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

North Houston Surgical Hospital Llc

Spring, TX · CCN 670280 · Rates published

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You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $4,562 across 14 payers · range $317-$16,970

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1619857_HCA-Houston-Healthcare-North-Cypress_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D · observed 2026-09-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

26,755 distinct procedures filed
33 distinct payers
968,320 rate rows
2026-09-01 last MRF observed
Data quality

942,298 of 968,320 rate rows are consumer-grade (97.3%)

26,022 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 15,455
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,582
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,108
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 693
placeholder amount (≤ $0.02) — excluded from medians 155
exceeds 10× this hospital's gross charge — excluded from medians 26
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 3
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1619857_HCA-Houston-Healthcare-North-Cypress_standardcharges.json?si=dpx-pt-json-access-policy&spr=https&sv=2026-02-06&sr=c&sig=ks%2BgfAjyEHlZmeP2PYJ%2f9NpMuCoRStjTb2bhIy9Y6LM%3D
Found on page https://www.hcahoustonhealthcare.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch success · 2026-10-07
Content fingerprint ff2b02926fce9084… · 512,905,446 bytes · first seen 2026-10-07

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 $4,848,228.00 $4,848,228.00 $4,848,228.00 nat. median
$2,968,000
1.6× median
845
OTHER 		Inj, Atidarsagene Autotemc 19 $6,207.21 $4,775,300.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
00845
OTHER 		Inj, Atidarsagene Autotemc 2 $4,505,000.00 $4,505,000.00 $4,505,000.00 —
C9309
HCPCS 		Injection, Onasemnogene Abeparvovec-brve, Per Treatment 1 $4,395,977.17 $4,395,977.17 $4,395,977.17 nat. median
$2,664,229
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,268,693.98 $4,268,693.98 $4,268,693.98 nat. median
$2,455,111
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,332,000
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 18 $3,617,621.00 $4,798,885.00 $3,802,193.50 nat. median
$3,765,001
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dose 2 $3,691,450.00 $3,691,450.00 $3,691,450.00 nat. median
$3,562,713
1.0× median
714
OTHER 		Inj Delandistrogene Mox Ro 21 $7,300.52 $4,809,500.65 $3,416,403.91 nat. median
$3,391,964
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tre 21 $11,239.04 $4,764,385.35 $3,384,356.49 nat. median
$8,800
outlier · 384.6×
748
OTHER 		Inj, Lovotibeglogene Autot 21 $13,896.46 $4,691,190.80 $3,332,363.12 nat. median
$3,351,720
1.0× median
00714
OTHER 		Inj Delandistrogene Mox Ro 2 $3,316,897.00 $3,316,897.00 $3,316,897.00 nat. median
$3,225,691
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tre 2 $3,285,783.00 $3,285,783.00 $3,285,783.00 —
906
OTHER 		Inj Elivaldogene Autotemec 21 $9,931.02 $4,611,000.00 $3,275,400.00 nat. median
$2,726
outlier · 1201.4×
00748
OTHER 		Inj, Lovotibeglogene Autot 2 $3,235,304.00 $3,235,304.00 $3,235,304.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autotemec 2 $3,180,000.00 $3,180,000.00 $3,180,000.00 —
746
OTHER 		Inj, Betibeglogene Autotem 21 $12,854.38 $4,248,877.00 $3,018,167.80 nat. median
$3,001,835
1.0× median
00746
OTHER 		Inj, Betibeglogene Autotem 2 $2,930,260.00 $2,930,260.00 $2,930,260.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Trea 19 $2,588,981.00 $3,886,055.10 $2,760,439.14 nat. median
$2,508,045
1.1× median
922
OTHER 		Inj Onase Abepar-brve Trea 20 $8,747.75 $3,863,130.60 $2,744,154.84 nat. median
$167
outlier · 16468.6×
09141
OTHER 		Inj Onase Abepar-xioi Trea 2 $2,680,038.00 $2,680,038.00 $2,680,038.00 nat. median
$2,316,956
1.2× median
00922
OTHER 		Inj Onase Abepar-brve Trea 2 $2,664,228.00 $2,664,228.00 $2,664,228.00 —
824
OTHER 		Inj, Exagamglogene Autotem 22 $15,052.15 $4,946,950.05 $2,369,934.21 nat. median
$28,063
outlier · 84.5×
00824
OTHER 		Inj, Exagamglogene Autotem 2 $2,300,907.00 $2,300,907.00 $2,300,907.00 —
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 4 $770,620.00 $2,469,589.92 $1,353,921.18 nat. median
$813,967
1.7× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $1,783,404.00 $1,233,036.00 nat. median
$286,598
outlier · 4.3×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $588,495.00 $1,560,781.80 $1,074,638.40 nat. median
$599,737
1.8× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $614,181.00 $1,294,720.30 $1,013,398.34 nat. median
$621,313
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $559,781.00 $1,408,060.14 $983,920.57 nat. median
$574,037
1.7× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $562,261.00 $1,377,180.16 $969,720.58 nat. median
$579,571
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $531,849.00 $1,194,159.50 $877,551.05 nat. median
$562,501
1.6× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $489,291.00 $1,251,981.96 $870,636.48 nat. median
$513,770
1.7× median
2067
OTHER 		Afamitresgene Autoleucel 20 $770,620.00 $1,750,029.91 $838,386.42 nat. median
$838,386
1.0× median
02067
OTHER 		Afamitresgene Autoleucel 2 $800,341.60 $800,341.60 $800,341.60 —
J3403
HCPCS 		Revakinagene Taroretcel-lwey, Per Implant 1 $493,920.00 $849,240.00 $680,400.00 nat. median
$264,195
outlier · 2.6×
9194
OTHER 		Tisagenlecleucel Car-pos T 20 $566,531.30 $1,315,140.38 $630,044.00 nat. median
$555,653
1.1× median
09194
OTHER 		Tisagenlecleucel Car-pos T 2 $611,693.20 $611,693.20 $611,693.20 nat. median
$513,317
1.2× median
9498
OTHER 		Ciltacabtagene Car-pos T 20 $576,218.24 $1,264,152.27 $605,617.13 nat. median
$553,480
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 20 $562,201.20 $1,246,076.79 $596,957.72 nat. median
$542,562
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $587,977.80 $587,977.80 $587,977.80 nat. median
$511,310
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Car 20 $556,618.24 $1,221,152.27 $585,017.13 nat. median
$552,917
1.1× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $579,570.60 $579,570.60 $579,570.60 nat. median
$501,224
1.2× median
9035
OTHER 		Axicabtagene Ciloleucel Ca 20 $532,192.20 $1,209,376.94 $579,375.93 nat. median
$513,929
1.1× median
09422
OTHER 		Idecabtagene Vicleucel Car 2 $567,977.80 $567,977.80 $567,977.80 nat. median
$510,790
1.1× median
09035
OTHER 		Axicabtagene Ciloleucel Ca 2 $562,500.90 $562,500.90 $562,500.90 nat. median
$474,772
1.2× median
9391
OTHER 		Brexucabtagene Car Pos T 20 $489,450.20 $1,096,723.39 $525,407.02 nat. median
$483,557
1.1× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $510,103.90 $510,103.90 $510,103.90 nat. median
$446,714
1.1× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 4 $202,714.00 $771,460.40 $391,580.30 nat. median
$207,733
1.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $346,357.81 $603,652.36 $364,587.17 nat. median
$168,055
outlier · 2.2×
5834
APR_DRG 		Neonate With Ecmo 5 $345,124.74 $422,946.99 $355,275.47 nat. median
$390,362
0.9× median

Other procedures at this hospital

Browse this hospital's 26,755 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,848,228.00 $4,848,228.00 $4,848,228.00 2026-09-01
845 OTHER Inj, Atidarsagene Autotemc 37 19 — — $6,207.21 $4,775,300.00 $4,640,150.00 2026-09-01
00845 OTHER Inj, Atidarsagene Autotemc 2 2 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-09-01
C9309 HCPCS Injection, Onasemnogene Abeparvovec-brve, Per Treatment 3 1 — — $4,395,977.17 $4,395,977.17 $4,395,977.17 2026-09-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $4,268,693.98 $4,268,693.98 $4,268,693.98 2026-09-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-09-01
9138 OTHER Inj, Hemgenix, Per Tx Dose 36 18 — — $3,617,621.00 $4,798,885.00 $3,802,193.50 2026-09-01
09138 OTHER Inj, Hemgenix, Per Tx Dose 2 2 — — $3,691,450.00 $3,691,450.00 $3,691,450.00 2026-09-01
714 OTHER Inj Delandistrogene Mox Ro 39 21 — — $7,300.52 $4,809,500.65 $3,416,403.91 2026-09-01
908 OTHER Topi Adm Prad Zami Per Tre 39 21 — — $11,239.04 $4,764,385.35 $3,384,356.49 2026-09-01
748 OTHER Inj, Lovotibeglogene Autot 39 21 — — $13,896.46 $4,691,190.80 $3,332,363.12 2026-09-01
00714 OTHER Inj Delandistrogene Mox Ro 2 2 — — $3,316,897.00 $3,316,897.00 $3,316,897.00 2026-09-01
00908 OTHER Topi Adm Prad Zami Per Tre 2 2 — — $3,285,783.00 $3,285,783.00 $3,285,783.00 2026-09-01
906 OTHER Inj Elivaldogene Autotemec 39 21 — — $9,931.02 $4,611,000.00 $3,275,400.00 2026-09-01
00748 OTHER Inj, Lovotibeglogene Autot 2 2 — — $3,235,304.00 $3,235,304.00 $3,235,304.00 2026-09-01
00906 OTHER Inj Elivaldogene Autotemec 2 2 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-09-01
746 OTHER Inj, Betibeglogene Autotem 39 21 — — $12,854.38 $4,248,877.00 $3,018,167.80 2026-09-01
00746 OTHER Inj, Betibeglogene Autotem 2 2 — — $2,930,260.00 $2,930,260.00 $2,930,260.00 2026-09-01
9141 OTHER Inj Onase Abepar-xioi Trea 37 19 — — $2,588,981.00 $3,886,055.10 $2,760,439.14 2026-09-01
922 OTHER Inj Onase Abepar-brve Trea 38 20 — — $8,747.75 $3,863,130.60 $2,744,154.84 2026-09-01
09141 OTHER Inj Onase Abepar-xioi Trea 2 2 — — $2,680,038.00 $2,680,038.00 $2,680,038.00 2026-09-01
00922 OTHER Inj Onase Abepar-brve Trea 2 2 — — $2,664,228.00 $2,664,228.00 $2,664,228.00 2026-09-01
824 OTHER Inj, Exagamglogene Autotem 40 22 — — $15,052.15 $4,946,950.05 $2,369,934.21 2026-09-01
00824 OTHER Inj, Exagamglogene Autotem 2 2 — — $2,300,907.00 $2,300,907.00 $2,300,907.00 2026-09-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 10 4 — — $770,620.00 $2,469,589.92 $1,353,921.18 2026-09-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 8 2 — — $459,112.50 $1,783,404.00 $1,233,036.00 2026-09-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 13 5 — — $588,495.00 $1,560,781.80 $1,074,638.40 2026-09-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 10 4 — — $614,181.00 $1,294,720.30 $1,013,398.34 2026-09-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 13 5 — — $559,781.00 $1,408,060.14 $983,920.57 2026-09-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 13 5 — — $562,261.00 $1,377,180.16 $969,720.58 2026-09-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 13 5 — — $531,849.00 $1,194,159.50 $877,551.05 2026-09-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 13 5 — — $489,291.00 $1,251,981.96 $870,636.48 2026-09-01
2067 OTHER Afamitresgene Autoleucel 38 20 — — $770,620.00 $1,750,029.91 $838,386.42 2026-09-01
02067 OTHER Afamitresgene Autoleucel 2 2 — — $800,341.60 $800,341.60 $800,341.60 2026-09-01
J3403 HCPCS Revakinagene Taroretcel-lwey, Per Implant 5 1 — — $493,920.00 $849,240.00 $680,400.00 2026-09-01
9194 OTHER Tisagenlecleucel Car-pos T 38 20 — — $566,531.30 $1,315,140.38 $630,044.00 2026-09-01
09194 OTHER Tisagenlecleucel Car-pos T 2 2 — — $611,693.20 $611,693.20 $611,693.20 2026-09-01
9498 OTHER Ciltacabtagene Car-pos T 38 20 — — $576,218.24 $1,264,152.27 $605,617.13 2026-09-01
9413 OTHER Lisocabtagene Car Pos T 38 20 — — $562,201.20 $1,246,076.79 $596,957.72 2026-09-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $587,977.80 $587,977.80 $587,977.80 2026-09-01
9422 OTHER Idecabtagene Vicleucel Car 38 20 — — $556,618.24 $1,221,152.27 $585,017.13 2026-09-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $579,570.60 $579,570.60 $579,570.60 2026-09-01
9035 OTHER Axicabtagene Ciloleucel Ca 38 20 — — $532,192.20 $1,209,376.94 $579,375.93 2026-09-01
09422 OTHER Idecabtagene Vicleucel Car 2 2 — — $567,977.80 $567,977.80 $567,977.80 2026-09-01
09035 OTHER Axicabtagene Ciloleucel Ca 2 2 — — $562,500.90 $562,500.90 $562,500.90 2026-09-01
9391 OTHER Brexucabtagene Car Pos T 38 20 — — $489,450.20 $1,096,723.39 $525,407.02 2026-09-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $510,103.90 $510,103.90 $510,103.90 2026-09-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 10 4 — — $202,714.00 $771,460.40 $391,580.30 2026-09-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 20 — — $346,357.81 $603,652.36 $364,587.17 2026-09-01
5834 APR_DRG Neonate With Ecmo 8 5 — — $345,124.74 $422,946.99 $355,275.47 2026-09-01
74 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $335,737.67 $411,443.23 $345,612.31 2026-09-01
5833 APR_DRG Neonate With Ecmo 8 5 — — $292,238.95 $358,135.96 $300,834.21 2026-09-01
24 APR_DRG Heart And/or Lung Transplant 7 4 — — $281,125.60 $344,516.66 $289,394.00 2026-09-01
831 OTHER Obecbtge Autol Up To 400 M 40 22 — — $4,250.43 $598,237.50 $286,597.50 2026-09-01
00831 OTHER Obecbtge Autol Up To 400 M 2 2 — — $278,250.00 $278,250.00 $278,250.00 2026-09-01
897 OTHER Revakinagene, Per Implant 38 20 — — $256,348.11 $562,396.35 $269,427.09 2026-09-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $261,579.70 $261,579.70 $261,579.70 2026-09-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $250,614.40 $250,614.40 $250,614.40 2026-09-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 41 21 — — $128,800.00 $407,887.86 $235,035.99 2026-09-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 5 — — $218,458.30 $267,718.50 $224,883.54 2026-09-01
1614 APR_DRG Implantable Heart Assist Systems 13 6 — — $212,138.00 $259,973.04 $224,617.00 2026-09-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $220,294.00 $220,294.00 $220,294.00 2026-09-01
886 OTHER Inj. Remestemcel-l-rknd/ T 40 22 — — $9,300.64 $437,868.57 $209,769.59 2026-09-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 5 — — $198,739.90 $243,553.80 $204,585.19 2026-09-01
00886 OTHER Inj. Remestemcel-l-rknd/ T 2 2 — — $203,659.80 $203,659.80 $203,659.80 2026-09-01
J3404 HCPCS Injection, Zopapogene Imadenovec-drba Suspension, Per Therapeutic Dose 3 1 — — $201,135.00 $201,135.00 $201,135.00 2026-09-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 50 23 — — $8,960.00 $388,451.00 $181,355.18 2026-09-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 56 25 — — $151,220.03 $386,171.29 $180,303.67 2026-09-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 5 — — $162,547.54 $199,200.41 $167,328.35 2026-09-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 5 — — $161,107.08 $197,435.15 $165,845.53 2026-09-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 13 5 — — $64,282.30 $539,200.00 $157,200.00 2026-09-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $155,267.70 $155,267.70 $155,267.70 2026-09-01
1907 OTHER New Technology - Level 52 38 20 — — $146,948.65 $322,387.34 $154,446.03 2026-09-01
1908 OTHER New Technology - Level 52 38 20 — — $146,948.65 $322,387.34 $154,446.03 2026-09-01
01908 OTHER New Technology - Level 52 2 2 — — $149,947.60 $149,947.60 $149,947.60 2026-09-01
01907 OTHER New Technology - Level 52 2 2 — — $149,947.60 $149,947.60 $149,947.60 2026-09-01
5832 APR_DRG Neonate With Ecmo 8 5 — — $145,616.00 $178,450.98 $149,898.82 2026-09-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 11 3 — — $93,760.51 $212,599.11 $147,245.34 2026-09-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 5 — — $138,271.92 $169,450.89 $142,338.75 2026-09-01
1906 OTHER New Technology - Level 51 38 20 — — $132,494.73 $290,677.21 $139,254.66 2026-09-01
1905 OTHER New Technology - Level 51 38 20 — — $132,494.73 $290,677.21 $139,254.66 2026-09-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 11 3 — — $74,830.84 $209,471.93 $138,148.31 2026-09-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 13 5 — — $56,269.20 $205,193.20 $135,389.25 2026-09-01
01905 OTHER New Technology - Level 51 2 2 — — $135,198.70 $135,198.70 $135,198.70 2026-09-01
01906 OTHER New Technology - Level 51 2 2 — — $135,198.70 $135,198.70 $135,198.70 2026-09-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 8 5 — — $128,492.69 $157,466.54 $132,271.89 2026-09-01
5831 APR_DRG Neonate With Ecmo 8 5 — — $128,217.78 $157,129.64 $131,988.90 2026-09-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 5 1 — — $94,790.81 $146,008.42 $130,719.58 2026-09-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 3 1 — — $117,866.10 $151,959.60 $127,607.10 2026-09-01
924 OTHER Inj Zopapogene Per Ther Do 37 19 — — $119,462.00 $262,085.00 $125,557.00 2026-09-01
1903 OTHER New Technology - Level 50 38 20 — — $118,040.80 $258,967.07 $124,063.29 2026-09-01
1904 OTHER New Technology - Level 50 38 20 — — $118,040.80 $258,967.07 $124,063.29 2026-09-01
73 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $118,469.00 $145,182.60 $121,953.38 2026-09-01
00924 OTHER Inj Zopapogene Per Ther Do 2 2 — — $121,900.00 $121,900.00 $121,900.00 2026-09-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $121,251.80 $121,251.80 $121,251.80 2026-09-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 5 — — $117,217.57 $143,648.99 $120,665.15 2026-09-01
J9183 HCPCS Gemcitabine Intravesical System, 225 Mg 5 3 — — $73,088.30 $120,595.63 $120,595.63 2026-09-01
01903 OTHER New Technology - Level 50 2 2 — — $120,449.80 $120,449.80 $120,449.80 2026-09-01
01904 OTHER New Technology - Level 50 2 2 — — $120,449.80 $120,449.80 $120,449.80 2026-09-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 5 — — $116,681.83 $142,992.44 $120,113.65 2026-09-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 5 — — $116,380.10 $142,622.67 $119,803.05 2026-09-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 8 5 — — $115,879.80 $142,009.56 $119,288.03 2026-09-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 56 25 — — $112,496.64 $252,012.37 $118,417.51 2026-09-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 8 5 — — $114,722.44 $140,591.23 $118,096.63 2026-09-01
1613 APR_DRG Implantable Heart Assist Systems 13 6 — — $110,569.18 $135,501.45 $117,073.00 2026-09-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 8 5 — — $111,700.20 $136,887.50 $114,985.50 2026-09-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 40 22 — — $109,262.16 $239,707.80 $114,836.76 2026-09-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 5 — — $110,699.60 $135,661.27 $113,955.47 2026-09-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 8 5 — — $109,984.83 $134,785.32 $113,219.67 2026-09-01
7 MS_DRG Lung Transplant 39 20 — — $105,311.31 $188,490.16 $110,854.01 2026-09-01
1902 OTHER New Technology - Level 49 38 20 — — $103,586.88 $227,256.93 $108,871.93 2026-09-01
1901 OTHER New Technology - Level 49 38 20 — — $103,586.88 $227,256.93 $108,871.93 2026-09-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $108,666.60 $108,666.60 $108,666.60 2026-09-01
01902 OTHER New Technology - Level 49 2 2 — — $105,700.90 $105,700.90 $105,700.90 2026-09-01
01901 OTHER New Technology - Level 49 2 2 — — $105,700.90 $105,700.90 $105,700.90 2026-09-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 13 6 — — $98,463.42 $120,665.95 $104,255.00 2026-09-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 7 4 — — $100,704.08 $123,411.86 $103,665.96 2026-09-01
84 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $100,300.57 $122,917.36 $103,250.58 2026-09-01
14 MS_DRG Allogeneic Bone Marrow Transplant 39 20 — — $97,878.11 $174,920.53 $103,029.59 2026-09-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 5 — — $98,518.39 $120,733.33 $101,415.99 2026-09-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 5 — — $97,640.49 $119,657.46 $100,512.27 2026-09-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 13 5 — — $41,173.40 $142,148.42 $99,222.35 2026-09-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 8 5 — — $95,482.07 $117,012.34 $98,290.36 2026-09-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 45 22 — — $93,179.38 $204,424.15 $97,933.43 2026-09-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 8 5 — — $94,989.50 $116,408.70 $97,783.31 2026-09-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 21 — — $92,407.74 $184,000.00 $97,271.30 2026-09-01
1585 OTHER New Technology - Level 48 38 20 — — $91,542.00 $200,831.93 $96,212.51 2026-09-01
1599 OTHER New Technology - Level 48 38 20 — — $91,542.00 $200,831.93 $96,212.51 2026-09-01
209 MS_DRG Complex Aortic Arch Procedures 58 25 — — $70,000.00 $164,745.13 $95,984.90 2026-09-01
64 APR_DRG Pancreas Transplant 7 4 — — $92,184.46 $112,971.15 $94,895.77 2026-09-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 8 5 — — $92,177.19 $112,962.24 $94,888.28 2026-09-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 5 — — $91,901.37 $112,624.23 $94,604.35 2026-09-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 26 — — $33,434.00 $269,424.26 $93,736.45 2026-09-01
01599 OTHER New Technology - Level 48 2 2 — — $93,410.20 $93,410.20 $93,410.20 2026-09-01
01585 OTHER New Technology - Level 48 2 2 — — $93,410.20 $93,410.20 $93,410.20 2026-09-01
007 OTHER Lung Transplant 2 2 — — $93,190.29 $93,190.29 $93,190.29 2026-09-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 65 27 — — $8,960.00 $214,067.53 $92,513.99 2026-09-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 8 5 — — $89,338.53 $109,483.49 $91,966.13 2026-09-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 6 — — $85,892.78 $105,260.76 $90,945.30 2026-09-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 39 20 — — $84,264.85 $150,069.33 $88,699.84 2026-09-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 5 — — $84,483.22 $103,533.36 $86,968.02 2026-09-01
215 MS_DRG Other Heart Assist System Implant 70 27 — — $57,069.00 $202,495.51 $86,967.51 2026-09-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 8 5 — — $83,797.53 $102,693.05 $86,262.16 2026-09-01
1584 OTHER New Technology - Level 47 38 20 — — $81,906.04 $179,691.82 $86,084.92 2026-09-01
1598 OTHER New Technology - Level 47 38 20 — — $81,906.04 $179,691.82 $86,084.92 2026-09-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 27 — — $57,069.00 $198,952.80 $84,271.01 2026-09-01
1612 APR_DRG Implantable Heart Assist Systems 13 6 — — $79,482.05 $97,404.48 $84,157.50 2026-09-01
01598 OTHER New Technology - Level 47 2 2 — — $83,577.59 $83,577.59 $83,577.59 2026-09-01
01584 OTHER New Technology - Level 47 2 2 — — $83,577.59 $83,577.59 $83,577.59 2026-09-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $82,594.10 $82,594.10 $82,594.10 2026-09-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 8 5 — — $80,226.37 $98,316.63 $82,585.97 2026-09-01
72 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $79,597.92 $97,546.47 $81,939.04 2026-09-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 5 — — $78,573.25 $96,290.75 $80,884.23 2026-09-01
1611 APR_DRG Implantable Heart Assist Systems 13 6 — — $75,381.52 $92,379.31 $79,815.70 2026-09-01
8634 APR_DRG Neonatal Aftercare 8 5 — — $77,354.54 $94,797.23 $79,629.67 2026-09-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $79,546.63 $79,546.63 $79,546.63 2026-09-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 8 5 — — $76,611.59 $93,886.75 $78,864.87 2026-09-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $78,708.76 $78,708.76 $78,708.76 2026-09-01
4404 APR_DRG Kidney Transplant 7 4 — — $75,195.21 $92,150.99 $77,406.83 2026-09-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 5 — — $74,851.68 $91,730.00 $77,053.20 2026-09-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $77,046.96 $77,046.96 $77,046.96 2026-09-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 5 — — $74,826.23 $91,698.81 $77,027.00 2026-09-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 64 26 — — $33,434.00 $220,248.68 $77,019.22 2026-09-01
1583 OTHER New Technology - Level 46 38 20 — — $72,270.09 $158,551.73 $75,957.34 2026-09-01
1597 OTHER New Technology - Level 46 38 20 — — $72,270.09 $158,551.73 $75,957.34 2026-09-01
926 OTHER Gemcitabine Intravesical S 37 19 — — $71,524.56 $156,916.12 $75,173.77 2026-09-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 70 27 — — $57,069.00 $171,438.88 $75,061.14 2026-09-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 8 5 — — $72,895.47 $89,332.69 $75,039.46 2026-09-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 5 — — $72,895.47 $89,332.69 $75,039.46 2026-09-01
850 MS_DRG Acute Leukemia With Other Procedures 52 25 — — $8,960.00 $227,147.34 $74,843.50 2026-09-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 8 5 — — $72,688.72 $89,079.31 $74,826.62 2026-09-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $73,763.61 $73,763.61 $73,763.61 2026-09-01
01583 OTHER New Technology - Level 46 2 2 — — $73,744.99 $73,744.99 $73,744.99 2026-09-01
01597 OTHER New Technology - Level 46 2 2 — — $73,744.99 $73,744.99 $73,744.99 2026-09-01
4414 APR_DRG Major Bladder Procedures 8 5 — — $71,161.92 $87,208.24 $73,254.92 2026-09-01
00926 OTHER Gemcitabine Intravesical S 2 2 — — $72,984.24 $72,984.24 $72,984.24 2026-09-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 26 — — $32,200.00 $205,429.52 $71,981.44 2026-09-01
23 APR_DRG Heart And/or Lung Transplant 7 4 — — $69,241.15 $84,854.35 $71,277.65 2026-09-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $71,244.74 $71,244.74 $71,244.74 2026-09-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 40 22 — — $67,425.67 $147,923.65 $70,865.75 2026-09-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 57 25 — — $64,797.02 $234,000.00 $70,213.49 2026-09-01
83 APR_DRG Autologous Bone Marrow Transplant 7 4 — — $67,795.70 $83,082.96 $69,789.69 2026-09-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 13 6 — — $65,272.39 $79,990.68 $69,111.90 2026-09-01
1784 APR_DRG External Heart Assist Devices 8 5 — — $66,651.05 $81,680.21 $68,611.38 2026-09-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 27 — — $57,069.00 $156,153.59 $68,567.66 2026-09-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $68,457.30 $68,457.30 $68,457.30 2026-09-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 70 27 — — $44,800.00 $155,480.43 $68,281.69 2026-09-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 57 25 — — $62,812.53 $150,005.35 $68,063.11 2026-09-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 5 — — $65,637.73 $80,438.40 $67,568.26 2026-09-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 8 5 — — $65,562.31 $80,345.96 $67,490.61 2026-09-01
6904 APR_DRG Acute Leukemia 8 5 — — $64,686.21 $79,272.31 $66,588.74 2026-09-01
717 OTHER Instill Adstiladrin, Tx Do 40 22 — — $13,779.58 $138,312.96 $66,261.56 2026-09-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 8 5 — — $64,289.97 $78,786.72 $66,180.85 2026-09-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 5 — — $64,217.72 $78,698.19 $66,106.48 2026-09-01
1596 OTHER New Technology - Level 45 38 20 — — $62,634.14 $137,411.64 $65,829.76 2026-09-01
1582 OTHER New Technology - Level 45 38 20 — — $62,634.14 $137,411.64 $65,829.76 2026-09-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $65,668.55 $65,668.55 $65,668.55 2026-09-01
5244 OTHER Level 4 Blood Product Exch 38 20 — — $61,923.99 $135,853.66 $65,083.38 2026-09-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $64,912.11 $64,912.11 $64,912.11 2026-09-01
00717 OTHER Instill Adstiladrin, Tx Do 2 2 — — $64,331.61 $64,331.61 $64,331.61 2026-09-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 8 5 — — $62,278.32 $76,321.48 $64,110.04 2026-09-01
01596 OTHER New Technology - Level 45 2 2 — — $63,912.39 $63,912.39 $63,912.39 2026-09-01
01582 OTHER New Technology - Level 45 2 2 — — $63,912.39 $63,912.39 $63,912.39 2026-09-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 65 27 — — $52,994.00 $145,010.94 $63,834.06 2026-09-01
05244 OTHER Level 4 Blood Product Exch 2 2 — — $63,187.75 $63,187.75 $63,187.75 2026-09-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 8 5 — — $60,969.18 $74,717.14 $62,762.40 2026-09-01
10 MS_DRG Pancreas Transplant 39 20 — — $59,270.89 $104,442.31 $62,390.41 2026-09-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 5 — — $60,597.49 $74,261.63 $62,379.77 2026-09-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 23 — — $8,960.00 $130,500.10 $62,365.24 2026-09-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 64 26 — — $33,434.00 $176,465.90 $62,135.26 2026-09-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 41 22 — — $58,943.19 $103,844.10 $62,045.47 2026-09-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 8 5 — — $60,186.70 $73,758.21 $61,956.90 2026-09-01
B0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 10 — — $59,824.45 $64,825.26 $61,738.34 2026-09-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $61,443.08 $61,443.08 $61,443.08 2026-09-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 8 5 — — $59,597.79 $73,036.51 $61,350.67 2026-09-01
63 APR_DRG Pancreas Transplant 7 4 — — $59,573.25 $73,006.44 $61,325.41 2026-09-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $61,244.77 $61,244.77 $61,244.77 2026-09-01
B0505 HCPCS Non-traumatic Spinal Cord Injury M <39.50 24 10 — — $58,839.46 $63,757.93 $60,721.84 2026-09-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 57 25 — — $55,726.07 $132,508.43 $60,384.28 2026-09-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 57 25 — — $5,119.00 $130,004.05 $60,175.58 2026-09-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 70 27 — — $22,288.00 $139,875.85 $59,303.90 2026-09-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 27 — — $54,483.87 $133,721.88 $59,038.25 2026-09-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 70 27 — — $54,483.87 $133,721.88 $59,038.25 2026-09-01
1643 OTHER Y90 Ibritumomab, Rx 38 20 — — $55,688.06 $122,172.78 $58,529.29 2026-09-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 11 3 — — $42,475.55 $74,223.12 $58,512.24 2026-09-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 8 5 — — $56,791.40 $69,597.30 $58,461.73 2026-09-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 52 25 — — $46,200.00 $135,983.35 $58,284.71 2026-09-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 8 5 — — $56,481.95 $69,218.07 $58,143.18 2026-09-01
4474 APR_DRG Other Kidney, Urinary Tract And Related Non-percutaneous Procedures 8 5 — — $56,349.72 $69,056.02 $58,007.06 2026-09-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 64 26 — — $22,945.00 $163,338.39 $57,672.57 2026-09-01
9273 OTHER Sipuleucel-t Auto Cd54+ 38 20 — — $54,404.11 $120,254.72 $57,610.40 2026-09-01
850 OTHER Acute Leukemia With Other Procedures 2 2 — — $57,564.96 $57,564.96 $57,564.96 2026-09-01
22 APR_DRG Heart And/or Lung Transplant 7 4 — — $55,623.58 $68,166.15 $57,259.57 2026-09-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 56 25 — — $11,456.00 $128,970.86 $57,150.86 2026-09-01
234 APR_DRG Spinal Procedures 8 5 — — $55,514.98 $68,033.06 $57,147.77 2026-09-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 8 5 — — $55,314.13 $67,786.93 $56,941.02 2026-09-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $56,824.55 $56,824.55 $56,824.55 2026-09-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 5 — — $54,603.45 $66,915.99 $56,209.43 2026-09-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 8 5 — — $54,601.17 $66,913.20 $56,207.09 2026-09-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 25 — — $5,119.00 $121,030.27 $56,171.42 2026-09-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $55,932.43 $55,932.43 $55,932.43 2026-09-01
1581 OTHER New Technology - Level 44 38 20 — — $52,998.19 $116,271.55 $55,702.18 2026-09-01
1595 OTHER New Technology - Level 44 38 20 — — $52,998.19 $116,271.55 $55,702.18 2026-09-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 5 — — $53,920.47 $66,079.01 $55,506.37 2026-09-01
62 APR_DRG Pancreas Transplant 7 4 — — $53,883.21 $66,033.35 $55,468.01 2026-09-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 8 5 — — $53,671.91 $65,774.40 $55,250.50 2026-09-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 57 25 — — $50,920.71 $125,170.70 $55,177.24 2026-09-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 70 27 — — $50,396.07 $156,000.00 $55,128.83 2026-09-01
B0106 HCPCS Stroke M <41.50 And A <84.50 24 10 — — $53,345.75 $57,804.99 $55,052.37 2026-09-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $54,925.93 $54,925.93 $54,925.93 2026-09-01
61 APR_DRG Pancreas Transplant 7 4 — — $53,187.52 $65,180.79 $54,751.86 2026-09-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 13 6 — — $51,191.32 $62,734.46 $54,202.60 2026-09-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 65 27 — — $49,700.00 $122,156.22 $54,124.94 2026-09-01
01581 OTHER New Technology - Level 44 2 2 — — $54,079.79 $54,079.79 $54,079.79 2026-09-01
01595 OTHER New Technology - Level 44 2 2 — — $54,079.79 $54,079.79 $54,079.79 2026-09-01
71 APR_DRG Allogeneic Bone Marrow Transplant 7 4 — — $52,266.90 $64,052.57 $53,804.16 2026-09-01
B1903 HCPCS Guillain-barré M >=38.50 And M <51.50 24 10 — — $51,974.67 $56,319.30 $53,637.43 2026-09-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 57 25 — — $8,960.00 $120,503.91 $53,541.15 2026-09-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $53,412.38 $53,412.38 $53,412.38 2026-09-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 7 4 — — $51,885.20 $63,584.80 $53,411.23 2026-09-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 8 5 — — $51,823.85 $63,509.63 $53,348.08 2026-09-01
264 APR_DRG Other Nervous System And Related Procedures 8 5 — — $51,792.50 $63,471.20 $53,315.81 2026-09-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 8 5 — — $51,568.94 $63,197.22 $53,085.67 2026-09-01
B0205 HCPCS Traumatic Brain Injury M <35.50 24 10 — — $51,317.38 $55,607.07 $52,959.12 2026-09-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 70 27 — — $44,800.00 $119,349.72 $52,932.67 2026-09-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 8 5 — — $51,263.12 $62,822.45 $52,770.86 2026-09-01
1824 APR_DRG Other Upper Vascular Procedures 8 5 — — $51,221.77 $62,771.77 $52,728.29 2026-09-01
28 MS_DRG Spinal Procedures With Mcc 57 25 — — $21,000.00 $118,279.39 $52,592.78 2026-09-01
010 OTHER Pancreas Transplant 2 2 — — $52,301.34 $52,301.34 $52,301.34 2026-09-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 69 26 — — $32,200.00 $145,773.94 $52,213.42 2026-09-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $52,001.91 $52,001.91 $52,001.91 2026-09-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $51,957.27 $51,957.27 $51,957.27 2026-09-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 8 5 — — $50,353.40 $61,707.60 $51,834.38 2026-09-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 8 5 — — $50,341.13 $61,692.56 $51,821.75 2026-09-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 25 — — $47,746.62 $112,806.69 $51,737.83 2026-09-01
2054 APR_DRG Cardiomyopathy 8 5 — — $50,198.90 $61,518.26 $51,675.34 2026-09-01
6954 APR_DRG Chemotherapy For Acute Leukemia 8 5 — — $50,134.38 $61,439.19 $51,608.92 2026-09-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 8 5 — — $50,083.03 $61,376.26 $51,556.06 2026-09-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 20 — — $6,270.00 $76,875.00 $51,538.64 2026-09-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 40 22 — — $49,007.06 $107,515.48 $51,507.42 2026-09-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 57 25 — — $47,501.06 $112,200.36 $51,471.74 2026-09-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 37 18 — — $49,336.46 $86,306.78 $51,423.97 2026-09-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 57 25 — — $8,960.00 $153,839.57 $51,388.43 2026-09-01
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 13 6 — — $48,327.21 $59,224.53 $51,170.00 2026-09-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 40 22 — — $48,608.78 $106,641.72 $51,088.82 2026-09-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $50,806.18 $50,806.18 $50,806.18 2026-09-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 5 — — $49,241.48 $60,344.95 $50,689.76 2026-09-01
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 8 5 — — $49,076.52 $60,142.80 $50,519.95 2026-09-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $50,504.12 $50,504.12 $50,504.12 2026-09-01
C0404 HCPCS Traumatic Spinal Cord Injury M <31.50 And A <61.50 24 10 — — $48,899.17 $52,986.72 $50,463.54 2026-09-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 8 5 — — $48,923.39 $59,955.14 $50,362.32 2026-09-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 64 26 — — $33,434.00 $140,982.53 $50,072.69 2026-09-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $49,941.38 $49,941.38 $49,941.38 2026-09-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition… 8 5 — — $48,409.47 $59,325.33 $49,833.27 2026-09-01
214 APR_DRG Open Craniotomy Except Trauma 8 5 — — $48,212.71 $59,084.20 $49,630.73 2026-09-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 58 25 — — $22,288.00 $83,063.93 $49,572.41 2026-09-01
B2102 HCPCS Burns M <52.50 24 10 — — $47,933.01 $51,939.80 $49,466.47 2026-09-01
2304 APR_DRG Major Small Bowel Procedures 8 5 — — $48,038.66 $58,870.91 $49,451.57 2026-09-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 70 27 — — $44,800.00 $111,094.93 $49,425.88 2026-09-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 70 27 — — $44,577.33 $108,453.15 $49,351.81 2026-09-01
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