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 LEHIGH REGIONAL MEDICAL CENTER

Lehigh Acres, FL · CCN 100107 · Rates published

21,845 distinct procedures filed
19 distinct payers
305,502 rate rows
2026-03-01 last MRF observed
Data quality

286,230 of 305,502 rate rows are consumer-grade (93.7%)

19,272 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 6,165
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 5,846
template filing: same amount across many unrelated codes — excluded 4,854
per-diem day rate — not a per-procedure price 2,170
placeholder amount (≤ $0.02) — excluded from medians 139
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 75
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 12
exceeds 10× this hospital's gross charge — excluded from medians 11
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/87-1999484_HCA-FLORIDA-LEHIGH-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-03
Content fingerprint 88b682f652bc5271… · 148,307,466 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
845
OTHER 		Inj, Atidarsagene Autotem 8 $5,871.96 $4,955,500.00 $4,595,100.00 nat. median
$17,146
outlier · 268.0×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 nat. median
$4,414,900
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 7 $3,685,267.00 $4,422,320.40 $3,758,972.34 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,574,708.99 $3,685,267.00 $3,629,988.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 9 $10,632.02 $4,002,984.00 $3,402,536.40 nat. median
$30,329
outlier · 112.2×
714
OTHER 		Inj Delandistrogene Mox R 9 $6,906.22 $3,993,432.00 $3,394,417.20 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 9 $13,145.92 $3,903,009.60 $3,317,558.16 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$14,694
outlier · 223.6×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,228,024.20 $3,327,860.00 $3,277,942.10 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 9 $9,394.64 $3,816,000.00 $3,243,600.00 nat. median
$24,952
outlier · 130.0×
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,252,508.00 $3,203,720.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 9 $12,160.11 $3,527,962.80 $2,998,768.38 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,939,969.00 $2,895,869.46 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 7 $2,588,981.00 $3,106,777.20 $2,640,760.62 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,511,311.57 $2,588,981.00 $2,550,146.29 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 9 $14,239.18 $2,798,400.00 $2,378,640.00 nat. median
$2,262,040
1.1× median
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,656,833.00 $1,656,833.00 $1,656,833.00 nat. median
$809,217
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 7 $770,620.00 $924,744.00 $786,032.40 nat. median
$789,886
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 7 $587,649.60 $705,179.52 $599,402.59 nat. median
$587,650
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$319,951
1.9× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $570,020.11 $587,649.60 $578,834.85 nat. median
$570,020
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 7 $566,531.30 $679,837.56 $577,861.93 nat. median
$577,003
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 7 $562,201.20 $674,641.44 $573,445.22 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $561,407.87 $1,218,042.30 $570,089.44 nat. median
$738,272
0.8× median
9422
OTHER 		Idecabtagene Vicleucel Ca 7 $558,081.80 $669,698.16 $569,243.44 nat. median
$562,826
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $549,535.36 $566,531.30 $558,033.33 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $545,335.16 $562,201.20 $553,768.18 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $541,339.35 $558,081.80 $549,710.57 nat. median
$541,339
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $536,573.93 $1,263,446.58 $544,871.46 nat. median
$646,415
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 7 $532,192.20 $638,630.64 $542,836.04 nat. median
$533,230
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $511,793.34 $1,199,875.72 $527,622.00 nat. median
$622,245
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $516,226.43 $532,192.20 $524,209.31 nat. median
$516,226
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $500,948.74 $1,208,732.67 $508,695.37 nat. median
$640,950
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 7 $489,450.20 $587,340.24 $499,239.20 nat. median
$492,768
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $487,755.77 $1,144,213.32 $495,298.39 nat. median
$608,101
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $474,766.69 $489,450.20 $482,108.45 nat. median
$474,767
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $474,717.03 $1,052,317.93 $482,058.02 nat. median
$591,650
0.8× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $433,588.39 $433,588.39 $433,588.39 nat. median
$209,753
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 $10,446.00 $703,879.64 $322,471.30 nat. median
$359,358
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 9 $4,020.86 $333,900.00 $283,815.00 nat. median
$23,568
outlier · 12.0×
00831
OTHER 		Obecbtge Autol Up To 400 2 $269,902.50 $278,250.00 $274,076.25 nat. median
$272,685
1.0× median
897
OTHER 		Revakinagene, Per Implant 7 $265,000.00 $318,000.00 $270,300.00 nat. median
$25,189
outlier · 10.7×
00897
OTHER 		Revakinagene, Per Implant 2 $257,050.00 $265,000.00 $261,025.00 nat. median
$259,700
1.0× median
5834
APR_DRG 		Neonate With Ecmo 4 $229,087.21 $312,391.65 $249,913.32 nat. median
$307,273
0.8× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $237,078.77 $244,411.10 $240,744.93 nat. median
$297,577
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $208,395.96 $214,841.20 $211,618.58 nat. median
$214,523
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 12 $10,446.00 $456,789.57 $210,220.66 nat. median
$249,124
0.8× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 9 $8,798.32 $242,002.80 $205,702.38 nat. median
$201,669
1.0× median

Other procedures at this hospital

Browse this hospital's 21,845 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
             
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $208,395.96 $214,841.20 $211,618.58 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $78,133.21 $80,549.70 $79,341.46 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $146,881.67 $151,424.40 $149,153.04 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $114,702.99 $118,250.50 $116,476.74 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $74,457.71 $76,760.53 $75,609.12 2026-03-01
007 OTHER Lung Transplant 2 2 — — $88,157.09 $90,883.60 $89,520.35 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,228,024.20 $3,327,860.00 $3,277,942.10 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $62,346.55 $64,274.79 $63,310.67 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,851,769.93 $2,939,969.00 $2,895,869.46 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,154,932.76 $3,252,508.00 $3,203,720.38 2026-03-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 2 2 — — $38,643.89 $39,839.06 $39,241.47 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
010 OTHER Pancreas Transplant 2 2 — — $49,476.56 $51,006.76 $50,241.66 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $47,244.05 $48,705.21 $47,974.63 2026-03-01
01142 OTHER Supprelin La Implant 2 2 — — $41,889.78 $43,185.34 $42,537.56 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $75,250.33 $77,577.66 $76,413.99 2026-03-01
01580 OTHER New Technology - Level 43 2 2 — — $43,815.48 $45,170.60 $44,493.04 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $53,552.15 $55,208.40 $54,380.28 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $63,288.81 $65,246.20 $64,267.50 2026-03-01
01583 OTHER New Technology - Level 46 2 2 — — $73,025.48 $75,284.00 $74,154.74 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $82,762.15 $85,321.80 $84,041.98 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $92,498.81 $95,359.60 $93,929.21 2026-03-01
01594 OTHER New Technology - Level 43 2 2 — — $43,815.48 $45,170.60 $44,493.04 2026-03-01
01595 OTHER New Technology - Level 44 2 2 — — $53,552.15 $55,208.40 $54,380.28 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $63,288.81 $65,246.20 $64,267.50 2026-03-01
01597 OTHER New Technology - Level 46 2 2 — — $73,025.48 $75,284.00 $74,154.74 2026-03-01
01598 OTHER New Technology - Level 47 2 2 — — $82,762.15 $85,321.80 $84,041.98 2026-03-01
01599 OTHER New Technology - Level 48 2 2 — — $92,498.81 $95,359.60 $93,929.21 2026-03-01
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $37,873.01 $39,044.34 $38,458.68 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $55,119.81 $56,824.55 $55,972.18 2026-03-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $37,456.20 $38,614.64 $38,035.42 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $237,078.77 $244,411.10 $240,744.93 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $49,193.30 $50,714.74 $49,954.02 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $104,669.69 $107,906.90 $106,288.29 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $104,669.69 $107,906.90 $106,288.29 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $119,274.69 $122,963.60 $121,119.15 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $119,274.69 $122,963.60 $121,119.15 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $133,879.59 $138,020.20 $135,949.90 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $133,879.59 $138,020.20 $135,949.90 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $148,484.69 $153,077.00 $150,780.85 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $148,484.69 $153,077.00 $150,780.85 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $61,406.22 $63,305.38 $62,355.80 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $42,480.27 $43,794.09 $43,137.18 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $62,571.25 $64,506.44 $63,538.85 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 1 1 — — $39,376.13 $39,376.13 $39,376.13 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $516,226.43 $532,192.20 $524,209.31 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,574,708.99 $3,685,267.00 $3,629,988.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,511,311.57 $2,588,981.00 $2,550,146.29 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $549,535.36 $566,531.30 $558,033.33 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $52,771.99 $54,404.11 $53,588.05 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $474,766.69 $489,450.20 $482,108.45 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $545,335.16 $562,201.20 $553,768.18 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $541,339.35 $558,081.80 $549,710.57 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $570,020.11 $587,649.60 $578,834.85 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 28 12 — — $10,446.00 $456,789.57 $210,220.66 2026-03-01
10 MS_DRG Pancreas Transplant 28 12 — — $10,446.00 $187,290.99 $56,703.44 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 32 14 — — $10,400.00 $105,805.34 $43,066.91 2026-03-01
111 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 4 — — $38,220.14 $52,118.37 $41,694.70 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 4 — — $77,604.01 $105,823.65 $84,658.92 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 4 — — $97,616.72 $133,113.71 $106,490.96 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 6 4 — — $131,167.70 $178,865.04 $143,092.03 2026-03-01
1142 OTHER Supprelin La Implant 10 7 — — $43,185.34 $51,822.41 $44,049.05 2026-03-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $37,880.18 $51,654.79 $41,323.84 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 28 12 — — $10,446.00 $365,494.91 $93,310.95 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 6 4 — — $72,962.52 $99,494.34 $79,595.47 2026-03-01
1580 OTHER New Technology - Level 43 10 7 — — $45,996.81 $55,196.17 $46,916.75 2026-03-01
1581 OTHER New Technology - Level 44 10 7 — — $56,218.21 $67,461.85 $57,342.57 2026-03-01
1582 OTHER New Technology - Level 45 10 7 — — $66,439.61 $79,727.53 $67,768.40 2026-03-01
1583 OTHER New Technology - Level 46 10 7 — — $76,661.01 $91,993.21 $78,194.23 2026-03-01
1584 OTHER New Technology - Level 47 10 7 — — $86,882.41 $104,258.89 $88,620.06 2026-03-01
1585 OTHER New Technology - Level 48 10 7 — — $97,103.81 $116,524.57 $99,045.89 2026-03-01
1594 OTHER New Technology - Level 43 10 7 — — $45,996.81 $55,196.17 $46,916.75 2026-03-01
1595 OTHER New Technology - Level 44 10 7 — — $56,218.21 $67,461.85 $57,342.57 2026-03-01
1596 OTHER New Technology - Level 45 10 7 — — $66,439.61 $79,727.53 $67,768.40 2026-03-01
1597 OTHER New Technology - Level 46 10 7 — — $76,661.01 $91,993.21 $78,194.23 2026-03-01
1598 OTHER New Technology - Level 47 10 7 — — $86,882.41 $104,258.89 $88,620.06 2026-03-01
1599 OTHER New Technology - Level 48 10 7 — — $97,103.81 $116,524.57 $99,045.89 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 28 12 — — $10,446.00 $365,494.91 $47,283.56 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 6 4 — — $56,153.23 $76,572.58 $61,258.07 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 6 4 — — $56,358.39 $76,852.35 $61,481.88 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 6 4 — — $56,358.39 $76,852.35 $61,481.88 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 6 4 — — $76,594.44 $104,446.96 $83,557.57 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 6 4 — — $97,818.71 $133,389.15 $106,711.32 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 6 4 — — $37,737.10 $51,459.67 $41,167.74 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 10 7 — — $56,824.55 $68,189.46 $57,961.04 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 28 12 — — $10,446.00 $365,494.91 $43,523.16 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 12 — — $10,446.00 $703,879.64 $322,471.30 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 28 12 — — $10,446.00 $189,192.64 $56,392.72 2026-03-01
1901 OTHER New Technology - Level 49 10 7 — — $109,880.60 $131,856.72 $112,078.21 2026-03-01
1902 OTHER New Technology - Level 49 10 7 — — $109,880.60 $131,856.72 $112,078.21 2026-03-01
1903 OTHER New Technology - Level 50 10 7 — — $125,212.70 $150,255.24 $127,716.95 2026-03-01
1904 OTHER New Technology - Level 50 10 7 — — $125,212.70 $150,255.24 $127,716.95 2026-03-01
1905 OTHER New Technology - Level 51 10 7 — — $140,544.80 $168,653.76 $143,355.70 2026-03-01
1906 OTHER New Technology - Level 51 10 7 — — $140,544.80 $168,653.76 $143,355.70 2026-03-01
1907 OTHER New Technology - Level 52 10 7 — — $155,876.90 $187,052.28 $158,994.44 2026-03-01
1908 OTHER New Technology - Level 52 10 7 — — $155,876.90 $187,052.28 $158,994.44 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 28 12 — — $10,446.00 $418,187.01 $88,123.97 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 32 14 — — $11,906.00 $233,915.32 $62,854.28 2026-03-01
2067 OTHER Afamitresgene Autoleucel 10 7 — — $770,620.00 $924,744.00 $786,032.40 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 32 14 — — $8,800.00 $104,885.61 $50,099.41 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $40,731.66 $41,991.40 $41,361.53 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 32 14 — — $10,446.00 $366,683.84 $88,025.68 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 6 4 — — $47,787.72 $65,165.07 $52,132.06 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 32 14 — — $11,906.00 $233,915.32 $44,350.03 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 32 14 — — $10,400.00 $348,927.60 $84,663.70 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 32 14 — — $10,446.00 $184,880.73 $45,599.16 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $39,349.54 $40,566.54 $39,958.04 2026-03-01
215 MS_DRG Other Heart Assist System Implant 32 14 — — $11,906.00 $377,345.37 $78,873.43 2026-03-01
215 OTHER Other Heart Assist System Implant 2 2 — — $42,131.16 $43,434.19 $42,782.68 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 31 13 — — $71,972.06 $236,979.98 $78,660.82 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $64,759.94 $66,762.82 $65,761.38 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $11,906.00 $236,979.98 $54,465.72 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $49,151.06 $50,671.20 $49,911.13 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 32 14 — — $11,906.00 $236,979.98 $54,465.72 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $45,337.05 $46,739.23 $46,038.14 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 31 13 — — $56,489.25 $205,351.76 $64,062.14 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $42,569.09 $43,885.66 $43,227.38 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 6 4 — — $54,068.48 $73,729.74 $58,983.79 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $11,906.00 $205,351.76 $44,657.89 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 32 14 — — $11,906.00 $205,351.76 $42,348.21 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 32 14 — — $11,906.00 $154,862.60 $41,615.68 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 6 4 — — $71,402.31 $97,366.79 $77,893.43 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 32 14 — — $11,906.00 $144,418.13 $46,449.25 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 31 13 — — $62,018.77 $238,726.12 $70,078.56 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $58,124.54 $59,922.21 $59,023.38 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 32 14 — — $11,906.00 $238,726.12 $50,418.65 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 2 — — $41,801.95 $43,094.79 $42,448.37 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 31 13 — — $56,245.74 $200,686.74 $63,797.19 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $51,959.39 $53,566.38 $52,762.88 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 32 14 — — $11,906.00 $152,902.64 $45,683.27 2026-03-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $39,516.65 $40,738.81 $40,127.73 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 32 14 — — $11,906.00 $165,154.81 $48,887.29 2026-03-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $39,075.61 $40,284.13 $39,679.87 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 32 14 — — $10,400.00 $82,107.66 $38,885.27 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 6 4 — — $131,081.13 $178,746.99 $142,997.59 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 32 14 — — $11,906.00 $123,464.40 $38,308.56 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 32 14 — — $11,906.00 $291,304.83 $50,938.06 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 32 14 — — $11,906.00 $218,728.07 $40,142.73 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 31 13 — — $36,724.55 $115,135.00 $53,918.19 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 32 14 — — $11,906.00 $107,289.07 $42,343.78 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 31 13 — — $52,458.35 $227,931.78 $59,676.32 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $57,936.96 $59,728.82 $58,832.89 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 31 14 — — $11,906.00 $137,013.00 $49,272.71 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 31 14 — — $11,906.00 $137,013.00 $38,469.89 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 32 14 — — $11,906.00 $144,499.12 $44,535.45 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 32 14 — — $11,906.00 $98,976.26 $47,238.41 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 13 — — $10,446.00 $649,261.19 $162,919.09 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 6 4 — — $37,554.87 $51,211.18 $40,968.95 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 14 — — $11,906.00 $200,414.61 $53,784.52 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 32 14 — — $10,400.00 $87,067.49 $39,372.23 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $47,776.40 $49,254.02 $48,515.21 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 29 12 — — $10,446.00 $389,678.53 $107,172.42 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 32 14 — — $10,400.00 $144,495.88 $43,811.96 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $69,779.65 $71,937.78 $70,858.71 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 14 — — $11,377.00 $339,361.06 $85,775.80 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $11,377.00 $163,701.00 $57,027.76 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 31 14 — — $11,377.00 $151,622.00 $44,957.31 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 14 — — $11,377.00 $270,202.08 $70,567.90 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $62,121.81 $64,043.10 $63,082.46 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $50,818.80 $69,298.37 $55,438.69 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 31 14 — — $11,377.00 $151,622.00 $46,054.28 2026-03-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $38,424.62 $39,613.01 $39,018.82 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 6 4 — — $73,695.78 $100,494.24 $80,395.39 2026-03-01
4404 APR_DRG Kidney Transplant 6 4 — — $36,952.05 $50,389.15 $40,311.32 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 29 13 — — $18,862.00 $154,528.00 $52,967.99 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $50,527.58 $52,090.29 $51,308.93 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 31 14 — — $11,377.00 $122,875.00 $42,746.74 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 30 13 — — $18,862.00 $164,374.06 $65,984.97 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $41,866.55 $43,161.39 $42,513.97 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 32 14 — — $11,377.00 $164,374.06 $47,536.06 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 32 14 — — $11,906.00 $119,836.04 $43,992.15 2026-03-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $38,081.11 $39,258.88 $38,669.99 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 32 14 — — $10,446.00 $92,901.85 $44,650.21 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 32 14 — — $11,906.00 $80,429.55 $40,988.01 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 31 14 — — $11,906.00 $73,199.00 $40,105.76 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $67,396.82 $69,481.26 $68,439.04 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 28 12 — — $10,446.00 $371,491.41 $80,402.84 2026-03-01
5244 OTHER Level 4 Blood Product Exc 10 7 — — $65,686.31 $78,823.57 $67,000.04 2026-03-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $37,258.40 $50,806.90 $40,645.52 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 6 4 — — $51,339.00 $70,007.73 $56,006.18 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 30 14 — — $11,906.00 $106,787.82 $50,964.38 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $45,172.43 $46,569.52 $45,870.97 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 32 14 — — $10,400.00 $79,889.56 $38,733.32 2026-03-01
5831 APR_DRG Neonate With Ecmo 6 4 — — $89,922.80 $122,622.00 $98,097.60 2026-03-01
5832 APR_DRG Neonate With Ecmo 6 4 — — $100,178.98 $136,607.70 $109,286.16 2026-03-01
5833 APR_DRG Neonate With Ecmo 6 4 — — $130,472.78 $177,917.43 $142,333.94 2026-03-01
5834 APR_DRG Neonate With Ecmo 6 4 — — $229,087.21 $312,391.65 $249,913.32 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $68,635.28 $93,593.57 $74,874.85 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $80,074.17 $109,192.05 $87,353.64 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $93,447.20 $127,428.00 $101,942.40 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 6 4 — — $140,311.53 $191,333.91 $153,067.13 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 4 — — $65,404.58 $89,188.07 $71,350.45 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 4 — — $65,404.58 $89,188.07 $71,350.45 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 6 4 — — $65,404.58 $89,188.07 $71,350.45 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $59,517.54 $81,160.27 $64,928.22 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $69,391.08 $94,624.20 $75,699.36 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 6 4 — — $92,009.53 $125,467.54 $100,374.04 2026-03-01
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $36,223.13 $49,395.18 $39,516.14 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $47,597.19 $64,905.25 $51,924.20 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $59,176.40 $80,695.10 $64,556.08 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 6 4 — — $80,894.00 $110,310.00 $88,248.00 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $42,311.78 $57,697.88 $46,158.30 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $60,940.19 $83,100.26 $66,480.20 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 6 4 — — $44,572.04 $60,780.06 $48,624.05 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 6 4 — — $47,107.04 $64,236.87 $51,389.50 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 6 4 — — $97,758.63 $133,307.22 $106,645.78 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 6 4 — — $39,179.50 $53,426.60 $42,741.28 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 6 4 — — $38,819.40 $52,935.54 $42,348.43 2026-03-01
63 APR_DRG Pancreas Transplant 6 4 — — $36,728.71 $50,084.61 $40,067.69 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $47,003.86 $64,096.17 $51,276.94 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 6 4 — — $85,272.22 $116,280.30 $93,024.24 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 6 4 — — $94,026.31 $128,217.69 $102,574.15 2026-03-01
64 APR_DRG Pancreas Transplant 6 4 — — $47,658.85 $64,989.35 $51,991.48 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $102,797.59 $105,976.90 $104,387.24 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 32 14 — — $10,400.00 $108,387.30 $41,146.37 2026-03-01
7 MS_DRG Lung Transplant 28 12 — — $10,446.00 $308,315.97 $100,359.24 2026-03-01
714 OTHER Inj Delandistrogene Mox R 12 9 — — $6,906.22 $3,993,432.00 $3,394,417.20 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 12 9 — — $13,035.34 $77,129.75 $65,560.29 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $49,084.27 $66,933.09 $53,546.47 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 6 4 — — $77,175.52 $105,239.34 $84,191.47 2026-03-01
746 OTHER Inj, Betibeglogene Autote 12 9 — — $12,160.11 $3,527,962.80 $2,998,768.38 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 12 9 — — $13,145.92 $3,903,009.60 $3,317,558.16 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 22 10 — — $16,671.00 $60,092.00 $46,714.24 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 28 12 — — $10,446.00 $189,192.64 $44,825.77 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 32 14 — — $10,400.00 $109,647.50 $46,127.71 2026-03-01
824 OTHER Inj, Exagamglogene Autote 12 9 — — $14,239.18 $2,798,400.00 $2,378,640.00 2026-03-01
831 OTHER Obecbtge Autol Up To 400 12 9 — — $4,020.86 $333,900.00 $283,815.00 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 2 — — $42,984.04 $44,313.44 $43,648.74 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 32 14 — — $8,800.00 $89,485.37 $43,096.69 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 32 14 — — $8,800.00 $83,374.35 $38,015.11 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 6 4 — — $87,012.29 $118,653.12 $94,922.50 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 6 4 — — $48,714.28 $66,428.57 $53,142.85 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 11 8 — — $5,871.96 $4,955,500.00 $4,595,100.00 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 32 14 — — $10,400.00 $298,428.71 $67,921.12 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 — — $54,455.89 $56,140.09 $55,297.99 2026-03-01
8513 APR_DRG Gender Related Procedures 6 4 — — $44,951.52 $61,297.53 $49,038.02 2026-03-01
8514 APR_DRG Gender Related Procedures 6 4 — — $44,951.52 $61,297.53 $49,038.02 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 32 14 — — $10,400.00 $107,836.57 $39,225.09 2026-03-01
8634 APR_DRG Neonatal Aftercare 6 4 — — $38,318.96 $52,253.13 $41,802.50 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 31 14 — — $8,800.00 $79,140.11 $52,026.54 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 12 9 — — $8,798.32 $242,002.80 $205,702.38 2026-03-01
897 OTHER Revakinagene, Per Implant 10 7 — — $265,000.00 $318,000.00 $270,300.00 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 10 7 — — $532,192.20 $638,630.64 $542,836.04 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 12 9 — — $9,394.64 $3,816,000.00 $3,243,600.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 12 9 — — $10,632.02 $4,002,984.00 $3,402,536.40 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 10 7 — — $3,685,267.00 $4,422,320.40 $3,758,972.34 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 10 7 — — $2,588,981.00 $3,106,777.20 $2,640,760.62 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 10 7 — — $566,531.30 $679,837.56 $577,861.93 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 13 — — $10,400.00 $457,279.26 $161,536.89 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 10 7 — — $54,404.11 $65,284.93 $55,492.19 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 30 13 — — $10,400.00 $137,611.73 $55,875.00 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $64,446.80 $87,882.00 $70,305.60 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 10 7 — — $489,450.20 $587,340.24 $499,239.20 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 6 4 — — $95,894.05 $130,764.62 $104,611.69 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 10 7 — — $562,201.20 $674,641.44 $573,445.22 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 10 7 — — $558,081.80 $669,698.16 $569,243.44 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 10 7 — — $587,649.60 $705,179.52 $599,402.59 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 31 14 — — $10,446.00 $226,681.29 $53,342.22 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $41,867.79 $43,162.67 $42,515.23 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $48,062.14 $49,548.60 $48,805.37 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 31 14 — — $10,446.00 $160,693.88 $59,472.79 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $52,649.51 $54,277.85 $53,463.68 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 32 14 — — $10,400.00 $146,034.69 $48,732.07 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $42,206.33 $43,511.68 $42,859.01 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $100,394.53 $100,394.53 $100,394.53 2026-03-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 1 1 — — $56,373.00 $56,373.00 $56,373.00 2026-03-01
G0448 HCPCS Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System… 9 4 — — $7,564.00 $65,628.00 $39,585.00 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $433,588.39 $433,588.39 $433,588.39 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $180,011.44 $180,011.44 $180,011.44 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 4 — — $61,338.53 $138,190.80 $62,287.07 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 4 — — $43,855.64 $92,848.48 $44,533.82 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $52,091.10 $52,091.10 $52,091.10 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 12 9 — — $92,228.57 $114,097.20 $96,982.62 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 12 9 — — $38,197.05 $47,254.08 $40,165.97 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 12 9 — — $38,792.82 $47,991.12 $40,792.45 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 12 9 — — $48,117.24 $59,526.48 $50,597.51 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 12 9 — — $66,737.65 $82,562.04 $70,177.73 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 12 9 — — $108,157.91 $133,803.60 $113,733.06 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 4 — — $487,755.77 $1,144,213.32 $495,298.39 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 4 — — $561,407.87 $1,218,042.30 $570,089.44 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 3 — — $55,306.59 $116,968.84 $57,017.10 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 4 — — $474,717.03 $1,052,317.93 $482,058.02 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 4 — — $500,948.74 $1,208,732.67 $508,695.37 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 3 — — $511,793.34 $1,199,875.72 $527,622.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 4 — — $536,573.93 $1,263,446.58 $544,871.46 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,656,833.00 $1,656,833.00 $1,656,833.00 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $598,237.50 $598,237.50 $598,237.50 2026-03-01
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