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Hospital

HCA FLORIDA TWIN CITIES HOSPITAL

Niceville, FL · CCN 100054 · Rates published

24,412 distinct procedures filed
38 distinct payers
501,529 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

416,721 of 501,529 rate rows are consumer-grade (83.1%)

84,808 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 49,619
template filing: same amount across many unrelated codes — excluded 24,707
per-diem day rate — not a per-procedure price 8,302
exceeds 10× this hospital's gross charge — excluded from medians 2,117
placeholder amount (≤ $0.02) — excluded from medians 63

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-1836808_HCA-FLORIDA-TWIN-CITIES-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch success · 2026-06-08

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 15 $3,672,900.00 $4,407,480.00 $3,755,540.25 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 15 $3,605,000.00 $4,326,000.00 $3,686,112.50 nat. median
$3,605,000
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
$3,574,709
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 15 $5,280.60 $3,990,546.00 $3,391,964.10 nat. median
$13,041
outlier · 260.1×
748
OTHER 		Inj, Lovotibeglogene Auto 15 $8,710.34 $3,943,200.00 $3,351,720.00 nat. median
$17,963
outlier · 186.6×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,225,691.35 $3,225,691.35 nat. median
$3,228,024
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 15 $7,736.51 $3,561,600.00 $3,027,360.00 nat. median
$21,896
outlier · 138.3×
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 15 $2,388,614.00 $2,866,336.80 $2,442,357.81 nat. median
$2,588,981
0.9× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,316,955.58 $2,316,955.58 nat. median
$2,457,321
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos 15 $529,192.90 $635,031.48 $541,099.74 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 15 $527,123.40 $632,548.08 $538,983.68 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 15 $526,587.60 $631,905.12 $538,435.82 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 15 $516,726.10 $620,071.32 $528,352.44 nat. median
$562,201
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $513,317.11 $513,317.11 nat. median
$538,205
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $511,309.70 $511,309.70 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $510,789.97 $510,789.97 nat. median
$530,178
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $1,387,149.28 $502,693.77 nat. median
$754,974
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $501,224.32 $501,224.32 nat. median
$534,091
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 15 $489,456.00 $587,347.20 $500,468.76 nat. median
$532,192
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $1,345,370.55 $492,271.12 nat. median
$675,122
0.7× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $474,772.32 $474,772.32 nat. median
$505,583
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 15 $460,530.40 $552,636.48 $470,892.33 nat. median
$489,450
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $1,334,154.50 $470,149.30 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $1,315,434.06 $459,839.17 nat. median
$674,188
0.7× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $446,714.49 $446,714.49 nat. median
$464,978
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $1,296,212.81 $445,599.57 nat. median
$634,511
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $1,191,016.00 $435,956.80 nat. median
$620,080
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 $2,701.00 $1,658,155.20 $276,654.96 nat. median
$370,174
0.7× median
5834
APR_DRG 		Neonate With Ecmo 10 $192,207.00 $288,310.50 $230,648.40 nat. median
$309,665
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 20 $2,837.00 $1,238,504.77 $214,822.02 nat. median
$265,286
0.8× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $192,914.70 $192,914.70 $192,914.70 nat. median
$76,377
outlier · 2.5×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $178,990.51 $178,990.51 $178,990.51 nat. median
$263,894
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 20 $2,837.00 $1,043,115.24 $177,915.65 nat. median
$206,368
0.9× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $173,512.94 $173,512.94 $173,512.94 nat. median
$62,507
outlier · 2.8×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $137,848.00 $184,270.00 $161,059.00 nat. median
$48,483
outlier · 3.3×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 20 $2,837.00 $942,307.32 $160,721.74 nat. median
$202,986
0.8× median
1908
OTHER 		New Technology - Level 52 15 $147,339.90 $176,807.88 $150,655.05 nat. median
$152,962
1.0× median
1907
OTHER 		New Technology - Level 52 15 $147,339.90 $176,807.88 $150,655.05 nat. median
$153,199
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
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 10 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $147,693.56 $147,693.56 $147,693.56 nat. median
$424,868
outlier · 0.3×
01907
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$84,819
1.7× median
01908
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$82,736
1.7× median
1905
OTHER 		New Technology - Level 51 15 $132,847.50 $159,417.00 $135,836.57 nat. median
$137,903
1.0× median
1906
OTHER 		New Technology - Level 51 15 $132,847.50 $159,417.00 $135,836.57 nat. median
$138,020
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $111,047.00 $166,570.50 $133,256.40 nat. median
$234,738
0.6× median
01905
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$82,736
1.6× median

Other procedures at this hospital

Browse this hospital's 24,412 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 18 15 — — $3,672,900.00 $4,407,480.00 $3,755,540.25 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 18 15 — — $3,605,000.00 $4,326,000.00 $3,686,112.50 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 19 15 — — $5,280.60 $3,990,546.00 $3,391,964.10 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 19 15 — — $8,710.34 $3,943,200.00 $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 19 15 — — $7,736.51 $3,561,600.00 $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 18 15 — — $2,388,614.00 $2,866,336.80 $2,442,357.81 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 18 15 — — $529,192.90 $635,031.48 $541,099.74 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 18 15 — — $527,123.40 $632,548.08 $538,983.68 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 18 15 — — $526,587.60 $631,905.12 $538,435.82 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 18 15 — — $516,726.10 $620,071.32 $528,352.44 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
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 3 — — $502,693.77 $1,387,149.28 $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
9035 OTHER Axicabtagene Ciloleucel C 18 15 — — $489,456.00 $587,347.20 $500,468.76 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 3 — — $492,271.12 $1,345,370.55 $492,271.12 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $474,772.32 $474,772.32 $474,772.32 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 18 15 — — $460,530.40 $552,636.48 $470,892.33 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $1,334,154.50 $470,149.30 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 3 — — $459,839.17 $1,315,434.06 $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… 5 3 — — $445,599.57 $1,296,212.81 $445,599.57 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 3 — — $435,956.80 $1,191,016.00 $435,956.80 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 40 20 — — $2,701.00 $1,658,155.20 $276,654.96 2024-10-01
5834 APR_DRG Neonate With Ecmo 12 10 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 41 20 — — $2,837.00 $1,238,504.77 $214,822.02 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $192,914.70 $192,914.70 $192,914.70 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $178,990.51 $178,990.51 $178,990.51 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 42 20 — — $2,837.00 $1,043,115.24 $177,915.65 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $173,512.94 $173,512.94 $173,512.94 2024-10-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $137,848.00 $184,270.00 $161,059.00 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 42 20 — — $2,837.00 $942,307.32 $160,721.74 2024-10-01
1908 OTHER New Technology - Level 52 18 15 — — $147,339.90 $176,807.88 $150,655.05 2024-10-01
1907 OTHER New Technology - Level 52 18 15 — — $147,339.90 $176,807.88 $150,655.05 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5833 APR_DRG Neonate With Ecmo 12 10 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $147,693.56 $147,693.56 $147,693.56 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
1906 OTHER New Technology - Level 51 18 15 — — $132,847.50 $159,417.00 $135,836.57 2024-10-01
1905 OTHER New Technology - Level 51 18 15 — — $132,847.50 $159,417.00 $135,836.57 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 12 10 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $123,321.96 $123,321.96 $123,321.96 2024-10-01
1904 OTHER New Technology - Level 50 18 15 — — $118,355.10 $142,026.12 $121,018.09 2024-10-01
1903 OTHER New Technology - Level 50 18 15 — — $118,355.10 $142,026.12 $121,018.09 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $119,887.93 $119,887.93 $119,887.93 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $93,485.00 $122,984.00 $118,877.00 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 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 12 10 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 12 10 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 10 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 10 — — $90,217.00 $135,325.50 $108,260.40 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $74,602.00 $118,877.00 $108,166.50 2024-10-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $105,575.00 $110,589.00 $108,082.00 2024-10-01
1901 OTHER New Technology - Level 49 18 15 — — $103,862.70 $124,635.24 $106,199.61 2024-10-01
1902 OTHER New Technology - Level 49 18 15 — — $103,862.70 $124,635.24 $106,199.61 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 42 20 — — $2,837.00 $621,270.66 $105,965.06 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 19 15 — — $96,999.90 $119,999.88 $101,999.90 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 2 — — $53,789.99 $147,108.87 $100,449.43 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 40 20 — — $2,701.00 $576,059.67 $99,443.33 2024-10-01
7 MS_DRG Lung Transplant 40 20 — — $2,837.00 $574,608.63 $99,192.85 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 10 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 10 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $68,358.00 $96,349.00 $96,349.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $68,358.00 $96,349.00 $96,349.00 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
1585 OTHER New Technology - Level 48 18 15 — — $91,785.68 $110,142.82 $93,850.86 2024-10-01
1599 OTHER New Technology - Level 48 18 15 — — $91,785.68 $110,142.82 $93,850.86 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $66,124.00 $93,198.00 $93,198.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $66,124.00 $93,198.00 $93,198.00 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 19 15 — — $88,300.94 $109,238.28 $92,852.54 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 12 10 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 10 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $63,181.00 $89,052.00 $89,052.00 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $63,181.00 $89,052.00 $89,052.00 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01585 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 12 10 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $62,687.00 $88,354.00 $88,354.00 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $62,687.00 $88,354.00 $88,354.00 2024-10-01
215 MS_DRG Other Heart Assist System Implant 41 21 — — $10,799.00 $465,837.57 $86,187.53 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $84,296.07 $84,296.07 $84,296.07 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 41 20 — — $2,837.00 $484,547.23 $84,046.05 2024-10-01
1584 OTHER New Technology - Level 47 18 15 — — $82,124.09 $98,548.91 $83,971.88 2024-10-01
1598 OTHER New Technology - Level 47 18 15 — — $82,124.09 $98,548.91 $83,971.88 2024-10-01
5831 APR_DRG Neonate With Ecmo 12 10 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 41 21 — — $2,837.00 $478,980.50 $83,080.48 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 10 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 20 — — $2,837.00 $468,229.59 $80,828.98 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 21 — — $10,799.00 $460,886.43 $80,703.38 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 10 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 10 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $78,325.54 $78,325.54 $78,325.54 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 12 10 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 21 — — $10,799.00 $185,584.09 $77,107.43 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $76,277.63 $76,277.63 $76,277.63 2024-10-01
0207 RC — 9 8 — — $11,700.00 $75,194.50 $75,194.50 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 12 10 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
1583 OTHER New Technology - Level 46 18 15 — — $72,462.48 $86,954.98 $74,092.88 2024-10-01
1597 OTHER New Technology - Level 46 18 15 — — $72,462.48 $86,954.98 $74,092.88 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 43 21 — — $2,837.00 $405,030.07 $69,584.50 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 41 21 — — $10,799.00 $372,583.87 $68,934.07 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 10 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
007 OTHER Lung Transplant 1 1 — — $67,580.69 $67,580.69 $67,580.69 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $67,458.10 $67,458.10 $67,458.10 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 19 15 — — $63,895.55 $79,046.04 $67,189.13 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 18 15 — — $65,476.58 $78,571.90 $66,949.80 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 10 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 21 — — $10,799.00 $372,372.81 $66,126.93 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 41 21 — — $10,799.00 $366,718.14 $64,819.85 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 19 15 — — $12,654.78 $76,025.72 $64,621.87 2024-10-01
1596 OTHER New Technology - Level 45 18 15 — — $62,800.88 $75,361.06 $64,213.90 2024-10-01
1582 OTHER New Technology - Level 45 18 15 — — $62,800.88 $75,361.06 $64,213.90 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 41 21 — — $10,799.00 $173,955.00 $63,584.27 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 41 21 — — $10,799.00 $354,428.25 $63,342.00 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 21 — — $10,799.00 $173,965.00 $62,943.20 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $62,431.63 $62,431.63 $62,431.63 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $62,320.47 $62,320.47 $62,320.47 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 12 10 — — $51,688.00 $77,532.00 $62,025.60 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 3 — — $61,600.24 $168,273.22 $61,600.24 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 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
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
10 MS_DRG Pancreas Transplant 40 20 — — $2,837.00 $350,563.19 $60,516.60 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 41 21 — — $2,837.00 $348,544.93 $60,456.07 2024-10-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $42,484.00 $59,879.00 $59,879.00 2024-10-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $42,484.00 $59,879.00 $59,879.00 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 12 10 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 12 10 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 10 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
64 APR_DRG Pancreas Transplant 12 10 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $57,539.16 $57,539.16 $57,539.16 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 12 10 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 21 — — $2,837.00 $328,186.35 $56,382.68 2024-10-01
8514 APR_DRG Gender Related Procedures 12 10 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 18 15 — — $55,015.23 $66,018.28 $56,253.07 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 12 10 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $55,450.54 $55,450.54 $55,450.54 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 10 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 21 — — $10,799.00 $312,136.94 $55,430.09 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 39 21 — — $10,799.00 $310,721.07 $55,178.65 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 12 10 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
1595 OTHER New Technology - Level 44 18 15 — — $53,139.28 $63,767.14 $54,334.92 2024-10-01
1581 OTHER New Technology - Level 44 18 15 — — $53,139.28 $63,767.14 $54,334.92 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 41 21 — — $10,799.00 $173,955.00 $54,240.01 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 21 — — $10,799.00 $185,584.09 $52,533.21 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 10 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 41 21 — — $10,799.00 $164,024.96 $52,349.64 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 10 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 21 — — $2,837.00 $300,229.59 $51,579.69 2024-10-01
01595 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
01581 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $51,453.49 $51,453.49 $51,453.49 2024-10-01
5244 OTHER Level 4 Blood Product Exc 18 15 — — $50,304.25 $60,365.10 $51,436.10 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 41 21 — — $10,799.00 $90,407.00 $50,529.97 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 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 12 10 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 10 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 42 20 — — $2,837.00 $293,660.32 $50,087.26 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 12 10 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,806.62 $49,806.62 $49,806.62 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 41 21 — — $10,799.00 $268,588.06 $49,693.16 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,529.65 $49,529.65 $49,529.65 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 41 21 — — $10,799.00 $267,304.11 $49,455.60 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 41 21 — — $10,799.00 $269,836.84 $49,032.70 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 43 21 — — $2,701.00 $284,391.24 $48,858.65 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 39 21 — — $10,799.00 $228,127.04 $48,734.00 2024-10-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 3 1 — — $20,167.00 $48,710.00 $48,710.00 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 19 15 — — $46,068.21 $56,991.60 $48,442.86 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 21 — — $10,799.00 $185,584.09 $48,398.01 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 41 21 — — $10,799.00 $272,356.37 $48,140.79 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 41 21 — — $10,799.00 $173,955.00 $47,866.77 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 10 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 21 — — $2,837.00 $278,068.21 $47,772.35 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 21 — — $2,837.00 $272,004.61 $47,629.28 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 39 21 — — $10,799.00 $252,349.57 $46,688.78 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 41 21 — — $10,799.00 $250,841.36 $46,409.73 2024-10-01
1142 OTHER Supprelin La Implant 18 15 — — $45,350.21 $54,420.25 $46,370.59 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 27 17 — — $41,498.60 $140,902.44 $46,205.52 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 21 — — $2,837.00 $270,764.62 $46,044.73 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 40 20 — — $2,701.00 $286,226.88 $45,812.89 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 40 20 — — $2,701.00 $286,226.88 $45,812.89 2024-10-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 1 1 — — $45,738.60 $45,738.60 $45,738.60 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 10 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $45,148.93 $45,148.93 $45,148.93 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 12 10 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 41 21 — — $10,799.00 $243,040.91 $44,966.52 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $44,710.16 $44,710.16 $44,710.16 2024-10-01
1594 OTHER New Technology - Level 43 18 15 — — $43,477.68 $52,173.22 $44,455.93 2024-10-01
1580 OTHER New Technology - Level 43 18 15 — — $43,477.68 $52,173.22 $44,455.93 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 12 10 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $44,039.60 $44,039.60 $44,039.60 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 41 21 — — $10,799.00 $242,069.15 $43,986.97 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 21 — — $2,837.00 $255,994.76 $43,980.11 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 41 21 — — $10,799.00 $240,525.77 $43,706.52 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $43,339.76 $43,339.76 $43,339.76 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 41 21 — — $10,799.00 $173,955.00 $43,279.25 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 5 3 — — $43,241.44 $117,019.36 $43,241.44 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 21 — — $10,799.00 $173,965.00 $43,087.26 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $42,827.53 $42,827.53 $42,827.53 2024-10-01
4404 APR_DRG Kidney Transplant 12 10 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
01594 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
01580 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 43 21 — — $2,837.00 $245,103.15 $42,108.92 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $42,052.24 $42,052.24 $42,052.24 2024-10-01
8634 APR_DRG Neonatal Aftercare 12 10 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 41 21 — — $10,799.00 $173,955.00 $41,757.13 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 43 21 — — $2,701.00 $243,023.32 $41,751.60 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 41 21 — — $10,799.00 $76,544.00 $41,443.92 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 20 — — $2,837.00 $239,237.42 $41,298.79 2024-10-01
63 APR_DRG Pancreas Transplant 12 10 — — $34,364.00 $51,546.00 $41,236.80 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 43 21 — — $2,837.00 $237,474.18 $41,190.54 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $41,091.81 $41,091.81 $41,091.81 2024-10-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 10 — — $34,228.00 $51,342.00 $41,073.60 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 21 — — $2,837.00 $238,692.18 $41,007.51 2024-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 10 — — $34,068.00 $51,102.00 $40,881.60 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 21 — — $2,837.00 $237,249.93 $40,759.73 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 41 21 — — $10,799.00 $173,955.00 $40,537.64 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 43 21 — — $2,837.00 $127,286.00 $39,650.26 2024-10-01
4A023N7 OTHER Measurement Of Cardiac Sampling And Pressure, Left Heart, Percutaneous Approach 2 1 — — $39,626.00 $39,626.00 $39,626.00 2024-10-01
4A020N6 OTHER Measurement Of Cardiac Sampling And Pressure, Right Heart, Open Approach 2 1 — — $39,626.00 $39,626.00 $39,626.00 2024-10-01
4A023N6 OTHER Measurement Of Cardiac Sampling And Pressure, Right Heart, Percutaneous Approach… 2 1 — — $39,626.00 $39,626.00 $39,626.00 2024-10-01
4A020N8 OTHER Measurement Of Cardiac Sampling And Pressure, Bilateral, Open Approach 2 1 — — $39,626.00 $39,626.00 $39,626.00 2024-10-01
4A023N8 OTHER Measurement Of Cardiac Sampling And Pressure, Bilateral, Percutaneous Approach 2 1 — — $39,626.00 $39,626.00 $39,626.00 2024-10-01
G0448 HCPCS Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System… 11 5 — — $3,041.00 $46,059.00 $39,626.00 2024-10-01
4A020N7 OTHER Measurement Of Cardiac Sampling And Pressure, Left Heart, Open Approach 2 1 — — $39,626.00 $39,626.00 $39,626.00 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 41 21 — — $10,799.00 $100,415.00 $39,513.40 2024-10-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 1 1 — — $39,376.13 $39,376.13 $39,376.13 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 41 21 — — $10,799.00 $219,982.52 $39,065.06 2024-10-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 19 15 — — $37,140.82 $45,947.40 $39,055.29 2024-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 10 — — $32,422.00 $48,633.00 $38,906.40 2024-10-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 19 15 — — $36,570.46 $45,241.80 $38,455.53 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 21 — — $2,837.00 $237,219.15 $38,403.22 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 43 21 — — $2,837.00 $223,315.52 $38,365.79 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 39 21 — — $10,799.00 $173,965.00 $38,271.95 2024-10-01
245 MS_DRG Aicd Generator Procedures 41 21 — — $10,799.00 $214,864.29 $38,156.16 2024-10-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 12 10 — — $31,789.00 $47,683.50 $38,146.80 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 21 — — $2,837.00 $221,459.94 $38,047.00 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $37,952.93 $37,952.93 $37,952.93 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,949.46 $37,949.46 $37,949.46 2024-10-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 10 — — $31,574.00 $47,361.00 $37,888.80 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $37,864.09 $37,864.09 $37,864.09 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 21 — — $2,701.00 $220,154.00 $37,822.64 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $37,802.54 $37,802.54 $37,802.54 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 43 21 — — $2,837.00 $219,920.96 $37,782.60 2024-10-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 10 — — $31,456.00 $47,184.00 $37,747.20 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $37,565.78 $37,565.78 $37,565.78 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $37,379.15 $37,379.15 $37,379.15 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 39 21 — — $10,799.00 $173,965.00 $37,359.96 2024-10-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $31,113.00 $46,669.50 $37,335.60 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $37,248.13 $37,248.13 $37,248.13 2024-10-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 10 — — $30,783.00 $46,174.50 $36,939.60 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 40 20 — — $2,837.00 $290,922.86 $36,805.93 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 41 21 — — $10,799.00 $96,687.61 $36,381.28 2024-10-01
1784 APR_DRG External Heart Assist Devices 12 10 — — $30,258.00 $45,387.00 $36,309.60 2024-10-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 10 — — $30,178.00 $45,267.00 $36,213.60 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $36,179.50 $36,179.50 $36,179.50 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 41 21 — — $10,799.00 $204,561.89 $36,157.66 2024-10-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 10 — — $30,089.00 $45,133.50 $36,106.80 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 43 21 — — $2,837.00 $209,970.32 $36,073.08 2024-10-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $30,025.00 $45,037.50 $36,030.00 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 43 21 — — $2,837.00 $209,060.12 $35,916.70 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 43 21 — — $2,837.00 $209,051.33 $35,915.19 2024-10-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 10 — — $29,751.00 $44,626.50 $35,701.20 2024-10-01
72 APR_DRG Allogeneic Bone Marrow Transplant 12 10 — — $29,633.00 $44,449.50 $35,559.60 2024-10-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 10 — — $29,487.00 $44,230.50 $35,384.40 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 21 — — $2,837.00 $201,901.64 $35,353.93 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 21 — — $2,837.00 $205,749.10 $35,347.86 2024-10-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 2 1 — — $33,774.00 $36,784.00 $35,279.00 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 41 21 — — $2,837.00 $202,574.40 $35,137.08 2024-10-01
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