Hospital

TRIDENT MEDICAL CENTER

Charleston, SC · CCN 420079 · Rates published

45,525 distinct procedures filed

52 distinct payers

1,887,854 rate rows

2026-06-05 last MRF observed

Data quality

1,756,550 of 1,887,854 rate rows are consumer-grade (93.0%)

131,304 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 — reason	Rows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	60,510
template filing: same amount across many unrelated codes — excluded	50,518
per-diem day rate — not a per-procedure price	19,120
placeholder amount (≤ $0.02) — excluded from medians	1,136
exceeds 10× this hospital's gross charge — excluded from medians	20

Data source & audit trail ↓ Download audit trail (JSON)

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1768106_HCA-Healthcare-Live-Oak-Mental-Health-and-Wellness_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page	https://tridenthealthsystem.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered via	CMS hospital list
Last fetch	not_modified · 2026-06-18
Content fingerprint	e774b50e794963f0… · 402,489,028 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	$4,850,948.67	$4,850,948.67	nat. median $3,004,655 1.6× median
845 OTHER	Inj, Atidarsagene Autotem	20	$5,449.03	$4,865,400.00	$4,505,000.00	nat. median $9,966 outlier · 452.1×
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
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
9138 OTHER	Inj, Hemgenix, Per Tx Dos	20	$3,685,267.00	$4,422,320.40	$3,722,119.67	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	25	$9,866.24	$4,903,655.40	$3,402,536.40	nat. median $22,747 outlier · 149.6×
714 OTHER	Inj Delandistrogene Mox R	25	$6,408.79	$4,891,954.20	$3,394,417.20	nat. median $13,041 outlier · 260.3×
748 OTHER	Inj, Lovotibeglogene Auto	25	$12,199.06	$4,781,186.76	$3,317,558.16	nat. median $17,963 outlier · 184.7×
906 OTHER	Inj Elivaldogene Autoteme	25	$8,717.98	$4,674,600.00	$3,243,600.00	nat. median $20,756 outlier · 156.3×
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	25	$11,284.26	$4,321,754.43	$2,998,768.38	nat. median $21,896 outlier · 137.0×
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	25	$2,588,981.00	$4,530,716.75	$2,640,760.62	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	27	$13,213.58	$4,897,200.00	$2,378,640.00	nat. median $25,250 outlier · 94.2×
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	26	$770,620.00	$1,618,302.00	$786,032.40	nat. median $786,032 1.0× median
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	2	$536,573.93	$969,621.79	$753,097.86	nat. median $674,867 1.1× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	2	$511,793.34	$920,834.85	$716,314.09	nat. median $625,184 1.1× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	2	$474,717.03	$807,592.83	$641,154.93	nat. median $619,808 1.0× median
9498 OTHER	Ciltacabtagene Car-pos T	26	$587,649.60	$1,234,064.16	$599,402.59	nat. median $587,650 1.0× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	4	$561,407.87	$934,776.65	$595,818.94	nat. median $753,246 0.8× median
9194 OTHER	Tisagenlecleucel Car-pos	26	$566,531.30	$1,189,715.73	$577,861.93	nat. median $566,531 1.0× median
9413 OTHER	Lisocabtagene Car Pos T	26	$562,201.20	$1,180,622.52	$573,445.22	nat. median $562,201 1.0× median
09498 OTHER	Ciltacabtagene Car-pos T	1	$570,020.11	$570,020.11	$570,020.11	nat. median $554,552 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	26	$558,081.80	$1,171,971.78	$569,243.44	nat. median $558,082 1.0× 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
9035 OTHER	Axicabtagene Ciloleucel C	26	$532,192.20	$1,117,603.62	$542,836.04	nat. median $532,192 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
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	3	$500,948.74	$927,632.05	$500,948.74	nat. median $673,137 0.7× median
9391 OTHER	Brexucabtagene Car Pos T	26	$489,450.20	$1,027,845.42	$499,239.20	nat. median $489,450 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	3	$487,755.77	$878,117.20	$487,755.77	nat. median $634,303 0.8× median
09391 OTHER	Brexucabtagene Car Pos T	1	$474,766.69	$474,766.69	$474,766.69	nat. median $464,978 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 $324,450 1.4× median
114 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$443,055.98	$443,055.98	$443,055.98	nat. median $117,173 outlier · 3.8×
113 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$345,804.95	$345,804.95	$345,804.95	nat. median $60,831 outlier · 5.7×
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	30	$14,714.00	$1,944,391.94	$333,829.58	nat. median $370,174 0.9× 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
94 APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	1	$321,976.46	$321,976.46	$321,976.46	nat. median $164,834 2.0× median
112 APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	$292,218.03	$292,218.03	$292,218.03	nat. median $58,674 outlier · 5.0×
831 OTHER	Obecbtge Autol Up To 400	27	$3,731.25	$584,325.00	$283,815.00	nat. median $12,362 outlier · 23.0×
5834 APR_DRG	Neonate With Ecmo	3	$272,479.61	$782,297.22	$272,479.61	nat. median $309,665 0.9× median
897 OTHER	Revakinagene, Per Implant	26	$265,000.00	$556,500.00	$270,300.00	nat. median $9,577 outlier · 28.2×

Other procedures at this hospital

Browse this hospital's 45,525 published procedures. Use the slice to choose what to show, then sort or filter any column.

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	$4,850,948.67	$4,850,948.67	2026-03-01
845	OTHER	Inj, Atidarsagene Autotem	54	20	—	—	$5,449.03	$4,865,400.00	$4,505,000.00	2026-03-01
00845	OTHER	Inj, Atidarsagene Autotem	2	1	—	—	$4,369,850.00	$4,369,850.00	$4,369,850.00	2026-03-01
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	2	1	—	—	$3,847,800.00	$3,847,800.00	$3,847,800.00	2026-03-01
9138	OTHER	Inj, Hemgenix, Per Tx Dos	54	20	—	—	$3,685,267.00	$4,422,320.40	$3,722,119.67	2026-03-01
09138	OTHER	Inj, Hemgenix, Per Tx Dos	2	1	—	—	$3,574,708.99	$3,574,708.99	$3,574,708.99	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	64	25	—	—	$9,866.24	$4,903,655.40	$3,402,536.40	2026-03-01
714	OTHER	Inj Delandistrogene Mox R	64	25	—	—	$6,408.79	$4,891,954.20	$3,394,417.20	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	64	25	—	—	$12,199.06	$4,781,186.76	$3,317,558.16	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	64	25	—	—	$8,717.98	$4,674,600.00	$3,243,600.00	2026-03-01
00908	OTHER	Topi Adm Prad Zami Per Tr	2	1	—	—	$3,235,745.40	$3,235,745.40	$3,235,745.40	2026-03-01
00714	OTHER	Inj Delandistrogene Mox R	2	1	—	—	$3,228,024.20	$3,228,024.20	$3,228,024.20	2026-03-01
00748	OTHER	Inj, Lovotibeglogene Auto	2	1	—	—	$3,154,932.76	$3,154,932.76	$3,154,932.76	2026-03-01
00906	OTHER	Inj Elivaldogene Autoteme	2	1	—	—	$3,084,600.00	$3,084,600.00	$3,084,600.00	2026-03-01
746	OTHER	Inj, Betibeglogene Autote	64	25	—	—	$11,284.26	$4,321,754.43	$2,998,768.38	2026-03-01
00746	OTHER	Inj, Betibeglogene Autote	2	1	—	—	$2,851,769.93	$2,851,769.93	$2,851,769.93	2026-03-01
9141	OTHER	Inj Onase Abepar-xioi Tre	64	25	—	—	$2,588,981.00	$4,530,716.75	$2,640,760.62	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	2	1	—	—	$2,511,311.57	$2,511,311.57	$2,511,311.57	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	68	27	—	—	$13,213.58	$4,897,200.00	$2,378,640.00	2026-03-01
00824	OTHER	Inj, Exagamglogene Autote	2	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…	2	1	—	—	$1,271,523.00	$1,271,523.00	$1,271,523.00	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	66	26	—	—	$770,620.00	$1,618,302.00	$786,032.40	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	4	2	—	—	$536,573.93	$969,621.79	$753,097.86	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	4	2	—	—	$511,793.34	$920,834.85	$716,314.09	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	4	2	—	—	$474,717.03	$807,592.83	$641,154.93	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	66	26	—	—	$587,649.60	$1,234,064.16	$599,402.59	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	16	4	—	—	$561,407.87	$934,776.65	$595,818.94	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	66	26	—	—	$566,531.30	$1,189,715.73	$577,861.93	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	66	26	—	—	$562,201.20	$1,180,622.52	$573,445.22	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	2	1	—	—	$570,020.11	$570,020.11	$570,020.11	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	66	26	—	—	$558,081.80	$1,171,971.78	$569,243.44	2026-03-01
09194	OTHER	Tisagenlecleucel Car-pos	2	1	—	—	$549,535.36	$549,535.36	$549,535.36	2026-03-01
09413	OTHER	Lisocabtagene Car Pos T	2	1	—	—	$545,335.16	$545,335.16	$545,335.16	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	66	26	—	—	$532,192.20	$1,117,603.62	$542,836.04	2026-03-01
09422	OTHER	Idecabtagene Vicleucel Ca	2	1	—	—	$541,339.35	$541,339.35	$541,339.35	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	2	1	—	—	$516,226.43	$516,226.43	$516,226.43	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	12	3	—	—	$500,948.74	$927,632.05	$500,948.74	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	66	26	—	—	$489,450.20	$1,027,845.42	$499,239.20	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	12	3	—	—	$487,755.77	$878,117.20	$487,755.77	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	2	1	—	—	$474,766.69	$474,766.69	$474,766.69	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	2	1	—	—	$459,112.50	$459,112.50	$459,112.50	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$443,055.98	$443,055.98	$443,055.98	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$345,804.95	$345,804.95	$345,804.95	2026-03-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	80	30	—	—	$14,714.00	$1,944,391.94	$333,829.58	2026-03-01
J3402	HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	2	1	—	—	$332,753.88	$332,753.88	$332,753.88	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$321,976.46	$321,976.46	$321,976.46	2026-03-01
112	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$292,218.03	$292,218.03	$292,218.03	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	68	27	—	—	$3,731.25	$584,325.00	$283,815.00	2026-03-01
5834	APR_DRG	Neonate With Ecmo	6	3	—	—	$272,479.61	$782,297.22	$272,479.61	2026-03-01
897	OTHER	Revakinagene, Per Implant	66	26	—	—	$265,000.00	$556,500.00	$270,300.00	2026-03-01
00831	OTHER	Obecbtge Autol Up To 400	2	1	—	—	$269,902.50	$269,902.50	$269,902.50	2026-03-01
00897	OTHER	Revakinagene, Per Implant	2	1	—	—	$257,050.00	$257,050.00	$257,050.00	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$247,862.94	$247,862.94	$247,862.94	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	3	—	—	$245,067.98	$494,441.17	$245,067.98	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	6	3	—	—	$226,045.88	$334,554.52	$226,045.88	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$220,002.79	$220,002.79	$220,002.79	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	82	29	—	—	$16,639.00	$1,261,832.15	$219,323.15	2026-03-01
34	APR_DRG	Bone Marrow Transplant	4	2	—	—	$206,047.63	$206,047.63	$206,047.63	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	68	27	—	—	$8,164.60	$423,504.90	$205,702.38	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	6	3	—	—	$204,508.17	$402,360.42	$204,508.17	2026-03-01
5833	APR_DRG	Neonate With Ecmo	6	3	—	—	$195,961.40	$472,330.86	$195,961.40	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	2	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	—	—	$193,385.89	$193,385.89	$193,385.89	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$182,148.60	$182,148.60	$182,148.60	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	3	—	—	$180,021.62	$286,210.84	$180,021.62	2026-03-01
5832	APR_DRG	Neonate With Ecmo	6	3	—	—	$178,146.22	$296,398.32	$178,146.22	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	3	—	—	$173,885.28	$228,118.88	$173,885.28	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	92	31	—	—	$16,639.00	$955,707.08	$171,349.10	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	82	29	—	—	$13,484.00	$961,348.96	$165,847.21	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	3	—	—	$161,640.87	$320,069.44	$161,640.87	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	3	—	—	$160,167.02	$245,973.08	$160,167.02	2026-03-01
64	APR_DRG	Pancreas Transplant	6	3	—	—	$153,833.67	$158,065.39	$158,065.39	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	3	—	—	$149,631.74	$340,205.49	$149,631.74	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$147,677.70	$147,677.70	$147,677.70	2026-03-01
429019	CDM	Tavr Cardio Bypass Supp	48	18	$264,981.00	$264,981.00	$39,747.15	$264,981.00	$142,824.76	2026-03-01
1907	OTHER	New Technology - Level 52	66	26	—	—	$138,830.40	$291,543.84	$141,607.01	2026-03-01
1908	OTHER	New Technology - Level 52	66	26	—	—	$138,830.40	$291,543.84	$141,607.01	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	3	—	—	$138,510.54	$300,302.49	$138,510.54	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	2	1	—	—	$138,148.31	$138,148.31	$138,148.31	2026-03-01
01907	OTHER	New Technology - Level 52	2	1	—	—	$137,328.14	$137,328.14	$137,328.14	2026-03-01
01908	OTHER	New Technology - Level 52	2	1	—	—	$137,328.14	$137,328.14	$137,328.14	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	6	3	—	—	$136,356.88	$217,582.32	$136,356.88	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	2	1	—	—	$136,302.27	$136,302.27	$136,302.27	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	3	—	—	$134,755.21	$347,693.38	$134,755.21	2026-03-01
425448	CDM	Rem/repl Aicd Mult Ld	48	18	$246,016.00	$246,016.00	$36,902.40	$246,016.00	$132,602.62	2026-03-01
425580	CDM	Insrt Aicd Only Mult Ld	48	18	$246,010.00	$246,010.00	$36,901.50	$246,010.00	$132,599.39	2026-03-01
425582	CDM	Rem/repl Aicd Dual Ld	48	18	$246,010.00	$246,010.00	$36,901.50	$246,010.00	$132,599.39	2026-03-01
425583	CDM	Rem/repl Aicd Mult Ld	48	18	$246,010.00	$246,010.00	$36,901.50	$246,010.00	$132,599.39	2026-03-01
425584	CDM	Rem/repl Aicd Sing Ld	48	18	$246,010.00	$246,010.00	$36,901.50	$246,010.00	$132,599.39	2026-03-01
425446	CDM	Rem/repl Aicd Sing Ld	48	18	$246,010.00	$246,010.00	$36,901.50	$246,010.00	$132,599.39	2026-03-01
425579	CDM	Insrt Aicd Only Dual Ld	48	18	$246,010.00	$246,010.00	$36,901.50	$246,010.00	$132,599.39	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	6	3	—	—	$130,607.38	$262,604.10	$130,607.38	2026-03-01
1906	OTHER	New Technology - Level 51	66	26	—	—	$125,175.00	$262,867.50	$127,678.50	2026-03-01
1905	OTHER	New Technology - Level 51	66	26	—	—	$125,175.00	$262,867.50	$127,678.50	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	6	3	—	—	$126,766.09	$252,161.96	$126,766.09	2026-03-01
01905	OTHER	New Technology - Level 51	2	1	—	—	$123,820.50	$123,820.50	$123,820.50	2026-03-01
01906	OTHER	New Technology - Level 51	2	1	—	—	$123,820.50	$123,820.50	$123,820.50	2026-03-01
111	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	2	1	—	—	$123,448.63	$123,448.63	$123,448.63	2026-03-01
3034	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	3	—	—	$119,608.34	$122,488.68	$119,608.34	2026-03-01
429021	CDM	Tavr/tavi Transaortic	48	18	$220,677.00	$220,677.00	$33,101.55	$220,677.00	$118,944.90	2026-03-01
428992	CDM	Tavr/tavi/trans Exposure	48	18	$220,619.00	$220,619.00	$33,092.85	$220,619.00	$118,913.64	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	6	3	—	—	$118,735.11	$262,604.10	$118,735.11	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	3	—	—	$118,464.77	$219,337.70	$118,464.77	2026-03-01
8514	APR_DRG	Gender Related Procedures	2	1	—	—	$115,142.42	$115,142.42	$115,142.42	2026-03-01
33	APR_DRG	Bone Marrow Transplant	4	2	—	—	$114,654.02	$114,654.02	$114,654.02	2026-03-01
1904	OTHER	New Technology - Level 50	66	26	—	—	$111,519.60	$234,191.16	$113,749.99	2026-03-01
1903	OTHER	New Technology - Level 50	66	26	—	—	$111,519.60	$234,191.16	$113,749.99	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	78	29	—	—	$108,157.91	$234,156.30	$113,733.06	2026-03-01
5831	APR_DRG	Neonate With Ecmo	6	3	—	—	$112,818.21	$250,086.12	$112,818.21	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	92	31	—	—	$16,639.00	$770,288.00	$112,388.62	2026-03-01
4404	APR_DRG	Kidney Transplant	6	3	—	—	$112,174.60	$127,204.02	$112,174.60	2026-03-01
2994	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	2	1	—	—	$110,820.51	$110,820.51	$110,820.51	2026-03-01
01904	OTHER	New Technology - Level 50	2	1	—	—	$110,312.86	$110,312.86	$110,312.86	2026-03-01
01903	OTHER	New Technology - Level 50	2	1	—	—	$110,312.86	$110,312.86	$110,312.86	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	6	3	—	—	$110,089.94	$176,879.61	$110,089.94	2026-03-01
72	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$109,916.35	$109,916.35	$109,916.35	2026-03-01
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	3	—	—	$109,701.96	$133,613.22	$109,701.96	2026-03-01
1784	APR_DRG	External Heart Assist Devices	2	1	—	—	$109,557.26	$109,557.26	$109,557.26	2026-03-01
22	APR_DRG	Heart And/or Lung Transplant	6	3	—	—	$109,346.79	$167,943.93	$109,346.79	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	6	3	—	—	$108,954.29	$296,754.54	$108,954.29	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	3	—	—	$108,493.92	$174,972.59	$108,493.92	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	6	3	—	—	$107,941.94	$262,604.10	$107,941.94	2026-03-01
84	APR_DRG	Autologous Bone Marrow Transplant	2	1	—	—	$107,703.17	$107,703.17	$107,703.17	2026-03-01
8424	APR_DRG	Burns With Skin Graft Except Extensive Third Degree Burns	6	3	—	—	$107,516.63	$153,056.85	$107,516.63	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	2	1	—	—	$106,441.30	$106,441.30	$106,441.30	2026-03-01
422028	CDM	Insert Biv Gener Icd	48	18	$194,737.00	$194,737.00	$29,210.55	$194,737.00	$104,963.24	2026-03-01
422029	CDM	Ins Icd/lead Sgl	48	18	$194,737.00	$194,737.00	$29,210.55	$194,737.00	$104,963.24	2026-03-01
422026	CDM	Replace Biv Gener Icd	48	18	$194,737.00	$194,737.00	$29,210.55	$194,737.00	$104,963.24	2026-03-01
422030	CDM	Ins/rep Aicd Sngl/dual	48	18	$194,737.00	$194,737.00	$29,210.55	$194,737.00	$104,963.24	2026-03-01
429868	CDM	Ins Perm Subq Defib	48	18	$194,734.00	$194,734.00	$29,210.10	$194,734.00	$104,961.62	2026-03-01
429971	CDM	Ins Perm Subq Defib	48	18	$194,734.00	$194,734.00	$29,210.10	$194,734.00	$104,961.62	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	3	—	—	$104,605.12	$163,051.19	$104,605.12	2026-03-01
63	APR_DRG	Pancreas Transplant	6	3	—	—	$102,912.96	$130,923.65	$102,912.96	2026-03-01
7	MS_DRG	Lung Transplant	78	29	—	—	$16,639.00	$583,108.66	$102,205.80	2026-03-01
428541	CDM	Tavr Pros Valve Faa	48	18	$186,156.00	$186,156.00	$27,923.40	$186,156.00	$100,338.08	2026-03-01
429018	CDM	Tavr/tavi Op Axl Art Apr	48	18	$186,156.00	$186,156.00	$27,923.40	$186,156.00	$100,338.08	2026-03-01
429020	CDM	Tavr/tavi Opn Ili Art	48	18	$186,156.00	$186,156.00	$27,923.40	$186,156.00	$100,338.08	2026-03-01
429022	CDM	Tavr/tavi Perc Fem Aprch	48	18	$186,156.00	$186,156.00	$27,923.40	$186,156.00	$100,338.08	2026-03-01
13	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	3	—	—	$99,986.75	$125,977.98	$99,986.75	2026-03-01
432907	CDM	Tmvi W/prosth Valve	48	18	$185,451.00	$185,451.00	$27,817.65	$185,451.00	$99,958.09	2026-03-01
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$99,954.91	$99,954.91	$99,954.91	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	6	3	—	—	$99,857.80	$258,493.91	$99,857.80	2026-03-01
1901	OTHER	New Technology - Level 49	66	26	—	—	$97,864.16	$205,514.74	$99,821.44	2026-03-01
1902	OTHER	New Technology - Level 49	66	26	—	—	$97,864.16	$205,514.74	$99,821.44	2026-03-01
1634	APR_DRG	Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis	6	3	—	—	$99,796.72	$117,460.04	$99,796.72	2026-03-01
429917	CDM	Ins Icd Gen W/sngl Lead	48	18	$183,775.00	$183,775.00	$27,566.25	$183,775.00	$99,054.73	2026-03-01
433045	CDM	Ecmo Percut Insertion	48	18	$183,063.00	$183,063.00	$27,459.45	$183,063.00	$98,670.96	2026-03-01
1834	APR_DRG	Percutaneous Structural Cardiac Procedures	2	1	—	—	$97,216.69	$97,216.69	$97,216.69	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	68	27	—	—	$92,228.57	$199,670.10	$96,982.62	2026-03-01
01901	OTHER	New Technology - Level 49	2	1	—	—	$96,805.19	$96,805.19	$96,805.19	2026-03-01
01902	OTHER	New Technology - Level 49	2	1	—	—	$96,805.19	$96,805.19	$96,805.19	2026-03-01
62	APR_DRG	Pancreas Transplant	6	3	—	—	$95,958.82	$110,710.35	$95,958.82	2026-03-01
420812	CDM	Ins/rep Aicd Sngl/dual	48	18	$177,034.00	$177,034.00	$26,555.10	$177,034.00	$95,421.32	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	2	1	—	—	$95,393.39	$95,393.39	$95,393.39	2026-03-01
417567	CDM	Ins/rep Atr/vent Lead	48	18	$176,903.00	$176,903.00	$26,535.45	$176,903.00	$95,350.71	2026-03-01
422021	CDM	Ins Icd Gen Sgl	48	18	$176,903.00	$176,903.00	$26,535.45	$176,903.00	$95,350.71	2026-03-01
423096	CDM	Ppm Atr/vent	48	18	$176,903.00	$176,903.00	$26,535.45	$176,903.00	$95,350.71	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	6	3	—	—	$95,093.51	$269,207.86	$95,093.51	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	80	30	—	—	$14,714.00	$541,129.98	$94,501.18	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	6	3	—	—	$93,656.98	$214,530.80	$93,656.98	2026-03-01
3044	APR_DRG	Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back	6	3	—	—	$90,033.52	$92,369.77	$92,369.77	2026-03-01
21	APR_DRG	Heart And/or Lung Transplant	6	3	—	—	$92,301.90	$128,740.51	$92,301.90	2026-03-01
71	APR_DRG	Allogeneic Bone Marrow Transplant	2	1	—	—	$91,494.19	$91,494.19	$91,494.19	2026-03-01
1794	APR_DRG	Defibrillator Implants	2	1	—	—	$90,970.58	$90,970.58	$90,970.58	2026-03-01
1654	APR_DRG	Coronary Bypass With Ami Or Complex Principal Diagnosis	6	3	—	—	$90,882.34	$105,306.87	$90,882.34	2026-03-01
6074	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	3	—	—	$89,933.33	$163,265.79	$89,933.33	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	82	29	—	—	$16,639.00	$510,236.96	$89,631.39	2026-03-01
432992	CDM	Transcath W Wir Sens Pa	48	18	$165,362.00	$165,362.00	$24,804.30	$165,362.00	$89,130.12	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	92	31	—	—	$16,639.00	$509,651.61	$89,095.77	2026-03-01
1783	APR_DRG	External Heart Assist Devices	2	1	—	—	$88,840.38	$88,840.38	$88,840.38	2026-03-01
422955	CDM	Stent Ather Tibperoneal	48	18	$164,412.00	$164,412.00	$24,661.80	$164,412.00	$88,618.07	2026-03-01
422947	CDM	Stent Ather Fem Pop	48	18	$164,412.00	$164,412.00	$24,661.80	$164,412.00	$88,618.07	2026-03-01
425698	CDM	Upgrde Pcmkr Sgl To Dual	48	18	$163,797.00	$163,797.00	$24,569.55	$163,797.00	$88,286.58	2026-03-01
1585	OTHER	New Technology - Level 48	66	26	—	—	$86,484.66	$181,617.79	$88,214.35	2026-03-01
1599	OTHER	New Technology - Level 48	66	26	—	—	$86,484.66	$181,617.79	$88,214.35	2026-03-01
6023	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	3	—	—	$87,766.10	$152,892.33	$87,766.10	2026-03-01
3033	APR_DRG	Dorsal And Lumbar Fusion Procedure For Curvature Of Back	6	3	—	—	$81,773.10	$87,717.46	$87,717.46	2026-03-01
422027	CDM	Insert Biv Gener Ppm	48	18	$162,283.00	$162,283.00	$24,342.45	$162,283.00	$87,470.54	2026-03-01
422025	CDM	Replace Biv Gener Ppm	48	18	$162,283.00	$162,283.00	$24,342.45	$162,283.00	$87,470.54	2026-03-01
2993	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	2	1	—	—	$86,883.29	$86,883.29	$86,883.29	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	92	31	—	—	$16,639.00	$496,251.57	$86,794.76	2026-03-01
01599	OTHER	New Technology - Level 48	2	1	—	—	$85,548.82	$85,548.82	$85,548.82	2026-03-01
01585	OTHER	New Technology - Level 48	2	1	—	—	$85,548.82	$85,548.82	$85,548.82	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	94	32	—	—	$13,484.00	$489,628.10	$85,239.54	2026-03-01
61	APR_DRG	Pancreas Transplant	6	3	—	—	$85,218.81	$89,338.24	$85,218.81	2026-03-01
12	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	3	—	—	$85,124.92	$101,645.91	$85,124.92	2026-03-01
11	APR_DRG	Liver Transplant And/or Intestinal Transplant	6	3	—	—	$83,522.75	$84,652.11	$84,652.11	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	12	4	—	—	$84,429.31	$93,760.51	$84,429.31	2026-03-01
3004	APR_DRG	Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical	2	1	—	—	$83,796.00	$83,796.00	$83,796.00	2026-03-01
1674	APR_DRG	Other Cardiothoracic And Thoracic Circulatory Procedures	6	3	—	—	$82,122.92	$89,376.87	$82,122.92	2026-03-01
007	OTHER	Lung Transplant	2	1	—	—	$81,807.43	$81,807.43	$81,807.43	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	78	29	—	—	$16,639.00	$464,250.88	$81,696.25	2026-03-01
9104	APR_DRG	Craniotomy For Multiple Significant Trauma	6	3	—	—	$81,569.80	$94,272.47	$81,569.80	2026-03-01
4014	APR_DRG	Adrenal Procedures	6	3	—	—	$74,927.55	$81,342.45	$81,342.45	2026-03-01
91	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	2	1	—	—	$80,871.80	$80,871.80	$80,871.80	2026-03-01
904	APR_DRG	Major Larynx & Trachea Procedures	4	2	—	—	$80,810.82	$80,810.82	$80,810.82	2026-03-01
1664	APR_DRG	Coronary Bypass Without Ami Or Complex Principal Diagnosis	6	3	—	—	$80,621.92	$91,059.28	$80,621.92	2026-03-01
3124	APR_DRG	Skin Graft For Musculoskeletal And Connective Tissue Diagnoses	6	3	—	—	$71,917.52	$80,476.01	$80,476.01	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	3	—	—	$80,025.82	$158,637.72	$80,025.82	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	88	31	—	—	$16,639.00	$448,333.84	$79,332.94	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	6	3	—	—	$79,217.07	$308,687.39	$79,217.07	2026-03-01
1598	OTHER	New Technology - Level 47	66	26	—	—	$77,381.05	$162,500.21	$78,928.67	2026-03-01
1584	OTHER	New Technology - Level 47	66	26	—	—	$77,381.05	$162,500.21	$78,928.67	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	94	32	—	—	$16,639.00	$440,490.14	$78,514.40	2026-03-01
423102	CDM	Ppm Vent	48	18	$145,277.00	$145,277.00	$21,791.55	$145,277.00	$78,304.30	2026-03-01
417544	CDM	Ppm Vent	48	18	$145,277.00	$145,277.00	$21,791.55	$145,277.00	$78,304.30	2026-03-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc	2	1	—	—	$78,157.55	$78,157.55	$78,157.55	2026-03-01
9124	APR_DRG	Musculoskeletal And Other Procedures For Multiple Significant Trauma	6	3	—	—	$77,916.28	$86,414.04	$77,916.28	2026-03-01
G0448	HCPCS	Insertion Or Replacement Of A Permanent Pacing Cardioverter-defibrillator System…	20	5	—	—	$9,084.00	$132,749.00	$77,916.00	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	2	1	—	—	$77,046.96	$77,046.96	$77,046.96	2026-03-01
01584	OTHER	New Technology - Level 47	2	1	—	—	$76,543.73	$76,543.73	$76,543.73	2026-03-01
01598	OTHER	New Technology - Level 47	2	1	—	—	$76,543.73	$76,543.73	$76,543.73	2026-03-01
42	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	3	—	—	$76,353.06	$101,683.10	$76,353.06	2026-03-01
53	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	6	3	—	—	$75,937.94	$123,444.34	$75,937.94	2026-03-01
417548	CDM	Insert Dual Chamber Gen	48	18	$139,702.00	$139,702.00	$20,955.30	$139,702.00	$75,299.38	2026-03-01
425690	CDM	Insert Dual Chamber Gen	48	18	$139,702.00	$139,702.00	$20,955.30	$139,702.00	$75,299.38	2026-03-01
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	3	—	—	$74,979.88	$87,661.55	$74,979.88	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	14	5	—	—	$61,338.53	$106,053.40	$74,713.35	2026-03-01
432240	CDM	Emblz Intracran/sp	48	18	$138,586.00	$138,586.00	$20,787.90	$138,586.00	$74,697.86	2026-03-01
421091	CDM	Emblz Intracran/sp	48	18	$138,586.00	$138,586.00	$20,787.90	$138,586.00	$74,697.86	2026-03-01
6093	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	6	3	—	—	$74,241.26	$106,773.27	$74,241.26	2026-03-01
6033	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	6	3	—	—	$64,926.06	$74,186.96	$74,186.96	2026-03-01
3214	APR_DRG	Spinal Fusion And Other Back And Neck Procedures Except For Disc Procedures	6	3	—	—	$66,286.58	$74,010.51	$74,010.51	2026-03-01
41	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	6	3	—	—	$72,041.98	$73,427.98	$73,427.98	2026-03-01
234	APR_DRG	Spinal Procedures	6	3	—	—	$72,682.57	$79,232.31	$72,682.57	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	2	1	—	—	$72,505.53	$72,505.53	$72,505.53	2026-03-01
8413	APR_DRG	Extensive Third Degree Burns With Skin Graft	6	3	—	—	$72,467.66	$86,549.95	$72,467.66	2026-03-01
2604	APR_DRG	Major Pancreas, Liver And Shunt Procedures	6	3	—	—	$72,191.66	$77,684.37	$72,191.66	2026-03-01
1694	APR_DRG	Major Abdominal Vascular Procedures	6	3	—	—	$71,931.50	$82,218.02	$71,931.50	2026-03-01
1623	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	6	3	—	—	$71,643.07	$95,703.09	$71,643.07	2026-03-01
1782	APR_DRG	External Heart Assist Devices	2	1	—	—	$71,617.09	$71,617.09	$71,617.09	2026-03-01
914	APR_DRG	Other Major Head And Neck Procedures	6	3	—	—	$71,531.09	$89,073.57	$71,531.09	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	92	31	—	—	$16,639.00	$405,675.26	$71,241.20	2026-03-01
214	APR_DRG	Open Craniotomy Except Trauma	6	3	—	—	$71,238.13	$82,117.88	$71,238.13	2026-03-01
5204	APR_DRG	Other GYN Procedures For Malignancy	2	1	—	—	$71,097.77	$71,097.77	$71,097.77	2026-03-01
32	APR_DRG	Bone Marrow Transplant	4	2	—	—	$70,880.69	$70,880.69	$70,880.69	2026-03-01
C1882	HCPCS	Crt-d Crd 5.37x8.18x0.99	494	16	$100,000.00	$100,000.00	$12,847.20	$151,592.00	$70,801.88	2026-03-01
83	APR_DRG	Autologous Bone Marrow Transplant	2	1	—	—	$70,644.26	$70,644.26	$70,644.26	2026-03-01
6124	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other…	6	3	—	—	$70,464.44	$100,826.16	$70,464.44	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	94	32	—	—	$16,639.00	$379,573.11	$70,341.19	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	68	27	—	—	$66,737.65	$144,483.57	$70,177.73	2026-03-01
6073	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other…	6	3	—	—	$69,997.28	$114,657.44	$69,997.28	2026-03-01
4414	APR_DRG	Major Bladder Procedures	6	3	—	—	$69,949.78	$71,883.18	$69,949.78	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	2	1	—	—	$69,830.30	$69,830.30	$69,830.30	2026-03-01
1597	OTHER	New Technology - Level 46	66	26	—	—	$68,277.45	$143,382.64	$69,643.00	2026-03-01
1583	OTHER	New Technology - Level 46	66	26	—	—	$68,277.45	$143,382.64	$69,643.00	2026-03-01
8634	APR_DRG	Neonatal Aftercare	6	3	—	—	$69,501.85	$131,267.00	$69,501.85	2026-03-01
4034	APR_DRG	Procedures For Obesity	6	3	—	—	$60,293.69	$69,169.30	$69,169.30	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	2	1	—	—	$69,094.77	$69,094.77	$69,094.77	2026-03-01
4854	APR_DRG	Prostatectomy Procedures	2	1	—	—	$68,602.76	$68,602.76	$68,602.76	2026-03-01
4403	APR_DRG	Kidney Transplant	6	3	—	—	$68,501.94	$84,677.26	$68,501.94	2026-03-01
1833	APR_DRG	Percutaneous Structural Cardiac Procedures	2	1	—	—	$68,499.75	$68,499.75	$68,499.75	2026-03-01
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	6	3	—	—	$68,346.98	$79,950.48	$68,346.98	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	92	31	—	—	$13,484.00	$389,911.31	$68,199.94	2026-03-01
9504	APR_DRG	Extensive O.r. Procedure Unrelated To Principal Diagnosis	6	3	—	—	$67,971.44	$74,017.68	$67,971.44	2026-03-01
01597	OTHER	New Technology - Level 46	2	1	—	—	$67,538.64	$67,538.64	$67,538.64	2026-03-01
01583	OTHER	New Technology - Level 46	2	1	—	—	$67,538.64	$67,538.64	$67,538.64	2026-03-01
2204	APR_DRG	Major Stomach, Esophageal And Duodenal Procedures	6	3	—	—	$67,422.85	$75,511.25	$67,422.85	2026-03-01
6514	APR_DRG	Other Procedures Of Blood And Blood-forming Organs	6	3	—	—	$63,727.19	$67,347.06	$67,347.06	2026-03-01
1793	APR_DRG	Defibrillator Implants	2	1	—	—	$67,157.83	$67,157.83	$67,157.83	2026-03-01
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	6	3	—	—	$66,927.42	$70,860.29	$66,927.42	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	94	32	—	—	$44,258.30	$378,379.89	$66,878.77	2026-03-01
6022	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	6	3	—	—	$66,403.71	$111,771.87	$66,403.71	2026-03-01
1781	APR_DRG	External Heart Assist Devices	2	1	—	—	$65,707.17	$65,707.17	$65,707.17	2026-03-01
9114	APR_DRG	Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma	6	3	—	—	$65,648.12	$90,517.08	$65,648.12	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	68	27	—	—	$12,096.45	$134,977.06	$65,560.29	2026-03-01
204	APR_DRG	Open Craniotomy For Trauma	6	3	—	—	$65,502.20	$72,758.73	$65,502.20	2026-03-01
894	APR_DRG	Major Cranial Or Facial Bone Procedures	6	3	—	—	$65,170.78	$75,824.55	$65,170.78	2026-03-01
2992	APR_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical	2	1	—	—	$65,094.87	$65,094.87	$65,094.87	2026-03-01
964927	CDM	Device Embl 3.75x16mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964929	CDM	Device Embl 3mm 12mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
965808	CDM	Occluder Cardiac Lt 34mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964924	CDM	Device Embl 3.5mm 14mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
966990	CDM	Valve Tavr Size 34mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
976739	CDM	Implant Crnl Bn Cstm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
965758	CDM	Occluder Cardiac Lt 28mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
949343	CDM	Kit Impl Crnl Cstm Lg	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
977498	CDM	Implant Crnl Pros Cstm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
956332	CDM	Stent 20fr 31x31mm 10cm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
934198	CDM	Valve Aor Thv 14fr 20mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
966993	CDM	Valve Tavr Sz 23mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
939549	CDM	Valve Tavr 29mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
952485	CDM	Valve Aor Tavr 29mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964934	CDM	Device Embl 4.50x16mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
966991	CDM	Valve Tavr Sz 29mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
976244	CDM	Valve Tavr 23mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
936629	CDM	Valve Tavr 23mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
957486	CDM	Valve Heart Trnscth 20mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964930	CDM	Device Embl 4.25mm 14mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964935	CDM	Device Embl 4.5mm 20mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
936578	CDM	Valve Tavr 34mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
962465	CDM	Valve Aortic 21mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964918	CDM	Device Emb 4.25mm 16mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964944	CDM	Device Embl 4.00x2mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
967170	CDM	Device Embl 4mm 10mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964921	CDM	Device Embl 3.25mm 14mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
964939	CDM	Device Embl 4.75mm 20mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
953864	CDM	Valve Aor Tavr 23mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
965756	CDM	Occluder Cardiac Lt 22mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01
965759	CDM	Occluder Cardiac Lt 31mm	38	16	$100,000.00	$100,000.00	$15,000.00	$100,000.00	$65,000.00	2026-03-01

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