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

GULF BREEZE HOSPITAL

Gulf Breeze, FL · CCN 100266 · Rates published

23,931 distinct procedures filed
26 distinct payers
740,854 rate rows
2025-12-23 last MRF observed
Data quality

574,003 of 740,854 rate rows are consumer-grade (77.5%)

166,851 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 162,125
template filing: same amount across many unrelated codes — excluded 3,212
exceeds 10× this hospital's gross charge — excluded from medians 1,038
percent-of-charges filed in the dollar field — excluded from medians 371
per-diem day rate — not a per-procedure price 70
placeholder amount (≤ $0.02) — excluded from medians 35
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://baptisthealthcare.pt.panaceainc.com/MRFDownload/baptisthealthcare/glfbreeze
Found on page https://www.ebaptisthealthcare.org/patientfinancialresources/price-transparency-standard-hospital-charges
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-16
Content fingerprint db6ee847045e9bfd… · 328,481,617 bytes · first seen 2026-05-08

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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,377,500.00 $4,596,375.00 $4,465,050.00 nat. median
$4,505,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 5 $3,710,000.00 $3,895,500.00 $3,784,200.00 nat. median
$3,710,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 5 $3,685,266.67 $3,869,530.00 $3,758,972.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 5 $3,324,571.90 $3,490,800.50 $3,391,063.34 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 5 $3,261,355.00 $3,424,422.75 $3,326,582.10 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $2,950,686.67 $4,927,646.74 $3,009,700.40 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $10,712.95 $4,095,033.05 $2,458,245.89 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,332,000.00 $3,894,440.00 $2,378,640.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $770,620.00 $1,286,935.40 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 12 $24,610.06 $965,802.05 $578,324.58 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $24,610.06 $924,142.65 $554,762.27 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 12 $24,610.06 $904,531.55 $541,635.66 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 12 $24,610.06 $903,904.95 $541,260.45 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 12 $24,610.06 $890,237.72 $533,076.48 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 12 $24,610.06 $817,832.40 $489,720.00 nat. median
$619,808
0.8× median
5834
APR_DRG 		8 $193,168.40 $510,598.86 $466,198.96 nat. median
$309,665
1.5× median
5884
APR_DRG 		8 $126,020.56 $333,108.08 $304,142.16 nat. median
$246,434
1.2× median
5833
APR_DRG 		8 $125,140.52 $330,781.88 $302,018.24 nat. median
$244,017
1.2× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $270,375.00 $451,526.25 $275,782.50 nat. median
$324,450
0.8× median
0024
APR_DRG 		8 $111,602.50 $294,997.06 $269,345.14 nat. median
$372,987
0.7× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 8 $201,400.68 $731,779.17 $267,043.93 nat. median
$370,174
0.7× median
0114
APR_DRG 		8 $98,132.39 $259,391.76 $236,835.95 nat. median
$197,700
1.2× median
1614
APR_DRG 		8 $95,642.93 $252,811.38 $230,827.78 nat. median
$207,730
1.1× median
6304
APR_DRG 		8 $91,927.68 $242,990.94 $221,861.29 nat. median
$150,721
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $150,429.43 $546,577.69 $220,276.95 nat. median
$265,286
0.8× median
8414
APR_DRG 		8 $90,668.32 $239,662.07 $218,821.89 nat. median
$160,267
1.4× median
6094
APR_DRG 		8 $82,858.86 $219,019.48 $199,974.31 nat. median
$162,982
1.2× median
5883
APR_DRG 		8 $81,960.39 $216,644.58 $197,805.92 nat. median
$182,665
1.1× median
6314
APR_DRG 		8 $81,346.97 $215,023.12 $196,325.46 nat. median
$122,924
1.6× median
5914
APR_DRG 		8 $80,056.17 $211,611.18 $193,210.21 nat. median
$164,289
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $126,688.77 $460,317.21 $185,513.01 nat. median
$206,474
0.9× median
0074
APR_DRG 		8 $75,989.42 $200,861.60 $183,395.37 nat. median
$178,275
1.0× median
0094
APR_DRG 		8 $75,608.64 $199,855.11 $182,476.40 nat. median
$166,008
1.1× median
5934
APR_DRG 		8 $74,232.59 $196,217.80 $179,155.38 nat. median
$151,838
1.2× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $114,452.89 $415,858.77 $167,595.75 nat. median
$202,976
0.8× median
6034
APR_DRG 		8 $68,662.62 $181,494.78 $165,712.63 nat. median
$109,499
1.5× median
0014
APR_DRG 		8 $67,578.82 $178,630.01 $163,096.96 nat. median
$190,591
0.9× median
0044
APR_DRG 		8 $67,116.04 $177,406.75 $161,980.08 nat. median
$195,681
0.8× median
1613
APR_DRG 		8 $64,714.36 $171,058.42 $156,183.77 nat. median
$119,796
1.3× median
5832
APR_DRG 		8 $96,085.11 $167,121.17 $152,588.90 nat. median
$156,126
1.0× median
0023
APR_DRG 		8 $62,664.18 $165,639.23 $151,235.82 nat. median
$167,082
0.9× median
5913
APR_DRG 		8 $59,420.76 $157,065.92 $143,408.01 nat. median
$102,919
1.4× median
0113
APR_DRG 		8 $57,230.77 $151,277.16 $138,122.63 nat. median
$128,705
1.1× median
1604
APR_DRG 		8 $55,801.25 $147,498.53 $134,672.57 nat. median
$97,957
1.4× median
6024
APR_DRG 		8 $55,123.52 $145,707.09 $133,036.91 nat. median
$118,620
1.1× median
5933
APR_DRG 		8 $51,483.05 $136,084.32 $124,250.90 nat. median
$108,996
1.1× median
0064
APR_DRG 		8 $48,614.61 $128,502.22 $117,328.11 nat. median
$98,565
1.2× median
5882
APR_DRG 		8 $71,918.69 $125,088.44 $114,211.19 nat. median
$145,336
0.8× median
8514
APR_DRG 		8 $47,137.40 $124,597.54 $113,762.97 nat. median
$70,353
1.6× median
5893
APR_DRG 		8 $46,758.44 $123,595.82 $112,848.36 nat. median
$69,788
1.6× median

Other procedures at this hospital

Browse this hospital's 23,931 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 10 5 — — $4,377,500.00 $4,596,375.00 $4,465,050.00 2025-12-23
J1414 HCPCS Inj, Beqvez, Per Tx Dose 10 5 — — $3,710,000.00 $3,895,500.00 $3,784,200.00 2025-12-23
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 10 5 — — $3,685,266.67 $3,869,530.00 $3,758,972.00 2025-12-23
J1413 HCPCS Inj Delandistrogene Mox Rokl 10 5 — — $3,324,571.90 $3,490,800.50 $3,391,063.34 2025-12-23
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 5 — — $3,261,355.00 $3,424,422.75 $3,326,582.10 2025-12-23
J3393 HCPCS Inj, Betibeglogene Autotemce 11 6 — — $2,950,686.67 $4,927,646.74 $3,009,700.40 2025-12-23
J3399 HCPCS Inj Onase Abepar-xioi Treat 20 11 — — $10,712.95 $4,095,033.05 $2,458,245.89 2025-12-23
J3392 HCPCS Inj, Exagamglogene Autotem 11 6 — — $2,332,000.00 $3,894,440.00 $2,378,640.00 2025-12-23
Q2057 HCPCS Afamitresgene Autoleucel 11 6 — — $770,620.00 $1,286,935.40 $786,032.40 2025-12-23
Q2042 HCPCS Tisagenlecleucel Car-pos T 21 12 — — $24,610.06 $965,802.05 $578,324.58 2025-12-23
Q2056 HCPCS Ciltacabtagene Car-pos T 20 11 — — $24,610.06 $924,142.65 $554,762.27 2025-12-23
Q2054 HCPCS Lisocabtagene Mara Car Pos T 21 12 — — $24,610.06 $904,531.55 $541,635.66 2025-12-23
Q2055 HCPCS Idecabtagene Vicleucel Car 21 12 — — $24,610.06 $903,904.95 $541,260.45 2025-12-23
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 21 12 — — $24,610.06 $890,237.72 $533,076.48 2025-12-23
Q2053 HCPCS Brexucabtagene Car Pos T 21 12 — — $24,610.06 $817,832.40 $489,720.00 2025-12-23
5834 APR_DRG — 9 8 — — $193,168.40 $510,598.86 $466,198.96 2025-12-23
5884 APR_DRG — 9 8 — — $126,020.56 $333,108.08 $304,142.16 2025-12-23
5833 APR_DRG — 9 8 — — $125,140.52 $330,781.88 $302,018.24 2025-12-23
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 6 — — $270,375.00 $451,526.25 $275,782.50 2025-12-23
0024 APR_DRG — 9 8 — — $111,602.50 $294,997.06 $269,345.14 2025-12-23
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 20 8 — — $201,400.68 $731,779.17 $267,043.93 2025-12-23
0114 APR_DRG — 9 8 — — $98,132.39 $259,391.76 $236,835.95 2025-12-23
1614 APR_DRG — 9 8 — — $95,642.93 $252,811.38 $230,827.78 2025-12-23
6304 APR_DRG — 9 8 — — $91,927.68 $242,990.94 $221,861.29 2025-12-23
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 25 13 — — $150,429.43 $546,577.69 $220,276.95 2025-12-23
8414 APR_DRG — 9 8 — — $90,668.32 $239,662.07 $218,821.89 2025-12-23
6094 APR_DRG — 9 8 — — $82,858.86 $219,019.48 $199,974.31 2025-12-23
5883 APR_DRG — 9 8 — — $81,960.39 $216,644.58 $197,805.92 2025-12-23
6314 APR_DRG — 9 8 — — $81,346.97 $215,023.12 $196,325.46 2025-12-23
5914 APR_DRG — 9 8 — — $80,056.17 $211,611.18 $193,210.21 2025-12-23
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 13 — — $126,688.77 $460,317.21 $185,513.01 2025-12-23
0074 APR_DRG — 9 8 — — $75,989.42 $200,861.60 $183,395.37 2025-12-23
0094 APR_DRG — 9 8 — — $75,608.64 $199,855.11 $182,476.40 2025-12-23
5934 APR_DRG — 9 8 — — $74,232.59 $196,217.80 $179,155.38 2025-12-23
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 13 — — $114,452.89 $415,858.77 $167,595.75 2025-12-23
6034 APR_DRG — 9 8 — — $68,662.62 $181,494.78 $165,712.63 2025-12-23
0014 APR_DRG — 9 8 — — $67,578.82 $178,630.01 $163,096.96 2025-12-23
0044 APR_DRG — 9 8 — — $67,116.04 $177,406.75 $161,980.08 2025-12-23
1613 APR_DRG — 9 8 — — $64,714.36 $171,058.42 $156,183.77 2025-12-23
5832 APR_DRG — 9 8 — — $96,085.11 $167,121.17 $152,588.90 2025-12-23
0023 APR_DRG — 9 8 — — $62,664.18 $165,639.23 $151,235.82 2025-12-23
5913 APR_DRG — 9 8 — — $59,420.76 $157,065.92 $143,408.01 2025-12-23
0113 APR_DRG — 9 8 — — $57,230.77 $151,277.16 $138,122.63 2025-12-23
1604 APR_DRG — 9 8 — — $55,801.25 $147,498.53 $134,672.57 2025-12-23
6024 APR_DRG — 9 8 — — $55,123.52 $145,707.09 $133,036.91 2025-12-23
5933 APR_DRG — 9 8 — — $51,483.05 $136,084.32 $124,250.90 2025-12-23
0064 APR_DRG — 9 8 — — $48,614.61 $128,502.22 $117,328.11 2025-12-23
5882 APR_DRG — 9 8 — — $71,918.69 $125,088.44 $114,211.19 2025-12-23
8514 APR_DRG — 9 8 — — $47,137.40 $124,597.54 $113,762.97 2025-12-23
5893 APR_DRG — 9 8 — — $46,758.44 $123,595.82 $112,848.36 2025-12-23
8424 APR_DRG — 9 8 — — $46,434.39 $122,739.26 $112,066.28 2025-12-23
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 13 — — $75,459.57 $274,178.52 $110,497.02 2025-12-23
6303 APR_DRG — 9 8 — — $43,895.42 $116,028.05 $105,938.66 2025-12-23
0054 APR_DRG — 9 8 — — $43,778.01 $115,717.70 $105,655.29 2025-12-23
14 MS_DRG Allogeneic Bone Marrow Transplant 25 13 — — $69,968.59 $254,227.33 $102,456.47 2025-12-23
7 MS_DRG Lung Transplant 25 13 — — $69,792.36 $253,587.00 $102,198.41 2025-12-23
6074 APR_DRG — 9 8 — — $42,245.53 $111,666.91 $101,956.74 2025-12-23
0043 APR_DRG — 9 8 — — $42,085.84 $111,244.84 $101,571.37 2025-12-23
3034 APR_DRG — 9 8 — — $40,077.94 $105,937.37 $96,725.42 2025-12-23
6023 APR_DRG — 9 8 — — $39,101.08 $103,355.25 $94,367.84 2025-12-23
1624 APR_DRG — 9 8 — — $38,094.23 $100,693.89 $91,937.90 2025-12-23
0084 APR_DRG — 9 8 — — $37,663.61 $99,555.62 $90,898.61 2025-12-23
0073 APR_DRG — 9 8 — — $37,138.69 $98,168.11 $89,631.75 2025-12-23
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 13 — — $58,849.39 $213,826.26 $86,174.38 2025-12-23
4404 APR_DRG — 9 8 — — $35,600.06 $94,101.08 $85,918.38 2025-12-23
8634 APR_DRG — 9 8 — — $35,184.26 $93,001.97 $84,914.84 2025-12-23
0063 APR_DRG — 9 8 — — $34,536.14 $91,288.83 $83,350.67 2025-12-23
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 25 13 — — $56,871.84 $206,640.96 $83,278.63 2025-12-23
6134 APR_DRG — 9 8 — — $34,399.94 $90,928.82 $83,021.97 2025-12-23
6114 APR_DRG — 9 8 — — $34,239.18 $90,503.88 $82,633.98 2025-12-23
1612 APR_DRG — 9 8 — — $51,947.27 $90,352.08 $82,495.38 2025-12-23
215 MS_DRG Other Heart Assist System Implant 26 14 — — $56,580.26 $205,581.50 $79,030.20 2025-12-23
0093 APR_DRG — 9 8 — — $32,584.59 $86,130.33 $78,640.74 2025-12-23
0112 APR_DRG — 9 8 — — $49,140.25 $85,469.83 $78,037.67 2025-12-23
1674 APR_DRG — 9 8 — — $31,948.05 $84,447.75 $77,104.47 2025-12-23
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 11 6 — — $58,177.57 $174,868.88 $76,947.22 2025-12-23
1634 APR_DRG — 9 8 — — $31,732.37 $83,877.67 $76,583.96 2025-12-23
0013 APR_DRG — 9 8 — — $31,613.87 $83,564.45 $76,297.98 2025-12-23
5892 APR_DRG — 9 8 — — $47,776.48 $83,097.80 $75,871.91 2025-12-23
6093 APR_DRG — 9 8 — — $30,937.59 $81,776.83 $74,665.80 2025-12-23
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 6 — — $55,942.62 $168,151.12 $73,991.22 2025-12-23
1784 APR_DRG — 9 8 — — $30,409.42 $80,380.73 $73,391.10 2025-12-23
6033 APR_DRG — 9 8 — — $30,329.22 $80,168.74 $73,197.55 2025-12-23
0053 APR_DRG — 9 8 — — $30,240.35 $79,933.83 $72,983.06 2025-12-23
5831 APR_DRG — 9 8 — — $69,493.60 $79,917.64 $72,968.28 2025-12-23
6124 APR_DRG — 9 8 — — $30,175.68 $79,762.90 $72,826.99 2025-12-23
0022 APR_DRG — 9 8 — — $45,603.83 $79,318.93 $72,421.63 2025-12-23
8504 APR_DRG — 9 8 — — $29,900.04 $79,034.29 $72,161.74 2025-12-23
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $51,540.54 $187,269.94 $71,990.82 2025-12-23
5912 APR_DRG — 9 8 — — $45,059.77 $78,372.63 $71,557.62 2025-12-23
1654 APR_DRG — 9 8 — — $29,634.87 $78,333.38 $71,521.78 2025-12-23
6073 APR_DRG — 9 8 — — $29,243.98 $77,300.15 $70,578.40 2025-12-23
8413 APR_DRG — 9 8 — — $29,015.67 $76,696.64 $70,027.37 2025-12-23
6214 APR_DRG — 9 8 — — $28,984.59 $76,614.52 $69,952.39 2025-12-23
6804 APR_DRG — 9 8 — — $28,959.67 $76,548.62 $69,892.22 2025-12-23
6334 APR_DRG — 9 8 — — $28,692.69 $75,842.94 $69,247.90 2025-12-23
3044 APR_DRG — 9 8 — — $28,099.86 $74,275.90 $67,817.13 2025-12-23
5932 APR_DRG — 9 8 — — $42,167.13 $73,341.45 $66,963.93 2025-12-23
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 13 — — $45,228.75 $164,336.36 $66,229.40 2025-12-23
3033 APR_DRG — 9 8 — — $27,311.58 $72,192.26 $65,914.67 2025-12-23
231 MS_DRG Coronary Bypass With Ptca With Mcc 26 14 — — $45,253.85 $164,427.56 $65,535.57 2025-12-23
850 MS_DRG Acute Leukemia With Other Procedures 11 6 — — $49,195.05 $147,869.42 $65,066.70 2025-12-23
9104 APR_DRG — 9 8 — — $26,826.04 $70,908.84 $64,742.85 2025-12-23
6084 APR_DRG — 9 8 — — $26,690.93 $70,551.71 $64,416.78 2025-12-23
5881 APR_DRG — 9 8 — — $61,338.01 $70,538.71 $64,404.91 2025-12-23
1834 APR_DRG — 9 8 — — $26,500.91 $70,049.41 $63,958.16 2025-12-23
6814 APR_DRG — 9 8 — — $26,388.18 $69,751.48 $63,686.13 2025-12-23
3124 APR_DRG — 9 8 — — $26,314.85 $69,557.62 $63,509.13 2025-12-23
7404 APR_DRG — 9 8 — — $26,280.17 $69,465.96 $63,425.44 2025-12-23
6904 APR_DRG — 9 8 — — $26,140.36 $69,096.39 $63,088.01 2025-12-23
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 13 — — $43,049.34 $156,417.58 $63,038.04 2025-12-23
1664 APR_DRG — 9 8 — — $25,951.78 $68,597.93 $62,632.89 2025-12-23
10 MS_DRG Pancreas Transplant 25 13 — — $42,578.85 $154,708.09 $62,349.10 2025-12-23
3614 APR_DRG — 9 8 — — $25,496.59 $67,394.73 $61,534.32 2025-12-23
0914 APR_DRG — 9 8 — — $25,420.36 $67,193.24 $61,350.35 2025-12-23
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 26 14 — — $41,742.55 $151,669.43 $61,124.48 2025-12-23
9114 APR_DRG — 9 8 — — $25,158.45 $66,500.91 $60,718.22 2025-12-23
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $41,321.19 $150,138.45 $60,507.48 2025-12-23
0214 APR_DRG — 9 8 — — $25,005.26 $66,096.02 $60,348.54 2025-12-23
7594 APR_DRG — 9 8 — — $24,677.60 $65,229.91 $59,557.74 2025-12-23
1794 APR_DRG — 9 8 — — $24,644.37 $65,142.06 $59,477.53 2025-12-23
6144 APR_DRG — 9 8 — — $24,636.42 $65,121.05 $59,458.35 2025-12-23
38240 HCPCS Transplt Allo Hct/donor 21 12 — — $2,682.09 $99,141.03 $59,365.89 2025-12-23
6313 APR_DRG — 9 8 — — $24,426.53 $64,566.23 $58,951.78 2025-12-23
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 11 6 — — $44,541.97 $133,883.31 $58,912.42 2025-12-23
1623 APR_DRG — 9 8 — — $24,336.57 $64,328.46 $58,734.68 2025-12-23
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 13 — — $39,861.66 $144,835.34 $58,370.27 2025-12-23
6254 APR_DRG — 9 8 — — $24,102.46 $63,709.67 $58,169.70 2025-12-23
1204 APR_DRG — 9 8 — — $23,987.94 $63,406.96 $57,893.31 2025-12-23
2604 APR_DRG — 9 8 — — $23,795.40 $62,897.99 $57,428.60 2025-12-23
A9543 HCPCS Y90 Ibritumomab, Rx 21 12 — — $23,186.52 $94,897.00 $57,108.67 2025-12-23
9124 APR_DRG — 9 8 — — $23,526.97 $62,188.48 $56,780.79 2025-12-23
0274 APR_DRG — 9 8 — — $23,438.46 $61,954.53 $56,567.18 2025-12-23
2324 APR_DRG — 9 8 — — $23,279.51 $61,534.35 $56,183.54 2025-12-23
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 20 8 — — $42,334.79 $153,821.33 $56,133.12 2025-12-23
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 21 12 — — $15,400.67 $93,429.77 $55,945.97 2025-12-23
6954 APR_DRG — 9 8 — — $23,164.99 $61,231.65 $55,907.16 2025-12-23
2204 APR_DRG — 9 8 — — $23,020.84 $60,850.63 $55,559.27 2025-12-23
0234 APR_DRG — 9 8 — — $22,957.26 $60,682.56 $55,405.81 2025-12-23
1694 APR_DRG — 9 8 — — $22,870.55 $60,453.38 $55,196.57 2025-12-23
1603 APR_DRG — 9 8 — — $22,599.97 $59,738.14 $54,543.52 2025-12-23
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 25 13 — — $37,150.35 $134,983.93 $54,400.04 2025-12-23
0204 APR_DRG — 9 8 — — $22,402.35 $59,215.80 $54,066.60 2025-12-23
1783 APR_DRG — 9 8 — — $22,399.11 $59,207.20 $54,058.75 2025-12-23
955 MS_DRG Craniotomy For Multiple Significant Trauma 25 13 — — $36,465.72 $132,496.33 $53,397.51 2025-12-23
9504 APR_DRG — 9 8 — — $22,111.90 $58,448.04 $53,365.60 2025-12-23
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 25 13 — — $35,667.86 $129,597.38 $52,229.20 2025-12-23
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 13 — — $35,607.52 $129,378.11 $52,140.83 2025-12-23
4403 APR_DRG — 9 8 — — $21,574.70 $57,028.06 $52,069.10 2025-12-23
0924 APR_DRG — 9 8 — — $21,561.69 $56,993.69 $52,037.72 2025-12-23
1611 APR_DRG — 9 8 — — $49,247.34 $56,634.44 $51,709.71 2025-12-23
5891 APR_DRG — 9 8 — — $48,983.85 $56,331.43 $51,433.04 2025-12-23
6083 APR_DRG — 9 8 — — $21,252.82 $56,177.22 $51,292.25 2025-12-23
6113 APR_DRG — 9 8 — — $21,153.47 $55,914.62 $51,052.48 2025-12-23
4414 APR_DRG — 9 8 — — $21,023.05 $55,569.90 $50,737.73 2025-12-23
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 13 — — $34,537.31 $125,489.55 $50,573.70 2025-12-23
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $34,487.64 $125,309.09 $50,500.97 2025-12-23
6133 APR_DRG — 9 8 — — $20,878.18 $55,186.97 $50,388.10 2025-12-23
0894 APR_DRG — 9 8 — — $20,820.75 $55,035.14 $50,249.47 2025-12-23
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 6 — — $37,931.12 $114,012.54 $50,168.72 2025-12-23
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 11 6 — — $37,740.47 $113,439.48 $49,916.56 2025-12-23
2614 APR_DRG — 9 8 — — $20,626.02 $54,520.43 $49,779.52 2025-12-23
6022 APR_DRG — 9 8 — — $31,269.23 $54,386.69 $49,657.41 2025-12-23
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 25 13 — — $33,774.17 $122,716.72 $49,456.22 2025-12-23
1764 APR_DRG — 9 8 — — $20,473.57 $54,117.46 $49,411.59 2025-12-23
6234 APR_DRG — 9 8 — — $20,307.02 $53,677.24 $49,009.65 2025-12-23
1633 APR_DRG — 9 8 — — $20,250.31 $53,527.31 $48,872.76 2025-12-23
1304 APR_DRG — 9 8 — — $20,210.21 $53,421.32 $48,775.99 2025-12-23
5144 APR_DRG — 9 8 — — $20,059.56 $53,023.12 $48,412.41 2025-12-23
7924 APR_DRG — 9 8 — — $20,018.01 $52,913.29 $48,312.14 2025-12-23
5104 APR_DRG — 9 8 — — $19,979.72 $52,812.07 $48,219.72 2025-12-23
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 25 13 — — $32,887.13 $119,493.71 $48,157.31 2025-12-23
1814 APR_DRG — 9 8 — — $19,908.91 $52,624.91 $48,048.83 2025-12-23
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 25 13 — — $32,772.31 $119,076.53 $47,989.18 2025-12-23
1653 APR_DRG — 9 8 — — $19,832.68 $52,423.42 $47,864.86 2025-12-23
6514 APR_DRG — 9 8 — — $19,811.37 $52,367.08 $47,813.42 2025-12-23
232 MS_DRG Coronary Bypass With Ptca Without Mcc 26 14 — — $32,622.78 $118,533.21 $47,770.22 2025-12-23
J9029 HCPCS Nadofaragene Firadenovec-vncg (Adstiladrin) Suspension 20 Ml 36 20 $72,000.00 $10,800.00 85% off $10,800.00 $105,929.85 $47,592.00 2025-12-23
28 MS_DRG Spinal Procedures With Mcc 25 13 — — $32,466.84 $117,966.62 $47,541.87 2025-12-23
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 11 6 — — $35,805.65 $107,623.84 $47,357.52 2025-12-23
0072 APR_DRG — 9 8 — — $29,781.19 $51,798.52 $47,294.30 2025-12-23
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 25 13 — — $32,234.00 $117,120.60 $47,200.92 2025-12-23
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 25 13 — — $32,234.00 $117,120.60 $47,200.92 2025-12-23
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 25 13 — — $31,993.15 $116,245.48 $46,848.24 2025-12-23
0224 APR_DRG — 9 8 — — $19,377.13 $51,219.26 $46,765.41 2025-12-23
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 26 14 — — $31,771.52 $115,440.22 $46,523.70 2025-12-23
7584 APR_DRG — 9 8 — — $19,221.07 $50,806.74 $46,388.76 2025-12-23
0083 APR_DRG — 9 8 — — $19,217.09 $50,796.24 $46,379.17 2025-12-23
2644 APR_DRG — 9 8 — — $19,145.20 $50,606.20 $46,205.66 2025-12-23
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 6 — — $45,170.60 $75,434.91 $46,074.01 2025-12-23
3634 APR_DRG — 9 8 — — $19,073.30 $50,416.17 $46,032.16 2025-12-23
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 26 14 — — $31,423.86 $114,177.02 $46,014.62 2025-12-23
5114 APR_DRG — 9 8 — — $19,037.54 $50,321.63 $45,945.84 2025-12-23
0264 APR_DRG — 9 8 — — $19,020.20 $50,275.80 $45,903.99 2025-12-23
1214 APR_DRG — 9 8 — — $19,012.61 $50,255.75 $45,885.68 2025-12-23
4044 APR_DRG — 9 8 — — $18,997.44 $50,215.64 $45,849.06 2025-12-23
3214 APR_DRG — 9 8 — — $18,982.27 $50,175.54 $45,812.45 2025-12-23
2304 APR_DRG — 9 8 — — $18,978.29 $50,165.02 $45,802.85 2025-12-23
J9226 HCPCS Supprelin La Implant 21 12 — — $15,400.67 $76,085.85 $45,560.39 2025-12-23
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 25 13 — — $31,093.29 $112,975.91 $45,530.56 2025-12-23
6123 APR_DRG — 9 8 — — $18,799.47 $49,692.34 $45,371.27 2025-12-23
0266T HCPCS Implt/rpl Crtd Sns Dev Total 21 12 — — $12,436.05 $75,434.91 $45,170.60 2025-12-23
5184 APR_DRG — 9 8 — — $18,613.05 $49,199.60 $44,921.37 2025-12-23
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 13 — — $30,650.58 $111,367.32 $44,882.28 2025-12-23
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 25 13 — — $30,467.40 $110,701.76 $44,614.05 2025-12-23
0304 APR_DRG — 9 8 — — $18,438.93 $48,739.32 $44,501.12 2025-12-23
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 24 12 — — $31,747.49 $115,352.90 $44,344.28 2025-12-23
1673 APR_DRG — 9 8 — — $18,358.00 $48,525.42 $44,305.82 2025-12-23
4054 APR_DRG — 9 8 — — $18,268.77 $48,289.56 $44,090.47 2025-12-23
8633 APR_DRG — 9 8 — — $18,225.79 $48,175.92 $43,986.71 2025-12-23
0062 APR_DRG — 9 8 — — $27,653.34 $48,097.55 $43,915.16 2025-12-23
1824 APR_DRG — 9 8 — — $18,174.84 $48,041.27 $43,863.77 2025-12-23
0021 APR_DRG — 9 8 — — $41,730.88 $47,990.51 $43,817.42 2025-12-23
276 MS_DRG Cardiac Defibrillator Implant With Mcc 11 6 — — $33,080.45 $99,432.51 $43,753.10 2025-12-23
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 11 6 — — $33,037.73 $99,304.09 $43,696.59 2025-12-23
3043 APR_DRG — 9 8 — — $18,073.69 $47,773.90 $43,619.65 2025-12-23
653 MS_DRG Major Bladder Procedures With Mcc 25 13 — — $29,770.48 $108,169.54 $43,593.54 2025-12-23
6224 APR_DRG — 9 8 — — $18,031.06 $47,661.22 $43,516.77 2025-12-23
4014 APR_DRG — 9 8 — — $18,011.19 $47,608.70 $43,468.81 2025-12-23
9103 APR_DRG — 9 8 — — $17,989.15 $47,550.44 $43,415.62 2025-12-23
4034 APR_DRG — 9 8 — — $17,971.09 $47,502.69 $43,372.02 2025-12-23
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 25 13 — — $29,517.88 $107,251.73 $43,223.65 2025-12-23
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 25 13 — — $29,517.88 $107,251.73 $43,223.65 2025-12-23
7104 APR_DRG — 9 8 — — $17,839.23 $47,154.15 $43,053.79 2025-12-23
1793 APR_DRG — 9 8 — — $17,836.70 $47,147.47 $43,047.69 2025-12-23
1833 APR_DRG — 9 8 — — $17,748.19 $46,913.51 $42,834.08 2025-12-23
8 MS_DRG Simultaneous Pancreas/kidney Transplant 25 13 — — $29,057.54 $105,579.10 $42,549.57 2025-12-23
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 25 13 — — $28,991.32 $105,338.49 $42,452.60 2025-12-23
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 25 13 — — $28,843.39 $104,801.00 $42,235.98 2025-12-23
11 MS_DRG Tracheostomy For Face,mouth & Neck Diagnoses W Mcc 25 13 — — $28,816.16 $104,702.04 $42,196.10 2025-12-23
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 25 13 — — $28,812.95 $104,690.40 $42,191.41 2025-12-23
6504 APR_DRG — 9 8 — — $17,258.67 $45,619.59 $41,652.67 2025-12-23
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 26 14 — — $28,411.89 $103,233.16 $41,604.12 2025-12-23
3254 APR_DRG — 9 8 — — $17,172.70 $45,392.32 $41,445.16 2025-12-23
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 13 — — $28,286.39 $102,777.17 $41,420.35 2025-12-23
7114 APR_DRG — 9 8 — — $17,148.49 $45,328.33 $41,386.74 2025-12-23
8423 APR_DRG — 9 8 — — $17,145.60 $45,320.70 $41,379.77 2025-12-23
0042 APR_DRG — 9 8 — — $25,969.84 $45,169.45 $41,241.67 2025-12-23
6344 APR_DRG — 9 8 — — $17,062.87 $45,102.02 $41,180.11 2025-12-23
4474 APR_DRG — 9 8 — — $17,022.41 $44,995.07 $41,082.46 2025-12-23
6143 APR_DRG — 9 8 — — $16,912.58 $44,704.77 $40,817.40 2025-12-23
5124 APR_DRG — 9 8 — — $16,839.97 $44,512.83 $40,642.15 2025-12-23
4424 APR_DRG — 9 8 — — $16,828.05 $44,481.32 $40,613.38 2025-12-23
1704 APR_DRG — 9 8 — — $16,773.86 $44,338.08 $40,482.59 2025-12-23
0012 APR_DRG — 9 8 — — $25,396.16 $44,171.63 $40,330.62 2025-12-23
1663 APR_DRG — 9 8 — — $16,670.90 $44,065.93 $40,234.11 2025-12-23
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 13 — — $27,412.17 $99,600.73 $40,140.21 2025-12-23
9514 APR_DRG — 9 8 — — $16,595.39 $43,866.35 $40,051.88 2025-12-23
7934 APR_DRG — 9 8 — — $16,534.70 $43,705.92 $39,905.41 2025-12-23
1754 APR_DRG — 9 8 — — $16,533.98 $43,704.01 $39,903.66 2025-12-23
6302 APR_DRG — 9 8 — — $25,119.06 $43,689.68 $39,890.58 2025-12-23
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 25 13 — — $27,207.10 $98,855.62 $39,839.92 2025-12-23
3154 APR_DRG — 9 8 — — $16,459.92 $43,508.25 $39,724.92 2025-12-23
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 25 13 — — $27,123.79 $98,552.92 $39,717.93 2025-12-23
0294 APR_DRG — 9 8 — — $16,450.16 $43,482.47 $39,701.38 2025-12-23
0504 APR_DRG — 9 8 — — $16,443.66 $43,465.29 $39,685.70 2025-12-23
2314 APR_DRG — 9 8 — — $16,368.53 $43,266.66 $39,504.34 2025-12-23
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 13 — — $26,898.96 $97,736.01 $39,388.71 2025-12-23
0244 APR_DRG — 9 8 — — $16,303.13 $43,093.81 $39,346.52 2025-12-23
4804 APR_DRG — 9 8 — — $16,302.04 $43,090.95 $39,343.91 2025-12-23
3104 APR_DRG — 9 8 — — $16,274.95 $43,019.33 $39,278.52 2025-12-23
6233 APR_DRG — 9 8 — — $16,230.52 $42,901.88 $39,171.28 2025-12-23
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 25 13 — — $26,740.35 $97,159.71 $39,156.45 2025-12-23
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 25 13 — — $26,708.84 $97,045.23 $39,110.32 2025-12-23
228 MS_DRG Other Cardiothoracic Procedures With Mcc 26 14 — — $26,612.72 $96,695.95 $38,969.56 2025-12-23
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 11 6 — — $29,393.99 $88,351.81 $38,877.28 2025-12-23
3204 APR_DRG — 9 8 — — $16,063.97 $42,461.66 $38,769.34 2025-12-23
2294 APR_DRG — 9 8 — — $16,046.63 $42,415.82 $38,727.49 2025-12-23
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 11 6 — — $29,214.55 $87,812.47 $38,639.95 2025-12-23
3134 APR_DRG — 9 8 — — $15,976.18 $42,229.61 $38,557.47 2025-12-23
3094 APR_DRG — 9 8 — — $15,940.43 $42,135.07 $38,471.15 2025-12-23
0913 APR_DRG — 9 8 — — $15,898.52 $42,024.30 $38,370.01 2025-12-23
245 MS_DRG Aicd Generator Procedures 27 15 — — $23,874.00 $94,823.47 $38,214.92 2025-12-23
2224 APR_DRG — 9 8 — — $15,794.11 $41,748.32 $38,118.03 2025-12-23
5194 APR_DRG — 9 8 — — $15,764.49 $41,670.02 $38,046.54 2025-12-23
471 MS_DRG Cervical Spinal Fusion With Mcc 25 13 — — $25,939.83 $94,251.05 $37,984.23 2025-12-23
6 MS_DRG Liver Transplant Without Mcc 25 13 — — $25,896.57 $94,093.88 $37,920.89 2025-12-23
2234 APR_DRG — 9 8 — — $15,665.14 $41,407.42 $37,806.77 2025-12-23
0893 APR_DRG — 9 8 — — $15,656.47 $41,384.50 $37,785.85 2025-12-23
4444 APR_DRG — 9 8 — — $15,570.12 $41,156.27 $37,577.46 2025-12-23
9524 APR_DRG — 9 8 — — $15,498.24 $40,966.24 $37,403.96 2025-12-23
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 25 13 — — $25,502.98 $92,663.80 $37,344.55 2025-12-23
0213 APR_DRG — 9 8 — — $15,451.63 $40,843.06 $37,291.49 2025-12-23
1303 APR_DRG — 9 8 — — $15,418.04 $40,754.25 $37,210.40 2025-12-23
799 MS_DRG Splenic Procedures With Mcc 25 13 — — $25,392.44 $92,262.14 $37,182.68 2025-12-23
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 25 13 — — $25,387.63 $92,244.68 $37,175.64 2025-12-23
3054 APR_DRG — 9 8 — — $15,401.05 $40,709.37 $37,169.42 2025-12-23
2274 APR_DRG — 9 8 — — $15,389.86 $40,679.77 $37,142.40 2025-12-23
4234 APR_DRG — 9 8 — — $15,387.32 $40,673.09 $37,136.30 2025-12-23
0984 APR_DRG — 9 8 — — $15,368.18 $40,622.47 $37,090.08 2025-12-23
6914 APR_DRG — 9 8 — — $15,303.52 $40,451.54 $36,934.01 2025-12-23
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 25 13 — — $25,124.89 $91,290.00 $36,790.90 2025-12-23
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 25 13 — — $24,990.31 $90,801.02 $36,593.83 2025-12-23
2244 APR_DRG — 9 8 — — $15,152.87 $40,053.34 $36,570.44 2025-12-23
6903 APR_DRG — 9 8 — — $15,138.05 $40,014.18 $36,534.69 2025-12-23
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 11 6 — — $27,503.49 $82,669.41 $36,376.86 2025-12-23
4844 APR_DRG — 9 8 — — $14,976.57 $39,587.34 $36,144.96 2025-12-23
4434 APR_DRG — 9 8 — — $14,963.20 $39,552.00 $36,112.69 2025-12-23
163 MS_DRG Major Chest Procedures With Mcc 25 13 — — $24,614.88 $89,436.92 $36,044.08 2025-12-23
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 14 — — $24,526.23 $89,114.81 $35,914.27 2025-12-23
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