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 →

Export CSV
Hospital

HILTON HEAD REGIONAL MEDICAL CENTER

Hilton Head Island, SC · CCN 420080 · Rates published

31,297 distinct procedures filed
40 distinct payers
1,965,446 rate rows
2026-03-12 last MRF observed
Data quality

1,020,758 of 1,965,446 rate rows are consumer-grade (51.9%)

944,688 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
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 860,292
template filing: same amount across many unrelated codes — excluded 82,149
placeholder amount (≤ $0.02) — excluded from medians 1,577
per-diem day rate — not a per-procedure price 635
exceeds 10× this hospital's gross charge — excluded from medians 35
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www2.novanthealth.org/Public_Files/regulatory/934604680_hilton-head-medical-center-llc-dba-hilton-head-hospital_standardcharges.json
Found on page https://www.novanthealth.org/for-patients/billing--insurance/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-17
Content fingerprint 080ac731ed6f537e… · 213,483,919 bytes · first seen 2026-05-05

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
J3391
HCPCS 		Injection, Atidarsagene Autotemcel, Per Treatment 9 $4,101,171.80 $4,306,230.39 $4,142,183.52 nat. median
$4,505,000
0.9× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $3,710,000.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 15 $2,122,959.52 $4,755,429.32 $3,439,194.42 nat. median
$2,448,600
1.4× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,354,919.37 $3,710,000.00 $3,422,017.76 nat. median
$3,710,000
0.9× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $3,019,174.88 $4,981,638.55 $3,094,654.25 nat. median
$3,325,455
0.9× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 9 $2,957,255.05 $4,879,470.83 $3,031,186.42 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 9 $2,681,683.87 $4,692,946.77 $2,762,134.39 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $23,921.96 $3,911,310.36 $2,279,735.18 nat. median
$2,468,984
0.9× median
J1411
CPT 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 2 $33.10 $4,200,000.00 $2,100,025.00 nat. median
$3,710,000
0.6× median
J3399
CPT 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 2 $33.10 $2,705,294.50 $1,352,672.25 nat. median
$2,468,984
0.5× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 15 $538,683.86 $1,206,651.85 $872,667.85 nat. median
$753,246
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 15 $512,112.27 $1,147,131.48 $829,621.88 nat. median
$673,137
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 15 $507,359.95 $1,136,486.29 $821,923.12 nat. median
$625,184
1.3× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 15 $485,431.42 $1,087,366.38 $786,398.90 nat. median
$634,303
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 15 $445,443.34 $997,793.08 $721,618.21 nat. median
$619,808
1.2× median
5834
APR_DRG 		4 $700,424.30 $735,445.51 $710,930.67 nat. median
$309,665
outlier · 2.3×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 $7,342.70 $1,571,453.23 $701,541.62 nat. median
$824,563
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $5,272.76 $1,153,923.59 $525,447.35 nat. median
$674,867
0.8× median
5884
APR_DRG 		4 $442,694.41 $464,829.13 $449,334.82 nat. median
$246,434
1.8× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 17 $30.00 $1,444,155.64 $437,565.38 nat. median
$265,286
1.6× median
5833
APR_DRG 		4 $422,898.10 $444,043.01 $429,241.57 nat. median
$244,017
1.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 16 $12.90 $2,225,339.23 $404,553.93 nat. median
$370,174
1.1× median
24
APR_DRG 		4 $360,250.56 $378,263.09 $365,654.32 nat. median
$234,729
1.6× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 18 $26.00 $1,100,255.32 $333,366.86 nat. median
$206,474
1.6× median
6094
APR_DRG 		4 $311,304.81 $326,870.05 $315,974.39 nat. median
$162,982
1.9× median
5914
APR_DRG 		4 $304,600.58 $319,830.61 $309,169.59 nat. median
$164,289
1.9× median
1614
APR_DRG 		4 $299,541.03 $314,518.08 $304,034.15 nat. median
$207,730
1.5× median
94
APR_DRG 		4 $288,279.35 $302,693.32 $292,603.54 nat. median
$164,834
1.8× median
5883
APR_DRG 		4 $286,571.91 $300,900.51 $290,870.49 nat. median
$182,665
1.6× median
5882
APR_DRG 		4 $276,381.07 $290,200.13 $280,526.79 nat. median
$145,336
1.9× median
5934
APR_DRG 		4 $268,873.72 $282,317.40 $272,906.82 nat. median
$151,838
1.8× median
6314
APR_DRG 		4 $265,697.09 $278,981.94 $269,682.55 nat. median
$122,924
outlier · 2.2×
5832
APR_DRG 		4 $265,378.14 $278,647.05 $269,358.82 nat. median
$156,126
1.7× median
8414
APR_DRG 		4 $256,256.85 $269,069.70 $260,100.71 nat. median
$160,267
1.6× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 9 $5,254.90 $567,409.18 $253,307.67 nat. median
$324,450
0.8× median
Q2056
CPT 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $33.10 $492,900.00 $246,475.00 nat. median
$674,867
outlier · 0.4×
1613
APR_DRG 		4 $241,033.36 $253,085.03 $244,648.86 nat. median
$119,796
outlier · 2.0×
5892
APR_DRG 		4 $235,120.72 $246,876.76 $238,647.53 nat. median
$89,796
outlier · 2.7×
5893
APR_DRG 		4 $235,120.72 $246,876.76 $238,647.53 nat. median
$69,788
outlier · 3.4×
5891
APR_DRG 		4 $235,120.72 $246,876.76 $238,647.53 nat. median
$93,370
outlier · 2.6×
5913
APR_DRG 		4 $231,440.70 $243,012.73 $234,912.31 nat. median
$102,919
outlier · 2.3×
Q2042
CPT 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 2 $33.10 $466,069.91 $233,059.95 nat. median
$753,246
outlier · 0.3×
Q2055
CPT 		Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 2 $33.10 $460,226.56 $230,138.28 nat. median
$625,184
outlier · 0.4×
6304
APR_DRG 		4 $225,771.43 $237,060.01 $229,158.01 nat. median
$150,721
1.5× median
5831
APR_DRG 		4 $223,912.85 $235,108.49 $227,271.54 nat. median
$144,745
1.6× median
Q2054
CPT 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $33.10 $454,489.31 $227,269.65 nat. median
$673,137
outlier · 0.3×
74
APR_DRG 		4 $221,922.33 $233,018.45 $225,251.16 nat. median
$187,061
1.2× median
Q2053
CPT 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $33.10 $449,440.00 $224,745.00 nat. median
$619,808
outlier · 0.4×
Q2041
CPT 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $33.10 $449,440.00 $224,745.00 nat. median
$634,303
outlier · 0.4×
44
APR_DRG 		4 $220,230.26 $231,241.77 $223,533.72 nat. median
$105,658
outlier · 2.1×

Other procedures at this hospital

Browse this hospital's 31,297 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 49 17 — — $30.00 $1,444,155.64 $437,565.38 2026-03-12
10 MS_DRG Pancreas Transplant 49 17 — — $9.50 $369,785.35 $90,519.75 2026-03-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 53 18 — $88,718.00 $11.50 $281,066.14 $88,718.00 2026-03-12
11 APR_DRG — 4 4 — — $74,781.50 $78,520.58 $75,903.23 2026-03-12
12 APR_DRG — 4 4 — — $91,007.95 $95,558.34 $92,373.07 2026-03-12
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 53 18 — $104,618.00 $8.50 $217,263.13 $70,480.61 2026-03-12
1204 APR_DRG — 4 4 — — $66,637.54 $69,969.42 $67,637.10 2026-03-12
1214 APR_DRG — 4 4 — — $56,340.39 $59,157.41 $57,185.49 2026-03-12
13 APR_DRG — 4 4 — — $112,793.49 $118,433.17 $114,485.40 2026-03-12
1304 APR_DRG — 4 4 — — $71,001.57 $74,551.65 $72,066.59 2026-03-12
14 APR_DRG — 4 4 — — $204,244.63 $214,456.86 $207,308.30 2026-03-12
14 MS_DRG Allogeneic Bone Marrow Transplant 49 17 — — $25.60 $619,318.44 $187,647.58 2026-03-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 49 17 — — $16.60 $305,575.23 $92,586.38 2026-03-12
1603 APR_DRG — 4 4 — — $69,609.23 $73,089.69 $70,653.37 2026-03-12
1604 APR_DRG — 4 4 — — $158,367.91 $166,286.31 $160,743.43 2026-03-12
1611 APR_DRG — 4 4 — — $162,908.70 $171,054.14 $165,352.34 2026-03-12
1612 APR_DRG — 4 4 — — $162,908.70 $171,054.14 $165,352.34 2026-03-12
1613 APR_DRG — 4 4 — — $241,033.36 $253,085.03 $244,648.86 2026-03-12
1614 APR_DRG — 4 4 — — $299,541.03 $314,518.08 $304,034.15 2026-03-12
1621 APR_DRG — 4 4 — — $56,345.51 $59,162.79 $57,190.69 2026-03-12
1622 APR_DRG — 4 4 — — $65,576.96 $68,855.80 $66,560.62 2026-03-12
1623 APR_DRG — 4 4 — — $85,687.09 $89,971.44 $86,972.39 2026-03-12
1624 APR_DRG — 4 4 — — $119,629.66 $125,611.14 $121,424.11 2026-03-12
163 MS_DRG Major Chest Procedures With Mcc 53 18 — $51,535.00 $7.50 $230,960.60 $69,978.86 2026-03-12
1633 APR_DRG — 4 4 — — $71,889.23 $75,483.69 $72,967.57 2026-03-12
1634 APR_DRG — 4 4 — — $105,167.01 $110,425.36 $106,744.51 2026-03-12
1652 APR_DRG — 4 4 — — $57,120.45 $59,976.48 $57,977.26 2026-03-12
1653 APR_DRG — 4 4 — — $69,510.60 $72,986.13 $70,553.26 2026-03-12
1654 APR_DRG — 4 4 — — $94,285.77 $99,000.06 $95,700.05 2026-03-12
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 53 18 — $114,149.21 $8.00 $192,614.89 $56,105.93 2026-03-12
1663 APR_DRG — 4 4 — — $59,186.55 $62,145.87 $60,074.35 2026-03-12
1664 APR_DRG — 4 4 — — $81,529.29 $85,605.75 $82,752.23 2026-03-12
1674 APR_DRG — 4 4 — — $80,022.95 $84,024.09 $81,223.29 2026-03-12
1694 APR_DRG — 4 4 — — $73,613.32 $77,293.99 $74,717.52 2026-03-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 49 17 — — $16.60 $279,942.72 $84,819.98 2026-03-12
1781 APR_DRG — 4 4 — — $58,830.46 $61,771.98 $59,712.92 2026-03-12
1782 APR_DRG — 4 4 — — $64,121.85 $67,327.95 $65,083.68 2026-03-12
1783 APR_DRG — 4 4 — — $79,542.61 $83,519.74 $80,735.75 2026-03-12
1784 APR_DRG — 4 4 — — $98,091.32 $102,995.89 $99,562.69 2026-03-12
1793 APR_DRG — 4 4 — — $60,129.29 $63,135.75 $61,031.23 2026-03-12
1794 APR_DRG — 4 4 — — $81,449.87 $85,522.36 $82,671.62 2026-03-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 45 16 — — $12.90 $2,225,339.23 $404,553.93 2026-03-12
1814 APR_DRG — 4 4 — — $57,708.39 $60,593.81 $58,574.01 2026-03-12
1833 APR_DRG — 4 4 — — $61,330.77 $64,397.31 $62,250.74 2026-03-12
1834 APR_DRG — 4 4 — — $87,042.28 $91,394.39 $88,347.92 2026-03-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 49 17 — — $11.60 $367,667.34 $111,399.70 2026-03-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 49 17 — — $9.60 $583,961.65 $176,934.82 2026-03-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 53 18 — $113,648.00 $10.00 $405,502.87 $122,863.51 2026-03-12
204 APR_DRG — 4 4 — — $65,144.01 $68,401.21 $66,121.17 2026-03-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 53 18 — $121,153.50 $14.80 $331,599.40 $100,471.46 2026-03-12
21 APR_DRG — 4 4 — — $115,266.91 $121,030.26 $116,995.92 2026-03-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 53 18 — $79,531.00 $6.00 $272,805.40 $82,657.44 2026-03-12
212 MS_DRG Concomitant Aortic And Mitral Valve�procedures 53 18 — $163,625.00 $12.60 $560,375.00 $135,884.55 2026-03-12
214 APR_DRG — 4 4 — — $73,523.66 $77,199.84 $74,626.51 2026-03-12
215 MS_DRG Other Heart Assist System Implant 49 17 — $70,297.50 $5.00 $513,114.08 $155,468.67 2026-03-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 53 18 — $332,752.50 $11.00 $504,137.03 $152,748.72 2026-03-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 18 — $231,504.72 $5.20 $338,844.93 $111,183.12 2026-03-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 18 — $110,162.00 $2.20 $338,844.93 $108,644.23 2026-03-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 18 — $100,828.00 $8.70 $395,685.83 $117,358.46 2026-03-12
22 APR_DRG — 4 4 — — $150,367.41 $157,885.78 $152,622.92 2026-03-12
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 52 18 — $51,520.00 $2.50 $163,740.95 $57,963.64 2026-03-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 53 18 — $77,087.00 $5.70 $274,815.18 $83,266.38 2026-03-12
2204 APR_DRG — 4 4 — — $67,608.46 $70,988.89 $68,622.59 2026-03-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 18 — $65,625.00 $3.30 $259,736.63 $82,761.92 2026-03-12
228 MS_DRG Other Cardiothoracic Procedures With Mcc 53 18 — $154,389.00 $6.50 $254,954.36 $77,248.75 2026-03-12
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 52 18 — $110,981.25 $2.60 $162,303.18 $56,171.19 2026-03-12
23 APR_DRG — 4 4 — — $194,810.80 $204,551.34 $197,732.96 2026-03-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 53 18 — $71,156.00 $7.50 $295,299.55 $89,472.95 2026-03-12
2304 APR_DRG — 4 4 — — $57,823.67 $60,714.85 $58,691.02 2026-03-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 53 18 — $114,033.00 $10.00 $434,418.04 $131,624.52 2026-03-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 53 18 — $90,054.00 $7.50 $312,423.97 $94,661.49 2026-03-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 53 18 — $419,102.68 $11.00 $393,980.09 $119,291.88 2026-03-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 53 18 — $363,870.00 $8.00 $281,509.32 $85,294.63 2026-03-12
234 APR_DRG — 4 4 — — $70,940.08 $74,487.09 $72,004.18 2026-03-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 53 18 — $291,867.75 $8.00 $302,426.56 $92,762.00 2026-03-12
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 53 18 — $352,371.15 $5.80 $215,861.43 $65,403.96 2026-03-12
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 53 18 — $240,848.25 $11.00 $253,629.97 $76,847.45 2026-03-12
24 APR_DRG — 4 4 — — $360,250.56 $378,263.09 $365,654.32 2026-03-12
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 52 18 — $49,248.00 $4.00 $201,591.94 $64,790.64 2026-03-12
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 18 — $196,426.19 $5.10 $164,534.56 $57,463.09 2026-03-12
245 MS_DRG Aicd Generator Procedures 52 18 — $76,438.00 $4.10 $235,114.16 $61,830.68 2026-03-12
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 53 18 — $51,338.00 $6.60 $234,305.09 $70,992.22 2026-03-12
2604 APR_DRG — 4 4 — — $69,554.15 $73,031.86 $70,597.46 2026-03-12
2614 APR_DRG — 4 4 — — $61,610.01 $64,690.51 $62,534.16 2026-03-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 18 — $61,212.00 $2.70 $315,814.84 $106,573.40 2026-03-12
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 53 18 — $58,213.00 $1.00 $250,304.61 $74,335.17 2026-03-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 53 18 — $94,461.00 $6.00 $354,438.82 $99,639.72 2026-03-12
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 52 18 — $137,815.35 $1.50 $217,634.17 $60,772.53 2026-03-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 53 18 — $191,235.38 $6.50 $271,903.57 $82,384.19 2026-03-12
271 MS_DRG Other Major Cardiovascular Procedures With Cc 52 18 — $76,307.25 $4.00 $183,266.81 $56,332.08 2026-03-12
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 52 18 — $145,484.25 $3.60 $212,599.39 $63,388.40 2026-03-12
274 APR_DRG — 4 4 — — $57,758.34 $60,646.26 $58,624.71 2026-03-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 53 18 — $201,308.25 $8.00 $367,450.90 $111,334.13 2026-03-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc 53 18 — $224,044.50 $6.00 $309,538.12 $93,787.10 2026-03-12
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 18 — $168,984.75 $3.30 $238,005.16 $75,003.23 2026-03-12
28 MS_DRG Spinal Procedures With Mcc 53 18 — $67,524.00 $10.00 $309,625.72 $93,813.65 2026-03-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 33 13 — $611,630.70 $26.70 $1,093,798.23 $189,377.39 2026-03-12
3033 APR_DRG — 4 4 — — $73,214.96 $76,875.71 $74,313.18 2026-03-12
3034 APR_DRG — 4 4 — — $109,669.38 $115,152.85 $111,314.42 2026-03-12
304 APR_DRG — 4 4 — — $55,492.43 $58,267.05 $56,324.82 2026-03-12
3043 APR_DRG — 4 4 — — $57,580.30 $60,459.31 $58,444.01 2026-03-12
3044 APR_DRG — 4 4 — — $80,610.88 $84,641.42 $81,820.05 2026-03-12
3124 APR_DRG — 4 4 — — $64,390.84 $67,610.39 $65,356.71 2026-03-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 38 14 — $94,988.00 $59,658.89 $344,575.40 $110,545.15 2026-03-12
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 53 18 — $74,771.00 $7.80 $301,513.85 $74,771.00 2026-03-12
3214 APR_DRG — 4 4 — — $59,349.22 $62,316.68 $60,239.46 2026-03-12
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 52 18 — $69,385.00 $4.60 $223,003.90 $66,383.15 2026-03-12
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 53 18 — $104,769.00 $9.00 $257,015.68 $77,873.30 2026-03-12
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 53 18 — $148,616.25 $9.80 $236,871.43 $71,769.79 2026-03-12
332 MS_DRG Rectal Resection With Mcc 53 18 — $60,661.00 $6.70 $186,585.53 $60,661.00 2026-03-12
34 MS_DRG Carotid Artery Stent Procedures With Mcc 52 18 — $48,676.00 $4.90 $199,468.78 $60,380.94 2026-03-12
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 53 18 — $177,431.89 $8.00 $226,374.16 $68,589.22 2026-03-12
3614 APR_DRG — 4 4 — — $60,631.40 $63,662.97 $61,540.87 2026-03-12
37 MS_DRG Extracranial Procedures With Mcc 52 18 — $114,936.00 $5.10 $169,651.79 $57,951.08 2026-03-12
38240 CPT Transplantation Of Donor Stem Cells, Per Donor 44 14 — $6,553.27 $33.10 $131,046.59 $58,502.94 2026-03-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 33 13 — $823,404.90 $26.00 $713,804.20 $123,586.21 2026-03-12
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 53 18 — $87,125.25 $7.00 $198,979.22 $60,288.81 2026-03-12
4014 APR_DRG — 4 4 — — $67,085.86 $70,440.15 $68,092.14 2026-03-12
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 38 14 — $60,492.00 $35,872.07 $207,188.43 $71,564.78 2026-03-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 53 18 — $57,190.00 $9.00 $281,911.28 $85,416.43 2026-03-12
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 53 18 — $59,737.00 $8.00 $183,746.06 $59,737.00 2026-03-12
41 APR_DRG — 4 4 — — $64,502.28 $67,727.40 $65,469.82 2026-03-12
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 53 18 — $192,259.43 $7.60 $183,591.47 $59,687.00 2026-03-12
42 APR_DRG — 4 4 — — $91,041.25 $95,593.31 $92,406.87 2026-03-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $150,584.00 $98,334.34 $567,955.50 $180,901.82 2026-03-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $85,546.00 $64,406.44 $371,996.11 $117,773.56 2026-03-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 38 14 — $71,974.00 $50,161.11 $289,718.53 $90,243.04 2026-03-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 38 14 — $96,708.00 $80,386.26 $464,291.72 $160,370.59 2026-03-12
43 APR_DRG — 4 4 — — $145,986.73 $153,286.07 $148,176.54 2026-03-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 38 14 — $61,507.00 $51,455.74 $297,195.96 $102,654.21 2026-03-12
44 APR_DRG — 4 4 — — $220,230.26 $231,241.77 $223,533.72 2026-03-12
4401 APR_DRG — 4 4 — — $59,786.01 $62,775.31 $60,682.80 2026-03-12
4402 APR_DRG — 4 4 — — $65,439.90 $68,711.90 $66,421.50 2026-03-12
4403 APR_DRG — 4 4 — — $75,815.19 $79,605.95 $76,952.42 2026-03-12
4404 APR_DRG — 4 4 — — $113,891.22 $119,585.78 $115,599.59 2026-03-12
4414 APR_DRG — 4 4 — — $64,360.10 $67,578.11 $65,325.50 2026-03-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 38 14 — $106,235.00 $59,615.17 $344,322.89 $120,405.70 2026-03-12
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 38 14 — $63,944.00 $37,837.65 $218,541.15 $78,177.44 2026-03-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 14 — $68,659.00 $47,552.24 $274,650.28 $103,862.96 2026-03-12
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 38 14 — $48,554.00 $28,822.57 $166,472.20 $68,171.11 2026-03-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 53 18 — $105,033.00 $10.60 $433,052.41 $131,210.75 2026-03-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 18 — $333,244.05 $5.30 $307,296.43 $103,676.96 2026-03-12
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 52 18 — $351,823.13 $3.00 $215,026.60 $74,615.65 2026-03-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 53 18 — $89,811.00 $7.00 $284,616.76 $85,116.26 2026-03-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 53 18 — $89,930.00 $11.00 $293,712.33 $89,930.00 2026-03-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 53 18 — $53,826.00 $7.00 $268,249.88 $71,661.15 2026-03-12
471 MS_DRG Cervical Spinal Fusion With Mcc 54 18 — $60,535.00 $7.00 $248,837.40 $63,740.45 2026-03-12
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 53 18 — $187,396.43 $10.00 $221,226.02 $64,635.61 2026-03-12
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 53 18 — $60,744.00 $7.70 $186,843.20 $60,744.00 2026-03-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 49 17 — — $14.80 $531,331.00 $160,988.22 2026-03-12
5114 APR_DRG — 4 4 — — $56,779.74 $59,618.72 $57,631.43 2026-03-12
5124 APR_DRG — 4 4 — — $56,501.78 $59,326.87 $57,349.31 2026-03-12
52 APR_DRG — 4 4 — — $74,014.24 $77,714.96 $75,124.46 2026-03-12
53 APR_DRG — 4 4 — — $110,525.02 $116,051.27 $112,182.90 2026-03-12
54 APR_DRG — 4 4 — — $156,660.47 $164,493.50 $159,010.38 2026-03-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 53 18 — $109,761.00 $12.00 $337,613.30 $61,376.16 2026-03-12
5831 APR_DRG — 4 4 — — $223,912.85 $235,108.49 $227,271.54 2026-03-12
5832 APR_DRG — 4 4 — — $265,378.14 $278,647.05 $269,358.82 2026-03-12
5833 APR_DRG — 4 4 — — $422,898.10 $444,043.01 $429,241.57 2026-03-12
5834 APR_DRG — 4 4 — — $700,424.30 $735,445.51 $710,930.67 2026-03-12
5881 APR_DRG — 4 4 — — $183,824.52 $193,015.75 $186,581.89 2026-03-12
5882 APR_DRG — 4 4 — — $276,381.07 $290,200.13 $280,526.79 2026-03-12
5883 APR_DRG — 4 4 — — $286,571.91 $300,900.51 $290,870.49 2026-03-12
5884 APR_DRG — 4 4 — — $442,694.41 $464,829.13 $449,334.82 2026-03-12
5891 APR_DRG — 4 4 — — $235,120.72 $246,876.76 $238,647.53 2026-03-12
5892 APR_DRG — 4 4 — — $235,120.72 $246,876.76 $238,647.53 2026-03-12
5893 APR_DRG — 4 4 — — $235,120.72 $246,876.76 $238,647.53 2026-03-12
5912 APR_DRG — 4 4 — — $187,927.24 $197,323.61 $190,746.15 2026-03-12
5913 APR_DRG — 4 4 — — $231,440.70 $243,012.73 $234,912.31 2026-03-12
5914 APR_DRG — 4 4 — — $304,600.58 $319,830.61 $309,169.59 2026-03-12
5931 APR_DRG — 4 4 — — $74,033.46 $77,735.13 $75,143.96 2026-03-12
5932 APR_DRG — 4 4 — — $149,343.97 $156,811.17 $151,584.13 2026-03-12
5933 APR_DRG — 4 4 — — $192,078.64 $201,682.57 $194,959.82 2026-03-12
5934 APR_DRG — 4 4 — — $268,873.72 $282,317.40 $272,906.82 2026-03-12
6 MS_DRG Liver Transplant Without Mcc 49 17 — — $7.80 $238,958.52 $72,402.16 2026-03-12
6021 APR_DRG — 4 4 — — $58,681.87 $61,615.97 $59,562.10 2026-03-12
6022 APR_DRG — 4 4 — — $100,074.16 $105,077.86 $101,575.27 2026-03-12
6023 APR_DRG — 4 4 — — $136,891.06 $143,735.62 $138,944.43 2026-03-12
6024 APR_DRG — 4 4 — — $196,382.46 $206,201.59 $199,328.20 2026-03-12
6033 APR_DRG — 4 4 — — $58,131.08 $61,037.64 $59,003.05 2026-03-12
6034 APR_DRG — 4 4 — — $142,035.16 $149,136.92 $144,165.68 2026-03-12
6072 APR_DRG — 4 4 — — $69,923.05 $73,419.20 $70,971.90 2026-03-12
6073 APR_DRG — 4 4 — — $102,657.73 $107,790.62 $104,197.60 2026-03-12
6074 APR_DRG — 4 4 — — $146,178.87 $153,487.81 $148,371.55 2026-03-12
6083 APR_DRG — 4 4 — — $71,583.10 $75,162.25 $72,656.85 2026-03-12
6084 APR_DRG — 4 4 — — $71,583.10 $75,162.25 $72,656.85 2026-03-12
6092 APR_DRG — 4 4 — — $61,215.49 $64,276.27 $62,133.72 2026-03-12
6093 APR_DRG — 4 4 — — $95,598.69 $100,378.63 $97,032.67 2026-03-12
6094 APR_DRG — 4 4 — — $311,304.81 $326,870.05 $315,974.39 2026-03-12
61 APR_DRG — 4 4 — — $79,988.36 $83,987.78 $81,188.18 2026-03-12
6114 APR_DRG — 4 4 — — $123,184.15 $129,343.36 $125,031.91 2026-03-12
6123 APR_DRG — 4 4 — — $62,463.09 $65,586.24 $63,400.04 2026-03-12
6124 APR_DRG — 4 4 — — $90,273.99 $94,787.69 $91,628.10 2026-03-12
6133 APR_DRG — 4 4 — — $57,977.38 $60,876.25 $58,847.04 2026-03-12
6134 APR_DRG — 4 4 — — $78,622.92 $82,554.07 $79,802.26 2026-03-12
6144 APR_DRG — 4 4 — — $59,514.46 $62,490.18 $60,407.18 2026-03-12
62 APR_DRG — 4 4 — — $99,123.73 $104,079.91 $100,610.58 2026-03-12
620T CPT Evasc Ven Artlz Tibl/prnl Vn 43 15 — — $9,603.00 $91,765.32 $66,365.99 2026-03-12
6214 APR_DRG — 4 4 — — $84,339.58 $88,556.56 $85,604.68 2026-03-12
63 APR_DRG — 4 4 — — $117,221.56 $123,082.64 $118,979.89 2026-03-12
6303 APR_DRG — 4 4 — — $122,616.71 $128,747.55 $124,455.96 2026-03-12
6304 APR_DRG — 4 4 — — $225,771.43 $237,060.01 $229,158.01 2026-03-12
6313 APR_DRG — 4 4 — — $73,480.11 $77,154.11 $74,582.31 2026-03-12
6314 APR_DRG — 4 4 — — $265,697.09 $278,981.94 $269,682.55 2026-03-12
6334 APR_DRG — 4 4 — — $88,370.57 $92,789.10 $89,696.13 2026-03-12
64 APR_DRG — 4 4 — — $137,733.90 $144,620.59 $139,799.90 2026-03-12
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 49 17 — — $6.00 $242,277.25 $73,407.69 2026-03-12
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 48 17 — — $5.40 $190,970.99 $57,862.39 2026-03-12
6514 APR_DRG — 4 4 — — $57,057.69 $59,910.58 $57,913.56 2026-03-12
653 MS_DRG Major Bladder Procedures With Mcc 50 17 — $57,981.00 $10.00 $267,786.08 $69,558.82 2026-03-12
6804 APR_DRG — 4 4 — — $78,487.15 $82,411.50 $79,664.45 2026-03-12
6814 APR_DRG — 4 4 — — $63,444.26 $66,616.47 $64,395.93 2026-03-12
6904 APR_DRG — 4 4 — — $66,765.63 $70,103.91 $67,767.12 2026-03-12
6954 APR_DRG — 4 4 — — $57,800.61 $60,690.64 $58,667.62 2026-03-12
7 MS_DRG Lung Transplant 49 17 — — $18.50 $667,362.66 $202,204.52 2026-03-12
71 APR_DRG — 4 4 — — $81,918.68 $86,014.61 $83,147.46 2026-03-12
72 APR_DRG — 4 4 — — $98,412.83 $103,333.47 $99,889.02 2026-03-12
73 APR_DRG — 4 4 — — $132,222.18 $138,833.29 $134,205.52 2026-03-12
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 53 18 — $59,079.00 $6.00 $184,632.43 $56,309.20 2026-03-12
74 APR_DRG — 4 4 — — $221,922.33 $233,018.45 $225,251.16 2026-03-12
7404 APR_DRG — 4 4 — — $67,440.67 $70,812.70 $68,452.28 2026-03-12
7924 APR_DRG — 4 4 — — $57,389.44 $60,258.92 $58,250.29 2026-03-12
799 MS_DRG Splenectomy With Mcc 53 18 — $75,876.00 $7.70 $233,387.80 $75,876.00 2026-03-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 49 17 — — $8.70 $288,821.85 $87,510.27 2026-03-12
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 53 18 — $66,749.00 $7.70 $205,312.63 $57,522.26 2026-03-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 53 18 — $47,233.00 $11.90 $302,230.74 $91,573.04 2026-03-12
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 53 18 — $61,400.25 $10.50 $236,268.50 $71,004.21 2026-03-12
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 53 18 — $57,533.00 $8.70 $241,061.07 $73,039.21 2026-03-12
83 APR_DRG — 4 4 — — $63,250.84 $66,413.38 $64,199.60 2026-03-12
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 53 18 — $70,570.00 $9.90 $345,375.56 $85,719.34 2026-03-12
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 53 18 — $49,127.00 $10.90 $280,061.84 $75,014.38 2026-03-12
84 APR_DRG — 4 4 — — $96,431.28 $101,252.84 $97,877.74 2026-03-12
8413 APR_DRG — 4 4 — — $77,491.89 $81,366.48 $78,654.26 2026-03-12
8414 APR_DRG — 4 4 — — $256,256.85 $269,069.70 $260,100.71 2026-03-12
8424 APR_DRG — 4 4 — — $137,038.37 $143,890.29 $139,093.95 2026-03-12
850 MS_DRG Acute Leukemia With Other Procedures 38 14 — $98,289.00 $77,262.57 $446,250.01 $156,969.97 2026-03-12
8504 APR_DRG — 4 4 — — $69,848.76 $73,341.20 $70,896.49 2026-03-12
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 53 18 — $196,060.50 $9.90 $254,500.87 $77,111.34 2026-03-12
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 53 18 — $41,330.00 $9.00 $234,408.16 $71,023.44 2026-03-12
8634 APR_DRG — 4 4 — — $117,528.98 $123,405.43 $119,291.92 2026-03-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 53 18 — $181,288.43 $13.50 $356,185.79 $107,920.89 2026-03-12
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 49 17 — — $7.00 $199,169.89 $60,346.58 2026-03-12
894 APR_DRG — 4 4 — — $67,888.98 $71,283.43 $68,907.32 2026-03-12
901 MS_DRG Wound Debridements For Injuries With Mcc 53 18 — $94,032.00 $9.00 $216,263.39 $70,309.00 2026-03-12
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 53 18 — $71,514.00 $6.90 $189,285.86 $56,879.96 2026-03-12
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 53 18 — $77,571.00 $6.90 $197,850.65 $59,920.75 2026-03-12
91 APR_DRG — 4 4 — — $72,408.00 $76,028.40 $73,494.12 2026-03-12
9104 APR_DRG — 4 4 — — $84,406.19 $88,626.50 $85,672.28 2026-03-12
9114 APR_DRG — 4 4 — — $81,043.82 $85,096.02 $82,259.48 2026-03-12
9124 APR_DRG — 4 4 — — $77,370.20 $81,238.71 $78,530.76 2026-03-12
914 APR_DRG — 4 4 — — $79,751.40 $83,738.97 $80,947.67 2026-03-12
92 APR_DRG — 4 4 — — $89,493.92 $93,968.62 $90,836.33 2026-03-12
924 APR_DRG — 4 4 — — $58,032.46 $60,934.08 $58,902.94 2026-03-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 51 18 — — $26.00 $1,100,255.32 $333,366.86 2026-03-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 33 13 — $4,715.00 $12.60 $369,630.75 $63,996.91 2026-03-12
93 APR_DRG — 4 4 — — $163,085.47 $171,239.74 $165,531.75 2026-03-12
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 49 17 — $63,944.00 $2.50 $200,679.81 $60,804.07 2026-03-12
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 53 18 — $59,699.00 $6.00 $186,987.49 $59,699.00 2026-03-12
94 APR_DRG — 4 4 — — $288,279.35 $302,693.32 $292,603.54 2026-03-12
9504 APR_DRG — 4 4 — — $66,271.20 $69,584.76 $67,265.27 2026-03-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 53 18 — $114,506.00 $8.00 $346,873.78 $109,590.61 2026-03-12
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 53 18 — $104,988.00 $6.00 $193,918.68 $72,929.55 2026-03-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 53 18 — $107,599.00 $10.00 $392,676.31 $108,576.74 2026-03-12
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 53 18 — $58,945.00 $6.70 $217,154.91 $65,795.87 2026-03-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 53 18 — $122,216.00 $13.00 $316,278.48 $122,216.00 2026-03-12
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 53 18 — $114,733.50 $9.00 $241,782.53 $73,257.80 2026-03-12
A9543 HCPCS Y90 Ibritumomab, Rx 42 14 — $84,429.31 $51,730.80 $115,876.99 $83,803.90 2026-03-12
A9543 CPT Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 7 2 — — $33.10 $73,999.04 $65,476.58 2024-12-08
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 17 9 — — $3,354,919.37 $3,710,000.00 $3,422,017.76 2026-03-12
J1411 CPT Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 6 2 — — $33.10 $4,200,000.00 $2,100,025.00 2024-12-08
J1413 HCPCS Inj Delandistrogene Mox Rokl 18 9 — — $3,019,174.88 $4,981,638.55 $3,094,654.25 2026-03-12
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 3 1 — — $3,710,000.00 $3,710,000.00 $3,710,000.00 2026-03-12
J3391 HCPCS Injection, Atidarsagene Autotemcel, Per Treatment 14 9 — — $4,101,171.80 $4,306,230.39 $4,142,183.52 2026-03-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 43 15 — — $2,122,959.52 $4,755,429.32 $3,439,194.42 2026-03-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 19 9 — — $2,681,683.87 $4,692,946.77 $2,762,134.39 2026-03-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 18 9 — — $2,957,255.05 $4,879,470.83 $3,031,186.42 2026-03-12
J3399 HCPCS Inj Onase Abepar-xioi Treat 23 9 — — $23,921.96 $3,911,310.36 $2,279,735.18 2026-03-12
J3399 CPT Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10^15 Vector Ge… 6 2 — — $33.10 $2,705,294.50 $1,352,672.25 2024-12-08
J9029 HCPCS Instill Adstiladrin, Tx Dose 42 14 — $88,088.18 $57,664.28 $129,167.99 $77,298.79 2026-03-12
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 37 13 — — $95,081.03 $212,981.51 $154,031.27 2026-03-12
L2006 HCPCS Dme Pos 40 15 — — $39,378.44 $88,207.71 $63,793.07 2026-03-12
L7180 HCPCS Dme Pos 40 15 — — $39,992.59 $89,583.40 $64,788.00 2026-03-12
L7181 HCPCS Dme Pos 40 15 — — $49,605.45 $111,116.21 $80,360.83 2026-03-12
L8701 HCPCS Ewh S/d Uprt Micro Sensor 40 15 — — $34,970.13 $78,333.09 $56,651.61 2026-03-12
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 40 15 — — $68,801.71 $154,115.83 $111,458.77 2026-03-12
Q0480 HCPCS Dme Pos 43 15 — — $111,502.61 $249,765.85 $180,634.23 2026-03-12
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 43 15 — — $485,431.42 $1,087,366.38 $786,398.90 2026-03-12
Q2041 CPT Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 6 2 — — $33.10 $449,440.00 $224,745.00 2024-12-08
Q2042 HCPCS Tisagenlecleucel Car-pos T 43 15 — — $538,683.86 $1,206,651.85 $872,667.85 2026-03-12
Q2042 CPT Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 6 2 — — $33.10 $466,069.91 $233,059.95 2024-12-08
Q2053 HCPCS Brexucabtagene Car Pos T 43 15 — — $445,443.34 $997,793.08 $721,618.21 2026-03-12
Q2053 CPT Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 6 2 — — $33.10 $449,440.00 $224,745.00 2024-12-08
Q2054 HCPCS Lisocabtagene Mara Car Pos T 43 15 — — $512,112.27 $1,147,131.48 $829,621.88 2026-03-12
Q2054 CPT Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 6 2 — — $33.10 $454,489.31 $227,269.65 2024-12-08
Q2055 HCPCS Idecabtagene Vicleucel Car 43 15 — — $507,359.95 $1,136,486.29 $821,923.12 2026-03-12
Q2055 CPT Idecabtagene Vicleucel, Up To 460 Million Autologous B-cell Maturation Antigen (… 6 2 — — $33.10 $460,226.56 $230,138.28 2024-12-08
Q2056 HCPCS Ciltacabtagene Car-pos T 24 9 — — $5,272.76 $1,153,923.59 $525,447.35 2026-03-12
Q2056 CPT Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 6 2 — — $33.10 $492,900.00 $246,475.00 2024-12-08
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 21 9 — — $7,342.70 $1,571,453.23 $701,541.62 2026-03-12
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 21 9 — — $5,254.90 $567,409.18 $253,307.67 2026-03-12
See an error in this hospital's data? Submit a correction