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 Rehab Hospital

Texarkana, TX · CCN 453065 · Rates published

19,576 distinct procedures filed
41 distinct payers
1,077,252 rate rows
2026-01-13 last MRF observed
Data quality

816,270 of 1,077,252 rate rows are consumer-grade (75.8%)

260,982 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 244,805
per-diem day rate — not a per-procedure price 9,887
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 3,898
template filing: same amount across many unrelated codes — excluded 2,228
placeholder amount (≤ $0.02) — excluded from medians 107
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 57
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_stmichaelrehabilitationhospital_standardcharges.json
Found on page https://www.christushealth.org/plan-care/bill-pay/pricing-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-03
Content fingerprint 3fc1565f7e15e2c6… · 226,253,251 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
$3,710,000
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
$2,460,273
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
$2,405,851
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
$2,997,086
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 41 $530,100.00 $1,082,458.42 $806,279.21 nat. median
$631,793
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 39 $448,400.09 $1,110,545.84 $779,472.96 nat. median
$691,418
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 41 $478,230.00 $1,037,288.62 $757,759.31 nat. median
$610,161
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 41 $467,742.00 $1,014,068.56 $740,905.28 nat. median
$624,417
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 41 $454,860.00 $958,240.34 $706,550.17 nat. median
$577,541
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 23 $1.80 $961,117.98 $494,975.76 nat. median
$588,565
0.8× median
5834
APR_DRG 		Neonate With Ecmo, Severe 7 $269,033.23 $282,484.93 $269,033.23 nat. median
$311,018
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant, Severe 6 $261,715.77 $274,801.60 $266,949.81 nat. median
$175,480
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 $232,187.23 $679,169.82 $256,627.99 nat. median
$370,165
0.7× median
5833
APR_DRG 		Neonate With Ecmo, Major 7 $227,807.45 $239,197.85 $227,807.45 nat. median
$250,089
0.9× median
24
APR_DRG 		Heart And/Or Lung Transplant, Severe 6 $219,144.31 $230,101.56 $223,526.97 nat. median
$243,231
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
$261,939
0.7× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 7 $170,293.62 $178,808.32 $170,293.62 nat. median
$254,667
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems, Severe 7 $165,366.79 $173,635.15 $165,366.79 nat. median
$209,486
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
$205,166
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (Ecmo), Severe 7 $154,922.64 $162,668.79 $154,922.64 nat. median
$165,599
0.9× median
Q0480
HCPCS 		Dme Pos 39 $99,999.96 $199,999.92 $149,999.94 nat. median
$111,503
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $131,948.41 $385,961.68 $145,837.71 nat. median
$199,832
0.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 39 $93,216.70 $186,433.40 $139,825.05 nat. median
$97,404
1.4× 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
$160,171
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
$168,174
0.7× 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
$58,534
outlier · 2.1×
5832
APR_DRG 		Neonate With Ecmo, Moderate 7 $113,511.25 $119,186.83 $113,511.25 nat. median
$169,230
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
$51,048
outlier · 2.2×
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
$28,828
outlier · 3.5×
5831
APR_DRG 		Neonate With Ecmo, Minor 7 $99,948.91 $104,946.37 $99,948.91 nat. median
$154,685
0.6× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 $97,964.00 $97,964.00 $97,964.00 nat. median
$46,826
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 24 $86,994.48 $254,467.17 $96,151.80 nat. median
$132,706
0.7× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant, Major 6 $92,349.50 $96,966.99 $94,196.39 nat. median
$89,814
1.0× median
J9029
HCPCS 		Instill Adstiladrin, Tx Dose 41 $62,241.78 $124,483.56 $93,362.67 nat. median
$69,291
1.3× 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
$40,712
outlier · 2.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure, Major 7 $91,373.98 $95,942.69 $91,373.98 nat. median
$180,995
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
$147,847
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
$127,600
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
$165,646
0.5× 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
$147,677
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $80,664.14 $235,950.32 $89,155.10 nat. median
$114,305
0.8× median
7
MS_DRG 		Lung Transplant 22 $80,460.97 $235,356.02 $88,930.55 nat. median
$122,690
0.7× median
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 $87,073.05 $91,426.72 $87,073.05 nat. median
$67,813
1.3× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 7 $86,293.06 $90,607.73 $86,293.06 nat. median
$168,361
0.5× median
1613
APR_DRG 		Implantable Heart Assist Systems, Major 7 $86,191.40 $90,500.98 $86,191.40 nat. median
$127,938
0.7× median
225
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 $85,916.00 $85,916.00 $85,916.00 nat. median
$45,104
1.9× median

Other procedures at this hospital

Browse this hospital's 19,576 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 21 19 — — $3,642,107.00 $4,006,317.70 $3,710,000.00 2026-01-13
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 22 20 — — $3,642,107.00 $4,187,106.00 $3,685,266.67 2026-01-13
J3399 HCPCS Inj Onase Abepar-xioi Treat 65 39 — — $2,359,475.45 $4,718,950.90 $3,539,213.17 2026-01-13
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 65 39 — — $2,289,324.40 $4,578,648.80 $3,433,986.60 2026-01-13
J1413 HCPCS Inj Delandistrogene Mox Rokl 25 22 — — $3,260,992.91 $4,565,390.07 $3,358,822.70 2026-01-13
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 23 20 — — $3,134,568.10 $4,388,395.34 $3,228,605.14 2026-01-13
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 23 20 — — $2,913,685.60 $4,079,159.84 $2,948,213.33 2026-01-13
Q2056 HCPCS Ciltacabtagene Car-pos T 67 41 — — $530,100.00 $1,082,458.42 $806,279.21 2026-01-13
Q2042 HCPCS Tisagenlecleucel Car-pos T 65 39 — — $448,400.09 $1,110,545.84 $779,472.96 2026-01-13
Q2055 HCPCS Idecabtagene Vicleucel Car 67 41 — — $478,230.00 $1,037,288.62 $757,759.31 2026-01-13
Q2054 HCPCS Lisocabtagene Mara Car Pos T 67 41 — — $467,742.00 $1,014,068.56 $740,905.28 2026-01-13
Q2053 HCPCS Brexucabtagene Car Pos T 67 41 — — $454,860.00 $958,240.34 $706,550.17 2026-01-13
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 27 23 — — $1.80 $961,117.98 $494,975.76 2026-01-13
5834 APR_DRG Neonate With Ecmo, Severe 19 7 — — $269,033.23 $282,484.93 $269,033.23 2026-01-13
74 APR_DRG Allogeneic Bone Marrow Transplant, Severe 15 6 — — $261,715.77 $274,801.60 $266,949.81 2026-01-13
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 24 — — $232,187.23 $679,169.82 $256,627.99 2026-01-13
5833 APR_DRG Neonate With Ecmo, Major 19 7 — — $227,807.45 $239,197.85 $227,807.45 2026-01-13
24 APR_DRG Heart And/Or Lung Transplant, Severe 15 6 — — $219,144.31 $230,101.56 $223,526.97 2026-01-13
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 23 22 — — $173,424.39 $507,282.91 $191,679.59 2026-01-13
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Severe 19 7 — — $170,293.62 $178,808.32 $170,293.62 2026-01-13
1614 APR_DRG Implantable Heart Assist Systems, Severe 19 7 — — $165,366.79 $173,635.15 $165,366.79 2026-01-13
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 24 — — $146,054.68 $427,223.91 $161,428.86 2026-01-13
94 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Severe 19 7 — — $154,922.64 $162,668.79 $154,922.64 2026-01-13
Q0480 HCPCS Dme Pos 65 39 — — $99,999.96 $199,999.92 $149,999.94 2026-01-13
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 24 — — $131,948.41 $385,961.68 $145,837.71 2026-01-13
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 65 39 — — $93,216.70 $186,433.40 $139,825.05 2026-01-13
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Severe 19 7 — — $126,709.80 $133,045.31 $126,709.80 2026-01-13
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Severe 19 7 — — $125,586.93 $131,866.29 $125,586.93 2026-01-13
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $125,017.00 $125,017.00 $125,017.00 2026-01-13
5832 APR_DRG Neonate With Ecmo, Moderate 19 7 — — $113,511.25 $119,186.83 $113,511.25 2026-01-13
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $111,175.00 $111,175.00 $111,175.00 2026-01-13
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 65 39 — — $67,452.66 $134,905.32 $101,178.99 2026-01-13
2004 APR_DRG Cardiac Structural And Valvular Disorders, Severe 19 7 — — $100,163.22 $105,171.39 $100,163.22 2026-01-13
5831 APR_DRG Neonate With Ecmo, Minor 19 7 — — $99,948.91 $104,946.37 $99,948.91 2026-01-13
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $97,964.00 $97,964.00 $97,964.00 2026-01-13
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 26 24 — — $86,994.48 $254,467.17 $96,151.80 2026-01-13
73 APR_DRG Allogeneic Bone Marrow Transplant, Major 15 6 — — $92,349.50 $96,966.99 $94,196.39 2026-01-13
J9029 HCPCS Instill Adstiladrin, Tx Dose 67 41 — — $62,241.78 $124,483.56 $93,362.67 2026-01-13
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $91,449.00 $91,449.00 $91,449.00 2026-01-13
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Major 19 7 — — $91,373.98 $95,942.69 $91,373.98 2026-01-13
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Moderate 19 7 — — $90,956.35 $95,504.19 $90,956.35 2026-01-13
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Severe 19 7 — — $90,721.15 $95,257.22 $90,721.15 2026-01-13
8414 APR_DRG Extensive Third Degree Burns With Skin Graft, Severe 19 7 — — $90,331.16 $94,847.73 $90,331.16 2026-01-13
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Severe 19 7 — — $89,428.96 $93,900.42 $89,428.96 2026-01-13
14 MS_DRG Allogeneic Bone Marrow Transplant 25 23 — — $80,664.14 $235,950.32 $89,155.10 2026-01-13
7 MS_DRG Lung Transplant 23 22 — — $80,460.97 $235,356.02 $88,930.55 2026-01-13
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 19 7 — — $87,073.05 $91,426.72 $87,073.05 2026-01-13
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Severe 19 7 — — $86,293.06 $90,607.73 $86,293.06 2026-01-13
1613 APR_DRG Implantable Heart Assist Systems, Major 19 7 — — $86,191.40 $90,500.98 $86,191.40 2026-01-13
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $85,916.00 $85,916.00 $85,916.00 2026-01-13
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure, Minor 19 7 — — $85,735.88 $90,022.68 $85,735.88 2026-01-13
A9543 HCPCS Y90 Ibritumomab, Rx 65 39 — — $55,784.66 $112,929.99 $84,357.32 2026-01-13
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 67 41 — — $52,916.50 $109,040.36 $80,978.43 2026-01-13
14 APR_DRG Liver Transplant And/Or Intestinal Transplant, Severe 15 6 — — $78,501.31 $82,426.38 $80,071.25 2026-01-13
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Severe 19 7 — — $78,186.76 $82,096.11 $78,186.76 2026-01-13
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 19 7 — — $76,797.51 $80,637.40 $76,797.51 2026-01-13
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Severe 19 7 — — $76,754.65 $80,592.40 $76,754.65 2026-01-13
93 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Major 19 7 — — $76,113.16 $79,918.83 $76,113.16 2026-01-13
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 23 22 — — $67,845.23 $198,453.78 $74,986.83 2026-01-13
2464 APR_DRG Gastrointestinal Vascular Insufficiency, Severe 19 7 — — $74,430.62 $78,152.16 $74,430.62 2026-01-13
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $74,258.00 $74,258.00 $74,258.00 2026-01-13
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 24 — — $67,070.71 $196,188.25 $74,130.79 2026-01-13
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Seve… 19 7 — — $74,046.65 $77,748.99 $74,046.65 2026-01-13
64 APR_DRG Pancreas Transplant, Severe 15 6 — — $71,860.05 $75,453.07 $73,297.18 2026-01-13
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 23 22 — — $65,565.40 $191,785.04 $72,467.02 2026-01-13
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 7 — — $71,854.39 $75,447.12 $71,854.39 2026-01-13
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Severe 19 7 — — $71,639.38 $75,221.35 $71,639.38 2026-01-13
215 MS_DRG Other Heart Assist System Implant 28 24 — — $36,828.00 $190,801.75 $71,408.85 2026-01-13
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $64,494.12 $188,651.48 $71,282.98 2026-01-13
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 7 — — $69,641.58 $73,123.67 $69,641.58 2026-01-13
L7181 HCPCS Dme Pos 67 41 — — $38,322.56 $97,256.52 $67,789.54 2026-01-13
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 27 — — $52,139.00 $173,806.66 $67,237.45 2026-01-13
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Severe 19 7 — — $66,955.54 $70,303.32 $66,955.54 2026-01-13
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 7 — — $65,856.75 $69,149.60 $65,856.75 2026-01-13
L7180 HCPCS Dme Pos 67 41 — — $32,758.24 $98,053.24 $65,405.74 2026-01-13
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 7 — — $65,322.23 $68,588.36 $65,322.23 2026-01-13
72 APR_DRG Allogeneic Bone Marrow Transplant, Moderate 15 6 — — $62,048.54 $65,150.98 $63,289.45 2026-01-13
850 MS_DRG Acute Leukemia With Other Procedures 26 24 — — $56,715.10 $165,897.11 $62,685.12 2026-01-13
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly, Severe 19 7 — — $62,538.43 $65,665.36 $62,538.43 2026-01-13
1612 APR_DRG Implantable Heart Assist Systems, Moderate 19 7 — — $61,958.22 $65,056.14 $61,958.22 2026-01-13
8634 APR_DRG Neonatal Aftercare, Severe 19 7 — — $60,299.76 $63,314.76 $60,299.76 2026-01-13
4404 APR_DRG Kidney Transplant, Severe 15 6 — — $58,616.51 $61,547.35 $59,788.78 2026-01-13
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure, Major 19 7 — — $59,720.61 $62,706.65 $59,720.61 2026-01-13
231 MS_DRG Coronary Bypass With Ptca With Mcc 32 27 — — $52,139.00 $152,606.47 $59,036.10 2026-01-13
1611 APR_DRG Implantable Heart Assist Systems, Minor 19 7 — — $58,761.74 $61,699.84 $58,761.74 2026-01-13
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Severe 19 7 — — $58,348.72 $61,266.17 $58,348.72 2026-01-13
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Major 19 7 — — $58,328.89 $61,245.34 $58,328.89 2026-01-13
L2006 HCPCS Dme Pos 64 38 — — $38,750.60 $77,501.20 $58,125.90 2026-01-13
38240 CPT Transplt Allo Hct/donor 30 25 — — $4,020.00 $116,120.06 $58,060.03 2026-01-13
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 24 — — $52,142.51 $152,521.82 $57,631.19 2026-01-13
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Major 19 7 — — $56,823.81 $59,665.01 $56,823.81 2026-01-13
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms, Severe 19 7 — — $56,823.81 $59,665.01 $56,823.81 2026-01-13
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 26 24 — — $51,350.76 $150,205.87 $56,756.10 2026-01-13
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition, Seve… 19 7 — — $56,662.64 $59,495.78 $56,662.64 2026-01-13
4414 APR_DRG Major Bladder Procedures, Severe 19 7 — — $55,472.47 $58,246.10 $55,472.47 2026-01-13
23 APR_DRG Heart And/Or Lung Transplant, Major 15 6 — — $53,975.18 $56,673.95 $55,054.63 2026-01-13
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 26 24 — — $49,629.95 $145,172.35 $54,854.15 2026-01-13
10 MS_DRG Pancreas Transplant 23 22 — — $49,087.55 $143,585.76 $54,254.66 2026-01-13
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 23 — — $48,806.18 $142,762.75 $53,943.68 2026-01-13
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 30 25 — — $48,123.40 $140,765.55 $53,189.02 2026-01-13
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 25 — — $47,637.64 $139,344.64 $53,153.57 2026-01-13
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy, Major 19 7 — — $52,848.41 $55,490.84 $52,848.41 2026-01-13
1784 APR_DRG External Heart Assist Systems, Severe 19 7 — — $51,956.13 $54,553.95 $51,956.13 2026-01-13
J9226 HCPCS Supprelin La Implant 67 41 — — $14,834.06 $88,867.02 $51,850.54 2026-01-13
L8701 HCPCS Ewh S/d Uprt Micro Sensor 65 39 — — $34,284.44 $68,568.88 $51,426.66 2026-01-13
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Major 19 7 — — $51,166.23 $53,724.54 $51,166.23 2026-01-13
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly, Severe 19 7 — — $51,107.43 $53,662.80 $51,107.43 2026-01-13
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures, Severe 19 7 — — $50,881.43 $53,425.51 $50,881.43 2026-01-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 24 — — $45,955.01 $134,422.78 $50,792.37 2026-01-13
6904 APR_DRG Acute Leukemia, Severe 19 7 — — $50,424.49 $52,945.72 $50,424.49 2026-01-13
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies, S… 19 7 — — $50,115.61 $52,621.40 $50,115.61 2026-01-13
92 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Moderate 19 7 — — $50,059.29 $52,562.26 $50,059.29 2026-01-13
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 28 24 — — $43,509.55 $127,269.60 $48,547.51 2026-01-13
91 APR_DRG Extracorporeal Membrane Oxygenation (Ecmo), Minor 19 7 — — $48,547.49 $50,974.87 $48,547.49 2026-01-13
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $43,729.35 $127,912.52 $48,332.43 2026-01-13
J7330 HCPCS Cultured Chondrocytes Implnt 53 32 — — $16,585.69 $78,986.40 $47,786.04 2026-01-13
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly, Severe 19 7 — — $47,526.98 $49,903.34 $47,526.98 2026-01-13
63 APR_DRG Pancreas Transplant, Major 15 6 — — $46,438.82 $48,760.77 $47,367.55 2026-01-13
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 26 24 — — $42,829.24 $125,279.61 $47,337.58 2026-01-13
266T OTHER Implt/rpl Crtd Sns Dev Total 65 39 — — $6,159.00 $88,353.98 $47,256.49 2026-01-13
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Severe 19 7 — — $47,237.23 $49,599.10 $47,237.23 2026-01-13
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Moderate 19 7 — — $46,917.01 $49,262.87 $46,917.01 2026-01-13
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 24 — — $42,039.94 $122,970.85 $46,465.20 2026-01-13
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 7 — — $46,457.95 $48,780.85 $46,457.95 2026-01-13
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 29 24 — — $41,050.56 $120,076.81 $46,235.90 2026-01-13
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 1 1 — — $45,687.00 $45,687.00 $45,687.00 2026-01-13
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 26 24 — — $41,278.97 $120,744.94 $45,624.13 2026-01-13
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 27 — — $39,759.50 $128,700.00 $45,618.79 2026-01-13
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 26 24 — — $41,120.13 $120,280.31 $45,448.57 2026-01-13
A9699 HCPCS Radiopharm Rx Agent Noc 49 28 — — $45,221.05 $45,221.05 $45,221.05 2026-01-13
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures, Severe 19 7 — — $44,270.29 $46,483.81 $44,270.29 2026-01-13
22 APR_DRG Heart And/Or Lung Transplant, Moderate 15 6 — — $43,359.95 $45,527.95 $44,227.10 2026-01-13
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection, Sev… 19 7 — — $44,029.07 $46,230.53 $44,029.07 2026-01-13
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 26 24 — — $39,816.75 $116,467.80 $44,007.99 2026-01-13
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures, Severe 19 7 — — $43,925.99 $46,122.30 $43,925.99 2026-01-13
L6880 HCPCS Dme Pos 65 39 — — $28,996.90 $57,993.80 $43,495.35 2026-01-13
33276 CPT Insj Phrnc Nrv Stim Sys 44 28 — — $2,922.00 $88,353.98 $43,424.99 2026-01-13
234 APR_DRG Spinal Procedures, Severe 19 7 — — $43,275.29 $45,439.06 $43,275.29 2026-01-13
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 30 26 — — $38,137.20 $111,554.95 $43,155.25 2026-01-13
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 27 — — $37,609.57 $128,700.00 $43,152.03 2026-01-13
9104 APR_DRG Craniotomy For Multiple Significant Trauma, Severe 19 7 — — $43,118.72 $45,274.67 $43,118.72 2026-01-13
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 24 — — $38,936.96 $113,894.32 $43,035.58 2026-01-13
62 APR_DRG Pancreas Transplant, Moderate 15 6 — — $42,003.29 $44,103.46 $42,843.31 2026-01-13
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 7 — — $42,562.96 $44,691.11 $42,562.96 2026-01-13
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 28 24 — — $38,087.94 $111,410.88 $42,498.12 2026-01-13
61 APR_DRG Pancreas Transplant, Minor 15 6 — — $41,460.98 $43,534.03 $42,290.15 2026-01-13
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 1 1 — — $42,255.00 $42,255.00 $42,255.00 2026-01-13
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Major 19 7 — — $42,032.33 $44,133.96 $42,032.33 2026-01-13
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 26 24 — — $37,914.33 $110,903.02 $41,905.31 2026-01-13
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 19 7 — — $41,838.58 $43,930.51 $41,838.58 2026-01-13
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 26 24 — — $37,781.96 $110,515.83 $41,759.00 2026-01-13
71 APR_DRG Allogeneic Bone Marrow Transplant, Minor 15 6 — — $40,743.33 $42,780.50 $41,558.15 2026-01-13
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 30 27 — — $36,628.19 $107,140.94 $41,447.69 2026-01-13
28 MS_DRG Spinal Procedures With Mcc 26 24 — — $37,429.79 $109,485.72 $41,369.77 2026-01-13
13 APR_DRG Liver Transplant And/Or Intestinal Transplant, Major 15 6 — — $40,445.79 $42,468.08 $41,254.66 2026-01-13
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 28 24 — — $36,883.69 $153,225.00 $41,154.44 2026-01-13
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 23 — — $37,161.36 $108,700.52 $41,073.08 2026-01-13
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 23 — — $37,161.36 $108,700.52 $41,073.08 2026-01-13
L5856 HCPCS Dme Pos 67 41 — — $22,960.08 $58,269.02 $40,614.55 2026-01-13
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 30 25 — — $36,227.39 $105,968.56 $40,422.14 2026-01-13
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure, Major 19 7 — — $40,397.97 $42,417.87 $40,397.97 2026-01-13
264 APR_DRG Other Nervous System And Related Procedures, Severe 19 7 — — $40,373.53 $42,392.21 $40,373.53 2026-01-13
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure, Moderate 19 7 — — $40,199.25 $42,209.22 $40,199.25 2026-01-13
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Major 19 7 — — $39,960.86 $41,958.91 $39,960.86 2026-01-13
1824 APR_DRG Other Peripheral Vascular And Related Procedures, Severe 19 7 — — $39,928.63 $41,925.07 $39,928.63 2026-01-13
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis, Severe 19 7 — — $39,904.90 $41,900.15 $39,904.90 2026-01-13
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 23 22 — — $36,600.48 $93,803.00 $39,682.62 2026-01-13
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 26 24 — — $35,846.28 $104,853.80 $39,619.58 2026-01-13
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment, Severe 19 7 — — $39,251.72 $41,214.31 $39,251.72 2026-01-13
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back, Severe 19 7 — — $39,242.15 $41,204.27 $39,242.15 2026-01-13
2054 APR_DRG Cardiomyopathy, Severe 19 7 — — $39,131.28 $41,087.85 $39,131.28 2026-01-13
6954 APR_DRG Chemotherapy For Acute Leukemia, Severe 19 7 — — $39,080.98 $41,035.04 $39,080.98 2026-01-13
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 24 — — $35,335.89 $103,360.85 $39,055.45 2026-01-13
8413 APR_DRG Extensive Third Degree Burns With Skin Graft, Major 19 7 — — $39,040.96 $40,993.01 $39,040.96 2026-01-13
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 24 — — $35,124.71 $102,743.15 $38,822.05 2026-01-13
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Moderate 19 7 — — $38,384.94 $40,304.19 $38,384.94 2026-01-13
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs, Severe 19 7 — — $38,256.36 $40,169.18 $38,256.36 2026-01-13
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Moderate 19 7 — — $38,136.99 $40,043.84 $38,136.99 2026-01-13
653 MS_DRG Major Bladder Procedures With Mcc 26 24 — — $34,321.26 $100,392.97 $37,934.02 2026-01-13
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 19 7 — — $37,736.37 $39,623.19 $37,736.37 2026-01-13
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Major 19 7 — — $37,672.25 $39,555.87 $37,672.25 2026-01-13
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 26 24 — — $34,030.05 $99,541.15 $37,612.16 2026-01-13
834 MS_DRG Acute Leukemia With Mcc 26 24 — — $34,030.05 $99,541.15 $37,612.16 2026-01-13
214 APR_DRG Open Craniotomy Except Trauma, Severe 19 7 — — $37,582.99 $39,462.14 $37,582.99 2026-01-13
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 26 24 — — $33,887.21 $99,123.34 $37,454.29 2026-01-13
2304 APR_DRG Major Small Bowel Procedures, Severe 19 7 — — $37,447.32 $39,319.70 $37,447.32 2026-01-13
224 APR_DRG Ventricular Shunt Procedures, Severe 19 7 — — $37,299.61 $39,164.60 $37,299.61 2026-01-13
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 26 24 — — $33,680.35 $98,518.23 $37,225.65 2026-01-13
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy, Severe 19 7 — — $37,095.23 $38,950.00 $37,095.23 2026-01-13
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 30 25 — — $32,754.99 $95,811.48 $37,064.87 2026-01-13
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 23 22 — — $33,499.34 $97,988.77 $37,025.58 2026-01-13
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 26 24 — — $33,423.00 $97,765.46 $36,941.21 2026-01-13
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 30 25 — — $32,610.31 $106,607.00 $36,901.13 2026-01-13
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 19 7 — — $36,867.47 $38,710.85 $36,867.47 2026-01-13
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 26 24 — — $33,252.45 $97,266.61 $36,752.71 2026-01-13
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 26 24 — — $33,221.05 $97,174.76 $36,718.01 2026-01-13
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 26 24 — — $33,217.36 $97,163.96 $36,713.92 2026-01-13
4403 APR_DRG Kidney Transplant, Major 15 6 — — $35,876.01 $37,669.81 $36,593.49 2026-01-13
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma, Seve… 19 7 — — $36,530.61 $38,357.14 $36,530.61 2026-01-13
620T OTHER Evasc Ven Artlz Tibl/prnl Vn 65 39 — — $4,074.00 $68,719.98 $36,396.99 2026-01-13
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement, Severe 19 7 — — $35,873.53 $37,667.21 $35,873.53 2026-01-13
1694 APR_DRG Major Abdominal Vascular Procedures, Severe 19 7 — — $35,751.68 $37,539.27 $35,751.68 2026-01-13
1204 APR_DRG Major Respiratory And Chest Procedures, Severe 19 7 — — $35,606.45 $37,386.78 $35,606.45 2026-01-13
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 24 — — $31,602.45 $92,440.20 $35,594.34 2026-01-13
4834 APR_DRG Penis, Testes And Scrotal Procedures, Severe 19 7 — — $35,471.14 $37,244.70 $35,471.14 2026-01-13
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 27 — — $30,680.79 $106,193.00 $35,202.18 2026-01-13
894 APR_DRG Major Cranial Or Facial Bone Procedures, Severe 19 7 — — $35,090.71 $36,845.25 $35,090.71 2026-01-13
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 27 24 — — $27,698.00 $92,748.15 $35,045.39 2026-01-13
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma, Severe 19 7 — — $35,044.30 $36,796.52 $35,044.30 2026-01-13
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours, Severe 19 7 — — $35,035.45 $36,787.22 $35,035.45 2026-01-13
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 26 24 — — $31,366.04 $91,748.65 $34,667.72 2026-01-13
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 24 — — $31,269.99 $91,467.71 $34,561.57 2026-01-13
408T OTHER Insj/rplc Cardiac Modulj Sys 64 38 — — $6,159.00 $62,949.70 $34,554.35 2026-01-13
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis, Severe 19 7 — — $34,513.68 $36,239.37 $34,513.68 2026-01-13
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 24 — — $31,010.79 $90,709.53 $34,275.09 2026-01-13
21 APR_DRG Heart And/Or Lung Transplant, Minor 15 6 — — $33,585.27 $35,264.54 $34,256.94 2026-01-13
Q0483 HCPCS Dme Pos 65 39 — — $22,755.13 $45,510.26 $34,132.69 2026-01-13
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 24 — — $30,827.94 $90,174.66 $34,072.98 2026-01-13
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 28 24 — — $20,312.00 $90,104.43 $34,046.45 2026-01-13
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 26 24 — — $30,791.62 $90,068.41 $34,032.84 2026-01-13
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure, Minor 19 7 — — $33,827.56 $35,518.94 $33,827.56 2026-01-13
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures, Severe 19 7 — — $33,643.01 $35,325.17 $33,643.01 2026-01-13
915T OTHER Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 65 39 — — $4,074.00 $62,949.70 $33,511.85 2026-01-13
245 MS_DRG Aicd Generator Procedures 27 25 — — $30,086.67 $88,006.38 $33,253.69 2026-01-13
1783 APR_DRG External Heart Assist Systems, Major 19 7 — — $33,249.12 $34,911.58 $33,249.12 2026-01-13
1214 APR_DRG Other Respiratory And Chest Procedures, Severe 19 7 — — $33,229.99 $34,891.50 $33,229.99 2026-01-13
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure, Major 19 7 — — $33,108.50 $34,763.93 $33,108.50 2026-01-13
471 MS_DRG Cervical Spinal Fusion With Mcc 27 24 — — $13,850.00 $87,475.12 $33,052.95 2026-01-13
6 MS_DRG Liver Transplant Without Mcc 23 22 — — $29,855.18 $87,329.24 $32,997.83 2026-01-13
268T OTHER Implt/rpl Crtd Sns Dev Gen 65 39 — — $6,159.00 $59,831.84 $32,995.42 2026-01-13
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition, Severe 19 7 — — $32,841.06 $34,483.12 $32,841.06 2026-01-13
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 7 — — $32,746.48 $34,383.81 $32,746.48 2026-01-13
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 26 24 — — $29,401.43 $86,001.98 $32,496.31 2026-01-13
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly, Major 19 7 — — $32,435.83 $34,057.63 $32,435.83 2026-01-13
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 30 26 — — $28,640.46 $89,043.00 $32,408.94 2026-01-13
2244 APR_DRG Peritoneal Adhesiolysis, Severe 19 7 — — $32,384.12 $34,003.33 $32,384.12 2026-01-13
799 MS_DRG Splenic Procedures With Mcc 26 24 — — $29,273.98 $85,629.19 $32,355.46 2026-01-13
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 26 24 — — $29,268.45 $85,612.99 $32,349.33 2026-01-13
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 28 24 — — $28,965.53 $115,051.00 $32,319.43 2026-01-13
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 7 — — $32,158.48 $33,766.41 $32,158.48 2026-01-13
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses, Severe 19 7 — — $32,068.51 $33,671.94 $32,068.51 2026-01-13
914 APR_DRG Other Major Head And Neck Procedures, Severe 19 7 — — $31,896.00 $33,490.81 $31,896.00 2026-01-13
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 24 — — $28,810.38 $84,273.12 $31,843.06 2026-01-13
12 APR_DRG Liver Transplant And/Or Intestinal Transplant, Moderate 15 6 — — $31,066.07 $32,619.38 $31,687.36 2026-01-13
204 APR_DRG Open Craniotomy For Trauma, Severe 19 7 — — $31,570.48 $33,149.01 $31,570.48 2026-01-13
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 28 25 — — $28,275.36 $82,708.13 $31,549.36 2026-01-13
571T OTHER Insj/rplcmt Icds Ss Eltrd 27 22 — — $2,922.00 $62,949.70 $31,474.85 2026-01-13
L5858 HCPCS Dme Pos 67 41 — — $17,775.58 $45,111.58 $31,443.58 2026-01-13
163 MS_DRG Major Chest Procedures With Mcc 26 24 — — $28,377.56 $83,007.08 $31,364.68 2026-01-13
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure, Minor 19 7 — — $31,355.82 $32,923.62 $31,355.82 2026-01-13
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 23 — — $28,365.87 $82,972.87 $31,351.75 2026-01-13
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure, Minor 19 7 — — $31,295.60 $32,860.39 $31,295.60 2026-01-13
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 24 — — $28,271.05 $82,695.53 $31,246.95 2026-01-13
1814 APR_DRG Lower Extremity Arterial Procedures, Severe 19 7 — — $31,053.32 $32,605.99 $31,053.32 2026-01-13
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical, Severe 19 7 — — $30,958.39 $32,506.31 $30,958.39 2026-01-13
L6975 HCPCS Dme Pos 67 41 — — $15,486.36 $46,354.38 $30,920.37 2026-01-13
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 19 7 — — $30,856.73 $32,399.57 $30,856.73 2026-01-13
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection, Sev… 19 7 — — $30,850.35 $32,392.87 $30,850.35 2026-01-13
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns, Severe 19 7 — — $30,815.64 $32,356.42 $30,815.64 2026-01-13
L6970 HCPCS Dme Pos 67 41 — — $15,403.68 $46,106.92 $30,755.30 2026-01-13
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 26 24 — — $27,776.67 $81,249.40 $30,700.53 2026-01-13
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 26 24 — — $27,611.05 $80,764.96 $30,517.47 2026-01-13
11 APR_DRG Liver Transplant And/Or Intestinal Transplant, Minor 15 6 — — $29,899.63 $31,394.61 $30,497.59 2026-01-13
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 24 — — $27,534.71 $80,541.65 $30,433.10 2026-01-13
L6965 HCPCS Dme Pos 67 41 — — $15,154.66 $45,361.54 $30,258.10 2026-01-13
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 28 24 — — $27,045.25 $79,109.94 $30,176.80 2026-01-13
901 MS_DRG Wound Debridements For Injuries With Mcc 26 24 — — $27,277.36 $79,788.87 $30,148.66 2026-01-13
1834 APR_DRG Percutaneous Structural Cardiac Procedures, Severe 19 7 — — $30,029.98 $31,531.48 $30,029.98 2026-01-13
674T OTHER Laps Insj Nw/rpcmt Prm Isdss 27 22 — — $952.00 $59,831.84 $29,915.92 2026-01-13
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 44 28 — — $4,020.00 $59,831.84 $29,915.92 2026-01-13
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 44 28 — — $2,922.00 $59,831.84 $29,915.92 2026-01-13
Q0489 HCPCS Dme Pos 65 39 — — $19,727.48 $39,454.96 $29,591.22 2026-01-13
2614 APR_DRG Major Biliary Tract Procedures, Severe 19 7 — — $29,553.55 $31,031.24 $29,553.55 2026-01-13
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 7 — — $29,448.00 $30,920.40 $29,448.00 2026-01-13
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 26 24 — — $26,639.52 $77,923.14 $29,443.68 2026-01-13
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 24 — — $26,584.72 $77,762.86 $29,383.12 2026-01-13
33289 CPT Tcat Impl Wrls P-art Prs Snr 65 39 — — $2,922.00 $55,816.18 $29,369.09 2026-01-13
1833 APR_DRG Percutaneous Structural Cardiac Procedures, Major 19 7 — — $29,292.49 $30,757.12 $29,292.49 2026-01-13
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis, Severe 19 7 — — $29,177.73 $30,636.62 $29,177.73 2026-01-13
L5973 HCPCS Dme Pos 67 41 — — $16,455.20 $41,760.68 $29,107.94 2026-01-13
C9760 HCPCS Non-blind Interatrial Shunt 64 38 — — $4,074.00 $53,994.48 $29,034.24 2026-01-13
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 26 24 — — $26,262.73 $76,820.99 $29,027.23 2026-01-13
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back, Moderate 19 7 — — $28,993.53 $30,443.21 $28,993.53 2026-01-13
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 24 — — $26,223.94 $76,707.53 $28,984.36 2026-01-13
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 29 24 — — $25,616.28 $74,930.05 $28,852.02 2026-01-13
140 MS_DRG Major Head And Neck Procedures With Mcc 26 24 — — $26,038.01 $76,163.66 $28,778.85 2026-01-13
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis, Severe 19 7 — — $28,700.59 $30,135.63 $28,700.59 2026-01-13
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 30 25 — — $25,317.05 $74,054.81 $28,648.25 2026-01-13
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 1 1 — — $28,568.00 $28,568.00 $28,568.00 2026-01-13
1782 APR_DRG External Heart Assist Systems, Moderate 19 7 — — $28,536.59 $29,963.42 $28,536.59 2026-01-13
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 24 — — $25,800.36 $75,468.52 $28,516.18 2026-01-13
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 26 24 — — $25,794.20 $75,450.51 $28,509.38 2026-01-13
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure, Severe 19 7 — — $28,488.06 $29,912.47 $28,488.06 2026-01-13
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition, Majo… 19 7 — — $28,237.98 $29,649.89 $28,237.98 2026-01-13
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis, Moderate 19 7 — — $28,130.30 $29,536.82 $28,130.30 2026-01-13
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 24 — — $25,302.90 $74,013.39 $27,966.36 2026-01-13
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 26 24 — — $25,265.34 $73,903.53 $27,924.84 2026-01-13
793 MS_DRG Full Term Neonate With Major Problems 23 22 — — $25,676.61 $65,806.32 $27,838.85 2026-01-13
2234 APR_DRG Other Small And Large Bowel Procedures, Severe 19 7 — — $27,805.84 $29,196.13 $27,805.84 2026-01-13
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 26 24 — — $25,140.97 $73,539.75 $27,787.39 2026-01-13
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