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 MEMORIAL HOSPITAL

Jacksonville, FL · CCN 100179 · Rates published

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You selected 27447 (CPT)

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

This hospital’s price: $16,759 across 24 payers · range $1,950-$46,000

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-3283127_HCA-FLORIDA-MEMORIAL-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

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

36,775 distinct procedures filed
61 distinct payers
2,139,353 rate rows
2026-07-30 last MRF observed
Data quality

2,062,416 of 2,139,353 rate rows are consumer-grade (96.4%)

76,937 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
per-diem day rate — not a per-procedure price 19,558
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,969
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 16,618
exceeds 10× this hospital's gross charge — excluded from medians 13,518
template filing: same amount across many unrelated codes — excluded 7,602
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,771
percent-of-charges filed in the dollar field — excluded from medians 661
placeholder amount (≤ $0.02) — excluded from medians 183
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 57
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-3283127_HCA-FLORIDA-MEMORIAL-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 not_modified · 2026-08-11
Content fingerprint 30a1a9fbc44f4e2f… · 522,179,192 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
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 18 $3,694.15 $4,910,450.00 $4,505,000.00 nat. median
$16,015
outlier · 281.3×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,414,900
1.0× median
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
$2,460,273
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
$2,405,851
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 20 $2,938,320.00 $4,422,320.40 $3,691,264.50 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,672,900.00 $3,685,267.00 $3,679,083.50 nat. median
$3,574,709
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 20 $2,884,000.00 $4,326,000.00 $3,623,025.00 nat. median
$3,646,097
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,605,000.00 $3,605,000.00 $3,605,000.00 nat. median
$3,496,850
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 19 $7,518.36 $4,002,984.00 $3,344,159.55 nat. median
$29,683
outlier · 112.7×
714
OTHER 		Inj Delandistrogene Mox R 20 $4,093.96 $3,993,432.00 $3,342,082.27 nat. median
$3,325,455
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,335,820.00 $3,335,820.00 $3,335,820.00 nat. median
$14,170
outlier · 235.4×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,325,455.00 $3,327,860.00 $3,326,657.50 nat. median
$3,228,024
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 20 $6,752.98 $3,943,200.00 $3,286,000.00 nat. median
$3,252,508
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,252,508.00 $3,286,000.00 $3,269,254.00 nat. median
$3,187,420
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 19 $4,926.69 $3,816,000.00 $3,187,950.00 nat. median
$24,604
outlier · 129.6×
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,180,000.00 $3,180,000.00 $3,180,000.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 20 $5,997.99 $3,561,600.00 $2,968,000.00 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,939,969.00 $2,968,000.00 $2,953,984.50 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 20 $1,910,891.20 $3,106,777.20 $2,572,398.99 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,388,614.00 $2,588,981.00 $2,488,797.50 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 19 $10,620.68 $2,798,400.00 $2,337,830.00 nat. median
$58,186
outlier · 40.2×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,332,000.00 $2,332,000.00 $2,332,000.00 nat. median
$2,285,360
1.0× median
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
$809,151
1.6× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 $484,690.00 $920,834.85 $830,699.97 nat. median
$610,161
1.4× median
2067
OTHER 		Afamitresgene Autoleucel 19 $616,496.00 $924,744.00 $774,473.10 nat. median
$786,032
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $518,241.00 $934,776.65 $578,771.00 nat. median
$691,418
0.8× median
9498
OTHER 		Ciltacabtagene Car-pos T 20 $421,698.72 $705,179.52 $569,293.28 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 20 $423,354.32 $679,837.56 $566,383.85 nat. median
$576,820
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 20 $421,270.08 $669,698.16 $558,081.80 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 20 $413,380.88 $674,641.44 $557,549.06 nat. median
$562,201
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $527,123.40 $587,649.60 $557,386.50 nat. median
$570,020
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $507,496.00 $969,621.79 $553,169.00 nat. median
$631,793
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $529,192.90 $566,531.30 $547,862.10 nat. median
$549,535
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $526,587.60 $558,081.80 $542,334.70 nat. median
$541,339
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $516,726.10 $562,201.20 $539,463.65 nat. median
$545,335
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 20 $391,564.80 $638,630.64 $527,955.06 nat. median
$533,230
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $474,061.00 $927,632.05 $516,442.00 nat. median
$624,417
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $489,456.00 $532,192.20 $510,824.10 nat. median
$516,226
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $459,381.00 $878,117.20 $502,841.00 nat. median
$588,565
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 20 $368,424.32 $587,340.24 $489,450.20 nat. median
$492,768
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $449,440.00 $807,592.83 $489,399.00 nat. median
$577,541
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $460,530.40 $489,450.20 $474,990.30 nat. median
$474,767
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
$302,242
1.5× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 29 $6,604.00 $472,587.02 $287,477.21 nat. median
$370,165
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 19 $2,272.29 $333,900.00 $278,945.62 nat. median
$20,175
outlier · 13.8×
00831
OTHER 		Obecbtge Autol Up To 400 1 $278,250.00 $278,250.00 $278,250.00 nat. median
$272,685
1.0× median
897
OTHER 		Revakinagene, Per Implant 19 $212,000.00 $318,000.00 $266,325.00 nat. median
$19,528
outlier · 13.6×
00897
OTHER 		Revakinagene, Per Implant 1 $265,000.00 $265,000.00 $265,000.00 nat. median
$259,700
1.0× median

Other procedures at this hospital

Browse this hospital's 36,775 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 25 18 — — $3,694.15 $4,910,450.00 $4,505,000.00 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 50 20 — — $2,938,320.00 $4,422,320.40 $3,691,264.50 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,672,900.00 $3,685,267.00 $3,679,083.50 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 26 20 — — $2,884,000.00 $4,326,000.00 $3,623,025.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,605,000.00 $3,605,000.00 $3,605,000.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 26 19 — — $7,518.36 $4,002,984.00 $3,344,159.55 2026-03-01
714 OTHER Inj Delandistrogene Mox R 52 20 — — $4,093.96 $3,993,432.00 $3,342,082.27 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,335,820.00 $3,335,820.00 $3,335,820.00 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 1 — — $3,325,455.00 $3,327,860.00 $3,326,657.50 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 52 20 — — $6,752.98 $3,943,200.00 $3,286,000.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,252,508.00 $3,286,000.00 $3,269,254.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 26 19 — — $4,926.69 $3,816,000.00 $3,187,950.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,180,000.00 $3,180,000.00 $3,180,000.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 52 20 — — $5,997.99 $3,561,600.00 $2,968,000.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 1 — — $2,939,969.00 $2,968,000.00 $2,953,984.50 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 50 20 — — $1,910,891.20 $3,106,777.20 $2,572,398.99 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,388,614.00 $2,588,981.00 $2,488,797.50 2026-03-01
824 OTHER Inj, Exagamglogene Autote 26 19 — — $10,620.68 $2,798,400.00 $2,337,830.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,332,000.00 $2,332,000.00 $2,332,000.00 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
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 2 — — $484,690.00 $920,834.85 $830,699.97 2026-03-01
2067 OTHER Afamitresgene Autoleucel 24 19 — — $616,496.00 $924,744.00 $774,473.10 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 8 3 — — $518,241.00 $934,776.65 $578,771.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 50 20 — — $421,698.72 $705,179.52 $569,293.28 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 50 20 — — $423,354.32 $679,837.56 $566,383.85 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 50 20 — — $421,270.08 $669,698.16 $558,081.80 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 50 20 — — $413,380.88 $674,641.44 $557,549.06 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $527,123.40 $587,649.60 $557,386.50 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 3 — — $507,496.00 $969,621.79 $553,169.00 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $529,192.90 $566,531.30 $547,862.10 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $526,587.60 $558,081.80 $542,334.70 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $516,726.10 $562,201.20 $539,463.65 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 50 20 — — $391,564.80 $638,630.64 $527,955.06 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 8 3 — — $474,061.00 $927,632.05 $516,442.00 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $489,456.00 $532,192.20 $510,824.10 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 8 3 — — $459,381.00 $878,117.20 $502,841.00 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 50 20 — — $368,424.32 $587,340.24 $489,450.20 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 3 — — $449,440.00 $807,592.83 $489,399.00 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $460,530.40 $489,450.20 $474,990.30 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 100 29 — — $6,604.00 $472,587.02 $287,477.21 2026-03-01
831 OTHER Obecbtge Autol Up To 400 26 19 — — $2,272.29 $333,900.00 $278,945.62 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $278,250.00 $278,250.00 $278,250.00 2026-03-01
897 OTHER Revakinagene, Per Implant 24 19 — — $212,000.00 $318,000.00 $266,325.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $265,000.00 $265,000.00 $265,000.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 33 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 102 30 — — $8,700.00 $582,560.00 $217,735.73 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 26 19 — — $4,284.83 $242,002.80 $202,173.17 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $201,669.00 $201,669.00 $201,669.00 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 103 28 — — $8,700.00 $385,940.53 $171,758.68 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 105 29 — — $8,700.00 $751,782.33 $166,618.45 2026-03-01
1908 OTHER New Technology - Level 52 50 20 — — $117,871.92 $187,052.28 $155,876.90 2026-03-01
1907 OTHER New Technology - Level 52 50 20 — — $117,871.92 $187,052.28 $155,876.90 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 14 — — $125,393.00 $191,333.91 $150,471.60 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $138,768.38 $161,807.70 $150,288.04 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $147,339.90 $153,077.00 $150,208.45 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $147,339.90 $153,077.00 $150,208.45 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $114,504.38 $184,078.20 $149,291.29 2026-03-01
5833 APR_DRG Neonate With Ecmo 33 14 — — $118,611.62 $186,775.50 $142,333.94 2026-03-01
1906 OTHER New Technology - Level 51 50 20 — — $106,278.00 $168,653.76 $140,544.80 2026-03-01
1905 OTHER New Technology - Level 51 50 20 — — $106,278.00 $168,653.76 $140,544.80 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $132,847.50 $138,020.20 $135,433.85 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $132,847.50 $138,020.20 $135,433.85 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 33 14 — — $111,047.00 $178,746.99 $133,256.40 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $114,899.00 $143,622.00 $129,260.50 2024-10-01
1903 OTHER New Technology - Level 50 50 20 — — $94,684.08 $150,255.24 $125,212.70 2026-03-01
1904 OTHER New Technology - Level 50 50 20 — — $94,684.08 $150,255.24 $125,212.70 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $118,355.10 $122,963.60 $120,659.35 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $118,355.10 $122,963.60 $120,659.35 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 33 14 — — $97,644.00 $178,865.04 $119,243.36 2026-03-01
1902 OTHER New Technology - Level 49 50 20 — — $83,090.16 $131,856.72 $109,880.60 2026-03-01
1901 OTHER New Technology - Level 49 50 20 — — $83,090.16 $131,856.72 $109,880.60 2026-03-01
5832 APR_DRG Neonate With Ecmo 33 14 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 104 29 — — $8,700.00 $328,885.98 $108,908.80 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
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 52 20 — — $79,999.92 $133,803.60 $107,999.89 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 33 14 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
959463 CDM Pump Heart 21fr 85mm 86 24 $441,611.00 $441,611.00 $15,000.00 $441,611.00 $106,428.25 2026-03-01
969170 CDM Kit Cath Rt Heart 86 24 $441,611.00 $441,611.00 $15,000.00 $441,611.00 $106,428.25 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $103,862.70 $107,906.90 $105,884.80 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $103,862.70 $107,906.90 $105,884.80 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $92,947.13 $114,045.30 $103,496.21 2026-03-01
7 MS_DRG Lung Transplant 100 30 — — $8,700.00 $260,216.55 $101,957.00 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 33 14 — — $77,520.20 $137,205.00 $100,617.00 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 100 30 — — $6,604.00 $308,475.18 $99,686.49 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 33 14 — — $79,102.08 $135,325.50 $99,238.70 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 33 14 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 14 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 33 14 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
1599 OTHER New Technology - Level 48 50 20 — — $73,428.54 $116,524.57 $97,103.81 2026-03-01
1585 OTHER New Technology - Level 48 50 20 — — $73,428.54 $116,524.57 $97,103.81 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 14 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 52 20 — — $72,825.52 $114,097.20 $95,081.00 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $91,785.68 $95,359.60 $93,572.64 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $91,785.68 $95,359.60 $93,572.64 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $81,685.00 $102,106.00 $91,895.50 2024-10-01
425445 CDM Insrt Aicd Only Mult Ld 51 19 $302,814.00 $302,814.00 $15,000.00 $302,814.00 $90,844.20 2026-03-01
425446 CDM Rem/repl Aicd Sing Ld 51 19 $302,814.00 $302,814.00 $15,000.00 $302,814.00 $90,844.20 2026-03-01
425444 CDM Insrt Aicd Only Dual Ld 51 19 $302,814.00 $302,814.00 $15,000.00 $302,814.00 $90,844.20 2026-03-01
425447 CDM Rem/repl Aicd Dual Ld 51 19 $302,814.00 $302,814.00 $15,000.00 $302,814.00 $90,844.20 2026-03-01
425448 CDM Rem/repl Aicd Mult Ld 51 19 $302,814.00 $302,814.00 $15,000.00 $302,814.00 $90,844.20 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $80,518.00 $100,647.00 $90,582.50 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 33 14 — — $75,232.00 $130,764.62 $90,278.40 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 53 29 — — $9,013.00 $309,478.63 $90,266.31 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 5 2 — — $55,453.60 $91,596.09 $89,766.78 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 102 30 — — $8,700.00 $352,946.94 $88,964.60 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 33 14 — — $73,540.00 $110,794.50 $88,248.00 2026-03-01
429868 CDM Ins Perm Subq Defib 51 19 $293,051.00 $293,051.00 $15,000.00 $293,051.00 $87,915.30 2026-03-01
C1784 HCPCS Stent Eprsth 24f 34mm 17 11 $112,000.00 $112,000.00 $14,560.00 $112,000.00 $87,360.00 2024-10-01
1598 OTHER New Technology - Level 47 50 20 — — $65,699.27 $104,258.89 $86,882.41 2026-03-01
1584 OTHER New Technology - Level 47 50 20 — — $65,699.27 $104,258.89 $86,882.41 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 108 31 — — $8,700.00 $294,492.48 $86,713.49 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 14 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 14 — — $56,946.00 $133,113.71 $85,419.00 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 108 31 — — $10,799.00 $286,418.39 $84,784.06 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 33 14 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $82,124.09 $85,321.80 $83,722.95 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $82,124.09 $85,321.80 $83,722.95 2026-03-01
5831 APR_DRG Neonate With Ecmo 33 14 — — $69,493.00 $122,622.00 $83,391.60 2026-03-01
215 MS_DRG Other Heart Assist System Implant 108 31 — — $10,799.00 $318,476.88 $83,146.11 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 100 30 — — $8,700.00 $313,536.18 $82,272.55 2026-03-01
429019 CDM Tavr Cardio Bypass Supp 51 19 $269,070.00 $269,070.00 $15,000.00 $269,070.00 $80,721.00 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 33 14 — — $66,782.00 $100,494.24 $80,138.40 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 33 14 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 31 — — $10,799.00 $238,995.00 $79,489.89 2026-03-01
417538 CDM Aortic Balloon Removal 51 19 $260,916.00 $260,916.00 $15,000.00 $260,916.00 $78,274.80 2026-03-01
423120 CDM Procedure Category 3 51 19 $260,916.00 $260,916.00 $15,000.00 $260,916.00 $78,274.80 2026-03-01
420812 CDM Ins/rep Aicd Sngl/dual 51 19 $260,127.00 $260,127.00 $15,000.00 $260,127.00 $78,038.10 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 33 14 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $65,353.35 $89,060.40 $77,206.88 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $76,785.37 2026-03-01
1597 OTHER New Technology - Level 46 50 20 — — $57,969.98 $91,993.21 $76,661.01 2026-03-01
1583 OTHER New Technology - Level 46 50 20 — — $57,969.98 $91,993.21 $76,661.01 2026-03-01
978668 CDM System Dlv Cath 1 Clip 44 22 $312,359.00 $312,359.00 $15,000.00 $312,359.00 $75,278.52 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 33 14 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $72,462.48 $75,284.00 $73,873.24 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $72,462.48 $75,284.00 $73,873.24 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 33 14 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
489919 CDM Set Pump 21fr 5.0 86 24 $301,588.00 $301,588.00 $15,000.00 $301,588.00 $72,682.71 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 14 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 108 31 — — $8,700.00 $251,871.77 $70,667.02 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 33 14 — — $48,895.00 $105,823.65 $70,549.10 2026-03-01
432992 CDM Transcath W Wir Sens Pa 51 19 $233,195.00 $233,195.00 $14,829.89 $233,195.00 $69,958.50 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $59,136.79 $79,816.50 $69,476.65 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 108 31 — — $10,799.00 $228,048.69 $69,448.65 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 52 20 — — $52,697.36 $82,562.04 $68,801.70 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 33 14 — — $40,520.04 $102,481.50 $68,321.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 108 31 — — $10,799.00 $201,483.20 $67,832.31 2026-03-01
428992 CDM Tavr/tavi/trans Exposure 51 19 $224,224.00 $224,224.00 $14,259.40 $224,224.00 $67,267.20 2026-03-01
429021 CDM Tavr/tavi Transaortic 51 19 $224,224.00 $224,224.00 $14,259.40 $224,224.00 $67,267.20 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 104 31 — — $9,013.00 $204,884.00 $66,963.61 2026-03-01
1596 OTHER New Technology - Level 45 50 20 — — $50,240.70 $79,727.53 $66,439.61 2026-03-01
1582 OTHER New Technology - Level 45 50 20 — — $50,240.70 $79,727.53 $66,439.61 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 33 14 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
499252 CDM Set Vntrc 17.4x13.8in 86 24 $269,275.00 $269,275.00 $15,000.00 $269,275.00 $64,895.28 2026-03-01
974595 CDM Cath Vasc Assist Strl 86 24 $269,275.00 $269,275.00 $15,000.00 $269,275.00 $64,895.28 2026-03-01
974168 CDM Kit Lo Prfl Comp Shth 7f 86 24 $269,275.00 $269,275.00 $15,000.00 $269,275.00 $64,895.28 2026-03-01
462320 CDM Set Vntrc Asst 2.5in 86 24 $269,275.00 $269,275.00 $15,000.00 $269,275.00 $64,895.28 2026-03-01
454214 CDM Cath 86 24 $269,275.00 $269,275.00 $15,000.00 $269,275.00 $64,895.28 2026-03-01
939157 CDM Kit Pmp Rt Hrt 22f 170cm 86 24 $269,275.00 $269,275.00 $15,000.00 $269,275.00 $64,895.28 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 52 20 — — $9,811.04 $77,129.75 $64,274.79 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 104 31 — — $10,799.00 $1,197,400.00 $64,048.21 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $62,800.88 $65,246.20 $64,023.54 2026-03-01
01582 OTHER New Technology - Level 45 2 1 — — $62,800.88 $65,246.20 $64,023.54 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $63,354.77 $64,274.79 $63,814.78 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 50 20 — — $45,459.64 $78,571.90 $63,707.67 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 108 31 — — $10,799.00 $169,378.22 $63,377.60 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 8 3 — — $63,235.60 $106,053.40 $63,370.50 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 104 31 — — $10,799.00 $197,802.00 $63,327.42 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 33 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 33 14 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 33 14 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
C1825 HCPCS System Nrstm Gen Ipg 39 15 $122,500.00 $122,500.00 $8,452.50 $122,500.00 $61,250.00 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $56,824.55 $65,476.58 $61,150.57 2026-03-01
422947 CDM Stent Ather Fem Pop 51 19 $202,375.00 $202,375.00 $12,869.88 $202,375.00 $60,712.50 2026-03-01
422955 CDM Stent Ather Tibperoneal 51 19 $202,375.00 $202,375.00 $12,869.88 $202,375.00 $60,712.50 2026-03-01
422906 CDM Stent Ather Fem Pop 51 19 $202,375.00 $202,375.00 $12,869.88 $202,375.00 $60,712.50 2026-03-01
433641 CDM Evasc Rpr Iliac Art 49 18 $202,375.00 $202,375.00 $12,869.88 $202,375.00 $60,712.50 2026-03-01
433634 CDM Evasc Rpr Iliac Art 49 18 $202,375.00 $202,375.00 $12,869.88 $202,375.00 $60,712.50 2026-03-01
422913 CDM Stent Ather Tibperoneal 51 19 $202,375.00 $202,375.00 $12,869.88 $202,375.00 $60,712.50 2026-03-01
10 MS_DRG Pancreas Transplant 100 30 — — $8,700.00 $158,072.30 $60,531.31 2026-03-01
007 OTHER Lung Transplant 2 1 — — $52,394.20 $68,448.99 $60,421.60 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 101 30 — — $8,700.00 $159,677.28 $59,950.92 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $58,427.61 $60,724.50 $59,576.06 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 108 31 — — $8,700.00 $135,624.52 $59,543.43 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 33 14 — — $48,983.00 $89,188.07 $59,458.71 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 33 14 — — $47,538.00 $89,188.07 $59,458.71 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 33 14 — — $46,525.00 $89,188.07 $59,458.71 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 33 14 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 106 31 — — $10,799.00 $178,123.00 $57,744.08 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 108 31 — — $10,799.00 $192,372.84 $57,634.35 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $50,304.25 $64,506.44 $57,405.35 2026-03-01
428541 CDM Tavr Pros Valve Faa 51 19 $189,178.00 $189,178.00 $12,030.63 $189,178.00 $56,753.40 2026-03-01
429020 CDM Tavr/tavi Opn Ili Art 51 19 $189,178.00 $189,178.00 $12,030.63 $189,178.00 $56,753.40 2026-03-01
429018 CDM Tavr/tavi Op Axl Art Apr 51 19 $189,178.00 $189,178.00 $12,030.63 $189,178.00 $56,753.40 2026-03-01
429022 CDM Tavr/tavi Perc Fem Aprch 51 19 $189,178.00 $189,178.00 $12,030.63 $189,178.00 $56,753.40 2026-03-01
432907 CDM Tmvi W/prosth Valve 49 18 $188,489.00 $188,489.00 $11,986.82 $188,489.00 $56,546.70 2026-03-01
973903 CDM Valve Tavr 26mm 44 15 $119,000.00 $119,000.00 $8,211.00 $119,000.00 $56,525.00 2026-03-01
973904 CDM Valve Tavr 23mm 44 15 $119,000.00 $119,000.00 $8,211.00 $119,000.00 $56,525.00 2026-03-01
972241 CDM Valve Tavr 29mm 44 15 $119,000.00 $119,000.00 $8,211.00 $119,000.00 $56,525.00 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $52,299.15 $60,666.00 $56,482.57 2026-03-01
1581 OTHER New Technology - Level 44 50 20 — — $42,511.42 $67,461.85 $56,218.21 2026-03-01
1595 OTHER New Technology - Level 44 50 20 — — $42,511.42 $67,461.85 $56,218.21 2026-03-01
C1604 HCPCS System Graft Stent Case 34 12 $87,500.00 $87,500.00 $10,500.00 $87,500.00 $56,000.00 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 31 — — $10,799.00 $200,009.46 $55,684.72 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 108 31 — — $10,799.00 $128,933.00 $55,667.11 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 50 20 — — $43,523.29 $66,018.28 $55,152.77 2026-03-01
5244 OTHER Level 4 Blood Product Exc 50 20 — — $40,243.40 $78,823.57 $55,083.15 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $54,404.11 $55,015.23 $54,709.67 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 33 14 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 108 31 — — $10,799.00 $200,009.46 $54,365.18 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $53,139.28 $55,208.40 $54,173.84 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $53,139.28 $55,208.40 $54,173.84 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 108 31 — — $8,700.00 $191,317.44 $54,118.51 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 33 14 — — $44,835.00 $81,160.27 $54,106.85 2026-03-01
953244 CDM Valve Aor With Intro 27mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
955702 CDM Valve Heart Trnscth 26mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
927439 CDM Valve Xt Sapien 26mm Ta 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
932520 CDM Kit Aor Vlv 14fr 23mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
955592 CDM Valve Heart Trnscth 23mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
927442 CDM Valve Aor W/del 26mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
927441 CDM Valve Aor W/del 23mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
924962 CDM Valve Aor Tavr 23mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
924968 CDM Valve Aor Tavr 23mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
927438 CDM Valve Xt Sapien 23mm Ta 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
932521 CDM Kit Aor Vlv 14fr 26mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
924961 CDM Valve Aor Tavr 26mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
924996 CDM Valve Aor Tavr 26mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
957486 CDM Valve Heart Trnscth 20mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
927440 CDM Valve 29mm Ascendra Aor 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
953242 CDM Valve Aor With Intro 23mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
927443 CDM Valve Aor W/del 29mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
953243 CDM Valve Aor With Intro 25mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
939803 CDM Valve Tavr 29mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
934198 CDM Kit Aor Vlv 14fr 20mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
932522 CDM Kit Aor Vlv 14fr 29mm 44 15 $113,750.00 $113,750.00 $7,848.75 $113,750.00 $54,031.25 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 106 31 — — $9,013.00 $168,142.00 $54,027.86 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 106 31 — — $8,000.00 $78,082.20 $54,007.13 2026-03-01
64 APR_DRG Pancreas Transplant 33 14 — — $43,326.23 $72,558.00 $53,209.20 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 103 28 — — $8,700.00 $116,143.35 $53,200.81 2026-03-01
973591 CDM Stent Eprsth 8x40mm 15cm 44 15 $112,000.00 $112,000.00 $7,728.00 $112,000.00 $53,200.00 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 33 14 — — $44,285.71 $69,304.50 $53,142.85 2026-03-01
975895 CDM Valve Tavr 26mm 44 15 $110,250.00 $110,250.00 $7,607.25 $110,250.00 $52,368.75 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 33 14 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
481807 CDM Set Pump Asst 2.5in 86 24 $215,420.00 $215,420.00 $13,762.74 $215,420.00 $51,916.22 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 108 31 — — $8,700.00 $169,148.55 $51,831.92 2026-03-01
8514 APR_DRG Gender Related Procedures 33 14 — — $40,865.02 $70,353.00 $51,592.20 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 33 14 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $45,570.00 $56,963.00 $51,266.50 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 108 31 — — $10,799.00 $245,859.26 $51,220.72 2026-03-01
926906 CDM Graft Evas 23x12mm 14cm 44 15 $106,780.00 $106,780.00 $7,084.37 $110,888.00 $50,617.80 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 108 31 — — $6,604.00 $86,829.99 $50,569.32 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 33 14 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $42,989.90 $57,812.19 $50,401.04 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 33 14 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 33 14 — — $41,876.00 $69,298.37 $50,251.20 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 33 14 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
952484 CDM Valve Tavor Aor 26mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
952386 CDM Valve Tavor Aor 23mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
966991 CDM Valve Tavr Sz 29mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
952485 CDM Valve Tavor Aor 29mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
936578 CDM Valve Tavr 34mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
966993 CDM Valve Tavr Sz 23mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
966990 CDM Valve Tavr Size 34mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
936628 CDM Valve Tavr 26mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
936627 CDM Valve Tavr 29mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
966992 CDM Valve Tavr Sz 26mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
957148 CDM Valve Tavor Aor 29mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
953864 CDM Valve Tavor Aor 23mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
936629 CDM Valve Tavr 23mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
939548 CDM Valve Tavr 26mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
939549 CDM Valve Tavr 29mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
952486 CDM Valve Tavor Aor 34mm 44 15 $105,000.00 $105,000.00 $7,245.00 $105,000.00 $49,875.00 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 108 31 — — $10,799.00 $201,483.20 $49,771.10 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 52 20 — — $37,994.40 $59,526.48 $49,605.40 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 108 31 — — $8,700.00 $123,252.27 $49,478.90 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 108 31 — — $10,799.00 $139,389.52 $49,281.57 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 106 31 — — $10,799.00 $1,197,400.00 $49,168.38 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 33 14 — — $32,422.00 $87,882.00 $48,633.00 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 104 31 — — $10,799.00 $122,629.00 $48,607.81 2026-03-01
425449 CDM Ins/rep Pacer W Trans Ld 51 19 $161,900.00 $161,900.00 $10,295.90 $161,900.00 $48,570.00 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $48,234.06 $48,234.06 $48,234.06 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 108 31 — — $8,700.00 $74,162.29 $48,219.38 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 104 31 — — $9,013.00 $138,730.57 $48,112.40 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 108 31 — — $10,799.00 $106,913.00 $48,059.39 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 76 25 — — $15,600.00 $67,550.41 $47,908.09 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 100 30 — — $6,604.00 $308,475.18 $47,801.64 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 104 31 — — $10,799.00 $121,887.90 $46,726.12 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 106 31 — — $10,799.00 $148,770.00 $46,547.36 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 54 29 — — $9,013.00 $156,038.06 $46,543.81 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 100 30 — — $6,604.00 $308,475.18 $46,493.38 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 33 14 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $44,609.16 $47,678.44 $46,143.80 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $46,000.00 $46,000.00 $46,000.00 2026-03-01
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