Price Transparencybeta Hospital negotiated rates

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

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Hospital

HCA FLORIDA AVENTURA HOSPITAL

Aventura, FL · CCN 100131 · Rates published

36,137 distinct procedures filed
64 distinct payers
2,250,903 rate rows
2026-08-01 last MRF observed
Data quality

1,651,974 of 2,250,903 rate rows are consumer-grade (73.4%)

598,929 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 539,128
per-diem day rate — not a per-procedure price 30,147
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 19,307
template filing: same amount across many unrelated codes — excluded 9,351
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 659
placeholder amount (≤ $0.02) — excluded from medians 220
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 90
exceeds 10× this hospital's gross charge — excluded from medians 27
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/d192e506e70f4d0f8bafb442160a5b98?download=true
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint 6556de1e0fa3f872… · 526,429,193 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,897,200.00 $4,897,200.00 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 22 $5,812.70 $4,955,500.00 $4,595,100.00 nat. median
$16,015
outlier · 286.9×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $3,884,946.48 nat. median
$2,460,273
1.6× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 24 $3,636,171.00 $4,422,320.40 $3,758,972.34 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 23 $3,568,950.00 $4,326,000.00 $3,677,100.00 nat. median
$3,646,097
1.0× 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
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
908
OTHER 		Topi Adm Prad Zami Per Tr 26 $11,830.06 $4,836,939.00 $3,402,536.40 nat. median
$29,683
outlier · 114.6×
714
OTHER 		Inj Delandistrogene Mox R 26 $6,441.81 $4,825,397.00 $3,394,417.20 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 26 $10,625.74 $4,716,136.60 $3,350,901.62 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 26 $7,752.09 $4,611,000.00 $3,243,600.00 nat. median
$24,604
outlier · 131.8×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,170
outlier · 228.4×
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
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 26 $9,437.77 $4,262,955.05 $3,027,360.00 nat. median
$2,939,969
1.0× median
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 25 $2,364,727.86 $3,754,022.45 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 26 $16,711.52 $3,381,400.00 $2,378,640.00 nat. median
$58,186
outlier · 40.9×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$809,151
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 25 $762,913.80 $1,117,399.00 $793,738.60 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 25 $521,852.17 $852,091.92 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 25 $523,900.97 $821,470.39 $566,531.30 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 25 $511,558.84 $815,191.74 $562,201.20 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 $934,776.65 $561,407.87 nat. median
$691,418
0.8× median
9422
OTHER 		Idecabtagene Vicleucel Ca 25 $521,321.72 $809,218.61 $558,081.80 nat. median
$560,872
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$570,020
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $969,621.79 $536,573.93 nat. median
$631,793
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 25 $484,561.44 $771,678.69 $532,192.20 nat. median
$533,230
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$549,535
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$541,339
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$545,335
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $511,793.34 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $927,632.05 $500,948.74 nat. median
$624,417
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 25 $455,925.10 $709,702.79 $489,450.20 nat. median
$492,768
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $878,117.20 $487,755.77 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $807,592.83 $474,717.03 nat. median
$577,541
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$302,242
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 35 $1,870.00 $725,393.41 $362,096.45 nat. median
$370,165
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
831
OTHER 		Obecbtge Autol Up To 400 26 $3,575.42 $403,462.50 $283,815.00 nat. median
$20,175
outlier · 14.1×
897
OTHER 		Revakinagene, Per Implant 25 $262,350.00 $384,250.00 $272,950.00 nat. median
$19,528
outlier · 14.0×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$272,685
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 37 $1,870.00 $541,808.87 $265,744.61 nat. median
$261,939
1.0× median

Other procedures at this hospital

Browse this hospital's 36,137 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 3 1 — — $4,850,948.67 $4,897,200.00 $4,897,200.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 27 22 — — $5,812.70 $4,955,500.00 $4,595,100.00 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
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $3,884,946.48 $4,271,819.03 $3,884,946.48 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 55 24 — — $3,636,171.00 $4,422,320.40 $3,758,972.34 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 27 23 — — $3,568,950.00 $4,326,000.00 $3,677,100.00 2024-10-01
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
908 OTHER Topi Adm Prad Zami Per Tr 31 26 — — $11,830.06 $4,836,939.00 $3,402,536.40 2026-03-01
714 OTHER Inj Delandistrogene Mox R 58 26 — — $6,441.81 $4,825,397.00 $3,394,417.20 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 58 26 — — $10,625.74 $4,716,136.60 $3,350,901.62 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 31 26 — — $7,752.09 $4,611,000.00 $3,243,600.00 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
746 OTHER Inj, Betibeglogene Autote 58 26 — — $9,437.77 $4,262,955.05 $3,027,360.00 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
9141 OTHER Inj Onase Abepar-xioi Tre 56 25 — — $2,364,727.86 $3,754,022.45 $2,588,981.00 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
824 OTHER Inj, Exagamglogene Autote 31 26 — — $16,711.52 $3,381,400.00 $2,378,640.00 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 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 29 25 — — $762,913.80 $1,117,399.00 $793,738.60 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 56 25 — — $521,852.17 $852,091.92 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 56 25 — — $523,900.97 $821,470.39 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 56 25 — — $511,558.84 $815,191.74 $562,201.20 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 11 3 — — $502,693.77 $934,776.65 $561,407.87 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 56 25 — — $521,321.72 $809,218.61 $558,081.80 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 11 3 — — $492,271.12 $969,621.79 $536,573.93 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 56 25 — — $484,561.44 $771,678.69 $532,192.20 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $513,317.11 $549,535.36 $531,426.23 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $510,789.97 $541,339.35 $526,064.66 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $501,224.32 $545,335.16 $523,279.74 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 7 3 — — $470,149.30 $920,834.85 $511,793.34 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 3 — — $459,839.17 $927,632.05 $500,948.74 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 56 25 — — $455,925.10 $709,702.79 $489,450.20 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 11 3 — — $445,599.57 $878,117.20 $487,755.77 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 3 — — $435,956.80 $807,592.83 $474,717.03 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 113 35 — — $1,870.00 $725,393.41 $362,096.45 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
831 OTHER Obecbtge Autol Up To 400 31 26 — — $3,575.42 $403,462.50 $283,815.00 2026-03-01
897 OTHER Revakinagene, Per Implant 29 25 — — $262,350.00 $384,250.00 $272,950.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 123 37 — — $1,870.00 $541,808.87 $265,744.61 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $218,350.59 $261,974.59 $240,162.59 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $180,171.39 $298,031.72 $239,101.55 2026-03-01
5834 APR_DRG Neonate With Ecmo 31 14 — — $192,207.00 $312,391.65 $230,648.40 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 120 36 — — $1,870.00 $456,331.78 $216,142.48 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 31 26 — — $6,742.13 $292,420.05 $205,702.38 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 125 37 — — $1,870.00 $616,633.80 $204,749.02 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $146,251.26 $184,645.03 $165,448.15 2026-03-01
1907 OTHER New Technology - Level 52 57 25 — — $145,866.50 $226,021.50 $155,876.90 2026-03-01
1908 OTHER New Technology - Level 52 57 25 — — $145,866.50 $226,021.50 $155,876.90 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $125,393.00 $191,333.91 $150,471.60 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
5833 APR_DRG Neonate With Ecmo 31 14 — — $118,611.62 $186,775.50 $142,333.94 2026-03-01
1906 OTHER New Technology - Level 51 57 25 — — $131,519.02 $203,789.96 $140,544.80 2026-03-01
1905 OTHER New Technology - Level 51 57 25 — — $131,519.02 $203,789.96 $140,544.80 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 126 37 — — $1,870.00 $571,899.05 $135,258.44 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 31 14 — — $111,047.00 $178,746.99 $133,256.40 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
7 MS_DRG Lung Transplant 123 38 — — $1,870.00 $292,822.13 $125,632.28 2026-03-01
1903 OTHER New Technology - Level 50 57 25 — — $117,171.55 $181,558.41 $125,212.70 2026-03-01
1904 OTHER New Technology - Level 50 57 25 — — $117,171.55 $181,558.41 $125,212.70 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $102,832.80 $144,193.12 $123,512.96 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 115 36 — — $1,870.00 $347,127.65 $123,147.02 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $120,116.70 $138,148.31 $120,116.70 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 14 — — $97,644.00 $178,865.04 $119,243.36 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
209 MS_DRG Complex Aortic Arch Procedures 67 38 — — $1,984.00 $348,256.84 $113,302.90 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 59 26 — — $96,999.90 $161,679.35 $111,503.00 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $93,051.08 $129,226.79 $111,138.93 2026-03-01
1901 OTHER New Technology - Level 49 57 25 — — $102,824.07 $159,326.87 $109,880.60 2026-03-01
1902 OTHER New Technology - Level 49 57 25 — — $102,824.07 $159,326.87 $109,880.60 2026-03-01
5832 APR_DRG Neonate With Ecmo 31 14 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $93,760.51 $108,036.36 $108,036.36 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 123 37 — — $1,870.00 $397,171.80 $107,789.98 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 31 14 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 132 39 — — $1,870.00 $331,392.90 $104,735.50 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 126 38 — — $1,870.00 $322,307.11 $104,494.65 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
215 MS_DRG Other Heart Assist System Implant 135 39 — — $1,425.00 $358,382.59 $101,761.84 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 123 38 — — $1,870.00 $352,822.81 $101,388.28 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 31 14 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 31 14 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
1599 OTHER New Technology - Level 48 57 25 — — $90,867.82 $140,800.52 $97,103.81 2026-03-01
1585 OTHER New Technology - Level 48 57 25 — — $90,867.82 $140,800.52 $97,103.81 2026-03-01
007 OTHER Lung Transplant 2 1 — — $82,441.69 $110,822.31 $96,632.00 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 14 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 59 26 — — $88,300.94 $137,867.45 $95,583.49 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $94,597.19 $95,549.34 $95,073.26 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 31 14 — — $79,102.08 $135,325.50 $94,922.50 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 31 14 — — $77,520.20 $137,205.00 $93,024.24 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 135 39 — — $1,425.00 $225,071.00 $93,020.21 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
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 31 14 — — $75,232.00 $130,764.62 $90,278.40 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $82,292.13 $98,221.23 $90,256.68 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 5 2 — — $53,789.99 $91,596.09 $89,766.78 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 14 — — $73,540.00 $110,794.50 $87,896.97 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 126 38 — — $1,870.00 $283,431.74 $87,821.13 2026-03-01
1584 OTHER New Technology - Level 47 57 25 — — $81,302.85 $125,979.49 $86,882.41 2026-03-01
1598 OTHER New Technology - Level 47 57 25 — — $81,302.85 $125,979.49 $86,882.41 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 126 38 — — $1,870.00 $256,623.58 $85,343.88 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 31 14 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
5831 APR_DRG Neonate With Ecmo 31 14 — — $69,493.00 $122,622.00 $83,391.60 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 135 39 — — $1,425.00 $226,729.39 $83,206.05 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 122 37 — — $1,870.00 $162,901.99 $83,066.89 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $67,644.11 $93,600.79 $80,622.45 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 3 1 — — $78,780.00 $80,233.00 $80,233.00 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 3 1 — — $78,780.00 $80,233.00 $80,233.00 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 3 1 — — $78,780.00 $80,233.00 $80,233.00 2026-03-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 3 1 — — $78,780.00 $80,233.00 $80,233.00 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 31 14 — — $66,782.00 $100,494.24 $79,725.43 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 14 — — $56,946.00 $133,113.71 $79,724.40 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 31 14 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $78,780.00 $78,780.00 $78,780.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $78,780.00 $78,780.00 $78,780.00 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $78,780.00 $78,780.00 $78,780.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 122 37 — — $1,870.00 $222,160.34 $78,339.85 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $78,093.32 $78,093.32 $78,093.32 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 31 14 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 135 39 — — $1,425.00 $190,601.61 $76,857.08 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $76,785.37 2026-03-01
1597 OTHER New Technology - Level 46 57 25 — — $71,737.86 $111,158.46 $76,661.01 2026-03-01
1583 OTHER New Technology - Level 46 57 25 — — $71,737.86 $111,158.46 $76,661.01 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 131 38 — — $1,425.00 $195,032.20 $75,972.79 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 31 14 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
10 MS_DRG Pancreas Transplant 117 37 — — $1,870.00 $177,879.04 $74,379.84 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 117 37 — — $1,870.00 $179,685.12 $73,959.25 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 126 38 — — $1,870.00 $152,618.51 $73,693.98 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $70,192.02 $77,193.75 $73,692.89 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 126 38 — — $1,870.00 $216,477.49 $71,828.21 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $60,759.09 $81,409.71 $71,084.40 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 14 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 124 38 — — $1,870.00 $200,119.45 $70,131.48 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 59 26 — — $63,895.55 $99,762.46 $69,165.29 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $50,127.90 $87,719.99 $68,923.95 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 14 — — $48,895.00 $105,823.65 $68,453.00 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 31 14 — — $40,520.04 $102,481.50 $68,321.00 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 120 36 — — $1,870.00 $130,696.31 $67,954.55 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $67,489.72 $67,489.72 $67,489.72 2024-10-01
1596 OTHER New Technology - Level 45 57 25 — — $62,172.87 $96,337.43 $66,439.61 2026-03-01
1582 OTHER New Technology - Level 45 57 25 — — $62,172.87 $96,337.43 $66,439.61 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 126 38 — — $1,870.00 $215,289.85 $66,433.84 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 122 37 — — $1,870.00 $84,034.04 $65,882.69 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 31 14 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 128 38 — — $1,870.00 $145,000.00 $65,767.62 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 58 26 — — $15,437.57 $93,198.45 $65,560.29 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 57 25 — — $56,256.30 $82,395.60 $65,476.58 2026-03-01
5244 OTHER Level 4 Blood Product Exc 57 25 — — $49,801.21 $95,245.15 $65,029.45 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 135 39 — — $1,425.00 $225,071.00 $64,922.45 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $52,632.00 $76,160.33 $64,396.17 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 124 38 — — $1,870.00 $188,998.10 $64,288.05 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 135 39 — — $1,425.00 $225,071.00 $64,041.83 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $54,541.93 $73,068.37 $63,805.15 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 126 38 — — $1,870.00 $190,343.16 $63,792.59 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $63,518.23 $63,518.23 $63,518.23 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 124 37 — — $1,870.00 $124,412.68 $62,659.24 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
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $61,454.13 $62,346.55 $61,900.34 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 11 3 — — $61,338.53 $106,053.40 $61,600.24 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 31 14 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 14 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 31 14 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 132 39 — — $1,870.00 $276,665.86 $61,157.10 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $60,421.23 $61,787.80 $61,104.51 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 126 38 — — $1,870.00 $138,695.99 $60,947.54 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 124 38 — — $1,870.00 $140,687.19 $60,818.51 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 135 39 — — $1,425.00 $226,729.39 $60,668.18 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $56,407.75 $64,617.55 $60,429.73 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $60,059.71 $60,059.71 $60,059.71 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 129 38 — — $1,425.00 $156,855.26 $59,646.09 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 4 2 — — $55,828.42 $63,553.64 $59,613.84 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 132 39 — — $1,870.00 $118,451.44 $59,538.83 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 14 — — $47,538.00 $89,188.07 $59,458.71 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 14 — — $46,525.00 $89,188.07 $59,458.71 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 14 — — $48,983.00 $89,188.07 $59,458.71 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 124 37 — — $1,870.00 $116,937.57 $59,261.19 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $52,245.30 $66,185.71 $59,215.51 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 115 36 — — $1,870.00 $347,127.65 $59,116.22 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 31 14 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
935054 CDM Kit Cath Rt Heart 50 23 $249,075.00 $249,075.00 $16,738.50 $313,846.80 $58,846.28 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 67 38 — — $1,984.00 $175,589.90 $58,612.38 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 122 37 — — $1,870.00 $156,113.76 $58,537.81 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 91 32 — — $4,345.00 $72,576.30 $58,250.55 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $52,963.09 $62,768.11 $57,865.60 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $53,723.91 $61,840.89 $57,782.40 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 128 38 — — $1,870.00 $118,045.56 $57,325.29 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 126 38 — — $1,870.00 $111,990.07 $57,194.54 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 115 36 — — $1,870.00 $347,127.65 $56,947.41 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 122 37 — — $1,870.00 $137,160.67 $56,883.46 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $28,918.80 $84,724.54 $56,821.67 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $52,870.16 $60,418.91 $56,644.54 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 124 38 — — $1,870.00 $154,207.59 $56,391.18 2026-03-01
1595 OTHER New Technology - Level 44 57 25 — — $52,607.89 $81,516.40 $56,218.21 2026-03-01
1581 OTHER New Technology - Level 44 57 25 — — $52,607.89 $81,516.40 $56,218.21 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 56 25 — — $53,860.07 $78,885.96 $56,115.53 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 2 — — $53,794.29 $57,619.77 $55,676.78 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 124 38 — — $1,870.00 $155,197.09 $55,563.38 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $45,598.84 $65,318.15 $55,458.49 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 122 37 — — $1,870.00 $222,160.34 $54,506.34 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 31 14 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 14 — — $44,835.00 $81,160.27 $54,106.85 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 135 39 — — $1,425.00 $145,218.81 $54,044.75 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 123 38 — — $1,870.00 $179,685.12 $53,927.01 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 126 38 — — $1,870.00 $137,234.51 $53,583.48 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 126 38 — — $1,870.00 $107,225.31 $53,538.22 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 126 38 — — $1,870.00 $103,789.76 $53,309.16 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 124 37 — — $1,870.00 $106,315.45 $53,237.23 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 31 14 — — $44,285.71 $69,304.50 $53,142.85 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $52,771.99 $53,364.77 $53,068.38 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 122 37 — — $1,870.00 $137,237.59 $52,920.44 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 131 38 — — $1,425.00 $195,032.20 $52,802.78 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 126 38 — — $1,870.00 $103,887.87 $52,796.25 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 1 — — $51,299.53 $54,035.24 $52,667.38 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 128 38 — — $1,870.00 $109,000.00 $52,521.32 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 31 14 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $31,564.19 $72,832.54 $52,198.36 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 4 2 — — $48,835.76 $55,428.90 $52,066.81 2026-03-01
64 APR_DRG Pancreas Transplant 31 14 — — $43,326.23 $72,558.00 $51,991.48 2026-03-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $50,162.85 $52,816.94 $51,472.82 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 31 14 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 4 2 — — $46,483.27 $56,138.85 $51,207.49 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 124 38 — — $1,870.00 $145,175.19 $51,160.61 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $46,477.11 $55,077.17 $50,777.14 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 31 14 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 14 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 31 14 — — $41,876.00 $69,298.37 $50,251.20 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 31 14 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 126 38 — — $1,870.00 $76,387.71 $50,052.50 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $48,695.09 $51,427.55 $50,042.85 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $46,294.55 $53,513.61 $49,904.08 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 59 26 — — $46,068.21 $71,927.83 $49,867.65 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 131 38 — — $1,425.00 $147,080.27 $49,847.47 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 1 — — $46,190.40 $53,057.57 $49,623.99 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $49,466.31 $49,466.31 $49,466.31 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 1 — — $46,298.78 $52,549.23 $49,424.01 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $41,791.52 $56,786.27 $49,288.89 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 126 38 — — $1,870.00 $103,776.30 $49,278.71 2026-03-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 4 2 — — $47,295.82 $51,152.93 $49,191.76 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 131 38 — — $1,425.00 $195,032.20 $49,143.00 2026-03-01
8514 APR_DRG Gender Related Procedures 31 14 — — $40,865.02 $70,353.00 $49,038.02 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 126 38 — — $1,870.00 $97,693.87 $49,030.16 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 132 39 — — $1,870.00 $207,736.31 $48,941.44 2026-03-01
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 2 — — $46,653.56 $51,167.17 $48,869.54 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 127 38 — — $1,870.00 $102,417.44 $48,765.57 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 126 38 — — $1,870.00 $96,882.11 $48,634.05 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 124 37 — — $1,870.00 $96,310.80 $48,355.27 2026-03-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 1 — — $48,303.58 $48,303.58 $48,303.58 2026-03-01
595859 CDM Rem/replace Icd Dual Ld 35 19 $177,200.00 $177,200.00 $11,880.83 $222,765.60 $48,265.88 2026-03-01
595858 CDM Rem/replace Icd Sgl Ld 35 19 $177,200.00 $177,200.00 $11,880.83 $222,765.60 $48,265.88 2026-03-01
595881 CDM Rem/replace Icd Sgl Ld 35 19 $177,200.00 $177,200.00 $11,880.83 $222,765.60 $48,265.88 2026-03-01
595882 CDM Rem/replace Icd Dual Ld 35 19 $177,200.00 $177,200.00 $11,880.83 $222,765.60 $48,265.88 2026-03-01
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 4 2 — — $44,858.19 $51,183.45 $47,957.36 2026-03-01
B0604 HCPCS Neurological; M < 25.85 4 2 — — $46,094.59 $49,834.75 $47,933.10 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $38,286.94 $56,993.20 $47,640.07 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 126 38 — — $1,870.00 $70,676.00 $47,396.29 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 1 — — $35,350.92 $59,390.50 $47,370.71 2026-03-01
010 OTHER Pancreas Transplant 2 1 — — $32,351.92 $62,196.98 $47,274.45 2026-03-01
B2102 HCPCS Burns; M=12-45 4 2 — — $42,896.25 $51,773.37 $47,239.63 2026-03-01
245 MS_DRG Aicd Generator Procedures 125 37 — — $1,425.00 $95,402.34 $47,226.06 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 124 38 — — $1,870.00 $140,687.19 $46,913.56 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 123 38 — — $1,870.00 $352,822.81 $46,873.12 2026-03-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 1 — — $45,826.51 $47,871.76 $46,849.14 2026-03-01
595860 CDM Rem/replace Icd Multi Ld 35 19 $171,572.00 $171,572.00 $11,503.49 $215,690.40 $46,732.92 2026-03-01
595883 CDM Rem/replace Icd Multi Ld 35 19 $171,572.00 $171,572.00 $11,503.49 $215,690.40 $46,732.92 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 126 38 — — $1,870.00 $111,386.31 $46,423.11 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 117 37 — — $1,870.00 $142,354.31 $46,302.97 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 126 38 — — $1,870.00 $91,855.75 $46,181.34 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 31 14 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
C0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 4 2 — — $43,433.01 $48,840.00 $46,083.81 2026-03-01
1594 OTHER New Technology - Level 43 57 25 — — $43,042.90 $66,695.37 $45,996.81 2026-03-01
1580 OTHER New Technology - Level 43 57 25 — — $43,042.90 $66,695.37 $45,996.81 2026-03-01
799 MS_DRG Splenic Procedures With Mcc 126 38 — — $1,870.00 $99,959.08 $45,987.04 2026-03-01
594885 CDM Revas Tibper/tla Ea Add 35 19 $167,885.50 $167,885.50 $11,256.32 $211,056.00 $45,728.80 2026-03-01
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