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

32,276 distinct procedures filed
61 distinct payers
1,043,934 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

479,528 of 1,043,934 rate rows are consumer-grade (45.9%)

564,406 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 539,927
per-diem day rate — not a per-procedure price 15,428
template filing: same amount across many unrelated codes — excluded 8,917
placeholder amount (≤ $0.02) — excluded from medians 119
exceeds 10× this hospital's gross charge — excluded from medians 15

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/75-2379007_HCA-FLORIDA-AVENTURA-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-18

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$3,004,655
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,468,984
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 23 $3,636,171.00 $4,407,480.00 $3,746,358.00 nat. median
$3,746,358
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
$3,605,000
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,562,713.00 $3,562,713.00 nat. median
$3,574,709
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 24 $6,441.81 $3,990,546.00 $3,391,964.10 nat. median
$13,041
outlier · 260.1×
748
OTHER 		Inj, Lovotibeglogene Auto 24 $10,625.74 $3,943,200.00 $3,351,720.00 nat. median
$17,963
outlier · 186.6×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,225,691.35 $3,225,691.35 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,187,420.00 $3,187,420.00 $3,187,420.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 24 $9,437.77 $3,561,600.00 $3,027,360.00 nat. median
$21,896
outlier · 138.3×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,878,960.00 $2,878,960.00 $2,878,960.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 23 $2,364,727.86 $2,866,336.80 $2,436,386.28 nat. median
$2,588,981
0.9× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,316,955.58 $2,316,955.58 nat. median
$2,457,321
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos 23 $523,900.97 $635,031.48 $539,776.76 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 23 $521,852.17 $632,548.08 $537,665.87 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 23 $521,321.72 $631,905.12 $537,119.35 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 23 $511,558.84 $620,071.32 $527,060.62 nat. median
$562,201
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $513,317.11 $513,317.11 nat. median
$538,205
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $511,309.70 $511,309.70 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $510,789.97 $510,789.97 nat. median
$530,178
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $863,696.72 $502,693.77 nat. median
$753,246
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $501,224.32 $501,224.32 nat. median
$534,091
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 23 $484,561.44 $587,347.20 $499,245.12 nat. median
$532,192
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $837,683.55 $492,271.12 nat. median
$674,867
0.7× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $474,772.32 $474,772.32 nat. median
$505,583
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $830,699.97 $470,149.30 nat. median
$625,184
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 23 $455,925.10 $552,636.48 $469,741.01 nat. median
$489,450
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $819,043.85 $459,839.17 nat. median
$673,137
0.7× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $446,714.49 $446,714.49 nat. median
$464,978
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $807,075.90 $445,599.57 nat. median
$634,303
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $741,576.00 $435,956.80 nat. median
$619,808
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $1,870.00 $725,393.41 $341,791.98 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 35 $1,870.00 $541,808.87 $258,784.62 nat. median
$265,286
1.0× median
5834
APR_DRG 		Neonate With Ecmo 14 $192,207.00 $288,310.50 $230,648.40 nat. median
$309,665
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 $1,870.00 $456,331.78 $221,900.74 nat. median
$206,474
1.1× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $218,350.59 $218,350.59 $218,350.59 nat. median
$263,894
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 $1,870.00 $564,987.11 $202,514.76 nat. median
$202,976
1.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $180,171.39 $180,171.39 $180,171.39 nat. median
$424,868
outlier · 0.4×
1908
OTHER 		New Technology - Level 52 24 $145,866.50 $176,807.88 $151,023.40 nat. median
$152,962
1.0× median
1907
OTHER 		New Technology - Level 52 24 $145,866.50 $176,807.88 $151,023.40 nat. median
$153,199
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $125,393.00 $188,089.50 $150,471.60 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 14 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $146,251.26 $146,251.26 $146,251.26 nat. median
$218,232
0.7× median
01908
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$82,736
1.7× median
01907
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$84,819
1.7× median
1906
OTHER 		New Technology - Level 51 24 $131,519.02 $159,417.00 $136,168.69 nat. median
$138,020
1.0× median
1905
OTHER 		New Technology - Level 51 24 $131,519.02 $159,417.00 $136,168.69 nat. median
$137,903
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $111,047.00 $166,570.50 $133,256.40 nat. median
$234,729
0.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 35 $1,870.00 $339,098.26 $132,706.39 nat. median
$133,161
1.0× median

Other procedures at this hospital

Browse this hospital's 32,276 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 2 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2024-10-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2024-10-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 27 23 — — $3,636,171.00 $4,407,480.00 $3,746,358.00 2024-10-01
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 1 1 — — $3,562,713.00 $3,562,713.00 $3,562,713.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 28 24 — — $6,441.81 $3,990,546.00 $3,391,964.10 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 28 24 — — $10,625.74 $3,943,200.00 $3,351,720.00 2024-10-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,225,691.35 $3,225,691.35 $3,225,691.35 2024-10-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,187,420.00 $3,187,420.00 $3,187,420.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 28 24 — — $9,437.77 $3,561,600.00 $3,027,360.00 2024-10-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,878,960.00 $2,878,960.00 $2,878,960.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 27 23 — — $2,364,727.86 $2,866,336.80 $2,436,386.28 2024-10-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,316,955.58 $2,316,955.58 $2,316,955.58 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 27 23 — — $523,900.97 $635,031.48 $539,776.76 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 27 23 — — $521,852.17 $632,548.08 $537,665.87 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 27 23 — — $521,321.72 $631,905.12 $537,119.35 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 27 23 — — $511,558.84 $620,071.32 $527,060.62 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $513,317.11 $513,317.11 $513,317.11 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $511,309.70 $511,309.70 $511,309.70 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $510,789.97 $510,789.97 $510,789.97 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 3 — — $502,693.77 $863,696.72 $502,693.77 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $501,224.32 $501,224.32 $501,224.32 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 27 23 — — $484,561.44 $587,347.20 $499,245.12 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 3 — — $492,271.12 $837,683.55 $492,271.12 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $474,772.32 $474,772.32 $474,772.32 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $830,699.97 $470,149.30 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 27 23 — — $455,925.10 $552,636.48 $469,741.01 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 3 — — $459,839.17 $819,043.85 $459,839.17 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $446,714.49 $446,714.49 $446,714.49 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 3 — — $445,599.57 $807,075.90 $445,599.57 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 3 — — $435,956.80 $741,576.00 $435,956.80 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 32 — — $1,870.00 $725,393.41 $341,791.98 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 35 — — $1,870.00 $541,808.87 $258,784.62 2024-10-01
5834 APR_DRG Neonate With Ecmo 17 14 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 59 34 — — $1,870.00 $456,331.78 $221,900.74 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $218,350.59 $218,350.59 $218,350.59 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 61 35 — — $1,870.00 $564,987.11 $202,514.76 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $180,171.39 $180,171.39 $180,171.39 2024-10-01
1907 OTHER New Technology - Level 52 28 24 — — $145,866.50 $176,807.88 $151,023.40 2024-10-01
1908 OTHER New Technology - Level 52 28 24 — — $145,866.50 $176,807.88 $151,023.40 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5833 APR_DRG Neonate With Ecmo 17 14 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $146,251.26 $146,251.26 $146,251.26 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
1905 OTHER New Technology - Level 51 28 24 — — $131,519.02 $159,417.00 $136,168.69 2024-10-01
1906 OTHER New Technology - Level 51 28 24 — — $131,519.02 $159,417.00 $136,168.69 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 17 14 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 61 35 — — $1,870.00 $339,098.26 $132,706.39 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 57 33 — — $1,870.00 $318,053.68 $124,331.13 2024-10-01
7 MS_DRG Lung Transplant 61 35 — — $1,870.00 $268,296.57 $122,840.22 2024-10-01
1903 OTHER New Technology - Level 50 28 24 — — $117,171.55 $142,026.12 $121,313.98 2024-10-01
1904 OTHER New Technology - Level 50 28 24 — — $117,171.55 $142,026.12 $121,313.98 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $120,116.70 $120,116.70 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $97,644.00 $146,466.00 $117,172.80 2024-10-01
01903 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
01904 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
5832 APR_DRG Neonate With Ecmo 17 14 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 17 14 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 17 14 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 17 14 — — $90,217.00 $135,325.50 $108,260.40 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $108,036.36 $108,036.36 $108,036.36 2024-10-01
1902 OTHER New Technology - Level 49 28 24 — — $102,824.07 $124,635.24 $106,459.26 2024-10-01
1901 OTHER New Technology - Level 49 28 24 — — $102,824.07 $124,635.24 $106,459.26 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 62 35 — — $1,870.00 $363,906.34 $104,296.79 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $102,832.80 $102,832.80 $102,832.80 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 29 25 — — $96,999.90 $119,999.88 $101,999.90 2024-10-01
215 MS_DRG Other Heart Assist System Implant 67 36 — — $1,425.00 $334,628.00 $101,761.84 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 65 36 — — $1,870.00 $303,636.80 $101,140.63 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 61 35 — — $1,870.00 $323,271.84 $100,347.57 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 35 — — $1,870.00 $295,486.79 $99,744.90 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 17 14 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 17 14 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 17 14 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $95,549.34 $95,549.34 $95,549.34 2024-10-01
1599 OTHER New Technology - Level 48 28 24 — — $90,867.82 $110,142.82 $94,080.32 2024-10-01
1585 OTHER New Technology - Level 48 28 24 — — $90,867.82 $110,142.82 $94,080.32 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $93,051.08 $93,051.08 $93,051.08 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 29 25 — — $88,300.94 $109,238.28 $92,852.54 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 36 — — $1,425.00 $217,755.00 $91,691.00 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 2 — — $53,789.99 $91,596.09 $91,596.09 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 17 14 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 14 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 17 14 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 62 35 — — $1,870.00 $259,675.76 $87,402.93 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
1584 OTHER New Technology - Level 47 28 24 — — $81,302.85 $98,548.91 $84,177.19 2024-10-01
1598 OTHER New Technology - Level 47 28 24 — — $81,302.85 $98,548.91 $84,177.19 2024-10-01
5831 APR_DRG Neonate With Ecmo 17 14 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
007 OTHER Lung Transplant 1 1 — — $82,441.69 $82,441.69 $82,441.69 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $82,292.13 $82,292.13 $82,292.13 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 17 14 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 67 36 — — $1,425.00 $207,739.48 $81,665.20 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 34 — — $1,870.00 $162,901.99 $80,849.72 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 17 14 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 1 — — $80,233.00 $80,233.00 $80,233.00 2024-10-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 2 1 — — $80,233.00 $80,233.00 $80,233.00 2024-10-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 2 1 — — $80,233.00 $80,233.00 $80,233.00 2024-10-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 2 1 — — $80,233.00 $80,233.00 $80,233.00 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 17 14 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 62 35 — — $1,870.00 $235,112.94 $79,642.61 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 17 14 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 60 34 — — $1,870.00 $203,553.12 $77,019.05 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
10 MS_DRG Pancreas Transplant 58 34 — — $1,870.00 $162,980.63 $76,193.99 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $76,160.33 $76,160.33 $76,160.33 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 58 34 — — $1,870.00 $164,635.44 $75,763.14 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 67 36 — — $1,425.00 $174,637.61 $75,433.80 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 17 14 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
1583 OTHER New Technology - Level 46 28 24 — — $71,737.86 $86,954.98 $74,274.04 2024-10-01
1597 OTHER New Technology - Level 46 28 24 — — $71,737.86 $86,954.98 $74,274.04 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 35 — — $1,425.00 $178,697.11 $73,982.50 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 62 35 — — $1,870.00 $143,571.73 $71,417.16 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 17 14 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $70,192.02 $70,192.02 $70,192.02 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 62 35 — — $1,870.00 $198,346.24 $68,333.45 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 35 — — $1,870.00 $200,119.45 $67,991.05 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $67,644.11 $67,644.11 $67,644.11 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $67,489.72 $67,489.72 $67,489.72 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 29 25 — — $63,895.55 $79,046.04 $67,189.13 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 28 24 — — $64,821.81 $78,571.90 $67,113.49 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 17 14 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 17 14 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 62 35 — — $1,870.00 $197,258.07 $65,449.17 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 28 24 — — $15,437.57 $76,025.72 $64,621.87 2024-10-01
1582 OTHER New Technology - Level 45 28 24 — — $62,172.87 $75,361.06 $64,370.90 2024-10-01
1596 OTHER New Technology - Level 45 28 24 — — $62,172.87 $75,361.06 $64,370.90 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 63 35 — — $1,870.00 $143,074.00 $63,940.74 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 59 34 — — $1,870.00 $128,467.63 $63,670.27 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 61 34 — — $1,870.00 $79,352.71 $63,482.17 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $62,768.11 $62,768.11 $62,768.11 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 36 — — $1,425.00 $217,755.00 $62,561.63 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 62 35 — — $1,870.00 $188,998.10 $62,145.11 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 17 14 — — $51,688.00 $77,532.00 $62,025.60 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 3 — — $61,600.24 $104,773.89 $61,600.24 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 17 14 — — $51,226.00 $76,839.00 $61,471.20 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $61,454.13 $61,454.13 $61,454.13 2024-10-01
01582 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
01596 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $60,759.09 $60,759.09 $60,759.09 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 61 34 — — $1,870.00 $124,412.68 $60,590.30 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 62 35 — — $1,870.00 $127,079.39 $60,429.19 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $60,421.23 $60,421.23 $60,421.23 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 62 35 — — $1,870.00 $140,687.19 $59,499.02 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 62 35 — — $1,870.00 $174,389.53 $59,423.92 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 67 36 — — $1,425.00 $207,739.48 $59,253.58 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 17 14 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 63 35 — — $1,870.00 $118,045.56 $58,961.16 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 17 14 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 61 34 — — $1,870.00 $116,937.57 $58,420.50 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 65 36 — — $1,870.00 $253,493.47 $58,136.36 2024-10-01
64 APR_DRG Pancreas Transplant 17 14 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 57 33 — — $1,870.00 $318,053.68 $58,011.24 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 57 33 — — $1,870.00 $318,053.68 $58,011.24 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 67 36 — — $1,425.00 $217,755.00 $57,745.01 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 64 35 — — $1,425.00 $143,717.72 $57,395.68 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 44 30 — — $4,345.00 $68,049.71 $57,161.76 2024-10-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $56,407.75 $57,817.95 $57,112.85 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 17 14 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $55,828.42 $57,224.13 $56,526.27 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 65 36 — — $1,870.00 $118,451.44 $56,342.11 2024-10-01
8514 APR_DRG Gender Related Procedures 17 14 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 27 23 — — $54,465.08 $66,018.28 $56,115.53 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 17 14 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 34 — — $1,870.00 $143,038.31 $55,754.10 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 17 14 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 34 — — $1,870.00 $125,672.66 $55,208.33 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $55,077.17 $55,077.17 $55,077.17 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 62 35 — — $1,870.00 $111,990.07 $55,072.82 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $54,541.93 $54,541.93 $54,541.93 2024-10-01
1581 OTHER New Technology - Level 44 28 24 — — $52,607.89 $63,767.14 $54,467.76 2024-10-01
1595 OTHER New Technology - Level 44 28 24 — — $52,607.89 $63,767.14 $54,467.76 2024-10-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $53,794.29 $55,139.15 $54,466.72 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 17 14 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 17 14 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 60 34 — — $1,870.00 $203,553.12 $53,748.04 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $53,723.91 $53,723.91 $53,723.91 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 35 — — $1,870.00 $155,197.09 $53,301.62 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 62 35 — — $1,870.00 $154,207.59 $52,966.15 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $52,870.16 $52,870.16 $52,870.16 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 62 35 — — $1,870.00 $107,225.31 $52,786.52 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 17 14 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 17 14 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $52,245.30 $52,245.30 $52,245.30 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 62 35 — — $1,870.00 $125,740.32 $52,063.54 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 61 35 — — $1,870.00 $164,635.44 $51,929.72 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 67 36 — — $1,425.00 $133,055.88 $51,782.72 2024-10-01
5244 OTHER Level 4 Blood Product Exc 28 24 — — $49,801.21 $65,395.53 $51,561.85 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 35 — — $1,425.00 $178,697.11 $51,559.09 2024-10-01
01595 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
01581 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $51,299.53 $51,299.53 $51,299.53 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 61 34 — — $1,870.00 $106,315.45 $51,209.14 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 62 35 — — $1,870.00 $103,789.76 $51,138.02 2024-10-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $50,162.85 $51,416.92 $50,789.88 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 17 14 — — $42,035.00 $63,052.50 $50,442.00 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 17 14 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 17 14 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $50,127.90 $50,127.90 $50,127.90 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 17 14 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 62 35 — — $1,870.00 $103,887.87 $50,069.68 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 63 35 — — $1,870.00 $107,860.00 $50,009.76 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 62 35 — — $1,870.00 $145,175.19 $49,603.48 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 62 35 — — $1,870.00 $103,776.30 $49,522.09 2024-10-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $48,835.76 $50,056.65 $49,446.21 2024-10-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $48,695.09 $49,912.47 $49,303.78 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
C2616 HCPCS Brachytx Ns Yttrium 90 2 1 $32,000.00 $32,000.00 $48,688.00 $48,688.00 $48,688.00 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 65 35 — — $1,425.00 $134,761.44 $48,589.32 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 29 25 — — $46,068.21 $56,991.60 $48,442.86 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 62 35 — — $1,870.00 $69,989.80 $48,356.98 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 60 34 — — $1,870.00 $125,743.14 $48,318.66 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 62 35 — — $1,870.00 $97,693.87 $48,113.07 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 62 35 — — $1,870.00 $96,208.85 $48,027.46 2024-10-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $47,295.82 $48,478.21 $47,887.01 2024-10-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 4 3 — — $14,099.00 $80,233.00 $47,884.50 2024-10-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 4 3 — — $14,099.00 $80,233.00 $47,884.50 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 17 14 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 62 35 — — $1,870.00 $96,882.11 $47,360.29 2024-10-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $46,653.56 $47,819.90 $47,236.73 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 61 34 — — $1,870.00 $96,310.80 $47,203.96 2024-10-01
245 MS_DRG Aicd Generator Procedures 62 34 — — $1,425.00 $93,996.71 $47,163.51 2024-10-01
B1903 OTHER Guillian Barre; M < 18.05 2 2 — — $46,483.27 $47,645.36 $47,064.32 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 17 14 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
B0604 OTHER Neurological; M < 25.85 2 2 — — $46,094.59 $47,246.95 $46,670.77 2024-10-01
1142 OTHER Supprelin La Implant 28 24 — — $44,896.71 $54,420.25 $46,483.96 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 61 35 — — $1,870.00 $323,271.84 $46,426.71 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 65 36 — — $1,870.00 $190,337.17 $46,383.75 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $46,298.78 $46,298.78 $46,298.78 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $46,294.55 $46,294.55 $46,294.55 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $46,190.40 $46,190.40 $46,190.40 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $46,115.32 $46,115.32 $46,115.32 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $45,826.51 $45,826.51 $45,826.51 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 62 35 — — $1,870.00 $91,586.92 $45,688.85 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 62 35 — — $1,870.00 $102,057.06 $45,686.96 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 63 35 — — $1,870.00 $66,991.00 $45,607.75 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $45,598.84 $45,598.84 $45,598.84 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 17 14 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $45,438.99 $45,438.99 $45,438.99 2024-10-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $44,858.19 $45,979.65 $45,418.92 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 62 35 — — $1,870.00 $91,855.75 $45,306.37 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 62 35 — — $1,870.00 $140,687.19 $45,241.21 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 17 14 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 65 35 — — $1,425.00 $178,697.11 $44,888.00 2024-10-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $44,247.40 $45,353.58 $44,800.49 2024-10-01
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 2 2 — — $44,114.13 $45,216.99 $44,665.56 2024-10-01
1594 OTHER New Technology - Level 43 28 24 — — $43,042.90 $52,173.22 $44,564.62 2024-10-01
1580 OTHER New Technology - Level 43 28 24 — — $43,042.90 $52,173.22 $44,564.62 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 58 34 — — $1,870.00 $130,431.30 $44,504.69 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 17 14 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $44,135.37 $44,135.37 $44,135.37 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 62 35 — — $1,870.00 $88,325.94 $44,052.32 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $43,433.01 $44,518.83 $43,975.92 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 60 34 — — $1,870.00 $107,438.72 $43,748.04 2024-10-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 2 2 — — $43,075.78 $44,152.68 $43,614.23 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 65 36 — — $1,870.00 $88,656.80 $43,557.96 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 62 35 — — $1,870.00 $90,009.09 $43,555.26 2024-10-01
B2102 OTHER Burns; M=12-45 2 2 — — $42,896.25 $43,968.65 $43,432.45 2024-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 62 35 — — $1,870.00 $93,839.38 $43,386.21 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 3 — — $43,241.44 $72,861.11 $43,241.44 2024-10-01
D0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $42,633.42 $43,699.26 $43,166.34 2024-10-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 2 2 — — $42,590.85 $43,655.62 $43,123.24 2024-10-01
B1504 OTHER Pulmonary; M < 29.15 2 2 — — $42,096.66 $43,149.08 $42,622.87 2024-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 62 35 — — $1,870.00 $92,727.00 $42,589.09 2024-10-01
4404 APR_DRG Kidney Transplant 17 14 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 60 34 — — $1,870.00 $143,038.31 $42,285.90 2024-10-01
01594 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
01580 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
8634 APR_DRG Neonatal Aftercare 17 14 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 2 2 — — $41,354.46 $42,388.32 $41,871.39 2024-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc 62 35 — — $1,870.00 $85,219.33 $41,818.26 2024-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $41,791.52 $41,791.52 $41,791.52 2024-10-01
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 2 2 — — $41,111.99 $42,139.79 $41,625.89 2024-10-01
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $41,032.40 $42,058.21 $41,545.31 2024-10-01
C0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $41,017.59 $42,043.03 $41,530.31 2024-10-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 1 1 — — $41,515.41 $41,515.41 $41,515.41 2024-10-01
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $41,450.02 $41,450.02 $41,450.02 2024-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 65 36 — — $1,870.00 $86,261.92 $41,382.59 2024-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 62 35 — — $1,870.00 $116,710.74 $41,337.86 2024-10-01
63 APR_DRG Pancreas Transplant 17 14 — — $34,364.00 $51,546.00 $41,236.80 2024-10-01
A0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $40,628.91 $41,644.63 $41,136.77 2024-10-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 17 14 — — $34,228.00 $51,342.00 $41,073.60 2024-10-01
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