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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

UF HEALTH LEESBURG HOSPITAL

Leesburg, FL · CCN 100084 · Rates published

25,286 distinct procedures filed
12 distinct payers
370,566 rate rows
2026-03-31 last MRF observed
Data quality

279,305 of 370,566 rate rows are consumer-grade (75.4%)

91,261 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 90,425
placeholder amount (≤ $0.02) — excluded from medians 391
template filing: same amount across many unrelated codes — excluded 321
percent-of-charges filed in the dollar field — excluded from medians 72
exceeds 10× this hospital's gross charge — excluded from medians 52
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-lee
Found on page https://ufhealth.org/locations/uf-health-leesburg-hospital/billing-costs-and-insurance#price-lists-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint 8eff4f721528f6ed… · 5,828,554 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 6 $4,685,200.00 $4,955,500.00 $4,730,250.00 nat. median
$4,505,000
1.1× median
J1411
HCPCS 		Hemgenix 19 X 10 Ml IV Supk 8 $16,558.92 $4,053,793.33 $3,832,677.33 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,749,200.00 $3,965,500.00 $3,785,250.00 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 6 $3,469,252.80 $3,669,402.00 $3,502,611.00 nat. median
$3,335,820
1.1× median
J1413
HCPCS 		Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 8 $16,558.92 $3,660,645.69 $3,460,974.11 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,382,608.39 $3,614,600.00 $3,417,440.00 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 6 $3,307,200.00 $3,498,000.00 $3,339,000.00 nat. median
$3,180,000
1.1× median
J3393
HCPCS 		Zynteglo IV Susp 7 $63,157.31 $3,264,800.00 $3,086,720.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 9 $10,581.38 $4,175,500.17 $2,567,760.29 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,425,280.00 $2,565,200.00 $2,448,600.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $801,444.80 $847,682.00 $809,151.00 nat. median
$824,563
1.0× median
Q2056
HCPCS 		Carvykti 100000000 Cells IV Susp 11 $25,395.71 $1,556,272.62 $595,495.66 nat. median
$674,867
0.9× median
Q2042
HCPCS 		Kymriah 250000000 Cells IV Susp 11 $25,395.71 $1,630,776.84 $585,652.35 nat. median
$753,246
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $25,395.71 $613,889.89 $579,825.67 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $25,395.71 $618,421.36 $576,543.99 nat. median
$673,137
0.9× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp 11 $25,395.71 $1,294,770.85 $545,940.75 nat. median
$634,303
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $25,395.71 $538,395.22 $507,805.83 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 $280,071.19 $538,195.87 $340,652.67 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $289,380.00 $306,075.00 $292,162.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 6 $275,600.00 $291,500.00 $278,250.00 nat. median
$265,000
1.1× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $209,257.44 $349,267.47 $222,271.04 nat. median
$265,286
0.8× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 6 $209,735.78 $221,835.92 $211,752.47 nat. median
$209,753
1.0× median
5834
APR_DRG 		3 $192,964.84 $208,261.10 $208,261.10 nat. median
$309,665
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $165,327.44 $266,095.55 $177,122.30 nat. median
$206,474
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 8 $159,275.67 $264,533.91 $168,781.92 nat. median
$202,976
0.8× median
5884
APR_DRG 		3 $127,555.94 $146,958.05 $127,555.94 nat. median
$246,434
0.5× median
0114
APR_DRG 		3 $106,294.04 $119,243.36 $119,243.36 nat. median
$197,700
0.6× median
0024
APR_DRG 		3 $119,164.66 $132,277.05 $119,164.66 nat. median
$372,987
outlier · 0.3×
5833
APR_DRG 		3 $118,611.62 $169,491.82 $118,611.62 nat. median
$244,017
outlier · 0.5×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 1 $117,077.74 $117,077.74 $117,077.74 nat. median
$111,989
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 8 $105,102.73 $172,632.77 $110,787.62 nat. median
$133,161
0.8× median
7
MS_DRG 		Lung Transplant 8 $97,229.34 $161,400.93 $103,037.35 nat. median
$122,708
0.8× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 1 $99,835.08 $99,835.08 $99,835.08 nat. median
$96,983
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $93,129.10 $149,781.49 $98,456.68 nat. median
$117,357
0.8× median
209
MS_DRG 		Complex Aortic Arch Procedures 7 $87,720.77 $141,068.47 $91,516.38 nat. median
$98,047
0.9× median
5832
APR_DRG 		3 $91,071.80 $116,621.01 $91,071.80 nat. median
$156,126
0.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $82,026.40 $141,230.49 $89,510.21 nat. median
$108,660
0.8× median
1614
APR_DRG 		3 $88,926.10 $112,432.99 $88,926.10 nat. median
$207,730
outlier · 0.4×
6094
APR_DRG 		3 $88,871.48 $90,328.02 $88,871.48 nat. median
$162,982
0.5× median
0113
APR_DRG 		3 $60,401.63 $88,742.47 $88,742.47 nat. median
$128,705
0.7× median
152180
CDM 		Uf Hb Ad Bilateral Lung Transplant Import W/xvivo 4 $63,157.31 $167,220.90 $87,677.62 nat. median
$8
outlier · 11349.9×
0094
APR_DRG 		3 $86,223.46 $87,176.41 $87,176.41 nat. median
$166,008
0.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 $77,988.06 $137,359.42 $87,061.15 nat. median
$98,894
0.9× median
152176
CDM 		Uf Hb Ad Bilateral Lung Transplant Local 4 $63,157.31 $165,211.20 $87,025.12 nat. median
$5,040
outlier · 17.3×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 8 $81,093.05 $135,526.08 $86,241.58 nat. median
$102,358
0.8× median
6314
APR_DRG 		3 $85,478.46 $91,246.96 $85,478.46 nat. median
$122,924
0.7× median
179472
CDM 		Uf Hb Ad Bilat Lung Transplant Import 4 $63,157.31 $159,112.80 $85,045.12 nat. median
$91,840
0.9× median
5883
APR_DRG 		3 $84,952.00 $100,434.18 $84,952.00 nat. median
$182,665
outlier · 0.5×
179471
CDM 		Uf Hb Ad Single Lung Transplant Import 4 $63,157.31 $157,657.50 $84,572.62 nat. median
$91,000
0.9× median
142406
CDM 		Uf Hb Ad Bilat Lung Transplant Local 4 $63,157.31 $157,103.10 $84,392.62 nat. median
$90,680
0.9× median

Other procedures at this hospital

Browse this hospital's 25,286 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
             
0013 APR_DRG — 3 3 — — $34,436.53 $37,916.89 $34,436.53 2026-03-31
0014 APR_DRG — 3 3 — — $66,329.56 $81,411.04 $66,329.56 2026-03-31
0021 APR_DRG — 3 3 — — $43,443.38 $49,679.01 $43,443.38 2026-03-31
0022 APR_DRG — 3 3 — — $49,153.16 $57,036.30 $49,153.16 2026-03-31
0023 APR_DRG — 3 3 — — $64,911.19 $71,798.56 $64,911.19 2026-03-31
0024 APR_DRG — 3 3 — — $119,164.66 $132,277.05 $119,164.66 2026-03-31
0043 APR_DRG — 3 3 — — $46,198.91 $50,899.56 $46,198.91 2026-03-31
0044 APR_DRG — 3 3 — — $66,996.16 $77,026.95 $66,996.16 2026-03-31
0053 APR_DRG — 3 3 — — $33,871.27 $35,997.75 $33,871.27 2026-03-31
0054 APR_DRG — 3 3 — — $46,671.82 $49,758.94 $46,671.82 2026-03-31
0063 APR_DRG — 3 3 — — $33,389.74 $40,097.45 $33,389.74 2026-03-31
0064 APR_DRG — 3 3 — — $43,326.23 $62,481.51 $43,326.23 2026-03-31
0072 APR_DRG — 3 3 — — $31,423.35 $36,665.88 $31,423.35 2026-03-31
0073 APR_DRG — 3 3 — — $44,622.06 $46,235.52 $44,622.06 2026-03-31
0074 APR_DRG — 3 3 — — $70,159.56 $91,484.97 $70,159.56 2026-03-31
0084 APR_DRG — 3 3 — — $31,204.86 $45,846.91 $31,204.86 2026-03-31
0093 APR_DRG — 3 3 — — $38,673.78 $58,588.00 $58,588.00 2026-03-31
0094 APR_DRG — 3 3 — — $86,223.46 $87,176.41 $87,176.41 2026-03-31
0111 APR_DRG — 3 3 — — $23,870.88 $34,745.58 $34,745.58 2026-03-31
0112 APR_DRG — 3 3 — — $41,975.52 $70,549.10 $70,549.10 2026-03-31
0113 APR_DRG — 3 3 — — $60,401.63 $88,742.47 $88,742.47 2026-03-31
0114 APR_DRG — 3 3 — — $106,294.04 $119,243.36 $119,243.36 2026-03-31
0266T HCPCS Implt/rpl Crtd Sns Dev Total 6 6 — — $12,126.92 $49,687.66 $30,764.18 2026-03-31
0408T HCPCS Uf Hb Insj/rplc Cardiac Modulj Sys 20 11 $117,827.00 $64,804.85 45% off $4,953.93 $81,654.11 $35,237.15 2026-03-31
0424T HCPCS Uf Hb Insert/rplc Nstim Sleep Apnea Sys, Complete 11 6 $111,765.00 $61,470.75 45% off $12,126.92 $77,453.15 $64,756.64 2026-03-31
0427T HCPCS Uf Hb Insertion/rplc Nstim Apnea Pulse Gen Only 11 6 $109,375.00 $60,156.25 45% off $12,126.92 $75,796.88 $63,371.88 2026-03-31
0431T HCPCS Uf Hb Removal/rplc Nstim Apnea Pulse Gen Only 11 6 $110,800.00 $60,940.00 45% off $12,126.92 $76,784.40 $64,197.52 2026-03-31
0571T HCPCS Uf Hb Insert/rplcmt Ev-icd Single System 20 11 $64,123.00 $35,267.65 45% off $13,945.58 $44,437.24 $34,745.46 2026-03-31
0620T HCPCS Hb Evasc Ven Artlz Tibl/prnl Vn 20 11 $122,502.00 $67,376.10 45% off $6,999.91 $84,893.89 $48,756.62 2026-03-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 9 — — $3,893.73 $35,446.45 $33,513.01 2026-03-31
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 6 6 — — $37,206.43 $39,352.95 $37,564.18 2026-03-31
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 6 6 — — $33,513.01 $35,446.45 $33,835.25 2026-03-31
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 6 6 — — $33,513.01 $35,446.45 $33,835.25 2026-03-31
0915T HCPCS Uf Hb Insj Perm Ccm-d Sys Pg&eltrd 17 9 $117,827.00 $64,804.85 45% off $33,470.08 $81,654.11 $36,056.60 2026-03-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 6 6 — — $29,468.91 $31,169.04 $29,752.26 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 14 8 — — $209,257.44 $349,267.47 $222,271.04 2026-03-31
10 MS_DRG Pancreas Transplant 14 8 — — $55,669.14 $89,432.18 $59,707.62 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 14 8 — — $40,301.60 $67,975.54 $43,165.04 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 14 8 — — $30,714.35 $52,544.85 $33,402.72 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 14 8 — — $93,129.10 $149,781.49 $98,456.68 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 14 8 — — $31,645.47 $53,159.29 $33,791.45 2026-03-31
142388 CDM Uf Hb Pancreas Transplant-dd Local 8 4 $141,010.00 $77,555.50 45% off $63,157.31 $97,719.93 $66,770.24 2026-03-31
142390 CDM Uf Ad Liver Transplant - Dd 8 4 $190,100.00 $104,555.00 45% off $63,157.31 $131,739.30 $76,157.62 2026-03-31
142396 CDM Uf Kidney Transplant - Dd 8 4 $97,351.00 $53,543.05 45% off $43,807.95 $67,464.24 $57,076.90 2026-03-31
142400 CDM Uf Hb Ped Heart Transplant-dd Local 8 4 $153,700.00 $84,535.00 45% off $63,157.31 $106,514.10 $67,967.62 2026-03-31
142404 CDM Uf Hb Ad Single Lung Transplant Local 8 4 $224,600.00 $123,530.00 45% off $63,157.31 $155,647.80 $83,920.12 2026-03-31
142406 CDM Uf Hb Ad Bilat Lung Transplant Local 8 4 $226,700.00 $124,685.00 45% off $63,157.31 $157,103.10 $84,392.62 2026-03-31
152174 CDM Uf Hb Ad Single Lung Transplant Local With 8 4 $178,374.00 $98,105.70 45% off $63,157.31 $123,613.18 $73,519.27 2026-03-31
152176 CDM Uf Hb Ad Bilateral Lung Transplant Local 8 4 $238,400.00 $131,120.00 45% off $63,157.31 $165,211.20 $87,025.12 2026-03-31
152178 CDM Uf Hb Ad Single Lung Transplant Import W 8 4 $170,314.00 $93,672.70 45% off $63,157.31 $118,027.60 $71,705.77 2026-03-31
152180 CDM Uf Hb Ad Bilateral Lung Transplant Import W/xvivo 8 4 $241,300.00 $132,715.00 45% off $63,157.31 $167,220.90 $87,677.62 2026-03-31
158595 CDM Uf Hb Perc Trans Revasc Acute Mi-des 8 4 $53,231.00 $29,277.05 45% off $23,953.95 $36,889.08 $31,209.33 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 8 — — $45,049.97 $73,903.04 $47,503.35 2026-03-31
160072 CDM Uf Hb Impella 4.0 8 4 $71,384.00 $39,261.20 45% off $27,125.92 $49,469.11 $30,670.14 2026-03-31
1604 APR_DRG — 3 3 — — $51,048.39 $61,019.41 $51,048.39 2026-03-31
1611 APR_DRG — 3 3 — — $51,234.90 $59,370.08 $51,234.90 2026-03-31
1612 APR_DRG — 3 3 — — $51,234.90 $62,509.78 $51,234.90 2026-03-31
1613 APR_DRG — 3 3 — — $69,631.31 $76,906.41 $69,631.31 2026-03-31
1614 APR_DRG — 3 3 — — $88,926.10 $112,432.99 $88,926.10 2026-03-31
1624 APR_DRG — 3 3 — — $34,306.45 $45,563.86 $34,306.45 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 14 8 — — $34,464.82 $55,857.57 $36,143.29 2026-03-31
1634 APR_DRG — 3 3 — — $30,019.36 $38,489.19 $30,019.36 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 8 — — $28,834.29 $46,583.70 $30,204.36 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 8 — — $42,181.95 $67,703.84 $45,266.56 2026-03-31
179460 CDM Uf Hb Ped Heart Transplant-dd Import 8 4 $153,700.00 $84,535.00 45% off $63,157.31 $106,514.10 $67,967.62 2026-03-31
179463 CDM Uf Hb Ped Double Lung Transplant-dd Impo 8 4 $178,054.00 $97,929.70 45% off $63,157.31 $123,391.42 $73,447.27 2026-03-31
179464 CDM Uf Hb Pancreas Transplant-dd Import 8 4 $141,010.00 $77,555.50 45% off $63,157.31 $97,719.93 $66,770.24 2026-03-31
179467 CDM Uf Ad Liver Transplant-dd Import 8 4 $205,900.00 $113,245.00 45% off $63,157.31 $142,688.70 $79,712.62 2026-03-31
179468 CDM Uf Hb Kidney Transplant-dd Import 8 4 $103,304.00 $56,817.20 45% off $46,486.80 $71,589.67 $60,567.14 2026-03-31
179470 CDM Uf Hb Ad Heart Transplant Import 8 4 $154,700.00 $85,085.00 45% off $63,157.31 $107,207.10 $68,192.62 2026-03-31
179471 CDM Uf Hb Ad Single Lung Transplant Import 8 4 $227,500.00 $125,125.00 45% off $63,157.31 $157,657.50 $84,572.62 2026-03-31
179472 CDM Uf Hb Ad Bilat Lung Transplant Import 8 4 $229,600.00 $126,280.00 45% off $63,157.31 $159,112.80 $85,045.12 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 8 — — $280,071.19 $538,195.87 $340,652.67 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 8 — — $55,351.19 $88,919.95 $59,366.93 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 14 8 — — $82,026.40 $141,230.49 $89,510.21 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 14 8 — — $60,075.59 $98,070.43 $63,166.54 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 8 — — $48,249.92 $80,196.95 $51,205.35 2026-03-31
207212 CDM Uf Hb Aurora Ev-aicd, Single Chamber 8 4 $75,250.00 $41,387.50 45% off $28,595.00 $52,148.25 $32,331.17 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 10 7 — — $87,720.77 $141,068.47 $91,516.38 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 14 8 — — $41,110.49 $65,977.69 $42,889.31 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 8 — — $81,093.05 $135,526.08 $86,241.58 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 10 7 — — $44,306.30 $71,126.24 $46,223.40 2026-03-31
215 MS_DRG Other Heart Assist System Implant 14 8 — — $77,185.68 $124,096.08 $80,635.51 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $71,872.31 $121,924.99 $77,296.47 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $48,180.92 $81,949.28 $52,005.60 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 14 8 — — $44,407.46 $81,949.28 $52,005.60 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $57,674.69 $95,696.19 $61,138.71 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $39,565.60 $66,463.75 $42,227.51 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 8 — — $34,341.66 $62,817.02 $39,901.46 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 14 8 — — $37,240.39 $61,660.44 $39,464.07 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $42,595.66 $71,417.87 $45,411.85 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 14 8 — — $63,138.28 $105,063.53 $67,019.21 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 14 8 — — $45,590.10 $75,559.40 $48,317.89 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 14 8 — — $58,260.08 $95,283.66 $61,316.56 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 14 8 — — $39,739.96 $68,082.72 $43,232.85 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 8 — — $43,924.46 $73,141.54 $46,664.97 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 14 8 — — $30,776.67 $52,205.85 $33,188.25 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 8 — — $37,638.06 $61,340.13 $39,572.10 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 14 8 — — $28,473.71 $48,754.79 $31,004.92 2026-03-31
245 MS_DRG Aicd Generator Procedures 14 8 — — $35,452.28 $56,862.10 $37,186.61 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 14 8 — — $33,449.11 $56,666.43 $36,010.26 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 14 8 — — $44,715.36 $76,379.47 $48,481.83 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 14 8 — — $35,173.36 $59,334.80 $37,698.43 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 14 8 — — $49,736.76 $85,720.64 $54,391.58 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 14 8 — — $31,137.25 $52,634.59 $33,459.49 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 14 8 — — $38,351.06 $65,759.58 $41,763.10 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 14 8 — — $29,279.45 $51,416.93 $32,689.14 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $52,700.04 $88,867.60 $56,382.51 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 14 8 — — $46,225.93 $74,861.46 $48,431.29 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 14 8 — — $34,781.62 $57,561.29 $36,854.86 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 14 8 — — $37,388.77 $69,372.66 $44,048.93 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 14 8 — — $45,373.45 $74,882.64 $47,987.22 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 14 8 — — $159,275.67 $264,533.91 $168,781.92 2026-03-31
3034 APR_DRG — 3 3 — — $34,140.79 $47,831.86 $34,140.79 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 8 — — $31,359.09 $55,841.37 $35,488.29 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 14 8 — — $46,166.58 $83,335.19 $52,882.40 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 14 8 — — $32,859.28 $55,622.02 $35,349.50 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 14 8 — — $31,869.54 $53,933.25 $34,281.10 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 8 — — $37,950.42 $62,158.96 $39,998.75 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 8 — — $34,336.46 $57,287.10 $36,531.89 2026-03-31
33202 HCPCS Uf Hb Epicardial Lead Insertion Open 11 6 $146,917.00 $80,804.35 45% off $7,472.81 $101,813.48 $66,112.65 2026-03-31
33231 HCPCS Hb Insrt Pulse Gen W/mult Leads 20 11 $149,330.00 $82,131.50 45% off $13,945.58 $103,485.69 $35,237.15 2026-03-31
33249 HCPCS Hb Insert/repl Id System W/lead(s) Biv 20 11 $101,572.00 $55,864.60 45% off $13,945.58 $70,389.40 $35,237.15 2026-03-31
33264 HCPCS Hb Remv&repl Id Gen Mult Lead 20 11 $83,912.00 $46,151.60 45% off $13,945.58 $58,151.02 $35,237.15 2026-03-31
33265 HCPCS Uf Hb Endo Ablation & Recon Atria Limite 11 6 $54,770.00 $30,123.50 45% off $7,472.81 $37,955.61 $31,733.74 2026-03-31
33270 HCPCS Hb Ins/rep Subq Defibrillator 20 11 $136,756.00 $75,215.80 45% off $13,945.58 $94,771.91 $35,237.15 2026-03-31
33276 HCPCS Uf Hb Insj Phrnc Nrv Stim Sys 18 10 $7,495.00 $4,122.25 45% off $3,372.75 $50,596.49 $30,764.18 2026-03-31
33289 HCPCS Uf Hb Insertion Of Wireless Pa Pressure Sensor 20 11 $118,100.00 $64,955.00 45% off $13,945.58 $81,843.30 $31,750.63 2026-03-31
33475 HCPCS Uf Hb Replacement Pulmonary Valve 11 6 $116,622.00 $64,142.10 45% off $7,472.81 $80,819.05 $65,914.85 2026-03-31
33621 HCPCS Uf Hb Transthro Cath For Stent 11 6 $60,871.00 $33,479.05 45% off $7,472.81 $42,183.60 $35,268.66 2026-03-31
33745 HCPCS Uf Hb Tis Cgen Car Anomal 1st Shunt 11 6 $55,878.00 $30,732.90 45% off $8,988.07 $38,723.45 $32,375.71 2026-03-31
33894 HCPCS Uf Hb Evasc St Rpr Coarcj Thrc/aa Acrs Maj Sde Brn 11 6 $55,878.00 $30,732.90 45% off $9,030.67 $38,723.45 $32,375.71 2026-03-31
33895 HCPCS Uf Hb Evasc St Rpr Coarcj Thrc/aa Xcrsg Maj Sde Br 11 6 $55,878.00 $30,732.90 45% off $9,030.67 $38,723.45 $32,375.71 2026-03-31
33940 HCPCS Uf Hb Ad Heart Transplant 11 6 $154,240.00 $84,832.00 45% off $3,590.67 $106,888.32 $66,770.24 2026-03-31
33959 HCPCS Uf Hb Ecmo/ecls Repos Perph Cnula 11 6 $58,907.00 $32,398.85 45% off $5,044.46 $40,822.55 $34,130.72 2026-03-31
33975 HCPCS Uf Hb Insertion Of Vad; Single Ventricular 11 6 $88,134.00 $48,473.70 45% off $19,413.55 $61,076.86 $51,064.84 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 14 8 — — $29,119.19 $48,241.31 $30,884.32 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 8 — — $31,916.28 $54,748.34 $34,796.77 2026-03-31
37218 HCPCS Uf Hb Transcath Stent Plcmt Ante Carotid 11 6 $53,664.00 $29,515.20 45% off $8,649.15 $37,189.15 $31,092.92 2026-03-31
37271 HCPCS Hb Revsc Evasc Fpvt Athrc Uni Sf Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37273 HCPCS Hb Revsc Evasc Fpvt Athrc Uni Cplx Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37277 HCPCS Hb Revsc Evasc Fpvt St Athrc Uni Cplx Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37284 HCPCS Hb Revsc Evasc Tpvt St Plmt Uni Sf Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37286 HCPCS Hb Revsc Evasc Tpvt St Plmt Uni Cplx Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37288 HCPCS Hb Revsc Evasc Tpvt Athrc Uni Sf Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37290 HCPCS Hb Revsc Evasc Tpvt Athrc Uni Cplx Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37292 HCPCS Hb Revsc Evasc Tpvt St Athrc Uni Sf Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37294 HCPCS Hb Revsc Evasc Tpvt St Athrc Uni Cplx Les 1st Vsl 14 9 $65,550.00 $36,052.50 45% off $19,909.08 $45,426.15 $33,040.48 2026-03-31
37660 HCPCS Uf Hb Revision Of Major Vein 11 6 $57,938.00 $31,865.90 45% off $5,419.39 $40,151.03 $33,569.28 2026-03-31
38240 HCPCS Hb Bone Marrow Allogeneic Transplant 20 11 $54,407.00 $29,923.85 45% off $2,785.83 $72,254.95 $37,064.77 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 8 — — $105,102.73 $172,632.77 $110,787.62 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 8 — — $27,794.99 $38,739.03 $30,027.69 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 14 8 — — $29,293.55 $50,108.30 $31,861.22 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 8 — — $40,544.96 $68,179.94 $43,294.35 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 8 — — $30,445.03 $51,759.67 $32,905.98 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $77,988.06 $137,359.42 $87,061.15 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $52,964.91 $89,966.86 $57,077.97 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 14 8 — — $41,104.37 $70,068.11 $44,488.91 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 14 8 — — $62,149.29 $112,288.45 $71,199.85 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 14 8 — — $40,855.08 $71,876.52 $45,633.01 2026-03-31
4404 APR_DRG — 3 3 — — $33,592.77 $42,240.03 $33,592.77 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 14 8 — — $50,012.01 $83,274.12 $53,119.81 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 14 8 — — $30,564.48 $52,853.94 $33,598.26 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 14 8 — — $38,477.93 $66,423.87 $42,183.35 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $63,103.41 $104,733.25 $66,895.30 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $42,850.14 $74,319.31 $47,178.46 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 14 8 — — $32,304.31 $52,003.95 $33,770.21 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 11 8 — — $42,883.62 $55,411.71 $45,357.68 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 14 8 — — $40,339.44 $71,034.01 $45,099.99 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 8 — — $38,066.16 $64,875.94 $41,204.05 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 14 8 — — $36,305.55 $60,181.05 $38,497.30 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 8 — — $33,367.39 $53,503.27 $34,811.17 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 8 — — $79,279.03 $128,501.82 $83,039.32 2026-03-31
57280 HCPCS Uf Hb Colpopexyabdominal Approach 11 6 $65,107.00 $35,808.85 45% off $3,603.31 $45,119.15 $37,723.00 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 8 — — $45,957.35 $81,651.41 $51,817.16 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 8 — — $38,073.29 $61,084.64 $40,490.89 2026-03-31
5831 APR_DRG — 3 3 — — $72,997.03 $81,748.00 $81,748.00 2026-03-31
5832 APR_DRG — 3 3 — — $91,071.80 $116,621.01 $91,071.80 2026-03-31
5833 APR_DRG — 3 3 — — $118,611.62 $169,491.82 $118,611.62 2026-03-31
5834 APR_DRG — 3 3 — — $192,964.84 $208,261.10 $208,261.10 2026-03-31
5881 APR_DRG — 3 3 — — $62,395.71 $96,238.22 $62,395.71 2026-03-31
5882 APR_DRG — 3 3 — — $72,794.70 $96,238.22 $72,794.70 2026-03-31
5883 APR_DRG — 3 3 — — $84,952.00 $100,434.18 $84,952.00 2026-03-31
5884 APR_DRG — 3 3 — — $127,555.94 $146,958.05 $127,555.94 2026-03-31
5891 APR_DRG — 3 3 — — $57,797.60 $59,458.71 $59,458.71 2026-03-31
5892 APR_DRG — 3 3 — — $55,752.61 $59,458.71 $59,458.71 2026-03-31
5893 APR_DRG — 3 3 — — $53,078.35 $59,458.71 $59,458.71 2026-03-31
58980078021 NDC Gattex 5 Mg Sc Kit 8 4 $113,808.63 $62,594.75 45% off $51,213.88 $78,869.38 $66,355.48 2026-03-31
5912 APR_DRG — 3 3 — — $48,876.21 $54,106.85 $54,106.85 2026-03-31
5913 APR_DRG — 3 3 — — $63,082.80 $66,665.56 $63,082.80 2026-03-31
5914 APR_DRG — 3 3 — — $83,645.03 $92,472.80 $83,645.03 2026-03-31
5931 APR_DRG — 3 3 — — $13,355.80 $32,930.12 $32,930.12 2026-03-31
5932 APR_DRG — 3 3 — — $43,270.17 $51,150.38 $43,270.17 2026-03-31
5933 APR_DRG — 3 3 — — $53,796.73 $57,894.30 $53,796.73 2026-03-31
5934 APR_DRG — 3 3 — — $73,540.00 $85,211.78 $73,540.00 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 14 8 — — $36,029.40 $57,791.86 $37,588.36 2026-03-31
6022 APR_DRG — 3 3 — — $30,735.91 $37,533.60 $30,735.91 2026-03-31
6023 APR_DRG — 3 3 — — $38,465.25 $46,776.46 $38,465.25 2026-03-31
6024 APR_DRG — 3 3 — — $55,400.17 $62,930.16 $55,400.17 2026-03-31
6034 APR_DRG — 3 3 — — $40,520.04 $78,722.22 $40,520.04 2026-03-31
6074 APR_DRG — 3 3 — — $42,824.58 $49,265.69 $42,824.58 2026-03-31
6093 APR_DRG — 3 3 — — $30,828.62 $41,748.99 $30,828.62 2026-03-31
6094 APR_DRG — 3 3 — — $88,871.48 $90,328.02 $88,871.48 2026-03-31
6114 APR_DRG — 3 3 — — $35,617.73 $43,610.71 $35,617.73 2026-03-31
6134 APR_DRG — 3 3 — — $35,290.36 $44,119.43 $35,290.36 2026-03-31
61886 HCPCS Implant Neurostim Arrays 12 9 — — $12,126.92 $35,446.45 $33,513.01 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 7 — — $4,715.17 $35,446.45 $33,513.01 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 8 — — $28,987.96 $46,447.85 $30,243.25 2026-03-31
6303 APR_DRG — 3 3 — — $42,730.78 $49,290.86 $42,730.78 2026-03-31
6304 APR_DRG — 3 3 — — $77,520.20 $119,495.29 $77,520.20 2026-03-31
6314 APR_DRG — 3 3 — — $85,478.46 $91,246.96 $85,478.46 2026-03-31
63685 HCPCS Ins/rplc Spi Npg/rcvr Pocket 12 9 — — $12,126.92 $35,446.45 $33,513.01 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 12 9 — — $12,126.92 $50,596.49 $40,742.17 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 12 9 — — $12,126.92 $35,446.45 $33,513.01 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 6 6 — — $47,836.68 $50,596.49 $48,296.65 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 6 6 — — $33,513.01 $35,446.45 $33,835.25 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 14 8 — — $34,450.72 $58,594.49 $37,230.07 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 14 8 — — $40,356.99 $64,763.77 $42,356.49 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 8 — — $31,351.67 $52,365.38 $33,381.82 2026-03-31
69930 HCPCS Implant Cochlear Device 12 9 — — $15,215.96 $37,875.30 $35,465.12 2026-03-31
7 MS_DRG Lung Transplant 14 8 — — $97,229.34 $161,400.93 $103,037.35 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 14 8 — — $27,873.96 $44,653.15 $29,946.54 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 8 — — $44,374.07 $74,075.03 $47,200.82 2026-03-31
791 MS_DRG Prematurity With Major Problems 15 9 — — $9,373.00 $50,588.13 $32,142.62 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 14 8 — — $31,209.96 $51,966.56 $33,179.53 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 14 8 — — $35,193.12 $56,444.59 $36,715.90 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 8 — — $40,636.95 $69,851.25 $44,351.71 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 8 — — $26,864.46 $49,654.64 $31,574.21 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 14 8 — — $43,465.20 $73,094.18 $46,406.97 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 14 8 — — $34,986.40 $57,141.28 $36,829.03 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 8 — — $35,698.65 $58,300.36 $37,575.82 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 14 8 — — $41,276.50 $68,421.72 $43,757.51 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 14 8 — — $37,323.66 $59,876.95 $38,938.62 2026-03-31
8414 APR_DRG — 3 3 — — $79,102.08 $111,888.08 $79,102.08 2026-03-31
8424 APR_DRG — 3 3 — — $44,285.71 $50,506.99 $44,285.71 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 14 8 — — $67,148.04 $107,925.08 $70,147.73 2026-03-31
8513 APR_DRG — 2 2 — — $40,865.02 $40,865.02 $40,865.02 2026-03-31
8514 APR_DRG — 2 2 — — $40,865.02 $40,865.02 $40,865.02 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 8 — — $37,373.94 $61,550.76 $39,499.68 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 14 8 — — $33,740.69 $56,691.36 $36,026.58 2026-03-31
8634 APR_DRG — 3 3 — — $34,835.42 $37,758.36 $34,835.42 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 8 — — $51,880.20 $86,143.15 $55,023.91 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 14 8 — — $29,422.64 $48,169.02 $31,021.72 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 14 8 — — $32,622.40 $52,303.07 $34,033.94 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 8 — — $28,572.52 $45,778.58 $29,808.83 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 8 — — $29,824.03 $47,849.96 $31,132.11 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 8 — — $165,327.44 $266,095.55 $177,122.30 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 8 — — $49,820.60 $89,394.79 $56,716.06 2026-03-31
92930 HCPCS Hb Prq Tcat Plmt Ntrac St 2+les 14 9 $67,002.00 $36,851.10 45% off $19,909.08 $46,432.39 $33,772.36 2026-03-31
92941 HCPCS Hb Percu Card Revasc Mi 1 Vsl 11 6 $58,072.00 $31,939.60 45% off $5,577.10 $40,243.90 $33,646.92 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 8 — — $30,282.99 $48,534.19 $32,525.97 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 8 — — $50,929.04 $83,891.05 $53,801.77 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 8 — — $28,627.29 $46,899.02 $30,195.57 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 8 — — $55,646.99 $94,968.34 $60,242.18 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 8 — — $30,759.61 $52,518.68 $33,386.16 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 14 8 — — $47,189.70 $76,290.99 $49,397.44 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 14 8 — — $35,538.39 $58,474.84 $37,814.57 2026-03-31
A9543 HCPCS Uf Hb Zevalin Y90 Ibritumomab 20 11 $146,051.00 $80,328.05 45% off $15,365.73 $101,213.34 $60,234.01 2026-03-31
C1767 HCPCS Uf Hb Replacement Generator, Neurostimulator 8 4 $72,188.00 $39,703.40 45% off $27,431.44 $50,026.28 $31,015.57 2026-03-31
C9293 HCPCS Voraxaze 1000 Units IV Solr 16 10 $333,043.51 $183,173.93 45% off $466.64 $230,799.15 $36,869.35 2026-03-31
C9606 HCPCS Uf Hb Perc Trans Revasc Acute Mi-des 11 6 $53,231.00 $29,277.05 45% off $5,577.10 $36,889.08 $30,842.04 2026-03-31
J0567 HCPCS Brineura 2 X 150 Mg/5ml Ve Kit 16 10 $134,523.55 $73,987.95 45% off $126.04 $93,224.82 $35,558.49 2026-03-31
J1299 HCPCS Soliris 300 Mg/30ml IV Soln 14 9 $105,544.25 $58,049.34 45% off $46.82 $73,142.17 $53,199.58 2026-03-31
J1300 HCPCS Soliris 300 Mg/30ml IV Soln 14 9 $105,544.25 $58,049.34 45% off $233.62 $73,142.17 $53,199.58 2026-03-31
J1411 HCPCS Hemgenix 19 X 10 Ml IV Supk 14 8 — — $16,558.92 $4,053,793.33 $3,832,677.33 2026-03-31
J1413 HCPCS Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 14 8 — — $16,558.92 $3,660,645.69 $3,460,974.11 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 3 3 — — $3,749,200.00 $3,965,500.00 $3,785,250.00 2026-03-31
J3357 HCPCS Stelara 45 Mg/0.5ml Sc Soln 14 9 $112,624.75 $61,943.61 45% off $166.31 $78,048.95 $56,768.51 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 6 6 — — $3,307,200.00 $3,498,000.00 $3,339,000.00 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 6 6 — — $3,469,252.80 $3,669,402.00 $3,502,611.00 2026-03-31
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,685,200.00 $4,955,500.00 $4,730,250.00 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — — $2,425,280.00 $2,565,200.00 $2,448,600.00 2026-03-31
J3393 HCPCS Zynteglo IV Susp 13 7 — — $63,157.31 $3,264,800.00 $3,086,720.00 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 9 6 — — $3,382,608.39 $3,614,600.00 $3,417,440.00 2026-03-31
J3399 HCPCS Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 16 9 — — $10,581.38 $4,175,500.17 $2,567,760.29 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 6 6 — — $209,735.78 $221,835.92 $211,752.47 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 6 6 — — $275,600.00 $291,500.00 $278,250.00 2026-03-31
J9029 HCPCS Adstiladrin 300000000000 Vp/ml Is Susp 18 10 $224,775.00 $123,626.25 45% off $16,558.92 $155,769.08 $67,167.15 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 20 11 $197,243.43 $108,483.89 45% off $15,211.53 $136,689.70 $47,560.79 2026-03-31
J9266 HCPCS Oncaspar 750 Unit/ml Ij Soln 19 10 $82,027.48 $45,115.11 45% off $10,581.38 $56,845.04 $30,413.73 2026-03-31
J9309 HCPCS Polivy 30 Mg IV Solr 28 11 $64,540.78 $35,497.43 45% off $134.97 $48,452.27 $33,741.36 2026-03-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 1 1 — — $99,835.08 $99,835.08 $99,835.08 2026-03-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 1 1 — — $41,347.36 $41,347.36 $41,347.36 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 1 1 — — $31,205.96 $31,205.96 $31,205.96 2026-03-31
L6700 HCPCS Ue Add Ext Power Myoel 1 1 — — $30,985.70 $30,985.70 $30,985.70 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 1 1 — — $31,058.65 $31,058.65 $31,058.65 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 1 1 — — $41,992.22 $41,992.22 $41,992.22 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 1 1 — — $52,085.72 $52,085.72 $52,085.72 2026-03-31
L8701 HCPCS Ewh S/d Uprt Micro Sensor 1 1 — — $36,718.64 $36,718.64 $36,718.64 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 1 1 — — $72,241.80 $72,241.80 $72,241.80 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 1 1 — — $117,077.74 $117,077.74 $117,077.74 2026-03-31
Q2041 HCPCS Yescarta 200000000 Cells IV Susp 20 11 $1,868,356.20 $1,027,595.91 45% off $25,395.71 $1,294,770.85 $545,940.75 2026-03-31
Q2042 HCPCS Kymriah 250000000 Cells IV Susp 20 11 $2,353,213.33 $1,294,267.33 45% off $25,395.71 $1,630,776.84 $585,652.35 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 9 — — $15,211.53 $60,516.75 $57,124.31 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 12 9 — — $25,395.71 $538,395.22 $507,805.83 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 9 — — $25,395.71 $618,421.36 $576,543.99 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 12 9 — — $25,395.71 $613,889.89 $579,825.67 2026-03-31
Q2056 HCPCS Carvykti 100000000 Cells IV Susp 20 11 $2,245,703.63 $1,235,137.00 45% off $25,395.71 $1,556,272.62 $595,495.66 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — — $801,444.80 $847,682.00 $809,151.00 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — — $289,380.00 $306,075.00 $292,162.50 2026-03-31
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