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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 BLAKE HOSPITAL

Bradenton, FL · CCN 100213 · Rates published

12,410 distinct procedures filed
17 distinct payers
45,690 rate rows
2026-07-30 last MRF observed
Data quality

40,911 of 45,690 rate rows are consumer-grade (89.5%)

4,779 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 3,527
per-diem day rate — not a per-procedure price 861
template filing: same amount across many unrelated codes — excluded 330
placeholder amount (≤ $0.02) — excluded from medians 26
exceeds 10× this hospital's gross charge — excluded from medians 21
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 4
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hcah-p-001-delivery.stylelabs.cloud/api/public/content/37523777cbd24b4cab8d3cebd56f435b
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 aa541510008fdc77… · 4,803,720 bytes · first seen 2026-07-30

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
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $1,125,423.00 $1,125,423.00 $1,125,423.00 nat. median
$691,418
1.6× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 1 $1,091,527.05 $1,091,527.05 $1,091,527.05 nat. median
$631,793
1.7× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 1 $1,082,427.24 $1,082,427.24 $1,082,427.24 nat. median
$610,161
1.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 1 $1,067,238.95 $1,067,238.95 $1,067,238.95 nat. median
$624,417
1.7× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 1 $1,051,644.36 $1,051,644.36 $1,051,644.36 nat. median
$588,565
1.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 1 $966,296.00 $966,296.00 $966,296.00 nat. median
$577,541
1.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $9,746.00 $392,205.00 $259,146.19 nat. median
$261,939
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 $175,679.61 $208,279.95 $202,846.56 nat. median
$199,832
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $9,746.00 $365,688.61 $189,505.43 nat. median
$370,165
0.5× median
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $156,515.70 $156,515.70 $156,515.70 nat. median
$75,807
outlier · 2.1×
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
$63,643
outlier · 2.2×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 3 $107,750.32 $347,669.19 $137,946.24 nat. median
$114,305
1.2× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 1 $136,523.56 $136,523.56 $136,523.56 nat. median
$69,291
2.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 $116,135.77 $137,686.74 $134,094.91 nat. median
$132,706
1.0× median
Q2043
HCPCS 		Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 1 $119,352.48 $119,352.48 $119,352.48 nat. median
$65,655
1.8× median
7
MS_DRG 		Lung Transplant 4 $9,746.00 $127,426.21 $107,481.24 nat. median
$122,690
0.9× median
215
MS_DRG 		Other Heart Assist System Implant 3 $87,307.03 $136,328.00 $103,508.34 nat. median
$98,002
1.1× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $9,746.00 $127,238.00 $100,847.14 nat. median
$100,978
1.0× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $100,053.67 $100,053.67 $100,053.67 nat. median
$4,125
outlier · 24.3×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 2 $70,010.94 $116,331.00 $99,666.83 nat. median
$79,040
1.3× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 5 $9,746.00 $347,669.19 $98,688.62 nat. median
$55,867
1.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $9,746.00 $102,419.63 $97,076.00 nat. median
$96,835
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 4 $9,746.00 $363,981.00 $96,392.27 nat. median
$108,240
0.9× median
J9226
HCPCS 		Histrelin Implant (supprelin La), 50 Mg 1 $94,940.24 $94,940.24 $94,940.24 nat. median
$55,200
1.7× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $79,609.92 $127,238.00 $94,382.89 nat. median
$92,900
1.0× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 $64,647.92 $109,060.00 $92,852.22 nat. median
$73,475
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 3 $76,028.85 $90,137.30 $87,785.89 nat. median
$81,364
1.1× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 4 $9,746.00 $104,034.32 $87,750.69 nat. median
$99,646
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 $69,971.80 $82,956.26 $78,576.05 nat. median
$80,459
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $9,746.00 $81,712.84 $77,449.56 nat. median
$81,124
1.0× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $75,435.00 $75,435.00 $75,435.00 nat. median
$62,767
1.2× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 $64,005.26 $75,882.52 $73,902.98 nat. median
$74,472
1.0× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $9,746.00 $179,965.44 $72,533.80 nat. median
$69,153
1.0× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 4 $59,983.00 $79,010.40 $70,765.84 nat. median
$77,385
0.9× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $9,746.00 $69,710.91 $66,073.82 nat. median
$66,640
1.0× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $9,746.00 $127,238.00 $65,778.72 nat. median
$68,581
1.0× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 $55,280.55 $81,795.00 $65,538.80 nat. median
$65,792
1.0× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $53,569.54 $127,238.00 $63,510.28 nat. median
$63,840
1.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 1 $62,710.00 $62,710.00 $62,710.00 nat. median
$37,051
1.7× median
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 4 $9,746.00 $65,896.55 $62,458.47 nat. median
$62,262
1.0× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc Trauma 2 $55,372.71 $65,648.06 $62,222.94 nat. median
$62,911
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 4 $50,895.00 $68,336.00 $61,205.29 nat. median
$65,958
0.9× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 3 $50,954.08 $69,981.00 $60,409.48 nat. median
$55,446
1.1× median
232
MS_DRG 		Coronary Bypass With Ptca Without Mcc 4 $50,722.47 $116,331.00 $60,134.89 nat. median
$59,257
1.0× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 $49,760.94 $127,238.00 $58,994.93 nat. median
$60,162
1.0× median
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $49,424.12 $127,238.00 $58,595.60 nat. median
$60,895
1.0× median
J9266
HCPCS 		Injection, Pegaspargase, Per Single Dose Vial 1 $58,081.95 $58,081.95 $58,081.95 nat. median
$32,688
1.8× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 4 $48,891.57 $105,426.00 $57,964.23 nat. median
$57,082
1.0× median
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 4 $9,746.00 $60,886.15 $57,709.48 nat. median
$59,832
1.0× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 3 $49,390.68 $58,555.96 $57,028.42 nat. median
$51,433
1.1× median

Other procedures at this hospital

Browse this hospital's 12,410 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
             
36810 CPT Insertion Of Cannula For Hemodialysis, Other Purpose (separate Procedure); Arter… 7 4 — — $11,632.00 $26,221.00 $24,234.50 2024-10-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 6 3 — — $9,746.00 $39,065.52 $24,294.96 2024-10-01
33234 CPT Removal Of Transvenous Pacemaker Electrode(s); Single Lead System, Atrial Or Ven… 4 2 — — $5,681.00 $53,985.00 $24,370.50 2024-10-01
33241 CPT Removal Of Implantable Defibrillator Pulse Generator Only 4 2 — — $5,681.00 $53,985.00 $24,370.50 2024-10-01
33237 CPT Removal Of Permanent Epicardial Pacemaker And Electrodes By Thoracotomy; Dual Le… 4 2 — — $5,395.00 $53,985.00 $24,373.00 2024-10-01
93580 CPT Percutaneous Transcatheter Closure Of Congenital Interatrial Communication (ie, … 4 2 — — $22,248.00 $30,503.00 $24,508.00 2024-10-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 4 3 — — $21,327.76 $25,285.49 $24,625.87 2024-10-01
800 MS_DRG Splenic Procedures With Cc 7 4 — — $9,746.00 $29,245.85 $24,668.23 2024-10-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 4 — — $9,746.00 $29,431.49 $24,824.82 2024-10-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 4 — — $21,030.90 $59,983.00 $24,933.54 2024-10-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc Trauma 3 2 — — $22,243.61 $26,371.29 $24,995.40 2024-10-01
C9607 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 4 2 — — $22,248.00 $31,904.00 $25,031.50 2024-10-01
C9606 HCPCS Percutaneous Transluminal Revascularization Of Acute Total/subtotal Occlusion Du… 4 2 — — $22,248.00 $31,904.00 $25,031.50 2024-10-01
C9608 HCPCS Percutaneous Transluminal Revascularization Of Chronic Total Occlusion, Coronary… 4 2 — — $22,248.00 $31,904.00 $25,031.50 2024-10-01
C9604 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 4 2 — — $22,248.00 $31,904.00 $25,031.50 2024-10-01
C9603 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug-eluting Intracoronary … 4 2 — — $22,248.00 $31,904.00 $25,031.50 2024-10-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 2 1 — — $21,456.00 $29,000.00 $25,228.00 2024-10-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 2 1 — — $21,456.00 $29,000.00 $25,228.00 2024-10-01
974 MS_DRG HIV With Major Related Condition With Mcc 7 4 — — $9,746.00 $29,945.86 $25,258.68 2024-10-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 4 — — $21,311.44 $81,795.00 $25,266.14 2024-10-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc T… 3 2 — — $22,516.82 $26,695.20 $25,302.41 2024-10-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $9,746.00 $41,587.15 $25,358.43 2024-10-01
36860 CPT External Cannula Declotting (separate Procedure); Without Balloon Catheter 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
36835 CPT Insertion Of Thomas Shunt (separate Procedure) 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
36819 CPT Arteriovenous Anastomosis, Open; By Upper Arm Basilic Vein Transposition 5 3 — — $22,248.00 $26,221.00 $25,450.00 2024-10-01
C9601 HCPCS Percutaneous Transcatheter Placement Of Drug-eluting Intracoronary Stent(s), Wit… 6 3 — — $22,248.00 $31,904.00 $25,450.00 2024-10-01
C9600 HCPCS Percutaneous Transcatheter Placement Of Drug Eluting Intracoronary Stent(s), Wit… 6 3 — — $22,248.00 $31,904.00 $25,450.00 2024-10-01
36640 CPT Arterial Catheterization For Prolonged Infusion Therapy (chemotherapy), Cutdown 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
93650 CPT Intracardiac Catheter Ablation Of Atrioventricular Node Function, Atrioventricul… 9 4 — — $19,101.00 $39,829.00 $25,450.00 2024-10-01
93624 CPT Electrophysiologic Follow-up Study With Pacing And Recording To Test Effectivene… 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
93618 CPT Induction Of Arrhythmia By Electrical Pacing 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
36593 CPT Declotting By Thrombolytic Agent Of Implanted Vascular Access Device Or Catheter… 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
93615 CPT Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogr… 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
36584 CPT Replacement, Complete, Of A Peripherally Inserted Central Venous Catheter (picc)… 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
93613 CPT Intracardiac Electrophysiologic 3-dimensional Mapping (List Separately In Additi… 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
93621 CPT Comprehensive Electrophysiologic Evaluation Including Insertion And Repositionin… 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
93610 CPT Intra-atrial Pacing 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
36572 CPT Insertion Of Peripherally Inserted Central Venous Catheter (picc), Without Subcu… 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
93616 CPT Esophageal Recording Of Atrial Electrogram With Or Without Ventricular Electrogr… 9 4 — — $14,092.00 $39,829.00 $25,450.00 2024-10-01
37216 CPT Transcatheter Placement Of Intravascular Stent(s), Cervical Carotid Artery, Open… 9 4 — — $19,772.00 $39,829.00 $25,450.00 2024-10-01
93581 CPT Percutaneous Transcatheter Closure Of A Congenital Ventricular Septal Defect Wit… 6 3 — — $22,248.00 $30,503.00 $25,450.00 2024-10-01
37215 CPT Transcatheter Placement Of Intravascular Stent(s), Cervical Carotid Artery, Open… 6 3 — — $19,772.00 $26,458.00 $25,450.00 2024-10-01
37202 CPT Transcatheter Therapy Infuse 3 2 — — $9,435.00 $25,450.00 $25,450.00 2024-10-01
36861 CPT External Cannula Declotting (separate Procedure); With Balloon Catheter 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
37212 CPT Transcatheter Therapy, Venous Infusion For Thrombolysis, Any Method, Including R… 9 4 — — $11,632.00 $39,829.00 $25,450.00 2024-10-01
92929 CPT Percutaneous Transcatheter Placement Of Intracoronary Stent(s), With Coronary An… 4 2 — — $22,248.00 $26,221.00 $25,450.00 2024-10-01
570 MS_DRG Skin Debridement With Mcc 7 4 — — $9,746.00 $30,181.78 $25,457.68 2024-10-01
253 MS_DRG Other Vascular Procedures With Cc Trauma 3 2 — — $21,726.56 $25,758.30 $25,758.30 2024-10-01
J1412 HCPCS Injection, Valoctocogene Roxaparvovec-rvox, Per Ml, Containing Nominal 2 X 10°13… 2 1 — — $25,816.79 $25,816.79 $25,816.79 2024-10-01
652 MS_DRG Kidney Transplant 7 4 — — $9,746.00 $30,769.65 $25,953.53 2024-10-01
503 MS_DRG Foot Procedures With Mcc 4 3 — — $22,489.91 $26,663.29 $25,967.72 2024-10-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 7 4 — — $9,746.00 $30,889.54 $26,054.66 2024-10-01
849 MS_DRG Radiotherapy 4 3 — — $22,688.90 $26,899.21 $26,197.49 2024-10-01
92920 CPT Percutaneous Transluminal Coronary Angioplasty; Single Major Coronary Artery Or … 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
92921 CPT Percutaneous Transluminal Coronary Angioplasty; Each Additional Branch Of A Majo… 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
C9602 HCPCS Percutaneous Transluminal Coronary Atherectomy, With Drug Eluting Intracoronary … 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
93642 CPT Electrophysiologic Evaluation Of Single Or Dual Chamber Transvenous Pacing Cardi… 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
37228 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial, Peroneal Artery, … 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
92986 CPT Percutaneous Balloon Valvuloplasty; Aortic Valve 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
92990 CPT Percutaneous Balloon Valvuloplasty; Pulmonary Valve 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
37223 CPT Revascularization, Endovascular, Open Or Percutaneous, Iliac Artery, Each Additi… 5 2 — — $22,248.00 $39,829.00 $26,221.00 2024-10-01
263 MS_DRG Vein Ligation And Stripping 4 3 — — $22,778.62 $27,005.58 $26,301.08 2024-10-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 4 — — $9,746.00 $31,235.69 $26,346.63 2024-10-01
33226 CPT Repositioning Of Previously Implanted Cardiac Venous System (left Ventricular) E… 6 3 — — $5,681.00 $53,985.00 $26,357.00 2024-10-01
33215 CPT Repositioning Of Previously Implanted Transvenous Pacemaker Or Implantable Defib… 7 4 — — $5,681.00 $53,985.00 $26,357.00 2024-10-01
33220 CPT Repair Of 2 Transvenous Electrodes For Permanent Pacemaker Or Implantable Defibr… 7 4 — — $5,681.00 $53,985.00 $26,357.00 2024-10-01
33202 CPT Insertion Of Epicardial Electrode(s); Open Incision (eg, Thoracotomy, Median Ste… 7 4 — — $5,395.00 $53,985.00 $26,357.00 2024-10-01
33203 CPT Insertion Of Epicardial Electrode(s); Endoscopic Approach (eg, Thoracoscopy, Per… 7 4 — — $5,395.00 $53,985.00 $26,357.00 2024-10-01
33233 CPT Removal Of Permanent Pacemaker Pulse Generator Only 6 3 — — $5,681.00 $53,985.00 $26,357.00 2024-10-01
G0448 HCPCS Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System… 6 3 — — $5,395.00 $53,985.00 $26,357.00 2024-10-01
33216 CPT Insertion Of A Single Transvenous Electrode, Permanent Pacemaker Or Implantable … 4 2 — — $9,012.00 $53,985.00 $26,363.50 2024-10-01
33217 CPT Insertion Of 2 Transvenous Electrodes, Permanent Pacemaker Or Implantable Defibr… 4 2 — — $9,012.00 $53,985.00 $26,363.50 2024-10-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 6 4 — — $22,299.89 $52,713.00 $26,438.02 2024-10-01
C9758 HCPCS Blinded Procedure For Nyha Class Iii/iv Heart Failure; Transcatheter Implantatio… 5 2 — — $16,619.00 $29,000.00 $26,667.00 2024-10-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 9 5 — — $9,746.00 $29,083.00 $26,728.39 2024-10-01
500 MS_DRG Soft Tissue Procedures With Mcc 7 4 — — $9,746.00 $31,710.43 $26,747.06 2024-10-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 4 3 — — $23,181.50 $27,483.22 $26,766.26 2024-10-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 7 4 — — $9,746.00 $31,761.68 $26,790.28 2024-10-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 4 — — $9,746.00 $31,966.65 $26,963.18 2024-10-01
0024 RC Replacement Of Lower Ext Joint; M > 28.65 & M < 37 141 1 — — $3,463.36 $61,724.85 $27,194.50 2024-10-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 4 — — $9,746.00 $32,243.18 $27,196.42 2024-10-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 9 5 — — $9,746.00 $39,079.00 $27,210.43 2024-10-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 9 5 — — $9,746.00 $31,811.00 $27,247.09 2024-10-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 4 — — $23,141.53 $38,711.00 $27,435.84 2024-10-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 4 2 — — $15,660.53 $36,351.00 $27,458.81 2024-10-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 7 4 — — $9,746.00 $32,586.42 $27,485.94 2024-10-01
668 MS_DRG Transurethral Procedures With Mcc Trauma 3 2 — — $24,688.62 $29,270.02 $27,742.89 2024-10-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 2 — — $24,953.68 $29,584.26 $28,040.73 2024-10-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $24,287.37 $28,794.31 $28,043.15 2024-10-01
0686T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 2 1 — — $28,126.13 $28,126.13 $28,126.13 2024-10-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 4 3 — — $24,655.18 $29,230.37 $28,467.83 2024-10-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 5 3 — — $24,122.63 $38,171.00 $28,598.99 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 6 3 — — $9,746.00 $49,484.66 $28,689.12 2024-10-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 6 4 — — $24,260.46 $69,981.00 $28,762.40 2024-10-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 4 — — $9,746.00 $34,014.52 $28,886.75 2024-10-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 7 4 — — $9,746.00 $34,323.91 $28,951.47 2024-10-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 4 — — $9,746.00 $34,574.34 $29,162.70 2024-10-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 4 — — $24,676.39 $45,442.00 $29,255.52 2024-10-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $9,746.00 $30,910.82 $29,298.08 2024-10-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 9 5 — — $9,746.00 $42,991.00 $29,356.73 2024-10-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 4 — — $9,746.00 $34,950.46 $29,479.95 2024-10-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 4 — — $24,891.69 $41,807.00 $29,510.77 2024-10-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 7 4 — — $9,746.00 $35,197.98 $29,688.73 2024-10-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 7 4 — — $9,746.00 $35,408.76 $29,866.52 2024-10-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 4 3 — — $25,930.70 $30,742.58 $29,940.60 2024-10-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 9 5 — — $9,746.00 $32,998.32 $29,993.00 2024-10-01
27487 CPT Revision Of Total Knee Arthroplasty, With Or Without Allograft; Femoral And Enti… 7 3 — — $7,711.00 $42,000.00 $29,997.00 2024-10-01
27134 CPT Revision Of Total Hip Arthroplasty; Both Components, With Or Without Autograft O… 7 3 — — $7,711.00 $42,000.00 $29,997.00 2024-10-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 7 4 — — $9,746.00 $35,733.64 $30,140.55 2024-10-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 4 3 — — $26,238.16 $31,107.10 $30,295.61 2024-10-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 7 4 — — $9,746.00 $36,113.62 $30,461.06 2024-10-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 4 — — $25,849.14 $59,983.00 $30,645.89 2024-10-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 7 4 — — $9,746.00 $36,350.51 $30,660.87 2024-10-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 4 3 — — $26,842.48 $31,823.56 $30,993.38 2024-10-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc Trauma 3 2 — — $26,358.04 $31,249.23 $31,249.23 2024-10-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 4 — — $9,746.00 $37,274.85 $31,440.52 2024-10-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 3 — — $27,474.52 $32,572.89 $31,723.16 2024-10-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 5 3 — — $30,134.02 $35,725.90 $31,811.00 2024-10-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 6 4 — — $27,038.21 $81,795.00 $32,055.61 2024-10-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 4 — — $9,746.00 $38,030.95 $32,078.28 2024-10-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 5 — — $9,746.00 $81,795.00 $32,104.22 2024-10-01
32701 CPT Thoracic Target(s) Delineation For Stereotactic Body Radiation Therapy (srs/sbrt… 3 1 — — $14,331.00 $35,504.00 $32,599.00 2024-10-01
33225 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 10 5 — — $1,638.00 $53,985.00 $32,631.50 2024-10-01
33212 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Single Lead 8 5 — — $1,638.00 $53,985.00 $32,631.50 2024-10-01
33208 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 8 5 — — $1,638.00 $53,985.00 $32,631.50 2024-10-01
33206 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 8 5 — — $1,638.00 $53,985.00 $32,631.50 2024-10-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 4 — — $27,562.61 $45,442.00 $32,677.32 2024-10-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 7 4 — — $9,746.00 $39,230.86 $33,090.38 2024-10-01
37 MS_DRG Extracranial Procedures With Mcc 5 3 — — $27,988.32 $49,076.00 $33,182.03 2024-10-01
665 MS_DRG Prostatectomy With Mcc 4 3 — — $28,907.44 $34,271.70 $33,377.65 2024-10-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 7 4 — — $9,746.00 $39,590.53 $33,393.75 2024-10-01
332 MS_DRG Rectal Resection With Mcc 4 3 — — $29,193.69 $34,611.08 $33,708.18 2024-10-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 4 — — $9,746.00 $40,398.84 $34,075.55 2024-10-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 6 4 — — $28,838.12 $52,713.00 $34,189.52 2024-10-01
252 MS_DRG Other Vascular Procedures With Mcc 6 4 — — $28,881.34 $44,353.00 $34,240.77 2024-10-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 4 — — $28,997.15 $81,795.00 $34,378.07 2024-10-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 4 — — $9,746.00 $40,808.81 $34,421.34 2024-10-01
C9760 HCPCS Non-randomized, Non-blinded Procedure For Nyha Class Ii, Iii, IV Heart Failure; … 2 1 — — $29,476.00 $39,443.00 $34,459.50 2024-10-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 2 1 — — $29,476.00 $39,443.00 $34,459.50 2024-10-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 2 1 — — $29,476.00 $39,443.00 $34,459.50 2024-10-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 2 1 — — $29,476.00 $39,443.00 $34,459.50 2024-10-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 1 — — $29,476.00 $39,443.00 $34,459.50 2024-10-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 4 3 — — $30,142.18 $35,735.57 $34,803.34 2024-10-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 4 — — $29,698.52 $59,983.00 $35,209.58 2024-10-01
140 MS_DRG Major Head And Neck Procedures With Mcc 7 4 — — $9,746.00 $41,964.24 $35,395.92 2024-10-01
265 MS_DRG Aicd Lead Procedures 5 3 — — $29,996.19 $99,972.00 $35,562.50 2024-10-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 4 — — $9,746.00 $42,256.23 $35,642.21 2024-10-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 7 4 — — $9,746.00 $42,316.18 $35,692.78 2024-10-01
92924 CPT Percutaneous Transluminal Coronary Atherectomy, With Coronary Angioplasty When P… 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
C9605 HCPCS Percutaneous Transluminal Revascularization Of Or Through Coronary Artery Bypass… 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
93583 CPT Percutaneous Transcatheter Septal Reduction Therapy (eg, Alcohol Septal Ablation… 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
93657 CPT Additional Linear Or Focal Intracardiac Catheter Ablation Of The Left Or Right A… 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
93641 CPT Electrophysiologic Evaluation Of Single Or Dual Chamber Pacing Cardioverter-defi… 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
37230 CPT Revascularization, Endovascular, Open Or Percutaneous, Tibial, Peroneal Artery, … 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
37226 CPT Revascularization, Endovascular, Open Or Percutaneous, Femoral, Popliteal Artery… 3 1 — — $23,315.00 $39,829.00 $36,572.00 2024-10-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 2 1 — — $37,108.68 $37,108.68 $37,108.68 2024-10-01
33221 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Multiple Leads 7 4 — — $26,357.00 $53,985.00 $37,351.00 2024-10-01
33213 CPT Insertion Of Pacemaker Pulse Generator Only; With Existing Dual Leads 11 6 — — $1,638.00 $53,985.00 $37,351.00 2024-10-01
33207 CPT Insertion Of New Or Replacement Of Permanent Pacemaker With Transvenous Electrod… 7 4 — — $26,357.00 $53,985.00 $37,351.00 2024-10-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 4 3 — — $32,426.52 $38,443.81 $37,440.93 2024-10-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 4 — — $31,667.24 $49,076.00 $37,543.64 2024-10-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 5 3 — — $31,908.64 $59,983.00 $37,829.84 2024-10-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 4 3 — — $32,794.33 $38,879.88 $37,865.62 2024-10-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 4 3 — — $32,952.55 $39,067.45 $38,048.30 2024-10-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 4 3 — — $33,016.98 $39,143.84 $38,122.69 2024-10-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 5 4 — — $9,746.00 $40,554.52 $38,438.63 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 4 — — $9,746.00 $45,619.06 $38,478.69 2024-10-01
163 MS_DRG Major Chest Procedures With Mcc 7 4 — — $9,746.00 $45,637.43 $38,494.18 2024-10-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 4 3 — — $33,370.92 $39,563.46 $38,531.37 2024-10-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc Trauma 3 2 — — $34,371.59 $40,749.82 $38,623.75 2024-10-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 3 — — $32,618.99 $59,983.00 $38,671.99 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 3 — — $9,746.00 $73,240.04 $38,707.69 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 7 4 — — $9,746.00 $46,056.09 $38,847.31 2024-10-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 7 4 — — $9,746.00 $46,317.15 $39,067.51 2024-10-01
791 MS_DRG Prematurity With Major Problems 4 3 — — $34,018.46 $40,331.17 $39,279.05 2024-10-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 2 1 — — $39,376.13 $39,376.13 $39,376.13 2024-10-01
31 MS_DRG Ventricular Shunt Procedures With Mcc Trauma 3 2 — — $35,080.30 $41,590.05 $39,420.13 2024-10-01
33227 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 4 2 — — $27,912.00 $53,985.00 $39,439.00 2024-10-01
33229 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 4 2 — — $27,912.00 $53,985.00 $39,439.00 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 7 4 — — $9,746.00 $47,045.21 $39,681.61 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 7 4 — — $9,746.00 $47,245.36 $39,850.43 2024-10-01
793 MS_DRG Full Term Neonate With Major Problems 4 3 — — $34,919.64 $41,399.57 $40,319.58 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 7 4 — — $9,746.00 $47,957.96 $40,451.49 2024-10-01
10 MS_DRG Pancreas Transplant 6 3 — — $9,746.00 $78,160.51 $40,782.85 2024-10-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 4 — — $34,440.10 $105,426.00 $40,831.05 2024-10-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 4 — — $34,836.45 $81,795.00 $41,300.95 2024-10-01
33231 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Multi… 7 4 — — $26,357.00 $77,816.00 $41,527.00 2024-10-01
33230 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Dual … 7 4 — — $1,638.00 $77,816.00 $41,527.00 2024-10-01
901 MS_DRG Wound Debridements For Injuries With Mcc Trauma 3 2 — — $37,036.80 $43,909.61 $41,618.67 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 4 — — $9,746.00 $49,433.42 $41,696.01 2024-10-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 4 3 — — $36,192.71 $42,908.88 $41,789.52 2024-10-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc T… 3 2 — — $37,478.82 $44,433.65 $42,115.38 2024-10-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 4 2 — — $28,280.28 $50,895.00 $42,211.58 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 — — $36,119.31 $78,524.00 $42,821.86 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 2 — — $38,353.91 $45,471.13 $43,098.72 2024-10-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 4 3 — — $37,698.21 $44,693.75 $43,527.82 2024-10-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 4 — — $36,729.34 $127,238.00 $43,545.10 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 4 — — $37,377.70 $59,983.00 $44,313.77 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 4 — — $9,746.00 $53,237.13 $44,904.37 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 7 4 — — $9,746.00 $53,293.22 $44,951.67 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 7 4 — — $9,746.00 $53,561.04 $45,177.58 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 4 — — $9,746.00 $53,680.93 $45,278.70 2024-10-01
33243 CPT Removal Of Single Or Dual Chamber Implantable Defibrillator Electrode(s); By Tho… 5 2 — — $19,926.00 $53,985.00 $45,326.00 2024-10-01
33235 CPT Removal Of Transvenous Pacemaker Electrode(s); Dual Lead System 5 2 — — $19,926.00 $53,985.00 $45,326.00 2024-10-01
33222 CPT Relocation Of Skin Pocket For Pacemaker 5 2 — — $19,926.00 $53,985.00 $45,326.00 2024-10-01
33211 CPT Insertion Or Replacement Of Temporary Transvenous Dual Chamber Pacing Electrodes… 5 2 — — $19,926.00 $53,985.00 $45,326.00 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 — — $38,358.80 $45,476.92 $45,476.92 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 4 3 — — $39,679.98 $47,043.28 $45,816.07 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 7 4 — — $9,746.00 $54,970.76 $46,366.64 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 5 3 — — $39,273.03 $127,238.00 $46,560.81 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc T… 3 2 — — $41,981.45 $49,771.83 $47,175.04 2024-10-01
33263 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33244 CPT Removal Of Single Or Dual Chamber Implantable Defibrillator Electrode(s); By Tra… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33238 CPT Removal Of Permanent Transvenous Electrode(s) By Thoracotomy 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33210 CPT Insertion Or Replacement Of Temporary Transvenous Single Chamber Cardiac Electro… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33224 CPT Insertion Of Pacing Electrode, Cardiac Venous System, For Left Ventricular Pacin… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33264 CPT Removal Of Implantable Defibrillator Pulse Generator With Replacement Of Implant… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33228 CPT Removal Of Permanent Pacemaker Pulse Generator With Replacement Of Pacemaker Pul… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33236 CPT Removal Of Permanent Epicardial Pacemaker And Electrodes By Thoracotomy; Single … 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
33214 CPT Upgrade Of Implanted Pacemaker System, Conversion Of Single Chamber System To Du… 2 1 — — $41,527.00 $53,985.00 $47,756.00 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 4 3 — — $41,544.32 $49,253.58 $47,968.71 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 6 4 — — $40,517.55 $72,708.00 $48,036.27 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 5 4 — — $9,746.00 $50,866.34 $48,212.44 2024-10-01
245 MS_DRG Aicd Generator Procedures 6 4 — — $40,758.14 $99,972.00 $48,321.50 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 4 3 — — $9,746.00 $53,964.23 $48,333.18 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 7 4 — — $9,746.00 $57,365.74 $48,386.75 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 4 3 — — $42,325.61 $50,179.85 $48,870.81 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 5 3 — — $41,707.43 $81,795.00 $49,446.95 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 7 4 — — $9,746.00 $59,431.00 $50,128.76 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 5 3 — — $42,452.84 $52,713.00 $50,330.68 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $50,561.89 $50,561.89 $50,561.89 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 5 3 — — $42,766.82 $81,795.00 $50,702.94 2024-10-01
472 MS_DRG Cervical Spinal Fusion With Cc 4 3 — — $27,567.84 $72,708.00 $50,896.67 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $44,100.24 $52,283.78 $50,919.85 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 4 — — $9,746.00 $60,613.50 $51,126.17 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 7 4 — — $9,746.00 $60,963.51 $51,421.40 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $9,746.00 $54,303.61 $51,470.38 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 4 3 — — $44,910.08 $53,243.91 $51,854.93 2024-10-01
33240 CPT Insertion Of Implantable Defibrillator Pulse Generator Only; With Existing Singl… 7 4 — — $26,357.00 $77,816.00 $52,086.50 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 4 — — $9,746.00 $62,219.50 $52,480.79 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 4 — — $44,292.71 $109,060.00 $52,511.98 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 4 3 — — $45,980.89 $54,513.43 $53,091.34 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 7 4 — — $9,746.00 $63,609.87 $53,653.54 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 6 4 — — $50,484.33 $59,852.55 $53,812.40 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 5 3 — — $45,984.15 $59,983.00 $54,517.29 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
33249 CPT Insertion Or Replacement Of Permanent Implantable Defibrillator System, With Tra… 4 2 — — $41,527.00 $77,816.00 $56,068.50 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 4 — — $47,430.92 $59,983.00 $56,232.54 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 — — $47,710.66 $78,524.00 $56,564.19 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 4 — — $9,746.00 $67,092.59 $56,591.14 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 3 — — $49,390.68 $58,555.96 $57,028.42 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 5 4 — — $9,746.00 $60,886.15 $57,709.48 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 4 — — $48,891.57 $105,426.00 $57,964.23 2024-10-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 2 1 — — $58,081.95 $58,081.95 $58,081.95 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 3 — — $49,424.12 $127,238.00 $58,595.60 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 4 — — $49,760.94 $127,238.00 $58,994.93 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 4 — — $50,722.47 $116,331.00 $60,134.89 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 5 3 — — $50,954.08 $69,981.00 $60,409.48 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 4 — — $50,895.00 $68,336.00 $61,205.29 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc Trauma 3 2 — — $55,372.71 $65,648.06 $62,222.94 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 5 4 — — $9,746.00 $65,896.55 $62,458.47 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $62,710.00 $62,710.00 $62,710.00 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $53,569.54 $127,238.00 $63,510.28 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 3 — — $55,280.55 $81,795.00 $65,538.80 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 5 — — $9,746.00 $127,238.00 $65,778.72 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $9,746.00 $69,710.91 $66,073.82 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 4 — — $59,983.00 $79,010.40 $70,765.84 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 14 5 — — $9,746.00 $179,965.44 $72,533.80 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 3 — — $64,005.26 $75,882.52 $73,902.98 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $75,435.00 $75,435.00 $75,435.00 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 4 — — $9,746.00 $81,712.84 $77,449.56 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 4 — — $69,971.80 $82,956.26 $78,576.05 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 4 — — $9,746.00 $104,034.32 $87,750.69 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 4 3 — — $76,028.85 $90,137.30 $87,785.89 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 2 — — $64,647.92 $109,060.00 $92,852.22 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 4 — — $79,609.92 $127,238.00 $94,382.89 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 2 1 — — $94,940.24 $94,940.24 $94,940.24 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 4 — — $9,746.00 $363,981.00 $96,392.27 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 4 — — $9,746.00 $102,419.63 $97,076.00 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 14 5 — — $9,746.00 $347,669.19 $98,688.62 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 2 — — $70,010.94 $116,331.00 $99,666.83 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $100,053.67 $100,053.67 $100,053.67 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 9 5 — — $9,746.00 $127,238.00 $100,847.14 2024-10-01
215 MS_DRG Other Heart Assist System Implant 5 3 — — $87,307.03 $136,328.00 $103,508.34 2024-10-01
7 MS_DRG Lung Transplant 7 4 — — $9,746.00 $127,426.21 $107,481.24 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 1 — — $119,352.48 $119,352.48 $119,352.48 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 4 3 — — $116,135.77 $137,686.74 $134,094.91 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 2 1 — — $136,523.56 $136,523.56 $136,523.56 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 10 3 — — $107,750.32 $347,669.19 $137,946.24 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
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $156,515.70 $156,515.70 $156,515.70 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 5 — — $9,746.00 $365,688.61 $189,505.43 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 4 3 — — $175,679.61 $208,279.95 $202,846.56 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 9 5 — — $9,746.00 $392,205.00 $259,146.19 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 1 — — $966,296.00 $966,296.00 $966,296.00 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 1 — — $1,051,644.36 $1,051,644.36 $1,051,644.36 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 1 — — $1,067,238.95 $1,067,238.95 $1,067,238.95 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 2 1 — — $1,082,427.24 $1,082,427.24 $1,082,427.24 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 1 — — $1,091,527.05 $1,091,527.05 $1,091,527.05 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 1 — — $1,125,423.00 $1,125,423.00 $1,125,423.00 2024-10-01
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