Hospital

HCA FLORIDA MERCY HOSPITAL

Plantation, FL · CCN 100167 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $3,401 across 27 payers · range $140-$18,795

Source: https://www.hcadam.com/api/public/content/bee708d1d87c4ee186d6108f55058c94?download=true · 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.

36,802 distinct procedures filed

63 distinct payers

2,486,669 rate rows

2026-08-01 last MRF observed

Data quality

2,416,059 of 2,486,669 rate rows are consumer-grade (97.2%)

70,610 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	28,557
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	19,297
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	15,838
template filing: same amount across many unrelated codes — excluded	5,017
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	851
percent-of-charges filed in the dollar field — excluded from medians	701
placeholder amount (≤ $0.02) — excluded from medians	214
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	109
exceeds 10× this hospital's gross charge — excluded from medians	26

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 via	CMS hospital list
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-10-11
Content fingerprint	bdc473db8907885f… · 529,061,699 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	$4,897,200.00	nat. median $2,968,000 1.6× median
845 OTHER	Inj, Atidarsagene Autotem	23	$4,883.07	$4,955,500.00	$4,550,050.00	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	$3,884,946.48	nat. median $2,455,111 1.6× median
J3392 HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	1	$3,847,800.00	$3,847,800.00	$3,847,800.00	nat. median $2,332,000 1.6× median
9138 OTHER	Inj, Hemgenix, Per Tx Dos	25	$3,636,171.00	$4,422,320.40	$3,758,972.34	nat. median $3,765,001 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 $3,677,100 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
00773 OTHER	Inj, Beqvez, Per Tx Dose	1	$3,496,850.00	$3,496,850.00	$3,496,850.00	nat. median $3,496,850 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	27	$9,938.07	$4,836,939.00	$3,402,536.40	nat. median $8,800 outlier · 386.6×
714 OTHER	Inj Delandistrogene Mox R	27	$5,411.56	$4,825,397.00	$3,394,417.20	nat. median $3,391,964 1.0× median
748 OTHER	Inj, Lovotibeglogene Auto	27	$8,926.36	$4,716,136.60	$3,333,820.70	nat. median $3,351,720 1.0× median
906 OTHER	Inj Elivaldogene Autoteme	27	$6,512.29	$4,611,000.00	$3,243,600.00	nat. median $2,726 outlier · 1189.7×
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
00906 OTHER	Inj Elivaldogene Autoteme	1	$3,084,600.00	$3,084,600.00	$3,084,600.00	—
746 OTHER	Inj, Betibeglogene Autote	27	$7,928.38	$4,262,955.05	$3,013,064.19	nat. median $3,001,835 1.0× median
00746 OTHER	Inj, Betibeglogene Autote	1	$2,851,769.93	$2,878,960.00	$2,865,364.96	nat. median $2,878,960 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Tre	26	$2,364,727.86	$3,754,022.45	$2,588,981.00	nat. median $2,508,045 1.0× median
09141 OTHER	Inj Onase Abepar-xioi Tre	1	$2,316,955.58	$2,511,311.57	$2,414,133.58	nat. median $2,316,956 1.0× median
824 OTHER	Inj, Exagamglogene Autote	27	$14,038.83	$3,381,400.00	$2,378,640.00	nat. median $28,063 outlier · 84.8×
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	26	$762,913.80	$1,117,399.00	$789,885.50	nat. median $838,386 0.9× median
9498 OTHER	Ciltacabtagene Car-pos T	26	$521,852.17	$852,091.92	$587,649.60	nat. median $553,480 1.1× median
9194 OTHER	Tisagenlecleucel Car-pos	26	$523,900.97	$821,470.39	$566,531.30	nat. median $555,653 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	26	$511,558.84	$815,191.74	$562,201.20	nat. median $542,562 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
9422 OTHER	Idecabtagene Vicleucel Ca	26	$521,321.72	$809,218.61	$558,081.80	nat. median $552,917 1.0× 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
9035 OTHER	Axicabtagene Ciloleucel C	26	$484,561.44	$771,678.69	$532,192.20	nat. median $513,929 1.0× 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
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	3	$470,149.30	$920,834.85	$511,793.34	nat. median $574,037 0.9× 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
09035 OTHER	Axicabtagene Ciloleucel C	1	$474,772.32	$516,226.43	$495,499.38	nat. median $474,772 1.0× median
9391 OTHER	Brexucabtagene Car Pos T	26	$455,925.10	$709,702.79	$489,450.20	nat. median $483,557 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
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	35	$1,870.00	$725,393.41	$313,610.33	nat. median $168,055 1.9× median
831 OTHER	Obecbtge Autol Up To 400	27	$3,003.60	$403,462.50	$283,815.00	nat. median $278,250 1.0× median
897 OTHER	Revakinagene, Per Implant	26	$262,350.00	$384,250.00	$271,625.00	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 36,802 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

J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	3	1	—	—	$4,850,948.67	$4,897,200.00	$4,897,200.00	2026-03-01
845	OTHER	Inj, Atidarsagene Autotem	28	23	—	—	$4,883.07	$4,955,500.00	$4,550,050.00	2026-03-01
00845	OTHER	Inj, Atidarsagene Autotem	1	1	—	—	$4,369,850.00	$4,369,850.00	$4,369,850.00	2026-03-01
J3399	HCPCS	Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge…	3	1	—	—	$3,884,946.48	$4,271,819.03	$3,884,946.48	2026-03-01
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	1	1	—	—	$3,847,800.00	$3,847,800.00	$3,847,800.00	2026-03-01
9138	OTHER	Inj, Hemgenix, Per Tx Dos	57	25	—	—	$3,636,171.00	$4,422,320.40	$3,758,972.34	2026-03-01
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	2	1	—	—	$3,562,713.00	$3,574,708.99	$3,568,711.00	2026-03-01
00773	OTHER	Inj, Beqvez, Per Tx Dose	1	1	—	—	$3,496,850.00	$3,496,850.00	$3,496,850.00	2024-10-01
908	OTHER	Topi Adm Prad Zami Per Tr	32	27	—	—	$9,938.07	$4,836,939.00	$3,402,536.40	2026-03-01
714	OTHER	Inj Delandistrogene Mox R	60	27	—	—	$5,411.56	$4,825,397.00	$3,394,417.20	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	60	27	—	—	$8,926.36	$4,716,136.60	$3,333,820.70	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	32	27	—	—	$6,512.29	$4,611,000.00	$3,243,600.00	2026-03-01
00908	OTHER	Topi Adm Prad Zami Per Tr	1	1	—	—	$3,235,745.40	$3,235,745.40	$3,235,745.40	2026-03-01
00714	OTHER	Inj Delandistrogene Mox R	2	1	—	—	$3,225,691.35	$3,228,024.20	$3,226,857.78	2026-03-01
00748	OTHER	Inj, Lovotibeglogene Auto	2	1	—	—	$3,154,932.76	$3,187,420.00	$3,171,176.38	2026-03-01
00906	OTHER	Inj Elivaldogene Autoteme	1	1	—	—	$3,084,600.00	$3,084,600.00	$3,084,600.00	2026-03-01
746	OTHER	Inj, Betibeglogene Autote	60	27	—	—	$7,928.38	$4,262,955.05	$3,013,064.19	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	58	26	—	—	$2,364,727.86	$3,754,022.45	$2,588,981.00	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	2	1	—	—	$2,316,955.58	$2,511,311.57	$2,414,133.58	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	32	27	—	—	$14,038.83	$3,381,400.00	$2,378,640.00	2026-03-01
00824	OTHER	Inj, Exagamglogene Autote	1	1	—	—	$2,262,040.00	$2,262,040.00	$2,262,040.00	2026-03-01
Q2057	HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	1	1	—	—	$1,271,523.00	$1,271,523.00	$1,271,523.00	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	30	26	—	—	$762,913.80	$1,117,399.00	$789,885.50	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	58	26	—	—	$521,852.17	$852,091.92	$587,649.60	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	58	26	—	—	$523,900.97	$821,470.39	$566,531.30	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	58	26	—	—	$511,558.84	$815,191.74	$562,201.20	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	11	3	—	—	$502,693.77	$934,776.65	$561,407.87	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	58	26	—	—	$521,321.72	$809,218.61	$558,081.80	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	2	1	—	—	$511,309.70	$570,020.11	$540,664.91	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	11	3	—	—	$492,271.12	$969,621.79	$536,573.93	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	58	26	—	—	$484,561.44	$771,678.69	$532,192.20	2026-03-01
09194	OTHER	Tisagenlecleucel Car-pos	2	1	—	—	$513,317.11	$549,535.36	$531,426.23	2026-03-01
09422	OTHER	Idecabtagene Vicleucel Ca	2	1	—	—	$510,789.97	$541,339.35	$526,064.66	2026-03-01
09413	OTHER	Lisocabtagene Car Pos T	2	1	—	—	$501,224.32	$545,335.16	$523,279.74	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	7	3	—	—	$470,149.30	$920,834.85	$511,793.34	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	11	3	—	—	$459,839.17	$927,632.05	$500,948.74	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	2	1	—	—	$474,772.32	$516,226.43	$495,499.38	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	58	26	—	—	$455,925.10	$709,702.79	$489,450.20	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	11	3	—	—	$445,599.57	$878,117.20	$487,755.77	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	11	3	—	—	$435,956.80	$807,592.83	$474,717.03	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	2	1	—	—	$446,714.49	$474,766.69	$460,740.59	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	1	1	—	—	$459,112.50	$459,112.50	$459,112.50	2026-03-01
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	108	35	—	—	$1,870.00	$725,393.41	$313,610.33	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	32	27	—	—	$3,003.60	$403,462.50	$283,815.00	2026-03-01
897	OTHER	Revakinagene, Per Implant	30	26	—	—	$262,350.00	$384,250.00	$271,625.00	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	31	14	—	—	$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	119	38	—	—	$1,870.00	$541,808.87	$229,887.71	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	32	27	—	—	$5,663.85	$292,420.05	$205,702.38	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	1	1	—	—	$195,618.93	$195,618.93	$195,618.93	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	2	—	—	$183,429.52	$213,772.58	$189,102.60	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	116	37	—	—	$1,870.00	$456,331.78	$186,146.75	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	121	38	—	—	$1,870.00	$597,794.88	$176,553.33	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	2	—	—	$151,356.38	$243,195.39	$156,037.50	2026-03-01
1908	OTHER	New Technology - Level 52	59	26	—	—	$145,866.50	$226,021.50	$155,876.90	2026-03-01
1907	OTHER	New Technology - Level 52	59	26	—	—	$145,866.50	$226,021.50	$155,876.90	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	14	—	—	$125,393.00	$191,333.91	$150,471.60	2026-03-01
01907	OTHER	New Technology - Level 52	2	1	—	—	$142,919.70	$148,484.69	$145,702.20	2026-03-01
01908	OTHER	New Technology - Level 52	2	1	—	—	$142,919.70	$148,484.69	$145,702.20	2026-03-01
5833	APR_DRG	Neonate With Ecmo	31	14	—	—	$118,611.62	$186,775.50	$142,333.94	2026-03-01
1906	OTHER	New Technology - Level 51	59	26	—	—	$131,519.02	$203,789.96	$140,544.80	2026-03-01
1905	OTHER	New Technology - Level 51	59	26	—	—	$131,519.02	$203,789.96	$140,544.80	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	31	14	—	—	$111,047.00	$178,746.99	$133,256.40	2026-03-01
01905	OTHER	New Technology - Level 51	2	1	—	—	$128,862.07	$133,879.59	$131,370.83	2026-03-01
01906	OTHER	New Technology - Level 51	2	1	—	—	$128,862.07	$133,879.59	$131,370.83	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	2	—	—	$122,861.07	$150,671.26	$126,660.90	2026-03-01
1903	OTHER	New Technology - Level 50	59	26	—	—	$117,171.55	$181,558.41	$125,212.70	2026-03-01
1904	OTHER	New Technology - Level 50	59	26	—	—	$117,171.55	$181,558.41	$125,212.70	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	3	1	—	—	$120,116.70	$138,148.31	$120,116.70	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	14	—	—	$97,644.00	$178,865.04	$119,243.36	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	121	38	—	—	$1,870.00	$358,789.08	$117,434.03	2026-03-01
01903	OTHER	New Technology - Level 50	2	1	—	—	$114,804.45	$119,274.69	$117,039.57	2026-03-01
01904	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	61	27	—	—	$96,999.90	$161,679.35	$111,503.00	2026-03-01
1901	OTHER	New Technology - Level 49	59	26	—	—	$102,824.07	$159,326.87	$109,880.60	2026-03-01
1902	OTHER	New Technology - Level 49	59	26	—	—	$102,824.07	$159,326.87	$109,880.60	2026-03-01
7	MS_DRG	Lung Transplant	118	38	—	—	$1,870.00	$283,876.06	$109,641.44	2026-03-01
5832	APR_DRG	Neonate With Ecmo	31	14	—	—	$91,071.80	$143,410.50	$109,286.16	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	3	1	—	—	$93,760.51	$108,036.36	$108,036.36	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	110	36	—	—	$1,870.00	$336,522.48	$106,969.00	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	31	14	—	—	$88,926.10	$142,750.50	$106,711.32	2026-03-01
01901	OTHER	New Technology - Level 49	2	1	—	—	$100,746.82	$104,669.69	$102,708.26	2026-03-01
01902	OTHER	New Technology - Level 49	2	1	—	—	$100,746.82	$104,669.69	$102,708.26	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	31	14	—	—	$82,446.00	$133,307.22	$98,935.20	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	14	—	—	$81,552.00	$127,428.00	$97,862.40	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	31	14	—	—	$80,942.00	$128,217.69	$97,130.40	2026-03-01
1599	OTHER	New Technology - Level 48	59	26	—	—	$90,867.82	$140,800.52	$97,103.81	2026-03-01
1585	OTHER	New Technology - Level 48	59	26	—	—	$90,867.82	$140,800.52	$97,103.81	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	64	38	—	—	$1,984.00	$337,617.17	$96,849.06	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	31	14	—	—	$79,657.00	$125,467.54	$95,588.40	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	61	27	—	—	$88,300.94	$137,867.45	$95,583.49	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	119	38	—	—	$1,870.00	$385,037.72	$95,017.12	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	31	14	—	—	$79,102.08	$135,325.50	$94,922.50	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	31	14	—	—	$77,520.20	$137,205.00	$93,024.24	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	121	38	—	—	$1,870.00	$312,460.23	$92,507.50	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	127	39	—	—	$1,870.00	$321,268.44	$91,872.41	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	2	1	—	—	$78,169.31	$105,449.77	$91,809.54	2026-03-01
01585	OTHER	New Technology - Level 48	2	1	—	—	$89,032.11	$92,498.81	$90,765.46	2026-03-01
01599	OTHER	New Technology - Level 48	2	1	—	—	$89,032.11	$92,498.81	$90,765.46	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	31	14	—	—	$75,232.00	$130,764.62	$90,278.40	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	5	2	—	—	$53,789.99	$91,596.09	$89,766.78	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	2	—	—	$86,386.61	$117,662.36	$89,058.36	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	118	38	—	—	$1,870.00	$342,043.64	$88,535.83	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	31	14	—	—	$73,540.00	$110,794.50	$87,896.97	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	128	39	—	—	$1,870.00	$347,433.56	$87,850.95	2026-03-01
1598	OTHER	New Technology - Level 47	59	26	—	—	$81,302.85	$125,979.49	$86,882.41	2026-03-01
1584	OTHER	New Technology - Level 47	59	26	—	—	$81,302.85	$125,979.49	$86,882.41	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	14	—	—	$71,560.00	$109,192.05	$85,872.00	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	31	14	—	—	$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…	113	36	—	—	$19,995.00	$220,000.00	$84,185.05	2026-03-01
5831	APR_DRG	Neonate With Ecmo	31	14	—	—	$69,493.00	$122,622.00	$83,391.60	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
0520T	CPT	Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L…	3	1	—	—	$78,780.00	$80,667.00	$80,667.00	2026-03-01
0614T	CPT	Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator	3	1	—	—	$78,780.00	$80,667.00	$80,667.00	2026-03-01
0571T	CPT	Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S…	3	1	—	—	$78,780.00	$80,667.00	$80,667.00	2026-03-01
0515T	CPT	Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including …	3	1	—	—	$78,780.00	$80,667.00	$80,667.00	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$77,191.79	$82,750.53	$80,268.01	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	31	14	—	—	$66,782.00	$100,494.24	$79,725.43	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	14	—	—	$56,946.00	$133,113.71	$79,724.40	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	31	14	—	—	$66,329.56	$100,863.00	$79,595.47	2026-03-01
0915T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	1	1	—	—	$78,780.00	$78,780.00	$78,780.00	2026-03-01
0923T	CPT	Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla…	1	1	—	—	$78,780.00	$78,780.00	$78,780.00	2026-03-01
0916T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	1	1	—	—	$78,780.00	$78,780.00	$78,780.00	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	31	14	—	—	$64,392.00	$104,446.96	$77,270.40	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	3	1	—	—	$76,785.37	$77,046.96	$76,785.37	2026-03-01
1583	OTHER	New Technology - Level 46	59	26	—	—	$71,737.86	$111,158.46	$76,661.01	2026-03-01
1597	OTHER	New Technology - Level 46	59	26	—	—	$71,737.86	$111,158.46	$76,661.01	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	121	38	—	—	$1,870.00	$248,783.42	$76,091.72	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	121	38	—	—	$1,870.00	$274,772.55	$76,091.16	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	31	14	—	—	$62,352.00	$97,366.79	$74,822.40	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	114	36	—	—	$16,602.00	$219,802.53	$74,491.27	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	14	—	—	$61,338.00	$93,593.57	$73,605.60	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	109	36	—	—	$13,561.00	$162,901.99	$72,812.16	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
007	OTHER	Lung Transplant	3	2	—	—	$69,256.70	$90,431.56	$71,398.66	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	2	—	—	$69,131.06	$80,149.04	$71,269.13	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	31	14	—	—	$59,125.00	$94,624.20	$70,950.00	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	61	27	—	—	$63,895.55	$99,762.46	$69,165.29	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	14	—	—	$48,895.00	$105,823.65	$68,453.00	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	117	37	—	—	$1,870.00	$215,373.07	$68,404.50	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	31	14	—	—	$40,520.04	$102,481.50	$68,321.00	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	111	36	—	—	$13,561.00	$189,073.73	$68,170.54	2026-03-01
595881	CDM	Rem/replace Icd Sgl Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595879	CDM	Ins Icd Gen Dual Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595859	CDM	Rem/replace Icd Dual Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595860	CDM	Rem/replace Icd Multi Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595857	CDM	Ins Icd Gen Multi Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595880	CDM	Ins Icd Gen Multi Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595856	CDM	Ins Icd Gen Dual Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595858	CDM	Rem/replace Icd Sgl Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595883	CDM	Rem/replace Icd Multi Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
595882	CDM	Rem/replace Icd Dual Ld	70	25	$264,984.50	$264,984.50	$18,422.72	$365,930.70	$68,138.82	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	114	36	—	—	$16,602.00	$184,778.49	$67,892.18	2026-03-01
1596	OTHER	New Technology - Level 45	59	26	—	—	$62,172.87	$96,337.43	$66,439.61	2026-03-01
1582	OTHER	New Technology - Level 45	59	26	—	—	$62,172.87	$96,337.43	$66,439.61	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	31	14	—	—	$54,849.00	$83,100.26	$65,818.80	2026-03-01
10	MS_DRG	Pancreas Transplant	112	37	—	—	$1,870.00	$172,444.62	$65,727.65	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	59	26	—	—	$56,256.30	$82,395.60	$65,476.58	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	60	27	—	—	$12,968.62	$93,198.45	$65,407.85	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	112	37	—	—	$1,870.00	$174,195.52	$65,390.76	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	59	26	—	—	$49,801.21	$95,245.15	$65,029.45	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	120	38	—	—	$1,870.00	$147,955.83	$64,865.88	2026-03-01
B0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	4	2	—	—	$63,089.87	$66,149.32	$64,601.53	2026-03-01
B0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	4	2	—	—	$62,441.91	$65,060.20	$63,738.16	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$63,724.55	$63,724.55	$63,724.55	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	114	37	—	—	$12,867.00	$209,863.84	$63,251.29	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	119	38	—	—	$1,870.00	$196,811.46	$62,879.37	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
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	11	3	—	—	$61,338.53	$106,053.40	$61,600.24	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	31	14	—	—	$51,234.90	$77,532.00	$61,481.88	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	31	14	—	—	$51,226.00	$80,695.10	$61,471.20	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	31	14	—	—	$51,048.39	$83,284.50	$61,258.07	2026-03-01
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	2	—	—	$58,966.13	$62,990.49	$60,789.82	2026-03-01
925872	CDM	Pump Heart 85mm X 21fr	102	28	$254,733.00	$254,733.00	$18,456.40	$369,362.85	$60,411.55	2026-03-01
935054	CDM	Kit Cath Rt Heart	102	28	$254,733.00	$254,733.00	$18,456.40	$369,362.85	$60,411.55	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	113	37	—	—	$12,867.00	$145,000.00	$60,234.72	2026-03-01
B0106	HCPCS	Stroke; M > 30.05 & M < 34.25	4	2	—	—	$57,546.99	$61,670.99	$59,576.24	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	31	14	—	—	$48,983.00	$89,188.07	$59,458.71	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	31	14	—	—	$46,525.00	$89,188.07	$59,458.71	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	31	14	—	—	$47,538.00	$89,188.07	$59,458.71	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	116	37	—	—	$1,870.00	$128,467.63	$59,437.74	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	31	14	—	—	$49,247.00	$76,852.35	$59,096.40	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	120	38	—	—	$1,870.00	$208,712.48	$58,742.59	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$51,041.82	$66,430.74	$58,736.28	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	2	—	—	$56,825.71	$76,378.72	$58,583.21	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	118	38	—	—	$12,867.00	$220,000.00	$58,317.25	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	117	37	—	—	$1,870.00	$75,642.77	$58,191.30	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	118	38	—	—	$12,867.00	$220,000.00	$57,739.85	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	110	37	—	—	$12,867.00	$185,873.95	$57,443.94	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	121	38	—	—	$1,870.00	$184,527.94	$57,282.10	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	2	1	—	—	$42,110.89	$71,579.96	$56,845.43	2026-03-01
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	1	1	—	—	$56,696.01	$56,696.01	$56,696.01	2024-10-01
1595	OTHER	New Technology - Level 44	59	26	—	—	$52,607.89	$81,516.40	$56,218.21	2026-03-01
1581	OTHER	New Technology - Level 44	59	26	—	—	$52,607.89	$81,516.40	$56,218.21	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	58	26	—	—	$53,860.07	$78,885.96	$56,075.88	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	2	1	—	—	$48,795.12	$62,571.25	$55,683.18	2026-03-01
B0205	HCPCS	Traumatic Brain Injury; M > 28.75 & M < 40.65	4	2	—	—	$54,620.89	$56,742.85	$55,672.65	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	119	37	—	—	$1,870.00	$124,412.68	$55,397.16	2026-03-01
C0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	4	2	—	—	$52,750.22	$57,507.82	$55,087.09	2026-03-01
B1903	HCPCS	Guillian Barre; M < 18.05	4	2	—	—	$51,989.73	$57,469.63	$54,678.70	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	121	38	—	—	$11,000.00	$268,213.38	$54,595.80	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	31	14	—	—	$45,376.00	$73,729.74	$54,451.20	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	122	38	—	—	$11,000.00	$219,802.53	$54,296.58	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	31	14	—	—	$44,835.00	$81,160.27	$54,106.85	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	121	38	—	—	$1,870.00	$134,458.66	$53,996.71	2026-03-01
D0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	4	2	—	—	$51,362.59	$55,825.15	$53,555.11	2026-03-01
955	OTHER	Craniotomy For Multiple Significant Trauma	2	1	—	—	$42,947.98	$63,979.93	$53,463.96	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	117	38	—	—	$11,000.00	$118,451.44	$53,354.60	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	114	37	—	—	$11,098.00	$138,361.61	$53,311.26	2026-03-01
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	31	14	—	—	$44,285.71	$69,304.50	$53,142.85	2026-03-01
09273	OTHER	Sipuleucel-t Auto Cd54+	2	1	—	—	$52,771.99	$53,364.77	$53,068.38	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	2	1	—	—	$45,818.97	$59,624.16	$52,721.57	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	112	36	—	—	$11,098.00	$151,344.29	$52,692.38	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	118	37	—	—	$11,098.00	$152,063.14	$52,656.15	2026-03-01
B0105	HCPCS	Stroke; M > 34.25 & M < 38.85	4	2	—	—	$51,088.32	$54,220.99	$52,632.02	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
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	110	36	—	—	$1,870.00	$336,522.48	$52,417.00	2026-03-01
C0106	HCPCS	Stroke; M > 30.05 & M < 34.25	4	2	—	—	$51,102.54	$53,484.69	$52,280.14	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	31	14	—	—	$43,560.00	$70,007.73	$52,272.00	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	119	37	—	—	$1,870.00	$116,937.57	$52,250.54	2026-03-01
64	APR_DRG	Pancreas Transplant	31	14	—	—	$43,326.23	$72,558.00	$51,991.48	2026-03-01
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$51,831.19	$51,831.19	$51,831.19	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	123	38	—	—	$1,870.00	$118,045.56	$51,683.27	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	87	33	—	—	$4,345.00	$65,663.48	$51,480.16	2026-03-01
B0604	HCPCS	Neurological; M < 25.85	4	2	—	—	$49,771.80	$52,843.87	$51,285.54	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	31	14	—	—	$42,730.78	$65,515.50	$51,276.94	2026-03-01
B0405	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5	4	2	—	—	$50,172.14	$52,396.76	$51,272.62	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	60	37	—	—	$10,745.00	$170,225.41	$51,085.86	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	119	38	—	—	$1,870.00	$151,658.52	$51,076.40	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	110	36	—	—	$1,870.00	$336,522.48	$50,879.89	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	117	37	—	—	$1,870.00	$132,970.24	$50,772.99	2026-03-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	121	38	—	—	$1,870.00	$111,990.07	$50,659.75	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$50,419.15	$50,758.00	$50,588.57	2026-03-01
B2102	HCPCS	Burns; M=12-45	4	2	—	—	$47,977.78	$53,000.67	$50,442.60	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	31	14	—	—	$42,035.00	$64,236.87	$50,442.00	2026-03-01
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	31	14	—	—	$41,957.00	$64,905.25	$50,348.40	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	31	14	—	—	$41,876.00	$69,298.37	$50,251.20	2026-03-01
21	APR_DRG	Heart And/or Lung Transplant	31	14	—	—	$41,730.00	$65,165.07	$50,076.00	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	119	38	—	—	$1,870.00	$152,631.67	$49,880.08	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	61	27	—	—	$46,068.21	$71,927.83	$49,867.65	2026-03-01
C0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	4	2	—	—	$48,578.12	$49,997.77	$49,285.44	2026-03-01
8514	APR_DRG	Gender Related Procedures	31	14	—	—	$40,865.02	$70,353.00	$49,038.02	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	1	1	—	—	$49,009.03	$49,009.03	$49,009.03	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	122	38	—	—	$11,000.00	$140,782.19	$48,963.68	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	2	1	—	—	$43,889.65	$54,007.87	$48,948.76	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	118	38	—	—	$1,870.00	$174,195.52	$48,741.89	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	115	37	—	—	$9,882.00	$133,041.83	$48,630.99	2026-03-01
J2507	HCPCS	Pegloticase 8 Mg Inj	73	21	$186,822.00	$186,822.00	$3,290.15	$270,891.90	$48,573.72	2026-03-01
A0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	4	2	—	—	$46,478.46	$50,726.21	$48,564.71	2026-03-01
B1004	HCPCS	Amputation, Lower Extremity; M=39-45	4	2	—	—	$47,636.21	$49,216.85	$48,421.78	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	117	37	—	—	$1,870.00	$133,044.81	$48,222.95	2026-03-01
B0704	HCPCS	Fracture Of Lower Extremity; M < 28.15	4	2	—	—	$46,606.46	$49,383.05	$47,975.10	2026-03-01
215	OTHER	Other Heart Assist System Implant	2	1	—	—	$43,218.15	$52,729.53	$47,973.84	2026-03-01
B1504	HCPCS	Pulmonary; M < 29.15	4	2	—	—	$47,083.48	$48,781.61	$47,926.19	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	118	37	—	—	$11,000.00	$189,073.73	$47,841.53	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	117	37	—	—	$1,870.00	$215,373.07	$47,782.43	2026-03-01
834	MS_DRG	Acute Leukemia With Mcc	119	37	—	—	$1,870.00	$106,315.45	$47,779.19	2026-03-01
790890	CDM	Mv Repair Int Device	70	25	$185,419.50	$185,419.50	$12,891.07	$256,055.50	$47,679.30	2026-03-01
D0106	HCPCS	Stroke; M > 30.05 & M < 34.25	4	2	—	—	$46,299.68	$48,875.91	$47,570.49	2026-03-01
A5104	HCPCS	Expired, Not Orthopedic, Length Of Stay Is 16 Days	4	2	—	—	$44,454.92	$50,573.44	$47,453.12	2026-03-01
911874	CDM	Implant Plvc Ilium Custm	45	15	$104,960.00	$104,960.00	$7,242.24	$125,952.00	$47,232.00	2026-03-01
653	MS_DRG	Major Bladder Procedures With Mcc	115	37	—	—	$9,882.00	$107,225.31	$47,217.84	2026-03-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	121	38	—	—	$1,870.00	$103,789.76	$47,174.01	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	117	37	—	—	$11,000.00	$109,000.00	$47,029.85	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	114	37	—	—	$11,098.00	$142,775.43	$46,994.61	2026-03-01
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	2	1	—	—	$44,414.58	$49,302.14	$46,858.36	2026-03-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective	121	38	—	—	$1,870.00	$103,887.87	$46,757.31	2026-03-01
J9266	HCPCS	Pegaspargase Singl Vial	73	21	$179,776.00	$179,776.00	$15,460.74	$260,675.20	$46,741.76	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	2	1	—	—	$24,293.79	$69,135.66	$46,714.73	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	2	—	—	$45,131.78	$50,462.48	$46,527.61	2026-03-01
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	2	—	—	$37,925.56	$47,699.61	$46,268.62	2026-03-01
D0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	4	2	—	—	$45,379.33	$47,040.47	$46,203.47	2026-03-01
C0105	HCPCS	Stroke; M > 34.25 & M < 38.85	4	2	—	—	$45,367.14	$47,023.49	$46,188.95	2026-03-01
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	31	14	—	—	$38,465.25	$58,359.00	$46,158.30	2026-03-01
B2005	HCPCS	Miscellaneous; M=12-32 And A Tm81	4	2	—	—	$44,936.43	$47,131.71	$46,021.00	2026-03-01
1580	OTHER	New Technology - Level 43	59	26	—	—	$43,042.90	$66,695.37	$45,996.81	2026-03-01
1594	OTHER	New Technology - Level 43	59	26	—	—	$43,042.90	$66,695.37	$45,996.81	2026-03-01
B1304	HCPCS	Rheumatoid, Other Arthritis; M=12-35	4	2	—	—	$44,334.32	$47,713.31	$45,996.12	2026-03-01
B1704	HCPCS	Major Multiple Trauma,no Brain Or Spinal Cord Inju	4	2	—	—	$44,601.20	$47,409.68	$45,984.79	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	2	1	—	—	$38,306.16	$53,299.94	$45,803.05	2026-03-01
B0904	HCPCS	Other Orthopedic; M < 24.15	4	2	—	—	$44,334.32	$46,817.85	$45,559.32	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	31	14	—	—	$32,422.00	$87,882.00	$45,390.80	2026-03-01
B0504	HCPCS	Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3	4	2	—	—	$44,674.34	$46,060.15	$45,363.96	2026-03-01
1142	OTHER	Supprelin La Implant	59	26	—	—	$42,753.49	$62,618.74	$45,350.21	2026-03-01
A0106	HCPCS	Stroke; M > 30.05 & M < 34.25	4	2	—	—	$43,916.53	$46,577.89	$45,228.15	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	118	37	—	—	$11,000.00	$189,073.73	$45,083.25	2026-03-01
C0205	HCPCS	Traumatic Brain Injury; M > 28.75 & M < 40.65	4	2	—	—	$44,016.08	$46,111.07	$45,051.45	2026-03-01
B1204	HCPCS	Osteoarthritis; M=39-47	4	2	—	—	$43,609.75	$46,336.00	$44,952.92	2026-03-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	121	38	—	—	$1,870.00	$74,053.98	$44,912.61	2026-03-01
B0304	HCPCS	Nontraumatic Brain Injury; M < 26.15	4	2	—	—	$43,955.13	$45,877.67	$44,906.35	2026-03-01

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