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

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Hospital

TEXAS CHILDRENS HOSPITAL NORTH AUSTIN CAMPUS

Austin, TX · CCN 453319 · Rates published

8,522 distinct procedures filed
22 distinct payers
519,434 rate rows
2026-03-05 last MRF observed
Data quality

518,659 of 519,434 rate rows are consumer-grade (99.9%)

775 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 526
per-diem day rate — not a per-procedure price 153
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 83
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.texaschildrens.org/sites/tc/files/uploads/documents/741100555_texas-childrens-hospital-north-austin-campus_standardcharges.zip
Found on page https://www.texaschildrens.org/patients-families/insurance-and-billing/cost-estimate
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-01
Content fingerprint 711439e401069027… · 40,814,659 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
$390,362
outlier · 2.5×
74
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 9 $853,084.11 $1,090,331.28 $947,871.56 nat. median
$149,836
outlier · 6.3×
5833
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $742,557.14 $949,066.18 $825,063.77 nat. median
$268,208
outlier · 3.1×
24
APR_DRG 		Apr-DRG 40.00: Heart And/or Lung Transplant 9 $714,318.94 $912,974.79 $793,687.99 nat. median
$225,531
outlier · 3.5×
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
$621,313
1.2× 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
$286,698
outlier · 2.2×
1614
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $539,026.66 $688,932.80 $598,918.71 nat. median
$202,242
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
$152,792
outlier · 3.7×
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
$187,567
outlier · 2.4×
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
$198,578
outlier · 2.3×
5832
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $369,999.27 $472,898.01 $411,110.44 nat. median
$201,678
outlier · 2.0×
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
$135,803
outlier · 2.9×
2004
APR_DRG 		Apr-DRG 40.00: Cardiac Structural And Valvular Disorders 9 $326,490.25 $417,288.90 $362,767.07 nat. median
$16,170
outlier · 22.4×
5831
APR_DRG 		Apr-DRG 40.00: Neonate With Ecmo 9 $325,791.71 $416,396.10 $361,990.92 nat. median
$173,909
outlier · 2.1×
73
APR_DRG 		Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 9 $301,020.79 $384,736.26 $334,467.66 nat. median
$81,292
outlier · 4.1×
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
$173,134
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
$152,383
outlier · 2.2×
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
$135,630
outlier · 2.4×
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
$173,018
1.9× median
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
$181,762
1.8× median
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
$50,461
outlier · 6.2×
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
$171,497
1.8× median
1613
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $280,947.97 $359,081.08 $312,164.52 nat. median
$155,539
outlier · 2.0×
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
$130,862
outlier · 2.4×
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
$136,566
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
$65,108
outlier · 4.3×
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
$47,145
outlier · 5.9×
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
$106,926
outlier · 2.6×
93
APR_DRG 		Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 9 $248,097.12 $317,094.23 $275,663.56 nat. median
$73,618
outlier · 3.7×
2464
APR_DRG 		Apr-DRG 40.00: Gastrointestinal Vascular Insufficiency 9 $242,612.74 $310,084.62 $269,569.80 nat. median
$14,114
outlier · 19.1×
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
$115,963
outlier · 2.3×
64
APR_DRG 		Apr-DRG 40.00: Pancreas Transplant 9 $234,233.76 $299,375.41 $260,259.83 nat. median
$92,994
outlier · 2.8×
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
$99,483
outlier · 2.6×
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
$168,439
1.5× 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
$96,548
outlier · 2.6×
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
$77,606
outlier · 3.1×
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
$124,731
1.9× median
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
$77,096
outlier · 3.1×
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
$70,730
outlier · 3.2×
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
$109,992
outlier · 2.0×
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
$68,335
outlier · 3.2×
8634
APR_DRG 		Apr-DRG 40.00: Neonatal Aftercare 9 $196,552.04 $251,214.20 $218,391.23 nat. median
$79,210
outlier · 2.8×
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
$95,499
outlier · 2.3×
1611
APR_DRG 		Apr-DRG 40.00: Implantable Heart Assist Systems 9 $191,538.74 $244,806.68 $212,820.90 nat. median
$108,954
2.0× median
4404
APR_DRG 		Apr-DRG 40.00: Kidney Transplant 9 $191,065.36 $244,201.64 $212,294.91 nat. median
$76,896
outlier · 2.8×
181000
CDM 		Tc Organ Acquisition - Cadaveric - Lung 18 $90,741.60 $319,276.00 $211,730.40 nat. median
$21
outlier · 10308.2×
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
$91,350
outlier · 2.3×
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
$85,032
outlier · 2.5×
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
$120,079
1.7× median

Other procedures at this hospital

Browse this hospital's 8,522 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
             
100048 CDM Tc Organ Acquisition - Cadaveric - Heart 29 18 $270,901.00 $181,503.67 33% off $73,143.27 $257,355.95 $170,667.63 2026-03-05
11 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 12 9 — — $97,460.29 $124,564.51 $108,289.25 2026-03-05
111 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $78,902.31 $100,845.46 $87,669.26 2026-03-05
112 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $138,743.23 $177,328.45 $154,159.20 2026-03-05
113 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $199,648.70 $255,172.05 $221,831.96 2026-03-05
114 APR_DRG Apr-DRG 40.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 9 — — $351,338.52 $449,047.61 $390,376.27 2026-03-05
12 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 12 9 — — $101,262.41 $129,424.02 $112,513.83 2026-03-05
1204 APR_DRG Apr-DRG 40.00: Major Respiratory And Chest Procedures 12 9 — — $116,062.15 $148,339.64 $128,957.99 2026-03-05
1213 APR_DRG Apr-DRG 40.00: Other Respiratory And Chest Procedures 12 9 — — $58,580.09 $74,871.52 $65,089.01 2026-03-05
1214 APR_DRG Apr-DRG 40.00: Other Respiratory And Chest Procedures 12 9 — — $108,315.90 $138,439.12 $120,351.04 2026-03-05
13 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 12 9 — — $131,836.38 $168,500.77 $146,484.91 2026-03-05
1302 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 9 — — $67,792.69 $86,646.20 $75,325.24 2026-03-05
1303 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 9 — — $77,543.34 $99,108.55 $86,159.30 2026-03-05
1304 APR_DRG Apr-DRG 40.00: Respiratory System Diagnosis With Ventilator Support > 96 Hours 12 9 — — $114,200.92 $145,960.80 $126,889.96 2026-03-05
1314 APR_DRG Apr-DRG 40.00: Cystic Fibrosis - Pulmonary Disease 12 9 — — $60,393.98 $77,189.86 $67,104.44 2026-03-05
14 APR_DRG Apr-DRG 40.00: Liver Transplant And/or Intestinal Transplant 12 9 — — $255,881.47 $327,043.46 $284,312.85 2026-03-05
14 MS_DRG Allogeneic Blood/Marrow Related Transplant 6 2 — — $85,000.00 $120,000.00 $105,000.00 2026-03-05
16 MS_DRG Auto Transplant 2 1 — — $60,000.00 $85,000.00 $72,500.00 2026-03-05
1602 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 12 9 — — $73,461.81 $93,891.92 $81,624.26 2026-03-05
1603 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 12 9 — — $105,727.27 $135,130.58 $117,474.79 2026-03-05
1604 APR_DRG Apr-DRG 40.00: Major Cardiothoracic Repair Of Heart Anomaly 12 9 — — $250,188.11 $319,766.74 $277,986.89 2026-03-05
1611 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 12 9 — — $191,538.74 $244,806.68 $212,820.90 2026-03-05
1612 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 12 9 — — $201,957.91 $258,123.46 $224,397.75 2026-03-05
1613 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 12 9 — — $280,947.97 $359,081.08 $312,164.52 2026-03-05
1614 APR_DRG Apr-DRG 40.00: Implantable Heart Assist Systems 12 9 — — $539,026.66 $688,932.80 $598,918.71 2026-03-05
1621 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $81,358.16 $103,984.29 $90,397.98 2026-03-05
1622 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $91,693.04 $117,193.35 $101,881.19 2026-03-05
1623 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $122,795.81 $156,945.97 $136,439.84 2026-03-05
1624 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 9 — — $218,247.09 $278,942.75 $242,496.85 2026-03-05
1632 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 12 9 — — $64,491.67 $82,427.15 $71,657.44 2026-03-05
1633 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 12 9 — — $87,113.87 $111,340.69 $96,793.22 2026-03-05
1634 APR_DRG Apr-DRG 40.00: Cardiac Valve Procedures Without Ami Or Complex Principal Diagnos… 12 9 — — $130,073.29 $166,247.36 $144,525.93 2026-03-05
1652 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $61,003.61 $77,969.03 $67,781.81 2026-03-05
1653 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $73,966.37 $94,536.81 $82,184.88 2026-03-05
1654 APR_DRG Apr-DRG 40.00: Coronary Bypass With Ami Or Complex Principal Diagnosis 12 9 — — $112,500.19 $143,787.08 $125,000.25 2026-03-05
1663 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 9 — — $61,821.07 $79,013.83 $68,690.10 2026-03-05
1664 APR_DRG Apr-DRG 40.00: Coronary Bypass Without Ami Or Complex Principal Diagnosis 12 9 — — $86,941.83 $111,120.81 $96,602.07 2026-03-05
1673 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 12 9 — — $72,042.80 $92,078.28 $80,047.58 2026-03-05
1674 APR_DRG Apr-DRG 40.00: Other Cardiothoracic And Thoracic Vascular Procedures 12 9 — — $165,852.22 $211,976.60 $184,280.31 2026-03-05
1693 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 12 9 — — $60,033.74 $76,729.44 $66,704.18 2026-03-05
1694 APR_DRG Apr-DRG 40.00: Major Abdominal Vascular Procedures 12 9 — — $116,535.54 $148,944.68 $129,483.98 2026-03-05
17 MS_DRG Auto Transplant 2 1 — — $60,000.00 $85,000.00 $72,500.00 2026-03-05
1704 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Sh… 12 9 — — $72,627.03 $92,824.98 $80,696.72 2026-03-05
1714 APR_DRG Apr-DRG 40.00: Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or… 12 9 — — $82,258.75 $105,135.34 $91,398.64 2026-03-05
1754 APR_DRG Apr-DRG 40.00: Percutaneous Cardiac Intervention Without Ami 12 9 — — $74,476.71 $95,189.07 $82,751.92 2026-03-05
1764 APR_DRG Apr-DRG 40.00: Insertion, Revision And Replacements Of Pacemaker And Other Cardi… 12 9 — — $84,461.74 $107,950.99 $93,846.41 2026-03-05
1781 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 12 9 — — $85,267.65 $108,981.04 $94,741.87 2026-03-05
1782 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 12 9 — — $93,017.37 $118,885.99 $103,352.67 2026-03-05
1783 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 12 9 — — $108,378.25 $138,518.81 $120,420.32 2026-03-05
1784 APR_DRG Apr-DRG 40.00: External Heart Assist Systems 12 9 — — $169,355.30 $216,453.90 $188,172.62 2026-03-05
1793 APR_DRG Apr-DRG 40.00: Defibrillator Implants 12 9 — — $63,806.99 $81,552.05 $70,896.68 2026-03-05
1794 APR_DRG Apr-DRG 40.00: Defibrillator Implants 12 9 — — $83,213.61 $106,355.75 $92,459.60 2026-03-05
180001 CDM Tc Organ Acquisition - Cadaveric - Kidney 29 18 $191,987.00 $128,631.29 33% off $51,836.49 $182,387.65 $120,951.81 2026-03-05
180002 CDM Tc Organ Acquisition - Cadaveric - Liver 29 18 $262,060.00 $175,580.20 33% off $70,756.20 $248,957.00 $165,097.80 2026-03-05
1801 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 12 9 — — $69,450.71 $88,765.31 $77,167.48 2026-03-05
1802 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 12 9 — — $59,532.64 $76,088.98 $66,147.40 2026-03-05
1804 APR_DRG Apr-DRG 40.00: Other Circulatory System Procedures 12 9 — — $76,658.91 $97,978.16 $85,176.60 2026-03-05
181000 CDM Tc Organ Acquisition - Cadaveric - Lung 29 18 $336,080.00 $225,173.60 33% off $90,741.60 $319,276.00 $211,730.40 2026-03-05
1814 APR_DRG Apr-DRG 40.00: Lower Extremity Arterial Procedures 12 9 — — $101,220.84 $129,370.89 $112,467.64 2026-03-05
1824 APR_DRG Apr-DRG 40.00: Other Peripheral Vascular And Related Procedures 12 9 — — $130,150.65 $166,346.23 $144,611.89 2026-03-05
1831 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 12 9 — — $58,966.88 $75,365.88 $65,518.78 2026-03-05
1832 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 12 9 — — $61,987.33 $79,226.34 $68,874.84 2026-03-05
1833 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 12 9 — — $95,481.30 $122,035.15 $106,090.37 2026-03-05
1834 APR_DRG Apr-DRG 40.00: Percutaneous Structural Cardiac Procedures 12 9 — — $97,885.19 $125,107.57 $108,761.36 2026-03-05
1934 APR_DRG Apr-DRG 40.00: Acute And Subacute Endocarditis 12 9 — — $62,494.20 $79,874.17 $69,438.03 2026-03-05
2004 APR_DRG Apr-DRG 40.00: Cardiac Structural And Valvular Disorders 12 9 — — $326,490.25 $417,288.90 $362,767.07 2026-03-05
203 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 12 9 — — $64,697.19 $82,689.82 $71,885.79 2026-03-05
204 APR_DRG Apr-DRG 40.00: Open Craniotomy For Trauma 12 9 — — $102,906.57 $131,525.43 $114,340.67 2026-03-05
2054 APR_DRG Apr-DRG 40.00: Cardiomyopathy 12 9 — — $127,551.63 $163,024.41 $141,724.09 2026-03-05
2074 APR_DRG Apr-DRG 40.00: Other Circulatory System Diagnoses 12 9 — — $63,038.02 $80,569.23 $70,042.27 2026-03-05
21 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 12 9 — — $109,473.97 $139,919.25 $121,637.78 2026-03-05
213 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 12 9 — — $70,112.29 $89,610.89 $77,902.58 2026-03-05
214 APR_DRG Apr-DRG 40.00: Open Craniotomy Except Trauma 12 9 — — $122,504.85 $156,574.09 $136,116.55 2026-03-05
22 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 12 9 — — $141,335.32 $180,641.42 $157,039.30 2026-03-05
2204 APR_DRG Apr-DRG 40.00: Major Stomach, Esophageal And Duodenal Procedures 12 9 — — $144,302.66 $184,433.99 $160,336.34 2026-03-05
2224 APR_DRG Apr-DRG 40.00: Other Stomach, Esophageal And Duodenal Procedures 12 9 — — $68,628.63 $87,714.61 $76,254.06 2026-03-05
2234 APR_DRG Apr-DRG 40.00: Other Small And Large Bowel Procedures 12 9 — — $90,635.42 $115,841.60 $100,706.05 2026-03-05
224 APR_DRG Apr-DRG 40.00: Ventricular Shunt Procedures 12 9 — — $121,581.17 $155,393.53 $135,090.23 2026-03-05
2244 APR_DRG Apr-DRG 40.00: Peritoneal Adhesiolysis 12 9 — — $105,558.70 $134,915.13 $117,287.48 2026-03-05
2264 APR_DRG Apr-DRG 40.00: Anal And Perineal Procedures 12 9 — — $63,588.77 $81,273.14 $70,654.21 2026-03-05
2274 APR_DRG Apr-DRG 40.00: Hernia Procedures Except Inguinal, Femoral And Umbilical 12 9 — — $100,911.41 $128,975.40 $112,123.83 2026-03-05
2294 APR_DRG Apr-DRG 40.00: Other Digestive System And Abdominal Procedures 12 9 — — $60,725.35 $77,613.39 $67,472.63 2026-03-05
23 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 12 9 — — $175,936.55 $224,865.43 $195,485.13 2026-03-05
2304 APR_DRG Apr-DRG 40.00: Major Small Bowel Procedures 12 9 — — $122,062.64 $156,008.90 $135,625.20 2026-03-05
2314 APR_DRG Apr-DRG 40.00: Major Large Bowel Procedures 12 9 — — $74,044.88 $94,637.15 $82,272.12 2026-03-05
233 APR_DRG Apr-DRG 40.00: Spinal Procedures 12 9 — — $68,672.50 $87,770.68 $76,302.81 2026-03-05
2334 APR_DRG Apr-DRG 40.00: Appendectomy With Complex Principal Diagnosis 12 9 — — $79,190.96 $101,214.38 $87,989.99 2026-03-05
234 APR_DRG Apr-DRG 40.00: Spinal Procedures 12 9 — — $141,059.37 $180,288.72 $156,732.69 2026-03-05
24 APR_DRG Apr-DRG 40.00: Heart And/or Lung Transplant 12 9 — — $714,318.94 $912,974.79 $793,687.99 2026-03-05
244 APR_DRG Apr-DRG 40.00: Open Extracranial Vascular Procedures 12 9 — — $69,501.51 $88,830.24 $77,223.92 2026-03-05
2454 APR_DRG Apr-DRG 40.00: Inflammatory Bowel Disease 12 9 — — $65,904.91 $84,233.41 $73,227.70 2026-03-05
2464 APR_DRG Apr-DRG 40.00: Gastrointestinal Vascular Insufficiency 12 9 — — $242,612.74 $310,084.62 $269,569.80 2026-03-05
2604 APR_DRG Apr-DRG 40.00: Major Pancreas, Liver And Shunt Procedures 12 9 — — $109,662.17 $140,159.79 $121,846.90 2026-03-05
2613 APR_DRG Apr-DRG 40.00: Major Biliary Tract Procedures 12 9 — — $63,675.37 $81,383.82 $70,750.43 2026-03-05
2614 APR_DRG Apr-DRG 40.00: Major Biliary Tract Procedures 12 9 — — $96,332.24 $123,122.75 $107,035.86 2026-03-05
2634 APR_DRG Apr-DRG 40.00: Cholecystectomy 12 9 — — $63,774.66 $81,510.73 $70,860.76 2026-03-05
264 APR_DRG Apr-DRG 40.00: Other Nervous System And Related Procedures 12 9 — — $131,600.84 $168,199.72 $146,223.20 2026-03-05
2644 APR_DRG Apr-DRG 40.00: Other Hepatobiliary, Pancreas And Abdominal Procedures 12 9 — — $81,621.41 $104,320.75 $90,690.48 2026-03-05
273 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 12 9 — — $63,977.87 $81,770.46 $71,086.55 2026-03-05
274 APR_DRG Apr-DRG 40.00: Other Open Craniotomy 12 9 — — $70,551.05 $90,171.66 $78,390.08 2026-03-05
2824 APR_DRG Apr-DRG 40.00: Disorders Of Pancreas Except Malignancy 12 9 — — $64,159.15 $82,002.14 $71,287.96 2026-03-05
293 APR_DRG Apr-DRG 40.00: Other Percutaneous Intracranial Procedures 12 9 — — $67,506.35 $86,280.22 $75,007.08 2026-03-05
294 APR_DRG Apr-DRG 40.00: Other Percutaneous Intracranial Procedures 12 9 — — $76,601.18 $97,904.37 $85,112.45 2026-03-05
3031 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $69,620.43 $88,982.24 $77,356.06 2026-03-05
3032 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $94,506.81 $120,789.65 $105,007.60 2026-03-05
3033 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $130,255.72 $166,480.52 $144,728.63 2026-03-05
3034 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 9 — — $153,973.64 $196,794.52 $171,081.88 2026-03-05
304 APR_DRG Apr-DRG 40.00: Percutaneous Intracranial And Extracranial Vascular Procedures 12 9 — — $77,780.03 $99,411.07 $86,422.29 2026-03-05
3043 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 9 — — $80,093.86 $102,368.39 $88,993.21 2026-03-05
3044 APR_DRG Apr-DRG 40.00: Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 12 9 — — $127,913.03 $163,486.31 $142,125.63 2026-03-05
3054 APR_DRG Apr-DRG 40.00: Amputation Of Lower Limb Except Toes 12 9 — — $62,995.30 $80,514.63 $69,994.81 2026-03-05
3084 APR_DRG Apr-DRG 40.00: Hip And Femur Fracture Repair 12 9 — — $69,217.48 $88,467.22 $76,908.33 2026-03-05
3094 APR_DRG Apr-DRG 40.00: Other Significant Hip And Femur Surgery 12 9 — — $58,428.84 $74,678.20 $64,920.95 2026-03-05
3104 APR_DRG Apr-DRG 40.00: Vertebral And Intervertebral Spinal Procedures Including Disc Pro… 12 9 — — $79,245.23 $101,283.74 $88,050.28 2026-03-05
3124 APR_DRG Apr-DRG 40.00: Skin Graft, Except Hand, For Musculoskeletal And Connective Tissu… 12 9 — — $83,100.46 $106,211.13 $92,333.87 2026-03-05
3134 APR_DRG Apr-DRG 40.00: Knee And Lower Leg Procedures Except Foot 12 9 — — $75,848.38 $96,942.21 $84,276.00 2026-03-05
3154 APR_DRG Apr-DRG 40.00: Shoulder, Upper Arm And Forearm Procedures Except Joint Replaceme… 12 9 — — $116,932.72 $149,452.33 $129,925.29 2026-03-05
3164 APR_DRG Apr-DRG 40.00: Hand And Wrist Procedures 12 9 — — $61,556.66 $78,675.90 $68,396.32 2026-03-05
3204 APR_DRG Apr-DRG 40.00: Other Musculoskeletal System And Connective Tissue Procedures 12 9 — — $59,782.03 $76,407.73 $66,424.51 2026-03-05
3214 APR_DRG Apr-DRG 40.00: Spinal Fusion And Other Back And Neck Procedures Except For Disc … 12 9 — — $69,643.52 $89,011.76 $77,381.72 2026-03-05
3224 APR_DRG Apr-DRG 40.00: Shoulder And Elbow Joint Replacement 12 9 — — $64,536.70 $82,484.70 $71,707.47 2026-03-05
3254 APR_DRG Apr-DRG 40.00: Non-elective Or Complex Knee Joint Replacement 12 9 — — $71,480.50 $91,359.61 $79,422.81 2026-03-05
3434 APR_DRG Apr-DRG 40.00: Musculoskeletal Malignancy And Pathological Fracture Due To Muscu… 12 9 — — $59,828.22 $76,466.76 $66,475.82 2026-03-05
3464 APR_DRG Apr-DRG 40.00: Connective Tissue Disorders 12 9 — — $77,523.71 $99,083.46 $86,137.49 2026-03-05
3614 APR_DRG Apr-DRG 40.00: Skin Graft For Skin And Subcutaneous Tissue Diagnoses 12 9 — — $104,529.94 $133,600.27 $116,144.42 2026-03-05
3814 APR_DRG Apr-DRG 40.00: Major Skin Disorders 12 9 — — $61,647.88 $78,792.48 $68,497.67 2026-03-05
38210 CPT Tc Cell Spec Enrich/deplet (cd34 Select) 58 18 $140,436.00 $94,092.12 33% off $34,667.46 $144,850.30 $82,174.72 2026-03-05
4012 APR_DRG Apr-DRG 40.00: Adrenal Procedures 12 9 — — $68,259.15 $87,242.38 $75,843.53 2026-03-05
4013 APR_DRG Apr-DRG 40.00: Adrenal Procedures 12 9 — — $80,101.95 $102,378.72 $89,002.19 2026-03-05
4014 APR_DRG Apr-DRG 40.00: Adrenal Procedures 12 9 — — $71,630.60 $91,551.45 $79,589.58 2026-03-05
404 APR_DRG Apr-DRG 40.00: Spinal Disorders And Injuries 12 9 — — $67,755.74 $86,598.97 $75,284.19 2026-03-05
4043 APR_DRG Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures 12 9 — — $58,744.04 $75,081.07 $65,271.18 2026-03-05
4044 APR_DRG Apr-DRG 40.00: Thyroid, Parathyroid And Thyroglossal Procedures 12 9 — — $77,281.24 $98,773.56 $85,868.08 2026-03-05
4054 APR_DRG Apr-DRG 40.00: Other Procedures For Endocrine, Nutritional And Metabolic Disorde… 12 9 — — $71,889.23 $91,882.01 $79,876.95 2026-03-05
41 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $102,010.59 $130,380.28 $113,345.14 2026-03-05
42 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $124,310.65 $158,882.10 $138,123.00 2026-03-05
43 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $190,127.82 $243,003.36 $211,253.20 2026-03-05
433 APR_DRG Apr-DRG 40.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 12 9 — — $67,984.36 $86,891.16 $75,538.20 2026-03-05
434 APR_DRG Apr-DRG 40.00: Multiple Sclerosis, Other Demyelinating Disease And Inflammatory … 12 9 — — $163,355.97 $208,786.12 $181,506.69 2026-03-05
44 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 12 9 — — $295,713.07 $377,952.43 $328,570.19 2026-03-05
4401 APR_DRG Apr-DRG 40.00: Kidney Transplant 12 9 — — $70,504.86 $90,112.63 $78,338.76 2026-03-05
4402 APR_DRG Apr-DRG 40.00: Kidney Transplant 12 9 — — $75,214.50 $96,132.05 $83,571.69 2026-03-05
4403 APR_DRG Apr-DRG 40.00: Kidney Transplant 12 9 — — $116,940.80 $149,462.66 $129,934.27 2026-03-05
4404 APR_DRG Apr-DRG 40.00: Kidney Transplant 12 9 — — $191,065.36 $244,201.64 $212,294.91 2026-03-05
4414 APR_DRG Apr-DRG 40.00: Major Bladder Procedures 12 9 — — $180,817.07 $231,103.25 $200,907.93 2026-03-05
4424 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Malignancy 12 9 — — $120,914.96 $154,542.04 $134,350.00 2026-03-05
4434 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Procedures For Non-malignancy 12 9 — — $76,697.01 $98,026.86 $85,218.93 2026-03-05
4444 APR_DRG Apr-DRG 40.00: Renal Dialysis Access Device Procedures 12 9 — — $65,999.59 $84,354.42 $73,332.90 2026-03-05
4454 APR_DRG Apr-DRG 40.00: Other Bladder Procedures 12 9 — — $62,339.49 $79,676.43 $69,266.12 2026-03-05
4474 APR_DRG Apr-DRG 40.00: Other Kidney, Urinary Tract And Related Procedures 12 9 — — $143,180.38 $182,999.60 $159,089.37 2026-03-05
4614 APR_DRG Apr-DRG 40.00: Kidney And Urinary Tract Malignancy 12 9 — — $59,943.68 $76,614.33 $66,604.11 2026-03-05
4624 APR_DRG Apr-DRG 40.00: Nephritis And Nephrosis 12 9 — — $64,013.67 $81,816.20 $71,126.32 2026-03-05
4684 APR_DRG Apr-DRG 40.00: Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 12 9 — — $76,061.98 $97,215.22 $84,513.34 2026-03-05
47135 CPT Tc Organ Acquisition - Living - Liver 29 18 $217,556.00 $145,762.52 33% off $58,740.12 $206,678.20 $137,060.28 2026-03-05
4804 APR_DRG Apr-DRG 40.00: Major Male Pelvic Procedures 12 9 — — $78,452.01 $100,269.93 $87,168.93 2026-03-05
4834 APR_DRG Apr-DRG 40.00: Penis, Testes And Scrotal Procedures 12 9 — — $115,621.09 $147,775.92 $128,467.92 2026-03-05
4844 APR_DRG Apr-DRG 40.00: Other Male Reproductive System And Related Procedures 12 9 — — $73,258.60 $93,632.20 $81,398.47 2026-03-05
494 APR_DRG Apr-DRG 40.00: Bacterial And Tuberculous Infections Of Nervous System 12 9 — — $73,061.16 $93,379.85 $81,179.09 2026-03-05
49452359005 CDM Hydrocortisone Acetate Powd 5,000 G Bottle 29 18 $116,732.00 $78,210.44 33% off $31,517.64 $110,895.40 $73,541.16 2026-03-05
5 MS_DRG Liver (lrd) Transplant 1 1 — — $110,000.00 $110,000.00 $110,000.00 2026-03-05
50320 CPT Tc Organ Acquisition - Living - Kidney 29 18 $184,900.00 $123,883.00 33% off $49,923.00 $175,655.00 $116,487.00 2026-03-05
504 APR_DRG Apr-DRG 40.00: Non-bacterial Infections Of Nervous System Except Viral Meningiti… 12 9 — — $93,551.95 $119,569.24 $103,946.65 2026-03-05
51 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 9 — — $102,206.88 $130,631.15 $113,563.24 2026-03-05
5104 APR_DRG Apr-DRG 40.00: Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynec… 12 9 — — $80,482.97 $102,865.70 $89,425.55 2026-03-05
5114 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 12 9 — — $79,076.66 $101,068.29 $87,862.98 2026-03-05
5124 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Mal… 12 9 — — $68,547.80 $87,611.31 $76,164.25 2026-03-05
5134 APR_DRG Apr-DRG 40.00: Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 12 9 — — $83,264.41 $106,420.68 $92,516.05 2026-03-05
5144 APR_DRG Apr-DRG 40.00: Female Reproductive System Reconstructive Procedures 12 9 — — $68,688.67 $87,791.34 $76,320.77 2026-03-05
5174 APR_DRG Apr-DRG 40.00: Dilation And Curettage For Non-obstetric Diagnoses 12 9 — — $58,656.29 $74,968.92 $65,173.68 2026-03-05
5184 APR_DRG Apr-DRG 40.00: Other Female Reproductive System And Related Procedures 12 9 — — $60,769.22 $77,669.46 $67,521.38 2026-03-05
52 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 9 — — $125,118.88 $159,915.10 $139,021.03 2026-03-05
53 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 9 — — $137,007.86 $175,110.46 $152,231.01 2026-03-05
54 APR_DRG Apr-DRG 40.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 9 — — $190,192.47 $243,086.00 $211,325.04 2026-03-05
5831 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 12 9 — — $325,791.71 $416,396.10 $361,990.92 2026-03-05
5832 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 12 9 — — $369,999.27 $472,898.01 $411,110.44 2026-03-05
5833 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 12 9 — — $742,557.14 $949,066.18 $825,063.77 2026-03-05
5834 APR_DRG Apr-DRG 40.00: Neonate With Ecmo 12 9 — — $876,935.96 $1,120,816.46 $974,373.62 2026-03-05
5881 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $279,463.15 $357,183.32 $310,514.71 2026-03-05
5882 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $296,479.73 $378,932.30 $329,422.03 2026-03-05
5883 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $297,841.01 $380,672.16 $330,934.57 2026-03-05
5884 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 1500 Grams With Major Procedure 12 9 — — $555,086.07 $709,458.43 $616,762.52 2026-03-05
5891 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 12 9 — — $234,215.29 $299,351.79 $260,239.30 2026-03-05
5892 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 12 9 — — $227,002.47 $290,133.05 $252,225.05 2026-03-05
5893 APR_DRG Apr-DRG 40.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 12 9 — — $212,923.20 $272,138.26 $236,581.42 2026-03-05
5911 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $110,263.72 $140,928.64 $122,515.29 2026-03-05
5912 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $152,929.87 $195,460.48 $169,922.14 2026-03-05
5913 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $185,221.89 $236,733.08 $205,802.18 2026-03-05
5914 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 12 9 — — $281,279.34 $359,504.60 $312,532.71 2026-03-05
5932 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $131,032.77 $167,473.67 $145,592.02 2026-03-05
5933 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $166,780.53 $213,163.07 $185,311.76 2026-03-05
5934 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 12 9 — — $233,514.45 $298,456.04 $259,460.58 2026-03-05
594 APR_DRG Apr-DRG 40.00: Anoxic And Other Severe Brain Damage 12 9 — — $63,910.91 $81,684.86 $71,012.14 2026-03-05
6 MS_DRG Liver (lrd) Transplant 1 1 — — $110,000.00 $110,000.00 $110,000.00 2026-03-05
6022 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 12 9 — — $104,823.21 $133,975.10 $116,470.28 2026-03-05
6023 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 12 9 — — $138,737.46 $177,321.07 $154,152.78 2026-03-05
6024 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 12 9 — — $214,665.50 $274,365.11 $238,517.31 2026-03-05
6032 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 12 9 — — $73,728.52 $94,232.81 $81,920.61 2026-03-05
6033 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 12 9 — — $92,044.04 $117,641.97 $102,271.19 2026-03-05
6034 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 12 9 — — $241,361.15 $308,484.95 $268,179.15 2026-03-05
6072 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 12 9 — — $69,059.29 $88,265.05 $76,732.58 2026-03-05
6073 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 12 9 — — $95,988.17 $122,682.98 $106,653.56 2026-03-05
6074 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 12 9 — — $151,433.50 $193,547.96 $168,259.51 2026-03-05
6083 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 12 9 — — $73,199.71 $93,556.94 $81,333.04 2026-03-05
6084 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1250-1499 Grams With Or Without Significant … 12 9 — — $184,696.55 $236,061.63 $205,218.46 2026-03-05
6093 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 9 — — $131,680.51 $168,301.55 $146,311.72 2026-03-05
6094 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 9 — — $409,360.94 $523,206.37 $454,845.65 2026-03-05
61 APR_DRG Apr-DRG 40.00: Pancreas Transplant 12 9 — — $135,145.48 $172,730.15 $150,161.69 2026-03-05
6113 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 9 — — $65,245.63 $83,390.78 $72,495.17 2026-03-05
6114 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 9 — — $166,588.86 $212,918.10 $185,098.80 2026-03-05
6123 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 12 9 — — $62,384.52 $79,733.98 $69,316.15 2026-03-05
6124 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Sy… 12 9 — — $106,739.86 $136,424.78 $118,599.89 2026-03-05
6133 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 12 9 — — $60,248.50 $77,003.92 $66,942.80 2026-03-05
6134 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal… 12 9 — — $143,516.37 $183,429.03 $159,462.69 2026-03-05
6144 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 1500-1999 Grams With Or Without Other Signif… 12 9 — — $123,004.80 $157,213.08 $136,672.04 2026-03-05
62 APR_DRG Apr-DRG 40.00: Pancreas Transplant 12 9 — — $136,913.18 $174,989.45 $152,125.81 2026-03-05
6213 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 9 — — $60,948.19 $77,898.20 $67,720.23 2026-03-05
6214 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Major Anomaly 12 9 — — $203,849.15 $260,540.67 $226,499.14 2026-03-05
6234 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal… 12 9 — — $100,559.25 $128,525.31 $111,732.54 2026-03-05
6254 APR_DRG Apr-DRG 40.00: Neonate Birth Weight 2000-2499 Grams With Other Significant Condi… 12 9 — — $107,048.14 $136,818.79 $118,942.42 2026-03-05
63 APR_DRG Apr-DRG 40.00: Pancreas Transplant 12 9 — — $151,371.16 $193,468.27 $168,190.23 2026-03-05
6302 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 12 9 — — $70,267.01 $89,808.64 $78,074.48 2026-03-05
6303 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 12 9 — — $194,664.26 $248,801.42 $216,293.70 2026-03-05
6304 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 12 9 — — $413,021.04 $527,884.36 $458,912.43 2026-03-05
6313 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 9 — — $107,919.87 $137,932.95 $119,911.01 2026-03-05
6314 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 9 — — $291,501.07 $372,569.05 $323,890.19 2026-03-05
6334 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Major Anomaly 12 9 — — $154,918.11 $198,001.65 $172,131.29 2026-03-05
6344 APR_DRG Apr-DRG 40.00: Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndr… 12 9 — — $78,785.70 $100,696.41 $87,539.69 2026-03-05
64 APR_DRG Apr-DRG 40.00: Pancreas Transplant 12 9 — — $234,233.76 $299,375.41 $260,259.83 2026-03-05
6504 APR_DRG Apr-DRG 40.00: Splenectomy 12 9 — — $63,809.30 $81,555.00 $70,899.25 2026-03-05
6514 APR_DRG Apr-DRG 40.00: Other Procedures Of Blood And Blood-forming Organs 12 9 — — $124,699.76 $159,379.42 $138,555.33 2026-03-05
6604 APR_DRG Apr-DRG 40.00: Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Cri… 12 9 — — $100,580.04 $128,551.88 $111,755.64 2026-03-05
6613 APR_DRG Apr-DRG 40.00: Coagulation And Platelet Disorders 12 9 — — $70,635.33 $90,279.39 $78,483.73 2026-03-05
6614 APR_DRG Apr-DRG 40.00: Coagulation And Platelet Disorders 12 9 — — $86,152.08 $110,111.43 $95,724.57 2026-03-05
6803 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 12 9 — — $67,756.90 $86,600.45 $75,285.47 2026-03-05
6804 APR_DRG Apr-DRG 40.00: Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neopl… 12 9 — — $185,221.89 $236,733.08 $205,802.18 2026-03-05
6813 APR_DRG Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 12 9 — — $66,459.12 $84,941.75 $73,843.49 2026-03-05
6814 APR_DRG Apr-DRG 40.00: Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neop… 12 9 — — $250,327.82 $319,945.30 $278,142.12 2026-03-05
68403110006 CDM Botulism Immune Globulin 50 mg/mL Inj 100 Mg Vial 29 18 $297,311.50 $199,198.70 33% off $80,274.10 $282,445.92 $187,306.24 2026-03-05
6902 APR_DRG Apr-DRG 40.00: Acute Leukemia 12 9 — — $61,815.30 $79,006.45 $68,683.69 2026-03-05
6903 APR_DRG Apr-DRG 40.00: Acute Leukemia 12 9 — — $72,342.99 $92,461.96 $80,381.13 2026-03-05
6904 APR_DRG Apr-DRG 40.00: Acute Leukemia 12 9 — — $164,362.78 $210,072.94 $182,625.38 2026-03-05
6914 APR_DRG Apr-DRG 40.00: Lymphoma, Myeloma And Non-acute Leukemia 12 9 — — $90,077.74 $115,128.84 $100,086.41 2026-03-05
6924 APR_DRG Apr-DRG 40.00: Radiotherapy 12 9 — — $74,424.75 $95,122.66 $82,694.19 2026-03-05
6944 APR_DRG Apr-DRG 40.00: Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behav… 12 9 — — $89,165.60 $113,963.03 $99,072.93 2026-03-05
6954 APR_DRG Apr-DRG 40.00: Chemotherapy For Acute Leukemia 12 9 — — $127,387.68 $162,814.86 $141,541.92 2026-03-05
69866103001 CDM Autologous Cultured Chondrocytes Shee 1 Each Package 29 18 $187,655.50 $125,729.18 33% off $50,666.99 $178,272.73 $118,222.96 2026-03-05
69866103002 CDM Autologous Cultured Chondrocytes Shee 2 Each Package 29 18 $120,745.05 $80,899.18 33% off $32,601.16 $114,707.80 $76,069.38 2026-03-05
7 MS_DRG Double Lung Transplant 4 2 — — $110,000.00 $150,000.00 $130,000.00 2026-03-05
71 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 12 9 — — $132,806.25 $169,740.36 $147,562.55 2026-03-05
7104 APR_DRG Apr-DRG 40.00: Infectious And Parasitic Diseases Including HIV With O.r. Procedu… 12 9 — — $92,859.19 $118,683.82 $103,176.91 2026-03-05
7114 APR_DRG Apr-DRG 40.00: Post-operative, Post-trauma, Other Device Infections With O.r. Pr… 12 9 — — $77,983.24 $99,670.79 $86,648.08 2026-03-05
72 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 12 9 — — $202,252.33 $258,499.77 $224,724.89 2026-03-05
7234 APR_DRG Apr-DRG 40.00: Viral Illness 12 9 — — $89,044.37 $113,808.08 $98,938.22 2026-03-05
73 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 12 9 — — $301,020.79 $384,736.26 $334,467.66 2026-03-05
734 APR_DRG Apr-DRG 40.00: Orbit And Eye Procedures 12 9 — — $76,447.62 $97,708.10 $84,941.83 2026-03-05
74 APR_DRG Apr-DRG 40.00: Allogeneic Bone Marrow Transplant 12 9 — — $853,084.11 $1,090,331.28 $947,871.56 2026-03-05
7404 APR_DRG Apr-DRG 40.00: Mental Illness Diagnosis With O.r. Procedure 12 9 — — $80,403.30 $102,763.88 $89,337.03 2026-03-05
7594 APR_DRG Apr-DRG 40.00: Eating Disorders 12 9 — — $63,958.24 $81,745.37 $71,064.74 2026-03-05
7923 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment 12 9 — — $66,714.29 $85,267.88 $74,127.01 2026-03-05
7924 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedures For Other Complications Of Treatment 12 9 — — $127,944.20 $163,526.15 $142,160.27 2026-03-05
7934 APR_DRG Apr-DRG 40.00: Moderately Extensive O.r. Procedures For Other Complications Of T… 12 9 — — $69,666.62 $89,041.27 $77,407.38 2026-03-05
81 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 12 9 — — $75,105.97 $95,993.33 $83,451.10 2026-03-05
8104 APR_DRG Apr-DRG 40.00: Hemorrhage Or Hematoma Due To Complication 12 9 — — $73,937.50 $94,499.91 $82,152.81 2026-03-05
8154 APR_DRG Apr-DRG 40.00: Other Injury, Poisoning And Toxic Effect Diagnoses 12 9 — — $75,172.93 $96,078.92 $83,525.51 2026-03-05
82 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 12 9 — — $89,672.47 $114,610.86 $99,636.12 2026-03-05
83 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 12 9 — — $172,263.75 $220,171.21 $191,404.23 2026-03-05
84 APR_DRG Apr-DRG 40.00: Autologous Bone Marrow Transplant 12 9 — — $254,856.18 $325,733.03 $283,173.63 2026-03-05
8411 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 12 9 — — $82,053.23 $104,872.66 $91,170.29 2026-03-05
8412 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 12 9 — — $82,696.35 $105,694.63 $91,884.86 2026-03-05
8413 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 12 9 — — $127,257.21 $162,648.11 $141,396.95 2026-03-05
8414 APR_DRG Apr-DRG 40.00: Extensive Third Degree Burns With Skin Graft 12 9 — — $294,441.85 $376,327.68 $327,157.72 2026-03-05
8424 APR_DRG Apr-DRG 40.00: Burns With Skin Graft Except Extensive Third Degree Burns 12 9 — — $100,446.10 $128,380.69 $111,606.82 2026-03-05
8503 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 12 9 — — $59,843.23 $76,485.95 $66,492.50 2026-03-05
8504 APR_DRG Apr-DRG 40.00: Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Co… 12 9 — — $283,821.78 $362,754.11 $315,357.65 2026-03-05
8634 APR_DRG Apr-DRG 40.00: Neonatal Aftercare 12 9 — — $196,552.04 $251,214.20 $218,391.23 2026-03-05
893 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 12 9 — — $60,871.98 $77,800.80 $67,635.56 2026-03-05
894 APR_DRG Apr-DRG 40.00: Major Cranial Or Facial Bone Procedures 12 9 — — $114,381.04 $146,191.01 $127,090.09 2026-03-05
91 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $158,244.53 $202,253.16 $175,827.31 2026-03-05
9104 APR_DRG Apr-DRG 40.00: Craniotomy For Multiple Significant Trauma 12 9 — — $140,549.03 $179,636.46 $156,165.65 2026-03-05
9114 APR_DRG Apr-DRG 40.00: Extensive Abdominal Or Thoracic Procedures For Multiple Significa… 12 9 — — $119,074.52 $152,189.77 $132,305.06 2026-03-05
9124 APR_DRG Apr-DRG 40.00: Musculoskeletal And Other Procedures For Multiple Significant Tra… 12 9 — — $114,229.79 $145,997.70 $126,922.03 2026-03-05
913 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 12 9 — — $74,595.63 $95,341.07 $82,884.06 2026-03-05
914 APR_DRG Apr-DRG 40.00: Other Major Head And Neck Procedures 12 9 — — $103,967.65 $132,881.60 $115,519.65 2026-03-05
92 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $163,172.38 $208,551.48 $181,302.71 2026-03-05
923 APR_DRG Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 12 9 — — $84,962.84 $108,591.45 $94,403.19 2026-03-05
924 APR_DRG Apr-DRG 40.00: Facial Bone Procedures Except Major Cranial Or Facial Bone Proced… 12 9 — — $88,087.20 $112,584.71 $97,874.70 2026-03-05
93 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $248,097.12 $317,094.23 $275,663.56 2026-03-05
94 APR_DRG Apr-DRG 40.00: Extracorporeal Membrane Oxygenation (ecmo) 12 9 — — $504,983.10 $645,421.55 $561,092.53 2026-03-05
9504 APR_DRG Apr-DRG 40.00: Extensive O.r. Procedure Unrelated To Principal Diagnosis 12 9 — — $136,376.29 $174,303.25 $151,529.26 2026-03-05
9514 APR_DRG Apr-DRG 40.00: Moderately Extensive O.r. Procedure Unrelated To Principal Diagno… 12 9 — — $95,107.21 $121,557.02 $105,674.71 2026-03-05
9524 APR_DRG Apr-DRG 40.00: Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 12 9 — — $120,172.55 $153,593.16 $133,525.10 2026-03-05
984 APR_DRG Apr-DRG 40.00: Other Ear, Nose, Mouth And Throat Procedures 12 9 — — $74,327.76 $94,998.70 $82,586.43 2026-03-05
C9293 HCPCS Glucarpidase 1000 Units Solr 1 Each Vial 29 18 $227,003.50 $152,092.35 33% off $61,290.94 $215,653.33 $143,012.20 2026-03-05
J0567 HCPCS Cerliponase Alfa 30 mg/mL Inj 1 Each Box 29 18 $184,678.00 $123,734.26 33% off $49,863.06 $175,444.10 $116,347.14 2026-03-05
J0800 HCPCS Corticotropin 80 units/mL Gel 5 Ml Vial 29 18 $182,756.50 $122,446.85 33% off $49,344.25 $173,618.67 $115,136.60 2026-03-05
J1162 HCPCS Digoxin Immune Fab 40 Mg Solr 1 Each Vial 29 18 $127,007.14 $85,094.78 33% off $34,291.93 $120,656.78 $80,014.50 2026-03-05
J9118 HCPCS Calaspargase Pegol 750 units/mL Soln 5 Ml Vial 29 18 $152,469.93 $102,154.85 33% off $41,166.88 $144,846.43 $96,056.06 2026-03-05
J9226 HCPCS Histrelin 50 Mg Kit Inj 1 Each Box 29 18 $263,483.76 $176,534.12 33% off $71,140.62 $250,309.57 $165,994.77 2026-03-05
J9266 HCPCS Pegaspargase 750 units/mL Soln 5 Ml Vial 29 18 $140,809.79 $94,342.56 33% off $38,018.64 $133,769.30 $88,710.17 2026-03-05
Q2042 HCPCS Tc Tisagenlecleucel, Car-positive T Cells (kymriah), Per Therapeutic Dose 60 19 $1,296,229.50 $868,473.77 33% off $307,884.78 $1,379,537.75 $729,800.96 2026-03-05
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