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 SOUTH TAMPA HOSPITAL

Tampa, FL · CCN 100206 · Rates published

33,612 distinct procedures filed
71 distinct payers
1,567,930 rate rows
2026-07-31 last MRF observed
Data quality

1,511,816 of 1,567,930 rate rows are consumer-grade (96.4%)

56,114 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 21,975
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 18,500
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,912
template filing: same amount across many unrelated codes — excluded 894
placeholder amount (≤ $0.02) — excluded from medians 609
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 145
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 44
exceeds 10× this hospital's gross charge — excluded from medians 23
percent-of-charges filed in the dollar field — excluded from medians 12
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 not_modified · 2026-08-11
Content fingerprint f37300c9deaedd10… · 271,704,782 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
845
OTHER 		Inj, Atidarsagene Autotem 21 $4,764.90 $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 $3,672,900.00 $4,422,320.40 $3,856,545.00 nat. median
$3,758,972
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
$3,646,097
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 3 $3,562,713.00 $3,685,267.00 $3,623,804.50 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
908
OTHER 		Topi Adm Prad Zami Per Tr 23 $9,697.57 $4,002,984.00 $3,502,611.00 nat. median
$29,683
outlier · 118.0×
714
OTHER 		Inj Delandistrogene Mox R 28 $5,280.60 $4,821,909.75 $3,491,727.75 nat. median
$3,325,455
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 28 $8,710.34 $4,764,700.00 $3,415,133.40 nat. median
$3,252,508
1.1× median
906
OTHER 		Inj Elivaldogene Autoteme 23 $6,354.69 $3,816,000.00 $3,339,000.00 nat. median
$24,604
outlier · 135.7×
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 3 $3,225,691.35 $3,327,860.00 $3,276,739.60 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 3 $3,154,932.76 $3,286,000.00 $3,219,964.00 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 $7,736.51 $4,303,600.00 $3,086,967.45 nat. median
$2,939,969
1.1× median
00746
OTHER 		Inj, Betibeglogene Autote 3 $2,851,769.93 $2,968,000.00 $2,909,464.50 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 26 $2,388,614.00 $3,463,490.30 $2,596,285.13 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 3 $2,316,955.58 $2,588,981.00 $2,449,962.79 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 23 $13,699.09 $2,798,400.00 $2,448,600.00 nat. median
$58,186
outlier · 42.1×
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 21 $770,620.00 $924,744.00 $809,151.00 nat. median
$786,032
1.0× 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
9498
OTHER 		Ciltacabtagene Car-pos T 26 $527,123.40 $764,328.93 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 26 $529,192.90 $767,329.70 $571,675.78 nat. median
$576,820
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 5 $502,693.77 $1,218,042.30 $570,089.44 nat. median
$691,418
0.8× median
9422
OTHER 		Idecabtagene Vicleucel Ca 26 $526,587.60 $763,552.02 $566,346.08 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 26 $516,726.10 $749,252.84 $562,716.32 nat. median
$562,201
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 3 $511,309.70 $587,649.60 $548,571.76 nat. median
$570,020
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 5 $492,271.12 $1,263,446.58 $544,871.46 nat. median
$631,793
0.9× median
09194
OTHER 		Tisagenlecleucel Car-pos 3 $513,317.11 $566,531.30 $539,364.13 nat. median
$549,535
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 3 $510,789.97 $558,081.80 $533,963.47 nat. median
$541,339
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 26 $489,456.00 $709,711.20 $532,849.62 nat. median
$533,230
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 3 $501,224.32 $562,201.20 $531,030.63 nat. median
$545,335
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 $470,149.30 $1,199,875.72 $511,793.34 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 $459,839.17 $1,208,732.67 $508,695.37 nat. median
$624,417
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 3 $474,772.32 $532,192.20 $502,841.21 nat. median
$516,226
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 26 $460,530.40 $667,769.08 $496,003.36 nat. median
$492,768
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 5 $445,599.57 $1,144,213.32 $495,298.39 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 $435,956.80 $1,052,317.93 $482,058.02 nat. median
$577,541
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 3 $446,714.49 $489,450.20 $467,648.55 nat. median
$474,767
1.0× 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 43 $6,771.00 $832,980.61 $300,280.68 nat. median
$370,165
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 23 $2,930.91 $333,900.00 $292,162.50 nat. median
$20,175
outlier · 14.5×
897
OTHER 		Revakinagene, Per Implant 21 $265,000.00 $318,000.00 $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
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $147,693.56 $244,411.10 $237,078.77 nat. median
$292,434
0.8× median
5834
APR_DRG 		Neonate With Ecmo 16 $192,207.00 $312,391.65 $231,950.41 nat. median
$311,018
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 42 $9,780.00 $622,167.61 $221,031.40 nat. median
$261,939
0.8× median

Other procedures at this hospital

Browse this hospital's 33,612 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
             
976232 CDM Kit Aor Vlv 14fr 29mm 19 13 $94,445.00 $94,445.00 $6,422.26 $94,445.00 $47,222.50 2024-10-01
976660 CDM Valve Tavr 23mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
912731 CDM Valve Aor Tavr 34mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
976664 CDM Valve Tavr 29mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
976663 CDM Valve Tavr 26mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
912729 CDM Valve Aor Tavr 26mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
986887 CDM Valve Tavr 34mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
912730 CDM Valve Aor Tavr 29mm 33 14 $87,180.00 $87,180.00 $5,928.24 $87,180.00 $43,590.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 25 21 — — $4,764.90 $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 49 25 — — $3,672,900.00 $4,422,320.40 $3,856,545.00 2026-03-01
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 4 3 — — $3,562,713.00 $3,685,267.00 $3,623,804.50 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 2 2 — — $3,496,850.00 $3,605,000.00 $3,550,925.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 27 23 — — $9,697.57 $4,002,984.00 $3,502,611.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 53 28 — — $5,280.60 $4,821,909.75 $3,491,727.75 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 53 28 — — $8,710.34 $4,764,700.00 $3,415,133.40 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 27 23 — — $6,354.69 $3,816,000.00 $3,339,000.00 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 4 3 — — $3,225,691.35 $3,327,860.00 $3,276,739.60 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 4 3 — — $3,154,932.76 $3,286,000.00 $3,219,964.00 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 53 28 — — $7,736.51 $4,303,600.00 $3,086,967.45 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 4 3 — — $2,851,769.93 $2,968,000.00 $2,909,464.50 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 50 26 — — $2,388,614.00 $3,463,490.30 $2,596,285.13 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 4 3 — — $2,316,955.58 $2,588,981.00 $2,449,962.79 2026-03-01
824 OTHER Inj, Exagamglogene Autote 27 23 — — $13,699.09 $2,798,400.00 $2,448,600.00 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 24 21 — — $770,620.00 $924,744.00 $809,151.00 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
9498 OTHER Ciltacabtagene Car-pos T 50 26 — — $527,123.40 $764,328.93 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 50 26 — — $529,192.90 $767,329.70 $571,675.78 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 13 5 — — $502,693.77 $1,218,042.30 $570,089.44 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 50 26 — — $526,587.60 $763,552.02 $566,346.08 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 50 26 — — $516,726.10 $749,252.84 $562,716.32 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 4 3 — — $511,309.70 $587,649.60 $548,571.76 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 13 5 — — $492,271.12 $1,263,446.58 $544,871.46 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 4 3 — — $513,317.11 $566,531.30 $539,364.13 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 4 3 — — $510,789.97 $558,081.80 $533,963.47 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 50 26 — — $489,456.00 $709,711.20 $532,849.62 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 4 3 — — $501,224.32 $562,201.20 $531,030.63 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 5 — — $470,149.30 $1,199,875.72 $511,793.34 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 13 5 — — $459,839.17 $1,208,732.67 $508,695.37 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 4 3 — — $474,772.32 $532,192.20 $502,841.21 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 50 26 — — $460,530.40 $667,769.08 $496,003.36 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 13 5 — — $445,599.57 $1,144,213.32 $495,298.39 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 13 5 — — $435,956.80 $1,052,317.93 $482,058.02 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 4 3 — — $446,714.49 $489,450.20 $467,648.55 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 109 43 — — $6,771.00 $832,980.61 $300,280.68 2026-03-01
831 OTHER Obecbtge Autol Up To 400 27 23 — — $2,930.91 $333,900.00 $292,162.50 2026-03-01
897 OTHER Revakinagene, Per Implant 24 21 — — $265,000.00 $318,000.00 $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
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 2 — — $147,693.56 $244,411.10 $237,078.77 2026-03-01
5834 APR_DRG Neonate With Ecmo 36 16 — — $192,207.00 $312,391.65 $231,950.41 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 114 42 — — $9,780.00 $622,167.61 $221,031.40 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 27 23 — — $5,526.79 $242,002.80 $211,752.45 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 3 2 — — $178,990.51 $214,841.20 $208,395.96 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 109 40 — — $9,780.00 $524,012.93 $176,867.75 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 113 43 — — $9,780.00 $686,979.11 $169,628.09 2026-03-01
1908 OTHER New Technology - Level 52 50 26 — — $147,339.90 $213,642.85 $158,324.07 2026-03-01
1907 OTHER New Technology - Level 52 50 26 — — $147,339.90 $213,642.85 $158,324.07 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $156,515.70 $180,011.44 $156,515.70 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 16 — — $125,393.00 $191,333.91 $150,471.60 2026-03-01
01908 OTHER New Technology - Level 52 4 3 — — $142,919.70 $153,077.00 $147,912.29 2026-03-01
01907 OTHER New Technology - Level 52 4 3 — — $142,919.70 $153,077.00 $147,912.29 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 2 — — $119,887.93 $151,424.40 $146,881.67 2026-03-01
5833 APR_DRG Neonate With Ecmo 36 16 — — $124,517.00 $186,775.50 $142,764.24 2026-03-01
1905 OTHER New Technology - Level 51 50 26 — — $132,847.50 $192,628.88 $142,751.27 2026-03-01
1906 OTHER New Technology - Level 51 50 26 — — $132,847.50 $192,628.88 $142,751.27 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $122,172.78 $140,774.65 $140,774.65 2026-03-01
01905 OTHER New Technology - Level 51 4 3 — — $128,862.07 $138,020.20 $133,363.54 2026-03-01
01906 OTHER New Technology - Level 51 4 3 — — $128,862.07 $138,020.20 $133,363.54 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 36 16 — — $111,047.00 $178,746.99 $133,360.41 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 16 — — $97,644.00 $178,865.04 $129,052.45 2026-03-01
1904 OTHER New Technology - Level 50 50 26 — — $118,355.10 $171,614.89 $127,178.46 2026-03-01
1903 OTHER New Technology - Level 50 50 26 — — $118,355.10 $171,614.89 $127,178.46 2026-03-01
01904 OTHER New Technology - Level 50 4 3 — — $114,804.45 $122,963.60 $118,814.90 2026-03-01
01903 OTHER New Technology - Level 50 4 3 — — $114,804.45 $122,963.60 $118,814.90 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 2 — — $84,296.07 $118,250.50 $114,702.99 2026-03-01
1902 OTHER New Technology - Level 49 50 26 — — $103,862.70 $150,600.91 $111,605.65 2026-03-01
1901 OTHER New Technology - Level 49 50 26 — — $103,862.70 $150,600.91 $111,605.65 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 112 42 — — $9,780.00 $412,316.35 $111,479.36 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 54 29 — — $96,999.90 $144,999.85 $110,751.45 2026-03-01
5832 APR_DRG Neonate With Ecmo 36 16 — — $95,607.00 $143,410.50 $109,617.11 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 36 16 — — $93,372.41 $142,750.50 $108,076.68 2026-03-01
7 MS_DRG Lung Transplant 106 42 — — $9,780.00 $326,227.15 $104,372.59 2026-03-01
01902 OTHER New Technology - Level 49 4 3 — — $100,746.82 $107,906.90 $104,266.20 2026-03-01
01901 OTHER New Technology - Level 49 4 3 — — $100,746.82 $107,906.90 $104,266.20 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 3 2 — — $76,277.63 $105,976.90 $102,797.59 2026-03-01
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
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
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
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
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 36 16 — — $83,057.18 $135,325.50 $101,937.87 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 36 16 — — $81,396.21 $137,205.00 $101,611.33 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 106 42 — — $6,771.00 $386,727.82 $101,592.75 2026-03-01
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 3 1 — — $100,053.67 $100,394.53 $100,053.67 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 36 16 — — $82,446.00 $133,307.22 $99,235.63 2026-03-01
1599 OTHER New Technology - Level 48 50 26 — — $91,785.68 $133,089.24 $98,628.29 2026-03-01
1585 OTHER New Technology - Level 48 50 26 — — $91,785.68 $133,089.24 $98,628.29 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 16 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 36 16 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 54 29 — — $88,300.94 $131,996.25 $96,982.62 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 16 — — $75,232.00 $130,764.62 $96,765.82 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 16 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 60 38 — — $10,132.00 $387,985.83 $92,413.62 2026-03-01
01599 OTHER New Technology - Level 48 4 3 — — $89,032.11 $95,359.60 $92,142.24 2026-03-01
01585 OTHER New Technology - Level 48 4 3 — — $89,032.11 $95,359.60 $92,142.24 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 114 42 — — $9,780.00 $442,480.99 $91,610.12 2026-03-01
5831 APR_DRG Neonate With Ecmo 36 16 — — $69,493.00 $122,622.00 $90,131.85 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 117 45 — — $9,780.00 $369,198.05 $89,313.52 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 117 45 — — $10,799.00 $359,075.76 $88,661.54 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 16 — — $73,863.00 $110,794.50 $88,248.00 2026-03-01
1598 OTHER New Technology - Level 47 50 26 — — $82,124.09 $119,079.93 $88,246.42 2026-03-01
1584 OTHER New Technology - Level 47 50 26 — — $82,124.09 $119,079.93 $88,246.42 2026-03-01
007 OTHER Lung Transplant 3 2 — — $67,580.69 $90,883.60 $88,157.09 2026-03-01
215 MS_DRG Other Heart Assist System Implant 119 45 — — $10,799.00 $399,266.72 $86,366.47 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 112 42 — — $9,780.00 $393,072.68 $85,954.10 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 16 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 36 16 — — $73,667.54 $113,416.50 $85,818.49 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 16 — — $56,946.00 $133,113.71 $85,419.00 2026-03-01
01584 OTHER New Technology - Level 47 4 3 — — $79,660.37 $85,321.80 $82,443.12 2026-03-01
01598 OTHER New Technology - Level 47 4 3 — — $79,660.37 $85,321.80 $82,443.12 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 45 — — $10,799.00 $250,747.00 $80,278.35 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 16 — — $66,782.00 $100,494.24 $80,138.40 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 36 16 — — $67,242.00 $100,863.00 $79,595.47 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 2 — — $67,458.10 $80,549.70 $78,133.21 2026-03-01
1583 OTHER New Technology - Level 46 50 26 — — $72,462.48 $105,070.60 $77,864.54 2026-03-01
1597 OTHER New Technology - Level 46 50 26 — — $72,462.48 $105,070.60 $77,864.54 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 36 16 — — $64,392.00 $104,446.96 $77,628.74 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 2 — — $75,250.33 $78,325.54 $77,577.66 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 5 2 — — $11,430.00 $75,435.00 $75,435.00 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 36 16 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 2 — — $55,450.54 $76,760.53 $74,457.71 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 36 16 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 16 — — $48,895.00 $105,823.65 $73,342.50 2026-03-01
01583 OTHER New Technology - Level 46 4 3 — — $70,288.61 $75,284.00 $72,743.98 2026-03-01
01597 OTHER New Technology - Level 46 4 3 — — $70,288.61 $75,284.00 $72,743.98 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 117 45 — — $10,799.00 $285,899.09 $72,571.85 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 117 45 — — $10,799.00 $252,594.58 $71,999.32 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 141 52 — — $10,799.00 $187,062.91 $71,957.69 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 117 45 — — $9,780.00 $315,765.51 $71,729.97 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 16 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 54 29 — — $63,895.55 $95,513.96 $70,177.73 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 36 16 — — $42,546.04 $102,481.50 $70,029.02 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 2 — — $41,091.81 $71,937.78 $69,779.65 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 139 51 — — $10,799.00 $217,281.39 $67,686.32 2026-03-01
1582 OTHER New Technology - Level 45 50 26 — — $62,800.88 $91,061.28 $67,482.67 2026-03-01
1596 OTHER New Technology - Level 45 50 26 — — $62,800.88 $91,061.28 $67,482.67 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 2 — — $23,705.88 $69,481.26 $67,396.82 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 117 45 — — $10,799.00 $247,504.30 $67,326.66 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 141 52 — — $10,799.00 $212,345.35 $66,872.42 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 53 28 — — $12,654.78 $91,864.42 $66,522.51 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 16 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 50 26 — — $56,824.55 $94,941.04 $65,476.58 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $49,806.62 $66,762.82 $64,759.94 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 36 16 — — $48,983.00 $89,188.07 $64,541.24 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 36 16 — — $46,525.00 $89,188.07 $63,918.12 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 36 16 — — $47,538.00 $89,188.07 $63,918.12 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $62,121.81 $64,043.10 $63,082.46 2026-03-01
01596 OTHER New Technology - Level 45 4 3 — — $60,916.85 $65,246.20 $63,044.85 2026-03-01
01582 OTHER New Technology - Level 45 4 3 — — $60,916.85 $65,246.20 $63,044.85 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 36 16 — — $53,600.81 $83,284.50 $63,018.60 2026-03-01
10 MS_DRG Pancreas Transplant 129 50 — — $9,780.00 $198,171.40 $62,913.41 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 4 3 — — $61,454.13 $64,274.79 $62,850.66 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 5 2 — — $11,430.00 $62,710.00 $62,710.00 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 129 50 — — $9,780.00 $200,183.52 $62,566.84 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 13 5 — — $61,338.53 $138,190.80 $62,552.82 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 127 51 — — $9,780.00 $170,029.16 $61,721.38 2026-03-01
5244 OTHER Level 4 Blood Product Exc 50 26 — — $50,304.25 $78,823.57 $61,516.57 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 36 16 — — $51,688.00 $77,532.00 $61,481.88 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 16 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 2 — — $57,539.16 $63,305.38 $61,406.22 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 117 45 — — $10,799.00 $241,173.15 $60,326.15 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 4 3 — — $55,119.81 $65,476.58 $60,168.42 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 117 45 — — $10,799.00 $243,466.35 $59,491.61 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 36 16 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 36 16 — — $44,835.00 $81,160.27 $58,901.52 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 141 52 — — $9,780.00 $147,521.39 $58,812.03 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 3 2 — — $44,710.16 $59,922.21 $58,124.54 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 2 — — $25,874.40 $59,728.82 $57,936.96 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 50 26 — — $54,404.11 $79,772.08 $57,396.34 2026-03-01
1581 OTHER New Technology - Level 44 50 26 — — $53,139.28 $77,051.96 $57,100.80 2026-03-01
1595 OTHER New Technology - Level 44 50 26 — — $53,139.28 $77,051.96 $57,100.80 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 7 4 — — $53,789.99 $119,352.48 $57,017.10 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 45 — — $10,799.00 $250,747.00 $56,779.28 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 141 52 — — $10,799.00 $115,135.00 $56,651.20 2026-03-01
05244 OTHER Level 4 Blood Product Exc 4 3 — — $48,795.12 $64,506.44 $56,437.75 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 119 45 — — $10,799.00 $250,747.00 $55,696.33 2026-03-01
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
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
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 117 45 — — $10,799.00 $229,823.71 $55,600.50 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 116 45 — — $9,780.00 $239,850.02 $55,329.64 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
64 APR_DRG Pancreas Transplant 36 16 — — $45,492.54 $72,558.00 $54,902.22 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 36 16 — — $45,376.00 $73,729.74 $54,751.37 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 117 45 — — $9,780.00 $212,057.42 $54,433.59 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 4 3 — — $52,771.99 $55,015.23 $53,884.44 2026-03-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 3 1 — — $40,208.00 $56,373.00 $53,804.00 2026-03-01
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
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
01581 OTHER New Technology - Level 44 4 3 — — $51,545.10 $55,208.40 $53,345.71 2026-03-01
01595 OTHER New Technology - Level 44 4 3 — — $51,545.10 $55,208.40 $53,345.71 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 36 16 — — $46,203.00 $69,304.50 $53,142.85 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 141 52 — — $10,799.00 $171,064.36 $53,086.92 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 119 45 — — $10,799.00 $308,227.78 $53,080.63 2026-03-01
8514 APR_DRG Gender Related Procedures 36 16 — — $42,908.27 $70,353.00 $52,827.38 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 141 52 — — $10,799.00 $173,923.14 $52,688.28 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 2 — — $42,827.53 $54,277.85 $52,649.51 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 140 52 — — $8,000.00 $79,140.11 $52,609.81 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 129 50 — — $6,771.00 $142,865.03 $52,467.59 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 117 45 — — $10,799.00 $252,594.58 $52,375.86 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 141 52 — — $10,799.00 $174,749.24 $52,371.88 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 141 52 — — $9,780.00 $136,019.64 $52,306.69 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 36 16 — — $43,560.00 $70,007.73 $52,272.22 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 2 — — $37,379.15 $53,566.38 $51,959.39 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 141 52 — — $9,780.00 $154,518.37 $51,702.68 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $50,527.58 $52,090.29 $51,308.93 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 36 16 — — $41,876.00 $69,298.37 $51,280.79 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 36 16 — — $43,677.00 $65,515.50 $51,276.94 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 54 29 — — $46,068.21 $68,864.85 $50,597.51 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 3 1 — — $50,561.89 $52,091.10 $50,561.89 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 73 43 — — $10,132.00 $195,621.12 $50,527.90 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 36 16 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 36 16 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 141 52 — — $10,799.00 $152,807.90 $50,255.54 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 141 52 — — $10,799.00 $134,281.24 $50,237.82 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 141 52 — — $10,799.00 $135,553.57 $50,220.07 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 141 52 — — $10,799.00 $187,517.80 $50,090.42 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 36 16 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 116 49 — — $6,771.00 $386,727.82 $49,889.22 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $49,151.06 $50,671.20 $49,529.65 2026-03-01
010 OTHER Pancreas Transplant 3 2 — — $26,520.15 $51,006.76 $49,476.56 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 2 — — $44,039.60 $50,714.74 $49,193.30 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 141 52 — — $10,799.00 $161,785.30 $48,917.48 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 141 52 — — $10,799.00 $188,669.54 $48,889.53 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 36 16 — — $32,422.00 $87,882.00 $48,633.00 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 36 16 — — $36,953.00 $66,933.09 $48,561.58 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $47,776.40 $49,254.02 $48,515.21 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 141 52 — — $9,780.00 $128,599.95 $48,498.11 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 139 51 — — $10,799.00 $217,281.39 $48,250.61 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 2 — — $43,339.76 $49,548.60 $48,062.14 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 116 49 — — $6,771.00 $386,727.82 $48,006.61 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 111 46 — — $11,098.00 $60,790.51 $47,310.33 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 2 — — $28,978.54 $48,705.21 $47,244.05 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 117 45 — — $10,799.00 $247,504.30 $47,044.47 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 141 52 — — $10,799.00 $152,893.59 $46,903.00 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 129 50 — — $9,780.00 $200,183.52 $46,837.56 2026-03-01
1580 OTHER New Technology - Level 43 50 26 — — $43,477.68 $63,042.64 $46,718.93 2026-03-01
1594 OTHER New Technology - Level 43 50 26 — — $43,477.68 $63,042.64 $46,718.93 2026-03-01
1142 OTHER Supprelin La Implant 50 26 — — $43,185.34 $65,757.80 $46,232.76 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 36 16 — — $38,906.00 $58,359.00 $46,158.30 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 141 52 — — $10,799.00 $113,521.88 $46,028.43 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 141 52 — — $9,780.00 $152,890.16 $45,884.96 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 141 52 — — $9,780.00 $119,296.06 $45,792.76 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 141 52 — — $9,780.00 $176,535.13 $45,633.78 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 140 52 — — $6,771.00 $122,083.69 $45,541.71 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 141 52 — — $9,780.00 $123,128.50 $45,367.16 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 2 — — $31,385.31 $46,739.23 $45,337.05 2026-03-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 7 2 — — $19,926.00 $52,079.00 $45,326.00 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 141 52 — — $9,780.00 $119,183.41 $45,259.39 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 2 — — $34,258.15 $46,569.52 $45,172.43 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 139 51 — — $10,799.00 $217,281.39 $44,906.01 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 13 5 — — $43,241.44 $94,940.24 $44,533.82 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 137 51 — — $10,799.00 $163,859.12 $44,532.03 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 36 16 — — $35,847.83 $59,817.00 $44,523.19 2026-03-01
01594 OTHER New Technology - Level 43 4 3 — — $42,173.35 $45,170.60 $43,646.58 2026-03-01
01580 OTHER New Technology - Level 43 4 3 — — $42,173.35 $45,170.60 $43,646.58 2026-03-01
01142 OTHER Supprelin La Implant 4 3 — — $41,889.78 $45,350.21 $43,587.52 2026-03-01
215 OTHER Other Heart Assist System Implant 3 2 — — $42,131.16 $51,453.49 $43,434.19 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 141 52 — — $10,799.00 $85,101.99 $43,298.17 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 3 2 — — $41,867.79 $62,431.63 $43,162.67 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 141 52 — — $10,799.00 $79,692.92 $43,122.55 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 36 16 — — $36,021.77 $56,856.00 $43,021.04 2026-03-01
834 OTHER Acute Leukemia With Mcc 3 2 — — $42,052.24 $44,313.44 $42,984.04 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 141 52 — — $9,780.00 $119,167.95 $42,655.71 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $37,949.46 $43,885.66 $42,569.09 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 2 — — $30,844.80 $43,794.09 $42,480.27 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 3 2 — — $37,864.09 $43,511.68 $42,206.33 2026-03-01
0207 RC — 27 12 — — $8,000.00 $44,347.50 $42,172.50 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 — — $30,378.73 $43,161.39 $41,866.55 2026-03-01
8634 APR_DRG Neonatal Aftercare 36 16 — — $35,009.00 $52,513.50 $41,802.50 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 3 2 — — $37,952.93 $43,094.79 $41,801.95 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 119 45 — — $10,799.00 $231,434.77 $41,762.03 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 141 52 — — $9,780.00 $114,101.18 $41,602.09 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 36 16 — — $32,765.10 $56,214.00 $41,598.36 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 141 52 — — $9,780.00 $112,183.40 $41,579.05 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 141 52 — — $10,799.00 $171,064.36 $41,350.06 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $41,326.00 $41,326.00 $41,326.00 2026-03-01
G0448 HCPCS Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System… 26 6 — — $5,395.00 $65,628.00 $41,201.00 2026-03-01
0208 RC — 48 20 — — $6,000.00 $41,922.50 $41,172.50 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 36 16 — — $34,228.00 $52,935.54 $41,073.60 2026-03-01
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