Price Transparencybeta Hospital negotiated rates

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

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Hospital

RESTON HOSPITAL CENTER

Reston, VA · CCN 490107 · Rates published

37,777 distinct procedures filed
34 distinct payers
1,011,737 rate rows
2026-07-31 last MRF observed
Data quality

734,393 of 1,011,737 rate rows are consumer-grade (72.6%)

277,344 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 256,182
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,849
per-diem day rate — not a per-procedure price 6,653
template filing: same amount across many unrelated codes — excluded 324
placeholder amount (≤ $0.02) — excluded from medians 220
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 80
exceeds 10× this hospital's gross charge — excluded from medians 24
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1777534_RESTON-HOSPITAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcavirginia.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint a3457efeebba494c… · 335,503,281 bytes · first seen 2026-06-08

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 14 $5,446.86 $4,820,350.00 $4,527,525.00 nat. median
$16,015
outlier · 282.7×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,460,273
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 13 $3,672,900.00 $4,223,835.00 $3,795,825.01 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 12 $3,605,000.00 $4,145,750.00 $3,749,200.00 nat. median
$3,646,097
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,562,713.00 $3,685,267.00 $3,623,804.50 nat. median
$3,574,709
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 2 $3,496,850.00 $3,605,000.00 $3,550,925.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 15 $6,036.37 $3,824,273.25 $3,394,417.20 nat. median
$3,325,455
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 14 $10,790.27 $3,569,327.40 $3,352,499.10 nat. median
$29,683
outlier · 112.9×
748
OTHER 		Inj, Lovotibeglogene Auto 15 $9,956.97 $3,778,900.00 $3,350,083.24 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$14,170
outlier · 231.9×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,225,691.35 $3,327,860.00 $3,276,739.60 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,286,000.00 $3,219,964.00 nat. median
$3,187,420
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 14 $7,264.18 $3,402,600.00 $3,195,900.00 nat. median
$24,604
outlier · 129.9×
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 15 $8,843.77 $3,413,200.00 $3,027,360.00 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,968,000.00 $2,909,464.50 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 13 $2,388,614.00 $2,770,209.67 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,316,955.58 $2,588,981.00 $2,449,962.79 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 14 $14,451.12 $2,495,240.00 $2,343,660.00 nat. median
$58,186
outlier · 40.3×
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,199,550.00 $2,042,143.00 $1,199,550.00 nat. median
$809,151
1.5× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $502,693.77 $1,501,307.95 $863,696.72 nat. median
$691,418
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $470,149.30 $1,478,916.58 $830,699.97 nat. median
$610,161
1.4× median
2067
OTHER 		Afamitresgene Autoleucel 12 $770,620.00 $824,563.40 $786,032.40 nat. median
$786,032
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $492,271.12 $1,557,271.36 $767,250.00 nat. median
$631,793
1.2× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $737,362.50 $737,362.50 $737,362.50 nat. median
$302,242
outlier · 2.4×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $459,839.17 $1,489,833.29 $707,459.77 nat. median
$624,417
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $445,599.57 $1,410,309.44 $699,600.00 nat. median
$588,565
1.2× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $435,956.80 $1,297,043.03 $699,600.00 nat. median
$577,541
1.2× median
9498
OTHER 		Ciltacabtagene Car-pos T 13 $527,123.40 $628,785.07 $587,649.60 nat. median
$587,650
1.0× median
5834
APR_DRG 		Neonate With Ecmo 9 $513,393.17 $619,814.16 $573,902.00 nat. median
$311,018
1.8× median
9194
OTHER 		Tisagenlecleucel Car-pos 13 $529,192.90 $608,571.83 $566,531.30 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 13 $516,726.10 $601,555.28 $562,201.20 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 13 $526,587.60 $605,575.74 $558,081.80 nat. median
$560,872
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $511,309.70 $587,649.60 $548,571.76 nat. median
$570,020
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $513,317.11 $566,531.30 $539,364.13 nat. median
$549,535
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $534,422.90 $534,422.90 $534,422.90 nat. median
$209,736
outlier · 2.5×
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $510,789.97 $558,081.80 $533,963.47 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 13 $489,456.00 $569,445.65 $532,192.20 nat. median
$533,230
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $501,224.32 $562,201.20 $531,030.63 nat. median
$545,335
1.0× median
5891
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 9 $470,177.82 $567,640.44 $525,593.00 nat. median
$96,420
outlier · 5.5×
5892
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 9 $453,542.81 $547,557.84 $506,998.00 nat. median
$89,188
outlier · 5.7×
5833
APR_DRG 		Neonate With Ecmo 9 $450,941.04 $544,416.12 $504,089.00 nat. median
$250,089
outlier · 2.0×
09035
OTHER 		Axicabtagene Ciloleucel C 2 $474,772.32 $532,192.20 $502,841.21 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 13 $460,530.40 $529,609.96 $489,450.20 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $446,714.49 $489,450.20 $467,648.55 nat. median
$474,767
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $362,699.32 $437,882.76 $405,447.00 nat. median
$254,667
1.6× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $351,278.91 $424,095.48 $392,681.00 nat. median
$209,486
1.9× median

Other procedures at this hospital

Browse this hospital's 37,777 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 17 14 — — $5,446.86 $4,820,350.00 $4,527,525.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 25 13 — — $3,672,900.00 $4,223,835.00 $3,795,825.01 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 12 12 — — $3,605,000.00 $4,145,750.00 $3,749,200.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 4 2 — — $3,562,713.00 $3,685,267.00 $3,623,804.50 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 2 2 — — $3,496,850.00 $3,605,000.00 $3,550,925.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 29 15 — — $6,036.37 $3,824,273.25 $3,394,417.20 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 17 14 — — $10,790.27 $3,569,327.40 $3,352,499.10 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 29 15 — — $9,956.97 $3,778,900.00 $3,350,083.24 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 4 2 — — $3,225,691.35 $3,327,860.00 $3,276,739.60 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 4 2 — — $3,154,932.76 $3,286,000.00 $3,219,964.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 17 14 — — $7,264.18 $3,402,600.00 $3,195,900.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 29 15 — — $8,843.77 $3,413,200.00 $3,027,360.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 4 2 — — $2,851,769.93 $2,968,000.00 $2,909,464.50 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 25 13 — — $2,388,614.00 $2,770,209.67 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 4 2 — — $2,316,955.58 $2,588,981.00 $2,449,962.79 2026-03-01
824 OTHER Inj, Exagamglogene Autote 17 14 — — $14,451.12 $2,495,240.00 $2,343,660.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 3 2 — — $1,199,550.00 $2,042,143.00 $1,199,550.00 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 9 4 — — $502,693.77 $1,501,307.95 $863,696.72 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 4 — — $470,149.30 $1,478,916.58 $830,699.97 2026-03-01
2067 OTHER Afamitresgene Autoleucel 13 12 — — $770,620.00 $824,563.40 $786,032.40 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 11 4 — — $492,271.12 $1,557,271.36 $767,250.00 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $737,362.50 $737,362.50 $737,362.50 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 4 — — $459,839.17 $1,489,833.29 $707,459.77 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 4 — — $445,599.57 $1,410,309.44 $699,600.00 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 4 — — $435,956.80 $1,297,043.03 $699,600.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 25 13 — — $527,123.40 $628,785.07 $587,649.60 2026-03-01
5834 APR_DRG Neonate With Ecmo 15 9 — — $513,393.17 $619,814.16 $573,902.00 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 25 13 — — $529,192.90 $608,571.83 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 25 13 — — $516,726.10 $601,555.28 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 25 13 — — $526,587.60 $605,575.74 $558,081.80 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 4 2 — — $511,309.70 $587,649.60 $548,571.76 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 4 2 — — $513,317.11 $566,531.30 $539,364.13 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $534,422.90 $534,422.90 $534,422.90 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 4 2 — — $510,789.97 $558,081.80 $533,963.47 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 25 13 — — $489,456.00 $569,445.65 $532,192.20 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 4 2 — — $501,224.32 $562,201.20 $531,030.63 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 9 — — $470,177.82 $567,640.44 $525,593.00 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 9 — — $453,542.81 $547,557.84 $506,998.00 2026-03-01
5833 APR_DRG Neonate With Ecmo 15 9 — — $450,941.04 $544,416.12 $504,089.00 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 4 2 — — $474,772.32 $532,192.20 $502,841.21 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 25 13 — — $460,530.40 $529,609.96 $489,450.20 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 4 2 — — $446,714.49 $489,450.20 $467,648.55 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $362,699.32 $437,882.76 $405,447.00 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 15 9 — — $351,278.91 $424,095.48 $392,681.00 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 9 — — $317,923.18 $383,825.52 $355,394.00 2026-03-01
5832 APR_DRG Neonate With Ecmo 15 9 — — $310,276.85 $374,593.68 $346,846.00 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 19 — — $19,893.00 $753,238.00 $341,471.10 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 9 — — $303,491.79 $366,401.88 $339,261.00 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 9 — — $297,684.13 $359,390.52 $332,769.00 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $282,800.68 $341,422.56 $316,132.00 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 9 — — $282,152.31 $340,639.56 $315,407.00 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $268,195.11 $323,789.40 $299,805.00 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 9 — — $253,585.38 $306,150.84 $283,473.00 2026-03-01
831 OTHER Obecbtge Autol Up To 400 17 14 — — $3,350.39 $297,727.50 $279,641.25 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
897 OTHER Revakinagene, Per Implant 13 12 — — $265,000.00 $283,550.00 $270,300.00 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 9 — — $234,123.27 $282,654.36 $261,717.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 9 — — $212,475.50 $256,519.44 $237,518.00 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 9 — — $210,784.76 $254,478.24 $235,628.00 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 9 — — $209,445.17 $252,860.40 $234,130.00 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $203,908.46 $246,176.28 $227,941.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 57 22 — — $20,990.00 $410,835.11 $224,535.57 2026-03-01
5831 APR_DRG Neonate With Ecmo 15 9 — — $194,211.97 $234,470.16 $217,102.00 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 4 2 — — $204,607.92 $218,038.80 $211,216.82 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 2 — — $168,831.70 $248,048.80 $207,330.32 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 17 14 — — $6,317.79 $215,785.83 $202,677.34 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 15 9 — — $174,601.93 $210,794.40 $195,180.00 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 15 9 — — $170,348.13 $205,659.00 $190,425.00 2026-03-01
J7330 HCPCS Algrf Maci Fnl 1 Membran 24 11 $561,710.00 $561,710.00 $49,273.20 $505,539.00 $189,139.50 2026-03-01
371977 CDM Set Vntrc 17.4x13.8in 19 12 $379,000.00 $379,000.00 $63,750.00 $382,500.00 $187,000.00 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 15 9 — — $166,310.00 $200,783.88 $185,911.00 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 52 17 — — $8,596.00 $346,020.76 $181,290.64 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 9 — — $161,425.80 $194,887.08 $180,451.00 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 9 — — $160,729.05 $194,045.76 $179,672.00 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $160,701.40 $194,012.28 $179,641.00 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 15 9 — — $158,660.91 $191,548.80 $177,360.00 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 15 9 — — $157,957.24 $190,699.92 $176,574.00 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $157,953.09 $190,694.52 $176,569.00 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $157,481.68 $190,125.36 $176,042.00 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 61 22 — — $20,990.00 $319,209.00 $170,978.22 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 9 — — $148,625.71 $179,434.44 $166,143.00 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 9 — — $146,712.40 $177,124.32 $164,004.00 2026-03-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 9 — — $146,619.78 $177,012.00 $163,900.00 2026-03-01
1908 OTHER New Technology - Level 52 25 13 — — $154,092.60 $177,206.49 $160,256.30 2026-03-01
1907 OTHER New Technology - Level 52 25 13 — — $154,092.60 $177,206.49 $160,256.30 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $142,876.10 $172,492.20 $159,715.00 2026-03-01
01907 OTHER New Technology - Level 52 4 2 — — $149,469.82 $157,917.30 $153,636.19 2026-03-01
01908 OTHER New Technology - Level 52 4 2 — — $149,469.82 $157,917.30 $153,636.19 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $133,733.97 $161,455.68 $149,496.00 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 9 — — $131,140.49 $158,323.68 $146,596.00 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $130,037.30 $156,992.04 $145,363.00 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 2 — — $137,046.45 $153,678.20 $145,176.42 2026-03-01
1906 OTHER New Technology - Level 51 25 13 — — $138,936.00 $159,776.40 $144,493.44 2026-03-01
1905 OTHER New Technology - Level 51 25 13 — — $138,936.00 $159,776.40 $144,493.44 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $128,147.49 $154,711.08 $143,251.00 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 9 — — $128,147.49 $154,711.08 $143,251.00 2026-03-01
01905 OTHER New Technology - Level 51 4 2 — — $134,767.92 $142,384.50 $138,524.48 2026-03-01
01906 OTHER New Technology - Level 51 4 2 — — $134,767.92 $142,384.50 $138,524.48 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $123,889.55 $149,570.28 $138,491.00 2026-03-01
585010 CDM Cage Spn Custm L5/s1 12 7 $228,800.00 $228,800.00 $39,000.00 $234,000.00 $136,500.00 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 9 — — $117,380.98 $141,712.20 $131,215.00 2026-03-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $115,876.88 $139,896.72 $129,534.00 2026-03-01
1904 OTHER New Technology - Level 50 25 13 — — $123,779.40 $142,346.31 $128,730.58 2026-03-01
1903 OTHER New Technology - Level 50 25 13 — — $123,779.40 $142,346.31 $128,730.58 2026-03-01
4404 APR_DRG Kidney Transplant 15 9 — — $112,382.04 $135,677.16 $125,627.00 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $111,678.38 $134,827.20 $124,840.00 2026-03-01
01903 OTHER New Technology - Level 50 4 2 — — $120,066.02 $126,851.70 $123,412.77 2026-03-01
01904 OTHER New Technology - Level 50 4 2 — — $120,066.02 $126,851.70 $123,412.77 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $123,742.09 $123,321.96 2026-03-01
4403 APR_DRG Kidney Transplant 15 9 — — $109,787.19 $132,544.08 $122,726.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 9 — — $109,395.95 $132,072.12 $122,289.00 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $108,914.86 $131,491.08 $121,751.00 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 15 9 — — $108,884.45 $131,454.36 $121,717.00 2026-03-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 9 — — $108,660.49 $131,184.36 $121,467.00 2026-03-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $107,831.02 $130,183.20 $120,540.00 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 9 — — $107,354.08 $129,607.56 $120,007.00 2026-03-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 9 — — $104,605.77 $126,288.72 $116,934.00 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 9 — — $102,894.30 $124,222.68 $115,021.00 2026-03-01
6904 APR_DRG Acute Leukemia 15 9 — — $101,657.00 $122,729.04 $113,638.00 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 9 — — $101,529.82 $122,575.68 $113,496.00 2026-03-01
1902 OTHER New Technology - Level 49 25 13 — — $108,622.80 $124,916.22 $112,967.71 2026-03-01
1901 OTHER New Technology - Level 49 25 13 — — $108,622.80 $124,916.22 $112,967.71 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 10 4 — — $96,500.00 $144,857.31 $112,869.51 2026-03-01
8634 APR_DRG Neonatal Aftercare 15 9 — — $100,458.42 $121,281.84 $112,298.00 2026-03-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 15 9 — — $99,468.59 $120,087.36 $111,192.00 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 9 — — $99,445.09 $120,058.20 $111,165.00 2026-03-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 15 9 — — $99,118.83 $119,665.08 $110,801.00 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 69 22 — — $8,596.00 $206,087.05 $110,152.17 2026-03-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 9 — — $97,815.18 $118,090.44 $109,343.00 2026-03-01
01901 OTHER New Technology - Level 49 4 2 — — $105,364.12 $111,318.90 $108,301.07 2026-03-01
01902 OTHER New Technology - Level 49 4 2 — — $105,364.12 $111,318.90 $108,301.07 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 29 15 — — $96,999.90 $115,820.01 $108,243.00 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 2 — — $96,360.63 $120,010.50 $107,875.52 2026-03-01
3124 APR_DRG Skin Graft For Musculoskeletal And Connective Tissue Diagnoses 15 9 — — $96,388.49 $116,368.92 $107,749.00 2026-03-01
7 MS_DRG Lung Transplant 55 22 — — $20,990.00 $190,608.39 $105,922.85 2026-03-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 15 9 — — $94,318.97 $113,869.80 $105,435.00 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 64 24 — — $19,893.00 $209,628.00 $105,123.07 2026-03-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $93,879.35 $113,339.52 $104,944.00 2026-03-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 15 9 — — $93,854.46 $113,309.28 $104,916.00 2026-03-01
5911 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 9 — — $93,756.31 $113,190.48 $104,806.00 2026-03-01
C1822 HCPCS Pulse Gen Imp 48 7 $198,000.00 $198,000.00 $27,000.00 $202,500.00 $104,625.00 2026-03-01
204 APR_DRG Open Craniotomy For Trauma 15 9 — — $93,593.18 $112,993.92 $104,624.00 2026-03-01
8904 APR_DRG HIV With Multiple Major HIV Related Conditions 15 9 — — $93,503.32 $112,884.84 $104,523.00 2026-03-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $92,263.26 $111,387.96 $103,137.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 23 — — $20,990.00 $210,166.00 $101,583.00 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 72 23 — — $20,990.00 $167,336.00 $101,583.00 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 15 9 — — $90,170.24 $108,860.76 $100,797.00 2026-03-01
64654 CPT Initial Open Implantation Of Baroreflex Activation Therapy (bat) Modulation Syst… 5 4 — — $1,995.00 $100,433.00 $100,433.00 2026-03-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 9 — — $89,361.50 $107,884.44 $99,893.00 2026-03-01
1585 OTHER New Technology - Level 48 25 13 — — $95,992.30 $110,391.14 $99,831.99 2026-03-01
1599 OTHER New Technology - Level 48 25 13 — — $95,992.30 $110,391.14 $99,831.99 2026-03-01
593732 CDM Graft Condyl Whole Rt 12 7 $167,176.00 $167,176.00 $28,495.80 $170,974.80 $99,735.30 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 9 2 — — $54,184.96 $173,512.94 $99,485.48 2026-03-01
4402 APR_DRG Kidney Transplant 15 9 — — $88,873.50 $107,295.84 $99,348.00 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 9 — — $88,804.38 $107,212.68 $99,271.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 80 24 — — $62,449.96 $146,581.00 $98,698.00 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 4 2 — — $87,194.60 $107,554.20 $97,109.46 2026-03-01
215 MS_DRG Other Heart Assist System Implant 72 24 — — $43,687.00 $173,680.00 $97,099.14 2026-03-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 15 9 — — $86,502.60 $104,432.76 $96,697.00 2026-03-01
01585 OTHER New Technology - Level 48 4 2 — — $93,112.53 $98,374.91 $95,707.98 2026-03-01
01599 OTHER New Technology - Level 48 4 2 — — $93,112.53 $98,374.91 $95,707.98 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 15 9 — — $85,507.24 $103,231.80 $95,585.00 2026-03-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 9 — — $85,312.31 $102,996.36 $95,367.00 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 9 — — $85,232.13 $102,899.16 $95,277.00 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 29 15 — — $88,300.94 $104,686.68 $95,081.00 2026-03-01
84398 CDM Ins/repl Sq Icd With Elec 14 10 $166,771.48 $166,771.48 $27,016.98 $162,101.88 $94,559.43 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 33 21 — — $27,878.00 $197,434.00 $94,448.76 2026-03-01
1774 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 15 9 — — $83,971.33 $101,377.44 $93,868.00 2026-03-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 15 9 — — $83,412.83 $100,703.52 $93,244.00 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 76 24 — — $56,882.86 $133,355.00 $93,171.00 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 57 22 — — $20,990.00 $350,637.00 $92,788.86 2026-03-01
772933 CDM Stent Graft 10cm 21x21mm 12 7 $176,000.00 $176,000.00 $26,400.00 $158,400.00 $92,400.00 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 24 — — $57,125.89 $133,933.00 $91,714.22 2026-03-01
4414 APR_DRG Major Bladder Procedures 15 9 — — $81,886.60 $98,859.96 $91,537.00 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 61 22 — — $8,596.00 $189,677.00 $91,353.72 2026-03-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 15 9 — — $80,841.47 $97,598.52 $90,369.00 2026-03-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 9 — — $80,535.95 $97,230.24 $90,028.00 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 68 23 — — $53,102.92 $179,233.00 $89,641.00 2026-03-01
1598 OTHER New Technology - Level 47 25 13 — — $85,887.91 $98,771.10 $89,323.43 2026-03-01
1584 OTHER New Technology - Level 47 25 13 — — $85,887.91 $98,771.10 $89,323.43 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 23 — — $20,990.00 $142,500.00 $89,133.50 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 1 — — $85,554.85 $92,690.80 $89,122.83 2026-03-01
1694 APR_DRG Major Abdominal Vascular Procedures 15 9 — — $79,503.26 $95,982.84 $88,873.00 2026-03-01
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 15 9 — — $78,691.76 $95,003.28 $87,966.00 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 15 5 — — $54,600.00 $170,328.19 $87,600.00 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 15 9 — — $78,059.98 $94,240.80 $87,260.00 2026-03-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 15 9 — — $77,736.49 $93,849.84 $86,898.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 72 24 — — $50,439.00 $147,043.00 $86,287.04 2026-03-01
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 15 9 — — $77,010.70 $92,973.96 $86,087.00 2026-03-01
01598 OTHER New Technology - Level 47 4 2 — — $83,311.27 $88,019.72 $85,633.52 2026-03-01
01584 OTHER New Technology - Level 47 4 2 — — $83,311.27 $88,019.72 $85,633.52 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 24 — — $56,680.00 $170,641.00 $85,517.00 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 72 23 — — $20,990.00 $134,515.00 $85,510.31 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 55 22 — — $20,990.00 $155,320.48 $85,257.35 2026-03-01
234 APR_DRG Spinal Procedures 15 9 — — $76,170.18 $91,958.76 $85,147.00 2026-03-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $75,843.92 $91,565.64 $84,783.00 2026-03-01
1204 APR_DRG Major Respiratory And Chest Procedures 15 9 — — $75,778.94 $91,486.80 $84,710.00 2026-03-01
007 OTHER Lung Transplant 4 2 — — $77,252.93 $92,236.27 $84,555.69 2026-03-01
1784 APR_DRG External Heart Assist Devices 15 9 — — $75,519.04 $91,172.52 $84,419.00 2026-03-01
4014 APR_DRG Adrenal Procedures 15 9 — — $75,469.27 $91,113.12 $84,364.00 2026-03-01
2304 APR_DRG Major Small Bowel Procedures 15 9 — — $75,324.12 $90,937.08 $84,201.00 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 4 2 — — $76,370.32 $92,304.75 $84,133.95 2026-03-01
914 APR_DRG Other Major Head And Neck Procedures 15 9 — — $75,207.99 $90,797.76 $84,072.00 2026-03-01
585009 CDM Cage Spn Custm L4/l5 12 7 $140,800.00 $140,800.00 $24,000.00 $144,000.00 $84,000.00 2026-03-01
274 APR_DRG Other Open Craniotomy 15 9 — — $74,538.89 $89,989.92 $83,324.00 2026-03-01
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 15 9 — — $74,111.71 $89,473.68 $82,846.00 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 17 5 — — $47,690.07 $147,108.87 $82,597.20 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 4 1 — — $79,214.72 $85,821.86 $82,518.29 2026-03-01
214 APR_DRG Open Craniotomy Except Trauma 15 9 — — $73,720.48 $89,001.72 $82,409.00 2026-03-01
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 9 — — $72,639.40 $87,696.00 $81,200.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 80 24 — — $26,741.00 $138,171.38 $81,016.10 2026-03-01
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 15 9 — — $72,011.77 $86,938.92 $80,499.00 2026-03-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 9 — — $71,830.67 $86,719.68 $80,296.00 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 80 24 — — $44,021.68 $123,073.00 $80,218.84 2026-03-01
1783 APR_DRG External Heart Assist Devices 15 9 — — $71,634.36 $86,483.16 $80,077.00 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 72 24 — — $26,741.00 $139,640.00 $79,908.07 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 2 — — $77,112.80 $81,748.55 $79,396.91 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 10 4 — — $60,830.00 $118,330.00 $79,028.72 2026-03-01
1583 OTHER New Technology - Level 46 25 13 — — $75,783.51 $87,151.04 $78,814.85 2026-03-01
1597 OTHER New Technology - Level 46 25 13 — — $75,783.51 $87,151.04 $78,814.85 2026-03-01
894 APR_DRG Major Cranial Or Facial Bone Procedures 15 9 — — $70,372.18 $84,959.28 $78,666.00 2026-03-01
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 9 — — $70,218.73 $84,773.52 $78,494.00 2026-03-01
484138 CDM Stent Eprsth 40mm 15cm 12 7 $149,000.00 $149,000.00 $22,350.00 $134,100.00 $78,225.00 2026-03-01
460202 CDM Stent Eprsth 34mm 10cm 12 7 $149,000.00 $149,000.00 $22,350.00 $134,100.00 $78,225.00 2026-03-01
441242 CDM Stent Eprsth 31mm 10cm 12 7 $149,000.00 $149,000.00 $22,350.00 $134,100.00 $78,225.00 2026-03-01
482347 CDM Stent Eprsth 28mm 10cm 12 7 $149,000.00 $149,000.00 $22,350.00 $134,100.00 $78,225.00 2026-03-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 15 9 — — $69,756.99 $84,216.24 $77,978.00 2026-03-01
1782 APR_DRG External Heart Assist Devices 15 9 — — $69,672.66 $84,114.72 $77,884.00 2026-03-01
C9150 HCPCS Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 3 1 — — $45,614.40 $77,438.40 $77,438.40 2024-10-01
224 APR_DRG Ventricular Shunt Procedures 15 9 — — $69,186.04 $83,527.20 $77,340.00 2026-03-01
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 15 9 — — $69,118.30 $83,445.12 $77,264.00 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 4 — — $55,398.00 $108,418.21 $77,189.96 2026-03-01
4054 APR_DRG Other Procedures For Endocrine, Nutritional And Metabolic Disorders 15 9 — — $68,941.35 $83,231.28 $77,066.00 2026-03-01
1214 APR_DRG Other Respiratory And Chest Procedures 15 9 — — $68,369.02 $82,541.16 $76,427.00 2026-03-01
6113 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 9 — — $68,348.28 $82,515.24 $76,403.00 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 72 23 — — $20,990.00 $136,107.00 $76,150.41 2026-03-01
C1820 HCPCS Device Neurostimulator 144 7 $164,120.00 $164,120.00 $14,251.50 $170,100.00 $76,101.00 2026-03-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 9 — — $67,850.60 $81,914.76 $75,847.00 2026-03-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 15 9 — — $67,827.10 $81,886.68 $75,821.00 2026-03-01
1794 APR_DRG Defibrillator Implants 15 9 — — $67,623.88 $81,641.52 $75,594.00 2026-03-01
01583 OTHER New Technology - Level 46 4 2 — — $73,510.00 $77,664.52 $75,559.04 2026-03-01
01597 OTHER New Technology - Level 46 4 2 — — $73,510.00 $77,664.52 $75,559.04 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 72 23 — — $20,990.00 $136,107.00 $75,409.10 2026-03-01
264 APR_DRG Other Nervous System And Related Procedures 15 9 — — $66,895.32 $80,761.32 $74,779.00 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 1 — — $71,523.66 $77,489.30 $74,506.48 2026-03-01
2614 APR_DRG Major Biliary Tract Procedures 15 9 — — $66,505.47 $80,290.44 $74,343.00 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 72 24 — — $45,262.57 $136,211.00 $73,778.76 2026-03-01
2324 APR_DRG Gastric Fundoplication 15 9 — — $65,989.82 $79,668.36 $73,767.00 2026-03-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 15 9 — — $65,799.04 $79,438.32 $73,554.00 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 24 — — $49,027.08 $114,693.00 $73,484.74 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 72 24 — — $45,612.57 $114,693.00 $73,286.34 2026-03-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 15 9 — — $65,452.05 $79,019.28 $73,166.00 2026-03-01
2294 APR_DRG Other Digestive System And Abdominal Procedures 15 9 — — $65,071.87 $78,560.28 $72,741.00 2026-03-01
8412 APR_DRG Extensive Third Degree Burns With Skin Graft 15 9 — — $64,637.79 $78,036.48 $72,256.00 2026-03-01
8411 APR_DRG Extensive Third Degree Burns With Skin Graft 15 9 — — $64,637.79 $78,036.48 $72,256.00 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 72 24 — — $39,903.99 $108,155.00 $71,669.54 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 68 23 — — $8,596.00 $151,048.00 $71,598.22 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 9 — — $63,755.78 $76,971.60 $71,270.00 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 9 — — $63,755.78 $76,971.60 $71,270.00 2026-03-01
1814 APR_DRG Lower Extremity Vascular Procedures 15 9 — — $63,616.16 $76,803.12 $71,114.00 2026-03-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 9 — — $63,509.71 $76,674.60 $70,995.00 2026-03-01
C1767 HCPCS Neurostim Rechargeable 120 7 $168,000.00 $168,000.00 $12,825.00 $194,400.00 $70,860.13 2026-03-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 9 — — $63,086.68 $76,163.76 $70,522.00 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 4 2 — — $63,386.71 $77,903.00 $70,456.51 2026-03-01
9514 APR_DRG Moderately Extensive O.r. Procedure Unrelated To Principal Diagnosis 15 9 — — $62,818.48 $75,839.76 $70,222.00 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 72 23 — — $20,990.00 $103,989.00 $69,654.73 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 76 24 — — $43,838.12 $102,366.00 $69,350.00 2026-03-01
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 15 9 — — $61,877.03 $74,702.52 $69,169.00 2026-03-01
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 15 9 — — $61,810.68 $74,622.60 $69,095.00 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 76 24 — — $40,848.23 $120,000.00 $69,090.00 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 29 15 — — $63,895.55 $75,752.45 $68,801.70 2026-03-01
6954 APR_DRG Chemotherapy For Acute Leukemia 15 9 — — $61,346.17 $74,062.08 $68,576.00 2026-03-01
2634 APR_DRG Cholecystectomy 15 9 — — $61,296.41 $74,001.60 $68,520.00 2026-03-01
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 15 9 — — $61,140.19 $73,813.68 $68,346.00 2026-03-01
1582 OTHER New Technology - Level 45 25 13 — — $65,679.10 $75,530.96 $68,306.26 2026-03-01
1596 OTHER New Technology - Level 45 25 13 — — $65,679.10 $75,530.96 $68,306.26 2026-03-01
612286 CDM Graft Endovasc 10x45mm 12 7 $130,000.00 $130,000.00 $19,500.00 $117,000.00 $68,250.00 2026-03-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 9 — — $60,845.73 $73,458.36 $68,017.00 2026-03-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 15 9 — — $60,508.41 $73,051.20 $67,640.00 2026-03-01
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 15 9 — — $60,421.32 $72,945.36 $67,542.00 2026-03-01
1673 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 15 9 — — $60,050.82 $72,498.24 $67,128.00 2026-03-01
1773 APR_DRG Cardiac Pacemaker And Defibrillator Revision Except Device Replacement 15 9 — — $60,050.82 $72,498.24 $67,128.00 2026-03-01
5114 APR_DRG Uterine And Adnexa Procedures For Ovarian And Adnexal Malignancy 15 9 — — $60,041.14 $72,486.36 $67,117.00 2026-03-01
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 15 9 — — $60,027.32 $72,470.16 $67,102.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 25 13 — — $52,609.74 $71,237.40 $66,577.01 2026-03-01
8633 APR_DRG Neonatal Aftercare 15 9 — — $59,380.33 $71,689.32 $66,379.00 2026-03-01
294 APR_DRG Other Percutaneous Intracranial Procedures 15 9 — — $59,374.80 $71,681.76 $66,372.00 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 17 5 — — $38,337.72 $117,019.36 $66,009.58 2026-03-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 9 — — $58,845.32 $71,042.40 $65,780.00 2026-03-01
6091 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 9 — — $58,845.32 $71,042.40 $65,780.00 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 72 24 — — $20,990.00 $132,914.00 $65,649.25 2026-03-01
5894 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 9 — — $58,727.82 $70,900.92 $65,649.00 2026-03-01
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