Hospital

HCA FLORIDA SARASOTA DOCTORS HOSPITAL

Sarasota, FL · CCN 100166 · Rates published

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You selected 27447 (CPT)

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

This hospital’s price: $10,819 across 29 payers · range $1,638-$44,005

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-1258724_HCA-FLORIDA-SARASOTA-DOCTORS-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.

35,131 distinct procedures filed

62 distinct payers

2,002,265 rate rows

2026-07-31 last MRF observed

Data quality

1,923,078 of 2,002,265 rate rows are consumer-grade (96.0%)

79,187 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 — reason	Rows
per-diem day rate — not a per-procedure price	24,034
template filing: same amount across many unrelated codes — excluded	21,614
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	18,566
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	14,036
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	386
placeholder amount (≤ $0.02) — excluded from medians	305
exceeds 10× this hospital's gross charge — excluded from medians	89
percent-of-charges filed in the dollar field — excluded from medians	86
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	71

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/31998a84b61e485d849e422086acf559
Found on page	https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered via	Discovered by HANK
Last fetch	not_modified · 2026-08-03
Content fingerprint	1308c7395ce9bdd9… · 4,312,600 bytes · first seen 2026-07-31

Top 50 most expensive offerings

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

Code	Description	Payers	Min $	Max $	Avg median	vs national
845 OTHER	Inj, Atidarsagene Autotem	21	$4,946.44	$4,955,500.00	$4,595,100.00	nat. median $16,015 outlier · 286.9×
00845 OTHER	Inj, Atidarsagene Autotem	2	$4,369,850.00	$4,505,000.00	$4,437,425.00	nat. median $4,414,900 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dos	21	$3,672,900.00	$4,053,793.70	$3,856,545.00	nat. median $3,758,972 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	19	$3,605,000.00	$3,965,500.00	$3,749,200.00	nat. median $3,646,097 1.0× median
09138 OTHER	Inj, Hemgenix, Per Tx Dos	2	$3,562,713.00	$3,685,267.00	$3,574,708.99	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	23	$5,481.79	$3,660,646.00	$3,425,218.65	nat. median $3,325,455 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	21	$10,067.05	$3,669,402.00	$3,402,536.40	nat. median $29,683 outlier · 114.6×
748 OTHER	Inj, Lovotibeglogene Auto	23	$9,042.20	$3,614,600.00	$3,384,580.00	nat. median $3,252,508 1.0× median
00908 OTHER	Topi Adm Prad Zami Per Tr	2	$3,235,745.40	$3,335,820.00	$3,285,782.70	nat. median $14,170 outlier · 231.9×
906 OTHER	Inj Elivaldogene Autoteme	21	$6,596.80	$3,498,000.00	$3,243,600.00	nat. median $24,604 outlier · 131.8×
00714 OTHER	Inj Delandistrogene Mox R	2	$3,225,691.35	$3,327,860.00	$3,228,024.20	nat. median $3,228,024 1.0× median
00748 OTHER	Inj, Lovotibeglogene Auto	2	$3,154,932.76	$3,252,508.00	$3,187,420.00	nat. median $3,187,420 1.0× median
00906 OTHER	Inj Elivaldogene Autoteme	2	$3,084,600.00	$3,180,000.00	$3,132,300.00	nat. median $3,084,600 1.0× median
746 OTHER	Inj, Betibeglogene Autote	23	$8,031.27	$3,264,800.00	$3,057,040.00	nat. median $2,939,969 1.0× median
00746 OTHER	Inj, Betibeglogene Autote	2	$2,851,769.93	$2,939,969.00	$2,878,960.00	nat. median $2,878,960 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Tre	21	$2,388,614.00	$2,847,879.10	$2,588,981.00	nat. median $2,588,981 1.0× median
09141 OTHER	Inj Onase Abepar-xioi Tre	2	$2,316,955.58	$2,588,981.00	$2,511,311.57	nat. median $2,511,312 1.0× median
824 OTHER	Inj, Exagamglogene Autote	21	$14,221.02	$2,565,200.00	$2,378,640.00	nat. median $58,186 outlier · 40.9×
00824 OTHER	Inj, Exagamglogene Autote	2	$2,262,040.00	$2,332,000.00	$2,297,020.00	nat. median $2,285,360 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	1	$1,656,833.00	$1,656,833.00	$1,656,833.00	nat. median $809,151 outlier · 2.0×
2067 OTHER	Afamitresgene Autoleucel	19	$770,620.00	$847,682.00	$809,151.00	nat. median $786,032 1.0× median
Q2058 HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,…	1	$598,237.50	$598,237.50	$598,237.50	nat. median $302,242 2.0× median
9498 OTHER	Ciltacabtagene Car-pos T	21	$527,123.40	$646,414.56	$583,742.67	nat. median $587,650 1.0× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	4	$502,693.77	$1,218,042.30	$570,089.44	nat. median $691,418 0.8× median
09498 OTHER	Ciltacabtagene Car-pos T	2	$511,309.70	$587,649.60	$570,020.11	nat. median $570,020 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos	21	$529,192.90	$623,184.43	$566,531.30	nat. median $576,820 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	21	$526,587.60	$613,889.98	$563,448.73	nat. median $560,872 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	21	$516,726.10	$618,421.32	$562,201.20	nat. median $562,201 1.0× median
09194 OTHER	Tisagenlecleucel Car-pos	2	$513,317.11	$566,531.30	$549,535.36	nat. median $549,535 1.0× median
09413 OTHER	Lisocabtagene Car Pos T	2	$501,224.32	$562,201.20	$545,335.16	nat. median $545,335 1.0× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	4	$492,271.12	$1,263,446.58	$544,871.46	nat. median $631,793 0.9× median
09422 OTHER	Idecabtagene Vicleucel Ca	2	$510,789.97	$558,081.80	$541,339.35	nat. median $541,339 1.0× median
9035 OTHER	Axicabtagene Ciloleucel C	21	$489,456.00	$585,411.42	$532,192.20	nat. median $533,230 1.0× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	4	$470,149.30	$1,199,875.72	$519,707.67	nat. median $610,161 0.9× median
09035 OTHER	Axicabtagene Ciloleucel C	2	$474,772.32	$532,192.20	$516,226.43	nat. median $516,226 1.0× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	4	$459,839.17	$1,208,732.67	$508,695.37	nat. median $624,417 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	4	$445,599.57	$1,144,213.32	$495,298.39	nat. median $588,565 0.8× median
9391 OTHER	Brexucabtagene Car Pos T	21	$460,530.40	$538,395.22	$492,767.53	nat. median $492,768 1.0× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	4	$435,956.80	$1,052,317.93	$482,058.02	nat. median $577,541 0.8× median
09391 OTHER	Brexucabtagene Car Pos T	2	$446,714.49	$489,450.20	$474,766.69	nat. median $474,767 1.0× median
J3402 HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	$433,588.39	$433,588.39	$433,588.39	nat. median $209,736 outlier · 2.1×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	37	$6,771.00	$961,233.00	$290,527.43	nat. median $370,165 0.8× median
831 OTHER	Obecbtge Autol Up To 400	21	$3,042.58	$306,075.00	$283,815.00	nat. median $20,175 outlier · 14.1×
897 OTHER	Revakinagene, Per Implant	19	$265,000.00	$291,500.00	$278,250.00	nat. median $19,528 outlier · 14.2×
00831 OTHER	Obecbtge Autol Up To 400	2	$269,902.50	$278,250.00	$274,076.25	nat. median $272,685 1.0× median
00897 OTHER	Revakinagene, Per Implant	2	$257,050.00	$265,000.00	$261,025.00	nat. median $259,700 1.0× median
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$153,320.72	$253,527.60	$245,921.77	nat. median $292,434 0.8× median
5834 APR_DRG	Neonate With Ecmo	14	$192,207.00	$312,391.65	$233,252.43	nat. median $311,018 0.7× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	37	$9,746.00	$717,961.54	$218,382.72	nat. median $261,939 0.8× median

Other procedures at this hospital

Browse this hospital's 35,131 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

845	OTHER	Inj, Atidarsagene Autotem	25	21	—	—	$4,946.44	$4,955,500.00	$4,595,100.00	2026-03-01
00845	OTHER	Inj, Atidarsagene Autotem	2	2	—	—	$4,369,850.00	$4,505,000.00	$4,437,425.00	2026-03-01
9138	OTHER	Inj, Hemgenix, Per Tx Dos	44	21	—	—	$3,672,900.00	$4,053,793.70	$3,856,545.00	2026-03-01
773	OTHER	Inj, Beqvez, Per Tx Dose	22	19	—	—	$3,605,000.00	$3,965,500.00	$3,749,200.00	2024-10-01
09138	OTHER	Inj, Hemgenix, Per Tx Dos	3	2	—	—	$3,562,713.00	$3,685,267.00	$3,574,708.99	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	47	23	—	—	$5,481.79	$3,660,646.00	$3,425,218.65	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	25	21	—	—	$10,067.05	$3,669,402.00	$3,402,536.40	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	47	23	—	—	$9,042.20	$3,614,600.00	$3,384,580.00	2026-03-01
00908	OTHER	Topi Adm Prad Zami Per Tr	2	2	—	—	$3,235,745.40	$3,335,820.00	$3,285,782.70	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	25	21	—	—	$6,596.80	$3,498,000.00	$3,243,600.00	2026-03-01
00714	OTHER	Inj Delandistrogene Mox R	3	2	—	—	$3,225,691.35	$3,327,860.00	$3,228,024.20	2026-03-01
00748	OTHER	Inj, Lovotibeglogene Auto	3	2	—	—	$3,154,932.76	$3,252,508.00	$3,187,420.00	2026-03-01
00906	OTHER	Inj Elivaldogene Autoteme	2	2	—	—	$3,084,600.00	$3,180,000.00	$3,132,300.00	2026-03-01
746	OTHER	Inj, Betibeglogene Autote	47	23	—	—	$8,031.27	$3,264,800.00	$3,057,040.00	2026-03-01
00746	OTHER	Inj, Betibeglogene Autote	3	2	—	—	$2,851,769.93	$2,939,969.00	$2,878,960.00	2026-03-01
9141	OTHER	Inj Onase Abepar-xioi Tre	44	21	—	—	$2,388,614.00	$2,847,879.10	$2,588,981.00	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	3	2	—	—	$2,316,955.58	$2,588,981.00	$2,511,311.57	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	25	21	—	—	$14,221.02	$2,565,200.00	$2,378,640.00	2026-03-01
00824	OTHER	Inj, Exagamglogene Autote	2	2	—	—	$2,262,040.00	$2,332,000.00	$2,297,020.00	2026-03-01
Q2057	HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	1	1	—	—	$1,656,833.00	$1,656,833.00	$1,656,833.00	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	22	19	—	—	$770,620.00	$847,682.00	$809,151.00	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	1	1	—	—	$598,237.50	$598,237.50	$598,237.50	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	44	21	—	—	$527,123.40	$646,414.56	$583,742.67	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	12	4	—	—	$502,693.77	$1,218,042.30	$570,089.44	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	3	2	—	—	$511,309.70	$587,649.60	$570,020.11	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	44	21	—	—	$529,192.90	$623,184.43	$566,531.30	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	44	21	—	—	$526,587.60	$613,889.98	$563,448.73	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	44	21	—	—	$516,726.10	$618,421.32	$562,201.20	2026-03-01
09194	OTHER	Tisagenlecleucel Car-pos	3	2	—	—	$513,317.11	$566,531.30	$549,535.36	2026-03-01
09413	OTHER	Lisocabtagene Car Pos T	3	2	—	—	$501,224.32	$562,201.20	$545,335.16	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	12	4	—	—	$492,271.12	$1,263,446.58	$544,871.46	2026-03-01
09422	OTHER	Idecabtagene Vicleucel Ca	3	2	—	—	$510,789.97	$558,081.80	$541,339.35	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	44	21	—	—	$489,456.00	$585,411.42	$532,192.20	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	8	4	—	—	$470,149.30	$1,199,875.72	$519,707.67	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	3	2	—	—	$474,772.32	$532,192.20	$516,226.43	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	12	4	—	—	$459,839.17	$1,208,732.67	$508,695.37	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	12	4	—	—	$445,599.57	$1,144,213.32	$495,298.39	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	44	21	—	—	$460,530.40	$538,395.22	$492,767.53	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	12	4	—	—	$435,956.80	$1,052,317.93	$482,058.02	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	3	2	—	—	$446,714.49	$489,450.20	$474,766.69	2026-03-01
J3402	HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	1	—	—	$433,588.39	$433,588.39	$433,588.39	2026-03-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	102	37	—	—	$6,771.00	$961,233.00	$290,527.43	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	25	21	—	—	$3,042.58	$306,075.00	$283,815.00	2026-03-01
897	OTHER	Revakinagene, Per Implant	22	19	—	—	$265,000.00	$291,500.00	$278,250.00	2026-03-01
00831	OTHER	Obecbtge Autol Up To 400	2	2	—	—	$269,902.50	$278,250.00	$274,076.25	2026-03-01
00897	OTHER	Revakinagene, Per Implant	2	2	—	—	$257,050.00	$265,000.00	$261,025.00	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	2	—	—	$153,320.72	$253,527.60	$245,921.77	2026-03-01
5834	APR_DRG	Neonate With Ecmo	33	14	—	—	$192,207.00	$312,391.65	$233,252.43	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	104	37	—	—	$9,746.00	$717,961.54	$218,382.72	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	2	—	—	$185,810.10	$222,854.80	$216,169.16	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	25	21	—	—	$5,737.36	$221,835.90	$205,702.38	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	2	2	—	—	$195,618.93	$201,669.00	$198,643.96	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	102	34	—	—	$9,000.00	$604,694.17	$176,502.55	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	105	36	—	—	$9,000.00	$649,261.19	$173,729.40	2026-03-01
1908	OTHER	New Technology - Level 52	44	21	—	—	$147,339.90	$171,464.59	$157,653.69	2026-03-01
1907	OTHER	New Technology - Level 52	44	21	—	—	$147,339.90	$171,464.59	$157,653.69	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	3	1	—	—	$156,515.70	$180,011.44	$156,515.70	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	2	—	—	$124,455.66	$157,072.60	$152,360.42	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	33	14	—	—	$125,393.00	$191,333.91	$150,471.60	2026-03-01
01907	OTHER	New Technology - Level 52	3	2	—	—	$142,919.70	$153,077.00	$148,484.69	2026-03-01
01908	OTHER	New Technology - Level 52	3	2	—	—	$142,919.70	$153,077.00	$148,484.69	2026-03-01
5833	APR_DRG	Neonate With Ecmo	33	14	—	—	$124,517.00	$186,775.50	$143,194.55	2026-03-01
1906	OTHER	New Technology - Level 51	44	21	—	—	$132,847.50	$154,599.28	$142,146.83	2026-03-01
1905	OTHER	New Technology - Level 51	44	21	—	—	$132,847.50	$154,599.28	$142,146.83	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	3	1	—	—	$122,172.78	$140,774.65	$140,774.65	2026-03-01
01906	OTHER	New Technology - Level 51	3	2	—	—	$128,862.07	$138,020.20	$133,879.59	2026-03-01
01905	OTHER	New Technology - Level 51	3	2	—	—	$128,862.07	$138,020.20	$133,879.59	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	33	14	—	—	$111,047.00	$178,746.99	$133,464.42	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	33	14	—	—	$97,644.00	$178,865.04	$131,167.70	2026-03-01
1904	OTHER	New Technology - Level 50	44	21	—	—	$118,355.10	$137,733.97	$126,639.96	2026-03-01
1903	OTHER	New Technology - Level 50	44	21	—	—	$118,355.10	$137,733.97	$126,639.96	2026-03-01
01904	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
01903	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	2	—	—	$87,507.74	$122,661.20	$118,981.36	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	105	36	—	—	$9,000.00	$389,678.53	$113,374.50	2026-03-01
1902	OTHER	New Technology - Level 49	44	21	—	—	$103,862.70	$120,868.66	$111,133.09	2026-03-01
1901	OTHER	New Technology - Level 49	44	21	—	—	$103,862.70	$120,868.66	$111,133.09	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	47	23	—	—	$96,999.90	$122,653.30	$109,999.89	2026-03-01
5832	APR_DRG	Neonate With Ecmo	33	14	—	—	$95,607.00	$143,410.50	$109,948.05	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	33	14	—	—	$95,167.00	$142,750.50	$109,442.05	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	3	2	—	—	$79,183.81	$109,929.80	$106,631.91	2026-03-01
7	MS_DRG	Lung Transplant	102	37	—	—	$9,746.00	$333,100.77	$105,526.65	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	33	14	—	—	$85,272.22	$137,205.00	$105,190.50	2026-03-01
01901	OTHER	New Technology - Level 49	3	2	—	—	$100,746.82	$107,906.90	$104,669.69	2026-03-01
01902	OTHER	New Technology - Level 49	3	2	—	—	$100,746.82	$107,906.90	$104,669.69	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	33	14	—	—	$87,012.29	$135,325.50	$103,749.55	2026-03-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	1	—	—	$63,606.00	$102,063.00	$102,063.00	2024-10-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$63,606.00	$102,063.00	$102,063.00	2024-10-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	1	—	—	$63,606.00	$102,063.00	$102,063.00	2024-10-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$63,606.00	$102,063.00	$102,063.00	2024-10-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	3	1	—	—	$62,579.00	$100,416.00	$100,416.00	2024-10-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	3	1	—	—	$62,579.00	$100,416.00	$100,416.00	2024-10-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	3	1	—	—	$100,053.67	$100,394.53	$100,053.67	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	33	14	—	—	$82,446.00	$133,307.22	$99,536.06	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	102	37	—	—	$6,771.00	$365,494.91	$99,350.85	2026-03-01
1599	OTHER	New Technology - Level 48	44	21	—	—	$91,785.68	$106,814.19	$98,210.68	2026-03-01
1585	OTHER	New Technology - Level 48	44	21	—	—	$91,785.68	$106,814.19	$98,210.68	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	33	14	—	—	$81,552.00	$127,428.00	$97,862.40	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	33	14	—	—	$75,232.00	$130,764.62	$97,637.58	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	33	14	—	—	$80,942.00	$128,217.69	$97,130.40	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	47	23	—	—	$88,300.94	$104,589.10	$96,982.62	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	33	14	—	—	$79,657.00	$125,467.54	$95,588.40	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	57	34	—	—	$10,132.00	$366,683.84	$93,571.46	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	104	37	—	—	$9,746.00	$418,187.01	$92,751.41	2026-03-01
01585	OTHER	New Technology - Level 48	3	2	—	—	$89,032.11	$95,359.60	$92,498.81	2026-03-01
01599	OTHER	New Technology - Level 48	3	2	—	—	$89,032.11	$95,359.60	$92,498.81	2026-03-01
007	OTHER	Lung Transplant	3	2	—	—	$70,155.51	$94,273.56	$91,445.35	2026-03-01
5831	APR_DRG	Neonate With Ecmo	33	14	—	—	$69,493.00	$122,622.00	$90,340.90	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	109	38	—	—	$9,746.00	$339,361.06	$90,209.13	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	109	38	—	—	$9,000.00	$348,927.60	$89,895.16	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	33	14	—	—	$73,863.00	$110,794.50	$88,248.00	2026-03-01
1584	OTHER	New Technology - Level 47	44	21	—	—	$82,124.09	$95,570.65	$87,872.78	2026-03-01
1598	OTHER	New Technology - Level 47	44	21	—	—	$82,124.09	$95,570.65	$87,872.78	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	6	3	—	—	$53,789.99	$119,352.48	$86,992.97	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	33	14	—	—	$75,611.00	$113,416.50	$86,952.65	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	33	14	—	—	$71,560.00	$109,192.05	$85,872.00	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	113	39	—	—	$6,000.00	$377,345.37	$85,573.52	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	33	14	—	—	$56,946.00	$133,113.71	$85,419.00	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	102	37	—	—	$9,746.00	$371,491.41	$85,235.94	2026-03-01
01598	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
01584	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	2	—	—	$70,028.25	$83,554.20	$81,047.57	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	113	39	—	—	$10,799.00	$236,979.98	$80,873.49	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$78,057.16	$81,309.75	$80,471.30	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	33	14	—	—	$66,782.00	$100,494.24	$80,138.40	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	33	14	—	—	$67,242.00	$100,863.00	$79,595.47	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	33	14	—	—	$64,392.00	$104,446.96	$77,987.07	2026-03-01
1583	OTHER	New Technology - Level 46	44	21	—	—	$72,462.48	$84,327.11	$77,534.85	2026-03-01
1597	OTHER	New Technology - Level 46	44	21	—	—	$72,462.48	$84,327.11	$77,534.85	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	2	—	—	$57,563.21	$79,623.70	$77,234.99	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	5	2	—	—	$10,614.00	$75,435.00	$75,435.00	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	33	14	—	—	$44,572.04	$102,481.50	$75,153.10	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	33	14	—	—	$62,352.00	$97,366.79	$74,822.40	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	109	38	—	—	$9,746.00	$270,202.08	$73,744.08	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	33	14	—	—	$61,338.00	$93,593.57	$73,605.60	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	33	14	—	—	$48,895.00	$105,823.65	$73,342.50	2026-03-01
01597	OTHER	New Technology - Level 46	3	2	—	—	$70,288.61	$75,284.00	$73,025.48	2026-03-01
01583	OTHER	New Technology - Level 46	3	2	—	—	$70,288.61	$75,284.00	$73,025.48	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	3	2	—	—	$42,657.41	$74,621.06	$72,382.43	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	111	39	—	—	$10,799.00	$238,726.12	$71,998.48	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	109	38	—	—	$9,000.00	$298,428.71	$71,587.26	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	33	14	—	—	$59,125.00	$94,624.20	$70,950.00	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	47	23	—	—	$63,895.55	$75,681.87	$70,177.73	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	3	2	—	—	$24,609.07	$72,072.91	$69,910.72	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	123	44	—	—	$10,614.00	$215,864.61	$69,470.12	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	135	46	—	—	$10,799.00	$200,686.74	$68,208.27	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	133	45	—	—	$10,799.00	$205,351.76	$67,918.17	2026-03-01
1582	OTHER	New Technology - Level 45	44	21	—	—	$62,800.88	$73,083.57	$67,196.94	2026-03-01
1596	OTHER	New Technology - Level 45	44	21	—	—	$62,800.88	$73,083.57	$67,196.94	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$51,704.25	$69,253.07	$67,175.48	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	33	14	—	—	$54,849.00	$83,100.26	$65,818.80	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	47	23	—	—	$13,136.93	$70,702.27	$65,560.29	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	2	—	—	$64,438.95	$66,431.91	$65,435.43	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	33	14	—	—	$46,525.00	$89,188.07	$65,404.58	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	33	14	—	—	$47,538.00	$89,188.07	$65,404.58	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	33	14	—	—	$48,983.00	$89,188.07	$65,404.58	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	109	38	—	—	$10,799.00	$233,915.32	$65,050.63	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	44	21	—	—	$56,824.55	$72,024.24	$63,991.79	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	33	14	—	—	$55,523.00	$83,284.50	$63,851.45	2026-03-01
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	2	—	—	$59,731.41	$65,666.66	$63,696.66	2026-03-01
01596	OTHER	New Technology - Level 45	3	2	—	—	$60,916.85	$65,246.20	$63,288.81	2026-03-01
01582	OTHER	New Technology - Level 45	3	2	—	—	$60,916.85	$65,246.20	$63,288.81	2026-03-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	5	2	—	—	$10,614.00	$62,710.00	$62,710.00	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	3	2	—	—	$48,795.12	$64,506.44	$62,571.25	2026-03-01
00717	OTHER	Instill Adstiladrin, Tx D	3	2	—	—	$61,454.13	$64,274.79	$62,346.55	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	12	4	—	—	$61,338.53	$138,190.80	$62,287.07	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	122	45	—	—	$9,746.00	$227,931.78	$61,864.48	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	33	14	—	—	$51,688.00	$77,532.00	$61,481.88	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	33	14	—	—	$51,226.00	$80,695.10	$61,471.20	2026-03-01
10	MS_DRG	Pancreas Transplant	113	42	—	—	$9,746.00	$203,221.57	$60,832.02	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	44	21	—	—	$50,304.25	$72,254.94	$60,510.49	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	113	42	—	—	$9,746.00	$202,051.58	$60,481.79	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	3	2	—	—	$46,413.62	$62,157.31	$60,292.59	2026-03-01
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	3	2	—	—	$26,860.22	$61,956.70	$60,098.00	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	108	38	—	—	$9,000.00	$190,249.71	$59,727.46	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	121	43	—	—	$9,746.00	$216,496.15	$59,675.49	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	33	14	—	—	$44,835.00	$81,160.27	$59,517.54	2026-03-01
689372	CDM	Insert Lv Lead	59	24	$237,085.71	$237,085.71	$10,992.16	$218,118.85	$59,271.43	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	33	14	—	—	$49,247.00	$76,852.35	$59,096.40	2026-03-01
707410	CDM	Insert Perc Vad/arterial	59	24	$229,727.94	$229,727.94	$10,651.02	$211,349.70	$57,431.99	2026-03-01
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	1	1	—	—	$57,431.82	$57,431.82	$57,431.82	2024-10-01
9273	OTHER	Sipuleucel-t Auto Cd54+	44	21	—	—	$54,404.11	$60,516.75	$57,124.32	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	118	41	—	—	$9,000.00	$170,234.96	$57,053.04	2026-03-01
1581	OTHER	New Technology - Level 44	44	21	—	—	$53,139.28	$61,840.03	$56,859.03	2026-03-01
1595	OTHER	New Technology - Level 44	44	21	—	—	$53,139.28	$61,840.03	$56,859.03	2026-03-01
01643	OTHER	Y90 Ibritumomab, Rx	3	2	—	—	$55,119.81	$63,512.28	$56,824.55	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	122	43	—	—	$10,799.00	$115,135.00	$56,755.07	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	113	39	—	—	$10,799.00	$236,979.98	$56,685.38	2026-03-01
64	APR_DRG	Pancreas Transplant	33	14	—	—	$47,658.85	$72,558.00	$55,627.80	2026-03-01
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	3	1	—	—	$34,659.00	$55,615.00	$55,615.00	2024-10-01
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	3	1	—	—	$34,659.00	$55,615.00	$55,615.00	2024-10-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	122	43	—	—	$9,746.00	$200,414.61	$55,276.67	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	121	43	—	—	$9,746.00	$204,464.69	$55,236.16	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	108	38	—	—	$9,000.00	$226,681.29	$55,094.43	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	113	39	—	—	$10,799.00	$236,979.98	$55,087.90	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	33	14	—	—	$45,376.00	$73,729.74	$55,051.54	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	2	—	—	$44,459.26	$56,302.41	$54,613.34	2026-03-01
8514	APR_DRG	Gender Related Procedures	33	14	—	—	$44,951.52	$70,353.00	$53,937.30	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	2	—	—	$38,803.31	$55,564.41	$53,897.48	2026-03-01
C2616	HCPCS	Brachytherapy Source, Non-stranded, Yttrium-90, Per Source	3	1	—	—	$40,208.00	$56,373.00	$53,804.00	2026-03-01
01595	OTHER	New Technology - Level 44	3	2	—	—	$51,545.10	$55,208.40	$53,552.15	2026-03-01
01581	OTHER	New Technology - Level 44	3	2	—	—	$51,545.10	$55,208.40	$53,552.15	2026-03-01
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	3	1	—	—	$33,290.00	$53,419.00	$53,419.00	2024-10-01
249	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc	3	1	—	—	$33,290.00	$53,419.00	$53,419.00	2024-10-01
09273	OTHER	Sipuleucel-t Auto Cd54+	3	2	—	—	$52,771.99	$54,404.11	$53,364.77	2026-03-01
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	2	—	—	$52,412.26	$54,033.26	$53,222.76	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	111	38	—	—	$10,799.00	$291,304.83	$53,170.97	2026-03-01
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	33	14	—	—	$46,203.00	$69,304.50	$53,142.85	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	135	46	—	—	$10,799.00	$165,154.81	$52,357.95	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	33	14	—	—	$43,560.00	$70,007.73	$52,272.44	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	121	43	—	—	$9,746.00	$157,885.06	$52,114.22	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	111	39	—	—	$10,799.00	$238,726.12	$52,103.86	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	33	14	—	—	$41,876.00	$69,298.37	$51,742.78	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	135	46	—	—	$10,614.00	$164,374.06	$51,736.80	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$50,984.39	$52,561.23	$51,416.74	2026-03-01
010	OTHER	Pancreas Transplant	3	2	—	—	$27,530.57	$52,909.31	$51,322.03	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	33	14	—	—	$43,677.00	$65,515.50	$51,276.94	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	2	—	—	$45,717.51	$52,606.40	$51,028.21	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	133	46	—	—	$8,000.00	$79,140.11	$50,895.00	2026-03-01
C1825	HCPCS	System Gen Neo2	31	13	$101,710.00	$101,710.00	$7,017.99	$93,573.20	$50,855.00	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	121	43	—	—	$6,771.00	$164,861.67	$50,786.78	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	47	23	—	—	$46,068.21	$54,565.94	$50,597.51	2026-03-01
J9600	HCPCS	Injection, Porfimer Sodium, 75 Mg	3	1	—	—	$50,561.89	$52,091.10	$50,561.89	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	70	39	—	—	$10,132.00	$184,880.73	$50,557.03	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	33	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	33	14	—	—	$41,957.00	$64,905.25	$50,348.40	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	2	2	—	—	$49,558.46	$51,091.20	$50,324.83	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	122	43	—	—	$9,000.00	$161,196.21	$50,103.18	2026-03-01
21	APR_DRG	Heart And/or Lung Transplant	33	14	—	—	$41,730.00	$65,165.07	$50,076.00	2026-03-01
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	3	2	—	—	$44,991.00	$51,396.76	$49,854.86	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	135	46	—	—	$10,799.00	$145,412.80	$49,716.99	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	122	43	—	—	$10,799.00	$154,956.26	$49,178.27	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	33	14	—	—	$36,953.00	$66,933.09	$49,084.27	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	122	43	—	—	$9,000.00	$156,962.32	$49,037.58	2026-03-01
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	2	—	—	$30,082.62	$50,521.91	$49,006.25	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	135	46	—	—	$10,799.00	$152,902.64	$48,736.63	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	102	37	—	—	$6,771.00	$365,494.91	$48,734.30	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	33	14	—	—	$32,422.00	$87,882.00	$48,633.00	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	135	46	—	—	$10,799.00	$156,424.48	$48,187.65	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	133	45	—	—	$10,799.00	$205,351.76	$48,014.19	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	121	43	—	—	$9,746.00	$166,827.11	$47,676.08	2026-03-01
976232	CDM	Kit Aor Vlv 14fr 29mm	34	14	$94,445.00	$94,445.00	$6,516.70	$94,445.00	$47,222.50	2026-03-01
704895	CDM	Revas Tib Stnt/ath/ang 1	59	24	$188,303.23	$188,303.23	$8,730.42	$173,238.97	$47,075.81	2026-03-01
704891	CDM	Revas Fempp Stnt/ath/ang	59	24	$188,303.23	$188,303.23	$8,730.42	$173,238.97	$47,075.81	2026-03-01
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$32,581.09	$48,482.60	$47,028.12	2026-03-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	122	43	—	—	$9,000.00	$148,400.23	$46,985.44	2026-03-01
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	2	—	—	$35,563.39	$48,306.57	$46,857.37	2026-03-01
1594	OTHER	New Technology - Level 43	44	21	—	—	$43,477.68	$50,596.49	$46,521.12	2026-03-01
1580	OTHER	New Technology - Level 43	44	21	—	—	$43,477.68	$50,596.49	$46,521.12	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	121	43	—	—	$9,746.00	$167,897.59	$46,476.54	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	113	42	—	—	$9,746.00	$189,192.64	$46,332.70	2026-03-01
1142	OTHER	Supprelin La Implant	44	21	—	—	$43,185.34	$49,885.23	$46,208.31	2026-03-01
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	33	14	—	—	$38,906.00	$58,359.00	$46,158.30	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	122	43	—	—	$9,746.00	$144,499.12	$46,015.26	2026-03-01
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	33	14	—	—	$37,554.87	$59,817.00	$45,859.70	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	109	38	—	—	$10,799.00	$233,915.32	$45,496.55	2026-03-01
0294T	CPT	HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I…	7	2	—	—	$19,926.00	$52,079.00	$45,326.00	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	102	37	—	—	$6,771.00	$365,494.91	$45,157.47	2026-03-01
215	OTHER	Other Heart Assist System Implant	3	2	—	—	$43,702.66	$53,413.86	$45,054.29	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	122	43	—	—	$9,000.00	$144,495.88	$44,995.21	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	133	45	—	—	$10,799.00	$205,351.76	$44,967.21	2026-03-01
955	OTHER	Craniotomy For Multiple Significant Trauma	3	2	—	—	$43,429.46	$64,810.26	$44,772.64	2026-03-01
834	OTHER	Acute Leukemia With Mcc	3	2	—	—	$43,654.43	$45,966.33	$44,587.34	2026-03-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	131	45	—	—	$10,799.00	$154,862.60	$44,544.21	2026-03-01
J9226	HCPCS	Histrelin Implant (supprelin La), 50 Mg	12	4	—	—	$43,241.44	$94,940.24	$44,533.82	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	103	39	—	—	$11,098.00	$60,809.85	$44,480.35	2026-03-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	2	—	—	$39,395.34	$45,522.60	$44,156.92	2026-03-01
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	2	—	—	$32,019.98	$45,427.61	$44,064.78	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	121	43	—	—	$9,746.00	$157,055.55	$44,059.30	2026-03-01
01594	OTHER	New Technology - Level 43	3	2	—	—	$42,173.35	$45,170.60	$43,815.48	2026-03-01
01580	OTHER	New Technology - Level 43	3	2	—	—	$42,173.35	$45,170.60	$43,815.48	2026-03-01
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	2	—	—	$39,306.71	$45,134.66	$43,780.62	2026-03-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	122	43	—	—	$9,000.00	$137,533.84	$43,658.31	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	122	43	—	—	$10,799.00	$107,289.07	$43,618.68	2026-03-01
976660	CDM	Valve Tavr 23mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
976664	CDM	Valve Tavr 29mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
912730	CDM	Valve Aor Tavr 29mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
912731	CDM	Valve Aor Tavr 34mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
912729	CDM	Valve Aor Tavr 26mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
976663	CDM	Valve Tavr 26mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
986887	CDM	Valve Tavr 34mm	34	14	$87,180.00	$87,180.00	$6,015.42	$87,180.00	$43,590.00	2026-03-01
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	33	14	—	—	$37,737.10	$56,856.00	$43,589.60	2026-03-01
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	2	—	—	$31,536.15	$44,771.31	$43,428.17	2026-03-01
834	MS_DRG	Acute Leukemia With Mcc	121	43	—	—	$6,771.00	$140,880.68	$43,399.27	2026-03-01
232	OTHER	Coronary Bypass With Ptca Without Mcc	3	2	—	—	$39,398.94	$44,702.22	$43,361.15	2026-03-01
01142	OTHER	Supprelin La Implant	3	2	—	—	$41,889.78	$43,989.70	$43,185.34	2026-03-01
84	APR_DRG	Autologous Bone Marrow Transplant	33	14	—	—	$34,325.35	$56,214.00	$43,097.40	2026-03-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective	122	43	—	—	$9,746.00	$137,663.84	$43,008.43	2026-03-01
653	MS_DRG	Major Bladder Procedures With Mcc	122	43	—	—	$9,000.00	$142,086.36	$42,958.15	2026-03-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	122	43	—	—	$10,799.00	$80,429.55	$42,606.49	2026-03-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	124	43	—	—	$10,799.00	$218,728.07	$42,474.48	2026-03-01
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	2	—	—	$34,055.75	$43,557.68	$42,250.95	2026-03-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	121	43	—	—	$10,799.00	$79,119.00	$41,894.57	2026-03-01
8634	APR_DRG	Neonatal Aftercare	33	14	—	—	$35,009.00	$52,513.50	$41,802.50	2026-03-01
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	2	2	—	—	$40,817.29	$42,079.68	$41,448.49	2026-03-01
704917	CDM	Revas Fempp Stnt/ath/ang	59	24	$165,463.27	$165,463.27	$7,671.48	$152,226.21	$41,365.82	2026-03-01
704922	CDM	Revas Tib Stnt/ath/ang 1	59	24	$165,463.27	$165,463.27	$7,671.48	$152,226.21	$41,365.82	2026-03-01
0915T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	1	1	—	—	$41,326.00	$41,326.00	$41,326.00	2026-03-01
0916T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	1	1	—	—	$41,326.00	$41,326.00	$41,326.00	2026-03-01

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