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 MERCY HOSPITAL

Plantation, FL · CCN 100167 · Rates published

32,663 distinct procedures filed
61 distinct payers
1,103,355 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

488,655 of 1,103,355 rate rows are consumer-grade (44.3%)

614,700 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 595,150
per-diem day rate — not a per-procedure price 14,670
template filing: same amount across many unrelated codes — excluded 4,747
placeholder amount (≤ $0.02) — excluded from medians 122
exceeds 10× this hospital's gross charge — excluded from medians 11

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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/62-1372389_HCA-FLORIDA-MERCY-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 · 2026-06-08

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 $4,897,200.00 $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 24 $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 24 $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 25 $5,411.56 $3,990,546.00 $3,391,964.10 nat. median
$13,041
outlier · 260.1×
748
OTHER 		Inj, Lovotibeglogene Auto 25 $8,926.36 $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 25 $7,928.38 $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 24 $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 24 $523,900.97 $635,031.48 $539,776.76 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 24 $521,852.17 $632,548.08 $537,665.87 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 24 $521,321.72 $631,905.12 $537,119.35 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 24 $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 24 $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 24 $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 33 $1,870.00 $725,393.41 $302,331.20 nat. median
$370,174
0.8× median
5834
APR_DRG 		Neonate With Ecmo 14 $192,207.00 $288,310.50 $230,648.40 nat. median
$309,665
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 36 $1,870.00 $541,808.87 $226,567.20 nat. median
$265,286
0.9× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 35 $1,870.00 $456,331.78 $191,291.50 nat. median
$206,474
0.9× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $183,429.52 $189,102.60 $186,266.06 nat. median
$263,894
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 $1,870.00 $555,647.81 $173,091.50 nat. median
$202,976
0.9× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $151,356.38 $156,037.50 $153,696.94 nat. median
$424,868
outlier · 0.4×
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
1907
OTHER 		New Technology - Level 52 25 $145,866.50 $176,807.88 $150,286.70 nat. median
$153,199
1.0× median
1908
OTHER 		New Technology - Level 52 25 $145,866.50 $176,807.88 $150,286.70 nat. median
$152,962
1.0× median
5833
APR_DRG 		Neonate With Ecmo 14 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× 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
1905
OTHER 		New Technology - Level 51 25 $131,519.02 $159,417.00 $135,504.45 nat. median
$137,903
1.0× median
1906
OTHER 		New Technology - Level 51 25 $131,519.02 $159,417.00 $135,504.45 nat. median
$138,020
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
01906
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$82,736
1.6× median
01905
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$82,736
1.6× median

Other procedures at this hospital

Browse this hospital's 32,663 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 28 24 — — $3,636,171.00 $4,407,480.00 $3,746,358.00 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 28 24 — — $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 29 25 — — $5,411.56 $3,990,546.00 $3,391,964.10 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 29 25 — — $8,926.36 $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 29 25 — — $7,928.38 $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 28 24 — — $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 28 24 — — $523,900.97 $635,031.48 $539,776.76 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 28 24 — — $521,852.17 $632,548.08 $537,665.87 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 28 24 — — $521,321.72 $631,905.12 $537,119.35 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 28 24 — — $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 28 24 — — $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 28 24 — — $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 54 33 — — $1,870.00 $725,393.41 $302,331.20 2024-10-01
5834 APR_DRG Neonate With Ecmo 17 14 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 60 36 — — $1,870.00 $541,808.87 $226,567.20 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 57 35 — — $1,870.00 $456,331.78 $191,291.50 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $183,429.52 $189,102.60 $186,266.06 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 59 36 — — $1,870.00 $555,647.81 $173,091.50 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $151,356.38 $156,037.50 $153,696.94 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
1908 OTHER New Technology - Level 52 29 25 — — $145,866.50 $176,807.88 $150,286.70 2024-10-01
1907 OTHER New Technology - Level 52 29 25 — — $145,866.50 $176,807.88 $150,286.70 2024-10-01
5833 APR_DRG Neonate With Ecmo 17 14 — — $124,517.00 $186,775.50 $149,420.40 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 29 25 — — $131,519.02 $159,417.00 $135,504.45 2024-10-01
1906 OTHER New Technology - Level 51 29 25 — — $131,519.02 $159,417.00 $135,504.45 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
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $122,861.07 $126,660.90 $124,760.99 2024-10-01
1904 OTHER New Technology - Level 50 29 25 — — $117,171.55 $142,026.12 $120,722.20 2024-10-01
1903 OTHER New Technology - Level 50 29 25 — — $117,171.55 $142,026.12 $120,722.20 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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 59 36 — — $1,870.00 $333,492.93 $115,131.40 2024-10-01
01904 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
01903 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
14 MS_DRG Allogeneic Bone Marrow Transplant 55 34 — — $1,870.00 $312,796.22 $108,038.69 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
7 MS_DRG Lung Transplant 59 36 — — $1,870.00 $263,861.60 $106,707.00 2024-10-01
1902 OTHER New Technology - Level 49 29 25 — — $102,824.07 $124,635.24 $105,939.95 2024-10-01
1901 OTHER New Technology - Level 49 29 25 — — $102,824.07 $124,635.24 $105,939.95 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 30 26 — — $96,999.90 $119,999.88 $101,999.90 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
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
1599 OTHER New Technology - Level 48 29 25 — — $90,867.82 $110,142.82 $93,621.39 2024-10-01
1585 OTHER New Technology - Level 48 29 25 — — $90,867.82 $110,142.82 $93,621.39 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 30 26 — — $88,300.94 $109,238.28 $92,852.54 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
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 60 36 — — $1,870.00 $357,890.93 $90,899.46 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 63 37 — — $1,870.00 $298,617.66 $89,442.21 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
215 MS_DRG Other Heart Assist System Implant 64 37 — — $1,870.00 $336,674.00 $88,810.77 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
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $86,386.61 $89,058.36 $87,722.49 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 59 36 — — $1,870.00 $317,928.12 $87,501.23 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 36 — — $1,870.00 $290,602.36 $87,037.26 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 29 25 — — $81,302.85 $98,548.91 $83,766.57 2024-10-01
1598 OTHER New Technology - Level 47 29 25 — — $81,302.85 $98,548.91 $83,766.57 2024-10-01
5831 APR_DRG Neonate With Ecmo 17 14 — — $69,493.00 $104,239.50 $83,391.60 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
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $80,268.01 $82,750.53 $81,509.27 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 37 — — $1,870.00 $219,087.00 $80,715.88 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
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 2 1 — — $80,667.00 $80,667.00 $80,667.00 2024-10-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 2 1 — — $80,667.00 $80,667.00 $80,667.00 2024-10-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 2 1 — — $80,667.00 $80,667.00 $80,667.00 2024-10-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 1 — — $80,667.00 $80,667.00 $80,667.00 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
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $78,169.31 $78,169.31 $78,169.31 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 17 14 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 60 36 — — $1,870.00 $255,383.29 $76,091.16 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
1597 OTHER New Technology - Level 46 29 25 — — $71,737.86 $86,954.98 $73,911.73 2024-10-01
1583 OTHER New Technology - Level 46 29 25 — — $71,737.86 $86,954.98 $73,911.73 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
231 MS_DRG Coronary Bypass With Ptca With Mcc 64 37 — — $1,870.00 $204,305.52 $71,637.97 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 35 — — $1,870.00 $162,901.99 $70,897.14 2024-10-01
007 OTHER Lung Transplant 2 2 — — $69,256.70 $71,398.66 $70,327.68 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
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $69,131.06 $71,269.13 $70,200.10 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 60 36 — — $1,870.00 $231,226.50 $69,866.03 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
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 35 — — $1,870.00 $200,188.36 $67,803.64 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 30 26 — — $63,895.55 $79,046.04 $67,189.13 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 29 25 — — $64,821.81 $78,571.90 $66,786.11 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
10 MS_DRG Pancreas Transplant 56 35 — — $1,870.00 $160,286.54 $66,588.95 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 37 — — $1,870.00 $171,750.83 $66,313.16 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 35 — — $1,870.00 $161,914.00 $66,222.76 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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 36 — — $1,870.00 $175,743.23 $65,675.09 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 29 25 — — $12,968.62 $76,025.72 $64,621.87 2024-10-01
1596 OTHER New Technology - Level 45 29 25 — — $62,172.87 $75,361.06 $64,056.90 2024-10-01
1582 OTHER New Technology - Level 45 29 25 — — $62,172.87 $75,361.06 $64,056.90 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $63,979.93 $63,979.93 $63,979.93 2024-10-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $63,089.87 $64,667.12 $63,878.50 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $62,441.91 $64,002.96 $63,222.43 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 36 — — $1,870.00 $143,571.73 $62,217.74 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
B0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $60,166.82 $61,670.99 $60,918.90 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
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 36 — — $1,870.00 $195,067.55 $60,245.83 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 36 — — $1,870.00 $196,811.46 $59,913.36 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $58,966.13 $60,789.82 $59,877.97 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 17 14 — — $49,247.00 $73,870.50 $59,096.40 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
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 59 35 — — $1,870.00 $72,739.13 $58,191.30 2024-10-01
64 APR_DRG Pancreas Transplant 17 14 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $56,825.71 $58,583.21 $57,704.46 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 60 36 — — $1,870.00 $193,997.37 $57,170.40 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
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $56,105.19 $57,507.82 $56,806.51 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $56,696.01 $56,696.01 $56,696.01 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 61 36 — — $1,870.00 $144,500.00 $56,453.63 2024-10-01
8514 APR_DRG Gender Related Procedures 17 14 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 60 36 — — $1,870.00 $185,873.95 $56,188.41 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 28 24 — — $54,465.08 $66,018.28 $56,115.53 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 57 35 — — $1,870.00 $128,467.63 $55,984.38 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
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
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 37 — — $1,870.00 $219,087.00 $55,313.75 2024-10-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $54,620.89 $55,986.41 $55,303.65 2024-10-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $54,463.56 $55,825.15 $55,144.35 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
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 59 35 — — $1,870.00 $124,412.68 $54,310.94 2024-10-01
1581 OTHER New Technology - Level 44 29 25 — — $52,607.89 $63,767.14 $54,202.07 2024-10-01
1595 OTHER New Technology - Level 44 29 25 — — $52,607.89 $63,767.14 $54,202.07 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
B0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $52,898.53 $54,220.99 $53,559.76 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 60 36 — — $1,870.00 $124,978.75 $53,169.37 2024-10-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $52,180.18 $53,484.69 $52,832.43 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $52,729.53 $52,729.53 $52,729.53 2024-10-01
B1903 OTHER Guillian Barre; M < 18.05 2 2 — — $51,989.73 $53,289.47 $52,639.60 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 64 37 — — $1,870.00 $204,305.52 $52,486.98 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 36 — — $1,870.00 $138,361.61 $52,449.87 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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 60 36 — — $1,870.00 $171,506.85 $52,384.06 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
B0604 OTHER Neurological; M < 25.85 2 2 — — $51,555.00 $52,843.87 $52,199.43 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 63 37 — — $1,870.00 $118,451.44 $51,850.78 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 61 36 — — $1,870.00 $118,045.56 $51,756.93 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 63 37 — — $1,870.00 $252,395.00 $51,532.30 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 55 34 — — $1,870.00 $312,796.22 $51,388.69 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 55 34 — — $1,870.00 $312,796.22 $51,388.69 2024-10-01
5244 OTHER Level 4 Blood Product Exc 29 25 — — $49,801.21 $65,395.53 $51,310.33 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 59 35 — — $1,870.00 $116,937.57 $51,226.02 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 64 37 — — $1,870.00 $219,087.00 $51,197.88 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,041.82 $51,041.82 $51,041.82 2024-10-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $50,172.14 $51,426.44 $50,799.29 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $50,758.00 $50,758.00 $50,758.00 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 36 — — $1,870.00 $141,342.05 $50,669.12 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
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 42 31 — — $4,345.00 $62,701.81 $50,161.45 2024-10-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $49,488.99 $50,726.21 $50,107.60 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
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 2 2 — — $49,339.94 $50,573.44 $49,956.69 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 35 — — $1,870.00 $140,673.88 $49,496.63 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 35 — — $1,870.00 $123,595.28 $49,218.90 2024-10-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $48,578.12 $49,792.58 $49,185.35 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 60 36 — — $1,870.00 $111,990.07 $49,184.22 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 2 2 — — $48,178.58 $49,383.05 $48,780.82 2024-10-01
B2102 OTHER Burns; M=12-45 2 2 — — $47,977.78 $49,177.22 $48,577.50 2024-10-01
C2616 HCPCS Brachytx Ns Yttrium 90 2 1 $32,000.00 $32,000.00 $48,455.00 $48,455.00 $48,455.00 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 30 26 — — $46,068.21 $56,991.60 $48,442.86 2024-10-01
D0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $47,683.82 $48,875.91 $48,279.87 2024-10-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 2 2 — — $47,636.21 $48,827.11 $48,231.66 2024-10-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 4 3 — — $14,099.00 $80,667.00 $48,101.50 2024-10-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 4 3 — — $14,099.00 $80,667.00 $48,101.50 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
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 35 — — $1,870.00 $200,188.36 $47,782.43 2024-10-01
B1504 OTHER Pulmonary; M < 29.15 2 2 — — $47,083.48 $48,260.56 $47,672.02 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 36 — — $1,870.00 $152,631.67 $47,370.13 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 60 36 — — $1,870.00 $107,225.31 $47,217.84 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 60 36 — — $1,870.00 $151,658.52 $47,087.30 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $46,268.62 $47,699.61 $46,984.12 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 59 35 — — $1,870.00 $106,315.45 $46,842.34 2024-10-01
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 2 2 — — $46,253.35 $47,409.68 $46,831.51 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
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 2 2 — — $45,982.16 $47,131.71 $46,556.93 2024-10-01
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $45,893.14 $47,040.47 $46,466.81 2024-10-01
C0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $45,876.58 $47,023.49 $46,450.04 2024-10-01
1142 OTHER Supprelin La Implant 29 25 — — $44,896.71 $54,420.25 $46,257.21 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 59 36 — — $1,870.00 $161,914.00 $46,158.84 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 64 37 — — $1,870.00 $130,856.46 $46,103.04 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 60 36 — — $1,870.00 $123,661.82 $46,060.40 2024-10-01
A0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $45,441.85 $46,577.89 $46,009.87 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 62 36 — — $1,870.00 $175,743.23 $45,911.94 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 60 36 — — $1,870.00 $103,887.87 $45,840.50 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $45,131.78 $46,527.61 $45,829.69 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $45,818.97 $45,818.97 $45,818.97 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 60 36 — — $1,870.00 $103,789.76 $45,800.01 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 60 36 — — $1,870.00 $103,776.30 $45,794.46 2024-10-01
B1204 OTHER Osteoarthritis; M=39-47 2 2 — — $45,205.85 $46,336.00 $45,770.93 2024-10-01
C0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $44,986.41 $46,111.07 $45,548.74 2024-10-01
B0504 OTHER Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 2 2 — — $44,936.73 $46,060.15 $45,498.44 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
B0304 OTHER Nontraumatic Brain Injury; M < 26.15 2 2 — — $44,758.70 $45,877.67 $45,318.18 2024-10-01
C0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $44,617.93 $45,733.38 $45,175.65 2024-10-01
B1404 OTHER Cardiac; M < 31.15 2 2 — — $44,421.26 $45,531.80 $44,976.53 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 17 14 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
B0904 OTHER Other Orthopedic; M < 24.15 2 2 — — $44,334.32 $45,442.68 $44,888.50 2024-10-01
B1304 OTHER Rheumatoid, Other Arthritis; M=12-35 2 2 — — $44,334.32 $45,442.68 $44,888.50 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 61 36 — — $1,870.00 $108,936.00 $44,588.04 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $44,414.58 $44,414.58 $44,414.58 2024-10-01
1580 OTHER New Technology - Level 43 29 25 — — $43,042.90 $52,173.22 $44,347.23 2024-10-01
1594 OTHER New Technology - Level 43 29 25 — — $43,042.90 $52,173.22 $44,347.23 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 17 14 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
B2004 OTHER Miscellaneous; M < 27.85 2 2 — — $43,624.26 $44,714.86 $44,169.56 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 60 36 — — $1,870.00 $142,775.43 $44,067.16 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $43,889.65 $43,889.65 $43,889.65 2024-10-01
D0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $43,311.66 $44,394.46 $43,853.06 2024-10-01
B1203 OTHER Osteoarthritis; M < 30.75 2 2 — — $43,108.79 $44,186.51 $43,647.65 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 60 36 — — $1,870.00 $68,832.86 $43,408.12 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 36 — — $1,870.00 $132,533.82 $43,374.25 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 60 36 — — $1,870.00 $97,693.87 $43,284.29 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
B0805 OTHER Replacement Of Lower Extremity Joint; M > 22.05 & 2 2 — — $42,671.99 $43,738.79 $43,205.39 2024-10-01
B0204 OTHER Traumatic Brain Injury; M > 40.65 & M < 44.25 2 2 — — $42,640.94 $43,706.96 $43,173.95 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 58 35 — — $1,870.00 $123,664.59 $43,109.37 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $43,095.13 $43,095.13 $43,095.13 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 60 36 — — $1,870.00 $96,882.11 $42,949.28 2024-10-01
B0104 OTHER Stroke; M > 38.85 & M < 44.45 2 2 — — $42,303.50 $43,361.09 $42,832.29 2024-10-01
A0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $42,291.08 $43,348.36 $42,819.72 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 59 35 — — $1,870.00 $96,310.80 $42,713.50 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 4 2 — — $6,300.00 $51,722.00 $42,675.00 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 2 — — $6,300.00 $51,722.00 $42,675.00 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 60 36 — — $1,870.00 $96,208.85 $42,671.43 2024-10-01
4404 APR_DRG Kidney Transplant 17 14 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
D0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $41,922.59 $42,970.66 $42,446.62 2024-10-01
01580 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
01594 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $42,110.89 $42,110.89 $42,110.89 2024-10-01
B1103 OTHER Amputation, Non-lower Extremity; M=12-37 2 2 — — $41,518.91 $42,556.89 $42,037.90 2024-10-01
8634 APR_DRG Neonatal Aftercare 17 14 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Code In 2 2 — — $41,374.00 $42,408.35 $41,891.18 2024-10-01
245 MS_DRG Aicd Generator Procedures 60 35 — — $1,455.00 $93,996.71 $41,758.50 2024-10-01
B0603 OTHER Neurological; M > 25.85 & M < 37.35 2 2 — — $41,109.02 $42,136.75 $41,622.88 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 61 36 — — $1,870.00 $66,991.00 $41,524.31 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 59 36 — — $1,870.00 $317,928.12 $41,460.00 2024-10-01
B1703 OTHER Maj Mult Trauma No Brain Or Spinal Cord Injury; M 2 2 — — $40,864.75 $41,886.37 $41,375.56 2024-10-01
D0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $40,860.61 $41,882.12 $41,371.37 2024-10-01
63 APR_DRG Pancreas Transplant 17 14 — — $34,364.00 $51,546.00 $41,236.80 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 63 37 — — $1,870.00 $189,513.00 $41,119.14 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
B0403 OTHER Traumatic Spinal Cord Injury; M > 16.05 & M < 30.3 2 2 — — $40,407.24 $41,417.43 $40,912.33 2024-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 17 14 — — $34,068.00 $51,102.00 $40,881.60 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 60 36 — — $1,870.00 $91,855.75 $40,874.93 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 60 36 — — $1,870.00 $91,457.56 $40,710.61 2024-10-01
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