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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

RIVER CREST HOSP

San Angelo, TX · CCN 454064 · Rates published

15,571 distinct procedures filed
23 distinct payers
386,457 rate rows
2025-12-08 last MRF observed
Data quality

386,226 of 386,457 rate rows are consumer-grade (99.9%)

231 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
per-diem day rate — not a per-procedure price 82
percent-of-charges filed in the dollar field — excluded from medians 63
placeholder amount (≤ $0.02) — excluded from medians 60
exceeds 10× this hospital's gross charge — excluded from medians 26
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/12617/752559845_shannon-river-crest-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ShannonHealthRiverCrest/12617
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 97491d5633f614fb… · 495,658,817 bytes · first seen 2026-05-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 3 $4,377,500.00 $4,377,500.00 $4,377,500.00 nat. median
$4,505,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,950,686.67 $4,809,619.27 $3,983,427.00 nat. median
$3,004,655
1.3× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $2,452,115.60 $4,904,231.19 $3,923,384.96 nat. median
$2,468,984
1.6× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $2,332,000.00 $4,664,000.00 $3,731,200.00 nat. median
$2,448,600
1.5× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 4 $3,685,266.67 $4,975,110.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $3,324,571.90 $4,488,172.07 $3,324,571.90 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 4 $3,261,355.00 $4,402,829.25 $3,261,355.00 nat. median
$3,286,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $770,620.00 $1,926,550.00 $1,256,110.60 nat. median
$824,563
1.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 13 $578,324.58 $1,445,811.45 $925,319.33 nat. median
$753,246
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 12 $553,378.83 $1,383,447.08 $902,007.49 nat. median
$674,867
1.3× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $541,635.66 $1,354,089.14 $882,866.12 nat. median
$673,137
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $541,260.45 $1,353,151.12 $882,254.53 nat. median
$625,184
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 13 $533,076.48 $1,332,691.19 $852,922.36 nat. median
$634,303
1.3× median
5834
APR_DRG 		Neonate With Ecmo 2 $810,332.46 $841,202.27 $825,767.36 nat. median
$309,665
outlier · 2.7×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $788,292.16 $818,322.34 $803,307.25 nat. median
$187,061
outlier · 4.3×
Q2053
HCPCS 		Brexucabtagene Car Pos T 13 $489,720.00 $1,224,300.00 $783,552.00 nat. median
$619,808
1.3× median
5833
APR_DRG 		Neonate With Ecmo 2 $686,159.74 $712,299.16 $699,229.45 nat. median
$244,017
outlier · 2.9×
C9076
HCPCS 		Dme 1 $646,591.77 $680,400.49 $680,400.49 nat. median
$30,475
outlier · 22.3×
24
APR_DRG 		Heart And/or Lung Transplant 2 $660,066.25 $685,211.63 $672,638.94 nat. median
$234,729
outlier · 2.9×
J2326
HCPCS 		Nusinersen Per 0.1 Mg 23 $1,246.94 $794,325.00 $597,975.00 nat. median
$2,675
outlier · 223.5×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $512,927.15 $532,467.23 $522,697.19 nat. median
$246,434
outlier · 2.1×
1614
APR_DRG 		Implantable Heart Assist Systems 2 $498,087.45 $517,062.21 $507,574.83 nat. median
$207,730
outlier · 2.4×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $466,629.51 $484,405.88 $475,517.70 nat. median
$164,834
outlier · 2.9×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $270,375.00 $675,937.50 $440,711.25 nat. median
$324,450
1.4× median
0100T
CPT 		Prosth Retina Receive&gen 1 $413,276.36 $434,626.43 $434,626.43 nat. median
$11,210
outlier · 38.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 $199,689.28 $653,092.53 $403,300.68 nat. median
$370,174
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 $381,651.99 $396,191.12 $388,921.55 nat. median
$150,721
outlier · 2.6×
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 $378,269.88 $392,680.16 $385,475.02 nat. median
$162,982
outlier · 2.4×
5832
APR_DRG 		Neonate With Ecmo 2 $341,897.73 $354,922.41 $348,410.07 nat. median
$156,126
outlier · 2.2×
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $324,654.28 $337,022.06 $330,838.17 nat. median
$117,173
outlier · 2.8×
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 2 $301,693.23 $313,186.31 $307,439.77 nat. median
$32,541
outlier · 9.4×
5831
APR_DRG 		Neonate With Ecmo 2 $301,047.76 $312,516.24 $306,782.00 nat. median
$144,745
outlier · 2.1×
73
APR_DRG 		Allogeneic Bone Marrow Transplant 2 $278,158.20 $288,754.70 $283,456.45 nat. median
$89,273
outlier · 3.2×
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $275,219.91 $285,704.48 $280,462.19 nat. median
$182,665
1.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $273,962.02 $284,398.67 $279,180.34 nat. median
$145,336
1.9× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 2 $273,253.60 $283,663.26 $278,458.43 nat. median
$105,658
outlier · 2.6×
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 2 $272,078.92 $282,443.83 $277,261.38 nat. median
$160,267
1.7× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 $269,361.49 $279,622.88 $274,492.18 nat. median
$122,924
outlier · 2.2×
8504
APR_DRG 		Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 $262,265.45 $272,256.52 $267,260.98 nat. median
$73,845
outlier · 3.6×
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 2 $259,916.11 $269,817.67 $264,866.89 nat. median
$164,289
1.6× median
1613
APR_DRG 		Implantable Heart Assist Systems 2 $259,609.91 $269,499.81 $264,554.86 nat. median
$119,796
outlier · 2.2×
5881
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 2 $258,237.85 $268,075.48 $263,156.66 nat. median
$124,573
outlier · 2.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 14 $149,151.15 $488,512.85 $260,865.86 nat. median
$265,286
1.0× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 2 $236,447.21 $245,454.72 $240,950.96 nat. median
$129,535
1.9× median
84
APR_DRG 		Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 $235,499.80 $244,471.22 $239,985.51 nat. median
$79,774
outlier · 3.0×
6814
APR_DRG 		Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 $231,315.36 $240,127.37 $235,721.36 nat. median
$73,288
outlier · 3.2×
1604
APR_DRG 		Major Cardiothoracic Repair Of Heart Anomaly 2 $231,186.26 $239,993.36 $235,589.81 nat. median
$97,957
outlier · 2.4×
93
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 2 $229,254.08 $237,987.57 $233,620.83 nat. median
$78,990
outlier · 3.0×
2464
APR_DRG 		Gastrointestinal Vascular Insufficiency 2 $224,186.25 $232,726.67 $228,456.46 nat. median
$22,749
outlier · 10.0×

Other procedures at this hospital

Browse this hospital's 15,571 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 3 3 — — $4,377,500.00 $4,377,500.00 $4,377,500.00 2025-12-08
J3393 HCPCS Inj, Betibeglogene Autotemce 7 7 — — $2,950,686.67 $4,809,619.27 $3,983,427.00 2025-12-08
J3399 HCPCS Inj Onase Abepar-xioi Treat 9 9 — — $2,452,115.60 $4,904,231.19 $3,923,384.96 2025-12-08
J3392 HCPCS Inj, Exagamglogene Autotem 9 9 — — $2,332,000.00 $4,664,000.00 $3,731,200.00 2025-12-08
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2025-12-08
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 4 4 — — $3,685,266.67 $4,975,110.00 $3,685,266.67 2025-12-08
J1413 HCPCS Inj Delandistrogene Mox Rokl 4 4 — — $3,324,571.90 $4,488,172.07 $3,324,571.90 2025-12-08
J3394 HCPCS Inj, Lovotibeglogene Autotem 4 4 — — $3,261,355.00 $4,402,829.25 $3,261,355.00 2025-12-08
Q2057 HCPCS Afamitresgene Autoleucel 12 12 — — $770,620.00 $1,926,550.00 $1,256,110.60 2025-12-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 15 13 — — $578,324.58 $1,445,811.45 $925,319.33 2025-12-08
Q2056 HCPCS Ciltacabtagene Car-pos T 12 12 — — $553,378.83 $1,383,447.08 $902,007.49 2025-12-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 12 — — $541,635.66 $1,354,089.14 $882,866.12 2025-12-08
Q2055 HCPCS Idecabtagene Vicleucel Car 12 12 — — $541,260.45 $1,353,151.12 $882,254.53 2025-12-08
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 15 13 — — $533,076.48 $1,332,691.19 $852,922.36 2025-12-08
5834 APR_DRG Neonate With Ecmo 2 2 — — $810,332.46 $841,202.27 $825,767.36 2025-12-08
74 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $788,292.16 $818,322.34 $803,307.25 2025-12-08
Q2053 HCPCS Brexucabtagene Car Pos T 15 13 — — $489,720.00 $1,224,300.00 $783,552.00 2025-12-08
5833 APR_DRG Neonate With Ecmo 2 2 — — $686,159.74 $712,299.16 $699,229.45 2025-12-08
C9076 HCPCS Dme 3 1 — — $646,591.77 $680,400.49 $680,400.49 2025-12-08
24 APR_DRG Heart And/or Lung Transplant 2 2 — — $660,066.25 $685,211.63 $672,638.94 2025-12-08
J2326 HCPCS Nusinersen Per 0.1 Mg 43 23 $892,500.00 $446,250.00 50% off $1,246.94 $794,325.00 $597,975.00 2025-12-08
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $512,927.15 $532,467.23 $522,697.19 2025-12-08
1614 APR_DRG Implantable Heart Assist Systems 2 2 — — $498,087.45 $517,062.21 $507,574.83 2025-12-08
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $466,629.51 $484,405.88 $475,517.70 2025-12-08
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 12 — — $270,375.00 $675,937.50 $440,711.25 2025-12-08
0100T CPT Prosth Retina Receive&gen 3 1 — — $413,276.36 $434,626.43 $434,626.43 2025-12-08
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 15 — — $199,689.28 $653,092.53 $403,300.68 2025-12-08
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $381,651.99 $396,191.12 $388,921.55 2025-12-08
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $378,269.88 $392,680.16 $385,475.02 2025-12-08
5832 APR_DRG Neonate With Ecmo 2 2 — — $341,897.73 $354,922.41 $348,410.07 2025-12-08
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $324,654.28 $337,022.06 $330,838.17 2025-12-08
2004 APR_DRG Cardiac Structural And Valvular Disorders 2 2 — — $301,693.23 $313,186.31 $307,439.77 2025-12-08
5831 APR_DRG Neonate With Ecmo 2 2 — — $301,047.76 $312,516.24 $306,782.00 2025-12-08
73 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $278,158.20 $288,754.70 $283,456.45 2025-12-08
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $275,219.91 $285,704.48 $280,462.19 2025-12-08
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $273,962.02 $284,398.67 $279,180.34 2025-12-08
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $273,253.60 $283,663.26 $278,458.43 2025-12-08
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $272,078.92 $282,443.83 $277,261.38 2025-12-08
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $269,361.49 $279,622.88 $274,492.18 2025-12-08
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 2 2 — — $262,265.45 $272,256.52 $267,260.98 2025-12-08
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $259,916.11 $269,817.67 $264,866.89 2025-12-08
1613 APR_DRG Implantable Heart Assist Systems 2 2 — — $259,609.91 $269,499.81 $264,554.86 2025-12-08
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 2 2 — — $258,237.85 $268,075.48 $263,156.66 2025-12-08
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 14 — — $149,151.15 $488,512.85 $260,865.86 2025-12-08
14 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $236,447.21 $245,454.72 $240,950.96 2025-12-08
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $235,499.80 $244,471.22 $239,985.51 2025-12-08
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $231,315.36 $240,127.37 $235,721.36 2025-12-08
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $231,186.26 $239,993.36 $235,589.81 2025-12-08
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $229,254.08 $237,987.57 $233,620.83 2025-12-08
2464 APR_DRG Gastrointestinal Vascular Insufficiency 2 2 — — $224,186.25 $232,726.67 $228,456.46 2025-12-08
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $223,029.71 $231,526.08 $227,277.89 2025-12-08
64 APR_DRG Pancreas Transplant 2 2 — — $216,443.65 $224,689.12 $220,566.39 2025-12-08
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $216,426.59 $224,671.41 $220,549.00 2025-12-08
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 15 — — $113,480.32 $372,349.10 $220,108.01 2025-12-08
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 14 14 — — $125,612.23 $411,857.20 $219,931.74 2025-12-08
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $215,778.97 $223,999.12 $219,889.04 2025-12-08
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $209,761.58 $217,752.49 $213,757.03 2025-12-08
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $201,671.17 $209,353.88 $205,512.53 2025-12-08
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $198,361.61 $205,918.24 $202,139.92 2025-12-08
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 — — $196,751.64 $204,246.94 $200,499.29 2025-12-08
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 2 2 — — $188,366.77 $195,542.64 $191,954.71 2025-12-08
72 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $186,891.22 $194,010.89 $190,451.05 2025-12-08
1612 APR_DRG Implantable Heart Assist Systems 2 2 — — $186,619.16 $193,728.46 $190,173.81 2025-12-08
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $184,485.33 $191,513.34 $187,999.33 2025-12-08
8634 APR_DRG Neonatal Aftercare 2 2 — — $181,623.87 $188,542.87 $185,083.37 2025-12-08
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $179,879.47 $186,732.02 $183,305.74 2025-12-08
1611 APR_DRG Implantable Heart Assist Systems 2 2 — — $176,991.33 $183,733.86 $180,362.59 2025-12-08
4404 APR_DRG Kidney Transplant 2 2 — — $176,553.90 $183,279.76 $179,916.83 2025-12-08
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $175,747.31 $182,442.45 $179,094.88 2025-12-08
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $175,687.56 $182,380.42 $179,033.99 2025-12-08
Q0480 HCPCS Driver Pneumatic Vad, Rep 12 12 — — $109,306.00 $273,265.00 $178,168.78 2025-12-08
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $171,154.25 $177,674.41 $174,414.33 2025-12-08
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 2 2 — — $171,154.25 $177,674.41 $174,414.33 2025-12-08
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $170,668.81 $177,170.47 $173,919.64 2025-12-08
4414 APR_DRG Major Bladder Procedures 2 2 — — $167,083.97 $173,449.07 $170,266.52 2025-12-08
23 APR_DRG Heart And/or Lung Transplant 2 2 — — $162,574.13 $168,767.43 $165,670.78 2025-12-08
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $159,180.28 $165,244.29 $162,212.29 2025-12-08
1784 APR_DRG External Heart Assist Systems 2 2 — — $156,492.72 $162,454.35 $159,473.54 2025-12-08
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $154,113.51 $159,984.50 $157,049.01 2025-12-08
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 2 2 — — $153,936.39 $159,800.64 $156,868.52 2025-12-08
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $153,255.71 $159,094.02 $156,174.86 2025-12-08
6904 APR_DRG Acute Leukemia 2 2 — — $151,879.39 $157,665.27 $154,772.33 2025-12-08
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 2 2 — — $150,949.04 $156,699.48 $153,824.26 2025-12-08
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $150,779.40 $156,523.38 $153,651.39 2025-12-08
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 12 12 — — $93,216.70 $233,041.75 $151,943.22 2025-12-08
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 2 2 — — $146,225.81 $151,796.32 $149,011.07 2025-12-08
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 2 2 — — $143,152.03 $148,605.44 $145,878.73 2025-12-08
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $142,279.31 $147,699.47 $144,989.39 2025-12-08
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $141,314.82 $146,698.24 $144,006.53 2025-12-08
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $139,932.09 $145,262.84 $142,597.46 2025-12-08
63 APR_DRG Pancreas Transplant 2 2 — — $139,874.48 $145,203.03 $142,538.76 2025-12-08
J9347 HCPCS Tremelimumab-actl Per 1 Mg 40 23 $208,591.05 $104,295.53 50% off $141.17 $185,646.03 $139,756.00 2025-12-08
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 17 15 — — $74,818.35 $246,444.60 $137,480.58 2025-12-08
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 2 2 — — $133,342.84 $138,422.57 $135,882.71 2025-12-08
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 2 2 — — $132,616.27 $137,668.32 $135,142.29 2025-12-08
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 2 2 — — $132,305.80 $137,346.02 $134,825.91 2025-12-08
22 APR_DRG Heart And/or Lung Transplant 2 2 — — $130,600.87 $135,576.14 $133,088.51 2025-12-08
234 APR_DRG Spinal Procedures 2 2 — — $130,345.88 $135,311.43 $132,828.65 2025-12-08
9104 APR_DRG Craniotomy For Multiple Significant Trauma 2 2 — — $129,874.30 $134,821.89 $132,348.10 2025-12-08
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $128,205.65 $133,089.68 $130,647.66 2025-12-08
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $128,200.32 $133,084.14 $130,642.23 2025-12-08
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $126,602.08 $131,425.02 $129,013.55 2025-12-08
62 APR_DRG Pancreas Transplant 2 2 — — $126,514.59 $131,334.20 $128,924.40 2025-12-08
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $126,018.48 $130,819.18 $128,418.83 2025-12-08
61 APR_DRG Pancreas Transplant 2 2 — — $124,881.15 $129,638.53 $127,259.84 2025-12-08
71 APR_DRG Allogeneic Bone Marrow Transplant 2 2 — — $122,719.58 $127,394.61 $125,057.10 2025-12-08
13 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $121,823.37 $126,464.26 $124,143.82 2025-12-08
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 2 2 — — $121,679.34 $126,314.75 $123,997.04 2025-12-08
264 APR_DRG Other Nervous System And Related Procedures 2 2 — — $121,605.72 $126,238.32 $123,922.02 2025-12-08
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 2 2 — — $121,080.80 $125,693.40 $123,387.10 2025-12-08
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $120,362.77 $124,948.02 $122,655.40 2025-12-08
1824 APR_DRG Other Peripheral Vascular Procedures 2 2 — — $120,265.68 $124,847.23 $122,556.45 2025-12-08
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $120,194.19 $124,773.02 $122,483.61 2025-12-08
14 MS_DRG Allogeneic Bone Marrow Transplant 14 14 — — $69,374.03 $228,714.95 $122,133.78 2025-12-08
7 MS_DRG Lung Transplant 14 14 — — $69,199.30 $228,145.85 $121,829.88 2025-12-08
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $118,226.81 $122,730.69 $120,478.75 2025-12-08
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $118,198.00 $122,700.78 $120,449.39 2025-12-08
2054 APR_DRG Cardiomyopathy 2 2 — — $117,864.05 $122,354.11 $120,109.08 2025-12-08
6954 APR_DRG Chemotherapy For Acute Leukemia 2 2 — — $117,712.56 $122,196.85 $119,954.71 2025-12-08
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $117,592.00 $122,071.69 $119,831.85 2025-12-08
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $115,616.07 $120,020.49 $117,818.28 2025-12-08
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 2 2 — — $115,228.79 $119,618.45 $117,423.62 2025-12-08
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $114,869.23 $119,245.20 $117,057.21 2025-12-08
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 2 2 — — $113,662.55 $117,992.55 $115,827.55 2025-12-08
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $113,469.44 $117,792.08 $115,630.76 2025-12-08
214 APR_DRG Open Craniotomy Except Trauma 2 2 — — $113,200.57 $117,512.98 $115,356.77 2025-12-08
2304 APR_DRG Major Small Bowel Procedures 2 2 — — $112,791.96 $117,088.79 $114,940.38 2025-12-08
224 APR_DRG Ventricular Shunt Procedures 2 2 — — $112,347.05 $116,626.94 $114,486.99 2025-12-08
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 2 2 — — $111,731.43 $115,987.87 $113,859.65 2025-12-08
215 MS_DRG Other Heart Assist System Implant 17 15 — — $56,099.47 $185,485.70 $113,300.79 2025-12-08
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $111,045.42 $115,275.72 $113,160.57 2025-12-08
453 MS_DRG Inpatient Ms-DRG 3 1 — — $106,553.82 $112,879.02 $112,879.02 2025-12-08
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 2 2 — — $110,030.78 $114,222.43 $112,126.60 2025-12-08
4403 APR_DRG Kidney Transplant 2 2 — — $108,059.12 $112,175.66 $110,117.39 2025-12-08
3154 APR_DRG Shoulder, Upper Arm And Forearm Procedures Except Joint Replacement 2 2 — — $108,051.66 $112,167.91 $110,109.79 2025-12-08
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 12 12 — — $67,452.66 $168,631.65 $109,947.84 2025-12-08
1694 APR_DRG Major Abdominal Vascular Procedures 2 2 — — $107,684.64 $111,786.91 $109,735.77 2025-12-08
1204 APR_DRG Major Respiratory And Chest Procedures 2 2 — — $107,247.20 $111,332.81 $109,290.01 2025-12-08
4834 APR_DRG Penis, Testes And Scrotal Procedures 2 2 — — $106,839.64 $110,909.72 $108,874.68 2025-12-08
894 APR_DRG Major Cranial Or Facial Bone Procedures 2 2 — — $105,693.78 $109,720.21 $107,706.99 2025-12-08
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 2 2 — — $105,554.01 $109,575.12 $107,564.57 2025-12-08
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $105,527.34 $109,547.43 $107,537.38 2025-12-08
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $103,955.78 $107,916.00 $105,935.89 2025-12-08
J9266 HCPCS Pegaspargase Per 1 Eacht 43 23 $156,148.44 $78,074.22 50% off $21,704.63 $138,972.11 $104,619.46 2025-12-08
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 2 2 — — $101,889.17 $105,770.66 $103,829.92 2025-12-08
222 MS_DRG Inpatient Ms-DRG 3 1 — — $97,600.55 $103,394.27 $103,394.27 2025-12-08
J9029 HCPCS Instill Adstiladrin, Tx Dose 12 12 — — $63,431.05 $158,577.63 $103,392.62 2025-12-08
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 2 2 — — $101,333.31 $105,193.62 $103,263.46 2025-12-08
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $51,102.57 $169,213.08 $103,208.86 2025-12-08
21 APR_DRG Heart And/or Lung Transplant 2 2 — — $101,159.39 $105,013.09 $103,086.24 2025-12-08
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 14 — — $58,349.31 $192,812.43 $102,961.84 2025-12-08
1783 APR_DRG External Heart Assist Systems 2 2 — — $100,146.89 $103,962.01 $102,054.45 2025-12-08
1214 APR_DRG Other Respiratory And Chest Procedures 2 2 — — $100,089.28 $103,902.20 $101,995.74 2025-12-08
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 14 — — $57,683.20 $190,643.20 $101,803.47 2025-12-08
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 2 2 — — $99,723.33 $103,522.31 $101,622.82 2025-12-08
38240 CPT Transplt Allo Hct/donor 15 13 — — $55,533.47 $138,833.66 $101,451.23 2025-12-08
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 2 2 — — $98,917.81 $102,686.11 $100,801.96 2025-12-08
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $98,632.95 $102,390.39 $100,511.67 2025-12-08
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $97,697.26 $101,419.06 $99,558.16 2025-12-08
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 14 — — $56,388.57 $186,427.23 $99,552.14 2025-12-08
2244 APR_DRG Peritoneal Adhesiolysis 2 2 — — $97,541.49 $101,257.36 $99,399.43 2025-12-08
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $96,861.87 $100,551.85 $98,706.86 2025-12-08
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 2 2 — — $96,590.88 $100,270.53 $98,430.71 2025-12-08
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $55,467.24 $183,426.83 $97,949.93 2025-12-08
914 APR_DRG Other Major Head And Neck Procedures 2 2 — — $96,071.28 $99,731.14 $97,901.21 2025-12-08
204 APR_DRG Open Craniotomy For Trauma 2 2 — — $95,090.79 $98,713.30 $96,902.04 2025-12-08
51 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 2 2 — — $94,444.25 $98,042.12 $96,243.18 2025-12-08
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 2 2 — — $94,262.87 $97,853.83 $96,058.35 2025-12-08
12 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $93,571.51 $97,136.13 $95,353.82 2025-12-08
1814 APR_DRG Lower Extremity Arterial Procedures 2 2 — — $93,533.10 $97,096.26 $95,314.68 2025-12-08
2274 APR_DRG Hernia Procedures Except Inguinal, Femoral And Umbilical 2 2 — — $93,247.16 $96,799.43 $95,023.29 2025-12-08
6604 APR_DRG Major Hematologic Or Immunologic Diagnoses Except Sickle Cell Crisis And Coagula… 2 2 — — $92,940.96 $96,481.57 $94,711.27 2025-12-08
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 2 2 — — $92,921.76 $96,461.63 $94,691.70 2025-12-08
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 2 2 — — $92,817.20 $96,353.09 $94,585.14 2025-12-08
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 15 13 — — $55,945.97 $139,864.93 $93,158.93 2025-12-08
1834 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $90,450.78 $93,896.52 $92,173.65 2025-12-08
11 APR_DRG Liver Transplant And/or Intestinal Transplant 2 2 — — $90,058.16 $93,488.95 $91,773.55 2025-12-08
A9543 HCPCS Y90 Ibritumomab, Rx 15 13 — — $56,824.55 $142,061.37 $90,919.28 2025-12-08
2614 APR_DRG Major Biliary Tract Procedures 2 2 — — $89,015.79 $92,406.86 $90,711.32 2025-12-08
231 MS_DRG Coronary Bypass With Ptca With Mcc 17 15 — — $44,869.30 $148,914.18 $90,619.89 2025-12-08
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 15 — — $44,844.41 $148,833.13 $90,569.62 2025-12-08
224 MS_DRG Inpatient Ms-DRG 3 1 — — $85,327.90 $90,393.09 $90,393.09 2025-12-08
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 — — $88,697.85 $92,076.81 $90,387.33 2025-12-08
1833 APR_DRG Percutaneous Structural Cardiac Procedures 2 2 — — $88,229.47 $91,590.60 $89,910.04 2025-12-08
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 2 2 — — $87,883.79 $91,231.75 $89,557.77 2025-12-08
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $87,328.99 $90,655.81 $88,992.40 2025-12-08
504 APR_DRG Non-bacterial Infections Of Nervous System Except Viral Meningitis 2 2 — — $86,446.66 $89,739.86 $88,093.26 2025-12-08
1782 APR_DRG External Heart Assist Systems 2 2 — — $85,952.67 $89,227.06 $87,589.86 2025-12-08
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 2 2 — — $85,806.51 $89,075.33 $87,440.92 2025-12-08
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $85,053.27 $88,293.39 $86,673.33 2025-12-08
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $84,728.93 $87,956.70 $86,342.82 2025-12-08
850 MS_DRG Acute Leukemia With Other Procedures 14 14 — — $48,777.01 $161,639.78 $86,315.64 2025-12-08
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 15 — — $42,683.52 $141,796.08 $86,205.40 2025-12-08
33264 CPT Hc Rem/Repl Aicd, 3+ Lead System 46 23 $128,146.00 $64,073.00 50% off $17,812.29 $114,049.94 $85,857.82 2025-12-08
33262 CPT Hc Rem/Repl Aicd, 1 Lead System 45 23 $128,146.00 $64,073.00 50% off $16,986.96 $114,049.94 $85,857.82 2025-12-08
33263 CPT Hc Rem/Repl Aicd, 2 Lead System 46 23 $128,146.00 $64,073.00 50% off $17,153.28 $114,049.94 $85,857.82 2025-12-08
2234 APR_DRG Other Small And Large Bowel Procedures 2 2 — — $83,751.63 $86,942.17 $85,346.90 2025-12-08
6914 APR_DRG Lymphoma, Myeloma And Non-acute Leukemia 2 2 — — $83,236.31 $86,407.22 $84,821.76 2025-12-08
82 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $82,861.83 $86,018.47 $84,440.15 2025-12-08
6944 APR_DRG Lymphatic And Other Malignancies And Neoplasms Of Uncertain Behavior 2 2 — — $82,393.46 $85,532.26 $83,962.86 2025-12-08
7234 APR_DRG Viral Illness 2 2 — — $82,281.43 $85,415.96 $83,848.70 2025-12-08
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 17 15 — — $41,387.84 $137,576.60 $83,588.58 2025-12-08
0424T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0431T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0312T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0316T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
0427T CPT Apc Grouped Procedures 3 1 — — $78,911.79 $82,988.41 $82,988.41 2025-12-08
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $81,396.96 $84,497.79 $82,947.38 2025-12-08
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 17 15 — — $40,970.06 $136,216.10 $82,744.83 2025-12-08
459 MS_DRG Inpatient Ms-DRG 3 1 — — $78,021.56 $82,653.04 $82,653.04 2025-12-08
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 2 2 — — $80,497.55 $83,564.12 $82,030.83 2025-12-08
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 2 2 — — $80,338.58 $83,399.09 $81,868.83 2025-12-08
226 MS_DRG Inpatient Ms-DRG 3 1 — — $76,630.76 $81,179.68 $81,179.68 2025-12-08
6614 APR_DRG Coagulation And Platelet Disorders 2 2 — — $79,608.81 $82,641.52 $81,125.17 2025-12-08
1781 APR_DRG External Heart Assist Systems 2 2 — — $78,791.56 $81,793.14 $80,292.35 2025-12-08
923 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 2 2 — — $78,509.89 $81,500.74 $80,005.32 2025-12-08
L7180 HCPCS Electronic Elbow Sequential 12 12 — — $49,026.62 $122,566.55 $79,913.39 2025-12-08
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 17 15 — — $39,522.94 $131,503.48 $79,822.15 2025-12-08
33240 CPT Hc Insert Single Card/Def 45 23 $118,943.00 $59,471.50 50% off $16,533.08 $105,859.27 $79,691.81 2025-12-08
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 2 2 — — $78,046.85 $81,020.06 $79,533.46 2025-12-08
L7181 HCPCS Electronic Elbo Simultaneous 12 12 — — $48,628.26 $121,570.65 $79,264.06 2025-12-08
0266T CPT Outpatient Services 15 13 — — $42,254.57 $105,636.42 $78,911.79 2025-12-08
5134 APR_DRG Uterine And Adnexa Procedures For Non-malignancy Except Leiomyoma 2 2 — — $76,940.46 $79,871.53 $78,405.99 2025-12-08
1794 APR_DRG Defibrillator Implants 2 2 — — $76,893.52 $79,822.79 $78,358.15 2025-12-08
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 14 — — $44,163.48 $146,615.60 $78,292.73 2025-12-08
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 2 2 — — $76,788.96 $79,714.25 $78,251.61 2025-12-08
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $76,415.54 $79,326.60 $77,871.07 2025-12-08
1714 APR_DRG Permanent Cardiac Pacemaker Implant Without Ami, Heart Failure Or Shock 2 2 — — $76,011.18 $78,906.84 $77,459.01 2025-12-08
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 2 2 — — $75,821.27 $78,709.70 $77,265.49 2025-12-08
2644 APR_DRG Other Hepatobiliary, Pancreas And Abdominal Procedures 2 2 — — $75,422.25 $78,295.47 $76,858.86 2025-12-08
1621 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 2 2 — — $75,178.98 $78,042.94 $76,610.96 2025-12-08
223 MS_DRG Inpatient Ms-DRG 3 1 — — $71,998.24 $76,272.16 $76,272.16 2025-12-08
33230 CPT Insert Dual Card/Def 45 23 $113,279.00 $56,639.50 50% off $15,745.78 $100,818.31 $75,896.93 2025-12-08
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 2 2 — — $74,370.26 $77,203.41 $75,786.83 2025-12-08
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 2 2 — — $74,296.65 $77,126.99 $75,711.82 2025-12-08
4013 APR_DRG Adrenal Procedures 2 2 — — $74,018.19 $76,837.93 $75,428.06 2025-12-08
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 2 2 — — $74,010.72 $76,830.18 $75,420.45 2025-12-08
10 MS_DRG Pancreas Transplant 14 14 — — $42,217.04 $140,276.95 $74,907.89 2025-12-08
454 MS_DRG Inpatient Ms-DRG 3 1 — — $70,676.98 $74,872.47 $74,872.47 2025-12-08
3104 APR_DRG Intervertebral Disc Excision And Decompression 2 2 — — $73,226.54 $76,016.12 $74,621.33 2025-12-08
2334 APR_DRG Appendectomy With Complex Principal Diagnosis 2 2 — — $73,176.39 $75,964.06 $74,570.23 2025-12-08
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 14 — — $41,975.05 $139,488.90 $74,487.07 2025-12-08
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 2 2 — — $73,070.76 $75,854.41 $74,462.58 2025-12-08
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 17 15 — — $36,834.67 $122,749.00 $74,392.81 2025-12-08
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $72,909.66 $75,687.17 $74,298.42 2025-12-08
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 2 2 — — $72,801.91 $75,575.31 $74,188.61 2025-12-08
4804 APR_DRG Major Male Pelvic Procedures 2 2 — — $72,493.56 $75,255.22 $73,874.39 2025-12-08
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 2 2 — — $72,060.40 $74,805.56 $73,432.98 2025-12-08
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 2 2 — — $71,872.63 $74,610.63 $73,241.63 2025-12-08
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 2 2 — — $71,653.90 $74,383.57 $73,018.74 2025-12-08
3464 APR_DRG Connective Tissue Disorders 2 2 — — $71,635.77 $74,364.75 $73,000.26 2025-12-08
J9226 HCPCS Supprelin La Implant 15 13 — — $45,560.39 $113,900.98 $72,896.63 2025-12-08
955 MS_DRG Craniotomy For Multiple Significant Trauma 17 15 — — $36,155.85 $120,538.40 $72,877.92 2025-12-08
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 2 2 — — $71,411.72 $74,132.16 $72,771.94 2025-12-08
4434 APR_DRG Kidney And Urinary Tract Procedures For Non-malignancy 2 2 — — $70,871.86 $73,571.74 $72,221.80 2025-12-08
1804 APR_DRG Other Circulatory System Procedures 2 2 — — $70,836.64 $73,535.18 $72,185.91 2025-12-08
294 APR_DRG Other Percutaneous Intracranial Procedures 2 2 — — $70,783.30 $73,479.81 $72,131.55 2025-12-08
33249 CPT Hc Ins/Rplcmt Perm Dfb W/Trnsvns Lds 1/Dual Chmbr 47 23 $107,547.00 $53,773.50 50% off $14,949.03 $95,716.83 $72,056.49 2025-12-08
734 APR_DRG Orbit And Eye Procedures 2 2 — — $70,641.41 $73,332.51 $71,986.96 2025-12-08
4684 APR_DRG Other Kidney And Urinary Tract Diagnoses, Signs And Symptoms 2 2 — — $70,285.06 $72,962.58 $71,623.82 2025-12-08
3134 APR_DRG Knee And Lower Leg Procedures Except Foot 2 2 — — $70,087.68 $72,757.69 $71,422.68 2025-12-08
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 15 — — $35,304.94 $117,767.38 $71,303.31 2025-12-08
4402 APR_DRG Kidney Transplant 2 2 — — $69,501.94 $72,149.63 $70,825.79 2025-12-08
8154 APR_DRG Other Injury, Poisoning And Toxic Effect Diagnoses 2 2 — — $69,463.53 $72,109.76 $70,786.64 2025-12-08
81 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 2 2 — — $69,401.65 $72,045.52 $70,723.58 2025-12-08
913 APR_DRG Other Major Head And Neck Procedures 2 2 — — $68,930.07 $71,555.98 $70,243.02 2025-12-08
1754 APR_DRG Percutaneous Cardiac Intervention Without Ami 2 2 — — $68,820.18 $71,441.90 $70,131.04 2025-12-08
6924 APR_DRG Radiotherapy 2 2 — — $68,772.18 $71,392.07 $70,082.12 2025-12-08
984 APR_DRG Other Ear, Nose, Mouth And Throat Procedures 2 2 — — $68,682.55 $71,299.03 $69,990.79 2025-12-08
2314 APR_DRG Major Large Bowel Procedures 2 2 — — $68,421.16 $71,027.68 $69,724.42 2025-12-08
J2350 HCPCS Ocrelizumab Per 1 Mg 43 23 $104,030.43 $52,015.22 50% off $59.70 $92,587.08 $69,700.38 2025-12-08
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 2 2 — — $68,348.61 $70,952.36 $69,650.49 2025-12-08
8104 APR_DRG Hemorrhage Or Hematoma Due To Complication 2 2 — — $68,321.94 $70,924.68 $69,623.31 2025-12-08
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 2 2 — — $68,128.82 $70,724.20 $69,426.51 2025-12-08
1602 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 2 2 — — $67,882.36 $70,468.36 $69,175.36 2025-12-08
225 MS_DRG Inpatient Ms-DRG 3 1 — — $65,214.61 $69,085.85 $69,085.85 2025-12-08
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 15 — — $34,194.58 $114,151.38 $69,060.78 2025-12-08
4844 APR_DRG Other Male Reproductive System And Related Procedures 2 2 — — $67,694.59 $70,273.43 $68,984.01 2025-12-08
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 2 2 — — $67,640.17 $70,216.94 $68,928.55 2025-12-08
33276 CPT Insj Phrnc Nrv Stim Sys 12 12 — — $42,254.57 $105,636.42 $68,874.95 2025-12-08
494 APR_DRG Bacterial And Tuberculous Infections Of Nervous System 2 2 — — $67,512.14 $70,084.04 $68,798.09 2025-12-08
1704 APR_DRG Permanent Cardiac Pacemaker Implant With Ami, Heart Failure Or Shock 2 2 — — $67,110.99 $69,667.60 $68,389.30 2025-12-08
6903 APR_DRG Acute Leukemia 2 2 — — $66,848.52 $69,395.13 $68,121.83 2025-12-08
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 2 2 — — $66,571.12 $69,107.17 $67,839.14 2025-12-08
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 2 2 — — $66,429.23 $68,959.86 $67,694.54 2025-12-08
4014 APR_DRG Adrenal Procedures 2 2 — — $66,190.24 $68,711.77 $67,451.01 2025-12-08
3254 APR_DRG Non-elective Or Complex Knee Joint Replacement 2 2 — — $66,051.54 $68,567.79 $67,309.66 2025-12-08
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 17 15 — — $33,487.17 $111,847.70 $67,075.97 2025-12-08
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 14 — — $37,608.80 $125,269.98 $66,894.17 2025-12-08
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 14 — — $37,419.77 $124,654.38 $66,565.43 2025-12-08
6613 APR_DRG Coagulation And Platelet Disorders 2 2 — — $65,270.56 $67,757.06 $66,513.81 2025-12-08
274 APR_DRG Other Open Craniotomy 2 2 — — $65,192.67 $67,676.20 $66,434.43 2025-12-08
4401 APR_DRG Kidney Transplant 2 2 — — $65,150.00 $67,631.91 $66,390.96 2025-12-08
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 17 15 — — $34,243.82 $114,311.80 $66,368.98 2025-12-08
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 2 2 — — $64,930.22 $67,403.75 $66,166.99 2025-12-08
213 APR_DRG Open Craniotomy Except Trauma 2 2 — — $64,787.25 $67,255.33 $66,021.29 2025-12-08
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 17 15 — — $32,493.83 $108,612.85 $65,625.87 2025-12-08
7934 APR_DRG Moderately Extensive O.r. Procedures For Other Complications Of Treatment 2 2 — — $64,375.42 $66,827.81 $65,601.61 2025-12-08
3214 APR_DRG Cervical Spinal Fusion And Other Back Or Neck Procedures Except Disc Excision Or… 2 2 — — $64,354.08 $66,805.66 $65,579.87 2025-12-08
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 2 2 — — $64,332.74 $66,783.52 $65,558.13 2025-12-08
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