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 CAPITAL HOSPITAL

Tallahassee, FL · CCN 100254 · Rates published

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You selected 93306 (CPT)

Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echoc

This hospital’s price: $1,759 across 22 payers · range $128-$10,204

Source: 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 · 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.

33,955 distinct procedures filed
54 distinct payers
1,905,960 rate rows
2026-07-17 last MRF observed
Data quality

1,819,069 of 1,905,960 rate rows are consumer-grade (95.4%)

86,891 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
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 22,911
template filing: same amount across many unrelated codes — excluded 19,420
per-diem day rate — not a per-procedure price 17,018
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 14,393
exceeds 10× this hospital's gross charge — excluded from medians 11,689
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 915
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 295
placeholder amount (≤ $0.02) — excluded from medians 141
percent-of-charges filed in the dollar field — excluded from medians 109
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 viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10
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
$17,146
outlier · 268.0×
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 21 $3,672,900.00 $4,790,847.10 $3,869,530.35 nat. median
$3,758,972
1.0× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 19 $3,605,000.00 $4,686,500.00 $3,740,187.50 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
908
OTHER 		Topi Adm Prad Zami Per Tr 20 $9,697.57 $4,336,566.00 $3,502,611.00 nat. median
$30,329
outlier · 115.5×
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 $5,280.60 $4,326,218.00 $3,491,727.75 nat. median
$3,325,455
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 21 $8,710.34 $4,271,800.00 $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
$24,952
outlier · 133.8×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,694
outlier · 220.2×
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 22 $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 22 $2,388,614.00 $4,401,267.70 $2,627,475.40 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 21 $13,699.09 $3,964,400.00 $2,448,600.00 nat. median
$2,262,040
1.1× 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
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
$809,217
outlier · 2.5×
2067
OTHER 		Afamitresgene Autoleucel 21 $770,620.00 $1,310,054.00 $813,004.10 nat. median
$789,886
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
$319,951
outlier · 2.3×
9498
OTHER 		Ciltacabtagene Car-pos T 22 $527,123.40 $999,004.32 $587,649.60 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 22 $529,192.90 $963,103.21 $577,861.93 nat. median
$577,003
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 22 $526,587.60 $948,739.06 $569,243.44 nat. median
$562,826
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 22 $516,726.10 $955,742.04 $568,398.71 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 $1,501,307.95 $561,407.87 nat. median
$738,272
0.8× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$570,020
0.9× median
9035
OTHER 		Axicabtagene Ciloleucel C 22 $489,456.00 $904,726.74 $538,401.60 nat. median
$533,230
1.0× 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
$646,415
0.8× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $534,422.90 $534,422.90 $534,422.90 nat. median
$209,753
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
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
$640,950
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 22 $460,530.40 $832,065.34 $499,239.20 nat. median
$492,768
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$516,226
1.0× 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
$608,101
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $1,297,043.03 $474,717.03 nat. median
$591,650
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
$622,245
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
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
$359,358
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 21 $2,930.91 $473,025.00 $292,162.50 nat. median
$23,568
outlier · 12.4×
897
OTHER 		Revakinagene, Per Implant 21 $265,000.00 $450,500.00 $279,575.00 nat. median
$25,189
outlier · 11.1×
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 14 $192,207.00 $312,391.65 $230,648.40 nat. median
$307,273
0.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $2,837.00 $1,256,871.92 $226,430.95 nat. median
$249,124
0.9× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 21 $5,526.79 $342,837.30 $211,752.45 nat. median
$201,669
1.1× median

Other procedures at this hospital

Browse this hospital's 33,955 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
             
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 45 21 — — $3,672,900.00 $4,790,847.10 $3,869,530.35 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 22 19 — — $3,605,000.00 $4,686,500.00 $3,740,187.50 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
908 OTHER Topi Adm Prad Zami Per Tr 25 20 — — $9,697.57 $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 47 21 — — $5,280.60 $4,326,218.00 $3,491,727.75 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 47 21 — — $8,710.34 $4,271,800.00 $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 48 22 — — $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 47 22 — — $2,388,614.00 $4,401,267.70 $2,627,475.40 2026-03-01
824 OTHER Inj, Exagamglogene Autote 26 21 — — $13,699.09 $3,964,400.00 $2,448,600.00 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
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 47 22 — — $527,123.40 $999,004.32 $587,649.60 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 47 22 — — $529,192.90 $963,103.21 $577,861.93 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 47 22 — — $526,587.60 $948,739.06 $569,243.44 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 47 22 — — $516,726.10 $955,742.04 $568,398.71 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
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 47 22 — — $489,456.00 $904,726.74 $538,401.60 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
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
9391 OTHER Brexucabtagene Car Pos T 47 22 — — $460,530.40 $832,065.34 $499,239.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 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
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 10 3 — — $435,956.80 $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
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 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 31 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 95 27 — — $2,837.00 $1,256,871.92 $226,430.95 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 26 21 — — $5,526.79 $342,837.30 $211,752.45 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
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $178,990.51 $208,395.96 $193,693.23 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
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
1908 OTHER New Technology - Level 52 47 22 — — $147,339.90 $264,990.73 $158,994.44 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 31 14 — — $125,393.00 $191,333.91 $150,471.60 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
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
1905 OTHER New Technology - Level 51 47 22 — — $132,847.50 $238,926.16 $143,355.70 2026-03-01
1906 OTHER New Technology - Level 51 47 22 — — $132,847.50 $238,926.16 $143,355.70 2026-03-01
5833 APR_DRG Neonate With Ecmo 31 14 — — $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
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
24 APR_DRG Heart And/or Lung Transplant 31 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
1903 OTHER New Technology - Level 50 47 22 — — $118,355.10 $212,861.59 $127,716.95 2026-03-01
1904 OTHER New Technology - Level 50 47 22 — — $118,355.10 $212,861.59 $127,716.95 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $123,321.96 $123,742.09 $123,532.02 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 14 — — $97,644.00 $178,865.04 $119,243.36 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… 96 26 — — $2,837.00 $621,270.66 $115,737.42 2026-03-01
1902 OTHER New Technology - Level 49 47 22 — — $103,862.70 $186,797.02 $112,078.21 2026-03-01
1901 OTHER New Technology - Level 49 47 22 — — $103,862.70 $186,797.02 $112,078.21 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 49 22 — — $96,999.90 $189,555.10 $111,503.00 2026-03-01
5832 APR_DRG Neonate With Ecmo 31 14 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
7 MS_DRG Lung Transplant 94 28 — — $2,837.00 $580,816.47 $109,159.44 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 31 14 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 94 28 — — $2,701.00 $576,059.67 $105,207.18 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 31 14 — — $77,520.20 $137,205.00 $100,617.00 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
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 31 14 — — $79,102.08 $135,325.50 $99,238.70 2026-03-01
1585 OTHER New Technology - Level 48 47 22 — — $91,785.68 $165,076.48 $99,045.89 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 31 14 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 49 22 — — $88,300.94 $161,637.70 $97,404.13 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 31 14 — — $80,942.00 $128,217.69 $97,130.40 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 31 14 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
215 MS_DRG Other Heart Assist System Implant 95 28 — — $10,799.00 $465,837.57 $95,560.01 2026-03-01
825822 CDM Tavr/tavi Opn Ili Art 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825814 CDM Tavr/tavi/trans Exposure 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825817 CDM Tavr Bypass Supp Central 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825816 CDM Tavr Bypass Supp Open 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825819 CDM Tavr/tavi Op Axl Art Apr 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825813 CDM Tavr/tavi Transaortic 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825812 CDM Tavr/tavi Perc Fem Aprch 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825818 CDM Tavr Pros Valve Faa 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
825815 CDM Tavr Cardio Bypass Supp 58 19 $208,814.50 $208,814.50 $14,408.20 $225,519.65 $93,778.58 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 95 27 — — $2,837.00 $508,231.23 $92,896.31 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 91 27 — — $69,688.31 $190,161.13 $92,670.63 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 99 28 — — $2,837.00 $487,703.39 $91,994.02 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) 31 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… 95 28 — — $9,478.00 $494,300.82 $90,132.57 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $76,277.63 $102,797.59 $89,537.61 2026-03-01
1598 OTHER New Technology - Level 47 47 22 — — $82,124.09 $147,700.10 $88,620.06 2026-03-01
1584 OTHER New Technology - Level 47 47 22 — — $82,124.09 $147,700.10 $88,620.06 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 14 — — $73,540.00 $110,794.50 $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 94 28 — — $2,837.00 $468,229.59 $87,334.11 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
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
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
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 31 14 — — $56,946.00 $133,113.71 $85,419.00 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 31 14 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
5831 APR_DRG Neonate With Ecmo 31 14 — — $69,493.00 $122,622.00 $83,391.60 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 91 27 — — $61,354.16 $378,081.02 $81,587.97 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
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 31 14 — — $66,782.00 $100,494.24 $80,138.40 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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 31 14 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
823254 CDM Ins Perm Subq Defib 58 19 $174,993.50 $174,993.50 $12,074.55 $188,993.00 $78,589.59 2026-03-01
1583 OTHER New Technology - Level 46 47 22 — — $72,462.48 $130,323.72 $78,194.23 2026-03-01
1597 OTHER New Technology - Level 46 47 22 — — $72,462.48 $130,323.72 $78,194.23 2026-03-01
007 OTHER Lung Transplant 2 1 — — $67,580.69 $88,157.09 $77,868.89 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 31 14 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $75,250.33 $78,325.54 $76,787.93 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 31 14 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 99 28 — — $2,837.00 $405,030.07 $74,726.15 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 89 27 — — $13,318.00 $177,444.00 $74,186.00 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 87 27 — — $56,697.79 $177,434.00 $74,182.00 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 95 28 — — $9,478.00 $404,080.56 $74,049.60 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 31 14 — — $61,338.00 $93,593.57 $73,605.60 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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 8 3 — — $48,385.00 $79,630.00 $72,046.00 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
01583 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… 89 27 — — $13,318.00 $376,892.49 $71,566.00 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 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 31 14 — — $48,895.00 $105,823.65 $70,549.10 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 49 22 — — $63,895.55 $116,962.89 $70,482.72 2026-03-01
523979 CDM Kit Cath Rt Heart 87 23 $291,428.00 $291,428.00 $15,000.00 $305,999.40 $69,942.72 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 31 14 — — $40,520.04 $102,481.50 $68,321.00 2026-03-01
1582 OTHER New Technology - Level 45 47 22 — — $62,800.88 $112,947.34 $67,768.40 2026-03-01
1596 OTHER New Technology - Level 45 47 22 — — $62,800.88 $112,947.34 $67,768.40 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 49 22 — — $12,654.78 $109,267.14 $67,156.06 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… 31 14 — — $54,849.00 $83,100.26 $65,818.80 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
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $55,450.54 $74,457.71 $64,954.12 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 27 — — $13,318.00 $178,181.21 $63,906.85 2026-03-01
10 MS_DRG Pancreas Transplant 94 28 — — $2,837.00 $350,563.19 $63,732.78 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 92 27 — — $13,318.00 $319,798.44 $63,622.56 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
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $62,320.47 $64,205.31 $63,262.89 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 99 28 — — $2,837.00 $341,752.52 $62,938.79 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
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
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 31 14 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 28 — — $9,478.00 $323,754.21 $61,478.57 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 14 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 31 14 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 93 27 — — $13,318.00 $178,181.21 $60,131.88 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
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 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 31 14 — — $48,983.00 $89,188.07 $59,458.71 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 31 14 — — $47,538.00 $89,188.07 $59,458.71 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
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 31 14 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 89 27 — — $13,318.00 $177,434.00 $58,952.98 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+ 47 22 — — $54,404.11 $93,525.89 $57,668.36 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 96 26 — — $2,837.00 $321,695.59 $57,420.10 2026-03-01
1581 OTHER New Technology - Level 44 47 22 — — $53,139.28 $95,570.96 $57,342.57 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… 88 27 — — $13,318.00 $163,300.90 $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 99 28 — — $2,837.00 $301,889.83 $56,840.76 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 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
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
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
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 99 28 — — $2,837.00 $299,889.52 $54,664.31 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 31 14 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 31 14 — — $44,835.00 $81,160.27 $54,106.85 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 89 28 — — $10,799.00 $272,356.37 $53,701.77 2026-03-01
0207 RC — 23 10 — — $11,700.00 $53,573.00 $53,248.00 2026-03-01
64 APR_DRG Pancreas Transplant 31 14 — — $43,326.23 $72,558.00 $53,209.20 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 31 14 — — $44,285.71 $69,304.50 $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
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 99 28 — — $2,837.00 $278,068.21 $52,697.33 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 99 28 — — $2,701.00 $288,596.30 $52,680.61 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 45 17 $105,300.00 $105,300.00 $7,265.70 $110,565.00 $52,650.00 2026-03-01
837208 CDM Valve Heart Trnscth 23mm 45 17 $105,300.00 $105,300.00 $7,265.70 $110,565.00 $52,650.00 2026-03-01
837209 CDM Valve Heart Trnscth 26mm 45 17 $105,300.00 $105,300.00 $7,265.70 $110,565.00 $52,650.00 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 91 28 — — $10,799.00 $177,434.00 $52,517.71 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 31 14 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $41,867.79 $62,431.63 $52,149.71 2026-03-01
815999 CDM Upgrade Sgl To Dual Lead 57 19 $115,854.20 $115,854.20 $7,993.94 $125,122.55 $52,134.39 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 91 28 — — $10,799.00 $267,445.03 $52,116.52 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 95 28 — — $10,799.00 $269,472.26 $51,763.03 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 91 28 — — $10,799.00 $177,444.00 $51,672.34 2026-03-01
8514 APR_DRG Gender Related Procedures 31 14 — — $40,865.02 $70,353.00 $51,592.20 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
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 89 28 — — $10,978.00 $293,830.29 $51,414.44 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 31 14 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 94 28 — — $2,701.00 $274,809.39 $51,113.16 2026-03-01
535830 CDM Valve Tavr 26mm 45 17 $102,060.00 $102,060.00 $7,042.14 $107,163.00 $51,030.00 2026-03-01
535829 CDM Valve Tavr 29mm 45 17 $102,060.00 $102,060.00 $7,042.14 $107,163.00 $51,030.00 2026-03-01
535827 CDM Valve Tavr 23mm 45 17 $102,060.00 $102,060.00 $7,042.14 $107,163.00 $51,030.00 2026-03-01
535828 CDM Valve Tavr 34mm 45 17 $102,060.00 $102,060.00 $7,042.14 $107,163.00 $51,030.00 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 95 28 — — $10,799.00 $269,836.84 $50,884.82 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 66 23 — — $30,013.00 $135,281.90 $50,846.85 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 49 22 — — $46,068.21 $84,329.18 $50,817.51 2026-03-01
B0404 HCPCS Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 9 4 — — $40,568.78 $52,528.81 $50,710.98 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
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 31 14 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
0208 RC — 45 18 — — $6,000.00 $50,398.00 $50,398.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 31 14 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 31 14 — — $41,876.00 $69,298.37 $50,251.20 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
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 94 28 — — $9,478.00 $258,654.43 $50,120.90 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 31 14 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 45 27 — — $10,978.00 $177,434.00 $49,968.25 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
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 91 28 — — $10,799.00 $177,434.00 $49,035.04 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 94 28 — — $9,478.00 $252,146.70 $48,912.71 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 94 28 — — $2,701.00 $274,809.39 $48,774.21 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 99 28 — — $2,837.00 $263,036.28 $48,668.00 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 31 14 — — $32,422.00 $87,882.00 $48,633.00 2026-03-01
520993 CDM Valve Tavr Size 34mm 45 17 $97,200.00 $97,200.00 $6,706.80 $102,060.00 $48,600.00 2026-03-01
520994 CDM Valve Tavr Sz 29mm 45 17 $97,200.00 $97,200.00 $6,706.80 $102,060.00 $48,600.00 2026-03-01
520998 CDM Valve Tavr Sz 26mm 45 17 $97,200.00 $97,200.00 $6,706.80 $102,060.00 $48,600.00 2026-03-01
520999 CDM Valve Tavr Sz 23mm 45 17 $97,200.00 $97,200.00 $6,706.80 $102,060.00 $48,600.00 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
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $47,776.40 $47,776.40 $47,776.40 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $42,827.53 $52,649.51 $47,738.52 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 95 28 — — $10,799.00 $243,040.91 $47,585.86 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 91 28 — — $10,799.00 $177,434.00 $47,435.71 2026-03-01
1594 OTHER New Technology - Level 43 47 22 — — $43,477.68 $78,194.58 $46,916.75 2026-03-01
1580 OTHER New Technology - Level 43 47 22 — — $43,477.68 $78,194.58 $46,916.75 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $42,131.16 $51,453.49 $46,792.32 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 94 28 — — $2,837.00 $251,366.31 $46,669.00 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 95 28 — — $9,478.00 $245,351.93 $46,566.26 2026-03-01
1142 OTHER Supprelin La Implant 47 22 — — $43,185.34 $77,095.36 $46,257.21 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 31 14 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 95 28 — — $10,799.00 $177,444.00 $46,099.00 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 95 28 — — $9,478.00 $245,103.15 $46,023.45 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 94 28 — — $9,478.00 $162,943.00 $45,933.76 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $43,339.76 $48,062.14 $45,700.95 2026-03-01
B0106 HCPCS Stroke; M > 30.05 & M < 34.25 9 4 — — $36,558.19 $49,570.50 $45,697.74 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
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 91 28 — — $10,799.00 $177,444.00 $45,409.94 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 99 28 — — $2,837.00 $244,616.39 $45,242.32 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
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
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
834 MS_DRG Acute Leukemia With Mcc 99 28 — — $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
73 APR_DRG Allogeneic Bone Marrow Transplant 31 14 — — $36,953.00 $66,933.09 $44,622.06 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
817266 CDM Cth Plc/inj Lhc W Graft 54 17 $89,336.75 $89,336.75 $6,164.24 $96,483.70 $44,043.02 2026-03-01
B0205 HCPCS Traumatic Brain Injury; M > 28.75 & M < 40.65 9 4 — — $35,122.96 $45,059.18 $43,903.70 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 31 14 — — $34,140.79 $59,817.00 $43,865.80 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
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
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
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
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
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
01580 OTHER New Technology - Level 43 2 1 — — $42,173.35 $43,815.48 $42,994.42 2026-03-01
01594 OTHER New Technology - Level 43 2 1 — — $42,173.35 $43,815.48 $42,994.42 2026-03-01
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