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Utmb Galveston Transplant

Galveston, TX · CCN 459813 · Rates published

8,061 distinct procedures filed
22 distinct payers
485,864 rate rows
2026-07-15 last MRF observed

477,171 of 485,864 rate rows are consumer-grade (98.2%)

8,693 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 4,148
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 2,567
template filing: same amount across many unrelated codes — excluded 944
per-diem day rate — not a per-procedure price 358
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 337
placeholder amount (≤ $0.02) — excluded from medians 150
percent-of-charges filed in the dollar field — excluded from medians 95
exceeds 10× this hospital's gross charge — excluded from medians 47
exceeds 3× this hospital's gross charge for a DRG stay — excluded 47
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Source MRF file https://liveutmb.sharepoint.com/:x:/s/collaboration/webfiles/EXxx-KfEbOZNqDZ52D-EicQBE8nnpDp5CQyKD0F86zxp4A?download=1
Found on page https://www.utmbhealth.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-10-12
Content fingerprint a983acb66e25ca85… · 216,444,275 bytes · first seen 2026-05-14

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
J3399
HCPCS
Onasemnogene Abeparvovec-xioi 2 X 10exp13 Vg/ml IV Kit 20 $1,050,133.99 $4,660,166.21 $2,588,981.23 nat. median
$2,455,111

1.1× median
J7179
HCPCS
Von Willebrand Factor (recomb) 1,300 (+/-) Unit Range IV Solr 9 $2,249.00 $3,906,484.66 $2,200,074.29 nat. median
$2

outlier · 1105565.0×
J7168
HCPCS
Hum Prothrombin Cplx, 4-factor 1,000 Unit (800-1240 Unit) IV Solr 11 $1,683.45 $3,765,812.88 $355,611.55 nat. median
$589

outlier · 603.7×
1
MS_DRG
Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $186,959.16 $476,210.13 $224,894.83 nat. median
$186,516

1.2× median
927
MS_DRG
Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $147,631.42 $320,752.37 $167,315.61 nat. median
$131,925

1.3× median
3
MS_DRG
Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $99,571.58 $360,679.82 $166,355.14 nat. median
$145,435

1.1× median
J7198
HCPCS
Anti-inhibitor Coagulant Cmplx 1,750-3,250 Unit IV Solr 12 $1,135.20 $3,165,857.16 $133,839.30 nat. median
$6

outlier · 21414.3×
4
MS_DRG
Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $96,911.23 $245,811.16 $113,063.10 nat. median
$97,418

1.2× median
209
MS_DRG
Complex Aortic Arch Procedures 16 $45,208.48 $192,340.37 $98,840.98 nat. median
$2,110

outlier · 46.8×
426
MS_DRG
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $39,814.66 $187,283.25 $96,347.34 nat. median
$2,736

outlier · 35.2×
212
MS_DRG
Concomitant Aortic And Mitral Valve Procedures 16 $50,665.41 $184,783.58 $95,114.74 nat. median
$74,509

1.3× median
215
MS_DRG
Other Heart Assist System Implant 16 $70,571.42 $184,437.58 $87,877.96 nat. median
$73,023

1.2× median
216
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $69,393.21 $174,389.75 $85,970.48 nat. median
$69,822

1.2× median
5
MS_DRG
Liver Transplant With Mcc Or Intestinal Transplant 14 $81,069.24 $157,677.69 $85,122.70 nat. median
$69,922

1.2× median
429
MS_DRG
Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 17 $39,814.66 $153,100.13 $84,125.70 nat. median
$2,596

outlier · 32.4×
850
MS_DRG
Acute Leukemia With Other Procedures 17 $50,060.21 $147,150.88 $81,021.12 nat. median
$2,633

outlier · 30.8×
47384
CPT
Ablation Ire Liver 1+ Tumors W/Img Gdn Perq 12 $31,703.10 $161,106.45 $76,762.49 nat. median
$11,434

outlier · 6.7×
456
MS_DRG
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $39,814.66 $151,249.13 $74,412.19 nat. median
$59,651

1.2× median
20
MS_DRG
Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $30,296.01 $166,538.37 $69,932.63 nat. median
$56,428

1.2× median
268
MS_DRG
Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 17 $41,288.77 $123,889.24 $65,222.42 nat. median
$49,569

1.3× median
A9543
HCPCS
Hb Zevalin Yttrium 90 Tx/per Dose=<40mci 22 $43,808.14 $222,620.95 $65,008.17 nat. median
$65,477

1.0× median
427
MS_DRG
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $39,814.66 $112,006.47 $64,484.48 nat. median
$9,905

outlier · 6.5×
219
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $50,665.41 $145,504.70 $64,352.66 nat. median
$55,923

1.2× median
25
MS_DRG
Craniotomy And Endovascular Intracranial Procedures With Mcc 19 $30,153.66 $91,432.05 $64,182.24 nat. median
$32,531

2.0× median
957
MS_DRG
Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 $20,911.49 $149,225.24 $63,891.84 nat. median
$52,327

1.2× median
233
MS_DRG
Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 $26,236.22 $138,641.45 $63,175.87 nat. median
$55,935

1.1× median
J1412
HCPCS
Valoctocogene Roxaparvovc-rvox 2 X 10exp13 Vg/ml IV Susp 11 $14,554.82 $317,373.00 $62,460.12 nat. median
$13,181

outlier · 4.7×
573
MS_DRG
Skin Graft For Skin Ulcer Or Cellulitis With Mcc 17 $12,980.79 $111,327.94 $62,327.10 nat. median
$43,299

1.4× median
J7182
HCPCS
Antihemoph.fviii,b-dom Truncat 1,000 (+/-) Unit IV Solr 12 $365.00 $4,902,680.58 $60,524.81 nat. median
$2

outlier · 34389.1×
275
MS_DRG
Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 $27,441.89 $121,166.89 $60,409.30 nat. median
$51,518

1.2× median
955
MS_DRG
Craniotomy For Multiple Significant Trauma 17 $38,469.02 $135,642.83 $60,399.60 nat. median
$47,340

1.3× median
317
MS_DRG
Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 $27,702.79 $113,623.69 $60,025.88 nat. median
$2,633

outlier · 22.8×
276
MS_DRG
Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 19 $27,441.89 $102,070.15 $59,573.51 nat. median
$43,533

1.4× median
218
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $41,288.77 $111,734.07 $59,094.11 nat. median
$45,446

1.3× median
217
MS_DRG
Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $41,288.77 $113,649.87 $59,094.11 nat. median
$47,458

1.2× median
928
MS_DRG
Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 $51,739.80 $111,328.47 $58,638.44 nat. median
$37,013

1.6× median
266
MS_DRG
Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 17 $44,676.67 $118,159.13 $58,576.07 nat. median
$44,036

1.3× median
969
MS_DRG
HIV With Extensive O.r. Procedures With Mcc 17 $9,429.61 $129,739.29 $58,513.12 nat. median
$41,943

1.4× median
870
MS_DRG
Septicemia Or Severe Sepsis With Mv >96 Hours 16 $7,203.78 $121,563.90 $58,304.40 nat. median
$48,611

1.2× median
447
MS_DRG
Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 17 $39,814.66 $104,074.28 $57,901.65 nat. median
$2,958

outlier · 19.6×
267
MS_DRG
Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 17 $35,426.90 $92,379.90 $57,129.60 nat. median
$34,616

1.7× median
28
MS_DRG
Spinal Procedures With Mcc 17 $22,630.16 $105,213.13 $57,123.10 nat. median
$41,895

1.4× median
457
MS_DRG
Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 $39,814.66 $131,227.96 $57,110.25 nat. median
$42,674

1.3× median
207
MS_DRG
Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $46,748.32 $117,536.18 $56,653.16 nat. median
$47,121

1.2× median
235
MS_DRG
Coronary Bypass Without Cardiac Catheterization With Mcc 17 $42,703.16 $107,226.99 $56,272.26 nat. median
$43,023

1.3× median
0812
RC
Hb Double Lung Acquisition 12 $10,142.68 $238,493.85 $55,991.98 nat. median
$64,203

0.9× median
430
MS_DRG
Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 17 $27,068.29 $98,000.33 $55,372.18 nat. median
$2,596

outlier · 21.3×
232
MS_DRG
Coronary Bypass With Ptca Without Mcc 16 $44,231.63 $104,860.48 $54,798.07 nat. median
$43,803

1.3× median
428
MS_DRG
Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 17 $39,814.66 $95,534.65 $54,085.47 nat. median
$10,799

outlier · 5.0×
278
MS_DRG
Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures… 17 $20,734.55 $94,586.44 $53,590.67 nat. median
$35,985

1.5× median

Other procedures at this hospital

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Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
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