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 →

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Hospital

UNIVERSITY HOSPITAL AND MEDICAL CENTER

Tamarac, FL · CCN 100224 · Rates published

26,981 distinct procedures filed
60 distinct payers
830,108 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

473,802 of 830,108 rate rows are consumer-grade (57.1%)

356,306 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 332,577
per-diem day rate — not a per-procedure price 14,685
template filing: same amount across many unrelated codes — excluded 8,919
placeholder amount (≤ $0.02) — excluded from medians 116
exceeds 10× this hospital's gross charge — excluded from medians 9

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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://www.hcadam.com/api/public/content/7ca62886518b4a06b9b860f24061ab91?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 · 2026-05-15
Content fingerprint 01d551751f48913f… · 398,899,784 bytes · first seen 2026-05-08

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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,897,200.00 $4,897,200.00 $4,897,200.00 nat. median
$3,006,423
1.6× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $3,884,946.48 $3,884,946.48 nat. median
$2,469,189
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 22 $3,636,171.00 $4,407,480.00 $3,819,816.00 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 22 $3,568,950.00 $4,326,000.00 $3,749,200.00 nat. median
$3,605,000
1.0× 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 23 $5,440.60 $3,990,546.00 $3,425,218.65 nat. median
$13,041
outlier · 262.6×
748
OTHER 		Inj, Lovotibeglogene Auto 23 $8,974.26 $3,943,200.00 $3,384,580.00 nat. median
$17,963
outlier · 188.4×
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 23 $7,970.93 $3,561,600.00 $3,057,040.00 nat. median
$21,896
outlier · 139.6×
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 22 $2,364,727.86 $2,866,336.80 $2,484,158.56 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 22 $523,900.97 $635,031.48 $550,360.62 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 22 $521,852.17 $632,548.08 $548,208.33 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 22 $521,321.72 $631,905.12 $547,651.10 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 22 $511,558.84 $620,071.32 $537,395.15 nat. median
$562,201
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
9035
OTHER 		Axicabtagene Ciloleucel C 22 $484,561.44 $587,347.20 $509,034.24 nat. median
$532,192
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $863,696.72 $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 $837,683.55 $492,271.12 nat. median
$675,122
0.7× median
9391
OTHER 		Brexucabtagene Car Pos T 22 $455,925.10 $552,636.48 $478,951.61 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 $830,699.97 $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 $819,043.85 $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 $807,075.90 $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 $741,576.00 $435,956.80 nat. median
$620,080
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 $1,870.00 $725,393.41 $294,609.97 nat. median
$370,174
0.8× median
5834
APR_DRG 		Neonate With Ecmo 14 $192,207.00 $288,310.50 $230,648.40 nat. median
$309,665
0.7× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $1,870.00 $541,808.87 $220,380.79 nat. median
$265,286
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 34 $1,870.00 $456,331.78 $185,819.62 nat. median
$206,368
0.9× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $184,413.98 $184,413.98 $184,413.98 nat. median
$263,894
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 35 $1,870.00 $564,987.11 $167,988.39 nat. median
$202,986
0.8× median
1908
OTHER 		New Technology - Level 52 23 $145,866.50 $176,807.88 $154,706.89 nat. median
$152,962
1.0× median
1907
OTHER 		New Technology - Level 52 23 $145,866.50 $176,807.88 $154,706.89 nat. median
$153,199
1.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $152,168.65 $152,168.65 $152,168.65 nat. median
$424,868
outlier · 0.4×
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $125,393.00 $188,089.50 $150,471.60 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 14 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× median
01907
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$84,819
1.7× median
01908
OTHER 		New Technology - Level 52 1 $142,919.70 $142,919.70 $142,919.70 nat. median
$82,736
1.7× median
1905
OTHER 		New Technology - Level 51 23 $131,519.02 $159,417.00 $139,489.88 nat. median
$137,903
1.0× median
1906
OTHER 		New Technology - Level 51 23 $131,519.02 $159,417.00 $139,489.88 nat. median
$138,020
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 14 $111,047.00 $166,570.50 $133,256.40 nat. median
$234,738
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 26,981 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
             
834 MS_DRG Acute Leukemia With Mcc 58 33 — — $1,870.00 $106,315.45 $44,296.65 2024-10-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $43,326.42 $43,326.42 $43,326.42 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 59 34 — — $1,870.00 $259,675.76 $72,952.94 2024-10-01
245 MS_DRG Aicd Generator Procedures 59 33 — — $1,395.00 $93,996.71 $39,508.50 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 54 32 — — $1,870.00 $318,053.68 $103,458.18 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 17 14 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $80,698.81 $80,698.81 $80,698.81 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 17 14 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 59 34 — — $1,870.00 $96,882.11 $40,482.44 2024-10-01
B1004 OTHER Amputation, Lower Extremity; M=39-45 2 2 — — $45,172.04 $46,301.34 $45,736.69 2024-10-01
B1103 OTHER Amputation, Non-lower Extremity; M=12-37 2 2 — — $39,371.19 $40,355.46 $39,863.32 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 60 34 — — $1,870.00 $141,923.00 $54,208.07 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 17 14 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 32 — — $1,870.00 $318,053.68 $48,370.68 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 32 — — $1,870.00 $318,053.68 $48,370.68 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $120,116.70 $120,116.70 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 26 22 — — $484,561.44 $587,347.20 $509,034.24 2024-10-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $474,772.32 $474,772.32 $474,772.32 2024-10-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 3 — — $445,599.57 $807,075.90 $445,599.57 2024-10-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 28 24 — — $88,300.94 $109,238.28 $94,673.18 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 60 34 — — $1,870.00 $118,045.56 $49,760.68 2024-10-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 2 1 — — $41,034.00 $47,764.00 $44,399.00 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 3 — — $435,956.80 $741,576.00 $435,956.80 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 26 22 — — $455,925.10 $552,636.48 $478,951.61 2024-10-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $446,714.49 $446,714.49 $446,714.49 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 17 14 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
B2102 OTHER Burns; M=12-45 2 2 — — $45,495.94 $46,633.34 $46,064.64 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 59 34 — — $1,870.00 $198,346.24 $57,374.61 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 59 34 — — $1,870.00 $140,687.19 $50,455.48 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 35 — — $1,870.00 $216,007.00 $77,865.56 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 35 — — $1,870.00 $216,007.00 $53,049.53 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,315.75 $51,315.75 $51,315.75 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $51,030.41 $51,030.41 $51,030.41 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 63 35 — — $1,870.00 $216,007.00 $49,446.31 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 34 — — $1,870.00 $178,697.11 $62,691.83 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 61 34 — — $1,870.00 $178,697.11 $43,753.20 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 17 14 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
B1404 OTHER Cardiac; M < 31.15 2 2 — — $42,123.40 $43,176.48 $42,649.94 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 60 34 — — $1,870.00 $66,991.00 $39,182.14 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 58 33 — — $1,870.00 $96,310.80 $40,251.44 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 53 31 — — $1,870.00 $725,393.41 $294,609.97 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $152,168.65 $152,168.65 $152,168.65 2024-10-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $97,644.00 $146,466.00 $117,172.80 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 17 14 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 3 — — $492,271.12 $837,683.55 $492,271.12 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 26 22 — — $521,852.17 $632,548.08 $548,208.33 2024-10-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $511,309.70 $511,309.70 $511,309.70 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 59 34 — — $1,870.00 $235,112.94 $66,824.99 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 59 34 — — $1,870.00 $154,207.59 $44,714.77 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $57,000.29 $57,000.29 $57,000.29 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 62 35 — — $1,870.00 $303,636.80 $86,033.55 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 59 34 — — $1,870.00 $174,389.53 $49,907.50 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 63 35 — — $1,870.00 $174,637.61 $63,925.55 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 63 35 — — $1,870.00 $133,055.88 $44,360.64 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 63 35 — — $1,870.00 $207,739.48 $69,190.63 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $46,064.87 $46,064.87 $46,064.87 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 63 35 — — $1,870.00 $207,739.48 $50,733.07 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $39,102.91 $39,102.91 $39,102.91 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 60 34 — — $1,870.00 $143,717.72 $48,918.50 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $64,323.30 $64,323.30 $64,323.30 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 59 34 — — $1,870.00 $197,258.07 $54,415.48 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 57 33 — — $1,870.00 $125,672.66 $46,575.20 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 17 14 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 28 24 — — $96,999.90 $119,999.88 $103,999.90 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 59 35 — — $1,870.00 $564,987.11 $167,988.39 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $123,520.48 $123,520.48 $123,520.48 2024-10-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 28 24 — — $37,140.82 $45,947.40 $39,821.07 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 28 24 — — $46,068.21 $56,991.60 $49,392.72 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 35 — — $1,870.00 $253,493.47 $49,720.06 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 35 — — $1,870.00 $190,337.17 $39,385.71 2024-10-01
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 2 2 — — $46,787.64 $47,957.33 $47,372.49 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 56 34 — — $1,870.00 $456,331.78 $185,819.62 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 17 14 — — $90,217.00 $135,325.50 $108,260.40 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 17 14 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 41 30 — — $4,345.00 $58,270.25 $47,548.52 2024-10-01
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 2 2 — — $45,686.36 $46,828.52 $46,257.44 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 56 34 — — $1,870.00 $128,467.63 $53,253.49 2024-10-01
8514 APR_DRG Gender Related Procedures 17 14 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
B1903 OTHER Guillian Barre; M < 18.05 2 2 — — $49,300.36 $50,532.87 $49,916.62 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 17 14 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 17 14 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 17 14 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 17 14 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 59 34 — — $1,870.00 $541,808.87 $220,380.79 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $184,413.98 $184,413.98 $184,413.98 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 59 34 — — $1,870.00 $363,906.34 $87,018.21 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $69,502.07 $69,502.07 $69,502.07 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
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 3 — — $43,241.44 $72,861.11 $43,241.44 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 59 34 — — $1,870.00 $127,079.39 $50,495.50 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 26 22 — — $521,321.72 $631,905.12 $547,651.10 2024-10-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $510,789.97 $510,789.97 $510,789.97 2024-10-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $830,699.97 $470,149.30 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 17 14 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 17 14 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 17 14 — — $51,688.00 $77,532.00 $62,025.60 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 17 14 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 59 34 — — $1,870.00 $96,208.85 $40,210.23 2024-10-01
714 OTHER Inj Delandistrogene Mox R 27 23 — — $5,440.60 $3,990,546.00 $3,425,218.65 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
9141 OTHER Inj Onase Abepar-xioi Tre 26 22 — — $2,364,727.86 $2,866,336.80 $2,484,158.56 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
773 OTHER Inj, Beqvez, Per Tx Dose 26 22 — — $3,568,950.00 $4,326,000.00 $3,749,200.00 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
746 OTHER Inj, Betibeglogene Autote 27 23 — — $7,970.93 $3,561,600.00 $3,057,040.00 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
9138 OTHER Inj, Hemgenix, Per Tx Dos 26 22 — — $3,636,171.00 $4,407,480.00 $3,819,816.00 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
748 OTHER Inj, Lovotibeglogene Auto 27 23 — — $8,974.26 $3,943,200.00 $3,384,580.00 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
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,897,200.00 $4,897,200.00 $4,897,200.00 2024-10-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2024-10-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 2 1 — — $66,569.00 $79,422.00 $72,995.50 2024-10-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 2 1 — — $66,569.00 $79,422.00 $72,995.50 2024-10-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 4 3 — — $14,099.00 $79,422.00 $41,052.50 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 27 23 — — $13,038.23 $76,025.72 $65,255.41 2024-10-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $61,454.13 $61,454.13 $61,454.13 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $46,516.94 $46,516.94 $46,516.94 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 57 33 — — $1,870.00 $203,553.12 $45,602.69 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 57 33 — — $1,870.00 $203,553.12 $65,257.28 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $59,282.60 $59,282.60 $59,282.60 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 3 — — $61,600.24 $104,773.89 $61,600.24 2024-10-01
4404 APR_DRG Kidney Transplant 17 14 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $78,588.84 $78,588.84 $78,588.84 2024-10-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 28 24 — — $36,570.46 $45,241.80 $39,209.56 2024-10-01
5244 OTHER Level 4 Blood Product Exc 27 23 — — $49,801.21 $65,395.53 $52,819.46 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $44,652.95 $44,652.95 $44,652.95 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 26 22 — — $511,558.84 $620,071.32 $537,395.15 2024-10-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $501,224.32 $501,224.32 $501,224.32 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 3 — — $459,839.17 $819,043.85 $459,839.17 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 17 14 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 58 34 — — $1,870.00 $323,271.84 $84,131.88 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $57,130.69 $57,130.69 $57,130.69 2024-10-01
7 MS_DRG Lung Transplant 58 34 — — $1,870.00 $268,296.57 $102,948.60 2024-10-01
007 OTHER Lung Transplant 1 1 — — $69,628.38 $69,628.38 $69,628.38 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 59 34 — — $1,870.00 $111,990.07 $46,591.08 2024-10-01
B1703 OTHER Maj Mult Trauma No Brain Or Spinal Cord Injury; M 2 2 — — $38,750.86 $39,719.63 $39,235.24 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 59 34 — — $1,870.00 $107,225.31 $44,664.54 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 17 14 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
B1804 OTHER Major Multiple Trauma With Brain Or Spinal Code In 2 2 — — $39,233.77 $40,214.62 $39,724.19 2024-10-01
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 2 2 — — $43,860.71 $44,957.23 $44,408.97 2024-10-01
B2004 OTHER Miscellaneous; M < 27.85 2 2 — — $41,367.62 $42,401.81 $41,884.71 2024-10-01
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 2 2 — — $43,603.55 $44,693.64 $44,148.60 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 34 — — $1,870.00 $295,486.79 $83,239.05 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 34 — — $1,870.00 $200,119.45 $57,629.97 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 59 34 — — $1,870.00 $155,197.09 $44,993.12 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 59 34 — — $1,870.00 $188,998.10 $53,453.38 2024-10-01
8634 APR_DRG Neonatal Aftercare 17 14 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 17 14 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 17 14 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 17 14 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 17 14 — — $42,035.00 $63,052.50 $50,442.00 2024-10-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 17 14 — — $34,228.00 $51,342.00 $41,073.60 2024-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 17 14 — — $34,068.00 $51,102.00 $40,881.60 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 17 14 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 17 14 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 17 14 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 17 14 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 17 14 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 17 14 — — $51,226.00 $76,839.00 $61,471.20 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 17 14 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 17 14 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 17 14 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 17 14 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 17 14 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 17 14 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 17 14 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 17 14 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
5834 APR_DRG Neonate With Ecmo 17 14 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
5833 APR_DRG Neonate With Ecmo 17 14 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
5832 APR_DRG Neonate With Ecmo 17 14 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
5831 APR_DRG Neonate With Ecmo 17 14 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
B0604 OTHER Neurological; M < 25.85 2 2 — — $48,888.11 $50,110.32 $49,499.21 2024-10-01
B0603 OTHER Neurological; M > 25.85 & M < 37.35 2 2 — — $38,982.50 $39,957.06 $39,469.78 2024-10-01
1594 OTHER New Technology - Level 43 27 23 — — $43,042.90 $52,173.22 $45,651.56 2024-10-01
1580 OTHER New Technology - Level 43 27 23 — — $43,042.90 $52,173.22 $45,651.56 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
1595 OTHER New Technology - Level 44 27 23 — — $52,607.89 $63,767.14 $55,796.24 2024-10-01
1581 OTHER New Technology - Level 44 27 23 — — $52,607.89 $63,767.14 $55,796.24 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
1582 OTHER New Technology - Level 45 27 23 — — $62,172.87 $75,361.06 $65,940.92 2024-10-01
1596 OTHER New Technology - Level 45 27 23 — — $62,172.87 $75,361.06 $65,940.92 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
1583 OTHER New Technology - Level 46 27 23 — — $71,737.86 $86,954.98 $76,085.60 2024-10-01
1597 OTHER New Technology - Level 46 27 23 — — $71,737.86 $86,954.98 $76,085.60 2024-10-01
01583 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
01597 OTHER New Technology - Level 46 1 1 — — $70,288.61 $70,288.61 $70,288.61 2024-10-01
1584 OTHER New Technology - Level 47 27 23 — — $81,302.85 $98,548.91 $86,230.29 2024-10-01
1598 OTHER New Technology - Level 47 27 23 — — $81,302.85 $98,548.91 $86,230.29 2024-10-01
01598 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
01584 OTHER New Technology - Level 47 1 1 — — $79,660.37 $79,660.37 $79,660.37 2024-10-01
1585 OTHER New Technology - Level 48 27 23 — — $90,867.82 $110,142.82 $96,374.96 2024-10-01
1599 OTHER New Technology - Level 48 27 23 — — $90,867.82 $110,142.82 $96,374.96 2024-10-01
01599 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
01585 OTHER New Technology - Level 48 1 1 — — $89,032.11 $89,032.11 $89,032.11 2024-10-01
1902 OTHER New Technology - Level 49 27 23 — — $102,824.07 $124,635.24 $109,055.84 2024-10-01
1901 OTHER New Technology - Level 49 27 23 — — $102,824.07 $124,635.24 $109,055.84 2024-10-01
01901 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
01902 OTHER New Technology - Level 49 1 1 — — $100,746.82 $100,746.82 $100,746.82 2024-10-01
1904 OTHER New Technology - Level 50 27 23 — — $117,171.55 $142,026.12 $124,272.86 2024-10-01
1903 OTHER New Technology - Level 50 27 23 — — $117,171.55 $142,026.12 $124,272.86 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
1906 OTHER New Technology - Level 51 27 23 — — $131,519.02 $159,417.00 $139,489.88 2024-10-01
1905 OTHER New Technology - Level 51 27 23 — — $131,519.02 $159,417.00 $139,489.88 2024-10-01
01905 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
01906 OTHER New Technology - Level 51 1 1 — — $128,862.07 $128,862.07 $128,862.07 2024-10-01
1908 OTHER New Technology - Level 52 27 23 — — $145,866.50 $176,807.88 $154,706.89 2024-10-01
1907 OTHER New Technology - Level 52 27 23 — — $145,866.50 $176,807.88 $154,706.89 2024-10-01
01907 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
01908 OTHER New Technology - Level 52 1 1 — — $142,919.70 $142,919.70 $142,919.70 2024-10-01
B0304 OTHER Nontraumatic Brain Injury; M < 26.15 2 2 — — $42,443.38 $43,504.46 $42,973.92 2024-10-01
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $59,211.86 $60,692.16 $59,952.01 2024-10-01
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $46,065.23 $47,216.86 $46,641.04 2024-10-01
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $43,519.14 $44,607.12 $44,063.13 2024-10-01
A0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 2 2 — — $40,103.41 $41,105.99 $40,604.70 2024-10-01
B0504 OTHER Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 2 2 — — $42,612.20 $43,677.51 $43,144.85 2024-10-01
B1203 OTHER Osteoarthritis; M < 30.75 2 2 — — $40,878.82 $41,900.79 $41,389.81 2024-10-01
B1204 OTHER Osteoarthritis; M=39-47 2 2 — — $42,867.40 $43,939.08 $43,403.24 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 61 34 — — $1,870.00 $134,761.44 $41,243.96 2024-10-01
215 MS_DRG Other Heart Assist System Implant 63 35 — — $1,870.00 $331,939.00 $85,350.13 2024-10-01
215 OTHER Other Heart Assist System Implant 1 1 — — $53,012.53 $53,012.53 $53,012.53 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $42,336.89 $42,336.89 $42,336.89 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 60 34 — — $1,870.00 $106,992.00 $42,646.24 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 59 34 — — $1,870.00 $143,571.73 $59,360.57 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $44,125.20 $44,125.20 $44,125.20 2024-10-01
B0904 OTHER Other Orthopedic; M < 24.15 2 2 — — $42,040.95 $43,091.97 $42,566.46 2024-10-01
10 MS_DRG Pancreas Transplant 55 33 — — $1,870.00 $162,980.63 $63,318.66 2024-10-01
64 APR_DRG Pancreas Transplant 17 14 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
63 APR_DRG Pancreas Transplant 17 14 — — $34,364.00 $51,546.00 $41,236.80 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 59 34 — — $1,870.00 $125,740.32 $43,530.54 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 4 2 — — $6,300.00 $51,722.00 $41,737.50 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 4 2 — — $6,300.00 $51,722.00 $41,737.50 2024-10-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 28 24 — — $63,895.55 $79,046.04 $68,506.57 2024-10-01
B1504 OTHER Pulmonary; M < 29.15 2 2 — — $44,647.90 $45,764.10 $45,206.00 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 4 3 — — $14,099.00 $79,422.00 $41,052.50 2024-10-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 2 1 — — $66,569.00 $79,422.00 $72,995.50 2024-10-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 1 — — $66,569.00 $79,422.00 $72,995.50 2024-10-01
B0805 OTHER Replacement Of Lower Extremity Joint; M > 22.05 & 2 2 — — $40,464.61 $41,476.23 $40,970.42 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 33 — — $1,870.00 $124,412.68 $51,613.94 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 59 34 — — $1,870.00 $69,989.80 $41,333.29 2024-10-01
B1304 OTHER Rheumatoid, Other Arthritis; M=12-35 2 2 — — $42,040.95 $43,091.97 $42,566.46 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 33 — — $1,870.00 $67,911.40 $54,329.12 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 58 34 — — $1,870.00 $164,635.44 $43,626.98 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 55 33 — — $1,870.00 $164,635.44 $62,961.66 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $45,374.00 $45,374.00 $45,374.00 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 59 34 — — $1,870.00 $145,175.19 $41,768.41 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 26 22 — — $54,465.08 $66,018.28 $57,215.84 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 2 — — $53,789.99 $91,596.09 $91,596.09 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 59 34 — — $1,870.00 $103,776.30 $42,845.77 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 62 35 — — $1,870.00 $118,451.44 $48,721.23 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 33 — — $1,870.00 $162,901.99 $67,835.01 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 57 33 — — $1,870.00 $143,038.31 $46,847.21 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 58 33 — — $1,870.00 $116,937.57 $48,948.81 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 59 34 — — $1,870.00 $97,693.87 $40,810.66 2024-10-01
B0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $57,054.45 $58,480.82 $57,767.63 2024-10-01
C0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $49,480.96 $50,717.98 $50,099.47 2024-10-01
D0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $45,217.19 $46,347.62 $45,782.40 2024-10-01
A0106 OTHER Stroke; M > 30.05 & M < 34.25 2 2 — — $43,091.19 $44,168.47 $43,629.83 2024-10-01
B0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $50,162.14 $51,416.19 $50,789.17 2024-10-01
C0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $43,503.43 $44,591.02 $44,047.22 2024-10-01
D0105 OTHER Stroke; M > 34.25 & M < 38.85 2 2 — — $39,753.98 $40,747.83 $40,250.90 2024-10-01
B0104 OTHER Stroke; M > 38.85 & M < 44.45 2 2 — — $40,115.19 $41,118.07 $40,616.63 2024-10-01
1142 OTHER Supprelin La Implant 27 23 — — $44,896.71 $54,420.25 $47,617.72 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
9194 OTHER Tisagenlecleucel Car-pos 26 22 — — $523,900.97 $635,031.48 $550,360.62 2024-10-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $513,317.11 $513,317.11 $513,317.11 2024-10-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 3 — — $502,693.77 $863,696.72 $502,693.77 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 59 34 — — $1,870.00 $103,789.76 $43,275.43 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 59 35 — — $1,870.00 $339,098.26 $111,202.34 2024-10-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $86,850.24 $86,850.24 $86,850.24 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 17 14 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 17 14 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 17 14 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $51,795.41 $53,090.29 $52,442.85 2024-10-01
C0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $42,659.32 $43,725.80 $43,192.56 2024-10-01
D0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 2 2 — — $38,746.93 $39,715.60 $39,231.26 2024-10-01
B0204 OTHER Traumatic Brain Injury; M > 40.65 & M < 44.25 2 2 — — $40,435.17 $41,446.04 $40,940.60 2024-10-01
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $47,576.79 $48,766.21 $48,171.50 2024-10-01
C0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $42,309.89 $43,367.64 $42,838.76 2024-10-01
D0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 2 2 — — $41,071.20 $42,097.98 $41,584.59 2024-10-01
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $59,826.30 $61,321.96 $60,574.13 2024-10-01
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $53,202.92 $54,533.00 $53,867.96 2024-10-01
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $51,646.22 $52,937.37 $52,291.79 2024-10-01
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 2 2 — — $46,928.98 $48,102.20 $47,515.59 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 57 33 — — $1,870.00 $125,743.14 $41,009.76 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 59 34 — — $1,870.00 $103,887.87 $43,315.10 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 27 23 — — $64,821.81 $78,571.90 $68,750.41 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $108,036.36 $108,036.36 $108,036.36 2024-10-01
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