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Hospital

HCA FLORIDA SOUTH TAMPA HOSPITAL

Tampa, FL · CCN 100206 · Rates published

29,045 distinct procedures filed
60 distinct payers
767,837 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

413,918 of 767,837 rate rows are consumer-grade (53.9%)

353,919 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 341,661
per-diem day rate — not a per-procedure price 11,594
template filing: same amount across many unrelated codes — excluded 531
placeholder amount (≤ $0.02) — excluded from medians 119
exceeds 10× this hospital's gross charge — excluded from medians 14

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/36-4764806_HCA-FLORIDA-WEST-TAMPA-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-06-08

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 22 $3,672,900.00 $4,187,106.00 $3,856,545.00 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 22 $3,605,000.00 $4,109,700.00 $3,785,250.00 nat. median
$3,605,000
1.1× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,562,713.00 $3,672,900.00 $3,617,806.50 nat. median
$3,574,709
1.0× median
00773
OTHER 		Inj, Beqvez, Per Tx Dose 2 $3,496,850.00 $3,605,000.00 $3,550,925.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 24 $5,280.60 $4,821,909.75 $3,491,727.75 nat. median
$13,041
outlier · 267.7×
748
OTHER 		Inj, Lovotibeglogene Auto 24 $8,710.34 $4,764,700.00 $3,450,300.00 nat. median
$17,963
outlier · 192.1×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,225,691.35 $3,325,455.00 $3,275,573.17 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,187,420.00 $3,286,000.00 $3,236,710.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 24 $7,736.51 $4,303,600.00 $3,116,400.00 nat. median
$21,896
outlier · 142.3×
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,878,960.00 $2,968,000.00 $2,923,480.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 23 $2,388,614.00 $3,463,490.30 $2,508,044.70 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,316,955.58 $2,388,614.00 $2,352,784.79 nat. median
$2,457,321
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 23 $529,192.90 $767,329.70 $555,652.55 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 23 $527,123.40 $764,328.93 $553,479.57 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 23 $526,587.60 $763,552.02 $552,916.98 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 23 $516,726.10 $749,252.84 $542,562.41 nat. median
$562,201
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $513,317.11 $529,192.90 $521,255.01 nat. median
$538,205
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $511,309.70 $527,123.40 $519,216.55 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $510,789.97 $526,587.60 $518,688.78 nat. median
$530,178
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 23 $489,456.00 $709,711.20 $513,928.80 nat. median
$532,192
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $502,693.77 $1,125,423.00 $510,467.39 nat. median
$754,974
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $501,224.32 $516,726.10 $508,975.21 nat. median
$534,091
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $492,271.12 $1,091,527.05 $499,883.56 nat. median
$675,122
0.7× median
9391
OTHER 		Brexucabtagene Car Pos T 23 $460,530.40 $667,769.08 $483,556.92 nat. median
$489,450
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $474,772.32 $489,456.00 $482,114.16 nat. median
$505,583
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 4 $470,149.30 $1,082,427.24 $481,054.83 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $459,839.17 $1,067,238.95 $466,950.09 nat. median
$674,188
0.7× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $446,714.49 $460,530.40 $453,622.45 nat. median
$464,978
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $445,599.57 $1,051,644.36 $452,490.28 nat. median
$634,511
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $435,956.80 $966,296.00 $442,698.40 nat. median
$620,080
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 34 $6,771.00 $832,980.61 $288,841.42 nat. median
$370,174
0.8× median
5834
APR_DRG 		Neonate With Ecmo 15 $192,207.00 $288,310.50 $230,648.40 nat. median
$309,665
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $9,780.00 $622,167.61 $216,134.45 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 31 $9,780.00 $524,012.93 $182,282.07 nat. median
$206,368
0.9× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $178,990.51 $178,990.51 $178,990.51 nat. median
$263,894
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 34 $9,780.00 $654,271.54 $164,816.45 nat. median
$202,986
0.8× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $156,515.70 $156,515.70 $156,515.70 nat. median
$76,377
outlier · 2.0×
1908
OTHER 		New Technology - Level 52 23 $147,339.90 $213,642.85 $154,706.89 nat. median
$152,962
1.0× median
1907
OTHER 		New Technology - Level 52 23 $147,339.90 $213,642.85 $154,706.89 nat. median
$153,199
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 15 $125,393.00 $188,089.50 $150,471.60 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 15 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $147,693.56 $147,693.56 $147,693.56 nat. median
$424,868
outlier · 0.3×
01907
OTHER 		New Technology - Level 52 2 $142,919.70 $147,339.90 $145,129.80 nat. median
$84,819
1.7× median
01908
OTHER 		New Technology - Level 52 2 $142,919.70 $147,339.90 $145,129.80 nat. median
$82,736
1.8× median
A9543
HCPCS 		Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 $140,774.65 $140,774.65 $140,774.65 nat. median
$62,507
outlier · 2.3×
1905
OTHER 		New Technology - Level 51 23 $132,847.50 $192,628.88 $139,489.88 nat. median
$137,903
1.0× median
1906
OTHER 		New Technology - Level 51 23 $132,847.50 $192,628.88 $139,489.88 nat. median
$138,020
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 15 $111,047.00 $166,570.50 $133,256.40 nat. median
$234,738
0.6× median
01906
OTHER 		New Technology - Level 51 2 $128,862.07 $132,847.50 $130,854.79 nat. median
$82,736
1.6× median
01905
OTHER 		New Technology - Level 51 2 $128,862.07 $132,847.50 $130,854.79 nat. median
$82,736
1.6× median

Other procedures at this hospital

Browse this hospital's 29,045 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
             
9138 OTHER Inj, Hemgenix, Per Tx Dos 25 22 — — $3,672,900.00 $4,187,106.00 $3,856,545.00 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 25 22 — — $3,605,000.00 $4,109,700.00 $3,785,250.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,562,713.00 $3,672,900.00 $3,617,806.50 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 2 2 — — $3,496,850.00 $3,605,000.00 $3,550,925.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 27 24 — — $5,280.60 $4,821,909.75 $3,491,727.75 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 27 24 — — $8,710.34 $4,764,700.00 $3,450,300.00 2024-10-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,225,691.35 $3,325,455.00 $3,275,573.17 2024-10-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,187,420.00 $3,286,000.00 $3,236,710.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 27 24 — — $7,736.51 $4,303,600.00 $3,116,400.00 2024-10-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,878,960.00 $2,968,000.00 $2,923,480.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 26 23 — — $2,388,614.00 $3,463,490.30 $2,508,044.70 2024-10-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,316,955.58 $2,388,614.00 $2,352,784.79 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 26 23 — — $529,192.90 $767,329.70 $555,652.55 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 26 23 — — $527,123.40 $764,328.93 $553,479.57 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 26 23 — — $526,587.60 $763,552.02 $552,916.98 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 26 23 — — $516,726.10 $749,252.84 $542,562.41 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $513,317.11 $529,192.90 $521,255.01 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $511,309.70 $527,123.40 $519,216.55 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $510,789.97 $526,587.60 $518,688.78 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 26 23 — — $489,456.00 $709,711.20 $513,928.80 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 7 4 — — $502,693.77 $1,125,423.00 $510,467.39 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $501,224.32 $516,726.10 $508,975.21 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 7 4 — — $492,271.12 $1,091,527.05 $499,883.56 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 26 23 — — $460,530.40 $667,769.08 $483,556.92 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $474,772.32 $489,456.00 $482,114.16 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 4 — — $470,149.30 $1,082,427.24 $481,054.83 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 7 4 — — $459,839.17 $1,067,238.95 $466,950.09 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $446,714.49 $460,530.40 $453,622.45 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 7 4 — — $445,599.57 $1,051,644.36 $452,490.28 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 7 4 — — $435,956.80 $966,296.00 $442,698.40 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 34 — — $6,771.00 $832,980.61 $288,841.42 2024-10-01
5834 APR_DRG Neonate With Ecmo 19 15 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 34 — — $9,780.00 $622,167.61 $216,134.45 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 52 31 — — $9,780.00 $524,012.93 $182,282.07 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $178,990.51 $178,990.51 $178,990.51 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 55 34 — — $9,780.00 $654,271.54 $164,816.45 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $156,515.70 $156,515.70 $156,515.70 2024-10-01
1908 OTHER New Technology - Level 52 26 23 — — $147,339.90 $213,642.85 $154,706.89 2024-10-01
1907 OTHER New Technology - Level 52 26 23 — — $147,339.90 $213,642.85 $154,706.89 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 15 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5833 APR_DRG Neonate With Ecmo 19 15 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $147,693.56 $147,693.56 $147,693.56 2024-10-01
01907 OTHER New Technology - Level 52 2 2 — — $142,919.70 $147,339.90 $145,129.80 2024-10-01
01908 OTHER New Technology - Level 52 2 2 — — $142,919.70 $147,339.90 $145,129.80 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $140,774.65 $140,774.65 $140,774.65 2024-10-01
1905 OTHER New Technology - Level 51 26 23 — — $132,847.50 $192,628.88 $139,489.88 2024-10-01
1906 OTHER New Technology - Level 51 26 23 — — $132,847.50 $192,628.88 $139,489.88 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 19 15 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
01906 OTHER New Technology - Level 51 2 2 — — $128,862.07 $132,847.50 $130,854.79 2024-10-01
01905 OTHER New Technology - Level 51 2 2 — — $128,862.07 $132,847.50 $130,854.79 2024-10-01
1903 OTHER New Technology - Level 50 26 23 — — $118,355.10 $171,614.89 $124,272.86 2024-10-01
1904 OTHER New Technology - Level 50 26 23 — — $118,355.10 $171,614.89 $124,272.86 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $119,887.93 $119,887.93 $119,887.93 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 15 — — $97,644.00 $146,466.00 $117,172.80 2024-10-01
01903 OTHER New Technology - Level 50 2 2 — — $114,804.45 $118,355.10 $116,579.77 2024-10-01
01904 OTHER New Technology - Level 50 2 2 — — $114,804.45 $118,355.10 $116,579.77 2024-10-01
5832 APR_DRG Neonate With Ecmo 19 15 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 19 15 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 15 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 55 34 — — $9,780.00 $392,685.68 $109,194.94 2024-10-01
1901 OTHER New Technology - Level 49 26 23 — — $103,862.70 $150,600.91 $109,055.84 2024-10-01
1902 OTHER New Technology - Level 49 26 23 — — $103,862.70 $150,600.91 $109,055.84 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 19 15 — — $90,217.00 $135,325.50 $108,260.40 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 28 25 — — $96,999.90 $144,999.85 $103,999.90 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 52 33 — — $6,771.00 $368,315.44 $103,870.85 2024-10-01
01902 OTHER New Technology - Level 49 2 2 — — $100,746.82 $103,862.70 $102,304.76 2024-10-01
01901 OTHER New Technology - Level 49 2 2 — — $100,746.82 $103,862.70 $102,304.76 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $68,499.00 $102,063.00 $102,063.00 2024-10-01
7 MS_DRG Lung Transplant 52 33 — — $9,780.00 $310,695.25 $101,861.52 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $67,393.00 $100,416.00 $100,416.00 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $67,393.00 $100,416.00 $100,416.00 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $100,053.67 $100,053.67 $100,053.67 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 15 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 15 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 15 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
1585 OTHER New Technology - Level 48 26 23 — — $91,785.68 $133,089.24 $96,374.96 2024-10-01
1599 OTHER New Technology - Level 48 26 23 — — $91,785.68 $133,089.24 $96,374.96 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 15 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 28 25 — — $88,300.94 $131,996.25 $94,673.18 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 19 15 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
01599 OTHER New Technology - Level 48 2 2 — — $89,032.11 $91,785.68 $90,408.89 2024-10-01
01585 OTHER New Technology - Level 48 2 2 — — $89,032.11 $91,785.68 $90,408.89 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 15 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 54 34 — — $9,780.00 $421,414.16 $88,893.20 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 15 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
215 MS_DRG Other Heart Assist System Implant 58 36 — — $10,799.00 $380,257.34 $87,966.78 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 57 36 — — $9,780.00 $351,620.27 $87,890.53 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 3 — — $53,789.99 $119,352.48 $87,403.04 2024-10-01
1598 OTHER New Technology - Level 47 26 23 — — $82,124.09 $119,079.93 $86,230.29 2024-10-01
1584 OTHER New Technology - Level 47 26 23 — — $82,124.09 $119,079.93 $86,230.29 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 15 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 52 33 — — $9,780.00 $374,358.21 $84,726.18 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 36 — — $10,799.00 $342,182.31 $84,631.47 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $84,296.07 $84,296.07 $84,296.07 2024-10-01
5831 APR_DRG Neonate With Ecmo 19 15 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 15 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
01598 OTHER New Technology - Level 47 2 2 — — $79,660.37 $82,124.09 $80,892.23 2024-10-01
01584 OTHER New Technology - Level 47 2 2 — — $79,660.37 $82,124.09 $80,892.23 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 19 15 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 15 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 36 — — $10,799.00 $238,808.75 $78,542.62 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $78,325.54 $78,325.54 $78,325.54 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 19 15 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $76,277.63 $76,277.63 $76,277.63 2024-10-01
1597 OTHER New Technology - Level 46 26 23 — — $72,462.48 $105,070.60 $76,085.60 2024-10-01
1583 OTHER New Technology - Level 46 26 23 — — $72,462.48 $105,070.60 $76,085.60 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 2 — — $11,430.00 $75,435.00 $75,435.00 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 19 15 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 15 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 57 36 — — $9,780.00 $300,712.10 $72,440.17 2024-10-01
01583 OTHER New Technology - Level 46 2 2 — — $70,288.61 $72,462.48 $71,375.54 2024-10-01
01597 OTHER New Technology - Level 46 2 2 — — $70,288.61 $72,462.48 $71,375.54 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 15 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 57 36 — — $10,799.00 $240,568.37 $70,690.24 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 42 — — $10,799.00 $187,062.91 $70,324.05 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 26 23 — — $65,476.58 $94,941.04 $68,750.41 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 28 25 — — $63,895.55 $95,513.96 $68,506.57 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 15 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 57 36 — — $10,799.00 $272,267.64 $68,314.57 2024-10-01
007 OTHER Lung Transplant 1 1 — — $67,580.69 $67,580.69 $67,580.69 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $67,458.10 $67,458.10 $67,458.10 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 57 36 — — $10,799.00 $235,720.44 $66,703.26 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 15 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 27 24 — — $12,654.78 $91,864.42 $66,522.51 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 68 42 — — $10,799.00 $202,235.44 $66,302.94 2024-10-01
1596 OTHER New Technology - Level 45 26 23 — — $62,800.88 $91,061.28 $65,940.92 2024-10-01
1582 OTHER New Technology - Level 45 26 23 — — $62,800.88 $91,061.28 $65,940.92 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 41 — — $10,799.00 $206,936.46 $65,889.34 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 15 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
10 MS_DRG Pancreas Transplant 62 40 — — $9,780.00 $188,736.32 $64,760.30 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $63,512.28 $65,476.58 $64,494.43 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 62 40 — — $9,780.00 $190,652.64 $64,396.78 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $11,430.00 $62,710.00 $62,710.00 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 7 4 — — $61,600.24 $136,523.56 $62,552.82 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $62,431.63 $62,431.63 $62,431.63 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $61,454.13 $63,354.77 $62,404.45 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 19 15 — — $51,688.00 $77,532.00 $62,025.60 2024-10-01
01582 OTHER New Technology - Level 45 2 2 — — $60,916.85 $62,800.88 $61,858.86 2024-10-01
01596 OTHER New Technology - Level 45 2 2 — — $60,916.85 $62,800.88 $61,858.86 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 15 — — $51,226.00 $76,839.00 $61,471.20 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 68 42 — — $9,780.00 $164,865.67 $59,862.28 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 19 15 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 19 15 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 57 36 — — $10,799.00 $229,690.73 $58,680.89 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 15 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 57 36 — — $10,799.00 $231,744.16 $58,389.91 2024-10-01
64 APR_DRG Pancreas Transplant 19 15 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 26 23 — — $55,015.23 $79,772.08 $57,765.99 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $57,539.16 $57,539.16 $57,539.16 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 19 15 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
8514 APR_DRG Gender Related Procedures 19 15 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 19 15 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
1595 OTHER New Technology - Level 44 26 23 — — $53,139.28 $77,051.96 $55,796.24 2024-10-01
1581 OTHER New Technology - Level 44 26 23 — — $53,139.28 $77,051.96 $55,796.24 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $37,326.00 $55,615.00 $55,615.00 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $37,326.00 $55,615.00 $55,615.00 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $55,450.54 $55,450.54 $55,450.54 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 19 15 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 57 36 — — $10,799.00 $218,865.31 $55,235.73 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 68 42 — — $10,799.00 $109,888.00 $55,199.06 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 36 — — $10,799.00 $238,808.75 $54,518.67 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 19 15 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $53,364.77 $55,015.23 $54,190.00 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 57 36 — — $9,780.00 $228,430.59 $54,103.07 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 68 42 — — $9,780.00 $147,521.39 $53,991.94 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 15 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $35,851.00 $53,419.00 $53,419.00 2024-10-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $35,851.00 $53,419.00 $53,419.00 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 67 42 — — $8,000.00 $67,515.29 $52,827.76 2024-10-01
5244 OTHER Level 4 Blood Product Exc 26 23 — — $50,304.25 $72,941.16 $52,819.46 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 15 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 68 42 — — $10,799.00 $162,919.86 $52,363.01 2024-10-01
01595 OTHER New Technology - Level 44 2 2 — — $51,545.10 $53,139.28 $52,342.19 2024-10-01
01581 OTHER New Technology - Level 44 2 2 — — $51,545.10 $53,139.28 $52,342.19 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 15 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 68 42 — — $10,799.00 $135,553.57 $51,654.93 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $51,453.49 $51,453.49 $51,453.49 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 57 36 — — $10,799.00 $240,568.37 $51,423.57 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 57 36 — — $9,780.00 $201,948.16 $51,092.53 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 68 42 — — $9,780.00 $147,161.64 $50,964.07 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 68 42 — — $10,799.00 $166,429.31 $50,857.57 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 56 36 — — $6,771.00 $142,865.03 $50,828.56 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 58 36 — — $10,799.00 $293,552.83 $50,681.78 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $50,561.89 $50,561.89 $50,561.89 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 15 — — $42,035.00 $63,052.50 $50,442.00 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 15 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 58 36 — — $10,799.00 $238,808.75 $50,338.10 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 62 40 — — $6,771.00 $368,315.44 $50,289.28 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 62 40 — — $6,771.00 $368,315.44 $50,289.28 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 15 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 19 15 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,806.62 $49,806.62 $49,806.62 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 68 42 — — $10,799.00 $134,281.24 $49,763.88 2024-10-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $48,795.12 $50,304.25 $49,549.68 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,529.65 $49,529.65 $49,529.65 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 28 25 — — $46,068.21 $68,864.85 $49,392.72 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 42 — — $10,799.00 $165,642.54 $49,087.60 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 68 42 — — $9,780.00 $136,019.64 $48,467.67 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 68 42 — — $10,799.00 $145,532.60 $48,304.29 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 15 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
1142 OTHER Supprelin La Implant 26 23 — — $45,350.21 $65,757.80 $47,617.72 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 68 42 — — $9,780.00 $128,599.95 $47,045.06 2024-10-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 2 1 — — $40,208.00 $53,804.00 $47,006.00 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 53 36 — — $11,098.00 $57,978.35 $46,846.51 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 57 36 — — $10,799.00 $235,720.44 $46,690.61 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 15 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 68 42 — — $10,799.00 $179,722.76 $46,510.59 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 68 42 — — $10,799.00 $154,082.59 $46,471.72 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 41 — — $10,799.00 $206,936.46 $46,260.97 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 68 42 — — $10,799.00 $178,576.88 $46,224.65 2024-10-01
1580 OTHER New Technology - Level 43 26 23 — — $43,477.68 $63,042.64 $45,651.56 2024-10-01
1594 OTHER New Technology - Level 43 26 23 — — $43,477.68 $63,042.64 $45,651.56 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 62 40 — — $9,780.00 $190,652.64 $45,496.30 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 19 15 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 3 1 — — $19,926.00 $49,364.00 $45,326.00 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 68 42 — — $9,780.00 $145,610.95 $45,183.93 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $45,148.93 $45,148.93 $45,148.93 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 68 42 — — $9,780.00 $123,128.50 $45,111.32 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 19 15 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $44,710.16 $44,710.16 $44,710.16 2024-10-01
01142 OTHER Supprelin La Implant 2 2 — — $43,989.70 $45,350.21 $44,669.96 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 19 15 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $44,039.60 $44,039.60 $44,039.60 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 7 4 — — $43,241.44 $94,940.24 $43,910.12 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 68 42 — — $9,780.00 $119,183.41 $43,717.01 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 67 42 — — $6,771.00 $122,083.69 $43,661.32 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 68 42 — — $10,799.00 $109,723.00 $43,545.16 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 68 42 — — $9,780.00 $168,117.11 $43,412.67 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $43,339.76 $43,339.76 $43,339.76 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 66 41 — — $10,799.00 $156,057.67 $43,331.75 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $42,827.53 $42,827.53 $42,827.53 2024-10-01
01580 OTHER New Technology - Level 43 2 2 — — $42,173.35 $43,477.68 $42,825.51 2024-10-01
01594 OTHER New Technology - Level 43 2 2 — — $42,173.35 $43,477.68 $42,825.51 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 68 42 — — $9,780.00 $119,296.06 $42,699.90 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 68 42 — — $9,780.00 $119,167.95 $42,655.71 2024-10-01
4404 APR_DRG Kidney Transplant 19 15 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 68 42 — — $10,799.00 $145,614.22 $42,418.73 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 68 42 — — $10,799.00 $81,050.22 $42,363.97 2024-10-01
0207 RC — 14 12 — — $8,000.00 $42,172.50 $42,172.50 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $42,052.24 $42,052.24 $42,052.24 2024-10-01
8634 APR_DRG Neonatal Aftercare 19 15 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 68 42 — — $10,799.00 $78,377.00 $41,993.71 2024-10-01
0208 RC — 23 18 — — $7,500.00 $41,922.50 $41,922.50 2024-10-01
G0448 HCPCS Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System… 12 5 — — $5,395.00 $59,261.00 $41,361.50 2024-10-01
245 MS_DRG Aicd Generator Procedures 68 42 — — $10,799.00 $107,937.90 $41,278.51 2024-10-01
63 APR_DRG Pancreas Transplant 19 15 — — $34,364.00 $51,546.00 $41,236.80 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $41,091.81 $41,091.81 $41,091.81 2024-10-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 19 15 — — $34,228.00 $51,342.00 $41,073.60 2024-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 19 15 — — $34,068.00 $51,102.00 $40,881.60 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 68 42 — — $9,780.00 $112,183.40 $40,645.31 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 68 42 — — $9,780.00 $110,478.13 $40,640.35 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 67 41 — — $10,799.00 $206,936.46 $40,340.16 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 58 36 — — $10,799.00 $220,416.00 $39,987.08 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 68 42 — — $9,780.00 $111,251.25 $39,925.34 2024-10-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 28 25 — — $37,140.82 $55,519.78 $39,821.07 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 67 42 — — $6,771.00 $110,595.21 $39,699.08 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 68 42 — — $10,799.00 $162,919.86 $39,561.85 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 52 33 — — $9,780.00 $374,358.21 $39,449.04 2024-10-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 2 1 — — $39,376.13 $39,376.13 $39,376.13 2024-10-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 28 25 — — $36,570.46 $54,667.17 $39,209.56 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 68 42 — — $9,780.00 $118,185.05 $39,009.26 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 42 — — $10,799.00 $124,417.17 $38,968.12 2024-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 15 — — $32,422.00 $48,633.00 $38,906.40 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 62 40 — — $9,780.00 $151,043.25 $38,776.29 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 68 42 — — $9,780.00 $106,060.32 $38,712.07 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 68 42 — — $9,780.00 $105,479.39 $38,310.28 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 68 42 — — $9,780.00 $101,426.06 $38,164.62 2024-10-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 19 15 — — $31,789.00 $47,683.50 $38,146.80 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $37,952.93 $37,952.93 $37,952.93 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,949.46 $37,949.46 $37,949.46 2024-10-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 19 15 — — $31,574.00 $47,361.00 $37,888.80 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $37,864.09 $37,864.09 $37,864.09 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $37,802.54 $37,802.54 $37,802.54 2024-10-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 19 15 — — $31,456.00 $47,184.00 $37,747.20 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 68 42 — — $9,780.00 $101,805.99 $37,575.40 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $37,565.78 $37,565.78 $37,565.78 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $37,379.15 $37,379.15 $37,379.15 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 68 42 — — $10,799.00 $165,642.54 $37,348.56 2024-10-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 15 — — $31,113.00 $46,669.50 $37,335.60 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $37,248.13 $37,248.13 $37,248.13 2024-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 68 42 — — $10,799.00 $127,238.00 $37,211.31 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 68 42 — — $9,780.00 $103,358.85 $37,203.34 2024-10-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 2 1 — — $37,108.68 $37,108.68 $37,108.68 2024-10-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 15 — — $30,783.00 $46,174.50 $36,939.60 2024-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 68 42 — — $9,780.00 $108,668.74 $36,813.45 2024-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 68 42 — — $10,799.00 $118,018.55 $36,543.21 2024-10-01
1784 APR_DRG External Heart Assist Devices 19 15 — — $30,258.00 $45,387.00 $36,309.60 2024-10-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 15 — — $30,178.00 $45,267.00 $36,213.60 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $36,179.50 $36,179.50 $36,179.50 2024-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 68 42 — — $10,000.00 $135,154.44 $36,107.06 2024-10-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 15 — — $30,089.00 $45,133.50 $36,106.80 2024-10-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 15 — — $30,025.00 $45,037.50 $36,030.00 2024-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 68 42 — — $9,780.00 $99,055.91 $35,719.31 2024-10-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 19 15 — — $29,751.00 $44,626.50 $35,701.20 2024-10-01
72 APR_DRG Allogeneic Bone Marrow Transplant 19 15 — — $29,633.00 $44,449.50 $35,559.60 2024-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 68 42 — — $10,799.00 $109,723.00 $35,555.52 2024-10-01
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