Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

TRISTAR SKYLINE MEDICAL CENTER

Nashville, TN · CCN 440006 · Rates published

25,243 distinct procedures filed
39 distinct payers
754,122 rate rows
2026-03-12 last MRF observed
Data quality

725,508 of 754,122 rate rows are consumer-grade (96.2%)

28,614 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
per-diem day rate — not a per-procedure price 21,808
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 6,326
placeholder amount (≤ $0.02) — excluded from medians 286
template filing: same amount across many unrelated codes — excluded 173
exceeds 10× this hospital's gross charge — excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1560757_TRISTAR-SKYLINE-MEDICAL-CENTER_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.tristarhealth.com/cms-hpt.txt
Discovered viaDiscovered by HANK (automated)
Last fetch not_modified · 2026-05-17
Content fingerprint cce61ed78e047aad… · 370,488,267 bytes · first seen 2026-05-09

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 17 $5,294.38 $4,955,500.00 $4,550,050.00 nat. median
$9,966
outlier · 456.6×
J1411
HCPCS 		Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 1 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J1414
HCPCS 		Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 $4,200,000.00 $4,200,000.00 $4,200,000.00 nat. median
$3,710,000
1.1× median
J1413
HCPCS 		Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 $3,840,000.00 $3,840,000.00 $3,840,000.00 nat. median
$3,325,455
1.2× median
9138
OTHER 		Inj, Hemgenix, Per Tx Dos 18 $2,653,392.24 $4,238,057.05 $3,722,119.67 nat. median
$3,746,358
1.0× median
J3394
HCPCS 		Injection, Lovotibeglogene Autotemcel, Per Treatment 1 $3,720,000.00 $3,720,000.00 $3,720,000.00 nat. median
$3,286,000
1.1× median
908
OTHER 		Topi Adm Prad Zami Per Tr 21 $9,586.22 $4,903,655.40 $3,385,857.30 nat. median
$22,747
outlier · 148.8×
714
OTHER 		Inj Delandistrogene Mox R 21 $6,226.90 $4,891,954.20 $3,377,777.90 nat. median
$13,041
outlier · 259.0×
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $3,360,000.00 $3,360,000.00 $3,360,000.00 nat. median
$3,006,423
1.1× median
748
OTHER 		Inj, Lovotibeglogene Auto 21 $11,852.84 $4,781,186.76 $3,301,295.62 nat. median
$17,963
outlier · 183.8×
906
OTHER 		Inj Elivaldogene Autoteme 21 $8,470.55 $4,674,600.00 $3,227,700.00 nat. median
$20,756
outlier · 155.5×
746
OTHER 		Inj, Betibeglogene Autote 21 $10,964.00 $4,321,754.43 $2,984,068.54 nat. median
$21,896
outlier · 136.3×
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $2,870,046.83 $2,870,046.83 $2,870,046.83 nat. median
$2,469,189
1.2× median
9141
OTHER 		Inj Onase Abepar-xioi Tre 21 $1,864,066.32 $3,805,802.07 $2,640,760.62 nat. median
$2,588,981
1.0× median
J3392
HCPCS 		Injection, Exagamglogene Autotemcel, Per Treatment 1 $2,640,000.00 $2,640,000.00 $2,640,000.00 nat. median
$2,448,600
1.1× median
824
OTHER 		Inj, Exagamglogene Autote 21 $12,838.57 $3,428,040.00 $2,366,980.00 nat. median
$25,250
outlier · 93.7×
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 3 $872,400.00 $2,042,143.00 $1,749,707.25 nat. median
$824,563
outlier · 2.1×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 2 $676,327.75 $1,557,271.36 $1,557,271.36 nat. median
$675,122
outlier · 2.3×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 1 $1,501,307.95 $1,501,307.95 $1,501,307.95 nat. median
$754,974
2.0× median
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 2 $631,423.78 $1,489,833.29 $1,489,833.29 nat. median
$674,188
outlier · 2.2×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 2 $614,793.95 $1,410,309.44 $1,410,309.44 nat. median
$634,511
outlier · 2.2×
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 2 $598,359.73 $1,297,043.03 $1,297,043.03 nat. median
$620,080
outlier · 2.1×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $645,093.12 $1,478,916.58 $1,270,460.72 nat. median
$625,184
outlier · 2.0×
2067
OTHER 		Afamitresgene Autoleucel 21 $554,846.40 $1,132,811.40 $786,032.40 nat. median
$786,032
1.0× median
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 3 $630,000.00 $737,362.50 $710,521.88 nat. median
$324,450
outlier · 2.2×
9498
OTHER 		Ciltacabtagene Car-pos T 21 $423,107.71 $863,844.91 $599,402.59 nat. median
$587,650
1.0× median
9194
OTHER 		Tisagenlecleucel Car-pos 21 $407,902.54 $832,801.01 $577,861.93 nat. median
$566,531
1.0× median
9413
OTHER 		Lisocabtagene Car Pos T 21 $404,784.86 $826,435.76 $573,445.22 nat. median
$562,201
1.0× median
9422
OTHER 		Idecabtagene Vicleucel Ca 21 $401,818.90 $820,380.25 $569,243.44 nat. median
$558,082
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 21 $383,178.38 $782,322.53 $542,836.04 nat. median
$532,192
1.0× median
J3402
HCPCS 		Injection, Remestemcel-l-rknd, Per Therapeutic Dose 1 $534,422.90 $534,422.90 $534,422.90 nat. median
$209,753
outlier · 2.5×
9391
OTHER 		Brexucabtagene Car Pos T 21 $352,404.14 $719,491.79 $499,239.20 nat. median
$489,450
1.0× median
0207
RC 		1 $397,211.21 $397,211.21 $397,211.21 nat. median
$7,090
outlier · 56.0×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 $1,854.72 $1,072,056.19 $320,486.96 nat. median
$370,174
0.9× median
831
OTHER 		Obecbtge Autol Up To 400 21 $3,625.36 $409,027.50 $282,423.75 nat. median
$12,362
outlier · 22.8×
897
OTHER 		Revakinagene, Per Implant 21 $190,800.00 $389,550.00 $270,300.00 nat. median
$9,577
outlier · 28.2×
J7330
HCPCS 		Autologous Cultured Chondrocytes, Implant 2 $76,729.09 $221,874.56 $221,874.56 nat. median
$76,377
outlier · 2.9×
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $213,758.80 $213,758.80 $213,758.80 nat. median
$424,868
0.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 27 $2,253.12 $695,721.34 $210,899.09 nat. median
$265,286
0.8× median
886
OTHER 		Inj. Remestemcel-l-rknd/ 21 $7,932.88 $296,453.43 $204,694.04 nat. median
$17,985
outlier · 11.4×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $187,897.40 $187,897.40 $187,897.40 nat. median
$263,894
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 $2,253.12 $1,921,402.40 $160,340.31 nat. median
$202,986
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 27 $2,253.12 $530,047.51 $159,706.30 nat. median
$206,368
0.8× median
1907
OTHER 		New Technology - Level 52 21 $103,106.95 $210,510.03 $146,068.18 nat. median
$153,199
1.0× median
1908
OTHER 		New Technology - Level 52 21 $103,106.95 $210,510.03 $146,068.18 nat. median
$152,962
1.0× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 3 $77,314.48 $170,328.19 $132,540.10 nat. median
$69,774
1.9× median
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $132,433.90 $132,433.90 $132,433.90 nat. median
$218,232
0.6× median
1905
OTHER 		New Technology - Level 51 21 $92,965.32 $189,804.20 $131,700.87 nat. median
$137,903
1.0× median
1906
OTHER 		New Technology - Level 51 21 $92,965.32 $189,804.20 $131,700.87 nat. median
$138,020
1.0× median
A9699
HCPCS 		Radiopharmaceutical, Therapeutic, Not Otherwise Classified 1 $123,742.09 $123,742.09 $123,742.09 nat. median
$21,806
outlier · 5.7×

Other procedures at this hospital

Browse this hospital's 25,243 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
             
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $187,897.40 $187,897.40 $187,897.40 2026-03-12
002 OTHER Heart Transplant Or Implant Of Heart Assist System Without Mcc 1 1 — — $70,447.73 $70,447.73 $70,447.73 2026-03-12
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $132,433.90 $132,433.90 $132,433.90 2026-03-12
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $103,420.40 $103,420.40 $103,420.40 2026-03-12
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $67,133.77 $67,133.77 $67,133.77 2026-03-12
007 OTHER Lung Transplant 1 1 — — $79,485.63 $79,485.63 $79,485.63 2026-03-12
010 OTHER Pancreas Transplant 1 1 — — $44,609.86 $44,609.86 $44,609.86 2026-03-12
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $42,596.95 $42,596.95 $42,596.95 2026-03-12
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $67,848.43 $67,848.43 $67,848.43 2026-03-12
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $213,758.80 $213,758.80 $213,758.80 2026-03-12
019 OTHER Simultaneous Pancreas And Kidney Transplant With Hemodialysis 1 1 — — $44,354.46 $44,354.46 $44,354.46 2026-03-12
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $55,366.07 $55,366.07 $55,366.07 2026-03-12
0207 RC — 1 1 — — $397,211.21 $397,211.21 $397,211.21 2026-03-12
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 53 27 — — $2,253.12 $695,721.34 $210,899.09 2026-03-12
10 MS_DRG Pancreas Transplant 47 27 — — $2,253.12 $178,143.93 $55,318.14 2026-03-12
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 58 28 — — $2,253.12 $135,403.49 $42,848.69 2026-03-12
1142 OTHER Supprelin La Implant 31 21 — — $31,093.44 $63,482.45 $44,049.05 2026-03-12
14 MS_DRG Allogeneic Bone Marrow Transplant 49 27 — — $1,854.72 $298,356.39 $90,977.79 2026-03-12
1580 OTHER New Technology - Level 43 31 21 — — $30,425.23 $62,118.19 $43,102.42 2026-03-12
1581 OTHER New Technology - Level 44 31 21 — — $37,186.32 $75,922.07 $52,680.62 2026-03-12
1582 OTHER New Technology - Level 45 31 21 — — $43,947.41 $89,725.96 $62,258.83 2026-03-12
1583 OTHER New Technology - Level 46 31 21 — — $50,708.50 $103,529.85 $71,837.04 2026-03-12
1584 OTHER New Technology - Level 47 31 21 — — $57,469.59 $117,333.74 $81,415.25 2026-03-12
1585 OTHER New Technology - Level 48 31 21 — — $64,230.67 $131,137.63 $90,993.46 2026-03-12
1594 OTHER New Technology - Level 43 31 21 — — $30,425.23 $62,118.19 $43,102.42 2026-03-12
1595 OTHER New Technology - Level 44 31 21 — — $37,186.32 $75,922.07 $52,680.62 2026-03-12
1596 OTHER New Technology - Level 45 31 21 — — $43,947.41 $89,725.96 $62,258.83 2026-03-12
1597 OTHER New Technology - Level 46 31 21 — — $50,708.50 $103,529.85 $71,837.04 2026-03-12
1598 OTHER New Technology - Level 47 31 21 — — $57,469.59 $117,333.74 $81,415.25 2026-03-12
1599 OTHER New Technology - Level 48 31 21 — — $64,230.67 $131,137.63 $90,993.46 2026-03-12
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 48 27 — — $1,854.72 $147,210.73 $46,142.16 2026-03-12
1643 OTHER Y90 Ibritumomab, Rx 31 21 — — $40,913.68 $83,532.09 $57,961.04 2026-03-12
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 48 27 — — $1,854.72 $142,521.00 $42,479.13 2026-03-12
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 45 26 — — $1,854.72 $1,072,056.19 $320,486.96 2026-03-12
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 49 27 — — $2,253.12 $177,123.58 $55,015.46 2026-03-12
1901 OTHER New Technology - Level 49 31 21 — — $72,682.06 $148,392.53 $102,966.25 2026-03-12
1902 OTHER New Technology - Level 49 31 21 — — $72,682.06 $148,392.53 $102,966.25 2026-03-12
1903 OTHER New Technology - Level 50 31 21 — — $82,823.69 $169,098.36 $117,333.56 2026-03-12
1904 OTHER New Technology - Level 50 31 21 — — $82,823.69 $169,098.36 $117,333.56 2026-03-12
1905 OTHER New Technology - Level 51 31 21 — — $92,965.32 $189,804.20 $131,700.87 2026-03-12
1906 OTHER New Technology - Level 51 31 21 — — $92,965.32 $189,804.20 $131,700.87 2026-03-12
1907 OTHER New Technology - Level 52 31 21 — — $103,106.95 $210,510.03 $146,068.18 2026-03-12
1908 OTHER New Technology - Level 52 31 21 — — $103,106.95 $210,510.03 $146,068.18 2026-03-12
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 53 27 — — $2,253.12 $548,737.00 $86,767.51 2026-03-12
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 58 28 — — $2,253.12 $195,350.83 $61,014.75 2026-03-12
2067 OTHER Afamitresgene Autoleucel 31 21 — — $554,846.40 $1,132,811.40 $786,032.40 2026-03-12
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 58 28 — — $1,854.72 $159,747.86 $49,861.15 2026-03-12
209 MS_DRG Complex Aortic Arch Procedures 63 32 — — $18,507.00 $281,000.53 $87,512.31 2026-03-12
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 58 28 — — $2,253.12 $156,158.93 $41,865.63 2026-03-12
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 58 28 — — $2,253.12 $269,960.41 $82,959.12 2026-03-12
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 63 32 — — $18,507.00 $141,679.50 $45,373.95 2026-03-12
215 MS_DRG Other Heart Assist System Implant 57 28 — — $2,253.12 $453,406.00 $76,543.74 2026-03-12
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 28 — — $2,253.12 $242,867.79 $75,248.30 2026-03-12
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $58,389.91 $58,389.91 $58,389.91 2026-03-12
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 28 — — $2,253.12 $163,238.40 $51,395.57 2026-03-12
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $44,316.38 $44,316.38 $44,316.38 2026-03-12
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 57 28 — — $2,253.12 $163,238.40 $51,395.57 2026-03-12
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $40,877.53 $40,877.53 $40,877.53 2026-03-12
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 28 — — $2,253.12 $253,492.35 $59,598.08 2026-03-12
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 28 — — $2,253.12 $132,392.09 $42,155.65 2026-03-12
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 57 28 — — $2,253.12 $125,128.01 $39,979.73 2026-03-12
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 28 — — $2,253.12 $168,016.30 $45,111.68 2026-03-12
231 MS_DRG Coronary Bypass With Ptca With Mcc 58 28 — — $2,253.12 $220,888.00 $65,187.39 2026-03-12
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $52,407.20 $52,407.20 $52,407.20 2026-03-12
232 MS_DRG Coronary Bypass With Ptca Without Mcc 58 28 — — $2,253.12 $220,888.00 $47,582.85 2026-03-12
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 28 — — $2,253.12 $189,799.74 $59,063.81 2026-03-12
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $46,848.47 $46,848.47 $46,848.47 2026-03-12
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 58 28 — — $2,253.12 $135,616.99 $43,121.66 2026-03-12
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 58 28 — — $2,253.12 $145,693.86 $45,916.18 2026-03-12
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 57 28 — — $2,253.12 $209,513.60 $48,072.18 2026-03-12
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 58 28 — — $2,253.12 $170,750.75 $53,645.87 2026-03-12
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 58 28 — — $2,253.12 $130,989.42 $41,735.49 2026-03-12
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 58 28 — — $2,253.12 $259,435.00 $55,523.59 2026-03-12
275 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $52,238.06 $52,238.06 $52,238.06 2026-03-12
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 58 28 — — $2,253.12 $168,713.00 $47,166.40 2026-03-12
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures 58 28 — — $2,253.12 $138,186.48 $43,891.35 2026-03-12
28 MS_DRG Spinal Procedures With Mcc 58 28 — — $2,253.12 $149,162.06 $46,950.03 2026-03-12
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 57 28 — — $2,253.12 $1,921,402.40 $160,340.31 2026-03-12
30230G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Peripheral Vein, Open Approac… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Peripheral Vein, Open Appro… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Peripheral Vein, Op… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Peripheral Vein, … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Peripheral Vein,… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30230Y3 OTHER Transfusion Of Allogeneic Unrelated Hematopoietic Stem Cells Into Peripheral Vei… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Peripheral Vein, Percutaneous… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Peripheral Vein, Percutaneo… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Peripheral Vein, Pe… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Peripheral Vein, … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Peripheral Vein,… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30233Y3 OTHER Transfusion Of Allogeneic Unrelated Hamatopoietic Stem Cells Into Peripheral Vei… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Central Vein, Open Approach 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Central Vein, Open Approach… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Central Vein, Open … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Central Vein, Ope… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Central Vein, Op… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30240Y3 OTHER Transfusion Of Allogeneic Unrelated Hematopoietic Stem Cells Into Central Vein, … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Central Vein, Percutaneous Ap… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Central Vein, Percutaneous … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Central Vein, Percu… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Central Vein, Per… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Central Vein, Pe… 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
30243Y3 OTHER Transfusion Of Allogeneic Unrelated Hematopoietic Stem Cells Into Central Vein, … 1 1 — — $83,298.00 $83,298.00 $83,298.00 2026-03-12
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 63 32 — — $18,507.00 $165,999.05 $52,729.53 2026-03-12
325838 CDM Impl/repl Spnl Inf Pump 27 18 $168,909.53 $168,909.53 $25,336.43 $165,531.34 $55,064.51 2026-03-12
326644 CDM Rem/replace Icd Gen Sgl 27 18 $162,969.62 $162,969.62 $24,445.44 $159,710.23 $53,128.10 2026-03-12
326646 CDM Rem/replace Icd Gen Dual 27 18 $162,969.62 $162,969.62 $24,445.44 $159,710.23 $53,128.10 2026-03-12
326647 CDM Rem/replace Icd Gen Mult 27 18 $162,969.62 $162,969.62 $24,445.44 $159,710.23 $53,128.10 2026-03-12
332281 CDM Transcth Stnt Plc Ia 27 18 $161,172.52 $161,172.52 $24,175.88 $157,949.07 $52,542.24 2026-03-12
332282 CDM Transcth Stnt Plc Ea Ad 27 18 $126,880.93 $126,880.93 $19,032.14 $124,343.31 $41,363.18 2026-03-12
332283 CDM Transcth Stnt Plc In Vn 27 18 $161,172.52 $161,172.52 $24,175.88 $157,949.07 $52,542.24 2026-03-12
332284 CDM Transcth Stnt Plc Ea Vn 27 18 $126,880.93 $126,880.93 $19,032.14 $124,343.31 $41,363.18 2026-03-12
332420 CDM Vasc Emboliz Venous 27 18 $156,600.30 $156,600.30 $23,490.04 $153,468.29 $51,051.70 2026-03-12
332421 CDM Vasc Emboliz Arterial 27 18 $156,600.30 $156,600.30 $23,490.04 $153,468.29 $51,051.70 2026-03-12
332422 CDM Vasc Embol Tum/org/inf 27 18 $156,600.30 $156,600.30 $23,490.04 $153,468.29 $51,051.70 2026-03-12
332423 CDM Vasc Embol Art Ven Hem 27 18 $156,600.30 $156,600.30 $23,490.04 $153,468.29 $51,051.70 2026-03-12
334913 CDM Sp Com Carotidangio Bi 27 18 $147,455.86 $147,455.86 $22,118.38 $144,506.74 $48,070.61 2026-03-12
334920 CDM Sp Vert Angio Bi 27 18 $124,268.78 $124,268.78 $18,640.32 $121,783.40 $40,511.62 2026-03-12
335055 CDM Dialysis Circ Intrv Stnt 27 18 $181,381.71 $181,381.71 $27,207.26 $177,754.08 $59,130.44 2026-03-12
335058 CDM Dialysis Circ Thrmb/stnt 27 18 $201,495.49 $201,495.49 $30,224.32 $197,465.58 $65,687.53 2026-03-12
335114 CDM Dial Seg Ctrl Intrv Stnt 27 18 $181,381.71 $181,381.71 $27,207.26 $177,754.08 $59,130.44 2026-03-12
348624 CDM Coil Emb Neuro 7mm 2mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
360 OTHER Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 1 1 — — $43,076.93 $43,076.93 $43,076.93 2026-03-12
365278 CDM Stent Eprsth 8x40mm 15cm 22 17 $161,280.00 $161,280.00 $24,192.00 $158,054.40 $80,640.00 2026-03-12
367810 CDM Set Vntrc 17.4x13.8in 33 22 $150,675.00 $150,675.00 $22,601.25 $147,661.50 $43,093.05 2026-03-12
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 28 — — $2,253.12 $343,874.86 $105,504.65 2026-03-12
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 58 28 — — $2,253.12 $135,810.63 $42,970.06 2026-03-12
405603 CDM Coil Embl 6mm 2mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
407179 CDM Stent Eprsth 28x8mm 20cm 22 17 $161,280.00 $161,280.00 $24,192.00 $158,054.40 $80,640.00 2026-03-12
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $62,915.86 $62,915.86 $62,915.86 2026-03-12
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 63 32 — — $43,336.79 $244,076.82 $85,277.70 2026-03-12
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 63 32 — — $28,384.47 $165,492.91 $56,724.93 2026-03-12
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 63 32 — — $22,106.43 $128,245.53 $44,736.46 2026-03-12
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 63 32 — — $35,426.92 $194,335.98 $70,173.10 2026-03-12
429 OTHER Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 1 1 — — $56,011.27 $56,011.27 $56,011.27 2026-03-12
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 63 32 — — $22,676.99 $127,462.65 $45,825.99 2026-03-12
431236 CDM Stent Eprsth 22fr 31mm 22 17 $161,280.00 $161,280.00 $24,192.00 $158,054.40 $80,640.00 2026-03-12
437220 CDM Gft Evas 36x159 24fr 22 17 $81,270.00 $81,270.00 $12,190.50 $79,644.60 $40,635.00 2026-03-12
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 63 32 — — $26,272.92 $156,219.51 $52,692.73 2026-03-12
447 OTHER Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 1 1 — — $45,557.50 $45,557.50 $45,557.50 2026-03-12
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically 63 32 — — $20,956.68 $119,997.33 $42,540.91 2026-03-12
450497 CDM Impl Crnl Lg 22 17 $90,202.00 $90,202.00 $13,530.30 $88,397.96 $45,101.00 2026-03-12
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 7 4 — — $2,253.12 $92,326.93 $74,471.21 2026-03-12
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 7 4 — — $2,253.12 $63,725.73 $51,401.39 2026-03-12
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 28 — — $2,253.12 $307,671.84 $65,621.30 2026-03-12
456185 CDM Stnt Thorac 28x28mm 10cm 22 17 $88,704.00 $88,704.00 $13,305.60 $86,929.92 $44,352.00 2026-03-12
456380 CDM Coil Emb Neuro 6x3mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 58 28 — — $2,253.12 $192,851.77 $47,215.01 2026-03-12
459 MS_DRG Spinal Fusion Except Cervical With Mcc 7 4 — — $2,253.12 $69,101.93 $55,737.85 2026-03-12
459364 CDM Coil Embol Neuro 4x2mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
459365 CDM Coil Embl 4x3mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
459366 CDM Coil Embl 4.5mm 3mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
459367 CDM Device Endo Sng 5x3mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
459368 CDM Coil Embol Neuro 7x3mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
459369 CDM Coil Emb 7x5mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
460109 CDM Coil Embz .017 4.5mm 2mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
460110 CDM Coil Embl 5mm 2mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
460111 CDM Coil Emb Neuro 6x4mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
460112 CDM Coil Emb Neuro 7x4mm 22 17 $78,979.00 $78,979.00 $11,846.85 $77,399.42 $39,489.50 2026-03-12
460799 CDM Stnt Thorac 26x26mm 10cm 22 17 $88,704.00 $88,704.00 $13,305.60 $86,929.92 $44,352.00 2026-03-12
460972 CDM Stent Graft 10cm 21x21mm 22 17 $88,704.00 $88,704.00 $13,305.60 $86,929.92 $44,352.00 2026-03-12
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 58 28 — — $2,253.12 $137,114.00 $43,570.08 2026-03-12
461317 CDM Stent 34mmx34mmx15cm 22 17 $88,704.00 $88,704.00 $13,305.60 $86,929.92 $44,352.00 2026-03-12
461465 CDM Stent Graft 15cm 31x31mm 22 17 $88,704.00 $88,704.00 $13,305.60 $86,929.92 $44,352.00 2026-03-12
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective 58 28 — — $2,253.12 $141,495.79 $44,882.64 2026-03-12
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 58 28 — — $2,253.12 $129,229.26 $40,975.82 2026-03-12
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $60,767.42 $60,767.42 $60,767.42 2026-03-12
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 47 27 — — $2,253.12 $255,968.47 $78,403.90 2026-03-12
5244 OTHER Level 4 Blood Product Exc 31 21 — — $43,449.13 $88,708.65 $61,552.94 2026-03-12
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 58 28 — — $2,253.12 $162,645.06 $50,969.20 2026-03-12
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $40,729.11 $40,729.11 $40,729.11 2026-03-12
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 1 1 — — $92,686.01 $92,686.01 $92,686.01 2026-03-12
653 MS_DRG Major Bladder Procedures With Mcc 58 28 — — $2,253.12 $129,005.83 $40,907.11 2026-03-12
679504 CDM Rvsc Ivt Stn Sfl In 27 18 $145,666.76 $145,666.76 $21,850.01 $142,753.42 $47,487.36 2026-03-12
679506 CDM Rvsc Ivt Stnt Cl In 27 18 $145,666.76 $145,666.76 $21,850.01 $142,753.42 $47,487.36 2026-03-12
679514 CDM Rvsc Fpvt Stnt Sfl In 27 18 $213,649.64 $213,649.64 $32,047.45 $209,376.65 $69,649.78 2026-03-12
679516 CDM Rvsc Fpvt Stn Cl In 27 18 $213,649.64 $213,649.64 $32,047.45 $209,376.65 $69,649.78 2026-03-12
679518 CDM Rvsc Fpvt Ath Sfl In 27 18 $223,052.49 $223,052.49 $33,457.87 $218,591.44 $72,715.11 2026-03-12
679520 CDM Rvsc Fpvt Ath Cl In 27 18 $223,052.49 $223,052.49 $33,457.87 $218,591.44 $72,715.11 2026-03-12
679522 CDM Rv Fpvt Stn/ath Sfl In 27 18 $239,969.69 $239,969.69 $35,995.45 $235,170.30 $78,230.12 2026-03-12
679524 CDM Rv Fpvt Stn/ath Cl In 27 18 $239,969.69 $239,969.69 $35,995.45 $235,170.30 $78,230.12 2026-03-12
679529 CDM Rvsc Tpvt Ang Cl In 27 18 $124,984.45 $124,984.45 $18,747.67 $122,484.76 $40,744.93 2026-03-12
679531 CDM Rvsc Tpvt Stnt Sfl In 27 18 $186,248.15 $186,248.15 $27,937.22 $182,523.19 $60,716.90 2026-03-12
679533 CDM Rvsc Tpvt Stnt Cl In 27 18 $249,968.90 $249,968.90 $37,495.33 $244,969.52 $81,489.86 2026-03-12
679534 CDM Rvsc Tpvt Stnt Cl Ea 27 18 $124,984.45 $124,984.45 $18,747.67 $122,484.76 $40,744.93 2026-03-12
679535 CDM Rvsc Tpvt Ath Sfl In 27 18 $169,390.00 $169,390.00 $25,408.50 $166,002.20 $55,221.14 2026-03-12
679537 CDM Rvsc Tpvt Ath Cl In 27 18 $169,390.00 $169,390.00 $25,408.50 $166,002.20 $55,221.14 2026-03-12
7 MS_DRG Lung Transplant 47 27 — — $2,253.12 $321,501.67 $97,843.57 2026-03-12
714 OTHER Inj Delandistrogene Mox R 32 21 — — $6,226.90 $4,891,954.20 $3,377,777.90 2026-03-12
717 OTHER Instill Adstiladrin, Tx D 32 21 — — $11,753.14 $94,483.94 $65,238.91 2026-03-12
746 OTHER Inj, Betibeglogene Autote 32 21 — — $10,964.00 $4,321,754.43 $2,984,068.54 2026-03-12
748 OTHER Inj, Lovotibeglogene Auto 32 21 — — $11,852.84 $4,781,186.76 $3,301,295.62 2026-03-12
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 46 25 — — $1,854.72 $102,644.25 $46,243.78 2026-03-12
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 47 27 — — $2,253.12 $139,139.80 $43,748.00 2026-03-12
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 56 28 — — $2,253.12 $314,996.79 $45,664.22 2026-03-12
824 OTHER Inj, Exagamglogene Autote 32 21 — — $12,838.57 $3,428,040.00 $2,366,980.00 2026-03-12
831 OTHER Obecbtge Autol Up To 400 32 21 — — $3,625.36 $409,027.50 $282,423.75 2026-03-12
834 MS_DRG Acute Leukemia With Mcc 58 28 — — $1,854.72 $136,292.26 $42,903.31 2026-03-12
845 OTHER Inj, Atidarsagene Autotem 28 17 — — $5,294.38 $4,955,500.00 $4,550,050.00 2026-03-12
850 MS_DRG Acute Leukemia With Other Procedures 63 32 — — $12,480.00 $214,980.75 $67,544.29 2026-03-12
850 OTHER Acute Leukemia With Other Procedures 1 1 — — $49,099.41 $49,099.41 $49,099.41 2026-03-12
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 58 28 — — $1,854.72 $174,747.67 $53,374.68 2026-03-12
886 OTHER Inj. Remestemcel-l-rknd/ 32 21 — — $7,932.88 $296,453.43 $204,694.04 2026-03-12
897 OTHER Revakinagene, Per Implant 31 21 — — $190,800.00 $389,550.00 $270,300.00 2026-03-12
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 2 1 — — $60,394.20 $68,674.05 $64,534.12 2026-03-12
9035 OTHER Axicabtagene Ciloleucel C 31 21 — — $383,178.38 $782,322.53 $542,836.04 2026-03-12
906 OTHER Inj Elivaldogene Autoteme 32 21 — — $8,470.55 $4,674,600.00 $3,227,700.00 2026-03-12
908 OTHER Topi Adm Prad Zami Per Tr 32 21 — — $9,586.22 $4,903,655.40 $3,385,857.30 2026-03-12
9138 OTHER Inj, Hemgenix, Per Tx Dos 28 18 — — $2,653,392.24 $4,238,057.05 $3,722,119.67 2026-03-12
9141 OTHER Inj Onase Abepar-xioi Tre 31 21 — — $1,864,066.32 $3,805,802.07 $2,640,760.62 2026-03-12
9194 OTHER Tisagenlecleucel Car-pos 31 21 — — $407,902.54 $832,801.01 $577,861.93 2026-03-12
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 49 27 — — $2,253.12 $530,047.51 $159,706.30 2026-03-12
9273 OTHER Sipuleucel-t Auto Cd54+ 31 21 — — $39,170.96 $79,974.04 $55,492.19 2026-03-12
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 50 28 — — $2,253.12 $178,069.45 $55,296.05 2026-03-12
9391 OTHER Brexucabtagene Car Pos T 31 21 — — $352,404.14 $719,491.79 $499,239.20 2026-03-12
9413 OTHER Lisocabtagene Car Pos T 31 21 — — $404,784.86 $826,435.76 $573,445.22 2026-03-12
9422 OTHER Idecabtagene Vicleucel Ca 31 21 — — $401,818.90 $820,380.25 $569,243.44 2026-03-12
9498 OTHER Ciltacabtagene Car-pos T 31 21 — — $423,107.71 $863,844.91 $599,402.59 2026-03-12
955 MS_DRG Craniotomy For Multiple Significant Trauma 58 28 — — $2,253.12 $167,106.29 $52,554.18 2026-03-12
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $43,334.57 $43,334.57 $43,334.57 2026-03-12
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 58 28 — — $2,253.12 $189,171.64 $59,163.79 2026-03-12
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $47,470.71 $47,470.71 $47,470.71 2026-03-12
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 58 28 — — $2,253.12 $151,967.39 $47,786.27 2026-03-12
A0106 OTHER Stroke; M > 30.05 & M < 34.25 3 1 — — $40,542.77 $40,542.77 $40,542.77 2026-03-12
A0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 3 1 — — $42,907.89 $42,907.89 $42,907.89 2026-03-12
A5104 OTHER Expired, Not Orthopedic, Length Of Stay Is 16 Days 3 1 — — $41,039.80 $41,039.80 $41,039.80 2026-03-12
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 6 3 — — $78,127.16 $150,585.06 $119,711.60 2026-03-12
A9699 HCPCS Radiopharmaceutical, Therapeutic, Not Otherwise Classified 3 1 — — $123,742.09 $123,742.09 $123,742.09 2026-03-12
B0105 OTHER Stroke; M > 34.25 & M < 38.85 3 1 — — $47,163.61 $47,163.61 $47,163.61 2026-03-12
B0106 OTHER Stroke; M > 30.05 & M < 34.25 3 1 — — $53,126.11 $53,126.11 $53,126.11 2026-03-12
B0204 OTHER Traumatic Brain Injury; M > 40.65 & M < 44.25 3 1 — — $39,835.67 $39,835.67 $39,835.67 2026-03-12
B0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 3 1 — — $51,106.10 $51,106.10 $51,106.10 2026-03-12
B0304 OTHER Nontraumatic Brain Injury; M < 26.15 3 1 — — $40,578.41 $40,578.41 $40,578.41 2026-03-12
B0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 3 1 — — $59,578.14 $59,578.14 $59,578.14 2026-03-12
B0405 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A < 63.5 3 1 — — $47,191.74 $47,191.74 $47,191.74 2026-03-12
B0504 OTHER Nontraumatic Spinal Cord Injury; M > 29.25 & M < 3 3 1 — — $41,242.37 $41,242.37 $41,242.37 2026-03-12
B0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 3 1 — — $58,597.21 $58,597.21 $58,597.21 2026-03-12
B0604 OTHER Neurological; M < 25.85 3 1 — — $45,948.22 $45,948.22 $45,948.22 2026-03-12
B0704 OTHER Fracture Of Lower Extremity; M < 28.15 3 1 — — $43,026.05 $43,026.05 $43,026.05 2026-03-12
B0904 OTHER Other Orthopedic; M < 24.15 3 1 — — $42,167.03 $42,167.03 $42,167.03 2026-03-12
B1004 OTHER Amputation, Lower Extremity; M=39-45 3 1 — — $44,327.71 $44,327.71 $44,327.71 2026-03-12
B1204 OTHER Osteoarthritis; M=39-47 3 1 — — $40,259.56 $40,259.56 $40,259.56 2026-03-12
B1304 OTHER Rheumatoid, Other Arthritis; M=12-35 3 1 — — $42,973.54 $42,973.54 $42,973.54 2026-03-12
B1404 OTHER Cardiac; M < 31.15 3 1 — — $40,265.18 $40,265.18 $40,265.18 2026-03-12
B1504 OTHER Pulmonary; M < 29.15 3 1 — — $43,935.71 $43,935.71 $43,935.71 2026-03-12
B1704 OTHER Major Multiple Trauma,no Brain Or Spinal Cord Inju 3 1 — — $41,174.85 $41,174.85 $41,174.85 2026-03-12
B1903 OTHER Guillian Barre; M < 18.05 3 1 — — $51,760.68 $51,760.68 $51,760.68 2026-03-12
B2004 OTHER Miscellaneous; M < 27.85 3 1 — — $39,633.11 $39,633.11 $39,633.11 2026-03-12
B2005 OTHER Miscellaneous; M=12-32 And A Tm81 3 1 — — $41,484.32 $41,484.32 $41,484.32 2026-03-12
B2102 OTHER Burns; M=12-45 3 1 — — $47,735.66 $47,735.66 $47,735.66 2026-03-12
C0105 OTHER Stroke; M > 34.25 & M < 38.85 3 1 — — $41,881.94 $41,881.94 $41,881.94 2026-03-12
C0106 OTHER Stroke; M > 30.05 & M < 34.25 3 1 — — $47,176.74 $47,176.74 $47,176.74 2026-03-12
C0205 OTHER Traumatic Brain Injury; M > 28.75 & M < 40.65 3 1 — — $40,634.67 $40,634.67 $40,634.67 2026-03-12
C0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 3 1 — — $48,697.84 $48,697.84 $48,697.84 2026-03-12
C0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 3 1 — — $45,031.06 $45,031.06 $45,031.06 2026-03-12
C1822 HCPCS Pulse Gen Imp 22 17 $90,720.00 $90,720.00 $13,608.00 $88,905.60 $45,360.00 2026-03-12
C1825 HCPCS System Generator Ipg 22 17 $176,400.00 $176,400.00 $26,460.00 $172,872.00 $88,200.00 2026-03-12
C2102 OTHER Burns; M=12-45 3 1 — — $40,132.02 $40,132.02 $40,132.02 2026-03-12
C2616 HCPCS Brachytx Ns Yttrium 90 21 16 $102,464.00 $102,464.00 $12,041.00 $100,414.72 $51,232.00 2026-03-12
C2642 HCPCS Brachytx Strnd Cesium131 108 16 $153,720.00 $153,720.00 $21,340.87 $197,549.38 $88,825.73 2026-03-12
C9150 HCPCS Xenon Xe-129 Hyperpolarized Gas, Diagnostic, Per Study Dose 2 1 — — $65,769.60 $74,786.40 $70,278.00 2026-03-12
D0106 OTHER Stroke; M > 30.05 & M < 34.25 3 1 — — $42,742.84 $42,742.84 $42,742.84 2026-03-12
D0404 OTHER Traumatic Spinal Cord Injury; M < 16.05 & A > 63.5 3 1 — — $47,416.81 $47,416.81 $47,416.81 2026-03-12
D0505 OTHER Nontraumatic Spinal Cord Injury; M > 23.75 & M < 2 3 1 — — $41,893.20 $41,893.20 $41,893.20 2026-03-12
J1411 HCPCS Injection, Etranacogene Dezaparvovec-drlb, Per Therapeutic Dose 1 1 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2026-03-12
J1413 HCPCS Injection, Delandistrogene Moxeparvovec-rokl, Per Therapeutic Dose 1 1 — — $3,840,000.00 $3,840,000.00 $3,840,000.00 2026-03-12
J1414 HCPCS Injection, Fidanacogene Elaparvovec-dzkt, Per Therapeutic Dose 1 1 — — $4,200,000.00 $4,200,000.00 $4,200,000.00 2026-03-12
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 1 1 — — $2,640,000.00 $2,640,000.00 $2,640,000.00 2026-03-12
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 1 1 — — $3,360,000.00 $3,360,000.00 $3,360,000.00 2026-03-12
J3394 HCPCS Injection, Lovotibeglogene Autotemcel, Per Treatment 1 1 — — $3,720,000.00 $3,720,000.00 $3,720,000.00 2026-03-12
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 1 — — $2,870,046.83 $2,870,046.83 $2,870,046.83 2026-03-12
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $534,422.90 $534,422.90 $534,422.90 2026-03-12
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 5 2 — — $76,729.09 $221,874.56 $221,874.56 2026-03-12
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 6 3 — — $77,314.48 $170,328.19 $132,540.10 2026-03-12
J9050 HCPCS Carmustine 100 Mg Inj 22 15 $159,083.23 $159,083.23 $178.02 $155,901.57 $58,701.71 2026-03-12
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 6 3 — — $54,756.23 $114,441.15 $88,352.14 2026-03-12
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 6 3 — — $33,097.56 $75,323.76 $56,707.35 2026-03-12
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 6 3 — — $27,987.60 $64,205.31 $48,626.85 2026-03-12
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 31 21 — — $68,458.32 $139,769.07 $96,982.62 2026-03-12
L2006 HCPCS Knee Ankle Foot Device, Any Material, Single Or Double Upright, Swing And Stance… 31 21 — — $28,352.45 $57,886.25 $40,165.97 2026-03-12
L7180 HCPCS Electronic Elbow, Microprocessor Sequential Control Of Elbow And Terminal Device… 31 21 — — $28,794.67 $58,789.12 $40,792.45 2026-03-12
L7181 HCPCS Electronic Elbow, Microprocessor Simultaneous Control Of Elbow And Terminal Devi… 31 21 — — $35,715.89 $72,919.94 $50,597.51 2026-03-12
L8702 HCPCS Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge… 31 21 — — $49,537.22 $101,138.50 $70,177.73 2026-03-12
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 31 21 — — $80,282.16 $163,909.41 $113,733.06 2026-03-12
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 4 2 — — $614,793.95 $1,410,309.44 $1,410,309.44 2026-03-12
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 1 — — $1,501,307.95 $1,501,307.95 $1,501,307.95 2026-03-12
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 6 3 — — $68,835.85 $144,170.89 $111,221.96 2026-03-12
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 4 2 — — $598,359.73 $1,297,043.03 $1,297,043.03 2026-03-12
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 4 2 — — $631,423.78 $1,489,833.29 $1,489,833.29 2026-03-12
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 6 3 — — $645,093.12 $1,478,916.58 $1,270,460.72 2026-03-12
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 4 2 — — $676,327.75 $1,557,271.36 $1,557,271.36 2026-03-12
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 6 3 — — $872,400.00 $2,042,143.00 $1,749,707.25 2026-03-12
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 6 3 — — $630,000.00 $737,362.50 $710,521.88 2026-03-12
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