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

TEXAS HEALTH HOSPITAL MANSFIELD

Mansfield, TX · CCN 670309 · Rates published

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You selected 93306 (CPT)

HC TTE W/DOPPLER COMPLETE - TRANSTHORACIC ECHO (TTE) COMPLETE

This hospital’s price: $950 across 11 payers · range $370-$2,705

Source: https://www.adventhealth.com/sites/default/files/CDM/2025/831869297_Texas-Health-Mansfield_standardcharges.json · observed 2026-04-01

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.

27,298 distinct procedures filed
22 distinct payers
475,489 rate rows
2026-04-01 last MRF observed
Data quality

448,376 of 475,489 rate rows are consumer-grade (94.3%)

27,113 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 22,981
per-diem day rate — not a per-procedure price 1,683
template filing: same amount across many unrelated codes — excluded 1,544
exceeds 10× this hospital's gross charge — excluded from medians 704
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 179
placeholder amount (≤ $0.02) — excluded from medians 17
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 5
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=8TD412ABjMMB7Z3bph2isQ*-*
Found on page https://urldefense.com/v3/__https://HospitalPriceDisclosure.com/Default.aspx?ci=RsbcVwMa5jfnDZuYpIqAxQ*-*__;Kio!!OwHQNGuS!NNxzc3gzcCDbWC_3aBKJU3Bm28st5mdzWI_DoAkJmDmhsUhsHjB8niD15jvlGIrs7b_d4aR0fJBjowy6rVbgBT5sJPyOLA$
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
$3,703,693
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
$2,466,282
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 1 $3,316,897.12 $3,316,897.12 $3,316,897.12 nat. median
$3,324,572
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $587,977.76 $1,175,955.51 $967,334.23 nat. median
$646,415
1.5× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $510,103.92 $1,020,207.84 $817,579.86 nat. median
$591,650
1.4× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $562,500.89 $1,125,001.78 $809,996.99 nat. median
$608,101
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 14 $503,455.00 $1,376,216.00 $659,320.39 nat. median
$622,245
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
$640,950
1.0× median
Q2042
HCPCS 		Tisagenlecleucel IV Infusion (wrapped) 14 $421,729.00 $1,223,386.34 $562,711.50 nat. median
$738,272
0.8× 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
$359,358
1.0× median
5834
APR_DRG 		Neonate With Ecmo 3 $267,255.00 $293,981.00 $277,945.50 nat. median
$307,273
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $259,986.00 $285,985.00 $270,385.50 nat. median
$170,172
1.6× median
5833
APR_DRG 		Neonate With Ecmo 3 $226,302.00 $248,932.00 $235,354.00 nat. median
$244,017
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $43,380.04 $332,293.21 $234,827.10 nat. median
$71,201
outlier · 3.3×
24
APR_DRG 		Heart And/or Lung Transplant 3 $217,696.00 $239,466.00 $226,404.00 nat. median
$241,915
0.9× median
0100T
OTHER 		Prosth Retina Receive&Gen 2 $59,420.00 $365,696.20 $212,558.10 nat. median
$5,128
outlier · 41.5×
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
$249,124
0.8× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 2 $162,081.95 $220,363.05 $191,222.50 nat. median
$49,639
outlier · 3.9×
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
$190,557
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $169,168.00 $186,085.00 $175,935.00 nat. median
$247,214
0.7× 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
$198,433
0.9× median
1614
APR_DRG 		Implantable Heart Assist Systems 3 $164,274.00 $180,701.00 $170,845.00 nat. median
$202,993
0.8× median
C1831
HCPCS 		Kit Imp Aprevo Spine Lvl 1 11 $32,048.51 $305,129.00 $166,329.50 nat. median
$7,534
outlier · 22.1×
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 3 $153,899.00 $169,289.00 $160,055.00 nat. median
$163,587
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $131,889.06 $175,755.95 $153,822.51 nat. median
$52,841
outlier · 2.9×
5232
OTHER 		Level 2 Icd And Similar Procedures 1 $150,631.06 $150,631.06 $150,631.06 nat. median
$32,779
outlier · 4.6×
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
$77,696
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 $125,872.00 $138,460.00 $130,907.00 nat. median
$154,011
0.8× 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
$165,000
0.8× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 3 $64,331.61 $323,680.00 $126,757.42 nat. median
$68,423
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
$38,944
outlier · 3.1×
5832
APR_DRG 		Neonate With Ecmo 3 $112,761.00 $124,037.00 $117,271.50 nat. median
$159,249
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 17 $70,761.00 $434,133.00 $114,742.00 nat. median
$93,917
1.2× median
A9543
HCPCS 		Y90 Ibritumomab, Rx 3 $56,824.55 $128,726.96 $111,987.01 nat. median
$63,643
1.8× 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
$124,042
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 3 $55,932.43 $123,176.81 $110,443.29 nat. median
$65,720
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
$53,125
outlier · 2.1×
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
$126,722
0.8× 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
$74,460
1.4× median
C1822
HCPCS 		Construct Neuromod Nevro Pain Mgmt Omnia With Ipg Rm 11 $25,269.01 $158,667.00 $104,617.00 nat. median
$31,540
outlier · 3.3×
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
$90,581
1.2× median
2004
APR_DRG 		Cardiac Structural And Valvular Disorders 3 $99,501.00 $109,451.00 $103,481.00 nat. median
$28,699
outlier · 3.6×
5831
APR_DRG 		Neonate With Ecmo 3 $99,288.00 $109,217.00 $103,259.50 nat. median
$146,591
0.7× median
C1824
HCPCS 		Generator Pul Implantable Optimizer Smt F/hrt Fail 11 $32,048.51 $158,667.00 $102,120.00 nat. median
$35,360
outlier · 2.9×
7
MS_DRG 		Lung Transplant 17 $86,943.00 $685,981.00 $100,333.01 nat. median
$117,894
0.9× 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
$55,188
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 17 $72,718.00 $571,821.00 $96,650.22 nat. median
$97,414
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 17 $87,159.00 $687,713.00 $95,729.00 nat. median
$110,192
0.9× median
73
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $91,739.00 $100,913.00 $95,408.50 nat. median
$89,273
1.1× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 3 $90,770.00 $99,847.00 $94,401.00 nat. median
$175,429
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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