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

UF HEALTH SHANDS HOSPITAL

Gainesville, FL · CCN 100113 · Rates published

26,002 distinct procedures filed
39 distinct payers
1,043,331 rate rows
2026-03-31 last MRF observed
Data quality

943,570 of 1,043,331 rate rows are consumer-grade (90.4%)

99,761 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 95,415
template filing: same amount across many unrelated codes — excluded 2,530
placeholder amount (≤ $0.02) — excluded from medians 1,381
exceeds 10× this hospital's gross charge — excluded from medians 211
percent-of-charges filed in the dollar field — excluded from medians 182
per-diem day rate — not a per-procedure price 42
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://ufhealth.pt.panaceainc.com/MRFDownload/ufhealth/uf-shands
Found on page https://ufhealth.org/billing-insurance-and-costs/price-transparency-and-patient-billing#price-transparency-price-lists
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint f34a73dd6278a1b8… · 12,786,460 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 12 $4,505,000.00 $4,955,500.00 $4,550,050.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,605,000.00 $4,506,250.00 $3,965,500.00 nat. median
$3,710,000
1.1× median
J1411
HCPCS 		Hemgenix 19 X 10 Ml IV Supk 18 $17,278.87 $4,591,125.00 $3,685,266.67 nat. median
$3,710,000
1.0× median
J3389
HCPCS 		Topi Adm Prad Zami Per Treat 12 $3,335,820.00 $3,669,402.00 $3,402,536.40 nat. median
$3,335,820
1.0× median
J1413
HCPCS 		Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 19 $17,278.87 $4,871,923.20 $3,327,859.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 17 $3,248,445.72 $4,107,500.00 $3,318,041.66 nat. median
$3,286,000
1.0× median
J3387
HCPCS 		Inj Elivaldogene Autotemecel 12 $3,180,000.00 $3,498,000.00 $3,243,600.00 nat. median
$3,180,000
1.0× median
J3393
HCPCS 		Zynteglo IV Susp 26 $33,319.02 $4,926,880.00 $3,176,636.38 nat. median
$3,006,423
1.1× median
J3399
HCPCS 		Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 30 $11,639.52 $4,639,444.63 $2,588,981.22 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 20 $2,332,000.00 $4,197,600.00 $2,425,280.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 12 $770,620.00 $847,682.00 $778,326.20 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Carvykti 100000000 Cells IV Susp 39 $27,935.28 $2,021,133.27 $593,526.07 nat. median
$675,122
0.9× median
Q2042
HCPCS 		Kymriah 250000000 Cells IV Susp 39 $27,935.28 $2,117,892.00 $583,527.24 nat. median
$754,974
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 28 $27,935.28 $930,106.94 $562,201.24 nat. median
$674,188
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 28 $27,935.28 $947,857.66 $558,081.72 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Yescarta 200000000 Cells IV Susp 39 $27,935.28 $1,681,520.58 $538,401.56 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 28 $27,935.28 $828,954.72 $489,450.20 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $14,692.16 $964,513.75 $444,887.36 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 22 $14,692.16 $625,930.62 $292,529.61 nat. median
$265,286
1.1× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 12 $278,250.00 $306,075.00 $281,032.50 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 12 $257,500.00 $291,500.00 $267,650.00 nat. median
$265,000
1.0× median
5834
APR_DRG 		Neonate With Ecmo 10 $201,354.61 $510,598.86 $234,293.74 nat. median
$309,665
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 $14,692.16 $476,876.23 $223,440.49 nat. median
$206,368
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 22 $14,692.16 $474,077.58 $222,143.27 nat. median
$202,986
1.1× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 12 $201,669.02 $221,835.92 $205,640.00 nat. median
$209,753
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $140,311.53 $333,108.08 $146,689.33 nat. median
$246,434
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 22 $14,692.16 $309,379.33 $145,802.97 nat. median
$133,176
1.1× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $138,028.22 $138,028.22 $138,028.22 nat. median
$234,738
0.6× median
0114
APR_DRG 		9 $131,167.70 $259,391.76 $137,129.86 nat. median
$197,700
0.7× median
0024
APR_DRG 		9 $131,081.13 $294,997.06 $137,039.36 nat. median
$372,987
outlier · 0.4×
7
MS_DRG 		Lung Transplant 22 $14,692.16 $289,250.49 $136,472.92 nat. median
$122,708
1.1× median
5833
APR_DRG 		Neonate With Ecmo 10 $130,472.78 $330,781.88 $136,403.36 nat. median
$244,017
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $14,692.16 $268,427.01 $126,820.90 nat. median
$117,303
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 $14,692.16 $253,102.55 $119,717.77 nat. median
$108,660
1.1× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $14,692.16 $246,165.11 $116,502.16 nat. median
$98,905
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $14,692.16 $242,879.55 $114,979.25 nat. median
$102,358
1.1× median
209
MS_DRG 		Complex Aortic Arch Procedures 11 $108,711.99 $119,583.19 $114,201.95 nat. median
$98,017
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $109,316.28 $122,652.87 $112,617.64 nat. median
$111,989
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $110,915.52 $110,915.52 $110,915.52 nat. median
$117,173
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 22 $14,692.16 $230,291.20 $109,144.34 nat. median
$100,136
1.1× median
152180
CDM 		Uf Hb Ad Bilateral Lung Transplant Import W/xvivo 30 $33,319.02 $241,300.00 $108,585.00 nat. median
$8
outlier · 14056.3×
152176
CDM 		Uf Hb Ad Bilateral Lung Transplant Local 30 $33,319.02 $238,400.00 $107,280.00 nat. median
$5,040
outlier · 21.3×
215
MS_DRG 		Other Heart Assist System Implant 22 $14,692.16 $222,395.57 $105,484.59 nat. median
$99,019
1.1× median
5832
APR_DRG 		Neonate With Ecmo 10 $100,178.98 $167,121.17 $104,732.57 nat. median
$156,126
0.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 $14,692.16 $218,504.71 $103,681.12 nat. median
$93,672
1.1× median
179472
CDM 		Uf Hb Ad Bilat Lung Transplant Import 30 $33,319.02 $229,600.00 $103,320.00 nat. median
$91,840
1.1× median
179471
CDM 		Uf Hb Ad Single Lung Transplant Import 30 $33,319.02 $227,500.00 $102,375.00 nat. median
$91,000
1.1× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $97,818.71 $252,811.38 $102,265.02 nat. median
$207,730
outlier · 0.5×
0113
APR_DRG 		9 $97,616.72 $151,277.16 $102,053.84 nat. median
$128,705
0.8× median
142406
CDM 		Uf Hb Ad Bilat Lung Transplant Local 30 $33,319.02 $226,700.00 $102,015.00 nat. median
$90,680
1.1× median

Other procedures at this hospital

Browse this hospital's 26,002 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 — 11 9 — — $37,880.18 $83,564.45 $39,602.01 2026-03-31
0014 APR_DRG — 11 9 — — $72,962.52 $178,630.01 $76,278.99 2026-03-31
0021 APR_DRG — 11 9 — — $47,787.72 $52,132.06 $47,990.51 2026-03-31
0022 APR_DRG — 11 9 — — $54,068.48 $79,318.93 $56,526.13 2026-03-31
0023 APR_DRG — 11 9 — — $71,402.31 $165,639.23 $74,647.87 2026-03-31
0024 APR_DRG — 11 9 — — $131,081.13 $294,997.06 $137,039.36 2026-03-31
0043 APR_DRG — 11 9 — — $50,818.80 $111,244.84 $53,128.75 2026-03-31
0044 APR_DRG — 11 9 — — $73,695.78 $177,406.75 $77,045.58 2026-03-31
0053 APR_DRG — 11 9 — — $37,258.40 $79,933.83 $38,951.96 2026-03-31
0054 APR_DRG — 11 9 — — $51,339.00 $115,717.70 $53,672.59 2026-03-31
0063 APR_DRG — 11 9 — — $36,728.71 $91,288.83 $38,398.20 2026-03-31
0064 APR_DRG — 11 9 — — $47,658.85 $128,502.22 $49,825.16 2026-03-31
0072 APR_DRG — 11 9 — — $34,565.69 $51,798.52 $36,136.85 2026-03-31
0073 APR_DRG — 11 9 — — $49,084.27 $98,168.11 $51,315.37 2026-03-31
0074 APR_DRG — 11 9 — — $77,175.52 $200,861.60 $80,683.49 2026-03-31
0093 APR_DRG — 11 9 — — $64,446.80 $86,130.33 $67,376.20 2026-03-31
0094 APR_DRG — 11 9 — — $95,894.05 $199,855.11 $100,252.87 2026-03-31
0111 APR_DRG — 11 9 — — $25,641.16 $41,694.70 $38,220.14 2026-03-31
0112 APR_DRG — 11 9 — — $77,604.01 $85,469.83 $81,131.47 2026-03-31
0113 APR_DRG — 11 9 — — $97,616.72 $151,277.16 $102,053.84 2026-03-31
0114 APR_DRG — 11 9 — — $131,167.70 $259,391.76 $137,129.86 2026-03-31
0424T HCPCS Uf Hb Insert/rplc Nstim Sleep Apnea Sys, Complete 44 33 $111,765.00 $61,470.75 45% off $13,339.61 $111,765.00 $49,735.43 2026-03-31
0427T HCPCS Uf Hb Insertion/rplc Nstim Apnea Pulse Gen Only 44 33 $109,375.00 $60,156.25 45% off $13,339.61 $109,375.00 $48,671.88 2026-03-31
0431T HCPCS Uf Hb Removal/rplc Nstim Apnea Pulse Gen Only 44 33 $110,800.00 $60,940.00 45% off $13,339.61 $110,800.00 $49,306.00 2026-03-31
0620T HCPCS Hb Evasc Ven Artlz Tibl/prnl Vn 54 39 $122,502.00 $67,376.10 45% off $187.28 $110,251.80 $45,996.81 2026-03-31
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 14 12 — — $35,775.41 $39,352.95 $36,490.92 2026-03-31
0915T HCPCS Uf Hb Insj Perm Ccm-d Sys Pg&eltrd 50 37 $117,827.00 $64,804.85 45% off $12,044.45 $106,044.30 $42,560.28 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 32 22 — — $14,692.16 $625,930.62 $292,529.61 2026-03-31
10 MS_DRG Pancreas Transplant 32 22 — — $14,692.16 $160,273.56 $76,690.03 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 33 22 — — $14,692.16 $121,820.60 $58,866.47 2026-03-31
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $43,800.54 $43,800.54 $43,800.54 2026-03-31
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $63,027.79 $63,027.79 $63,027.79 2026-03-31
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $110,915.52 $110,915.52 $110,915.52 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 33 22 — — $14,692.16 $94,166.89 $46,048.52 2026-03-31
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $39,565.45 $39,565.45 $39,565.45 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 32 22 — — $14,692.16 $268,427.01 $126,820.90 2026-03-31
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $84,950.65 $84,950.65 $84,950.65 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 33 22 — — $14,692.16 $95,268.03 $46,558.92 2026-03-31
142388 CDM Uf Hb Pancreas Transplant-dd Local 40 30 $141,010.00 $77,555.50 45% off $28,907.05 $141,010.00 $63,454.50 2026-03-31
142390 CDM Uf Ad Liver Transplant - Dd 40 30 $190,100.00 $104,555.00 45% off $33,319.02 $190,100.00 $85,545.00 2026-03-31
142396 CDM Uf Kidney Transplant - Dd 40 30 $97,351.00 $53,543.05 45% off $19,956.96 $97,351.00 $43,807.95 2026-03-31
142400 CDM Uf Hb Ped Heart Transplant-dd Local 40 30 $153,700.00 $84,535.00 45% off $31,508.50 $153,700.00 $69,165.00 2026-03-31
142404 CDM Uf Hb Ad Single Lung Transplant Local 40 30 $224,600.00 $123,530.00 45% off $33,319.02 $224,600.00 $101,070.00 2026-03-31
142406 CDM Uf Hb Ad Bilat Lung Transplant Local 40 30 $226,700.00 $124,685.00 45% off $33,319.02 $226,700.00 $102,015.00 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 33 22 — — $14,692.16 $83,682.56 $40,783.53 2026-03-31
152174 CDM Uf Hb Ad Single Lung Transplant Local With 40 30 $178,374.00 $98,105.70 45% off $33,319.02 $178,374.00 $80,268.30 2026-03-31
152176 CDM Uf Hb Ad Bilateral Lung Transplant Local 40 30 $238,400.00 $131,120.00 45% off $33,319.02 $238,400.00 $107,280.00 2026-03-31
152178 CDM Uf Hb Ad Single Lung Transplant Import W 40 30 $170,314.00 $93,672.70 45% off $33,319.02 $170,314.00 $76,641.30 2026-03-31
152180 CDM Uf Hb Ad Bilateral Lung Transplant Import W/xvivo 40 30 $241,300.00 $132,715.00 45% off $33,319.02 $241,300.00 $108,585.00 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 32 22 — — $14,692.16 $132,443.41 $63,790.31 2026-03-31
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 10 — — $56,153.23 $147,498.53 $58,705.65 2026-03-31
1611 APR_DRG Implantable Heart Assist Systems 12 10 — — $56,358.39 $61,951.39 $57,777.29 2026-03-31
1612 APR_DRG Implantable Heart Assist Systems 12 10 — — $56,358.39 $90,352.08 $58,920.14 2026-03-31
1613 APR_DRG Implantable Heart Assist Systems 12 10 — — $76,594.44 $171,058.42 $80,076.01 2026-03-31
1614 APR_DRG Implantable Heart Assist Systems 12 10 — — $97,818.71 $252,811.38 $102,265.02 2026-03-31
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 10 — — $37,737.10 $100,693.89 $39,452.42 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 33 22 — — $14,692.16 $100,103.69 $48,800.32 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 33 22 — — $14,692.16 $83,483.77 $41,096.73 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 32 22 — — $14,692.16 $121,333.68 $58,640.77 2026-03-31
179460 CDM Uf Hb Ped Heart Transplant-dd Import 40 30 $153,700.00 $84,535.00 45% off $31,508.50 $153,700.00 $69,165.00 2026-03-31
179463 CDM Uf Hb Ped Double Lung Transplant-dd Impo 40 30 $178,054.00 $97,929.70 45% off $33,319.02 $178,054.00 $80,124.30 2026-03-31
179464 CDM Uf Hb Pancreas Transplant-dd Import 40 30 $141,010.00 $77,555.50 45% off $28,907.05 $141,010.00 $63,454.50 2026-03-31
179467 CDM Uf Ad Liver Transplant-dd Import 40 30 $205,900.00 $113,245.00 45% off $33,319.02 $205,900.00 $92,655.00 2026-03-31
179468 CDM Uf Hb Kidney Transplant-dd Import 40 30 $103,304.00 $56,817.20 45% off $21,177.32 $103,304.00 $46,486.80 2026-03-31
179470 CDM Uf Hb Ad Heart Transplant Import 40 30 $154,700.00 $85,085.00 45% off $31,713.50 $154,700.00 $69,615.00 2026-03-31
179471 CDM Uf Hb Ad Single Lung Transplant Import 40 30 $227,500.00 $125,125.00 45% off $33,319.02 $227,500.00 $102,375.00 2026-03-31
179472 CDM Uf Hb Ad Bilat Lung Transplant Import 40 30 $229,600.00 $126,280.00 45% off $33,319.02 $229,600.00 $103,320.00 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 22 — — $14,692.16 $964,513.75 $444,887.36 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 32 22 — — $14,692.16 $159,355.57 $76,264.53 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 32 22 — — $14,692.16 $253,102.55 $119,717.77 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 33 22 — — $14,692.16 $175,754.37 $83,865.64 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 22 — — $14,692.16 $143,722.89 $69,018.53 2026-03-31
207212 CDM Uf Hb Aurora Ev-aicd, Single Chamber 40 30 $75,250.00 $41,387.50 45% off $15,426.25 $75,250.00 $36,251.69 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 14 11 — — $108,711.99 $119,583.19 $114,201.95 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 33 22 — — $14,692.16 $118,240.20 $57,206.89 2026-03-31
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $51,838.97 $51,838.97 $51,838.97 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 33 22 — — $14,692.16 $242,879.55 $114,979.25 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 14 11 — — $55,894.25 $61,483.68 $58,716.91 2026-03-31
215 MS_DRG Other Heart Assist System Implant 33 22 — — $14,692.16 $222,395.57 $105,484.59 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $14,692.16 $218,504.71 $103,681.12 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $14,692.16 $146,863.27 $70,474.15 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 33 22 — — $14,692.16 $146,863.27 $70,474.15 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $14,692.16 $171,499.44 $81,893.41 2026-03-31
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $59,516.14 $59,516.14 $59,516.14 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $14,692.16 $119,111.29 $57,610.65 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 33 22 — — $14,692.16 $112,575.89 $54,581.40 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 33 22 — — $14,692.16 $110,503.15 $53,620.64 2026-03-31
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $74,920.24 $74,920.24 $74,920.24 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 22 — — $14,692.16 $127,989.69 $61,725.94 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 33 22 — — $14,692.16 $188,286.87 $89,674.66 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 33 22 — — $14,692.16 $135,411.81 $65,166.21 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 33 22 — — $14,692.16 $170,760.13 $81,550.72 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 33 22 — — $14,692.16 $122,012.68 $58,955.50 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 33 22 — — $14,692.16 $131,078.70 $63,157.74 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 33 22 — — $14,692.16 $93,559.36 $45,766.92 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 33 22 — — $14,692.16 $109,929.12 $53,354.58 2026-03-31
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $138,028.22 $138,028.22 $138,028.22 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 33 22 — — $14,692.16 $87,374.63 $42,900.20 2026-03-31
245 MS_DRG Aicd Generator Procedures 33 22 — — $14,692.16 $101,903.94 $49,634.77 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 33 22 — — $19,464.42 $101,553.27 $49,472.23 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 33 22 — — $14,692.16 $77,913.27 $38,514.71 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 33 22 — — $13,925.24 $72,653.24 $36,076.60 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 33 22 — — $14,301.11 $74,614.31 $36,985.59 2026-03-31
265 MS_DRG Aicd Lead Procedures 33 22 — — $14,692.16 $80,814.67 $39,859.56 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 33 22 — — $14,692.16 $136,881.49 $65,847.43 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 33 22 — — $14,692.16 $106,335.32 $51,688.79 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 33 22 — — $14,692.16 $153,622.02 $73,606.94 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 33 22 — — $14,692.16 $94,327.71 $46,123.07 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 33 22 — — $14,692.16 $117,849.33 $57,025.72 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 33 22 — — $14,692.16 $79,432.09 $39,218.71 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 33 22 — — $14,692.16 $92,145.52 $45,111.58 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 33 22 — — $14,091.77 $73,522.09 $36,479.32 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 33 22 — — $14,692.16 $159,261.76 $76,221.05 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 33 22 — — $14,692.16 $134,161.01 $64,586.45 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 33 22 — — $14,692.16 $103,156.97 $50,215.57 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 22 — — $14,692.16 $124,324.42 $60,027.02 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 33 22 — — $14,692.16 $80,551.11 $39,638.54 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 33 22 — — $14,692.16 $134,198.99 $64,604.05 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 33 22 — — $14,605.06 $76,200.13 $37,720.64 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 22 — — $14,692.16 $474,077.58 $222,143.27 2026-03-31
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 10 — — $37,554.87 $105,937.37 $39,261.91 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 33 22 — — $14,692.16 $100,074.66 $48,786.87 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 32 22 — — $14,692.16 $149,346.99 $71,625.39 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 33 22 — — $14,692.16 $99,681.55 $48,604.66 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 33 22 — — $14,692.16 $96,655.08 $47,201.84 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 33 22 — — $14,692.16 $111,396.57 $54,034.76 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 33 22 — — $14,692.16 $102,665.59 $49,987.81 2026-03-31
332 MS_DRG Rectal Resection With Mcc 33 22 — — $14,692.16 $80,870.51 $39,885.43 2026-03-31
33202 HCPCS Uf Hb Epicardial Lead Insertion Open 43 32 $146,917.00 $80,804.35 45% off $8,220.09 $146,917.00 $58,766.80 2026-03-31
33475 HCPCS Uf Hb Replacement Pulmonary Valve 43 32 $116,622.00 $64,142.10 45% off $8,220.09 $116,622.00 $46,648.80 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 33 22 — — $14,692.16 $79,758.19 $39,369.86 2026-03-31
33940 HCPCS Uf Hb Ad Heart Transplant 43 32 $154,240.00 $84,832.00 45% off $3,788.94 $154,240.00 $61,696.00 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 33 22 — — $14,692.16 $86,454.41 $42,473.66 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 33 22 — — $14,692.16 $98,115.82 $47,878.92 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 14 11 — — $34,545.61 $38,000.17 $36,290.16 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 33 22 — — $14,093.48 $73,531.03 $36,483.47 2026-03-31
38240 HCPCS Hb Bone Marrow Allogeneic Transplant 53 38 $54,407.00 $29,923.85 45% off $3,064.41 $106,858.60 $40,805.25 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 22 — — $14,692.16 $309,379.33 $145,802.97 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 33 22 — — $14,692.16 $86,242.22 $42,375.31 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 32 22 — — $14,692.16 $89,800.28 $44,024.53 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 33 22 — — $14,692.16 $122,186.90 $59,036.25 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 33 22 — — $14,692.16 $79,639.82 $39,314.99 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 33 22 — — $14,692.16 $79,572.81 $39,283.93 2026-03-31
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $36,819.62 $36,819.62 $36,819.62 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 33 22 — — $14,585.80 $76,099.62 $37,674.05 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 33 22 — — $14,692.16 $92,759.75 $45,396.29 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 — — $14,692.16 $246,165.11 $116,502.16 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 — — $14,692.16 $161,231.76 $77,134.18 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 32 22 — — $14,692.16 $125,570.74 $60,604.72 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 32 22 — — $14,692.16 $201,234.82 $95,676.24 2026-03-31
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $53,112.59 $53,112.59 $53,112.59 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 32 22 — — $14,692.16 $128,811.64 $62,106.92 2026-03-31
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $80,375.95 $80,375.95 $80,375.95 2026-03-31
4404 APR_DRG Kidney Transplant 12 10 — — $36,952.05 $94,101.08 $38,631.69 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 32 22 — — $14,692.16 $149,237.54 $71,574.66 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 32 22 — — $14,692.16 $94,720.81 $46,305.27 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 32 22 — — $14,692.16 $119,039.81 $57,577.52 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $14,692.16 $187,694.98 $89,400.30 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $25,528.03 $133,189.42 $64,136.09 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 33 22 — — $17,862.90 $106,933.68 $45,599.20 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 33 22 — — $14,692.16 $123,359.52 $59,579.77 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 33 22 — — $14,692.16 $127,301.75 $61,407.07 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 33 22 — — $14,692.16 $116,265.73 $56,291.70 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 33 22 — — $15,097.37 $78,768.73 $38,911.22 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 33 22 — — $14,692.16 $107,851.91 $52,391.75 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 33 22 — — $14,692.16 $95,884.50 $46,844.67 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 33 22 — — $14,692.16 $77,160.56 $38,165.82 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 33 22 — — $14,692.16 $82,007.39 $40,412.39 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 33 22 — — $14,692.16 $80,982.18 $39,937.19 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 32 22 — — $14,692.16 $230,291.20 $109,144.34 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 33 22 — — $14,692.16 $83,474.84 $41,092.58 2026-03-31
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $37,562.87 $37,562.87 $37,562.87 2026-03-31
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $51,922.37 $51,922.37 $51,922.37 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 33 22 — — $14,692.16 $146,329.45 $70,226.72 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 33 22 — — $14,692.16 $77,535.80 $38,339.74 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 33 22 — — $14,692.16 $109,471.24 $53,142.34 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 33 22 — — $13,864.02 $72,333.84 $35,928.55 2026-03-31
5831 APR_DRG Neonate With Ecmo 12 10 — — $76,170.82 $98,097.60 $89,922.80 2026-03-31
5832 APR_DRG Neonate With Ecmo 12 10 — — $100,178.98 $167,121.17 $104,732.57 2026-03-31
5833 APR_DRG Neonate With Ecmo 12 10 — — $130,472.78 $330,781.88 $136,403.36 2026-03-31
5834 APR_DRG Neonate With Ecmo 12 10 — — $201,354.61 $510,598.86 $234,293.74 2026-03-31
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $68,635.28 $100,422.49 $71,146.89 2026-03-31
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $80,074.17 $125,088.44 $83,713.91 2026-03-31
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $93,447.20 $216,644.58 $97,694.80 2026-03-31
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $140,311.53 $333,108.08 $146,689.33 2026-03-31
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 10 — — $56,331.43 $71,350.45 $65,404.58 2026-03-31
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 10 — — $58,176.64 $83,097.80 $66,891.05 2026-03-31
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 12 10 — — $55,386.11 $123,595.82 $66,891.05 2026-03-31
58980078021 NDC Gattex 5 Mg Sc Kit 40 30 $113,808.63 $62,594.75 45% off $23,330.77 $113,808.63 $51,213.88 2026-03-31
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $51,001.26 $78,372.63 $60,870.21 2026-03-31
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $69,391.08 $157,065.92 $71,054.64 2026-03-31
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $92,009.53 $211,611.18 $96,191.78 2026-03-31
5931 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $10,441.75 $39,516.14 $36,223.13 2026-03-31
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $47,597.19 $73,341.45 $49,760.70 2026-03-31
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $59,176.40 $136,084.32 $61,138.84 2026-03-31
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $80,894.00 $196,217.80 $84,571.00 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 32 22 — — $14,692.16 $103,570.18 $50,407.09 2026-03-31
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $42,311.78 $103,355.25 $44,235.04 2026-03-31
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $60,940.19 $145,707.09 $63,710.20 2026-03-31
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 10 — — $44,572.04 $181,494.78 $46,598.05 2026-03-31
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $47,107.04 $111,666.91 $49,248.27 2026-03-31
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 10 — — $94,255.32 $219,019.48 $99,980.42 2026-03-31
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 10 — — $39,179.50 $90,503.88 $40,960.39 2026-03-31
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 10 — — $38,819.40 $90,928.82 $40,583.91 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 33 22 — — $14,692.16 $77,893.17 $38,505.39 2026-03-31
62 APR_DRG Pancreas Transplant 1 1 — — $36,571.26 $36,571.26 $36,571.26 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 33 22 — — $14,692.16 $79,496.87 $39,248.73 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 33 22 — — $14,692.16 $83,240.31 $40,983.88 2026-03-31
63 APR_DRG Pancreas Transplant 1 1 — — $41,840.82 $41,840.82 $41,840.82 2026-03-31
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 10 — — $47,003.86 $116,028.05 $49,140.40 2026-03-31
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 10 — — $85,272.22 $242,990.94 $89,148.23 2026-03-31
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 10 — — $94,026.31 $215,023.12 $96,757.23 2026-03-31
64 APR_DRG Pancreas Transplant 1 1 — — $65,198.10 $65,198.10 $65,198.10 2026-03-31
64568 HCPCS Opn Impltj Crnl Nrv Nea&pg 36 28 — — $7,101.13 $55,059.80 $38,235.98 2026-03-31
64654 HCPCS 1st Opn Implt Bat Modulj Sys 14 12 — — $45,996.81 $50,596.49 $46,916.75 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 32 22 — — $14,692.16 $105,008.59 $51,073.83 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 32 22 — — $14,692.16 $82,771.27 $40,766.46 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 33 22 — — $14,692.16 $116,064.71 $56,198.52 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 33 22 — — $14,692.16 $93,845.26 $45,899.44 2026-03-31
7 MS_DRG Lung Transplant 32 22 — — $14,692.16 $289,250.49 $136,472.92 2026-03-31
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $38,260.04 $38,260.04 $38,260.04 2026-03-31
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $48,245.76 $48,245.76 $48,245.76 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 33 22 — — $14,692.16 $79,838.60 $39,407.13 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 33 22 — — $14,692.16 $80,023.99 $39,493.06 2026-03-31
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $95,462.58 $95,462.58 $95,462.58 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 22 — — $25,444.12 $132,751.64 $63,567.56 2026-03-31
791 MS_DRG Prematurity With Major Problems 32 22 — — $5,351.00 $96,468.00 $44,073.00 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 32 22 — — $3,595.00 $93,130.52 $43,517.58 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 33 22 — — $14,692.16 $101,155.70 $49,287.95 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 32 22 — — $14,692.16 $125,182.10 $60,424.57 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 33 22 — — $14,692.16 $88,987.26 $43,647.68 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 33 22 — — $14,692.16 $130,993.83 $63,118.41 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 33 22 — — $14,692.16 $102,404.26 $49,866.67 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 33 22 — — $14,692.16 $104,481.47 $50,829.49 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 33 22 — — $14,692.16 $122,620.21 $59,237.10 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 33 22 — — $14,692.16 $107,306.92 $52,139.14 2026-03-31
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $47,840.26 $47,840.26 $47,840.26 2026-03-31
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 10 — — $87,012.29 $239,662.07 $90,967.39 2026-03-31
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 10 — — $48,714.28 $122,739.26 $50,928.57 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 32 22 — — $14,692.16 $193,415.13 $92,051.69 2026-03-31
8513 APR_DRG — 11 9 — — $36,279.48 $49,038.02 $44,951.52 2026-03-31
8514 APR_DRG — 11 9 — — $44,951.52 $124,597.54 $46,994.77 2026-03-31
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 33 22 — — $14,692.16 $110,306.59 $53,529.53 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 33 22 — — $14,692.16 $101,597.94 $49,492.94 2026-03-31
8634 APR_DRG Neonatal Aftercare 12 10 — — $38,318.96 $93,001.97 $39,730.38 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 33 22 — — $14,692.16 $154,379.20 $73,957.91 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 33 22 — — $14,692.16 $86,324.86 $42,413.61 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 33 22 — — $14,692.16 $93,733.58 $45,847.67 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 33 22 — — $14,692.16 $82,040.89 $40,427.93 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 33 22 — — $14,692.16 $85,753.07 $42,148.58 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 33 22 — — $14,692.16 $476,876.23 $223,440.49 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 22 — — $14,692.16 $160,206.56 $76,658.98 2026-03-31
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $40,355.24 $40,355.24 $40,355.24 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 33 22 — — $14,692.16 $86,979.29 $42,716.96 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 33 22 — — $14,692.16 $81,044.72 $39,281.54 2026-03-31
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $89,972.30 $89,972.30 $89,972.30 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 33 22 — — $14,692.16 $78,607.91 $38,836.69 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 33 22 — — $14,692.16 $150,343.16 $72,087.13 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 33 22 — — $14,692.16 $84,048.86 $41,358.66 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 33 22 — — $14,692.16 $170,195.04 $81,288.80 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 33 22 — — $14,692.16 $94,119.98 $46,026.78 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 33 22 — — $14,692.16 $136,722.91 $65,773.93 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 33 22 — — $14,692.16 $80,671.72 $39,793.29 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 22 — — $14,692.16 $104,794.17 $49,297.56 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 33 22 — — $14,676.98 $76,575.37 $36,217.69 2026-03-31
A9543 HCPCS Uf Hb Zevalin Y90 Ibritumomab 54 39 $146,051.00 $80,328.05 45% off $14,774.74 $131,445.90 $56,824.54 2026-03-31
J1299 HCPCS Soliris 300 Mg/30ml IV Soln 47 34 $105,544.25 $58,049.34 45% off $44.82 $105,544.25 $42,217.70 2026-03-31
J1300 HCPCS Soliris 300 Mg/30ml IV Soln 48 36 $105,544.25 $58,049.34 45% off $224.63 $94,989.83 $40,511.76 2026-03-31
J1411 HCPCS Hemgenix 19 X 10 Ml IV Supk 26 18 — — $17,278.87 $4,591,125.00 $3,685,266.67 2026-03-31
J1413 HCPCS Elevidys 18.5-19.4 Kg 19 X 10 Ml IV Kit 27 19 — — $17,278.87 $4,871,923.20 $3,327,859.72 2026-03-31
J1414 HCPCS Inj, Beqvez, Per Tx Dose 5 5 — — $3,605,000.00 $4,506,250.00 $3,965,500.00 2026-03-31
J2329 HCPCS Briumvi 150 Mg/6ml IV Soln 50 37 $127,080.57 $69,894.31 45% off $69.44 $114,372.51 $40,811.17 2026-03-31
J3357 HCPCS Stelara 45 Mg/0.5ml Sc Soln 48 36 $112,624.75 $61,943.61 45% off $149.40 $101,362.28 $40,811.17 2026-03-31
J3387 HCPCS Inj Elivaldogene Autotemecel 14 12 — — $3,180,000.00 $3,498,000.00 $3,243,600.00 2026-03-31
J3389 HCPCS Topi Adm Prad Zami Per Treat 14 12 — — $3,335,820.00 $3,669,402.00 $3,402,536.40 2026-03-31
J3391 HCPCS Inj, Atidarsagene Autotemcel 15 12 — — $4,505,000.00 $4,955,500.00 $4,550,050.00 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 23 20 — — $2,332,000.00 $4,197,600.00 $2,425,280.00 2026-03-31
J3393 HCPCS Zynteglo IV Susp 36 26 — — $33,319.02 $4,926,880.00 $3,176,636.38 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 20 17 — — $3,248,445.72 $4,107,500.00 $3,318,041.66 2026-03-31
J3399 HCPCS Zolgensma 3.1-3.5 Kg 2x5.5ml & 1x8.3ml IV Kit 43 30 — — $11,639.52 $4,639,444.63 $2,588,981.22 2026-03-31
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 15 12 — — $201,669.02 $221,835.92 $205,640.00 2026-03-31
J3403 HCPCS Revakinagene, Per Implant 15 12 — — $257,500.00 $291,500.00 $267,650.00 2026-03-31
J9029 HCPCS Adstiladrin 300000000000 Vp/ml Is Susp 51 37 $224,775.00 $123,626.25 45% off $17,278.87 $202,297.50 $79,193.46 2026-03-31
J9226 HCPCS Supprelin La 50 Mg Sc Kit 55 39 $197,243.43 $108,483.89 45% off $16,732.68 $177,519.09 $45,350.22 2026-03-31
J9347 HCPCS Imjudo 300 Mg/15ml IV Soln 50 37 $164,115.93 $90,263.76 45% off $135.45 $147,704.34 $40,811.17 2026-03-31
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 13 10 — — $93,216.70 $104,589.13 $96,031.84 2026-03-31
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 13 10 — — $38,606.32 $43,316.28 $39,772.22 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 13 10 — — $39,208.42 $43,991.85 $40,392.52 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 13 10 — — $48,632.79 $54,566.00 $50,101.50 2026-03-31
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 13 10 — — $67,452.66 $75,681.88 $69,489.73 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 13 10 — — $109,316.28 $122,652.87 $112,617.64 2026-03-31
Q2041 HCPCS Yescarta 200000000 Cells IV Susp 55 39 $1,868,356.20 $1,027,595.91 45% off $27,935.28 $1,681,520.58 $538,401.56 2026-03-31
Q2042 HCPCS Kymriah 250000000 Cells IV Susp 55 39 $2,353,213.33 $1,294,267.33 45% off $27,935.28 $2,117,892.00 $583,527.24 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 35 28 — — $16,732.68 $99,027.41 $54,948.14 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 35 28 — — $27,935.28 $828,954.72 $489,450.20 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 35 28 — — $27,935.28 $930,106.94 $562,201.24 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 35 28 — — $27,935.28 $947,857.66 $558,081.72 2026-03-31
Q2056 HCPCS Carvykti 100000000 Cells IV Susp 55 39 $2,245,703.63 $1,235,137.00 45% off $27,935.28 $2,021,133.27 $593,526.07 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 15 12 — — $770,620.00 $847,682.00 $778,326.20 2026-03-31
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 15 12 — — $278,250.00 $306,075.00 $281,032.50 2026-03-31
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