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

TEXAS CHILDRENS HOSPITAL

Houston, TX · CCN 453304 · Rates published

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You selected 93306 (CPT)

TC ECHOCARDIOGRAPH, TRANSTHORACIC (2D) M-MODE

This hospital’s price: $2,580 across 19 payers · range $1,105-$3,890

Source: https://www.texaschildrens.org/sites/tc/files/uploads/documents/741100555_texas-childrens-hospital-the-woodlands_standardcharges.zip · observed 2026-03-05

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

8,413 distinct procedures filed
22 distinct payers
1,029,266 rate rows
2026-03-05 last MRF observed
Data quality

1,027,714 of 1,029,266 rate rows are consumer-grade (99.8%)

1,552 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
placeholder amount (≤ $0.02) — excluded from medians 1,052
per-diem day rate — not a per-procedure price 306
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 166
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 26
percent-of-charges filed in the dollar field — excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.texaschildrens.org/sites/tc/files/uploads/documents/741100555_texas-childrens-hospital-the-woodlands_standardcharges.zip
Found on page https://www.texaschildrens.org/patients-families/insurance-and-billing/cost-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 83ad3168080e8f3d… · 40,436,459 bytes · first seen 2026-05-18

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
5834
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $876,935.96 $1,120,816.46 $974,373.62 nat. median
$307,273
outlier · 3.2×
74
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 9 $853,084.11 $1,090,331.28 $947,871.56 nat. median
$170,172
outlier · 5.6×
5833
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $742,557.14 $949,066.18 $825,063.77 nat. median
$244,017
outlier · 3.4×
24
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 9 $714,318.94 $912,974.79 $793,687.99 nat. median
$241,734
outlier · 3.3×
Q2042
HCPCS 		Tc Tisagenlecleucel, Car-positive T Cells (kymriah), Per Therapeutic Dose 19 $307,884.78 $1,379,537.75 $729,800.96 nat. median
$739,658
1.0× median
5884
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 9 $555,086.07 $709,458.43 $616,762.52 nat. median
$247,815
outlier · 2.5×
1614
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $539,026.66 $688,932.80 $598,918.71 nat. median
$202,649
outlier · 3.0×
94
APR_DRG 		Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 9 $504,983.10 $645,421.55 $561,092.53 nat. median
$163,718
outlier · 3.4×
6304
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 9 $413,021.04 $527,884.36 $458,912.43 nat. median
$154,116
outlier · 3.0×
6094
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $409,360.94 $523,206.37 $454,845.65 nat. median
$165,000
outlier · 2.8×
5832
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $369,999.27 $472,898.01 $411,110.44 nat. median
$159,249
outlier · 2.6×
114
APR_DRG 		Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $351,338.52 $449,047.61 $390,376.27 nat. median
$123,836
outlier · 3.2×
2004
APR_DRG 		Apr-DRG 40.00: Cardiac Structural And Valvular Disorders 9 $326,490.25 $417,288.90 $362,767.07 nat. median
$28,252
outlier · 12.8×
5831
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $325,791.71 $416,396.10 $361,990.92 nat. median
$147,206
outlier · 2.5×
73
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 9 $301,020.79 $384,736.26 $334,467.66 nat. median
$89,273
outlier · 3.7×
5883
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 9 $297,841.01 $380,672.16 $330,934.57 nat. median
$175,429
1.9× median
5882
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 9 $296,479.73 $378,932.30 $329,422.03 nat. median
$145,061
outlier · 2.3×
44
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $295,713.07 $377,952.43 $328,570.19 nat. median
$122,016
outlier · 2.7×
8414
APR_DRG 		Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 9 $294,441.85 $376,327.68 $327,157.72 nat. median
$158,104
outlier · 2.1×
6314
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 9 $291,501.07 $372,569.05 $323,890.19 nat. median
$134,402
outlier · 2.4×
8504
APR_DRG 		Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 9 $283,821.78 $362,754.11 $315,357.65 nat. median
$66,663
outlier · 4.7×
5914
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $281,279.34 $359,504.60 $312,532.71 nat. median
$163,528
1.9× median
1613
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $280,947.97 $359,081.08 $312,164.52 nat. median
$120,841
outlier · 2.6×
5881
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 9 $279,463.15 $357,183.32 $310,514.71 nat. median
$120,763
outlier · 2.6×
14
APR_DRG 		Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 9 $255,881.47 $327,043.46 $284,312.85 nat. median
$137,051
outlier · 2.1×
84
APR_DRG 		Apr-DRG 40.00: Autologous Bone Marrow Transplant 9 $254,856.18 $325,733.03 $283,173.63 nat. median
$78,013
outlier · 3.6×
6814
APR_DRG 		Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 9 $250,327.82 $319,945.30 $278,142.12 nat. median
$67,951
outlier · 4.1×
1604
APR_DRG 		Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 9 $250,188.11 $319,766.74 $277,986.89 nat. median
$98,831
outlier · 2.8×
93
APR_DRG 		Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 9 $248,097.12 $317,094.23 $275,663.56 nat. median
$78,990
outlier · 3.5×
2464
APR_DRG 		Apr-DRG 40.00: Gastrointestinal Vascular Insufficiency 9 $242,612.74 $310,084.62 $269,569.80 nat. median
$20,493
outlier · 13.2×
6034
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant… 9 $241,361.15 $308,484.95 $268,179.15 nat. median
$107,442
outlier · 2.5×
64
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 9 $234,233.76 $299,375.41 $260,259.83 nat. median
$91,239
outlier · 2.9×
5891
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 9 $234,215.29 $299,351.79 $260,239.30 nat. median
$94,264
outlier · 2.8×
5934
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 9 $233,514.45 $298,456.04 $259,460.58 nat. median
$151,838
1.7× median
5892
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 9 $227,002.47 $290,133.05 $252,225.05 nat. median
$89,331
outlier · 2.8×
1624
APR_DRG 		Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 9 $218,247.09 $278,942.75 $242,496.85 nat. median
$80,771
outlier · 3.0×
6024
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 9 $214,665.50 $274,365.11 $238,517.31 nat. median
$118,883
outlier · 2.0×
5893
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 9 $212,923.20 $272,138.26 $236,581.42 nat. median
$71,350
outlier · 3.3×
6214
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 9 $203,849.15 $260,540.67 $226,499.14 nat. median
$67,978
outlier · 3.3×
72
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 9 $202,252.33 $258,499.77 $224,724.89 nat. median
$66,446
outlier · 3.4×
1612
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $201,957.91 $258,123.46 $224,397.75 nat. median
$85,271
outlier · 2.6×
113
APR_DRG 		Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $199,648.70 $255,172.05 $221,831.96 nat. median
$67,440
outlier · 3.3×
8634
APR_DRG 		Apr-DRG 40.00: Neonatal Aftercare 9 $196,552.04 $251,214.20 $218,391.23 nat. median
$71,102
outlier · 3.1×
6303
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 9 $194,664.26 $248,801.42 $216,293.70 nat. median
$76,171
outlier · 2.8×
1611
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $191,538.74 $244,806.68 $212,820.90 nat. median
$77,028
outlier · 2.8×
4404
APR_DRG 		Apr-DRG 40.00: Kidney Transplant 9 $191,065.36 $244,201.64 $212,294.91 nat. median
$78,303
outlier · 2.7×
181000
CDM 		Tc Organ Acquisition - Cadaveric - Lung 18 $90,741.60 $319,276.00 $211,730.40 nat. median
$1,365
outlier · 155.1×
54
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 9 $190,192.47 $243,086.00 $211,325.04 nat. median
$81,052
outlier · 2.6×
43
APR_DRG 		Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 9 $190,127.82 $243,003.36 $211,253.20 nat. median
$74,628
outlier · 2.8×
5913
APR_DRG 		Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 9 $185,221.89 $236,733.08 $205,802.18 nat. median
$101,865
outlier · 2.0×

Other procedures at this hospital

Browse this hospital's 8,413 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
             
5834 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 24 9 — — $876,935.96 $1,120,816.46 $974,373.62 2026-03-05
74 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 24 9 — — $853,084.11 $1,090,331.28 $947,871.56 2026-03-05
5833 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 24 9 — — $742,557.14 $949,066.18 $825,063.77 2026-03-05
24 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 24 9 — — $714,318.94 $912,974.79 $793,687.99 2026-03-05
Q2042 HCPCS Tc Tisagenlecleucel, Car-positive T Cells (kymriah), Per Therapeutic Dose 120 19 $1,296,229.50 $868,473.77 33% off $307,884.78 $1,379,537.75 $729,800.96 2026-03-05
5884 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 24 9 — — $555,086.07 $709,458.43 $616,762.52 2026-03-05
1614 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 24 9 — — $539,026.66 $688,932.80 $598,918.71 2026-03-05
94 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 24 9 — — $504,983.10 $645,421.55 $561,092.53 2026-03-05
6304 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 24 9 — — $413,021.04 $527,884.36 $458,912.43 2026-03-05
6094 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 24 9 — — $409,360.94 $523,206.37 $454,845.65 2026-03-05
5832 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 24 9 — — $369,999.27 $472,898.01 $411,110.44 2026-03-05
114 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 9 — — $351,338.52 $449,047.61 $390,376.27 2026-03-05
2004 APR_DRG Apr-DRG 40.00: Cardiac Structural And Valvular Disorders 24 9 — — $326,490.25 $417,288.90 $362,767.07 2026-03-05
5831 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 24 9 — — $325,791.71 $416,396.10 $361,990.92 2026-03-05
73 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 24 9 — — $301,020.79 $384,736.26 $334,467.66 2026-03-05
5883 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 24 9 — — $297,841.01 $380,672.16 $330,934.57 2026-03-05
5882 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 24 9 — — $296,479.73 $378,932.30 $329,422.03 2026-03-05
44 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 24 9 — — $295,713.07 $377,952.43 $328,570.19 2026-03-05
8414 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 24 9 — — $294,441.85 $376,327.68 $327,157.72 2026-03-05
6314 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 24 9 — — $291,501.07 $372,569.05 $323,890.19 2026-03-05
8504 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 24 9 — — $283,821.78 $362,754.11 $315,357.65 2026-03-05
5914 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 24 9 — — $281,279.34 $359,504.60 $312,532.71 2026-03-05
1613 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 24 9 — — $280,947.97 $359,081.08 $312,164.52 2026-03-05
5881 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 24 9 — — $279,463.15 $357,183.32 $310,514.71 2026-03-05
14 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 24 9 — — $255,881.47 $327,043.46 $284,312.85 2026-03-05
84 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 24 9 — — $254,856.18 $325,733.03 $283,173.63 2026-03-05
6814 APR_DRG Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 24 9 — — $250,327.82 $319,945.30 $278,142.12 2026-03-05
1604 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 24 9 — — $250,188.11 $319,766.74 $277,986.89 2026-03-05
93 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 24 9 — — $248,097.12 $317,094.23 $275,663.56 2026-03-05
2464 APR_DRG Apr-DRG 40.00: Gastrointestinal Vascular Insufficiency 24 9 — — $242,612.74 $310,084.62 $269,569.80 2026-03-05
6034 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 24 9 — — $241,361.15 $308,484.95 $268,179.15 2026-03-05
64 APR_DRG Apr-DRG 40.00: Pancreas Transplant 24 9 — — $234,233.76 $299,375.41 $260,259.83 2026-03-05
5891 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 24 9 — — $234,215.29 $299,351.79 $260,239.30 2026-03-05
5934 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 24 9 — — $233,514.45 $298,456.04 $259,460.58 2026-03-05
5892 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 24 9 — — $227,002.47 $290,133.05 $252,225.05 2026-03-05
1624 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 9 — — $218,247.09 $278,942.75 $242,496.85 2026-03-05
6024 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 24 9 — — $214,665.50 $274,365.11 $238,517.31 2026-03-05
5893 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 24 9 — — $212,923.20 $272,138.26 $236,581.42 2026-03-05
6214 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 24 9 — — $203,849.15 $260,540.67 $226,499.14 2026-03-05
72 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 24 9 — — $202,252.33 $258,499.77 $224,724.89 2026-03-05
1612 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 24 9 — — $201,957.91 $258,123.46 $224,397.75 2026-03-05
113 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 9 — — $199,648.70 $255,172.05 $221,831.96 2026-03-05
8634 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 24 9 — — $196,552.04 $251,214.20 $218,391.23 2026-03-05
6303 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 24 9 — — $194,664.26 $248,801.42 $216,293.70 2026-03-05
1611 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 24 9 — — $191,538.74 $244,806.68 $212,820.90 2026-03-05
4404 APR_DRG Apr-DRG 40.00: Kidney Transplant 24 9 — — $191,065.36 $244,201.64 $212,294.91 2026-03-05
181000 CDM Tc Organ Acquisition - Cadaveric - Lung 58 18 $336,080.00 $225,173.60 33% off $90,741.60 $319,276.00 $211,730.40 2026-03-05
54 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 9 — — $190,192.47 $243,086.00 $211,325.04 2026-03-05
43 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 24 9 — — $190,127.82 $243,003.36 $211,253.20 2026-03-05
5913 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 24 9 — — $185,221.89 $236,733.08 $205,802.18 2026-03-05
6804 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 24 9 — — $185,221.89 $236,733.08 $205,802.18 2026-03-05
6084 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 24 9 — — $184,696.55 $236,061.63 $205,218.46 2026-03-05
4414 APR_DRG Apr-DRG 40.00: Major Bladder Procedures 24 9 — — $180,817.07 $231,103.25 $200,907.93 2026-03-05
23 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 24 9 — — $175,936.55 $224,865.43 $195,485.13 2026-03-05
83 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 24 9 — — $172,263.75 $220,171.21 $191,404.23 2026-03-05
1784 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 24 9 — — $169,355.30 $216,453.90 $188,172.62 2026-03-05
68403110006 CDM Botulism Immune Globulin 50 mg/mL Inj 100 Mg Vial 58 18 $297,311.50 $199,198.70 33% off $80,274.10 $282,445.92 $187,306.24 2026-03-05
5933 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 24 9 — — $166,780.53 $213,163.07 $185,311.76 2026-03-05
6114 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 24 9 — — $166,588.86 $212,918.10 $185,098.80 2026-03-05
1674 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 24 9 — — $165,852.22 $211,976.60 $184,280.31 2026-03-05
6904 APR_DRG Apr-DRG 40.00: Acute Leukemia 24 9 — — $164,362.78 $210,072.94 $182,625.38 2026-03-05
434 APR_DRG Apr-DRG 40.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 24 9 — — $163,355.97 $208,786.12 $181,506.69 2026-03-05
92 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 24 9 — — $163,172.38 $208,551.48 $181,302.71 2026-03-05
91 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 24 9 — — $158,244.53 $202,253.16 $175,827.31 2026-03-05
6334 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 24 9 — — $154,918.11 $198,001.65 $172,131.29 2026-03-05
3034 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 9 — — $153,973.64 $196,794.52 $171,081.88 2026-03-05
100048 CDM Tc Organ Acquisition - Cadaveric - Heart 58 18 $270,901.00 $181,503.67 33% off $73,143.27 $257,355.95 $170,667.63 2026-03-05
5912 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 24 9 — — $152,929.87 $195,460.48 $169,922.14 2026-03-05
6074 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 24 9 — — $151,433.50 $193,547.96 $168,259.51 2026-03-05
63 APR_DRG Apr-DRG 40.00: Pancreas Transplant 24 9 — — $151,371.16 $193,468.27 $168,190.23 2026-03-05
J9226 HCPCS Histrelin 50 Mg Kit Inj 1 Each Box 58 18 $263,483.76 $176,534.12 33% off $71,140.62 $250,309.57 $165,994.77 2026-03-05
180002 CDM Tc Organ Acquisition - Cadaveric - Liver 58 18 $262,060.00 $175,580.20 33% off $70,756.20 $248,957.00 $165,097.80 2026-03-05
2204 APR_DRG Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures 24 9 — — $144,302.66 $184,433.99 $160,336.34 2026-03-05
6134 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 24 9 — — $143,516.37 $183,429.03 $159,462.69 2026-03-05
4474 APR_DRG Apr-DRG 40.00: Other Kidney, Urinary Tract And Related Procedures 24 9 — — $143,180.38 $182,999.60 $159,089.37 2026-03-05
22 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 24 9 — — $141,335.32 $180,641.42 $157,039.30 2026-03-05
234 APR_DRG Apr-DRG 40.00: Spinal Procedures 24 9 — — $141,059.37 $180,288.72 $156,732.69 2026-03-05
9104 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 24 9 — — $140,549.03 $179,636.46 $156,165.65 2026-03-05
112 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 9 — — $138,743.23 $177,328.45 $154,159.20 2026-03-05
6023 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 24 9 — — $138,737.46 $177,321.07 $154,152.78 2026-03-05
53 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 9 — — $137,007.86 $175,110.46 $152,231.01 2026-03-05
62 APR_DRG Apr-DRG 40.00: Pancreas Transplant 24 9 — — $136,913.18 $174,989.45 $152,125.81 2026-03-05
9504 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 24 9 — — $136,376.29 $174,303.25 $151,529.26 2026-03-05
61 APR_DRG Apr-DRG 40.00: Pancreas Transplant 24 9 — — $135,145.48 $172,730.15 $150,161.69 2026-03-05
71 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 24 9 — — $132,806.25 $169,740.36 $147,562.55 2026-03-05
13 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 24 9 — — $131,836.38 $168,500.77 $146,484.91 2026-03-05
6093 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 24 9 — — $131,680.51 $168,301.55 $146,311.72 2026-03-05
264 APR_DRG Apr-DRG 40.00: Other Nervous System And Related Procedures 24 9 — — $131,600.84 $168,199.72 $146,223.20 2026-03-05
5932 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 24 9 — — $131,032.77 $167,473.67 $145,592.02 2026-03-05
3033 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 9 — — $130,255.72 $166,480.52 $144,728.63 2026-03-05
1824 APR_DRG Apr-DRG 40.00: Other Peripheral Vascular And Related Procedures 24 9 — — $130,150.65 $166,346.23 $144,611.89 2026-03-05
1634 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 24 9 — — $130,073.29 $166,247.36 $144,525.93 2026-03-05
C9293 HCPCS Glucarpidase 1000 Units Solr 1 Each Vial 58 18 $227,003.50 $152,092.35 33% off $61,290.94 $215,653.33 $143,012.20 2026-03-05
7924 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment 24 9 — — $127,944.20 $163,526.15 $142,160.27 2026-03-05
3044 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 24 9 — — $127,913.03 $163,486.31 $142,125.63 2026-03-05
2054 APR_DRG Apr-DRG 40.00: Cardiomyopathy 24 9 — — $127,551.63 $163,024.41 $141,724.09 2026-03-05
6954 APR_DRG Apr-DRG 40.00: Chemotherapy For Acute Leukemia 24 9 — — $127,387.68 $162,814.86 $141,541.92 2026-03-05
8413 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 24 9 — — $127,257.21 $162,648.11 $141,396.95 2026-03-05
52 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 9 — — $125,118.88 $159,915.10 $139,021.03 2026-03-05
6514 APR_DRG Apr-DRG 40.00: Other Procedures Of Blood And Blood-forming Organs 24 9 — — $124,699.76 $159,379.42 $138,555.33 2026-03-05
42 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 24 9 — — $124,310.65 $158,882.10 $138,123.00 2026-03-05
47135 CPT Tc Organ Acquisition - Living - Liver 58 18 $217,556.00 $145,762.52 33% off $58,740.12 $206,678.20 $137,060.28 2026-03-05
6144 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 24 9 — — $123,004.80 $157,213.08 $136,672.04 2026-03-05
1623 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 9 — — $122,795.81 $156,945.97 $136,439.84 2026-03-05
214 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 24 9 — — $122,504.85 $156,574.09 $136,116.55 2026-03-05
2304 APR_DRG Apr-DRG 40.00: Major Small Bowel Procedures 24 9 — — $122,062.64 $156,008.90 $135,625.20 2026-03-05
224 APR_DRG Apr-DRG 40.00: Ventricular Shunt Procedures 24 9 — — $121,581.17 $155,393.53 $135,090.23 2026-03-05
4424 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Malignancy 24 9 — — $120,914.96 $154,542.04 $134,350.00 2026-03-05
9524 APR_DRG Apr-DRG 40.00: Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 24 9 — — $120,172.55 $153,593.16 $133,525.10 2026-03-05
9114 APR_DRG Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 24 9 — — $119,074.52 $152,189.77 $132,305.06 2026-03-05
7 MS_DRG Double Lung Transplant 8 2 — — $110,000.00 $150,000.00 $130,000.00 2026-03-05
4403 APR_DRG Apr-DRG 40.00: Kidney Transplant 24 9 — — $116,940.80 $149,462.66 $129,934.27 2026-03-05
3154 APR_DRG Apr-DRG 40.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme… 24 9 — — $116,932.72 $149,452.33 $129,925.29 2026-03-05
1694 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 24 9 — — $116,535.54 $148,944.68 $129,483.98 2026-03-05
1204 APR_DRG Apr-DRG 40.00: Major Respiratory And Chest Procedures 24 9 — — $116,062.15 $148,339.64 $128,957.99 2026-03-05
4834 APR_DRG Apr-DRG 40.00: Penis, Testes And Scrotal Procedures 24 9 — — $115,621.09 $147,775.92 $128,467.92 2026-03-05
894 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 24 9 — — $114,381.04 $146,191.01 $127,090.09 2026-03-05
9124 APR_DRG Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 24 9 — — $114,229.79 $145,997.70 $126,922.03 2026-03-05
1304 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 24 9 — — $114,200.92 $145,960.80 $126,889.96 2026-03-05
1654 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 24 9 — — $112,500.19 $143,787.08 $125,000.25 2026-03-05
5911 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 24 9 — — $110,263.72 $140,928.64 $122,515.29 2026-03-05
2604 APR_DRG Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures 24 9 — — $109,662.17 $140,159.79 $121,846.90 2026-03-05
21 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 24 9 — — $109,473.97 $139,919.25 $121,637.78 2026-03-05
180001 CDM Tc Organ Acquisition - Cadaveric - Kidney 58 18 $191,987.00 $128,631.29 33% off $51,836.49 $182,387.65 $120,951.81 2026-03-05
1783 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 24 9 — — $108,378.25 $138,518.81 $120,420.32 2026-03-05
1214 APR_DRG Apr-DRG 40.00: Other Respiratory And Chest Procedures 24 9 — — $108,315.90 $138,439.12 $120,351.04 2026-03-05
6313 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 24 9 — — $107,919.87 $137,932.95 $119,911.01 2026-03-05
6254 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 24 9 — — $107,048.14 $136,818.79 $118,942.42 2026-03-05
6124 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 24 9 — — $106,739.86 $136,424.78 $118,599.89 2026-03-05
1603 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 24 9 — — $105,727.27 $135,130.58 $117,474.79 2026-03-05
2244 APR_DRG Apr-DRG 40.00: Peritoneal Adhesiolysis 24 9 — — $105,558.70 $134,915.13 $117,287.48 2026-03-05
50320 CPT Tc Organ Acquisition - Living - Kidney 58 18 $184,900.00 $123,883.00 33% off $49,923.00 $175,655.00 $116,487.00 2026-03-05
6022 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 24 9 — — $104,823.21 $133,975.10 $116,470.28 2026-03-05
J0567 HCPCS Cerliponase Alfa 30 mg/mL Inj 1 Each Box 58 18 $184,678.00 $123,734.26 33% off $49,863.06 $175,444.10 $116,347.14 2026-03-05
3614 APR_DRG Apr-DRG 40.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 24 9 — — $104,529.94 $133,600.27 $116,144.42 2026-03-05
914 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 24 9 — — $103,967.65 $132,881.60 $115,519.65 2026-03-05
J0800 HCPCS Corticotropin 80 units/mL Gel 5 Ml Vial 58 18 $182,756.50 $122,446.85 33% off $49,344.25 $173,618.67 $115,136.60 2026-03-05
204 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 24 9 — — $102,906.57 $131,525.43 $114,340.67 2026-03-05
51 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 24 9 — — $102,206.88 $130,631.15 $113,563.24 2026-03-05
41 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 24 9 — — $102,010.59 $130,380.28 $113,345.14 2026-03-05
12 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 24 9 — — $101,262.41 $129,424.02 $112,513.83 2026-03-05
1814 APR_DRG Apr-DRG 40.00: Lower Extremity Arterial Procedures 24 9 — — $101,220.84 $129,370.89 $112,467.64 2026-03-05
2274 APR_DRG Apr-DRG 40.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 24 9 — — $100,911.41 $128,975.40 $112,123.83 2026-03-05
6604 APR_DRG Apr-DRG 40.00: Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Cri… 24 9 — — $100,580.04 $128,551.88 $111,755.64 2026-03-05
6234 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 24 9 — — $100,559.25 $128,525.31 $111,732.54 2026-03-05
8424 APR_DRG Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns 24 9 — — $100,446.10 $128,380.69 $111,606.82 2026-03-05
6 MS_DRG Liver (lrd) Transplant 2 1 — — $110,000.00 $110,000.00 $110,000.00 2026-03-05
5 MS_DRG Liver (lrd) Transplant 2 1 — — $110,000.00 $110,000.00 $110,000.00 2026-03-05
1834 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 24 9 — — $97,885.19 $125,107.57 $108,761.36 2026-03-05
11 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 24 9 — — $97,460.29 $124,564.51 $108,289.25 2026-03-05
2614 APR_DRG Apr-DRG 40.00: Major Biliary Tract Procedures 24 9 — — $96,332.24 $123,122.75 $107,035.86 2026-03-05
6073 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 24 9 — — $95,988.17 $122,682.98 $106,653.56 2026-03-05
1833 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 24 9 — — $95,481.30 $122,035.15 $106,090.37 2026-03-05
9514 APR_DRG Apr-DRG 40.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 24 9 — — $95,107.21 $121,557.02 $105,674.71 2026-03-05
3032 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 9 — — $94,506.81 $120,789.65 $105,007.60 2026-03-05
14 MS_DRG Allogeneic Blood/Marrow Related Transplant 12 2 — — $85,000.00 $120,000.00 $105,000.00 2026-03-05
504 APR_DRG Apr-DRG 40.00: Non-bacterial Infections Of Nervous System Except Viral Meningiti… 24 9 — — $93,551.95 $119,569.24 $103,946.65 2026-03-05
1782 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 24 9 — — $93,017.37 $118,885.99 $103,352.67 2026-03-05
7104 APR_DRG Apr-DRG 40.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 24 9 — — $92,859.19 $118,683.82 $103,176.91 2026-03-05
6033 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 24 9 — — $92,044.04 $117,641.97 $102,271.19 2026-03-05
1622 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 9 — — $91,693.04 $117,193.35 $101,881.19 2026-03-05
2234 APR_DRG Apr-DRG 40.00: Other Small And Large Bowel Procedures 24 9 — — $90,635.42 $115,841.60 $100,706.05 2026-03-05
6914 APR_DRG Apr-DRG 40.00: Lymphoma, Myeloma And Non-acute Leukemia 24 9 — — $90,077.74 $115,128.84 $100,086.41 2026-03-05
82 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 24 9 — — $89,672.47 $114,610.86 $99,636.12 2026-03-05
6944 APR_DRG Apr-DRG 40.00: Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behav… 24 9 — — $89,165.60 $113,963.03 $99,072.93 2026-03-05
7234 APR_DRG Apr-DRG 40.00: Viral Illness 24 9 — — $89,044.37 $113,808.08 $98,938.22 2026-03-05
924 APR_DRG Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 24 9 — — $88,087.20 $112,584.71 $97,874.70 2026-03-05
1633 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 24 9 — — $87,113.87 $111,340.69 $96,793.22 2026-03-05
1664 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 24 9 — — $86,941.83 $111,120.81 $96,602.07 2026-03-05
J9118 HCPCS Calaspargase Pegol 750 units/mL Soln 5 Ml Vial 58 18 $152,469.93 $102,154.85 33% off $41,166.88 $144,846.43 $96,056.06 2026-03-05
6614 APR_DRG Apr-DRG 40.00: Coagulation And Platelet Disorders 24 9 — — $86,152.08 $110,111.43 $95,724.57 2026-03-05
1781 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 24 9 — — $85,267.65 $108,981.04 $94,741.87 2026-03-05
923 APR_DRG Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 24 9 — — $84,962.84 $108,591.45 $94,403.19 2026-03-05
1764 APR_DRG Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 24 9 — — $84,461.74 $107,950.99 $93,846.41 2026-03-05
5134 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 24 9 — — $83,264.41 $106,420.68 $92,516.05 2026-03-05
1794 APR_DRG Apr-DRG 40.00: Defibrillator Implants 24 9 — — $83,213.61 $106,355.75 $92,459.60 2026-03-05
3124 APR_DRG Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 24 9 — — $83,100.46 $106,211.13 $92,333.87 2026-03-05
8412 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 24 9 — — $82,696.35 $105,694.63 $91,884.86 2026-03-05
1714 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 24 9 — — $82,258.75 $105,135.34 $91,398.64 2026-03-05
8411 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 24 9 — — $82,053.23 $104,872.66 $91,170.29 2026-03-05
2644 APR_DRG Apr-DRG 40.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 24 9 — — $81,621.41 $104,320.75 $90,690.48 2026-03-05
1621 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 24 9 — — $81,358.16 $103,984.29 $90,397.98 2026-03-05
5104 APR_DRG Apr-DRG 40.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 24 9 — — $80,482.97 $102,865.70 $89,425.55 2026-03-05
7404 APR_DRG Apr-DRG 40.00: Mental Illness Diagnosis With O.r. Procedure 24 9 — — $80,403.30 $102,763.88 $89,337.03 2026-03-05
4013 APR_DRG Apr-DRG 40.00: Adrenal Procedures 24 9 — — $80,101.95 $102,378.72 $89,002.19 2026-03-05
3043 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 24 9 — — $80,093.86 $102,368.39 $88,993.21 2026-03-05
J9266 HCPCS Pegaspargase 750 units/mL Soln 5 Ml Vial 58 18 $140,809.79 $94,342.56 33% off $38,018.64 $133,769.30 $88,710.17 2026-03-05
3104 APR_DRG Apr-DRG 40.00: Vertebral And Intervertebral Spinal Procedures Including Disc Pro… 24 9 — — $79,245.23 $101,283.74 $88,050.28 2026-03-05
2334 APR_DRG Apr-DRG 40.00: Appendectomy With Complex Principal Diagnosis 24 9 — — $79,190.96 $101,214.38 $87,989.99 2026-03-05
5114 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 24 9 — — $79,076.66 $101,068.29 $87,862.98 2026-03-05
111 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 24 9 — — $78,902.31 $100,845.46 $87,669.26 2026-03-05
6344 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 24 9 — — $78,785.70 $100,696.41 $87,539.69 2026-03-05
4804 APR_DRG Apr-DRG 40.00: Major Male Pelvic Procedures 24 9 — — $78,452.01 $100,269.93 $87,168.93 2026-03-05
7114 APR_DRG Apr-DRG 40.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 24 9 — — $77,983.24 $99,670.79 $86,648.08 2026-03-05
304 APR_DRG Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures 24 9 — — $77,780.03 $99,411.07 $86,422.29 2026-03-05
1303 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 24 9 — — $77,543.34 $99,108.55 $86,159.30 2026-03-05
3464 APR_DRG Apr-DRG 40.00: Connective Tissue Disorders 24 9 — — $77,523.71 $99,083.46 $86,137.49 2026-03-05
4044 APR_DRG Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures 24 9 — — $77,281.24 $98,773.56 $85,868.08 2026-03-05
4434 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Non-malignancy 24 9 — — $76,697.01 $98,026.86 $85,218.93 2026-03-05
1804 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 24 9 — — $76,658.91 $97,978.16 $85,176.60 2026-03-05
294 APR_DRG Apr-DRG 40.00: Other Percutaneous Intracranial Procedures 24 9 — — $76,601.18 $97,904.37 $85,112.45 2026-03-05
734 APR_DRG Apr-DRG 40.00: Orbit And Eye Procedures 24 9 — — $76,447.62 $97,708.10 $84,941.83 2026-03-05
4684 APR_DRG Apr-DRG 40.00: Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 24 9 — — $76,061.98 $97,215.22 $84,513.34 2026-03-05
3134 APR_DRG Apr-DRG 40.00: Knee And Lower Leg Procedures Except Foot 24 9 — — $75,848.38 $96,942.21 $84,276.00 2026-03-05
4402 APR_DRG Apr-DRG 40.00: Kidney Transplant 24 9 — — $75,214.50 $96,132.05 $83,571.69 2026-03-05
8154 APR_DRG Apr-DRG 40.00: Other Injury, Poisoning And Toxic Effect Diagnoses 24 9 — — $75,172.93 $96,078.92 $83,525.51 2026-03-05
81 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 24 9 — — $75,105.97 $95,993.33 $83,451.10 2026-03-05
913 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 24 9 — — $74,595.63 $95,341.07 $82,884.06 2026-03-05
1754 APR_DRG Apr-DRG 40.00: Percutaneous Cardiac Intervention Without Ami 24 9 — — $74,476.71 $95,189.07 $82,751.92 2026-03-05
6924 APR_DRG Apr-DRG 40.00: Radiotherapy 24 9 — — $74,424.75 $95,122.66 $82,694.19 2026-03-05
984 APR_DRG Apr-DRG 40.00: Other Ear, Nose, Mouth And Throat Procedures 24 9 — — $74,327.76 $94,998.70 $82,586.43 2026-03-05
2314 APR_DRG Apr-DRG 40.00: Major Large Bowel Procedures 24 9 — — $74,044.88 $94,637.15 $82,272.12 2026-03-05
1653 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 24 9 — — $73,966.37 $94,536.81 $82,184.88 2026-03-05
38210 CPT Tc Cell Spec Enrich/deplet (cd34 Select) 116 18 $140,436.00 $94,092.12 33% off $34,667.46 $144,850.30 $82,174.72 2026-03-05
8104 APR_DRG Apr-DRG 40.00: Hemorrhage Or Hematoma Due To Complication 24 9 — — $73,937.50 $94,499.91 $82,152.81 2026-03-05
6032 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 24 9 — — $73,728.52 $94,232.81 $81,920.61 2026-03-05
1602 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 24 9 — — $73,461.81 $93,891.92 $81,624.26 2026-03-05
4844 APR_DRG Apr-DRG 40.00: Other Male Reproductive System And Related Procedures 24 9 — — $73,258.60 $93,632.20 $81,398.47 2026-03-05
6083 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 24 9 — — $73,199.71 $93,556.94 $81,333.04 2026-03-05
494 APR_DRG Apr-DRG 40.00: Bacterial And Tuberculous Infections Of Nervous System 24 9 — — $73,061.16 $93,379.85 $81,179.09 2026-03-05
1704 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 24 9 — — $72,627.03 $92,824.98 $80,696.72 2026-03-05
6903 APR_DRG Apr-DRG 40.00: Acute Leukemia 24 9 — — $72,342.99 $92,461.96 $80,381.13 2026-03-05
1673 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 24 9 — — $72,042.80 $92,078.28 $80,047.58 2026-03-05
J1162 HCPCS Digoxin Immune Fab 40 Mg Solr 1 Each Vial 58 18 $127,007.14 $85,094.78 33% off $34,291.93 $120,656.78 $80,014.50 2026-03-05
4054 APR_DRG Apr-DRG 40.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 24 9 — — $71,889.23 $91,882.01 $79,876.95 2026-03-05
4014 APR_DRG Apr-DRG 40.00: Adrenal Procedures 24 9 — — $71,630.60 $91,551.45 $79,589.58 2026-03-05
3254 APR_DRG Apr-DRG 40.00: Non-elective Or Complex Knee Joint Replacement 24 9 — — $71,480.50 $91,359.61 $79,422.81 2026-03-05
6613 APR_DRG Apr-DRG 40.00: Coagulation And Platelet Disorders 24 9 — — $70,635.33 $90,279.39 $78,483.73 2026-03-05
274 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 24 9 — — $70,551.05 $90,171.66 $78,390.08 2026-03-05
4401 APR_DRG Apr-DRG 40.00: Kidney Transplant 24 9 — — $70,504.86 $90,112.63 $78,338.76 2026-03-05
6302 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 24 9 — — $70,267.01 $89,808.64 $78,074.48 2026-03-05
213 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 24 9 — — $70,112.29 $89,610.89 $77,902.58 2026-03-05
7934 APR_DRG Apr-DRG 40.00: Moderately Extensive O.r. Procedures For Other Complications Of T… 24 9 — — $69,666.62 $89,041.27 $77,407.38 2026-03-05
3214 APR_DRG Apr-DRG 40.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 24 9 — — $69,643.52 $89,011.76 $77,381.72 2026-03-05
3031 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 24 9 — — $69,620.43 $88,982.24 $77,356.06 2026-03-05
244 APR_DRG Apr-DRG 40.00: Open Extracranial Vascular Procedures 24 9 — — $69,501.51 $88,830.24 $77,223.92 2026-03-05
1801 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 24 9 — — $69,450.71 $88,765.31 $77,167.48 2026-03-05
3084 APR_DRG Apr-DRG 40.00: Hip And Femur Fracture Repair 24 9 — — $69,217.48 $88,467.22 $76,908.33 2026-03-05
6072 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 24 9 — — $69,059.29 $88,265.05 $76,732.58 2026-03-05
5144 APR_DRG Apr-DRG 40.00: Female Reproductive System Reconstructive Procedures 24 9 — — $68,688.67 $87,791.34 $76,320.77 2026-03-05
233 APR_DRG Apr-DRG 40.00: Spinal Procedures 24 9 — — $68,672.50 $87,770.68 $76,302.81 2026-03-05
2224 APR_DRG Apr-DRG 40.00: Other Stomach, Esophageal And Duodenal Procedures 24 9 — — $68,628.63 $87,714.61 $76,254.06 2026-03-05
5124 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 24 9 — — $68,547.80 $87,611.31 $76,164.25 2026-03-05
4012 APR_DRG Apr-DRG 40.00: Adrenal Procedures 24 9 — — $68,259.15 $87,242.38 $75,843.53 2026-03-05
433 APR_DRG Apr-DRG 40.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 24 9 — — $67,984.36 $86,891.16 $75,538.20 2026-03-05
1302 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 24 9 — — $67,792.69 $86,646.20 $75,325.24 2026-03-05
6803 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 24 9 — — $67,756.90 $86,600.45 $75,285.47 2026-03-05
404 APR_DRG Apr-DRG 40.00: Spinal Disorders And Injuries 24 9 — — $67,755.74 $86,598.97 $75,284.19 2026-03-05
293 APR_DRG Apr-DRG 40.00: Other Percutaneous Intracranial Procedures 24 9 — — $67,506.35 $86,280.22 $75,007.08 2026-03-05
7923 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment 24 9 — — $66,714.29 $85,267.88 $74,127.01 2026-03-05
6813 APR_DRG Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 24 9 — — $66,459.12 $84,941.75 $73,843.49 2026-03-05
49452359005 CDM Hydrocortisone Acetate Powd 5,000 G Bottle 58 18 $116,732.00 $78,210.44 33% off $31,517.64 $110,895.40 $73,541.16 2026-03-05
4444 APR_DRG Apr-DRG 40.00: Renal Dialysis Access Device Procedures 24 9 — — $65,999.59 $84,354.42 $73,332.90 2026-03-05
2454 APR_DRG Apr-DRG 40.00: Inflammatory Bowel Disease 24 9 — — $65,904.91 $84,233.41 $73,227.70 2026-03-05
16 MS_DRG Auto Transplant 4 1 — — $60,000.00 $85,000.00 $72,500.00 2026-03-05
17 MS_DRG Auto Transplant 4 1 — — $60,000.00 $85,000.00 $72,500.00 2026-03-05
6113 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 24 9 — — $65,245.63 $83,390.78 $72,495.17 2026-03-05
203 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 24 9 — — $64,697.19 $82,689.82 $71,885.79 2026-03-05
3224 APR_DRG Apr-DRG 40.00: Shoulder And Elbow Joint Replacement 24 9 — — $64,536.70 $82,484.70 $71,707.47 2026-03-05
1632 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 24 9 — — $64,491.67 $82,427.15 $71,657.44 2026-03-05
2824 APR_DRG Apr-DRG 40.00: Disorders Of Pancreas Except Malignancy 24 9 — — $64,159.15 $82,002.14 $71,287.96 2026-03-05
4624 APR_DRG Apr-DRG 40.00: Nephritis And Nephrosis 24 9 — — $64,013.67 $81,816.20 $71,126.32 2026-03-05
273 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 24 9 — — $63,977.87 $81,770.46 $71,086.55 2026-03-05
7594 APR_DRG Apr-DRG 40.00: Eating Disorders 24 9 — — $63,958.24 $81,745.37 $71,064.74 2026-03-05
594 APR_DRG Apr-DRG 40.00: Anoxic And Other Severe Brain Damage 24 9 — — $63,910.91 $81,684.86 $71,012.14 2026-03-05
6504 APR_DRG Apr-DRG 40.00: Splenectomy 24 9 — — $63,809.30 $81,555.00 $70,899.25 2026-03-05
1793 APR_DRG Apr-DRG 40.00: Defibrillator Implants 24 9 — — $63,806.99 $81,552.05 $70,896.68 2026-03-05
2634 APR_DRG Apr-DRG 40.00: Cholecystectomy 24 9 — — $63,774.66 $81,510.73 $70,860.76 2026-03-05
2613 APR_DRG Apr-DRG 40.00: Major Biliary Tract Procedures 24 9 — — $63,675.37 $81,383.82 $70,750.43 2026-03-05
2264 APR_DRG Apr-DRG 40.00: Anal And Perineal Procedures 24 9 — — $63,588.77 $81,273.14 $70,654.21 2026-03-05
2074 APR_DRG Apr-DRG 40.00: Other Circulatory System Diagnoses 24 9 — — $63,038.02 $80,569.23 $70,042.27 2026-03-05
3054 APR_DRG Apr-DRG 40.00: Amputation Of Lower Limb Except Toes 24 9 — — $62,995.30 $80,514.63 $69,994.81 2026-03-05
1934 APR_DRG Apr-DRG 40.00: Acute And Subacute Endocarditis 24 9 — — $62,494.20 $79,874.17 $69,438.03 2026-03-05
6123 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 24 9 — — $62,384.52 $79,733.98 $69,316.15 2026-03-05
4454 APR_DRG Apr-DRG 40.00: Other Bladder Procedures 24 9 — — $62,339.49 $79,676.43 $69,266.12 2026-03-05
1832 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 24 9 — — $61,987.33 $79,226.34 $68,874.84 2026-03-05
1663 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 24 9 — — $61,821.07 $79,013.83 $68,690.10 2026-03-05
6902 APR_DRG Apr-DRG 40.00: Acute Leukemia 24 9 — — $61,815.30 $79,006.45 $68,683.69 2026-03-05
3814 APR_DRG Apr-DRG 40.00: Major Skin Disorders 24 9 — — $61,647.88 $78,792.48 $68,497.67 2026-03-05
3164 APR_DRG Apr-DRG 40.00: Hand And Wrist Procedures 24 9 — — $61,556.66 $78,675.90 $68,396.32 2026-03-05
1652 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 24 9 — — $61,003.61 $77,969.03 $67,781.81 2026-03-05
6213 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 24 9 — — $60,948.19 $77,898.20 $67,720.23 2026-03-05
893 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 24 9 — — $60,871.98 $77,800.80 $67,635.56 2026-03-05
5184 APR_DRG Apr-DRG 40.00: Other Female Reproductive System And Related Procedures 24 9 — — $60,769.22 $77,669.46 $67,521.38 2026-03-05
2294 APR_DRG Apr-DRG 40.00: Other Digestive System And Abdominal Procedures 24 9 — — $60,725.35 $77,613.39 $67,472.63 2026-03-05
1314 APR_DRG Apr-DRG 40.00: Cystic Fibrosis - Pulmonary Disease 24 9 — — $60,393.98 $77,189.86 $67,104.44 2026-03-05
6133 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 24 9 — — $60,248.50 $77,003.92 $66,942.80 2026-03-05
1693 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 24 9 — — $60,033.74 $76,729.44 $66,704.18 2026-03-05
4614 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Malignancy 24 9 — — $59,943.68 $76,614.33 $66,604.11 2026-03-05
8503 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 24 9 — — $59,843.23 $76,485.95 $66,492.50 2026-03-05
3434 APR_DRG Apr-DRG 40.00: Musculoskeletal Malignancy And Pathological Fracture Due To Muscu… 24 9 — — $59,828.22 $76,466.76 $66,475.82 2026-03-05
3204 APR_DRG Apr-DRG 40.00: Other Musculoskeletal System And Connective Tissue Procedures 24 9 — — $59,782.03 $76,407.73 $66,424.51 2026-03-05
1802 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 24 9 — — $59,532.64 $76,088.98 $66,147.40 2026-03-05
1831 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 24 9 — — $58,966.88 $75,365.88 $65,518.78 2026-03-05
4043 APR_DRG Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures 24 9 — — $58,744.04 $75,081.07 $65,271.18 2026-03-05
5174 APR_DRG Apr-DRG 40.00: Dilation And Curettage For Non-obstetric Diagnoses 24 9 — — $58,656.29 $74,968.92 $65,173.68 2026-03-05
1213 APR_DRG Apr-DRG 40.00: Other Respiratory And Chest Procedures 24 9 — — $58,580.09 $74,871.52 $65,089.01 2026-03-05
3094 APR_DRG Apr-DRG 40.00: Other Significant Hip And Femur Surgery 24 9 — — $58,428.84 $74,678.20 $64,920.95 2026-03-05
4214 APR_DRG Apr-DRG 40.00: Malnutrition, Failure To Thrive And Other Nutritional Disorders 24 9 — — $58,393.04 $74,632.46 $64,881.18 2026-03-05
9304 APR_DRG Apr-DRG 40.00: Multiple Significant Trauma Without O.r. Procedure 24 9 — — $58,324.92 $74,545.39 $64,805.49 2026-03-05
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