Hospital

HCA FLORIDA OAK HILL HOSPITAL

Brooksville, FL · CCN 100264 · Rates published

33,415 distinct procedures filed

52 distinct payers

1,755,112 rate rows

2026-07-31 last MRF observed

Data quality

1,699,076 of 1,755,112 rate rows are consumer-grade (96.8%)

56,036 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	21,512
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only	16,936
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	14,083
template filing: same amount across many unrelated codes — excluded	2,508
placeholder amount (≤ $0.02) — excluded from medians	540
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians	197
percent-of-charges filed in the dollar field — excluded from medians	123
exceeds 10× this hospital's gross charge — excluded from medians	94
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-OAK-HILL-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 · 2026-10-11
Content fingerprint	e49edc784b6df312… · 374,826,497 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	22	$5,749.81	$4,955,500.00	$4,595,100.00	nat. median $4,505,000 1.0× median
00845 OTHER	Inj, Atidarsagene Autotem	2	$4,369,850.00	$4,505,000.00	$4,437,425.00	—
9138 OTHER	Inj, Hemgenix, Per Tx Dos	22	$3,672,900.00	$4,201,204.38	$3,758,972.34	nat. median $3,765,001 1.0× median
773 OTHER	Inj, Beqvez, Per Tx Dose	20	$3,605,000.00	$4,109,700.00	$3,677,100.00	nat. median $3,677,100 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 $3,562,713 1.0× median
00773 OTHER	Inj, Beqvez, Per Tx Dose	1	$3,496,850.00	$3,496,850.00	$3,496,850.00	nat. median $3,496,850 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	23	$11,702.05	$3,802,834.80	$3,402,536.40	nat. median $8,800 outlier · 386.6×
714 OTHER	Inj Delandistrogene Mox R	24	$6,372.10	$3,793,760.40	$3,394,417.20	nat. median $3,391,964 1.0× median
748 OTHER	Inj, Lovotibeglogene Auto	24	$10,510.76	$3,746,040.00	$3,317,558.16	nat. median $3,351,720 1.0× median
00908 OTHER	Topi Adm Prad Zami Per Tr	2	$3,235,745.40	$3,335,820.00	$3,285,782.70	—
906 OTHER	Inj Elivaldogene Autoteme	23	$7,668.21	$3,625,200.00	$3,243,600.00	nat. median $2,726 outlier · 1189.7×
00714 OTHER	Inj Delandistrogene Mox R	2	$3,225,691.35	$3,327,860.00	$3,228,024.20	nat. median $3,225,691 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	—
746 OTHER	Inj, Betibeglogene Autote	24	$9,335.65	$3,383,520.00	$2,998,768.38	nat. median $3,001,835 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	22	$2,388,614.00	$2,951,438.34	$2,588,981.00	nat. median $2,508,045 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 $2,316,956 1.1× median
824 OTHER	Inj, Exagamglogene Autote	23	$16,530.69	$2,658,480.00	$2,378,640.00	nat. median $28,063 outlier · 84.8×
00824 OTHER	Inj, Exagamglogene Autote	2	$2,262,040.00	$2,332,000.00	$2,297,020.00	—
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 $813,967 outlier · 2.0×
2067 OTHER	Afamitresgene Autoleucel	21	$770,620.00	$878,506.80	$786,032.40	nat. median $838,386 0.9× 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 $286,598 outlier · 2.1×
9498 OTHER	Ciltacabtagene Car-pos T	22	$527,123.40	$669,920.54	$587,649.60	nat. median $553,480 1.1× 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 $621,313 0.9× median
09498 OTHER	Ciltacabtagene Car-pos T	2	$511,309.70	$587,649.60	$570,020.11	nat. median $511,310 1.1× median
9194 OTHER	Tisagenlecleucel Car-pos	22	$529,192.90	$645,845.68	$566,531.30	nat. median $555,653 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	22	$516,726.10	$640,909.37	$562,201.20	nat. median $542,562 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	22	$526,587.60	$636,213.25	$560,815.79	nat. median $552,917 1.0× median
09194 OTHER	Tisagenlecleucel Car-pos	2	$513,317.11	$566,531.30	$549,535.36	nat. median $513,317 1.1× median
09413 OTHER	Lisocabtagene Car Pos T	2	$501,224.32	$562,201.20	$545,335.16	nat. median $501,224 1.1× 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 $599,737 0.9× median
09422 OTHER	Idecabtagene Vicleucel Ca	2	$510,789.97	$558,081.80	$541,339.35	nat. median $510,790 1.1× median
9035 OTHER	Axicabtagene Ciloleucel C	22	$489,456.00	$606,699.11	$532,192.20	nat. median $513,929 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 $574,037 0.9× median
09035 OTHER	Axicabtagene Ciloleucel C	2	$474,772.32	$532,192.20	$516,226.43	nat. median $474,772 1.1× 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 $579,571 0.9× 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 $562,501 0.9× median
9391 OTHER	Brexucabtagene Car Pos T	22	$460,530.40	$557,973.23	$491,108.86	nat. median $483,557 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 $513,770 0.9× median
09391 OTHER	Brexucabtagene Car Pos T	2	$446,714.49	$489,450.20	$474,766.69	nat. median $446,714 1.1× median
J3402 HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	1	$433,588.39	$433,588.39	$433,588.39	nat. median $207,733 outlier · 2.1×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	35	$7,387.00	$961,233.00	$330,431.60	nat. median $168,055 2.0× median
018 OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	$178,221.79	$298,205.90	$289,259.72	nat. median $149,977 1.9× median
831 OTHER	Obecbtge Autol Up To 400	23	$3,536.73	$317,205.00	$283,815.00	nat. median $278,250 1.0× median
00831 OTHER	Obecbtge Autol Up To 400	2	$269,902.50	$278,250.00	$274,076.25	—
897 OTHER	Revakinagene, Per Implant	21	$265,000.00	$302,100.00	$270,300.00	nat. median $269,427 1.0× median
00897 OTHER	Revakinagene, Per Implant	2	$257,050.00	$265,000.00	$261,025.00	—
001 OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	2	$215,987.86	$262,127.80	$254,263.97	nat. median $177,883 1.4× median
1 MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	35	$10,670.00	$717,961.54	$246,911.87	nat. median $186,516 1.3× median

Other procedures at this hospital

Browse this hospital's 33,415 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	26	22	—	—	$5,749.81	$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	46	22	—	—	$3,672,900.00	$4,201,204.38	$3,758,972.34	2026-03-01
773	OTHER	Inj, Beqvez, Per Tx Dose	22	20	—	—	$3,605,000.00	$4,109,700.00	$3,677,100.00	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
908	OTHER	Topi Adm Prad Zami Per Tr	27	23	—	—	$11,702.05	$3,802,834.80	$3,402,536.40	2026-03-01
714	OTHER	Inj Delandistrogene Mox R	49	24	—	—	$6,372.10	$3,793,760.40	$3,394,417.20	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	49	24	—	—	$10,510.76	$3,746,040.00	$3,317,558.16	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	27	23	—	—	$7,668.21	$3,625,200.00	$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	49	24	—	—	$9,335.65	$3,383,520.00	$2,998,768.38	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	46	22	—	—	$2,388,614.00	$2,951,438.34	$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	27	23	—	—	$16,530.69	$2,658,480.00	$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	24	21	—	—	$770,620.00	$878,506.80	$786,032.40	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	46	22	—	—	$527,123.40	$669,920.54	$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	46	22	—	—	$529,192.90	$645,845.68	$566,531.30	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	46	22	—	—	$516,726.10	$640,909.37	$562,201.20	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	46	22	—	—	$526,587.60	$636,213.25	$560,815.79	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	46	22	—	—	$489,456.00	$606,699.11	$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	46	22	—	—	$460,530.40	$557,973.23	$491,108.86	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	99	35	—	—	$7,387.00	$961,233.00	$330,431.60	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	3	2	—	—	$178,221.79	$298,205.90	$289,259.72	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	27	23	—	—	$3,536.73	$317,205.00	$283,815.00	2026-03-01
00831	OTHER	Obecbtge Autol Up To 400	2	2	—	—	$269,902.50	$278,250.00	$274,076.25	2026-03-01
897	OTHER	Revakinagene, Per Implant	24	21	—	—	$265,000.00	$302,100.00	$270,300.00	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	—	—	$215,987.86	$262,127.80	$254,263.97	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	101	35	—	—	$10,670.00	$717,961.54	$246,911.87	2026-03-01
5834	APR_DRG	Neonate With Ecmo	29	12	—	—	$192,207.00	$312,391.65	$239,500.26	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	27	23	—	—	$6,669.18	$229,902.66	$205,702.38	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	2	2	—	—	$195,618.93	$201,669.00	$198,643.96	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	103	35	—	—	$10,670.00	$604,694.17	$193,820.62	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	103	35	—	—	$10,670.00	$727,242.28	$192,686.99	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	3	2	—	—	$144,668.71	$184,753.00	$179,210.41	2026-03-01
1907	OTHER	New Technology - Level 52	46	22	—	—	$147,339.90	$177,699.67	$156,916.99	2026-03-01
1908	OTHER	New Technology - Level 52	46	22	—	—	$147,339.90	$177,699.67	$156,916.99	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	29	12	—	—	$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	29	12	—	—	$124,517.00	$186,775.50	$143,194.55	2026-03-01
1906	OTHER	New Technology - Level 51	46	22	—	—	$132,847.50	$160,221.07	$141,482.59	2026-03-01
1905	OTHER	New Technology - Level 51	46	22	—	—	$132,847.50	$160,221.07	$141,482.59	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	—	—	$101,720.02	$144,277.40	$139,949.08	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	29	12	—	—	$111,047.00	$178,746.99	$137,039.36	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
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	29	12	—	—	$97,644.00	$178,865.04	$133,552.56	2026-03-01
1903	OTHER	New Technology - Level 50	46	22	—	—	$118,355.10	$142,742.48	$126,048.18	2026-03-01
1904	OTHER	New Technology - Level 50	46	22	—	—	$118,355.10	$142,742.48	$126,048.18	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	3	2	—	—	$92,044.22	$129,302.40	$125,423.33	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	103	35	—	—	$10,670.00	$436,481.81	$124,721.50	2026-03-01
01904	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
01903	OTHER	New Technology - Level 50	3	2	—	—	$114,804.45	$122,963.60	$119,274.69	2026-03-01
7	MS_DRG	Lung Transplant	99	35	—	—	$10,670.00	$345,347.01	$116,648.10	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	99	35	—	—	$7,387.00	$409,393.56	$113,931.30	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	49	24	—	—	$96,999.90	$127,113.42	$111,503.00	2026-03-01
1901	OTHER	New Technology - Level 49	46	22	—	—	$103,862.70	$125,263.88	$110,613.77	2026-03-01
1902	OTHER	New Technology - Level 49	46	22	—	—	$103,862.70	$125,263.88	$110,613.77	2026-03-01
5832	APR_DRG	Neonate With Ecmo	29	12	—	—	$95,607.00	$143,410.50	$109,948.05	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	29	12	—	—	$95,167.00	$142,750.50	$109,442.05	2026-03-01
007	OTHER	Lung Transplant	3	2	—	—	$81,549.62	$110,887.10	$107,560.49	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
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	101	35	—	—	$10,670.00	$468,414.37	$103,171.30	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	56	33	—	—	$11,054.00	$410,725.30	$103,053.63	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	29	12	—	—	$87,012.29	$135,325.50	$102,832.70	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	29	12	—	—	$85,272.22	$137,205.00	$102,446.40	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	29	12	—	—	$82,446.00	$133,307.22	$102,202.20	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
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
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
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
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	106	36	—	—	$10,152.00	$380,120.84	$99,367.29	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	106	36	—	—	$10,670.00	$390,836.39	$99,029.99	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	29	12	—	—	$80,942.00	$128,217.69	$98,300.23	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	29	12	—	—	$81,552.00	$127,428.00	$97,862.40	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	29	12	—	—	$75,232.00	$130,764.62	$97,801.60	2026-03-01
1585	OTHER	New Technology - Level 48	46	22	—	—	$91,785.68	$110,698.34	$97,751.75	2026-03-01
1599	OTHER	New Technology - Level 48	46	22	—	—	$91,785.68	$110,698.34	$97,751.75	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	108	36	—	—	$10,799.00	$422,667.35	$96,941.07	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	29	12	—	—	$79,657.00	$125,467.54	$96,191.78	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	49	24	—	—	$88,300.94	$108,392.34	$95,583.49	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	3	2	—	—	$81,401.68	$98,278.68	$95,330.32	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	3	2	—	—	$91,812.93	$94,652.51	$94,515.43	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	99	35	—	—	$10,670.00	$416,110.29	$93,930.54	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
5831	APR_DRG	Neonate With Ecmo	29	12	—	—	$69,493.00	$122,622.00	$91,557.76	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	3	2	—	—	$66,912.17	$93,655.52	$90,845.85	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	104	35	—	—	$60,000.00	$265,443.03	$89,155.89	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	29	12	—	—	$73,863.00	$110,794.50	$88,248.00	2026-03-01
1584	OTHER	New Technology - Level 47	46	22	—	—	$82,124.09	$99,045.95	$87,462.16	2026-03-01
1598	OTHER	New Technology - Level 47	46	22	—	—	$82,124.09	$99,045.95	$87,462.16	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
74	APR_DRG	Allogeneic Bone Marrow Transplant	29	12	—	—	$75,611.00	$113,416.50	$86,952.65	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	29	12	—	—	$71,560.00	$109,192.05	$85,872.00	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	29	12	—	—	$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	—	—	$49,585.49	$87,771.29	$85,138.15	2026-03-01
01598	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
01584	OTHER	New Technology - Level 47	3	2	—	—	$79,660.37	$85,321.80	$82,762.15	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	3	2	—	—	$28,605.88	$84,774.09	$82,230.87	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	106	36	—	—	$10,152.00	$302,655.35	$80,839.62	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	106	36	—	—	$10,670.00	$334,272.22	$80,229.70	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	29	12	—	—	$66,782.00	$100,494.24	$80,138.40	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	29	12	—	—	$64,392.00	$104,446.96	$80,076.01	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	29	12	—	—	$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	—	—	$60,101.65	$81,457.32	$79,013.60	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	102	35	—	—	$50,332.00	$267,398.90	$77,543.99	2026-03-01
1583	OTHER	New Technology - Level 46	46	22	—	—	$72,462.48	$87,393.55	$77,172.54	2026-03-01
1597	OTHER	New Technology - Level 46	46	22	—	—	$72,462.48	$87,393.55	$77,172.54	2026-03-01
429	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	2	2	—	—	$75,794.81	$78,138.98	$76,966.89	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	100	35	—	—	$17,032.00	$215,864.61	$76,295.48	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	—	—	$69,432.50	$77,238.89	$74,921.72	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	29	12	—	—	$62,352.00	$97,366.79	$74,822.40	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	29	12	—	—	$61,338.00	$93,593.57	$73,605.60	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	29	12	—	—	$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
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	29	12	—	—	$59,125.00	$94,624.20	$72,545.22	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	106	36	—	—	$10,799.00	$262,010.28	$71,837.99	2026-03-01
231	OTHER	Coronary Bypass With Ptca With Mcc	3	2	—	—	$53,951.75	$73,111.09	$70,917.76	2026-03-01
275	OTHER	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	3	2	—	—	$31,222.64	$72,875.13	$70,688.88	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	100	34	—	—	$55,825.00	$230,016.04	$70,114.34	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	102	35	—	—	$46,484.00	$224,790.71	$69,814.86	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	49	24	—	—	$63,895.55	$78,433.94	$69,165.29	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	29	12	—	—	$44,572.04	$102,481.50	$68,321.00	2026-03-01
10	MS_DRG	Pancreas Transplant	99	35	—	—	$10,670.00	$209,786.03	$67,412.00	2026-03-01
19	MS_DRG	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	99	35	—	—	$10,670.00	$211,916.08	$67,026.22	2026-03-01
1582	OTHER	New Technology - Level 45	46	22	—	—	$62,800.88	$75,741.16	$66,882.93	2026-03-01
1596	OTHER	New Technology - Level 45	46	22	—	—	$62,800.88	$75,741.16	$66,882.93	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	105	36	—	—	$10,670.00	$190,249.71	$66,830.06	2026-03-01
453	OTHER	Combined Anterior And Posterior Spinal Fusion With Mcc	1	1	—	—	$66,759.44	$66,759.44	$66,759.44	2024-10-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	29	12	—	—	$47,538.00	$89,188.07	$66,593.76	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	29	12	—	—	$48,983.00	$89,188.07	$66,593.76	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	29	12	—	—	$46,525.00	$89,188.07	$66,593.76	2026-03-01
275	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc	102	35	—	—	$13,978.00	$255,308.07	$66,577.64	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	105	36	—	—	$10,152.00	$244,138.49	$65,954.97	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	29	12	—	—	$54,849.00	$83,100.26	$65,818.80	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	46	22	—	—	$50,304.25	$74,882.39	$65,686.31	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	49	24	—	—	$15,270.53	$73,273.26	$65,560.29	2026-03-01
957	OTHER	Other O.r. Procedures For Multiple Significant Trauma With Mcc	3	2	—	—	$51,679.98	$66,224.41	$64,237.68	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	29	12	—	—	$55,523.00	$83,284.50	$63,851.45	2026-03-01
1643	OTHER	Y90 Ibritumomab, Rx	46	22	—	—	$56,824.55	$74,643.30	$63,643.50	2026-03-01
233	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	3	2	—	—	$45,105.44	$65,356.34	$63,395.65	2026-03-01
01596	OTHER	New Technology - Level 45	3	2	—	—	$60,916.85	$65,246.20	$63,288.81	2026-03-01
01582	OTHER	New Technology - Level 45	3	2	—	—	$60,916.85	$65,246.20	$63,288.81	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
447	OTHER	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	2	2	—	—	$61,648.70	$63,555.36	$62,602.03	2026-03-01
05244	OTHER	Level 4 Blood Product Exc	3	2	—	—	$48,795.12	$64,506.44	$62,571.25	2026-03-01
217	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	105	36	—	—	$11,906.00	$265,443.03	$62,515.93	2026-03-01
218	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	105	36	—	—	$11,906.00	$265,443.03	$62,357.02	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
268	MS_DRG	Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc	102	35	—	—	$32,101.28	$120,175.29	$62,249.81	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	29	12	—	—	$51,226.00	$80,695.10	$61,866.24	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	29	12	—	—	$51,688.00	$77,532.00	$61,481.88	2026-03-01
447	MS_DRG	Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall…	100	35	—	—	$13,978.00	$230,570.85	$61,264.15	2026-03-01
955	MS_DRG	Craniotomy For Multiple Significant Trauma	105	36	—	—	$10,670.00	$253,907.40	$60,934.71	2026-03-01
870	MS_DRG	Septicemia Or Severe Sepsis With Mv >96 Hours	104	36	—	—	$10,000.00	$79,140.11	$60,676.89	2026-03-01
928	MS_DRG	Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc	103	35	—	—	$10,670.00	$170,234.96	$60,611.86	2026-03-01
5912	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	29	12	—	—	$44,835.00	$81,160.27	$60,599.67	2026-03-01
010	OTHER	Pancreas Transplant	3	2	—	—	$32,001.86	$62,233.35	$60,366.35	2026-03-01
019	OTHER	Simultaneous Pancreas And Kidney Transplant With Hemodialysis	3	2	—	—	$53,142.58	$61,877.06	$60,020.75	2026-03-01
217	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$59,767.43	$61,823.93	$59,969.21	2026-03-01
317	MS_DRG	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	106	36	—	—	$10,670.00	$224,485.90	$59,960.90	2026-03-01
360	OTHER	Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc	2	2	—	—	$58,291.99	$60,094.83	$59,193.41	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	29	12	—	—	$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	—	—	$52,298.08	$60,454.25	$58,640.62	2026-03-01
266	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc	108	36	—	—	$10,799.00	$326,292.70	$58,589.91	2026-03-01
232	MS_DRG	Coronary Bypass With Ptca Without Mcc	106	36	—	—	$10,799.00	$267,398.90	$57,652.18	2026-03-01
011	OTHER	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	3	2	—	—	$34,968.40	$59,425.23	$57,642.47	2026-03-01
01643	OTHER	Y90 Ibritumomab, Rx	3	2	—	—	$55,119.81	$63,512.28	$56,824.55	2026-03-01
1581	OTHER	New Technology - Level 44	46	22	—	—	$53,139.28	$64,088.76	$56,593.33	2026-03-01
1595	OTHER	New Technology - Level 44	46	22	—	—	$53,139.28	$64,088.76	$56,593.33	2026-03-01
207	MS_DRG	Respiratory System Diagnosis With Ventilator Support >96 Hours	105	36	—	—	$7,387.00	$164,861.67	$56,531.05	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	29	12	—	—	$45,376.00	$73,729.74	$56,526.13	2026-03-01
9273	OTHER	Sipuleucel-t Auto Cd54+	46	22	—	—	$54,404.11	$62,717.36	$56,115.53	2026-03-01
276	MS_DRG	Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator	105	36	—	—	$10,799.00	$171,633.28	$55,825.00	2026-03-01
64	APR_DRG	Pancreas Transplant	29	12	—	—	$47,658.85	$72,558.00	$55,627.80	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
969	MS_DRG	HIV With Extensive O.r. Procedures With Mcc	106	36	—	—	$10,670.00	$163,574.54	$55,471.86	2026-03-01
218	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	3	2	—	—	$37,872.66	$57,026.53	$55,315.73	2026-03-01
573	OTHER	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	3	2	—	—	$41,339.30	$56,819.48	$55,114.90	2026-03-01
573	MS_DRG	Skin Graft For Skin Ulcer Or Cellulitis With Mcc	104	36	—	—	$11,054.00	$156,962.32	$54,310.20	2026-03-01
16	MS_DRG	Autologous Bone Marrow Transplant With Cc/mcc	99	35	—	—	$7,387.00	$409,393.56	$54,292.97	2026-03-01
457	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	106	36	—	—	$9,472.00	$184,116.61	$54,155.26	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
235	MS_DRG	Coronary Bypass Without Cardiac Catheterization With Mcc	106	36	—	—	$10,799.00	$184,991.13	$53,740.14	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	29	12	—	—	$43,560.00	$70,007.73	$53,672.59	2026-03-01
28	MS_DRG	Spinal Procedures With Mcc	106	36	—	—	$10,799.00	$154,956.26	$53,621.48	2026-03-01
461	MS_DRG	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	106	36	—	—	$10,799.00	$156,424.48	$53,589.65	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	29	12	—	—	$46,203.00	$69,304.50	$53,142.85	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	29	12	—	—	$41,876.00	$69,298.37	$53,128.75	2026-03-01
8514	APR_DRG	Gender Related Procedures	29	12	—	—	$44,951.52	$70,353.00	$53,124.53	2026-03-01
215	OTHER	Other Heart Assist System Implant	3	2	—	—	$51,404.24	$62,088.92	$52,994.06	2026-03-01
17	MS_DRG	Autologous Bone Marrow Transplant Without Cc/mcc	99	35	—	—	$7,387.00	$409,393.56	$52,712.80	2026-03-01
955	OTHER	Craniotomy For Multiple Significant Trauma	3	2	—	—	$51,082.89	$75,336.24	$52,662.77	2026-03-01
23	MS_DRG	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	106	36	—	—	$10,799.00	$161,763.82	$52,488.80	2026-03-01
790	MS_DRG	Extreme Immaturity Or Respiratory Distress Syndrome, Neonate	77	30	—	—	$11,098.00	$67,348.81	$52,447.95	2026-03-01
834	OTHER	Acute Leukemia With Mcc	3	2	—	—	$50,744.43	$54,066.83	$52,444.83	2026-03-01
430	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	105	36	—	—	$10,152.00	$188,127.68	$52,298.78	2026-03-01
213	MS_DRG	Endovascular Abdominal Aorta With Iliac Branch Procedures	56	33	—	—	$11,054.00	$207,086.28	$52,277.07	2026-03-01
219	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	3	2	—	—	$45,793.61	$53,544.90	$51,938.55	2026-03-01
023	OTHER	Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi…	3	2	—	—	$37,220.41	$53,433.17	$51,830.17	2026-03-01
428	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	105	36	—	—	$10,152.00	$189,334.84	$51,508.90	2026-03-01
969	OTHER	HIV With Extensive O.r. Procedures With Mcc	3	2	—	—	$45,690.60	$53,088.60	$51,495.94	2026-03-01
820	MS_DRG	Lymphoma And Leukemia With Major O.r. Procedures With Mcc	106	36	—	—	$10,670.00	$148,400.23	$51,370.67	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	29	12	—	—	$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	—	—	$36,658.01	$52,661.21	$51,081.37	2026-03-01
21	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	106	36	—	—	$10,799.00	$262,010.28	$51,075.16	2026-03-01
232	OTHER	Coronary Bypass With Ptca Without Mcc	3	2	—	—	$45,797.80	$52,579.95	$51,002.55	2026-03-01
8	MS_DRG	Simultaneous Pancreas And Kidney Transplant	99	35	—	—	$10,670.00	$211,916.08	$50,843.03	2026-03-01
220	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	104	35	—	—	$10,799.00	$230,016.04	$50,652.11	2026-03-01
J9600	HCPCS	Injection, Porfimer Sodium, 75 Mg	3	1	—	—	$50,561.89	$52,091.10	$50,561.89	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	29	12	—	—	$42,035.00	$64,236.87	$50,442.00	2026-03-01
535062	CDM	Mesh Surg 19.5x19.5in	29	11	$100,775.14	$100,775.14	$3,426.35	$92,713.13	$50,387.57	2026-03-01
5932	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	29	12	—	—	$41,957.00	$64,905.25	$50,348.40	2026-03-01
21	APR_DRG	Heart And/or Lung Transplant	29	12	—	—	$41,730.00	$65,165.07	$50,076.00	2026-03-01
234	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	106	36	—	—	$10,799.00	$171,267.38	$50,067.55	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	29	12	—	—	$36,953.00	$66,933.09	$49,976.71	2026-03-01
L7181	HCPCS	Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi…	49	24	—	—	$46,068.21	$56,550.16	$49,867.65	2026-03-01
207	OTHER	Respiratory System Diagnosis With Ventilator Support >96 Hours	3	2	—	—	$39,586.82	$51,233.71	$49,696.70	2026-03-01
525521	CDM	Valve Tavr 20mm	13	7	$98,804.00	$98,804.00	$3,359.34	$90,899.68	$49,402.00	2026-03-01
529563	CDM	Valve Tavr 29mm	13	7	$98,804.00	$98,804.00	$3,359.34	$90,899.68	$49,402.00	2026-03-01
525520	CDM	Valve Tavr 23mm	13	7	$98,804.00	$98,804.00	$3,359.34	$90,899.68	$49,402.00	2026-03-01
527597	CDM	Valve Tavr 26mm	13	7	$98,804.00	$98,804.00	$3,359.34	$90,899.68	$49,402.00	2026-03-01
213	OTHER	Endovascular Abdominal Aorta With Iliac Branch Procedures	2	2	—	—	$48,010.38	$49,495.24	$48,752.81	2026-03-01
450	MS_DRG	Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically	105	36	—	—	$10,152.00	$177,108.48	$48,640.76	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	29	12	—	—	$32,422.00	$87,882.00	$48,633.00	2026-03-01
270	MS_DRG	Other Major Cardiovascular Procedures With Mcc	106	36	—	—	$10,799.00	$120,175.29	$48,333.52	2026-03-01
834	MS_DRG	Acute Leukemia With Mcc	105	36	—	—	$7,387.00	$140,880.68	$48,321.03	2026-03-01
234	OTHER	Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc	3	2	—	—	$36,537.62	$49,705.42	$48,214.26	2026-03-01
278	MS_DRG	Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures	106	36	—	—	$10,799.00	$161,854.53	$48,184.46	2026-03-01
405	MS_DRG	Pancreas, Liver And Shunt Procedures With Mcc	106	36	—	—	$10,670.00	$161,850.91	$48,152.46	2026-03-01
463	MS_DRG	Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective	106	36	—	—	$10,670.00	$137,663.84	$47,684.67	2026-03-01
235	OTHER	Coronary Bypass Without Cardiac Catheterization With Mcc	3	2	—	—	$37,016.77	$49,150.67	$47,676.15	2026-03-01
653	MS_DRG	Major Bladder Procedures With Mcc	106	36	—	—	$10,670.00	$142,086.36	$47,658.06	2026-03-01
11	MS_DRG	Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc	106	36	—	—	$10,670.00	$137,533.84	$47,640.03	2026-03-01
430	OTHER	Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc	2	2	—	—	$46,881.88	$48,331.83	$47,606.85	2026-03-01
466	MS_DRG	Revision Of Hip Or Knee Replacement With Mcc	106	36	—	—	$10,799.00	$90,089.73	$47,231.18	2026-03-01
976232	CDM	Kit Aor Vlv 14fr 29mm	29	11	$94,445.00	$94,445.00	$3,211.13	$86,889.40	$47,222.50	2026-03-01
502418	CDM	Valve Heart Trnscth 20mm	29	11	$94,445.00	$94,445.00	$3,211.13	$86,889.40	$47,222.50	2026-03-01
502420	CDM	Valve Heart Trnscth 26mm	29	11	$94,445.00	$94,445.00	$3,211.13	$86,889.40	$47,222.50	2026-03-01
502419	CDM	Valve Heart Trnscth 23mm	29	11	$94,445.00	$94,445.00	$3,211.13	$86,889.40	$47,222.50	2026-03-01
008	OTHER	Simultaneous Pancreas And Kidney Transplant	3	2	—	—	$34,980.98	$48,607.64	$47,149.41	2026-03-01
021	OTHER	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc	3	2	—	—	$45,109.16	$54,481.21	$46,504.29	2026-03-01
221	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	104	35	—	—	$10,799.00	$230,016.04	$46,473.69	2026-03-01
461	OTHER	Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc	3	2	—	—	$45,330.63	$47,899.75	$46,462.76	2026-03-01
228	MS_DRG	Other Cardiothoracic Procedures With Mcc	102	35	—	—	$10,799.00	$173,462.75	$46,335.45	2026-03-01
1580	OTHER	New Technology - Level 43	46	22	—	—	$43,477.68	$52,436.36	$46,303.73	2026-03-01
1594	OTHER	New Technology - Level 43	46	22	—	—	$43,477.68	$52,436.36	$46,303.73	2026-03-01
016	OTHER	Autologous Bone Marrow Transplant With Cc/mcc	3	2	—	—	$32,219.28	$47,638.00	$46,208.86	2026-03-01
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	29	12	—	—	$38,906.00	$58,359.00	$46,158.30	2026-03-01
471	MS_DRG	Cervical Spinal Fusion With Mcc	105	36	—	—	$10,799.00	$79,957.96	$45,901.75	2026-03-01
535364	CDM	Valve Tavr 34mm	13	7	$91,539.00	$91,539.00	$3,112.33	$84,215.88	$45,769.50	2026-03-01
532803	CDM	Valve Tavr 26mm	13	7	$91,539.00	$91,539.00	$3,112.33	$84,215.88	$45,769.50	2026-03-01
535361	CDM	Valve Tavr 23mm	13	7	$91,539.00	$91,539.00	$3,112.33	$84,215.88	$45,769.50	2026-03-01
535363	CDM	Valve Tavr 29mm	13	7	$91,539.00	$91,539.00	$3,112.33	$84,215.88	$45,769.50	2026-03-01
017	OTHER	Autologous Bone Marrow Transplant Without Cc/mcc	3	2	—	—	$41,066.19	$47,113.73	$45,700.32	2026-03-01
1142	OTHER	Supprelin La Implant	46	22	—	—	$43,185.34	$51,699.24	$45,676.71	2026-03-01
267	MS_DRG	Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc	108	36	—	—	$10,799.00	$244,998.94	$45,664.53	2026-03-01
0294T	CPT	HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I…	7	2	—	—	$19,926.00	$52,079.00	$45,326.00	2026-03-01
576	MS_DRG	Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc	106	36	—	—	$10,670.00	$137,516.00	$44,987.09	2026-03-01
317	OTHER	Concomitant Left Atrial Appendage Closure And Cardiac Ablation	3	2	—	—	$33,503.40	$46,236.29	$44,849.20	2026-03-01
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	29	12	—	—	$37,554.87	$59,817.00	$44,663.36	2026-03-01
J9226	HCPCS	Histrelin Implant (supprelin La), 50 Mg	12	4	—	—	$43,241.44	$94,940.24	$44,533.82	2026-03-01

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