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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 NORTHSIDE HOSPITAL

Saint Petersburg, FL · CCN 100238 · Rates published

32,676 distinct procedures filed
52 distinct payers
1,044,560 rate rows
2026-03-01 last MRF observed
Data quality

1,017,413 of 1,044,560 rate rows are consumer-grade (97.4%)

27,147 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 13,542
per-diem day rate — not a per-procedure price 10,921
template filing: same amount across many unrelated codes — excluded 2,377
placeholder amount (≤ $0.02) — excluded from medians 258
exceeds 10× this hospital's gross charge — excluded from medians 49
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-0947837_HCA-FLORIDA-NORTHSIDE-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/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint cd3eef4fa6d7e342… · 403,096,462 bytes · first seen 2026-05-11

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
845
OTHER 		Inj, Atidarsagene Autotem 22 $6,271.84 $4,955,500.00 $4,595,100.00 nat. median
$9,966
outlier · 461.1×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 nat. median
$4,505,000
1.0× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 22 $3,685,267.00 $4,422,320.40 $3,869,530.35 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 2 $3,574,708.99 $3,685,267.00 $3,629,988.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 25 $11,356.06 $4,836,939.00 $3,502,611.00 nat. median
$22,747
outlier · 154.0×
714
OTHER 		Inj Delandistrogene Mox R 25 $7,376.53 $4,825,397.00 $3,494,253.00 nat. median
$13,041
outlier · 267.9×
748
OTHER 		Inj, Lovotibeglogene Auto 25 $14,041.16 $4,716,136.60 $3,415,133.40 nat. median
$17,963
outlier · 190.1×
906
OTHER 		Inj Elivaldogene Autoteme 25 $10,034.42 $4,611,000.00 $3,339,000.00 nat. median
$20,756
outlier · 160.9×
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$12,675
outlier · 259.2×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,228,024.20 $3,327,860.00 $3,277,942.10 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,252,508.00 $3,203,720.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$21
outlier · 151392.0×
746
OTHER 		Inj, Betibeglogene Autote 25 $12,988.22 $4,262,955.05 $3,086,967.45 nat. median
$21,896
outlier · 141.0×
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,939,969.00 $2,895,869.46 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 23 $2,588,981.00 $3,754,022.45 $2,718,430.05 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,511,311.57 $2,588,981.00 $2,550,146.29 nat. median
$2,457,321
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 25 $15,208.87 $3,381,400.00 $2,448,600.00 nat. median
$25,250
outlier · 97.0×
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,656,833.00 $1,656,833.00 $1,656,833.00 nat. median
$824,563
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 23 $770,620.00 $1,117,399.00 $809,151.00 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 23 $587,649.60 $852,091.92 $617,032.08 nat. median
$587,650
1.1× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $598,237.50 $598,237.50 $598,237.50 nat. median
$324,450
1.8× median
9194
OTHER 		Tisagenlecleucel Car-pos 23 $566,531.30 $821,470.39 $594,857.87 nat. median
$566,531
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 23 $562,201.20 $815,191.74 $590,311.26 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Ca 23 $558,081.80 $809,218.61 $585,985.89 nat. median
$558,082
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 2 $570,020.11 $587,649.60 $578,834.85 nat. median
$554,552
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 4 $561,407.87 $1,218,042.30 $570,089.44 nat. median
$754,974
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 23 $532,192.20 $771,678.69 $558,801.81 nat. median
$532,192
1.1× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $549,535.36 $566,531.30 $558,033.33 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $545,335.16 $562,201.20 $553,768.18 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $541,339.35 $558,081.80 $549,710.57 nat. median
$530,178
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 $536,573.93 $1,263,446.58 $544,871.46 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $511,793.34 $1,199,875.72 $527,622.00 nat. median
$625,184
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $516,226.43 $532,192.20 $524,209.31 nat. median
$505,583
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 23 $489,450.20 $709,702.79 $513,922.71 nat. median
$489,450
1.1× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 $500,948.74 $1,208,732.67 $508,695.37 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 $487,755.77 $1,144,213.32 $495,298.39 nat. median
$634,511
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 2 $474,766.69 $489,450.20 $482,108.45 nat. median
$464,978
1.0× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 $474,717.03 $1,052,317.93 $482,058.02 nat. median
$620,080
0.8× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $433,588.39 $433,588.39 $433,588.39 nat. median
$209,753
outlier · 2.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 36 $7,015.00 $684,447.38 $346,002.87 nat. median
$370,174
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 25 $4,294.68 $403,462.50 $292,162.50 nat. median
$12,362
outlier · 23.6×
897
OTHER 		Revakinagene, Per Implant 23 $265,000.00 $384,250.00 $278,250.00 nat. median
$9,577
outlier · 29.1×
00831
OTHER 		Obecbtge Autol Up To 400 2 $269,902.50 $278,250.00 $274,076.25 nat. median
$278,250
1.0× median
00897
OTHER 		Revakinagene, Per Implant 2 $257,050.00 $265,000.00 $261,025.00 nat. median
$265,000
1.0× median
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 $253,223.83 $261,055.50 $257,139.66 nat. median
$424,868
0.6× median
5834
APR_DRG 		Neonate With Ecmo 12 $218,674.16 $312,391.65 $249,913.32 nat. median
$309,665
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 2 $222,587.74 $229,471.90 $226,029.82 nat. median
$263,894
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 34 $10,132.00 $462,398.96 $224,992.04 nat. median
$265,286
0.8× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 25 $9,397.48 $292,420.05 $211,752.45 nat. median
$17,985
outlier · 11.8×

Other procedures at this hospital

Browse this hospital's 32,676 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
             
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $598,237.50 $598,237.50 $598,237.50 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,656,833.00 $1,656,833.00 $1,656,833.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 4 — — $536,573.93 $1,263,446.58 $544,871.46 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 3 — — $511,793.34 $1,199,875.72 $527,622.00 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 4 — — $500,948.74 $1,208,732.67 $508,695.37 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 4 — — $474,717.03 $1,052,317.93 $482,058.02 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 3 3 — — $55,306.59 $116,968.84 $57,017.10 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 4 — — $561,407.87 $1,218,042.30 $570,089.44 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 4 — — $487,755.77 $1,144,213.32 $495,298.39 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 28 25 — — $108,157.91 $161,679.35 $117,078.15 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 28 25 — — $66,737.65 $99,762.46 $72,241.79 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 28 25 — — $48,117.24 $71,927.83 $52,085.67 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 28 25 — — $92,228.57 $137,867.45 $99,835.05 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 1 1 — — $52,091.10 $52,091.10 $52,091.10 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 4 — — $43,855.64 $92,848.48 $44,533.82 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 4 — — $61,338.53 $138,190.80 $62,287.07 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $180,011.44 $180,011.44 $180,011.44 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $433,588.39 $433,588.39 $433,588.39 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $100,394.53 $100,394.53 $100,394.53 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $122,172.78 $122,172.78 $122,172.78 2026-03-01
990103 CDM Valve Tavr 29mm 13 7 $87,180.00 $87,180.00 $4,794.90 $80,205.60 $43,590.00 2026-03-01
987847 CDM Valve Aor/pulm 20mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
987710 CDM Kit Aor Vlv 26mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
976663 CDM Valve Tavr 26mm 13 7 $87,180.00 $87,180.00 $4,794.90 $80,205.60 $43,590.00 2026-03-01
976232 CDM Kit Aor Vlv 14fr 29mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
976231 CDM Kit Aor Vlv 14fr 26mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
976230 CDM Kit Aor Vlv 14fr 23mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 61 38 — — $10,132.00 $161,473.90 $50,643.91 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 2 — — $45,080.58 $46,474.82 $45,777.70 2026-03-01
965615 CDM Valve Xt Sapien 29mm Ta 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
965600 CDM Valve Xt Sapien 26mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
965599 CDM Valve Xt Sapien 23mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 38 — — $10,132.00 $177,682.91 $62,725.42 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 2 — — $56,234.94 $57,974.17 $57,104.56 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 2 — — $51,335.17 $52,922.86 $52,129.01 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 60 38 — — $10,132.00 $250,646.70 $55,560.03 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 2 — — $44,718.99 $46,102.05 $45,410.52 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 26 23 — — $587,649.60 $852,091.92 $617,032.08 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 26 23 — — $558,081.80 $809,218.61 $585,985.89 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 26 23 — — $562,201.20 $815,191.74 $590,311.26 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 12 — — $91,535.23 $130,764.62 $104,611.69 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 26 23 — — $489,450.20 $709,702.79 $513,922.71 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 15 12 — — $61,517.40 $87,882.00 $70,305.60 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 57 35 — — $10,132.00 $152,160.44 $59,120.16 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 26 23 — — $54,404.11 $78,885.96 $57,124.32 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 57 35 — — $10,132.00 $505,624.16 $173,419.69 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 26 23 — — $566,531.30 $821,470.39 $594,857.87 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 26 23 — — $2,588,981.00 $3,754,022.45 $2,718,430.05 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 25 22 — — $3,685,267.00 $4,422,320.40 $3,869,530.35 2026-03-01
913746 CDM Valve Aor With Intro 25mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
913745 CDM Valve Aor With Intro 23mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
913744 CDM Valve Aor With Intro 27mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
912729 CDM Valve Aor Tavr 26mm 13 7 $87,180.00 $87,180.00 $4,794.90 $80,205.60 $43,590.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 28 25 — — $11,356.06 $4,836,939.00 $3,502,611.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 28 25 — — $10,034.42 $4,611,000.00 $3,339,000.00 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 26 23 — — $532,192.20 $771,678.69 $558,801.81 2026-03-01
897 OTHER Revakinagene, Per Implant 26 23 — — $265,000.00 $384,250.00 $278,250.00 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 28 25 — — $9,397.48 $292,420.05 $211,752.45 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 60 38 — — $11,098.00 $79,140.11 $55,898.84 2026-03-01
8514 APR_DRG Gender Related Procedures 15 12 — — $42,908.27 $61,297.53 $49,038.02 2026-03-01
8513 APR_DRG Gender Related Procedures 15 12 — — $42,908.27 $61,297.53 $49,038.02 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 61 38 — — $10,132.00 $329,979.47 $71,106.54 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 2 2 — — $58,164.33 $59,963.23 $59,063.78 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 25 22 — — $6,271.84 $4,955,500.00 $4,595,100.00 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 15 12 — — $46,500.00 $66,428.57 $53,142.85 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 15 12 — — $83,057.18 $118,653.12 $94,922.50 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 2 — — $45,911.25 $47,331.19 $46,621.22 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 61 38 — — $7,015.00 $87,014.91 $45,107.05 2026-03-01
831 OTHER Obecbtge Autol Up To 400 28 25 — — $4,294.68 $403,462.50 $292,162.50 2026-03-01
824 OTHER Inj, Exagamglogene Autote 28 25 — — $15,208.87 $3,381,400.00 $2,448,600.00 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 61 38 — — $10,132.00 $121,239.76 $48,576.04 2026-03-01
804212 CDM Kit Vlv Aor 18fr 23mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
802002 CDM Kit Hrt Implant Lvas 13 7 $301,058.69 $301,058.69 $16,558.23 $276,973.99 $150,529.35 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 54 34 — — $10,132.00 $209,194.64 $46,478.35 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 32 — — $11,098.00 $61,203.00 $49,210.51 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 28 25 — — $14,041.16 $4,716,136.60 $3,415,133.40 2026-03-01
746 OTHER Inj, Betibeglogene Autote 28 25 — — $12,988.22 $4,262,955.05 $3,086,967.45 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 15 12 — — $73,667.54 $105,239.34 $84,191.47 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 15 12 — — $46,853.16 $66,933.09 $53,546.47 2026-03-01
720324 CDM Tavr Carotid Approach 29 17 $247,650.71 $247,650.71 $11,639.58 $227,838.65 $44,577.13 2026-03-01
719337 CDM Organ Acq Heart 47 21 $386,807.91 $386,807.91 $18,179.97 $355,863.28 $63,436.50 2026-03-01
718282 CDM Aorto Bi Iliac- Rupture 29 17 $247,650.81 $247,650.81 $11,639.59 $227,838.75 $44,577.15 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 28 25 — — $13,923.06 $93,198.45 $67,488.53 2026-03-01
716854 CDM Liver Acquis/cadaver 47 21 $330,623.51 $330,623.51 $15,539.30 $304,173.63 $54,222.26 2026-03-01
714 OTHER Inj Delandistrogene Mox R 28 25 — — $7,376.53 $4,825,397.00 $3,494,253.00 2026-03-01
705408 CDM Rem/replace Icd Multi Ld 29 17 $244,134.58 $244,134.58 $11,474.33 $224,603.81 $43,944.22 2026-03-01
705406 CDM Rem/replace Icd Dual Ld 29 17 $244,134.58 $244,134.58 $11,474.33 $224,603.81 $43,944.22 2026-03-01
705405 CDM Rem/replace Icd Sgl Ld 29 17 $244,134.58 $244,134.58 $11,474.33 $224,603.81 $43,944.22 2026-03-01
705404 CDM Ins Icd Gen Multi Ld 29 17 $244,134.58 $244,134.58 $11,474.33 $224,603.81 $43,944.22 2026-03-01
705403 CDM Ins Icd Gen Dual Ld 29 17 $244,134.58 $244,134.58 $11,474.33 $224,603.81 $43,944.22 2026-03-01
7 MS_DRG Lung Transplant 54 34 — — $10,132.00 $340,912.04 $105,697.60 2026-03-01
680174 CDM Ins/repos Lead Dual+gen 29 17 $281,152.70 $281,152.70 $13,214.18 $258,660.48 $50,607.49 2026-03-01
680173 CDM Ins/repos Sngle Icd+lead 29 17 $281,152.70 $281,152.70 $13,214.18 $258,660.48 $50,607.49 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 2 — — $109,798.08 $113,193.90 $111,495.99 2026-03-01
64 APR_DRG Pancreas Transplant 15 12 — — $45,492.54 $64,989.35 $51,991.48 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 15 12 — — $89,752.38 $128,217.69 $102,574.15 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 12 — — $81,396.21 $116,280.30 $93,024.24 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 15 12 — — $44,867.32 $64,096.17 $51,276.94 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 15 12 — — $93,315.05 $133,307.22 $106,645.78 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $44,965.81 $64,236.87 $51,389.50 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 15 12 — — $42,546.04 $60,780.06 $48,624.05 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $58,170.18 $83,100.26 $66,480.20 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 15 12 — — $40,388.51 $57,697.88 $46,158.30 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $77,217.00 $110,310.00 $88,248.00 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $56,486.57 $80,695.10 $64,556.08 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 15 12 — — $45,433.68 $64,905.25 $51,924.20 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $87,827.28 $125,467.54 $100,374.04 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $66,236.94 $94,624.20 $75,699.36 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 15 12 — — $56,812.19 $81,160.27 $64,928.22 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $62,431.65 $89,188.07 $71,350.45 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $62,431.65 $89,188.07 $71,350.45 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 15 12 — — $62,431.65 $89,188.07 $71,350.45 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $133,933.74 $191,333.91 $153,067.13 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $89,199.60 $127,428.00 $101,942.40 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $76,434.43 $109,192.05 $87,353.64 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 15 12 — — $65,515.50 $93,593.57 $74,874.85 2026-03-01
5834 APR_DRG Neonate With Ecmo 15 12 — — $218,674.16 $312,391.65 $249,913.32 2026-03-01
5833 APR_DRG Neonate With Ecmo 15 12 — — $124,542.20 $177,917.43 $142,333.94 2026-03-01
5832 APR_DRG Neonate With Ecmo 15 12 — — $95,625.39 $136,607.70 $109,286.16 2026-03-01
5831 APR_DRG Neonate With Ecmo 15 12 — — $85,835.40 $122,622.00 $98,097.60 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 61 38 — — $10,132.00 $103,839.69 $53,580.82 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $48,248.68 $49,740.91 $48,994.79 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 15 12 — — $49,005.41 $70,007.73 $56,006.18 2026-03-01
532803 CDM Valve Tavr 26mm 13 7 $91,539.00 $91,539.00 $5,034.65 $84,215.88 $45,769.50 2026-03-01
531856 CDM System Trcsd 1clip 1cath 13 7 $92,992.00 $92,992.00 $5,114.56 $85,552.64 $46,496.00 2026-03-01
529563 CDM Valve Tavr 29mm 13 7 $98,804.00 $98,804.00 $5,434.22 $90,899.68 $49,402.00 2026-03-01
527597 CDM Valve Tavr 26mm 13 7 $98,804.00 $98,804.00 $5,434.22 $90,899.68 $49,402.00 2026-03-01
525520 CDM Valve Tavr 23mm 13 7 $98,804.00 $98,804.00 $5,434.22 $90,899.68 $49,402.00 2026-03-01
5244 OTHER Level 4 Blood Product Exc 26 23 — — $65,686.31 $95,245.15 $68,970.63 2026-03-01
521212 CDM Valve Tavr Sz 29mm 13 7 $87,180.00 $87,180.00 $4,794.90 $80,205.60 $43,590.00 2026-03-01
521211 CDM Valve Tavr Sz 26mm 13 7 $87,180.00 $87,180.00 $4,794.90 $80,205.60 $43,590.00 2026-03-01
521210 CDM Valve Tavr Sz 23mm 13 7 $87,180.00 $87,180.00 $4,794.90 $80,205.60 $43,590.00 2026-03-01
515914 CDM Valve Tavr 29mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
515913 CDM Valve Tavr 23mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
502420 CDM Valve Heart Trnscth 26mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
502419 CDM Valve Heart Trnscth 23mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
502418 CDM Valve Heart Trnscth 20mm 13 7 $94,445.00 $94,445.00 $5,194.48 $86,889.40 $47,222.50 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 55 34 — — $10,132.00 $410,766.57 $84,416.68 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 2 — — $71,986.54 $74,212.93 $73,099.73 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 61 38 — — $10,132.00 $90,337.07 $46,780.25 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 61 38 — — $11,098.00 $132,505.46 $47,168.16 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $62,710.00 $62,710.00 $62,710.00 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $75,435.00 $75,435.00 $75,435.00 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 61 38 — — $11,098.00 $181,752.17 $51,304.55 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 61 38 — — $11,098.00 $181,752.17 $71,072.54 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 — — $44,717.66 $46,100.68 $45,409.17 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 60 38 — — $11,098.00 $122,875.00 $45,563.13 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 60 38 — — $11,098.00 $154,528.00 $56,783.36 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 2 2 — — $53,968.51 $55,637.64 $54,803.07 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 12 — — $70,345.97 $100,494.24 $80,395.39 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 60 38 — — $11,098.00 $144,612.00 $49,193.95 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 15 12 — — $48,508.86 $69,298.37 $55,438.69 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 61 38 — — $11,098.00 $298,768.63 $76,103.38 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 2 2 — — $66,352.31 $68,404.44 $67,378.38 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 38 — — $11,098.00 $144,612.00 $47,989.77 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 60 38 — — $11,098.00 $163,701.00 $61,239.91 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 61 38 — — $11,098.00 $375,239.30 $92,797.59 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 2 — — $74,531.64 $76,836.74 $75,684.19 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 61 38 — — $10,132.00 $159,772.41 $45,397.25 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 36 — — $10,132.00 $430,876.48 $112,962.96 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 2 2 — — $51,029.97 $52,608.22 $51,819.10 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 61 38 — — $10,132.00 $221,603.03 $56,824.03 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 59 37 — — $10,132.00 $717,902.99 $172,409.48 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 61 38 — — $11,098.00 $109,440.32 $49,732.93 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 61 38 — — $11,098.00 $159,775.99 $47,526.68 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 60 38 — — $11,098.00 $134,288.00 $52,156.43 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 2 — — $61,882.46 $63,796.35 $62,839.40 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 61 38 — — $11,098.00 $252,029.39 $62,236.74 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 61 38 — — $11,098.00 $118,631.99 $45,120.81 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 61 38 — — $11,098.00 $118,631.99 $56,743.52 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 62 38 — — $11,098.00 $322,102.43 $53,683.57 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 15 12 — — $125,122.89 $178,746.99 $142,997.59 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 61 38 — — $11,098.00 $182,615.46 $51,465.90 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 61 38 — — $11,098.00 $169,067.96 $48,001.10 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 61 38 — — $11,098.00 $221,903.93 $66,631.12 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 2 — — $55,497.82 $57,214.25 $56,356.04 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 61 38 — — $11,098.00 $263,964.95 $53,121.90 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 2 — — $44,648.65 $46,029.54 $45,339.10 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 61 38 — — $11,098.00 $263,964.95 $73,329.39 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 2 — — $62,082.83 $64,002.92 $63,042.88 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 15 12 — — $68,156.75 $97,366.79 $77,893.43 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 61 38 — — $11,098.00 $159,686.44 $50,285.36 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 59 37 — — $11,098.00 $171,235.13 $43,602.45 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 37 — — $11,098.00 $227,062.15 $44,394.60 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 37 — — $11,098.00 $227,062.15 $46,892.26 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 15 12 — — $51,610.82 $73,729.74 $58,983.79 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 60 37 — — $11,098.00 $227,062.15 $66,913.66 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 2 — — $45,468.05 $46,874.28 $46,171.17 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 38 — — $11,098.00 $262,034.20 $57,498.35 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $48,424.50 $49,922.17 $49,173.33 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 38 — — $11,098.00 $262,034.20 $57,498.35 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $52,498.25 $54,121.91 $53,310.08 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 62 38 — — $11,098.00 $262,034.20 $84,635.71 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 2 — — $69,170.09 $71,309.37 $70,239.73 2026-03-01
215 MS_DRG Other Heart Assist System Implant 62 38 — — $11,098.00 $417,239.43 $86,364.85 2026-03-01
215 OTHER Other Heart Assist System Implant 2 2 — — $45,000.30 $46,392.06 $45,696.18 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 61 38 — — $10,132.00 $204,426.86 $47,303.08 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 61 38 — — $11,098.00 $385,817.24 $92,448.98 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 15 12 — — $45,615.55 $65,165.07 $52,132.06 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 61 38 — — $11,098.00 $258,645.53 $46,559.35 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 61 38 — — $10,132.00 $405,450.73 $92,545.45 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 61 38 — — $7,015.00 $113,756.75 $52,649.22 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 2 — — $43,505.49 $44,851.02 $44,178.25 2026-03-01
2067 OTHER Afamitresgene Autoleucel 26 23 — — $770,620.00 $1,117,399.00 $809,151.00 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 61 38 — — $11,098.00 $258,645.53 $67,270.54 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 55 34 — — $10,132.00 $462,398.96 $92,650.25 2026-03-01
1908 OTHER New Technology - Level 52 26 23 — — $155,876.90 $226,021.50 $163,670.74 2026-03-01
1907 OTHER New Technology - Level 52 26 23 — — $155,876.90 $226,021.50 $163,670.74 2026-03-01
1906 OTHER New Technology - Level 51 26 23 — — $140,544.80 $203,789.96 $147,572.04 2026-03-01
1905 OTHER New Technology - Level 51 26 23 — — $140,544.80 $203,789.96 $147,572.04 2026-03-01
1904 OTHER New Technology - Level 50 26 23 — — $125,212.70 $181,558.41 $131,473.33 2026-03-01
1903 OTHER New Technology - Level 50 26 23 — — $125,212.70 $181,558.41 $131,473.33 2026-03-01
1902 OTHER New Technology - Level 49 26 23 — — $109,880.60 $159,326.87 $115,374.63 2026-03-01
1901 OTHER New Technology - Level 49 26 23 — — $109,880.60 $159,326.87 $115,374.63 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 57 36 — — $10,132.00 $209,194.64 $58,813.00 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 57 36 — — $7,015.00 $684,447.38 $346,002.87 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 54 34 — — $7,015.00 $404,136.10 $45,089.29 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 26 23 — — $56,824.55 $82,395.60 $59,665.78 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 15 12 — — $93,372.41 $133,389.15 $106,711.32 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 15 12 — — $73,112.88 $104,446.96 $83,557.57 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 15 12 — — $53,796.65 $76,852.35 $61,481.88 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 15 12 — — $53,796.65 $76,852.35 $61,481.88 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 15 12 — — $53,600.81 $76,572.58 $61,258.07 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 54 34 — — $7,015.00 $404,136.10 $49,099.26 2026-03-01
1599 OTHER New Technology - Level 48 26 23 — — $97,103.81 $140,800.52 $101,959.00 2026-03-01
1598 OTHER New Technology - Level 47 26 23 — — $86,882.41 $125,979.49 $91,226.53 2026-03-01
1597 OTHER New Technology - Level 46 26 23 — — $76,661.01 $111,158.46 $80,494.06 2026-03-01
1596 OTHER New Technology - Level 45 26 23 — — $66,439.61 $96,337.43 $69,761.59 2026-03-01
1595 OTHER New Technology - Level 44 26 23 — — $56,218.21 $81,516.40 $59,029.12 2026-03-01
1594 OTHER New Technology - Level 43 26 23 — — $45,996.81 $66,695.37 $48,296.65 2026-03-01
1585 OTHER New Technology - Level 48 26 23 — — $97,103.81 $140,800.52 $101,959.00 2026-03-01
1584 OTHER New Technology - Level 47 26 23 — — $86,882.41 $125,979.49 $91,226.53 2026-03-01
1583 OTHER New Technology - Level 46 26 23 — — $76,661.01 $111,158.46 $80,494.06 2026-03-01
1582 OTHER New Technology - Level 45 26 23 — — $66,439.61 $96,337.43 $69,761.59 2026-03-01
1581 OTHER New Technology - Level 44 26 23 — — $56,218.21 $81,516.40 $59,029.12 2026-03-01
1580 OTHER New Technology - Level 43 26 23 — — $45,996.81 $66,695.37 $48,296.65 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 54 34 — — $7,015.00 $404,136.10 $98,181.50 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 15 12 — — $69,646.04 $99,494.34 $79,595.47 2026-03-01
1142 OTHER Supprelin La Implant 26 23 — — $43,185.34 $62,618.74 $45,344.61 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $125,205.53 $178,865.04 $143,092.03 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $93,179.59 $133,113.71 $106,490.96 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 15 12 — — $74,076.56 $105,823.65 $84,658.92 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 61 38 — — $10,132.00 $116,991.39 $45,265.04 2026-03-01
10 MS_DRG Pancreas Transplant 54 34 — — $10,132.00 $207,091.95 $59,144.34 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 55 34 — — $10,132.00 $462,398.96 $224,992.04 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $570,020.11 $587,649.60 $578,834.85 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $541,339.35 $558,081.80 $549,710.57 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $545,335.16 $562,201.20 $553,768.18 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $474,766.69 $489,450.20 $482,108.45 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 2 — — $52,771.99 $54,404.11 $53,588.05 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $549,535.36 $566,531.30 $558,033.33 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,511,311.57 $2,588,981.00 $2,550,146.29 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,574,708.99 $3,685,267.00 $3,629,988.00 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $516,226.43 $532,192.20 $524,209.31 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 2 — — $62,571.25 $64,506.44 $63,538.85 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 2 2 — — $45,373.17 $46,776.46 $46,074.82 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 2 — — $65,587.98 $67,616.47 $66,602.23 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $148,484.69 $153,077.00 $150,780.85 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $148,484.69 $153,077.00 $150,780.85 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $133,879.59 $138,020.20 $135,949.90 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $133,879.59 $138,020.20 $135,949.90 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $119,274.69 $122,963.60 $121,119.15 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $119,274.69 $122,963.60 $121,119.15 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $104,669.69 $107,906.90 $106,288.29 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $104,669.69 $107,906.90 $106,288.29 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 2 — — $52,543.37 $54,168.42 $53,355.90 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $253,223.83 $261,055.50 $257,139.66 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 2 — — $55,119.81 $56,824.55 $55,972.18 2026-03-01
01599 OTHER New Technology - Level 48 2 2 — — $92,498.81 $95,359.60 $93,929.21 2026-03-01
01598 OTHER New Technology - Level 47 2 2 — — $82,762.15 $85,321.80 $84,041.98 2026-03-01
01597 OTHER New Technology - Level 46 2 2 — — $73,025.48 $75,284.00 $74,154.74 2026-03-01
01596 OTHER New Technology - Level 45 2 2 — — $63,288.81 $65,246.20 $64,267.50 2026-03-01
01595 OTHER New Technology - Level 44 2 2 — — $53,552.15 $55,208.40 $54,380.28 2026-03-01
01594 OTHER New Technology - Level 43 2 2 — — $43,815.48 $45,170.60 $44,493.04 2026-03-01
01585 OTHER New Technology - Level 48 2 2 — — $92,498.81 $95,359.60 $93,929.21 2026-03-01
01584 OTHER New Technology - Level 47 2 2 — — $82,762.15 $85,321.80 $84,041.98 2026-03-01
01583 OTHER New Technology - Level 46 2 2 — — $73,025.48 $75,284.00 $74,154.74 2026-03-01
01582 OTHER New Technology - Level 45 2 2 — — $63,288.81 $65,246.20 $64,267.50 2026-03-01
01581 OTHER New Technology - Level 44 2 2 — — $53,552.15 $55,208.40 $54,380.28 2026-03-01
01580 OTHER New Technology - Level 43 2 2 — — $43,815.48 $45,170.60 $44,493.04 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 2 — — $80,374.88 $82,860.70 $81,617.79 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 2 2 — — $50,461.38 $52,022.04 $51,241.71 2026-03-01
010 OTHER Pancreas Transplant 2 2 — — $52,845.91 $54,480.32 $53,663.12 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,154,932.76 $3,252,508.00 $3,203,720.38 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,851,769.93 $2,939,969.00 $2,895,869.46 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 2 — — $62,346.55 $64,274.79 $63,310.67 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,228,024.20 $3,327,860.00 $3,277,942.10 2026-03-01
007 OTHER Lung Transplant 2 2 — — $94,160.60 $97,072.78 $95,616.69 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 2 — — $79,528.28 $81,987.92 $80,758.10 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $122,514.30 $126,303.40 $124,408.85 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $156,884.31 $161,736.40 $159,310.35 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 2 — — $83,454.07 $86,035.12 $84,744.60 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $222,587.74 $229,471.90 $226,029.82 2026-03-01
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