Hospital

PALM BEACH GARDENS MEDICAL CENTER

Palm Beach Gardens, FL · CCN 100176 · Rates published

30,802 distinct procedures filed

59 distinct payers

994,650 rate rows

2026-03-01 last MRF observed

Data quality

962,185 of 994,650 rate rows are consumer-grade (96.7%)

32,465 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	15,510
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	8,927
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	6,952
exceeds 10× this hospital's gross charge — excluded from medians	659
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	313
placeholder amount (≤ $0.02) — excluded from medians	78
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; 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/62-1694180_HCA-FLORIDA-JFK-NORTH-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	13d0d2c4fde7ea0d… · 408,162,942 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	$4,850,948.67	$4,850,948.67	nat. median $2,968,000 1.6× median
845 OTHER	Inj, Atidarsagene Autotem	21	$6,230.15	$4,955,500.00	$4,595,100.00	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	$4,271,819.03	$4,271,819.03	$4,271,819.03	nat. median $2,455,111 1.7× 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	23	$3,501,003.65	$4,422,320.40	$3,795,825.01	nat. median $3,765,001 1.0× median
09138 OTHER	Inj, Hemgenix, Per Tx Dos	1	$3,574,708.99	$3,574,708.99	$3,574,708.99	nat. median $3,562,713 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	25	$11,280.58	$4,836,939.00	$3,435,894.60	nat. median $8,800 outlier · 390.4×
714 OTHER	Inj Delandistrogene Mox R	25	$7,327.50	$4,825,397.00	$3,427,695.80	nat. median $3,391,964 1.0× median
748 OTHER	Inj, Lovotibeglogene Auto	25	$13,947.81	$4,716,136.60	$3,350,083.24	nat. median $3,351,720 1.0× median
906 OTHER	Inj Elivaldogene Autoteme	25	$9,967.72	$4,611,000.00	$3,275,400.00	nat. median $2,726 outlier · 1201.4×
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	$3,228,024.20	$3,228,024.20	$3,228,024.20	nat. median $3,225,691 1.0× median
00748 OTHER	Inj, Lovotibeglogene Auto	1	$3,154,932.76	$3,154,932.76	$3,154,932.76	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	25	$12,901.88	$4,262,955.05	$3,028,168.07	nat. median $3,001,835 1.0× median
00746 OTHER	Inj, Betibeglogene Autote	1	$2,851,769.93	$2,851,769.93	$2,851,769.93	nat. median $2,878,960 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Tre	24	$2,459,531.95	$3,754,022.45	$2,692,540.24	nat. median $2,508,045 1.1× median
09141 OTHER	Inj Onase Abepar-xioi Tre	1	$2,511,311.57	$2,511,311.57	$2,511,311.57	nat. median $2,316,956 1.1× median
824 OTHER	Inj, Exagamglogene Autote	25	$15,107.78	$3,381,400.00	$2,401,960.00	nat. median $28,063 outlier · 85.6×
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	24	$732,089.00	$1,117,399.00	$801,444.80	nat. median $838,386 1.0× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	2	$511,793.34	$920,834.85	$716,314.09	nat. median $574,037 1.2× median
9498 OTHER	Ciltacabtagene Car-pos T	24	$558,267.12	$852,091.92	$611,155.58	nat. median $553,480 1.1× median
9194 OTHER	Tisagenlecleucel Car-pos	24	$538,204.73	$821,470.39	$589,192.55	nat. median $555,653 1.1× median
9413 OTHER	Lisocabtagene Car Pos T	24	$534,091.14	$815,191.74	$584,689.25	nat. median $542,562 1.1× median
9422 OTHER	Idecabtagene Vicleucel Ca	24	$530,177.71	$809,218.61	$580,405.07	nat. median $552,917 1.0× median
09498 OTHER	Ciltacabtagene Car-pos T	1	$570,020.11	$570,020.11	$570,020.11	nat. median $511,310 1.1× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	3	$561,407.87	$934,776.65	$561,407.87	nat. median $621,313 0.9× median
9035 OTHER	Axicabtagene Ciloleucel C	24	$505,582.59	$771,678.69	$553,479.89	nat. median $513,929 1.1× median
09194 OTHER	Tisagenlecleucel Car-pos	1	$549,535.36	$549,535.36	$549,535.36	nat. median $513,317 1.1× median
09413 OTHER	Lisocabtagene Car Pos T	1	$545,335.16	$545,335.16	$545,335.16	nat. median $501,224 1.1× median
09422 OTHER	Idecabtagene Vicleucel Ca	1	$541,339.35	$541,339.35	$541,339.35	nat. median $510,790 1.1× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	3	$536,573.93	$969,621.79	$536,573.93	nat. median $599,737 0.9× median
09035 OTHER	Axicabtagene Ciloleucel C	1	$516,226.43	$516,226.43	$516,226.43	nat. median $474,772 1.1× median
9391 OTHER	Brexucabtagene Car Pos T	24	$464,977.69	$709,702.79	$509,028.21	nat. median $483,557 1.1× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	3	$500,948.74	$927,632.05	$500,948.74	nat. median $579,571 0.9× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	3	$487,755.77	$878,117.20	$487,755.77	nat. median $562,501 0.9× median
09391 OTHER	Brexucabtagene Car Pos T	1	$474,766.69	$474,766.69	$474,766.69	nat. median $446,714 1.1× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	3	$474,717.03	$807,592.83	$474,717.03	nat. median $513,770 0.9× 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
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	$5,541.00	$618,809.52	$349,851.00	nat. median $168,055 outlier · 2.1×
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
831 OTHER	Obecbtge Autol Up To 400	25	$4,266.14	$403,462.50	$286,597.50	nat. median $278,250 1.0× median
897 OTHER	Revakinagene, Per Implant	24	$251,750.00	$384,250.00	$275,600.00	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	—
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$251,540.50	$251,540.50	$251,540.50	nat. median $149,977 1.7× median
5834 APR_DRG	Neonate With Ecmo	13	$197,848.04	$312,391.65	$241,582.88	nat. median $390,362 0.6× median

Other procedures at this hospital

Browse this hospital's 30,802 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	1	1	—	—	$4,850,948.67	$4,850,948.67	$4,850,948.67	2026-03-01
845	OTHER	Inj, Atidarsagene Autotem	25	21	—	—	$6,230.15	$4,955,500.00	$4,595,100.00	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…	1	1	—	—	$4,271,819.03	$4,271,819.03	$4,271,819.03	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	27	23	—	—	$3,501,003.65	$4,422,320.40	$3,795,825.01	2026-03-01
09138	OTHER	Inj, Hemgenix, Per Tx Dos	1	1	—	—	$3,574,708.99	$3,574,708.99	$3,574,708.99	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	29	25	—	—	$11,280.58	$4,836,939.00	$3,435,894.60	2026-03-01
714	OTHER	Inj Delandistrogene Mox R	29	25	—	—	$7,327.50	$4,825,397.00	$3,427,695.80	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	29	25	—	—	$13,947.81	$4,716,136.60	$3,350,083.24	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	29	25	—	—	$9,967.72	$4,611,000.00	$3,275,400.00	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	1	1	—	—	$3,228,024.20	$3,228,024.20	$3,228,024.20	2026-03-01
00748	OTHER	Inj, Lovotibeglogene Auto	1	1	—	—	$3,154,932.76	$3,154,932.76	$3,154,932.76	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	29	25	—	—	$12,901.88	$4,262,955.05	$3,028,168.07	2026-03-01
00746	OTHER	Inj, Betibeglogene Autote	1	1	—	—	$2,851,769.93	$2,851,769.93	$2,851,769.93	2026-03-01
9141	OTHER	Inj Onase Abepar-xioi Tre	28	24	—	—	$2,459,531.95	$3,754,022.45	$2,692,540.24	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	1	1	—	—	$2,511,311.57	$2,511,311.57	$2,511,311.57	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	29	25	—	—	$15,107.78	$3,381,400.00	$2,401,960.00	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	28	24	—	—	$732,089.00	$1,117,399.00	$801,444.80	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	2	2	—	—	$511,793.34	$920,834.85	$716,314.09	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	28	24	—	—	$558,267.12	$852,091.92	$611,155.58	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	28	24	—	—	$538,204.73	$821,470.39	$589,192.55	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	28	24	—	—	$534,091.14	$815,191.74	$584,689.25	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	28	24	—	—	$530,177.71	$809,218.61	$580,405.07	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	1	1	—	—	$570,020.11	$570,020.11	$570,020.11	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	5	3	—	—	$561,407.87	$934,776.65	$561,407.87	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	28	24	—	—	$505,582.59	$771,678.69	$553,479.89	2026-03-01
09194	OTHER	Tisagenlecleucel Car-pos	1	1	—	—	$549,535.36	$549,535.36	$549,535.36	2026-03-01
09413	OTHER	Lisocabtagene Car Pos T	1	1	—	—	$545,335.16	$545,335.16	$545,335.16	2026-03-01
09422	OTHER	Idecabtagene Vicleucel Ca	1	1	—	—	$541,339.35	$541,339.35	$541,339.35	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	5	3	—	—	$536,573.93	$969,621.79	$536,573.93	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	1	1	—	—	$516,226.43	$516,226.43	$516,226.43	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	28	24	—	—	$464,977.69	$709,702.79	$509,028.21	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	5	3	—	—	$500,948.74	$927,632.05	$500,948.74	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	5	3	—	—	$487,755.77	$878,117.20	$487,755.77	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	1	1	—	—	$474,766.69	$474,766.69	$474,766.69	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	5	3	—	—	$474,717.03	$807,592.83	$474,717.03	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
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	55	31	—	—	$5,541.00	$618,809.52	$349,851.00	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
831	OTHER	Obecbtge Autol Up To 400	29	25	—	—	$4,266.14	$403,462.50	$286,597.50	2026-03-01
897	OTHER	Revakinagene, Per Implant	28	24	—	—	$251,750.00	$384,250.00	$275,600.00	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
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$251,540.50	$251,540.50	$251,540.50	2026-03-01
5834	APR_DRG	Neonate With Ecmo	15	13	—	—	$197,848.04	$312,391.65	$241,582.88	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	59	33	—	—	$3,750.00	$401,582.49	$232,170.16	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$221,108.10	$221,108.10	$221,108.10	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	29	25	—	—	$9,335.01	$292,420.05	$207,719.07	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	1	1	—	—	$195,618.93	$195,618.93	$195,618.93	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	59	34	—	—	$1,984.00	$434,299.55	$177,283.24	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	62	35	—	—	$1,984.00	$616,633.80	$176,252.74	2026-03-01
1908	OTHER	New Technology - Level 52	28	24	—	—	$148,083.05	$226,021.50	$162,111.97	2026-03-01
1907	OTHER	New Technology - Level 52	28	24	—	—	$148,083.05	$226,021.50	$162,111.97	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	1	—	—	$155,841.46	$155,841.46	$155,841.46	2026-03-01
01907	OTHER	New Technology - Level 52	1	1	—	—	$148,484.69	$148,484.69	$148,484.69	2026-03-01
01908	OTHER	New Technology - Level 52	1	1	—	—	$148,484.69	$148,484.69	$148,484.69	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	13	—	—	$121,178.14	$191,333.91	$147,964.89	2026-03-01
1905	OTHER	New Technology - Level 51	28	24	—	—	$133,517.56	$203,789.96	$146,166.59	2026-03-01
1906	OTHER	New Technology - Level 51	28	24	—	—	$133,517.56	$203,789.96	$146,166.59	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	13	—	—	$113,281.19	$178,865.04	$138,322.30	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	15	13	—	—	$113,206.43	$178,746.99	$138,231.01	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	1	1	—	—	$138,148.31	$138,148.31	$138,148.31	2026-03-01
5833	APR_DRG	Neonate With Ecmo	15	13	—	—	$112,681.04	$177,917.43	$137,589.48	2026-03-01
01906	OTHER	New Technology - Level 51	1	1	—	—	$133,879.59	$133,879.59	$133,879.59	2026-03-01
01905	OTHER	New Technology - Level 51	1	1	—	—	$133,879.59	$133,879.59	$133,879.59	2026-03-01
1903	OTHER	New Technology - Level 50	28	24	—	—	$118,952.06	$181,558.41	$130,221.20	2026-03-01
1904	OTHER	New Technology - Level 50	28	24	—	—	$118,952.06	$181,558.41	$130,221.20	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	1	—	—	$121,699.89	$121,699.89	$121,699.89	2026-03-01
01904	OTHER	New Technology - Level 50	1	1	—	—	$119,274.69	$119,274.69	$119,274.69	2026-03-01
01903	OTHER	New Technology - Level 50	1	1	—	—	$119,274.69	$119,274.69	$119,274.69	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	62	35	—	—	$1,984.00	$370,095.96	$115,605.27	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	29	25	—	—	$105,927.85	$161,679.35	$114,848.09	2026-03-01
1902	OTHER	New Technology - Level 49	28	24	—	—	$104,386.57	$159,326.87	$114,275.83	2026-03-01
1901	OTHER	New Technology - Level 49	28	24	—	—	$104,386.57	$159,326.87	$114,275.83	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	1	1	—	—	$109,068.25	$109,068.25	$109,068.25	2026-03-01
7	MS_DRG	Lung Transplant	60	34	—	—	$3,750.00	$292,822.13	$108,193.13	2026-03-01
5832	APR_DRG	Neonate With Ecmo	15	13	—	—	$86,518.21	$136,607.70	$105,643.29	2026-03-01
01902	OTHER	New Technology - Level 49	1	1	—	—	$104,669.69	$104,669.69	$104,669.69	2026-03-01
01901	OTHER	New Technology - Level 49	1	1	—	—	$104,669.69	$104,669.69	$104,669.69	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$84,479.79	$133,389.15	$103,154.28	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	15	13	—	—	$84,427.91	$133,307.22	$103,090.92	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	13	—	—	$84,305.35	$133,113.71	$102,941.27	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	56	32	—	—	$5,541.00	$347,127.65	$101,264.33	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	15	13	—	—	$82,817.59	$130,764.62	$101,124.64	2026-03-01
1585	OTHER	New Technology - Level 48	28	24	—	—	$92,248.62	$140,800.52	$100,987.96	2026-03-01
1599	OTHER	New Technology - Level 48	28	24	—	—	$92,248.62	$140,800.52	$100,987.96	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	15	13	—	—	$81,204.54	$128,217.69	$99,155.01	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	13	—	—	$80,704.40	$127,428.00	$98,544.32	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	29	25	—	—	$90,326.95	$137,867.45	$97,933.43	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	13	—	—	$79,462.78	$125,467.54	$97,028.23	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	59	33	—	—	$3,750.00	$397,171.80	$94,882.20	2026-03-01
5831	APR_DRG	Neonate With Ecmo	15	13	—	—	$77,660.60	$122,622.00	$94,827.68	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	65	36	—	—	$1,984.00	$348,256.84	$93,846.10	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	1	1	—	—	$93,760.51	$93,760.51	$93,760.51	2026-03-01
007	OTHER	Lung Transplant	1	1	—	—	$93,534.68	$93,534.68	$93,534.68	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	62	35	—	—	$1,984.00	$322,307.11	$92,553.89	2026-03-01
01599	OTHER	New Technology - Level 48	1	1	—	—	$92,498.81	$92,498.81	$92,498.81	2026-03-01
01585	OTHER	New Technology - Level 48	1	1	—	—	$92,498.81	$92,498.81	$92,498.81	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	13	—	—	$75,146.98	$118,653.12	$91,758.41	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	65	36	—	—	$1,984.00	$331,392.90	$91,117.73	2026-03-01
1598	OTHER	New Technology - Level 47	28	24	—	—	$82,538.29	$125,979.49	$90,357.71	2026-03-01
1584	OTHER	New Technology - Level 47	28	24	—	—	$82,538.29	$125,979.49	$90,357.71	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	15	13	—	—	$73,644.19	$116,280.30	$89,923.43	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	60	34	—	—	$3,750.00	$352,822.81	$86,482.28	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	13	—	—	$69,863.00	$110,310.00	$85,306.40	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	67	37	—	—	$1,480.00	$358,382.59	$85,213.56	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	13	—	—	$69,154.96	$109,192.05	$84,441.85	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	60	35	—	—	$19,995.00	$225,071.00	$83,831.36	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$82,899.33	$82,899.33	$82,899.33	2026-03-01
01584	OTHER	New Technology - Level 47	1	1	—	—	$82,762.15	$82,762.15	$82,762.15	2026-03-01
01598	OTHER	New Technology - Level 47	1	1	—	—	$82,762.15	$82,762.15	$82,762.15	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	13	—	—	$67,021.65	$105,823.65	$81,836.96	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	15	13	—	—	$66,651.58	$105,239.34	$81,385.09	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$66,149.74	$104,446.96	$80,772.32	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$79,840.60	$79,840.60	$79,840.60	2026-03-01
1583	OTHER	New Technology - Level 46	28	24	—	—	$72,827.96	$111,158.46	$79,727.45	2026-03-01
1597	OTHER	New Technology - Level 46	28	24	—	—	$72,827.96	$111,158.46	$79,727.45	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$78,999.63	$78,999.63	$78,999.63	2026-03-01
0515T	CPT	Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including …	1	1	—	—	$78,780.00	$78,780.00	$78,780.00	2026-03-01
0520T	CPT	Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L…	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
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
0614T	CPT	Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator	1	1	—	—	$78,780.00	$78,780.00	$78,780.00	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
0571T	CPT	Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S…	1	1	—	—	$78,780.00	$78,780.00	$78,780.00	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	13	—	—	$63,646.35	$100,494.24	$77,715.55	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	1	1	—	—	$77,046.96	$77,046.96	$77,046.96	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	15	13	—	—	$63,013.08	$99,494.34	$76,942.29	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	62	35	—	—	$1,984.00	$256,623.58	$75,968.47	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	15	13	—	—	$61,665.63	$97,366.79	$75,296.98	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	1	1	—	—	$74,036.20	$74,036.20	$74,036.20	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	61	35	—	—	$16,602.00	$226,729.39	$73,799.75	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	13	—	—	$59,928.66	$94,624.20	$73,176.05	2026-03-01
01597	OTHER	New Technology - Level 46	1	1	—	—	$73,025.48	$73,025.48	$73,025.48	2026-03-01
01583	OTHER	New Technology - Level 46	1	1	—	—	$73,025.48	$73,025.48	$73,025.48	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	62	35	—	—	$1,984.00	$283,431.74	$72,903.25	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	2	2	—	—	$55,306.59	$89,766.78	$72,536.68	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	13	—	—	$59,275.92	$93,593.57	$72,379.02	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	1	1	—	—	$71,508.03	$71,508.03	$71,508.03	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	34	—	—	$13,561.00	$156,113.76	$71,490.98	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	29	25	—	—	$65,361.61	$99,762.46	$70,865.75	2026-03-01
1596	OTHER	New Technology - Level 45	28	24	—	—	$63,117.63	$96,337.43	$69,097.20	2026-03-01
1582	OTHER	New Technology - Level 45	28	24	—	—	$63,117.63	$96,337.43	$69,097.20	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	15	13	—	—	$56,485.77	$89,188.07	$68,972.10	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	15	13	—	—	$56,485.77	$89,188.07	$68,972.10	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	15	13	—	—	$56,485.77	$89,188.07	$68,972.10	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$68,710.29	$68,710.29	$68,710.29	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	28	24	—	—	$62,401.99	$95,245.15	$68,313.76	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	15	13	—	—	$55,658.60	$87,882.00	$67,962.08	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	62	36	—	—	$13,561.00	$195,032.20	$67,375.62	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	61	35	—	—	$16,602.00	$190,601.61	$67,092.71	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	62	35	—	—	$1,984.00	$222,160.34	$66,562.71	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	29	25	—	—	$13,830.50	$93,198.45	$66,203.03	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$65,911.24	$65,911.24	$65,911.24	2026-03-01
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	1	1	—	—	$65,151.99	$65,151.99	$65,151.99	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	61	35	—	—	$1,984.00	$152,618.51	$64,352.82	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	13	—	—	$52,630.16	$83,100.26	$64,264.20	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	60	34	—	—	$13,561.00	$216,477.49	$63,875.46	2026-03-01
01582	OTHER	New Technology - Level 45	1	1	—	—	$63,288.81	$63,288.81	$63,288.81	2026-03-01
01596	OTHER	New Technology - Level 45	1	1	—	—	$63,288.81	$63,288.81	$63,288.81	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	13	—	—	$51,401.51	$81,160.27	$62,763.95	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	1	1	—	—	$62,571.25	$62,571.25	$62,571.25	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	13	—	—	$51,106.89	$80,695.10	$62,404.21	2026-03-01
00717	OTHER	Instill Adstiladrin, Tx D	1	1	—	—	$62,346.55	$62,346.55	$62,346.55	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	60	35	—	—	$1,984.00	$147,695.00	$62,249.34	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	1	1	—	—	$61,670.15	$61,670.15	$61,670.15	2026-03-01
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	1	1	—	—	$61,471.11	$61,471.11	$61,471.11	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	5	3	—	—	$61,338.53	$106,053.40	$61,338.53	2026-03-01
10	MS_DRG	Pancreas Transplant	57	33	—	—	$3,750.00	$177,879.04	$60,996.94	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	59	34	—	—	$1,984.00	$130,696.31	$60,674.72	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	57	33	—	—	$3,750.00	$179,685.12	$60,657.24	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	61	35	—	—	$13,000.00	$145,000.00	$60,534.38	2026-03-01
B0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	2	2	—	—	$58,964.06	$60,438.16	$59,701.11	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$48,673.15	$76,852.35	$59,432.48	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$48,673.15	$76,852.35	$59,432.48	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	15	13	—	—	$48,495.97	$76,572.58	$59,216.13	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	28	24	—	—	$53,983.32	$82,395.60	$59,097.54	2026-03-01
B0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	2	2	—	—	$57,993.24	$59,443.07	$58,718.15	2026-03-01
1595	OTHER	New Technology - Level 44	28	24	—	—	$53,407.30	$81,516.40	$58,466.94	2026-03-01
1581	OTHER	New Technology - Level 44	28	24	—	—	$53,407.30	$81,516.40	$58,466.94	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	2	1	—	—	$53,498.00	$62,413.00	$57,955.50	2026-03-01
0211	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0151	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0191	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0155	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0209	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0157	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0194	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0173	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0153	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0120	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0123	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0121	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0125	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0143	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0193	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0112	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0111	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0132	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0150	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0192	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0171	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0129	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0203	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0210	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0149	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0139	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0110	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0185	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0113	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0202	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0135	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0200	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0133	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0131	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0100	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0179	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0183	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0213	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0147	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0152	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0170	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0182	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0127	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0204	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0212	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0142	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0169	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0101	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0160	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0219	RC	—	6	3	—	—	$12,350.00	$82,030.00	$57,955.50	2026-03-01
0199	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0116	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0164	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0189	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0190	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0141	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0119	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0172	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0180	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0159	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0174	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0145	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0140	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0137	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0167	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0117	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0122	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
0130	RC	—	6	3	—	—	$6,650.00	$82,030.00	$57,955.50	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	63	37	—	—	$13,000.00	$225,071.00	$57,947.98	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	63	37	—	—	$13,000.00	$225,071.00	$57,947.98	2026-03-01
850	OTHER	Acute Leukemia With Other Procedures	1	1	—	—	$57,777.70	$57,777.70	$57,777.70	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	59	34	—	—	$1,984.00	$74,889.35	$57,381.27	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	61	35	—	—	$1,984.00	$215,289.85	$57,042.68	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	15	13	—	—	$46,695.50	$73,729.74	$57,017.67	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	62	35	—	—	$1,984.00	$190,343.16	$56,703.43	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	28	24	—	—	$51,683.90	$78,885.96	$56,580.28	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	56	34	—	—	$13,561.00	$139,419.00	$56,060.00	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	1	1	—	—	$55,861.14	$55,861.14	$55,861.14	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	1	1	—	—	$55,128.91	$55,128.91	$55,128.91	2026-03-01
01643	OTHER	Y90 Ibritumomab, Rx	1	1	—	—	$55,119.81	$55,119.81	$55,119.81	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	61	34	—	—	$1,984.00	$97,709.94	$54,604.87	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	61	35	—	—	$11,000.00	$93,881.56	$54,475.19	2026-03-01
935054	CDM	Kit Cath Rt Heart	46	24	$256,537.00	$256,537.00	$550.00	$218,056.45	$54,257.57	2026-03-01
925872	CDM	Pump Heart 85mm X 21fr	46	24	$256,537.00	$256,537.00	$550.00	$218,056.45	$54,257.57	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	15	13	—	—	$44,338.23	$70,007.73	$54,139.31	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	62	35	—	—	$11,000.00	$276,665.86	$54,128.21	2026-03-01
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$53,609.77	$53,609.77	$53,609.77	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	13	—	—	$43,888.96	$69,298.37	$53,590.74	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	64	37	—	—	$11,000.00	$226,729.39	$53,565.80	2026-03-01
01581	OTHER	New Technology - Level 44	1	1	—	—	$53,552.15	$53,552.15	$53,552.15	2026-03-01
01595	OTHER	New Technology - Level 44	1	1	—	—	$53,552.15	$53,552.15	$53,552.15	2026-03-01
B0106	HCPCS	Stroke; M > 30.05 & M < 34.25	2	2	—	—	$52,578.53	$53,892.99	$53,235.76	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	58	34	—	—	$11,768.00	$114,025.00	$53,087.15	2026-03-01
09273	OTHER	Sipuleucel-t Auto Cd54+	1	1	—	—	$52,771.99	$52,771.99	$52,771.99	2026-03-01
010	OTHER	Pancreas Transplant	1	1	—	—	$52,494.62	$52,494.62	$52,494.62	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	1	1	—	—	$52,194.09	$52,194.09	$52,194.09	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$52,149.28	$52,149.28	$52,149.28	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	61	34	—	—	$1,984.00	$94,002.39	$52,099.77	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	62	35	—	—	$1,984.00	$138,695.99	$52,027.24	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	62	36	—	—	$13,561.00	$156,855.26	$51,907.63	2026-03-01
B1903	HCPCS	Guillian Barre; M < 18.05	2	2	—	—	$51,227.17	$52,507.85	$51,867.51	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	15	13	—	—	$42,390.96	$66,933.09	$51,761.59	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	59	34	—	—	$13,561.00	$156,113.76	$51,720.72	2026-03-01
594797	CDM	Revsc Fem/pop W Stnt/ath	31	20	$234,605.00	$234,605.00	$550.00	$199,414.25	$51,613.10	2026-03-01
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	15	13	—	—	$42,071.42	$66,428.57	$51,371.42	2026-03-01
B0205	HCPCS	Traumatic Brain Injury; M > 28.75 & M < 40.65	2	2	—	—	$50,579.34	$51,843.82	$51,211.58	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	29	25	—	—	$47,125.13	$71,927.83	$51,093.56	2026-03-01
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	1	1	—	—	$50,993.93	$50,993.93	$50,993.93	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	56	32	—	—	$5,541.00	$347,127.65	$50,822.35	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	41	29	—	—	$4,790.00	$63,428.00	$50,812.75	2026-03-01
594884	CDM	Revsc Tib/per St/ath Ini	31	20	$230,754.00	$230,754.00	$550.00	$196,140.90	$50,765.88	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	62	35	—	—	$1,984.00	$137,160.67	$50,725.55	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	1	1	—	—	$50,690.76	$50,690.76	$50,690.76	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	60	35	—	—	$1,984.00	$137,813.00	$50,558.57	2026-03-01

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