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 PUTNAM HOSPITAL

Palatka, FL · CCN 100232 · Rates published

21,474 distinct procedures filed
37 distinct payers
423,243 rate rows
2024-10-01 last MRF observed · ⚠ 20 mo old
Data quality

365,627 of 423,243 rate rows are consumer-grade (86.4%)

57,616 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 45,959
per-diem day rate — not a per-procedure price 8,330
template filing: same amount across many unrelated codes — excluded 1,709
exceeds 10× this hospital's gross charge — excluded from medians 1,536
placeholder amount (≤ $0.02) — excluded from medians 82

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 20 months old.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/47-2762362_HCA-FLORIDA-PUTNAM-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
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 17 $3,672,900.00 $4,407,480.00 $3,810,633.75 nat. median
$3,746,358
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 17 $3,605,000.00 $4,326,000.00 $3,740,187.50 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 17 $5,280.60 $3,990,546.00 $3,408,591.37 nat. median
$13,041
outlier · 261.4×
748
OTHER 		Inj, Lovotibeglogene Auto 17 $8,710.34 $3,943,200.00 $3,368,150.00 nat. median
$17,963
outlier · 187.5×
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 17 $7,736.51 $3,561,600.00 $3,042,200.00 nat. median
$21,896
outlier · 138.9×
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 17 $2,388,614.00 $2,866,336.80 $2,478,187.03 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 17 $529,192.90 $635,031.48 $549,037.64 nat. median
$566,531
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 17 $527,123.40 $632,548.08 $546,890.52 nat. median
$587,650
0.9× median
9422
OTHER 		Idecabtagene Vicleucel Ca 17 $526,587.60 $631,905.12 $546,334.64 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 17 $516,726.10 $620,071.32 $536,103.33 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 17 $489,456.00 $587,347.20 $507,810.60 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 17 $460,530.40 $552,636.48 $477,800.29 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 23 $2,701.00 $1,620,897.53 $276,238.43 nat. median
$370,174
0.7× median
5834
APR_DRG 		Neonate With Ecmo 10 $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 24 $2,837.00 $1,210,676.37 $206,539.55 nat. median
$265,286
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $178,990.51 $178,990.51 $178,990.51 nat. median
$263,894
0.7× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $2,837.00 $1,019,677.11 $175,811.28 nat. median
$206,368
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 23 $2,837.00 $921,134.29 $163,576.14 nat. median
$202,986
0.8× median
1907
OTHER 		New Technology - Level 52 17 $147,339.90 $176,807.88 $152,865.15 nat. median
$153,199
1.0× median
1908
OTHER 		New Technology - Level 52 17 $147,339.90 $176,807.88 $152,865.15 nat. median
$152,962
1.0× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $125,393.00 $188,089.50 $150,471.60 nat. median
$246,434
0.6× median
5833
APR_DRG 		Neonate With Ecmo 10 $124,517.00 $186,775.50 $149,420.40 nat. median
$244,017
0.6× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $147,693.56 $147,693.56 $147,693.56 nat. median
$424,868
outlier · 0.3×
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
1905
OTHER 		New Technology - Level 51 17 $132,847.50 $159,417.00 $137,829.29 nat. median
$137,903
1.0× median
1906
OTHER 		New Technology - Level 51 17 $132,847.50 $159,417.00 $137,829.29 nat. median
$138,020
1.0× median
24
APR_DRG 		Heart And/or Lung Transplant 10 $111,047.00 $166,570.50 $133,256.40 nat. median
$234,738
0.6× median
01906
OTHER 		New Technology - Level 51 1 $128,862.07 $128,862.07 $128,862.07 nat. median
$82,736
1.6× median
01905
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 21,474 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 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… 1 1 — — $3,884,946.48 $3,884,946.48 $3,884,946.48 2024-10-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 20 17 — — $3,672,900.00 $4,407,480.00 $3,810,633.75 2024-10-01
773 OTHER Inj, Beqvez, Per Tx Dose 20 17 — — $3,605,000.00 $4,326,000.00 $3,740,187.50 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
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
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 20 17 — — $2,388,614.00 $2,866,336.80 $2,478,187.03 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 20 17 — — $529,192.90 $635,031.48 $549,037.64 2024-10-01
9498 OTHER Ciltacabtagene Car-pos T 20 17 — — $527,123.40 $632,548.08 $546,890.52 2024-10-01
9422 OTHER Idecabtagene Vicleucel Ca 20 17 — — $526,587.60 $631,905.12 $546,334.64 2024-10-01
9413 OTHER Lisocabtagene Car Pos T 20 17 — — $516,726.10 $620,071.32 $536,103.33 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… 5 3 — — $502,693.77 $863,696.72 $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… 5 3 — — $492,271.12 $837,683.55 $492,271.12 2024-10-01
9035 OTHER Axicabtagene Ciloleucel C 20 17 — — $489,456.00 $587,347.20 $507,810.60 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 $830,699.97 $470,149.30 2024-10-01
9391 OTHER Brexucabtagene Car Pos T 20 17 — — $460,530.40 $552,636.48 $477,800.29 2024-10-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 5 3 — — $459,839.17 $819,043.85 $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… 5 3 — — $445,599.57 $807,075.90 $445,599.57 2024-10-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 5 3 — — $435,956.80 $741,576.00 $435,956.80 2024-10-01
5834 APR_DRG Neonate With Ecmo 12 10 — — $192,207.00 $288,310.50 $230,648.40 2024-10-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $178,990.51 $178,990.51 $178,990.51 2024-10-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $147,693.56 $147,693.56 $147,693.56 2024-10-01
1908 OTHER New Technology - Level 52 20 17 — — $147,339.90 $176,807.88 $152,865.15 2024-10-01
1907 OTHER New Technology - Level 52 20 17 — — $147,339.90 $176,807.88 $152,865.15 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
1906 OTHER New Technology - Level 51 20 17 — — $132,847.50 $159,417.00 $137,829.29 2024-10-01
1905 OTHER New Technology - Level 51 20 17 — — $132,847.50 $159,417.00 $137,829.29 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
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $125,393.00 $188,089.50 $150,471.60 2024-10-01
5833 APR_DRG Neonate With Ecmo 12 10 — — $124,517.00 $186,775.50 $149,420.40 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $120,116.70 $120,116.70 $120,116.70 2024-10-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $119,887.93 $119,887.93 $119,887.93 2024-10-01
1904 OTHER New Technology - Level 50 20 17 — — $118,355.10 $142,026.12 $122,793.42 2024-10-01
1903 OTHER New Technology - Level 50 20 17 — — $118,355.10 $142,026.12 $122,793.42 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
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $112,982.00 $143,579.00 $128,280.50 2024-10-01
24 APR_DRG Heart And/or Lung Transplant 12 10 — — $111,047.00 $166,570.50 $133,256.40 2024-10-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $108,036.36 $108,036.36 $108,036.36 2024-10-01
1902 OTHER New Technology - Level 49 20 17 — — $103,862.70 $124,635.24 $107,757.55 2024-10-01
1901 OTHER New Technology - Level 49 20 17 — — $103,862.70 $124,635.24 $107,757.55 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
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 10 — — $97,644.00 $146,466.00 $117,172.80 2024-10-01
5832 APR_DRG Neonate With Ecmo 12 10 — — $95,607.00 $143,410.50 $114,728.40 2024-10-01
1614 APR_DRG Implantable Heart Assist Systems 12 10 — — $95,167.00 $142,750.50 $114,200.40 2024-10-01
1599 OTHER New Technology - Level 48 20 17 — — $91,785.68 $110,142.82 $95,227.64 2024-10-01
1585 OTHER New Technology - Level 48 20 17 — — $91,785.68 $110,142.82 $95,227.64 2024-10-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 10 — — $91,470.00 $137,205.00 $109,764.00 2024-10-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 12 10 — — $90,217.00 $135,325.50 $108,260.40 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
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $84,296.07 $84,296.07 $84,296.07 2024-10-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 10 — — $82,446.00 $123,669.00 $98,935.20 2024-10-01
1598 OTHER New Technology - Level 47 20 17 — — $82,124.09 $98,548.91 $85,203.74 2024-10-01
1584 OTHER New Technology - Level 47 20 17 — — $82,124.09 $98,548.91 $85,203.74 2024-10-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $81,552.00 $122,328.00 $97,862.40 2024-10-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 12 10 — — $80,942.00 $121,413.00 $97,130.40 2024-10-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $80,323.00 $102,075.00 $91,199.00 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
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $79,657.00 $119,485.50 $95,588.40 2024-10-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 2 — — $79,174.00 $100,617.00 $83,213.00 2024-10-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $78,325.54 $78,325.54 $78,325.54 2024-10-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $76,785.37 $76,785.37 $76,785.37 2024-10-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $76,277.63 $76,277.63 $76,277.63 2024-10-01
74 APR_DRG Allogeneic Bone Marrow Transplant 12 10 — — $75,611.00 $113,416.50 $90,733.20 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 10 — — $75,232.00 $112,848.00 $90,278.40 2024-10-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $73,863.00 $110,794.50 $88,635.60 2024-10-01
1583 OTHER New Technology - Level 46 20 17 — — $72,462.48 $86,954.98 $75,179.82 2024-10-01
1597 OTHER New Technology - Level 46 20 17 — — $72,462.48 $86,954.98 $75,179.82 2024-10-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $71,560.00 $107,340.00 $85,872.00 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $71,038.00 $87,168.00 $87,168.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 3 1 — — $71,038.00 $87,168.00 $87,168.00 2024-10-01
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
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $69,717.00 $85,547.00 $85,547.00 2024-10-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 1 — — $69,717.00 $85,547.00 $85,547.00 2024-10-01
5831 APR_DRG Neonate With Ecmo 12 10 — — $69,493.00 $104,239.50 $83,391.60 2024-10-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 10 — — $68,321.00 $102,481.50 $81,985.20 2024-10-01
007 OTHER Lung Transplant 1 1 — — $67,580.69 $67,580.69 $67,580.69 2024-10-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $67,458.10 $67,458.10 $67,458.10 2024-10-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 12 10 — — $67,242.00 $100,863.00 $80,690.40 2024-10-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 10 — — $66,782.00 $100,173.00 $80,138.40 2024-10-01
1643 OTHER Y90 Ibritumomab, Rx 20 17 — — $65,476.58 $78,571.90 $67,931.95 2024-10-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 1 — — $65,187.00 $79,989.00 $79,989.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 3 1 — — $65,187.00 $79,989.00 $79,989.00 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 12 10 — — $64,392.00 $96,588.00 $77,270.40 2024-10-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $63,512.28 $63,512.28 $63,512.28 2024-10-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 1 1 — — $63,259.00 $63,259.00 $63,259.00 2024-10-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 1 1 — — $63,259.00 $63,259.00 $63,259.00 2024-10-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $63,259.00 $63,259.00 $63,259.00 2024-10-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 1 1 — — $63,259.00 $63,259.00 $63,259.00 2024-10-01
1582 OTHER New Technology - Level 45 20 17 — — $62,800.88 $75,361.06 $65,155.91 2024-10-01
1596 OTHER New Technology - Level 45 20 17 — — $62,800.88 $75,361.06 $65,155.91 2024-10-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $62,431.63 $62,431.63 $62,431.63 2024-10-01
23 APR_DRG Heart And/or Lung Transplant 12 10 — — $62,352.00 $93,528.00 $74,822.40 2024-10-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 3 — — $61,600.24 $104,773.89 $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
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 12 10 — — $61,338.00 $92,007.00 $73,605.60 2024-10-01
01582 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
01596 OTHER New Technology - Level 45 1 1 — — $60,916.85 $60,916.85 $60,916.85 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $59,125.00 $88,687.50 $70,950.00 2024-10-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $57,539.16 $57,539.16 $57,539.16 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 10 — — $56,946.00 $85,419.00 $68,335.20 2024-10-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 12 10 — — $55,523.00 $83,284.50 $66,627.60 2024-10-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $55,450.54 $55,450.54 $55,450.54 2024-10-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
9273 OTHER Sipuleucel-t Auto Cd54+ 20 17 — — $55,015.23 $66,018.28 $57,078.30 2024-10-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $54,849.00 $82,273.50 $65,818.80 2024-10-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 2 — — $53,789.99 $91,596.09 $72,693.04 2024-10-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $53,364.77 $53,364.77 $53,364.77 2024-10-01
1581 OTHER New Technology - Level 44 20 17 — — $53,139.28 $63,767.14 $55,132.00 2024-10-01
1595 OTHER New Technology - Level 44 20 17 — — $53,139.28 $63,767.14 $55,132.00 2024-10-01
1612 APR_DRG Implantable Heart Assist Systems 12 10 — — $51,688.00 $77,532.00 $62,025.60 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
215 OTHER Other Heart Assist System Implant 1 1 — — $51,453.49 $51,453.49 $51,453.49 2024-10-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $51,226.00 $76,839.00 $61,471.20 2024-10-01
5244 OTHER Level 4 Blood Product Exc 20 17 — — $50,304.25 $60,365.10 $52,190.66 2024-10-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,806.62 $49,806.62 $49,806.62 2024-10-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $49,529.65 $49,529.65 $49,529.65 2024-10-01
1611 APR_DRG Implantable Heart Assist Systems 12 10 — — $49,247.00 $73,870.50 $59,096.40 2024-10-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 12 10 — — $48,983.00 $73,474.50 $58,779.60 2024-10-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 10 — — $48,895.00 $73,342.50 $58,674.00 2024-10-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $48,795.12 $48,795.12 $48,795.12 2024-10-01
64 APR_DRG Pancreas Transplant 12 10 — — $48,372.00 $72,558.00 $58,046.40 2024-10-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 12 10 — — $47,538.00 $71,307.00 $57,045.60 2024-10-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 1 1 — — $47,446.00 $47,446.00 $47,446.00 2024-10-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 1 1 — — $47,446.00 $47,446.00 $47,446.00 2024-10-01
8514 APR_DRG Gender Related Procedures 12 10 — — $46,902.00 $70,353.00 $56,282.40 2024-10-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 12 10 — — $46,525.00 $69,787.50 $55,830.00 2024-10-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 12 10 — — $46,203.00 $69,304.50 $55,443.60 2024-10-01
22 APR_DRG Heart And/or Lung Transplant 12 10 — — $45,376.00 $68,064.00 $54,451.20 2024-10-01
1142 OTHER Supprelin La Implant 20 17 — — $45,350.21 $54,420.25 $47,050.85 2024-10-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $45,148.93 $45,148.93 $45,148.93 2024-10-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 12 10 — — $44,835.00 $67,252.50 $53,802.00 2024-10-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 2 — — $44,812.00 $83,213.00 $70,079.50 2024-10-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $44,710.16 $44,710.16 $44,710.16 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $44,039.60 $44,039.60 $44,039.60 2024-10-01
01142 OTHER Supprelin La Implant 1 1 — — $43,989.70 $43,989.70 $43,989.70 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 12 10 — — $43,677.00 $65,515.50 $52,412.40 2024-10-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 10 — — $43,560.00 $65,340.00 $52,272.00 2024-10-01
1580 OTHER New Technology - Level 43 20 17 — — $43,477.68 $52,173.22 $45,108.09 2024-10-01
1594 OTHER New Technology - Level 43 20 17 — — $43,477.68 $52,173.22 $45,108.09 2024-10-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $43,339.76 $43,339.76 $43,339.76 2024-10-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 5 3 — — $43,241.44 $72,861.11 $43,241.44 2024-10-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $42,827.53 $42,827.53 $42,827.53 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
834 OTHER Acute Leukemia With Mcc 1 1 — — $42,052.24 $42,052.24 $42,052.24 2024-10-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $42,035.00 $63,052.50 $50,442.00 2024-10-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 12 10 — — $41,957.00 $62,935.50 $50,348.40 2024-10-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 12 10 — — $41,876.00 $62,814.00 $50,251.20 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 12 10 — — $41,730.00 $62,595.00 $50,076.00 2024-10-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 29 19 — — $41,713.98 $136,409.34 $46,446.24 2024-10-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $41,091.81 $41,091.81 $41,091.81 2024-10-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 12 10 — — $39,878.00 $59,817.00 $47,853.60 2024-10-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 1 1 — — $39,376.13 $39,376.13 $39,376.13 2024-10-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $38,906.00 $58,359.00 $46,687.20 2024-10-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $38,803.31 $38,803.31 $38,803.31 2024-10-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $37,952.93 $37,952.93 $37,952.93 2024-10-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $37,949.46 $37,949.46 $37,949.46 2024-10-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 12 10 — — $37,904.00 $56,856.00 $45,484.80 2024-10-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $37,864.09 $37,864.09 $37,864.09 2024-10-01
466 OTHER Revision Of Hip Or Knee Replacement With Mcc 1 1 — — $37,802.54 $37,802.54 $37,802.54 2024-10-01
0120 EAPG Car T-cell Immunotherapy 12 10 — — $37,722.00 $56,583.00 $45,266.40 2024-10-01
461 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $37,565.78 $37,565.78 $37,565.78 2024-10-01
84 APR_DRG Autologous Bone Marrow Transplant 12 10 — — $37,476.00 $56,214.00 $44,971.20 2024-10-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $37,379.15 $37,379.15 $37,379.15 2024-10-01
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $37,248.13 $37,248.13 $37,248.13 2024-10-01
73 APR_DRG Allogeneic Bone Marrow Transplant 12 10 — — $36,953.00 $55,429.50 $44,343.60 2024-10-01
006 OTHER Liver Transplant Without Mcc 1 1 — — $36,179.50 $36,179.50 $36,179.50 2024-10-01
0246 EAPG Class IV Therapeutic Radiopharmaceuticals 12 10 — — $35,540.00 $53,310.00 $42,648.00 2024-10-01
4404 APR_DRG Kidney Transplant 12 10 — — $35,422.00 $53,133.00 $42,506.40 2024-10-01
8634 APR_DRG Neonatal Aftercare 12 10 — — $35,009.00 $52,513.50 $42,010.80 2024-10-01
63 APR_DRG Pancreas Transplant 12 10 — — $34,364.00 $51,546.00 $41,236.80 2024-10-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 12 10 — — $34,228.00 $51,342.00 $41,073.60 2024-10-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 12 10 — — $34,068.00 $51,102.00 $40,881.60 2024-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 12 10 — — $32,422.00 $48,633.00 $38,906.40 2024-10-01
1674 APR_DRG Other Cardiothoracic And Thoracic Circulatory Procedures 12 10 — — $31,789.00 $47,683.50 $38,146.80 2024-10-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 12 10 — — $31,574.00 $47,361.00 $37,888.80 2024-10-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 3 1 — — $31,488.00 $38,638.00 $38,638.00 2024-10-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 3 1 — — $31,488.00 $38,638.00 $38,638.00 2024-10-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 12 10 — — $31,456.00 $47,184.00 $37,747.20 2024-10-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $31,113.00 $46,669.50 $37,335.60 2024-10-01
3060 EAPG Ventricular Assist Device Procedures 12 10 — — $31,032.00 $46,548.00 $37,238.40 2024-10-01
249 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc 3 1 — — $30,898.00 $37,916.00 $37,916.00 2024-10-01
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 3 1 — — $30,898.00 $37,916.00 $37,916.00 2024-10-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 12 10 — — $30,783.00 $46,174.50 $36,939.60 2024-10-01
1784 APR_DRG External Heart Assist Devices 12 10 — — $30,258.00 $45,387.00 $36,309.60 2024-10-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 12 10 — — $30,178.00 $45,267.00 $36,213.60 2024-10-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 12 10 — — $30,089.00 $45,133.50 $36,106.80 2024-10-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 12 10 — — $30,025.00 $45,037.50 $36,030.00 2024-10-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 12 10 — — $29,751.00 $44,626.50 $35,701.20 2024-10-01
72 APR_DRG Allogeneic Bone Marrow Transplant 12 10 — — $29,633.00 $44,449.50 $35,559.60 2024-10-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 12 10 — — $29,487.00 $44,230.50 $35,384.40 2024-10-01
133 MS_DRG Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc 3 1 — — $20,167.00 $48,710.00 $48,710.00 2024-10-01
717 OTHER Instill Adstiladrin, Tx D 21 17 — — $12,654.78 $76,025.72 $64,938.64 2024-10-01
0207 RC — 10 9 — — $11,700.00 $55,381.00 $55,381.00 2024-10-01
0414T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation System Pul… 2 2 — — $11,354.00 $63,259.00 $37,306.50 2024-10-01
0409T CPT Insertion Or Replacement Of Permanent Cardiac Contractility Modulation System, I… 2 2 — — $11,354.00 $63,259.00 $37,306.50 2024-10-01
215 MS_DRG Other Heart Assist System Implant 44 24 — — $10,799.00 $455,370.50 $85,371.43 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 24 — — $10,799.00 $179,666.17 $77,671.02 2024-10-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 44 24 — — $10,799.00 $364,212.15 $68,464.62 2024-10-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 24 — — $10,799.00 $364,005.83 $65,167.97 2024-10-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 42 24 — — $10,799.00 $173,955.00 $63,078.94 2024-10-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 44 24 — — $10,799.00 $346,464.47 $62,660.69 2024-10-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 24 — — $10,799.00 $173,965.00 $62,452.18 2024-10-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 44 24 — — $10,799.00 $303,739.37 $55,301.71 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 24 — — $10,799.00 $179,666.17 $52,393.29 2024-10-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 42 24 — — $10,799.00 $173,955.00 $51,736.41 2024-10-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 44 24 — — $10,799.00 $102,260.55 $50,619.80 2024-10-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 44 24 — — $10,799.00 $262,553.06 $49,610.29 2024-10-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 44 24 — — $10,799.00 $220,852.51 $48,670.40 2024-10-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 24 — — $10,799.00 $179,666.17 $48,341.17 2024-10-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 42 24 — — $10,799.00 $173,955.00 $47,712.16 2024-10-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 44 24 — — $10,799.00 $263,773.78 $47,463.51 2024-10-01
28 MS_DRG Spinal Procedures With Mcc 44 24 — — $10,799.00 $261,297.96 $47,026.19 2024-10-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 24 — — $10,799.00 $245,205.12 $46,392.82 2024-10-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 24 — — $10,799.00 $246,679.44 $45,925.54 2024-10-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 44 24 — — $10,799.00 $237,579.94 $44,978.62 2024-10-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 42 24 — — $10,799.00 $173,955.00 $43,227.00 2024-10-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 24 — — $10,799.00 $173,965.00 $43,039.28 2024-10-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 42 24 — — $10,799.00 $173,955.00 $40,546.56 2024-10-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 42 24 — — $10,799.00 $173,955.00 $40,221.05 2024-10-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 24 — — $10,799.00 $93,863.00 $39,599.01 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 42 24 — — $10,799.00 $215,039.65 $39,225.43 2024-10-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 44 24 — — $10,799.00 $173,955.00 $38,418.53 2024-10-01
245 MS_DRG Aicd Generator Procedures 44 24 — — $10,799.00 $210,036.43 $38,152.45 2024-10-01
471 MS_DRG Cervical Spinal Fusion With Mcc 44 24 — — $10,799.00 $88,229.00 $38,107.17 2024-10-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 42 24 — — $10,799.00 $173,965.00 $37,439.80 2024-10-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 44 24 — — $10,799.00 $93,604.43 $36,482.95 2024-10-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 24 — — $10,799.00 $185,587.70 $35,255.67 2024-10-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 24 — — $9,905.00 $450,530.61 $80,451.23 2024-10-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 44 24 — — $9,905.00 $358,478.22 $64,191.59 2024-10-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 24 — — $9,905.00 $305,123.42 $55,288.88 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 44 24 — — $9,905.00 $164,661.86 $52,018.66 2024-10-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 44 24 — — $9,905.00 $266,236.70 $48,354.72 2024-10-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 44 24 — — $9,905.00 $236,630.01 $43,278.54 2024-10-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 44 24 — — $9,905.00 $235,121.31 $43,008.25 2024-10-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 44 24 — — $9,905.00 $199,965.51 $36,537.46 2024-10-01
0100T CPT Placement Of A Subconjunctival Retinal Prosthesis Receiver And Pulse Generator, … 2 2 — — $8,840.00 $63,259.00 $36,049.50 2024-10-01
748 OTHER Inj, Lovotibeglogene Auto 21 17 — — $8,710.34 $3,943,200.00 $3,368,150.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 21 17 — — $7,736.51 $3,561,600.00 $3,042,200.00 2024-10-01
0208 RC — 21 16 — — $6,000.00 $52,531.00 $52,531.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 21 17 — — $5,280.60 $3,990,546.00 $3,408,591.37 2024-10-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 45 24 — — $2,837.00 $1,210,676.37 $206,539.55 2024-10-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 45 23 — — $2,837.00 $1,019,677.11 $175,811.28 2024-10-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 23 — — $2,837.00 $921,134.29 $163,576.14 2024-10-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 23 — — $2,837.00 $607,311.11 $108,144.12 2024-10-01
7 MS_DRG Lung Transplant 44 24 — — $2,837.00 $561,697.55 $100,087.17 2024-10-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 45 24 — — $2,837.00 $473,659.77 $84,536.64 2024-10-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 46 24 — — $2,837.00 $468,218.12 $83,575.45 2024-10-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 24 — — $2,837.00 $457,708.77 $81,719.15 2024-10-01
850 MS_DRG Acute Leukemia With Other Procedures 46 24 — — $2,837.00 $395,929.31 $70,806.75 2024-10-01
10 MS_DRG Pancreas Transplant 44 24 — — $2,837.00 $342,686.27 $61,402.18 2024-10-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 44 24 — — $2,837.00 $340,713.35 $61,053.70 2024-10-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 46 24 — — $2,837.00 $320,812.22 $55,894.52 2024-10-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 46 24 — — $2,837.00 $293,483.63 $52,711.30 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 45 23 — — $2,837.00 $287,061.97 $50,103.38 2024-10-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 46 24 — — $2,837.00 $271,820.19 $48,884.79 2024-10-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 46 24 — — $2,837.00 $265,892.84 $47,837.81 2024-10-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 46 24 — — $2,837.00 $264,680.72 $45,582.69 2024-10-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 46 24 — — $2,837.00 $250,242.73 $43,785.65 2024-10-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 44 24 — — $2,837.00 $233,861.91 $42,180.03 2024-10-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 46 24 — — $2,837.00 $233,328.92 $42,085.89 2024-10-01
653 MS_DRG Major Bladder Procedures With Mcc 46 24 — — $2,837.00 $239,595.84 $41,958.77 2024-10-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 46 24 — — $2,837.00 $231,919.07 $40,641.53 2024-10-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 46 24 — — $2,837.00 $232,138.29 $40,280.33 2024-10-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 46 24 — — $2,837.00 $126,481.78 $39,969.92 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 46 24 — — $2,837.00 $231,888.99 $39,441.18 2024-10-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 24 — — $2,837.00 $218,297.76 $38,116.50 2024-10-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 46 24 — — $2,837.00 $216,483.88 $37,806.79 2024-10-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 46 24 — — $2,837.00 $214,979.47 $37,734.90 2024-10-01
6 MS_DRG Liver Transplant Without Mcc 44 24 — — $2,837.00 $281,645.90 $37,686.17 2024-10-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 24 — — $2,837.00 $204,354.08 $36,967.94 2024-10-01
799 MS_DRG Splenic Procedures With Mcc 46 24 — — $2,837.00 $204,362.67 $35,999.95 2024-10-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 46 24 — — $2,837.00 $205,252.42 $35,889.06 2024-10-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 24 — — $2,837.00 $198,022.68 $35,849.59 2024-10-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 46 24 — — $2,837.00 $197,365.04 $35,308.04 2024-10-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 43 23 — — $2,701.00 $1,620,897.53 $276,238.43 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 44 24 — — $2,701.00 $563,115.98 $100,337.71 2024-10-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 46 24 — — $2,701.00 $278,001.15 $48,310.67 2024-10-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 44 24 — — $2,701.00 $277,099.66 $46,695.17 2024-10-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 44 24 — — $2,701.00 $277,099.66 $46,695.17 2024-10-01
834 MS_DRG Acute Leukemia With Mcc 46 24 — — $2,701.00 $237,562.74 $40,998.00 2024-10-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 46 24 — — $2,701.00 $215,207.28 $37,588.82 2024-10-01
See an error in this hospital's data? Submit a correction