Hospital

HCA FLORIDA CAPITAL HOSPITAL

Tallahassee, FL · CCN 100254 · Rates published

33,272 distinct procedures filed

53 distinct payers

1,171,092 rate rows

2026-07-17 last MRF observed

Data quality

1,106,116 of 1,171,092 rate rows are consumer-grade (94.5%)

64,976 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
template filing: same amount across many unrelated codes — excluded	16,110
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	14,546
per-diem day rate — not a per-procedure price	13,931
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	13,328
exceeds 10× this hospital's gross charge — excluded from medians	6,260
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	482
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	226
placeholder amount (≤ $0.02) — excluded from medians	93

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

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1091430_HCA-FLORIDA-CAPITAL-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 · 2026-08-03
Content fingerprint	fab799a89179460b… · 401,912,236 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	16	$4,764.90	$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
9138 OTHER	Inj, Hemgenix, Per Tx Dos	20	$3,685,267.00	$4,790,847.10	$3,869,530.35	nat. median $3,758,972 1.0× median
09138 OTHER	Inj, Hemgenix, Per Tx Dos	1	$3,574,708.99	$3,574,708.99	$3,574,708.99	nat. median $3,574,709 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	20	$10,632.02	$4,336,566.00	$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	21	$6,906.22	$4,326,218.00	$3,492,990.38	nat. median $3,325,455 1.1× median
748 OTHER	Inj, Lovotibeglogene Auto	20	$13,145.92	$4,228,260.40	$3,415,133.40	nat. median $3,252,508 1.1× median
906 OTHER	Inj Elivaldogene Autoteme	20	$6,354.69	$4,134,000.00	$3,339,000.00	nat. median $24,604 outlier · 135.7×
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
746 OTHER	Inj, Betibeglogene Autote	21	$7,736.51	$4,997,947.30	$3,086,967.45	nat. median $2,939,969 1.1× 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
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	21	$2,588,981.00	$4,401,267.70	$2,731,374.96	nat. median $2,588,981 1.1× median
09141 OTHER	Inj Onase Abepar-xioi Tre	1	$2,511,311.57	$2,511,311.57	$2,511,311.57	nat. median $2,511,312 1.0× median
824 OTHER	Inj, Exagamglogene Autote	21	$13,699.09	$3,964,400.00	$2,448,600.00	nat. median $58,186 outlier · 42.1×
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	$2,042,143.00	$2,042,143.00	$2,042,143.00	nat. median $809,151 outlier · 2.5×
2067 OTHER	Afamitresgene Autoleucel	21	$770,620.00	$1,310,054.00	$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	$737,362.50	$737,362.50	$737,362.50	nat. median $302,242 outlier · 2.4×
9498 OTHER	Ciltacabtagene Car-pos T	21	$587,649.60	$999,004.32	$619,970.33	nat. median $587,650 1.1× median
9194 OTHER	Tisagenlecleucel Car-pos	21	$566,531.30	$963,103.21	$597,690.53	nat. median $576,820 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	21	$562,201.20	$955,742.04	$593,122.27	nat. median $562,201 1.1× median
9422 OTHER	Idecabtagene Vicleucel Ca	21	$558,081.80	$948,739.06	$588,776.30	nat. median $560,872 1.0× median
09498 OTHER	Ciltacabtagene Car-pos T	1	$570,020.11	$570,020.11	$570,020.11	nat. median $570,020 1.0× median
9035 OTHER	Axicabtagene Ciloleucel C	21	$532,192.20	$904,726.74	$561,462.77	nat. median $533,230 1.1× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	3	$502,693.77	$1,501,307.95	$561,407.87	nat. median $691,418 0.8× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	3	$492,271.12	$1,557,271.36	$536,573.93	nat. median $631,793 0.8× median
J3402 HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	$534,422.90	$534,422.90	$534,422.90	nat. median $209,736 outlier · 2.5×
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
9391 OTHER	Brexucabtagene Car Pos T	21	$489,450.20	$832,065.34	$516,369.96	nat. median $492,768 1.0× median
09035 OTHER	Axicabtagene Ciloleucel C	1	$516,226.43	$516,226.43	$516,226.43	nat. median $516,226 1.0× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	3	$459,839.17	$1,489,833.29	$500,948.74	nat. median $624,417 0.8× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	3	$445,599.57	$1,410,309.44	$487,755.77	nat. median $588,565 0.8× median
09391 OTHER	Brexucabtagene Car Pos T	1	$474,766.69	$474,766.69	$474,766.69	nat. median $474,767 1.0× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	3	$474,717.03	$1,297,043.03	$474,717.03	nat. median $577,541 0.8× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	3	$470,149.30	$1,478,916.58	$470,149.30	nat. median $610,161 0.8× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	27	$2,701.00	$1,936,748.58	$302,636.15	nat. median $370,165 0.8× median
831 OTHER	Obecbtge Autol Up To 400	21	$2,930.91	$473,025.00	$292,162.50	nat. median $20,175 outlier · 14.5×
897 OTHER	Revakinagene, Per Implant	21	$265,000.00	$450,500.00	$279,575.00	nat. median $19,528 outlier · 14.3×
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
5834 APR_DRG	Neonate With Ecmo	13	$208,261.10	$312,391.65	$249,913.32	nat. median $311,018 0.8× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	25	$2,837.00	$1,256,871.92	$222,762.67	nat. median $261,939 0.9× median
886 OTHER	Inj. Remestemcel-l-rknd/	21	$5,526.79	$342,837.30	$211,752.45	nat. median $200,661 1.1× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	$208,395.96	$208,395.96	$208,395.96	nat. median $214,447 1.0× median

Other procedures at this hospital

Browse this hospital's 33,272 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	21	16	—	—	$4,764.90	$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
9138	OTHER	Inj, Hemgenix, Per Tx Dos	23	20	—	—	$3,685,267.00	$4,790,847.10	$3,869,530.35	2026-03-01
09138	OTHER	Inj, Hemgenix, Per Tx Dos	1	1	—	—	$3,574,708.99	$3,574,708.99	$3,574,708.99	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	24	20	—	—	$10,632.02	$4,336,566.00	$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	46	21	—	—	$6,906.22	$4,326,218.00	$3,492,990.38	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	24	20	—	—	$13,145.92	$4,228,260.40	$3,415,133.40	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	25	20	—	—	$6,354.69	$4,134,000.00	$3,339,000.00	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
746	OTHER	Inj, Betibeglogene Autote	26	21	—	—	$7,736.51	$4,997,947.30	$3,086,967.45	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
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	24	21	—	—	$2,588,981.00	$4,401,267.70	$2,731,374.96	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	1	1	—	—	$2,511,311.57	$2,511,311.57	$2,511,311.57	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	26	21	—	—	$13,699.09	$3,964,400.00	$2,448,600.00	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	—	—	$2,042,143.00	$2,042,143.00	$2,042,143.00	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	24	21	—	—	$770,620.00	$1,310,054.00	$813,004.10	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	1	1	—	—	$737,362.50	$737,362.50	$737,362.50	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	24	21	—	—	$587,649.60	$999,004.32	$619,970.33	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	24	21	—	—	$566,531.30	$963,103.21	$597,690.53	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	24	21	—	—	$562,201.20	$955,742.04	$593,122.27	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	24	21	—	—	$558,081.80	$948,739.06	$588,776.30	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	1	1	—	—	$570,020.11	$570,020.11	$570,020.11	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	24	21	—	—	$532,192.20	$904,726.74	$561,462.77	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	10	3	—	—	$502,693.77	$1,501,307.95	$561,407.87	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	10	3	—	—	$492,271.12	$1,557,271.36	$536,573.93	2026-03-01
J3402	HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	1	—	—	$534,422.90	$534,422.90	$534,422.90	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
9391	OTHER	Brexucabtagene Car Pos T	24	21	—	—	$489,450.20	$832,065.34	$516,369.96	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	1	1	—	—	$516,226.43	$516,226.43	$516,226.43	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	10	3	—	—	$459,839.17	$1,489,833.29	$500,948.74	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	10	3	—	—	$445,599.57	$1,410,309.44	$487,755.77	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	1	1	—	—	$474,766.69	$474,766.69	$474,766.69	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	6	3	—	—	$474,717.03	$1,297,043.03	$474,717.03	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	7	3	—	—	$470,149.30	$1,478,916.58	$470,149.30	2026-03-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	92	27	—	—	$2,701.00	$1,936,748.58	$302,636.15	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	26	21	—	—	$2,930.91	$473,025.00	$292,162.50	2026-03-01
897	OTHER	Revakinagene, Per Implant	24	21	—	—	$265,000.00	$450,500.00	$279,575.00	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	15	13	—	—	$208,261.10	$312,391.65	$249,913.32	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	53	25	—	—	$2,837.00	$1,256,871.92	$222,762.67	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	26	21	—	—	$5,526.79	$342,837.30	$211,752.45	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$208,395.96	$208,395.96	$208,395.96	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	2	1	—	—	$192,914.70	$221,874.56	$207,394.63	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	1	1	—	—	$195,618.93	$195,618.93	$195,618.93	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$147,693.56	$237,078.77	$192,386.16	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	96	26	—	—	$2,837.00	$1,043,115.24	$182,805.98	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	96	26	—	—	$2,837.00	$951,950.22	$175,086.97	2026-03-01
1908	OTHER	New Technology - Level 52	24	21	—	—	$155,876.90	$264,990.73	$164,450.12	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	2	1	—	—	$150,585.06	$173,512.94	$162,049.00	2026-03-01
1907	OTHER	New Technology - Level 52	47	22	—	—	$147,339.90	$264,990.73	$158,994.44	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	27	13	—	—	$125,393.00	$191,333.91	$150,471.60	2026-03-01
01908	OTHER	New Technology - Level 52	1	1	—	—	$148,484.69	$148,484.69	$148,484.69	2026-03-01
01907	OTHER	New Technology - Level 52	1	1	—	—	$148,484.69	$148,484.69	$148,484.69	2026-03-01
1905	OTHER	New Technology - Level 51	24	21	—	—	$140,544.80	$238,926.16	$148,274.77	2026-03-01
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc	4	2	—	—	$122,000.00	$162,536.00	$147,407.00	2024-10-01
1906	OTHER	New Technology - Level 51	47	22	—	—	$132,847.50	$238,926.16	$143,355.70	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	13	—	—	$119,243.36	$178,865.04	$143,092.03	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	15	13	—	—	$119,164.66	$178,746.99	$142,997.59	2026-03-01
5833	APR_DRG	Neonate With Ecmo	27	13	—	—	$118,611.62	$186,775.50	$142,333.94	2026-03-01
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc	4	2	—	—	$86,732.00	$170,586.00	$134,466.50	2024-10-01
01905	OTHER	New Technology - Level 51	1	1	—	—	$133,879.59	$133,879.59	$133,879.59	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	1	—	—	$119,887.93	$146,881.67	$133,384.80	2026-03-01
1903	OTHER	New Technology - Level 50	24	21	—	—	$125,212.70	$212,861.59	$132,099.39	2026-03-01
1904	OTHER	New Technology - Level 50	24	21	—	—	$125,212.70	$212,861.59	$132,099.39	2026-03-01
01906	OTHER	New Technology - Level 51	2	1	—	—	$128,862.07	$133,879.59	$131,370.83	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	2	1	—	—	$123,321.96	$123,742.09	$123,532.02	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	25	21	—	—	$108,157.91	$189,555.10	$117,078.15	2026-03-01
01903	OTHER	New Technology - Level 50	2	1	—	—	$114,804.45	$119,274.69	$117,039.57	2026-03-01
01904	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…	51	25	—	—	$2,968.00	$621,235.29	$116,610.71	2026-03-01
1902	OTHER	New Technology - Level 49	24	21	—	—	$109,880.60	$186,797.02	$115,924.04	2026-03-01
1901	OTHER	New Technology - Level 49	47	22	—	—	$103,862.70	$186,797.02	$112,078.21	2026-03-01
5832	APR_DRG	Neonate With Ecmo	15	13	—	—	$91,071.80	$136,607.70	$109,286.16	2026-03-01
7	MS_DRG	Lung Transplant	52	26	—	—	$2,837.00	$580,816.47	$109,159.44	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$88,926.10	$133,389.15	$106,711.32	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	15	13	—	—	$88,742.47	$133,113.71	$106,490.96	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	94	28	—	—	$2,701.00	$576,059.67	$105,207.18	2026-03-01
01901	OTHER	New Technology - Level 49	1	1	—	—	$104,669.69	$104,669.69	$104,669.69	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	1	1	—	—	$102,797.59	$102,797.59	$102,797.59	2026-03-01
01902	OTHER	New Technology - Level 49	2	1	—	—	$100,746.82	$104,669.69	$102,708.26	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	15	13	—	—	$85,478.46	$128,217.69	$102,574.15	2026-03-01
1585	OTHER	New Technology - Level 48	24	21	—	—	$97,103.81	$165,076.48	$102,444.52	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	13	—	—	$84,952.00	$127,428.00	$101,942.40	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	25	21	—	—	$92,228.57	$161,637.70	$99,835.05	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	4	2	—	—	$53,789.99	$147,108.87	$99,738.74	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	1	—	—	$84,296.07	$114,702.99	$99,499.53	2026-03-01
1599	OTHER	New Technology - Level 48	47	22	—	—	$91,785.68	$165,076.48	$99,045.89	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	27	13	—	—	$82,446.00	$133,307.22	$98,935.20	2026-03-01
5831	APR_DRG	Neonate With Ecmo	15	13	—	—	$81,748.00	$122,622.00	$98,097.60	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	50	27	—	—	$11,680.00	$446,571.45	$96,355.23	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	27	13	—	—	$75,232.00	$130,764.62	$95,894.05	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	51	25	—	—	$2,968.00	$508,231.23	$95,778.34	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	49	27	—	—	$2,968.00	$232,318.37	$95,670.85	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	27	13	—	—	$79,657.00	$125,467.54	$95,588.40	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	15	13	—	—	$79,102.08	$118,653.12	$94,922.50	2026-03-01
825814	CDM	Tavr/tavi/trans Exposure	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825815	CDM	Perc Cp Byps Sup With Tavr	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825817	CDM	Tavr Bypass Supp Central	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825819	CDM	Tavr/tavi Open Axl Aprch	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825816	CDM	Open Cp Byps Sup With Tavr	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825818	CDM	Tavr/tavi Opn Fem Aprch	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825812	CDM	Tavr/tavi Perc Fem Aprch	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825822	CDM	Tavr/tavi Open Ili Aprch	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
825813	CDM	Tavr/tavi Trnsaort Aprch	27	16	$225,519.65	$225,519.65	$15,000.00	$225,519.65	$93,590.65	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	55	27	—	—	$2,968.00	$487,703.39	$93,295.82	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	27	13	—	—	$77,520.20	$137,205.00	$93,024.24	2026-03-01
1598	OTHER	New Technology - Level 47	24	21	—	—	$86,882.41	$147,700.10	$91,660.94	2026-03-01
1584	OTHER	New Technology - Level 47	24	21	—	—	$86,882.41	$147,700.10	$91,660.94	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
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	95	28	—	—	$9,478.00	$494,300.82	$90,132.57	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	13	—	—	$73,540.00	$110,310.00	$88,248.00	2026-03-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$62,159.00	$87,610.00	$87,610.00	2024-10-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$62,159.00	$87,610.00	$87,610.00	2024-10-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	52	26	—	—	$2,837.00	$462,425.92	$87,334.11	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	95	28	—	—	$10,799.00	$190,161.13	$86,102.01	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	27	13	—	—	$71,560.00	$109,192.05	$85,872.00	2026-03-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	1	—	—	$60,695.00	$85,547.00	$85,547.00	2024-10-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	3	1	—	—	$60,695.00	$85,547.00	$85,547.00	2024-10-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	15	13	—	—	$70,159.56	$105,239.34	$84,191.47	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$69,631.31	$104,446.96	$83,557.57	2026-03-01
01598	OTHER	New Technology - Level 47	1	1	—	—	$82,762.15	$82,762.15	$82,762.15	2026-03-01
01584	OTHER	New Technology - Level 47	2	1	—	—	$79,660.37	$82,762.15	$81,211.26	2026-03-01
1597	OTHER	New Technology - Level 46	24	21	—	—	$76,661.01	$130,323.72	$80,877.36	2026-03-01
1583	OTHER	New Technology - Level 46	24	21	—	—	$76,661.01	$130,323.72	$80,877.36	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	8	3	—	—	$79,630.00	$108,477.00	$80,526.50	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	13	—	—	$66,996.16	$100,494.24	$80,395.39	2026-03-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	3	1	—	—	$56,751.00	$79,989.00	$79,989.00	2024-10-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	3	1	—	—	$56,751.00	$79,989.00	$79,989.00	2024-10-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	4	1	—	—	$79,630.00	$79,630.00	$79,630.00	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	15	13	—	—	$66,329.56	$99,494.34	$79,595.47	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	50	27	—	—	$11,680.00	$378,081.02	$79,338.76	2026-03-01
823254	CDM	Ins Perm Subq Defib	27	16	$188,993.00	$188,993.00	$13,040.52	$188,993.00	$78,432.10	2026-03-01
007	OTHER	Lung Transplant	2	1	—	—	$67,580.69	$88,157.09	$77,868.89	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	48	27	—	—	$9,478.00	$404,080.56	$77,119.95	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$75,250.33	$78,325.54	$76,787.93	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	15	13	—	—	$63,082.80	$94,624.20	$75,699.36	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	15	13	—	—	$62,395.71	$93,593.57	$74,874.85	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	27	13	—	—	$62,352.00	$97,366.79	$74,822.40	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	53	27	—	—	$2,968.00	$388,378.57	$73,683.46	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	27	13	—	—	$48,895.00	$105,823.65	$73,342.50	2026-03-01
01597	OTHER	New Technology - Level 46	1	1	—	—	$73,025.48	$73,025.48	$73,025.48	2026-03-01
01583	OTHER	New Technology - Level 46	1	1	—	—	$73,025.48	$73,025.48	$73,025.48	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	2	1	—	—	$67,458.10	$78,133.21	$72,795.65	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	25	21	—	—	$66,737.65	$116,962.89	$72,241.79	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	48	27	—	—	$2,968.00	$376,892.49	$72,072.36	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	15	13	—	—	$59,458.71	$89,188.07	$71,350.45	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	15	13	—	—	$59,458.71	$89,188.07	$71,350.45	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	27	—	—	$11,680.00	$177,444.00	$71,115.57	2026-03-01
1596	OTHER	New Technology - Level 45	24	21	—	—	$66,439.61	$112,947.34	$70,093.79	2026-03-01
1582	OTHER	New Technology - Level 45	47	22	—	—	$62,800.88	$112,947.34	$67,768.40	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	46	27	—	—	$11,680.00	$177,434.00	$67,761.14	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	26	21	—	—	$12,654.78	$109,267.14	$67,488.53	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	95	28	—	—	$10,799.00	$354,428.25	$67,145.86	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	13	—	—	$55,400.17	$83,100.26	$66,480.20	2026-03-01
523979	CDM	Kit Cath Rt Heart	42	20	$291,428.00	$291,428.00	$15,000.00	$291,428.00	$65,717.01	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	47	22	—	—	$50,304.25	$111,666.73	$65,686.31	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	47	22	—	—	$56,824.55	$111,310.19	$65,476.58	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	27	13	—	—	$47,538.00	$89,188.07	$65,404.58	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	50	27	—	—	$11,680.00	$177,444.00	$65,362.42	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	50	27	—	—	$11,680.00	$177,444.00	$65,362.42	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	2	1	—	—	$55,450.54	$74,457.71	$64,954.12	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	13	—	—	$53,796.73	$80,695.10	$64,556.08	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	55	27	—	—	$2,837.00	$341,752.52	$64,473.89	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	94	28	—	—	$2,837.00	$348,544.93	$63,380.14	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	53	27	—	—	$10,555.00	$319,798.44	$63,344.11	2026-03-01
01582	OTHER	New Technology - Level 45	1	1	—	—	$63,288.81	$63,288.81	$63,288.81	2026-03-01
01596	OTHER	New Technology - Level 45	1	1	—	—	$63,288.81	$63,288.81	$63,288.81	2026-03-01
J9600	HCPCS	Injection, Porfimer Sodium, 75 Mg	2	1	—	—	$62,320.47	$64,205.31	$63,262.89	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	47	27	—	—	$9,478.00	$323,754.21	$62,644.03	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	1	1	—	—	$62,121.81	$62,121.81	$62,121.81	2026-03-01
00717	OTHER	Instill Adstiladrin, Tx D	2	1	—	—	$61,454.13	$62,346.55	$61,900.34	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	10	3	—	—	$61,338.53	$170,328.19	$61,600.24	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	15	13	—	—	$51,234.90	$76,852.35	$61,481.88	2026-03-01
10	MS_DRG	Pancreas Transplant	50	26	—	—	$2,968.00	$321,830.15	$61,415.22	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	15	13	—	—	$51,048.39	$76,572.58	$61,258.07	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	51	25	—	—	$2,968.00	$321,695.59	$60,811.26	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	27	13	—	—	$44,835.00	$81,160.27	$59,517.54	2026-03-01
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	2	1	—	—	$57,539.16	$61,406.22	$59,472.69	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	46	27	—	—	$11,680.00	$177,434.00	$59,370.10	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	95	28	—	—	$10,799.00	$271,907.61	$59,318.15	2026-03-01
1581	OTHER	New Technology - Level 44	24	21	—	—	$56,218.21	$95,570.96	$59,310.21	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	27	13	—	—	$49,247.00	$76,852.35	$59,096.40	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	15	13	—	—	$49,153.16	$73,729.74	$58,983.79	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	27	13	—	—	$32,422.00	$87,882.00	$58,588.00	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	95	28	—	—	$10,799.00	$219,027.14	$58,532.20	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	24	21	—	—	$54,404.11	$92,486.99	$57,396.34	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	50	27	—	—	$2,968.00	$299,889.52	$57,370.46	2026-03-01
1595	OTHER	New Technology - Level 44	47	22	—	—	$53,139.28	$95,570.96	$57,342.57	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	49	27	—	—	$2,968.00	$162,943.00	$57,329.95	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$49,806.62	$64,759.94	$57,283.28	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	97	28	—	—	$2,968.00	$301,889.83	$57,194.51	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	15	13	—	—	$46,671.82	$70,007.73	$56,006.18	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	2	1	—	—	$48,795.12	$62,571.25	$55,683.18	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	15	13	—	—	$46,198.91	$69,298.37	$55,438.69	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	2	1	—	—	$41,091.81	$69,779.65	$55,435.73	2026-03-01
01643	OTHER	Y90 Ibritumomab, Rx	1	1	—	—	$55,119.81	$55,119.81	$55,119.81	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	94	28	—	—	$10,799.00	$137,077.83	$55,055.34	2026-03-01
850	OTHER	Acute Leukemia With Other Procedures	1	1	—	—	$54,455.89	$54,455.89	$54,455.89	2026-03-01
815999	CDM	Upgrade Ppm Sgl To Dual	26	15	$125,122.55	$125,122.55	$8,633.46	$125,122.55	$54,115.51	2026-03-01
0207	RC	—	13	10	—	—	$12,350.00	$53,573.00	$53,573.00	2026-03-01
01581	OTHER	New Technology - Level 44	1	1	—	—	$53,552.15	$53,552.15	$53,552.15	2026-03-01
01595	OTHER	New Technology - Level 44	1	1	—	—	$53,552.15	$53,552.15	$53,552.15	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	15	13	—	—	$44,622.06	$66,933.09	$53,546.47	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	50	27	—	—	$9,478.00	$269,396.01	$53,457.67	2026-03-01
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	15	13	—	—	$44,285.71	$66,428.57	$53,142.85	2026-03-01
09273	OTHER	Sipuleucel-t Auto Cd54+	2	1	—	—	$52,771.99	$53,364.77	$53,068.38	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	53	27	—	—	$2,825.00	$288,596.30	$52,680.61	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	27	13	—	—	$40,520.04	$102,481.50	$52,676.05	2026-03-01
837209	CDM	Valve Heart Trnscth 26mm	20	14	$105,300.00	$105,300.00	$7,265.70	$105,300.00	$52,650.00	2026-03-01
837208	CDM	Valve Heart Trnscth 23mm	20	14	$105,300.00	$105,300.00	$7,265.70	$105,300.00	$52,650.00	2026-03-01
958870	CDM	Kit Aor Vlv 14fr 29mm	45	17	$105,300.00	$105,300.00	$7,265.70	$110,565.00	$52,650.00	2026-03-01
837207	CDM	Valve Heart Trnscth 20mm	20	14	$105,300.00	$105,300.00	$7,265.70	$105,300.00	$52,650.00	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	1	1	—	—	$52,649.51	$52,649.51	$52,649.51	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	91	28	—	—	$10,799.00	$177,434.00	$52,517.71	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	55	27	—	—	$2,837.00	$274,540.30	$52,200.18	2026-03-01
955	OTHER	Craniotomy For Multiple Significant Trauma	2	1	—	—	$41,867.79	$62,431.63	$52,149.71	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	50	27	—	—	$11,680.00	$269,472.26	$52,129.28	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	25	21	—	—	$48,117.24	$84,329.18	$52,085.67	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	55	27	—	—	$2,837.00	$293,830.29	$52,007.90	2026-03-01
64	APR_DRG	Pancreas Transplant	15	13	—	—	$43,326.23	$64,989.35	$51,991.48	2026-03-01
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	15	13	—	—	$43,270.17	$64,905.25	$51,924.20	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	59	26	—	—	$2,701.00	$274,809.39	$51,836.46	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	47	27	—	—	$9,478.00	$258,654.43	$51,646.83	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	2	1	—	—	$44,710.16	$58,124.54	$51,417.35	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	15	13	—	—	$42,824.58	$64,236.87	$51,389.50	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	93	28	—	—	$2,968.00	$267,445.03	$51,389.31	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	95	28	—	—	$10,799.00	$257,003.95	$51,331.08	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	27	13	—	—	$42,730.78	$65,515.50	$51,276.94	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	33	22	—	—	$30,013.00	$77,324.16	$51,227.26	2026-03-01
535827	CDM	Valve Tavr 23mm	20	14	$102,060.00	$102,060.00	$7,042.14	$102,060.00	$51,030.00	2026-03-01
535828	CDM	Valve Tavr 34mm	20	14	$102,060.00	$102,060.00	$7,042.14	$102,060.00	$51,030.00	2026-03-01
535829	CDM	Valve Tavr 29mm	20	14	$102,060.00	$102,060.00	$7,042.14	$102,060.00	$51,030.00	2026-03-01
535830	CDM	Valve Tavr 26mm	20	14	$102,060.00	$102,060.00	$7,042.14	$102,060.00	$51,030.00	2026-03-01
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	1	1	—	—	$50,527.58	$50,527.58	$50,527.58	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	47	27	—	—	$9,478.00	$252,146.70	$50,401.86	2026-03-01
0208	RC	—	25	18	—	—	$6,000.00	$50,398.00	$50,398.00	2026-03-01
B0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	9	4	—	—	$40,152.13	$51,663.94	$50,190.16	2026-03-01
21	APR_DRG	Heart And/or Lung Transplant	27	13	—	—	$41,730.00	$65,165.07	$50,076.00	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	27	—	—	$11,680.00	$177,444.00	$49,976.31	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	50	27	—	—	$11,680.00	$237,426.93	$49,618.74	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	50	27	—	—	$11,680.00	$247,706.55	$49,552.43	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	2	1	—	—	$49,151.06	$49,529.65	$49,340.35	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	49	27	—	—	$2,968.00	$177,434.00	$49,271.02	2026-03-01
8513	APR_DRG	Gender Related Procedures	15	13	—	—	$40,865.02	$61,297.53	$49,038.02	2026-03-01
8514	APR_DRG	Gender Related Procedures	27	13	—	—	$40,865.02	$70,353.00	$49,038.02	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	46	27	—	—	$11,680.00	$177,434.00	$49,035.04	2026-03-01
133	MS_DRG	Other Ear, Nose, Mouth & Throat O.r. Procedures W Cc/mcc	3	1	—	—	$20,167.00	$48,710.00	$48,710.00	2024-10-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	97	28	—	—	$2,968.00	$263,036.28	$48,694.40	2026-03-01
520998	CDM	Valve Tavr Sz 26mm	20	14	$97,200.00	$97,200.00	$6,706.80	$97,200.00	$48,600.00	2026-03-01
520993	CDM	Valve Tavr Size 34mm	20	14	$97,200.00	$97,200.00	$6,706.80	$97,200.00	$48,600.00	2026-03-01
520994	CDM	Valve Tavr Sz 29mm	20	14	$97,200.00	$97,200.00	$6,706.80	$97,200.00	$48,600.00	2026-03-01
520999	CDM	Valve Tavr Sz 23mm	20	14	$97,200.00	$97,200.00	$6,706.80	$97,200.00	$48,600.00	2026-03-01
1580	OTHER	New Technology - Level 43	24	21	—	—	$45,996.81	$78,194.58	$48,526.64	2026-03-01
1594	OTHER	New Technology - Level 43	24	21	—	—	$45,996.81	$78,194.58	$48,526.64	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	52	26	—	—	$2,837.00	$251,366.31	$48,425.19	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	91	28	—	—	$10,555.00	$249,644.07	$48,107.70	2026-03-01
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	1	1	—	—	$48,062.14	$48,062.14	$48,062.14	2026-03-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	50	27	—	—	$11,680.00	$177,444.00	$47,900.45	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	1	1	—	—	$47,776.40	$47,776.40	$47,776.40	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	59	26	—	—	$2,701.00	$274,809.39	$47,665.70	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	46	27	—	—	$11,680.00	$177,434.00	$47,435.71	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	46	27	—	—	$11,680.00	$177,444.00	$47,293.59	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	55	27	—	—	$2,837.00	$245,351.93	$46,870.06	2026-03-01
215	OTHER	Other Heart Assist System Implant	2	1	—	—	$42,131.16	$51,453.49	$46,792.32	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	2	1	—	—	$44,039.60	$49,193.30	$46,616.45	2026-03-01
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	15	13	—	—	$38,465.25	$57,697.88	$46,158.30	2026-03-01
B0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	4	3	—	—	$40,998.09	$52,528.81	$46,122.85	2026-03-01
1142	OTHER	Supprelin La Implant	24	21	—	—	$43,185.34	$73,415.08	$45,560.54	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	2	1	—	—	$23,705.88	$67,396.82	$45,551.35	2026-03-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	97	28	—	—	$2,968.00	$244,616.39	$45,242.32	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	96	28	—	—	$2,837.00	$162,943.00	$45,171.83	2026-03-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective	99	28	—	—	$2,837.00	$255,622.57	$45,031.65	2026-03-01
0916T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	1	1	—	—	$44,865.00	$44,865.00	$44,865.00	2026-03-01
0915T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	1	1	—	—	$44,865.00	$44,865.00	$44,865.00	2026-03-01
0923T	CPT	Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla…	1	1	—	—	$44,865.00	$44,865.00	$44,865.00	2026-03-01
834	MS_DRG	Acute Leukemia With Mcc	55	27	—	—	$2,701.00	$246,222.01	$44,789.47	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	2	1	—	—	$37,379.15	$51,959.39	$44,669.27	2026-03-01
653	MS_DRG	Major Bladder Procedures With Mcc	55	27	—	—	$2,837.00	$233,058.54	$44,625.15	2026-03-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	91	28	—	—	$10,799.00	$177,434.00	$44,613.70	2026-03-01
J9226	HCPCS	Histrelin Implant (supprelin La), 50 Mg	10	3	—	—	$43,241.44	$117,019.36	$43,855.64	2026-03-01
01594	OTHER	New Technology - Level 43	1	1	—	—	$43,815.48	$43,815.48	$43,815.48	2026-03-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	95	28	—	—	$10,799.00	$100,383.18	$43,797.86	2026-03-01
0614T	CPT	Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator	2	1	—	—	$42,526.00	$44,865.00	$43,695.50	2026-03-01
0571T	CPT	Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S…	2	1	—	—	$42,526.00	$44,865.00	$43,695.50	2026-03-01
0520T	CPT	Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L…	2	1	—	—	$42,526.00	$44,865.00	$43,695.50	2026-03-01
0515T	CPT	Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including …	2	1	—	—	$42,526.00	$44,865.00	$43,695.50	2026-03-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	49	27	—	—	$11,680.00	$89,794.00	$43,595.24	2026-03-01
01580	OTHER	New Technology - Level 43	2	1	—	—	$42,173.35	$43,815.48	$42,994.42	2026-03-01
853	MS_DRG	Infectious And Parasitic Diseases With O.r. Procedures With Mcc	53	27	—	—	$2,968.00	$221,496.21	$42,918.63	2026-03-01
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	15	13	—	—	$35,617.73	$53,426.60	$42,741.28	2026-03-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	1	1	—	—	$42,569.09	$42,569.09	$42,569.09	2026-03-01

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