Hospital

HCA FLORIDA LARGO HOSPITAL

Largo, FL · CCN 100248 · Rates published

61,864 distinct procedures filed

69 distinct payers

3,634,945 rate rows

2026-07-31 last MRF observed

Data quality

3,016,723 of 3,634,945 rate rows are consumer-grade (83.0%)

618,222 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	552,938
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	31,618
per-diem day rate — not a per-procedure price	31,139
template filing: same amount across many unrelated codes — excluded	1,464
placeholder amount (≤ $0.02) — excluded from medians	605
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	238
exceeds 10× this hospital's gross charge — excluded from medians	152
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	68

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1026428_HCA-FLORIDA-LARGO-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 via	CMS hospital list
Last fetch	not_modified · 2026-08-11
Content fingerprint	d9d46e59ef8aca42… · 496,317,333 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
845 OTHER	Inj, Atidarsagene Autotem	20	$5,935.64	$4,955,500.00	$4,730,250.00	nat. median $16,015 outlier · 295.4×
00845 OTHER	Inj, Atidarsagene Autotem	2	$4,369,850.00	$4,505,000.00	$4,437,425.00	nat. median $4,414,900 1.0× median
9138 OTHER	Inj, Hemgenix, Per Tx Dos	23	$3,672,900.00	$4,422,320.40	$3,869,530.35	nat. median $3,758,972 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	20	$3,605,000.00	$4,109,700.00	$3,785,250.00	nat. median $3,646,097 1.0× median
09138 OTHER	Inj, Hemgenix, Per Tx Dos	2	$3,562,713.00	$3,685,267.00	$3,574,708.99	nat. median $3,574,709 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	23	$12,080.26	$4,836,939.00	$3,502,611.00	nat. median $29,683 outlier · 118.0×
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	26	$6,578.05	$4,825,397.00	$3,494,253.00	nat. median $3,325,455 1.1× median
748 OTHER	Inj, Lovotibeglogene Auto	26	$10,850.47	$4,764,700.00	$3,447,658.48	nat. median $3,252,508 1.1× median
906 OTHER	Inj Elivaldogene Autoteme	23	$7,916.04	$4,611,000.00	$3,339,000.00	nat. median $24,604 outlier · 135.7×
00908 OTHER	Topi Adm Prad Zami Per Tr	2	$3,235,745.40	$3,335,820.00	$3,285,782.70	nat. median $14,170 outlier · 231.9×
00714 OTHER	Inj Delandistrogene Mox R	2	$3,225,691.35	$3,327,860.00	$3,228,024.20	nat. median $3,228,024 1.0× median
00748 OTHER	Inj, Lovotibeglogene Auto	2	$3,154,932.76	$3,252,508.00	$3,187,420.00	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 $3,084,600 1.0× median
746 OTHER	Inj, Betibeglogene Autote	26	$9,637.37	$4,303,600.00	$3,116,367.14	nat. median $2,939,969 1.1× median
00746 OTHER	Inj, Betibeglogene Autote	2	$2,851,769.93	$2,939,969.00	$2,878,960.00	nat. median $2,878,960 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Tre	24	$2,388,614.00	$3,754,022.45	$2,627,475.40	nat. median $2,588,981 1.0× median
09141 OTHER	Inj Onase Abepar-xioi Tre	2	$2,316,955.58	$2,588,981.00	$2,511,311.57	nat. median $2,511,312 1.0× median
824 OTHER	Inj, Exagamglogene Autote	23	$17,064.96	$3,381,400.00	$2,448,600.00	nat. median $58,186 outlier · 42.1×
00824 OTHER	Inj, Exagamglogene Autote	2	$2,262,040.00	$2,332,000.00	$2,297,020.00	nat. median $2,285,360 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 $809,151 outlier · 2.0×
2067 OTHER	Afamitresgene Autoleucel	21	$770,620.00	$1,117,399.00	$813,004.10	nat. median $786,032 1.0× 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 $302,242 2.0× median
9498 OTHER	Ciltacabtagene Car-pos T	24	$527,123.40	$852,091.92	$587,649.60	nat. median $587,650 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos	24	$529,192.90	$821,470.39	$577,861.93	nat. median $576,820 1.0× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	4	$502,693.77	$1,218,042.30	$570,089.44	nat. median $691,418 0.8× median
09498 OTHER	Ciltacabtagene Car-pos T	2	$511,309.70	$587,649.60	$570,020.11	nat. median $570,020 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	24	$526,587.60	$809,218.61	$569,243.44	nat. median $560,872 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	24	$516,726.10	$815,191.74	$568,398.71	nat. median $562,201 1.0× median
09194 OTHER	Tisagenlecleucel Car-pos	2	$513,317.11	$566,531.30	$549,535.36	nat. median $549,535 1.0× median
09413 OTHER	Lisocabtagene Car Pos T	2	$501,224.32	$562,201.20	$545,335.16	nat. median $545,335 1.0× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	4	$492,271.12	$1,263,446.58	$544,871.46	nat. median $631,793 0.9× median
09422 OTHER	Idecabtagene Vicleucel Ca	2	$510,789.97	$558,081.80	$541,339.35	nat. median $541,339 1.0× median
9035 OTHER	Axicabtagene Ciloleucel C	24	$489,456.00	$771,678.69	$538,401.60	nat. median $533,230 1.0× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	4	$470,149.30	$1,199,875.72	$527,622.00	nat. median $610,161 0.9× median
09035 OTHER	Axicabtagene Ciloleucel C	2	$474,772.32	$532,192.20	$516,226.43	nat. median $516,226 1.0× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	4	$459,839.17	$1,208,732.67	$508,695.37	nat. median $624,417 0.8× median
9391 OTHER	Brexucabtagene Car Pos T	24	$460,530.40	$709,702.79	$499,239.20	nat. median $492,768 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	4	$445,599.57	$1,144,213.32	$495,298.39	nat. median $588,565 0.8× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	4	$435,956.80	$1,052,317.93	$482,058.02	nat. median $577,541 0.8× median
09391 OTHER	Brexucabtagene Car Pos T	2	$446,714.49	$489,450.20	$474,766.69	nat. median $474,767 1.0× median
J3402 HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	$433,588.39	$433,588.39	$433,588.39	nat. median $209,736 outlier · 2.1×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	40	$6,771.00	$832,980.61	$348,090.89	nat. median $370,165 0.9× median
02HA3RZ OTHER	Insertion Of External Heart Assist System Into Heart, Percutaneous Approach	1	$312,000.00	$327,600.00	$319,800.00	nat. median $18,258 outlier · 17.5×
02RL0JZ OTHER	Replacement Of Left Ventricle With Synthetic Substitute, Open Approach	1	$312,000.00	$327,600.00	$319,800.00	nat. median $18,258 outlier · 17.5×
02PA0RZ OTHER	Removal Of External Heart Assist System From Heart, Open Approach	1	$312,000.00	$327,600.00	$319,800.00	nat. median $18,258 outlier · 17.5×
02RK0JZ OTHER	Replacement Of Right Ventricle With Synthetic Substitute, Open Approach	1	$312,000.00	$327,600.00	$319,800.00	nat. median $18,258 outlier · 17.5×
02PA4RZ OTHER	Removal Of External Heart Assist System From Heart, Percutaneous Endoscopic Appr…	1	$312,000.00	$327,600.00	$319,800.00	nat. median $18,258 outlier · 17.5×
02PA3RZ OTHER	Removal Of External Heart Assist System From Heart, Percutaneous Approach	1	$312,000.00	$327,600.00	$319,800.00	nat. median $18,258 outlier · 17.5×
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$183,981.84	$309,375.50	$300,094.23	nat. median $292,434 1.0× median

Other procedures at this hospital

Browse this hospital's 61,864 published procedures. Use the slice to choose what to show, then sort or filter any column.

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

845	OTHER	Inj, Atidarsagene Autotem	24	20	—	—	$5,935.64	$4,955,500.00	$4,730,250.00	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
9138	OTHER	Inj, Hemgenix, Per Tx Dos	46	23	—	—	$3,672,900.00	$4,422,320.40	$3,869,530.35	2026-03-01
773	OTHER	Inj, Beqvez, Per Tx Dose	23	20	—	—	$3,605,000.00	$4,109,700.00	$3,785,250.00	2024-10-01
09138	OTHER	Inj, Hemgenix, Per Tx Dos	3	2	—	—	$3,562,713.00	$3,685,267.00	$3,574,708.99	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	27	23	—	—	$12,080.26	$4,836,939.00	$3,502,611.00	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
714	OTHER	Inj Delandistrogene Mox R	51	26	—	—	$6,578.05	$4,825,397.00	$3,494,253.00	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	51	26	—	—	$10,850.47	$4,764,700.00	$3,447,658.48	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	27	23	—	—	$7,916.04	$4,611,000.00	$3,339,000.00	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
00714	OTHER	Inj Delandistrogene Mox R	3	2	—	—	$3,225,691.35	$3,327,860.00	$3,228,024.20	2026-03-01
00748	OTHER	Inj, Lovotibeglogene Auto	3	2	—	—	$3,154,932.76	$3,252,508.00	$3,187,420.00	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
746	OTHER	Inj, Betibeglogene Autote	51	26	—	—	$9,637.37	$4,303,600.00	$3,116,367.14	2026-03-01
00746	OTHER	Inj, Betibeglogene Autote	3	2	—	—	$2,851,769.93	$2,939,969.00	$2,878,960.00	2026-03-01
9141	OTHER	Inj Onase Abepar-xioi Tre	48	24	—	—	$2,388,614.00	$3,754,022.45	$2,627,475.40	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	3	2	—	—	$2,316,955.58	$2,588,981.00	$2,511,311.57	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	27	23	—	—	$17,064.96	$3,381,400.00	$2,448,600.00	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
Q2057	HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	2	1	—	—	$1,656,833.00	$1,656,833.00	$1,656,833.00	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	24	21	—	—	$770,620.00	$1,117,399.00	$813,004.10	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	2	1	—	—	$598,237.50	$598,237.50	$598,237.50	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	48	24	—	—	$527,123.40	$852,091.92	$587,649.60	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	48	24	—	—	$529,192.90	$821,470.39	$577,861.93	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	18	4	—	—	$502,693.77	$1,218,042.30	$570,089.44	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	3	2	—	—	$511,309.70	$587,649.60	$570,020.11	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	48	24	—	—	$526,587.60	$809,218.61	$569,243.44	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	48	24	—	—	$516,726.10	$815,191.74	$568,398.71	2026-03-01
09194	OTHER	Tisagenlecleucel Car-pos	3	2	—	—	$513,317.11	$566,531.30	$549,535.36	2026-03-01
09413	OTHER	Lisocabtagene Car Pos T	3	2	—	—	$501,224.32	$562,201.20	$545,335.16	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	18	4	—	—	$492,271.12	$1,263,446.58	$544,871.46	2026-03-01
09422	OTHER	Idecabtagene Vicleucel Ca	3	2	—	—	$510,789.97	$558,081.80	$541,339.35	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	48	24	—	—	$489,456.00	$771,678.69	$538,401.60	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	11	4	—	—	$470,149.30	$1,199,875.72	$527,622.00	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	3	2	—	—	$474,772.32	$532,192.20	$516,226.43	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	18	4	—	—	$459,839.17	$1,208,732.67	$508,695.37	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	48	24	—	—	$460,530.40	$709,702.79	$499,239.20	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	18	4	—	—	$445,599.57	$1,144,213.32	$495,298.39	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	18	4	—	—	$435,956.80	$1,052,317.93	$482,058.02	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	3	2	—	—	$446,714.49	$489,450.20	$474,766.69	2026-03-01
J3402	HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	2	1	—	—	$433,588.39	$433,588.39	$433,588.39	2026-03-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	118	40	—	—	$6,771.00	$832,980.61	$348,090.89	2026-03-01
02PA0RZ	OTHER	Removal Of External Heart Assist System From Heart, Open Approach	2	1	—	—	$312,000.00	$327,600.00	$319,800.00	2026-03-01
02HA3RZ	OTHER	Insertion Of External Heart Assist System Into Heart, Percutaneous Approach	2	1	—	—	$312,000.00	$327,600.00	$319,800.00	2026-03-01
02RL0JZ	OTHER	Replacement Of Left Ventricle With Synthetic Substitute, Open Approach	2	1	—	—	$312,000.00	$327,600.00	$319,800.00	2026-03-01
02PA4RZ	OTHER	Removal Of External Heart Assist System From Heart, Percutaneous Endoscopic Appr…	2	1	—	—	$312,000.00	$327,600.00	$319,800.00	2026-03-01
02PA3RZ	OTHER	Removal Of External Heart Assist System From Heart, Percutaneous Approach	2	1	—	—	$312,000.00	$327,600.00	$319,800.00	2026-03-01
02RK0JZ	OTHER	Replacement Of Right Ventricle With Synthetic Substitute, Open Approach	2	1	—	—	$312,000.00	$327,600.00	$319,800.00	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	2	—	—	$183,981.84	$309,375.50	$300,094.23	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	27	23	—	—	$3,651.04	$403,462.50	$292,162.50	2026-03-01
897	OTHER	Revakinagene, Per Implant	24	21	—	—	$265,000.00	$384,250.00	$279,575.00	2026-03-01
00831	OTHER	Obecbtge Autol Up To 400	2	2	—	—	$269,902.50	$278,250.00	$274,076.25	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	143	42	—	—	$9,780.00	$1,697,943.63	$264,336.50	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	2	—	—	$222,968.47	$271,946.00	$263,787.62	2026-03-01
00897	OTHER	Revakinagene, Per Implant	2	2	—	—	$257,050.00	$265,000.00	$261,025.00	2026-03-01
5834	APR_DRG	Neonate With Ecmo	47	14	—	—	$192,207.00	$312,391.65	$241,582.88	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	27	23	—	—	$6,884.72	$292,420.05	$211,752.45	2026-03-01
02WA0QZ	OTHER	Revision Of Implantable Heart Assist System In Heart, Open Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02HA0QZ	OTHER	Insertion Of Implantable Heart Assist System Into Heart, Open Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02HA0RZ	OTHER	Insertion Of External Heart Assist System Into Heart, Open Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02WA0RZ	OTHER	Revision Of External Heart Assist System In Heart, Open Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02WA4RZ	OTHER	Revision Of External Heart Assist System In Heart, Percutaneous Endoscopic Appro…	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02WA3QZ	OTHER	Revision Of Implantable Heart Assist System In Heart, Percutaneous Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02HA4QZ	OTHER	Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Endoscopic…	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02HA3QZ	OTHER	Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02WA3RZ	OTHER	Revision Of External Heart Assist System In Heart, Percutaneous Approach	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
02WA4QZ	OTHER	Revision Of Implantable Heart Assist System In Heart, Percutaneous Endoscopic Ap…	4	3	—	—	$105,000.00	$327,600.00	$210,997.50	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	116	37	—	—	$8,000.00	$524,012.93	$205,794.89	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	123	42	—	—	$8,000.00	$717,902.99	$203,115.61	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	2	2	—	—	$195,618.93	$201,669.00	$198,643.96	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	2	—	—	$149,344.30	$191,673.00	$185,922.81	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	4	1	—	—	$156,515.70	$180,011.44	$168,263.57	2026-03-01
802002	CDM	Kit Hrt Implant Lvas	17	11	$301,058.69	$301,058.69	$17,762.46	$301,058.69	$165,582.28	2026-03-01
1908	OTHER	New Technology - Level 52	48	24	—	—	$147,339.90	$226,021.50	$158,994.44	2026-03-01
1907	OTHER	New Technology - Level 52	48	24	—	—	$147,339.90	$226,021.50	$158,994.44	2026-03-01
521932	CDM	Kit Imp Hrtmt 3 Lvas	17	11	$278,758.05	$278,758.05	$16,446.72	$278,758.05	$153,316.93	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	47	14	—	—	$125,393.00	$191,333.91	$150,471.60	2026-03-01
01908	OTHER	New Technology - Level 52	3	2	—	—	$142,919.70	$153,077.00	$148,484.69	2026-03-01
01907	OTHER	New Technology - Level 52	3	2	—	—	$142,919.70	$153,077.00	$148,484.69	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	2	—	—	$105,007.64	$149,681.50	$145,191.05	2026-03-01
1905	OTHER	New Technology - Level 51	48	24	—	—	$132,847.50	$203,789.96	$143,355.70	2026-03-01
1906	OTHER	New Technology - Level 51	48	24	—	—	$132,847.50	$203,789.96	$143,355.70	2026-03-01
5833	APR_DRG	Neonate With Ecmo	47	14	—	—	$124,517.00	$186,775.50	$142,333.94	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	47	14	—	—	$111,047.00	$178,746.99	$138,231.01	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	47	14	—	—	$97,644.00	$178,865.04	$137,129.86	2026-03-01
01906	OTHER	New Technology - Level 51	3	2	—	—	$128,862.07	$138,020.20	$133,879.59	2026-03-01
01905	OTHER	New Technology - Level 51	3	2	—	—	$128,862.07	$138,020.20	$133,879.59	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	120	39	—	—	$8,000.00	$430,876.48	$132,907.56	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	3	2	—	—	$95,019.04	$134,145.50	$130,121.13	2026-03-01
1903	OTHER	New Technology - Level 50	48	24	—	—	$118,355.10	$181,558.41	$127,716.95	2026-03-01
1904	OTHER	New Technology - Level 50	48	24	—	—	$118,355.10	$181,558.41	$127,716.95	2026-03-01
7	MS_DRG	Lung Transplant	110	38	—	—	$9,780.00	$340,912.04	$119,637.94	2026-03-01
01904	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
01903	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	111	39	—	—	$6,771.00	$404,136.10	$118,761.25	2026-03-01
1902	OTHER	New Technology - Level 49	48	24	—	—	$103,862.70	$159,326.87	$112,078.21	2026-03-01
1901	OTHER	New Technology - Level 49	48	24	—	—	$103,862.70	$159,326.87	$112,078.21	2026-03-01
007	OTHER	Lung Transplant	3	2	—	—	$84,185.27	$115,040.50	$111,589.29	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	51	26	—	—	$96,999.90	$161,679.35	$111,503.00	2026-03-01
02YA0Z2	OTHER	Transplantation Of Heart, Zooplastic, Open Approach	3	2	—	—	$105,000.00	$290,000.00	$109,995.00	2026-03-01
02YA0Z1	OTHER	Transplantation Of Heart, Syngeneic, Open Approach	3	2	—	—	$105,000.00	$290,000.00	$109,995.00	2026-03-01
02YA0Z0	OTHER	Transplantation Of Heart, Allogeneic, Open Approach	3	2	—	—	$105,000.00	$290,000.00	$109,995.00	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	142	41	—	—	$9,780.00	$462,398.96	$109,970.08	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	73	37	—	—	$10,132.00	$405,450.73	$109,845.74	2026-03-01
5832	APR_DRG	Neonate With Ecmo	47	14	—	—	$95,607.00	$143,410.50	$109,286.16	2026-03-01
02HA4RZ	OTHER	Insertion Of External Heart Assist System Into Heart, Percutaneous Endoscopic Ap…	2	2	—	—	$105,000.00	$109,995.00	$107,497.50	2026-03-01
02HA4RS	OTHER	Insertion Of Biventricular External Heart Assist System Into Heart, Percutaneous…	2	2	—	—	$105,000.00	$109,995.00	$107,497.50	2026-03-01
02HA0RS	OTHER	Insertion Of Biventricular External Heart Assist System Into Heart, Open Approac…	2	2	—	—	$105,000.00	$109,995.00	$107,497.50	2026-03-01
02HA3RS	OTHER	Insertion Of Biventricular External Heart Assist System Into Heart, Percutaneous…	2	2	—	—	$105,000.00	$109,995.00	$107,497.50	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	47	14	—	—	$93,372.41	$142,750.50	$106,711.32	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	127	42	—	—	$8,000.00	$385,817.24	$105,592.34	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	127	42	—	—	$10,799.00	$375,239.30	$104,677.77	2026-03-01
01902	OTHER	New Technology - Level 49	3	2	—	—	$100,746.82	$107,906.90	$104,669.69	2026-03-01
01901	OTHER	New Technology - Level 49	3	2	—	—	$100,746.82	$107,906.90	$104,669.69	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	47	14	—	—	$82,446.00	$133,307.22	$103,090.92	2026-03-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$68,499.00	$102,063.00	$102,063.00	2024-10-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	1	—	—	$68,499.00	$102,063.00	$102,063.00	2024-10-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$68,499.00	$102,063.00	$102,063.00	2024-10-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	1	—	—	$68,499.00	$102,063.00	$102,063.00	2024-10-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	47	14	—	—	$56,946.00	$133,113.71	$102,053.84	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	129	42	—	—	$10,799.00	$417,239.43	$101,566.81	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	141	41	—	—	$9,780.00	$410,766.57	$100,578.07	2026-03-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	3	1	—	—	$67,393.00	$100,416.00	$100,416.00	2024-10-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	3	1	—	—	$67,393.00	$100,416.00	$100,416.00	2024-10-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	47	14	—	—	$75,232.00	$130,764.62	$100,252.87	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	4	1	—	—	$100,053.67	$100,394.53	$100,224.10	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	47	14	—	—	$80,942.00	$128,217.69	$99,155.01	2026-03-01
1599	OTHER	New Technology - Level 48	48	24	—	—	$91,785.68	$140,800.52	$99,045.89	2026-03-01
1585	OTHER	New Technology - Level 48	48	24	—	—	$91,785.68	$140,800.52	$99,045.89	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	2	—	—	$84,032.55	$101,959.80	$98,901.01	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	47	14	—	—	$81,552.00	$127,428.00	$98,544.32	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$95,251.87	$98,197.80	$97,570.17	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	51	26	—	—	$88,300.94	$137,867.45	$97,404.13	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	47	14	—	—	$79,657.00	$125,467.54	$97,028.23	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	130	43	—	—	$10,799.00	$262,034.20	$95,154.55	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	47	14	—	—	$83,057.18	$135,325.50	$94,922.50	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	2	—	—	$69,074.75	$97,163.48	$94,248.58	2026-03-01
5831	APR_DRG	Neonate With Ecmo	47	14	—	—	$69,493.00	$122,622.00	$94,010.20	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	47	14	—	—	$81,396.21	$137,205.00	$93,024.24	2026-03-01
01585	OTHER	New Technology - Level 48	3	2	—	—	$89,032.11	$95,359.60	$92,498.81	2026-03-01
01599	OTHER	New Technology - Level 48	3	2	—	—	$89,032.11	$95,359.60	$92,498.81	2026-03-01
1598	OTHER	New Technology - Level 47	48	24	—	—	$82,124.09	$125,979.49	$88,620.06	2026-03-01
1584	OTHER	New Technology - Level 47	48	24	—	—	$82,124.09	$125,979.49	$88,620.06	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	3	2	—	—	$51,188.07	$91,058.84	$88,327.07	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	47	14	—	—	$73,863.00	$110,794.50	$88,248.00	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	47	14	—	—	$71,560.00	$109,192.05	$85,872.00	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	3	2	—	—	$29,530.42	$87,949.38	$85,310.90	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	127	42	—	—	$8,000.00	$329,979.47	$84,410.63	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	127	42	—	—	$10,799.00	$298,768.63	$84,317.66	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	47	14	—	—	$73,667.54	$113,416.50	$84,191.47	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	127	42	—	—	$10,799.00	$263,964.95	$84,100.34	2026-03-01
01598	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
01584	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$62,044.10	$84,508.38	$81,973.13	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	47	14	—	—	$48,895.00	$105,823.65	$81,131.46	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	47	14	—	—	$64,392.00	$104,446.96	$80,772.32	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	127	42	—	—	$10,799.00	$187,062.91	$80,232.80	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	47	14	—	—	$66,782.00	$100,494.24	$80,138.40	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	2	—	—	$78,633.79	$81,065.76	$79,849.77	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	47	14	—	—	$67,242.00	$100,863.00	$79,595.47	2026-03-01
721504	CDM	Liver Acq Ocs-cadav Donr	50	25	$425,000.00	$425,000.00	$19,975.00	$425,000.00	$78,625.00	2026-03-01
721503	CDM	Heart Acq Ocs-cadav Donr	50	25	$425,000.00	$425,000.00	$19,975.00	$425,000.00	$78,625.00	2026-03-01
1597	OTHER	New Technology - Level 46	48	24	—	—	$72,462.48	$111,158.46	$78,194.23	2026-03-01
1583	OTHER	New Technology - Level 46	48	24	—	—	$72,462.48	$111,158.46	$78,194.23	2026-03-01
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	2	—	—	$71,676.53	$80,131.95	$77,727.99	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	127	42	—	—	$10,799.00	$258,645.53	$77,151.97	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	127	42	—	—	$10,799.00	$221,903.93	$75,552.61	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	7	2	—	—	$11,430.00	$75,435.00	$75,435.00	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	47	14	—	—	$62,352.00	$97,366.79	$75,296.98	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	123	41	—	—	$10,799.00	$227,062.15	$75,025.86	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	47	14	—	—	$61,338.00	$93,593.57	$73,605.60	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	3	2	—	—	$55,695.44	$75,849.54	$73,574.05	2026-03-01
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	3	2	—	—	$32,231.75	$75,604.73	$73,336.59	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	47	14	—	—	$59,125.00	$94,624.20	$73,176.05	2026-03-01
01583	OTHER	New Technology - Level 46	3	2	—	—	$70,288.61	$75,284.00	$73,025.48	2026-03-01
01597	OTHER	New Technology - Level 46	3	2	—	—	$70,288.61	$75,284.00	$73,025.48	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	128	43	—	—	$10,799.00	$252,029.39	$71,837.93	2026-03-01
705882	CDM	Prc D-e Cor Revsc Chrn S	32	20	$304,266.82	$304,266.82	$14,300.54	$304,266.82	$71,502.71	2026-03-01
705881	CDM	Prc D-e Cor Revsc Ami Sl	32	20	$304,266.82	$304,266.82	$14,300.54	$304,266.82	$71,502.71	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	125	42	—	—	$8,000.00	$177,682.91	$70,816.93	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	51	26	—	—	$63,895.55	$99,762.46	$70,482.72	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	126	42	—	—	$10,799.00	$231,744.16	$70,425.77	2026-03-01
10	MS_DRG	Pancreas Transplant	111	39	—	—	$9,780.00	$207,091.95	$70,218.69	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	119	41	—	—	$9,780.00	$209,194.64	$69,825.59	2026-03-01
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	1	1	—	—	$68,917.07	$68,917.07	$68,917.07	2024-10-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	47	14	—	—	$47,538.00	$89,188.07	$68,377.52	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	47	14	—	—	$46,525.00	$89,188.07	$68,377.52	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	47	14	—	—	$48,983.00	$89,188.07	$68,377.52	2026-03-01
1582	OTHER	New Technology - Level 45	48	24	—	—	$62,800.88	$96,337.43	$67,768.40	2026-03-01
1596	OTHER	New Technology - Level 45	48	24	—	—	$62,800.88	$96,337.43	$67,768.40	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	51	26	—	—	$15,764.06	$93,198.45	$67,488.53	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	47	14	—	—	$32,422.00	$87,882.00	$67,376.20	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	129	42	—	—	$10,799.00	$262,034.20	$67,004.59	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	129	42	—	—	$10,799.00	$262,034.20	$67,004.59	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	2	—	—	$53,350.25	$68,704.91	$66,643.76	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	127	42	—	—	$10,799.00	$118,631.99	$66,440.92	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	47	14	—	—	$54,849.00	$83,100.26	$65,818.80	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	2	—	—	$46,563.22	$67,804.33	$65,770.20	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	48	24	—	—	$50,304.25	$95,245.15	$65,686.31	2026-03-01
C2642	HCPCS	Brachytx Strnd Cesium131	16	10	$107,522.00	$107,522.00	$7,419.02	$107,522.00	$65,588.42	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	48	24	—	—	$56,824.55	$94,941.04	$65,476.58	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	125	42	—	—	$8,000.00	$250,646.70	$65,319.55	2026-03-01
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	2	—	—	$63,957.81	$65,935.89	$64,946.85	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	126	42	—	—	$10,799.00	$218,865.31	$64,842.00	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	116	37	—	—	$8,000.00	$152,160.44	$63,526.34	2026-03-01
01582	OTHER	New Technology - Level 45	3	2	—	—	$60,916.85	$65,246.20	$63,288.81	2026-03-01
01596	OTHER	New Technology - Level 45	3	2	—	—	$60,916.85	$65,246.20	$63,288.81	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	125	42	—	—	$6,000.00	$82,959.06	$62,972.22	2026-03-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	7	2	—	—	$11,430.00	$62,710.00	$62,710.00	2026-03-01
010	OTHER	Pancreas Transplant	3	2	—	—	$33,036.15	$64,564.36	$62,627.43	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	3	2	—	—	$48,795.12	$64,506.44	$62,571.25	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	130	43	—	—	$10,799.00	$322,102.43	$62,562.55	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	47	14	—	—	$51,226.00	$80,695.10	$62,404.21	2026-03-01
00717	OTHER	Instill Adstiladrin, Tx D	3	2	—	—	$61,454.13	$64,274.79	$62,346.55	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	127	42	—	—	$9,780.00	$221,603.03	$62,326.96	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	18	4	—	—	$61,338.53	$138,190.80	$62,287.07	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	2	—	—	$54,860.13	$64,194.72	$62,268.88	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	47	14	—	—	$44,835.00	$81,160.27	$62,222.88	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$61,699.10	$64,139.60	$62,215.41	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	127	42	—	—	$10,799.00	$263,964.95	$61,908.52	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	47	14	—	—	$51,688.00	$77,532.00	$61,481.88	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	2	2	—	—	$60,475.37	$62,345.74	$61,410.56	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	47	14	—	—	$53,600.81	$83,284.50	$61,258.07	2026-03-01
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	3	2	—	—	$53,988.33	$62,718.62	$60,837.06	2026-03-01
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	2	—	—	$36,098.57	$61,651.05	$59,801.52	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	126	42	—	—	$6,000.00	$142,865.03	$59,800.18	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	127	43	—	—	$10,799.00	$162,919.86	$59,566.60	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	47	14	—	—	$49,247.00	$76,852.35	$59,432.48	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	127	42	—	—	$10,799.00	$182,615.46	$58,983.86	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	127	42	—	—	$10,799.00	$181,752.17	$58,620.66	2026-03-01
704732	CDM	Ablate Atria X10sv Endo	33	21	$266,123.03	$266,123.03	$12,507.78	$266,123.03	$58,547.07	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	127	42	—	—	$8,000.00	$161,473.90	$58,496.49	2026-03-01
705879	CDM	Prc D-el Cor Rvsc Cabg S	32	20	$248,129.19	$248,129.19	$11,662.07	$248,129.19	$58,310.36	2026-03-01
705396	CDM	Insrt Ivc Filter W Imag	33	21	$263,595.57	$263,595.57	$12,388.99	$263,595.57	$57,991.03	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	127	42	—	—	$10,799.00	$134,281.24	$57,895.09	2026-03-01
B0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	14	10	—	—	$43,978.20	$60,818.66	$57,821.96	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	48	24	—	—	$54,404.11	$79,772.08	$57,765.99	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	110	38	—	—	$6,771.00	$404,136.10	$57,604.78	2026-03-01
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$39,096.68	$59,162.51	$57,387.63	2026-03-01
1581	OTHER	New Technology - Level 44	48	24	—	—	$53,139.28	$81,516.40	$57,342.57	2026-03-01
1595	OTHER	New Technology - Level 44	48	24	—	—	$53,139.28	$81,516.40	$57,342.57	2026-03-01
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	2	—	—	$42,675.37	$58,947.70	$57,179.27	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	47	14	—	—	$45,376.00	$73,729.74	$57,017.67	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	9	3	—	—	$53,789.99	$119,352.48	$57,017.10	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	127	42	—	—	$8,000.00	$136,019.64	$56,990.61	2026-03-01
B0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	14	10	—	—	$43,526.53	$59,817.30	$56,968.86	2026-03-01
01643	OTHER	Y90 Ibritumomab, Rx	3	2	—	—	$55,119.81	$63,512.28	$56,824.55	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	127	42	—	—	$10,799.00	$135,553.57	$56,545.06	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	127	42	—	—	$10,799.00	$159,686.44	$56,394.04	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	73	37	—	—	$10,132.00	$204,426.86	$56,170.22	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	126	42	—	—	$10,799.00	$178,576.88	$56,146.01	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	96	41	—	—	$6,099.00	$71,609.31	$55,855.26	2026-03-01
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	3	1	—	—	$37,326.00	$55,615.00	$55,615.00	2024-10-01
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	3	1	—	—	$37,326.00	$55,615.00	$55,615.00	2024-10-01
716854	CDM	Liver Acquis/cadaver	50	25	$300,566.83	$300,566.83	$14,126.64	$300,566.83	$55,604.86	2026-03-01
719337	CDM	Organ Acq Heart	50	25	$300,566.83	$300,566.83	$14,126.64	$300,566.83	$55,604.86	2026-03-01
705866	CDM	Ptca Rvsc Grft Stnt Sgl	32	20	$235,119.15	$235,119.15	$11,050.60	$235,119.15	$55,253.00	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	111	39	—	—	$6,771.00	$404,136.10	$55,118.61	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	126	42	—	—	$10,799.00	$179,722.76	$55,079.93	2026-03-01
215	OTHER	Other Heart Assist System Implant	3	2	—	—	$53,329.63	$64,095.61	$54,979.00	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	127	42	—	—	$10,799.00	$258,645.53	$54,778.84	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	123	41	—	—	$10,799.00	$227,062.15	$54,654.54	2026-03-01
955	OTHER	Craniotomy For Multiple Significant Trauma	3	2	—	—	$52,996.24	$77,771.07	$54,635.30	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	127	42	—	—	$10,799.00	$169,067.96	$54,608.09	2026-03-01
834	OTHER	Acute Leukemia With Mcc	3	2	—	—	$52,384.47	$56,091.96	$54,409.20	2026-03-01
529563	CDM	Valve Tavr 29mm	17	11	$98,804.00	$98,804.00	$5,829.44	$98,804.00	$54,342.20	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	47	14	—	—	$43,560.00	$70,007.73	$54,139.31	2026-03-01
705870	CDM	Rvsc Ami Stn Thrm Sgl	32	20	$230,337.92	$230,337.92	$10,825.88	$230,337.92	$54,129.41	2026-03-01
705872	CDM	Rvsc Chr Stn Thrm Sgl	32	20	$230,337.92	$230,337.92	$10,825.88	$230,337.92	$54,129.41	2026-03-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	127	42	—	—	$8,000.00	$128,599.95	$53,945.33	2026-03-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	2	—	—	$47,273.64	$55,550.47	$53,883.96	2026-03-01
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	2	—	—	$38,423.36	$55,434.56	$53,771.52	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	47	14	—	—	$41,876.00	$69,298.37	$53,590.74	2026-03-01
01595	OTHER	New Technology - Level 44	3	2	—	—	$51,545.10	$55,208.40	$53,552.15	2026-03-01
01581	OTHER	New Technology - Level 44	3	2	—	—	$51,545.10	$55,208.40	$53,552.15	2026-03-01
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	2	—	—	$47,167.30	$55,077.08	$53,424.77	2026-03-01
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	3	1	—	—	$35,851.00	$53,419.00	$53,419.00	2024-10-01
249	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc	3	1	—	—	$35,851.00	$53,419.00	$53,419.00	2024-10-01
09273	OTHER	Sipuleucel-t Auto Cd54+	3	2	—	—	$52,771.99	$54,404.11	$53,364.77	2026-03-01
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	47	14	—	—	$46,203.00	$69,304.50	$53,142.85	2026-03-01
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	2	—	—	$37,842.78	$54,633.68	$52,994.67	2026-03-01
232	OTHER	Coronary Bypass With Ptca Without Mcc	3	2	—	—	$47,277.97	$54,549.38	$52,912.90	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	111	39	—	—	$9,780.00	$209,194.64	$52,470.28	2026-03-01
B0106	HCPCS	Stroke; M > 30.05 & M < 34.25	14	10	—	—	$41,319.83	$55,047.07	$52,425.78	2026-03-01
64	APR_DRG	Pancreas Transplant	47	14	—	—	$45,492.54	$72,558.00	$51,991.48	2026-03-01
502420	CDM	Valve Heart Trnscth 26mm	17	11	$94,445.00	$94,445.00	$5,572.26	$94,445.00	$51,944.75	2026-03-01
502418	CDM	Valve Heart Trnscth 20mm	17	11	$94,445.00	$94,445.00	$5,572.26	$94,445.00	$51,944.75	2026-03-01
502419	CDM	Valve Heart Trnscth 23mm	17	11	$94,445.00	$94,445.00	$5,572.26	$94,445.00	$51,944.75	2026-03-01
976232	CDM	Kit Aor Vlv 14fr 29mm	17	11	$94,445.00	$94,445.00	$5,572.26	$94,445.00	$51,944.75	2026-03-01
539135	CDM	Valve Aortic 23mm	17	11	$94,445.00	$94,445.00	$5,572.26	$94,445.00	$51,944.75	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	127	42	—	—	$10,799.00	$118,631.99	$51,906.55	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	126	42	—	—	$9,780.00	$168,117.11	$51,846.35	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	123	41	—	—	$10,799.00	$227,062.15	$51,746.19	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	127	42	—	—	$8,000.00	$159,772.41	$51,605.67	2026-03-01
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	2	—	—	$40,866.25	$53,152.71	$51,558.13	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	127	42	—	—	$10,799.00	$159,775.99	$51,519.00	2026-03-01
J9600	HCPCS	Injection, Porfimer Sodium, 75 Mg	4	1	—	—	$50,561.89	$52,091.10	$51,326.49	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	47	14	—	—	$36,953.00	$66,933.09	$51,315.37	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	47	14	—	—	$43,677.00	$65,515.50	$51,276.94	2026-03-01

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