Price Transparencybeta 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

HCA FLORIDA LAWNWOOD HOSPITAL

Fort Pierce, FL · CCN 100246 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $7,986 across 30 payers · range $5,829-$20,179

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-1764486_HCA-FLORIDA-LAWNWOOD-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

33,551 distinct procedures filed
59 distinct payers
1,689,043 rate rows
2026-07-31 last MRF observed
Data quality

1,619,665 of 1,689,043 rate rows are consumer-grade (95.9%)

69,378 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
per-diem day rate — not a per-procedure price 26,505
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 16,946
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,208
template filing: same amount across many unrelated codes — excluded 10,678
percent-of-charges filed in the dollar field — excluded from medians 599
placeholder amount (≤ $0.02) — excluded from medians 208
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 114
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 75
exceeds 10× this hospital's gross charge — excluded from medians 45
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/59-1764486_HCA-FLORIDA-LAWNWOOD-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 not_modified · 2026-08-11
Content fingerprint 5a04137e2e52a91e… · 361,680,645 bytes · first seen 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 $4,850,948.67 $4,897,200.00 $4,874,074.33 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 18 $4,897.37 $4,955,500.00 $4,595,100.00 nat. median
$16,015
outlier · 286.9×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $4,078,382.75 nat. median
$2,460,273
1.7× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,405,851
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 19 $3,672,900.00 $4,422,320.40 $3,758,972.34 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 19 $3,605,000.00 $4,326,000.00 $3,677,100.00 nat. median
$3,646,097
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,568,711.00 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
908
OTHER 		Topi Adm Prad Zami Per Tr 21 $9,967.16 $4,836,939.00 $3,402,536.40 nat. median
$29,683
outlier · 114.6×
714
OTHER 		Inj Delandistrogene Mox R 21 $5,427.40 $4,825,397.00 $3,394,417.20 nat. median
$3,325,455
1.0× median
748
OTHER 		Inj, Lovotibeglogene Auto 21 $8,952.49 $4,716,136.60 $3,317,558.16 nat. median
$3,252,508
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 21 $6,531.35 $4,611,000.00 $3,243,600.00 nat. median
$24,604
outlier · 131.8×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,170
outlier · 228.4×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,226,857.78 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,171,176.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 21 $7,951.59 $4,262,955.05 $2,998,768.38 nat. median
$2,939,969
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,865,364.96 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 20 $2,388,614.00 $3,754,022.45 $2,588,981.00 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,511,312
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 21 $14,079.93 $3,381,400.00 $2,378,640.00 nat. median
$58,186
outlier · 40.9×
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,285,360
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$809,151
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 20 $770,620.00 $1,117,399.00 $786,032.40 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 20 $527,123.40 $852,091.92 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 20 $529,192.90 $821,470.39 $566,531.30 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 20 $516,726.10 $815,191.74 $562,201.20 nat. median
$562,201
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $934,776.65 $561,407.87 nat. median
$691,418
0.8× median
9422
OTHER 		Idecabtagene Vicleucel Ca 20 $526,587.60 $809,218.61 $558,081.80 nat. median
$560,872
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$570,020
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $969,621.79 $536,573.93 nat. median
$631,793
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 20 $489,456.00 $771,678.69 $532,192.20 nat. median
$533,230
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$549,535
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$541,339
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$545,335
1.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $927,632.05 $500,948.74 nat. median
$624,417
0.8× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$516,226
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $490,971.32 nat. median
$610,161
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 20 $460,530.40 $709,702.79 $489,450.20 nat. median
$492,768
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $878,117.20 $487,755.77 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $807,592.83 $474,717.03 nat. median
$577,541
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$474,767
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$302,242
1.5× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 $5,348.00 $1,159,814.91 $305,270.88 nat. median
$370,165
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 21 $3,012.39 $403,462.50 $283,815.00 nat. median
$20,175
outlier · 14.1×
897
OTHER 		Revakinagene, Per Implant 20 $265,000.00 $384,250.00 $270,300.00 nat. median
$19,528
outlier · 13.8×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$272,685
1.0× median
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$259,700
1.0× median

Other procedures at this hospital

Browse this hospital's 33,551 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,850,948.67 $4,897,200.00 $4,874,074.33 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 23 18 — — $4,897.37 $4,955,500.00 $4,595,100.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 2 1 — — $3,884,946.48 $4,271,819.03 $4,078,382.75 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 46 19 — — $3,672,900.00 $4,422,320.40 $3,758,972.34 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 23 19 — — $3,605,000.00 $4,326,000.00 $3,677,100.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,562,713.00 $3,574,708.99 $3,568,711.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
908 OTHER Topi Adm Prad Zami Per Tr 26 21 — — $9,967.16 $4,836,939.00 $3,402,536.40 2026-03-01
714 OTHER Inj Delandistrogene Mox R 49 21 — — $5,427.40 $4,825,397.00 $3,394,417.20 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 49 21 — — $8,952.49 $4,716,136.60 $3,317,558.16 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 26 21 — — $6,531.35 $4,611,000.00 $3,243,600.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 1 — — $3,225,691.35 $3,228,024.20 $3,226,857.78 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,154,932.76 $3,187,420.00 $3,171,176.38 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 49 21 — — $7,951.59 $4,262,955.05 $2,998,768.38 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 1 — — $2,851,769.93 $2,878,960.00 $2,865,364.96 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 47 20 — — $2,388,614.00 $3,754,022.45 $2,588,981.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,316,955.58 $2,511,311.57 $2,414,133.58 2026-03-01
824 OTHER Inj, Exagamglogene Autote 26 21 — — $14,079.93 $3,381,400.00 $2,378,640.00 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 24 20 — — $770,620.00 $1,117,399.00 $786,032.40 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 47 20 — — $527,123.40 $852,091.92 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 47 20 — — $529,192.90 $821,470.39 $566,531.30 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 47 20 — — $516,726.10 $815,191.74 $562,201.20 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 10 3 — — $502,693.77 $934,776.65 $561,407.87 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 47 20 — — $526,587.60 $809,218.61 $558,081.80 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 10 3 — — $492,271.12 $969,621.79 $536,573.93 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 47 20 — — $489,456.00 $771,678.69 $532,192.20 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $513,317.11 $549,535.36 $531,426.23 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $510,789.97 $541,339.35 $526,064.66 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $501,224.32 $545,335.16 $523,279.74 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 10 3 — — $459,839.17 $927,632.05 $500,948.74 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 3 — — $470,149.30 $920,834.85 $490,971.32 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 47 20 — — $460,530.40 $709,702.79 $489,450.20 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 10 3 — — $445,599.57 $878,117.20 $487,755.77 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 10 3 — — $435,956.80 $807,592.83 $474,717.03 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 104 28 — — $5,348.00 $1,159,814.91 $305,270.88 2026-03-01
831 OTHER Obecbtge Autol Up To 400 26 21 — — $3,012.39 $403,462.50 $283,815.00 2026-03-01
897 OTHER Revakinagene, Per Implant 24 20 — — $265,000.00 $384,250.00 $270,300.00 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 32 14 — — $192,207.00 $312,391.65 $230,648.40 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 113 29 — — $7,000.00 $866,285.80 $228,363.86 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 26 21 — — $5,680.43 $292,420.05 $205,702.38 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $183,966.51 $223,567.25 $203,766.88 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $151,799.47 $254,338.07 $203,068.77 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 106 26 — — $8,403.00 $729,618.44 $183,045.51 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 112 27 — — $7,000.00 $823,000.09 $172,439.09 2026-03-01
1907 OTHER New Technology - Level 52 48 21 — — $147,339.90 $226,021.50 $155,876.90 2026-03-01
1908 OTHER New Technology - Level 52 48 21 — — $147,339.90 $226,021.50 $155,876.90 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 14 — — $125,393.00 $191,333.91 $149,844.64 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
5833 APR_DRG Neonate With Ecmo 32 14 — — $118,611.62 $186,775.50 $142,333.94 2026-03-01
1905 OTHER New Technology - Level 51 48 21 — — $132,847.50 $203,789.96 $140,544.80 2026-03-01
1906 OTHER New Technology - Level 51 48 21 — — $132,847.50 $203,789.96 $140,544.80 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $123,220.75 $157,574.66 $140,397.71 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 32 14 — — $111,047.00 $178,746.99 $133,256.40 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $138,148.31 $129,132.51 2026-03-01
1903 OTHER New Technology - Level 50 48 21 — — $118,355.10 $181,558.41 $125,212.70 2026-03-01
1904 OTHER New Technology - Level 50 48 21 — — $118,355.10 $181,558.41 $125,212.70 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 14 — — $97,644.00 $178,865.04 $119,243.36 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 112 27 — — $7,000.00 $493,954.46 $113,615.85 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 50 22 — — $96,999.90 $161,679.35 $111,503.00 2026-03-01
1902 OTHER New Technology - Level 49 48 21 — — $103,862.70 $159,326.87 $109,880.60 2026-03-01
1901 OTHER New Technology - Level 49 48 21 — — $103,862.70 $159,326.87 $109,880.60 2026-03-01
5832 APR_DRG Neonate With Ecmo 32 14 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 32 14 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
7 MS_DRG Lung Transplant 112 30 — — $7,000.00 $401,916.33 $106,695.25 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $86,639.50 $123,053.33 $104,846.42 2026-03-01
595856 CDM Ins Icd Gen Dual Ld 25 20 $231,028.00 $231,028.00 $14,554.76 $334,990.60 $103,962.60 2024-10-01
595857 CDM Ins Icd Gen Multi Ld 25 20 $231,028.00 $231,028.00 $14,554.76 $334,990.60 $103,962.60 2024-10-01
791710 CDM Ep Eval Sq Defib 25 20 $231,028.00 $231,028.00 $14,554.76 $334,990.60 $103,962.60 2024-10-01
14 MS_DRG Allogeneic Bone Marrow Transplant 106 29 — — $5,348.00 $463,299.44 $102,924.94 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $93,760.51 $108,036.36 $100,898.43 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 32 14 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 14 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 32 14 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
1599 OTHER New Technology - Level 48 48 21 — — $91,785.68 $140,800.52 $97,103.81 2026-03-01
1585 OTHER New Technology - Level 48 48 21 — — $91,785.68 $140,800.52 $97,103.81 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 59 29 — — $7,000.00 $464,806.52 $96,022.45 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 14 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 50 22 — — $88,300.94 $137,867.45 $95,081.00 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 32 14 — — $79,102.08 $135,325.50 $94,922.50 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $78,398.15 $110,281.24 $94,339.70 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 14 — — $77,520.20 $137,205.00 $93,024.24 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 116 30 — — $7,000.00 $442,298.80 $92,320.80 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 113 29 — — $7,000.00 $530,091.66 $91,418.37 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 14 — — $75,232.00 $130,764.62 $90,278.40 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 110 29 — — $11,098.00 $430,172.30 $89,093.77 2026-03-01
215 MS_DRG Other Heart Assist System Implant 118 30 — — $7,000.00 $478,321.01 $88,308.18 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 14 — — $73,540.00 $110,794.50 $87,704.79 2026-03-01
1584 OTHER New Technology - Level 47 48 21 — — $82,124.09 $125,979.49 $86,882.41 2026-03-01
1598 OTHER New Technology - Level 47 48 21 — — $82,124.09 $125,979.49 $86,882.41 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 112 30 — — $7,000.00 $470,900.57 $86,144.17 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 14 — — $71,560.00 $109,192.05 $85,514.20 2026-03-01
595858 CDM Rem/replace Icd Sgl Ld 25 20 $187,320.00 $187,320.00 $11,801.16 $271,614.00 $84,294.00 2024-10-01
124216 CDM Ins Single Chamber Icd 25 20 $187,320.00 $187,320.00 $11,801.16 $271,614.00 $84,294.00 2024-10-01
595859 CDM Rem/replace Icd Dual Ld 25 20 $187,320.00 $187,320.00 $11,801.16 $271,614.00 $84,294.00 2024-10-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 118 30 — — $7,000.00 $300,394.58 $84,256.99 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 32 14 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
5831 APR_DRG Neonate With Ecmo 32 14 — — $69,493.00 $122,622.00 $83,391.60 2026-03-01
594923 CDM Revas Fempp Stnt/ath/ang 25 20 $184,173.00 $184,173.00 $11,602.90 $267,050.85 $82,877.85 2024-10-01
594884 CDM Revas Tib Stnt/ath/ang 1 25 20 $184,173.00 $184,173.00 $11,602.90 $267,050.85 $82,877.85 2024-10-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 14 — — $56,946.00 $133,113.71 $82,571.70 2026-03-01
007 OTHER Lung Transplant 2 1 — — $69,459.43 $94,574.93 $82,017.18 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $80,502.99 $80,728.55 $80,615.77 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 4 1 — — $72,221.00 $87,033.00 $79,627.00 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 14 — — $66,782.00 $100,494.24 $79,598.01 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 32 14 — — $66,329.56 $100,863.00 $79,263.82 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 32 14 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $77,046.96 $76,916.17 2026-03-01
1597 OTHER New Technology - Level 46 48 21 — — $72,462.48 $111,158.46 $76,661.01 2026-03-01
1583 OTHER New Technology - Level 46 48 21 — — $72,462.48 $111,158.46 $76,661.01 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $69,333.44 $83,821.30 $76,577.37 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 32 14 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 118 30 — — $7,000.00 $302,607.98 $74,445.26 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 110 29 — — $8,403.00 $378,286.67 $73,886.68 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 32 14 — — $61,338.00 $93,593.57 $73,298.91 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 110 29 — — $11,098.00 $342,506.74 $73,036.13 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 2 — — $53,789.99 $91,596.09 $72,536.68 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 110 29 — — $8,706.00 $260,460.26 $71,051.45 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 14 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 14 — — $48,895.00 $105,823.65 $69,501.05 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 50 22 — — $63,895.55 $99,762.46 $68,801.70 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $56,992.07 $79,878.24 $68,435.15 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 32 14 — — $40,520.04 $102,481.50 $68,321.00 2026-03-01
595883 CDM Rem/replace Icd Gen Mult 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
595860 CDM Rem/replace Icd Gen Mult 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
595879 CDM Ins Icd Gen Only Dual Ld 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
791316 CDM Ins/repl Sq Icd With Elec 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
595880 CDM Ins Icd Gen Only Mult Ld 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
124194 CDM Ins Icd Lead/generator 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
121709 CDM Ins Icd Lead/generator 55 21 $251,915.00 $251,915.00 $14,554.76 $334,990.60 $68,017.05 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 4 1 — — $61,112.00 $74,071.00 $67,591.50 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 110 29 — — $11,098.00 $296,509.83 $67,304.97 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 118 30 — — $7,000.00 $254,389.46 $67,084.90 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 114 29 — — $7,000.00 $260,302.82 $67,007.88 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $66,644.28 $66,644.28 $66,644.28 2026-03-01
1596 OTHER New Technology - Level 45 48 21 — — $62,800.88 $96,337.43 $66,439.61 2026-03-01
1582 OTHER New Technology - Level 45 48 21 — — $62,800.88 $96,337.43 $66,439.61 2026-03-01
5244 OTHER Level 4 Blood Product Exc 47 20 — — $50,304.25 $95,245.15 $65,686.31 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 32 14 — — $54,849.00 $83,100.26 $65,544.55 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 48 21 — — $56,824.55 $82,395.60 $65,476.58 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 49 21 — — $13,006.58 $93,198.45 $65,255.41 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $64,000.00 $64,000.00 $64,000.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $64,000.00 $64,000.00 $64,000.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $64,000.00 $64,000.00 $64,000.00 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 110 29 — — $8,403.00 $229,553.56 $63,856.84 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 2 1 — — $63,479.00 $64,000.00 $63,739.50 2026-03-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 2 1 — — $63,479.00 $64,000.00 $63,739.50 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 2 1 — — $63,479.00 $64,000.00 $63,739.50 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 2 1 — — $63,479.00 $64,000.00 $63,739.50 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 110 29 — — $11,098.00 $288,925.13 $63,556.97 2026-03-01
10 MS_DRG Pancreas Transplant 106 29 — — $8,403.00 $245,205.29 $62,950.54 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 106 29 — — $8,403.00 $243,793.59 $62,598.18 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $59,138.75 $65,876.59 $62,507.67 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
01582 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $61,454.13 $62,346.55 $61,900.34 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 108 29 — — $11,098.00 $264,121.33 $61,701.38 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 10 3 — — $61,338.53 $106,053.40 $61,600.24 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 14 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 32 14 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 32 14 — — $51,234.90 $77,532.00 $61,225.71 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 116 30 — — $7,000.00 $190,000.00 $60,793.77 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $51,191.25 $69,474.47 $60,332.86 2026-03-01
799467 CDM Tavr/tavi Perc Cartd Apr 30 16 $227,693.00 $227,693.00 $15,710.82 $193,539.05 $59,541.72 2026-03-01
792429 CDM Tavr/tavi Open Axl Aprch 30 16 $227,693.00 $227,693.00 $15,710.82 $193,539.05 $59,541.72 2026-03-01
792428 CDM Tavr/tavi Opn Fem Aprch 30 16 $227,693.00 $227,693.00 $15,710.82 $193,539.05 $59,541.72 2026-03-01
792431 CDM Tavr/tavi Trnsaort Aprch 30 16 $227,693.00 $227,693.00 $15,710.82 $193,539.05 $59,541.72 2026-03-01
792430 CDM Tavr/tavi Open Ili Aprch 30 16 $227,693.00 $227,693.00 $15,710.82 $193,539.05 $59,541.72 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 32 14 — — $47,538.00 $89,188.07 $59,458.71 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 32 14 — — $46,525.00 $89,188.07 $59,458.71 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 32 14 — — $48,983.00 $89,188.07 $59,458.71 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $56,984.64 $61,928.49 $59,413.65 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 32 14 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
B0505 HCPCS Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 4 2 — — $56,399.39 $60,908.85 $58,616.32 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $42,234.17 $74,859.60 $58,546.89 2026-03-01
596564 CDM Ptca Stent W Ath Sgl 25 20 $129,927.00 $129,927.00 $8,185.40 $188,394.15 $58,467.15 2024-10-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 118 30 — — $7,000.00 $300,394.58 $57,804.21 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 118 30 — — $7,000.00 $300,394.58 $57,646.59 2026-03-01
0674T CPT Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchroniz… 1 1 — — $57,000.00 $57,000.00 $57,000.00 2026-03-01
0960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 1 1 — — $57,000.00 $57,000.00 $57,000.00 2026-03-01
0956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 1 1 — — $57,000.00 $57,000.00 $57,000.00 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $56,861.98 $56,861.98 $56,861.98 2024-10-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 106 26 — — $8,403.00 $205,403.95 $56,769.85 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 110 29 — — $8,403.00 $287,340.02 $56,700.84 2026-03-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 2 1 — — $55,634.00 $57,000.00 $56,317.00 2026-03-01
1595 OTHER New Technology - Level 44 48 21 — — $53,139.28 $81,516.40 $56,218.21 2026-03-01
1581 OTHER New Technology - Level 44 48 21 — — $53,139.28 $81,516.40 $56,218.21 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 47 20 — — $54,404.11 $78,885.96 $56,036.23 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 110 29 — — $8,403.00 $254,044.52 $55,962.99 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 2026-03-01
0266T CPT Implantation Or Replacement Of Carotid Sinus Baroreflex Activation Device; Total… 1 1 — — $55,634.00 $55,634.00 $55,634.00 2024-10-01
595852 CDM Ins Pm Gen Multi Leads 25 20 $123,631.00 $123,631.00 $7,788.75 $179,264.95 $55,633.95 2024-10-01
595855 CDM Rem/replace Pm Multi Ld 25 20 $123,631.00 $123,631.00 $7,788.75 $179,264.95 $55,633.95 2024-10-01
595875 CDM Ins Pm Gen Multi Leads 25 20 $123,631.00 $123,631.00 $7,788.75 $179,264.95 $55,633.95 2024-10-01
595878 CDM Rem/replace Pm Multi Ld 25 20 $123,631.00 $123,631.00 $7,788.75 $179,264.95 $55,633.95 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 108 29 — — $8,706.00 $249,443.17 $55,467.74 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 108 29 — — $9,535.00 $97,836.53 $55,415.25 2026-03-01
595882 CDM Rem/replace Icd Gen Dual 55 21 $204,255.00 $204,255.00 $11,801.16 $271,614.00 $55,148.85 2026-03-01
595881 CDM Rem/replace Icd Gen Sgl 55 21 $204,255.00 $204,255.00 $11,801.16 $271,614.00 $55,148.85 2026-03-01
121707 CDM Ins Icd Gen Only Sgl Ld 55 21 $204,255.00 $204,255.00 $11,801.16 $271,614.00 $55,148.85 2026-03-01
935054 CDM Kit Cath Rt Heart 94 25 $216,890.00 $216,890.00 $13,664.07 $314,490.50 $54,879.07 2026-03-01
925872 CDM Pump Heart 21fr 85mm 94 25 $216,890.00 $216,890.00 $13,664.07 $314,490.50 $54,879.07 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 2 — — $53,875.05 $55,703.07 $54,783.19 2026-03-01
792427 CDM Tavr/tavi Perc Fem Aprch 30 16 $209,483.00 $209,483.00 $14,454.33 $178,060.55 $54,779.81 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $44,915.76 $64,167.22 $54,541.49 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 32 14 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 116 30 — — $7,000.00 $369,256.48 $54,371.51 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 118 30 — — $7,000.00 $302,607.98 $54,320.15 2026-03-01
594797 CDM Revsc Fem/pop W Stnt/ath 55 21 $200,824.00 $200,824.00 $11,602.90 $267,050.85 $54,222.48 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $54,205.99 $54,205.99 $54,205.99 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $45,953.10 $62,356.01 $54,154.56 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 32 14 — — $44,835.00 $81,160.27 $54,106.85 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 110 29 — — $5,348.00 $198,920.58 $53,895.35 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 108 29 — — $11,098.00 $190,502.66 $53,563.42 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 32 14 — — $44,285.71 $69,304.50 $53,142.85 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 110 29 — — $11,098.00 $186,968.80 $53,088.39 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $52,771.99 $53,364.77 $53,068.38 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 112 29 — — $11,098.00 $209,349.37 $52,947.12 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 32 14 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
64 APR_DRG Pancreas Transplant 32 14 — — $43,326.23 $72,558.00 $51,991.48 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 110 29 — — $8,403.00 $194,497.87 $51,856.02 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $50,906.58 $52,729.26 $51,817.92 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 110 29 — — $8,706.00 $226,552.00 $51,687.74 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 110 29 — — $11,098.00 $183,063.66 $51,413.48 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $51,254.52 $51,254.52 $51,254.52 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 4 2 — — $49,335.21 $53,122.22 $51,197.57 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 116 30 — — $7,000.00 $189,389.30 $51,066.24 2026-03-01
791427 CDM Intracran Intravas Stent 25 20 $113,479.00 $113,479.00 $7,149.18 $164,544.55 $51,065.55 2024-10-01
116137 CDM Transcath Plc V/c Stent 25 20 $113,479.00 $113,479.00 $7,149.18 $164,544.55 $51,065.55 2024-10-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 32 14 — — $42,730.78 $65,515.50 $51,063.29 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 108 29 — — $11,098.00 $226,552.00 $50,676.65 2026-03-01
C0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $49,384.35 $51,942.77 $50,647.42 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 70 23 — — $10,959.00 $78,437.00 $50,524.85 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 116 30 — — $7,000.00 $188,740.35 $50,361.74 2026-03-01
B1903 HCPCS Guillian Barre; M < 18.05 4 2 — — $46,958.67 $53,802.63 $50,311.50 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 32 14 — — $41,957.00 $64,905.25 $50,270.90 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 32 14 — — $41,876.00 $69,298.37 $50,251.20 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $44,018.13 $56,482.40 $50,250.26 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 32 14 — — $42,035.00 $64,236.87 $50,231.82 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 106 29 — — $5,348.00 $463,299.44 $50,160.86 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 32 14 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
0207 RC — 35 9 — — $7,500.00 $50,045.00 $50,045.00 2026-03-01
594921 CDM Revas Fempop W/ath&ang 25 20 $110,503.00 $110,503.00 $6,961.69 $160,229.35 $49,726.35 2024-10-01
594833 CDM Revas Tibp Stnt&ang Ini 25 20 $110,503.00 $110,503.00 $6,961.69 $160,229.35 $49,726.35 2024-10-01
596565 CDM Ptca Stent W Ath Addl 25 20 $110,470.00 $110,470.00 $6,959.61 $160,181.50 $49,711.50 2024-10-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 50 22 — — $46,068.21 $71,927.83 $49,605.40 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 108 29 — — $11,098.00 $226,552.00 $49,596.50 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 110 29 — — $11,098.00 $296,509.83 $49,468.63 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 59 29 — — $7,000.00 $234,353.85 $49,309.51 2026-03-01
D0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 4 2 — — $48,085.26 $50,422.93 $49,240.24 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $45,198.31 $52,883.90 $49,041.10 2026-03-01
8514 APR_DRG Gender Related Procedures 32 14 — — $40,865.02 $70,353.00 $49,038.02 2026-03-01
791419 CDM Comm/carot Stent W/dpd 25 20 $108,973.00 $108,973.00 $6,865.30 $158,010.85 $49,037.85 2024-10-01
595102 CDM Carotid Stent Initial 25 20 $108,973.00 $108,973.00 $6,865.30 $158,010.85 $49,037.85 2024-10-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $45,263.90 $52,774.58 $49,019.24 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 118 30 — — $7,000.00 $193,818.59 $48,899.06 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 110 29 — — $8,403.00 $179,058.36 $48,760.32 2026-03-01
B0105 HCPCS Stroke; M > 34.25 & M < 38.85 4 2 — — $47,779.52 $49,024.20 $48,401.25 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $24,364.91 $72,303.31 $48,334.11 2026-03-01
C0106 HCPCS Stroke; M > 30.05 & M < 34.25 4 2 — — $47,130.69 $49,037.85 $48,075.38 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $44,544.60 $51,561.07 $48,052.83 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 106 29 — — $5,348.00 $463,299.44 $48,041.95 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 116 30 — — $7,000.00 $147,000.00 $47,966.66 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 114 29 — — $7,000.00 $260,302.82 $47,682.56 2026-03-01
587775 CDM Carotid W Distal Protect 25 20 $105,221.00 $105,221.00 $6,628.92 $152,570.45 $47,349.45 2024-10-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 110 29 — — $11,098.00 $183,166.33 $47,194.45 2026-03-01
B0604 HCPCS Neurological; M < 25.85 4 2 — — $46,566.00 $47,760.87 $47,163.06 2026-03-01
B0405 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 4 2 — — $45,316.96 $49,053.44 $47,153.46 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $38,418.31 $55,742.04 $47,080.18 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 32 14 — — $32,422.00 $87,882.00 $47,011.90 2026-03-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 5 2 — — $6,300.00 $115,429.00 $46,865.00 2026-03-01
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