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.

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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,897,200.00 $4,897,200.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 23 18 — — $4,764.90 $4,955,500.00 $4,595,100.00 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
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
9138 OTHER Inj, Hemgenix, Per Tx Dos 65 21 — — $3,672,900.00 $4,422,320.40 $3,869,530.35 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
09138 OTHER Inj, Hemgenix, Per Tx Dos 3 1 — — $3,562,713.00 $3,574,708.99 $3,562,713.00 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
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
746 OTHER Inj, Betibeglogene Autote 71 22 — — $7,736.51 $4,303,600.00 $3,116,367.14 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 3 1 — — $2,851,769.93 $2,878,960.00 $2,878,960.00 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
824 OTHER Inj, Exagamglogene Autote 27 22 — — $13,699.09 $3,381,400.00 $2,448,600.00 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
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $1,271,523.00 $1,271,523.00 $1,271,523.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 25 22 — — $770,620.00 $3,082,480.00 $816,857.20 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
9422 OTHER Idecabtagene Vicleucel Ca 71 22 — — $526,587.60 $2,232,327.20 $563,448.73 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 71 22 — — $516,726.10 $2,248,804.80 $562,201.20 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 71 22 — — $489,456.00 $2,128,768.80 $532,192.20 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 3 1 — — $513,317.11 $549,535.36 $513,317.11 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 3 1 — — $511,309.70 $570,020.11 $511,309.70 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 3 1 — — $510,789.97 $541,339.35 $510,789.97 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
09413 OTHER Lisocabtagene Car Pos T 3 1 — — $501,224.32 $545,335.16 $501,224.32 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 71 22 — — $460,530.40 $1,957,800.80 $492,767.53 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
09035 OTHER Axicabtagene Ciloleucel C 3 1 — — $474,772.32 $516,226.43 $474,772.32 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
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
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
09391 OTHER Brexucabtagene Car Pos T 3 1 — — $446,714.49 $474,766.69 $446,714.49 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
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $332,753.88 $332,753.88 $332,753.88 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
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
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
5834 APR_DRG Neonate With Ecmo 37 11 — — $192,207.00 $312,391.65 $230,648.40 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 162 32 — — $2,837.00 $512,725.27 $220,775.73 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 28 22 — — $5,526.79 $806,676.00 $211,752.45 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 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
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
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
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
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
5833 APR_DRG Neonate With Ecmo 37 11 — — $118,611.62 $186,775.50 $144,439.72 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
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
24 APR_DRG Heart And/or Lung Transplant 37 11 — — $111,047.00 $178,746.99 $133,256.40 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
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
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 3 1 — — $120,116.70 $138,148.31 $120,116.70 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
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
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
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
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
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
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
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
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
7 MS_DRG Lung Transplant 160 33 — — $2,837.00 $329,186.97 $104,206.10 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
14 MS_DRG Allogeneic Bone Marrow Transplant 163 33 — — $1,426.00 $390,236.56 $102,494.43 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
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 12 3 — — $42,278.00 $124,226.00 $99,123.00 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
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
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
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
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
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
209 MS_DRG Complex Aortic Arch Procedures 57 33 — — $2,968.00 $391,505.97 $93,083.82 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 11 — — $75,232.00 $130,764.62 $90,278.40 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
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
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
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
74 APR_DRG Allogeneic Bone Marrow Transplant 37 11 — — $70,159.56 $113,416.50 $87,708.76 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
215 MS_DRG Other Heart Assist System Implant 161 33 — — $10,799.00 $428,812.00 $87,162.09 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
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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 160 33 — — $2,837.00 $396,638.98 $84,481.46 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
5831 APR_DRG Neonate With Ecmo 37 11 — — $69,493.00 $122,622.00 $83,391.60 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
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
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
14 APR_DRG Liver Transplant And/or Intestinal Transplant 37 11 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 3 1 — — $75,250.33 $78,325.54 $78,325.54 2026-03-01
0207 RC — 31 9 — — $11,700.00 $78,965.00 $78,315.00 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
1613 APR_DRG Implantable Heart Assist Systems 37 11 — — $64,392.00 $104,446.96 $77,270.40 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $76,785.37 $77,046.96 $76,785.37 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
23 APR_DRG Heart And/or Lung Transplant 37 11 — — $62,352.00 $97,366.79 $74,822.40 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
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
850 MS_DRG Acute Leukemia With Other Procedures 167 33 — — $2,837.00 $318,630.41 $72,499.49 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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 161 33 — — $10,799.00 $254,886.34 $70,663.49 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
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
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
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
007 OTHER Lung Transplant 3 1 — — $67,580.69 $88,157.09 $67,580.69 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
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
717 OTHER Instill Adstiladrin, Tx D 74 22 — — $12,654.78 $257,099.16 $67,156.06 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 71 22 — — $56,824.55 $261,906.32 $66,786.11 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
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
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
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
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 37 11 — — $51,048.39 $83,284.50 $64,406.68 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 3 1 — — $55,119.81 $63,512.28 $63,512.28 2026-03-01
10 MS_DRG Pancreas Transplant 167 33 — — $2,837.00 $199,969.39 $63,249.80 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
955 OTHER Craniotomy For Multiple Significant Trauma 3 1 — — $41,867.79 $62,431.63 $62,431.63 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
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 15 3 — — $61,338.53 $106,053.40 $61,600.24 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
1612 APR_DRG Implantable Heart Assist Systems 37 11 — — $51,234.90 $77,532.00 $61,481.88 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
00717 OTHER Instill Adstiladrin, Tx D 3 1 — — $61,454.13 $62,346.55 $61,454.13 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
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
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
1611 APR_DRG Implantable Heart Assist Systems 37 11 — — $49,247.00 $76,852.35 $59,096.40 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
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
9273 OTHER Sipuleucel-t Auto Cd54+ 71 22 — — $54,404.11 $220,060.92 $57,765.99 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
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
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
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
64 APR_DRG Pancreas Transplant 37 11 — — $43,326.23 $72,558.00 $56,111.52 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
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
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
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 3 1 — — $55,450.54 $74,457.71 $55,450.54 2026-03-01
5244 OTHER Level 4 Blood Product Exc 71 22 — — $50,304.25 $262,745.24 $55,334.68 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 167 33 — — $2,837.00 $242,026.15 $54,876.11 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
8514 APR_DRG Gender Related Procedures 37 11 — — $40,865.02 $70,353.00 $54,406.32 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
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
09273 OTHER Sipuleucel-t Auto Cd54+ 3 1 — — $52,771.99 $53,364.77 $53,364.77 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
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
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
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
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
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
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
215 OTHER Other Heart Assist System Implant 3 1 — — $42,131.16 $51,453.49 $51,453.49 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
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
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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 172 33 — — $10,799.00 $176,334.72 $50,691.12 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
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $50,527.58 $50,527.58 $50,527.58 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 37 11 — — $42,035.00 $64,236.87 $50,442.00 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
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
28 MS_DRG Spinal Procedures With Mcc 172 33 — — $10,799.00 $109,927.86 $50,165.71 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
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
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
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
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
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
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 167 33 — — $1,426.00 $390,236.56 $48,932.33 2026-03-01
05244 OTHER Level 4 Blood Product Exc 3 1 — — $48,795.12 $62,571.25 $48,795.12 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
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 62 33 — — $2,968.00 $197,395.96 $48,440.51 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
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
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
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
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $47,776.40 $47,776.40 $47,776.40 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
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
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
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
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 172 33 — — $10,799.00 $114,551.85 $46,431.11 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
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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 164 33 — — $2,837.00 $201,999.76 $45,437.71 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
653 MS_DRG Major Bladder Procedures With Mcc 180 33 — — $2,837.00 $115,724.42 $44,879.15 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
231 OTHER Coronary Bypass With Ptca With Mcc 3 1 — — $44,710.16 $58,124.54 $44,710.16 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
834 MS_DRG Acute Leukemia With Mcc 183 33 — — $1,426.00 $100,443.21 $44,510.89 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 37 11 — — $36,953.00 $66,933.09 $44,343.60 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
01142 OTHER Supprelin La Implant 3 1 — — $41,889.78 $43,989.70 $43,989.70 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
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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 172 33 — — $10,799.00 $165,345.80 $43,874.04 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
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
84 APR_DRG Autologous Bone Marrow Transplant 37 11 — — $31,204.86 $56,214.00 $43,472.16 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
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 15 3 — — $43,241.44 $72,861.11 $43,241.44 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
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
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
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
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
8634 APR_DRG Neonatal Aftercare 37 11 — — $34,835.42 $52,513.50 $41,802.50 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 180 33 — — $2,837.00 $92,961.40 $41,412.01 2026-03-01
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
471 MS_DRG Cervical Spinal Fusion With Mcc 171 33 — — $10,799.00 $79,119.00 $41,166.44 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
4404 APR_DRG Kidney Transplant 37 11 — — $33,592.77 $53,133.00 $41,089.52 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
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
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
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
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
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
245 MS_DRG Aicd Generator Procedures 172 33 — — $9,599.00 $107,250.11 $40,455.21 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
63 APR_DRG Pancreas Transplant 37 11 — — $33,389.74 $51,546.00 $40,067.69 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
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 172 33 — — $10,799.00 $131,822.14 $39,402.43 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
6 MS_DRG Liver Transplant Without Mcc 160 33 — — $2,837.00 $396,638.98 $39,232.17 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
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
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 37 11 — — $32,422.00 $87,882.00 $38,906.40 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 3 1 — — $38,803.31 $39,976.89 $38,803.31 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
773 OTHER Inj, Beqvez, Per Tx Dose 42 19 — — $3,605,000.00 $4,326,000.00 $3,785,250.00 2024-10-01
00773 OTHER Inj, Beqvez, Per Tx Dose 2 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
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
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
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
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
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 2 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
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
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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