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

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Hospital

TEXAS HEALTH HEART & VASCULAR HOSPITAL ARLINGTON

Arlington, TX · CCN 670071 · Rates published

17,411 distinct procedures filed
20 distinct payers
1,126,742 rate rows
2026-04-21 last MRF observed
Data quality

1,120,774 of 1,126,742 rate rows are consumer-grade (99.5%)

5,968 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 5,278
per-diem day rate — not a per-procedure price 317
percent-of-charges filed in the dollar field — excluded from medians 136
template filing: same amount across many unrelated codes — excluded 120
exceeds 10× this hospital's gross charge — excluded from medians 76
placeholder amount (≤ $0.02) — excluded from medians 41
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/13795/203003947_amh-cath-labs-llc_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/TexasHealthHeartVascularHospitalArlington/13795
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint da68ce6cbe6ad9b6… · 2,042,638,324 bytes · first seen 2026-05-09

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 7 $4,505,000.00 $4,955,500.00 $4,685,200.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 8 $3,685,266.67 $4,164,351.33 $3,869,530.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 8 $3,335,820.00 $3,769,476.60 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 8 $3,316,462.59 $3,747,602.72 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 8 $3,248,445.72 $3,670,743.66 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 8 $3,090,000.00 $3,491,700.00 $3,244,500.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 8 $2,945,740.00 $3,328,686.20 $3,093,027.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $2,774,274.98 $2,577,866.14 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,332,000.00 $2,635,160.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 8 $770,620.00 $870,800.60 $809,151.00 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $591,726.20 $1,801,432.90 $621,312.51 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $565,868.95 $1,905,135.39 $594,162.39 nat. median
$674,867
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $562,538.19 $1,756,672.08 $590,665.09 nat. median
$673,137
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $557,317.93 $1,778,847.42 $585,183.83 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $533,230.17 $1,737,155.71 $559,891.68 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $489,304.61 $1,737,155.71 $513,769.84 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $308,933.52 $2,731,764.38 $341,371.54 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $314,422.50 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 8 $257,500.00 $290,975.00 $270,375.00 nat. median
$265,000
1.0× median
5834
APR_DRG 		Neonate With Ecmo 7 $260,900.38 $286,990.42 $260,900.38 nat. median
$309,665
0.8× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 7 $253,804.13 $279,184.54 $253,804.13 nat. median
$187,061
1.4× median
5833
APR_DRG 		Neonate With Ecmo 7 $220,920.86 $243,012.95 $220,920.86 nat. median
$244,017
0.9× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 8 $205,640.00 $232,373.20 $215,922.00 nat. median
$209,753
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 7 $212,519.61 $233,771.57 $212,519.61 nat. median
$234,729
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $200,485.42 $638,575.36 $210,509.69 nat. median
$265,286
0.8× median
0100T
CPT 		Prosth Retina Receive&gen 4 $47,367.00 $1,274,294.18 $175,375.58 nat. median
$11,210
outlier · 15.6×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 7 $165,145.66 $181,660.23 $165,145.66 nat. median
$246,434
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 17 $152,743.34 $172,599.97 $162,671.65 nat. median
$206,474
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 17 $151,846.93 $171,587.03 $161,716.98 nat. median
$202,976
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 7 $160,367.77 $176,404.55 $160,367.77 nat. median
$207,730
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 7 $150,239.35 $165,263.29 $150,239.35 nat. median
$164,834
0.9× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 $78,846.63 $552,985.89 $133,604.96 nat. median
$98,894
1.4× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 $122,879.38 $135,167.32 $122,879.38 nat. median
$150,721
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 12 $77,794.26 $605,308.66 $121,845.14 nat. median
$102,358
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 $121,790.45 $133,969.50 $121,790.45 nat. median
$162,982
0.7× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 8 $111,492.17 $125,986.15 $117,066.78 nat. median
$111,989
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 12 $71,233.25 $588,689.47 $115,999.61 nat. median
$99,019
1.2× median
5832
APR_DRG 		Neonate With Ecmo 7 $110,079.82 $121,087.80 $110,079.82 nat. median
$156,126
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 $69,987.00 $536,253.72 $108,548.02 nat. median
$93,672
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 $64,455.46 $440,291.93 $107,324.95 nat. median
$82,711
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 $60,118.65 $447,080.60 $105,967.94 nat. median
$81,118
1.3× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 17 $99,094.12 $111,976.36 $105,535.24 nat. median
$133,161
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 $104,527.99 $114,980.79 $104,527.99 nat. median
$117,173
0.9× median
J9226
HCPCS 		Supprelin La 50 Mg (65 Mcg/day) Implant Kit [91426] 20 $13,919.32 $342,206.87 $100,625.70 nat. median
$60,368
1.7× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 8 $95,081.03 $107,441.56 $99,835.08 nat. median
$96,983
1.0× median
7
MS_DRG 		Lung Transplant 9 $92,646.86 $296,269.70 $97,279.20 nat. median
$122,708
0.8× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 7 $97,135.29 $106,848.82 $97,135.29 nat. median
$32,541
outlier · 3.0×
5831
APR_DRG 		Neonate With Ecmo 7 $96,927.47 $106,620.22 $96,927.47 nat. median
$144,745
0.7× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 12 $60,308.24 $470,843.78 $94,662.54 nat. median
$79,312
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $85,977.10 $297,017.81 $90,275.96 nat. median
$117,357
0.8× median

Other procedures at this hospital

Browse this hospital's 17,411 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
             
0100T CPT Prosth Retina Receive&gen 7 4 — — $47,367.00 $1,274,294.18 $175,375.58 2026-04-21
0620T CPT Evasc Ven Artlz Tibl/prnl Vn 18 10 — — $14,351.00 $134,230.78 $45,649.69 2026-04-21
0686T CPT Histotripsy Mal Hepatcel Tis 15 8 — — $14,375.58 $104,454.18 $35,850.14 2026-04-21
0795T CPT Tcat Ins 2chmbr Ldls Pm Cmpl 77 20 $67,578.00 $40,546.80 40% off $1,243.20 $63,590.90 $47,372.18 2026-04-21
0796T CPT Tcat Ins 2chmbr Ldls Pm Ra 77 20 $67,578.00 $40,546.80 40% off $1,243.20 $63,590.90 $47,372.18 2026-04-21
0797T CPT Tcat Ins 2chmbr Ldls Pm Rv 77 20 $67,578.00 $40,546.80 40% off $6,014.44 $143,536.03 $47,676.28 2026-04-21
0801T CPT Tcat Rmv&rpl 2chmbr Ldls Pm 77 20 $67,578.00 $40,546.80 40% off $1,243.20 $63,590.90 $47,372.18 2026-04-21
0802T CPT Tcat Rmv&rpl2chmb Ldls Pm Ra 77 20 $67,578.00 $40,546.80 40% off $1,243.20 $63,590.90 $47,372.18 2026-04-21
0803T CPT Tcat Rmv&rpl2chmb Ldls Pm Rv 77 20 $67,578.00 $40,546.80 40% off $6,014.44 $143,536.03 $47,676.28 2026-04-21
0823T CPT Tcat Ins 1chmbr Ldls Pm Ra 77 20 $67,578.00 $40,546.80 40% off $6,014.44 $155,132.06 $47,676.28 2026-04-21
0825T CPT Tcat Rmv&rpl1chmb Ldls Pm Ra 77 20 $67,578.00 $40,546.80 40% off $6,014.44 $155,132.06 $47,676.28 2026-04-21
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 13 9 — — $200,485.42 $638,575.36 $210,509.69 2026-04-21
10 MS_DRG Pancreas Transplant 13 9 — — $51,335.59 $180,747.91 $53,902.37 2026-04-21
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 22 12 — — $39,019.11 $390,857.41 $52,316.79 2026-04-21
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $41,278.00 $45,405.80 $41,278.00 2026-04-21
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $59,398.20 $65,338.02 $59,398.20 2026-04-21
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 7 7 — — $104,527.99 $114,980.79 $104,527.99 2026-04-21
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 22 12 — — $30,161.63 $297,255.61 $40,063.07 2026-04-21
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $39,223.12 $43,145.43 $39,223.12 2026-04-21
14 MS_DRG Allogeneic Bone Marrow Transplant 13 9 — — $85,977.10 $297,017.81 $90,275.96 2026-04-21
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 7 — — $76,128.22 $83,741.04 $76,128.22 2026-04-21
140 MS_DRG Major Head And Neck Procedures With Mcc 22 12 — — $30,514.33 $306,346.33 $40,966.40 2026-04-21
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 13 9 — — $42,421.59 $136,833.85 $44,542.67 2026-04-21
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 7 7 — — $74,434.37 $81,877.81 $74,434.37 2026-04-21
1611 APR_DRG Implantable Heart Assist Systems 7 7 — — $56,985.38 $62,683.92 $56,985.38 2026-04-21
1612 APR_DRG Implantable Heart Assist Systems 7 7 — — $60,085.23 $66,093.75 $60,085.23 2026-04-21
1613 APR_DRG Implantable Heart Assist Systems 7 7 — — $83,585.84 $91,944.42 $83,585.84 2026-04-21
1614 APR_DRG Implantable Heart Assist Systems 7 7 — — $160,367.77 $176,404.55 $160,367.77 2026-04-21
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $36,533.43 $40,186.77 $36,533.43 2026-04-21
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 7 7 — — $64,931.48 $71,424.63 $64,931.48 2026-04-21
163 MS_DRG Major Chest Procedures With Mcc 22 12 — — $32,063.19 $333,872.01 $43,973.31 2026-04-21
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 7 7 — — $38,698.58 $42,568.44 $38,698.58 2026-04-21
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 22 12 — — $26,739.82 $278,900.33 $36,708.18 2026-04-21
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 7 7 — — $49,343.29 $54,277.62 $49,343.29 2026-04-21
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 13 9 — — $38,863.15 $136,833.85 $40,806.31 2026-04-21
1784 APR_DRG External Heart Assist Systems 7 7 — — $50,385.51 $55,424.06 $50,385.51 2026-04-21
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 18 10 — — $308,933.52 $2,731,764.38 $341,371.54 2026-04-21
1824 APR_DRG Other Peripheral Vascular Procedures 7 7 — — $38,721.59 $42,593.75 $38,721.59 2026-04-21
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 9 — — $51,041.55 $179,711.89 $53,593.63 2026-04-21
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 9 — — $81,068.68 $213,200.02 $85,122.11 2026-04-21
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 12 — — $56,294.08 $379,540.77 $84,606.36 2026-04-21
2004 APR_DRG Cardiac Structural And Valvular Disorders 7 7 — — $97,135.29 $106,848.82 $97,135.29 2026-04-21
2054 APR_DRG Cardiomyopathy 7 7 — — $37,948.35 $41,743.19 $37,948.35 2026-04-21
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 22 12 — — $46,034.41 $468,458.10 $62,290.43 2026-04-21
209 MS_DRG Complex Aortic Arch Procedures 11 8 — — $80,975.68 $91,502.52 $85,024.46 2026-04-21
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 12 — — $37,872.31 $251,465.59 $56,380.75 2026-04-21
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 22 12 — — $77,794.26 $605,308.66 $121,845.14 2026-04-21
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 11 8 — — $40,827.66 $46,135.26 $42,869.04 2026-04-21
214 APR_DRG Open Craniotomy Except Trauma 7 7 — — $36,446.86 $40,091.55 $36,446.86 2026-04-21
215 MS_DRG Other Heart Assist System Implant 22 12 — — $71,233.25 $588,689.47 $115,999.61 2026-04-21
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $69,987.00 $536,253.72 $108,548.02 2026-04-21
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $47,040.27 $358,826.76 $72,751.74 2026-04-21
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 12 — — $47,040.27 $330,566.91 $69,115.25 2026-04-21
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $54,931.23 $429,926.45 $86,359.27 2026-04-21
22 APR_DRG Heart And/or Lung Transplant 7 7 — — $42,049.18 $46,254.10 $42,049.18 2026-04-21
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $38,151.31 $294,305.84 $59,426.90 2026-04-21
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 7 7 — — $42,932.00 $47,225.20 $42,932.00 2026-04-21
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 12 — — $36,058.04 $255,183.23 $53,209.88 2026-04-21
224 APR_DRG Ventricular Shunt Procedures 7 7 — — $36,172.05 $39,789.26 $36,172.05 2026-04-21
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 12 — — $35,394.13 $276,892.08 $55,628.28 2026-04-21
23 APR_DRG Heart And/or Lung Transplant 7 7 — — $52,343.52 $57,577.87 $52,343.52 2026-04-21
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 17 — — $40,995.07 $46,324.43 $43,659.75 2026-04-21
2304 APR_DRG Major Small Bowel Procedures 7 7 — — $36,315.30 $39,946.83 $36,315.30 2026-04-21
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 12 — — $60,308.24 $470,843.78 $94,662.54 2026-04-21
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 12 — — $43,372.37 $339,423.81 $68,182.60 2026-04-21
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 22 12 — — $54,694.42 $434,310.45 $86,789.61 2026-04-21
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 22 12 — — $39,080.64 $295,611.59 $60,119.99 2026-04-21
234 APR_DRG Spinal Procedures 7 7 — — $41,967.08 $46,163.79 $41,967.08 2026-04-21
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 12 — — $41,984.47 $326,949.69 $65,793.26 2026-04-21
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 12 — — $29,967.04 $228,484.72 $46,332.90 2026-04-21
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 12 — — $35,210.27 $279,870.31 $55,907.64 2026-04-21
24 APR_DRG Heart And/or Lung Transplant 7 7 — — $212,519.61 $233,771.57 $212,519.61 2026-04-21
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 22 12 — — $22,841.57 $188,473.09 $37,158.29 2026-04-21
245 MS_DRG Aicd Generator Procedures 22 12 — — $32,639.80 $271,530.16 $53,382.11 2026-04-21
2464 APR_DRG Gastrointestinal Vascular Insufficiency 7 7 — — $72,180.59 $79,398.65 $72,180.59 2026-04-21
252 MS_DRG Other Vascular Procedures With Mcc 22 12 — — $24,955.59 $190,606.75 $38,627.27 2026-04-21
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 22 12 — — $23,270.81 $189,262.10 $37,502.34 2026-04-21
264 APR_DRG Other Nervous System And Related Procedures 7 7 — — $39,153.04 $43,068.34 $39,153.04 2026-04-21
264 MS_DRG Other Circulatory System O.r. Procedures 22 12 — — $23,898.95 $194,201.74 $38,492.87 2026-04-21
265 MS_DRG Aicd Lead Procedures 22 12 — — $25,884.92 $198,207.90 $40,130.46 2026-04-21
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 12 — — $43,843.11 $332,872.81 $67,605.57 2026-04-21
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 22 12 — — $34,059.18 $261,411.95 $52,882.04 2026-04-21
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 12 — — $49,205.10 $370,478.53 $75,474.22 2026-04-21
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 12 — — $30,213.15 $231,185.13 $46,819.43 2026-04-21
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 12 — — $37,747.12 $285,210.01 $58,028.07 2026-04-21
271 MS_DRG Other Major Cardiovascular Procedures With Cc 22 12 — — $25,442.08 $191,384.64 $39,002.24 2026-04-21
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 22 12 — — $29,514.19 $217,271.91 $44,634.16 2026-04-21
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 22 12 — — $23,549.11 $173,415.24 $35,620.40 2026-04-21
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 12 — — $51,011.50 $392,670.79 $79,350.55 2026-04-21
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 12 — — $42,971.73 $344,185.64 $68,568.99 2026-04-21
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 22 12 — — $33,041.15 $258,478.17 $51,929.33 2026-04-21
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $39,821.09 $278,003.36 $58,272.51 2026-04-21
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 12 — — $25,800.50 $178,049.28 $37,488.74 2026-04-21
28 MS_DRG Spinal Procedures With Mcc 22 12 — — $42,983.90 $211,789.76 $75,970.77 2026-04-21
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 22 12 — — $24,406.89 $116,937.10 $42,326.88 2026-04-21
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 27 17 — — $151,846.93 $171,587.03 $161,716.98 2026-04-21
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $38,752.85 $42,628.14 $38,752.85 2026-04-21
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 7 7 — — $45,809.25 $50,390.18 $45,809.25 2026-04-21
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 7 7 — — $38,055.87 $41,861.46 $38,055.87 2026-04-21
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 22 12 — — $47,835.80 $343,741.13 $71,259.99 2026-04-21
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 12 — — $31,927.98 $318,196.86 $42,682.92 2026-04-21
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 12 — — $30,958.60 $236,669.30 $47,946.32 2026-04-21
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 22 12 — — $22,542.53 $177,532.54 $35,581.50 2026-04-21
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 22 12 — — $35,680.29 $367,902.44 $48,652.56 2026-04-21
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 12 — — $32,883.77 $332,618.87 $44,339.89 2026-04-21
33224 CPT Insert Pacing Lead Connect 77 20 $55,705.75 $33,423.45 40% off $6,252.51 $85,665.21 $39,300.40 2026-04-21
33225 CPT L Ventric Pacing Lead Add-on 69 20 $55,705.75 $33,423.45 40% off $385.24 $52,419.11 $39,300.40 2026-04-21
33230 CPT Insrt Icd Pulse Gen Dual Lead 77 20 $71,587.50 $42,952.50 40% off $16,993.10 $189,788.91 $50,504.99 2026-04-21
33249 CPT Insrt/replace Dul Chbr Icd+gen 77 20 $86,388.00 $51,832.80 40% off $21,852.74 $269,753.74 $60,946.74 2026-04-21
33262 CPT Remove/replce Icd Gen Sng Lead 77 20 $60,724.75 $36,434.85 40% off $16,178.06 $189,788.91 $42,841.31 2026-04-21
33263 CPT Remove/rplce Icd Gen Dual Lead 77 20 $60,724.75 $36,434.85 40% off $16,336.46 $189,788.91 $42,841.31 2026-04-21
33264 CPT Remove/rplce Icd Gen Mult Lead 77 20 $60,724.75 $36,434.85 40% off $17,610.18 $269,753.74 $42,841.31 2026-04-21
33270 CPT Ins/rep Subq Defibrillator 80 20 $53,421.00 $32,052.60 40% off $3,009.00 $269,753.74 $37,688.51 2026-04-21
33274 CPT Tcat Insj/rpl Perm Ldls Pm 77 20 $67,578.00 $40,546.80 40% off $6,014.44 $133,194.39 $47,676.28 2026-04-21
33276 CPT Insj Phrnc Nrv Stim Sys 25 12 — — $32,454.62 $376,024.18 $46,536.10 2026-04-21
33289 CPT Tcat Impl Wrls P-art Prs Snr L-t Hemodyn Mntr 77 20 $67,420.50 $40,452.30 40% off $6,000.42 $238,325.90 $47,565.17 2026-04-21
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 12 — — $27,691.33 $183,091.66 $41,116.58 2026-04-21
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 12 — — $31,426.47 $308,990.25 $41,686.53 2026-04-21
38240 CPT Transplt Allo Hct/donor 18 10 — — $9,883.00 $312,814.21 $66,139.99 2026-04-21
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 27 17 — — $99,094.12 $111,976.36 $105,535.24 2026-04-21
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 12 — — $27,623.37 $177,601.78 $40,314.46 2026-04-21
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 12 — — $28,763.00 $206,521.13 $49,510.66 2026-04-21
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 12 — — $39,136.44 $393,233.31 $52,567.10 2026-04-21
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $36,984.11 $40,682.52 $36,984.11 2026-04-21
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 12 — — $29,710.93 $294,626.19 $39,604.79 2026-04-21
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $78,846.63 $552,985.89 $133,604.96 2026-04-21
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $51,642.50 $374,944.43 $89,561.62 2026-04-21
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 12 — — $40,220.28 $290,555.93 $69,517.57 2026-04-21
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 12 — — $64,455.46 $440,291.93 $107,324.95 2026-04-21
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $56,565.61 $62,222.17 $56,565.61 2026-04-21
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 12 — — $41,258.34 $288,782.22 $69,818.42 2026-04-21
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 7 7 — — $48,600.62 $53,460.68 $48,600.62 2026-04-21
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 7 7 — — $87,978.66 $96,776.53 $87,978.66 2026-04-21
4404 APR_DRG Kidney Transplant 7 7 — — $56,844.54 $62,528.99 $56,844.54 2026-04-21
4414 APR_DRG Major Bladder Procedures 7 7 — — $53,795.54 $59,175.09 $53,795.54 2026-04-21
4424 APR_DRG Kidney And Urinary Tract Procedures For Malignancy 7 7 — — $35,973.85 $39,571.24 $35,973.85 2026-04-21
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 12 — — $47,800.74 $233,567.62 $84,007.42 2026-04-21
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 7 7 — — $42,598.11 $46,857.92 $42,598.11 2026-04-21
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $30,339.04 $215,563.88 $51,857.43 2026-04-21
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 12 — — $38,128.42 $179,410.40 $65,326.13 2026-04-21
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 22 12 — — $23,110.56 $162,906.85 $39,293.10 2026-04-21
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $60,118.65 $447,080.60 $105,967.94 2026-04-21
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $42,660.53 $302,977.19 $72,896.71 2026-04-21
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 22 12 — — $29,851.14 $227,942.90 $53,575.37 2026-04-21
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 22 12 — — $39,512.02 $497,643.77 $73,255.08 2026-04-21
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $40,774.72 $448,650.27 $68,954.32 2026-04-21
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 12 — — $22,282.83 $244,934.30 $37,657.32 2026-04-21
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 12 — — $37,239.89 $423,198.23 $64,352.28 2026-04-21
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 22 12 — — $25,229.61 $284,524.51 $43,374.07 2026-04-21
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 22 12 — — $21,699.78 $271,524.37 $40,049.23 2026-04-21
471 MS_DRG Cervical Spinal Fusion With Mcc 22 12 — — $34,544.95 $256,412.01 $60,812.23 2026-04-21
472 MS_DRG Cervical Spinal Fusion With Cc 22 12 — — $21,076.65 $152,940.29 $36,538.85 2026-04-21
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 12 — — $30,711.79 $372,535.06 $55,478.84 2026-04-21
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 12 — — $24,714.52 $285,670.85 $43,200.36 2026-04-21
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 22 12 — — $20,834.85 $244,302.99 $36,774.60 2026-04-21
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 22 12 — — $23,086.95 $267,420.81 $40,413.01 2026-04-21
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 22 12 — — $26,266.95 $294,991.08 $45,031.35 2026-04-21
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 22 12 — — $25,938.58 $292,449.20 $44,585.68 2026-04-21
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 13 9 — — $73,762.22 $241,421.90 $77,450.33 2026-04-21
500 MS_DRG Soft Tissue Procedures With Mcc 22 12 — — $22,641.25 $263,217.57 $39,731.01 2026-04-21
509 MS_DRG Orthopedic 11 6 — — $29,869.17 $145,925.56 $44,976.94 2026-04-21
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 22 12 — — $21,608.93 $237,416.65 $36,507.18 2026-04-21
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 22 12 — — $22,799.36 $256,879.48 $39,171.68 2026-04-21
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 22 12 — — $26,736.97 $189,195.78 $45,575.76 2026-04-21
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $37,224.57 $40,947.03 $37,224.57 2026-04-21
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $40,761.70 $44,837.87 $40,761.70 2026-04-21
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 7 7 — — $56,584.85 $62,243.34 $56,584.85 2026-04-21
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $46,869.29 $446,075.38 $61,028.65 2026-04-21
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 12 — — $35,063.61 $390,813.95 $50,078.57 2026-04-21
5831 APR_DRG Neonate With Ecmo 7 7 — — $96,927.47 $106,620.22 $96,927.47 2026-04-21
5832 APR_DRG Neonate With Ecmo 7 7 — — $110,079.82 $121,087.80 $110,079.82 2026-04-21
5833 APR_DRG Neonate With Ecmo 7 7 — — $220,920.86 $243,012.95 $220,920.86 2026-04-21
5834 APR_DRG Neonate With Ecmo 7 7 — — $260,900.38 $286,990.42 $260,900.38 2026-04-21
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $83,144.09 $91,458.50 $83,144.09 2026-04-21
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $88,206.75 $97,027.43 $88,206.75 2026-04-21
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $88,611.75 $97,472.93 $88,611.75 2026-04-21
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 7 7 — — $165,145.66 $181,660.23 $165,145.66 2026-04-21
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $69,682.24 $76,650.46 $69,682.24 2026-04-21
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $67,536.32 $74,289.95 $67,536.32 2026-04-21
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 7 7 — — $63,347.55 $69,682.31 $63,347.55 2026-04-21
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $45,498.72 $50,048.59 $45,498.72 2026-04-21
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $55,106.03 $60,616.63 $55,106.03 2026-04-21
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 7 7 — — $83,684.43 $92,052.87 $83,684.43 2026-04-21
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $38,984.03 $42,882.43 $38,984.03 2026-04-21
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $49,619.48 $54,581.43 $49,619.48 2026-04-21
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 7 7 — — $69,473.73 $76,421.10 $69,473.73 2026-04-21
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $41,276.28 $45,403.91 $41,276.28 2026-04-21
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $63,865.91 $70,252.50 $63,865.91 2026-04-21
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 7 7 — — $71,808.23 $78,989.05 $71,808.23 2026-04-21
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 7 7 — — $45,053.53 $49,558.88 $45,053.53 2026-04-21
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 7 7 — — $54,949.74 $60,444.71 $54,949.74 2026-04-21
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $39,176.74 $43,094.41 $39,176.74 2026-04-21
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 7 7 — — $121,790.45 $133,969.50 $121,790.45 2026-04-21
61 APR_DRG Pancreas Transplant 7 7 — — $40,207.62 $44,228.38 $40,207.62 2026-04-21
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 7 7 — — $49,562.45 $54,518.70 $49,562.45 2026-04-21
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 7 7 — — $42,698.07 $46,967.88 $42,698.07 2026-04-21
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 7 7 — — $36,595.60 $40,255.16 $36,595.60 2026-04-21
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 22 12 — — $24,949.16 $279,965.14 $35,778.93 2026-04-21
62 APR_DRG Pancreas Transplant 7 7 — — $40,733.53 $44,806.88 $40,733.53 2026-04-21
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 7 7 — — $60,647.90 $66,712.69 $60,647.90 2026-04-21
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 22 12 — — $25,462.82 $271,055.51 $35,379.11 2026-04-21
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 22 12 — — $26,661.85 $285,810.73 $37,199.32 2026-04-21
63 APR_DRG Pancreas Transplant 7 7 — — $45,034.98 $49,538.48 $45,034.98 2026-04-21
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $57,915.27 $63,706.80 $57,915.27 2026-04-21
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 7 7 — — $122,879.38 $135,167.32 $122,879.38 2026-04-21
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 7 7 — — $86,725.54 $95,398.09 $86,725.54 2026-04-21
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 7 7 — — $46,090.24 $50,699.26 $46,090.24 2026-04-21
64 APR_DRG Pancreas Transplant 7 7 — — $69,687.73 $76,656.50 $69,687.73 2026-04-21
64568 CPT Opn Impltj Crnl Nrv Nea&pg 25 12 — — $19,861.72 $243,316.19 $46,092.90 2026-04-21
64654 CPT 1st Opn Implt Bat Modulj Sys 11 8 — — $44,320.09 $50,081.70 $46,536.10 2026-04-21
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 10 — — $33,634.23 $104,447.49 $35,315.94 2026-04-21
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 7 7 — — $37,099.88 $40,809.87 $37,099.88 2026-04-21
653 MS_DRG Major Bladder Procedures With Mcc 22 12 — — $37,175.50 $403,801.73 $52,277.67 2026-04-21
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 12 — — $30,058.62 $303,477.87 $40,486.77 2026-04-21
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $55,106.03 $60,616.63 $55,106.03 2026-04-21
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 7 7 — — $74,475.93 $81,923.52 $74,475.93 2026-04-21
6904 APR_DRG Acute Leukemia 7 7 — — $48,900.16 $53,790.18 $48,900.16 2026-04-21
6954 APR_DRG Chemotherapy For Acute Leukemia 7 7 — — $37,899.57 $41,689.53 $37,899.57 2026-04-21
7 MS_DRG Lung Transplant 13 9 — — $92,646.86 $296,269.70 $97,279.20 2026-04-21
71 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $39,511.67 $43,462.84 $39,511.67 2026-04-21
72 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $60,172.82 $66,190.10 $60,172.82 2026-04-21
73 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $89,557.78 $98,513.56 $89,557.78 2026-04-21
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 12 — — $25,572.27 $285,223.99 $36,538.27 2026-04-21
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 22 12 — — $25,631.66 $288,360.47 $36,814.74 2026-04-21
74 APR_DRG Allogeneic Bone Marrow Transplant 7 7 — — $253,804.13 $279,184.54 $253,804.13 2026-04-21
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 8 — — $42,520.32 $48,047.96 $44,646.34 2026-04-21
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 7 7 — — $38,065.14 $41,871.65 $38,065.14 2026-04-21
799 MS_DRG Splenic Procedures With Mcc 22 12 — — $32,400.15 $344,418.69 $44,980.51 2026-04-21
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 13 9 — — $40,095.80 $123,349.74 $42,100.59 2026-04-21
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 12 — — $28,502.59 $259,668.57 $36,214.69 2026-04-21
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 12 — — $41,957.29 $421,744.12 $56,368.97 2026-04-21
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 12 — — $32,800.07 $338,964.26 $44,784.04 2026-04-21
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 12 — — $33,465.39 $345,918.12 $45,698.50 2026-04-21
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $51,250.81 $56,375.89 $51,250.81 2026-04-21
834 MS_DRG Acute Leukemia With Mcc 22 12 — — $39,275.22 $400,375.50 $53,198.65 2026-04-21
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 12 — — $34,370.38 $362,701.54 $47,509.65 2026-04-21
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 7 7 — — $75,823.18 $83,405.50 $75,823.18 2026-04-21
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $37,860.75 $41,646.83 $37,860.75 2026-04-21
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 7 7 — — $87,600.46 $96,360.51 $87,600.46 2026-04-21
850 MS_DRG Acute Leukemia With Other Procedures 22 12 — — $61,950.81 $667,273.19 $86,680.97 2026-04-21
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 7 7 — — $84,440.84 $92,884.92 $84,440.84 2026-04-21
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 12 — — $35,331.17 $362,274.17 $48,019.40 2026-04-21
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 12 — — $32,541.79 $326,802.26 $43,696.18 2026-04-21
8634 APR_DRG Neonatal Aftercare 7 7 — — $58,476.91 $64,324.60 $58,476.91 2026-04-21
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 22 12 — — $49,447.63 $503,901.03 $66,963.88 2026-04-21
901 MS_DRG Wound Debridements For Injuries With Mcc 22 12 — — $30,022.84 $320,927.70 $41,818.01 2026-04-21
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 22 12 — — $26,277.68 $279,682.64 $36,507.66 2026-04-21
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 12 — — $27,466.69 $288,563.29 $37,867.24 2026-04-21
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $47,079.90 $51,787.89 $47,079.90 2026-04-21
9104 APR_DRG Craniotomy For Multiple Significant Trauma 7 7 — — $41,815.25 $45,996.78 $41,815.25 2026-04-21
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 7 7 — — $35,426.29 $38,968.92 $35,426.29 2026-04-21
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $48,546.01 $53,400.61 $48,546.01 2026-04-21
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 27 17 — — $152,743.34 $172,599.97 $162,671.65 2026-04-21
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 27 17 — — $51,314.13 $57,984.97 $54,649.55 2026-04-21
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $73,812.27 $81,193.50 $73,812.27 2026-04-21
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 7 7 — — $150,239.35 $165,263.29 $150,239.35 2026-04-21
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $40,573.80 $44,631.18 $40,573.80 2026-04-21
9524 APR_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis 7 7 — — $35,752.97 $39,328.27 $35,752.97 2026-04-21
955 MS_DRG Craniotomy For Multiple Significant Trauma 27 17 — — $48,154.87 $54,415.00 $51,284.93 2026-04-21
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 27 17 — — $54,513.43 $61,600.18 $58,056.81 2026-04-21
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 12 — — $43,792.31 $458,106.99 $60,221.98 2026-04-21
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 12 — — $33,565.54 $344,353.50 $45,633.91 2026-04-21
A9543 HCPCS Y90 Ibritumomab, Rx 12 9 — — $56,824.55 $253,077.20 $59,665.78 2026-04-21
C2624 HCPCS Sys Sensor/delv Pa Cardiomems 62 20 $50,010.00 $30,006.00 40% off $4,450.89 $47,059.41 $35,282.06 2026-04-21
J0202 HCPCS Lemtrada 12 Mg/1.2 Ml Intravenous Soln [127557] 73 20 $95,033.99 $57,020.40 40% off $2,429.89 $89,426.98 $61,144.86 2026-04-21
J0257 HCPCS Alpha-1 Proteinase Inhib.(hum) 1 Gram/50 Ml (2 %) Intravenous Soln [108371] 73 20 $56,400.00 $33,840.00 40% off $5.64 $53,072.40 $36,287.76 2026-04-21
J1290 HCPCS Ecallantide 10 Mg/ml (1 Ml) Subcutaneous Soln [104899] 73 20 $54,849.63 $32,909.78 40% off $579.97 $51,613.50 $35,290.25 2026-04-21
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 11 8 — — $3,685,266.67 $4,164,351.33 $3,869,530.00 2026-04-21
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 8 — — $3,316,462.59 $3,747,602.72 $3,482,285.72 2026-04-21
J2507 HCPCS Pegloticase 8 Mg/ml Intravenous Soln [108958] 73 20 $94,484.28 $56,690.57 40% off $3,660.83 $88,909.71 $60,791.18 2026-04-21
J3387 HCPCS Inj Elivaldogene Autotemecel 11 8 — — $3,090,000.00 $3,491,700.00 $3,244,500.00 2026-04-21
J3389 HCPCS Topi Adm Prad Zami Per Treat 11 8 — — $3,335,820.00 $3,769,476.60 $3,502,611.00 2026-04-21
J3391 HCPCS Inj, Atidarsagene Autotemcel 9 7 — — $4,505,000.00 $4,955,500.00 $4,685,200.00 2026-04-21
J3392 HCPCS Inj, Exagamglogene Autotem 11 8 — — $2,332,000.00 $2,635,160.00 $2,448,600.00 2026-04-21
J3393 HCPCS Inj, Betibeglogene Autotemce 11 8 — — $2,945,740.00 $3,328,686.20 $3,093,027.00 2026-04-21
J3394 HCPCS Inj, Lovotibeglogene Autotem 11 8 — — $3,248,445.72 $3,670,743.66 $3,410,868.00 2026-04-21
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 8 — — $2,455,110.61 $2,774,274.98 $2,577,866.14 2026-04-21
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 8 — — $205,640.00 $232,373.20 $215,922.00 2026-04-21
J3403 HCPCS Revakinagene, Per Implant 11 8 — — $257,500.00 $290,975.00 $270,375.00 2026-04-21
J7311 HCPCS Fluocinolone 0.59 Mg Intravitreal Impl [38567] 73 20 $62,782.50 $37,669.50 40% off $340.31 $59,078.33 $40,394.26 2026-04-21
J9029 HCPCS Instill Adstiladrin, Tx Dose 11 8 — — $63,342.28 $71,576.78 $66,509.40 2026-04-21
J9226 HCPCS Supprelin La 50 Mg (65 Mcg/day) Implant Kit [91426] 73 20 $156,396.80 $93,838.08 40% off $13,919.32 $342,206.87 $100,625.70 2026-04-21
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg (0.25 Mg/ml Initial) Intravenous Solr [138459] 73 20 $73,377.12 $44,026.28 40% off $2,698.05 $69,047.87 $47,210.84 2026-04-21
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Soln [152604] 73 20 $66,858.00 $40,114.80 40% off $217.09 $62,913.38 $43,016.44 2026-04-21
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 11 8 — — $95,081.03 $107,441.56 $99,835.08 2026-04-21
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 11 8 — — $39,525.62 $44,663.95 $41,501.90 2026-04-21
L7180 HCPCS Electronic Elbow Sequential 11 8 — — $50,007.15 $56,508.08 $52,507.51 2026-04-21
L7181 HCPCS Electronic Elbo Simultaneous 11 8 — — $49,600.83 $56,048.94 $52,080.87 2026-04-21
L8701 HCPCS Ewh S/d Uprt Micro Sensor 11 8 — — $34,970.13 $39,516.25 $36,718.64 2026-04-21
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 8 — — $68,801.71 $77,745.93 $72,241.80 2026-04-21
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 8 — — $111,492.17 $125,986.15 $117,066.78 2026-04-21
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 9 — — $533,230.17 $1,737,155.71 $559,891.68 2026-04-21
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 9 — — $591,726.20 $1,801,432.90 $621,312.51 2026-04-21
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 9 — — $55,272.32 $205,094.61 $58,035.94 2026-04-21
Q2053 HCPCS Brexucabtagene Car Pos T 12 9 — — $489,304.61 $1,737,155.71 $513,769.84 2026-04-21
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 9 — — $562,538.19 $1,756,672.08 $590,665.09 2026-04-21
Q2055 HCPCS Idecabtagene Vicleucel Car 12 9 — — $557,317.93 $1,778,847.42 $585,183.83 2026-04-21
Q2056 HCPCS Ciltacabtagene Car-pos T 12 9 — — $565,868.95 $1,905,135.39 $594,162.39 2026-04-21
Q2057 HCPCS Afamitresgene Autoleucel 11 8 — — $770,620.00 $870,800.60 $809,151.00 2026-04-21
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 8 — — $278,250.00 $314,422.50 $292,162.50 2026-04-21
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