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

Trinity Regional Hospital Sachse

Sachse, TX · CCN 670319 · Rates published

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You selected 93350 (CPT)

ECHO STRESS

This hospital’s price: $916 across 12 payers · range $204-$4,665

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1682203_MEDICAL-CITY-SACHSE_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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.

27,972 distinct procedures filed
20 distinct payers
724,078 rate rows
2026-03-01 last MRF observed
Data quality

696,638 of 724,078 rate rows are consumer-grade (96.2%)

27,440 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
template filing: same amount across many unrelated codes — excluded 10,972
per-diem day rate — not a per-procedure price 9,489
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 4,309
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,637
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 837
placeholder amount (≤ $0.02) — excluded from medians 164
exceeds 10× this hospital's gross charge — excluded from medians 32
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1682203_MEDICAL-CITY-SACHSE_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.medicalcityhealthcare.com/cms-hpt.txt
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-11
Content fingerprint 41c6b0b81370d4f3… · 376,279,903 bytes · first seen 2026-05-15

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 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$2,994,107
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 5 $5,540.01 $4,775,300.00 $4,730,250.00 nat. median
$17,156
outlier · 275.7×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,467,386
1.7× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 5 $3,666,840.67 $4,790,847.10 $3,869,530.35 nat. median
$3,758,972
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,401,965
1.6× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,685,267.00 $3,685,267.00 $3,685,267.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 6 $10,030.98 $4,336,566.00 $3,502,611.00 nat. median
$30,519
outlier · 114.8×
714
OTHER 		Inj Delandistrogene Mox R 7 $6,515.80 $4,326,218.00 $3,494,253.00 nat. median
$3,325,455
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 7 $12,402.76 $4,228,260.40 $3,415,133.40 nat. median
$3,252,508
1.1× median
906
OTHER 		Inj Elivaldogene Autoteme 6 $8,863.55 $4,134,000.00 $3,339,000.00 nat. median
$25,059
outlier · 133.2×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$14,890
outlier · 224.0×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,327,860.00 $3,327,860.00 $3,327,860.00 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,252,508.00 $3,252,508.00 $3,252,508.00 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 7 $11,472.68 $3,821,959.70 $3,086,967.45 nat. median
$2,939,969
1.1× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,939,969.00 $2,939,969.00 $2,939,969.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 6 $2,576,036.10 $4,634,275.99 $2,718,430.05 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,588,981.00 $2,588,981.00 $2,588,981.00 nat. median
$2,511,312
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $4,067,128.80 $2,528,215.20 nat. median
$813,967
outlier · 3.1×
824
OTHER 		Inj, Exagamglogene Autote 7 $13,434.22 $4,174,280.00 $2,448,600.00 nat. median
$2,285,360
1.1× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $2,937,060.00 $1,825,740.00 nat. median
$319,951
outlier · 5.7×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $553,169.00 $2,570,427.00 $1,597,833.00 nat. median
$646,415
outlier · 2.5×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $527,622.00 $2,318,912.10 $1,441,485.90 nat. median
$622,450
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $516,442.00 $2,268,056.34 $1,409,872.86 nat. median
$640,950
outlier · 2.2×
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $959,962.50 $1,544,287.50 $1,405,162.50 nat. median
$459,112
outlier · 3.1×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $23.68 $2,132,254.50 $1,298,562.20 nat. median
$739,258
1.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $489,399.00 $2,061,869.40 $1,281,702.60 nat. median
$591,721
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $6.22 $1,966,642.50 $1,197,703.00 nat. median
$608,239
2.0× median
2067
OTHER 		Afamitresgene Autoleucel 8 $766,766.90 $2,019,024.40 $816,857.20 nat. median
$793,739
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 7 $584,711.35 $1,539,641.95 $617,032.08 nat. median
$587,650
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 7 $563,698.64 $1,484,312.01 $594,857.87 nat. median
$577,163
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 7 $559,390.19 $1,472,967.14 $590,311.26 nat. median
$562,201
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $587,649.60 $587,649.60 $587,649.60 nat. median
$570,020
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 7 $555,291.39 $1,462,174.32 $585,985.89 nat. median
$563,449
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $566,531.30 $566,531.30 $566,531.30 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $562,201.20 $562,201.20 $562,201.20 nat. median
$545,335
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 7 $529,531.24 $1,394,343.56 $558,801.81 nat. median
$533,230
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $558,081.80 $558,081.80 $558,081.80 nat. median
$541,339
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $532,192.20 $532,192.20 $532,192.20 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 7 $487,002.95 $1,282,359.52 $513,922.71 nat. median
$492,768
1.0× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $489,450.20 $489,450.20 $489,450.20 nat. median
$474,767
1.0× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 4 $63,235.60 $888,000.00 $405,600.00 nat. median
$68,423
outlier · 5.9×
5834
APR_DRG 		Neonate With Ecmo Age 21+ 2 $352,665.30 $376,176.32 $369,458.88 nat. median
$307,206
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $208,615.30 $916,157.34 $363,892.73 nat. median
$249,036
1.5× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 3 $343,073.13 $571,789.00 $356,142.47 nat. median
$170,082
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 $320,445.00 $1,273,072.13 $336,467.25 nat. median
$359,454
0.9× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
90288
CPT 		Botulism Immune Globulin, Human, For Intravenous Use 1 $294,713.96 $416,525.16 $329,245.80 nat. median
$51,570
outlier · 6.4×

Other procedures at this hospital

Browse this hospital's 27,972 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 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 10 5 — — $5,540.01 $4,775,300.00 $4,730,250.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 10 5 — — $3,666,840.67 $4,790,847.10 $3,869,530.35 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,685,267.00 $3,685,267.00 $3,685,267.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 11 6 — — $10,030.98 $4,336,566.00 $3,502,611.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 14 7 — — $6,515.80 $4,326,218.00 $3,494,253.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 14 7 — — $12,402.76 $4,228,260.40 $3,415,133.40 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 11 6 — — $8,863.55 $4,134,000.00 $3,339,000.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,327,860.00 $3,327,860.00 $3,327,860.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,252,508.00 $3,252,508.00 $3,252,508.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 14 7 — — $11,472.68 $3,821,959.70 $3,086,967.45 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,939,969.00 $2,939,969.00 $2,939,969.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 11 6 — — $2,576,036.10 $4,634,275.99 $2,718,430.05 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,588,981.00 $2,588,981.00 $2,588,981.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 2 — — $1,271,523.00 $4,067,128.80 $2,528,215.20 2026-03-01
824 OTHER Inj, Exagamglogene Autote 12 7 — — $13,434.22 $4,174,280.00 $2,448,600.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 9 2 — — $459,112.50 $2,937,060.00 $1,825,740.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 11 3 — — $553,169.00 $2,570,427.00 $1,597,833.00 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 11 3 — — $527,622.00 $2,318,912.10 $1,441,485.90 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 3 — — $516,442.00 $2,268,056.34 $1,409,872.86 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 6 1 — — $959,962.50 $1,544,287.50 $1,405,162.50 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 4 — — $23.68 $2,132,254.50 $1,298,562.20 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 3 — — $489,399.00 $2,061,869.40 $1,281,702.60 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 4 — — $6.22 $1,966,642.50 $1,197,703.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 17 8 — — $766,766.90 $2,019,024.40 $816,857.20 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 14 7 — — $584,711.35 $1,539,641.95 $617,032.08 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 14 7 — — $563,698.64 $1,484,312.01 $594,857.87 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 14 7 — — $559,390.19 $1,472,967.14 $590,311.26 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $587,649.60 $587,649.60 $587,649.60 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 14 7 — — $555,291.39 $1,462,174.32 $585,985.89 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $566,531.30 $566,531.30 $566,531.30 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $562,201.20 $562,201.20 $562,201.20 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 14 7 — — $529,531.24 $1,394,343.56 $558,801.81 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $558,081.80 $558,081.80 $558,081.80 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $532,192.20 $532,192.20 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 14 7 — — $487,002.95 $1,282,359.52 $513,922.71 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $489,450.20 $489,450.20 $489,450.20 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 17 4 — — $63,235.60 $888,000.00 $405,600.00 2026-03-01
5834 APR_DRG Neonate With Ecmo Age 21+ 9 2 — — $352,665.30 $376,176.32 $369,458.88 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 30 10 — — $208,615.30 $916,157.34 $363,892.73 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 18 3 — — $343,073.13 $571,789.00 $356,142.47 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 13 6 — — $320,445.00 $1,273,072.13 $336,467.25 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 6 1 — — $294,713.96 $416,525.16 $329,245.80 2026-03-01
5833 APR_DRG Neonate With Ecmo Age 21+ 9 2 — — $298,624.01 $318,532.28 $312,844.20 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 18 5 — — $57,017.10 $478,449.94 $309,047.47 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 18 3 — — $287,267.84 $478,780.00 $298,211.63 2026-03-01
831 OTHER Obecbtge Autol Up To 400 15 8 — — $3,793.56 $729,015.00 $292,162.50 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 38 13 — — $157,984.82 $693,894.24 $291,379.55 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 17 4 — — $93,760.51 $582,739.61 $289,037.14 2026-03-01
897 OTHER Revakinagene, Per Implant 14 7 — — $263,675.00 $694,300.00 $278,250.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 29 9 — — $158,906.45 $697,990.55 $262,589.80 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Age 21+ 9 2 — — $223,231.34 $238,113.43 $233,861.41 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $223,676.30 $223,676.30 $223,676.30 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 14 3 — — $216,772.95 $231,224.48 $222,966.00 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) Age 21+ 9 2 — — $203,082.13 $216,620.94 $212,752.71 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 15 8 — — $8,300.93 $528,372.78 $211,752.45 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 17 4 — — $126,372.49 $574,167.94 $202,348.70 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $196,615.00 $196,615.00 $196,615.00 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 18 5 — — $45,212.00 $389,632.46 $190,176.18 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 13 — — $103,750.31 $452,829.97 $190,152.02 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 13 — — $82,934.11 $600,280.68 $186,331.40 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure Age 21+ 9 2 — — $166,099.01 $177,172.27 $174,008.48 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure Age 21+ 9 2 — — $164,627.07 $175,602.21 $172,466.46 2026-03-01
1907 OTHER New Technology - Level 52 17 8 — — $149,197.86 $392,862.71 $158,944.46 2026-03-01
1908 OTHER New Technology - Level 52 17 8 — — $149,197.86 $392,862.71 $158,944.46 2026-03-01
215 MS_DRG Other Heart Assist System Implant 49 16 — — $55,453.00 $567,817.00 $156,278.94 2026-03-01
5832 APR_DRG Neonate With Ecmo Age 21+ 9 2 — — $148,797.53 $158,717.36 $155,883.12 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 35 13 — — $68,138.74 $490,716.87 $153,090.04 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies Age 21+ 9 2 — — $141,292.99 $150,712.52 $148,021.23 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $146,662.80 $146,662.80 $146,662.80 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $146,662.80 $146,662.80 $146,662.80 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $63,680.11 $457,699.58 $146,297.20 2026-03-01
1906 OTHER New Technology - Level 51 17 8 — — $134,522.71 $354,220.59 $143,310.62 2026-03-01
1905 OTHER New Technology - Level 51 17 8 — — $134,522.71 $354,220.59 $143,310.62 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 16 — — $55,453.00 $350,478.59 $142,532.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 42 14 — — $59,748.12 $257,246.81 $140,535.73 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $138,578.20 $138,578.20 $138,578.20 2026-03-01
2004 APR_DRG Cardiac Structural And Valvular Disorders Age 21+ 9 2 — — $131,300.11 $140,053.45 $137,552.49 2026-03-01
5831 APR_DRG Neonate With Ecmo Age 21+ 9 2 — — $131,019.18 $139,753.79 $137,258.19 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 41 14 — — $57,917.45 $249,109.77 $133,553.99 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $132,237.00 $132,237.00 $132,237.00 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $132,237.00 $132,237.00 $132,237.00 2026-03-01
431113 CDM Gen Nrstm 45x32x6.9mm 25 8 $446,526.00 $446,526.00 $60,281.01 $334,894.50 $131,725.17 2026-03-01
1903 OTHER New Technology - Level 50 17 8 — — $119,847.55 $315,578.48 $127,676.79 2026-03-01
1904 OTHER New Technology - Level 50 17 8 — — $119,847.55 $315,578.48 $127,676.79 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 18 3 — — $121,057.40 $201,762.00 $125,669.02 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Age 21+ 9 2 — — $119,778.63 $127,763.88 $125,482.38 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Age 21+ 9 2 — — $119,231.19 $127,179.93 $124,908.86 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure Age 21+ 9 2 — — $118,922.86 $126,851.05 $124,585.86 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft Age 21+ 9 2 — — $118,411.64 $126,305.75 $124,050.29 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 13 — — $54,965.88 $393,168.27 $123,494.04 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 16 — — $55,453.00 $276,270.00 $123,290.05 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure Age 21+ 9 2 — — $117,228.98 $125,044.25 $122,811.32 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 9 2 — — $114,140.71 $121,750.09 $119,575.98 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 18 9 — — $85,475.01 $554,970.00 $119,387.46 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure Age 21+ 9 2 — — $113,118.25 $120,659.47 $118,504.84 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 19 10 — — $110,934.54 $629,884.36 $118,181.52 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 41 14 — — $51,380.31 $220,053.12 $117,975.99 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 15 — — $52,460.03 $294,489.00 $117,864.05 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $117,811.20 $117,811.20 $117,811.20 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $117,811.20 $117,811.20 $117,811.20 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure Age 21+ 9 2 — — $112,387.86 $119,880.39 $117,739.67 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 35 13 — — $11,000.00 $283,096.37 $117,712.23 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 14 3 — — $112,984.99 $120,517.32 $116,213.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 49 16 — — $55,453.00 $302,009.60 $115,051.28 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $45,731.64 $324,786.20 $114,886.80 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 17 4 — — $39,976.89 $203,447.46 $114,857.36 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 35 13 — — $51,016.23 $363,920.03 $114,620.22 2026-03-01
1901 OTHER New Technology - Level 49 17 8 — — $105,172.40 $276,936.36 $112,042.95 2026-03-01
1902 OTHER New Technology - Level 49 17 8 — — $105,172.40 $276,936.36 $112,042.95 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $108,218.70 $108,218.70 $108,218.70 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 18 3 — — $102,904.34 $171,507.00 $106,824.27 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 18 3 — — $102,492.01 $170,820.00 $106,396.29 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Age 21+ 9 2 — — $100,670.90 $107,382.30 $105,464.76 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 42 14 — — $11,000.00 $200,117.54 $105,361.33 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 47 15 — — $46,947.42 $422,445.00 $105,083.14 2026-03-01
862710 CDM Set Vntrc 17.4x13.8in 40 12 $396,544.00 $396,544.00 $27,758.08 $297,408.00 $104,687.62 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) Age 21+ 9 2 — — $99,773.81 $106,425.40 $104,524.95 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 47 15 — — $55,453.00 $273,896.94 $104,341.69 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 14 — — $40,808.91 $224,331.00 $104,240.53 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 3 — — $100,614.72 $107,322.36 $103,489.00 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $103,385.40 $103,385.40 $103,385.40 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $103,385.40 $103,385.40 $103,385.40 2026-03-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 6 1 — — $80,266.41 $113,137.42 $103,199.67 2026-03-01
7 MS_DRG Lung Transplant 15 8 — — $97,414.21 $381,784.85 $102,284.92 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency Age 21+ 9 2 — — $97,568.24 $104,072.79 $102,214.34 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition Age 2… 9 2 — — $97,064.90 $103,535.89 $101,687.04 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 25 10 — — $80,850.00 $249,112.22 $100,785.86 2026-03-01
C1767 HCPCS Kit Nrstm Ipg W Pt Cntrl 40 6 $320,864.00 $320,864.00 $40,460.71 $206,921.49 $100,649.05 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 14 — — $44,019.38 $223,223.00 $99,667.54 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 35 13 — — $44,290.05 $314,110.87 $99,508.24 2026-03-01
425912 CDM Icd 12.7mm 83.1x69.1mm 25 8 $336,472.00 $336,472.00 $45,423.72 $252,354.00 $99,259.24 2026-03-01
1599 OTHER New Technology - Level 48 17 8 — — $92,943.15 $244,734.72 $99,014.81 2026-03-01
1585 OTHER New Technology - Level 48 17 8 — — $92,943.15 $244,734.72 $99,014.81 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 2 — — $94,191.15 $100,470.56 $98,676.45 2026-03-01
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 1 1 — — $98,593.44 $98,593.44 $98,593.44 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure Age 21+ 9 2 — — $93,909.30 $100,169.92 $98,381.17 2026-03-01
64 APR_DRG Pancreas Transplant 18 3 — — $94,198.58 $156,998.00 $97,787.11 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 35 13 — — $43,222.84 $306,207.85 $97,110.50 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $96,986.26 $96,986.26 $96,986.26 2026-03-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 14 — — $32,562.46 $227,264.83 $96,564.40 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 16 — — $50,234.39 $308,347.00 $96,298.60 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 42 14 — — $42,494.69 $293,779.42 $96,138.07 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 2 — — $91,290.47 $97,376.50 $95,637.63 2026-03-01
J7310 HCPCS Ganciclovir, 4.5 Mg, Long-acting Implant 14 3 — — $52,748.16 $145,041.92 $95,534.88 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 15 8 — — $90,536.48 $354,299.71 $95,063.30 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 42 14 — — $5,934.00 $225,960.57 $94,486.41 2026-03-01
C1820 HCPCS Generator Impl Pls 5 80 6 $309,611.50 $309,611.50 $39,191.71 $193,674.42 $94,436.29 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 42 14 — — $35,407.00 $196,423.34 $93,569.80 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 14 — — $11,000.00 $214,178.37 $93,458.36 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 42 15 — — $54,317.17 $329,192.00 $93,298.36 2026-03-01
445163 CDM Ipg Nrstm 57.1mm 47.2mm 25 8 $315,783.00 $315,783.00 $42,630.71 $236,837.25 $93,155.99 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 27 13 — — $75,983.00 $333,689.54 $93,063.23 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $92,481.79 $92,481.79 $92,481.79 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 35 13 — — $41,072.23 $290,281.99 $92,278.64 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 35 13 — — $51,052.27 $239,550.55 $91,658.54 2026-03-01
262549 CDM Sys Pns Stimq 4 Electrde 25 8 $310,245.00 $310,245.00 $41,883.07 $232,683.75 $91,522.27 2026-03-01
262578 CDM Kit Lead Nrstm Spr 45cm 25 8 $310,245.00 $310,245.00 $41,883.07 $232,683.75 $91,522.27 2026-03-01
262550 CDM System Lead Ld Electd 8 25 8 $310,245.00 $310,245.00 $41,883.07 $232,683.75 $91,522.27 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 44 15 — — $40,680.20 $222,011.00 $91,397.85 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $91,363.88 $91,363.88 $91,363.88 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $91,363.88 $91,363.88 $91,363.88 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 42 14 — — $5,934.00 $210,363.21 $91,213.48 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 42 14 — — $40,158.73 $276,885.64 $90,730.65 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 18 5 — — $27,070.50 $243,082.56 $90,672.16 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 9 2 — — $86,329.08 $92,084.35 $90,439.99 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 3 — — $87,769.44 $93,620.73 $90,277.10 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 49 16 — — $50,234.39 $304,994.00 $90,190.13 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 15 — — $11,000.00 $355,496.08 $89,897.83 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 9 2 — — $85,628.40 $91,336.96 $89,705.95 2026-03-01
248505 CDM Ipg Nrstm Mr 4.95x5.55cm 25 8 $302,406.00 $302,406.00 $40,824.81 $226,804.50 $89,209.77 2026-03-01
280528 CDM Genrator Imp Pulse 7 25 8 $302,406.00 $302,406.00 $40,824.81 $226,804.50 $89,209.77 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 49 16 — — $46,463.46 $217,198.71 $88,851.11 2026-03-01
1598 OTHER New Technology - Level 47 17 8 — — $83,159.70 $218,973.29 $88,592.25 2026-03-01
1584 OTHER New Technology - Level 47 17 8 — — $83,159.70 $218,973.29 $88,592.25 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 42 14 — — $11,000.00 $169,880.71 $88,462.66 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 42 14 — — $11,000.00 $178,841.59 $88,227.05 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 29 9 — — $54,628.28 $234,489.91 $88,217.04 2026-03-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly Age 21+ 9 2 — — $81,979.21 $87,444.49 $85,882.98 2026-03-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 41 14 — — $32,866.22 $206,603.00 $85,482.74 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 42 14 — — $11,000.00 $160,230.03 $85,199.39 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 14 — — $11,000.00 $191,732.04 $84,656.19 2026-03-01
72 APR_DRG Allogeneic Bone Marrow Transplant 18 3 — — $81,337.04 $135,562.00 $84,435.62 2026-03-01
262595 CDM Kit Nrstm Stimq Rcvr 25 8 $285,760.00 $285,760.00 $38,577.60 $214,320.00 $84,299.20 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies Age 21+ 9 2 — — $80,289.97 $85,642.64 $84,113.30 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 42 14 — — $37,388.10 $262,999.97 $84,001.34 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 14 3 — — $81,218.64 $86,633.22 $83,539.20 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 42 14 — — $25,557.00 $186,328.05 $83,446.27 2026-03-01
007 OTHER Lung Transplant 1 1 — — $83,173.44 $83,173.44 $83,173.44 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 47 15 — — $36,888.69 $317,198.00 $82,879.31 2026-03-01
8634 APR_DRG Neonatal Aftercare Age 21+ 9 2 — — $79,044.64 $84,314.28 $82,808.67 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 47 15 — — $42,051.18 $195,706.69 $82,565.90 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 16 — — $41,095.76 $276,270.00 $82,439.60 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 42 14 — — $11,000.00 $178,305.44 $82,229.98 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure Age 21+ 9 2 — — $78,285.46 $83,504.49 $82,013.34 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 8 — — $77,940.72 $303,963.85 $81,837.76 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $81,746.68 $81,746.68 $81,746.68 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $81,746.68 $81,746.68 $81,746.68 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 42 15 — — $46,051.58 $215,192.45 $81,582.54 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 42 14 — — $11,000.00 $152,926.64 $81,507.73 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 42 14 — — $11,000.00 $163,048.08 $81,491.30 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 47 15 — — $38,261.14 $177,245.55 $81,187.00 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 16 — — $38,943.69 $261,868.00 $81,187.00 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 49 16 — — $45,036.59 $210,248.46 $81,187.00 2026-03-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 17 4 — — $5,213.67 $142,036.23 $80,330.88 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure Age 21+ 9 2 — — $76,487.09 $81,586.23 $80,129.34 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure Age 21+ 9 2 — — $76,461.09 $81,558.50 $80,102.10 2026-03-01
4404 APR_DRG Kidney Transplant 18 3 — — $76,838.13 $128,064.00 $79,765.29 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 14 — — $35,313.98 $247,640.56 $79,690.01 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 14 3 — — $77,028.50 $82,163.74 $79,229.30 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 42 14 — — $11,000.00 $148,058.80 $79,047.18 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 42 15 — — $35,842.07 $165,462.38 $78,255.41 2026-03-01
1597 OTHER New Technology - Level 46 17 8 — — $73,376.27 $193,211.87 $78,169.69 2026-03-01
1583 OTHER New Technology - Level 46 17 8 — — $73,376.27 $193,211.87 $78,169.69 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure Age 21+ 9 2 — — $74,488.14 $79,454.02 $78,035.20 2026-03-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms Age 21+ 9 2 — — $74,488.14 $79,454.02 $78,035.20 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 42 14 — — $11,000.00 $161,452.71 $78,023.92 2026-03-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 41 14 — — $29,549.84 $204,737.00 $78,010.75 2026-03-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 42 14 — — $34,697.62 $150,720.00 $77,956.55 2026-03-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition Age 2… 9 2 — — $74,276.87 $79,228.67 $77,813.87 2026-03-01
163 MS_DRG Major Chest Procedures With Mcc 42 14 — — $11,000.00 $146,519.01 $77,111.70 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $77,046.96 $77,046.96 $77,046.96 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 42 14 — — $5,934.00 $179,475.81 $76,822.76 2026-03-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 14 — — $27,811.11 $187,586.91 $76,821.94 2026-03-01
245 MS_DRG Aicd Generator Procedures 44 15 — — $35,429.45 $149,153.98 $76,779.97 2026-03-01
4414 APR_DRG Major Bladder Procedures Age 21+ 9 2 — — $72,716.72 $77,564.50 $76,179.42 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 35 13 — — $25,958.00 $181,970.21 $75,967.50 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 42 14 — — $5,934.00 $157,062.18 $74,769.52 2026-03-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 35 13 — — $33,064.07 $230,979.41 $74,286.37 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 42 14 — — $11,000.00 $160,900.22 $74,029.59 2026-03-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 44 15 — — $32,934.63 $183,055.00 $73,995.56 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $73,716.21 $73,716.21 $73,716.21 2026-03-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 42 14 — — $11,000.00 $150,268.78 $73,602.94 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 18 3 — — $70,753.99 $117,923.00 $73,449.36 2026-03-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 49 16 — — $32,681.61 $150,067.95 $73,189.00 2026-03-01
C1722 HCPCS Icd Chamber 1 20 6 $238,230.00 $238,230.00 $32,161.05 $144,129.15 $73,136.61 2026-03-01
C1882 HCPCS Crtd Xt MRI Is1 Df4 20 6 $238,230.00 $238,230.00 $32,161.05 $144,129.15 $73,136.61 2026-03-01
C1721 HCPCS Icd Chamber 2 20 6 $238,230.00 $238,230.00 $32,161.05 $144,129.15 $73,136.61 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 42 14 — — $11,000.00 $153,384.33 $72,919.97 2026-03-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 42 14 — — $30,272.10 $131,460.00 $72,745.06 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 18 9 — — $68,457.69 $180,260.45 $72,585.79 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $72,129.48 $72,129.48 $72,129.48 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $72,129.48 $72,129.48 $72,129.48 2026-03-01
83 APR_DRG Autologous Bone Marrow Transplant 18 3 — — $69,276.95 $115,462.00 $71,916.08 2026-03-01
1784 APR_DRG External Heart Assist Devices Age 21+ 9 2 — — $68,107.29 $72,647.78 $71,350.50 2026-03-01
424145 CDM Crt-d Clria Quad Dtma1qq 25 8 $241,418.00 $241,418.00 $32,591.43 $181,063.50 $71,218.31 2026-03-01
484362 CDM Defib Cardiac Crtd 25 8 $241,418.00 $241,418.00 $32,591.43 $181,063.50 $71,218.31 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $70,996.31 $70,996.31 $70,996.31 2026-03-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 35 13 — — $31,443.76 $218,980.55 $70,645.97 2026-03-01
230853 CDM Crtd Xt MRI Is1 Df1 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
233711 CDM Crtd Xt MRI Quad Df4 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
230858 CDM Crtd Xt Quad MRI Df1 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
269261 CDM System Pcng Leadless 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
482703 CDM System Pncg Transcath 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
225397 CDM Crt Defib Card 8.18cm 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
862856 CDM Icd Ellpse Dr Cd2411-36q 25 8 $238,230.00 $238,230.00 $32,161.05 $178,672.50 $70,277.85 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure Age 21+ 9 2 — — $67,071.84 $71,543.29 $70,265.73 2026-03-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 42 14 — — $11,000.00 $148,706.10 $70,250.18 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $70,248.50 $70,248.50 $70,248.50 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly Age 21+ 9 2 — — $66,994.76 $71,461.07 $70,184.98 2026-03-01
901 MS_DRG Wound Debridements For Injuries With Mcc 42 14 — — $11,000.00 $137,195.25 $70,025.71 2026-03-01
6904 APR_DRG Acute Leukemia Age 21+ 9 2 — — $66,099.53 $70,506.16 $69,247.12 2026-03-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 42 14 — — $11,000.00 $149,886.28 $68,876.29 2026-03-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 42 14 — — $30,645.00 $215,986.00 $68,851.35 2026-03-01
434 APR_DRG Multiple Sclerosis, Other Demyelinating Disease And Inflammatory Neuropathies Ag… 9 2 — — $65,694.63 $70,074.27 $68,822.94 2026-03-01
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) Age 21+ 9 2 — — $65,620.80 $69,995.52 $68,745.60 2026-03-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 14 3 — — $66,698.51 $71,145.08 $68,604.20 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 18 9 — — $12,298.44 $168,399.95 $67,809.90 2026-03-01
1582 OTHER New Technology - Level 45 17 8 — — $63,592.83 $167,450.46 $67,747.13 2026-03-01
1596 OTHER New Technology - Level 45 17 8 — — $63,592.83 $167,450.46 $67,747.13 2026-03-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 42 14 — — $11,000.00 $143,609.42 $67,222.20 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $67,006.57 $67,006.57 $67,006.57 2026-03-01
5244 OTHER Level 4 Blood Product Exc 17 8 — — $62,871.81 $165,551.90 $66,979.01 2026-03-01
91 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) Age 21+ 9 2 — — $63,639.03 $67,881.63 $66,669.46 2026-03-01
431043 CDM Nrstm Impl Actv Sc Multi 25 8 $225,504.00 $225,504.00 $30,443.04 $169,128.00 $66,523.68 2026-03-01
140 MS_DRG Major Head And Neck Procedures With Mcc 42 14 — — $11,000.00 $139,441.19 $66,168.30 2026-03-01
269262 CDM System Pcng Ldless Cpsl 25 8 $224,147.00 $224,147.00 $30,259.85 $168,110.25 $66,123.37 2026-03-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 42 14 — — $25,242.73 $224,331.00 $65,838.90 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $65,834.90 $65,834.90 $65,834.90 2026-03-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 42 14 — — $18,437.00 $122,179.81 $65,734.89 2026-03-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 14 — — $34,827.07 $146,476.51 $65,606.32 2026-03-01
230846 CDM Defib Icd Xt Dr Dual Df1 25 8 $222,393.00 $222,393.00 $30,023.06 $166,794.75 $65,605.93 2026-03-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 44 15 — — $28,029.56 $147,350.00 $65,543.57 2026-03-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly Age 21+ 9 2 — — $62,301.29 $66,454.71 $65,268.02 2026-03-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 42 14 — — $11,000.00 $140,343.49 $65,222.65 2026-03-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 41 14 — — $14,535.00 $120,031.95 $64,880.44 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back Age 21+ 9 2 — — $61,921.46 $66,049.56 $64,870.10 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 9 2 — — $22,188.00 $84,321.96 $64,764.39 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure Age 21+ 9 2 — — $61,501.71 $65,601.83 $64,430.37 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $64,274.79 $64,274.79 $64,274.79 2026-03-01
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