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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

North Florida Regional Medical Center Starke Campu

Gainesville, FL · CCN 101310 · Rates published

28,493 distinct procedures filed
52 distinct payers
845,396 rate rows
2026-03-01 last MRF observed
Data quality

788,480 of 845,396 rate rows are consumer-grade (93.3%)

56,916 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 27,513
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 17,516
per-diem day rate — not a per-procedure price 8,742
exceeds 10× this hospital's gross charge — excluded from medians 3,027
placeholder amount (≤ $0.02) — excluded from medians 118
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/61-1269294_HCA-FLORIDA-NORTH-FLORIDA-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/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint 670d99fa12c48ddb… · 381,031,037 bytes · first seen 2026-05-11

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
845
OTHER 		Inj, Atidarsagene Autotem 16 $6,997.03 $4,955,500.00 $4,606,362.50 nat. median
$9,966
outlier · 462.2×
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
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 18 $3,685,267.00 $4,422,320.40 $3,869,530.35 nat. median
$3,746,358
1.0× median
09138
OTHER 		Inj, Hemgenix, Per Tx Dos 1 $3,574,708.99 $3,574,708.99 $3,574,708.99 nat. median
$3,574,709
1.0× median
908
OTHER 		Topi Adm Prad Zami Per Tr 18 $12,669.12 $4,002,984.00 $3,460,913.25 nat. median
$22,747
outlier · 152.1×
714
OTHER 		Inj Delandistrogene Mox R 18 $8,229.45 $3,993,432.00 $3,452,654.75 nat. median
$13,041
outlier · 264.8×
748
OTHER 		Inj, Lovotibeglogene Auto 18 $15,664.68 $3,903,009.60 $3,374,477.05 nat. median
$17,963
outlier · 187.9×
906
OTHER 		Inj Elivaldogene Autoteme 18 $11,194.65 $3,816,000.00 $3,299,250.00 nat. median
$20,756
outlier · 159.0×
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 $3,228,024.20 $3,228,024.20 $3,228,024.20 nat. median
$3,228,024
1.0× median
00748
OTHER 		Inj, Lovotibeglogene Auto 1 $3,154,932.76 $3,154,932.76 $3,154,932.76 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$21
outlier · 149086.5×
746
OTHER 		Inj, Betibeglogene Autote 18 $14,490.00 $3,527,962.80 $3,050,217.83 nat. median
$21,896
outlier · 139.3×
00746
OTHER 		Inj, Betibeglogene Autote 1 $2,851,769.93 $2,851,769.93 $2,851,769.93 nat. median
$2,878,960
1.0× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 18 $2,588,981.00 $3,106,777.20 $2,718,430.05 nat. median
$2,588,981
1.0× median
09141
OTHER 		Inj Onase Abepar-xioi Tre 1 $2,511,311.57 $2,511,311.57 $2,511,311.57 nat. median
$2,457,321
1.0× median
824
OTHER 		Inj, Exagamglogene Autote 18 $16,967.41 $2,798,400.00 $2,419,450.00 nat. median
$25,250
outlier · 95.8×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 $2,311,860.00 $2,311,860.00 $2,311,860.00 nat. median
$824,563
outlier · 2.8×
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
Q2056
HCPCS 		Ciltacabtagene 100 Mil 14 $536,573.93 $4,986,594.00 $1,828,927.21 nat. median
$674,867
outlier · 2.7×
Q2058
HCPCS 		Obecabtagene Inj 14 $834,750.00 $4,686,594.00 $1,780,905.72 nat. median
$324,450
outlier · 5.5×
Q2055
HCPCS 		Idecabtagene 14 $511,793.34 $4,786,594.00 $1,766,253.19 nat. median
$625,184
outlier · 2.8×
Q2054
HCPCS 		Lisocabtagene 14 $500,948.74 $4,786,594.00 $1,752,754.72 nat. median
$673,137
outlier · 2.6×
Q2041
HCPCS 		Axicabtagene Adult 14 $487,755.77 $4,536,594.00 $1,660,241.22 nat. median
$634,303
outlier · 2.6×
Q2042
HCPCS 		Tisagenlecleucel Adult 15 $561,407.87 $4,903,912.80 $1,634,637.60 nat. median
$753,246
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene 15 $474,717.03 $4,963,912.80 $1,571,905.72 nat. median
$619,808
outlier · 2.5×
2067
OTHER 		Afamitresgene Autoleucel 19 $693,558.00 $924,744.00 $787,958.95 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 18 $587,649.60 $705,179.52 $617,032.08 nat. median
$587,650
1.1× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $605,007.06 $605,007.06 $605,007.06 nat. median
$209,753
outlier · 2.9×
9194
OTHER 		Tisagenlecleucel Car-pos 18 $566,531.30 $679,837.56 $594,857.87 nat. median
$566,531
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 18 $562,201.20 $674,641.44 $590,311.26 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Ca 18 $558,081.80 $669,698.16 $585,985.89 nat. median
$558,082
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $570,020.11 $570,020.11 $570,020.11 nat. median
$554,552
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 18 $532,192.20 $638,630.64 $558,801.81 nat. median
$532,192
1.1× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $549,535.36 $549,535.36 $549,535.36 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $545,335.16 $545,335.16 $545,335.16 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $541,339.35 $541,339.35 $541,339.35 nat. median
$530,178
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $516,226.43 $516,226.43 $516,226.43 nat. median
$505,583
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 18 $489,450.20 $587,340.24 $513,922.71 nat. median
$489,450
1.1× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $474,766.69 $474,766.69 $474,766.69 nat. median
$464,978
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $1,372.00 $1,929,752.97 $379,601.07 nat. median
$370,174
1.0× median
831
OTHER 		Obecbtge Autol Up To 400 18 $4,791.26 $333,900.00 $288,684.38 nat. median
$12,362
outlier · 23.4×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $282,502.99 $282,502.99 $282,502.99 nat. median
$424,868
0.7× median
897
OTHER 		Revakinagene, Per Implant 18 $265,000.00 $318,000.00 $278,250.00 nat. median
$9,577
outlier · 29.1×
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
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 1 $251,178.75 $251,178.75 $251,178.75 nat. median
$76,329
outlier · 3.3×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 26 $2,968.00 $1,252,332.04 $250,352.60 nat. median
$265,286
0.9× median
5834
APR_DRG 		Neonate With Ecmo 12 $208,261.10 $312,391.65 $249,913.32 nat. median
$309,665
0.8× median
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $248,324.66 $248,324.66 $248,324.66 nat. median
$263,894
0.9× median

Other procedures at this hospital

Browse this hospital's 28,493 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
             
845 OTHER Inj, Atidarsagene Autotem 20 16 — — $6,997.03 $4,955,500.00 $4,606,362.50 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
9138 OTHER Inj, Hemgenix, Per Tx Dos 21 18 — — $3,685,267.00 $4,422,320.40 $3,869,530.35 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,574,708.99 $3,574,708.99 $3,574,708.99 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 22 18 — — $12,669.12 $4,002,984.00 $3,460,913.25 2026-03-01
714 OTHER Inj Delandistrogene Mox R 22 18 — — $8,229.45 $3,993,432.00 $3,452,654.75 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 22 18 — — $15,664.68 $3,903,009.60 $3,374,477.05 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 22 18 — — $11,194.65 $3,816,000.00 $3,299,250.00 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 1 1 — — $3,228,024.20 $3,228,024.20 $3,228,024.20 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,154,932.76 $3,154,932.76 $3,154,932.76 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
746 OTHER Inj, Betibeglogene Autote 22 18 — — $14,490.00 $3,527,962.80 $3,050,217.83 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,851,769.93 $2,851,769.93 $2,851,769.93 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 21 18 — — $2,588,981.00 $3,106,777.20 $2,718,430.05 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,511,311.57 $2,511,311.57 $2,511,311.57 2026-03-01
824 OTHER Inj, Exagamglogene Autote 22 18 — — $16,967.41 $2,798,400.00 $2,419,450.00 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 1 1 — — $2,311,860.00 $2,311,860.00 $2,311,860.00 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
Q2056 HCPCS Ciltacabtagene 100 Mil 34 14 — — $536,573.93 $4,986,594.00 $1,828,927.21 2026-03-01
Q2058 HCPCS Obecabtagene Inj 33 14 — — $834,750.00 $4,686,594.00 $1,780,905.72 2026-03-01
Q2055 HCPCS Idecabtagene 34 14 — — $511,793.34 $4,786,594.00 $1,766,253.19 2026-03-01
Q2054 HCPCS Lisocabtagene 34 14 — — $500,948.74 $4,786,594.00 $1,752,754.72 2026-03-01
Q2041 HCPCS Axicabtagene Adult 34 14 — — $487,755.77 $4,536,594.00 $1,660,241.22 2026-03-01
Q2042 HCPCS Tisagenlecleucel Adult 35 15 — — $561,407.87 $4,903,912.80 $1,634,637.60 2026-03-01
Q2053 HCPCS Brexucabtagene 35 15 — — $474,717.03 $4,963,912.80 $1,571,905.72 2026-03-01
2067 OTHER Afamitresgene Autoleucel 24 19 — — $693,558.00 $924,744.00 $787,958.95 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 21 18 — — $587,649.60 $705,179.52 $617,032.08 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 1 — — $605,007.06 $605,007.06 $605,007.06 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 21 18 — — $566,531.30 $679,837.56 $594,857.87 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 21 18 — — $562,201.20 $674,641.44 $590,311.26 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 21 18 — — $558,081.80 $669,698.16 $585,985.89 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $570,020.11 $570,020.11 $570,020.11 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 21 18 — — $532,192.20 $638,630.64 $558,801.81 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $549,535.36 $549,535.36 $549,535.36 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $545,335.16 $545,335.16 $545,335.16 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $541,339.35 $541,339.35 $541,339.35 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $516,226.43 $516,226.43 $516,226.43 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 21 18 — — $489,450.20 $587,340.24 $513,922.71 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $474,766.69 $474,766.69 $474,766.69 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 50 26 — — $1,372.00 $1,929,752.97 $379,601.07 2026-03-01
831 OTHER Obecbtge Autol Up To 400 22 18 — — $4,791.26 $333,900.00 $288,684.38 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $282,502.99 $282,502.99 $282,502.99 2026-03-01
897 OTHER Revakinagene, Per Implant 21 18 — — $265,000.00 $318,000.00 $278,250.00 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
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 1 1 — — $251,178.75 $251,178.75 $251,178.75 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 50 26 — — $2,968.00 $1,252,332.04 $250,352.60 2026-03-01
5834 APR_DRG Neonate With Ecmo 14 12 — — $208,261.10 $312,391.65 $249,913.32 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $248,324.66 $248,324.66 $248,324.66 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 22 18 — — $10,484.07 $242,002.80 $209,231.59 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 51 26 — — $2,968.00 $948,511.74 $199,282.23 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 51 26 — — $2,968.00 $954,111.14 $192,817.89 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $175,024.28 $175,024.28 $175,024.28 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 1 1 — — $170,473.65 $170,473.65 $170,473.65 2026-03-01
1907 OTHER New Technology - Level 52 24 19 — — $140,289.21 $187,052.28 $159,384.13 2026-03-01
1908 OTHER New Technology - Level 52 24 19 — — $140,289.21 $187,052.28 $159,384.13 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 12 — — $127,555.94 $191,333.91 $153,067.13 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $148,484.69 $148,484.69 $148,484.69 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $148,484.69 $148,484.69 $148,484.69 2026-03-01
1905 OTHER New Technology - Level 51 24 19 — — $126,490.32 $168,653.76 $143,707.06 2026-03-01
1906 OTHER New Technology - Level 51 24 19 — — $126,490.32 $168,653.76 $143,707.06 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 12 — — $119,243.36 $178,865.04 $143,092.03 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 14 12 — — $119,164.66 $178,746.99 $142,997.59 2026-03-01
5833 APR_DRG Neonate With Ecmo 14 12 — — $118,611.62 $177,917.43 $142,333.94 2026-03-01
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 1 — — $140,085.39 $140,085.39 $140,085.39 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $136,680.08 $136,680.08 $136,680.08 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $133,879.59 $133,879.59 $133,879.59 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $133,879.59 $133,879.59 $133,879.59 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 51 26 — — $2,968.00 $618,991.36 $130,315.40 2026-03-01
1903 OTHER New Technology - Level 50 24 19 — — $112,691.43 $150,255.24 $128,029.99 2026-03-01
1904 OTHER New Technology - Level 50 24 19 — — $112,691.43 $150,255.24 $128,029.99 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $122,493.54 $122,493.54 $122,493.54 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $119,274.69 $119,274.69 $119,274.69 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $119,274.69 $119,274.69 $119,274.69 2026-03-01
7 MS_DRG Lung Transplant 50 27 — — $2,968.00 $578,718.54 $117,243.22 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 25 19 — — $100,352.70 $133,803.60 $113,733.06 2026-03-01
1902 OTHER New Technology - Level 49 24 19 — — $98,892.54 $131,856.72 $112,352.91 2026-03-01
1901 OTHER New Technology - Level 49 24 19 — — $98,892.54 $131,856.72 $112,352.91 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 51 27 — — $1,372.00 $537,055.92 $110,472.24 2026-03-01
5832 APR_DRG Neonate With Ecmo 14 12 — — $91,071.80 $136,607.70 $109,286.16 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 2 2 — — $55,306.59 $163,212.33 $109,259.46 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 50 26 — — $2,968.00 $506,395.48 $107,257.95 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 14 12 — — $88,926.10 $133,389.15 $106,711.32 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 14 12 — — $88,871.48 $133,307.22 $106,645.78 2026-03-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 12 — — $88,742.47 $133,113.71 $106,490.96 2026-03-01
007 OTHER Lung Transplant 1 1 — — $105,047.99 $105,047.99 $105,047.99 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 28 — — $9,905.00 $492,515.39 $104,833.61 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $104,669.69 $104,669.69 $104,669.69 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $104,669.69 $104,669.69 $104,669.69 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 12 — — $87,176.41 $130,764.62 $104,611.69 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 53 28 — — $2,968.00 $308,222.24 $103,581.51 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 53 28 — — $2,968.00 $485,941.78 $103,444.69 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 14 12 — — $85,478.46 $128,217.69 $102,574.15 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 12 — — $84,952.00 $127,428.00 $101,942.40 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 12 — — $83,645.03 $125,467.54 $100,374.04 2026-03-01
1585 OTHER New Technology - Level 48 24 19 — — $87,393.43 $116,524.57 $99,288.65 2026-03-01
1599 OTHER New Technology - Level 48 24 19 — — $87,393.43 $116,524.57 $99,288.65 2026-03-01
5831 APR_DRG Neonate With Ecmo 14 12 — — $81,748.00 $122,622.00 $98,097.60 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 25 19 — — $85,572.90 $114,097.20 $96,982.62 2026-03-01
215 MS_DRG Other Heart Assist System Implant 51 28 — — $11,680.00 $444,958.42 $96,126.70 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 50 27 — — $2,968.00 $460,755.62 $96,040.36 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 14 12 — — $79,102.08 $118,653.12 $94,922.50 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 28 — — $11,680.00 $199,197.49 $93,140.59 2026-03-01
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $93,103.53 $93,103.53 $93,103.53 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 12 — — $77,520.20 $116,280.30 $93,024.24 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $92,498.81 $92,498.81 $92,498.81 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $92,498.81 $92,498.81 $92,498.81 2026-03-01
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $89,668.29 $89,668.29 $89,668.29 2026-03-01
1598 OTHER New Technology - Level 47 24 19 — — $78,194.17 $104,258.89 $88,837.26 2026-03-01
1584 OTHER New Technology - Level 47 24 19 — — $78,194.17 $104,258.89 $88,837.26 2026-03-01
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $88,723.80 $88,723.80 $88,723.80 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 12 — — $73,540.00 $110,310.00 $88,248.00 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 12 — — $72,794.70 $109,192.05 $87,353.64 2026-03-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 51 28 — — $9,905.00 $402,621.00 $85,840.01 2026-03-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 14 12 — — $70,549.10 $105,823.65 $84,658.92 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 14 12 — — $70,159.56 $105,239.34 $84,191.47 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 14 12 — — $69,631.31 $104,446.96 $83,557.57 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 1 — — $83,213.00 $83,213.00 $83,213.00 2026-03-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 1 — — $83,213.00 $83,213.00 $83,213.00 2026-03-01
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $83,149.43 $83,149.43 $83,149.43 2026-03-01
01584 OTHER New Technology - Level 47 1 1 — — $82,762.15 $82,762.15 $82,762.15 2026-03-01
01598 OTHER New Technology - Level 47 1 1 — — $82,762.15 $82,762.15 $82,762.15 2026-03-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 51 28 — — $11,680.00 $376,715.37 $82,640.98 2026-03-01
S003039320 CDM Pump Heart 21fr 85mm 44 21 $347,188.00 $347,188.00 $22,914.41 $347,188.00 $81,589.18 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 12 — — $66,996.16 $100,494.24 $80,395.39 2026-03-01
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $80,310.05 $80,310.05 $80,310.05 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 14 12 — — $66,329.56 $99,494.34 $79,595.47 2026-03-01
850 MS_DRG Acute Leukemia With Other Procedures 53 28 — — $2,968.00 $386,975.74 $79,419.84 2026-03-01
C000034001 CDM Rem/replace Icd Gen Mult 28 16 $181,033.24 $181,033.24 $11,948.19 $181,033.24 $78,387.40 2026-03-01
1597 OTHER New Technology - Level 46 24 19 — — $68,994.91 $91,993.21 $78,385.88 2026-03-01
1583 OTHER New Technology - Level 46 24 19 — — $68,994.91 $91,993.21 $78,385.88 2026-03-01
23 APR_DRG Heart And/or Lung Transplant 14 12 — — $64,911.19 $97,366.79 $77,893.43 2026-03-01
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $77,167.94 $77,167.94 $77,167.94 2026-03-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 28 — — $2,968.00 $375,531.14 $77,092.99 2026-03-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 12 — — $63,082.80 $94,624.20 $75,699.36 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 14 12 — — $62,395.71 $93,593.57 $74,874.85 2026-03-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 51 28 — — $11,680.00 $351,640.93 $74,360.34 2026-03-01
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $74,024.35 $74,024.35 $74,024.35 2026-03-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 28 — — $11,680.00 $177,434.00 $73,428.66 2026-03-01
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $73,171.65 $73,171.65 $73,171.65 2026-03-01
01597 OTHER New Technology - Level 46 1 1 — — $73,025.48 $73,025.48 $73,025.48 2026-03-01
01583 OTHER New Technology - Level 46 1 1 — — $73,025.48 $73,025.48 $73,025.48 2026-03-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 49 28 — — $11,680.00 $177,434.00 $72,957.29 2026-03-01
I000180401 CDM Dialysis Circ Thrmb/stnt 29 17 $173,525.46 $173,525.46 $11,452.68 $173,525.46 $72,186.59 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 14 12 — — $59,458.71 $89,188.07 $71,350.45 2026-03-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 14 12 — — $59,458.71 $89,188.07 $71,350.45 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 14 12 — — $59,458.71 $89,188.07 $71,350.45 2026-03-01
0515T CPT Insertion Of Wireless Cardiac Stimulator For Left Ventricular Pacing, Including … 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
0916T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
0520T CPT Removal And Replacement Of Pulse Generator For Wireless Cardiac Stimulator For L… 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
0571T CPT Insertion Or Replacement Of Implantable Cardioverter-defibrillator System With S… 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
0915T CPT Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co… 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
0923T CPT Removal And Replacement Of Permanent Cardiac Contractility Modulation-defibrilla… 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
0614T CPT Removal And Replacement Of Substernal Implantable Defibrillator Pulse Generator 1 1 — — $70,836.00 $70,836.00 $70,836.00 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 14 12 — — $58,588.00 $87,882.00 $70,305.60 2026-03-01
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 25 19 — — $61,921.53 $82,562.04 $70,177.73 2026-03-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 28 — — $11,680.00 $318,643.32 $70,023.78 2026-03-01
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $69,261.21 $69,261.21 $69,261.21 2026-03-01
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $69,037.67 $69,037.67 $69,037.67 2026-03-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 28 — — $9,905.00 $322,584.80 $68,604.17 2026-03-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 53 28 — — $2,968.00 $340,518.09 $68,602.27 2026-03-01
1596 OTHER New Technology - Level 45 24 19 — — $59,795.65 $79,727.53 $67,934.50 2026-03-01
1582 OTHER New Technology - Level 45 24 19 — — $59,795.65 $79,727.53 $67,934.50 2026-03-01
5244 OTHER Level 4 Blood Product Exc 24 19 — — $59,117.68 $78,823.57 $67,164.26 2026-03-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 50 27 — — $2,968.00 $318,831.00 $66,689.90 2026-03-01
717 OTHER Instill Adstiladrin, Tx D 22 18 — — $15,532.92 $77,129.75 $66,685.10 2026-03-01
10 MS_DRG Pancreas Transplant 50 27 — — $2,968.00 $320,667.68 $66,616.12 2026-03-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 14 12 — — $55,400.17 $83,100.26 $66,480.20 2026-03-01
C000046701 CDM Ins Leadless Ppm Atrial 28 16 $153,422.75 $153,422.75 $10,125.90 $153,422.75 $66,432.05 2026-03-01
C000034301 CDM Ins/repl Ldls Ppm Vent 28 16 $153,422.75 $153,422.75 $10,125.90 $153,422.75 $66,432.05 2026-03-01
C000046601 CDM Ins Leadless Ppm Dual 28 16 $153,422.75 $153,422.75 $10,125.90 $153,422.75 $66,432.05 2026-03-01
C000024901 CDM Cth Plc/inj R&lhc/grafts 28 16 $153,011.26 $153,011.26 $10,098.74 $153,011.26 $66,253.88 2026-03-01
O000004001 CDM Cysto Add On To Eswl 29 17 $158,774.13 $158,774.13 $10,479.09 $158,774.13 $66,050.04 2026-03-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 51 26 — — $2,968.00 $320,533.62 $65,264.99 2026-03-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 28 — — $11,680.00 $199,197.49 $65,227.14 2026-03-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 51 28 — — $11,680.00 $199,197.49 $65,227.14 2026-03-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 14 12 — — $54,106.85 $81,160.27 $64,928.22 2026-03-01
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $64,889.64 $64,889.64 $64,889.64 2026-03-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 12 — — $53,796.73 $80,695.10 $64,556.08 2026-03-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 49 28 — — $11,680.00 $177,434.00 $63,542.66 2026-03-01
01596 OTHER New Technology - Level 45 1 1 — — $63,288.81 $63,288.81 $63,288.81 2026-03-01
01582 OTHER New Technology - Level 45 1 1 — — $63,288.81 $63,288.81 $63,288.81 2026-03-01
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $62,737.17 $62,737.17 $62,737.17 2026-03-01
05244 OTHER Level 4 Blood Product Exc 1 1 — — $62,571.25 $62,571.25 $62,571.25 2026-03-01
C000044201 CDM Ins Ph Nrv Stm System 29 17 $150,295.93 $150,295.93 $9,919.53 $150,295.93 $62,523.11 2026-03-01
00717 OTHER Instill Adstiladrin, Tx D 1 1 — — $62,346.55 $62,346.55 $62,346.55 2026-03-01
C000024801 CDM Cth Plc/inj R&lhc/l Vent 28 16 $143,553.00 $143,553.00 $9,474.50 $143,553.00 $62,158.45 2026-03-01
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $61,914.81 $61,914.81 $61,914.81 2026-03-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 53 28 — — $2,968.00 $300,799.40 $61,898.91 2026-03-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 53 28 — — $2,968.00 $298,806.31 $61,795.13 2026-03-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 52 28 — — $2,968.00 $154,991.00 $61,599.78 2026-03-01
1611 APR_DRG Implantable Heart Assist Systems 14 12 — — $51,234.90 $76,852.35 $61,481.88 2026-03-01
1612 APR_DRG Implantable Heart Assist Systems 14 12 — — $51,234.90 $76,852.35 $61,481.88 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 3 — — $61,338.53 $192,824.37 $61,338.53 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 14 12 — — $51,048.39 $76,572.58 $61,258.07 2026-03-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 51 28 — — $11,680.00 $244,861.15 $60,848.27 2026-03-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 50 28 — — $11,680.00 $124,589.60 $60,768.57 2026-03-01
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $60,208.67 $60,208.67 $60,208.67 2026-03-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 51 28 — — $11,680.00 $270,925.47 $59,656.22 2026-03-01
22 APR_DRG Heart And/or Lung Transplant 14 12 — — $49,153.16 $73,729.74 $58,983.79 2026-03-01
010 OTHER Pancreas Transplant 1 1 — — $58,956.26 $58,956.26 $58,956.26 2026-03-01
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $58,618.74 $58,618.74 $58,618.74 2026-03-01
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $58,568.41 $58,568.41 $58,568.41 2026-03-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 50 28 — — $9,905.00 $268,422.94 $58,214.51 2026-03-01
1643 OTHER Y90 Ibritumomab, Rx 24 19 — — $51,142.10 $68,189.46 $58,103.10 2026-03-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 53 28 — — $2,968.00 $292,768.96 $57,902.82 2026-03-01
I000031303 CDM Transcth Stnt Plc Ia 29 17 $138,906.11 $138,906.11 $9,167.80 $138,906.11 $57,784.94 2026-03-01
I000031502 CDM Transcth Stnt Plc In Vn 29 17 $138,906.11 $138,906.11 $9,167.80 $138,906.11 $57,784.94 2026-03-01
I000031301 CDM Transcth Stnt Plc Ia 29 17 $138,906.11 $138,906.11 $9,167.80 $138,906.11 $57,784.94 2026-03-01
C000034101 CDM Ins/repl Sq Icd With Elec 28 16 $132,785.85 $132,785.85 $8,763.87 $132,785.85 $57,496.27 2026-03-01
1581 OTHER New Technology - Level 44 24 19 — — $50,596.39 $67,461.85 $57,483.12 2026-03-01
1595 OTHER New Technology - Level 44 24 19 — — $50,596.39 $67,461.85 $57,483.12 2026-03-01
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $57,270.85 $57,270.85 $57,270.85 2026-03-01
9273 OTHER Sipuleucel-t Auto Cd54+ 21 18 — — $54,404.11 $65,284.93 $57,124.32 2026-03-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 28 — — $2,968.00 $266,479.01 $57,074.83 2026-03-01
C000001501 CDM Prc D-e Cor Revsc Chrn S 28 16 $131,805.38 $131,805.38 $8,699.16 $131,805.38 $57,071.73 2026-03-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 49 28 — — $11,680.00 $177,434.00 $56,977.59 2026-03-01
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $56,930.36 $56,930.36 $56,930.36 2026-03-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 54 28 — — $1,372.00 $287,553.87 $56,622.90 2026-03-01
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $56,296.02 $56,296.02 $56,296.02 2026-03-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 14 12 — — $46,671.82 $70,007.73 $56,006.18 2026-03-01
0207 RC — 14 10 — — $12,350.00 $55,706.00 $55,706.00 2026-03-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 34 22 — — $23,361.00 $107,339.18 $55,682.20 2026-03-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 14 12 — — $46,198.91 $69,298.37 $55,438.69 2026-03-01
28 MS_DRG Spinal Procedures With Mcc 51 28 — — $11,680.00 $268,498.91 $55,331.74 2026-03-01
J9600 HCPCS Porfimer Na 75 Mg Inj 27 16 $110,658.21 $110,658.21 $11,729.77 $110,658.21 $55,329.11 2026-03-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 53 28 — — $2,968.00 $273,548.65 $55,253.36 2026-03-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 50 28 — — $9,905.00 $257,720.16 $55,224.19 2026-03-01
01643 OTHER Y90 Ibritumomab, Rx 1 1 — — $55,119.81 $55,119.81 $55,119.81 2026-03-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 51 27 — — $1,372.00 $307,222.87 $54,885.34 2026-03-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 28 — — $11,680.00 $256,075.65 $54,876.73 2026-03-01
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $54,023.63 $54,023.63 $54,023.63 2026-03-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 50 28 — — $9,905.00 $251,235.94 $53,854.15 2026-03-01
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $53,827.47 $53,827.47 $53,827.47 2026-03-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 49 28 — — $11,680.00 $177,434.00 $53,665.00 2026-03-01
01595 OTHER New Technology - Level 44 1 1 — — $53,552.15 $53,552.15 $53,552.15 2026-03-01
01581 OTHER New Technology - Level 44 1 1 — — $53,552.15 $53,552.15 $53,552.15 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 14 12 — — $44,622.06 $66,933.09 $53,546.47 2026-03-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 14 12 — — $44,285.71 $66,428.57 $53,142.85 2026-03-01
0674T CPT Laparoscopic Insertion Of New Or Replacement Of Permanent Implantable Synchroniz… 1 1 — — $53,125.00 $53,125.00 $53,125.00 2026-03-01
0960T CPT Replacement Of Sub-scalp Implanted Electrode Array, Receiver, And Telemetry Unit… 1 1 — — $53,125.00 $53,125.00 $53,125.00 2026-03-01
0956T CPT Partial Craniectomy, Channel Creation, And Tunneling Of Electrode For Sub-scalp … 1 1 — — $53,125.00 $53,125.00 $53,125.00 2026-03-01
C9782 HCPCS Blinded Procedure For New York Heart Association (nyha) Class Ii Or Iii Heart Fa… 1 1 — — $53,125.00 $53,125.00 $53,125.00 2026-03-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 28 — — $11,680.00 $177,434.00 $53,052.70 2026-03-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 53 28 — — $2,968.00 $262,086.18 $52,968.57 2026-03-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 53 28 — — $2,968.00 $177,434.00 $52,851.11 2026-03-01
09273 OTHER Sipuleucel-t Auto Cd54+ 1 1 — — $52,771.99 $52,771.99 $52,771.99 2026-03-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 51 28 — — $11,680.00 $246,811.82 $52,559.00 2026-03-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 50 27 — — $2,968.00 $250,458.36 $52,550.21 2026-03-01
21 APR_DRG Heart And/or Lung Transplant 14 12 — — $43,443.38 $65,165.07 $52,132.06 2026-03-01
64 APR_DRG Pancreas Transplant 14 12 — — $43,326.23 $64,989.35 $51,991.48 2026-03-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 14 12 — — $43,270.17 $64,905.25 $51,924.20 2026-03-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 49 28 — — $11,680.00 $248,742.35 $51,669.27 2026-03-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 53 28 — — $2,968.00 $254,699.26 $51,496.14 2026-03-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 51 28 — — $11,680.00 $236,569.33 $51,473.50 2026-03-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 14 12 — — $42,824.58 $64,236.87 $51,389.50 2026-03-01
I000045201 CDM Emblz Intracran/sp 29 17 $123,270.06 $123,270.06 $8,135.82 $123,270.06 $51,280.34 2026-03-01
I000045301 CDM Embolize Extracran 29 17 $123,270.06 $123,270.06 $8,135.82 $123,270.06 $51,280.34 2026-03-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 12 — — $42,730.78 $64,096.17 $51,276.94 2026-03-01
834 OTHER Acute Leukemia With Mcc 1 1 — — $51,219.78 $51,219.78 $51,219.78 2026-03-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 50 28 — — $9,905.00 $134,049.00 $51,093.30 2026-03-01
C000024702 CDM Cth Plc/inj Lhc W Graft 28 16 $117,236.42 $117,236.42 $7,737.60 $117,236.42 $50,763.37 2026-03-01
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $50,725.34 $50,725.34 $50,725.34 2026-03-01
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $50,619.49 $50,619.49 $50,619.49 2026-03-01
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 25 19 — — $44,644.86 $59,526.48 $50,597.51 2026-03-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 49 28 — — $11,680.00 $177,434.00 $50,590.04 2026-03-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 53 28 — — $2,968.00 $244,465.70 $50,445.43 2026-03-01
C000011701 CDM Ptca Coronary Sgl Artery 28 16 $116,368.55 $116,368.55 $7,680.32 $116,368.55 $50,387.58 2026-03-01
C000012301 CDM Ptca Coronary Ea Add Bch 28 16 $116,368.55 $116,368.55 $7,680.32 $116,368.55 $50,387.58 2026-03-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 51 27 — — $1,372.00 $307,222.87 $50,343.94 2026-03-01
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $50,293.06 $50,293.06 $50,293.06 2026-03-01
215 OTHER Other Heart Assist System Implant 1 1 — — $50,203.49 $50,203.49 $50,203.49 2026-03-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 49 28 — — $11,680.00 $177,434.00 $50,185.71 2026-03-01
S007769142 CDM Valve Mtrl Hrt 42mm 20 14 $99,999.00 $99,999.00 $6,599.93 $99,999.00 $49,999.50 2026-03-01
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $49,889.66 $49,889.66 $49,889.66 2026-03-01
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $49,888.18 $49,888.18 $49,888.18 2026-03-01
232 OTHER Coronary Bypass With Ptca Without Mcc 1 1 — — $49,811.20 $49,811.20 $49,811.20 2026-03-01
S000706309 CDM Set Vntrc 17.4x13.8in 44 21 $211,700.00 $211,700.00 $13,972.20 $211,700.00 $49,749.50 2026-03-01
S008260145 CDM Kit Lo Prfl Comp Shth 7f 44 21 $211,700.00 $211,700.00 $13,972.20 $211,700.00 $49,749.50 2026-03-01
S000575128 CDM Kit Pmp Rt Hrt 22f 170cm 44 21 $211,700.00 $211,700.00 $13,972.20 $211,700.00 $49,749.50 2026-03-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 53 28 — — $2,968.00 $243,732.82 $49,310.22 2026-03-01
C000032901 CDM Ins Icd Gen Only Dual Ld 28 16 $113,494.86 $113,494.86 $7,490.66 $113,494.86 $49,143.28 2026-03-01
8514 APR_DRG Gender Related Procedures 14 12 — — $40,865.02 $61,297.53 $49,038.02 2026-03-01
8513 APR_DRG Gender Related Procedures 14 12 — — $40,865.02 $61,297.53 $49,038.02 2026-03-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 49 28 — — $11,680.00 $177,434.00 $48,828.46 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 14 12 — — $40,520.04 $60,780.06 $48,624.05 2026-03-01
C000036701 CDM Revsc Low Extr Ivl/ather 29 17 $116,688.77 $116,688.77 $7,701.46 $116,688.77 $48,542.53 2026-03-01
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $48,535.84 $48,535.84 $48,535.84 2026-03-01
834 MS_DRG Acute Leukemia With Mcc 54 28 — — $1,372.00 $245,332.65 $48,413.20 2026-03-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 28 — — $11,680.00 $183,855.54 $48,310.74 2026-03-01
I000001901 CDM Dialysis Circ Thrmb/bln 29 17 $114,505.73 $114,505.73 $7,557.38 $114,505.73 $47,634.38 2026-03-01
I000001401 CDM Dialysis Circ Intrv Stnt 29 17 $114,482.07 $114,482.07 $7,555.82 $114,482.07 $47,624.54 2026-03-01
I000001402 CDM Dialysis Circ Intrv Stnt 29 17 $114,482.07 $114,482.07 $7,555.82 $114,482.07 $47,624.54 2026-03-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 51 28 — — $11,680.00 $99,954.00 $47,565.85 2026-03-01
S008214165 CDM Valve Heart 56mm 20 14 $95,000.00 $95,000.00 $6,270.00 $95,000.00 $47,500.00 2026-03-01
S007633973 CDM Valve Aor Tavr 52mm 20 14 $95,000.00 $95,000.00 $6,270.00 $95,000.00 $47,500.00 2026-03-01
S007778549 CDM Valve Heart 48mm 20 14 $95,000.00 $95,000.00 $6,270.00 $95,000.00 $47,500.00 2026-03-01
C000024701 CDM Cth Plc/inj Lhc W Graft 28 16 $109,633.59 $109,633.59 $7,235.82 $109,633.59 $47,471.35 2026-03-01
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