Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

HCA FLORIDA OSCEOLA HOSPITAL

Kissimmee, FL · CCN 100110 · Rates published

36,024 distinct procedures filed
54 distinct payers
1,113,284 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

1,018,271 of 1,113,284 rate rows are consumer-grade (91.5%)

95,013 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 69,427
exceeds 10× this hospital's gross charge — excluded from medians 9,352
per-diem day rate — not a per-procedure price 8,562
template filing: same amount across many unrelated codes — excluded 7,578
placeholder amount (≤ $0.02) — excluded from medians 94

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-1257509_HCA-FLORIDA-OSCEOLA-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-08

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$3,006,423
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,469,189
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 20 $3,672,900.00 $4,407,480.00 $3,764,722.50 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 20 $3,605,000.00 $4,326,000.00 $3,695,125.00 nat. median
$3,605,000
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,562,713.00 $3,562,713.00 nat. median
$3,574,709
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 21 $6,423.85 $4,821,909.75 $3,408,591.37 nat. median
$13,041
outlier · 261.4×
748
OTHER 		Inj, Lovotibeglogene Auto 21 $10,596.12 $4,764,700.00 $3,368,150.00 nat. median
$17,963
outlier · 187.5×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,225,691.35 $3,225,691.35 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,187,420.00 $3,187,420.00 $3,187,420.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 21 $9,411.47 $4,303,600.00 $3,042,200.00 nat. median
$21,896
outlier · 138.9×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,878,960.00 $2,878,960.00 $2,878,960.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 21 $2,388,614.00 $3,463,490.30 $2,478,187.03 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,316,955.58 $2,316,955.58 nat. median
$2,457,321
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos 21 $529,192.90 $767,329.70 $549,037.64 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 21 $527,123.40 $764,328.93 $546,890.52 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 21 $526,587.60 $763,552.02 $546,334.64 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 21 $516,726.10 $749,252.84 $536,103.33 nat. median
$562,201
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $513,317.11 $513,317.11 nat. median
$538,205
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $511,309.70 $511,309.70 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $510,789.97 $510,789.97 nat. median
$530,178
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 21 $489,456.00 $709,711.20 $507,810.60 nat. median
$532,192
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $863,696.72 $502,693.77 nat. median
$754,974
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $501,224.32 $501,224.32 nat. median
$534,091
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $837,683.55 $492,271.12 nat. median
$675,122
0.7× median
9391
OTHER 		Brexucabtagene Car Pos T 21 $460,530.40 $667,769.08 $477,800.29 nat. median
$489,450
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $474,772.32 $474,772.32 nat. median
$505,583
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $830,699.97 $470,149.30 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $819,043.85 $459,839.17 nat. median
$674,188
0.7× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $446,714.49 $446,714.49 nat. median
$464,978
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $807,075.90 $445,599.57 nat. median
$634,511
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $741,576.00 $435,956.80 nat. median
$620,080
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 $1,426.00 $669,846.28 $343,294.36 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 31 $2,837.00 $500,319.76 $262,048.18 nat. median
$265,286
1.0× median
5834
APR_DRG 		Neonate With Ecmo 13 $192,207.00 $288,310.50 $230,648.40 nat. median
$309,665
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 30 $2,837.00 $436,445.08 $221,085.90 nat. median
$206,368
1.1× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $217,742.01 $217,742.01 $217,742.01 nat. median
$263,894
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 30 $2,837.00 $619,680.09 $201,874.68 nat. median
$202,986
1.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $179,669.22 $179,669.22 $179,669.22 nat. median
$424,868
outlier · 0.4×
1907
OTHER 		New Technology - Level 52 21 $147,339.90 $213,642.85 $152,865.15 nat. median
$153,199
1.0× median
1908
OTHER 		New Technology - Level 52 21 $147,339.90 $213,642.85 $152,865.15 nat. median
$152,962
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 13 $125,393.00 $188,089.50 $150,471.60 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 13 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $145,843.57 $145,843.57 $145,843.57 nat. median
$218,232
0.7× median
01908
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$82,736
1.7× median
01907
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$84,819
1.7× median
1906
OTHER 		New Technology - Level 51 21 $132,847.50 $192,628.88 $137,829.29 nat. median
$138,020
1.0× median
1905
OTHER 		New Technology - Level 51 21 $132,847.50 $192,628.88 $137,829.29 nat. median
$137,903
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 30 $2,837.00 $371,924.31 $133,923.93 nat. median
$133,176
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 13 $111,047.00 $166,570.50 $133,256.40 nat. median
$234,738
0.6× median

Other procedures at this hospital

Browse this hospital's 36,024 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 1 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2024-10-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2024-10-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 23 20 — — $3,672,900.00 $4,407,480.00 $3,764,722.50 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 23 20 — — $3,605,000.00 $4,326,000.00 $3,695,125.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,562,713.00 $3,562,713.00 $3,562,713.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 25 21 — — $6,423.85 $4,821,909.75 $3,408,591.37 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 25 21 — — $10,596.12 $4,764,700.00 $3,368,150.00 2024-10-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,225,691.35 $3,225,691.35 $3,225,691.35 2024-10-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,187,420.00 $3,187,420.00 $3,187,420.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 25 21 — — $9,411.47 $4,303,600.00 $3,042,200.00 2024-10-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,878,960.00 $2,878,960.00 $2,878,960.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 24 21 — — $2,388,614.00 $3,463,490.30 $2,478,187.03 2024-10-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,316,955.58 $2,316,955.58 $2,316,955.58 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 24 21 — — $529,192.90 $767,329.70 $549,037.64 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 24 21 — — $527,123.40 $764,328.93 $546,890.52 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 24 21 — — $526,587.60 $763,552.02 $546,334.64 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 24 21 — — $516,726.10 $749,252.84 $536,103.33 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $513,317.11 $513,317.11 $513,317.11 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $511,309.70 $511,309.70 $511,309.70 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $510,789.97 $510,789.97 $510,789.97 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 24 21 — — $489,456.00 $709,711.20 $507,810.60 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 3 — — $502,693.77 $863,696.72 $502,693.77 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $501,224.32 $501,224.32 $501,224.32 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 3 — — $492,271.12 $837,683.55 $492,271.12 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 24 21 — — $460,530.40 $667,769.08 $477,800.29 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $474,772.32 $474,772.32 $474,772.32 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $830,699.97 $470,149.30 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 3 — — $459,839.17 $819,043.85 $459,839.17 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $446,714.49 $446,714.49 $446,714.49 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 3 — — $445,599.57 $807,075.90 $445,599.57 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 3 — — $435,956.80 $741,576.00 $435,956.80 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 54 30 — — $1,426.00 $669,846.28 $343,294.36 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 55 31 — — $2,837.00 $500,319.76 $262,048.18 2024-10-01
5834 APR_DRG Neonate With Ecmo 16 13 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 55 30 — — $2,837.00 $436,445.08 $221,085.90 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $217,742.01 $217,742.01 $217,742.01 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 30 — — $2,837.00 $619,680.09 $201,874.68 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $179,669.22 $179,669.22 $179,669.22 2024-10-01
1907 OTHER New Technology - Level 52 24 21 — — $147,339.90 $213,642.85 $152,865.15 2024-10-01
1908 OTHER New Technology - Level 52 24 21 — — $147,339.90 $213,642.85 $152,865.15 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 13 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5833 APR_DRG Neonate With Ecmo 16 13 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $145,843.57 $145,843.57 $145,843.57 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
1906 OTHER New Technology - Level 51 24 21 — — $132,847.50 $192,628.88 $137,829.29 2024-10-01
1905 OTHER New Technology - Level 51 24 21 — — $132,847.50 $192,628.88 $137,829.29 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 30 — — $2,837.00 $371,924.31 $133,923.93 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 16 13 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
7 MS_DRG Lung Transplant 54 31 — — $2,837.00 $294,268.73 $124,638.12 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 55 31 — — $1,426.00 $348,842.53 $124,354.65 2024-10-01
1904 OTHER New Technology - Level 50 24 21 — — $118,355.10 $171,614.89 $122,793.42 2024-10-01
1903 OTHER New Technology - Level 50 24 21 — — $118,355.10 $171,614.89 $122,793.42 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $120,116.70 $120,116.70 $120,116.70 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 13 — — $97,644.00 $146,466.00 $117,172.80 2024-10-01
01903 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
01904 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
5832 APR_DRG Neonate With Ecmo 16 13 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 16 13 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 13 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 16 13 — — $90,217.00 $135,325.50 $108,260.40 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $108,036.36 $108,036.36 $108,036.36 2024-10-01
1902 OTHER New Technology - Level 49 24 21 — — $103,862.70 $150,600.91 $107,757.55 2024-10-01
1901 OTHER New Technology - Level 49 24 21 — — $103,862.70 $150,600.91 $107,757.55 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 55 31 — — $2,837.00 $455,262.00 $105,984.92 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 56 31 — — $2,837.00 $333,030.04 $104,795.44 2024-10-01
215 MS_DRG Other Heart Assist System Implant 54 31 — — $10,799.00 $407,840.00 $103,430.32 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $102,546.17 $102,546.17 $102,546.17 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 25 21 — — $96,999.90 $144,999.85 $102,499.90 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 54 31 — — $2,837.00 $354,565.82 $102,014.74 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 31 — — $10,799.00 $324,091.07 $100,929.16 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 16 13 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 13 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 16 13 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $78,794.00 $96,685.00 $96,685.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $78,794.00 $96,685.00 $96,685.00 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 13 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $95,283.02 $95,283.02 $95,283.02 2024-10-01
1585 OTHER New Technology - Level 48 24 21 — — $91,785.68 $133,089.24 $95,227.64 2024-10-01
1599 OTHER New Technology - Level 48 24 21 — — $91,785.68 $133,089.24 $95,227.64 2024-10-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $79,747.00 $138,351.00 $95,081.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $77,361.00 $94,927.00 $94,927.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $77,361.00 $94,927.00 $94,927.00 2024-10-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 3 2 — — $79,747.00 $138,351.00 $94,719.00 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 31 — — $10,799.00 $226,182.89 $94,437.31 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 25 21 — — $88,300.94 $131,996.25 $93,307.70 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $92,791.74 $92,791.74 $92,791.74 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 16 13 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 16 13 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 13 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 56 31 — — $2,837.00 $284,813.40 $88,154.43 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 68 37 — — $10,799.00 $191,543.22 $86,469.63 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 13 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
1584 OTHER New Technology - Level 47 24 21 — — $82,124.09 $119,079.93 $85,203.74 2024-10-01
1598 OTHER New Technology - Level 47 24 21 — — $82,124.09 $119,079.93 $85,203.74 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 37 — — $10,799.00 $195,995.70 $85,066.56 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 31 — — $10,799.00 $227,849.48 $83,415.79 2024-10-01
5831 APR_DRG Neonate With Ecmo 16 13 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 37 — — $10,799.00 $156,884.99 $83,176.52 2024-10-01
007 OTHER Lung Transplant 1 1 — — $82,211.91 $82,211.91 $82,211.91 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $82,062.78 $82,062.78 $82,062.78 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 16 13 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 54 31 — — $10,799.00 $257,872.80 $80,807.65 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 16 13 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 13 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 2 — — $71,631.00 $87,894.00 $79,988.00 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 2 — — $71,631.00 $87,894.00 $79,988.00 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
10 MS_DRG Pancreas Transplant 67 37 — — $2,837.00 $178,757.80 $78,450.38 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 54 31 — — $10,799.00 $223,257.86 $78,181.59 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 16 13 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 3 — — $48,042.00 $83,345.00 $76,850.00 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $75,948.07 $75,948.07 $75,948.07 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 67 37 — — $2,837.00 $180,572.80 $75,268.49 2024-10-01
1597 OTHER New Technology - Level 46 24 21 — — $72,462.48 $105,070.60 $75,179.82 2024-10-01
1583 OTHER New Technology - Level 46 24 21 — — $72,462.48 $105,070.60 $75,179.82 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 16 13 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 16 13 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 71 37 — — $2,837.00 $153,372.48 $73,601.33 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 2 — — $53,789.99 $91,596.09 $72,693.04 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 13 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $69,996.39 $69,996.39 $69,996.39 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 31 — — $9,599.00 $217,546.94 $69,491.88 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 54 31 — — $10,799.00 $219,491.80 $69,144.96 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 13 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 24 21 — — $65,476.58 $94,941.04 $67,931.95 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 25 21 — — $63,895.55 $95,513.96 $67,518.49 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $67,455.58 $67,455.58 $67,455.58 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $67,301.62 $67,301.62 $67,301.62 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 16 13 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 68 37 — — $10,799.00 $207,293.86 $66,364.43 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 56 31 — — $2,837.00 $216,353.42 $66,286.49 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 13 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 71 37 — — $2,837.00 $131,341.98 $65,812.01 2024-10-01
1582 OTHER New Technology - Level 45 24 21 — — $62,800.88 $91,061.28 $65,155.91 2024-10-01
1596 OTHER New Technology - Level 45 24 21 — — $62,800.88 $91,061.28 $65,155.91 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 25 21 — — $15,394.54 $91,864.42 $64,938.64 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 31 — — $10,799.00 $226,182.89 $64,161.65 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 3 — — $42,276.00 $73,342.00 $63,887.00 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 68 37 — — $10,799.00 $102,400.86 $63,862.65 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 68 37 — — $9,599.00 $154,306.26 $62,933.28 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 71 37 — — $2,837.00 $139,381.18 $62,740.73 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $62,593.17 $62,593.17 $62,593.17 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 68 37 — — $10,799.00 $157,630.16 $62,359.62 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 68 37 — — $10,799.00 $145,936.22 $62,158.96 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 16 13 — — $51,688.00 $77,532.00 $62,025.60 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 37 — — $10,799.00 $114,376.17 $61,950.10 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 37 — — $10,799.00 $195,995.70 $61,628.44 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 3 — — $61,600.24 $104,773.89 $61,600.24 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 13 — — $51,226.00 $76,839.00 $61,471.20 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $61,454.13 $61,454.13 $61,454.13 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 71 37 — — $2,837.00 $191,271.12 $61,426.75 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 72 37 — — $1,426.00 $114,885.76 $61,186.38 2024-10-01
01596 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
01582 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 31 — — $10,799.00 $227,849.48 $60,827.51 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $60,589.75 $60,589.75 $60,589.75 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 31 — — $10,799.00 $278,032.64 $60,394.09 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $60,252.83 $60,252.83 $60,252.83 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 37 — — $10,799.00 $137,838.27 $60,023.78 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 54 31 — — $10,799.00 $226,182.89 $59,995.07 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 37 — — $10,799.00 $156,884.99 $59,560.57 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 71 37 — — $2,837.00 $109,381.00 $59,558.00 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 68 37 — — $10,799.00 $107,983.05 $59,391.03 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 16 13 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 39 27 — — $52,364.77 $171,726.59 $58,855.36 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 13 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 13 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 68 37 — — $10,799.00 $208,762.56 $58,326.94 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 66 37 — — $10,799.00 $147,806.88 $58,312.82 2024-10-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 1 1 — — $58,219.00 $58,219.00 $58,219.00 2024-10-01
64 APR_DRG Pancreas Transplant 16 13 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 68 37 — — $1,426.00 $348,842.53 $57,347.79 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 68 37 — — $1,426.00 $348,842.53 $57,347.79 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 71 37 — — $2,837.00 $104,651.83 $57,148.71 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 24 21 — — $55,015.23 $79,772.08 $57,078.30 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 13 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
8514 APR_DRG Gender Related Procedures 16 13 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 37 — — $10,799.00 $170,220.78 $56,217.41 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 37 — — $10,799.00 $169,135.49 $55,875.18 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 16 13 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 68 37 — — $8,879.00 $102,260.55 $55,569.78 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 16 13 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 71 37 — — $2,837.00 $103,449.04 $55,338.62 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 68 37 — — $10,799.00 $102,400.86 $55,289.29 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 54 31 — — $10,799.00 $223,257.86 $55,150.33 2024-10-01
1595 OTHER New Technology - Level 44 24 21 — — $53,139.28 $77,051.96 $55,132.00 2024-10-01
1581 OTHER New Technology - Level 44 24 21 — — $53,139.28 $77,051.96 $55,132.00 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $54,923.67 $54,923.67 $54,923.67 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 16 13 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $54,389.91 $54,389.91 $54,389.91 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 67 37 — — $2,837.00 $180,572.80 $54,326.11 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 71 37 — — $2,837.00 $137,912.48 $54,207.95 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 37 — — $10,799.00 $195,995.70 $53,854.98 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 16 13 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 71 37 — — $2,837.00 $100,984.72 $53,644.75 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $53,574.18 $53,574.18 $53,574.18 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 71 37 — — $2,837.00 $95,932.63 $52,833.82 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 72 37 — — $1,426.00 $98,174.32 $52,830.66 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $52,722.81 $52,722.81 $52,722.81 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 71 37 — — $2,837.00 $95,829.61 $52,635.52 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 16 13 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 16 13 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
5244 OTHER Level 4 Blood Product Exc 24 21 — — $50,304.25 $72,941.16 $52,190.66 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $52,099.69 $52,099.69 $52,099.69 2024-10-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 3 — — $45,991.73 $58,926.91 $51,740.70 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 71 37 — — $2,837.00 $159,228.72 $51,552.36 2024-10-01
01595 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
01581 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 4 3 — — $45,519.38 $58,321.70 $51,209.30 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $51,156.55 $51,156.55 $51,156.55 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 68 37 — — $9,599.00 $137,915.57 $50,853.40 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 16 13 — — $42,035.00 $63,052.50 $50,442.00 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 16 13 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 16 13 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 16 13 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $49,988.18 $49,988.18 $49,988.18 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 71 37 — — $2,837.00 $90,212.95 $49,973.97 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 71 37 — — $2,837.00 $102,923.40 $49,907.03 2024-10-01
245 MS_DRG Aicd Generator Procedures 68 37 — — $9,599.00 $101,849.00 $49,774.51 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 71 37 — — $2,837.00 $89,463.35 $49,599.18 2024-10-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 4 3 — — $43,860.86 $56,196.73 $49,343.47 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 25 21 — — $46,068.21 $68,864.85 $48,680.32 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 37 — — $10,799.00 $76,765.08 $48,413.92 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 72 37 — — $1,426.00 $88,935.79 $48,211.39 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 37 — — $10,799.00 $156,884.99 $47,945.11 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 68 37 — — $9,599.00 $154,306.26 $47,900.58 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 16 13 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 71 37 — — $2,837.00 $111,936.58 $47,784.79 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 54 31 — — $2,837.00 $354,565.82 $47,780.40 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 71 37 — — $2,837.00 $100,452.90 $47,564.43 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 71 37 — — $2,837.00 $84,821.88 $47,278.44 2024-10-01
1142 OTHER Supprelin La Implant 24 21 — — $45,350.21 $65,757.80 $47,050.85 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 37 — — $10,799.00 $117,839.21 $46,982.58 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 16 13 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 68 37 — — $10,799.00 $121,404.00 $46,433.31 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 71 37 — — $2,837.00 $83,116.63 $46,412.42 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 67 37 — — $2,837.00 $143,057.56 $46,381.24 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 68 37 — — $10,799.00 $75,357.00 $46,268.50 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 71 37 — — $2,837.00 $92,067.39 $46,183.53 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $46,169.75 $46,169.75 $46,169.75 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $46,165.52 $46,165.52 $46,165.52 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $46,061.66 $46,061.66 $46,061.66 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 71 37 — — $2,837.00 $90,907.89 $46,020.41 2024-10-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 3 — — $40,899.98 $52,403.10 $46,012.48 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $45,986.79 $45,986.79 $45,986.79 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $45,698.78 $45,698.78 $45,698.78 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 16 13 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $45,471.75 $45,471.75 $45,471.75 2024-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 71 37 — — $2,837.00 $102,923.40 $45,469.36 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $45,312.35 $45,312.35 $45,312.35 2024-10-01
1594 OTHER New Technology - Level 43 24 21 — — $43,477.68 $63,042.64 $45,108.09 2024-10-01
1580 OTHER New Technology - Level 43 24 21 — — $43,477.68 $63,042.64 $45,108.09 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 16 13 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 37 — — $10,799.00 $137,838.27 $44,828.57 2024-10-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 4 3 — — $39,817.95 $51,016.75 $44,795.19 2024-10-01
0207 RC — 13 10 — — $11,700.00 $44,738.50 $44,738.50 2024-10-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 3 — — $39,703.26 $50,869.80 $44,666.17 2024-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 71 37 — — $2,837.00 $79,656.40 $44,582.17 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 16 13 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 68 37 — — $10,799.00 $129,629.00 $44,131.15 2024-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 71 37 — — $2,837.00 $78,693.64 $44,072.92 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $44,012.36 $44,012.36 $44,012.36 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 68 37 — — $9,599.00 $128,008.80 $43,668.17 2024-10-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 4 3 — — $38,562.37 $49,408.03 $43,382.67 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 5 3 — — $43,241.44 $72,861.11 $43,241.44 2024-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 68 37 — — $10,799.00 $88,840.00 $43,105.48 2024-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 71 37 — — $2,837.00 $85,373.21 $42,925.71 2024-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 68 37 — — $10,799.00 $126,252.54 $42,818.00 2024-10-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 4 3 — — $38,038.71 $48,737.09 $42,793.54 2024-10-01
B1903 OTHER Guillian Barre; M < 18.05 4 3 — — $37,899.87 $48,559.20 $42,637.35 2024-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 71 37 — — $2,837.00 $88,870.26 $42,580.49 2024-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 68 37 — — $9,599.00 $74,994.00 $42,509.34 2024-10-01
4404 APR_DRG Kidney Transplant 16 13 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
B0604 OTHER Neurological; M < 25.85 4 3 — — $37,582.95 $48,153.16 $42,280.82 2024-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 71 37 — — $2,837.00 $85,759.71 $42,210.61 2024-10-01
01580 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
01594 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 72 37 — — $1,426.00 $76,855.17 $42,171.08 2024-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 68 37 — — $10,799.00 $102,400.86 $42,053.73 2024-10-01
8634 APR_DRG Neonatal Aftercare 16 13 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $41,675.04 $41,675.04 $41,675.04 2024-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 71 37 — — $2,837.00 $153,372.48 $41,640.81 2024-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 68 37 — — $10,799.00 $144,529.00 $41,594.01 2024-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 71 37 — — $2,837.00 $100,984.72 $41,582.69 2024-10-01
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