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 →

Export CSV
Hospital

CENTRAL FLORIDA LAKE MONROE HOSPITAL

Sanford, FL · CCN 100161 · Rates published

Your selected procedure

You selected 788 (MS_DRG)

CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

This hospital’s price: $10,553 across 34 payers · range $8,076-$26,916

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-1978725_HCA-FLORIDA-LAKE-MONROE-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

35,383 distinct procedures filed
53 distinct payers
2,086,020 rate rows
2026-07-31 last MRF observed
Data quality

2,009,735 of 2,086,020 rate rows are consumer-grade (96.3%)

76,285 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 24,486
per-diem day rate — not a per-procedure price 19,733
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,590
exceeds 10× this hospital's gross charge — excluded from medians 13,255
template filing: same amount across many unrelated codes — excluded 2,523
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,126
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 285
placeholder amount (≤ $0.02) — excluded from medians 208
percent-of-charges filed in the dollar field — excluded from medians 79
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-1978725_HCA-FLORIDA-LAKE-MONROE-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 · 2026-10-11
Content fingerprint b2b719d42e52cfab… · 416,333,513 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,897,200.00 $4,874,074.33 nat. median
$2,968,000
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 19 $4,764.90 $4,955,500.00 $4,617,625.00 nat. median
$4,505,000
1.0× median
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 —
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $4,078,382.75 nat. median
$2,455,111
1.7× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 22 $3,672,900.00 $4,422,320.40 $3,869,530.35 nat. median
$3,765,001
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,332,000
1.6× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 19 $3,605,000.00 $4,326,000.00 $3,785,250.00 nat. median
$3,677,100
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
$3,562,713
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
$8,800
outlier · 398.0×
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 23 $5,280.60 $4,825,397.00 $3,494,253.00 nat. median
$3,391,964
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 23 $8,710.34 $4,764,700.00 $3,447,658.48 nat. median
$3,351,720
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 23 $6,354.69 $4,611,000.00 $3,339,000.00 nat. median
$2,726
outlier · 1224.7×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 —
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,226,857.78 nat. median
$3,225,691
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 23 $7,736.51 $4,303,600.00 $3,116,367.14 nat. median
$3,001,835
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 —
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 $2,640,760.62 nat. median
$2,508,045
1.1× median
824
OTHER 		Inj, Exagamglogene Autote 23 $13,699.09 $3,381,400.00 $2,448,600.00 nat. median
$28,063
outlier · 87.3×
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,316,956
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 —
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
$813,967
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 23 $770,620.00 $3,082,480.00 $816,857.20 nat. median
$838,386
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 23 $527,123.40 $2,350,598.40 $599,402.59 nat. median
$553,480
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 23 $529,192.90 $2,266,125.20 $577,861.93 nat. median
$555,653
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 23 $516,726.10 $2,248,804.80 $573,445.22 nat. median
$542,562
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Ca 23 $526,587.60 $2,232,327.20 $569,243.44 nat. median
$552,917
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
$621,313
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 23 $489,456.00 $2,128,768.80 $542,836.04 nat. median
$513,929
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$511,310
1.1× 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
$599,737
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$513,317
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$510,790
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$501,224
1.0× 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
$579,571
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 23 $460,530.40 $1,957,800.80 $499,239.20 nat. median
$483,557
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$474,772
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
$562,501
0.9× 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
$513,770
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $470,149.30 nat. median
$574,037
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$446,714
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
$286,598
1.6× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$207,733
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 $2,701.00 $790,072.51 $301,024.72 nat. median
$168,055
1.8× median
831
OTHER 		Obecbtge Autol Up To 400 23 $2,930.91 $1,113,000.00 $293,553.75 nat. median
$278,250
1.1× median
897
OTHER 		Revakinagene, Per Implant 23 $265,000.00 $1,060,000.00 $280,900.00 nat. median
$269,427
1.0× median
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 —
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 —

Other procedures at this hospital

Browse this hospital's 35,383 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 — — $4,850,948.67 $4,897,200.00 $4,874,074.33 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 23 19 — — $4,764.90 $4,955,500.00 $4,617,625.00 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… 2 1 — — $3,884,946.48 $4,271,819.03 $4,078,382.75 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 45 22 — — $3,672,900.00 $4,422,320.40 $3,869,530.35 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
773 OTHER Inj, Beqvez, Per Tx Dose 21 19 — — $3,605,000.00 $4,326,000.00 $3,785,250.00 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
908 OTHER Topi Adm Prad Zami Per Tr 27 23 — — $9,697.57 $4,836,939.00 $3,502,611.00 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
714 OTHER Inj Delandistrogene Mox R 49 23 — — $5,280.60 $4,825,397.00 $3,494,253.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 49 23 — — $8,710.34 $4,764,700.00 $3,447,658.48 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 27 23 — — $6,354.69 $4,611,000.00 $3,339,000.00 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
746 OTHER Inj, Betibeglogene Autote 49 23 — — $7,736.51 $4,303,600.00 $3,116,367.14 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
9141 OTHER Inj Onase Abepar-xioi Tre 47 23 — — $2,388,614.00 $3,754,022.45 $2,640,760.62 2026-03-01
824 OTHER Inj, Exagamglogene Autote 27 23 — — $13,699.09 $3,381,400.00 $2,448,600.00 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
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 26 23 — — $770,620.00 $3,082,480.00 $816,857.20 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 49 23 — — $527,123.40 $2,350,598.40 $599,402.59 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 49 23 — — $529,192.90 $2,266,125.20 $577,861.93 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 49 23 — — $516,726.10 $2,248,804.80 $573,445.22 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 49 23 — — $526,587.60 $2,232,327.20 $569,243.44 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 10 3 — — $502,693.77 $934,776.65 $561,407.87 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 49 23 — — $489,456.00 $2,128,768.80 $542,836.04 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… 10 3 — — $492,271.12 $969,621.79 $536,573.93 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
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 10 3 — — $459,839.17 $927,632.05 $500,948.74 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 49 23 — — $460,530.40 $1,957,800.80 $499,239.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 10 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… 10 3 — — $435,956.80 $807,592.83 $474,717.03 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 7 3 — — $470,149.30 $920,834.85 $470,149.30 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
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 106 33 — — $2,701.00 $790,072.51 $301,024.72 2026-03-01
831 OTHER Obecbtge Autol Up To 400 28 23 — — $2,930.91 $1,113,000.00 $293,553.75 2026-03-01
897 OTHER Revakinagene, Per Implant 26 23 — — $265,000.00 $1,060,000.00 $280,900.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 26 12 — — $192,207.00 $312,391.65 $230,648.40 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 109 33 — — $2,837.00 $512,725.27 $223,852.77 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 28 23 — — $5,526.79 $806,676.00 $212,760.80 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $178,990.51 $215,043.86 $197,017.18 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $147,693.56 $244,641.57 $196,167.57 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 110 32 — — $2,837.00 $488,234.11 $180,272.95 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 110 32 — — $2,837.00 $693,211.98 $171,381.86 2026-03-01
1908 OTHER New Technology - Level 52 49 23 — — $147,339.90 $623,507.60 $158,994.44 2026-03-01
1907 OTHER New Technology - Level 52 49 23 — — $147,339.90 $623,507.60 $158,994.44 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 12 — — $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
1906 OTHER New Technology - Level 51 49 23 — — $132,847.50 $562,179.20 $143,355.70 2026-03-01
1905 OTHER New Technology - Level 51 49 23 — — $132,847.50 $562,179.20 $143,355.70 2026-03-01
5833 APR_DRG Neonate With Ecmo 26 12 — — $118,611.62 $186,775.50 $142,333.94 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $119,887.93 $151,567.25 $135,727.59 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 26 12 — — $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
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $138,148.31 $129,132.51 2026-03-01
1903 OTHER New Technology - Level 50 49 23 — — $118,355.10 $500,850.80 $127,716.95 2026-03-01
1904 OTHER New Technology - Level 50 49 23 — — $118,355.10 $500,850.80 $127,716.95 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 7 3 — — $42,278.00 $124,226.00 $124,226.00 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 3 — — $48,042.00 $124,226.00 $124,226.00 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 12 — — $97,644.00 $178,865.04 $123,090.28 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
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 51 23 — — $96,999.90 $446,012.00 $113,733.06 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 110 32 — — $2,837.00 $416,057.25 $112,896.24 2026-03-01
1902 OTHER New Technology - Level 49 49 23 — — $103,862.70 $439,522.40 $112,078.21 2026-03-01
1901 OTHER New Technology - Level 49 49 23 — — $103,862.70 $439,522.40 $112,078.21 2026-03-01
5832 APR_DRG Neonate With Ecmo 26 12 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 26 12 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
7 MS_DRG Lung Transplant 108 34 — — $2,837.00 $329,186.97 $106,382.13 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
14 MS_DRG Allogeneic Bone Marrow Transplant 108 34 — — $2,701.00 $390,236.56 $102,479.18 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $84,296.07 $118,362.02 $101,329.05 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $93,760.51 $108,036.36 $100,898.43 2026-03-01
1585 OTHER New Technology - Level 48 49 23 — — $91,785.68 $388,415.24 $99,045.89 2026-03-01
1599 OTHER New Technology - Level 48 49 23 — — $91,785.68 $388,415.24 $99,045.89 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 12 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 12 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 51 23 — — $88,300.94 $380,324.00 $97,404.13 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 12 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 26 12 — — $79,102.08 $135,325.50 $97,080.60 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 12 — — $77,520.20 $137,205.00 $96,820.62 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $78,794.00 $96,685.00 $96,685.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $78,794.00 $96,685.00 $96,685.00 2024-10-01
209 MS_DRG Complex Aortic Arch Procedures 58 34 — — $2,968.00 $391,505.97 $95,904.88 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 26 12 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 3 2 — — $79,747.00 $138,351.00 $95,081.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $77,361.00 $94,927.00 $94,927.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $77,361.00 $94,927.00 $94,927.00 2024-10-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 3 2 — — $79,747.00 $138,351.00 $94,719.00 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 26 12 — — $75,232.00 $130,764.62 $93,086.23 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 109 33 — — $2,837.00 $478,185.00 $91,955.28 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $76,277.63 $106,076.77 $91,177.20 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 109 34 — — $10,587.00 $362,333.61 $89,500.99 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 109 34 — — $2,837.00 $372,547.74 $89,486.32 2026-03-01
1584 OTHER New Technology - Level 47 49 23 — — $82,124.09 $347,529.64 $88,620.06 2026-03-01
1598 OTHER New Technology - Level 47 49 23 — — $82,124.09 $347,529.64 $88,620.06 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 26 12 — — $73,540.00 $110,794.50 $88,248.00 2026-03-01
215 MS_DRG Other Heart Assist System Implant 109 34 — — $10,799.00 $434,350.00 $87,087.66 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 12 — — $56,946.00 $133,113.71 $87,080.74 2026-03-01
5831 APR_DRG Neonate With Ecmo 26 12 — — $69,493.00 $122,622.00 $86,657.20 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 12 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 108 34 — — $2,837.00 $396,638.98 $85,733.95 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 26 12 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 101 33 — — $68,815.48 $253,021.99 $84,013.80 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
705408 CDM Rem/replace Icd Multi Ld 60 20 $223,968.00 $223,968.00 $15,000.00 $235,166.40 $80,561.27 2026-03-01
705406 CDM Rem/replace Icd Dual Ld 60 20 $223,968.00 $223,968.00 $15,000.00 $235,166.40 $80,561.27 2026-03-01
705403 CDM Ins Icd Gen Dual Ld 60 20 $223,968.00 $223,968.00 $15,000.00 $235,166.40 $80,561.27 2026-03-01
705405 CDM Rem/replace Icd Sgl Ld 60 20 $223,968.00 $223,968.00 $15,000.00 $235,166.40 $80,561.27 2026-03-01
705404 CDM Ins Icd Gen Multi Ld 60 20 $223,968.00 $223,968.00 $15,000.00 $235,166.40 $80,561.27 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 26 12 — — $66,782.00 $100,494.24 $80,138.40 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 4 2 — — $71,631.00 $87,894.00 $79,978.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 4 2 — — $71,631.00 $87,894.00 $79,978.00 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 26 12 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
007 OTHER Lung Transplant 2 1 — — $67,580.69 $90,969.31 $79,275.00 2026-03-01
0207 RC — 26 11 — — $11,700.00 $78,640.00 $78,315.00 2026-03-01
1597 OTHER New Technology - Level 46 49 23 — — $72,462.48 $306,644.04 $78,194.23 2026-03-01
1583 OTHER New Technology - Level 46 49 23 — — $72,462.48 $306,644.04 $78,194.23 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $77,650.82 $78,325.54 $77,988.18 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 26 12 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $77,046.96 $76,916.17 2026-03-01
712699 CDM Tavr Pros Valve Faa 60 20 $211,013.75 $211,013.75 $14,981.98 $221,564.44 $75,901.68 2026-03-01
712693 CDM Tavr/tavi Perc Fem Aprch 60 20 $211,013.75 $211,013.75 $14,981.98 $221,564.44 $75,901.68 2026-03-01
712702 CDM Tavr/tavi Opn Ili Art 60 20 $211,013.75 $211,013.75 $14,981.98 $221,564.44 $75,901.68 2026-03-01
712697 CDM Tavr Bypass Supp Open 60 20 $211,013.75 $211,013.75 $14,981.98 $221,564.44 $75,901.68 2026-03-01
712696 CDM Tavr Cardio Bypass Supp 60 20 $211,013.75 $211,013.75 $14,981.98 $221,564.44 $75,901.68 2026-03-01
712698 CDM Tavr Bypass Supp Central 60 20 $211,013.75 $211,013.75 $14,981.98 $221,564.44 $75,901.68 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 26 12 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $67,458.10 $80,625.65 $74,041.88 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 109 34 — — $10,587.00 $288,493.01 $73,966.56 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 105 33 — — $60,640.91 $254,886.34 $73,762.10 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 12 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 113 34 — — $2,837.00 $318,630.41 $73,226.64 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 2 — — $53,789.99 $91,596.09 $72,536.68 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
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 26 12 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 103 33 — — $13,318.00 $175,501.13 $70,839.68 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 12 — — $48,895.00 $105,823.65 $70,549.10 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 51 23 — — $63,895.55 $275,206.80 $70,482.72 2026-03-01
1596 OTHER New Technology - Level 45 49 23 — — $62,800.88 $265,758.44 $67,768.40 2026-03-01
1582 OTHER New Technology - Level 45 49 23 — — $62,800.88 $265,758.44 $67,768.40 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 51 23 — — $12,654.78 $257,099.16 $67,488.53 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 105 33 — — $56,073.71 $214,271.94 $67,147.09 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 109 34 — — $10,799.00 $249,749.87 $67,124.38 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 103 33 — — $13,318.00 $219,252.75 $66,491.74 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $55,450.54 $76,832.91 $66,141.73 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 12 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
5244 OTHER Level 4 Blood Product Exc 49 23 — — $50,304.25 $262,745.24 $65,686.31 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 49 23 — — $56,824.55 $261,906.32 $65,476.58 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 26 12 — — $40,520.04 $102,481.50 $64,550.53 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $64,103.50 $64,103.50 $64,103.50 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 113 34 — — $2,837.00 $171,571.82 $62,624.63 2026-03-01
10 MS_DRG Pancreas Transplant 108 34 — — $2,837.00 $199,969.39 $62,519.34 2026-03-01
C1605 HCPCS Pacemaker Dual Chmbr 16 10 $99,999.00 $99,999.00 $29,999.70 $89,999.10 $62,499.38 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 108 34 — — $2,837.00 $201,999.76 $62,173.28 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
01582 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 100 33 — — $13,318.00 $243,361.29 $61,636.93 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 10 3 — — $61,338.53 $106,053.40 $61,600.24 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 26 12 — — $48,983.00 $89,188.07 $61,568.31 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 26 12 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 26 12 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 26 12 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 108 34 — — $10,587.00 $217,312.50 $60,901.27 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 26 12 — — $47,538.00 $89,188.07 $60,629.06 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $57,539.16 $63,365.08 $60,452.12 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 26 12 — — $46,525.00 $89,188.07 $59,970.60 2026-03-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 2 1 — — $58,219.00 $61,450.00 $59,834.50 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 26 12 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 107 33 — — $13,318.00 $114,551.85 $58,844.06 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $49,806.62 $66,825.77 $58,316.20 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 110 32 — — $2,837.00 $146,927.15 $57,810.36 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 49 23 — — $54,404.11 $220,060.92 $57,765.99 2026-03-01
1581 OTHER New Technology - Level 44 49 23 — — $53,139.28 $224,872.84 $57,342.57 2026-03-01
1595 OTHER New Technology - Level 44 49 23 — — $53,139.28 $224,872.84 $57,342.57 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 103 33 — — $13,318.00 $253,021.99 $57,302.17 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 103 33 — — $13,318.00 $253,021.99 $57,035.64 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $41,091.81 $72,005.61 $56,548.71 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 113 34 — — $2,837.00 $242,026.15 $56,346.25 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 26 12 — — $44,835.00 $81,160.27 $56,196.18 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 106 33 — — $13,318.00 $205,235.67 $55,870.50 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 108 34 — — $8,879.00 $112,019.54 $54,765.10 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 113 34 — — $2,837.00 $213,981.39 $54,707.45 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 26 12 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 26 12 — — $32,422.00 $87,882.00 $53,610.50 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 105 34 — — $10,799.00 $311,024.29 $53,331.23 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 109 34 — — $10,799.00 $254,886.34 $53,279.12 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 3 — — $46,000.69 $62,826.75 $53,268.18 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 26 12 — — $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
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $43,203.37 $62,431.63 $52,817.50 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 113 34 — — $2,701.00 $117,729.27 $52,745.94 2026-03-01
64 APR_DRG Pancreas Transplant 26 12 — — $43,326.23 $72,558.00 $52,600.34 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 8 3 — — $45,528.24 $61,792.33 $52,569.23 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
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $44,710.16 $59,978.72 $52,344.44 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 26 12 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $52,139.41 $52,139.41 $52,139.41 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 107 34 — — $10,799.00 $152,774.18 $51,832.62 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 113 34 — — $2,837.00 $155,920.29 $51,618.18 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 106 34 — — $11,736.00 $119,864.41 $51,505.63 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 12 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 109 34 — — $10,799.00 $176,334.72 $51,177.71 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 105 34 — — $10,799.00 $175,501.13 $50,989.80 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 109 34 — — $10,799.00 $109,927.86 $50,868.34 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 51 23 — — $46,068.21 $198,421.60 $50,817.51 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 26 12 — — $41,876.00 $69,298.37 $50,535.00 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 26 12 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 26 12 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
8514 APR_DRG Gender Related Procedures 26 12 — — $40,865.02 $70,353.00 $50,315.11 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 109 34 — — $10,799.00 $154,194.30 $50,265.12 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 109 34 — — $10,799.00 $127,948.17 $50,150.04 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 108 34 — — $2,701.00 $390,236.56 $50,140.08 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $49,529.65 $50,718.98 $50,124.32 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 26 12 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
997964 CDM Stent Vasc 30x150mm 20 12 $99,999.00 $99,999.00 $6,899.93 $89,999.10 $49,999.50 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 56 34 — — $10,587.00 $197,395.96 $49,837.36 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 78 28 — — $33,307.00 $170,021.54 $49,777.94 2026-03-01
995779 CDM Valve Tavr 29mm 44 15 $98,804.00 $98,804.00 $6,817.48 $103,744.20 $49,402.00 2026-03-01
994394 CDM Valve Tavr 26mm 44 15 $98,804.00 $98,804.00 $6,817.48 $103,744.20 $49,402.00 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $49,300.47 $49,300.47 $49,300.47 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 8 3 — — $43,725.19 $56,207.67 $49,262.94 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 113 34 — — $2,837.00 $117,069.93 $48,756.20 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 108 34 — — $10,587.00 $167,456.17 $48,670.00 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $42,827.53 $54,329.04 $48,578.29 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 108 34 — — $10,587.00 $168,530.69 $48,215.22 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 109 34 — — $10,799.00 $163,253.16 $48,036.58 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 108 34 — — $2,701.00 $390,236.56 $47,894.53 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $43,475.15 $51,453.49 $47,464.32 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $44,039.60 $50,762.56 $47,401.08 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 109 34 — — $9,599.00 $154,280.78 $47,306.47 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 109 34 — — $10,799.00 $249,749.87 $47,277.00 2026-03-01
984804 CDM Valve Heart Trnscth 23mm 44 15 $94,445.00 $94,445.00 $6,516.70 $99,167.25 $47,222.50 2026-03-01
973417 CDM Kit Aor Vlv 14fr 29mm 44 15 $94,445.00 $94,445.00 $6,516.70 $99,167.25 $47,222.50 2026-03-01
984805 CDM Valve Heart Trnscth 26mm 44 15 $94,445.00 $94,445.00 $6,516.70 $99,167.25 $47,222.50 2026-03-01
1580 OTHER New Technology - Level 43 49 23 — — $43,477.68 $183,987.24 $46,916.75 2026-03-01
1594 OTHER New Technology - Level 43 49 23 — — $43,477.68 $183,987.24 $46,916.75 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 34 — — $10,799.00 $219,252.75 $46,736.39 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 108 34 — — $2,837.00 $201,999.76 $46,700.15 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $23,705.88 $69,546.78 $46,626.33 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 109 34 — — $10,799.00 $114,551.85 $46,484.27 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $43,339.76 $49,595.32 $46,467.54 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 26 12 — — $36,953.00 $66,933.09 $46,330.48 2026-03-01
1142 OTHER Supprelin La Implant 49 23 — — $43,185.34 $181,400.84 $46,257.21 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 26 12 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
691321 CDM Carmustine 7.7mg Waf Pkg 44 15 $91,960.00 $91,960.00 $6,345.24 $96,558.00 $45,980.00 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 8 3 — — $39,825.70 $53,892.75 $45,922.38 2026-03-01
995660 CDM Valve Tavr 26mm 20 12 $91,539.00 $91,539.00 $6,316.19 $82,385.10 $45,769.50 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 109 34 — — $9,599.00 $154,277.32 $45,640.52 2026-03-01
715435 CDM Closure Lt Atr Appendage 60 20 $126,608.00 $126,608.00 $8,989.17 $132,938.40 $45,540.88 2026-03-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 3 — — $40,080.53 $52,413.31 $45,504.31 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $37,379.15 $53,616.90 $45,498.03 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 108 34 — — $10,799.00 $162,943.00 $45,400.24 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 113 34 — — $2,837.00 $112,967.67 $45,369.02 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 113 34 — — $2,701.00 $100,443.21 $45,344.86 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 109 34 — — $9,599.00 $115,724.42 $45,179.53 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 113 34 — — $2,837.00 $104,278.05 $44,997.13 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 8 3 — — $37,907.25 $54,583.02 $44,992.72 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 109 34 — — $10,799.00 $85,874.11 $44,399.60 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 105 34 — — $10,799.00 $219,252.75 $44,310.99 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 8 3 — — $39,026.18 $50,879.70 $44,246.86 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 109 34 — — $10,799.00 $165,345.80 $43,948.69 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 10 3 — — $43,241.44 $72,861.11 $43,855.64 2026-03-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 5 2 — — $31,159.00 $48,120.00 $43,805.00 2026-03-01
991184 CDM Valve Tavr Sz 29mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
976181 CDM Valve Tavr 23mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
975218 CDM Valve Tavr 26mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
975219 CDM Valve Tavr 29mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
976182 CDM Valve Tavr 26mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
991185 CDM Valve Tavr Sz 26mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
991183 CDM Valve Tavr Size 34mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
975217 CDM Valve Tavr 23mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
991186 CDM Valve Tavr Sz 23mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
984794 CDM Valve Aor Tavr 29mm 44 15 $87,180.00 $87,180.00 $6,015.42 $91,539.00 $43,590.00 2026-03-01
See an error in this hospital's data? Submit a correction