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

HCA FLORIDA CITRUS HOSPITAL

Inverness, FL · CCN 100023 · Rates published

Your selected procedure

You selected 93458 (CPT)

Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterizat

This hospital’s price: $11,864 across 12 payers · range $2,793-$29,960

Source: https://www.hcadam.com/api/public/content/7905e95c794d48df81b99f4ecbc0eaa2?download=true · observed 2024-10-01

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.

27,999 distinct procedures filed
48 distinct payers
716,192 rate rows
2024-10-01 last MRF observed · ⚠ 24 mo old
Data quality

685,544 of 716,192 rate rows are consumer-grade (95.7%)

30,648 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 11,511
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 8,454
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,718
template filing: same amount across many unrelated codes — excluded 2,145
placeholder amount (≤ $0.02) — excluded from medians 708
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 66
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 25
exceeds 10× this hospital's gross charge — excluded from medians 15
percent-of-charges filed in the dollar field — excluded from medians 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 24 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/343440417a214283af965c44f95d053e
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-10-08
Content fingerprint 1e351af3dbb8ebdf… · 1,600,688 bytes · first seen 2026-07-17

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
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 18 $3,672,900.00 $4,040,190.00 $3,801,451.50 nat. median
$3,765,001
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 18 $3,605,000.00 $3,965,500.00 $3,731,175.00 nat. median
$3,677,100
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,562,713.00 $3,562,713.00 nat. median
$3,562,713
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 19 $6,107.02 $3,658,000.50 $3,391,964.10 nat. median
$3,391,964
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 19 $10,073.51 $3,614,600.00 $3,351,720.00 nat. median
$3,351,720
1.0× median
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,225,691.35 $3,225,691.35 nat. median
$3,225,691
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,187,420.00 $3,187,420.00 $3,187,420.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 19 $8,947.28 $3,264,800.00 $3,027,360.00 nat. median
$3,001,835
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,878,960.00 $2,878,960.00 $2,878,960.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 18 $2,388,614.00 $2,627,475.40 $2,472,215.49 nat. median
$2,508,045
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,316,955.58 $2,316,955.58 nat. median
$2,316,956
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 18 $529,192.90 $582,112.19 $547,714.66 nat. median
$555,653
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 18 $527,123.40 $579,835.74 $545,572.72 nat. median
$553,480
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 18 $526,587.60 $579,246.36 $545,018.17 nat. median
$552,917
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 18 $516,726.10 $568,398.71 $534,811.52 nat. median
$542,562
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $513,317.11 $513,317.11 nat. median
$513,317
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $511,309.70 $511,309.70 nat. median
$511,310
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $510,789.97 $510,789.97 nat. median
$510,790
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 18 $489,456.00 $538,401.60 $506,586.96 nat. median
$513,929
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $1,125,423.00 $502,693.77 nat. median
$621,313
0.8× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $501,224.32 $501,224.32 nat. median
$501,224
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $1,091,527.05 $492,271.12 nat. median
$599,737
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 18 $460,530.40 $506,583.44 $476,648.96 nat. median
$483,557
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $474,772.32 $474,772.32 nat. median
$474,772
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $1,082,427.24 $470,149.30 nat. median
$574,037
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $1,067,238.95 $459,839.17 nat. median
$579,571
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $446,714.49 $446,714.49 nat. median
$446,714
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $1,051,644.36 $445,599.57 nat. median
$562,501
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $966,296.00 $435,956.80 nat. median
$513,770
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 23 $7,387.00 $961,233.00 $322,707.70 nat. median
$168,055
1.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 24 $10,670.00 $717,961.54 $241,148.40 nat. median
$186,516
1.3× median
5834
APR_DRG 		Neonate With Ecmo 10 $192,207.00 $288,310.50 $230,648.40 nat. median
$390,362
0.6× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $207,002.56 $207,002.56 $207,002.56 nat. median
$177,883
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 $10,670.00 $604,694.17 $203,174.30 nat. median
$131,925
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 24 $10,670.00 $689,263.83 $183,582.20 nat. median
$145,435
1.3× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $170,807.59 $170,807.59 $170,807.59 nat. median
$149,977
1.1× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $156,515.70 $156,515.70 $156,515.70 nat. median
$92,809
1.7× median
1907
OTHER 		New Technology - Level 52 18 $147,339.90 $162,073.89 $152,496.80 nat. median
$149,948
1.0× median
1908
OTHER 		New Technology - Level 52 18 $147,339.90 $162,073.89 $152,496.80 nat. median
$149,948
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $125,393.00 $188,089.50 $150,471.60 nat. median
$286,698
0.5× median
5833
APR_DRG 		Neonate With Ecmo 10 $124,517.00 $186,775.50 $149,420.40 nat. median
$268,208
0.6× median
01908
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$145,788
1.0× median
01907
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$145,788
1.0× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $140,774.65 $140,774.65 $140,774.65 nat. median
$65,477
outlier · 2.2×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $138,650.35 $138,650.35 $138,650.35 nat. median
$119,739
1.2× median
1906
OTHER 		New Technology - Level 51 18 $132,847.50 $146,132.25 $137,497.17 nat. median
$135,199
1.0× median
1905
OTHER 		New Technology - Level 51 18 $132,847.50 $146,132.25 $137,497.17 nat. median
$135,199
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $111,047.00 $166,570.50 $133,256.40 nat. median
$225,531
0.6× median
01906
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$131,449
1.0× median

Other procedures at this hospital

Browse this hospital's 27,999 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
9138 OTHER Inj, Hemgenix, Per Tx Dos 20 18 — — $3,672,900.00 $4,040,190.00 $3,801,451.50 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 20 18 — — $3,605,000.00 $3,965,500.00 $3,731,175.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,562,713.00 $3,562,713.00 $3,562,713.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 21 19 — — $6,107.02 $3,658,000.50 $3,391,964.10 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 21 19 — — $10,073.51 $3,614,600.00 $3,351,720.00 2024-10-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,225,691.35 $3,225,691.35 $3,225,691.35 2024-10-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,187,420.00 $3,187,420.00 $3,187,420.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 21 19 — — $8,947.28 $3,264,800.00 $3,027,360.00 2024-10-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,878,960.00 $2,878,960.00 $2,878,960.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 20 18 — — $2,388,614.00 $2,627,475.40 $2,472,215.49 2024-10-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,316,955.58 $2,316,955.58 $2,316,955.58 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 20 18 — — $529,192.90 $582,112.19 $547,714.66 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 20 18 — — $527,123.40 $579,835.74 $545,572.72 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 20 18 — — $526,587.60 $579,246.36 $545,018.17 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 20 18 — — $516,726.10 $568,398.71 $534,811.52 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $513,317.11 $513,317.11 $513,317.11 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $511,309.70 $511,309.70 $511,309.70 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $510,789.97 $510,789.97 $510,789.97 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 20 18 — — $489,456.00 $538,401.60 $506,586.96 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 3 — — $502,693.77 $1,125,423.00 $502,693.77 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $501,224.32 $501,224.32 $501,224.32 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 3 — — $492,271.12 $1,091,527.05 $492,271.12 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 20 18 — — $460,530.40 $506,583.44 $476,648.96 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $474,772.32 $474,772.32 $474,772.32 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $1,082,427.24 $470,149.30 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 3 — — $459,839.17 $1,067,238.95 $459,839.17 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $446,714.49 $446,714.49 $446,714.49 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 3 — — $445,599.57 $1,051,644.36 $445,599.57 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 3 — — $435,956.80 $966,296.00 $435,956.80 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 42 23 — — $7,387.00 $961,233.00 $322,707.70 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 44 24 — — $10,670.00 $717,961.54 $241,148.40 2024-10-01
5834 APR_DRG Neonate With Ecmo 14 10 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $207,002.56 $207,002.56 $207,002.56 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 24 — — $10,670.00 $604,694.17 $203,174.30 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 24 — — $10,670.00 $689,263.83 $183,582.20 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $170,807.59 $170,807.59 $170,807.59 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $156,515.70 $156,515.70 $156,515.70 2024-10-01
1908 OTHER New Technology - Level 52 20 18 — — $147,339.90 $162,073.89 $152,496.80 2024-10-01
1907 OTHER New Technology - Level 52 20 18 — — $147,339.90 $162,073.89 $152,496.80 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 10 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5833 APR_DRG Neonate With Ecmo 14 10 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $140,774.65 $140,774.65 $140,774.65 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $138,650.35 $138,650.35 $138,650.35 2024-10-01
1906 OTHER New Technology - Level 51 20 18 — — $132,847.50 $146,132.25 $137,497.17 2024-10-01
1905 OTHER New Technology - Level 51 20 18 — — $132,847.50 $146,132.25 $137,497.17 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 14 10 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
1904 OTHER New Technology - Level 50 20 18 — — $118,355.10 $130,190.61 $122,497.53 2024-10-01
1903 OTHER New Technology - Level 50 20 18 — — $118,355.10 $130,190.61 $122,497.53 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 24 — — $10,670.00 $413,687.61 $121,188.50 2024-10-01
705408 CDM Rem/replace Icd Multi Ld 24 16 $335,752.01 $335,752.01 $15,780.34 $335,752.01 $120,870.72 2024-10-01
705405 CDM Rem/replace Icd Sgl Ld 24 16 $335,752.01 $335,752.01 $15,780.34 $335,752.01 $120,870.72 2024-10-01
705406 CDM Rem/replace Icd Dual Ld 24 16 $335,752.01 $335,752.01 $15,780.34 $335,752.01 $120,870.72 2024-10-01
705403 CDM Ins Icd Gen Dual Ld 24 16 $335,752.01 $335,752.01 $15,780.34 $335,752.01 $120,870.72 2024-10-01
705404 CDM Ins Icd Gen Multi Ld 24 16 $335,752.01 $335,752.01 $15,780.34 $335,752.01 $120,870.72 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 2 — — $53,789.99 $119,352.48 $119,352.48 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 10 — — $97,644.00 $146,466.00 $117,172.80 2024-10-01
01903 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
01904 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
5832 APR_DRG Neonate With Ecmo 14 10 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 14 10 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 42 23 — — $7,387.00 $388,013.98 $112,401.70 2024-10-01
7 MS_DRG Lung Transplant 42 23 — — $10,670.00 $333,100.77 $112,119.70 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 10 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 10 — — $90,217.00 $135,325.50 $108,260.40 2024-10-01
1902 OTHER New Technology - Level 49 20 18 — — $103,862.70 $114,248.97 $107,497.89 2024-10-01
1901 OTHER New Technology - Level 49 20 18 — — $103,862.70 $114,248.97 $107,497.89 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $56,756.00 $102,063.00 $102,063.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $56,756.00 $102,063.00 $102,063.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $56,756.00 $102,063.00 $102,063.00 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $56,756.00 $102,063.00 $102,063.00 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 21 19 — — $96,999.90 $109,999.89 $101,999.90 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $55,840.00 $100,416.00 $100,416.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $55,840.00 $100,416.00 $100,416.00 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $100,053.67 $100,053.67 $100,053.67 2024-10-01
215 MS_DRG Other Heart Assist System Implant 47 25 — — $10,799.00 $400,594.58 $99,168.18 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 10 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 10 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $97,488.40 $97,488.40 $97,488.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 10 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 10 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 44 24 — — $10,670.00 $443,952.57 $95,562.38 2024-10-01
1599 OTHER New Technology - Level 48 20 18 — — $91,785.68 $100,964.25 $94,998.18 2024-10-01
1585 OTHER New Technology - Level 48 20 18 — — $91,785.68 $100,964.25 $94,998.18 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 25 — — $10,670.00 $370,425.91 $94,001.99 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 21 19 — — $88,300.94 $100,135.09 $92,852.54 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 42 23 — — $10,670.00 $394,379.94 $91,902.11 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 14 10 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $90,583.49 $90,583.49 $90,583.49 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 25 — — $10,799.00 $360,483.19 $90,467.82 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 10 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 10 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $88,215.08 $88,215.08 $88,215.08 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 24 — — $60,000.00 $251,580.92 $87,889.33 2024-10-01
680174 CDM Ins/repos Lead Dual+gen 24 16 $238,768.09 $238,768.09 $11,222.10 $238,768.09 $85,956.51 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 10 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
1584 OTHER New Technology - Level 47 20 18 — — $82,124.09 $90,336.50 $84,998.43 2024-10-01
1598 OTHER New Technology - Level 47 20 18 — — $82,124.09 $90,336.50 $84,998.43 2024-10-01
5831 APR_DRG Neonate With Ecmo 14 10 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 10 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
691461 CDM Per Cl Con Vt Sp Df W/im 24 16 $225,092.67 $225,092.67 $10,579.36 $225,092.67 $81,033.36 2024-10-01
691460 CDM Per Cl Con Int Com W/imp 24 16 $225,092.67 $225,092.67 $10,579.36 $225,092.67 $81,033.36 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 10 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 10 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 46 25 — — $10,670.00 $316,795.03 $79,162.00 2024-10-01
007 OTHER Lung Transplant 1 1 — — $78,157.07 $78,157.07 $78,157.07 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $78,015.29 $78,015.29 $78,015.29 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 14 10 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 24 — — $50,332.00 $253,434.65 $77,227.42 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 2 — — $9,472.00 $75,435.00 $75,435.00 2024-10-01
1583 OTHER New Technology - Level 46 20 18 — — $72,462.48 $79,708.73 $74,998.67 2024-10-01
1597 OTHER New Technology - Level 46 20 18 — — $72,462.48 $79,708.73 $74,998.67 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 14 10 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 10 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 24 — — $17,032.00 $215,864.61 $72,815.04 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 46 25 — — $10,799.00 $286,829.28 $72,433.21 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $72,202.17 $72,202.17 $72,202.17 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 24 — — $46,484.00 $213,051.56 $71,270.52 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 10 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 23 — — $55,825.00 $218,004.01 $70,556.72 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 46 25 — — $10,799.00 $248,327.44 $70,020.77 2024-10-01
680169 CDM Ins Single Chamber Icd 24 16 $191,454.67 $191,454.67 $8,998.37 $191,454.67 $68,923.68 2024-10-01
10 MS_DRG Pancreas Transplant 42 23 — — $10,670.00 $203,221.57 $68,576.33 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 10 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 42 23 — — $10,670.00 $202,051.58 $68,184.08 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 20 18 — — $65,476.58 $72,024.24 $67,768.26 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 21 19 — — $63,895.55 $72,458.87 $67,189.13 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 10 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $66,544.04 $66,544.04 $66,544.04 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 10 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
1582 OTHER New Technology - Level 45 20 18 — — $62,800.88 $69,080.97 $64,998.91 2024-10-01
1596 OTHER New Technology - Level 45 20 18 — — $62,800.88 $69,080.97 $64,998.91 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 21 19 — — $14,635.25 $69,690.25 $64,621.87 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 24 — — $13,978.00 $241,975.23 $64,482.96 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 25 — — $10,670.00 $190,249.71 $64,227.37 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $64,128.55 $64,128.55 $64,128.55 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $63,982.18 $63,982.18 $63,982.18 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $9,472.00 $62,710.00 $62,710.00 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 14 10 — — $51,688.00 $77,532.00 $62,025.60 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 25 — — $10,799.00 $244,138.49 $61,719.24 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 3 — — $61,600.24 $136,523.56 $61,600.24 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 10 — — $51,226.00 $76,839.00 $61,471.20 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $61,454.13 $61,454.13 $61,454.13 2024-10-01
719299 CDM Mv Repair Int Device 24 16 $170,429.71 $170,429.71 $8,010.20 $170,429.71 $61,354.69 2024-10-01
01582 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
01596 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 24 — — $52,957.61 $251,580.92 $60,634.24 2024-10-01
716896 CDM Tavr Transapical Exposre 24 16 $167,532.97 $167,532.97 $7,874.05 $167,532.97 $60,311.87 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 24 — — $13,978.00 $230,570.85 $59,757.63 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $59,505.96 $59,505.96 $59,505.96 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 14 10 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 25 — — $10,670.00 $240,647.70 $58,793.96 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 14 10 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 45 25 — — $10,000.00 $74,866.19 $58,695.09 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 10 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
64 APR_DRG Pancreas Transplant 14 10 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 44 24 — — $32,101.28 $113,899.43 $57,994.86 2024-10-01
718507 CDM Tavr Open Transaortic Ap 24 16 $160,478.67 $160,478.67 $7,542.50 $160,478.67 $57,772.32 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $57,601.35 $57,601.35 $57,601.35 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 45 24 — — $10,670.00 $170,234.96 $57,517.21 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 46 25 — — $10,799.00 $253,434.65 $57,382.40 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $57,281.05 $57,281.05 $57,281.05 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 14 10 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 20 18 — — $55,015.23 $60,516.75 $56,940.76 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 45 24 — — $48,822.28 $251,580.92 $56,412.30 2024-10-01
704922 CDM Revas Tib Stnt/ath/ang 1 24 16 $156,463.89 $156,463.89 $7,353.80 $156,463.89 $56,327.00 2024-10-01
704917 CDM Revas Fempp Stnt/ath/ang 24 16 $156,463.89 $156,463.89 $7,353.80 $156,463.89 $56,327.00 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 47 25 — — $10,799.00 $309,252.86 $56,284.18 2024-10-01
8514 APR_DRG Gender Related Procedures 14 10 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 14 10 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 45 25 — — $7,387.00 $164,861.67 $55,715.76 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $30,928.00 $55,615.00 $55,615.00 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $30,928.00 $55,615.00 $55,615.00 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 10 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
718506 CDM Tavr Open Iliac Approach 24 16 $153,425.58 $153,425.58 $7,211.00 $153,425.58 $55,233.21 2024-10-01
1595 OTHER New Technology - Level 44 20 18 — — $53,139.28 $58,453.21 $54,999.15 2024-10-01
1581 OTHER New Technology - Level 44 20 18 — — $53,139.28 $58,453.21 $54,999.15 2024-10-01
719813 CDM Tmvi/tmvr 24 16 $152,676.59 $152,676.59 $7,175.80 $152,676.59 $54,963.57 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 46 25 — — $10,799.00 $171,633.28 $54,867.78 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 25 — — $10,670.00 $161,196.21 $54,486.88 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 14 10 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 25 — — $10,670.00 $212,748.91 $53,841.49 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 10 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 46 25 — — $10,799.00 $175,330.42 $53,769.42 2024-10-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $29,705.00 $53,419.00 $53,419.00 2024-10-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $29,705.00 $53,419.00 $53,419.00 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 24 — — $12,500.00 $156,962.32 $53,067.42 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 46 25 — — $10,799.00 $156,424.48 $52,887.11 2024-10-01
718188 CDM Tavr Open Axillary 24 16 $146,371.28 $146,371.28 $6,879.45 $146,371.28 $52,693.67 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 10 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 46 25 — — $10,799.00 $154,956.26 $52,394.87 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 42 23 — — $7,387.00 $388,013.98 $52,282.38 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 42 23 — — $7,387.00 $388,013.98 $52,282.38 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 10 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $52,214.73 $52,214.73 $52,214.73 2024-10-01
5244 OTHER Level 4 Blood Product Exc 20 18 — — $50,304.25 $55,334.68 $52,064.90 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 46 25 — — $10,799.00 $153,316.10 $51,778.07 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $51,707.30 $51,707.30 $51,707.30 2024-10-01
01581 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
01595 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 25 — — $10,799.00 $248,327.44 $51,255.25 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 20 — — $11,098.00 $64,061.10 $51,248.88 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $50,931.80 $50,931.80 $50,931.80 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $50,561.89 $50,561.89 $50,561.89 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 10 — — $42,035.00 $63,052.50 $50,442.00 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 10 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 10 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
718505 CDM Tavr Open Femoral Art 24 16 $139,316.98 $139,316.98 $6,547.90 $139,316.98 $50,154.11 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $50,122.42 $50,122.42 $50,122.42 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 14 10 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 45 25 — — $10,799.00 $174,501.57 $49,983.32 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 25 — — $10,670.00 $148,400.23 $49,971.01 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 24 — — $10,799.00 $218,004.01 $49,818.69 2024-10-01
716789 CDM Perc Transcath Laa Clos 24 16 $138,137.23 $138,137.23 $6,492.45 $138,137.23 $49,729.40 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $49,530.03 $49,530.03 $49,530.03 2024-10-01
937684 CDM Valve Tavr 23mm 19 13 $98,804.00 $98,804.00 $4,643.79 $98,804.00 $49,402.00 2024-10-01
525520 CDM Valve Tavr 23mm 19 13 $98,804.00 $98,804.00 $4,643.79 $98,804.00 $49,402.00 2024-10-01
529563 CDM Valve Tavr 29mm 19 13 $98,804.00 $98,804.00 $4,643.79 $98,804.00 $49,402.00 2024-10-01
527597 CDM Valve Tavr 26mm 19 13 $98,804.00 $98,804.00 $4,643.79 $98,804.00 $49,402.00 2024-10-01
525521 CDM Valve Tavr 20mm 19 13 $98,804.00 $98,804.00 $4,643.79 $98,804.00 $49,402.00 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 46 25 — — $10,799.00 $162,323.36 $48,661.31 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $48,633.41 $48,633.41 $48,633.41 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 21 19 — — $46,068.21 $52,242.30 $48,442.86 2024-10-01
705878 CDM Prc D-el Cor Stnt Ath Ad 24 16 $134,432.21 $134,432.21 $6,318.31 $134,432.21 $48,395.60 2024-10-01
705877 CDM Prc D-el Cor Stnt Ath Sl 24 16 $134,432.21 $134,432.21 $6,318.31 $134,432.21 $48,395.60 2024-10-01
705862 CDM Ptca Stent W Ath Sgl 24 16 $134,408.01 $134,408.01 $6,317.18 $134,408.01 $48,386.88 2024-10-01
705864 CDM Ptca Stent W Ath Addl 24 16 $134,408.01 $134,408.01 $6,317.18 $134,408.01 $48,386.88 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 46 25 — — $10,799.00 $189,334.84 $47,965.33 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 46 25 — — $10,670.00 $142,086.36 $47,909.94 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 14 10 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 45 25 — — $7,387.00 $140,880.68 $47,675.88 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 46 25 — — $10,799.00 $188,127.68 $47,662.38 2024-10-01
716895 CDM Tavr Perc Fem Approach 24 16 $132,262.68 $132,262.68 $6,216.35 $132,262.68 $47,614.57 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $47,522.68 $47,522.68 $47,522.68 2024-10-01
984899 CDM Kit Aor Vlv 14fr 20mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
502418 CDM Valve Heart Trnscth 20mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
987847 CDM Valve Aor/pulm 20mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
502420 CDM Valve Heart Trnscth 26mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
976231 CDM Kit Aor Vlv 14fr 26mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
502419 CDM Valve Heart Trnscth 23mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
976232 CDM Kit Aor Vlv 14fr 29mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
976230 CDM Kit Aor Vlv 14fr 23mm 19 13 $94,445.00 $94,445.00 $4,438.91 $94,445.00 $47,222.50 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 42 23 — — $10,670.00 $200,849.28 $47,174.79 2024-10-01
1142 OTHER Supprelin La Implant 20 18 — — $45,350.21 $49,885.23 $46,937.46 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 25 — — $10,670.00 $153,398.64 $46,834.12 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 10 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 25 — — $10,670.00 $137,533.84 $46,553.82 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 46 25 — — $10,670.00 $137,663.84 $46,387.71 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 25 — — $10,670.00 $137,516.00 $46,338.37 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 44 24 — — $10,799.00 $164,404.08 $46,335.45 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 25 — — $10,799.00 $113,899.43 $45,858.76 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 14 10 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 3 1 — — $19,926.00 $49,364.00 $45,326.00 2024-10-01
1594 OTHER New Technology - Level 43 20 18 — — $43,477.68 $47,825.45 $44,999.40 2024-10-01
1580 OTHER New Technology - Level 43 20 18 — — $43,477.68 $47,825.45 $44,999.40 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 14 10 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 46 25 — — $10,670.00 $177,108.48 $44,674.67 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 46 25 — — $10,799.00 $79,957.96 $44,468.11 2024-10-01
0207 RC — 11 9 — — $12,350.00 $44,347.50 $44,347.50 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 14 10 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 47 25 — — $10,799.00 $232,204.47 $44,305.19 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 46 25 — — $10,799.00 $85,385.02 $43,978.97 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $43,892.57 $43,892.57 $43,892.57 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $43,888.55 $43,888.55 $43,888.55 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $43,789.82 $43,789.82 $43,789.82 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $43,718.64 $43,718.64 $43,718.64 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 25 — — $10,670.00 $129,456.06 $43,648.35 2024-10-01
912729 CDM Valve Aor Tavr 26mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
914338 CDM Valve Aor Tavr 23mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
986887 CDM Valve Tavr 34mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
521212 CDM Valve Tavr Sz 29mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
990104 CDM Valve Tavr 26mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
990105 CDM Valve Tavr 23mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
521211 CDM Valve Tavr Sz 26mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
521213 CDM Valve Tavr Size 34mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
976664 CDM Valve Tavr 29mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
990103 CDM Valve Tavr 29mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
976663 CDM Valve Tavr 26mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
912731 CDM Valve Aor Tavr 34mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
521210 CDM Valve Tavr Sz 23mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
912730 CDM Valve Aor Tavr 29mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
976660 CDM Valve Tavr 23mm 19 13 $87,180.00 $87,180.00 $4,097.46 $87,180.00 $43,590.00 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $43,444.83 $43,444.83 $43,444.83 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 25 — — $10,670.00 $128,380.39 $43,289.33 2024-10-01
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