Price Transparency 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 →

Export CSV
Hospital

HCA FLORIDA BLAKE HOSPITAL

Bradenton, FL · CCN 100213 · Rates published

33,114 distinct procedures filed
46 distinct payers
850,721 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

395,637 of 850,721 rate rows are consumer-grade (46.5%)

455,084 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 440,065
per-diem day rate — not a per-procedure price 12,747
template filing: same amount across many unrelated codes — excluded 2,145
placeholder amount (≤ $0.02) — excluded from medians 98
exceeds 10× this hospital's gross charge — excluded from medians 29

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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/62-1113740_HCA-FLORIDA-BLAKE-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 success · 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 19 $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 19 $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 1 $3,562,713.00 $3,562,713.00 $3,562,713.00 nat. median
$3,574,709
1.0× median
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 20 $6,060.02 $3,791,018.70 $3,491,727.75 nat. median
$13,041
outlier · 267.7×
748
OTHER 		Inj, Lovotibeglogene Auto 20 $9,995.99 $3,746,040.00 $3,450,300.00 nat. median
$17,963
outlier · 192.1×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,225,691.35 $3,225,691.35 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,187,420.00 $3,187,420.00 $3,187,420.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 20 $8,878.42 $3,383,520.00 $3,116,400.00 nat. median
$21,896
outlier · 142.3×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,878,960.00 $2,878,960.00 $2,878,960.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 19 $2,388,614.00 $2,723,019.96 $2,508,044.70 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,316,955.58 $2,316,955.58 nat. median
$2,457,321
0.9× median
9194
OTHER 		Tisagenlecleucel Car-pos 19 $529,192.90 $603,279.91 $555,652.55 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 19 $527,123.40 $600,920.68 $553,479.57 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 19 $526,587.60 $600,309.86 $552,916.98 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 19 $516,726.10 $589,067.75 $542,562.41 nat. median
$562,201
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 19 $489,456.00 $557,979.84 $513,928.80 nat. median
$532,192
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $513,317.11 $513,317.11 nat. median
$538,205
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $511,309.70 $511,309.70 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $510,789.97 $510,789.97 nat. median
$530,178
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $1,125,423.00 $502,693.77 nat. median
$754,974
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $501,224.32 $501,224.32 nat. median
$534,091
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $1,091,527.05 $492,271.12 nat. median
$675,122
0.7× median
9391
OTHER 		Brexucabtagene Car Pos T 19 $460,530.40 $525,004.66 $483,556.92 nat. median
$489,450
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $474,772.32 $474,772.32 nat. median
$505,583
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $1,082,427.24 $470,149.30 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $1,067,238.95 $459,839.17 nat. median
$674,188
0.7× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $446,714.49 $446,714.49 nat. median
$464,978
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $1,051,644.36 $445,599.57 nat. median
$634,511
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $966,296.00 $435,956.80 nat. median
$620,080
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 $6,771.00 $961,233.00 $320,423.57 nat. median
$370,174
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 29 $9,746.00 $717,961.54 $240,126.29 nat. median
$265,286
0.9× median
5834
APR_DRG 		Neonate With Ecmo 12 $192,207.00 $288,310.50 $222,960.12 nat. median
$309,665
0.7× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $205,409.53 $205,409.53 $205,409.53 nat. median
$263,894
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 26 $9,746.00 $604,694.17 $202,392.28 nat. median
$206,368
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $9,746.00 $617,595.78 $182,924.13 nat. median
$202,986
0.9× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $169,493.14 $169,493.14 $169,493.14 nat. median
$424,868
outlier · 0.4×
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $156,515.70 $156,515.70 $156,515.70 nat. median
$76,377
outlier · 2.0×
1907
OTHER 		New Technology - Level 52 19 $147,339.90 $167,967.49 $154,706.89 nat. median
$153,199
1.0× median
1908
OTHER 		New Technology - Level 52 19 $147,339.90 $167,967.49 $154,706.89 nat. median
$152,962
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 12 $125,393.00 $188,089.50 $145,455.88 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 12 $124,517.00 $186,775.50 $144,439.72 nat. median
$244,017
0.6× median
01908
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$82,736
1.7× median
01907
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$84,819
1.7× 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×
1906
OTHER 		New Technology - Level 51 19 $132,847.50 $151,446.15 $139,489.88 nat. median
$138,020
1.0× median
1905
OTHER 		New Technology - Level 51 19 $132,847.50 $151,446.15 $139,489.88 nat. median
$137,903
1.0× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $137,583.35 $137,583.35 $137,583.35 nat. median
$218,232
0.6× median
01905
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$82,736
1.6× median
01906
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$82,736
1.6× median

Other procedures at this hospital

Browse this hospital's 33,114 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 22 19 — — $3,672,900.00 $4,187,106.00 $3,856,545.00 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 22 19 — — $3,605,000.00 $4,109,700.00 $3,785,250.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,562,713.00 $3,562,713.00 $3,562,713.00 2024-10-01
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 23 20 — — $6,060.02 $3,791,018.70 $3,491,727.75 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 23 20 — — $9,995.99 $3,746,040.00 $3,450,300.00 2024-10-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,225,691.35 $3,225,691.35 $3,225,691.35 2024-10-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,187,420.00 $3,187,420.00 $3,187,420.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 23 20 — — $8,878.42 $3,383,520.00 $3,116,400.00 2024-10-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,878,960.00 $2,878,960.00 $2,878,960.00 2024-10-01
9141 OTHER Inj Onase Abepar-xioi Tre 22 19 — — $2,388,614.00 $2,723,019.96 $2,508,044.70 2024-10-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,316,955.58 $2,316,955.58 $2,316,955.58 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 22 19 — — $529,192.90 $603,279.91 $555,652.55 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 22 19 — — $527,123.40 $600,920.68 $553,479.57 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 22 19 — — $526,587.60 $600,309.86 $552,916.98 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 22 19 — — $516,726.10 $589,067.75 $542,562.41 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 22 19 — — $489,456.00 $557,979.84 $513,928.80 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $513,317.11 $513,317.11 $513,317.11 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $511,309.70 $511,309.70 $511,309.70 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $510,789.97 $510,789.97 $510,789.97 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 3 — — $502,693.77 $1,125,423.00 $502,693.77 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $501,224.32 $501,224.32 $501,224.32 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 3 — — $492,271.12 $1,091,527.05 $492,271.12 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 22 19 — — $460,530.40 $525,004.66 $483,556.92 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $474,772.32 $474,772.32 $474,772.32 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $1,082,427.24 $470,149.30 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 3 — — $459,839.17 $1,067,238.95 $459,839.17 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $446,714.49 $446,714.49 $446,714.49 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 3 — — $445,599.57 $1,051,644.36 $445,599.57 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 3 — — $435,956.80 $966,296.00 $435,956.80 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 49 28 — — $6,771.00 $961,233.00 $320,423.57 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 29 — — $9,746.00 $717,961.54 $240,126.29 2024-10-01
5834 APR_DRG Neonate With Ecmo 15 12 — — $192,207.00 $288,310.50 $222,960.12 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $205,409.53 $205,409.53 $205,409.53 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 47 26 — — $9,746.00 $604,694.17 $202,392.28 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 49 28 — — $9,746.00 $617,595.78 $182,924.13 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $169,493.14 $169,493.14 $169,493.14 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $156,515.70 $156,515.70 $156,515.70 2024-10-01
1907 OTHER New Technology - Level 52 22 19 — — $147,339.90 $167,967.49 $154,706.89 2024-10-01
1908 OTHER New Technology - Level 52 22 19 — — $147,339.90 $167,967.49 $154,706.89 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $125,393.00 $188,089.50 $145,455.88 2024-10-01
5833 APR_DRG Neonate With Ecmo 15 12 — — $124,517.00 $186,775.50 $144,439.72 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 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 22 19 — — $132,847.50 $151,446.15 $139,489.88 2024-10-01
1906 OTHER New Technology - Level 51 22 19 — — $132,847.50 $151,446.15 $139,489.88 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $137,583.35 $137,583.35 $137,583.35 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 15 12 — — $111,047.00 $166,570.50 $128,814.52 2024-10-01
1904 OTHER New Technology - Level 50 22 19 — — $118,355.10 $134,924.81 $124,272.86 2024-10-01
1903 OTHER New Technology - Level 50 22 19 — — $118,355.10 $134,924.81 $124,272.86 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 49 28 — — $9,746.00 $370,673.34 $120,924.88 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 2 — — $53,789.99 $119,352.48 $119,352.48 2024-10-01
01903 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
01904 OTHER New Technology - Level 50 1 1 — — $114,804.45 $114,804.45 $114,804.45 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $97,644.00 $146,466.00 $113,267.04 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 49 28 — — $6,771.00 $347,669.19 $112,193.63 2024-10-01
7 MS_DRG Lung Transplant 49 28 — — $9,746.00 $333,100.77 $111,913.45 2024-10-01
5832 APR_DRG Neonate With Ecmo 15 12 — — $95,607.00 $143,410.50 $110,904.12 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 15 12 — — $95,167.00 $142,750.50 $110,393.72 2024-10-01
1901 OTHER New Technology - Level 49 22 19 — — $103,862.70 $118,403.48 $109,055.84 2024-10-01
1902 OTHER New Technology - Level 49 22 19 — — $103,862.70 $118,403.48 $109,055.84 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 12 — — $91,470.00 $137,205.00 $106,105.20 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 23 20 — — $96,999.90 $113,999.89 $104,999.90 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 12 — — $90,217.00 $135,325.50 $104,651.72 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $63,606.00 $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 — — $63,606.00 $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 — — $63,606.00 $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 — — $63,606.00 $102,063.00 $102,063.00 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $62,579.00 $100,416.00 $100,416.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $62,579.00 $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
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $96,738.16 $96,738.16 $96,738.16 2024-10-01
1585 OTHER New Technology - Level 48 22 19 — — $91,785.68 $104,635.68 $96,374.96 2024-10-01
1599 OTHER New Technology - Level 48 22 19 — — $91,785.68 $104,635.68 $96,374.96 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 12 — — $82,446.00 $123,669.00 $95,637.36 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 23 20 — — $88,300.94 $103,776.37 $95,583.49 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $81,552.00 $122,328.00 $94,600.32 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 29 — — $9,746.00 $397,791.42 $94,520.58 2024-10-01
215 MS_DRG Other Heart Assist System Implant 55 31 — — $6,000.00 $358,941.69 $94,507.61 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 12 — — $80,942.00 $121,413.00 $93,892.72 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 53 30 — — $9,746.00 $331,909.89 $93,445.51 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $79,657.00 $119,485.50 $92,402.12 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 49 28 — — $9,746.00 $353,373.24 $91,369.28 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 30 — — $9,746.00 $323,000.99 $89,951.16 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $89,886.39 $89,886.39 $89,886.39 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 15 12 — — $75,611.00 $113,416.50 $87,708.76 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $87,536.21 $87,536.21 $87,536.21 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 12 — — $75,232.00 $112,848.00 $87,269.12 2024-10-01
1598 OTHER New Technology - Level 47 22 19 — — $82,124.09 $93,621.46 $86,230.29 2024-10-01
1584 OTHER New Technology - Level 47 22 19 — — $82,124.09 $93,621.46 $86,230.29 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 31 — — $10,799.00 $225,422.12 $86,175.68 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $73,863.00 $110,794.50 $85,681.08 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $71,560.00 $107,340.00 $83,009.60 2024-10-01
5831 APR_DRG Neonate With Ecmo 15 12 — — $69,493.00 $104,239.50 $80,611.88 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 12 — — $68,321.00 $102,481.50 $79,252.36 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 53 30 — — $9,746.00 $283,855.42 $79,164.06 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 12 — — $67,242.00 $100,863.00 $78,000.72 2024-10-01
007 OTHER Lung Transplant 1 1 — — $77,555.60 $77,555.60 $77,555.60 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 12 — — $66,782.00 $100,173.00 $77,467.12 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $77,414.91 $77,414.91 $77,414.91 2024-10-01
1597 OTHER New Technology - Level 46 22 19 — — $72,462.48 $82,607.23 $76,085.60 2024-10-01
1583 OTHER New Technology - Level 46 22 19 — — $72,462.48 $82,607.23 $76,085.60 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 3 2 — — $10,614.00 $75,435.00 $75,435.00 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 54 31 — — $10,799.00 $227,083.10 $75,063.28 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 15 12 — — $64,392.00 $96,588.00 $74,694.72 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 64 36 — — $10,799.00 $190,898.96 $72,978.84 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 30 — — $10,614.00 $215,864.61 $72,857.24 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 35 — — $10,799.00 $195,336.46 $72,497.00 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 15 12 — — $62,352.00 $93,528.00 $72,328.32 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 53 30 — — $9,746.00 $257,005.44 $71,765.19 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $71,646.53 $71,646.53 $71,646.53 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $61,338.00 $92,007.00 $71,152.08 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 53 30 — — $10,799.00 $222,506.93 $70,765.84 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 23 20 — — $63,895.55 $75,093.74 $69,165.29 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 22 19 — — $65,476.58 $74,643.30 $68,750.41 2024-10-01
10 MS_DRG Pancreas Transplant 49 28 — — $9,746.00 $203,221.57 $68,645.32 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $59,125.00 $88,687.50 $68,585.00 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 49 28 — — $9,746.00 $202,051.58 $68,255.54 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 23 20 — — $14,522.63 $72,224.44 $66,522.51 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $56,946.00 $85,419.00 $66,057.36 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $66,031.94 $66,031.94 $66,031.94 2024-10-01
1596 OTHER New Technology - Level 45 22 19 — — $62,800.88 $71,593.00 $65,940.92 2024-10-01
1582 OTHER New Technology - Level 45 22 19 — — $62,800.88 $71,593.00 $65,940.92 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 12 — — $55,523.00 $83,284.50 $64,406.68 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 53 30 — — $9,746.00 $190,249.71 $64,323.86 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $63,635.05 $63,635.05 $63,635.05 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $54,849.00 $82,273.50 $63,624.84 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $63,489.80 $63,489.80 $63,489.80 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 3 2 — — $10,614.00 $62,710.00 $62,710.00 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 54 31 — — $9,746.00 $216,815.21 $62,157.87 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 30 — — $9,746.00 $218,753.54 $61,830.54 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 3 — — $61,600.24 $136,523.56 $61,600.24 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $61,454.13 $61,454.13 $61,454.13 2024-10-01
01596 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
01582 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 15 12 — — $51,688.00 $77,532.00 $59,958.08 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $51,226.00 $76,839.00 $59,422.16 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $59,048.02 $59,048.02 $59,048.02 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 53 30 — — $9,746.00 $215,625.72 $58,924.79 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 31 — — $10,799.00 $225,422.12 $58,539.91 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 53 30 — — $9,746.00 $206,596.63 $58,447.38 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 22 19 — — $55,015.23 $62,717.36 $57,765.99 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 47 26 — — $9,746.00 $170,234.96 $57,656.12 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 53 30 — — $10,799.00 $109,888.00 $57,560.16 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $57,158.07 $57,158.07 $57,158.07 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 15 12 — — $49,247.00 $73,870.50 $57,126.52 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $56,840.23 $56,840.23 $56,840.23 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $48,983.00 $73,474.50 $56,820.28 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $48,895.00 $73,342.50 $56,718.20 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 64 36 — — $10,799.00 $157,099.97 $56,704.14 2024-10-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 6 6 — — $45,302.64 $57,194.59 $56,628.31 2024-10-01
64 APR_DRG Pancreas Transplant 15 12 — — $48,372.00 $72,558.00 $56,111.52 2024-10-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 6 6 — — $44,837.37 $56,607.18 $56,046.71 2024-10-01
1595 OTHER New Technology - Level 44 22 19 — — $53,139.28 $60,578.78 $55,796.24 2024-10-01
1581 OTHER New Technology - Level 44 22 19 — — $53,139.28 $60,578.78 $55,796.24 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $34,659.00 $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 — — $34,659.00 $55,615.00 $55,615.00 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 64 36 — — $10,799.00 $156,424.48 $55,419.13 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 52 30 — — $6,771.00 $164,861.67 $55,312.93 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 54 31 — — $10,799.00 $227,083.10 $55,167.22 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $47,538.00 $71,307.00 $55,144.08 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 53 30 — — $9,746.00 $161,196.21 $54,644.95 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 54 30 — — $10,799.00 $277,097.47 $54,634.44 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 53 30 — — $9,746.00 $157,885.06 $54,602.10 2024-10-01
8514 APR_DRG Gender Related Procedures 15 12 — — $46,902.00 $70,353.00 $54,406.32 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 36 — — $10,799.00 $145,412.80 $54,147.19 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 55 31 — — $10,799.00 $225,422.12 $54,009.86 2024-10-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 6 6 — — $43,203.70 $54,544.67 $54,004.63 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $46,525.00 $69,787.50 $53,969.00 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 12 — — $46,203.00 $69,304.50 $53,595.48 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 63 36 — — $10,000.00 $74,278.26 $53,569.00 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 53 30 — — $9,746.00 $190,627.78 $53,473.92 2024-10-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $33,290.00 $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 — — $33,290.00 $53,419.00 $53,419.00 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 36 — — $10,614.00 $156,357.30 $53,121.15 2024-10-01
5244 OTHER Level 4 Blood Product Exc 22 19 — — $50,304.25 $57,346.84 $52,819.46 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 53 30 — — $9,746.00 $156,962.32 $52,707.39 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 15 12 — — $45,376.00 $68,064.00 $52,636.16 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 53 30 — — $10,799.00 $154,956.26 $52,566.16 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 35 — — $10,799.00 $195,336.46 $52,283.78 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 49 28 — — $6,771.00 $347,669.19 $52,195.92 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 49 28 — — $6,771.00 $347,669.19 $52,195.92 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $44,835.00 $67,252.50 $52,008.60 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $51,812.91 $51,812.91 $51,812.91 2024-10-01
01595 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
01581 OTHER New Technology - Level 44 1 1 — — $51,545.10 $51,545.10 $51,545.10 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 64 36 — — $10,799.00 $145,445.36 $51,370.42 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $51,309.38 $51,309.38 $51,309.38 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 48 29 — — $11,098.00 $63,647.79 $50,918.23 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 12 — — $43,677.00 $65,515.50 $50,665.32 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $50,561.89 $50,561.89 $50,561.89 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $50,539.84 $50,539.84 $50,539.84 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 12 — — $43,560.00 $65,340.00 $50,529.60 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 53 30 — — $9,746.00 $148,400.23 $50,382.08 2024-10-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 6 6 — — $40,287.19 $50,862.57 $50,358.98 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 53 30 — — $10,799.00 $222,506.93 $50,250.72 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 23 20 — — $46,068.21 $54,142.02 $49,867.65 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $49,736.70 $49,736.70 $49,736.70 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $49,148.87 $49,148.87 $49,148.87 2024-10-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 6 6 — — $39,221.36 $49,516.97 $49,026.70 2024-10-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 6 6 — — $39,108.39 $49,374.34 $48,885.49 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $42,035.00 $63,052.50 $48,760.60 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $41,957.00 $62,935.50 $48,670.12 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 12 — — $41,876.00 $62,814.00 $48,576.16 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 15 12 — — $41,730.00 $62,595.00 $48,406.80 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 53 30 — — $9,746.00 $142,086.36 $48,278.67 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $48,259.15 $48,259.15 $48,259.15 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 62 35 — — $10,799.00 $147,309.72 $48,182.85 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 30 — — $9,746.00 $169,648.24 $48,164.94 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 53 30 — — $9,746.00 $168,566.60 $47,863.93 2024-10-01
1142 OTHER Supprelin La Implant 22 19 — — $45,350.21 $51,699.24 $47,617.72 2024-10-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 6 6 — — $37,984.59 $47,955.55 $47,480.74 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 52 30 — — $6,771.00 $140,880.68 $47,402.98 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $47,156.97 $47,156.97 $47,156.97 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 49 28 — — $9,746.00 $179,965.44 $47,145.86 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 53 30 — — $9,746.00 $138,369.92 $47,040.57 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
C0106 OTHER Stroke; M > 30.05 & M < 34.25 6 6 — — $37,468.78 $47,304.33 $46,835.97 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 53 30 — — $9,746.00 $137,533.84 $46,762.04 2024-10-01
B1903 OTHER Guillian Barre; M < 18.05 6 6 — — $37,332.02 $47,131.67 $46,665.02 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 53 30 — — $9,746.00 $137,663.84 $46,341.93 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 53 30 — — $9,746.00 $137,516.00 $46,293.16 2024-10-01
B0604 OTHER Neurological; M < 25.85 6 6 — — $37,019.85 $46,737.56 $46,274.82 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 15 12 — — $39,878.00 $59,817.00 $46,258.48 2024-10-01
1594 OTHER New Technology - Level 43 22 19 — — $43,477.68 $49,564.56 $45,651.56 2024-10-01
1580 OTHER New Technology - Level 43 22 19 — — $43,477.68 $49,564.56 $45,651.56 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 63 35 — — $10,799.00 $195,336.46 $45,476.92 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 30 — — $10,799.00 $107,140.00 $45,412.20 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
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $38,906.00 $58,359.00 $45,130.96 2024-10-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 6 6 — — $36,026.87 $45,483.92 $45,033.59 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 53 30 — — $9,746.00 $158,693.16 $44,673.92 2024-10-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 6 6 — — $35,536.32 $44,864.61 $44,420.40 2024-10-01
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 6 6 — — $35,429.30 $44,729.49 $44,286.62 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 30 — — $10,799.00 $76,506.88 $44,203.47 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 53 30 — — $9,746.00 $129,456.06 $44,071.00 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 15 12 — — $37,904.00 $56,856.00 $43,968.64 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 53 30 — — $9,746.00 $137,451.69 $43,857.30 2024-10-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 6 6 — — $34,882.26 $44,038.86 $43,602.83 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $43,554.78 $43,554.78 $43,554.78 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $43,550.80 $43,550.80 $43,550.80 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 15 12 — — $37,476.00 $56,214.00 $43,472.16 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $43,452.83 $43,452.83 $43,452.83 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 30 — — $9,746.00 $127,488.24 $43,415.44 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $43,382.19 $43,382.19 $43,382.19 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 64 36 — — $10,799.00 $117,442.86 $43,350.43 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 53 30 — — $9,746.00 $128,380.39 $43,279.85 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 30 — — $6,771.00 $127,623.33 $43,245.29 2024-10-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 6 6 — — $34,595.37 $43,676.65 $43,244.21 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 3 — — $43,241.44 $94,940.24 $43,241.44 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 54 30 — — $10,799.00 $208,060.39 $43,119.36 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $43,110.50 $43,110.50 $43,110.50 2024-10-01
B2102 OTHER Burns; M=12-45 6 6 — — $34,451.18 $43,494.61 $43,063.97 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 53 30 — — $10,799.00 $76,534.00 $43,023.79 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $42,896.33 $42,896.33 $42,896.33 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 15 12 — — $36,953.00 $55,429.50 $42,865.48 2024-10-01
D0106 OTHER Stroke; M > 30.05 & M < 34.25 6 6 — — $34,240.09 $43,228.12 $42,800.12 2024-10-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 6 6 — — $34,205.90 $43,184.95 $42,757.38 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $42,745.95 $42,745.95 $42,745.95 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 64 36 — — $9,746.00 $153,787.25 $42,451.70 2024-10-01
245 MS_DRG Aicd Generator Procedures 53 30 — — $9,746.00 $124,556.88 $42,438.89 2024-10-01
B1504 OTHER Pulmonary; M < 29.15 6 6 — — $33,809.01 $42,683.87 $42,261.26 2024-10-01
01580 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
01594 OTHER New Technology - Level 43 1 1 — — $42,173.35 $42,173.35 $42,173.35 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 49 28 — — $9,746.00 $353,373.24 $42,119.60 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $41,519.59 $41,519.59 $41,519.59 2024-10-01
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 6 6 — — $33,212.92 $41,931.31 $41,516.15 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 53 30 — — $9,746.00 $121,719.85 $41,493.75 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 53 30 — — $9,746.00 $121,192.21 $41,317.97 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 30 — — $9,746.00 $121,187.11 $41,316.27 2024-10-01
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 6 6 — — $33,018.19 $41,685.46 $41,272.74 2024-10-01
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 6 6 — — $32,954.27 $41,604.77 $41,192.84 2024-10-01
C0105 OTHER Stroke; M > 34.25 & M < 38.85 6 6 — — $32,942.38 $41,589.75 $41,177.97 2024-10-01
4404 APR_DRG Kidney Transplant 15 12 — — $35,422.00 $53,133.00 $41,089.52 2024-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 64 36 — — $10,799.00 $111,402.92 $40,831.05 2024-10-01
A0106 OTHER Stroke; M > 30.05 & M < 34.25 6 6 — — $32,630.21 $41,195.64 $40,787.76 2024-10-01
8634 APR_DRG Neonatal Aftercare 15 12 — — $35,009.00 $52,513.50 $40,610.44 2024-10-01
B1204 OTHER Osteoarthritis; M=39-47 6 6 — — $32,460.75 $40,981.70 $40,575.94 2024-10-01
C0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 6 6 — — $32,303.18 $40,782.77 $40,378.98 2024-10-01
B0504 OTHER Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 6 6 — — $32,267.51 $40,737.73 $40,334.38 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 53 30 — — $9,746.00 $119,272.81 $40,275.78 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 64 36 — — $10,614.00 $156,357.30 $40,215.32 2024-10-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 23 20 — — $37,140.82 $43,650.03 $40,203.97 2024-10-01
B0304 OTHER Nontraumatic Brain Injury; M < 26.15 6 6 — — $32,139.67 $40,576.33 $40,174.58 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 53 30 — — $9,746.00 $117,480.86 $40,081.57 2024-10-01
See an error in this hospital's data? Submit a correction