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 JFK HOSPITAL

Atlantis, FL · CCN 100080 · Rates published

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You selected 93350 (CPT)

ECHO STRESS

This hospital’s price: $3,954 across 33 payers · range $121-$23,979

Source: https://www.hcadam.com/api/public/content/77f908b2d9ca4a56b8a7288c4bbeb53e?download=true · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

39,416 distinct procedures filed
66 distinct payers
2,388,356 rate rows
2026-07-31 last MRF observed
Data quality

2,297,627 of 2,388,356 rate rows are consumer-grade (96.2%)

90,729 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 31,704
template filing: same amount across many unrelated codes — excluded 23,361
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 17,764
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,621
exceeds 10× this hospital's gross charge — excluded from medians 1,506
percent-of-charges filed in the dollar field — excluded from medians 799
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 637
placeholder amount (≤ $0.02) — excluded from medians 260
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 77
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/77f908b2d9ca4a56b8a7288c4bbeb53e?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 · 2026-10-21
Content fingerprint 77f9bb60e87db003… · 591,172,377 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 $4,850,948.67 $4,897,200.00 $4,897,200.00 nat. median
$2,994,107
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 21 $5,007.91 $4,955,500.00 $4,595,100.00 nat. median
$17,156
outlier · 267.8×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $3,884,946.48 nat. median
$2,467,386
1.6× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,401,965
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 25 $3,489,255.00 $4,422,320.40 $3,758,972.34 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 24 $3,424,750.00 $4,326,000.00 $3,677,100.00 nat. median
$3,672,053
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,568,711.00 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
908
OTHER 		Topi Adm Prad Zami Per Tr 25 $10,192.14 $4,836,939.00 $3,419,215.50 nat. median
$30,519
outlier · 112.0×
714
OTHER 		Inj Delandistrogene Mox R 27 $5,549.91 $4,825,397.00 $3,394,417.20 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 27 $9,154.57 $4,716,136.60 $3,350,901.62 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 25 $6,678.78 $4,611,000.00 $3,259,500.00 nat. median
$25,059
outlier · 130.1×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,890
outlier · 217.3×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,226,857.78 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,171,176.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 27 $8,131.07 $4,262,955.05 $3,027,360.00 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,865,364.96 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 26 $2,269,183.30 $3,754,022.45 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 25 $14,397.75 $3,381,400.00 $2,390,300.00 nat. median
$2,285,360
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$813,967
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 24 $732,089.00 $1,117,399.00 $801,444.80 nat. median
$793,739
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 26 $500,767.23 $852,091.92 $584,711.35 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 26 $502,733.26 $821,470.39 $566,531.30 nat. median
$577,163
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 26 $490,889.79 $815,191.74 $562,201.20 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $934,776.65 $561,407.87 nat. median
$739,258
0.8× median
9422
OTHER 		Idecabtagene Vicleucel Ca 26 $500,258.22 $809,218.61 $558,081.80 nat. median
$563,449
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$570,020
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $969,621.79 $536,573.93 nat. median
$646,415
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 26 $464,983.20 $771,678.69 $532,192.20 nat. median
$533,230
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$549,535
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$541,339
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$545,335
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $511,793.34 nat. median
$622,450
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $927,632.05 $500,948.74 nat. median
$640,950
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 26 $437,503.88 $709,702.79 $489,450.20 nat. median
$492,768
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $878,117.20 $487,755.77 nat. median
$608,239
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $807,592.83 $474,717.03 nat. median
$591,721
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$319,951
1.4× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 $1,870.00 $725,393.41 $306,221.66 nat. median
$359,454
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 25 $3,080.39 $403,462.50 $285,206.25 nat. median
$23,596
outlier · 12.1×
897
OTHER 		Revakinagene, Per Implant 24 $251,750.00 $384,250.00 $275,600.00 nat. median
$26,484
outlier · 10.4×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$272,685
1.0× median
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$259,700
1.0× median

Other procedures at this hospital

Browse this hospital's 39,416 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 3 1 — — $4,850,948.67 $4,897,200.00 $4,897,200.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 26 21 — — $5,007.91 $4,955,500.00 $4,595,100.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $3,884,946.48 $4,271,819.03 $3,884,946.48 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 55 25 — — $3,489,255.00 $4,422,320.40 $3,758,972.34 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 28 24 — — $3,424,750.00 $4,326,000.00 $3,677,100.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,562,713.00 $3,574,708.99 $3,568,711.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 30 25 — — $10,192.14 $4,836,939.00 $3,419,215.50 2026-03-01
714 OTHER Inj Delandistrogene Mox R 58 27 — — $5,549.91 $4,825,397.00 $3,394,417.20 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 58 27 — — $9,154.57 $4,716,136.60 $3,350,901.62 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 30 25 — — $6,678.78 $4,611,000.00 $3,259,500.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 1 — — $3,225,691.35 $3,228,024.20 $3,226,857.78 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,154,932.76 $3,187,420.00 $3,171,176.38 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 58 27 — — $8,131.07 $4,262,955.05 $3,027,360.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 1 — — $2,851,769.93 $2,878,960.00 $2,865,364.96 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 56 26 — — $2,269,183.30 $3,754,022.45 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,316,955.58 $2,511,311.57 $2,414,133.58 2026-03-01
824 OTHER Inj, Exagamglogene Autote 30 25 — — $14,397.75 $3,381,400.00 $2,390,300.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 28 24 — — $732,089.00 $1,117,399.00 $801,444.80 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 56 26 — — $500,767.23 $852,091.92 $584,711.35 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 56 26 — — $502,733.26 $821,470.39 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 56 26 — — $490,889.79 $815,191.74 $562,201.20 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 3 — — $502,693.77 $934,776.65 $561,407.87 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 56 26 — — $500,258.22 $809,218.61 $558,081.80 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 11 3 — — $492,271.12 $969,621.79 $536,573.93 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 56 26 — — $464,983.20 $771,678.69 $532,192.20 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $513,317.11 $549,535.36 $531,426.23 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $510,789.97 $541,339.35 $526,064.66 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $501,224.32 $545,335.16 $523,279.74 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 7 3 — — $470,149.30 $920,834.85 $511,793.34 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 3 — — $459,839.17 $927,632.05 $500,948.74 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 56 26 — — $437,503.88 $709,702.79 $489,450.20 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 3 — — $445,599.57 $878,117.20 $487,755.77 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 3 — — $435,956.80 $807,592.83 $474,717.03 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 116 36 — — $1,870.00 $725,393.41 $306,221.66 2026-03-01
831 OTHER Obecbtge Autol Up To 400 30 25 — — $3,080.39 $403,462.50 $285,206.25 2026-03-01
897 OTHER Revakinagene, Per Implant 28 24 — — $251,750.00 $384,250.00 $275,600.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 29 13 — — $182,596.65 $312,391.65 $230,648.40 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 126 38 — — $1,870.00 $541,808.87 $227,617.80 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 30 25 — — $5,808.65 $292,420.05 $206,710.73 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $188,119.08 $221,108.10 $193,937.20 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 123 37 — — $1,870.00 $456,331.78 $180,759.38 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 129 38 — — $1,870.00 $616,633.80 $172,796.80 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $155,226.00 $251,540.50 $160,026.80 2026-03-01
1908 OTHER New Technology - Level 52 57 26 — — $139,972.90 $226,021.50 $155,876.90 2026-03-01
1907 OTHER New Technology - Level 52 57 26 — — $139,972.90 $226,021.50 $155,876.90 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 13 — — $119,123.35 $191,333.91 $149,217.67 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
5833 APR_DRG Neonate With Ecmo 29 13 — — $112,681.04 $186,775.50 $142,333.94 2026-03-01
1906 OTHER New Technology - Level 51 57 26 — — $126,205.13 $203,789.96 $140,544.80 2026-03-01
1905 OTHER New Technology - Level 51 57 26 — — $126,205.13 $203,789.96 $140,544.80 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 29 13 — — $105,494.65 $178,746.99 $133,256.40 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 2 — — $126,002.13 $155,841.46 $129,899.10 2026-03-01
1903 OTHER New Technology - Level 50 57 26 — — $112,437.35 $181,558.41 $125,212.70 2026-03-01
1904 OTHER New Technology - Level 50 57 26 — — $112,437.35 $181,558.41 $125,212.70 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $120,116.70 $138,148.31 $120,116.70 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 13 — — $92,761.80 $178,865.04 $117,172.80 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 129 38 — — $1,870.00 $370,095.96 $113,384.93 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 59 27 — — $94,999.90 $161,679.35 $110,387.97 2026-03-01
1902 OTHER New Technology - Level 49 57 26 — — $98,669.56 $159,326.87 $109,880.60 2026-03-01
1901 OTHER New Technology - Level 49 57 26 — — $98,669.56 $159,326.87 $109,880.60 2026-03-01
5832 APR_DRG Neonate With Ecmo 29 13 — — $86,518.21 $143,410.50 $109,286.16 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $93,760.51 $108,036.36 $108,036.36 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 29 13 — — $84,479.79 $142,750.50 $106,711.32 2026-03-01
7 MS_DRG Lung Transplant 126 39 — — $1,870.00 $292,822.13 $106,071.70 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 118 37 — — $1,870.00 $347,127.65 $103,170.10 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 29 13 — — $78,323.70 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 13 — — $77,474.40 $127,428.00 $97,862.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 29 13 — — $76,894.90 $128,217.69 $97,130.40 2026-03-01
1585 OTHER New Technology - Level 48 57 26 — — $87,196.40 $140,800.52 $97,103.81 2026-03-01
1599 OTHER New Technology - Level 48 57 26 — — $87,196.40 $140,800.52 $97,103.81 2026-03-01
897425 CDM Kit Hrt Implant Lvas 37 18 $191,850.00 $191,850.00 $550.00 $248,637.60 $95,925.00 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 13 — — $75,674.15 $125,467.54 $95,588.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 59 27 — — $86,480.30 $137,867.45 $95,583.49 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 29 13 — — $75,146.98 $135,325.50 $94,922.50 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $80,167.78 $109,068.25 $94,618.01 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 68 38 — — $1,984.00 $348,256.84 $93,846.10 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 29 13 — — $73,644.19 $137,205.00 $93,024.24 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 126 38 — — $1,870.00 $397,171.80 $91,343.80 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 2 — — $88,595.16 $121,699.89 $91,335.22 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 13 — — $71,470.40 $130,764.62 $90,278.40 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 5 2 — — $53,789.99 $91,596.09 $89,766.78 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 135 40 — — $1,870.00 $331,392.90 $89,331.11 2026-03-01
900191 CDM Implant Hvas Ordr Set 20 17 $178,220.00 $178,220.00 $550.00 $178,220.00 $89,110.00 2024-10-01
121709 CDM Ins/repos Sgl Icd+lead 31 26 $253,993.00 $253,993.00 $550.00 $368,289.85 $88,897.55 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 129 39 — — $1,870.00 $322,307.11 $87,780.46 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 29 13 — — $69,863.00 $110,794.50 $87,512.60 2026-03-01
886505 CDM Kit Impl Lvas W/grafts 37 18 $175,000.00 $175,000.00 $550.00 $210,000.00 $87,500.00 2026-03-01
1598 OTHER New Technology - Level 47 57 26 — — $78,017.89 $125,979.49 $86,882.41 2026-03-01
1584 OTHER New Technology - Level 47 57 26 — — $78,017.89 $125,979.49 $86,882.41 2026-03-01
215 MS_DRG Other Heart Assist System Implant 138 40 — — $1,480.00 $358,382.59 $86,852.29 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 126 39 — — $1,870.00 $352,822.81 $85,791.93 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 13 — — $67,982.00 $109,192.05 $85,156.40 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 29 13 — — $66,651.58 $113,416.50 $84,191.47 2026-03-01
5831 APR_DRG Neonate With Ecmo 29 13 — — $66,018.35 $122,622.00 $83,391.60 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 2 — — $79,840.60 $84,866.13 $82,320.15 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 123 38 — — $19,995.00 $225,071.00 $82,142.09 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 13 — — $54,098.70 $133,113.71 $79,724.40 2026-03-01
907439 CDM Device Vntrc Asst Kit Pm 20 17 $159,120.00 $159,120.00 $550.00 $159,120.00 $79,560.00 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 13 — — $63,442.90 $100,494.24 $79,470.58 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 29 13 — — $63,013.08 $100,863.00 $78,932.18 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $78,780.00 $78,780.00 $78,780.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $78,780.00 $78,780.00 $78,780.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $78,780.00 $78,780.00 $78,780.00 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 29 13 — — $61,172.40 $104,446.96 $77,270.40 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $76,785.37 2026-03-01
1597 OTHER New Technology - Level 46 57 26 — — $68,839.36 $111,158.46 $76,661.01 2026-03-01
1583 OTHER New Technology - Level 46 57 26 — — $68,839.36 $111,158.46 $76,661.01 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 3 1 — — $53,616.00 $78,780.00 $76,506.00 2026-03-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 3 1 — — $53,616.00 $78,780.00 $76,506.00 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 3 1 — — $53,616.00 $78,780.00 $76,506.00 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 3 1 — — $53,616.00 $78,780.00 $76,506.00 2026-03-01
594923 CDM Revas Fempp Stnt/ath/ang 31 26 $215,868.00 $215,868.00 $550.00 $313,008.60 $75,553.80 2024-10-01
791688 CDM Endo Rpr Aaa W/one Limb 31 26 $215,868.00 $215,868.00 $550.00 $313,008.60 $75,553.80 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 29 13 — — $59,234.40 $97,366.79 $74,822.40 2026-03-01
594929 CDM Revas Tib Stnt/ath/ang 1 31 26 $212,324.00 $212,324.00 $550.00 $307,869.80 $74,313.40 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 124 38 — — $16,602.00 $226,729.39 $73,525.61 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 129 39 — — $1,870.00 $283,431.74 $73,260.61 2026-03-01
007 OTHER Lung Transplant 3 2 — — $71,027.31 $93,534.68 $73,224.03 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $70,898.46 $82,899.33 $73,091.20 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 29 13 — — $58,271.10 $93,593.57 $72,992.22 2026-03-01
594888 CDM Revas Tib St/ath/ang Ea+ 31 26 $207,255.00 $207,255.00 $550.00 $300,519.75 $72,539.25 2024-10-01
594931 CDM Revas Tib St/ath/ang Ea+ 31 26 $207,255.00 $207,255.00 $550.00 $300,519.75 $72,539.25 2024-10-01
01583 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 129 39 — — $1,870.00 $256,623.58 $71,459.64 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 13 — — $56,168.75 $94,624.20 $70,950.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 117 37 — — $13,561.00 $162,901.99 $70,796.89 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 59 27 — — $62,578.11 $99,762.46 $69,165.29 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 29 13 — — $38,494.04 $102,481.50 $68,321.00 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 124 38 — — $16,602.00 $190,601.61 $67,092.71 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 13 — — $46,450.25 $105,823.65 $67,021.65 2026-03-01
121707 CDM Ins Single Chamber Icd 31 26 $190,074.00 $190,074.00 $550.00 $275,607.30 $66,525.90 2024-10-01
1596 OTHER New Technology - Level 45 57 26 — — $59,660.84 $96,337.43 $66,439.61 2026-03-01
1582 OTHER New Technology - Level 45 57 26 — — $59,660.84 $96,337.43 $66,439.61 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 125 38 — — $1,870.00 $222,160.34 $66,399.96 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 121 38 — — $13,561.00 $195,032.20 $66,397.91 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $65,911.24 $65,911.24 $65,911.24 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 58 27 — — $13,300.17 $93,198.45 $65,560.29 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 57 26 — — $53,983.32 $82,395.60 $65,476.58 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 29 13 — — $52,106.55 $83,100.26 $65,270.31 2026-03-01
121710 CDM Ins Icd Lead/generator 67 28 $276,040.00 $276,040.00 $550.00 $368,289.85 $63,489.20 2026-03-01
10 MS_DRG Pancreas Transplant 120 38 — — $1,870.00 $177,879.04 $63,079.76 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 120 38 — — $1,870.00 $179,685.12 $62,728.47 2026-03-01
5244 OTHER Level 4 Blood Product Exc 57 26 — — $47,789.04 $95,245.15 $62,401.99 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $60,473.66 $65,151.99 $62,343.98 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
01582 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $61,454.13 $62,346.55 $61,900.34 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 128 39 — — $1,870.00 $152,618.51 $61,729.56 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 11 3 — — $61,338.53 $106,053.40 $61,600.24 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 123 38 — — $12,867.00 $216,477.49 $61,509.70 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 29 13 — — $48,664.70 $80,695.10 $61,471.20 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 29 13 — — $48,495.97 $83,284.50 $61,258.07 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 29 13 — — $48,673.15 $77,532.00 $60,969.53 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 127 39 — — $1,870.00 $200,119.45 $60,875.00 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $52,346.76 $68,710.29 $60,528.52 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $58,278.52 $78,999.63 $60,080.95 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 29 13 — — $46,784.65 $76,852.35 $59,096.40 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 121 38 — — $12,867.00 $145,000.00 $58,821.15 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 29 13 — — $46,533.85 $89,188.07 $58,779.60 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $43,187.49 $74,036.20 $58,611.85 2026-03-01
595880 CDM Ins Icd Gen Only Mult Ld 67 28 $254,075.00 $254,075.00 $550.00 $338,985.35 $58,437.25 2026-03-01
595879 CDM Ins Icd Gen Only Dual Ld 67 28 $254,075.00 $254,075.00 $550.00 $338,985.35 $58,437.25 2026-03-01
595881 CDM Rem/replace Icd Gen Sgl 67 28 $254,075.00 $254,075.00 $550.00 $338,985.35 $58,437.25 2026-03-01
595882 CDM Rem/replace Icd Gen Dual 67 28 $254,075.00 $254,075.00 $550.00 $338,985.35 $58,437.25 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $58,145.50 $58,145.50 $58,145.50 2024-10-01
791316 CDM Ins/repl Sq Icd With Elec 67 28 $248,304.00 $248,304.00 $550.00 $331,285.85 $57,109.92 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 29 13 — — $45,161.10 $89,188.07 $57,045.60 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $53,436.86 $60,438.16 $56,868.42 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 128 40 — — $12,867.00 $225,071.00 $56,770.99 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 128 40 — — $12,867.00 $225,071.00 $56,581.29 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 29 13 — — $44,198.75 $89,188.07 $56,485.77 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 123 37 — — $1,870.00 $130,696.31 $56,447.60 2026-03-01
594928 CDM Revas Tibp Stnt&ang Ini 31 26 $160,640.00 $160,640.00 $550.00 $232,928.00 $56,224.00 2024-10-01
1581 OTHER New Technology - Level 44 57 26 — — $50,482.32 $81,516.40 $56,218.21 2026-03-01
1595 OTHER New Technology - Level 44 57 26 — — $50,482.32 $81,516.40 $56,218.21 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 56 26 — — $51,683.90 $78,885.96 $56,115.53 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 4 2 — — $52,888.04 $59,443.07 $56,101.74 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 128 39 — — $1,870.00 $215,289.85 $55,924.20 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 118 38 — — $12,867.00 $188,998.10 $55,590.29 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 125 38 — — $1,870.00 $74,889.35 $55,413.18 2026-03-01
594919 CDM Revas Iliac/tla/stnt Ea+ 31 26 $158,028.00 $158,028.00 $550.00 $229,140.60 $55,309.80 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $44,421.72 $65,615.63 $55,018.68 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 29 13 — — $43,107.20 $73,729.74 $54,451.20 2026-03-01
594930 CDM Revas Tib Stnt/ang Ea Ad 31 26 $155,569.00 $155,569.00 $550.00 $225,575.05 $54,449.15 2024-10-01
594887 CDM Revas Tib Stnt/ang Ea Ad 31 26 $155,569.00 $155,569.00 $550.00 $225,575.05 $54,449.15 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $46,990.38 $61,670.15 $54,330.26 2026-03-01
935054 CDM Kit Cath Rt Heart 105 32 $244,319.00 $244,319.00 $550.00 $354,262.55 $53,994.50 2026-03-01
925872 CDM Pump Heart 85mm X 21fr 105 32 $244,319.00 $244,319.00 $550.00 $354,262.55 $53,994.50 2026-03-01
594797 CDM Revsc Fem/pop W Stnt/ath 67 28 $234,605.00 $234,605.00 $550.00 $313,008.60 $53,959.15 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 29 13 — — $42,593.25 $81,160.27 $53,802.00 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $53,609.77 $53,609.77 $53,609.77 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 127 38 — — $1,870.00 $124,412.68 $53,534.19 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 129 39 — — $1,870.00 $190,343.16 $53,378.49 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 29 13 — — $42,071.42 $69,304.50 $53,142.85 2026-03-01
594884 CDM Revsc Tib/per St/ath Ini 67 28 $230,754.00 $230,754.00 $550.00 $307,869.80 $53,073.42 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $52,771.99 $53,364.77 $53,068.38 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 132 40 — — $11,000.00 $226,729.39 $52,726.26 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 129 39 — — $11,000.00 $276,665.86 $52,694.66 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 123 38 — — $11,098.00 $140,687.19 $52,455.91 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 2 — — $50,961.05 $53,892.99 $52,406.81 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 29 13 — — $41,382.00 $70,007.73 $52,272.00 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $52,055.67 $52,149.28 $52,102.47 2026-03-01
64 APR_DRG Pancreas Transplant 29 13 — — $41,159.92 $72,558.00 $51,991.48 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 129 39 — — $1,870.00 $138,695.99 $51,517.17 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 127 38 — — $1,870.00 $116,937.57 $51,348.33 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 126 39 — — $11,000.00 $118,451.44 $51,173.56 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 128 39 — — $11,098.00 $156,855.26 $50,928.24 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 29 13 — — $40,594.24 $65,515.50 $50,849.63 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $50,690.76 $50,690.76 $50,690.76 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $45,011.73 $55,861.14 $50,436.43 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 120 37 — — $11,098.00 $156,113.76 $50,387.02 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 29 13 — — $39,782.20 $69,298.37 $50,251.20 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 29 13 — — $39,859.15 $64,905.25 $50,193.40 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 29 13 — — $39,643.50 $65,165.07 $50,076.00 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 29 13 — — $39,933.25 $64,236.87 $50,021.65 2026-03-01
595883 CDM Rem/replace Icd Gen Mult 67 28 $217,315.00 $217,315.00 $550.00 $289,940.55 $49,982.45 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 118 37 — — $1,870.00 $347,127.65 $49,956.76 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 59 27 — — $45,118.35 $71,927.83 $49,867.65 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 32 — — $4,345.00 $63,428.00 $49,821.28 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $44,701.17 $54,077.62 $49,389.40 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 125 38 — — $1,870.00 $137,160.67 $49,289.92 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 131 39 — — $1,870.00 $118,045.56 $49,041.35 2026-03-01
8514 APR_DRG Gender Related Procedures 29 13 — — $38,821.77 $70,353.00 $49,038.02 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 4 2 — — $46,263.67 $51,843.82 $48,999.80 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 64 37 — — $11,000.00 $175,589.90 $48,738.07 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 127 39 — — $1,870.00 $154,207.59 $48,632.53 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 129 39 — — $1,870.00 $111,990.07 $48,458.37 2026-03-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $47,520.86 $49,400.80 $48,452.39 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $45,550.08 $50,993.93 $48,272.01 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $24,914.88 $71,508.03 $48,211.46 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 4 2 — — $44,035.09 $52,507.85 $48,181.57 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 118 37 — — $1,870.00 $347,127.65 $48,178.46 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 127 39 — — $1,870.00 $155,197.09 $47,920.63 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $46,285.62 $52,194.09 $47,717.13 2026-03-01
121708 CDM Ins Icd Gen Only Sgl Ld 67 28 $206,572.00 $206,572.00 $550.00 $275,607.30 $47,511.56 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 2 — — $39,226.96 $48,919.09 $47,451.52 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 132 40 — — $11,000.00 $145,218.81 $47,295.88 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $39,285.49 $55,128.91 $47,207.20 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $46,130.41 $48,101.28 $47,105.88 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 125 38 — — $1,870.00 $222,160.34 $46,963.12 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 128 39 — — $11,000.00 $195,032.20 $46,385.13 2026-03-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 4 2 — — $44,804.83 $47,844.42 $46,301.21 2026-03-01
1580 OTHER New Technology - Level 43 57 26 — — $41,303.80 $66,695.37 $45,996.81 2026-03-01
1594 OTHER New Technology - Level 43 57 26 — — $41,303.80 $66,695.37 $45,996.81 2026-03-01
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 2 — — $44,196.40 $47,857.74 $45,995.90 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 125 38 — — $11,000.00 $109,161.00 $45,961.22 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 29 13 — — $36,541.99 $58,359.00 $45,773.65 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 123 38 — — $9,732.00 $137,234.51 $45,759.40 2026-03-01
587752 CDM Repos Rev Elec Lv 31 26 $130,022.00 $130,022.00 $550.00 $188,531.90 $45,507.70 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 126 39 — — $1,870.00 $179,685.12 $45,435.49 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 127 38 — — $1,870.00 $106,315.45 $45,409.26 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 29 13 — — $30,800.90 $87,882.00 $45,390.80 2026-03-01
1142 OTHER Supprelin La Implant 57 26 — — $41,026.07 $62,618.74 $45,350.21 2026-03-01
594921 CDM Revas Fempop W/ath&ang 31 26 $129,410.00 $129,410.00 $550.00 $187,644.50 $45,293.50 2024-10-01
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 4 2 — — $42,495.60 $47,872.96 $45,131.66 2026-03-01
B0604 HCPCS Neurological; M < 25.85 4 2 — — $43,666.87 $46,611.49 $45,116.58 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 123 38 — — $9,732.00 $107,225.31 $45,116.05 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 129 39 — — $1,870.00 $103,887.87 $45,055.32 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 129 39 — — $1,870.00 $103,789.76 $45,012.46 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 1 — — $44,196.91 $45,606.06 $44,901.49 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 122 38 — — $11,098.00 $145,175.19 $44,651.41 2026-03-01
B2102 HCPCS Burns; M=12-45 4 2 — — $40,636.98 $48,424.73 $44,448.28 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 29 13 — — $35,105.35 $66,933.09 $44,343.60 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $27,194.00 $61,471.11 $44,332.56 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 125 38 — — $1,870.00 $137,237.59 $44,204.52 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 129 39 — — $1,870.00 $76,387.71 $44,058.00 2026-03-01
594924 CDM Revas Tiber/ath/ang Ini 31 26 $125,859.00 $125,859.00 $550.00 $182,495.55 $44,050.65 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 11 3 — — $43,241.44 $72,861.11 $43,855.64 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 128 39 — — $11,000.00 $195,032.20 $43,452.65 2026-03-01
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