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

MEDICAL CENTER OF MCKINNEY

Mckinney, TX · CCN 450403 · Rates published

37,257 distinct procedures filed
67 distinct payers
2,410,059 rate rows
2026-03-01 last MRF observed
Data quality

2,362,982 of 2,410,059 rate rows are consumer-grade (98.0%)

47,077 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 22,226
per-diem day rate — not a per-procedure price 20,659
template filing: same amount across many unrelated codes — excluded 3,895
placeholder amount (≤ $0.02) — excluded from medians 231
exceeds 10× this hospital's gross charge — excluded from medians 66
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1682207_MEDICAL-CITY-MCKINNEY_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://medicalcityhealthcare.com/about/legal/pricing-transparency-cms-required-file-of-standard-charges.dot
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-17
Content fingerprint f5797907d0cec948… · 1,104,294,461 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
J3393
HCPCS 		Injection, Betibeglogene Autotemcel, Per Treatment 1 $4,850,948.67 $4,850,948.67 $4,850,948.67 nat. median
$3,006,423
1.6× median
845
OTHER 		Inj, Atidarsagene Autotem 20 $4,746.24 $4,955,500.00 $4,543,292.50 nat. median
$9,966
outlier · 455.9×
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
J3399
HCPCS 		Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 1 $4,271,819.03 $4,271,819.03 $4,271,819.03 nat. median
$2,469,189
1.7× 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 21 $3,666,840.67 $4,790,847.10 $3,740,546.00 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
714
OTHER 		Inj Delandistrogene Mox R 24 $5,582.22 $4,991,790.00 $3,494,253.00 nat. median
$13,041
outlier · 267.9×
748
OTHER 		Inj, Lovotibeglogene Auto 24 $10,625.70 $4,878,762.00 $3,415,133.40 nat. median
$17,963
outlier · 190.1×
908
OTHER 		Topi Adm Prad Zami Per Tr 21 $8,593.75 $4,336,566.00 $3,402,536.40 nat. median
$22,747
outlier · 149.6×
906
OTHER 		Inj Elivaldogene Autoteme 22 $7,593.59 $4,770,000.00 $3,307,200.00 nat. median
$20,756
outlier · 159.3×
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
746
OTHER 		Inj, Betibeglogene Autote 24 $9,828.89 $4,409,953.50 $3,086,967.45 nat. median
$21,896
outlier · 141.0×
00906
OTHER 		Inj Elivaldogene Autoteme 1 $3,084,600.00 $3,084,600.00 $3,084,600.00 nat. median
$21
outlier · 149086.5×
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 24 $2,455,110.00 $4,919,063.90 $2,718,430.05 nat. median
$2,588,981
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 2 $1,271,523.00 $4,067,128.80 $2,528,215.20 nat. median
$824,563
outlier · 3.1×
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 26 $11,509.38 $4,617,360.00 $2,448,600.00 nat. median
$25,250
outlier · 97.0×
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
Q2058
HCPCS 		Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,… 2 $459,112.50 $2,937,060.00 $1,825,740.00 nat. median
$324,450
outlier · 5.6×
Q2056
HCPCS 		Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 3 $536,573.93 $3,033,567.00 $1,597,833.00 nat. median
$675,122
outlier · 2.4×
Q2055
HCPCS 		Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 3 $511,793.34 $2,736,734.10 $1,441,485.90 nat. median
$625,184
outlier · 2.3×
Q2054
HCPCS 		Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 3 $500,948.74 $2,676,715.14 $1,409,872.86 nat. median
$674,188
outlier · 2.1×
C9301
HCPCS 		Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 1 $959,962.50 $1,544,287.50 $1,405,162.50 nat. median
$459,112
outlier · 3.1×
Q2042
HCPCS 		Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 3 $23.68 $2,516,444.50 $1,325,455.50 nat. median
$754,974
1.8× median
Q2053
HCPCS 		Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 3 $474,717.03 $2,433,377.40 $1,281,702.60 nat. median
$620,080
outlier · 2.1×
Q2041
HCPCS 		Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 3 $6.22 $2,320,992.50 $1,222,507.50 nat. median
$634,511
1.9× median
2067
OTHER 		Afamitresgene Autoleucel 28 $766,766.90 $2,019,024.40 $809,151.00 nat. median
$786,032
1.0× median
9498
OTHER 		Ciltacabtagene Car-pos T 26 $565,868.90 $1,539,641.95 $617,032.08 nat. median
$587,650
1.1× median
9194
OTHER 		Tisagenlecleucel Car-pos 26 $563,698.64 $1,484,312.01 $594,857.87 nat. median
$566,531
1.1× median
9413
OTHER 		Lisocabtagene Car Pos T 26 $559,390.19 $1,472,967.14 $590,311.26 nat. median
$562,201
1.1× median
9422
OTHER 		Idecabtagene Vicleucel Ca 26 $555,291.39 $1,462,174.32 $585,985.89 nat. median
$558,082
1.1× median
09498
OTHER 		Ciltacabtagene Car-pos T 1 $570,020.11 $570,020.11 $570,020.11 nat. median
$554,552
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 27 $529,531.24 $1,394,343.56 $558,801.81 nat. median
$532,192
1.1× median
09194
OTHER 		Tisagenlecleucel Car-pos 1 $549,535.36 $549,535.36 $549,535.36 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 1 $545,335.16 $545,335.16 $545,335.16 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 1 $541,339.35 $541,339.35 $541,339.35 nat. median
$530,178
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 1 $516,226.43 $516,226.43 $516,226.43 nat. median
$505,583
1.0× median
9391
OTHER 		Brexucabtagene Car Pos T 26 $487,002.95 $1,282,359.52 $513,922.71 nat. median
$489,450
1.1× median
09391
OTHER 		Brexucabtagene Car Pos T 1 $474,766.69 $474,766.69 $474,766.69 nat. median
$464,978
1.0× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 4 $61,338.53 $1,048,000.00 $405,600.00 nat. median
$69,774
outlier · 5.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 21 $313,847.06 $1,273,072.13 $336,264.71 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
90288
CPT 		Botulism Immune Globulin, Human, For Intravenous Use 1 $294,713.96 $416,525.16 $329,245.80 nat. median
$55,037
outlier · 6.0×
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $298,436.03 $522,263.00 $322,311.00 nat. median
$187,294
1.7× median
5834
APR_DRG 		Neonate With Ecmo 8 $306,780.16 $383,475.20 $322,119.17 nat. median
$309,665
1.0× median
437822
CDM 		Valve Aor Tavr 23mm 27 $90,942.75 $673,650.00 $317,962.80 nat. median
$217,000
1.5× median

Other procedures at this hospital

Browse this hospital's 37,257 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
             
714 OTHER Inj Delandistrogene Mox R 43 24 — — $5,582.22 $4,991,790.00 $3,494,253.00 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 33 20 — — $4,746.24 $4,955,500.00 $4,543,292.50 2026-03-01
9141 OTHER Inj Onase Abepar-xioi Tre 39 24 — — $2,455,110.00 $4,919,063.90 $2,718,430.05 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 43 24 — — $10,625.70 $4,878,762.00 $3,415,133.40 2026-03-01
J3393 HCPCS Injection, Betibeglogene Autotemcel, Per Treatment 3 1 — — $4,850,948.67 $4,850,948.67 $4,850,948.67 2026-03-01
9138 OTHER Inj, Hemgenix, Per Tx Dos 32 21 — — $3,666,840.67 $4,790,847.10 $3,740,546.00 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 38 22 — — $7,593.59 $4,770,000.00 $3,307,200.00 2026-03-01
824 OTHER Inj, Exagamglogene Autote 43 26 — — $11,509.38 $4,617,360.00 $2,448,600.00 2026-03-01
746 OTHER Inj, Betibeglogene Autote 43 24 — — $9,828.89 $4,409,953.50 $3,086,967.45 2026-03-01
00845 OTHER Inj, Atidarsagene Autotem 1 1 — — $4,369,850.00 $4,369,850.00 $4,369,850.00 2026-03-01
908 OTHER Topi Adm Prad Zami Per Tr 33 21 — — $8,593.75 $4,336,566.00 $3,402,536.40 2026-03-01
J3399 HCPCS Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge… 3 1 — — $4,271,819.03 $4,271,819.03 $4,271,819.03 2026-03-01
Q2057 HCPCS Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure… 9 2 — — $1,271,523.00 $4,067,128.80 $2,528,215.20 2026-03-01
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 1 1 — — $3,574,708.99 $3,574,708.99 $3,574,708.99 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 1 1 — — $3,235,745.40 $3,235,745.40 $3,235,745.40 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 1 1 — — $3,228,024.20 $3,228,024.20 $3,228,024.20 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 1 1 — — $3,154,932.76 $3,154,932.76 $3,154,932.76 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 1 1 — — $3,084,600.00 $3,084,600.00 $3,084,600.00 2026-03-01
Q2056 HCPCS Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige… 11 3 — — $536,573.93 $3,033,567.00 $1,597,833.00 2026-03-01
Q2058 HCPCS Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, … 9 2 — — $459,112.50 $2,937,060.00 $1,825,740.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 1 1 — — $2,851,769.93 $2,851,769.93 $2,851,769.93 2026-03-01
Q2055 HCPCS Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (… 11 3 — — $511,793.34 $2,736,734.10 $1,441,485.90 2026-03-01
Q2054 HCPCS Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi… 11 3 — — $500,948.74 $2,676,715.14 $1,409,872.86 2026-03-01
Q2042 HCPCS Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka… 12 3 — — $23.68 $2,516,444.50 $1,325,455.50 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 1 1 — — $2,511,311.57 $2,511,311.57 $2,511,311.57 2026-03-01
Q2053 HCPCS Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V… 11 3 — — $474,717.03 $2,433,377.40 $1,281,702.60 2026-03-01
Q2041 HCPCS Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via… 12 3 — — $6.22 $2,320,992.50 $1,222,507.50 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 1 1 — — $2,262,040.00 $2,262,040.00 $2,262,040.00 2026-03-01
2067 OTHER Afamitresgene Autoleucel 47 28 — — $766,766.90 $2,019,024.40 $809,151.00 2026-03-01
C9301 HCPCS Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc… 6 1 — — $959,962.50 $1,544,287.50 $1,405,162.50 2026-03-01
9498 OTHER Ciltacabtagene Car-pos T 43 26 — — $565,868.90 $1,539,641.95 $617,032.08 2026-03-01
9194 OTHER Tisagenlecleucel Car-pos 43 26 — — $563,698.64 $1,484,312.01 $594,857.87 2026-03-01
9413 OTHER Lisocabtagene Car Pos T 43 26 — — $559,390.19 $1,472,967.14 $590,311.26 2026-03-01
9422 OTHER Idecabtagene Vicleucel Ca 43 26 — — $555,291.39 $1,462,174.32 $585,985.89 2026-03-01
9035 OTHER Axicabtagene Ciloleucel C 44 27 — — $529,531.24 $1,394,343.56 $558,801.81 2026-03-01
9391 OTHER Brexucabtagene Car Pos T 43 26 — — $487,002.95 $1,282,359.52 $513,922.71 2026-03-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 38 21 — — $313,847.06 $1,273,072.13 $336,264.71 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 17 4 — — $61,338.53 $1,048,000.00 $405,600.00 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 58 27 — — $204,337.35 $842,426.46 $230,400.79 2026-03-01
831 OTHER Obecbtge Autol Up To 400 46 27 — — $3,250.02 $729,015.00 $292,162.50 2026-03-01
897 OTHER Revakinagene, Per Implant 42 26 — — $263,675.00 $694,300.00 $278,250.00 2026-03-01
437822 CDM Valve Aor Tavr 23mm 46 27 $673,650.00 $673,650.00 $90,942.75 $673,650.00 $317,962.80 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 62 28 — — $10,500.00 $641,817.38 $167,279.91 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 73 32 — — $154,906.01 $638,050.74 $175,813.57 2026-03-01
Q0480 HCPCS Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only 49 28 — — $108,147.24 $629,884.36 $117,066.60 2026-03-01
862710 CDM Set Vntrc 17.4x13.8in 66 35 $614,520.00 $614,520.00 $43,016.40 $614,520.00 $200,948.04 2026-03-01
C1767 HCPCS Generator Ipg Medtr 861 25 $277,167.00 $277,167.00 $371.93 $612,360.00 $103,894.70 2026-03-01
A9543 HCPCS Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil… 17 4 — — $93,760.51 $582,739.61 $302,670.97 2026-03-01
C1882 HCPCS Aicd Itrevia Hf-t Df-1 2,132 25 $299,131.50 $299,131.50 $13.23 $577,530.00 $107,455.23 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 17 4 — — $131,717.55 $574,167.94 $211,893.45 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 1 1 — — $570,020.11 $570,020.11 $570,020.11 2026-03-01
215 MS_DRG Other Heart Assist System Implant 79 33 — — $55,453.00 $567,817.00 $83,612.39 2026-03-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 46 26 — — $83,751.66 $554,970.00 $89,733.92 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 1 1 — — $549,535.36 $549,535.36 $549,535.36 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 1 1 — — $545,335.16 $545,335.16 $545,335.16 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 1 1 — — $541,339.35 $541,339.35 $541,339.35 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 46 27 — — $7,111.58 $528,372.78 $211,752.45 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 31 9 — — $298,436.03 $522,263.00 $322,311.00 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 1 1 — — $516,226.43 $516,226.43 $516,226.43 2026-03-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 67 33 — — $60,607.00 $507,900.98 $90,656.70 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 18 4 — — $55,306.59 $478,449.94 $316,658.49 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 1 1 — — $474,766.69 $474,766.69 $474,766.69 2026-03-01
C1822 HCPCS Implant Pulse 8.5x15.5in 41 25 $465,310.00 $465,310.00 $62,816.85 $465,310.00 $245,218.37 2026-03-01
442639 CDM Kit Impl Crnl Cstm Lg 46 27 $461,343.00 $461,343.00 $62,281.31 $461,343.00 $217,753.90 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 31 9 — — $249,891.55 $437,310.00 $269,883.00 2026-03-01
C1820 HCPCS Nrstm Impl 1.9inx.6in 615 25 $342,860.00 $342,860.00 $14,233.32 $434,403.00 $124,996.96 2026-03-01
C2624 HCPCS System Mntr 2x15mm 4.5cm 41 25 $428,575.00 $428,575.00 $57,857.63 $428,575.00 $225,859.02 2026-03-01
730191 CDM Device Ast Vent 00551042 46 27 $421,965.00 $421,965.00 $56,965.28 $421,965.00 $199,167.48 2026-03-01
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 6 1 — — $294,713.96 $416,525.16 $329,245.80 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 73 32 — — $101,745.45 $416,386.94 $115,477.96 2026-03-01
33270 CPT Ins/rpl Sq Defib With Elec 142 38 $405,567.22 $405,567.22 $948.00 $405,567.22 $105,041.91 2026-03-01
422111 CDM Implant Cust Cranial Lge 46 27 $397,415.00 $397,415.00 $53,651.03 $397,415.00 $187,579.88 2026-03-01
1908 OTHER New Technology - Level 52 47 28 — — $146,662.80 $392,862.71 $157,444.98 2026-03-01
1907 OTHER New Technology - Level 52 47 28 — — $146,662.80 $392,862.71 $157,444.98 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 18 4 — — $43,855.64 $389,632.46 $199,363.43 2026-03-01
216750 CDM Graft Endo Aaa 36x14mm 46 27 $385,332.00 $385,332.00 $52,019.82 $385,332.00 $181,876.71 2026-03-01
5834 APR_DRG Neonate With Ecmo 22 8 — — $306,780.16 $383,475.20 $322,119.17 2026-03-01
7 MS_DRG Lung Transplant 44 26 — — $95,443.18 $381,784.85 $102,260.55 2026-03-01
484234 CDM Valve Aortic 25mm 46 27 $377,300.00 $377,300.00 $50,935.50 $377,300.00 $178,085.60 2026-03-01
850516 CDM Device Vntrc Asst 2 Lvas 46 27 $364,000.00 $364,000.00 $49,140.00 $364,000.00 $171,808.00 2026-03-01
880563 CDM Implant Cust Cranial Xl 46 27 $358,669.00 $358,669.00 $48,420.32 $358,669.00 $169,291.77 2026-03-01
14 MS_DRG Allogeneic Bone Marrow Transplant 44 26 — — $88,708.13 $354,299.71 $95,044.43 2026-03-01
1905 OTHER New Technology - Level 51 47 28 — — $132,237.00 $354,220.59 $141,958.64 2026-03-01
1906 OTHER New Technology - Level 51 47 28 — — $132,237.00 $354,220.59 $141,958.64 2026-03-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 79 33 — — $55,453.00 $350,478.59 $82,187.01 2026-03-01
714443 CDM Cage Peek Ti Synfis -lr 46 27 $342,945.00 $342,945.00 $46,297.57 $342,945.00 $161,870.04 2026-03-01
209 MS_DRG Complex Aortic Arch Procedures 59 32 — — $75,983.00 $333,689.54 $89,633.30 2026-03-01
J3402 HCPCS Injection, Remestemcel-l-rknd, Per Therapeutic Dose 3 1 — — $332,753.88 $332,753.88 $332,753.88 2026-03-01
216719 CDM Graft Endo Aaa 26x12mm 46 27 $327,039.00 $327,039.00 $44,150.26 $327,039.00 $154,362.41 2026-03-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 72 33 — — $10,500.00 $326,886.32 $86,601.71 2026-03-01
5833 APR_DRG Neonate With Ecmo 22 8 — — $259,770.17 $324,712.71 $272,758.68 2026-03-01
218838 CDM Stent Aaa Xcldr 12cm 46 27 $319,062.00 $319,062.00 $43,073.37 $319,062.00 $150,597.27 2026-03-01
211753 CDM Graft Endo Aaa 28.5x12mm 46 27 $319,062.00 $319,062.00 $43,073.37 $319,062.00 $150,597.27 2026-03-01
216652 CDM Graft Endo Aaa 32x14mm 46 27 $319,062.00 $319,062.00 $43,073.37 $319,062.00 $150,597.27 2026-03-01
706935 CDM Spacer 26/32 13.5x8 Deg 46 27 $317,050.00 $317,050.00 $42,801.75 $317,050.00 $149,647.60 2026-03-01
1904 OTHER New Technology - Level 50 47 28 — — $117,811.20 $315,578.48 $126,472.29 2026-03-01
1903 OTHER New Technology - Level 50 47 28 — — $117,811.20 $315,578.48 $126,472.29 2026-03-01
747478 CDM Graft Evas 18cm 26mm 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
870599 CDM Graft Evas 12cm 28.5mm 1 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
857807 CDM Graft Evas 35x14.5m 14cm 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
437120 CDM Graft Evas 10cm 10mm 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
231788 CDM Graft Endo Aaa 23x12mm 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
742019 CDM Graft Evas 18cm 28.5mm 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
870971 CDM Graft Evas 26x12mm 16cm 46 27 $312,336.00 $312,336.00 $42,165.36 $312,336.00 $147,422.59 2026-03-01
879051 CDM Graft Evas 28.5x12m 16cm 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
876981 CDM Graft Evas 14cm 26mm 14. 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
870461 CDM Graft Evs 16cm 26x14.5mm 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
753429 CDM Graft Evas 18cm 28.5mm 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
870437 CDM Graft Evas 23x12mm 14cm 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
857849 CDM Graft Evas 18cm 35mm 14. 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
871572 CDM Graft Evas 14.5mm 16cm 46 27 $312,144.00 $312,144.00 $42,139.44 $312,144.00 $147,331.97 2026-03-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 26 — — $76,373.67 $303,963.85 $81,828.94 2026-03-01
477527 CDM Cage Spnl 20mm C Centerp 46 27 $294,268.00 $294,268.00 $39,726.18 $294,268.00 $138,894.49 2026-03-01
228539 CDM Cage Spn 13x16 22-28mm 46 27 $286,968.00 $286,968.00 $38,740.68 $286,968.00 $135,448.89 2026-03-01
747440 CDM Graft Nrv 4-5mm 70mm 46 27 $282,944.00 $282,944.00 $38,197.44 $282,944.00 $133,549.57 2026-03-01
747441 CDM Graft Nrv 3-4mm 70mm 46 27 $282,944.00 $282,944.00 $38,197.44 $282,944.00 $133,549.57 2026-03-01
1902 OTHER New Technology - Level 49 47 28 — — $103,385.40 $276,936.36 $110,985.94 2026-03-01
1901 OTHER New Technology - Level 49 47 28 — — $103,385.40 $276,936.36 $110,985.94 2026-03-01
278510 CDM Implant Spn Cerv Sys 4mm 46 27 $275,283.00 $275,283.00 $37,163.21 $275,283.00 $129,933.57 2026-03-01
267232 CDM Dressing Wnd 20x40cm 61 33 $273,888.00 $273,888.00 $19,172.16 $273,888.00 $92,574.14 2026-03-01
723353 CDM Spacer Spnl 17x15x36mm 46 27 $271,027.00 $271,027.00 $36,588.64 $271,027.00 $127,924.74 2026-03-01
563181 CDM Cnla Vntrc Art 42f 46 27 $270,058.00 $270,058.00 $36,457.83 $270,058.00 $127,467.38 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 1 1 — — $269,902.50 $269,902.50 $269,902.50 2026-03-01
737942 CDM Spacer Spnl 14x12x26mm 46 27 $261,538.00 $261,538.00 $35,307.63 $261,538.00 $123,445.93 2026-03-01
722435 CDM Spacer Spnl 14x12x21mm 46 27 $261,538.00 $261,538.00 $35,307.63 $261,538.00 $123,445.93 2026-03-01
481290 CDM Impl Spn Mag 13x24-32mm 46 27 $257,684.00 $257,684.00 $34,787.34 $257,684.00 $121,626.85 2026-03-01
481196 CDM Cage Spn 13mm 46 27 $257,684.00 $257,684.00 $34,787.34 $257,684.00 $121,626.85 2026-03-01
466963 CDM Cage Spn 13x16-21.5mm 46 27 $257,684.00 $257,684.00 $34,787.34 $257,684.00 $121,626.85 2026-03-01
466896 CDM Cntr Piece Turq Spn 13mm 46 27 $257,684.00 $257,684.00 $34,787.34 $257,684.00 $121,626.85 2026-03-01
00897 OTHER Revakinagene, Per Implant 1 1 — — $257,050.00 $257,050.00 $257,050.00 2026-03-01
225600 CDM Valve Aortic 25mm 46 27 $249,684.00 $249,684.00 $33,707.34 $249,684.00 $117,850.85 2026-03-01
225894 CDM Valve Aortic 19mm 46 27 $249,684.00 $249,684.00 $33,707.34 $249,684.00 $117,850.85 2026-03-01
225601 CDM Valve Aortic 27mm 46 27 $249,684.00 $249,684.00 $33,707.34 $249,684.00 $117,850.85 2026-03-01
463506 CDM Valve Aortic 21mm 46 27 $249,684.00 $249,684.00 $33,707.34 $249,684.00 $117,850.85 2026-03-01
225598 CDM Valve Aortic 23mm 46 27 $249,684.00 $249,684.00 $33,707.34 $249,684.00 $117,850.85 2026-03-01
K1007 HCPCS Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin… 55 28 — — $80,850.00 $249,112.22 $99,835.05 2026-03-01
1599 OTHER New Technology - Level 48 47 28 — — $91,363.88 $244,734.72 $98,080.71 2026-03-01
1585 OTHER New Technology - Level 48 47 28 — — $91,363.88 $244,734.72 $98,080.71 2026-03-01
J9266 HCPCS Injection, Pegaspargase, Per Single Dose Vial 18 4 — — $26,258.38 $243,082.56 $95,052.46 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $194,186.81 $242,733.51 $203,896.15 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 27 9 — — $188,568.71 $235,710.89 $197,997.15 2026-03-01
445469 CDM Valve Aortic 29mm 46 27 $231,216.00 $231,216.00 $31,214.16 $231,216.00 $109,133.95 2026-03-01
243953 CDM Graft Bn 26mm 18mm Infs 46 27 $227,257.00 $227,257.00 $30,679.69 $227,257.00 $107,265.30 2026-03-01
741085 CDM Cage Spn Vbr 28-40x18mm 46 27 $222,011.00 $222,011.00 $29,971.49 $222,011.00 $104,789.19 2026-03-01
634520 CDM Impl Pulsar Ci Ear 100 H 46 27 $221,298.00 $221,298.00 $29,875.23 $221,298.00 $104,452.65 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 8 — — $176,659.19 $220,823.99 $185,492.15 2026-03-01
1598 OTHER New Technology - Level 47 47 28 — — $81,746.68 $218,973.29 $87,756.47 2026-03-01
1584 OTHER New Technology - Level 47 47 28 — — $81,746.68 $218,973.29 $87,756.47 2026-03-01
733308 CDM Graft Nrv 4-5mm 50mm 46 27 $218,111.00 $218,111.00 $29,444.99 $218,111.00 $102,948.39 2026-03-01
865174 CDM Cage Spnl 23-31x20mm 46 27 $215,290.00 $215,290.00 $29,064.15 $215,290.00 $101,616.88 2026-03-01
718680 CDM Cage Spn 32-47mm 20mm 46 27 $215,290.00 $215,290.00 $29,064.15 $215,290.00 $101,616.88 2026-03-01
750080 CDM Cage Spn 27-38mm 20mm 46 27 $215,290.00 $215,290.00 $29,064.15 $215,290.00 $101,616.88 2026-03-01
240852 CDM Graft Bn Lg Sp 26x18mm 46 27 $214,260.00 $214,260.00 $28,925.10 $214,260.00 $101,130.72 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 1 — — $191,628.11 $213,654.33 $202,641.22 2026-03-01
865102 CDM Graft Nrv 2-3mm 50mm 46 27 $212,131.00 $212,131.00 $28,637.69 $212,131.00 $100,125.83 2026-03-01
862618 CDM Graft Nrv 70mm 2-3mm 46 27 $212,018.00 $212,018.00 $28,622.43 $212,018.00 $100,072.49 2026-03-01
623288 CDM Cage Spnl 16-25mm 12mm 46 27 $210,960.00 $210,960.00 $28,479.60 $210,960.00 $99,573.12 2026-03-01
447068 CDM Cage Spnl 55x18x12mm 46 27 $210,734.00 $210,734.00 $28,449.09 $210,734.00 $99,466.45 2026-03-01
451983 CDM Cage Spnl 45x22x8mm 46 27 $210,734.00 $210,734.00 $28,449.09 $210,734.00 $99,466.45 2026-03-01
446411 CDM Cage Spnl 55x18x8mm 46 27 $210,734.00 $210,734.00 $28,449.09 $210,734.00 $99,466.45 2026-03-01
449228 CDM Cage Spnl 22x12mm 46 27 $210,734.00 $210,734.00 $28,449.09 $210,734.00 $99,466.45 2026-03-01
449227 CDM Cage Spnl 55x22x8mm 46 27 $210,734.00 $210,734.00 $28,449.09 $210,734.00 $99,466.45 2026-03-01
718836 CDM Valve Aortic 29mm 46 27 $209,241.00 $209,241.00 $28,247.53 $209,241.00 $98,761.75 2026-03-01
868087 CDM Cage Spnl 38x28x14mm 8d 46 27 $208,835.00 $208,835.00 $28,192.72 $208,835.00 $98,570.12 2026-03-01
710471 CDM Cage Spnl 24-40mm 12mm 46 27 $205,209.00 $205,209.00 $27,703.22 $205,209.00 $96,858.65 2026-03-01
743475 CDM Cage Spnl 24-40mm 14mm 46 27 $205,141.00 $205,141.00 $27,694.03 $205,141.00 $96,826.55 2026-03-01
472355 CDM Spacer Spnl 33-53x12 12m 46 27 $203,520.00 $203,520.00 $27,475.20 $203,520.00 $96,061.44 2026-03-01
424481 CDM Spacer Spnl 12x25mm 46 27 $203,520.00 $203,520.00 $27,475.20 $203,520.00 $96,061.44 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 17 4 — — $39,976.89 $203,447.46 $120,275.16 2026-03-01
857234 CDM Cage Spn 34x24x14mm 8d 46 27 $202,760.00 $202,760.00 $27,372.60 $202,760.00 $95,702.72 2026-03-01
276216 CDM Cage Bn 16d 6.5x14mm 46 27 $200,786.00 $200,786.00 $27,106.11 $200,786.00 $94,770.99 2026-03-01
240094 CDM Spacer Tissue Shldr Med 46 27 $199,872.00 $199,872.00 $26,982.72 $199,872.00 $94,339.58 2026-03-01
741536 CDM Valve Trfcta 16x26x21mm 46 27 $199,716.00 $199,716.00 $26,961.66 $199,716.00 $94,265.95 2026-03-01
741537 CDM Valve Trfcta 17x28x23mm 46 27 $199,716.00 $199,716.00 $26,961.66 $199,716.00 $94,265.95 2026-03-01
288278 CDM Stimulator Bne 46 27 $199,343.00 $199,343.00 $26,911.31 $199,343.00 $94,089.89 2026-03-01
866132 CDM Cage Anchr L12d 14x25x35 46 27 $197,444.00 $197,444.00 $26,654.94 $197,444.00 $93,193.57 2026-03-01
866593 CDM Spacer Spnl 25x35x14mm 46 27 $197,444.00 $197,444.00 $26,654.94 $197,444.00 $93,193.57 2026-03-01
258529 CDM Cage Spn Short 9mm 46 27 $197,444.00 $197,444.00 $26,654.94 $197,444.00 $93,193.57 2026-03-01
255279 CDM Spacer Spn Lng 11mm 46 27 $197,444.00 $197,444.00 $26,654.94 $197,444.00 $93,193.57 2026-03-01
233339 CDM Cage Spnl Long 9mm 46 27 $197,444.00 $197,444.00 $26,654.94 $197,444.00 $93,193.57 2026-03-01
259270 CDM Cage Spn Short 11mm 46 27 $197,444.00 $197,444.00 $26,654.94 $197,444.00 $93,193.57 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 1 1 — — $195,618.93 $195,618.93 $195,618.93 2026-03-01
556210 CDM Valve Aortic 25mm 46 27 $193,939.00 $193,939.00 $26,181.76 $193,939.00 $91,539.21 2026-03-01
240966 CDM Graft Bn Med 5.6cc 1x2in 46 27 $192,218.00 $192,218.00 $25,949.43 $192,218.00 $90,726.89 2026-03-01
718224 CDM Cage Vs Vbs End 10 X 45 46 27 $189,871.00 $189,871.00 $25,632.58 $189,871.00 $89,619.11 2026-03-01
250086 CDM Valve Shnt Osv2 Lmbr Lfw 46 27 $189,296.00 $189,296.00 $25,554.96 $189,296.00 $89,347.71 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 1 — — $168,444.18 $187,805.58 $178,124.88 2026-03-01
746471 CDM Valve Mitral 31mm 46 27 $187,380.00 $187,380.00 $25,296.30 $187,380.00 $88,443.36 2026-03-01
746469 CDM Valve Mitral 27mm 46 27 $187,380.00 $187,380.00 $25,296.30 $187,380.00 $88,443.36 2026-03-01
746472 CDM Valve Mitral 33mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
746470 CDM Valve Mtral 29mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
717729 CDM Valve Aortic 21mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
746468 CDM Valve Mitral 25mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
717793 CDM Valve Aortic 25mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
718034 CDM Valve Aortic 27mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
717736 CDM Valve Aortic 23mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
718835 CDM Valve Aortic 19mm 46 27 $187,224.00 $187,224.00 $25,275.24 $187,224.00 $88,369.73 2026-03-01
255138 CDM Disc Spn Implant Sz1 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
865173 CDM Disc Intvrtb 17mm 5mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
240612 CDM Implant Spn Sz Lge 5mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
264906 CDM Disc Spn 5d Sz3 5mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
484070 CDM Disc Spn Intbrtb 19x6x17 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
867299 CDM Disc Intvrtb 19x5x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
872070 CDM Disc Intvrtb 15x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
204698 CDM Disc Spnl Mobi-c 15x19x7 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
229156 CDM Disc Spn Crvcl 5mm Sz1 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
876688 CDM Disc Intvrtb 17x6x13mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
461551 CDM Disc Spnl Std 5x17x17mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
230466 CDM Disc Spnl Cerv Md 4mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
864406 CDM Disc Intvrtb 15x5x13mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
264905 CDM Disc Spn Ht5 Sz2 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
870956 CDM Disc Intvrtb 17x6x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
230199 CDM Disc Spn Sm 4mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
865420 CDM Disc Spnl 13x17x5mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
865612 CDM Disc Spn Mobi-c 15x15x5 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
100411 CDM Disc Spn Intbrtb 19x5x17 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
470854 CDM Disc Cerv 6x15x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
467828 CDM Disc Intvrtb 15x7x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
879561 CDM Disc Spn Cerv19x6x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
435784 CDM Disc Intvrtb 17x7x13mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
459681 CDM Disc Intvrtb 6x17x17mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
880453 CDM Disc Intvrtb 15x6x13mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
270190 CDM Implant Spn Disc 13x15mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
258814 CDM Implant Spn Disc Sz2 5mm 46 27 $186,053.00 $186,053.00 $25,117.15 $186,053.00 $87,817.01 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 31 9 — — $105,306.67 $184,287.00 $113,731.00 2026-03-01
472831 CDM Spacer Spn 12x19x12mm 46 27 $183,168.00 $183,168.00 $24,727.68 $183,168.00 $86,455.29 2026-03-01
202510 CDM Spacer Spnl 12x48mm 46 27 $183,168.00 $183,168.00 $24,727.68 $183,168.00 $86,455.29 2026-03-01
244768 CDM Cage Spnl 22x14x12mm San 46 27 $182,672.00 $182,672.00 $24,660.72 $182,672.00 $86,221.18 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 22 8 — — $144,487.93 $180,609.91 $151,712.33 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 22 8 — — $143,207.51 $179,009.39 $150,367.89 2026-03-01
717733 CDM Graft Bn Tndn Ptla 8cm 46 27 $178,208.00 $178,208.00 $24,058.08 $178,208.00 $84,114.18 2026-03-01
851272 CDM Pump Contrl Urn Ab Sys 46 27 $176,918.00 $176,918.00 $23,883.93 $176,918.00 $83,505.29 2026-03-01
475156 CDM Impl Spn 18mm 35-55mm 46 27 $176,760.00 $176,760.00 $23,862.60 $176,760.00 $83,430.72 2026-03-01
204172 CDM Implant Spn 18x24x33mm 46 27 $176,760.00 $176,760.00 $23,862.60 $176,760.00 $83,430.72 2026-03-01
715180 CDM Spacer Spnl Lmbr 10mm 46 27 $175,612.00 $175,612.00 $23,707.62 $175,612.00 $82,888.86 2026-03-01
879246 CDM System Gs Impl Anrflx 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
452880 CDM Cage Spnl 50x22x8mm 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
276217 CDM Cage Bn 18d 18x12mm 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
424424 CDM Sys Reflux Mgmt Bead 16 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
427629 CDM Sys Reflux Mgmt Bead 17 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
425474 CDM Sys Reflux Mgmt Bead 15 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
423097 CDM Sys Reflux Mgmt Bead 14 46 27 $174,528.00 $174,528.00 $23,561.28 $174,528.00 $82,377.21 2026-03-01
448553 CDM Kit Fastener Endo 46 27 $173,782.00 $173,782.00 $23,460.57 $173,782.00 $82,025.11 2026-03-01
227434 CDM System Shnt Lmbr Pertonl 46 27 $173,234.00 $173,234.00 $23,386.59 $173,234.00 $81,766.45 2026-03-01
879966 CDM Vlv Shnt Hkm Prgm Rsrv 2 46 27 $173,224.00 $173,224.00 $23,385.24 $173,224.00 $81,761.73 2026-03-01
875763 CDM Disc Intvrtb 16mm 7mm Ps 46 27 $172,764.00 $172,764.00 $23,323.14 $172,764.00 $81,544.61 2026-03-01
879197 CDM Disc Intvrt 6x18x17.8mm 46 27 $172,764.00 $172,764.00 $23,323.14 $172,764.00 $81,544.61 2026-03-01
267116 CDM Protector Nrv Ha+4cm 8cm 46 27 $172,386.00 $172,386.00 $23,272.11 $172,386.00 $81,366.19 2026-03-01
648978 CDM Valve Aortic Ptfe H12.7 46 27 $171,765.00 $171,765.00 $23,188.28 $171,765.00 $81,073.08 2026-03-01
265066 CDM Plate Bn 124mm 167mm 46 27 $171,585.00 $171,585.00 $23,163.97 $171,585.00 $80,988.12 2026-03-01
449052 CDM Sys Shnt Npr 110cm 46 27 $171,147.00 $171,147.00 $23,104.85 $171,147.00 $80,781.39 2026-03-01
453851 CDM Sys Shnt Nph Perit 65cm 46 27 $171,147.00 $171,147.00 $23,104.85 $171,147.00 $80,781.39 2026-03-01
880745 CDM Spacer Elvt Std 23x11 46 27 $170,865.00 $170,865.00 $23,066.78 $170,865.00 $80,648.28 2026-03-01
743198 CDM Cage Spn 50x22x14mm 46 27 $170,865.00 $170,865.00 $23,066.78 $170,865.00 $80,648.28 2026-03-01
724418 CDM Cage Vs Vbs End 8 X 45 46 27 $170,865.00 $170,865.00 $23,066.78 $170,865.00 $80,648.28 2026-03-01
5832 APR_DRG Neonate With Ecmo 22 8 — — $129,437.54 $161,796.92 $135,909.42 2026-03-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 31 9 — — $89,515.50 $156,652.00 $96,676.70 2026-03-01
84 APR_DRG Autologous Bone Marrow Transplant 31 9 — — $89,156.82 $156,024.00 $96,289.40 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 8 — — $122,909.42 $153,636.77 $129,054.89 2026-03-01
J7310 HCPCS Ganciclovir, 4.5 Mg, Long-acting Implant 14 3 — — $54,979.20 $145,041.92 $102,675.84 2026-03-01
64 APR_DRG Pancreas Transplant 31 9 — — $81,942.44 $143,399.00 $88,497.80 2026-03-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 22 8 — — $114,216.70 $142,770.88 $119,927.54 2026-03-01
5831 APR_DRG Neonate With Ecmo 22 8 — — $113,972.33 $142,465.41 $119,670.95 2026-03-01
01908 OTHER New Technology - Level 52 1 1 — — $142,262.92 $142,262.92 $142,262.92 2026-03-01
01907 OTHER New Technology - Level 52 1 1 — — $142,262.92 $142,262.92 $142,262.92 2026-03-01
A9604 HCPCS Samarium Sm-153 Lexidronam, Therapeutic, Per Treatment Dose, Up To 150 Millicuri… 17 4 — — $5,213.67 $142,036.23 $84,120.07 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 1 — — $118,722.90 $132,369.21 $125,546.05 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $104,194.28 $130,242.85 $109,403.99 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $103,718.06 $129,647.57 $108,903.96 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 22 8 — — $103,449.86 $129,312.32 $108,622.35 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 22 8 — — $103,005.15 $128,756.44 $108,155.41 2026-03-01
01905 OTHER New Technology - Level 51 1 1 — — $128,269.89 $128,269.89 $128,269.89 2026-03-01
01906 OTHER New Technology - Level 51 1 1 — — $128,269.89 $128,269.89 $128,269.89 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 22 8 — — $101,976.37 $127,470.46 $107,075.19 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 22 8 — — $99,289.91 $124,112.39 $104,254.41 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 22 8 — — $98,400.48 $123,000.60 $103,320.50 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 27 9 — — $98,284.56 $122,855.70 $103,198.79 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 22 8 — — $97,765.12 $122,206.40 $102,653.38 2026-03-01
01904 OTHER New Technology - Level 50 1 1 — — $114,276.86 $114,276.86 $114,276.86 2026-03-01
01903 OTHER New Technology - Level 50 1 1 — — $114,276.86 $114,276.86 $114,276.86 2026-03-01
E0767 HCPCS Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag… 6 1 — — $80,266.41 $113,137.42 $103,199.67 2026-03-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 22 8 — — $87,572.65 $109,465.81 $91,951.28 2026-03-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 27 9 — — $87,523.78 $109,404.73 $91,899.97 2026-03-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 22 8 — — $86,792.28 $108,490.35 $91,131.89 2026-03-01
2464 APR_DRG Gastrointestinal Vascular Insufficiency 22 8 — — $84,873.67 $106,092.09 $89,117.35 2026-03-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 22 8 — — $84,435.83 $105,544.79 $88,657.62 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 1 — — $92,713.20 $103,369.89 $98,041.54 2026-03-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 22 8 — — $81,935.98 $102,419.97 $86,032.78 2026-03-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 22 8 — — $81,690.80 $102,113.50 $85,775.34 2026-03-01
01901 OTHER New Technology - Level 49 1 1 — — $100,283.84 $100,283.84 $100,283.84 2026-03-01
01902 OTHER New Technology - Level 49 1 1 — — $100,283.84 $100,283.84 $100,283.84 2026-03-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational 22 8 — — $79,412.70 $99,265.88 $83,383.34 2026-03-01
L5969 HCPCS Addition, Endoskeletal Ankle-foot Or Ankle System, Power Assist, Includes Any Ty… 1 1 — — $98,593.44 $98,593.44 $98,593.44 2026-03-01
651 OTHER Kidney Transplant With Hemodialysis Without Mcc 2 1 — — $83,090.14 $92,640.73 $87,865.43 2026-03-01
01599 OTHER New Technology - Level 48 1 1 — — $88,622.96 $88,622.96 $88,622.96 2026-03-01
01585 OTHER New Technology - Level 48 1 1 — — $88,622.96 $88,622.96 $88,622.96 2026-03-01
0936T CPT Photobiomodulation Therapy Of Retina, Single Session 6 1 — — $79,785.51 $87,680.38 $84,878.97 2026-03-01
0896T CPT Connection Of Liver Allograft To Normothermic Machine Perfusion Device, Hemostas… 7 1 — — $4,838.79 $87,680.38 $83,751.13 2026-03-01
0895T CPT Connection Of Liver Allograft To Normothermic Machine Perfusion Device, Hemostas… 7 1 — — $4,838.79 $87,680.38 $83,751.13 2026-03-01
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