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 HIGHLANDS HOSPITAL

Sebring, FL · CCN 100049 · Rates published

25,769 distinct procedures filed
32 distinct payers
941,588 rate rows
2026-07-31 last MRF observed
Data quality

708,827 of 941,588 rate rows are consumer-grade (75.3%)

232,761 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 183,813
per-diem day rate — not a per-procedure price 23,026
template filing: same amount across many unrelated codes — excluded 16,094
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,246
percent-of-charges filed in the dollar field — excluded from medians 313
placeholder amount (≤ $0.02) — excluded from medians 168
exceeds 10× this hospital's gross charge — excluded from medians 46
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 43
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 12
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/01dd90518f3140a9bd64fdfba6f5b6ae?download=true
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 Latest re-check couldn't be parsed — showing last good data · 2026-08-05
Content fingerprint 3834567241eba394… · 206,399,636 bytes · first seen 2026-05-09

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 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$2,997,086
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,460,273
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 15 $3,672,900.00 $4,407,480.00 $3,783,087.00 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 15 $3,605,000.00 $4,326,000.00 $3,713,150.00 nat. median
$3,646,097
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 15 $3,325,455.00 $3,990,546.00 $3,425,218.65 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 15 $3,286,000.00 $3,943,200.00 $3,384,580.00 nat. median
$3,252,508
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 15 $2,968,000.00 $3,561,600.00 $3,057,040.00 nat. median
$2,939,969
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 15 $2,388,614.00 $2,866,336.80 $2,460,272.42 nat. median
$2,588,981
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $863,696.72 $863,696.72 $863,696.72 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $837,683.55 $837,683.55 $837,683.55 nat. median
$631,793
1.3× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 $830,699.97 $830,699.97 $830,699.97 nat. median
$610,161
1.4× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $819,043.85 $819,043.85 $819,043.85 nat. median
$624,417
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $807,075.90 $807,075.90 $807,075.90 nat. median
$588,565
1.4× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 1 $741,576.00 $741,576.00 $741,576.00 nat. median
$577,541
1.3× median
9194
OTHER 		Tisagenlecleucel Car-pos 15 $529,192.90 $635,031.48 $545,068.69 nat. median
$576,820
0.9× median
9498
OTHER 		Ciltacabtagene Car-pos T 15 $527,123.40 $632,548.08 $542,937.10 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 15 $526,587.60 $631,905.12 $542,385.23 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 15 $516,726.10 $620,071.32 $532,227.88 nat. median
$562,201
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 15 $489,456.00 $587,347.20 $504,139.68 nat. median
$533,230
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 15 $460,530.40 $552,636.48 $474,346.31 nat. median
$492,768
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 $5,348.00 $1,159,814.91 $276,661.07 nat. median
$370,165
0.7× median
5834
APR_DRG 		Neonate With Ecmo 9 $192,207.00 $288,310.50 $228,726.33 nat. median
$311,018
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $8,403.00 $866,285.80 $206,141.00 nat. median
$261,939
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 19 $8,403.00 $729,618.44 $175,409.30 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 19 $8,403.00 $745,680.37 $158,500.76 nat. median
$199,832
0.8× median
1908
OTHER 		New Technology - Level 52 15 $147,339.90 $176,807.88 $151,760.10 nat. median
$155,877
1.0× median
1907
OTHER 		New Technology - Level 52 15 $147,339.90 $176,807.88 $151,760.10 nat. median
$155,877
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $125,393.00 $188,089.50 $149,217.67 nat. median
$254,667
0.6× median
5833
APR_DRG 		Neonate With Ecmo 9 $124,517.00 $186,775.50 $148,175.23 nat. median
$250,089
0.6× median
1905
OTHER 		New Technology - Level 51 15 $132,847.50 $159,417.00 $136,832.93 nat. median
$140,545
1.0× median
1906
OTHER 		New Technology - Level 51 15 $132,847.50 $159,417.00 $136,832.93 nat. median
$140,545
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $111,047.00 $166,570.50 $132,145.93 nat. median
$243,231
0.5× median
1903
OTHER 		New Technology - Level 50 15 $118,355.10 $142,026.12 $121,905.75 nat. median
$122,500
1.0× median
1904
OTHER 		New Technology - Level 50 15 $118,355.10 $142,026.12 $121,905.75 nat. median
$122,500
1.0× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $120,116.70 $120,116.70 $120,116.70 nat. median
$75,807
1.6× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 9 $97,644.00 $146,466.00 $116,196.36 nat. median
$119,243
1.0× median
5832
APR_DRG 		Neonate With Ecmo 9 $95,607.00 $143,410.50 $113,772.33 nat. median
$169,230
0.7× median
1614
APR_DRG 		Implantable Heart Assist Systems 9 $95,167.00 $142,750.50 $113,248.73 nat. median
$209,486
0.5× median
215
MS_DRG 		Other Heart Assist System Implant 20 $66,214.00 $433,383.42 $111,047.00 nat. median
$98,002
1.1× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 9 $91,470.00 $137,205.00 $108,849.30 nat. median
$160,171
0.7× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $108,036.36 $108,036.36 $108,036.36 nat. median
$63,643
1.7× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 9 $90,217.00 $135,325.50 $107,358.23 nat. median
$165,646
0.6× median
1902
OTHER 		New Technology - Level 49 15 $103,862.70 $124,635.24 $106,978.58 nat. median
$107,500
1.0× median
1901
OTHER 		New Technology - Level 49 15 $103,862.70 $124,635.24 $106,978.58 nat. median
$107,500
1.0× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $104,773.89 $104,773.89 $104,773.89 nat. median
$69,291
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 19 $8,403.00 $447,548.12 $104,653.22 nat. median
$132,706
0.8× median
Q0480
HCPCS 		Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 15 $99,999.90 $119,999.88 $102,999.90 nat. median
$111,503
0.9× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 9 $82,446.00 $123,669.00 $98,110.74 nat. median
$168,174
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 20 $5,348.00 $419,773.09 $97,069.99 nat. median
$114,305
0.8× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 9 $81,552.00 $122,328.00 $97,046.88 nat. median
$180,995
0.5× median

Other procedures at this hospital

Browse this hospital's 25,769 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 4 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2024-10-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 4 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2024-10-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 38 15 — — $3,672,900.00 $4,407,480.00 $3,783,087.00 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 38 15 — — $3,605,000.00 $4,326,000.00 $3,713,150.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 38 15 — — $3,325,455.00 $3,990,546.00 $3,425,218.65 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 38 15 — — $3,286,000.00 $3,943,200.00 $3,384,580.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 38 15 — — $2,968,000.00 $3,561,600.00 $3,057,040.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 38 15 — — $2,388,614.00 $2,866,336.80 $2,460,272.42 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 1 — — $863,696.72 $863,696.72 $863,696.72 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 1 — — $837,683.55 $837,683.55 $837,683.55 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 1 — — $830,699.97 $830,699.97 $830,699.97 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 1 — — $819,043.85 $819,043.85 $819,043.85 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 1 — — $807,075.90 $807,075.90 $807,075.90 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 1 — — $741,576.00 $741,576.00 $741,576.00 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 38 15 — — $529,192.90 $635,031.48 $545,068.69 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 38 15 — — $527,123.40 $632,548.08 $542,937.10 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 38 15 — — $526,587.60 $631,905.12 $542,385.23 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 38 15 — — $516,726.10 $620,071.32 $532,227.88 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 38 15 — — $489,456.00 $587,347.20 $504,139.68 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 38 15 — — $460,530.40 $552,636.48 $474,346.31 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 88 19 — — $5,348.00 $1,159,814.91 $276,661.07 2024-10-01
5834 APR_DRG Neonate With Ecmo 22 9 — — $192,207.00 $288,310.50 $228,726.33 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 94 20 — — $8,403.00 $866,285.80 $206,141.00 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 94 19 — — $8,403.00 $729,618.44 $175,409.30 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 94 19 — — $8,403.00 $745,680.37 $158,500.76 2024-10-01
1907 OTHER New Technology - Level 52 38 15 — — $147,339.90 $176,807.88 $151,760.10 2024-10-01
1908 OTHER New Technology - Level 52 38 15 — — $147,339.90 $176,807.88 $151,760.10 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 9 — — $125,393.00 $188,089.50 $149,217.67 2024-10-01
5833 APR_DRG Neonate With Ecmo 22 9 — — $124,517.00 $186,775.50 $148,175.23 2024-10-01
1906 OTHER New Technology - Level 51 38 15 — — $132,847.50 $159,417.00 $136,832.93 2024-10-01
1905 OTHER New Technology - Level 51 38 15 — — $132,847.50 $159,417.00 $136,832.93 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 22 9 — — $111,047.00 $166,570.50 $132,145.93 2024-10-01
1903 OTHER New Technology - Level 50 38 15 — — $118,355.10 $142,026.12 $121,905.75 2024-10-01
1904 OTHER New Technology - Level 50 38 15 — — $118,355.10 $142,026.12 $121,905.75 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 4 1 — — $120,116.70 $120,116.70 $120,116.70 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 9 — — $97,644.00 $146,466.00 $116,196.36 2024-10-01
5832 APR_DRG Neonate With Ecmo 22 9 — — $95,607.00 $143,410.50 $113,772.33 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 22 9 — — $95,167.00 $142,750.50 $113,248.73 2024-10-01
215 MS_DRG Other Heart Assist System Implant 96 20 — — $66,214.00 $433,383.42 $111,047.00 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 9 — — $91,470.00 $137,205.00 $108,849.30 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 4 1 — — $108,036.36 $108,036.36 $108,036.36 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 22 9 — — $90,217.00 $135,325.50 $107,358.23 2024-10-01
1901 OTHER New Technology - Level 49 38 15 — — $103,862.70 $124,635.24 $106,978.58 2024-10-01
1902 OTHER New Technology - Level 49 38 15 — — $103,862.70 $124,635.24 $106,978.58 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 4 1 — — $104,773.89 $104,773.89 $104,773.89 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 94 19 — — $8,403.00 $447,548.12 $104,653.22 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 38 15 — — $99,999.90 $119,999.88 $102,999.90 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 9 — — $82,446.00 $123,669.00 $98,110.74 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 90 20 — — $5,348.00 $419,773.09 $97,069.99 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 9 — — $81,552.00 $122,328.00 $97,046.88 2024-10-01
7 MS_DRG Lung Transplant 90 20 — — $8,403.00 $401,916.33 $96,826.61 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 22 9 — — $80,942.00 $121,413.00 $96,320.98 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $79,947.00 $103,615.00 $95,844.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $79,947.00 $103,615.00 $95,844.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $79,947.00 $103,615.00 $95,844.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $79,947.00 $103,615.00 $95,844.00 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 9 — — $79,657.00 $119,485.50 $94,791.83 2024-10-01
1599 OTHER New Technology - Level 48 38 15 — — $91,785.68 $110,142.82 $94,539.25 2024-10-01
1585 OTHER New Technology - Level 48 38 15 — — $91,785.68 $110,142.82 $94,539.25 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 38 15 — — $91,031.90 $109,238.28 $93,762.86 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 1 — — $91,596.09 $91,596.09 $91,596.09 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 96 20 — — $53,799.00 $274,178.38 $91,595.59 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 6 1 — — $75,812.00 $101,795.00 $90,888.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 6 1 — — $75,812.00 $101,795.00 $90,888.00 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 22 9 — — $75,611.00 $113,416.50 $89,977.09 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 9 — — $75,232.00 $112,848.00 $89,526.08 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 20 — — $49,660.00 $272,172.93 $88,339.32 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 9 — — $73,863.00 $110,794.50 $87,896.97 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 9 — — $71,560.00 $107,340.00 $85,156.40 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 96 20 — — $42,241.54 $274,178.38 $84,697.00 2024-10-01
1584 OTHER New Technology - Level 47 38 15 — — $82,124.09 $98,548.91 $84,587.81 2024-10-01
1598 OTHER New Technology - Level 47 38 15 — — $82,124.09 $98,548.91 $84,587.81 2024-10-01
5831 APR_DRG Neonate With Ecmo 22 9 — — $69,493.00 $104,239.50 $82,696.67 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 94 20 — — $8,403.00 $480,290.28 $82,121.20 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 22 9 — — $68,321.00 $102,481.50 $81,301.99 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 96 20 — — $8,403.00 $400,745.43 $80,984.90 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 96 20 — — $49,660.00 $230,489.92 $80,568.00 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 22 9 — — $67,242.00 $100,863.00 $80,017.98 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $72,221.00 $87,033.00 $79,627.00 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 9 — — $66,782.00 $100,173.00 $79,470.58 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 90 20 — — $8,403.00 $426,660.11 $78,983.65 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 96 20 — — $27,777.00 $389,988.89 $77,942.55 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 4 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 22 9 — — $64,392.00 $96,588.00 $76,626.48 2024-10-01
595880 CDM Ins Icd Gen Multi Ld 11 9 $213,555.00 $213,555.00 $15,589.51 $181,521.75 $74,744.25 2024-10-01
121707 CDM Ins Single Chamber Icd 11 9 $213,533.00 $213,533.00 $15,587.91 $181,503.05 $74,736.55 2024-10-01
1583 OTHER New Technology - Level 46 38 15 — — $72,462.48 $86,954.98 $74,636.35 2024-10-01
1597 OTHER New Technology - Level 46 38 15 — — $72,462.48 $86,954.98 $74,636.35 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 22 9 — — $62,352.00 $93,528.00 $74,198.88 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 20 — — $44,631.98 $272,172.93 $73,500.72 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 9 — — $61,338.00 $92,007.00 $72,992.22 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 4 1 — — $72,861.11 $72,861.11 $72,861.11 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 96 20 — — $41,434.22 $334,565.34 $70,921.48 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 20 — — $41,151.43 $272,172.93 $70,693.38 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 9 — — $59,125.00 $88,687.50 $70,358.75 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 92 19 — — $50,889.00 $235,847.73 $69,756.38 2024-10-01
121709 CDM Ins/repos Sgl Icd+lead 11 9 $199,121.00 $199,121.00 $14,535.83 $169,252.85 $69,692.35 2024-10-01
121650 CDM Ppm Vent 11 9 $199,121.00 $199,121.00 $14,535.83 $169,252.85 $69,692.35 2024-10-01
587727 CDM Ins/rep Of Ppm Atr/vent 11 9 $199,121.00 $199,121.00 $14,535.83 $169,252.85 $69,692.35 2024-10-01
121649 CDM Ppm Atrial 11 9 $199,121.00 $199,121.00 $14,535.83 $169,252.85 $69,692.35 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 96 20 — — $40,704.29 $189,681.29 $69,004.73 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 96 20 — — $8,403.00 $342,724.84 $68,383.19 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 38 15 — — $65,871.70 $79,046.04 $67,847.85 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 9 — — $56,946.00 $85,419.00 $67,765.74 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $61,112.00 $74,071.00 $67,591.50 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 38 15 — — $65,476.58 $78,571.90 $67,440.88 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 22 9 — — $55,523.00 $83,284.50 $66,072.37 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 96 20 — — $32,628.44 $251,210.50 $65,728.00 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 20 — — $36,843.04 $175,609.60 $65,459.96 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 9 — — $54,849.00 $82,273.50 $65,270.31 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 38 15 — — $63,354.77 $76,025.72 $65,255.41 2024-10-01
1582 OTHER New Technology - Level 45 38 15 — — $62,800.88 $75,361.06 $64,684.91 2024-10-01
1596 OTHER New Technology - Level 45 38 15 — — $62,800.88 $75,361.06 $64,684.91 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 20 — — $37,684.00 $260,460.26 $64,447.39 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 96 20 — — $27,777.00 $310,306.38 $62,716.40 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 96 20 — — $37,684.00 $268,653.14 $62,136.29 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 96 20 — — $37,684.00 $268,653.14 $61,510.00 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 22 9 — — $51,688.00 $77,532.00 $61,508.72 2024-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 96 20 — — $24,589.57 $268,653.14 $61,467.71 2024-10-01
791936 CDM Insrt/redo Spine N Gener 11 9 $175,219.00 $175,219.00 $12,790.99 $148,936.15 $61,326.65 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 9 — — $51,226.00 $76,839.00 $60,958.94 2024-10-01
10 MS_DRG Pancreas Transplant 90 20 — — $8,403.00 $245,205.29 $59,247.44 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 90 20 — — $8,403.00 $243,793.59 $58,908.93 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 22 9 — — $49,247.00 $73,870.50 $58,603.93 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 22 9 — — $48,983.00 $73,474.50 $58,289.77 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 9 — — $48,895.00 $73,342.50 $58,185.05 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 96 20 — — $26,121.00 $261,781.01 $57,975.79 2024-10-01
64 APR_DRG Pancreas Transplant 22 9 — — $48,372.00 $72,558.00 $57,562.68 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 38 15 — — $55,015.23 $66,018.28 $56,665.69 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 22 9 — — $47,538.00 $71,307.00 $56,570.22 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 1 — — $46,865.00 $115,429.00 $56,184.00 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 6 1 — — $46,865.00 $115,429.00 $56,184.00 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 92 19 — — $36,681.43 $235,847.73 $56,150.96 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 92 20 — — $27,777.00 $264,121.33 $55,908.22 2024-10-01
8514 APR_DRG Gender Related Procedures 22 9 — — $46,902.00 $70,353.00 $55,813.38 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 96 20 — — $8,403.00 $229,553.56 $55,494.18 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 22 9 — — $46,525.00 $69,787.50 $55,364.75 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 94 20 — — $34,535.45 $177,860.62 $55,041.11 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 22 9 — — $46,203.00 $69,304.50 $54,981.57 2024-10-01
1581 OTHER New Technology - Level 44 38 15 — — $53,139.28 $63,767.14 $54,733.46 2024-10-01
1595 OTHER New Technology - Level 44 38 15 — — $53,139.28 $63,767.14 $54,733.46 2024-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 96 20 — — $28,570.66 $134,507.03 $54,546.32 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 96 20 — — $37,684.00 $188,784.60 $54,383.10 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 22 9 — — $45,376.00 $68,064.00 $53,997.44 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 20 — — $46,068.57 $174,152.00 $53,511.54 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 9 — — $44,835.00 $67,252.50 $53,353.65 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 92 19 — — $31,860.85 $235,847.73 $52,344.00 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 96 20 — — $37,684.00 $175,453.75 $52,082.10 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 9 — — $43,677.00 $65,515.50 $51,975.63 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 9 — — $43,560.00 $65,340.00 $51,836.40 2024-10-01
5244 OTHER Level 4 Blood Product Exc 38 15 — — $50,304.25 $65,395.53 $51,813.38 2024-10-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 6 1 — — $43,072.00 $54,530.00 $51,638.00 2024-10-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 6 1 — — $43,072.00 $54,530.00 $51,638.00 2024-10-01
121710 CDM Ins/repos Lead Dual+gen 11 9 $146,108.00 $146,108.00 $10,665.88 $124,191.80 $51,137.80 2024-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 94 20 — — $21,684.21 $177,860.62 $50,951.00 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 96 20 — — $8,403.00 $260,344.82 $50,804.99 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 20 — — $35,561.88 $131,295.00 $50,630.80 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 92 20 — — $27,777.00 $249,443.17 $50,629.00 2024-10-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 4 1 — — $38,490.00 $61,780.00 $50,135.00 2024-10-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 4 1 — — $38,490.00 $61,780.00 $50,135.00 2024-10-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 4 1 — — $38,490.00 $61,780.00 $50,135.00 2024-10-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 4 1 — — $38,490.00 $61,780.00 $50,135.00 2024-10-01
0207 RC — 24 5 — — $7,500.00 $50,045.00 $50,045.00 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 22 9 — — $42,035.00 $63,052.50 $50,021.65 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 92 20 — — $9,000.00 $76,841.50 $49,977.59 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 9 — — $41,957.00 $62,935.50 $49,928.83 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 96 20 — — $28,597.00 $188,740.35 $49,918.00 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 9 — — $41,876.00 $62,814.00 $49,832.44 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 94 19 — — $8,403.00 $205,403.95 $49,703.12 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 22 9 — — $41,730.00 $62,595.00 $49,658.70 2024-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 96 20 — — $24,000.68 $123,222.14 $49,047.40 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 38 15 — — $47,493.00 $56,991.60 $48,917.79 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 92 20 — — $26,121.00 $190,502.66 $48,843.32 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 96 20 — — $5,348.00 $198,920.58 $48,148.42 2024-10-01
894383 CDM Valve Aor 29mm Evolutpro 9 7 $106,500.00 $106,500.00 $7,774.50 $90,525.00 $47,925.00 2024-10-01
890614 CDM Valve Aortic 34mm 9 7 $106,500.00 $106,500.00 $7,774.50 $90,525.00 $47,925.00 2024-10-01
894439 CDM Valve Tavr 23mm 9 7 $106,500.00 $106,500.00 $7,774.50 $90,525.00 $47,925.00 2024-10-01
894382 CDM Valve Aor 26mm Evolutpro 9 7 $106,500.00 $106,500.00 $7,774.50 $90,525.00 $47,925.00 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 22 9 — — $39,878.00 $59,817.00 $47,454.82 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 96 20 — — $8,403.00 $194,497.87 $47,087.86 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 96 20 — — $8,403.00 $230,162.50 $46,974.16 2024-10-01
1142 OTHER Supprelin La Implant 38 15 — — $45,350.21 $54,420.25 $46,710.72 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 96 20 — — $24,794.00 $186,968.80 $46,707.90 2024-10-01
594923 CDM Revas Fempp Stnt/ath/ang 11 9 $133,361.00 $133,361.00 $9,735.35 $113,356.85 $46,676.35 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 9 — — $38,906.00 $58,359.00 $46,298.14 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 96 20 — — $8,403.00 $189,389.30 $45,413.19 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 92 20 — — $27,777.00 $204,831.98 $45,275.43 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 92 20 — — $29,980.54 $188,784.60 $45,211.65 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 54 16 — — $14,505.00 $70,230.00 $45,161.86 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 22 9 — — $37,904.00 $56,856.00 $45,105.76 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 92 20 — — $27,777.00 $203,526.01 $44,989.92 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 90 20 — — $5,348.00 $419,773.09 $44,960.83 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 90 20 — — $5,348.00 $419,773.09 $44,960.83 2024-10-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 4 1 — — $35,731.00 $54,105.00 $44,918.00 2024-10-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 4 1 — — $35,731.00 $54,105.00 $44,918.00 2024-10-01
1580 OTHER New Technology - Level 43 38 15 — — $43,477.68 $52,173.22 $44,782.01 2024-10-01
1594 OTHER New Technology - Level 43 38 15 — — $43,477.68 $52,173.22 $44,782.01 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 22 9 — — $37,476.00 $56,214.00 $44,596.44 2024-10-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 4 1 — — $44,574.52 $44,574.52 $44,574.52 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 22 9 — — $36,953.00 $55,429.50 $43,974.07 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 96 20 — — $31,037.10 $141,799.60 $43,740.50 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 96 20 — — $8,403.00 $179,058.36 $43,385.48 2024-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 96 20 — — $26,445.22 $165,865.09 $42,904.50 2024-10-01
4404 APR_DRG Kidney Transplant 22 9 — — $35,422.00 $53,133.00 $42,152.18 2024-10-01
93660 CPT Evaluation Of Cardiovascular Function With Tilt Table Evaluation, With Continuou… 28 6 — — $62.10 $44,444.00 $41,879.00 2024-10-01
93662 CPT Intracardiac Echocardiography During Therapeutic/diagnostic Intervention, Includ… 26 6 — — $3,019.00 $44,444.00 $41,879.00 2024-10-01
92974 CPT Transcatheter Placement Of Radiation Delivery Device For Subsequent Coronary Int… 26 5 — — $177.30 $44,444.00 $41,879.00 2024-10-01
92975 CPT Thrombolysis, Coronary; By Intracoronary Infusion, Including Selective Coronary … 26 5 — — $407.70 $44,444.00 $41,879.00 2024-10-01
93644 CPT Electrophysiologic Evaluation Of Subcutaneous Implantable Defibrillator (include… 28 6 — — $49.50 $44,444.00 $41,879.00 2024-10-01
93640 CPT Electrophysiologic Evaluation Of Single Or Dual Chamber Pacing Cardioverter-defi… 28 6 — — $242.10 $44,444.00 $41,879.00 2024-10-01
93582 CPT Percutaneous Transcatheter Closure Of Patent Ductus Arteriosus 30 6 — — $720.00 $50,518.00 $41,879.00 2024-10-01
93583 CPT Percutaneous Transcatheter Septal Reduction Therapy (eg, Alcohol Septal Ablation… 26 5 — — $803.70 $44,444.00 $41,879.00 2024-10-01
92979 CPT Endoluminal Imaging Of Coronary Vessel Or Graft Using Intravascular Ultrasound (… 28 6 — — $77.40 $44,444.00 $41,879.00 2024-10-01
92977 CPT Thrombolysis, Coronary; By Intravenous Infusion 26 5 — — $271.80 $44,444.00 $41,879.00 2024-10-01
92978 CPT Endoluminal Imaging Of Coronary Vessel Or Graft Using Intravascular Ultrasound (… 26 5 — — $153.00 $44,444.00 $41,879.00 2024-10-01
92973 CPT Percutaneous Transluminal Coronary Thrombectomy Mechanical (List Separately In A… 28 6 — — $190.80 $44,444.00 $41,879.00 2024-10-01
8634 APR_DRG Neonatal Aftercare 22 9 — — $35,009.00 $52,513.50 $41,660.71 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 96 20 — — $8,403.00 $171,440.10 $41,558.63 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 96 20 — — $23,175.00 $165,958.10 $41,003.00 2024-10-01
63 APR_DRG Pancreas Transplant 22 9 — — $34,364.00 $51,546.00 $40,893.16 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 96 20 — — $5,348.00 $169,985.34 $40,805.76 2024-10-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 22 9 — — $34,228.00 $51,342.00 $40,731.32 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 90 20 — — $8,403.00 $217,288.88 $40,574.76 2024-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 22 9 — — $34,068.00 $51,102.00 $40,540.92 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 96 20 — — $8,403.00 $166,955.87 $40,483.31 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 96 20 — — $8,403.00 $165,947.07 $40,241.41 2024-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 96 20 — — $21,357.58 $141,799.60 $40,184.00 2024-10-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 96 20 — — $17,312.13 $132,494.13 $40,184.00 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 96 20 — — $8,403.00 $166,103.93 $39,884.12 2024-10-01
596586 CDM Prc D-el Cor Rvsc Cabg A 11 9 $113,803.00 $113,803.00 $8,307.62 $96,732.55 $39,831.05 2024-10-01
596587 CDM Prc D-e Cor Revsc Ami Sl 11 9 $113,803.00 $113,803.00 $8,307.62 $96,732.55 $39,831.05 2024-10-01
596589 CDM Prc D-e Cor Revsc Chrn A 11 9 $113,803.00 $113,803.00 $8,307.62 $96,732.55 $39,831.05 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 96 20 — — $24,466.00 $92,373.82 $39,742.10 2024-10-01
93580 CPT Percutaneous Transcatheter Closure Of Congenital Interatrial Communication (ie, … 32 7 — — $1,051.20 $44,444.00 $39,457.50 2024-10-01
93581 CPT Percutaneous Transcatheter Closure Of A Congenital Ventricular Septal Defect Wit… 32 7 — — $1,437.30 $44,444.00 $39,457.50 2024-10-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 38 15 — — $38,289.50 $45,947.40 $39,438.18 2024-10-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 4 1 — — $39,376.13 $39,376.13 $39,376.13 2024-10-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 16 1 — — $18,208.00 $42,669.00 $39,178.00 2024-10-01
245 MS_DRG Aicd Generator Procedures 96 20 — — $19,037.00 $150,289.19 $39,178.00 2024-10-01
G0448 HCPCS Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System… 34 5 — — $17,725.00 $54,530.00 $39,178.00 2024-10-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 38 15 — — $37,701.50 $45,241.80 $38,832.54 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 4 1 — — $38,803.31 $38,803.31 $38,803.31 2024-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 9 — — $32,422.00 $48,633.00 $38,582.18 2024-10-01
0100T CPT Placement Of A Subconjunctival Retinal Prosthesis Receiver And Pulse Generator, … 6 2 — — $15,022.00 $61,780.00 $38,490.00 2024-10-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 6 2 — — $19,294.00 $61,780.00 $38,490.00 2024-10-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 6 2 — — $19,294.00 $61,780.00 $38,490.00 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 92 20 — — $8,403.00 $191,604.89 $38,427.83 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 92 20 — — $14,718.00 $88,887.00 $38,402.57 2024-10-01
594924 CDM Revas Tiber/ath/ang Ini 11 9 $109,373.00 $109,373.00 $7,984.23 $92,967.05 $38,280.55 2024-10-01
594929 CDM Revas Tib Stnt/ath/ang 1 11 9 $109,373.00 $109,373.00 $7,984.23 $92,967.05 $38,280.55 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 96 20 — — $8,403.00 $165,925.54 $38,263.87 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 96 20 — — $8,403.00 $156,200.50 $37,904.18 2024-10-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 22 9 — — $31,789.00 $47,683.50 $37,828.91 2024-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 96 20 — — $28,903.44 $108,256.00 $37,801.76 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 96 20 — — $8,403.00 $154,902.59 $37,592.95 2024-10-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 22 9 — — $31,574.00 $47,361.00 $37,573.06 2024-10-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 96 20 — — $17,547.67 $99,999.00 $37,530.51 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 92 20 — — $26,121.00 $185,681.53 $37,484.80 2024-10-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 22 9 — — $31,456.00 $47,184.00 $37,432.64 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 96 20 — — $5,348.00 $153,989.14 $37,373.90 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 96 20 — — $8,403.00 $153,826.13 $37,334.82 2024-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 96 20 — — $23,398.80 $113,674.83 $37,309.95 2024-10-01
36625 CPT Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion … 34 8 — — $1,950.00 $44,444.00 $37,036.00 2024-10-01
36620 CPT Arterial Catheterization Or Cannulation For Sampling, Monitoring Or Transfusion … 34 8 — — $828.90 $44,444.00 $37,036.00 2024-10-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 22 9 — — $31,113.00 $46,669.50 $37,024.47 2024-10-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 9 — — $30,783.00 $46,174.50 $36,631.77 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 90 20 — — $8,403.00 $426,660.11 $36,209.35 2024-10-01
1784 APR_DRG External Heart Assist Devices 22 9 — — $30,258.00 $45,387.00 $36,007.02 2024-10-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 22 9 — — $30,178.00 $45,267.00 $35,911.82 2024-10-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 22 9 — — $30,089.00 $45,133.50 $35,805.91 2024-10-01
0268T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Pulse… 6 2 — — $17,218.00 $54,105.00 $35,731.00 2024-10-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 22 9 — — $30,025.00 $45,037.50 $35,729.75 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 96 20 — — $8,403.00 $146,866.05 $35,665.79 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 96 20 — — $8,403.00 $146,229.40 $35,513.13 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 96 20 — — $8,403.00 $146,223.25 $35,511.65 2024-10-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 22 9 — — $29,751.00 $44,626.50 $35,403.69 2024-10-01
72 APR_DRG Allogeneic Bone Marrow Transplant 22 9 — — $29,633.00 $44,449.50 $35,263.27 2024-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 92 20 — — $25,445.00 $101,777.00 $35,202.57 2024-10-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 6 1 — — $25,934.00 $42,958.00 $35,181.00 2024-10-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 22 9 — — $29,487.00 $44,230.50 $35,089.53 2024-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 96 20 — — $25,445.00 $155,553.00 $34,968.11 2024-10-01
1579 OTHER New Technology - Level 42 38 15 — — $33,816.08 $40,579.30 $34,830.56 2024-10-01
1593 OTHER New Technology - Level 42 38 15 — — $33,816.08 $40,579.30 $34,830.56 2024-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 92 20 — — $27,320.32 $146,193.74 $34,697.33 2024-10-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 22 9 — — $29,098.00 $43,647.00 $34,626.62 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 96 20 — — $8,403.00 $143,913.48 $34,615.04 2024-10-01
L8701 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand With S… 38 15 — — $33,480.90 $40,177.08 $34,485.33 2024-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 96 20 — — $24,794.00 $87,033.00 $34,442.34 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 96 20 — — $8,403.00 $141,751.33 $34,439.28 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 90 20 — — $8,403.00 $172,145.63 $34,425.28 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 96 20 — — $8,403.00 $141,222.33 $34,396.53 2024-10-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 22 9 — — $28,871.00 $43,306.50 $34,356.49 2024-10-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 22 9 — — $28,840.00 $43,260.00 $34,319.60 2024-10-01
0823T CPT Transcatheter Insertion Of Permanent Single-chamber Leadless Pacemaker, Right At… 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
0825T CPT Transcatheter Removal And Replacement Of Permanent Single-chamber Leadless Pacem… 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
0817T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
0816T CPT Open Insertion Or Replacement Of Integrated Neurostimulation System For Bladder … 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
C9765 HCPCS Revascularization, Endovascular, Open Or Percutaneous, Lower Extremity Artery(ie… 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
C9792 HCPCS Blinded Or Nonblinded Procedure For Symptomatic New York Heart Association (nyha… 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
0801T CPT Transcatheter Removal And Replacement Of Permanent Dual-chamber Leadless Pacemak… 4 1 — — $27,090.00 $41,512.00 $34,301.00 2024-10-01
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