Hospital

HCA FLORIDA BAYONET POINT HOSPITAL

Hudson, FL · CCN 100256 · Rates published

Your selected procedure

You selected 93306 (CPT)

ECHO2D COMP W CF DOP

This hospital’s price: $1,814 across 24 payers · range $135-$7,692

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1113740_HCA-FLORIDA-BAYONET-POINT-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.

35,556 distinct procedures filed

58 distinct payers

2,000,048 rate rows

2026-07-31 last MRF observed

Data quality

1,944,107 of 2,000,048 rate rows are consumer-grade (97.2%)

55,941 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
per-diem day rate — not a per-procedure price	21,589
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	17,006
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	13,966
template filing: same amount across many unrelated codes — excluded	2,506
placeholder amount (≤ $0.02) — excluded from medians	425
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	224
exceeds 10× this hospital's gross charge — excluded from medians	136
percent-of-charges filed in the dollar field — excluded from medians	46
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings	43

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

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1113740_HCA-FLORIDA-BAYONET-POINT-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	Latest re-check couldn't be parsed — showing last good data · 2026-10-10
Content fingerprint	91f6b62c5f5eb231… · 422,622,018 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	23	$5,841.77	$4,955,500.00	$4,595,100.00	nat. median $17,146 outlier · 268.0×
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	25	$3,672,900.00	$4,422,320.40	$3,783,087.00	nat. median $3,758,972 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	22	$3,605,000.00	$4,109,700.00	$3,713,150.00	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
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	28	$6,474.02	$4,825,397.00	$3,409,817.92	nat. median $3,325,455 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	26	$11,889.21	$4,836,939.00	$3,402,536.40	nat. median $30,329 outlier · 112.2×
748 OTHER	Inj, Lovotibeglogene Auto	28	$10,678.88	$4,764,700.00	$3,368,150.00	nat. median $3,252,508 1.0× median
00908 OTHER	Topi Adm Prad Zami Per Tr	2	$3,235,745.40	$3,335,820.00	$3,285,782.70	nat. median $14,694 outlier · 223.6×
906 OTHER	Inj Elivaldogene Autoteme	26	$7,790.85	$4,611,000.00	$3,243,600.00	nat. median $24,952 outlier · 130.0×
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	28	$9,484.96	$4,303,600.00	$3,042,200.00	nat. median $2,939,969 1.0× 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	26	$2,388,614.00	$3,754,022.45	$2,588,981.00	nat. median $2,588,981 1.0× median
09141 OTHER	Inj Onase Abepar-xioi Tre	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	26	$16,795.08	$3,381,400.00	$2,378,640.00	nat. median $2,262,040 1.1× median
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 $809,217 outlier · 2.0×
2067 OTHER	Afamitresgene Autoleucel	24	$770,620.00	$1,117,399.00	$809,151.00	nat. median $789,886 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 $319,951 1.9× median
9498 OTHER	Ciltacabtagene Car-pos T	26	$527,123.40	$852,091.92	$587,649.60	nat. median $587,650 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 $738,272 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
9194 OTHER	Tisagenlecleucel Car-pos	26	$529,192.90	$821,470.39	$566,531.30	nat. median $577,003 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	26	$526,587.60	$809,218.61	$563,448.73	nat. median $562,826 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	26	$516,726.10	$815,191.74	$562,201.20	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 $646,415 0.8× 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	26	$489,456.00	$771,678.69	$532,192.20	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	$519,707.67	nat. median $622,245 0.8× 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 $640,950 0.8× 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 $608,101 0.8× median
9391 OTHER	Brexucabtagene Car Pos T	26	$460,530.40	$709,702.79	$492,767.53	nat. median $492,768 1.0× 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 $591,650 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 $209,753 outlier · 2.1×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	39	$7,387.00	$832,980.61	$348,566.61	nat. median $359,358 1.0× median
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$181,072.32	$298,425.90	$289,473.12	nat. median $297,577 1.0× median
831 OTHER	Obecbtge Autol Up To 400	26	$3,593.30	$403,462.50	$283,815.00	nat. median $23,568 outlier · 12.0×
897 OTHER	Revakinagene, Per Implant	24	$265,000.00	$384,250.00	$278,250.00	nat. median $25,189 outlier · 11.0×
00831 OTHER	Obecbtge Autol Up To 400	2	$269,902.50	$278,250.00	$274,076.25	nat. median $272,685 1.0× median
00897 OTHER	Revakinagene, Per Implant	2	$257,050.00	$265,000.00	$261,025.00	nat. median $259,700 1.0× median
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	$219,442.42	$262,321.20	$254,451.56	nat. median $214,523 1.2× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	38	$10,670.00	$622,167.61	$248,244.47	nat. median $249,124 1.0× median

Other procedures at this hospital

Browse this hospital's 35,556 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	27	23	—	—	$5,841.77	$4,955,500.00	$4,595,100.00	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	51	25	—	—	$3,672,900.00	$4,422,320.40	$3,783,087.00	2026-03-01
773	OTHER	Inj, Beqvez, Per Tx Dose	25	22	—	—	$3,605,000.00	$4,109,700.00	$3,713,150.00	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
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	56	28	—	—	$6,474.02	$4,825,397.00	$3,409,817.92	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	30	26	—	—	$11,889.21	$4,836,939.00	$3,402,536.40	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	56	28	—	—	$10,678.88	$4,764,700.00	$3,368,150.00	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
906	OTHER	Inj Elivaldogene Autoteme	30	26	—	—	$7,790.85	$4,611,000.00	$3,243,600.00	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	56	28	—	—	$9,484.96	$4,303,600.00	$3,042,200.00	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	53	26	—	—	$2,388,614.00	$3,754,022.45	$2,588,981.00	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	30	26	—	—	$16,795.08	$3,381,400.00	$2,378,640.00	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…	1	1	—	—	$1,656,833.00	$1,656,833.00	$1,656,833.00	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	27	24	—	—	$770,620.00	$1,117,399.00	$809,151.00	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	1	1	—	—	$598,237.50	$598,237.50	$598,237.50	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	53	26	—	—	$527,123.40	$852,091.92	$587,649.60	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	12	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
9194	OTHER	Tisagenlecleucel Car-pos	53	26	—	—	$529,192.90	$821,470.39	$566,531.30	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	53	26	—	—	$526,587.60	$809,218.61	$563,448.73	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	53	26	—	—	$516,726.10	$815,191.74	$562,201.20	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…	12	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	53	26	—	—	$489,456.00	$771,678.69	$532,192.20	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	8	4	—	—	$470,149.30	$1,199,875.72	$519,707.67	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…	12	4	—	—	$459,839.17	$1,208,732.67	$508,695.37	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	12	4	—	—	$445,599.57	$1,144,213.32	$495,298.39	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	53	26	—	—	$460,530.40	$709,702.79	$492,767.53	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	12	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	1	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	109	39	—	—	$7,387.00	$832,980.61	$348,566.61	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	2	—	—	$181,072.32	$298,425.90	$289,473.12	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	30	26	—	—	$3,593.30	$403,462.50	$283,815.00	2026-03-01
897	OTHER	Revakinagene, Per Implant	27	24	—	—	$265,000.00	$384,250.00	$278,250.00	2026-03-01
00831	OTHER	Obecbtge Autol Up To 400	2	2	—	—	$269,902.50	$278,250.00	$274,076.25	2026-03-01
00897	OTHER	Revakinagene, Per Implant	2	2	—	—	$257,050.00	$265,000.00	$261,025.00	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	3	2	—	—	$219,442.42	$262,321.20	$254,451.56	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	107	38	—	—	$10,670.00	$622,167.61	$248,244.47	2026-03-01
5834	APR_DRG	Neonate With Ecmo	31	13	—	—	$192,207.00	$312,391.65	$233,252.43	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	30	26	—	—	$6,775.84	$292,420.05	$205,702.38	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	110	37	—	—	$10,670.00	$524,012.93	$198,779.26	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	2	2	—	—	$195,618.93	$201,669.00	$198,643.96	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	113	39	—	—	$10,670.00	$677,679.90	$190,904.95	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	2	—	—	$146,982.55	$184,889.20	$179,342.52	2026-03-01
1908	OTHER	New Technology - Level 52	53	26	—	—	$147,339.90	$226,021.50	$157,653.69	2026-03-01
1907	OTHER	New Technology - Level 52	53	26	—	—	$147,339.90	$226,021.50	$157,653.69	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	3	1	—	—	$156,515.70	$180,011.44	$156,515.70	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	13	—	—	$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
5833	APR_DRG	Neonate With Ecmo	31	13	—	—	$124,517.00	$186,775.50	$142,333.94	2026-03-01
1906	OTHER	New Technology - Level 51	53	26	—	—	$132,847.50	$203,789.96	$142,146.83	2026-03-01
1905	OTHER	New Technology - Level 51	53	26	—	—	$132,847.50	$203,789.96	$142,146.83	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	3	1	—	—	$122,172.78	$140,774.65	$140,774.65	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	3	2	—	—	$103,347.00	$144,383.90	$140,052.38	2026-03-01
01905	OTHER	New Technology - Level 51	3	2	—	—	$128,862.07	$138,020.20	$133,879.59	2026-03-01
01906	OTHER	New Technology - Level 51	3	2	—	—	$128,862.07	$138,020.20	$133,879.59	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	31	13	—	—	$111,047.00	$178,746.99	$133,464.42	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	13	—	—	$97,644.00	$178,865.04	$131,167.70	2026-03-01
1904	OTHER	New Technology - Level 50	53	26	—	—	$118,355.10	$181,558.41	$126,639.96	2026-03-01
1903	OTHER	New Technology - Level 50	53	26	—	—	$118,355.10	$181,558.41	$126,639.96	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	112	38	—	—	$10,670.00	$406,735.08	$126,153.44	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	3	2	—	—	$93,516.37	$129,397.80	$125,515.87	2026-03-01
01903	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
01904	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
7	MS_DRG	Lung Transplant	105	38	—	—	$10,670.00	$321,811.22	$116,476.55	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	105	38	—	—	$7,387.00	$381,492.93	$115,875.90	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	56	28	—	—	$96,999.90	$161,679.35	$111,503.00	2026-03-01
1901	OTHER	New Technology - Level 49	53	26	—	—	$103,862.70	$159,326.87	$111,133.09	2026-03-01
1902	OTHER	New Technology - Level 49	53	26	—	—	$103,862.70	$159,326.87	$111,133.09	2026-03-01
5832	APR_DRG	Neonate With Ecmo	31	13	—	—	$95,607.00	$143,410.50	$109,286.16	2026-03-01
007	OTHER	Lung Transplant	3	2	—	—	$82,853.93	$110,968.90	$107,639.83	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	31	13	—	—	$93,372.41	$142,750.50	$106,711.32	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
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	3	1	—	—	$56,756.00	$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	—	—	$56,756.00	$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	—	—	$56,756.00	$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	—	—	$56,756.00	$102,063.00	$102,063.00	2024-10-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	117	41	—	—	$10,670.00	$364,200.45	$101,313.83	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	107	38	—	—	$10,670.00	$436,491.40	$101,064.64	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	31	13	—	—	$83,057.18	$135,325.50	$101,043.04	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	61	36	—	—	$11,054.00	$382,733.90	$100,949.99	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	31	13	—	—	$81,396.21	$137,205.00	$100,776.26	2026-03-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc	3	1	—	—	$55,840.00	$100,416.00	$100,416.00	2024-10-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc	3	1	—	—	$55,840.00	$100,416.00	$100,416.00	2024-10-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	3	1	—	—	$100,053.67	$100,394.53	$100,053.67	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	31	13	—	—	$82,446.00	$133,307.22	$99,536.06	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	117	41	—	—	$10,152.00	$354,215.18	$98,325.96	2026-03-01
1585	OTHER	New Technology - Level 48	53	26	—	—	$91,785.68	$140,800.52	$98,210.68	2026-03-01
1599	OTHER	New Technology - Level 48	53	26	—	—	$91,785.68	$140,800.52	$98,210.68	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	13	—	—	$81,552.00	$127,428.00	$97,862.40	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	31	13	—	—	$75,232.00	$130,764.62	$97,637.58	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	31	13	—	—	$80,942.00	$128,217.69	$97,130.40	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	119	41	—	—	$10,799.00	$393,862.09	$96,868.12	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	56	28	—	—	$88,300.94	$137,867.45	$96,738.21	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	31	13	—	—	$79,657.00	$125,467.54	$95,588.40	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	2	—	—	$82,703.63	$98,351.18	$95,400.64	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	105	38	—	—	$10,670.00	$387,751.90	$95,285.84	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$91,880.66	$96,027.12	$94,722.33	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
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	115	40	—	—	$60,000.00	$247,352.79	$91,567.71	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	2	—	—	$67,982.36	$93,724.61	$90,912.87	2026-03-01
5831	APR_DRG	Neonate With Ecmo	31	13	—	—	$69,493.00	$122,622.00	$90,340.90	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	31	13	—	—	$73,863.00	$110,794.50	$88,248.00	2026-03-01
1584	OTHER	New Technology - Level 47	53	26	—	—	$82,124.09	$125,979.49	$87,872.78	2026-03-01
1598	OTHER	New Technology - Level 47	53	26	—	—	$82,124.09	$125,979.49	$87,872.78	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	6	3	—	—	$53,789.99	$119,352.48	$86,992.97	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	13	—	—	$71,560.00	$109,192.05	$85,872.00	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	13	—	—	$56,946.00	$133,113.71	$85,419.00	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	3	2	—	—	$50,378.56	$87,836.03	$85,200.95	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	31	13	—	—	$73,667.54	$113,416.50	$84,684.32	2026-03-01
01584	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
01598	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	3	2	—	—	$29,063.41	$84,836.62	$82,291.52	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	117	41	—	—	$10,670.00	$311,491.19	$81,721.60	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	117	41	—	—	$10,152.00	$282,029.05	$80,589.01	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	113	40	—	—	$50,332.00	$249,175.37	$80,509.11	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	31	13	—	—	$66,782.00	$100,494.24	$80,138.40	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	31	13	—	—	$67,242.00	$100,863.00	$79,595.47	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$61,062.92	$81,517.41	$79,071.89	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	111	40	—	—	$17,032.00	$187,062.91	$78,223.90	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	31	13	—	—	$64,392.00	$104,446.96	$77,987.07	2026-03-01
1583	OTHER	New Technology - Level 46	53	26	—	—	$72,462.48	$111,158.46	$77,534.85	2026-03-01
1597	OTHER	New Technology - Level 46	53	26	—	—	$72,462.48	$111,158.46	$77,534.85	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	2	—	—	$75,850.72	$78,196.62	$77,023.67	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc	5	2	—	—	$9,472.00	$75,435.00	$75,435.00	2026-03-01
020	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	3	2	—	—	$70,543.01	$77,295.86	$74,976.98	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	31	13	—	—	$62,352.00	$97,366.79	$74,822.40	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	117	41	—	—	$10,799.00	$244,153.99	$74,720.11	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	113	40	—	—	$46,484.00	$209,470.97	$73,635.90	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	31	13	—	—	$61,338.00	$93,593.57	$73,605.60	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	111	39	—	—	$55,825.00	$214,340.18	$73,385.45	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	31	13	—	—	$48,895.00	$105,823.65	$73,342.50	2026-03-01
01597	OTHER	New Technology - Level 46	3	2	—	—	$70,288.61	$75,284.00	$73,025.48	2026-03-01
01583	OTHER	New Technology - Level 46	3	2	—	—	$70,288.61	$75,284.00	$73,025.48	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	3	2	—	—	$54,814.65	$73,165.02	$70,970.07	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	31	13	—	—	$59,125.00	$94,624.20	$70,950.00	2026-03-01
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	3	2	—	—	$31,722.03	$72,928.89	$70,741.02	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	56	28	—	—	$63,895.55	$99,762.46	$70,000.86	2026-03-01
10	MS_DRG	Pancreas Transplant	105	38	—	—	$10,670.00	$195,488.88	$69,805.21	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	109	39	—	—	$10,670.00	$197,473.76	$69,764.52	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	31	13	—	—	$42,546.04	$102,481.50	$68,321.00	2026-03-01
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	1	1	—	—	$67,827.20	$67,827.20	$67,827.20	2024-10-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	117	41	—	—	$10,670.00	$167,727.58	$67,703.59	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	113	40	—	—	$13,978.00	$237,908.54	$67,290.47	2026-03-01
1596	OTHER	New Technology - Level 45	53	26	—	—	$62,800.88	$96,337.43	$67,196.94	2026-03-01
1582	OTHER	New Technology - Level 45	53	26	—	—	$62,800.88	$96,337.43	$67,196.94	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	116	41	—	—	$10,152.00	$218,753.54	$66,645.43	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	31	13	—	—	$54,849.00	$83,100.26	$65,818.80	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	53	26	—	—	$50,304.25	$95,245.15	$65,686.31	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	56	28	—	—	$15,514.76	$93,198.45	$65,560.29	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	53	26	—	—	$56,824.55	$94,941.04	$65,476.58	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	31	13	—	—	$46,525.00	$89,188.07	$65,404.58	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	31	13	—	—	$48,983.00	$89,188.07	$65,404.58	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	31	13	—	—	$47,538.00	$89,188.07	$65,404.58	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	2	—	—	$52,506.55	$66,273.26	$64,285.06	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	2	—	—	$45,826.85	$65,404.55	$63,442.41	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
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	111	40	—	—	$13,978.00	$206,596.63	$63,035.63	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	110	37	—	—	$10,670.00	$147,521.39	$62,764.99	2026-03-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc	5	2	—	—	$9,472.00	$62,710.00	$62,710.00	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	116	41	—	—	$11,906.00	$247,352.79	$62,677.88	2026-03-01
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	2	—	—	$61,694.18	$63,602.25	$62,648.21	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	3	2	—	—	$48,795.12	$64,506.44	$62,571.25	2026-03-01
00717	OTHER	Instill Adstiladrin, Tx D	3	2	—	—	$61,454.13	$64,274.79	$62,346.55	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	12	4	—	—	$61,338.53	$138,190.80	$62,287.07	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	31	13	—	—	$53,600.81	$83,284.50	$62,185.76	2026-03-01
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	113	40	—	—	$39,844.00	$115,135.00	$61,793.10	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	116	41	—	—	$11,906.00	$247,352.79	$61,759.25	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	31	13	—	—	$51,688.00	$77,532.00	$61,481.88	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	115	41	—	—	$10,799.00	$79,140.11	$61,477.23	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	31	13	—	—	$51,226.00	$80,695.10	$61,471.20	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	117	41	—	—	$10,670.00	$236,603.32	$61,401.09	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$60,013.44	$61,869.53	$60,723.36	2026-03-01
010	OTHER	Pancreas Transplant	3	2	—	—	$32,513.70	$62,279.25	$60,410.87	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	117	41	—	—	$10,670.00	$209,186.93	$60,105.46	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	2	—	—	$53,992.55	$61,922.70	$60,065.02	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	31	13	—	—	$44,835.00	$81,160.27	$59,517.54	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	2	2	—	—	$58,334.99	$60,139.16	$59,237.07	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	31	13	—	—	$49,247.00	$76,852.35	$59,096.40	2026-03-01
956	OTHER	Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma	3	2	—	—	$53,134.54	$60,498.84	$58,683.87	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	119	41	—	—	$10,799.00	$304,055.49	$58,462.79	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	117	41	—	—	$10,799.00	$249,175.37	$58,287.62	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	116	41	—	—	$7,387.00	$142,865.03	$57,757.76	2026-03-01
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	2	—	—	$35,527.69	$59,469.06	$57,684.99	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	116	41	—	—	$10,799.00	$153,787.25	$57,325.04	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	53	26	—	—	$54,404.11	$79,772.08	$57,124.32	2026-03-01
B0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	18	12	—	—	$42,619.16	$60,809.63	$57,045.22	2026-03-01
1581	OTHER	New Technology - Level 44	53	26	—	—	$53,139.28	$81,516.40	$56,859.03	2026-03-01
1595	OTHER	New Technology - Level 44	53	26	—	—	$53,139.28	$81,516.40	$56,859.03	2026-03-01
01643	OTHER	Y90 Ibritumomab, Rx	3	2	—	—	$55,119.81	$63,512.28	$56,824.55	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	115	41	—	—	$11,054.00	$136,019.64	$56,581.00	2026-03-01
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	117	41	—	—	$10,670.00	$152,426.75	$56,367.57	2026-03-01
B0505	HCPCS	Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2	18	12	—	—	$42,181.45	$59,808.42	$56,161.78	2026-03-01
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	117	41	—	—	$10,799.00	$172,383.77	$56,035.96	2026-03-01
246	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar…	3	1	—	—	$30,928.00	$55,615.00	$55,615.00	2024-10-01
247	MS_DRG	Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc	3	1	—	—	$30,928.00	$55,615.00	$55,615.00	2024-10-01
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$38,478.40	$57,068.59	$55,356.53	2026-03-01
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	2	—	—	$42,000.50	$56,861.39	$55,155.55	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	31	13	—	—	$45,376.00	$73,729.74	$55,051.54	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	117	41	—	—	$9,472.00	$171,568.85	$54,817.82	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	117	41	—	—	$10,799.00	$135,553.57	$54,723.79	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	117	41	—	—	$10,799.00	$150,739.43	$54,495.56	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	105	38	—	—	$7,387.00	$381,492.93	$54,373.51	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	117	41	—	—	$10,799.00	$134,281.24	$54,218.00	2026-03-01
64	APR_DRG	Pancreas Transplant	31	13	—	—	$45,492.54	$72,558.00	$54,176.64	2026-03-01
C2616	HCPCS	Brachytherapy Source, Non-stranded, Yttrium-90, Per Source	3	1	—	—	$40,208.00	$56,373.00	$53,804.00	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	87	34	—	—	$11,098.00	$66,300.60	$53,554.18	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
248	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4…	3	1	—	—	$29,705.00	$53,419.00	$53,419.00	2024-10-01
249	MS_DRG	Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent Without Mcc	3	1	—	—	$29,705.00	$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	31	13	—	—	$46,203.00	$69,304.50	$53,142.85	2026-03-01
215	OTHER	Other Heart Assist System Implant	3	2	—	—	$51,442.16	$63,081.97	$53,033.15	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	105	38	—	—	$7,387.00	$381,492.93	$52,931.64	2026-03-01
955	OTHER	Craniotomy For Multiple Significant Trauma	3	2	—	—	$51,120.57	$76,541.17	$52,701.62	2026-03-01
8514	APR_DRG	Gender Related Procedures	31	13	—	—	$42,908.27	$70,353.00	$52,530.24	2026-03-01
834	OTHER	Acute Leukemia With Mcc	3	2	—	—	$51,556.04	$54,106.71	$52,483.51	2026-03-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	117	41	—	—	$10,670.00	$128,599.95	$52,479.15	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	31	13	—	—	$43,560.00	$70,007.73	$52,272.44	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	116	41	—	—	$10,152.00	$168,566.60	$51,998.80	2026-03-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	2	—	—	$46,526.04	$53,584.39	$51,976.86	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	116	41	—	—	$10,152.00	$169,648.24	$51,883.46	2026-03-01
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	2	—	—	$37,815.71	$53,472.58	$51,868.40	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	117	41	—	—	$10,799.00	$244,153.99	$51,841.32	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	117	41	—	—	$10,799.00	$159,595.32	$51,831.17	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	31	13	—	—	$41,876.00	$69,298.37	$51,742.78	2026-03-01
B0106	HCPCS	Stroke; M > 30.05 & M < 34.25	18	12	—	—	$40,644.55	$54,224.23	$51,642.12	2026-03-01
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	2	—	—	$46,421.38	$53,127.76	$51,533.93	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	61	36	—	—	$11,054.00	$192,973.12	$51,467.99	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	31	13	—	—	$43,677.00	$65,515.50	$51,276.94	2026-03-01
456	OTHER	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	3	2	—	—	$37,244.31	$52,700.05	$51,119.05	2026-03-01
232	OTHER	Coronary Bypass With Ptca Without Mcc	3	2	—	—	$46,530.30	$52,618.73	$51,040.17	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	115	40	—	—	$10,799.00	$214,340.18	$51,030.99	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	105	38	—	—	$10,670.00	$197,473.76	$50,565.98	2026-03-01
J9600	HCPCS	Injection, Porfimer Sodium, 75 Mg	3	1	—	—	$50,561.89	$52,091.10	$50,561.89	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	56	28	—	—	$46,068.21	$71,927.83	$50,470.04	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	31	13	—	—	$42,035.00	$64,236.87	$50,442.00	2026-03-01
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	31	13	—	—	$41,957.00	$64,905.25	$50,348.40	2026-03-01
21	APR_DRG	Heart And/or Lung Transplant	31	13	—	—	$41,730.00	$65,165.07	$50,076.00	2026-03-01
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	2	—	—	$40,219.97	$51,271.50	$49,733.35	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	117	41	—	—	$10,799.00	$150,823.97	$49,730.10	2026-03-01
B1903	HCPCS	Guillian Barre; M < 18.05	18	12	—	—	$35,120.67	$52,830.58	$49,560.11	2026-03-01
525520	CDM	Valve Tavr 23mm	13	7	$98,804.00	$98,804.00	$5,631.83	$90,899.68	$49,402.00	2026-03-01
527597	CDM	Valve Tavr 26mm	29	11	$98,804.00	$98,804.00	$5,631.83	$90,899.68	$49,402.00	2026-03-01
529563	CDM	Valve Tavr 29mm	13	7	$98,804.00	$98,804.00	$5,631.83	$90,899.68	$49,402.00	2026-03-01
525521	CDM	Valve Tavr 20mm	13	7	$98,804.00	$98,804.00	$5,631.83	$90,899.68	$49,402.00	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	117	41	—	—	$10,670.00	$150,820.58	$49,383.58	2026-03-01
834	MS_DRG	Acute Leukemia With Mcc	116	41	—	—	$7,387.00	$122,083.69	$49,369.18	2026-03-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective	117	41	—	—	$10,670.00	$119,296.06	$49,226.25	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	31	13	—	—	$36,953.00	$66,933.09	$49,084.27	2026-03-01
B0205	HCPCS	Traumatic Brain Injury; M > 28.75 & M < 40.65	18	12	—	—	$36,898.10	$52,162.46	$49,053.65	2026-03-01
653	MS_DRG	Major Bladder Procedures With Mcc	117	41	—	—	$10,670.00	$123,128.50	$48,788.83	2026-03-01
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	2	2	—	—	$48,045.80	$49,531.75	$48,788.78	2026-03-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	117	41	—	—	$10,670.00	$119,183.41	$48,751.46	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	117	41	—	—	$10,799.00	$111,985.21	$48,663.14	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	31	13	—	—	$32,422.00	$87,882.00	$48,633.00	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	116	41	—	—	$10,152.00	$158,693.16	$48,359.87	2026-03-01
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	3	2	—	—	$37,122.01	$49,742.08	$48,249.82	2026-03-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	113	40	—	—	$10,799.00	$161,641.06	$47,713.83	2026-03-01
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	2	—	—	$37,608.82	$49,186.93	$47,711.32	2026-03-01
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	2	2	—	—	$46,916.46	$48,367.48	$47,641.97	2026-03-01
C0404	HCPCS	Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5	18	12	—	—	$37,870.04	$49,744.79	$47,375.99	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	115	40	—	—	$10,799.00	$214,340.18	$47,336.91	2026-03-01
502418	CDM	Valve Heart Trnscth 20mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
502419	CDM	Valve Heart Trnscth 23mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
502420	CDM	Valve Heart Trnscth 26mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
976231	CDM	Kit Aor Vlv 14fr 26mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
913745	CDM	Valve Aor With Intro 23mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
984899	CDM	Kit Aor Vlv 14fr 20mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
913746	CDM	Valve Aor With Intro 25mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
976232	CDM	Kit Aor Vlv 14fr 29mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
913744	CDM	Valve Aor With Intro 27mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
976230	CDM	Kit Aor Vlv 14fr 23mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
804212	CDM	Kit Vlv Aor 18fr 23mm	29	11	$94,445.00	$94,445.00	$5,383.36	$86,889.40	$47,222.50	2026-03-01
008	OTHER	Simultaneous Pancreas And Kidney Transplant	3	2	—	—	$35,540.47	$48,643.50	$47,184.19	2026-03-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	117	41	—	—	$10,799.00	$83,950.02	$47,046.10	2026-03-01
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	2	—	—	$45,142.43	$55,352.58	$46,538.59	2026-03-01
1594	OTHER	New Technology - Level 43	53	26	—	—	$43,477.68	$66,695.37	$46,521.12	2026-03-01
1580	OTHER	New Technology - Level 43	53	26	—	—	$43,477.68	$66,695.37	$46,521.12	2026-03-01
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	3	2	—	—	$46,055.65	$47,935.09	$46,497.04	2026-03-01
531856	CDM	System Trcsd 1clip 1cath	13	7	$92,992.00	$92,992.00	$5,300.54	$85,552.64	$46,496.00	2026-03-01
524758	CDM	Stent Eprsth 8x40mm 15cm	13	7	$92,992.00	$92,992.00	$5,300.54	$85,552.64	$46,496.00	2026-03-01
539033	CDM	Stent Eprsth 34mm 15mm	13	7	$92,992.00	$92,992.00	$5,300.54	$85,552.64	$46,496.00	2026-03-01

See an error in this hospital's data? Submit a correction