — $49,472.44 $53,430.24 $49,472.44 2026-04-21
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $49,416.84 $53,370.19 $49,416.84 2026-04-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 21 12 — — $27,607.16 $177,601.78 $49,414.51 2026-04-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 12 — — $31,909.26 $318,196.86 $49,287.22 2026-04-21
472 MS_DRG Cervical Spinal Fusion With Cc 21 12 — — $21,064.30 $152,940.29 $49,261.09 2026-04-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 21 12 — — $25,427.17 $191,384.64 $49,254.92 2026-04-21
252 MS_DRG Other Vascular Procedures With Mcc 21 12 — — $24,940.97 $190,606.75 $49,054.72 2026-04-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 12 — — $23,257.17 $189,262.10 $48,708.66 2026-04-21
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 21 12 — — $19,018.72 $237,890.14 $48,693.19 2026-04-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 21 12 — — $21,596.25 $237,416.65 $48,596.27 2026-04-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 21 12 — — $22,828.18 $188,473.09 $48,505.60 2026-04-21
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 6 — — $47,924.43 $51,758.38 $47,924.43 2026-04-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 21 12 — — $31,408.05 $308,990.25 $47,861.15 2026-04-21
140 MS_DRG Major Head And Neck Procedures With Mcc 21 12 — — $30,496.44 $306,346.33 $47,451.62 2026-04-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 12 — — $30,040.99 $303,477.87 $47,007.31 2026-04-21
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 6 6 — — $46,917.03 $50,670.39 $46,917.03 2026-04-21
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $46,630.99 $50,361.47 $46,630.99 2026-04-21
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 6 — — $46,314.89 $50,020.08 $46,314.89 2026-04-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 21 12 — — $30,143.95 $297,255.61 $46,043.51 2026-04-21
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $45,861.71 $49,530.65 $45,861.71 2026-04-21
63 APR_DRG Pancreas Transplant 6 6 — — $45,842.83 $49,510.26 $45,842.83 2026-04-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 12 — — $25,785.37 $178,049.28 $45,822.92 2026-04-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 12 — — $22,529.32 $177,532.54 $45,689.93 2026-04-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 21 12 — — $29,693.51 $294,626.19 $45,636.23 2026-04-21
0266T CPT Outpatient Services 17 10 — — $7,857.00 $243,316.19 $45,441.77 2026-04-21
33276 CPT Insj Phrnc Nrv Stim Sys 23 11 — — $32,454.62 $376,024.18 $45,441.77 2026-04-21
503 MS_DRG Foot Procedures With Mcc 21 12 — — $19,956.07 $219,847.77 $45,000.14 2026-04-21
509 MS_DRG Orthopedic 11 6 — — $29,869.17 $145,925.56 $44,976.94 2026-04-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 21 12 — — $27,450.59 $288,563.29 $44,697.11 2026-04-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 12 — — $25,616.64 $288,360.47 $44,665.70 2026-04-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 21 12 — — $23,535.30 $173,415.24 $44,630.30 2026-04-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 8 — — $42,495.39 $48,019.79 $44,620.16 2026-04-21
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 21 12 — — $19,647.91 $217,912.28 $44,603.97 2026-04-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 9 — — $42,396.72 $136,833.85 $44,516.56 2026-04-21
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 12 — — $22,518.59 $172,598.45 $44,420.09 2026-04-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 12 — — $26,646.22 $285,810.73 $44,270.75 2026-04-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 21 12 — — $25,557.29 $285,223.99 $44,179.87 2026-04-21
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 12 — — $21,280.94 $170,503.69 $43,880.98 2026-04-21
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 6 6 — — $43,702.13 $47,198.30 $43,702.13 2026-04-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 17 — — $40,971.03 $46,297.26 $43,634.14 2026-04-21
37 MS_DRG Extracranial Procedures With Mcc 21 12 — — $23,538.17 $156,357.93 $43,503.79 2026-04-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 6 — — $43,464.00 $46,941.12 $43,464.00 2026-04-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 12 — — $24,934.54 $279,965.14 $43,365.30 2026-04-21
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 6 6 — — $43,362.25 $46,831.23 $43,362.25 2026-04-21
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 21 12 — — $19,818.79 $211,673.88 $43,327.04 2026-04-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 21 12 — — $26,262.27 $279,682.64 $43,321.54 2026-04-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 12 — — $26,724.15 $278,900.33 $43,200.37 2026-04-21
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 12 — — $21,569.80 $209,738.39 $42,930.87 2026-04-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 8 — — $40,803.73 $46,108.21 $42,843.92 2026-04-21
22 APR_DRG Heart And/or Lung Transplant 6 6 — — $42,803.47 $46,227.75 $42,803.47 2026-04-21
234 APR_DRG Spinal Procedures 6 6 — — $42,719.90 $46,137.49 $42,719.90 2026-04-21
9104 APR_DRG Craniotomy For Multiple Significant Trauma 6 6 — — $42,565.34 $45,970.57 $42,565.34 2026-04-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 9 — — $40,072.29 $123,349.74 $42,075.90 2026-04-21
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 6 — — $42,018.46 $45,379.94 $42,018.46 2026-04-21
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 6 — — $42,016.71 $45,378.05 $42,016.71 2026-04-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 21 12 — — $25,447.90 $271,055.51 $41,985.24 2026-04-21
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 12 — — $20,380.77 $161,813.48 $41,644.46 2026-04-21
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $41,492.90 $44,812.33 $41,492.90 2026-04-21
62 APR_DRG Pancreas Transplant 6 6 — — $41,464.22 $44,781.36 $41,464.22 2026-04-21
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 6 6 — — $41,301.63 $44,605.76 $41,301.63 2026-04-21
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 21 12 — — $25,163.34 $264,297.23 $40,938.41 2026-04-21
61 APR_DRG Pancreas Transplant 6 6 — — $40,928.87 $44,203.18 $40,928.87 2026-04-21
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 12 — — $22,954.01 $159,029.72 $40,928.03 2026-04-21
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 21 12 — — $18,132.84 $83,648.44 $40,824.20 2026-04-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 9 — — $38,840.36 $136,833.85 $40,782.38 2026-04-21
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 12 — — $19,453.43 $158,179.60 $40,709.24 2026-04-21
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 10 8 — — $38,750.60 $43,788.18 $40,688.13 2026-04-21
335 MS_DRG Peritoneal Adhesiolysis With Mcc 21 12 — — $25,531.55 $262,464.60 $40,654.55 2026-04-21
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 21 12 — — $17,455.04 $124,972.68 $40,252.90 2026-04-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 12 — — $28,485.89 $259,668.57 $40,221.46 2026-04-21
71 APR_DRG Allogeneic Bone Marrow Transplant 6 6 — — $40,220.44 $43,438.08 $40,220.44 2026-04-21
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 21 12 — — $25,823.98 $259,654.09 $40,219.21 2026-04-21
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 12 — — $22,465.68 $155,884.80 $40,118.65 2026-04-21
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 6 — — $39,926.71 $43,120.85 $39,926.71 2026-04-21
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 6 — — $39,879.51 $43,069.87 $39,879.51 2026-04-21
264 APR_DRG Other Nervous System And Related Procedures 6 6 — — $39,855.38 $43,043.81 $39,855.38 2026-04-21
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 21 12 — — $17,583.02 $194,262.82 $39,763.22 2026-04-21
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 6 — — $39,683.34 $42,858.01 $39,683.34 2026-04-21
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 12 — — $24,360.41 $255,662.86 $39,600.99 2026-04-21
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 6 — — $39,448.01 $42,603.85 $39,448.01 2026-04-21
1824 APR_DRG Other Peripheral Vascular Procedures 6 6 — — $39,416.19 $42,569.49 $39,416.19 2026-04-21
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 6 6 — — $39,392.76 $42,544.18 $39,392.76 2026-04-21
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 21 12 — — $25,472.21 $253,801.26 $39,312.64 2026-04-21
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 12 — — $24,512.70 $253,721.58 $39,300.29 2026-04-21
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 12 — — $25,493.66 $253,620.17 $39,284.59 2026-04-21
332 MS_DRG Rectal Resection With Mcc 21 12 — — $25,887.62 $251,258.75 $38,918.81 2026-04-21
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 21 12 — — $24,820.14 $250,983.50 $38,876.18 2026-04-21
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 6 6 — — $38,747.96 $41,847.80 $38,747.96 2026-04-21
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 6 6 — — $38,738.52 $41,837.60 $38,738.52 2026-04-21
2054 APR_DRG Cardiomyopathy 6 6 — — $38,629.08 $41,719.41 $38,629.08 2026-04-21
6954 APR_DRG Chemotherapy For Acute Leukemia 6 6 — — $38,579.42 $41,665.77 $38,579.42 2026-04-21
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 6 6 — — $38,539.91 $41,623.10 $38,539.91 2026-04-21
665 MS_DRG Prostatectomy With Mcc 21 12 — — $22,316.25 $248,716.25 $38,524.99 2026-04-21
263 MS_DRG Vein Ligation And Stripping 21 12 — — $21,860.09 $149,028.20 $38,354.03 2026-04-21
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 6 — — $37,892.31 $40,923.69 $37,892.31 2026-04-21
30 MS_DRG Spinal Procedures Without Cc/mcc 21 12 — — $15,695.45 $117,476.64 $37,838.48 2026-04-21
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 6 6 — — $37,765.38 $40,786.61 $37,765.38 2026-04-21
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 6 — — $37,647.54 $40,659.34 $37,647.54 2026-04-21
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 12 — — $19,286.13 $145,383.21 $37,415.95 2026-04-21
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 6 6 — — $37,252.06 $40,232.22 $37,252.06 2026-04-21
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 6 — — $37,188.77 $40,163.87 $37,188.77 2026-04-21
214 APR_DRG Open Craniotomy Except Trauma 6 6 — — $37,100.65 $40,068.70 $37,100.65 2026-04-21
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 21 12 — — $26,787.79 $239,176.43 $37,047.32 2026-04-21
2304 APR_DRG Major Small Bowel Procedures 6 6 — — $36,966.73 $39,924.07 $36,966.73 2026-04-21
224 APR_DRG Ventricular Shunt Procedures 6 6 — — $36,820.92 $39,766.59 $36,820.92 2026-04-21
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