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

UCF LAKE NONA HOSPITAL

Orlando, FL · CCN 100350 · Rates published

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You selected 27447 (CPT)

Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)

This hospital’s price: $15,443 across 22 payers · range $1,950-$40,109

Source: https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/85-4247323_UCF-LAKE-NONA-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D · observed 2026-03-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

28,731 distinct procedures filed
39 distinct payers
1,049,396 rate rows
2026-08-01 last MRF observed
Data quality

994,206 of 1,049,396 rate rows are consumer-grade (94.7%)

55,190 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
per-diem day rate — not a per-procedure price 16,722
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,683
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 10,384
template filing: same amount across many unrelated codes — excluded 7,786
exceeds 10× this hospital's gross charge — excluded from medians 5,537
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 529
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 257
placeholder amount (≤ $0.02) — excluded from medians 161
percent-of-charges filed in the dollar field — excluded from medians 131
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/85-4247323_UCF-LAKE-NONA-HOSPITAL_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.hcafloridahealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint c64071a03b99be5d… · 240,685,845 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 $4,874,074.33 nat. median
$2,997,086
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 17 $4,764.90 $4,955,500.00 $4,595,100.00 nat. median
$16,015
outlier · 286.9×
00845
OTHER 		Inj, Atidarsagene Autotem 1 $4,369,850.00 $4,369,850.00 $4,369,850.00 nat. median
$4,414,900
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 $4,078,382.75 nat. median
$2,460,273
1.7× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 20 $3,672,900.00 $4,422,320.40 $3,869,530.35 nat. median
$3,758,972
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
$2,405,851
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
$3,646,097
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,562,713.00 $3,574,708.99 $3,568,711.00 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 21 $9,697.57 $4,836,939.00 $3,502,611.00 nat. median
$29,683
outlier · 118.0×
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 21 $5,280.60 $4,825,397.00 $3,494,253.00 nat. median
$3,325,455
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 21 $8,710.34 $4,764,700.00 $3,447,658.48 nat. median
$3,252,508
1.1× median
906
OTHER 		Inj Elivaldogene Autoteme 21 $6,354.69 $4,611,000.00 $3,339,000.00 nat. median
$24,604
outlier · 135.7×
00908
OTHER 		Topi Adm Prad Zami Per Tr 1 $3,235,745.40 $3,235,745.40 $3,235,745.40 nat. median
$14,170
outlier · 228.4×
00714
OTHER 		Inj Delandistrogene Mox R 1 $3,225,691.35 $3,228,024.20 $3,226,857.78 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,187,420.00 $3,171,176.38 nat. median
$3,187,420
1.0× median
746
OTHER 		Inj, Betibeglogene Autote 21 $7,736.51 $4,303,600.00 $3,116,367.14 nat. median
$2,939,969
1.1× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$3,084,600
1.0× median
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,878,960.00 $2,865,364.96 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 21 $2,388,614.00 $4,777,228.00 $2,634,118.01 nat. median
$2,588,981
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 21 $13,699.09 $4,664,000.00 $2,460,260.00 nat. median
$58,186
outlier · 42.3×
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,316,955.58 $2,511,311.57 $2,414,133.58 nat. median
$2,511,312
1.0× median
00824
OTHER 		Inj, Exagamglogene Autote 1 $2,262,040.00 $2,262,040.00 $2,262,040.00 nat. median
$2,285,360
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
$809,151
1.6× median
2067
OTHER 		Afamitresgene Autoleucel 21 $770,620.00 $1,541,240.00 $816,857.20 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 21 $527,123.40 $1,175,299.20 $599,402.59 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 21 $529,192.90 $1,133,062.60 $577,861.93 nat. median
$576,820
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 21 $516,726.10 $1,124,402.40 $573,445.22 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 21 $526,587.60 $1,116,163.60 $569,243.44 nat. median
$560,872
1.0× median
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $502,693.77 $934,776.65 $561,407.87 nat. median
$691,418
0.8× median
9035
OTHER 		Axicabtagene Ciloleucel C 21 $489,456.00 $1,064,384.40 $542,836.04 nat. median
$533,230
1.0× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $511,309.70 $570,020.11 $540,664.91 nat. median
$570,020
0.9× median
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $492,271.12 $969,621.79 $536,573.93 nat. median
$631,793
0.8× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $513,317.11 $549,535.36 $531,426.23 nat. median
$549,535
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $510,789.97 $541,339.35 $526,064.66 nat. median
$541,339
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $501,224.32 $545,335.16 $523,279.74 nat. median
$545,335
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $470,149.30 $920,834.85 $511,793.34 nat. median
$610,161
0.8× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $459,839.17 $927,632.05 $500,948.74 nat. median
$624,417
0.8× median
9391
OTHER 		Brexucabtagene Car Pos T 21 $460,530.40 $978,900.40 $499,239.20 nat. median
$492,768
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $474,772.32 $516,226.43 $495,499.38 nat. median
$516,226
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $445,599.57 $878,117.20 $487,755.77 nat. median
$588,565
0.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $435,956.80 $807,592.83 $474,717.03 nat. median
$577,541
0.8× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $446,714.49 $474,766.69 $460,740.59 nat. median
$474,767
1.0× 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
$302,242
1.5× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $332,753.88 $332,753.88 $332,753.88 nat. median
$209,736
1.6× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $1,426.00 $790,072.51 $297,910.68 nat. median
$370,165
0.8× median
831
OTHER 		Obecbtge Autol Up To 400 21 $2,930.91 $556,500.00 $293,553.75 nat. median
$20,175
outlier · 14.6×
897
OTHER 		Revakinagene, Per Implant 21 $265,000.00 $530,000.00 $280,900.00 nat. median
$19,528
outlier · 14.4×
00831
OTHER 		Obecbtge Autol Up To 400 1 $269,902.50 $269,902.50 $269,902.50 nat. median
$272,685
1.0× median
00897
OTHER 		Revakinagene, Per Implant 1 $257,050.00 $257,050.00 $257,050.00 nat. median
$259,700
1.0× median

Other procedures at this hospital

Browse this hospital's 28,731 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
             
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 2 1 — — $4,850,948.67 $4,897,200.00 $4,874,074.33 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 21 17 — — $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… 2 1 — — $3,884,946.48 $4,271,819.03 $4,078,382.75 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 43 20 — — $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
773 OTHER Inj, Beqvez, Per Tx Dose 21 19 — — $3,605,000.00 $4,326,000.00 $3,785,250.00 2024-10-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 1 — — $3,562,713.00 $3,574,708.99 $3,568,711.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 25 21 — — $9,697.57 $4,836,939.00 $3,502,611.00 2026-03-01
00773 OTHER Inj, Beqvez, Per Tx Dose 1 1 — — $3,496,850.00 $3,496,850.00 $3,496,850.00 2024-10-01
714 OTHER Inj Delandistrogene Mox R 47 21 — — $5,280.60 $4,825,397.00 $3,494,253.00 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 47 21 — — $8,710.34 $4,764,700.00 $3,447,658.48 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 25 21 — — $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 2 1 — — $3,225,691.35 $3,228,024.20 $3,226,857.78 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 1 — — $3,154,932.76 $3,187,420.00 $3,171,176.38 2026-03-01
746 OTHER Inj, Betibeglogene Autote 47 21 — — $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 2 1 — — $2,851,769.93 $2,878,960.00 $2,865,364.96 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 46 21 — — $2,388,614.00 $4,777,228.00 $2,634,118.01 2026-03-01
824 OTHER Inj, Exagamglogene Autote 26 21 — — $13,699.09 $4,664,000.00 $2,460,260.00 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 1 — — $2,316,955.58 $2,511,311.57 $2,414,133.58 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 24 21 — — $770,620.00 $1,541,240.00 $816,857.20 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 47 21 — — $527,123.40 $1,175,299.20 $599,402.59 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 47 21 — — $529,192.90 $1,133,062.60 $577,861.93 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 47 21 — — $516,726.10 $1,124,402.40 $573,445.22 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 47 21 — — $526,587.60 $1,116,163.60 $569,243.44 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 8 3 — — $502,693.77 $934,776.65 $561,407.87 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 47 21 — — $489,456.00 $1,064,384.40 $542,836.04 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 1 — — $511,309.70 $570,020.11 $540,664.91 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 8 3 — — $492,271.12 $969,621.79 $536,573.93 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 1 — — $513,317.11 $549,535.36 $531,426.23 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 1 — — $510,789.97 $541,339.35 $526,064.66 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 1 — — $501,224.32 $545,335.16 $523,279.74 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 5 3 — — $470,149.30 $920,834.85 $511,793.34 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 8 3 — — $459,839.17 $927,632.05 $500,948.74 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 47 21 — — $460,530.40 $978,900.40 $499,239.20 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 1 — — $474,772.32 $516,226.43 $495,499.38 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 8 3 — — $445,599.57 $878,117.20 $487,755.77 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 8 3 — — $435,956.80 $807,592.83 $474,717.03 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 1 — — $446,714.49 $474,766.69 $460,740.59 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
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 95 26 — — $1,426.00 $790,072.51 $297,910.68 2026-03-01
831 OTHER Obecbtge Autol Up To 400 26 21 — — $2,930.91 $556,500.00 $293,553.75 2026-03-01
897 OTHER Revakinagene, Per Implant 24 21 — — $265,000.00 $530,000.00 $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 20 9 — — $208,261.10 $312,391.65 $230,648.40 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 97 26 — — $1,551.00 $512,725.27 $222,820.65 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 26 21 — — $5,526.79 $403,338.00 $212,760.80 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $178,990.51 $208,395.96 $193,693.23 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $147,693.56 $237,078.77 $192,386.16 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 98 25 — — $1,551.00 $464,040.49 $177,760.28 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 98 25 — — $1,551.00 $658,861.03 $169,559.54 2026-03-01
1908 OTHER New Technology - Level 52 47 21 — — $147,339.90 $311,753.80 $158,994.44 2026-03-01
1907 OTHER New Technology - Level 52 47 21 — — $147,339.90 $311,753.80 $158,994.44 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 9 — — $127,555.94 $191,333.91 $150,471.60 2026-03-01
01907 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
01908 OTHER New Technology - Level 52 2 1 — — $142,919.70 $148,484.69 $145,702.20 2026-03-01
1906 OTHER New Technology - Level 51 47 21 — — $132,847.50 $281,089.60 $143,355.70 2026-03-01
1905 OTHER New Technology - Level 51 47 21 — — $132,847.50 $281,089.60 $143,355.70 2026-03-01
5833 APR_DRG Neonate With Ecmo 20 9 — — $118,611.62 $186,775.50 $142,333.94 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $119,887.93 $146,881.67 $133,384.80 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 20 9 — — $119,164.66 $178,746.99 $133,256.40 2026-03-01
01905 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
01906 OTHER New Technology - Level 51 2 1 — — $128,862.07 $133,879.59 $131,370.83 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 2 1 — — $120,116.70 $138,148.31 $129,132.51 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 9 — — $107,408.40 $178,865.04 $129,052.45 2026-03-01
1904 OTHER New Technology - Level 50 47 21 — — $118,355.10 $250,425.40 $127,716.95 2026-03-01
1903 OTHER New Technology - Level 50 47 21 — — $118,355.10 $250,425.40 $127,716.95 2026-03-01
01903 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
01904 OTHER New Technology - Level 50 2 1 — — $114,804.45 $119,274.69 $117,039.57 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 2 1 — — $95,081.00 $138,351.00 $116,716.00 2024-10-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 2 1 — — $94,719.00 $138,351.00 $116,535.00 2024-10-01
1901 OTHER New Technology - Level 49 47 21 — — $103,862.70 $219,761.20 $112,078.21 2026-03-01
1902 OTHER New Technology - Level 49 47 21 — — $103,862.70 $219,761.20 $112,078.21 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 98 25 — — $1,551.00 $395,440.23 $111,850.88 2026-03-01
5832 APR_DRG Neonate With Ecmo 20 9 — — $91,071.80 $143,410.50 $109,286.16 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 20 9 — — $88,926.10 $142,750.50 $106,711.32 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 24 20 — — $96,999.90 $199,999.80 $105,499.89 2024-10-01
7 MS_DRG Lung Transplant 96 27 — — $1,551.00 $312,874.66 $104,105.24 2026-03-01
01901 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
01902 OTHER New Technology - Level 49 2 1 — — $100,746.82 $104,669.69 $102,708.26 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 97 27 — — $1,426.00 $370,899.04 $101,099.70 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 2 1 — — $93,760.51 $108,036.36 $100,898.43 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 9 — — $77,520.20 $137,205.00 $100,617.00 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $84,296.07 $114,702.99 $99,499.53 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 20 9 — — $79,102.08 $135,325.50 $99,238.70 2026-03-01
1599 OTHER New Technology - Level 48 47 21 — — $91,785.68 $194,207.62 $99,045.89 2026-03-01
1585 OTHER New Technology - Level 48 47 21 — — $91,785.68 $194,207.62 $99,045.89 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 20 9 — — $88,871.48 $133,307.22 $98,935.20 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 9 — — $84,952.00 $127,428.00 $97,862.40 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 20 9 — — $85,478.46 $128,217.69 $97,130.40 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 24 20 — — $88,300.94 $182,063.80 $96,038.65 2024-10-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 20 9 — — $82,755.20 $130,764.62 $95,894.05 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 9 — — $83,645.03 $125,467.54 $95,588.40 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 53 27 — — $1,551.00 $372,105.55 $94,465.91 2026-03-01
01585 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
01599 OTHER New Technology - Level 48 2 1 — — $89,032.11 $92,498.81 $90,765.46 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 97 26 — — $1,551.00 $478,185.00 $90,376.22 2026-03-01
5831 APR_DRG Neonate With Ecmo 20 9 — — $76,442.30 $122,622.00 $89,922.80 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $76,277.63 $102,797.59 $89,537.61 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 101 27 — — $1,551.00 $354,086.76 $89,352.21 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 9 — — $62,640.60 $133,113.71 $88,742.47 2026-03-01
1598 OTHER New Technology - Level 47 47 21 — — $82,124.09 $173,764.82 $88,620.06 2026-03-01
1584 OTHER New Technology - Level 47 47 21 — — $82,124.09 $173,764.82 $88,620.06 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 96 27 — — $10,587.00 $344,378.78 $88,570.81 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 9 — — $73,540.00 $110,794.50 $88,248.00 2026-03-01
215 MS_DRG Other Heart Assist System Implant 96 27 — — $10,799.00 $428,812.00 $86,530.82 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 9 — — $72,794.70 $109,192.05 $85,872.00 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 96 27 — — $1,551.00 $376,984.20 $84,991.61 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 20 9 — — $70,159.56 $113,416.50 $84,191.47 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 27 — — $10,799.00 $240,483.91 $82,739.96 2026-03-01
01598 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
01584 OTHER New Technology - Level 47 2 1 — — $79,660.37 $82,762.15 $81,211.26 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 20 9 — — $66,996.16 $100,494.24 $80,138.40 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 20 9 — — $66,329.56 $100,863.00 $79,595.47 2026-03-01
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $78,794.00 $78,794.00 $78,794.00 2024-10-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 1 1 — — $78,794.00 $78,794.00 $78,794.00 2024-10-01
1583 OTHER New Technology - Level 46 47 21 — — $72,462.48 $153,322.02 $78,194.23 2026-03-01
1597 OTHER New Technology - Level 46 47 21 — — $72,462.48 $153,322.02 $78,194.23 2026-03-01
007 OTHER Lung Transplant 2 1 — — $67,580.69 $88,157.09 $77,868.89 2026-03-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $77,361.00 $77,361.00 $77,361.00 2024-10-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $77,361.00 $77,361.00 $77,361.00 2024-10-01
1613 APR_DRG Implantable Heart Assist Systems 20 9 — — $69,631.31 $104,446.96 $77,270.40 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 2 1 — — $76,785.37 $77,046.96 $76,916.17 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $57,062.00 $83,345.00 $76,850.00 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 2 1 — — $75,250.33 $78,325.54 $76,787.93 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 20 9 — — $64,911.19 $97,366.79 $74,822.40 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 20 9 — — $62,395.71 $93,593.57 $73,605.60 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 101 27 — — $1,551.00 $302,841.21 $72,825.84 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 96 27 — — $10,587.00 $274,197.23 $72,819.13 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 2 1 — — $67,458.10 $78,133.21 $72,795.65 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 4 2 — — $53,789.99 $91,596.09 $72,536.68 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 9 — — $53,784.50 $105,823.65 $71,945.80 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 96 27 — — $10,799.00 $242,255.88 $71,794.22 2026-03-01
01597 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
01583 OTHER New Technology - Level 46 2 1 — — $70,288.61 $73,025.48 $71,657.04 2026-03-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 1 1 — — $71,631.00 $71,631.00 $71,631.00 2024-10-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $71,631.00 $71,631.00 $71,631.00 2024-10-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 9 — — $63,082.80 $94,624.20 $70,950.00 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 27 — — $1,551.00 $166,804.46 $70,074.44 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 24 20 — — $63,895.55 $131,743.40 $69,494.64 2024-10-01
1596 OTHER New Technology - Level 45 47 21 — — $62,800.88 $132,879.22 $67,768.40 2026-03-01
1582 OTHER New Technology - Level 45 47 21 — — $62,800.88 $132,879.22 $67,768.40 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 49 21 — — $12,654.78 $128,549.58 $67,156.06 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 96 27 — — $10,799.00 $237,373.94 $66,391.50 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 9 — — $55,400.17 $83,100.26 $65,818.80 2026-03-01
5244 OTHER Level 4 Blood Product Exc 47 21 — — $50,304.25 $131,372.62 $65,686.31 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 47 21 — — $56,824.55 $130,953.16 $65,476.58 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 92 27 — — $10,799.00 $208,388.05 $65,453.02 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 96 27 — — $10,799.00 $203,654.05 $65,333.42 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 2 1 — — $55,450.54 $74,457.71 $64,954.12 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 20 9 — — $53,881.30 $89,188.07 $64,541.24 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $48,651.00 $73,342.00 $63,887.00 2026-03-01
C000032901 CDM Ins Icd Gen Only Dual Ld 36 11 $232,234.02 $232,234.02 $15,000.00 $212,281.88 $63,846.18 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 20 9 — — $52,291.80 $89,188.07 $63,601.99 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 20 9 — — $51,177.50 $89,188.07 $62,943.54 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
01582 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
01596 OTHER New Technology - Level 45 2 1 — — $60,916.85 $63,288.81 $62,102.83 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 2 1 — — $61,454.13 $62,346.55 $61,900.34 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 20 9 — — $51,234.90 $77,532.00 $61,481.88 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 9 — — $53,796.73 $80,695.10 $61,471.20 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 8 3 — — $61,338.53 $106,053.40 $61,469.38 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 101 27 — — $1,551.00 $163,069.86 $61,329.94 2026-03-01
10 MS_DRG Pancreas Transplant 96 27 — — $1,551.00 $190,060.24 $61,324.52 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 20 9 — — $51,048.39 $83,284.50 $61,258.07 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 96 27 — — $9,599.00 $231,301.92 $61,003.80 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 96 27 — — $1,551.00 $191,990.00 $60,986.92 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 95 27 — — $10,587.00 $219,491.80 $60,524.08 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 1 — — $57,539.16 $61,406.22 $59,472.69 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 2 1 — — $55,119.81 $63,512.28 $59,316.04 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 20 9 — — $51,234.90 $76,852.35 $59,096.40 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 20 9 — — $49,318.50 $81,160.27 $58,901.52 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 20 9 — — $35,664.20 $87,882.00 $58,588.00 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 96 27 — — $10,799.00 $111,470.13 $58,328.05 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 47 21 — — $54,404.11 $110,030.46 $57,765.99 2026-03-01
1581 OTHER New Technology - Level 44 47 21 — — $53,139.28 $112,436.42 $57,342.57 2026-03-01
1595 OTHER New Technology - Level 44 47 21 — — $53,139.28 $112,436.42 $57,342.57 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $49,806.62 $64,759.94 $57,283.28 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 20 9 — — $40,520.04 $102,481.50 $56,728.06 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 27 — — $10,799.00 $240,483.91 $56,524.43 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 96 27 — — $10,799.00 $240,483.91 $56,392.67 2026-03-01
05244 OTHER Level 4 Blood Product Exc 2 1 — — $48,795.12 $62,571.25 $55,683.18 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 98 25 — — $1,551.00 $139,646.42 $55,456.34 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 2 1 — — $41,091.81 $69,779.65 $55,435.73 2026-03-01
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $55,323.98 $55,323.98 $55,323.98 2024-10-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 98 27 — — $1,551.00 $207,293.86 $55,163.80 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 101 27 — — $1,551.00 $230,032.95 $54,977.48 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 20 9 — — $49,153.16 $73,729.74 $54,451.20 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 95 27 — — $8,477.00 $112,019.54 $53,589.68 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 101 27 — — $1,551.00 $203,377.90 $53,557.10 2026-03-01
64 APR_DRG Pancreas Transplant 20 9 — — $43,326.23 $72,558.00 $53,209.20 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 20 9 — — $44,285.71 $69,304.50 $53,142.85 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 2 1 — — $52,771.99 $53,364.77 $53,068.38 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 96 27 — — $10,799.00 $295,612.00 $52,844.90 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 96 27 — — $10,799.00 $242,255.88 $52,722.22 2026-03-01
01581 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
01595 OTHER New Technology - Level 44 2 1 — — $51,545.10 $53,552.15 $52,548.62 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 9 — — $46,671.82 $70,007.73 $52,272.00 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 102 27 — — $1,426.00 $117,729.27 $52,240.14 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 2 1 — — $41,867.79 $62,431.63 $52,149.71 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 95 27 — — $9,599.00 $154,306.26 $51,721.21 2026-03-01
8514 APR_DRG Gender Related Procedures 20 9 — — $40,865.02 $70,353.00 $51,592.20 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 2 1 — — $44,710.16 $58,124.54 $51,417.35 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 20 9 — — $42,730.78 $65,515.50 $51,276.94 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 96 27 — — $10,799.00 $109,927.86 $51,251.67 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 101 27 — — $1,551.00 $148,193.92 $50,965.13 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 20 9 — — $46,063.60 $69,298.37 $50,818.80 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 96 27 — — $10,799.00 $167,596.75 $50,598.86 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… 20 9 — — $42,824.58 $64,236.87 $50,442.00 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 99 27 — — $1,551.00 $166,804.46 $50,403.82 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 20 9 — — $43,270.17 $64,905.25 $50,348.40 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 24 20 — — $46,068.21 $94,986.00 $50,105.12 2024-10-01
21 APR_DRG Heart And/or Lung Transplant 20 9 — — $43,443.38 $65,165.07 $50,076.00 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 101 27 — — $1,551.00 $119,864.41 $49,890.31 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 96 27 — — $10,799.00 $121,607.91 $49,492.25 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 96 27 — — $10,799.00 $146,553.46 $49,451.61 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 1 — — $49,151.06 $49,529.65 $49,340.35 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 67 22 — — $36,630.00 $171,726.59 $49,329.30 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 53 27 — — $1,551.00 $187,614.34 $48,799.03 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 97 27 — — $1,426.00 $370,899.04 $48,702.17 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 95 27 — — $10,587.00 $169,135.49 $48,670.00 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 20 9 — — $40,648.30 $66,933.09 $48,561.58 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
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 1 — — $42,827.53 $52,649.51 $47,738.52 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 101 27 — — $1,551.00 $111,268.72 $47,721.49 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 95 27 — — $10,587.00 $170,220.78 $47,654.30 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 96 27 — — $10,799.00 $155,163.43 $47,363.88 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 97 27 — — $1,426.00 $370,899.04 $47,003.75 2026-03-01
1580 OTHER New Technology - Level 43 47 21 — — $43,477.68 $91,993.62 $46,916.75 2026-03-01
1594 OTHER New Technology - Level 43 47 21 — — $43,477.68 $91,993.62 $46,916.75 2026-03-01
215 OTHER Other Heart Assist System Implant 2 1 — — $42,131.16 $51,453.49 $46,792.32 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 96 27 — — $9,599.00 $146,635.65 $46,694.50 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 1 — — $44,039.60 $49,193.30 $46,616.45 2026-03-01
1142 OTHER Supprelin La Implant 47 21 — — $43,185.34 $90,700.42 $46,257.21 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 92 27 — — $10,799.00 $208,388.05 $46,186.43 2026-03-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 20 9 — — $38,465.25 $58,359.00 $46,158.30 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 96 27 — — $10,799.00 $237,373.94 $46,015.57 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 96 27 — — $10,799.00 $108,875.42 $45,829.15 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 96 27 — — $1,551.00 $191,990.00 $45,703.98 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 2 1 — — $43,339.76 $48,062.14 $45,700.95 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 2 1 — — $23,705.88 $67,396.82 $45,551.35 2026-03-01
0207 RC — 24 10 — — $12,350.00 $45,063.50 $45,063.50 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 2 1 — — $37,379.15 $51,959.39 $44,669.27 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 101 27 — — $1,551.00 $146,632.36 $44,664.22 2026-03-01
653 MS_DRG Major Bladder Procedures With Mcc 101 27 — — $1,551.00 $109,989.89 $44,644.83 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 96 27 — — $10,799.00 $84,363.92 $44,547.97 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 101 27 — — $1,551.00 $107,369.75 $44,537.06 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 102 27 — — $1,426.00 $100,443.21 $44,532.65 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 97 27 — — $2,837.00 $162,943.00 $44,456.36 2026-03-01
C000034101 CDM Ins/repl Sq Icd With Elec 18 10 $160,307.90 $160,307.90 $11,061.25 $144,277.11 $44,084.67 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 101 27 — — $1,551.00 $104,278.05 $43,905.66 2026-03-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 20 9 — — $34,140.79 $59,817.00 $43,865.80 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 8 3 — — $43,241.44 $72,861.11 $43,855.64 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 92 27 — — $10,799.00 $208,388.05 $43,782.93 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 92 27 — — $10,799.00 $157,152.36 $43,039.39 2026-03-01
01580 OTHER New Technology - Level 43 2 1 — — $42,173.35 $43,815.48 $42,994.42 2026-03-01
01594 OTHER New Technology - Level 43 2 1 — — $42,173.35 $43,815.48 $42,994.42 2026-03-01
01142 OTHER Supprelin La Implant 2 1 — — $41,889.78 $43,989.70 $42,939.74 2026-03-01
834 OTHER Acute Leukemia With Mcc 2 1 — — $42,052.24 $42,984.04 $42,518.14 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 2 1 — — $25,874.40 $57,936.96 $41,905.68 2026-03-01
0294T CPT HInsertion Of Left Atrial Hemodynamic Monitor; Pressure Sensor Lead At Time Of I… 7 2 — — $25,658.00 $48,120.00 $41,879.00 2026-03-01
8634 APR_DRG Neonatal Aftercare 20 9 — — $34,835.42 $52,513.50 $41,802.50 2026-03-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 20 9 — — $34,306.45 $56,856.00 $41,694.40 2026-03-01
471 MS_DRG Cervical Spinal Fusion With Mcc 95 27 — — $10,799.00 $79,119.00 $41,652.67 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 96 27 — — $10,799.00 $221,962.14 $41,584.81 2026-03-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 101 27 — — $1,551.00 $91,249.47 $41,323.56 2026-03-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 20 9 — — $35,290.36 $52,935.54 $41,073.60 2026-03-01
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 2 1 — — $36,971.69 $45,148.93 $41,060.31 2026-03-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 101 27 — — $1,551.00 $95,829.61 $40,912.14 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 20 9 — — $31,204.86 $56,214.00 $40,894.96 2026-03-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 20 9 — — $35,617.73 $53,426.60 $40,881.60 2026-03-01
8513 APR_DRG Gender Related Procedures 20 9 — — $15,021.60 $61,297.53 $40,865.02 2026-03-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 101 27 — — $1,551.00 $90,047.42 $40,835.94 2026-03-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 101 27 — — $1,551.00 $109,431.01 $40,750.10 2026-03-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 102 27 — — $1,426.00 $88,935.79 $40,412.53 2026-03-01
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 24 20 — — $37,140.82 $76,579.00 $40,395.42 2024-10-01
4404 APR_DRG Kidney Transplant 20 9 — — $33,592.77 $53,133.00 $40,311.32 2026-03-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 95 27 — — $9,599.00 $154,306.26 $40,285.99 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 2 1 — — $37,949.46 $42,569.09 $40,259.27 2026-03-01
63 APR_DRG Pancreas Transplant 20 9 — — $33,389.74 $51,546.00 $40,067.69 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 2 1 — — $37,864.09 $42,206.33 $40,035.21 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 2 1 — — $37,952.93 $41,801.95 $39,877.44 2026-03-01
245 MS_DRG Aicd Generator Procedures 96 27 — — $9,599.00 $101,935.51 $39,858.15 2026-03-01
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 24 20 — — $36,570.46 $75,403.00 $39,775.08 2024-10-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 1 — — $34,258.15 $45,172.43 $39,715.29 2026-03-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 96 27 — — $10,799.00 $125,289.91 $39,543.55 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 2 1 — — $38,803.31 $39,976.89 $39,390.10 2026-03-01
0888T CPT Histotripsy (ie, Non-thermal Ablation Via Acoustic Energy Delivery) Of Malignant… 2 1 — — $39,376.13 $39,376.13 $39,376.13 2026-03-01
6 MS_DRG Liver Transplant Without Mcc 96 27 — — $1,551.00 $376,984.20 $39,359.91 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
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. 101 27 — — $1,551.00 $85,585.03 $38,899.25 2026-03-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 101 27 — — $1,551.00 $119,014.07 $38,796.05 2026-03-01
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