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

MARION COMMUNTIY HOSPITAL

Ocala, FL · CCN 100212 · Rates published

34,234 distinct procedures filed
53 distinct payers
2,699,324 rate rows
2026-07-31 last MRF observed
Data quality

2,593,450 of 2,699,324 rate rows are consumer-grade (96.1%)

105,874 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 25,773
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 25,361
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 21,239
template filing: same amount across many unrelated codes — excluded 18,246
exceeds 10× this hospital's gross charge — excluded from medians 12,284
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 1,375
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 784
placeholder amount (≤ $0.02) — excluded from medians 484
percent-of-charges filed in the dollar field — excluded from medians 328
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.hcadam.com/api/public/content/c7f09c36f671474da2e44b2b9a008e9a?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 · 2026-08-11
Content fingerprint 5805927812d85a96… · 360,484,130 bytes · first seen 2026-05-05

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,897,200.00 $4,850,948.67 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 21 $5,522.04 $4,955,500.00 $4,595,100.00 nat. median
$16,015
outlier · 286.9×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $4,271,819.03 nat. median
$2,460,273
1.7× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 24 $3,672,900.00 $4,422,320.40 $3,869,530.35 nat. median
$3,758,972
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 21 $3,605,000.00 $4,326,000.00 $3,731,175.00 nat. median
$3,646,097
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,574,708.99 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 24 $11,238.51 $4,002,984.00 $3,502,611.00 nat. median
$29,683
outlier · 118.0×
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 24 $6,119.69 $3,993,432.00 $3,494,253.00 nat. median
$3,325,455
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 24 $10,094.41 $3,943,200.00 $3,415,133.40 nat. median
$3,252,508
1.1× median
906
OTHER 		Inj Elivaldogene Autoteme 24 $7,364.45 $3,816,000.00 $3,339,000.00 nat. median
$24,604
outlier · 135.7×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,170
outlier · 228.4×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,228,024.20 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,154,932.76 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 24 $8,965.84 $3,561,600.00 $3,086,967.45 nat. median
$2,939,969
1.1× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,851,769.93 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 24 $2,388,614.00 $3,106,777.20 $2,640,760.62 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,511,311.57 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 27 $15,875.87 $4,897,200.00 $2,471,920.00 nat. median
$58,186
outlier · 42.5×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$809,151
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 27 $770,620.00 $1,849,488.00 $820,710.30 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 27 $527,123.40 $1,234,064.16 $599,402.59 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 27 $529,192.90 $1,189,715.73 $582,112.19 nat. median
$576,820
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 27 $526,587.60 $1,171,971.78 $579,246.36 nat. median
$560,872
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 27 $516,726.10 $1,180,622.52 $573,445.22 nat. median
$562,201
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $570,020.11 nat. median
$570,020
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $934,776.65 $561,407.87 nat. median
$691,418
0.8× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $549,535.36 nat. median
$549,535
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $545,335.16 nat. median
$545,335
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 27 $489,456.00 $1,117,603.62 $542,836.04 nat. median
$533,230
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $541,339.35 nat. median
$541,339
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $969,621.79 $536,573.93 nat. median
$631,793
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $516,226.43 nat. median
$516,226
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $511,793.34 nat. median
$610,161
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 27 $460,530.40 $1,027,845.42 $506,583.44 nat. median
$492,768
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $927,632.05 $500,948.74 nat. median
$624,417
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $878,117.20 $487,755.77 nat. median
$588,565
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $474,766.69 nat. median
$474,767
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $807,592.83 $474,717.03 nat. median
$577,541
0.8× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$302,242
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $1,376.00 $1,929,752.97 $365,554.20 nat. median
$370,165
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
831
OTHER 		Obecbtge Autol Up To 400 27 $3,396.63 $584,325.00 $294,945.00 nat. median
$20,175
outlier · 14.6×
897
OTHER 		Revakinagene, Per Implant 27 $265,000.00 $556,500.00 $280,900.00 nat. median
$19,528
outlier · 14.4×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $171,162.13 $274,821.66 $274,821.66 nat. median
$292,434
0.9× median
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$272,685
1.0× median

Other procedures at this hospital

Browse this hospital's 34,234 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,897,200.00 $4,850,948.67 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 51 21 — — $5,522.04 $4,955,500.00 $4,595,100.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $3,884,946.48 $4,271,819.03 $4,271,819.03 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 78 24 — — $3,672,900.00 $4,422,320.40 $3,869,530.35 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 2 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 24 21 — — $3,605,000.00 $4,326,000.00 $3,731,175.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 3 1 — — $3,562,713.00 $3,574,708.99 $3,574,708.99 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 57 24 — — $11,238.51 $4,002,984.00 $3,502,611.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 81 24 — — $6,119.69 $3,993,432.00 $3,494,253.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 81 24 — — $10,094.41 $3,943,200.00 $3,415,133.40 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 57 24 — — $7,364.45 $3,816,000.00 $3,339,000.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 3 1 — — $3,225,691.35 $3,228,024.20 $3,228,024.20 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 3 1 — — $3,154,932.76 $3,187,420.00 $3,154,932.76 2026-03-01
746 OTHER Inj, Betibeglogene Autote 81 24 — — $8,965.84 $3,561,600.00 $3,086,967.45 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 3 1 — — $2,851,769.93 $2,878,960.00 $2,851,769.93 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 78 24 — — $2,388,614.00 $3,106,777.20 $2,640,760.62 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 3 1 — — $2,316,955.58 $2,511,311.57 $2,511,311.57 2026-03-01
824 OTHER Inj, Exagamglogene Autote 63 27 — — $15,875.87 $4,897,200.00 $2,471,920.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 64 27 — — $770,620.00 $1,849,488.00 $820,710.30 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 87 27 — — $527,123.40 $1,234,064.16 $599,402.59 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 87 27 — — $529,192.90 $1,189,715.73 $582,112.19 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 87 27 — — $526,587.60 $1,171,971.78 $579,246.36 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 87 27 — — $516,726.10 $1,180,622.52 $573,445.22 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 3 1 — — $511,309.70 $570,020.11 $570,020.11 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 15 3 — — $502,693.77 $934,776.65 $561,407.87 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 3 1 — — $513,317.11 $549,535.36 $549,535.36 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 3 1 — — $501,224.32 $545,335.16 $545,335.16 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 87 27 — — $489,456.00 $1,117,603.62 $542,836.04 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 3 1 — — $510,789.97 $541,339.35 $541,339.35 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 15 3 — — $492,271.12 $969,621.79 $536,573.93 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 3 1 — — $474,772.32 $516,226.43 $516,226.43 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 9 3 — — $470,149.30 $920,834.85 $511,793.34 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 87 27 — — $460,530.40 $1,027,845.42 $506,583.44 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 15 3 — — $459,839.17 $927,632.05 $500,948.74 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 15 3 — — $445,599.57 $878,117.20 $487,755.77 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 3 1 — — $446,714.49 $474,766.69 $474,766.69 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 15 3 — — $435,956.80 $807,592.83 $474,717.03 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 175 32 — — $1,376.00 $1,929,752.97 $365,554.20 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 2 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
831 OTHER Obecbtge Autol Up To 400 63 27 — — $3,396.63 $584,325.00 $294,945.00 2026-03-01
897 OTHER Revakinagene, Per Implant 60 27 — — $265,000.00 $556,500.00 $280,900.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $171,162.13 $274,821.66 $274,821.66 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 178 32 — — $1,496.00 $1,252,332.04 $242,279.89 2026-03-01
5834 APR_DRG Neonate With Ecmo 37 11 — — $208,261.10 $312,391.65 $241,582.88 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 — — $207,432.07 $241,572.68 $241,572.68 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 63 27 — — $6,405.00 $423,504.90 $213,769.14 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 180 31 — — $1,496.00 $1,039,343.31 $190,227.35 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 180 31 — — $1,496.00 $948,511.74 $187,138.02 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 1 — — $138,938.05 $170,265.26 $170,265.26 2026-03-01
1907 OTHER New Technology - Level 52 93 27 — — $147,339.90 $374,104.56 $163,670.74 2026-03-01
1908 OTHER New Technology - Level 52 93 27 — — $147,339.90 $374,104.56 $163,670.74 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $127,555.94 $191,333.91 $150,471.60 2026-03-01
01907 OTHER New Technology - Level 52 3 1 — — $142,919.70 $148,484.69 $148,484.69 2026-03-01
01908 OTHER New Technology - Level 52 3 1 — — $142,919.70 $148,484.69 $148,484.69 2026-03-01
1905 OTHER New Technology - Level 51 93 27 — — $132,847.50 $337,307.52 $147,572.04 2026-03-01
1906 OTHER New Technology - Level 51 93 27 — — $132,847.50 $337,307.52 $147,572.04 2026-03-01
5833 APR_DRG Neonate With Ecmo 37 11 — — $118,611.62 $186,775.50 $142,333.94 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 11 — — $107,408.40 $178,865.04 $138,322.30 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 37 11 — — $119,164.66 $178,746.99 $138,231.01 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $120,116.70 $138,148.31 $138,148.31 2026-03-01
01905 OTHER New Technology - Level 51 3 1 — — $128,862.07 $133,879.59 $133,879.59 2026-03-01
01906 OTHER New Technology - Level 51 3 1 — — $128,862.07 $133,879.59 $133,879.59 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 1 — — $97,690.74 $132,963.72 $132,963.72 2026-03-01
1903 OTHER New Technology - Level 50 93 27 — — $118,355.10 $300,510.48 $131,473.33 2026-03-01
1904 OTHER New Technology - Level 50 93 27 — — $118,355.10 $300,510.48 $131,473.33 2026-03-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $108,491.00 $144,551.00 $126,521.00 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 180 31 — — $1,496.00 $619,024.13 $122,548.40 2026-03-01
01903 OTHER New Technology - Level 50 3 1 — — $114,804.45 $119,274.69 $119,274.69 2026-03-01
01904 OTHER New Technology - Level 50 3 1 — — $114,804.45 $119,274.69 $119,274.69 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 3 1 — — $88,398.15 $119,162.95 $119,162.95 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 66 27 — — $108,157.91 $267,607.20 $118,193.18 2026-03-01
1902 OTHER New Technology - Level 49 93 27 — — $103,862.70 $263,713.44 $115,374.63 2026-03-01
1901 OTHER New Technology - Level 49 93 27 — — $103,862.70 $263,713.44 $115,374.63 2026-03-01
7 MS_DRG Lung Transplant 177 33 — — $1,496.00 $578,718.54 $113,281.24 2026-03-01
5832 APR_DRG Neonate With Ecmo 37 11 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 178 33 — — $1,376.00 $573,976.63 $109,239.38 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 37 11 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
01901 OTHER New Technology - Level 49 3 1 — — $100,746.82 $104,669.69 $104,669.69 2026-03-01
01902 OTHER New Technology - Level 49 3 1 — — $100,746.82 $104,669.69 $104,669.69 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 37 11 — — $88,871.48 $133,307.22 $103,090.92 2026-03-01
007 OTHER Lung Transplant 3 1 — — $78,319.26 $102,191.73 $102,191.73 2026-03-01
1585 OTHER New Technology - Level 48 93 27 — — $91,785.68 $233,049.14 $101,959.00 2026-03-01
1599 OTHER New Technology - Level 48 93 27 — — $91,785.68 $233,049.14 $101,959.00 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 126 33 — — $1,496.00 $308,222.24 $101,268.14 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 11 — — $82,755.20 $130,764.62 $101,124.64 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 66 27 — — $92,228.57 $228,194.40 $100,785.86 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 178 32 — — $1,496.00 $506,395.48 $100,417.88 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 37 11 — — $85,478.46 $128,217.69 $99,155.01 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 177 33 — — $9,905.00 $492,515.39 $98,629.08 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $84,952.00 $127,428.00 $98,544.32 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 11 — — $62,640.60 $133,113.71 $97,616.72 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 185 33 — — $1,496.00 $485,941.78 $97,324.63 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 11 — — $83,645.03 $125,467.54 $97,028.23 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 37 11 — — $79,102.08 $135,325.50 $94,922.50 2026-03-01
5831 APR_DRG Neonate With Ecmo 37 11 — — $76,442.30 $122,622.00 $94,827.68 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $93,760.51 $108,036.36 $93,760.51 2026-03-01
215 MS_DRG Other Heart Assist System Implant 177 33 — — $10,799.00 $464,153.09 $93,439.20 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 11 — — $77,520.20 $137,205.00 $93,024.24 2026-03-01
01585 OTHER New Technology - Level 48 3 1 — — $89,032.11 $92,498.81 $92,498.81 2026-03-01
01599 OTHER New Technology - Level 48 3 1 — — $89,032.11 $92,498.81 $92,498.81 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 177 33 — — $1,496.00 $466,536.46 $92,326.74 2026-03-01
1598 OTHER New Technology - Level 47 93 27 — — $82,124.09 $208,517.78 $91,226.53 2026-03-01
1584 OTHER New Technology - Level 47 93 27 — — $82,124.09 $208,517.78 $91,226.53 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 1 — — $78,177.19 $90,572.00 $90,572.00 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $77,347.00 $102,472.00 $89,909.50 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 177 33 — — $10,799.00 $200,336.45 $88,481.93 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 11 — — $73,540.00 $110,794.50 $88,248.00 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 1 — — $87,230.18 $90,771.47 $87,230.18 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $71,038.00 $87,168.00 $87,168.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $71,038.00 $87,168.00 $87,168.00 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 1 — — $64,261.64 $86,311.38 $86,311.38 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $72,794.70 $109,192.05 $85,872.00 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $69,717.00 $85,547.00 $85,547.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $69,717.00 $85,547.00 $85,547.00 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 37 11 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 8 2 — — $75,543.00 $122,728.00 $83,213.00 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 2 — — $43,053.00 $83,213.00 $83,213.00 2026-03-01
01584 OTHER New Technology - Level 47 3 1 — — $79,660.37 $82,762.15 $82,762.15 2026-03-01
01598 OTHER New Technology - Level 47 3 1 — — $79,660.37 $82,762.15 $82,762.15 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 1 — — $47,621.30 $80,888.56 $80,888.56 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 37 11 — — $69,631.31 $104,446.96 $80,772.32 2026-03-01
1583 OTHER New Technology - Level 46 93 27 — — $72,462.48 $183,986.42 $80,494.06 2026-03-01
1597 OTHER New Technology - Level 46 93 27 — — $72,462.48 $183,986.42 $80,494.06 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 11 — — $66,996.16 $100,494.24 $80,138.40 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 177 33 — — $9,905.00 $402,621.00 $80,021.18 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $65,187.00 $79,989.00 $79,989.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $65,187.00 $79,989.00 $79,989.00 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 37 11 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 177 33 — — $10,799.00 $376,715.37 $78,899.88 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 3 1 — — $27,472.75 $78,126.39 $78,126.39 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 185 33 — — $1,496.00 $403,565.48 $77,685.99 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 11 — — $53,784.50 $105,823.65 $77,604.01 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $77,046.96 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 37 11 — — $64,911.19 $97,366.79 $75,296.98 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $57,720.89 $75,069.72 $75,069.72 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 177 33 — — $1,496.00 $375,531.14 $73,978.47 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $62,395.71 $93,593.57 $73,605.60 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 11 — — $63,082.80 $94,624.20 $73,176.05 2026-03-01
01583 OTHER New Technology - Level 46 3 1 — — $70,288.61 $73,025.48 $73,025.48 2026-03-01
01597 OTHER New Technology - Level 46 3 1 — — $70,288.61 $73,025.48 $73,025.48 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 66 27 — — $66,737.65 $165,124.08 $72,929.80 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 6 2 — — $53,789.99 $91,596.09 $72,536.68 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 1 — — $72,011.60 $72,011.60 $72,011.60 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 1 — — $66,682.14 $71,182.08 $71,182.08 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 177 33 — — $10,799.00 $353,146.63 $70,674.21 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 171 33 — — $10,799.00 $177,434.00 $70,298.89 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 171 33 — — $10,799.00 $177,434.00 $69,999.79 2026-03-01
1582 OTHER New Technology - Level 45 93 27 — — $62,800.88 $159,455.06 $69,761.59 2026-03-01
1596 OTHER New Technology - Level 45 93 27 — — $62,800.88 $159,455.06 $69,761.59 2026-03-01
C000034801 CDM Tavr/tavi Perc Fem Aprch 51 17 $210,649.45 $210,649.45 $13,270.92 $221,181.92 $69,514.32 2026-03-01
C000038301 CDM Open Cp Byps Sup With Tavr 51 17 $210,649.45 $210,649.45 $13,270.92 $221,181.92 $69,514.32 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 11 — — $51,177.50 $89,188.07 $68,972.10 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 11 — — $53,881.30 $89,188.07 $68,972.10 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 11 — — $52,291.80 $89,188.07 $68,972.10 2026-03-01
C000039601 CDM Tavr/tavi Opn Fem Aprch 51 17 $208,814.45 $208,814.45 $13,155.31 $219,255.17 $68,908.77 2026-03-01
C000038901 CDM Tavr/tavi Open Ili Aprch 51 17 $208,814.45 $208,814.45 $13,155.31 $219,255.17 $68,908.77 2026-03-01
C000034901 CDM Tavr/tavi Open Axl Aprch 51 17 $208,814.45 $208,814.45 $13,155.31 $219,255.17 $68,908.77 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 90 27 — — $14,665.62 $134,977.06 $67,488.53 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 3 1 — — $51,814.61 $67,377.98 $67,377.98 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 1 — — $29,985.85 $67,160.52 $67,160.52 2026-03-01
5244 OTHER Level 4 Blood Product Exc 93 27 — — $50,304.25 $157,647.14 $67,000.04 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 185 33 — — $1,496.00 $340,518.09 $66,204.96 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 177 33 — — $10,799.00 $318,643.32 $65,958.40 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $55,400.17 $83,100.26 $65,818.80 2026-03-01
10 MS_DRG Pancreas Transplant 177 33 — — $1,496.00 $349,295.55 $65,757.04 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 177 33 — — $1,496.00 $347,284.58 $65,385.63 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 175 33 — — $9,905.00 $322,584.80 $64,908.36 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 11 — — $35,664.20 $87,882.00 $64,446.80 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $64,114.95 $64,114.95 $64,114.95 2024-10-01
01596 OTHER New Technology - Level 45 3 1 — — $60,916.85 $63,288.81 $63,288.81 2026-03-01
01582 OTHER New Technology - Level 45 3 1 — — $60,916.85 $63,288.81 $63,288.81 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 11 — — $49,318.50 $81,160.27 $62,763.95 2026-03-01
05244 OTHER Level 4 Blood Product Exc 3 1 — — $48,795.12 $62,571.25 $62,571.25 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 93 27 — — $56,824.55 $157,143.79 $62,507.01 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 11 — — $53,796.73 $80,695.10 $62,404.21 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 3 1 — — $61,454.13 $62,346.55 $62,346.55 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 180 31 — — $1,496.00 $320,533.62 $62,044.14 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 177 33 — — $10,799.00 $199,197.49 $62,022.93 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 177 33 — — $10,799.00 $199,197.49 $61,797.78 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 37 11 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 15 3 — — $61,338.53 $106,053.40 $61,338.53 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 37 11 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 1 — — $49,632.82 $61,031.32 $61,031.32 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 171 33 — — $10,799.00 $177,434.00 $60,708.30 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 1 — — $43,318.71 $60,231.33 $60,231.33 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 185 33 — — $1,496.00 $300,799.40 $60,052.79 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 177 33 — — $10,799.00 $244,861.15 $59,975.61 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 175 33 — — $10,236.00 $142,143.36 $59,818.66 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 37 11 — — $51,234.90 $76,852.35 $59,432.48 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 185 33 — — $1,496.00 $298,806.31 $59,043.33 2026-03-01
1595 OTHER New Technology - Level 44 93 27 — — $53,139.28 $134,923.70 $59,029.12 2026-03-01
1581 OTHER New Technology - Level 44 93 27 — — $53,139.28 $134,923.70 $59,029.12 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 181 33 — — $1,496.00 $168,697.78 $59,000.71 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 1 — — $58,571.58 $58,571.58 $58,571.58 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 177 33 — — $10,799.00 $270,925.47 $58,268.00 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 87 27 — — $54,404.11 $115,531.98 $57,668.36 2026-03-01
010 OTHER Pancreas Transplant 3 1 — — $30,734.20 $57,353.23 $57,353.23 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 1 — — $51,037.49 $57,024.87 $57,024.87 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 37 11 — — $49,153.16 $73,729.74 $57,017.67 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $56,975.91 $57,399.92 $56,975.91 2026-03-01
C000033401 CDM Ins Icd Gen Only Sgl Ld 76 17 $188,860.90 $188,860.90 $11,016.89 $183,614.76 $56,658.27 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 185 33 — — $1,496.00 $292,768.96 $56,182.63 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 186 33 — — $1,376.00 $287,553.87 $55,796.51 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 1 — — $50,226.44 $55,713.63 $55,713.63 2026-03-01
C1605 HCPCS Pacemaker Dual Chmbr 22 8 $111,337.00 $111,337.00 $19,372.64 $100,203.30 $55,668.50 2026-03-01
0207 RC — 40 11 — — $11,700.00 $55,706.00 $55,543.50 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 1 — — $55,382.40 $55,382.40 $55,382.40 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 175 33 — — $9,905.00 $271,371.53 $55,192.22 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 3 1 — — $55,119.81 $63,512.28 $55,119.81 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 1 — — $33,583.23 $54,765.31 $54,765.31 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 171 33 — — $10,799.00 $177,434.00 $54,449.31 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 37 11 — — $46,671.82 $70,007.73 $54,139.31 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 185 33 — — $1,496.00 $277,062.71 $54,090.97 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 177 33 — — $1,496.00 $266,479.01 $53,774.84 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 11 — — $46,063.60 $69,298.37 $53,590.74 2026-03-01
01581 OTHER New Technology - Level 44 3 1 — — $51,545.10 $53,552.15 $53,552.15 2026-03-01
01595 OTHER New Technology - Level 44 3 1 — — $51,545.10 $53,552.15 $53,552.15 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 177 33 — — $10,799.00 $268,498.91 $53,535.91 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 178 33 — — $1,376.00 $307,222.87 $53,156.47 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 37 11 — — $44,285.71 $69,304.50 $53,142.85 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 127 28 — — $23,361.00 $139,752.79 $53,090.54 2026-03-01
C000042301 CDM Ttvr - Initial Device 25 15 $176,000.00 $176,000.00 $10,384.00 $158,400.00 $52,800.00 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 3 1 — — $52,771.99 $53,364.77 $52,771.99 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 66 27 — — $48,117.24 $119,052.96 $52,581.72 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $36,372.44 $52,554.71 $52,554.71 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 175 33 — — $9,905.00 $257,720.16 $52,532.33 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 1 — — $39,701.77 $52,363.89 $52,363.89 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 177 33 — — $10,799.00 $256,075.65 $52,202.89 2026-03-01
64 APR_DRG Pancreas Transplant 37 11 — — $43,326.23 $72,558.00 $51,991.48 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 37 11 — — $40,648.30 $66,933.09 $51,761.59 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 177 33 — — $10,799.00 $268,861.10 $51,743.18 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 126 33 — — $1,496.00 $177,434.00 $51,502.90 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 11 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 175 33 — — $9,905.00 $251,235.94 $51,233.36 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 185 33 — — $1,496.00 $262,086.18 $51,139.69 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 171 33 — — $10,799.00 $177,434.00 $50,747.02 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 171 33 — — $10,799.00 $177,434.00 $50,480.00 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $42,824.58 $64,236.87 $50,442.00 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 37 11 — — $43,443.38 $65,165.07 $50,394.32 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 11 — — $43,270.17 $64,905.25 $50,348.40 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 178 33 — — $1,376.00 $307,222.87 $50,147.61 2026-03-01
C1824 HCPCS Gen Pls Card Mod Sys 48 15 $99,999.00 $99,999.00 $5,899.94 $104,998.95 $49,999.50 2026-03-01
834 OTHER Acute Leukemia With Mcc 3 1 — — $48,734.34 $49,827.10 $49,827.10 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 171 33 — — $10,799.00 $248,742.35 $49,776.58 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 177 33 — — $10,799.00 $242,162.07 $49,662.08 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 177 33 — — $1,496.00 $250,458.36 $49,632.00 2026-03-01
C000006901 CDM Upgrade Ppm Sgl To Dual 51 17 $152,562.05 $152,562.05 $9,611.41 $160,190.15 $49,430.10 2026-03-01
C000004901 CDM Ins Pacemaker Atr/vent 76 17 $164,767.01 $164,767.01 $9,611.41 $160,190.15 $49,430.10 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 1 — — $43,979.63 $49,346.09 $49,346.09 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 12 3 — — $42,845.22 $57,312.86 $49,253.90 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 1 — — $35,746.03 $49,243.13 $49,243.13 2026-03-01
8514 APR_DRG Gender Related Procedures 37 11 — — $40,865.02 $70,353.00 $49,038.02 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 185 33 — — $1,496.00 $254,699.26 $48,987.89 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 3 1 — — $43,880.70 $48,925.58 $48,925.58 2026-03-01
215 OTHER Other Heart Assist System Implant 3 1 — — $48,838.44 $59,629.45 $48,838.44 2026-03-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 3 1 — — $20,167.00 $48,710.00 $48,710.00 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 37 11 — — $40,520.04 $102,481.50 $48,624.05 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 12 3 — — $42,405.18 $56,369.22 $48,608.82 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 3 1 — — $48,533.14 $72,352.01 $48,533.14 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 — — $35,205.91 $48,531.70 $48,531.70 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 3 1 — — $43,983.65 $48,456.82 $48,456.82 2026-03-01
1580 OTHER New Technology - Level 43 93 27 — — $43,477.68 $110,392.34 $48,296.65 2026-03-01
1594 OTHER New Technology - Level 43 93 27 — — $43,477.68 $110,392.34 $48,296.65 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 177 33 — — $2,837.00 $134,049.00 $48,157.08 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 185 33 — — $1,496.00 $244,465.70 $47,994.94 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 171 33 — — $10,799.00 $177,434.00 $47,761.73 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 186 33 — — $1,376.00 $245,332.65 $47,750.25 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 171 33 — — $10,799.00 $177,434.00 $47,706.48 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 185 33 — — $1,496.00 $243,732.82 $47,619.09 2026-03-01
S007704301 CDM Stent Eprsth 24f 34mm 16 11 $99,999.00 $99,999.00 $5,899.94 $89,999.10 $47,499.53 2026-03-01
S007798430 CDM Stent Eprsth 8x40mm 15cm 16 11 $99,999.00 $99,999.00 $5,899.94 $89,999.10 $47,499.53 2026-03-01
S007782771 CDM Stent Eprsth 15cm 8mm 32 11 $99,999.00 $99,999.00 $5,899.94 $89,999.10 $47,499.53 2026-03-01
S007792639 CDM Stent Eprsth 22fr 31mm 32 11 $99,999.00 $99,999.00 $5,899.94 $89,999.10 $47,499.53 2026-03-01
S008271072 CDM System Trcsd 1clip 1cath 32 11 $99,999.00 $99,999.00 $5,899.94 $89,999.10 $47,499.53 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 3 1 — — $38,018.69 $47,216.14 $47,216.14 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 185 33 — — $1,496.00 $244,216.85 $46,975.89 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 171 33 — — $10,799.00 $177,434.00 $46,899.60 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 177 33 — — $10,799.00 $183,855.54 $46,808.48 2026-03-01
S002276581 CDM Artery Cryo Aortoiliac 32 11 $97,778.00 $97,778.00 $5,768.90 $88,000.20 $46,444.55 2026-03-01
C000035101 CDM Tmvr Perc Addtl Device 51 17 $140,030.15 $140,030.15 $8,821.90 $147,031.66 $46,209.95 2026-03-01
C000035001 CDM Tmvr Perc Initial Device 51 17 $140,030.15 $140,030.15 $8,821.90 $147,031.66 $46,209.95 2026-03-01
1142 OTHER Supprelin La Implant 93 27 — — $43,185.34 $108,840.50 $46,208.31 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 3 1 — — $35,090.28 $45,807.70 $45,807.70 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 177 33 — — $10,799.00 $107,555.88 $45,711.25 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 2 1 — — $45,614.00 $45,614.00 $45,614.00 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 12 3 — — $40,083.25 $52,096.67 $45,482.10 2026-03-01
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 3 1 — — $35,550.46 $45,296.45 $45,296.45 2026-03-01
S003047194 CDM Valve Heart Trnscth 26mm 53 15 $99,999.00 $99,999.00 $5,899.94 $104,998.95 $44,999.55 2026-03-01
S007765040 CDM Valve Tavr 29mm 53 15 $99,999.00 $99,999.00 $5,899.94 $104,998.95 $44,999.55 2026-03-01
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