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 TRINITY HOSPITAL

Trinity, FL · CCN 100191 · Rates published

57,024 distinct procedures filed
60 distinct payers
1,058,639 rate rows
2026-08-01 last MRF observed
Data quality

1,005,122 of 1,058,639 rate rows are consumer-grade (94.9%)

53,517 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 31,690
per-diem day rate — not a per-procedure price 10,334
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 10,032
placeholder amount (≤ $0.02) — excluded from medians 747
template filing: same amount across many unrelated codes — excluded 362
exceeds 10× this hospital's gross charge — excluded from medians 252
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 79
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/d4e00de2aed74040ae4505096501507d?download=true
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-08-13
Content fingerprint 85ffc8ac12f3c739… · 382,905,767 bytes · first seen 2026-05-08

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
845
OTHER 		Inj, Atidarsagene Autotem 25 $6,859.63 $4,955,500.00 $4,595,100.00 nat. median
$16,015
outlier · 286.9×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 nat. median
$4,414,900
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 25 $3,685,267.00 $4,422,320.40 $3,814,251.34 nat. median
$3,758,972
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,574,708.99 $3,685,267.00 $3,629,988.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 28 $12,420.33 $4,836,939.00 $3,402,536.40 nat. median
$29,683
outlier · 114.6×
714
OTHER 		Inj Delandistrogene Mox R 28 $8,067.85 $4,825,397.00 $3,394,417.20 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 28 $15,357.06 $4,716,136.60 $3,317,558.16 nat. median
$3,252,508
1.0× median
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$14,170
outlier · 231.9×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,228,024.20 $3,327,860.00 $3,277,942.10 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 28 $10,974.82 $4,611,000.00 $3,243,600.00 nat. median
$24,604
outlier · 131.8×
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,252,508.00 $3,203,720.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 28 $14,205.45 $4,262,955.05 $2,998,768.38 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,939,969.00 $2,895,869.46 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 26 $2,588,981.00 $3,754,022.45 $2,718,430.05 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,511,311.57 $2,588,981.00 $2,550,146.29 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 28 $16,634.22 $3,381,400.00 $2,378,640.00 nat. median
$58,186
outlier · 40.9×
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,656,833.00 $1,656,833.00 $1,656,833.00 nat. median
$809,151
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 26 $770,620.00 $1,117,399.00 $809,151.00 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 26 $587,649.60 $852,091.92 $617,032.08 nat. median
$587,650
1.1× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$302,242
2.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 26 $566,531.30 $821,470.39 $594,857.87 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 26 $562,201.20 $815,191.74 $590,311.26 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Ca 26 $558,081.80 $809,218.61 $585,985.89 nat. median
$560,872
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $570,020.11 $587,649.60 $578,834.85 nat. median
$570,020
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $561,407.87 $1,218,042.30 $570,089.44 nat. median
$691,418
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 26 $532,192.20 $771,678.69 $558,801.81 nat. median
$533,230
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $549,535.36 $566,531.30 $558,033.33 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $545,335.16 $562,201.20 $553,768.18 nat. median
$545,335
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $541,339.35 $558,081.80 $549,710.57 nat. median
$541,339
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $536,573.93 $1,263,446.58 $544,871.46 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $511,793.34 $1,199,875.72 $527,622.00 nat. median
$610,161
0.9× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $516,226.43 $532,192.20 $524,209.31 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 26 $489,450.20 $709,702.79 $513,922.71 nat. median
$492,768
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $500,948.74 $1,208,732.67 $508,695.37 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $487,755.77 $1,144,213.32 $495,298.39 nat. median
$588,565
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $474,766.69 $489,450.20 $482,108.45 nat. median
$474,767
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $474,717.03 $1,052,317.93 $482,058.02 nat. median
$577,541
0.8× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $433,588.39 $433,588.39 $433,588.39 nat. median
$209,736
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 $7,653.00 $684,447.38 $381,269.86 nat. median
$370,165
1.0× median
831
OTHER 		Obecbtge Autol Up To 400 28 $4,697.17 $403,462.50 $283,815.00 nat. median
$20,175
outlier · 14.1×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $276,955.37 $285,521.00 $281,238.18 nat. median
$292,434
1.0× median
897
OTHER 		Revakinagene, Per Implant 26 $265,000.00 $384,250.00 $278,250.00 nat. median
$19,528
outlier · 14.2×
00831
OTHER 		Obecbtge Autol Up To 400 2 $269,902.50 $278,250.00 $274,076.25 nat. median
$272,685
1.0× median
00897
OTHER 		Revakinagene, Per Implant 2 $257,050.00 $265,000.00 $261,025.00 nat. median
$259,700
1.0× median
5834
APR_DRG 		Neonate With Ecmo 12 $229,087.21 $312,391.65 $249,913.32 nat. median
$311,018
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $243,448.17 $250,977.50 $247,212.84 nat. median
$214,447
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $11,054.00 $468,414.37 $246,770.80 nat. median
$261,939
0.9× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 28 $10,278.20 $292,420.05 $205,702.38 nat. median
$200,661
1.0× median

Other procedures at this hospital

Browse this hospital's 57,024 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
845 OTHER Inj, Atidarsagene Autotem 28 25 — — $6,859.63 $4,955,500.00 $4,595,100.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 28 25 — — $3,685,267.00 $4,422,320.40 $3,814,251.34 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,574,708.99 $3,685,267.00 $3,629,988.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 31 28 — — $12,420.33 $4,836,939.00 $3,402,536.40 2026-03-01
714 OTHER Inj Delandistrogene Mox R 31 28 — — $8,067.85 $4,825,397.00 $3,394,417.20 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 31 28 — — $15,357.06 $4,716,136.60 $3,317,558.16 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,228,024.20 $3,327,860.00 $3,277,942.10 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 31 28 — — $10,974.82 $4,611,000.00 $3,243,600.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,154,932.76 $3,252,508.00 $3,203,720.38 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 31 28 — — $14,205.45 $4,262,955.05 $2,998,768.38 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,851,769.93 $2,939,969.00 $2,895,869.46 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 29 26 — — $2,588,981.00 $3,754,022.45 $2,718,430.05 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,511,311.57 $2,588,981.00 $2,550,146.29 2026-03-01
824 OTHER Inj, Exagamglogene Autote 31 28 — — $16,634.22 $3,381,400.00 $2,378,640.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,656,833.00 $1,656,833.00 $1,656,833.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 29 26 — — $770,620.00 $1,117,399.00 $809,151.00 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 29 26 — — $587,649.60 $852,091.92 $617,032.08 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $598,237.50 $598,237.50 $598,237.50 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 29 26 — — $566,531.30 $821,470.39 $594,857.87 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 29 26 — — $562,201.20 $815,191.74 $590,311.26 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 29 26 — — $558,081.80 $809,218.61 $585,985.89 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $570,020.11 $587,649.60 $578,834.85 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 4 — — $561,407.87 $1,218,042.30 $570,089.44 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 29 26 — — $532,192.20 $771,678.69 $558,801.81 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $549,535.36 $566,531.30 $558,033.33 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $545,335.16 $562,201.20 $553,768.18 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $541,339.35 $558,081.80 $549,710.57 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 4 — — $536,573.93 $1,263,446.58 $544,871.46 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 3 — — $511,793.34 $1,199,875.72 $527,622.00 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $516,226.43 $532,192.20 $524,209.31 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 29 26 — — $489,450.20 $709,702.79 $513,922.71 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 4 — — $500,948.74 $1,208,732.67 $508,695.37 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 4 — — $487,755.77 $1,144,213.32 $495,298.39 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $474,766.69 $489,450.20 $482,108.45 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 4 — — $474,717.03 $1,052,317.93 $482,058.02 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $433,588.39 $433,588.39 $433,588.39 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 56 36 — — $7,653.00 $684,447.38 $381,269.86 2026-03-01
831 OTHER Obecbtge Autol Up To 400 31 28 — — $4,697.17 $403,462.50 $283,815.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $276,955.37 $285,521.00 $281,238.18 2026-03-01
897 OTHER Revakinagene, Per Implant 29 26 — — $265,000.00 $384,250.00 $278,250.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 15 12 — — $229,087.21 $312,391.65 $249,913.32 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $243,448.17 $250,977.50 $247,212.84 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 34 — — $11,054.00 $468,414.37 $246,770.80 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 31 28 — — $10,278.20 $292,420.05 $205,702.38 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 57 36 — — $11,054.00 $512,201.89 $190,279.25 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 37 — — $11,054.00 $727,242.28 $189,172.19 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $180,011.44 $180,011.44 $180,011.44 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $171,587.18 $176,894.00 $174,240.59 2026-03-01
1908 OTHER New Technology - Level 52 29 26 — — $155,876.90 $226,021.50 $163,670.74 2026-03-01
1907 OTHER New Technology - Level 52 29 26 — — $155,876.90 $226,021.50 $163,670.74 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $140,311.53 $191,333.91 $153,067.13 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $148,484.69 $153,077.00 $150,780.85 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $148,484.69 $153,077.00 $150,780.85 2026-03-01
802002 CDM Kit Hrt Implant Lvas 15 9 $301,058.69 $301,058.69 $15,052.93 $276,973.99 $150,529.35 2026-03-01
1905 OTHER New Technology - Level 51 29 26 — — $140,544.80 $203,789.96 $147,572.04 2026-03-01
1906 OTHER New Technology - Level 51 29 26 — — $140,544.80 $203,789.96 $147,572.04 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $131,167.70 $178,865.04 $143,092.03 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 15 12 — — $131,081.13 $178,746.99 $142,997.59 2026-03-01
5833 APR_DRG Neonate With Ecmo 15 12 — — $130,472.78 $177,917.43 $142,333.94 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $133,995.99 $138,140.20 $136,068.10 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $133,879.59 $138,020.20 $135,949.90 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $133,879.59 $138,020.20 $135,949.90 2026-03-01
1904 OTHER New Technology - Level 50 29 26 — — $125,212.70 $181,558.41 $131,473.33 2026-03-01
1903 OTHER New Technology - Level 50 29 26 — — $125,212.70 $181,558.41 $131,473.33 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 57 36 — — $11,054.00 $436,481.81 $124,025.07 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $122,172.78 $122,172.78 $122,172.78 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $120,088.13 $123,802.20 $121,945.17 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $119,274.69 $122,963.60 $121,119.15 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $119,274.69 $122,963.60 $121,119.15 2026-03-01
7 MS_DRG Lung Transplant 53 34 — — $11,054.00 $345,347.01 $116,062.94 2026-03-01
1902 OTHER New Technology - Level 49 29 26 — — $109,880.60 $159,326.87 $115,374.63 2026-03-01
1901 OTHER New Technology - Level 49 29 26 — — $109,880.60 $159,326.87 $115,374.63 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 31 28 — — $108,157.91 $161,679.35 $113,733.06 2026-03-01
5832 APR_DRG Neonate With Ecmo 15 12 — — $100,178.98 $136,607.70 $109,286.16 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 53 34 — — $7,653.00 $409,393.56 $107,826.19 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 15 12 — — $97,818.71 $133,389.15 $106,711.32 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 12 — — $97,758.63 $133,307.22 $106,645.78 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $97,616.72 $133,113.71 $106,490.96 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $104,669.69 $107,906.90 $106,288.29 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $104,669.69 $107,906.90 $106,288.29 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 12 — — $95,894.05 $130,764.62 $104,611.69 2026-03-01
007 OTHER Lung Transplant 2 2 — — $102,985.09 $106,170.20 $104,577.64 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 12 — — $94,026.31 $128,217.69 $102,574.15 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 60 38 — — $11,098.00 $390,836.39 $102,558.38 2026-03-01
1599 OTHER New Technology - Level 48 29 26 — — $97,103.81 $140,800.52 $101,959.00 2026-03-01
1585 OTHER New Technology - Level 48 29 26 — — $97,103.81 $140,800.52 $101,959.00 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $93,447.20 $127,428.00 $101,942.40 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 53 34 — — $11,054.00 $468,414.37 $101,764.47 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 60 38 — — $11,054.00 $410,725.30 $101,649.63 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $100,394.53 $100,394.53 $100,394.53 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $92,009.53 $125,467.54 $100,374.04 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 38 — — $10,152.00 $380,120.84 $99,020.35 2026-03-01
5831 APR_DRG Neonate With Ecmo 15 12 — — $89,922.80 $122,622.00 $98,097.60 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 31 28 — — $92,228.57 $137,867.45 $96,982.62 2026-03-01
215 MS_DRG Other Heart Assist System Implant 61 38 — — $11,098.00 $422,667.35 $95,829.35 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 12 — — $87,012.29 $118,653.12 $94,922.50 2026-03-01
01599 OTHER New Technology - Level 48 2 2 — — $92,498.81 $95,359.60 $93,929.21 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $92,498.81 $95,359.60 $93,929.21 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 12 — — $85,272.22 $116,280.30 $93,024.24 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 53 34 — — $11,054.00 $416,110.29 $92,741.34 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $91,275.21 $94,098.15 $92,686.68 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 38 — — $11,098.00 $265,443.03 $91,567.41 2026-03-01
1598 OTHER New Technology - Level 47 29 26 — — $86,882.41 $125,979.49 $91,226.53 2026-03-01
1584 OTHER New Technology - Level 47 29 26 — — $86,882.41 $125,979.49 $91,226.53 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $87,907.44 $90,626.23 $89,266.83 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $86,981.50 $89,671.65 $88,326.57 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $80,894.00 $110,310.00 $88,248.00 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $80,074.17 $109,192.05 $87,353.64 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $77,604.01 $105,823.65 $84,658.92 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 15 12 — — $77,175.52 $105,239.34 $84,191.47 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $82,762.15 $85,321.80 $84,041.98 2026-03-01
01598 OTHER New Technology - Level 47 2 2 — — $82,762.15 $85,321.80 $84,041.98 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 15 12 — — $76,594.44 $104,446.96 $83,557.57 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $81,516.59 $84,037.72 $82,777.15 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 60 38 — — $10,152.00 $302,655.35 $81,247.95 2026-03-01
1597 OTHER New Technology - Level 46 29 26 — — $76,661.01 $111,158.46 $80,494.06 2026-03-01
1583 OTHER New Technology - Level 46 29 26 — — $76,661.01 $111,158.46 $80,494.06 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 12 — — $73,695.78 $100,494.24 $80,395.39 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $78,732.97 $81,168.01 $79,950.49 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 12 — — $72,962.52 $99,494.34 $79,595.47 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 60 38 — — $11,098.00 $267,398.90 $78,342.61 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 60 38 — — $11,054.00 $334,272.22 $78,154.83 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 15 12 — — $71,402.31 $97,366.79 $77,893.43 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $75,652.56 $77,992.33 $76,822.45 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 61 38 — — $10,152.00 $4,484,982.57 $75,892.19 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $69,391.08 $94,624.20 $75,699.36 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $75,435.00 $75,435.00 $75,435.00 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $68,635.28 $93,593.57 $74,874.85 2026-03-01
01597 OTHER New Technology - Level 46 2 2 — — $73,025.48 $75,284.00 $74,154.74 2026-03-01
01583 OTHER New Technology - Level 46 2 2 — — $73,025.48 $75,284.00 $74,154.74 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 60 38 — — $11,098.00 $262,010.28 $73,987.60 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $72,570.70 $74,815.15 $73,692.92 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $71,734.74 $73,953.34 $72,844.04 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $65,404.58 $89,188.07 $71,350.45 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $65,404.58 $89,188.07 $71,350.45 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $65,404.58 $89,188.07 $71,350.45 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 60 38 — — $11,098.00 $224,790.71 $70,906.24 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 12 — — $64,446.80 $87,882.00 $70,305.60 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 31 28 — — $66,737.65 $99,762.46 $70,177.73 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 37 — — $11,098.00 $230,016.04 $70,173.94 2026-03-01
1582 OTHER New Technology - Level 45 29 26 — — $66,439.61 $96,337.43 $69,761.59 2026-03-01
1596 OTHER New Technology - Level 45 29 26 — — $66,439.61 $96,337.43 $69,761.59 2026-03-01
5244 OTHER Level 4 Blood Product Exc 29 26 — — $65,686.31 $95,245.15 $68,970.63 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 38 — — $11,054.00 $4,384,567.90 $68,970.00 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $67,901.10 $70,001.13 $68,951.12 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $67,681.94 $69,775.20 $68,728.57 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 60 38 — — $11,098.00 $255,308.07 $68,485.61 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $60,940.19 $83,100.26 $66,480.20 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 38 — — $10,152.00 $163,701.00 $66,072.31 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 31 28 — — $15,227.89 $93,198.45 $65,560.29 2026-03-01
10 MS_DRG Pancreas Transplant 53 34 — — $11,054.00 $209,786.03 $65,045.51 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 58 36 — — $11,054.00 $3,754,766.35 $65,019.01 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $59,517.54 $81,160.27 $64,928.22 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 56 36 — — $11,054.00 $211,916.08 $64,682.40 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 — — $63,615.37 $65,582.86 $64,599.12 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $59,176.40 $80,695.10 $64,556.08 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $63,288.81 $65,246.20 $64,267.50 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $63,288.81 $65,246.20 $64,267.50 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 38 — — $11,098.00 $265,443.03 $63,881.47 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 61 38 — — $11,098.00 $265,443.03 $63,881.47 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $62,571.25 $64,506.44 $63,538.85 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $62,346.55 $64,274.79 $63,310.67 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $62,710.00 $62,710.00 $62,710.00 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $61,505.17 $63,407.39 $62,456.28 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 61 38 — — $11,098.00 $2,927,406.00 $62,414.47 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 4 — — $61,338.53 $138,190.80 $62,287.07 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 60 38 — — $11,098.00 $1,278,820.00 $62,093.04 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $60,698.96 $62,576.25 $61,637.60 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 15 12 — — $56,358.39 $76,852.35 $61,481.88 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 15 12 — — $56,358.39 $76,852.35 $61,481.88 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 59 38 — — $10,152.00 $154,528.00 $61,280.96 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 12 — — $56,153.23 $76,572.58 $61,258.07 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 59 38 — — $11,054.00 $253,907.40 $61,117.49 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 60 38 — — $11,054.00 $224,485.90 $61,024.06 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $59,026.32 $60,851.88 $59,939.10 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 29 26 — — $56,824.55 $82,395.60 $59,665.78 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 61 38 — — $11,098.00 $326,292.70 $59,659.48 2026-03-01
1581 OTHER New Technology - Level 44 29 26 — — $56,218.21 $81,516.40 $59,029.12 2026-03-01
1595 OTHER New Technology - Level 44 29 26 — — $56,218.21 $81,516.40 $59,029.12 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 60 38 — — $11,098.00 $267,398.90 $59,007.41 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 15 12 — — $54,068.48 $73,729.74 $58,983.79 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 61 38 — — $11,054.00 $2,136,728.82 $58,940.45 2026-03-01
010 OTHER Pancreas Transplant 2 2 — — $57,798.51 $59,586.09 $58,692.30 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $57,467.61 $59,244.96 $58,356.29 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $57,418.27 $59,194.09 $58,306.18 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 61 38 — — $7,653.00 $2,807,102.85 $57,919.62 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 59 38 — — $11,098.00 $135,055.00 $57,425.31 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 29 26 — — $54,404.11 $78,885.96 $57,124.32 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 3 — — $55,306.59 $116,968.84 $57,017.10 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $56,146.19 $57,882.67 $57,014.43 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $55,812.39 $57,538.55 $56,675.47 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 61 38 — — $10,152.00 $4,484,982.57 $56,484.02 2026-03-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 1 1 — — $56,373.00 $56,373.00 $56,373.00 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 38 — — $11,098.00 $4,506,285.34 $56,145.72 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $55,190.51 $56,897.43 $56,043.97 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 12 — — $51,339.00 $70,007.73 $56,006.18 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $55,119.81 $56,824.55 $55,972.18 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 61 38 — — $11,054.00 $3,984,588.67 $55,729.94 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 12 — — $50,818.80 $69,298.37 $55,438.69 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 61 38 — — $11,098.00 $2,700,589.05 $54,731.59 2026-03-01
01595 OTHER New Technology - Level 44 2 2 — — $53,552.15 $55,208.40 $54,380.28 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $53,552.15 $55,208.40 $54,380.28 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 61 38 — — $11,098.00 $3,940,480.46 $54,345.78 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 32 — — $11,098.00 $1,547,280.00 $54,159.08 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 53 34 — — $7,653.00 $409,393.56 $54,037.16 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $52,962.74 $54,600.76 $53,781.75 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $52,771.99 $54,404.11 $53,588.05 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $52,770.44 $54,402.52 $53,586.48 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 15 12 — — $49,084.27 $66,933.09 $53,546.47 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 12 — — $48,714.28 $66,428.57 $53,142.85 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 59 38 — — $10,152.00 $149,627.00 $53,121.40 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 61 38 — — $11,054.00 $2,991,756.25 $52,934.43 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 38 — — $11,098.00 $4,171,982.25 $52,382.08 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 37 — — $11,098.00 $230,016.04 $52,143.23 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 15 12 — — $47,787.72 $65,165.07 $52,132.06 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $52,091.10 $52,091.10 $52,091.10 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 60 38 — — $11,054.00 $207,086.28 $52,068.73 2026-03-01
64 APR_DRG Pancreas Transplant 15 12 — — $47,658.85 $64,989.35 $51,991.48 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 61 38 — — $11,098.00 $3,269,752.86 $51,942.32 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $47,597.19 $64,905.25 $51,924.20 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 38 — — $10,152.00 $149,627.00 $51,826.75 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 61 38 — — $11,054.00 $2,041,617.74 $51,488.46 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $47,107.04 $64,236.87 $51,389.50 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 12 — — $47,003.86 $64,096.17 $51,276.94 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 53 34 — — $11,054.00 $211,916.08 $51,164.91 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 60 38 — — $11,098.00 $262,010.28 $51,157.04 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 2 — — $50,213.95 $51,766.96 $50,990.46 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 61 38 — — $11,098.00 $3,942,690.29 $50,825.65 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 31 28 — — $48,117.24 $71,927.83 $50,597.51 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $49,729.21 $51,267.23 $50,498.22 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $49,625.44 $51,160.25 $50,392.85 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $49,305.43 $50,830.34 $50,067.88 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 61 38 — — $11,054.00 $3,942,601.90 $49,980.14 2026-03-01
215 OTHER Other Heart Assist System Implant 2 2 — — $49,217.63 $50,739.82 $49,978.72 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 61 38 — — $11,054.00 $2,886,921.91 $49,835.26 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $48,909.95 $50,422.63 $49,666.29 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $48,908.50 $50,421.13 $49,664.82 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 61 38 — — $7,653.00 $2,057,351.73 $49,655.00 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 53 34 — — $7,653.00 $409,393.56 $49,642.65 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 2 — — $48,833.03 $50,343.33 $49,588.18 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 59 37 — — $11,098.00 $230,016.04 $49,378.95 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 59 38 — — $10,152.00 $130,889.00 $49,217.83 2026-03-01
8513 APR_DRG Gender Related Procedures 15 12 — — $44,951.52 $61,297.53 $49,038.02 2026-03-01
8514 APR_DRG Gender Related Procedures 15 12 — — $44,951.52 $61,297.53 $49,038.02 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 61 38 — — $11,098.00 $2,927,406.00 $48,865.61 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 12 — — $44,572.04 $60,780.06 $48,624.05 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 59 37 — — $11,098.00 $4,225,460.14 $48,502.24 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $47,582.73 $49,054.36 $48,318.54 2026-03-01
1580 OTHER New Technology - Level 43 29 26 — — $45,996.81 $66,695.37 $48,296.65 2026-03-01
1594 OTHER New Technology - Level 43 29 26 — — $45,996.81 $66,695.37 $48,296.65 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 61 38 — — $11,098.00 $2,194,537.98 $47,638.00 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 61 38 — — $11,054.00 $2,957,371.29 $47,558.49 2026-03-01
976232 CDM Kit Aor Vlv 14fr 29mm 15 9 $94,445.00 $94,445.00 $4,722.25 $86,889.40 $47,222.50 2026-03-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 2 2 — — $46,163.34 $47,591.07 $46,877.21 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 61 38 — — $11,098.00 $244,998.94 $46,739.38 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 60 38 — — $11,098.00 $4,650,070.00 $46,738.51 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 2 2 — — $45,968.14 $47,389.84 $46,678.99 2026-03-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 2 2 — — $45,648.12 $47,059.92 $46,354.02 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $42,311.78 $57,697.88 $46,158.30 2026-03-01
008 OTHER Simultaneous Pancreas And Kidney Transplant 2 2 — — $45,143.80 $46,540.00 $45,841.90 2026-03-01
430 OTHER Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 2 2 — — $44,887.63 $46,275.91 $45,581.77 2026-03-01
1142 OTHER Supprelin La Implant 29 26 — — $43,185.34 $62,618.74 $45,344.61 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 61 38 — — $11,054.00 $2,942,344.45 $45,280.84 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 61 38 — — $11,054.00 $2,375,655.64 $45,259.38 2026-03-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 2 2 — — $44,486.35 $45,862.22 $45,174.29 2026-03-01
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 2 2 — — $44,243.26 $45,611.61 $44,927.43 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 61 38 — — $11,054.00 $2,240,325.65 $44,684.68 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 59 38 — — $11,098.00 $135,055.00 $44,554.39 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 4 — — $43,855.64 $92,848.48 $44,533.82 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 61 38 — — $11,054.00 $1,234,587.82 $44,505.35 2026-03-01
01594 OTHER New Technology - Level 43 2 2 — — $43,815.48 $45,170.60 $44,493.04 2026-03-01
01580 OTHER New Technology - Level 43 2 2 — — $43,815.48 $45,170.60 $44,493.04 2026-03-01
017 OTHER Autologous Bone Marrow Transplant Without Cc/mcc 2 2 — — $43,756.34 $45,109.63 $44,432.99 2026-03-01
0207 RC — 14 10 — — $12,350.00 $44,347.50 $44,347.50 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 2 — — $43,190.33 $44,526.11 $43,858.22 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 61 38 — — $7,653.00 $2,274,887.40 $43,657.72 2026-03-01
317 OTHER Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 2 — — $42,941.43 $44,269.52 $43,605.47 2026-03-01
986887 CDM Valve Tavr 34mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
976664 CDM Valve Tavr 29mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
912730 CDM Valve Aor Tavr 29mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
976660 CDM Valve Tavr 23mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
912731 CDM Valve Aor Tavr 34mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
976663 CDM Valve Tavr 26mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
912729 CDM Valve Aor Tavr 26mm 15 9 $87,180.00 $87,180.00 $4,359.00 $80,205.60 $43,590.00 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 61 38 — — $11,098.00 $3,368,753.25 $43,474.59 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 57 36 — — $11,054.00 $4,089,688.18 $43,185.19 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 61 38 — — $11,054.00 $3,200,010.63 $43,100.37 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 15 12 — — $39,179.50 $53,426.60 $42,741.28 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 53 34 — — $11,054.00 $416,110.29 $42,616.21 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 61 38 — — $11,054.00 $2,236,524.75 $42,551.16 2026-03-01
01142 OTHER Supprelin La Implant 2 2 — — $41,889.78 $43,185.34 $42,537.56 2026-03-01
277 OTHER Cardiac Defibrillator Implant Without Mcc 2 2 — — $41,814.48 $43,107.71 $42,461.10 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 15 12 — — $38,819.40 $52,935.54 $42,348.43 2026-03-01
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