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 PASADENA HOSPITAL A PART OF HCA FLORID

Saint Petersburg, FL · CCN 100126 · Rates published

31,888 distinct procedures filed
55 distinct payers
1,748,327 rate rows
2026-03-01 last MRF observed
Data quality

1,400,500 of 1,748,327 rate rows are consumer-grade (80.1%)

347,827 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 315,784
per-diem day rate — not a per-procedure price 21,583
template filing: same amount across many unrelated codes — excluded 10,116
placeholder amount (≤ $0.02) — excluded from medians 232
exceeds 10× this hospital's gross charge — excluded from medians 112
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/80-0935610_HCA-FLORIDA-PASADENA-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 not_modified · 2026-06-08
Content fingerprint f3b7d50e5eaf77ed… · 364,667,753 bytes · first seen 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
845
OTHER 		Inj, Atidarsagene Autotem 20 $4,764.90 $4,955,500.00 $4,595,100.00 nat. median
$9,966
outlier · 461.1×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,505,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 22 $3,672,900.00 $4,422,320.40 $3,856,545.00 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 20 $3,605,000.00 $4,109,700.00 $3,785,250.00 nat. median
$3,605,000
1.1× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,568,711.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 23 $9,697.57 $4,836,939.00 $3,502,611.00 nat. median
$22,747
outlier · 154.0×
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 24 $5,280.60 $4,825,397.00 $3,492,990.38 nat. median
$13,041
outlier · 267.8×
748
OTHER 		Inj, Lovotibeglogene Auto 24 $8,710.34 $4,764,700.00 $3,431,395.94 nat. median
$17,963
outlier · 191.0×
906
OTHER 		Inj Elivaldogene Autoteme 23 $6,354.69 $4,611,000.00 $3,339,000.00 nat. median
$20,756
outlier · 160.9×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$12,675
outlier · 255.3×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,226,857.78 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,171,176.38 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 24 $7,736.51 $4,303,600.00 $3,101,667.29 nat. median
$21,896
outlier · 141.7×
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$21
outlier · 149086.5×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,865,364.96 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 23 $2,388,614.00 $3,754,022.45 $2,603,589.26 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 23 $13,699.09 $3,381,400.00 $2,448,600.00 nat. median
$25,250
outlier · 97.0×
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,457,321
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,332,000
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
$824,563
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 22 $770,620.00 $1,117,399.00 $809,151.00 nat. median
$786,032
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
$324,450
1.8× median
9498
OTHER 		Ciltacabtagene Car-pos T 23 $527,123.40 $852,091.92 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 23 $529,192.90 $821,470.39 $576,820.26 nat. median
$566,531
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 23 $526,587.60 $809,218.61 $569,243.44 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 23 $516,726.10 $815,191.74 $563,231.45 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $1,218,042.30 $561,407.87 nat. median
$754,974
0.7× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$554,552
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $1,263,446.58 $536,573.93 nat. median
$675,122
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 23 $489,456.00 $771,678.69 $533,507.04 nat. median
$532,192
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$538,205
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$530,178
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$534,091
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $1,199,875.72 $511,793.34 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 $1,208,732.67 $500,948.74 nat. median
$674,188
0.7× median
9391
OTHER 		Brexucabtagene Car Pos T 23 $460,530.40 $709,702.79 $499,239.20 nat. median
$489,450
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$505,583
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $1,144,213.32 $487,755.77 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $1,052,317.93 $474,717.03 nat. median
$620,080
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$464,978
1.0× 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×
831
OTHER 		Obecbtge Autol Up To 400 23 $2,930.91 $403,462.50 $292,162.50 nat. median
$12,362
outlier · 23.6×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 $6,771.00 $832,980.61 $288,849.89 nat. median
$370,174
0.8× median
897
OTHER 		Revakinagene, Per Implant 22 $265,000.00 $384,250.00 $278,250.00 nat. median
$9,577
outlier · 29.1×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$278,250
1.0× median
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$265,000
1.0× median
5834
APR_DRG 		Neonate With Ecmo 13 $192,207.00 $312,391.65 $233,252.43 nat. median
$309,665
0.8× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 23 $5,526.79 $292,420.05 $211,752.45 nat. median
$17,985
outlier · 11.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 38 $9,780.00 $622,167.61 $204,528.84 nat. median
$265,286
0.8× median

Other procedures at this hospital

Browse this hospital's 31,888 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
             
845 OTHER Inj, Atidarsagene Autotem 23 20 — — $4,764.90 $4,955,500.00 $4,595,100.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 26 23 — — $9,697.57 $4,836,939.00 $3,502,611.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 50 24 — — $5,280.60 $4,825,397.00 $3,492,990.38 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 50 24 — — $8,710.34 $4,764,700.00 $3,431,395.94 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 26 23 — — $6,354.69 $4,611,000.00 $3,339,000.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 47 22 — — $3,672,900.00 $4,422,320.40 $3,856,545.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 50 24 — — $7,736.51 $4,303,600.00 $3,101,667.29 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 23 20 — — $3,605,000.00 $4,109,700.00 $3,785,250.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 49 23 — — $2,388,614.00 $3,754,022.45 $2,603,589.26 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,562,713.00 $3,574,708.99 $3,568,711.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
824 OTHER Inj, Exagamglogene Autote 26 23 — — $13,699.09 $3,381,400.00 $2,448,600.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 1 — — $3,225,691.35 $3,228,024.20 $3,226,857.78 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,154,932.76 $3,187,420.00 $3,171,176.38 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 1 — — $2,851,769.93 $2,878,960.00 $2,865,364.96 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,316,955.58 $2,511,311.57 $2,414,133.58 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,656,833.00 $1,656,833.00 $1,656,833.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 11 3 — — $492,271.12 $1,263,446.58 $536,573.93 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 3 — — $502,693.77 $1,218,042.30 $561,407.87 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 3 — — $459,839.17 $1,208,732.67 $500,948.74 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 7 3 — — $470,149.30 $1,199,875.72 $511,793.34 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 3 — — $445,599.57 $1,144,213.32 $487,755.77 2026-03-01
2067 OTHER Afamitresgene Autoleucel 25 22 — — $770,620.00 $1,117,399.00 $809,151.00 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 3 — — $435,956.80 $1,052,317.93 $474,717.03 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 49 23 — — $527,123.40 $852,091.92 $587,649.60 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 106 39 — — $6,771.00 $832,980.61 $288,849.89 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 49 23 — — $529,192.90 $821,470.39 $576,820.26 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 49 23 — — $516,726.10 $815,191.74 $563,231.45 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 49 23 — — $526,587.60 $809,218.61 $569,243.44 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 49 23 — — $489,456.00 $771,678.69 $533,507.04 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 49 23 — — $460,530.40 $709,702.79 $499,239.20 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 110 39 — — $8,000.00 $670,605.29 $157,199.18 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 104 38 — — $9,780.00 $622,167.61 $204,528.84 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
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $513,317.11 $549,535.36 $531,426.23 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $501,224.32 $545,335.16 $523,279.74 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $510,789.97 $541,339.35 $526,064.66 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 105 36 — — $8,000.00 $524,012.93 $163,537.97 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 104 38 — — $9,780.00 $431,934.66 $83,567.08 2026-03-01
831 OTHER Obecbtge Autol Up To 400 26 23 — — $2,930.91 $403,462.50 $292,162.50 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 109 38 — — $8,000.00 $402,488.98 $103,120.09 2026-03-01
215 MS_DRG Other Heart Assist System Implant 116 41 — — $10,799.00 $389,750.38 $81,186.97 2026-03-01
897 OTHER Revakinagene, Per Implant 25 22 — — $265,000.00 $384,250.00 $278,250.00 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 102 38 — — $9,780.00 $383,703.98 $78,230.06 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 59 37 — — $10,132.00 $378,738.37 $83,426.73 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 102 38 — — $6,771.00 $377,510.35 $94,669.18 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 111 44 — — $6,771.00 $377,510.35 $45,419.59 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 111 44 — — $6,771.00 $377,510.35 $44,049.61 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 114 41 — — $8,000.00 $360,398.39 $83,339.05 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 114 41 — — $10,799.00 $350,517.36 $80,436.82 2026-03-01
7 MS_DRG Lung Transplant 102 38 — — $9,780.00 $318,451.68 $95,375.03 2026-03-01
5834 APR_DRG Neonate With Ecmo 31 13 — — $192,207.00 $312,391.65 $233,252.43 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 114 41 — — $8,000.00 $308,239.39 $67,227.93 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 116 41 — — $10,799.00 $300,881.31 $47,827.26 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 26 23 — — $5,526.79 $292,420.05 $211,752.45 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 114 41 — — $10,799.00 $279,084.82 $65,755.42 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 114 41 — — $10,799.00 $246,574.11 $65,652.43 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 114 41 — — $10,799.00 $246,574.11 $47,670.71 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 116 41 — — $10,799.00 $244,770.56 $74,774.95 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 116 41 — — $10,799.00 $244,770.56 $51,314.96 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 116 41 — — $10,799.00 $244,770.56 $50,457.09 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 114 41 — — $10,799.00 $241,605.15 $61,409.69 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 114 41 — — $10,799.00 $241,605.15 $42,337.62 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 124 46 — — $10,799.00 $235,424.90 $55,910.85 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 113 41 — — $8,000.00 $234,133.31 $50,326.28 2026-03-01
1908 OTHER New Technology - Level 52 49 23 — — $147,339.90 $221,961.65 $156,180.29 2026-03-01
1907 OTHER New Technology - Level 52 49 23 — — $147,339.90 $221,961.65 $156,180.29 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 124 44 — — $10,799.00 $217,816.51 $55,400.04 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 133 45 — — $10,799.00 $212,102.59 $61,032.68 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 133 45 — — $10,799.00 $212,102.59 $43,545.01 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 135 46 — — $10,799.00 $207,284.20 $60,769.58 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 124 46 — — $9,780.00 $207,003.13 $49,181.85 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 134 46 — — $10,799.00 $205,711.67 $52,321.26 2026-03-01
1905 OTHER New Technology - Level 51 49 23 — — $132,847.50 $200,129.29 $140,818.35 2026-03-01
1906 OTHER New Technology - Level 51 49 23 — — $132,847.50 $200,129.29 $140,818.35 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 123 44 — — $9,780.00 $195,412.24 $57,279.59 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 123 44 — — $9,780.00 $195,412.24 $42,524.43 2026-03-01
10 MS_DRG Pancreas Transplant 123 44 — — $9,780.00 $193,448.08 $57,611.27 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 13 — — $125,393.00 $191,333.91 $150,471.60 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 70 40 — — $10,132.00 $190,958.58 $44,331.61 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 135 46 — — $10,799.00 $187,062.91 $64,974.58 2026-03-01
5833 APR_DRG Neonate With Ecmo 31 13 — — $124,517.00 $186,775.50 $142,333.94 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $156,515.70 $180,011.44 $156,515.70 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $178,990.51 $178,990.51 $178,990.51 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 13 — — $97,644.00 $178,865.04 $131,167.70 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 31 13 — — $111,047.00 $178,746.99 $133,464.42 2026-03-01
1904 OTHER New Technology - Level 50 49 23 — — $118,355.10 $178,297.22 $125,456.41 2026-03-01
1903 OTHER New Technology - Level 50 49 23 — — $118,355.10 $178,297.22 $125,456.41 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 135 46 — — $10,799.00 $170,584.18 $46,647.88 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 135 46 — — $10,799.00 $169,777.77 $46,447.44 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 134 46 — — $10,799.00 $168,921.56 $43,759.60 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 134 46 — — $10,799.00 $167,844.55 $44,382.50 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 113 41 — — $8,000.00 $165,976.60 $55,612.87 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 51 24 — — $96,999.90 $161,679.35 $111,503.00 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 135 46 — — $10,799.00 $157,929.23 $43,421.49 2026-03-01
1901 OTHER New Technology - Level 49 49 23 — — $103,862.70 $156,465.00 $110,094.46 2026-03-01
1902 OTHER New Technology - Level 49 49 23 — — $103,862.70 $156,465.00 $110,094.46 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 134 46 — — $10,799.00 $153,128.50 $48,339.54 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 135 46 — — $8,000.00 $150,835.50 $46,611.45 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 135 46 — — $10,799.00 $149,249.44 $42,233.08 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 135 46 — — $8,000.00 $149,246.10 $41,506.96 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 135 46 — — $10,799.00 $149,165.79 $44,720.41 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $147,693.56 $147,693.56 $147,693.56 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 135 46 — — $8,000.00 $147,521.39 $52,349.04 2026-03-01
5832 APR_DRG Neonate With Ecmo 31 13 — — $95,607.00 $143,410.50 $109,286.16 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 124 44 — — $6,000.00 $142,865.03 $47,203.99 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 31 13 — — $93,372.41 $142,750.50 $106,711.32 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $122,172.78 $140,774.65 $140,774.65 2026-03-01
1585 OTHER New Technology - Level 48 49 23 — — $91,785.68 $138,271.42 $97,292.82 2026-03-01
1599 OTHER New Technology - Level 48 49 23 — — $91,785.68 $138,271.42 $97,292.82 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 11 3 — — $61,338.53 $138,190.80 $61,600.24 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 51 24 — — $88,300.94 $137,867.45 $96,982.62 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 31 13 — — $81,396.21 $137,205.00 $100,776.26 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 135 46 — — $8,000.00 $136,019.64 $47,612.05 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 135 46 — — $10,799.00 $135,553.57 $45,231.67 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 31 13 — — $83,057.18 $135,325.50 $101,043.04 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 135 46 — — $10,799.00 $134,281.24 $46,455.80 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 31 13 — — $82,446.00 $133,307.22 $99,536.06 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 13 — — $56,946.00 $133,113.71 $85,419.00 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 31 13 — — $75,232.00 $130,764.62 $97,637.58 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 135 46 — — $8,000.00 $128,599.95 $42,911.37 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 31 13 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 13 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 13 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
1598 OTHER New Technology - Level 47 49 23 — — $82,124.09 $123,716.61 $87,051.54 2026-03-01
1584 OTHER New Technology - Level 47 49 23 — — $82,124.09 $123,716.61 $87,051.54 2026-03-01
5831 APR_DRG Neonate With Ecmo 31 13 — — $69,493.00 $122,622.00 $90,340.90 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $119,887.93 $119,887.93 $119,887.93 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 5 2 — — $53,789.99 $119,352.48 $116,968.84 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 135 46 — — $9,780.00 $119,296.06 $41,597.07 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 135 46 — — $10,799.00 $115,135.00 $52,514.29 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 31 13 — — $73,667.54 $113,416.50 $84,684.32 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 13 — — $73,863.00 $110,794.50 $88,248.00 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 13 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
1583 OTHER New Technology - Level 46 49 23 — — $72,462.48 $109,161.80 $76,810.23 2026-03-01
1597 OTHER New Technology - Level 46 49 23 — — $72,462.48 $109,161.80 $76,810.23 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 13 — — $48,895.00 $105,823.65 $73,342.50 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 31 13 — — $64,392.00 $104,446.96 $77,987.07 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 31 13 — — $42,546.04 $102,481.50 $68,321.00 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 31 13 — — $67,242.00 $100,863.00 $79,595.47 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 31 13 — — $66,782.00 $100,494.24 $80,138.40 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $67,393.00 $100,416.00 $100,416.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $67,393.00 $100,416.00 $100,416.00 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $100,053.67 $100,394.53 $100,053.67 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 51 24 — — $63,895.55 $99,762.46 $70,177.73 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 31 13 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 49 23 — — $56,824.55 $94,941.04 $65,476.58 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 11 3 — — $43,241.44 $94,940.24 $43,855.64 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 13 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
1596 OTHER New Technology - Level 45 49 23 — — $62,800.88 $94,606.99 $66,568.93 2026-03-01
1582 OTHER New Technology - Level 45 49 23 — — $62,800.88 $94,606.99 $66,568.93 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 13 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
5244 OTHER Level 4 Blood Product Exc 49 23 — — $50,304.25 $93,534.34 $64,506.44 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 50 24 — — $12,654.78 $93,198.45 $66,839.29 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 13 — — $48,983.00 $89,188.07 $65,404.58 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 13 — — $46,525.00 $89,188.07 $65,404.58 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 13 — — $47,538.00 $89,188.07 $65,404.58 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 31 13 — — $32,422.00 $87,882.00 $48,633.00 2026-03-01
976232 CDM Kit Aor Vlv 14fr 29mm 13 7 $94,445.00 $94,445.00 $4,533.36 $86,889.40 $47,222.50 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $84,296.07 $84,296.07 $84,296.07 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 31 13 — — $53,600.81 $83,284.50 $62,185.76 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 31 13 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 13 — — $44,835.00 $81,160.27 $59,517.54 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 13 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
986887 CDM Valve Tavr 34mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
912730 CDM Valve Aor Tavr 29mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
976660 CDM Valve Tavr 23mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
912731 CDM Valve Aor Tavr 34mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
912729 CDM Valve Aor Tavr 26mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
976663 CDM Valve Tavr 26mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
976664 CDM Valve Tavr 29mm 13 7 $87,180.00 $87,180.00 $4,184.64 $80,205.60 $43,590.00 2026-03-01
1595 OTHER New Technology - Level 44 49 23 — — $53,139.28 $80,052.18 $56,327.64 2026-03-01
1581 OTHER New Technology - Level 44 49 23 — — $53,139.28 $80,052.18 $56,327.64 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 49 23 — — $54,404.11 $79,772.08 $57,668.36 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 133 46 — — $6,000.00 $79,140.11 $49,945.44 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $78,325.54 $78,325.54 $78,325.54 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 31 13 — — $51,688.00 $77,532.00 $61,481.88 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 31 13 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $76,277.63 $76,277.63 $76,277.63 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 2 — — $11,430.00 $75,435.00 $75,435.00 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 31 13 — — $45,376.00 $73,729.74 $55,051.54 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
64 APR_DRG Pancreas Transplant 31 13 — — $45,492.54 $72,558.00 $54,176.64 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 51 24 — — $46,068.21 $71,927.83 $50,597.51 2026-03-01
8514 APR_DRG Gender Related Procedures 31 13 — — $42,908.27 $70,353.00 $52,530.24 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 31 13 — — $43,560.00 $70,007.73 $52,272.44 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 31 13 — — $46,203.00 $69,304.50 $53,142.85 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 31 13 — — $41,876.00 $69,298.37 $51,742.78 2026-03-01
007 OTHER Lung Transplant 1 1 — — $67,580.69 $67,580.69 $67,580.69 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $67,458.10 $67,458.10 $67,458.10 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 31 13 — — $36,953.00 $66,933.09 $49,084.27 2026-03-01
1142 OTHER Supprelin La Implant 49 23 — — $43,185.34 $65,757.80 $46,257.21 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 31 13 — — $43,677.00 $65,515.50 $51,276.94 2026-03-01
1580 OTHER New Technology - Level 43 49 23 — — $43,477.68 $65,497.37 $46,086.34 2026-03-01
1594 OTHER New Technology - Level 43 49 23 — — $43,477.68 $65,497.37 $46,086.34 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 31 13 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 13 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 31 13 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
01582 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 2 — — $11,430.00 $62,710.00 $62,710.00 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $62,431.63 $62,431.63 $62,431.63 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $61,454.13 $62,346.55 $61,900.34 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 31 13 — — $35,847.83 $59,817.00 $44,383.03 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 105 40 — — $11,098.00 $59,755.00 $43,377.87 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 10 10 — — $45,247.39 $59,387.20 $56,559.24 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 10 10 — — $44,502.41 $58,409.41 $55,628.01 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 31 13 — — $38,906.00 $58,359.00 $46,158.30 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $57,539.16 $57,539.16 $57,539.16 2024-10-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 7 7 — — $43,538.21 $57,143.90 $54,422.76 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 31 13 — — $36,021.77 $56,856.00 $42,452.48 2026-03-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 7 7 — — $43,091.05 $56,557.01 $53,863.82 2024-10-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 3 1 — — $40,208.00 $56,373.00 $53,804.00 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 31 13 — — $32,765.10 $56,214.00 $41,223.60 2026-03-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $37,326.00 $55,615.00 $55,615.00 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $37,326.00 $55,615.00 $55,615.00 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $55,450.54 $55,450.54 $55,450.54 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 7 7 — — $41,521.01 $54,496.33 $51,901.27 2024-10-01
01581 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $35,851.00 $53,419.00 $53,419.00 2024-10-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $35,851.00 $53,419.00 $53,419.00 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $52,771.99 $53,364.77 $53,068.38 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 10 10 — — $40,347.31 $52,955.85 $50,434.14 2026-03-01
8634 APR_DRG Neonatal Aftercare 31 13 — — $35,009.00 $52,513.50 $41,802.50 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 3 1 — — $50,561.89 $52,091.10 $50,561.89 2026-03-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 7 2 — — $19,926.00 $52,079.00 $45,326.00 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 10 10 — — $39,310.32 $51,594.79 $49,137.90 2026-03-01
215 OTHER Other Heart Assist System Implant 1 1 — — $51,453.49 $51,453.49 $51,453.49 2024-10-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 10 10 — — $38,813.19 $50,942.31 $48,516.48 2026-03-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 7 7 — — $38,718.09 $50,817.49 $48,397.61 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,806.62 $49,806.62 $49,806.62 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,529.65 $49,529.65 $49,529.65 2024-10-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 7 7 — — $37,693.78 $49,473.08 $47,117.22 2024-10-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 7 7 — — $37,585.20 $49,330.58 $46,981.50 2024-10-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 10 10 — — $36,984.20 $48,541.77 $46,230.25 2026-03-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 7 7 — — $36,505.18 $47,913.04 $45,631.47 2024-10-01
B2102 HCPCS Burns; M=12-45 10 10 — — $36,253.47 $47,582.67 $45,316.83 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 10 10 — — $36,011.31 $47,264.84 $45,014.14 2026-03-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 7 7 — — $36,009.45 $47,262.40 $45,011.81 2024-10-01
B1903 OTHER Guillian Barre; M < 18.05 7 7 — — $35,878.02 $47,089.90 $44,847.52 2024-10-01
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 10 10 — — $35,840.38 $47,040.50 $44,800.47 2026-03-01
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 10 10 — — $35,828.98 $47,025.54 $44,786.23 2026-03-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 10 10 — — $35,819.01 $47,012.45 $44,773.76 2026-03-01
B0604 OTHER Neurological; M < 25.85 7 7 — — $35,578.01 $46,696.14 $44,472.51 2024-10-01
B0604 HCPCS Neurological; M < 25.85 10 10 — — $34,895.97 $45,800.96 $43,619.97 2026-03-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 7 7 — — $34,623.70 $45,443.61 $43,279.63 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $45,148.93 $45,148.93 $45,148.93 2024-10-01
C0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 10 10 — — $34,199.42 $44,886.74 $42,749.28 2026-03-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 7 7 — — $34,152.26 $44,824.84 $42,690.33 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $44,710.16 $44,710.16 $44,710.16 2024-10-01
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 7 7 — — $34,049.40 $44,689.84 $42,561.75 2024-10-01
0207 RC — 27 12 — — $8,000.00 $44,347.50 $42,172.50 2026-03-01
B1004 HCPCS Amputation, Lower Extremity; M=39-45 10 10 — — $33,665.25 $44,185.65 $42,081.57 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $44,039.60 $44,039.60 $44,039.60 2024-10-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 7 7 — — $33,523.68 $43,999.82 $41,904.59 2024-10-01
01142 OTHER Supprelin La Implant 2 1 — — $41,889.78 $43,989.70 $42,939.74 2026-03-01
01580 OTHER New Technology - Level 43 2 1 — — $42,173.35 $43,815.48 $42,994.42 2026-03-01
01594 OTHER New Technology - Level 43 2 1 — — $42,173.35 $43,815.48 $42,994.42 2026-03-01
B1504 HCPCS Pulmonary; M < 29.15 10 10 — — $33,367.55 $43,794.90 $41,709.43 2026-03-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 7 7 — — $33,247.95 $43,637.94 $41,559.94 2024-10-01
B2102 OTHER Burns; M=12-45 7 7 — — $33,109.38 $43,456.06 $41,386.72 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $43,339.76 $43,339.76 $43,339.76 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $42,827.53 $42,827.53 $42,827.53 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $42,052.24 $42,052.24 $42,052.24 2024-10-01
0208 RC — 49 20 — — $6,000.00 $41,922.50 $41,172.50 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
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
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