Price Transparency 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

OVIEDO MEDICAL CENTER

Oviedo, FL · CCN 100329 · Rates published

28,444 distinct procedures filed
40 distinct payers
1,777,683 rate rows
2026-03-01 last MRF observed
Data quality

1,622,312 of 1,777,683 rate rows are consumer-grade (91.3%)

155,371 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
template filing: same amount across many unrelated codes — excluded 67,980
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 51,369
per-diem day rate — not a per-procedure price 23,088
exceeds 10× this hospital's gross charge — excluded from medians 12,450
placeholder amount (≤ $0.02) — excluded from medians 484
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/46-4660005_OVIEDO-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-06-08
Content fingerprint 3f7808210ffb8e12… · 236,459,130 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,897,200.00 $4,897,200.00 nat. median
$3,006,423
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 18 $4,764.90 $4,955,500.00 $4,595,100.00 nat. median
$9,966
outlier · 461.1×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $3,884,946.48 $4,271,819.03 $3,884,946.48 nat. median
$2,469,189
1.6× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 21 $3,672,900.00 $4,422,320.40 $3,869,530.35 nat. median
$3,746,358
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $3,847,800.00 $3,847,800.00 $3,847,800.00 nat. median
$2,448,600
1.6× median
773
OTHER 		Inj, Beqvez, Per Tx Dose 19 $3,605,000.00 $4,326,000.00 $3,785,250.00 nat. median
$3,605,000
1.1× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,562,713.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 22 $9,697.57 $4,836,939.00 $3,502,611.00 nat. median
$22,747
outlier · 154.0×
00773
OTHER 		Inj, Beqvez, Per Tx Dose 1 $3,496,850.00 $3,496,850.00 $3,496,850.00 nat. median
$3,496,850
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 22 $5,280.60 $4,825,397.00 $3,494,253.00 nat. median
$13,041
outlier · 267.9×
748
OTHER 		Inj, Lovotibeglogene Auto 22 $8,710.34 $4,764,700.00 $3,447,658.48 nat. median
$17,963
outlier · 191.9×
906
OTHER 		Inj Elivaldogene Autoteme 22 $6,354.69 $4,611,000.00 $3,339,000.00 nat. median
$20,756
outlier · 160.9×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$12,675
outlier · 255.3×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,225,691.35 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,187,420.00 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 22 $7,736.51 $4,303,600.00 $3,116,367.14 nat. median
$21,896
outlier · 142.3×
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$21
outlier · 149086.5×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,878,960.00 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 22 $2,388,614.00 $3,754,022.45 $2,588,981.00 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 22 $13,699.09 $3,381,400.00 $2,448,600.00 nat. median
$25,250
outlier · 97.0×
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,316,955.58 nat. median
$2,457,321
0.9× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,332,000
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $1,271,523.00 $1,271,523.00 $1,271,523.00 nat. median
$824,563
1.5× median
2067
OTHER 		Afamitresgene Autoleucel 22 $770,620.00 $3,082,480.00 $816,857.20 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 22 $527,123.40 $2,350,598.40 $579,835.74 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 22 $529,192.90 $2,266,125.20 $566,531.30 nat. median
$566,531
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 22 $526,587.60 $2,232,327.20 $563,448.73 nat. median
$558,082
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 22 $516,726.10 $2,248,804.80 $562,201.20 nat. median
$562,201
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 22 $489,456.00 $2,128,768.80 $532,192.20 nat. median
$532,192
1.0× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $513,317.11 nat. median
$538,205
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $511,309.70 nat. median
$554,552
0.9× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $510,789.97 nat. median
$530,178
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $934,776.65 $502,693.77 nat. median
$754,974
0.7× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $501,224.32 nat. median
$534,091
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 22 $460,530.40 $1,957,800.80 $492,767.53 nat. median
$489,450
1.0× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $969,621.79 $492,271.12 nat. median
$675,122
0.7× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $474,772.32 nat. median
$505,583
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $470,149.30 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $927,632.05 $459,839.17 nat. median
$674,188
0.7× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$324,450
1.4× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $446,714.49 nat. median
$464,978
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $878,117.20 $445,599.57 nat. median
$634,511
0.7× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $807,592.83 $435,956.80 nat. median
$620,080
0.7× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,753
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 32 $1,426.00 $790,072.51 $295,081.08 nat. median
$370,174
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 22 $2,930.91 $1,113,000.00 $292,162.50 nat. median
$12,362
outlier · 23.6×
897
OTHER 		Revakinagene, Per Implant 22 $265,000.00 $1,060,000.00 $280,900.00 nat. median
$9,577
outlier · 29.3×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$278,250
1.0× median
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$265,000
1.0× median

Other procedures at this hospital

Browse this hospital's 28,444 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
845 OTHER Inj, Atidarsagene Autotem 23 18 — — $4,764.90 $4,955,500.00 $4,595,100.00 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,897,200.00 $4,897,200.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 27 22 — — $9,697.57 $4,836,939.00 $3,502,611.00 2026-03-01
714 OTHER Inj Delandistrogene Mox R 71 22 — — $5,280.60 $4,825,397.00 $3,494,253.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 71 22 — — $8,710.34 $4,764,700.00 $3,447,658.48 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 27 22 — — $6,354.69 $4,611,000.00 $3,339,000.00 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 65 21 — — $3,672,900.00 $4,422,320.40 $3,869,530.35 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
773 OTHER Inj, Beqvez, Per Tx Dose 42 19 — — $3,605,000.00 $4,326,000.00 $3,785,250.00 2024-10-01
746 OTHER Inj, Betibeglogene Autote 71 22 — — $7,736.51 $4,303,600.00 $3,116,367.14 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $3,884,946.48 $4,271,819.03 $3,884,946.48 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 68 22 — — $2,388,614.00 $3,754,022.45 $2,588,981.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 3 1 — — $3,562,713.00 $3,574,708.99 $3,562,713.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 2 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
824 OTHER Inj, Exagamglogene Autote 27 22 — — $13,699.09 $3,381,400.00 $2,448,600.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 3 1 — — $3,225,691.35 $3,228,024.20 $3,225,691.35 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 3 1 — — $3,154,932.76 $3,187,420.00 $3,187,420.00 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 25 22 — — $770,620.00 $3,082,480.00 $816,857.20 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 3 1 — — $2,851,769.93 $2,878,960.00 $2,878,960.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 3 1 — — $2,316,955.58 $2,511,311.57 $2,316,955.58 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 71 22 — — $527,123.40 $2,350,598.40 $579,835.74 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 71 22 — — $529,192.90 $2,266,125.20 $566,531.30 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 71 22 — — $516,726.10 $2,248,804.80 $562,201.20 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 71 22 — — $526,587.60 $2,232,327.20 $563,448.73 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 71 22 — — $489,456.00 $2,128,768.80 $532,192.20 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 71 22 — — $460,530.40 $1,957,800.80 $492,767.53 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
831 OTHER Obecbtge Autol Up To 400 28 22 — — $2,930.91 $1,113,000.00 $292,162.50 2026-03-01
897 OTHER Revakinagene, Per Implant 25 22 — — $265,000.00 $1,060,000.00 $280,900.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 15 3 — — $492,271.12 $969,621.79 $492,271.12 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 15 3 — — $502,693.77 $934,776.65 $502,693.77 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 15 3 — — $459,839.17 $927,632.05 $459,839.17 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 12 3 — — $470,149.30 $920,834.85 $470,149.30 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 15 3 — — $445,599.57 $878,117.20 $445,599.57 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 15 3 — — $435,956.80 $807,592.83 $435,956.80 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 28 22 — — $5,526.79 $806,676.00 $211,752.45 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 160 32 — — $1,426.00 $790,072.51 $295,081.08 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 163 31 — — $2,837.00 $693,211.98 $168,329.60 2026-03-01
1907 OTHER New Technology - Level 52 71 22 — — $147,339.90 $623,507.60 $157,653.69 2026-03-01
1908 OTHER New Technology - Level 52 71 22 — — $147,339.90 $623,507.60 $157,653.69 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 3 1 — — $511,309.70 $570,020.11 $511,309.70 2026-03-01
1906 OTHER New Technology - Level 51 71 22 — — $132,847.50 $562,179.20 $142,146.83 2026-03-01
1905 OTHER New Technology - Level 51 71 22 — — $132,847.50 $562,179.20 $142,146.83 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 3 1 — — $513,317.11 $549,535.36 $513,317.11 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 3 1 — — $501,224.32 $545,335.16 $501,224.32 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 3 1 — — $510,789.97 $541,339.35 $510,789.97 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 3 1 — — $474,772.32 $516,226.43 $474,772.32 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 162 32 — — $2,837.00 $512,725.27 $220,775.73 2026-03-01
1904 OTHER New Technology - Level 50 71 22 — — $118,355.10 $500,850.80 $126,639.96 2026-03-01
1903 OTHER New Technology - Level 50 71 22 — — $118,355.10 $500,850.80 $126,639.96 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 163 31 — — $2,837.00 $488,234.11 $181,975.64 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 162 32 — — $2,837.00 $478,185.00 $89,638.27 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 3 1 — — $446,714.49 $474,766.69 $446,714.49 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 1 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 74 22 — — $96,999.90 $446,012.00 $109,999.89 2026-03-01
1902 OTHER New Technology - Level 49 71 22 — — $103,862.70 $439,522.40 $111,133.09 2026-03-01
1901 OTHER New Technology - Level 49 71 22 — — $103,862.70 $439,522.40 $111,133.09 2026-03-01
215 MS_DRG Other Heart Assist System Implant 161 33 — — $10,799.00 $428,812.00 $87,162.09 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 163 31 — — $2,837.00 $416,057.25 $111,485.22 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 160 33 — — $2,837.00 $396,638.98 $84,481.46 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 160 33 — — $2,837.00 $396,638.98 $39,232.17 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 57 33 — — $2,968.00 $391,505.97 $93,083.82 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 163 33 — — $1,426.00 $390,236.56 $102,494.43 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 167 33 — — $1,426.00 $390,236.56 $48,932.33 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 167 33 — — $1,426.00 $390,236.56 $48,009.08 2026-03-01
1599 OTHER New Technology - Level 48 71 22 — — $91,785.68 $388,415.24 $98,210.68 2026-03-01
1585 OTHER New Technology - Level 48 71 22 — — $91,785.68 $388,415.24 $98,210.68 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 74 22 — — $88,300.94 $380,324.00 $96,982.62 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 161 33 — — $2,837.00 $372,547.74 $87,378.78 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 161 33 — — $10,587.00 $362,333.61 $87,043.33 2026-03-01
1598 OTHER New Technology - Level 47 71 22 — — $82,124.09 $347,529.64 $87,872.78 2026-03-01
1584 OTHER New Technology - Level 47 71 22 — — $82,124.09 $347,529.64 $87,872.78 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
7 MS_DRG Lung Transplant 160 33 — — $2,837.00 $329,186.97 $104,206.10 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 167 33 — — $2,837.00 $318,630.41 $72,499.49 2026-03-01
5834 APR_DRG Neonate With Ecmo 37 11 — — $192,207.00 $312,391.65 $230,648.40 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 155 33 — — $10,799.00 $311,024.29 $51,860.17 2026-03-01
1597 OTHER New Technology - Level 46 71 22 — — $72,462.48 $306,644.04 $77,534.85 2026-03-01
1583 OTHER New Technology - Level 46 71 22 — — $72,462.48 $306,644.04 $77,534.85 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 161 33 — — $10,587.00 $288,493.01 $70,976.98 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 74 22 — — $63,895.55 $275,206.80 $70,177.73 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
1596 OTHER New Technology - Level 45 71 22 — — $62,800.88 $265,758.44 $67,196.94 2026-03-01
1582 OTHER New Technology - Level 45 71 22 — — $62,800.88 $265,758.44 $67,196.94 2026-03-01
5244 OTHER Level 4 Blood Product Exc 71 22 — — $50,304.25 $262,745.24 $55,334.68 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 71 22 — — $56,824.55 $261,906.32 $66,786.11 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 74 22 — — $12,654.78 $257,099.16 $67,156.06 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 161 33 — — $10,799.00 $254,886.34 $70,663.49 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 161 33 — — $10,799.00 $254,886.34 $52,778.97 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 155 33 — — $10,799.00 $253,021.99 $80,739.69 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 155 33 — — $10,799.00 $253,021.99 $55,485.91 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 155 33 — — $10,799.00 $253,021.99 $54,962.46 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 161 33 — — $10,799.00 $249,749.87 $65,980.19 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 161 33 — — $10,799.00 $249,749.87 $46,633.72 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 161 33 — — $9,599.00 $243,361.29 $59,423.55 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 167 33 — — $2,837.00 $242,026.15 $54,876.11 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 — — $147,693.56 $237,078.77 $147,693.56 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 166 33 — — $10,799.00 $233,534.55 $41,736.39 2026-03-01
1595 OTHER New Technology - Level 44 71 22 — — $53,139.28 $224,872.84 $56,859.03 2026-03-01
1581 OTHER New Technology - Level 44 71 22 — — $53,139.28 $224,872.84 $56,859.03 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 71 22 — — $54,404.11 $220,060.92 $57,765.99 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 166 33 — — $10,799.00 $219,252.75 $65,650.40 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 166 33 — — $10,799.00 $219,252.75 $46,737.06 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 166 33 — — $10,799.00 $219,252.75 $43,234.49 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 165 33 — — $10,587.00 $217,312.50 $59,450.80 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 172 33 — — $10,799.00 $214,271.94 $66,587.47 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 175 33 — — $2,837.00 $213,981.39 $52,006.39 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 — — $178,990.51 $208,395.96 $178,990.51 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 173 33 — — $2,968.00 $205,235.67 $55,063.00 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 164 33 — — $2,837.00 $201,999.76 $62,593.21 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 164 33 — — $2,837.00 $201,999.76 $45,437.71 2026-03-01
10 MS_DRG Pancreas Transplant 167 33 — — $2,837.00 $199,969.39 $63,249.80 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 74 22 — — $46,068.21 $198,421.60 $50,597.51 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 62 33 — — $2,968.00 $197,395.96 $48,440.51 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $125,393.00 $191,333.91 $150,471.60 2026-03-01
5833 APR_DRG Neonate With Ecmo 37 11 — — $118,611.62 $186,775.50 $144,439.72 2026-03-01
1580 OTHER New Technology - Level 43 71 22 — — $43,477.68 $183,987.24 $46,521.12 2026-03-01
1594 OTHER New Technology - Level 43 71 22 — — $43,477.68 $183,987.24 $46,521.12 2026-03-01
1142 OTHER Supprelin La Implant 71 22 — — $43,185.34 $181,400.84 $46,483.97 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 11 — — $97,644.00 $178,865.04 $117,172.80 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 37 11 — — $111,047.00 $178,746.99 $133,256.40 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 172 33 — — $10,799.00 $176,334.72 $50,691.12 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 168 33 — — $2,968.00 $175,501.13 $69,654.07 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 168 33 — — $2,968.00 $175,501.13 $49,685.04 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 180 33 — — $2,837.00 $171,571.82 $61,547.23 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 115 27 — — $33,307.00 $170,021.54 $48,675.94 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 171 33 — — $10,587.00 $168,530.69 $46,850.73 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 171 33 — — $10,587.00 $167,456.17 $48,005.73 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 172 33 — — $10,799.00 $165,345.80 $43,874.04 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 172 33 — — $10,799.00 $163,253.16 $47,993.32 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 177 33 — — $2,837.00 $162,943.00 $43,667.01 2026-03-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 167 33 — — $2,837.00 $160,032.93 $38,762.69 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 74 22 — — $37,140.82 $159,970.40 $40,792.45 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 74 22 — — $36,570.46 $157,513.60 $40,165.97 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 180 33 — — $2,837.00 $155,920.29 $51,199.12 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 172 33 — — $9,599.00 $154,280.78 $45,625.68 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 180 33 — — $2,837.00 $154,277.32 $44,767.00 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 172 33 — — $10,799.00 $154,194.30 $49,829.07 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 171 33 — — $9,599.00 $152,774.18 $51,598.27 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 171 33 — — $9,599.00 $152,774.18 $39,496.00 2026-03-01
01908 OTHER New Technology - Level 52 3 1 — — $142,919.70 $148,484.69 $142,919.70 2026-03-01
01907 OTHER New Technology - Level 52 3 1 — — $142,919.70 $148,484.69 $142,919.70 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 180 33 — — $2,837.00 $146,927.15 $56,023.45 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 1 — — $119,887.93 $146,881.67 $119,887.93 2026-03-01
5832 APR_DRG Neonate With Ecmo 37 11 — — $91,071.80 $143,410.50 $110,904.12 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 37 11 — — $88,926.10 $142,750.50 $110,393.72 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 2 — — $79,747.00 $139,630.00 $91,401.00 2024-10-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 6 2 — — $79,747.00 $139,630.00 $91,401.00 2024-10-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $120,116.70 $138,148.31 $120,116.70 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 11 — — $77,520.20 $137,205.00 $106,105.20 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 37 11 — — $79,102.08 $135,325.50 $104,651.72 2026-03-01
01906 OTHER New Technology - Level 51 3 1 — — $128,862.07 $133,879.59 $128,862.07 2026-03-01
01905 OTHER New Technology - Level 51 3 1 — — $128,862.07 $133,879.59 $128,862.07 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 37 11 — — $82,446.00 $133,307.22 $98,935.20 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 11 — — $56,946.00 $133,113.71 $68,335.20 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 172 33 — — $10,799.00 $131,822.14 $39,402.43 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 11 — — $75,232.00 $130,764.62 $90,278.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 37 11 — — $80,942.00 $128,217.69 $97,130.40 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 172 33 — — $10,799.00 $127,948.17 $51,135.15 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $81,552.00 $127,428.00 $97,862.40 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 11 — — $79,657.00 $125,467.54 $95,588.40 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 180 33 — — $2,837.00 $125,219.10 $39,053.15 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 3 — — $48,042.00 $124,226.00 $104,170.00 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 3 — — $42,278.00 $124,226.00 $99,123.00 2026-03-01
5831 APR_DRG Neonate With Ecmo 37 11 — — $69,493.00 $122,622.00 $83,391.60 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 180 33 — — $2,837.00 $119,864.41 $49,893.60 2026-03-01
01903 OTHER New Technology - Level 50 3 1 — — $114,804.45 $119,274.69 $114,804.45 2026-03-01
01904 OTHER New Technology - Level 50 3 1 — — $114,804.45 $119,274.69 $114,804.45 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 183 33 — — $1,426.00 $117,729.27 $51,862.36 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 180 33 — — $2,837.00 $117,069.93 $47,845.28 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 180 33 — — $2,837.00 $115,724.42 $44,879.15 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 180 33 — — $2,837.00 $115,136.40 $41,001.89 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 1 — — $84,296.07 $114,702.99 $84,296.07 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 172 33 — — $10,799.00 $114,551.85 $56,847.71 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 172 33 — — $10,799.00 $114,551.85 $46,431.11 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 37 11 — — $70,159.56 $113,416.50 $87,708.76 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 180 33 — — $2,837.00 $112,967.67 $44,638.97 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 171 33 — — $8,477.00 $112,019.54 $55,111.44 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 11 — — $73,540.00 $110,794.50 $88,248.00 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 172 33 — — $10,799.00 $109,927.86 $50,165.71 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $71,560.00 $109,192.05 $85,872.00 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 3 1 — — $93,760.51 $108,036.36 $108,036.36 2026-03-01
245 MS_DRG Aicd Generator Procedures 172 33 — — $9,599.00 $107,250.11 $40,455.21 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 15 3 — — $61,338.53 $106,053.40 $61,600.24 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 37 11 — — $48,895.00 $105,823.65 $58,674.00 2026-03-01
01902 OTHER New Technology - Level 49 3 1 — — $100,746.82 $104,669.69 $100,746.82 2026-03-01
01901 OTHER New Technology - Level 49 3 1 — — $100,746.82 $104,669.69 $100,746.82 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 37 11 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 180 33 — — $2,837.00 $104,278.05 $43,942.88 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 3 1 — — $76,277.63 $102,797.59 $76,277.63 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 37 11 — — $40,520.04 $102,481.50 $75,153.10 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 37 11 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 11 — — $66,782.00 $100,494.24 $80,138.40 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 183 33 — — $1,426.00 $100,443.21 $44,510.89 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 37 11 — — $62,352.00 $97,366.79 $74,822.40 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $78,794.00 $96,685.00 $96,685.00 2024-10-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $78,794.00 $96,685.00 $96,685.00 2024-10-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 180 33 — — $2,837.00 $95,829.61 $41,865.24 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $77,361.00 $94,927.00 $94,927.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $77,361.00 $94,927.00 $94,927.00 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 11 — — $59,125.00 $94,624.20 $70,950.00 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 37 11 — — $61,338.00 $93,593.57 $73,605.60 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 180 33 — — $2,837.00 $92,961.40 $41,412.01 2026-03-01
01585 OTHER New Technology - Level 48 3 1 — — $89,032.11 $92,498.81 $89,032.11 2026-03-01
01599 OTHER New Technology - Level 48 3 1 — — $89,032.11 $92,498.81 $89,032.11 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 6 2 — — $53,789.99 $91,596.09 $72,536.68 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 180 33 — — $2,837.00 $90,047.42 $41,080.32 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 11 — — $48,983.00 $89,188.07 $58,779.60 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 11 — — $47,538.00 $89,188.07 $57,045.60 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 37 11 — — $46,525.00 $89,188.07 $55,830.00 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 183 33 — — $1,426.00 $89,018.25 $40,461.54 2026-03-01
007 OTHER Lung Transplant 3 1 — — $67,580.69 $88,157.09 $67,580.69 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 8 2 — — $71,631.00 $87,894.00 $79,978.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 8 2 — — $71,631.00 $87,894.00 $79,978.00 2024-10-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 11 — — $32,422.00 $87,882.00 $38,906.40 2026-03-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 180 33 — — $2,837.00 $87,517.09 $39,026.54 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 172 33 — — $10,799.00 $85,874.11 $43,743.89 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 37 11 — — $51,048.39 $83,284.50 $64,406.68 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $54,849.00 $83,100.26 $65,818.80 2026-03-01
01598 OTHER New Technology - Level 47 3 1 — — $79,660.37 $82,762.15 $79,660.37 2026-03-01
01584 OTHER New Technology - Level 47 3 1 — — $79,660.37 $82,762.15 $79,660.37 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 37 11 — — $44,835.00 $81,160.27 $53,802.00 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 11 — — $51,226.00 $80,695.10 $61,471.20 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 171 33 — — $10,799.00 $79,119.00 $41,166.44 2026-03-01
0207 RC — 31 9 — — $11,700.00 $78,965.00 $78,315.00 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 1 — — $75,250.33 $78,325.54 $78,325.54 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 1 — — $67,458.10 $78,133.21 $67,458.10 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 37 11 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $76,785.37 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 37 11 — — $49,247.00 $76,852.35 $59,096.40 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 1 — — $55,450.54 $74,457.71 $55,450.54 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 37 11 — — $45,376.00 $73,729.74 $54,451.20 2026-03-01
01583 OTHER New Technology - Level 46 3 1 — — $70,288.61 $73,025.48 $70,288.61 2026-03-01
01597 OTHER New Technology - Level 46 3 1 — — $70,288.61 $73,025.48 $70,288.61 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 15 3 — — $43,241.44 $72,861.11 $43,241.44 2026-03-01
64 APR_DRG Pancreas Transplant 37 11 — — $43,326.23 $72,558.00 $56,111.52 2026-03-01
8514 APR_DRG Gender Related Procedures 37 11 — — $40,865.02 $70,353.00 $54,406.32 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 37 11 — — $43,560.00 $70,007.73 $52,272.00 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 1 — — $41,091.81 $69,779.65 $41,091.81 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 37 11 — — $44,285.71 $69,304.50 $53,595.48 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 37 11 — — $41,876.00 $69,298.37 $50,251.20 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 37 11 — — $36,953.00 $66,933.09 $44,343.60 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 37 11 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 37 11 — — $41,730.00 $65,165.07 $50,076.00 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 37 11 — — $41,957.00 $64,905.25 $50,348.40 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $49,806.62 $64,759.94 $49,806.62 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $42,035.00 $64,236.87 $50,442.00 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 3 1 — — $55,119.81 $63,512.28 $63,512.28 2026-03-01
01582 OTHER New Technology - Level 45 3 1 — — $60,916.85 $63,288.81 $60,916.85 2026-03-01
01596 OTHER New Technology - Level 45 3 1 — — $60,916.85 $63,288.81 $60,916.85 2026-03-01
05244 OTHER Level 4 Blood Product Exc 3 1 — — $48,795.12 $62,571.25 $48,795.12 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 3 1 — — $41,867.79 $62,431.63 $62,431.63 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 3 1 — — $61,454.13 $62,346.55 $61,454.13 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $62,121.81 $62,121.81 $62,121.81 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 1 — — $57,539.16 $61,406.22 $57,539.16 2026-03-01
C2616 HCPCS Brachytherapy Source, Non-stranded, Yttrium-90, Per Source 3 1 — — $57,469.00 $60,659.00 $57,469.00 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 37 11 — — $34,140.79 $59,817.00 $46,258.48 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 3 1 — — $44,710.16 $58,124.54 $44,710.16 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 37 11 — — $34,306.45 $56,856.00 $43,968.64 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 37 11 — — $31,204.86 $56,214.00 $43,472.16 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
01595 OTHER New Technology - Level 44 3 1 — — $51,545.10 $53,552.15 $51,545.10 2026-03-01
01581 OTHER New Technology - Level 44 3 1 — — $51,545.10 $53,552.15 $51,545.10 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 37 11 — — $34,068.00 $53,426.60 $40,881.60 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 3 1 — — $52,771.99 $53,364.77 $53,364.77 2026-03-01
4404 APR_DRG Kidney Transplant 37 11 — — $33,592.77 $53,133.00 $41,089.52 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 37 11 — — $34,228.00 $52,935.54 $41,073.60 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 1 — — $42,827.53 $52,649.51 $42,827.53 2026-03-01
8634 APR_DRG Neonatal Aftercare 37 11 — — $34,835.42 $52,513.50 $41,802.50 2026-03-01
63 APR_DRG Pancreas Transplant 37 11 — — $33,389.74 $51,546.00 $40,067.69 2026-03-01
215 OTHER Other Heart Assist System Implant 3 1 — — $42,131.16 $51,453.49 $51,453.49 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $50,527.58 $50,527.58 $50,527.58 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 — — $49,151.06 $49,529.65 $49,529.65 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 3 1 — — $44,039.60 $49,193.30 $44,039.60 2026-03-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 11 2 — — $25,658.00 $48,120.00 $41,879.00 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 1 — — $43,339.76 $48,062.14 $43,339.76 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $47,776.40 $47,776.40 $47,776.40 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 1 — — $36,971.69 $45,148.93 $45,148.93 2026-03-01
01142 OTHER Supprelin La Implant 3 1 — — $41,889.78 $43,989.70 $43,989.70 2026-03-01
01580 OTHER New Technology - Level 43 3 1 — — $42,173.35 $43,815.48 $42,173.35 2026-03-01
01594 OTHER New Technology - Level 43 3 1 — — $42,173.35 $43,815.48 $42,173.35 2026-03-01
834 OTHER Acute Leukemia With Mcc 3 1 — — $42,052.24 $42,984.04 $42,052.24 2026-03-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 8 2 — — $32,234.00 $41,507.00 $38,638.00 2024-10-01
4A020N7 OTHER Measurement Of Cardiac Sampling And Pressure, Left Heart, Open Approach 6 1 — — $41,409.00 $41,409.00 $41,409.00 2026-03-01
4A023N8 OTHER Measurement Of Cardiac Sampling And Pressure, Bilateral, Percutaneous Approach 6 1 — — $41,409.00 $41,409.00 $41,409.00 2026-03-01
4A023N7 OTHER Measurement Of Cardiac Sampling And Pressure, Left Heart, Percutaneous Approach 6 1 — — $41,409.00 $41,409.00 $41,409.00 2026-03-01
4A020N6 OTHER Measurement Of Cardiac Sampling And Pressure, Right Heart, Open Approach 6 1 — — $41,409.00 $41,409.00 $41,409.00 2026-03-01
4A023N6 OTHER Measurement Of Cardiac Sampling And Pressure, Right Heart, Percutaneous Approach… 6 1 — — $41,409.00 $41,409.00 $41,409.00 2026-03-01
4A020N8 OTHER Measurement Of Cardiac Sampling And Pressure, Bilateral, Open Approach 6 1 — — $41,409.00 $41,409.00 $41,409.00 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 3 1 — — $38,803.31 $39,976.89 $38,803.31 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 3 1 — — $39,376.13 $39,376.13 $39,376.13 2026-03-01
213 OTHER Endovascular Abdominal Aorta With Iliac Branch Procedures 1 1 — — $39,349.54 $39,349.54 $39,349.54 2026-03-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 6 1 — — $32,234.00 $38,638.00 $38,638.00 2024-10-01
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