Price Transparency 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

Univ Of Miami Hospital And Clinics-sylvester Compr

Miami, FL · CCN 100079 · Rates published

12,140 distinct procedures filed
29 distinct payers
571,240 rate rows
2026-03-25 last MRF observed
Data quality

564,922 of 571,240 rate rows are consumer-grade (98.9%)

6,318 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 2,245
template filing: same amount across many unrelated codes — excluded 2,065
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 1,305
exceeds 10× this hospital's gross charge — excluded from medians 418
placeholder amount (≤ $0.02) — excluded from medians 285
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://miami.box.com/shared/static/lm1w3wl18g0b5vz0rn1r9zev20pybv76.csv
Found on page https://umiamihealth.org/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 65d5242a8b2017d0… · 266,436,128 bytes · first seen 2026-05-11

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3403
HCPCS 		Revakinagene Taroretcel-lwey 200000 Cells Iz Impl 20 $265,000.00 $1,564,800.00 $619,074.00 nat. median
$265,000
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel 10000000000 Cells IV Susp 20 $163,575.00 $2,657,868.38 $594,322.50 nat. median
$824,563
0.7× median
C1841
HCPCS 		Hchg Prosthesis Retinal Argus Ii Second Sight 19 $123,166.35 $656,887.20 $394,132.32 nat. median
$145
outlier · 2711.4×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $304,843.98 $448,186.23 $377,566.01 nat. median
$265,286
1.4× median
Q2058
HCPCS 		Obecabtagene Autoleucel 10x10^6 Cells IV Susp 4 $220,500.00 $511,875.00 $338,625.00 nat. median
$324,450
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel 100000000 Cells IV Susp 4 $219,263.52 $509,004.60 $336,726.12 nat. median
$675,122
outlier · 0.5×
Q2055
HCPCS 		Idecabtagene Vicleucel 460000000 Cells IV Susp 4 $209,331.36 $485,947.80 $321,473.16 nat. median
$625,184
0.5× median
Q2054
HCPCS 		Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 4 $204,740.48 $475,290.40 $314,422.88 nat. median
$674,188
outlier · 0.5×
Q2042
HCPCS 		Tisagenlecleucel 250000000 Cells IV Susp 4 $191,915.36 $567,348.60 $300,111.28 nat. median
$754,974
outlier · 0.4×
Q2053
HCPCS 		Brexucabtagene Autoleucel 100000000 Cells IV Susp 4 $194,040.00 $450,450.00 $297,990.00 nat. median
$620,080
outlier · 0.5×
Q2041
HCPCS 		Axicabtagene Ciloleucel 200000000 Cells IV Susp 4 $194,040.00 $450,450.00 $297,990.00 nat. median
$634,511
outlier · 0.5×
14
MS_DRG 		Allo-related Transplant 6 $130,730.72 $516,668.99 $291,465.45 nat. median
$117,303
outlier · 2.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $202,658.21 $386,914.17 $281,308.18 nat. median
$202,986
1.4× median
5834
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 4 $229,087.21 $249,913.32 $244,706.79 nat. median
$309,665
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $175,971.55 $335,964.12 $244,264.65 nat. median
$206,368
1.2× median
16
MS_DRG 		Auto/Auto Transplant 5 $102,957.00 $516,668.99 $223,864.15 nat. median
$56,920
outlier · 3.9×
17
MS_DRG 		Auto/Auto Transplant 5 $102,957.00 $516,668.99 $223,864.15 nat. median
$53,805
outlier · 4.2×
38241
CPT 		Op Tandem Transplant (Auto/Auto) 3 $173,056.00 $320,560.70 $223,864.15 nat. median
$2,224
outlier · 100.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $132,253.17 $252,497.17 $183,579.53 nat. median
$133,176
1.4× median
7
MS_DRG 		Lung Transplant 1 $140,872.28 $207,112.55 $174,478.04 nat. median
$122,708
1.4× median
J3398
HCPCS 		Voretigene Neparvovec-rzyl 5000000000000 Vg/ml Io Susp 20 $3,026.80 $382,410.40 $162,046.40 nat. median
$3,496
outlier · 46.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $154,891.00 $534,430.33 $154,891.00 nat. median
$370,174
outlier · 0.4×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 $123,267.32 $181,229.48 $152,673.34 nat. median
$108,660
1.4× median
J0225
HCPCS 		Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 20 $5,009.56 $389,340.00 $151,599.26 nat. median
$8,223
outlier · 18.4×
209
MS_DRG 		Complex Aortic Arch Procedures 10 $108,071.90 $206,330.41 $150,013.72 nat. median
$98,017
1.5× median
5884
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 $140,311.53 $153,067.13 $149,878.23 nat. median
$246,434
0.6× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $105,230.42 $200,905.45 $146,069.47 nat. median
$98,905
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 10 $103,825.91 $198,223.97 $144,119.89 nat. median
$102,358
1.4× median
114
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $131,167.70 $143,092.03 $140,110.95 nat. median
$117,173
1.2× median
5833
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 4 $130,472.78 $142,333.94 $139,368.65 nat. median
$244,017
0.6× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 1 $112,157.62 $164,895.83 $138,913.36 nat. median
$100,136
1.4× median
24
APR_DRG 		Apr-DRG 42.00: Heart And/or Lung Transplant 3 $131,081.13 $142,997.59 $137,039.36 nat. median
$234,738
0.6× median
215
MS_DRG 		Other Heart Assist System Implant 10 $95,069.44 $181,506.15 $131,965.10 nat. median
$99,019
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $93,406.17 $178,330.66 $129,656.34 nat. median
$93,672
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 $86,023.66 $164,236.00 $119,408.74 nat. median
$82,712
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $82,680.91 $157,854.03 $114,768.68 nat. median
$83,442
1.4× median
C9293
HCPCS 		Glucarpidase 1000 Units IV Solr 20 $448.69 $270,603.99 $114,668.45 nat. median
$21,340
outlier · 5.4×
J2777
HCPCS 		Faricimab-svoa 6 Mg/0.05ml Iz Soln 20 $32.90 $293,793.29 $114,395.76 nat. median
$58
outlier · 1966.9×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $80,488.69 $153,668.65 $111,725.68 nat. median
$79,312
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $80,235.66 $153,185.58 $111,374.46 nat. median
$81,118
1.4× median
5832
APR_DRG 		Apr-DRG 42.00: Neonate With Ecmo 4 $100,178.98 $109,286.16 $107,009.37 nat. median
$156,126
0.7× median
J0223
HCPCS 		Givosiran Sodium 189 Mg/ml Sc Soln 20 $120.69 $274,741.33 $106,977.40 nat. median
$167
outlier · 640.1×
1614
APR_DRG 		Apr-DRG 42.00: Implantable Heart Assist Systems 4 $97,818.71 $106,711.32 $104,488.17 nat. median
$207,730
0.5× median
6094
APR_DRG 		Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 $97,758.63 $106,645.78 $104,423.99 nat. median
$162,982
0.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $75,131.30 $143,440.36 $104,289.15 nat. median
$77,576
1.3× median
113
APR_DRG 		Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $97,616.72 $106,490.96 $104,272.40 nat. median
$60,845
1.7× median
94
APR_DRG 		Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 4 $95,894.05 $104,611.69 $102,432.28 nat. median
$164,834
0.6× median
J9274
HCPCS 		Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 20 $222.21 $262,761.22 $102,312.65 nat. median
$418
outlier · 244.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $73,312.41 $139,967.73 $101,764.35 nat. median
$74,915
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 $72,996.37 $139,364.35 $101,325.65 nat. median
$73,807
1.4× median

Other procedures at this hospital

Browse this hospital's 12,140 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
             
J3403 HCPCS Revakinagene Taroretcel-lwey 200000 Cells Iz Impl 26 20 $1,956,000.00 $528,120.00 73% off $265,000.00 $1,564,800.00 $619,074.00 2026-03-25
Q2057 HCPCS Afamitresgene Autoleucel 10000000000 Cells IV Susp 28 20 $1,090,500.00 $294,435.00 73% off $163,575.00 $2,657,868.38 $594,322.50 2026-03-25
Q2042 HCPCS Tisagenlecleucel 250000000 Cells IV Susp 18 4 $872,844.00 $235,667.88 73% off $191,915.36 $567,348.60 $300,111.28 2026-03-25
C1841 HCPCS Hchg Prosthesis Retinal Argus Ii Second Sight 29 19 $821,109.00 $221,699.43 73% off $123,166.35 $656,887.20 $394,132.32 2026-03-25
Q2058 HCPCS Obecabtagene Autoleucel 10x10^6 Cells IV Susp 11 4 $787,500.00 $212,625.00 73% off $220,500.00 $511,875.00 $338,625.00 2026-03-25
Q2056 HCPCS Ciltacabtagene Autoleucel 100000000 Cells IV Susp 11 4 $783,084.00 $211,432.68 73% off $219,263.52 $509,004.60 $336,726.12 2026-03-25
Q2055 HCPCS Idecabtagene Vicleucel 460000000 Cells IV Susp 11 4 $747,612.00 $201,855.24 73% off $209,331.36 $485,947.80 $321,473.16 2026-03-25
Q2054 HCPCS Lisocabtagene Maraleucel 70000000 Cells/ml IV Susp 11 4 $731,216.00 $197,428.32 73% off $204,740.48 $475,290.40 $314,422.88 2026-03-25
Q2053 HCPCS Brexucabtagene Autoleucel 100000000 Cells IV Susp 11 4 $693,000.00 $187,110.00 73% off $194,040.00 $450,450.00 $297,990.00 2026-03-25
Q2041 HCPCS Axicabtagene Ciloleucel 200000000 Cells IV Susp 11 4 $693,000.00 $187,110.00 73% off $194,040.00 $450,450.00 $297,990.00 2026-03-25
J0225 HCPCS Vutrisiran Sodium 25 Mg/0.5ml Sc Sosy 28 20 $486,675.00 $131,402.25 73% off $5,009.56 $389,340.00 $151,599.26 2026-03-25
J3398 HCPCS Voretigene Neparvovec-rzyl 5000000000000 Vg/ml Io Susp 28 20 $478,013.00 $129,063.51 73% off $3,026.80 $382,410.40 $162,046.40 2026-03-25
J2777 HCPCS Faricimab-svoa 6 Mg/0.05ml Iz Soln 28 20 $367,241.61 $99,155.23 73% off $32.90 $293,793.29 $114,395.76 2026-03-25
J0223 HCPCS Givosiran Sodium 189 Mg/ml Sc Soln 28 20 $343,426.66 $92,725.20 73% off $120.69 $274,741.33 $106,977.40 2026-03-25
C9293 HCPCS Glucarpidase 1000 Units IV Solr 28 20 $338,254.99 $91,328.85 73% off $448.69 $270,603.99 $114,668.45 2026-03-25
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5ml IV Soln 28 20 $328,451.52 $88,681.91 73% off $222.21 $262,761.22 $102,312.65 2026-03-25
J0177 HCPCS Aflibercept 8 Mg/0.07ml Iz Soln 28 20 $305,253.36 $82,418.41 73% off $306.99 $244,202.69 $95,086.42 2026-03-25
J9248 HCPCS Melphalan Hcl 50 Mg Ia Solr 28 20 $293,400.00 $79,218.00 73% off $795.00 $234,720.00 $91,394.10 2026-03-25
J0179 HCPCS Brolucizumab-dbll 6 Mg/0.05ml Iz Soln 28 20 $289,488.00 $78,161.76 73% off $352.81 $231,590.40 $90,175.51 2026-03-25
J9269 HCPCS Tagraxofusp-erzs 1000 Mcg/ml IV Soln 28 20 $264,112.03 $71,310.25 73% off $357.02 $211,289.62 $82,270.90 2026-03-25
J2326 HCPCS Nusinersen 12 Mg/5ml It Soln 28 20 $228,928.61 $61,810.72 73% off $1,286.15 $183,142.89 $77,606.80 2026-03-25
J3357 HCPCS Ustekinumab 45 Mg/0.5ml Sc Sosy 48 18 $228,081.11 $61,581.90 73% off $34,212.15 $182,464.97 $94,311.54 2026-03-25
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg IV Solr 28 20 $221,589.24 $59,829.10 73% off $221.22 $177,271.39 $69,025.04 2026-03-25
A9543 HCPCS Hchg Yttrium Y-90 Ibritumomab Tiuxetan Ptd To 40 Mci 29 21 $219,170.00 $59,175.90 73% off $54,792.50 $175,336.00 $79,120.37 2026-03-25
J9038 HCPCS Axatilimab-csfr 22 Mg/0.44ml IV Soln 28 20 $205,380.00 $55,452.60 73% off $55.65 $164,304.00 $69,623.82 2026-03-25
J1930 HCPCS Lanreotide Acetate 120 Mg/0.5ml Sc Soln 160 20 $202,354.72 $54,635.77 73% off $35.39 $198,166.27 $72,139.13 2026-03-25
J9281 HCPCS Mitomycin 80 (2 X 40) Mg Ul Solr 28 20 $195,169.68 $52,695.81 73% off $323.91 $156,135.74 $60,795.35 2026-03-25
J0202 HCPCS Alemtuzumab 12 Mg/1.2ml IV Soln 28 20 $193,932.46 $52,361.76 73% off $2,447.10 $155,145.97 $60,409.96 2026-03-25
J1823 HCPCS Inebilizumab-cdon 100 Mg/10ml IV Soln 28 20 $187,619.00 $50,657.13 73% off $495.55 $150,095.20 $58,443.32 2026-03-25
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Solr 28 20 $187,118.39 $50,521.97 73% off $2,816.77 $149,694.71 $58,287.38 2026-03-25
360765926 CDM Hchg Insrt Sg/dl Gen W/lead 25 18 $183,299.00 $49,490.73 73% off $1,244.23 $146,639.20 $96,231.98 2026-03-25
J2781 HCPCS Pegcetacoplan (ophthalmic) 15 Mg/0.1ml Iz Soln 28 20 $176,520.52 $47,660.54 73% off $138.05 $141,216.42 $54,986.14 2026-03-25
740700588 CDM Hchg Wireless Pulmonart Artery Sensor 24 17 $175,814.00 $47,469.78 73% off $12,633.88 $140,651.20 $92,302.35 2026-03-25
0571T HCPCS Hchg I/r Substernal Icd With Lead Incl All Imaging & Eval 31 21 $172,208.00 $46,496.16 73% off $32,068.73 $137,766.40 $84,917.57 2026-03-25
360765931 CDM Hchg Ins/replace Sq Defib 25 18 $167,936.00 $45,342.72 73% off $1,244.23 $134,348.80 $88,166.40 2026-03-25
J2782 HCPCS Avacincaptad Pegol 2 Mg/0.1ml Iz Soln 28 20 $164,304.00 $44,362.08 73% off $102.92 $131,443.20 $51,180.69 2026-03-25
740700791 CDM Hchg Tevar W\ Tbe Device Incl Ext From Lt Com Crtd To Celiac, Cath Plcmt Non Sel… 25 18 $163,415.00 $44,122.05 73% off $1,244.23 $130,732.00 $85,792.88 2026-03-25
L8679 HCPCS Generator Vns Sentiva 34 19 $162,737.00 $43,938.99 73% off $19,120.86 $130,189.60 $74,655.23 2026-03-25
38240 HCPCS Hchg Hematopoietic Progenitor Cell (hpc); Allogeneic Per Donor 17 14 $162,303.00 $43,821.81 73% off $13,201.00 $129,842.40 $72,939.10 2026-03-25
J7316 HCPCS Ocriplasmin 0.5 Mg/0.2ml Iz Soln 24 18 $154,524.00 $41,721.48 73% off $23,178.60 $123,619.20 $63,895.68 2026-03-25
J7311 HCPCS Fluocinolone Acetonide 0.59 Mg Iz Impl 28 20 $148,851.60 $40,189.93 73% off $338.94 $119,081.28 $46,367.28 2026-03-25
360765929 CDM Hchg Rplc Icd Gen Dual Lead 25 18 $145,983.00 $39,415.41 73% off $1,244.23 $116,786.40 $76,641.07 2026-03-25
360765930 CDM Hchg Rplc Icd Gen Mltple Lead 25 18 $145,983.00 $39,415.41 73% off $1,244.23 $116,786.40 $76,641.07 2026-03-25
J9600 HCPCS Porfimer Sodium 75 Mg IV Solr 52 20 $145,557.30 $39,300.47 73% off $21,833.60 $145,983.32 $61,860.43 2026-03-25
J7170 HCPCS Emicizumab-kxwh 150 Mg/ml Sc Soln 50 20 $141,893.39 $38,311.22 73% off $56.46 $113,514.71 $45,405.86 2026-03-25
J3241 HCPCS Teprotumumab-trbw 500 Mg IV Solr 28 20 $140,980.26 $38,064.67 73% off $369.31 $112,784.21 $43,915.35 2026-03-25
360765928 CDM Hchg Rplc Icd Gen Sgl Lead 25 18 $139,031.00 $37,538.37 73% off $1,244.23 $111,224.80 $72,991.27 2026-03-25
740700761 CDM Hchg Insrt Ccm Icd W\ Gen And Leads 25 18 $135,942.00 $36,704.34 73% off $1,244.23 $108,753.60 $71,369.55 2026-03-25
623773359 CDM Mitraclip Valve Sys 0102 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
623739664 CDM Hchg Mitraclip Valve Msk-0102 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
623773358 CDM Mitraclip Valve Sys 0103 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
623773361 CDM Mitraclip Valve Sys 0100 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
623773681 CDM Mitraclip Vlave Msk-0103 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
623741162 CDM Hchg Mitraclip Valve Msk-0101 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
623773360 CDM Mitraclip Valve Sys 0101 29 19 $134,820.00 $36,401.40 73% off $20,223.00 $107,856.00 $64,713.60 2026-03-25
C1825 HCPCS Generator Barostim Neo2 2104 29 19 $132,300.00 $35,721.00 73% off $19,845.00 $105,840.00 $63,504.00 2026-03-25
J9029 HCPCS Nadofaragene Firadenovec-vncg 300000000000 Vp/ml Is Susp 28 20 $119,120.40 $32,162.51 73% off $17,868.06 $218,467.53 $61,321.90 2026-03-25
740700699 CDM Hchg Implant Or Replace Cs Baroflex Gen Only 25 18 $110,484.00 $29,830.68 73% off $1,244.23 $88,387.20 $58,004.10 2026-03-25
740700697 CDM Hchg Insertor Replace Cs Baroflex Device - Total System 25 18 $110,484.00 $29,830.68 73% off $1,244.23 $88,387.20 $58,004.10 2026-03-25
J2507 HCPCS Pegloticase 8 Mg/ml IV Soln 50 20 $109,536.00 $29,574.72 73% off $3,768.81 $192,426.54 $67,738.11 2026-03-25
740700563 CDM Hchg Insrt Icd Gen Multi Lead 25 18 $108,048.00 $29,172.96 73% off $1,244.23 $86,438.40 $56,725.20 2026-03-25
C1822 HCPCS Generator Neurostimulator Senza Hfx Iq 29 19 $107,152.00 $28,931.04 73% off $16,072.80 $85,721.60 $51,432.96 2026-03-25
740700847 CDM Hchg Trpos&/rimpltj Subclavian Carotid Art 25 18 $106,349.00 $28,714.23 73% off $1,244.23 $85,079.20 $55,833.22 2026-03-25
740700564 CDM Hchg Fem - Tib/peronal Bpg In Situ 25 18 $101,627.00 $27,439.29 73% off $1,244.23 $81,301.60 $53,354.18 2026-03-25
360765984 CDM Hchg Bpg W/vein Fem/tib/pernl 25 18 $100,650.00 $27,175.50 73% off $1,244.23 $80,520.00 $52,841.25 2026-03-25
360765920 CDM Hchg Insrt Icd Gen Dual Lead 25 18 $97,475.00 $26,318.25 73% off $1,244.23 $77,980.00 $51,174.38 2026-03-25
0923T HCPCS Hchg Rmvl \ Replcmt Ccm Icd Gen Only 31 21 $95,172.00 $25,696.44 73% off $22,725.36 $76,137.60 $49,431.48 2026-03-25
0916T HCPCS Hchg Insert Ccm Icd Gen Only 31 21 $95,172.00 $25,696.44 73% off $22,725.36 $76,137.60 $49,431.48 2026-03-25
360765944 CDM Hchg Cabg X 3 25 18 $93,837.00 $25,335.99 73% off $1,244.23 $75,069.60 $49,264.43 2026-03-25
360765943 CDM Hchg Cabg X 2 25 18 $93,837.00 $25,335.99 73% off $1,244.23 $75,069.60 $49,264.43 2026-03-25
740700828 CDM Hchg Tib \ Peroneal Revasc Complx : W\ Athr Unilateral : Initial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700824 CDM Hchg Tib\ Peroneal Revasc Complex : With Stent Unilateral : Initial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700832 CDM Hchg Tib \ Peroneal Revasc Complex : W\ Stent, Ather, Angio Unilateral :initi… 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700841 CDM Hchg Fem \ Pop Revasc Complex : W\ Ather Unilateral : Initiial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700813 CDM Hchg Fem \ Pop Revasc Simple : W\ Stent, Ather, Angio Unilateral : Initiial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700838 CDM Hchg 2 Stnt \ Angioplsty + 2 Or More Lesions + 2 Or More Segmnt \ Branch \ Bifur… 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700810 CDM Hchg Fem \ Pop Revasc Simple : W\ Ather Unilateral Initiial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700830 CDM Hchg Tib \ Peroneal Revasc Simple : W\ Stent, Ather, Angio Unilateral :initi… 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700815 CDM Hchg Fem \ Pop Revasc Complex : W\ Stent, Ather, Angio Unilateral :initial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700826 CDM Hchg Tib \ Peroneal Revasc Simple : W\ Ather Unilateral : Initial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700822 CDM Hchg Tib\ Peroneal Revasc Simple : With Stnt Unilateral : Initial 25 18 $93,644.00 $25,283.88 73% off $1,244.23 $74,915.20 $49,163.10 2026-03-25
740700677 CDM Hchg Art Byp Pop-tibl Or Peroneal Other Than Vein 25 18 $92,176.00 $24,887.52 73% off $1,244.23 $73,740.80 $48,392.40 2026-03-25
360765986 CDM Hchg Art Byp Pop Tibl-pri 25 18 $91,292.00 $24,648.84 73% off $1,244.23 $73,033.60 $47,928.30 2026-03-25
360765992 CDM Hchg Art Byp Fem-tib/peroneal 25 18 $90,447.00 $24,420.69 73% off $1,244.23 $72,357.60 $47,484.68 2026-03-25
360765990 CDM Hchg Bpg Ptfe Fem/fem 25 18 $90,431.00 $24,416.37 73% off $1,244.23 $72,344.80 $47,476.28 2026-03-25
623741163 CDM Hchg Edwards Sapien 3 20mm 29 19 $89,996.00 $24,298.92 73% off $13,499.40 $71,996.80 $43,198.08 2026-03-25
360765991 CDM Hchg Art Byp Iliofemoral 25 18 $86,970.00 $23,481.90 73% off $1,244.23 $69,576.00 $45,659.25 2026-03-25
360765989 CDM Hchg Art Byp Frm-pop 25 18 $86,952.00 $23,477.04 73% off $1,244.23 $69,561.60 $45,649.80 2026-03-25
740700685 CDM Hchg Insj Implntbl Defib Pulse Gen W/exist Multileads 25 18 $86,202.00 $23,274.54 73% off $6,650.00 $68,961.60 $45,687.06 2026-03-25
740700696 CDM Hchg Bpg Carotid Subclavian 25 18 $85,045.00 $22,962.15 73% off $1,244.23 $68,036.00 $44,648.62 2026-03-25
740700573 CDM Hchg In-situ Vein Bypass Pop-tib, Peroneal 25 18 $83,606.00 $22,573.62 73% off $1,244.23 $66,884.80 $43,893.15 2026-03-25
0414T HCPCS Hchg Rmvl & Rpl Car Modulj Pls Gn 31 21 $78,424.33 $21,174.57 73% off $19,606.08 $72,285.00 $45,945.54 2026-03-25
0409T HCPCS Hchg Insj/rplc Car Modulj Pls Gn 31 21 $78,424.33 $21,174.57 73% off $19,606.08 $72,285.00 $45,945.54 2026-03-25
0408T HCPCS Hchg Insj/rplc Cardiac Modulj Sys 31 21 $78,424.33 $21,174.57 73% off $19,606.08 $72,285.00 $45,945.54 2026-03-25
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 4 1 — — $304,843.98 $448,186.23 $377,566.01 2026-03-25
14 MS_DRG Allo-related Transplant 35 6 — — $130,730.72 $516,668.99 $291,465.45 2026-03-25
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 18 10 — — $202,658.21 $386,914.17 $281,308.18 2026-03-25
5834 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 4 4 — — $229,087.21 $249,913.32 $244,706.79 2026-03-25
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 10 — — $175,971.55 $335,964.12 $244,264.65 2026-03-25
16 MS_DRG Auto/Auto Transplant 24 5 — — $102,957.00 $516,668.99 $223,864.15 2026-03-25
38241 CPT Op Tandem Transplant (Auto/Auto) 4 3 — — $173,056.00 $320,560.70 $223,864.15 2026-03-25
17 MS_DRG Auto/Auto Transplant 24 5 — — $102,957.00 $516,668.99 $223,864.15 2026-03-25
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 18 10 — — $132,253.17 $252,497.17 $183,579.53 2026-03-25
7 MS_DRG Lung Transplant 4 1 — — $140,872.28 $207,112.55 $174,478.04 2026-03-25
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 2 — — $154,891.00 $534,430.33 $154,891.00 2026-03-25
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 1 — — $123,267.32 $181,229.48 $152,673.34 2026-03-25
209 MS_DRG Complex Aortic Arch Procedures 18 10 — — $108,071.90 $206,330.41 $150,013.72 2026-03-25
5884 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $140,311.53 $153,067.13 $149,878.23 2026-03-25
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $105,230.42 $200,905.45 $146,069.47 2026-03-25
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 18 10 — — $103,825.91 $198,223.97 $144,119.89 2026-03-25
114 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $131,167.70 $143,092.03 $140,110.95 2026-03-25
5833 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 4 4 — — $130,472.78 $142,333.94 $139,368.65 2026-03-25
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 4 1 — — $112,157.62 $164,895.83 $138,913.36 2026-03-25
24 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 4 3 — — $131,081.13 $142,997.59 $137,039.36 2026-03-25
215 MS_DRG Other Heart Assist System Implant 18 10 — — $95,069.44 $181,506.15 $131,965.10 2026-03-25
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $93,406.17 $178,330.66 $129,656.34 2026-03-25
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 18 10 — — $86,023.66 $164,236.00 $119,408.74 2026-03-25
850 MS_DRG Acute Leukemia With Other Procedures 18 10 — — $82,680.91 $157,854.03 $114,768.68 2026-03-25
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 10 — — $80,488.69 $153,668.65 $111,725.68 2026-03-25
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $80,235.66 $153,185.58 $111,374.46 2026-03-25
5832 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 4 4 — — $100,178.98 $109,286.16 $107,009.37 2026-03-25
1614 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 4 4 — — $97,818.71 $106,711.32 $104,488.17 2026-03-25
6094 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1500-2499 Grams With Major Procedure 4 4 — — $97,758.63 $106,645.78 $104,423.99 2026-03-25
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 18 10 — — $75,131.30 $143,440.36 $104,289.15 2026-03-25
113 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $97,616.72 $106,490.96 $104,272.40 2026-03-25
94 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $95,894.05 $104,611.69 $102,432.28 2026-03-25
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $73,312.41 $139,967.73 $101,764.35 2026-03-25
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 18 10 — — $72,996.37 $139,364.35 $101,325.65 2026-03-25
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 10 — — $72,754.81 $138,903.16 $100,990.35 2026-03-25
6314 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Other Major Procedure 4 4 — — $94,026.31 $102,574.15 $100,437.19 2026-03-25
5883 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $93,447.20 $101,942.40 $99,818.60 2026-03-25
5914 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $92,009.53 $100,374.04 $98,282.91 2026-03-25
5831 APR_DRG Apr-DRG 42.00: Neonate With Ecmo 4 4 — — $89,922.80 $98,097.60 $96,053.90 2026-03-25
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $68,923.19 $131,587.86 $95,671.71 2026-03-25
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 18 10 — — $68,484.94 $130,751.15 $95,063.38 2026-03-25
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 18 10 — — $68,081.06 $129,980.06 $94,502.76 2026-03-25
8414 APR_DRG Apr-DRG 42.00: Extensive Third Degree Burns With Skin Graft 4 4 — — $87,012.29 $94,922.50 $92,944.95 2026-03-25
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 18 10 — — $65,993.87 $125,995.20 $91,605.54 2026-03-25
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 18 10 — — $65,670.19 $125,377.24 $91,156.24 2026-03-25
6304 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 4 4 — — $85,272.22 $93,024.24 $91,086.24 2026-03-25
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 4 1 — — $72,090.68 $105,988.81 $89,288.26 2026-03-25
955 MS_DRG Craniotomy For Multiple Significant Trauma 18 10 — — $64,268.54 $122,701.22 $89,210.63 2026-03-25
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 18 10 — — $63,842.70 $121,888.21 $88,619.53 2026-03-25
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 18 10 — — $63,795.92 $121,798.89 $88,554.58 2026-03-25
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $62,780.96 $119,861.14 $87,145.74 2026-03-25
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $62,780.96 $119,861.14 $87,145.74 2026-03-25
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $62,552.77 $119,425.47 $86,828.98 2026-03-25
5934 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $80,894.00 $88,248.00 $86,409.50 2026-03-25
5882 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $80,074.17 $87,353.64 $85,533.77 2026-03-25
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 18 10 — — $61,438.52 $117,298.15 $85,282.30 2026-03-25
112 APR_DRG Apr-DRG 42.00: Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $77,604.01 $84,658.92 $82,895.19 2026-03-25
1613 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 4 4 — — $76,594.44 $83,557.57 $81,816.79 2026-03-25
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 18 10 — — $58,513.96 $111,714.60 $81,222.75 2026-03-25
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 18 10 — — $58,446.17 $111,585.18 $81,128.65 2026-03-25
74 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 4 3 — — $77,175.52 $84,191.47 $80,683.49 2026-03-25
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 10 — — $57,885.70 $110,515.14 $80,350.67 2026-03-25
28 MS_DRG Spinal Procedures With Mcc 18 10 — — $57,367.25 $109,525.30 $79,631.01 2026-03-25
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 18 10 — — $57,351.02 $109,494.31 $79,608.48 2026-03-25
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $56,935.68 $108,701.35 $79,031.95 2026-03-25
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 18 10 — — $56,748.54 $108,344.06 $78,772.17 2026-03-25
44 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $73,695.78 $80,395.39 $78,720.49 2026-03-25
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 10 — — $56,033.39 $106,978.71 $77,779.49 2026-03-25
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 18 10 — — $55,997.11 $106,909.44 $77,729.13 2026-03-25
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 18 10 — — $55,064.27 $105,128.47 $76,434.26 2026-03-25
14 APR_DRG Apr-DRG 42.00: Liver Transplant And/or Intestinal Transplant 4 3 — — $72,962.52 $79,595.47 $76,278.99 2026-03-25
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $54,712.90 $104,457.64 $75,946.53 2026-03-25
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 18 10 — — $54,489.48 $104,031.08 $75,636.40 2026-03-25
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 18 10 — — $54,418.83 $103,896.19 $75,538.32 2026-03-25
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 4 1 — — $60,966.84 $89,634.37 $75,510.77 2026-03-25
23 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 4 3 — — $71,402.31 $77,893.43 $74,647.87 2026-03-25
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 18 10 — — $53,678.86 $102,483.44 $74,511.18 2026-03-25
5913 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $69,391.08 $75,699.36 $74,122.29 2026-03-25
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $53,146.08 $101,466.26 $73,771.63 2026-03-25
5881 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 1500 Grams With Major Procedure 4 4 — — $68,635.28 $74,874.85 $73,314.96 2026-03-25
834 MS_DRG Acute Leukemia With Mcc 18 10 — — $52,417.57 $100,075.39 $72,760.39 2026-03-25
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 18 10 — — $52,232.33 $99,721.74 $72,503.27 2026-03-25
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 10 — — $52,157.86 $99,579.56 $72,399.89 2026-03-25
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 18 10 — — $52,075.75 $99,422.79 $72,285.92 2026-03-25
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 18 10 — — $51,183.01 $97,718.38 $71,046.71 2026-03-25
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $50,917.57 $97,211.61 $70,678.26 2026-03-25
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 18 10 — — $50,887.02 $97,153.28 $70,635.86 2026-03-25
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 18 10 — — $50,545.20 $96,500.68 $70,161.38 2026-03-25
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 18 10 — — $50,378.11 $96,181.67 $69,929.45 2026-03-25
5891 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 4 4 — — $65,404.58 $71,350.45 $69,863.99 2026-03-25
5893 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 4 4 — — $65,404.58 $71,350.45 $69,863.99 2026-03-25
5892 APR_DRG Apr-DRG 42.00: Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams A… 4 4 — — $65,404.58 $71,350.45 $69,863.99 2026-03-25
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 18 10 — — $49,701.16 $94,889.24 $68,989.76 2026-03-25
653 MS_DRG Major Bladder Procedures With Mcc 18 10 — — $49,615.23 $94,725.18 $68,870.49 2026-03-25
93 APR_DRG Apr-DRG 42.00: Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $64,446.80 $70,305.60 $68,840.90 2026-03-25
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $48,123.83 $91,877.81 $66,800.29 2026-03-25
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 18 10 — — $47,619.70 $90,915.31 $66,100.51 2026-03-25
228 MS_DRG Other Cardiothoracic Procedures With Mcc 18 10 — — $47,237.78 $90,186.15 $65,570.36 2026-03-25
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 10 — — $47,153.75 $90,025.74 $65,453.74 2026-03-25
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 18 10 — — $46,992.39 $89,717.67 $65,229.75 2026-03-25
6024 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 4 4 — — $60,940.19 $66,480.20 $65,095.20 2026-03-25
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 18 10 — — $46,796.66 $89,343.97 $64,958.05 2026-03-25
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $46,104.43 $88,022.37 $63,997.18 2026-03-25
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 18 10 — — $45,871.46 $87,577.58 $63,673.79 2026-03-25
5912 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 500-749 Grams Without Major Procedure 4 4 — — $59,517.54 $64,928.22 $63,575.55 2026-03-25
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 1 — — $51,141.83 $75,189.49 $63,341.96 2026-03-25
5933 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $59,176.40 $64,556.08 $63,211.16 2026-03-25
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 18 10 — — $45,456.12 $86,784.62 $63,097.26 2026-03-25
6 MS_DRG Liver Transplant Without Mcc 4 1 — — $50,441.29 $74,159.54 $62,474.30 2026-03-25
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $44,797.31 $85,526.82 $62,182.77 2026-03-25
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 18 10 — — $44,663.63 $85,271.62 $61,997.22 2026-03-25
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 18 10 — — $44,097.44 $84,190.64 $61,211.29 2026-03-25
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 18 10 — — $43,887.38 $83,789.60 $60,919.71 2026-03-25
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 18 10 — — $43,775.67 $83,576.32 $60,764.65 2026-03-25
245 MS_DRG Aicd Generator Procedures 18 10 — — $43,561.80 $83,167.99 $60,467.77 2026-03-25
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 18 10 — — $43,430.99 $82,918.25 $60,286.19 2026-03-25
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 18 10 — — $43,411.89 $82,881.79 $60,259.69 2026-03-25
1612 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 4 4 — — $56,358.39 $61,481.88 $60,201.01 2026-03-25
1611 APR_DRG Apr-DRG 42.00: Implantable Heart Assist Systems 4 4 — — $56,358.39 $61,481.88 $60,201.01 2026-03-25
799 MS_DRG Splenic Procedures With Mcc 18 10 — — $43,241.94 $82,557.32 $60,023.78 2026-03-25
1604 APR_DRG Apr-DRG 42.00: Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $56,153.23 $61,258.07 $59,981.86 2026-03-25
163 MS_DRG Major Chest Procedures With Mcc 18 10 — — $42,792.23 $81,698.73 $59,399.54 2026-03-25
31 MS_DRG Ventricular Shunt Procedures With Mcc 18 10 — — $42,779.81 $81,675.03 $59,382.31 2026-03-25
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 18 10 — — $42,611.77 $81,354.20 $59,149.04 2026-03-25
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 18 10 — — $41,942.45 $80,076.35 $58,219.97 2026-03-25
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 18 10 — — $41,318.02 $78,884.17 $57,353.19 2026-03-25
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 18 10 — — $40,988.61 $78,255.27 $56,895.95 2026-03-25
140 MS_DRG Major Head And Neck Procedures With Mcc 18 10 — — $40,725.08 $77,752.15 $56,530.15 2026-03-25
22 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 4 3 — — $54,068.48 $58,983.79 $56,526.13 2026-03-25
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 18 10 — — $40,491.16 $77,305.54 $56,205.44 2026-03-25
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 18 10 — — $40,323.11 $76,984.71 $55,972.18 2026-03-25
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 18 10 — — $40,254.37 $76,853.46 $55,876.76 2026-03-25
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 18 10 — — $40,234.32 $76,815.18 $55,848.93 2026-03-25
0266T HCPCS Pr Im/repl Cartd Sinus Baroreflx Activ Dev Tot Syst 11 7 — — $52,449.00 $59,091.00 $55,770.00 2026-03-25
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 18 10 — — $40,116.88 $76,590.97 $55,685.90 2026-03-25
901 MS_DRG Wound Debridements For Injuries With Mcc 18 10 — — $40,069.14 $76,499.82 $55,619.64 2026-03-25
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 10 — — $39,994.66 $76,357.64 $55,516.26 2026-03-25
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 18 10 — — $39,839.98 $76,062.33 $55,301.56 2026-03-25
793 MS_DRG Full Term Neonate With Major Problems 18 10 — — $39,811.34 $76,007.64 $55,261.79 2026-03-25
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 18 10 — — $39,652.84 $75,705.04 $55,041.79 2026-03-25
54 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours Without Extensive Procedure 4 4 — — $51,339.00 $56,006.18 $54,839.38 2026-03-25
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 18 10 — — $39,390.27 $75,203.74 $54,677.32 2026-03-25
43 APR_DRG Apr-DRG 42.00: Tracheostomy With Mv >96 Hours With Extensive Procedure 4 4 — — $50,818.80 $55,438.69 $54,283.72 2026-03-25
791 MS_DRG Prematurity With Major Problems 18 10 — — $38,755.33 $73,991.51 $53,795.96 2026-03-25
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 18 10 — — $38,387.73 $73,289.69 $53,285.70 2026-03-25
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 18 10 — — $38,040.19 $72,626.16 $52,803.27 2026-03-25
8424 APR_DRG Apr-DRG 42.00: Burns With Skin Graft Except Extensive Third Degree Burns 4 4 — — $48,714.28 $53,142.85 $52,035.71 2026-03-25
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 18 10 — — $37,350.82 $71,310.03 $51,846.37 2026-03-25
73 APR_DRG Apr-DRG 42.00: Allogeneic Bone Marrow Transplant 4 3 — — $49,084.27 $53,546.47 $51,315.37 2026-03-25
34 MS_DRG Carotid Artery Stent Procedures With Mcc 18 10 — — $36,957.44 $70,558.99 $51,300.32 2026-03-25
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 18 10 — — $36,902.07 $70,453.26 $51,223.46 2026-03-25
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 18 10 — — $36,866.74 $70,385.81 $51,174.41 2026-03-25
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 18 10 — — $36,657.64 $69,986.60 $50,884.16 2026-03-25
5932 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 750-999 Grams Without Major Procedure 4 4 — — $47,597.19 $51,924.20 $50,842.45 2026-03-25
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 18 10 — — $36,441.85 $69,574.62 $50,584.63 2026-03-25
6074 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Sy… 4 4 — — $47,107.04 $51,389.50 $50,318.88 2026-03-25
6303 APR_DRG Apr-DRG 42.00: Neonate Birth Weight > 2499 Grams With Major Cardiovascular Proce… 4 4 — — $47,003.86 $51,276.94 $50,208.67 2026-03-25
21 APR_DRG Apr-DRG 42.00: Heart And/or Lung Transplant 4 3 — — $47,787.72 $52,132.06 $49,959.89 2026-03-25
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 4 1 — — $40,311.69 $59,266.86 $49,928.24 2026-03-25
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 18 10 — — $35,929.12 $68,595.73 $49,872.93 2026-03-25
64 APR_DRG Apr-DRG 42.00: Pancreas Transplant 4 3 — — $47,658.85 $51,991.48 $49,825.16 2026-03-25
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 18 10 — — $35,772.54 $68,296.77 $49,655.57 2026-03-25
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 18 10 — — $35,687.56 $68,134.53 $49,537.60 2026-03-25
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $35,683.74 $68,127.24 $49,532.31 2026-03-25
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 18 10 — — $35,583.49 $67,935.84 $49,393.15 2026-03-25
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 18 10 — — $35,070.76 $66,956.94 $48,681.43 2026-03-25
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 18 10 — — $35,056.44 $66,929.60 $48,661.55 2026-03-25
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 18 10 — — $34,644.92 $66,143.93 $48,090.32 2026-03-25
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 18 10 — — $34,618.18 $66,092.89 $48,053.21 2026-03-25
8513 APR_DRG Apr-DRG 42.00: Gender Related Procedures 4 4 — — $44,951.52 $49,038.02 $48,016.39 2026-03-25
8514 APR_DRG Apr-DRG 42.00: Gender Related Procedures 4 4 — — $44,951.52 $49,038.02 $48,016.39 2026-03-25
332 MS_DRG Rectal Resection With Mcc 18 10 — — $34,570.44 $66,001.74 $47,986.95 2026-03-25
265 MS_DRG Aicd Lead Procedures 18 10 — — $34,546.57 $65,956.17 $47,953.82 2026-03-25
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 18 10 — — $34,485.47 $65,839.50 $47,868.99 2026-03-25
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 18 10 — — $34,433.91 $65,741.07 $47,797.43 2026-03-25
6034 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Or Without Significant … 4 4 — — $44,572.04 $48,624.05 $47,611.05 2026-03-25
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 18 10 — — $34,129.33 $65,159.56 $47,374.63 2026-03-25
335 MS_DRG Peritoneal Adhesiolysis With Mcc 18 10 — — $34,094.95 $65,093.94 $47,326.93 2026-03-25
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 18 10 — — $34,044.35 $64,997.32 $47,256.68 2026-03-25
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 18 10 — — $34,015.70 $64,942.64 $47,216.92 2026-03-25
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 18 10 — — $33,983.24 $64,880.66 $47,171.86 2026-03-25
271 MS_DRG Other Major Cardiovascular Procedures With Cc 18 10 — — $33,955.55 $64,827.79 $47,133.43 2026-03-25
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 18 10 — — $33,671.98 $64,286.39 $46,739.79 2026-03-25
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 18 10 — — $33,669.11 $64,280.92 $46,735.82 2026-03-25
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 18 10 — — $33,603.23 $64,155.14 $46,644.37 2026-03-25
252 MS_DRG Other Vascular Procedures With Mcc 18 10 — — $33,306.29 $63,588.22 $46,232.18 2026-03-25
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 18 10 — — $33,297.70 $63,571.81 $46,220.26 2026-03-25
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 18 10 — — $33,144.93 $63,280.15 $46,008.20 2026-03-25
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 18 10 — — $32,984.52 $62,973.90 $45,785.54 2026-03-25
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 18 10 — — $32,831.75 $62,682.24 $45,573.49 2026-03-25
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 18 10 — — $32,734.36 $62,496.30 $45,438.30 2026-03-25
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 10 — — $32,573.96 $62,190.06 $45,215.64 2026-03-25
6023 APR_DRG Apr-DRG 42.00: Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Sy… 4 4 — — $42,311.78 $46,158.30 $45,196.67 2026-03-25
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 18 10 — — $32,530.99 $62,108.03 $45,156.00 2026-03-25
264 MS_DRG Other Circulatory System O.r. Procedures 18 10 — — $31,896.05 $60,895.80 $44,274.64 2026-03-25
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 18 10 — — $31,539.91 $60,215.86 $43,780.29 2026-03-25
37 MS_DRG Extracranial Procedures With Mcc 18 10 — — $31,432.97 $60,011.69 $43,631.85 2026-03-25
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 18 10 — — $31,429.15 $60,004.40 $43,626.54 2026-03-25
652 MS_DRG Kidney Transplant 4 1 — — $35,130.50 $51,649.39 $43,511.06 2026-03-25
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 18 10 — — $31,057.73 $59,295.29 $43,110.99 2026-03-25
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 18 10 — — $30,921.20 $59,034.62 $42,921.46 2026-03-25
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 18 10 — — $30,886.83 $58,968.99 $42,873.75 2026-03-25
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 18 10 — — $30,843.86 $58,886.96 $42,814.10 2026-03-25
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 18 10 — — $30,812.35 $58,826.81 $42,770.37 2026-03-25
64568 HCPCS Pr Open Implantation Cranial Nerve Nea & Pulse Gen 19 10 — — $13,201.00 $72,285.00 $42,743.00 2026-03-25
61886 HCPCS Pr Insj/rplcmt Cranial Neurostim Gener 2/> Eltrds 19 10 — — $13,201.00 $72,285.00 $42,743.00 2026-03-25
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