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Hospital

TEXAS HEALTH HOSPITAL MANSFIELD

Mansfield, TX · CCN 670309 · Rates published

27,298 distinct procedures filed
19 distinct payers
436,659 rate rows
2026-04-01 last MRF observed
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=8TD412ABjMMB7Z3bph2isQ*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
Discovered viaCMS hospital list
Last fetch success · 2026-10-12
Content fingerprint ed56660ebf21a85e… · 21,767,432 bytes · first seen 2026-09-11

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 1 $3,691,450.00 $3,691,450.00 $3,691,450.00 nat. median
$3,685,267
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 2 $2,680,037.38 $4,467,936.34 $3,573,986.86 nat. median
$2,455,111
1.5× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,897.12 $3,316,897.12 $3,316,897.12 nat. median
$3,325,455
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $587,977.76 $1,175,955.51 $967,334.23 nat. median
$599,737
1.6× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $510,103.92 $1,020,207.84 $817,579.86 nat. median
$513,770
1.6× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $562,500.89 $1,125,001.78 $809,996.99 nat. median
$562,501
1.4× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 14 $503,455.00 $1,376,216.00 $659,320.39 nat. median
$574,037
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 14 $496,390.00 $1,346,044.00 $656,888.30 nat. median
$579,571
1.1× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 14 $421,729.00 $1,223,386.34 $562,711.50 nat. median
$621,313
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 17 $248,134.00 $1,979,545.00 $347,361.29 nat. median
$168,055
outlier · 2.1×
5834
APR_DRG 		Neonate With Ecmo 3 $267,255.00 $293,981.00 $277,945.50 nat. median
$390,362
0.7× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $259,986.00 $285,985.00 $270,385.50 nat. median
$149,836
1.8× median
5833
APR_DRG 		Neonate With Ecmo 3 $226,302.00 $248,932.00 $235,354.00 nat. median
$268,208
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $43,380.04 $332,293.21 $234,827.10 nat. median
$2,106
outlier · 111.5×
24
APR_DRG 		Heart And/or Lung Transplant 3 $217,696.00 $239,466.00 $226,404.00 nat. median
$225,531
1.0× median
0100T
OTHER 		Prosth Retina Receive&Gen 2 $59,420.00 $365,696.20 $212,558.10 nat. median
$66,159
outlier · 3.2×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $185,705.00 $1,478,554.00 $210,124.51 nat. median
$186,516
1.1× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $162,081.95 $220,363.05 $191,222.50 nat. median
$2,106
outlier · 90.8×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 17 $141,642.00 $1,124,945.00 $186,624.59 nat. median
$145,435
1.3× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $169,168.00 $186,085.00 $175,935.00 nat. median
$286,698
0.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 17 $156,628.00 $1,245,210.00 $172,145.00 nat. median
$131,925
1.3× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $164,274.00 $180,701.00 $170,845.00 nat. median
$202,242
0.8× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 11 $32,048.51 $305,129.00 $166,329.50 nat. median
$5,834
outlier · 28.5×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $153,899.00 $169,289.00 $160,055.00 nat. median
$152,792
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $131,889.06 $175,755.95 $153,822.51 nat. median
$2,106
outlier · 73.1×
5232
OTHER 		Level 2 Icd And Similar Procedures 1 $150,631.06 $150,631.06 $150,631.06 nat. median
$32,102
outlier · 4.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 17 $56,858.00 $337,955.00 $134,431.46 nat. median
$59,651
outlier · 2.3×
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $125,872.00 $138,460.00 $130,907.00 nat. median
$187,567
0.7× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 3 $124,757.00 $137,233.00 $129,747.00 nat. median
$198,578
0.7× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $64,331.61 $323,680.00 $126,757.42 nat. median
$66,211
1.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $47,686.85 $172,920.50 $122,048.40 nat. median
$2,106
outlier · 58.0×
5832
APR_DRG 		Neonate With Ecmo 3 $112,761.00 $124,037.00 $117,271.50 nat. median
$201,678
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 17 $70,761.00 $434,133.00 $114,742.00 nat. median
$73,023
1.6× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $128,726.96 $111,987.01 nat. median
$65,477
1.7× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 $107,074.00 $117,781.00 $111,357.00 nat. median
$135,803
0.8× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,932.43 $123,176.81 $110,443.29 nat. median
$63,499
1.7× median
C1825
HCPCS 		System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 11 $28,010.01 $170,872.00 $109,975.00 nat. median
$35,000
outlier · 3.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $29,927.36 $741,684.00 $106,897.03 nat. median
$97,418
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 17 $54,189.00 $275,029.00 $105,359.00 nat. median
$56,428
1.9× median
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 11 $25,269.01 $158,667.00 $104,617.00 nat. median
$30,046
outlier · 3.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 17 $64,589.00 $395,463.00 $104,521.00 nat. median
$69,822
1.5× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $99,501.00 $109,451.00 $103,481.00 nat. median
$16,170
outlier · 6.4×
5831
APR_DRG 		Neonate With Ecmo 3 $99,288.00 $109,217.00 $103,259.50 nat. median
$173,909
0.6× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 11 $32,048.51 $158,667.00 $102,120.00 nat. median
$32,119
outlier · 3.2×
7
MS_DRG 		Lung Transplant 17 $86,943.00 $685,981.00 $100,333.01 nat. median
$70,649
1.4× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 17 $39,003.00 $234,930.72 $98,882.90 nat. median
$42,674
outlier · 2.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $72,718.00 $571,821.00 $96,650.22 nat. median
$74,509
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $87,159.00 $687,713.00 $95,729.00 nat. median
$72,715
1.3× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $91,739.00 $100,913.00 $95,408.50 nat. median
$81,292
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $90,770.00 $99,847.00 $94,401.00 nat. median
$173,134
0.5× median

Other procedures at this hospital

Browse this hospital's 27,298 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
             
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 1 1 — — $3,691,450.00 $3,691,450.00 $3,691,450.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 2 2 — — $2,680,037.38 $4,467,936.34 $3,573,986.86 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 1 1 — — $3,316,897.12 $3,316,897.12 $3,316,897.12 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 4 3 — — $587,977.76 $1,175,955.51 $967,334.23 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 4 3 — — $510,103.92 $1,020,207.84 $817,579.86 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 4 3 — — $562,500.89 $1,125,001.78 $809,996.99 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 22 14 $1,624,811.86 $812,405.93 50% off $503,455.00 $1,376,216.00 $659,320.39 2026-04-01
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 22 14 $1,589,189.84 $794,594.92 50% off $496,390.00 $1,346,044.00 $656,888.30 2026-04-01
Q2042 HCPCS Tisagenlecleucel IV Infusion (wrapped) 22 14 $1,392,190.32 $696,095.16 50% off $421,729.00 $1,223,386.34 $562,711.50 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 26 17 $0.01 — $248,134.00 $1,979,545.00 $347,361.29 2026-04-01
5834 APR_DRG Neonate With Ecmo 4 3 $0.01 — $267,255.00 $293,981.00 $277,945.50 2024-12-15
74 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $259,986.00 $285,985.00 $270,385.50 2024-12-15
5833 APR_DRG Neonate With Ecmo 4 3 $0.01 — $226,302.00 $248,932.00 $235,354.00 2024-12-15
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 3 3 — — $43,380.04 $332,293.21 $234,827.10 2026-04-01
24 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $217,696.00 $239,466.00 $226,404.00 2024-12-15
0100T OTHER Prosth Retina Receive&Gen 2 2 — — $59,420.00 $365,696.20 $212,558.10 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 17 $0.01 — $185,705.00 $1,478,554.00 $210,124.51 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 2 — — $162,081.95 $220,363.05 $191,222.50 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 26 17 $0.01 — $141,642.00 $1,124,945.00 $186,624.59 2026-04-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $169,168.00 $186,085.00 $175,935.00 2024-12-15
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 17 $0.01 — $156,628.00 $1,245,210.00 $172,145.00 2026-04-01
1614 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $164,274.00 $180,701.00 $170,845.00 2024-12-15
C1831 HCPCS Kit Imp Aprevo Spine Lvl 1 54 11 $302,750.00 $151,375.00 50% off $32,048.51 $305,129.00 $166,329.50 2024-12-15
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $153,899.00 $169,289.00 $160,055.00 2024-12-15
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $131,889.06 $175,755.95 $153,822.51 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 1 1 — — $150,631.06 $150,631.06 $150,631.06 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 27 17 $0.01 — $56,858.00 $337,955.00 $134,431.46 2026-04-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 $0.01 — $125,872.00 $138,460.00 $130,907.00 2024-12-15
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 $0.01 — $124,757.00 $137,233.00 $129,747.00 2024-12-15
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 4 3 — — $64,331.61 $323,680.00 $126,757.42 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 3 — — $47,686.85 $172,920.50 $122,048.40 2026-04-01
5832 APR_DRG Neonate With Ecmo 4 3 $0.01 — $112,761.00 $124,037.00 $117,271.50 2024-12-15
215 MS_DRG Other Heart Assist System Implant 27 17 $0.01 — $70,761.00 $434,133.00 $114,742.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 4 3 — — $56,824.55 $128,726.96 $111,987.01 2026-04-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $107,074.00 $117,781.00 $111,357.00 2024-12-15
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 4 3 — — $55,932.43 $123,176.81 $110,443.29 2026-04-01
C1825 HCPCS System Neo Barostim Includes 2102 Ipg 1036 Csl Kit 27 11 $196,560.00 $98,280.00 50% off $28,010.01 $170,872.00 $109,975.00 2024-12-15
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 27 17 $0.01 — $29,927.36 $741,684.00 $106,897.03 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 27 17 $0.01 — $54,189.00 $275,029.00 $105,359.00 2026-04-01
C1822 HCPCS Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 36 11 $184,785.62 $92,392.81 50% off $25,269.01 $158,667.00 $104,617.00 2024-12-15
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 $0.01 — $64,589.00 $395,463.00 $104,521.00 2026-04-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 4 3 $0.01 — $99,501.00 $109,451.00 $103,481.00 2024-12-15
5831 APR_DRG Neonate With Ecmo 4 3 $0.01 — $99,288.00 $109,217.00 $103,259.50 2024-12-15
C1824 HCPCS Generator Pul Implantable Optimizer Smt F/hrt Fail 27 11 $224,900.00 $112,450.00 50% off $32,048.51 $158,667.00 $102,120.00 2024-12-15
7 MS_DRG Lung Transplant 25 17 $0.01 — $86,943.00 $685,981.00 $100,333.01 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 27 17 $0.01 — $39,003.00 $234,930.72 $98,882.90 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 26 17 $0.01 — $72,718.00 $571,821.00 $96,650.22 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 25 17 $0.01 — $87,159.00 $687,713.00 $95,729.00 2026-04-01
73 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $91,739.00 $100,913.00 $95,408.50 2024-12-15
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $90,770.00 $99,847.00 $94,401.00 2024-12-15
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $90,355.00 $99,391.00 $93,969.50 2024-12-15
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $90,122.00 $99,134.00 $93,726.50 2024-12-15
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 $0.01 — $89,734.00 $98,708.00 $93,323.50 2024-12-15
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 27 17 $0.01 — $41,602.00 $369,393.00 $92,471.84 2026-04-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 3 $0.01 — $88,838.00 $97,722.00 $92,391.50 2024-12-15
463 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 27 17 $0.01 — $36,790.00 $325,108.00 $91,903.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 27 17 $0.01 — $56,889.00 $347,227.00 $91,772.00 2026-04-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 4 3 $0.01 — $86,498.00 $95,147.00 $89,957.50 2024-12-15
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $85,723.00 $94,295.00 $89,152.00 2024-12-15
1613 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $85,622.00 $94,184.00 $89,047.00 2024-12-15
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 4 3 $0.01 — $85,169.00 $93,686.00 $88,576.00 2024-12-15
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 17 $0.01 — $73,540.00 $578,424.00 $88,545.16 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 8 8 — — $88,450.47 $176,900.94 $88,450.47 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 $0.01 — $69,980.00 $549,854.00 $86,282.86 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 27 17 $0.01 — $52,588.00 $320,285.00 $84,652.00 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 17 $0.01 — $52,072.00 $317,052.00 $83,797.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 27 17 $0.01 — $33,234.00 $193,826.00 $82,357.76 2026-04-01
C1767 HCPCS Stimulator Proclaim Elite 7 Rechrg-free Scs 243 11 $142,725.00 $71,362.50 50% off $20,338.51 $238,885.00 $81,334.00 2024-12-15
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 17 $0.01 — $71,118.00 $558,987.00 $81,106.37 2026-04-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 $0.01 — $77,982.00 $85,781.00 $81,101.50 2024-12-15
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 $0.01 — $77,670.00 $85,437.00 $80,777.00 2024-12-15
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 $0.01 — $76,290.00 $83,919.00 $79,341.50 2024-12-15
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 3 $0.01 — $76,247.00 $83,872.00 $79,297.00 2024-12-15
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $75,610.00 $83,171.00 $78,634.50 2024-12-15
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $77,236.12 $77,236.12 $77,236.12 2026-04-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 4 3 $0.01 — $73,939.00 $81,333.00 $76,896.50 2024-12-15
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 4 3 $0.01 — $73,557.00 $80,913.00 $76,499.50 2024-12-15
38240 HCPCS Transplt Allo Hct/donor 4 3 — — $13,172.00 $126,375.50 $76,479.49 2026-04-01
J9226 HCPCS Supprelin La Implant 4 3 — — $37,491.97 $87,641.82 $74,663.61 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc O… 27 17 $0.01 — $30,797.00 $269,952.00 $74,552.60 2026-04-01
64 APR_DRG Pancreas Transplant 4 3 $0.01 — $71,385.00 $78,524.00 $74,240.50 2024-12-15
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $71,380.00 $78,517.00 $74,235.00 2024-12-15
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 $0.01 — $71,166.00 $78,283.00 $74,012.50 2024-12-15
33276 HCPCS Insj Phrnc Nrv Stim Sys 4 3 — — $44,247.19 $107,911.20 $73,957.19 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Or Infection Wi… 27 17 $0.01 — $29,706.00 $181,104.86 $72,800.16 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 27 17 $0.01 — $37,616.00 $188,580.00 $72,242.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 27 17 $0.01 — $45,074.00 $273,212.00 $72,210.00 2026-04-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $69,181.00 $76,099.00 $71,948.50 2024-12-15
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 17 $0.01 — $56,017.00 $437,798.00 $71,631.08 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 $0.01 — $43,703.00 $264,619.00 $69,939.00 2026-04-01
5378 OTHER Level 8 Urology And Related Services 2 2 — — $19,224.92 $119,874.56 $69,549.74 2026-04-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 $0.01 — $66,513.00 $73,164.00 $69,173.50 2024-12-15
850 MS_DRG Acute Leukemia With Other Procedures 25 17 $0.01 — $61,716.00 $483,533.00 $69,081.07 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 27 17 $0.01 — $46,964.00 $365,147.00 $69,022.00 2026-04-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 $0.01 — $65,422.00 $71,964.00 $68,038.50 2024-12-15
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 26 17 $0.01 — $50,285.00 $391,796.00 $67,784.49 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 4 — — $28,638.30 $142,157.70 $67,632.86 2026-04-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 4 3 $0.01 — $64,891.00 $71,380.00 $67,486.50 2024-12-15
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 1 1 — — $66,854.17 $66,854.17 $66,854.17 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 17 $0.01 — $24,905.00 $143,016.00 $66,459.02 2026-04-01
C2616 HCPCS Microsphere Gl Therasphere Y-90 3 Gbq 30 13 $128,781.90 $64,390.95 50% off $17,177.00 $90,856.00 $66,328.00 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 27 17 $0.01 — $41,419.00 $250,310.00 $66,157.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 17 $0.01 — $16,014.92 $306,664.00 $65,306.32 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 27 17 $0.01 — $40,648.00 $245,479.00 $64,880.00 2026-04-01
C1882 HCPCS System Defib Crdc Viva Quad Xt Crt-d 549 11 $112,811.40 $56,405.70 50% off $4.50 $161,411.00 $64,681.00 2024-12-15
64568 HCPCS Inc For Vagus N Elect Impl 4 3 — — $44,247.19 $88,494.38 $64,623.37 2026-04-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 4 3 $0.01 — $62,125.00 $68,338.00 $64,610.00 2024-12-15
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 27 17 $0.01 — $40,376.00 $243,779.00 $64,431.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 27 17 $0.01 — $43,764.00 $339,463.00 $64,168.00 2026-04-01
72 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $61,638.00 $67,802.00 $64,104.00 2024-12-15
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 26 17 $0.01 — $47,687.00 $370,947.00 $64,031.32 2026-04-01
1612 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $61,549.00 $67,704.00 $64,011.00 2024-12-15
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 27 17 $0.01 — $39,950.00 $241,111.00 $63,726.00 2026-04-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $60,845.00 $66,929.00 $63,279.00 2024-12-15
69930 HCPCS Implant Cochlear Device 4 3 — — $33,122.37 $79,393.75 $62,832.37 2026-04-01
8634 APR_DRG Neonatal Aftercare 4 3 $0.01 — $59,901.00 $65,891.00 $62,297.00 2024-12-15
C1820 HCPCS Stimulator Neurostim Gastric Enterra Ii 171 11 $107,581.50 $53,790.75 50% off $2,330.00 $155,951.00 $62,030.00 2024-12-15
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 4 3 $0.01 — $59,326.00 $65,259.00 $61,699.00 2024-12-15
955 MS_DRG Craniotomy For Multiple Significant Trauma 26 17 $0.01 — $46,126.00 $358,417.00 $61,392.65 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 4 3 — — $31,531.90 $77,413.77 $61,241.90 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 4 3 — — $31,531.90 $77,413.77 $61,241.90 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 4 3 — — $31,531.90 $77,413.77 $61,241.90 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 4 3 — — $31,531.90 $77,413.77 $61,241.90 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 4 3 — — $31,531.90 $77,413.77 $61,241.90 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 27 17 $0.01 — $41,743.00 $323,244.00 $61,102.00 2026-04-01
61886 HCPCS Implant Neurostim Arrays 4 3 — — $30,998.31 $69,826.74 $60,708.32 2026-04-01
1611 APR_DRG Implantable Heart Assist Systems 4 3 $0.01 — $58,373.00 $64,211.00 $60,708.00 2024-12-15
4404 APR_DRG Kidney Transplant 4 3 $0.01 — $58,229.00 $64,052.00 $60,558.00 2024-12-15
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc Or In… 27 17 $0.01 — $24,691.00 $213,761.00 $60,427.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 27 17 $0.01 — $41,228.00 $319,113.00 $60,321.00 2026-04-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 $0.01 — $57,963.00 $63,759.00 $60,281.50 2024-12-15
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $57,943.00 $63,738.00 $60,261.00 2024-12-15
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 27 17 $0.01 — $24,491.00 $211,919.00 $59,907.00 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 28 17 $0.01 — $20,413.00 $115,610.00 $59,072.96 2026-04-01
10 MS_DRG Pancreas Or Islet Cell Transplant 25 17 $0.01 — $53,613.00 $418,503.00 $58,828.00 2026-04-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $56,448.00 $62,093.00 $58,706.00 2024-12-15
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 4 3 $0.01 — $56,448.00 $62,093.00 $58,706.00 2024-12-15
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 $0.01 — $47,920.00 $372,821.00 $58,586.07 2026-04-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 4 3 $0.01 — $56,288.00 $61,917.00 $58,539.50 2024-12-15
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 4 3 — — $28,814.06 $68,394.63 $58,524.06 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc Or Insertion O… 27 17 $0.01 — $23,957.00 $207,007.00 $58,518.00 2026-04-01
19 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant With Hemodialysis 25 17 $0.01 — $53,314.00 $416,104.00 $58,499.00 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 17 $0.01 — $45,148.00 $350,575.00 $58,251.75 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 27 17 $0.01 — $39,546.00 $305,613.00 $57,769.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 27 17 $0.01 — $36,261.00 $218,001.00 $57,618.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 17 $0.01 — $36,108.00 $217,038.00 $57,363.00 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 2 2 — — $23,712.03 $90,971.17 $57,341.60 2026-04-01
4414 APR_DRG Major Bladder Procedures 4 3 $0.01 — $55,106.00 $60,616.00 $57,310.00 2024-12-15
0408T OTHER Insj/rplc Cardiac Modulj Sys 4 3 — — $31,531.90 $63,063.80 $56,942.76 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 28 17 $0.01 — $22,520.00 $193,783.00 $56,903.39 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 26 17 $0.01 — $42,829.00 $331,963.00 $56,671.86 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 28 17 $0.01 — $22,843.00 $196,756.00 $55,911.10 2026-04-01
23 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $53,618.00 $58,980.00 $55,763.00 2024-12-15
653 MS_DRG Major Bladder Procedures With Mcc 27 17 $0.01 — $37,925.00 $292,611.00 $55,311.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 27 17 $0.01 — $37,616.00 $290,128.00 $54,842.00 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 25 17 $0.01 — $41,927.00 $324,724.00 $54,710.44 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc 25 17 $0.01 — $45,317.00 $351,930.00 $54,674.75 2026-04-01
38240 CPT Hc Trnsplj Allogeneic Hematopoietic Cells Per Donor 18 11 $177,055.20 $88,527.60 50% off $13,172.00 $149,966.00 $54,669.00 2024-12-15
83 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 4 3 $0.01 — $52,499.00 $57,749.00 $54,599.00 2024-12-15
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 27 17 $0.01 — $34,408.00 $206,392.00 $54,550.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 17 $0.01 — $34,058.00 $204,196.00 $53,969.00 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 27 17 $0.01 — $22,189.00 $190,737.00 $53,919.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 27 17 $0.01 — $36,971.00 $284,952.00 $53,864.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 28 17 $0.01 — $27,520.00 $209,104.00 $53,735.44 2026-04-01
1784 APR_DRG External Heart Assist Systems 4 3 $0.01 — $51,613.00 $56,774.00 $53,677.50 2024-12-15
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 27 17 $0.01 — $36,757.00 $283,231.00 $53,538.00 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 27 17 $0.01 — $36,753.00 $283,199.00 $53,532.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 27 17 $0.01 — $33,427.00 $200,242.00 $52,924.00 2026-04-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 $0.01 — $50,828.00 $55,911.00 $52,861.00 2024-12-15
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 4 3 $0.01 — $50,770.00 $55,847.00 $52,800.50 2024-12-15
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 17 $0.01 — $21,690.00 $186,144.00 $52,620.00 2026-04-01
C1721 HCPCS Defibrillator Crdc Evera MRI Xt Dr 2chb Is4 Df1 457 11 $92,186.64 $46,093.32 50% off $16.00 $102,108.00 $52,592.00 2024-12-15
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 4 3 $0.01 — $50,545.00 $55,600.00 $52,567.00 2024-12-15
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 26 17 $0.01 — $38,779.00 $299,461.00 $52,175.91 2026-04-01
6904 APR_DRG Acute Leukemia 4 3 $0.01 — $50,091.00 $55,100.00 $52,095.00 2024-12-15
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies 4 3 $0.01 — $49,784.00 $54,763.00 $51,775.50 2024-12-15
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $49,728.00 $54,701.00 $51,717.50 2024-12-15
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 17 $0.01 — $32,236.00 $192,780.00 $50,952.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 27 17 $0.01 — $41,979.00 $325,144.00 $50,596.67 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 29 17 $0.01 — $31,410.70 $266,597.00 $50,394.00 2026-04-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 3 $0.01 — $48,227.00 $53,049.00 $50,156.00 2024-12-15
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc Or Insertion Of Antibiotic-… 27 17 $0.01 — $20,700.00 $177,031.00 $50,044.00 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 28 17 $0.01 — $35,037.00 $210,330.00 $50,014.52 2026-04-01
L8614 HCPCS Processor Sound Nuc 7 Cp100 Wht 119 11 $94,111.88 $47,055.94 50% off $485.00 $104,005.00 $50,014.00 2024-12-15
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 27 17 $0.01 — $31,502.00 $188,186.00 $49,738.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 27 17 $0.01 — $34,214.00 $262,828.00 $49,681.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 31 17 $0.01 — $34,176.00 $262,518.00 $49,623.00 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 4 3 — — $22,344.94 $59,420.00 $49,577.69 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 27 17 $0.01 — $26,136.00 $128,697.00 $49,301.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 16 $0.01 — $40,347.00 $312,043.00 $49,298.69 2026-04-01
C1722 HCPCS System Defib Cell Fortify Assura 40 1chmbr 441 11 $89,154.00 $44,577.00 50% off $9,784.00 $110,443.00 $49,202.00 2024-12-15
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 25 17 $0.01 — $40,943.00 $316,824.00 $49,198.18 2026-04-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 4 3 $0.01 — $47,213.00 $51,934.00 $49,101.50 2024-12-15
93653 HCPCS Ep & Ablate Supravent Arrhyt 5 3 — — $14,075.00 $55,747.42 $49,003.78 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 5 3 — — $14,075.00 $55,747.42 $49,003.78 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 5 3 — — $14,075.00 $55,747.42 $49,003.78 2026-04-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 $0.01 — $46,925.00 $51,618.00 $48,802.00 2024-12-15
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 27 17 $0.01 — $20,195.00 $172,384.00 $48,730.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 28 17 $0.01 — $23,901.00 $140,564.00 $48,659.31 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 27 17 $0.01 — $20,157.00 $172,040.00 $48,633.00 2026-04-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 4 3 $0.01 — $46,607.00 $51,268.00 $48,471.50 2024-12-15
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 26 17 $0.01 — $34,189.00 $262,623.00 $48,096.79 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 25 17 $0.01 — $37,244.00 $287,147.00 $48,013.85 2026-04-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 4 3 $0.01 — $46,151.00 $50,766.00 $47,997.00 2024-12-15
63 APR_DRG Pancreas Transplant 4 3 $0.01 — $46,132.00 $50,745.00 $47,977.00 2024-12-15
C1772 HCPCS Pump Inf Synchromed Ii Ti 3.4x0.78x0.78in 20ml 27 11 $99,475.00 $49,737.50 50% off $14,175.00 $70,180.00 $47,913.00 2024-12-15
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 27 17 $0.01 — $16,948.00 $94,469.00 $47,579.82 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 8 — — $47,575.38 $95,150.76 $47,575.38 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 27 17 $0.01 — $32,699.00 $250,666.00 $47,383.00 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 2 2 — — $31,531.90 $63,063.80 $47,297.85 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 27 17 $0.01 — $32,563.00 $249,579.00 $47,177.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 17 $0.01 — $37,464.00 $288,910.00 $46,957.00 2026-04-01
8 MS_DRG Simultaneous Pancreas, Islet Cell And Kidney Transplant 25 17 $0.01 — $37,052.00 $285,603.00 $46,830.26 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 4 3 — — $10,179.00 $69,826.74 $46,497.47 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 4 3 — — $10,179.00 $70,947.92 $46,497.47 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 4 3 — — $10,179.00 $72,092.23 $46,497.47 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 27 17 $0.01 — $32,071.00 $245,627.00 $46,430.00 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 27 17 $0.01 — $24,555.00 $120,450.00 $46,142.00 2026-04-01
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 4 3 $0.01 — $43,978.00 $48,375.00 $45,737.00 2024-12-15
163 MS_DRG Major Chest Procedures With Mcc 27 17 $0.01 — $31,611.00 $241,937.00 $45,732.00 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 25 17 $0.01 — $40,943.00 $316,824.00 $45,575.29 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 29 17 $0.01 — $31,498.00 $241,029.00 $45,561.00 2026-04-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 4 3 $0.01 — $43,738.00 $48,112.00 $45,487.50 2024-12-15
4474 APR_DRG Other Kidney, Urinary Tract And Related Procedures 4 3 $0.01 — $43,636.00 $47,999.00 $45,381.50 2024-12-15
L8619 HCPCS Abutment Cochlear Imp Baha Dermalock Ba400 2s Surg 135 11 $80,730.00 $40,365.00 50% off $750.00 $104,005.00 $45,168.00 2024-12-15
503 MS_DRG Foot Procedures With Mcc 27 17 $0.01 — $18,774.00 $159,309.00 $45,035.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 17 $0.01 — $23,867.00 $206,176.00 $44,988.93 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc 25 17 $0.01 — $35,149.00 $270,329.00 $44,827.26 2026-04-01
22 APR_DRG Heart And/or Lung Transplant 4 3 $0.01 — $43,073.00 $47,381.00 $44,796.00 2024-12-15
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 17 $0.01 — $30,973.00 $236,814.00 $44,764.00 2026-04-01
234 APR_DRG Spinal Procedures 4 3 $0.01 — $42,989.00 $47,288.00 $44,708.50 2024-12-15
J9600 HCPCS Porfimer Sodium Injection 2 2 — — $43,840.84 $45,553.28 $44,697.06 2026-04-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 3 $0.01 — $42,834.00 $47,117.00 $44,547.00 2024-12-15
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 27 17 $0.01 — $28,360.00 $168,497.00 $44,534.00 2026-04-01
0870T OTHER Imp Subq Prtl Ascts Pmp Sys 3 2 — — $8,724.38 $88,494.38 $44,247.19 2026-04-01
30 MS_DRG Spinal Procedures Without Cc/Mcc 27 17 $0.01 — $16,019.00 $88,802.00 $43,994.80 2026-04-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 3 $0.01 — $42,283.00 $46,512.00 $43,974.50 2024-12-15
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 4 3 $0.01 — $42,282.00 $46,510.00 $43,973.00 2024-12-15
901 MS_DRG Wound Debridements For Injuries With Mcc 27 17 $0.01 — $30,442.00 $232,557.00 $43,959.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 27 17 $0.01 — $30,196.00 $230,578.00 $43,585.00 2026-04-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 $0.01 — $41,755.00 $45,930.00 $43,425.00 2024-12-15
37 MS_DRG Extracranial Procedures With Mcc 27 17 $0.01 — $23,184.00 $113,302.00 $43,404.00 2026-04-01
62 APR_DRG Pancreas Transplant 4 3 $0.01 — $41,726.00 $45,898.00 $43,395.00 2024-12-15
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 29 17 $0.01 — $18,130.00 $153,386.00 $43,360.00 2026-04-01
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 4 3 $0.01 — $41,562.00 $45,718.00 $43,224.50 2024-12-15
J9266 HCPCS Pegaspargase Injection 4 3 — — $29,663.96 $59,327.93 $43,065.86 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 27 17 $0.01 — $17,978.00 $151,984.00 $42,964.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 26 17 $0.01 — $31,890.00 $244,178.00 $42,901.93 2026-04-01
61 APR_DRG Pancreas Transplant 4 3 $0.01 — $41,187.00 $45,306.00 $42,834.50 2024-12-15
34 MS_DRG Carotid Artery Stent Procedures With Mcc 28 17 $0.01 — $26,898.00 $132,675.00 $42,817.65 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 27 17 $0.01 — $27,040.00 $160,228.00 $42,349.00 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 29 17 $0.01 — $7,381.07 $223,907.00 $42,324.00 2026-04-01
71 APR_DRG Allogeneic Bone Marrow Transplant 4 3 $0.01 — $40,474.00 $44,521.00 $42,093.00 2024-12-15
140 MS_DRG Major Head And Neck Procedures With Mcc 27 17 $0.01 — $29,125.00 $221,991.00 $41,962.00 2026-04-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 4 3 $0.01 — $40,178.00 $44,196.00 $41,785.50 2024-12-15
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 26 17 $0.01 — $30,716.00 $234,751.00 $41,749.44 2026-04-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 3 $0.01 — $40,131.00 $44,144.00 $41,736.00 2024-12-15
264 APR_DRG Other Nervous System And Related Procedures 4 3 $0.01 — $40,107.00 $44,117.00 $41,711.00 2024-12-15
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 27 17 $0.01 — $28,866.00 $219,912.00 $41,569.00 2026-04-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 4 3 $0.01 — $39,934.00 $43,927.00 $41,531.00 2024-12-15
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 4 3 — — $18,558.00 $88,494.38 $41,384.33 2026-04-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 4 3 $0.01 — $39,697.00 $43,666.00 $41,285.00 2024-12-15
1824 APR_DRG Other Peripheral Vascular Procedures 4 3 $0.01 — $39,665.00 $43,631.00 $41,251.50 2024-12-15
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 4 3 $0.01 — $39,641.00 $43,605.00 $41,226.50 2024-12-15
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 27 17 $0.01 — $14,361.00 $78,687.00 $41,154.18 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 28 17 $0.01 — $28,677.00 $170,489.00 $40,914.32 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 27 17 $0.01 — $28,305.00 $215,403.00 $40,717.00 2026-04-01
464 MS_DRG Wound Debridement Or Skin Graft Except Hand For Musculoskeletal And Connective T… 28 17 $0.01 — $20,749.00 $154,772.00 $40,617.00 2026-04-01
7924 APR_DRG Extensive O.r. Procedures For Other Complications Of Treatment 4 3 $0.01 — $38,992.00 $42,892.00 $40,552.00 2024-12-15
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 4 3 $0.01 — $38,983.00 $42,881.00 $40,542.00 2024-12-15
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 4 3 — — $18,558.00 $61,996.63 $40,489.72 2026-04-01
2054 APR_DRG Cardiomyopathy 4 3 $0.01 — $38,873.00 $42,760.00 $40,427.50 2024-12-15
6954 APR_DRG Chemotherapy For Acute Leukemia 4 3 $0.01 — $38,823.00 $42,705.00 $40,376.00 2024-12-15
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 27 17 $0.01 — $28,067.00 $213,498.00 $40,357.00 2026-04-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 4 3 $0.01 — $38,783.00 $42,661.00 $40,334.50 2024-12-15
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 25 17 $0.01 — $31,599.00 $241,837.00 $40,251.67 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 29 18 $0.01 — $15,494.91 $249,532.00 $40,181.75 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 26 17 $0.01 — $28,873.00 $219,965.00 $40,110.86 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 2 2 — — $10,179.00 $69,826.74 $40,002.87 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 2 2 — — $10,179.00 $69,826.74 $40,002.87 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 26 17 $0.01 — $29,323.00 $223,576.00 $39,894.79 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 27 17 $0.01 — $16,759.00 $140,770.00 $39,794.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 25 17 $0.01 — $33,181.00 $254,535.00 $39,782.61 2026-04-01
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 3 $0.01 — $38,131.00 $41,944.00 $39,656.50 2024-12-15
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 4 3 $0.01 — $38,004.00 $41,804.00 $39,524.00 2024-12-15
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 27 17 $0.01 — $27,501.00 $208,957.00 $39,498.00 2026-04-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 4 3 $0.01 — $37,885.00 $41,673.00 $39,400.50 2024-12-15
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 27 17 $0.01 — $27,218.00 $206,685.00 $39,069.00 2026-04-01
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 4 3 $0.01 — $37,487.00 $41,236.00 $38,986.50 2024-12-15
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 4 3 $0.01 — $37,423.00 $41,166.00 $38,920.00 2024-12-15
214 APR_DRG Open Craniotomy Except Trauma 4 3 $0.01 — $37,335.00 $41,068.00 $38,828.00 2024-12-15
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 26 17 $0.01 — $28,344.00 $215,723.00 $38,738.95 2026-04-01
2304 APR_DRG Major Small Bowel Procedures 4 3 $0.01 — $37,200.00 $40,920.00 $38,688.00 2024-12-15
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