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 →

Export CSV
Hospital

MEDICAL CITY DALLAS HOSPITAL

Dallas, TX · CCN 450647 · Rates published

36,063 distinct procedures filed
66 distinct payers
2,372,132 rate rows
2026-03-01 last MRF observed
Data quality

2,331,760 of 2,372,132 rate rows are consumer-grade (98.3%)

40,372 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 22,403
per-diem day rate — not a per-procedure price 13,877
template filing: same amount across many unrelated codes — excluded 3,511
placeholder amount (≤ $0.02) — excluded from medians 545
exceeds 10× this hospital's gross charge — excluded from medians 36
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/62-1682198_MEDICAL-CITY-DALLAS_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page https://www.medicalcityhealthcare.com/patient-resources/patient-financial-resources/pricing-transparency-cms-required-file-of-standard-charges
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 6ac103cde294ec7e… · 1,050,715,330 bytes · first seen 2026-05-06

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 $5,311.90 $4,955,500.00 $4,535,408.75 nat. median
$9,966
outlier · 455.1×
00845
OTHER 		Inj, Atidarsagene Autotem 2 $4,369,850.00 $4,505,000.00 $4,437,425.00 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 2 $3,574,708.99 $3,685,267.00 $3,629,988.00 nat. median
$3,574,709
1.0× median
714
OTHER 		Inj Delandistrogene Mox R 24 $6,247.51 $4,991,790.00 $3,460,974.40 nat. median
$13,041
outlier · 265.4×
908
OTHER 		Topi Adm Prad Zami Per Tr 21 $9,617.95 $4,336,566.00 $3,385,857.30 nat. median
$22,747
outlier · 148.8×
748
OTHER 		Inj, Lovotibeglogene Auto 24 $11,892.06 $4,878,762.00 $3,382,608.32 nat. median
$17,963
outlier · 188.3×
00908
OTHER 		Topi Adm Prad Zami Per Tr 2 $3,235,745.40 $3,335,820.00 $3,285,782.70 nat. median
$12,675
outlier · 259.2×
00714
OTHER 		Inj Delandistrogene Mox R 2 $3,228,024.20 $3,327,860.00 $3,277,942.10 nat. median
$3,228,024
1.0× median
906
OTHER 		Inj Elivaldogene Autoteme 22 $8,498.59 $4,770,000.00 $3,275,400.00 nat. median
$20,756
outlier · 157.8×
00748
OTHER 		Inj, Lovotibeglogene Auto 2 $3,154,932.76 $3,252,508.00 $3,203,720.38 nat. median
$3,187,420
1.0× median
00906
OTHER 		Inj Elivaldogene Autoteme 2 $3,084,600.00 $3,180,000.00 $3,132,300.00 nat. median
$21
outlier · 151392.0×
746
OTHER 		Inj, Betibeglogene Autote 24 $11,000.28 $4,409,953.50 $3,057,567.76 nat. median
$21,896
outlier · 139.6×
00746
OTHER 		Inj, Betibeglogene Autote 2 $2,851,769.93 $2,939,969.00 $2,895,869.46 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
09141
OTHER 		Inj Onase Abepar-xioi Tre 2 $2,511,311.57 $2,588,981.00 $2,550,146.29 nat. median
$2,457,321
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×
824
OTHER 		Inj, Exagamglogene Autote 26 $12,881.06 $4,617,360.00 $2,425,280.00 nat. median
$25,250
outlier · 96.1×
Q2056
HCPCS 		Ciltacabtagene 100 Mil 19 $536,573.93 $4,937,864.25 $2,360,299.11 nat. median
$675,122
outlier · 3.5×
00824
OTHER 		Inj, Exagamglogene Autote 2 $2,262,040.00 $2,332,000.00 $2,297,020.00 nat. median
$2,332,000
1.0× median
Q2054
HCPCS 		Lisocabtagene 19 $500,948.74 $4,981,060.92 $2,249,511.38 nat. median
$674,188
outlier · 3.3×
Q2041
HCPCS 		Axicabtagene Adult 23 $6.22 $4,965,250.67 $2,148,599.38 nat. median
$634,511
outlier · 3.4×
Q2053
HCPCS 		Brexucabtagene 26 $474,717.03 $4,880,294.09 $2,121,146.50 nat. median
$620,080
outlier · 3.4×
Q2042
HCPCS 		Tisagenlecleucel Adult 26 $23.68 $4,817,860.09 $2,094,010.50 nat. median
$754,974
outlier · 2.8×
Q2058
HCPCS 		Obecabtagene Inj 34 $371,000.00 $4,717,000.00 $1,976,900.00 nat. median
$324,450
outlier · 6.1×
Q2055
HCPCS 		Idecabtagene 33 $416,855.60 $4,764,064.00 $1,845,479.29 nat. median
$625,184
outlier · 3.0×
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×
2067
OTHER 		Afamitresgene Autoleucel 27 $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 2 $570,020.11 $587,649.60 $578,834.85 nat. median
$554,552
1.0× median
9035
OTHER 		Axicabtagene Ciloleucel C 26 $529,531.24 $1,394,343.56 $558,801.81 nat. median
$532,192
1.1× median
09194
OTHER 		Tisagenlecleucel Car-pos 2 $549,535.36 $566,531.30 $558,033.33 nat. median
$538,205
1.0× median
09413
OTHER 		Lisocabtagene Car Pos T 2 $545,335.16 $562,201.20 $553,768.18 nat. median
$534,091
1.0× median
09422
OTHER 		Idecabtagene Vicleucel Ca 2 $541,339.35 $558,081.80 $549,710.57 nat. median
$530,178
1.0× median
09035
OTHER 		Axicabtagene Ciloleucel C 2 $516,226.43 $532,192.20 $524,209.31 nat. median
$505,583
1.0× median
443630
CDM 		Kit Hrt Implant Lvas 30 $126,621.00 $1,151,100.00 $517,995.00 nat. median
$260
outlier · 1995.7×
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 2 $474,766.69 $489,450.20 $482,108.45 nat. median
$464,978
1.0× median
219919
CDM 		Device Vntrc Asst Strl 30 $117,625.20 $1,069,320.00 $481,194.00 nat. median
$9,297
outlier · 51.8×
867736
CDM 		Implant Hvas Ordr Set 30 $117,625.20 $1,069,320.00 $481,194.00 nat. median
$427,728
1.1× median
860906
CDM 		Kit Impl Lvas W/grafts 30 $115,500.00 $1,050,000.00 $472,500.00 nat. median
$420,000
1.1× median
J9029
HCPCS 		Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 5 $61,338.53 $888,000.00 $405,600.00 nat. median
$69,774
outlier · 5.8×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 22 $315,864.19 $1,273,072.13 $338,425.92 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

Other procedures at this hospital

Browse this hospital's 36,063 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
             
C1882 HCPCS Crt Defib Card 71x51x12 1,334 28 $276,939.00 $276,939.00 $22,347.93 $460,000.00 $138,151.44 2026-03-01
C1721 HCPCS Defib Card Thk15mm 1,104 28 $209,622.00 $209,622.00 $19,827.39 $358,800.00 $108,186.26 2026-03-01
C1722 HCPCS Defib Card 30j 50x75mm 782 28 $210,220.00 $210,220.00 $18,820.23 $393,343.00 $110,466.95 2026-03-01
C1820 HCPCS Device Neurostimulator 736 28 $202,394.00 $202,394.00 $19,219.64 $318,320.00 $101,842.95 2026-03-01
C1822 HCPCS Pulse Gen Imp 184 28 $293,673.00 $293,673.00 $27,060.00 $349,410.00 $135,300.00 2026-03-01
33289 CPT Cath Rt W/sensor 104 36 $236,832.04 $236,832.04 $948.00 $247,030.55 $111,107.09 2026-03-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 81 33 — — $156,089.68 $638,050.74 $177,157.00 2026-03-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 81 33 — — $102,650.68 $416,386.94 $116,505.38 2026-03-01
236543 CDM Allo Dbl Cord Donor Acq 71 39 $500,776.79 $500,776.79 $35,054.38 $500,776.79 $167,760.22 2026-03-01
234428 CDM Allo Dbl Cord Donor Acq 71 39 $500,776.79 $500,776.79 $35,054.38 $500,776.79 $167,760.22 2026-03-01
241762 CDM Liver Acquisition 71 39 $412,561.51 $412,561.51 $28,879.31 $412,561.51 $138,208.11 2026-03-01
446781 CDM Kit Bld Pmp 31fr Cann 71 39 $384,635.00 $384,635.00 $26,924.45 $384,635.00 $128,852.73 2026-03-01
866357 CDM Set Pump 21fr 5.0 71 39 $316,960.00 $316,960.00 $22,187.20 $316,960.00 $106,181.60 2026-03-01
862710 CDM Set Vntrc 17.4x13.8in 71 39 $300,000.00 $300,000.00 $21,000.00 $300,000.00 $100,500.00 2026-03-01
422506 CDM Kit Pmp Rt Hrt 22f 170cm 71 39 $300,000.00 $300,000.00 $21,000.00 $300,000.00 $100,500.00 2026-03-01
446783 CDM Kit Tandemlife 24frx60cm 71 39 $295,185.00 $295,185.00 $20,662.95 $295,185.00 $98,886.98 2026-03-01
Q2058 HCPCS Obecabtagene Inj 65 34 — — $371,000.00 $4,717,000.00 $1,976,900.00 2026-03-01
Q2055 HCPCS Idecabtagene 65 33 — — $416,855.60 $4,764,064.00 $1,845,479.29 2026-03-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 63 29 — — $12,500.00 $641,817.38 $168,555.87 2026-03-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 62 30 — — $70,000.00 $842,426.46 $233,078.24 2026-03-01
C9293 HCPCS Glucarpidase 1000 U Inj 61 30 $318,838.15 $318,838.15 $740.34 $318,838.15 $106,810.78 2026-03-01
Q2053 HCPCS Brexucabtagene 56 26 — — $474,717.03 $4,880,294.09 $2,121,146.50 2026-03-01
Q2042 HCPCS Tisagenlecleucel Adult 56 26 — — $23.68 $4,817,860.09 $2,094,010.50 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
Q2041 HCPCS Axicabtagene Adult 51 23 — — $6.22 $4,965,250.67 $2,148,599.38 2026-03-01
443630 CDM Kit Hrt Implant Lvas 51 30 $1,151,100.00 $1,151,100.00 $126,621.00 $1,151,100.00 $517,995.00 2026-03-01
219919 CDM Device Vntrc Asst Strl 51 30 $1,069,320.00 $1,069,320.00 $117,625.20 $1,069,320.00 $481,194.00 2026-03-01
867736 CDM Implant Hvas Ordr Set 51 30 $1,069,320.00 $1,069,320.00 $117,625.20 $1,069,320.00 $481,194.00 2026-03-01
860906 CDM Kit Impl Lvas W/grafts 51 30 $1,050,000.00 $1,050,000.00 $115,500.00 $1,050,000.00 $472,500.00 2026-03-01
867737 CDM Device Vntrc Asst Kit Pm 51 30 $606,158.00 $606,158.00 $66,677.38 $606,158.00 $272,771.10 2026-03-01
235269 CDM Tavr Heart Valve 29mm 51 30 $488,870.00 $488,870.00 $53,775.70 $488,870.00 $219,991.50 2026-03-01
872854 CDM Valve Pulm 18mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
249246 CDM Valve Tavr 26mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422836 CDM Valve Sapien 26mm Stns 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422838 CDM Vlv Aor 18-20mm 18f Evol 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422845 CDM Vlv Aor 26-29mm 0-43mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
868802 CDM Valve Hrt Sapien Xt 29mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422846 CDM Valve Aor 26mm 20-23mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
868801 CDM Valve Hrt Sapien Xt 26mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
868803 CDM Valve Xt Sapien 23mm Ta 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422843 CDM Valve Aor 18-20mm 0-34mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422841 CDM Valve Aor 29mm 23-27mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422844 CDM Valve Aor 23-26mm 0-43mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
868804 CDM Valve Xt Sapien 26mm Ta 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
216520 CDM Valve Plm Trnscth 25mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
270499 CDM Valve Tavr 29mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
249245 CDM Valve Tavr 23mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422839 CDM Valve Aor 20-23mm 0-40m 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
877268 CDM Valve Transcth Aor 26mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
876617 CDM Kit Aor Vlv 14fr 29mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
433810 CDM Valve Heart W/cert 29a 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
433567 CDM Valve Hrt W Cert Sys 26a 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
868799 CDM Valve Hrt Sapien Xt 23mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
225801 CDM Valve Aor 23mm Evolutpro 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
437822 CDM Valve Aor Tavr 23mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
872853 CDM Valve Pulm 16mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
877267 CDM Val Evlt Rtm Trnsct Aort 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
877269 CDM Valve Aor 23-26mm Coreva 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
467879 CDM Valve Aor 23mm Sapien 3 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
276829 CDM Stent Vasc 8x16mm 63cm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
422842 CDM Vlv Aor 31mm 26-29mm Cor 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
433568 CDM Valve Hrt W/cert Sys 23a 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
237550 CDM Valve Aor/pulm 26mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
237603 CDM Valve Aor 29mm Evolutpro 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
868805 CDM Valve 29mm Ascendra Aor 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
216519 CDM Valve Plm Trnscth 22mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
225803 CDM Valve Aor 26mm Evolutpro 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
433811 CDM Valve Hrt W/cert Sys 20a 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
427323 CDM Valve Aortic 34mm 51 30 $447,320.00 $447,320.00 $49,205.20 $447,320.00 $201,294.00 2026-03-01
870432 CDM Valve Hrt Trncath 20mm 51 30 $447,250.00 $447,250.00 $49,197.50 $447,250.00 $201,262.50 2026-03-01
863855 CDM Valve Aor Sapien 29mm 51 30 $447,250.00 $447,250.00 $49,197.50 $447,250.00 $201,262.50 2026-03-01
863528 CDM Valve Aor Sapien 3 26mm 51 30 $447,250.00 $447,250.00 $49,197.50 $447,250.00 $201,262.50 2026-03-01
863553 CDM Valve Aor 23x18mm 51 30 $447,250.00 $447,250.00 $49,197.50 $447,250.00 $201,262.50 2026-03-01
220761 CDM Impl Custom Cp7a1034 51 30 $417,955.00 $417,955.00 $45,975.05 $417,955.00 $188,079.75 2026-03-01
468694 CDM Stent Thor 40x40mm 20cm 51 30 $360,395.00 $360,395.00 $39,643.45 $360,395.00 $162,177.75 2026-03-01
459729 CDM Graft Stnt 15cm 37mm 51 30 $360,395.00 $360,395.00 $39,643.45 $360,395.00 $162,177.75 2026-03-01
876436 CDM Pins Implt Ear Fx Flx28 51 30 $323,459.00 $323,459.00 $35,580.49 $323,459.00 $145,556.55 2026-03-01
712139 CDM Graft Art St Tis 6-32mm 51 30 $312,438.00 $312,438.00 $34,368.18 $312,438.00 $140,597.10 2026-03-01
743854 CDM Gft Evas 28x116mm 51 30 $288,477.00 $288,477.00 $31,732.47 $288,477.00 $129,814.65 2026-03-01
203790 CDM Valve Aortic L5.6cm Od16 51 30 $268,261.00 $268,261.00 $29,508.71 $268,261.00 $120,717.45 2026-03-01
286017 CDM Implant Crnl Bn Cstm 51 30 $258,375.00 $258,375.00 $28,421.25 $258,375.00 $116,268.75 2026-03-01
477565 CDM Valve Pulm Med 17-21mm 51 30 $253,012.00 $253,012.00 $27,831.32 $253,012.00 $113,855.40 2026-03-01
108820 CDM Implt Eye Orbtl .59mg 51 30 $252,082.00 $252,082.00 $27,729.02 $252,082.00 $113,436.90 2026-03-01
877388 CDM Prosthesis Tmj Pt Cstm 51 30 $244,860.00 $244,860.00 $26,934.60 $244,860.00 $110,187.00 2026-03-01
875223 CDM Impl Crnl Lg 51 30 $237,136.00 $237,136.00 $26,084.96 $237,136.00 $106,711.20 2026-03-01
719336 CDM Gft Prox Main 46x46 51 30 $232,928.00 $232,928.00 $25,622.08 $232,928.00 $104,817.60 2026-03-01
270502 CDM Prothesis Cstm Cranial 51 30 $231,226.00 $231,226.00 $25,434.86 $231,226.00 $104,051.70 2026-03-01
738282 CDM Stnt Talent 38x38x199m 51 30 $228,894.00 $228,894.00 $25,178.34 $228,894.00 $103,002.30 2026-03-01
231601 CDM Custom Tmj Implant 51 30 $226,973.00 $226,973.00 $24,967.03 $226,973.00 $102,137.85 2026-03-01
483228 CDM Imp Coch Ultra Mid-sc 51 30 $226,515.00 $226,515.00 $24,916.65 $226,515.00 $101,931.75 2026-03-01
864568 CDM Valve Pricrd Bln 23mm 51 30 $223,625.00 $223,625.00 $24,598.75 $223,625.00 $100,631.25 2026-03-01
868833 CDM Cage Spnl Brgde 8x24x34 51 30 $223,024.00 $223,024.00 $24,532.64 $223,024.00 $100,360.80 2026-03-01
864259 CDM Cage Brgd 30d 8x24x34 51 30 $223,024.00 $223,024.00 $24,532.64 $223,024.00 $100,360.80 2026-03-01
864258 CDM Cage Brgd 20d 8x24x34 51 30 $223,024.00 $223,024.00 $24,532.64 $223,024.00 $100,360.80 2026-03-01
868832 CDM Cage Spnl Brgde 10x24x34 51 30 $223,024.00 $223,024.00 $24,532.64 $223,024.00 $100,360.80 2026-03-01
868899 CDM Cage Spnl Brgd 6x24x34 51 30 $223,024.00 $223,024.00 $24,532.64 $223,024.00 $100,360.80 2026-03-01
864569 CDM Cage Brgd 20d 10x34x24 51 30 $223,024.00 $223,024.00 $24,532.64 $223,024.00 $100,360.80 2026-03-01
719337 CDM Stent Thorac Distl Main 51 30 $221,836.00 $221,836.00 $24,401.96 $221,836.00 $99,826.20 2026-03-01
720463 CDM Stnt Graft Evas 116x28x2 51 30 $221,836.00 $221,836.00 $24,401.96 $221,836.00 $99,826.20 2026-03-01
719338 CDM Stent Thorac Distl Main 51 30 $221,836.00 $221,836.00 $24,401.96 $221,836.00 $99,826.20 2026-03-01
859350 CDM Valve Aor 17-21mm 51 30 $217,406.00 $217,406.00 $23,914.66 $217,406.00 $97,832.70 2026-03-01
745537 CDM Valve Aortic =16mm 51 30 $217,406.00 $217,406.00 $23,914.66 $217,406.00 $97,832.70 2026-03-01
741888 CDM Valve Pulm Large 22+mm 51 30 $217,406.00 $217,406.00 $23,914.66 $217,406.00 $97,832.70 2026-03-01
851240 CDM Graft Vlv Aor 23mm 51 30 $217,406.00 $217,406.00 $23,914.66 $217,406.00 $97,832.70 2026-03-01
737806 CDM Grft Xcldr Aaa 31/14/15 51 30 $217,292.00 $217,292.00 $23,902.12 $217,292.00 $97,781.40 2026-03-01
872483 CDM Graft Evas 14cm 26mm 12m 51 30 $217,292.00 $217,292.00 $23,902.12 $217,292.00 $97,781.40 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
Q2054 HCPCS Lisocabtagene 47 19 — — $500,948.74 $4,981,060.92 $2,249,511.38 2026-03-01
Q2056 HCPCS Ciltacabtagene 100 Mil 46 19 — — $536,573.93 $4,937,864.25 $2,360,299.11 2026-03-01
2067 OTHER Afamitresgene Autoleucel 46 27 — — $766,766.90 $2,019,024.40 $809,151.00 2026-03-01
1908 OTHER New Technology - Level 52 46 27 — — $146,662.80 $392,862.71 $157,444.98 2026-03-01
1907 OTHER New Technology - Level 52 46 27 — — $146,662.80 $392,862.71 $157,444.98 2026-03-01
1906 OTHER New Technology - Level 51 46 27 — — $132,237.00 $354,220.59 $141,958.64 2026-03-01
1905 OTHER New Technology - Level 51 46 27 — — $132,237.00 $354,220.59 $141,958.64 2026-03-01
1903 OTHER New Technology - Level 50 46 27 — — $117,811.20 $315,578.48 $126,472.29 2026-03-01
1904 OTHER New Technology - Level 50 46 27 — — $117,811.20 $315,578.48 $126,472.29 2026-03-01
1901 OTHER New Technology - Level 49 46 27 — — $103,385.40 $276,936.36 $110,985.94 2026-03-01
1902 OTHER New Technology - Level 49 46 27 — — $103,385.40 $276,936.36 $110,985.94 2026-03-01
7 MS_DRG Lung Transplant 46 28 — — $96,316.11 $381,784.85 $103,195.83 2026-03-01
1599 OTHER New Technology - Level 48 46 27 — — $91,363.88 $244,734.72 $98,080.71 2026-03-01
1585 OTHER New Technology - Level 48 46 27 — — $91,363.88 $244,734.72 $98,080.71 2026-03-01
831 OTHER Obecbtge Autol Up To 400 45 27 — — $3,637.35 $729,015.00 $292,162.50 2026-03-01
886 OTHER Inj. Remestemcel-l-rknd/ 45 27 — — $7,959.14 $528,372.78 $211,752.45 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 43 26 — — $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
714 OTHER Inj Delandistrogene Mox R 42 24 — — $6,247.51 $4,991,790.00 $3,460,974.40 2026-03-01
748 OTHER Inj, Lovotibeglogene Auto 42 24 — — $11,892.06 $4,878,762.00 $3,382,608.32 2026-03-01
746 OTHER Inj, Betibeglogene Autote 42 24 — — $11,000.28 $4,409,953.50 $3,057,567.76 2026-03-01
824 OTHER Inj, Exagamglogene Autote 42 26 — — $12,881.06 $4,617,360.00 $2,425,280.00 2026-03-01
897 OTHER Revakinagene, Per Implant 41 25 — — $263,675.00 $694,300.00 $278,250.00 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
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 22 — — $315,864.19 $1,273,072.13 $338,425.92 2026-03-01
906 OTHER Inj Elivaldogene Autoteme 37 22 — — $8,498.59 $4,770,000.00 $3,275,400.00 2026-03-01
74 APR_DRG Allogeneic Bone Marrow Transplant 35 12 — — $282,540.77 $501,976.00 $301,185.59 2026-03-01
24 APR_DRG Heart And/or Lung Transplant 35 12 — — $236,581.86 $420,323.00 $252,193.86 2026-03-01
73 APR_DRG Allogeneic Bone Marrow Transplant 35 12 — — $99,697.85 $177,128.00 $106,276.89 2026-03-01
845 OTHER Inj, Atidarsagene Autotem 32 20 — — $5,311.90 $4,955,500.00 $4,535,408.75 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
908 OTHER Topi Adm Prad Zami Per Tr 32 21 — — $9,617.95 $4,336,566.00 $3,385,857.30 2026-03-01
1614 APR_DRG Implantable Heart Assist Systems 31 12 — — $178,525.19 $226,554.81 $190,306.04 2026-03-01
1613 APR_DRG Implantable Heart Assist Systems 31 12 — — $93,049.74 $118,083.43 $99,190.08 2026-03-01
5834 APR_DRG Neonate With Ecmo 26 11 — — $290,440.49 $368,579.30 $309,606.61 2026-03-01
5833 APR_DRG Neonate With Ecmo 26 11 — — $245,934.33 $312,099.40 $262,163.50 2026-03-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 11 — — $183,844.06 $233,304.65 $195,975.91 2026-03-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 26 11 — — $167,250.00 $212,246.19 $178,286.80 2026-03-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 26 11 — — $136,792.24 $173,594.21 $145,819.14 2026-03-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 26 11 — — $135,580.01 $172,055.85 $144,526.91 2026-03-01
5832 APR_DRG Neonate With Ecmo 26 11 — — $122,543.46 $155,512.00 $130,630.08 2026-03-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 26 11 — — $116,363.03 $147,668.83 $124,041.81 2026-03-01
2004 APR_DRG Cardiac Structural And Valvular Disorders 26 11 — — $108,133.31 $137,225.01 $115,269.01 2026-03-01
5831 APR_DRG Neonate With Ecmo 26 11 — — $107,901.95 $136,931.41 $115,022.39 2026-03-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 11 — — $98,644.71 $125,183.64 $105,154.26 2026-03-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 11 — — $98,193.85 $124,611.49 $104,673.65 2026-03-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 26 11 — — $97,939.93 $124,289.25 $104,402.97 2026-03-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 26 11 — — $97,518.90 $123,754.95 $103,954.16 2026-03-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 26 11 — — $96,544.92 $122,518.94 $102,915.91 2026-03-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 26 11 — — $94,001.54 $119,291.30 $100,204.69 2026-03-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 26 11 — — $93,159.49 $118,222.70 $99,307.07 2026-03-01
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 26 11 — — $92,557.97 $117,459.35 $98,665.85 2026-03-01
30260X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Artery, Open Approa… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30250X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Artery, Open App… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30240X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Vein, Open Approach… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30253X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Artery, Percutan… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30243X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Vein, Percutaneous … 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30263X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Central Artery, Percutaneou… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30230X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Vein, Open Appro… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
30233X0 OTHER Transfusion Of Autologous Cord Blood Stem Cells Into Peripheral Vein, Percutaneo… 20 3 — — $6,444.00 $363,283.00 $224,492.00 2026-03-01
Q2043 HCPCS Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm… 19 5 — — $55,306.59 $478,449.94 $307,485.36 2026-03-01
J9226 HCPCS Histrelin Implant (supprelin La), 50 Mg 19 5 — — $43,855.64 $389,632.46 $185,582.55 2026-03-01
J9029 HCPCS Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose 18 5 — — $61,338.53 $888,000.00 $405,600.00 2026-03-01
30233Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Vein, Percuta… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30240G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Vein, Open Approach 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30253G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Artery, Percutaneous Appro… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30263G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Artery, Percutaneous Approach… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30240Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Vein, Open Appro… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30240C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30243G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Vein, Percutaneous Approach 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30233C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30230Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Vein, Open Ap… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30243C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30260G0 OTHER Transfusion Of Autologous Bone Marrow Into Central Artery, Open Approach 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30243Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Vein, Percutaneo… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30250G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Artery, Open Approach 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30253Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Artery, Percu… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30260Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Artery, Open App… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30230C0 OTHER Transfusion Of Autologous Hematopoietic Stem/Progenitor Cells, Genetically Modif… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30250Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Peripheral Artery, Open … 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30230G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Vein, Open Approach Pediat… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30263Y0 OTHER Transfusion Of Autologous Hematopoietic Stem Cells Into Central Artery, Percutan… 18 3 — — $6,444.00 $363,283.00 $207,095.00 2026-03-01
30233G0 OTHER Transfusion Of Autologous Bone Marrow Into Peripheral Vein, Percutaneous Approac… 18 3 — — $6,444.00 $363,283.00 $207,095.00 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 $289,037.14 2026-03-01
J7330 HCPCS Autologous Cultured Chondrocytes, Implant 17 4 — — $106,519.41 $574,167.94 $202,348.70 2026-03-01
J9600 HCPCS Injection, Porfimer Sodium, 75 Mg 17 4 — — $39,976.89 $203,447.46 $114,857.36 2026-03-01
30240X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Central Vein, Open … 15 3 — — $12,082.00 $352,753.00 $236,778.00 2026-03-01
30233X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Peripheral Vein, Pe… 15 3 — — $12,082.00 $352,753.00 $236,778.00 2026-03-01
30243X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Central Vein, Percu… 15 3 — — $12,082.00 $352,753.00 $236,778.00 2026-03-01
30230X2 OTHER Transfusion Of Allogeneic Related Cord Blood Stem Cells Into Peripheral Vein, Op… 15 3 — — $12,082.00 $352,753.00 $236,778.00 2026-03-01
30233G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Peripheral Vein, Percutaneous… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30240Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Central Vein, Op… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30233U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30240U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30230Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Peripheral Vein,… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30233Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Peripheral Vein,… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30243G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Central Vein, Percutaneous Ap… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30230G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Peripheral Vein, Open Approac… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30243Y2 OTHER Transfusion Of Allogeneic Related Hematopoietic Stem Cells Into Central Vein, Pe… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30230U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30240G2 OTHER Transfusion Of Allogeneic Related Bone Marrow Into Central Vein, Open Approach P… 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30243U2 OTHER Transfusion Of Allogeneic Related T-cell Depleted Hematopoietic Stem Cells Into … 13 3 — — $12,082.00 $352,753.00 $232,617.00 2026-03-01
30230X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Peripheral Vein, … 11 3 — — $9,664.00 $363,283.00 $280,356.00 2026-03-01
30233X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Peripheral Vein, … 11 3 — — $9,664.00 $363,283.00 $280,356.00 2026-03-01
30243X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Central Vein, Per… 10 3 — — $12,082.00 $363,283.00 $285,981.00 2026-03-01
30240X3 OTHER Transfusion Of Allogeneic Unrelated Cord Blood Stem Cells Into Central Vein, Ope… 10 3 — — $12,082.00 $363,283.00 $285,981.00 2026-03-01
30240U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30243Y3 OTHER Transfusion Of Allogeneic Unrelated Hematopoietic Stem Cells Into Central Vein, … 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30230Y3 OTHER Transfusion Of Allogeneic Unrelated Hematopoietic Stem Cells Into Peripheral Vei… 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30233G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Peripheral Vein, Percutaneo… 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30243U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30243G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Central Vein, Percutaneous … 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30233U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30240Y3 OTHER Transfusion Of Allogeneic Unrelated Hematopoietic Stem Cells Into Central Vein, … 10 3 — — $9,664.00 $363,283.00 $285,981.00 2026-03-01
30240G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Central Vein, Open Approach… 10 3 — — $9,664.00 $363,283.00 $285,981.00 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
30233Y3 OTHER Transfusion Of Allogeneic Unrelated Hamatopoietic Stem Cells Into Peripheral Vei… 9 3 — — $12,082.00 $363,283.00 $291,606.00 2026-03-01
30230G3 OTHER Transfusion Of Allogeneic Unrelated Bone Marrow Into Peripheral Vein, Open Appro… 9 3 — — $12,082.00 $363,283.00 $291,606.00 2026-03-01
30230U3 OTHER Transfusion Of Allogeneic Unrelated T-cell Depleted Hematopoietic Stem Cells Int… 9 3 — — $12,082.00 $363,283.00 $291,606.00 2026-03-01
02YA0Z2 OTHER Transplantation Of Heart, Zooplastic, Open Approach 8 4 — — $17,488.00 $304,500.00 $247,307.00 2026-03-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc Pediatric 8 1 — — $76,103.85 $193,257.15 $160,080.84 2026-03-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc Pediatric 8 1 — — $55,140.13 $140,095.59 $115,984.64 2026-03-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc Pediatric 8 1 — — $50,633.65 $128,626.89 $106,505.48 2026-03-01
02YA0Z1 OTHER Transplantation Of Heart, Syngeneic, Open Approach 7 4 — — $17,488.00 $304,500.00 $244,189.00 2026-03-01
02YA0Z0 OTHER Transplantation Of Heart, Allogeneic, Open Approach 7 4 — — $17,488.00 $304,500.00 $244,189.00 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
90288 CPT Botulism Immune Globulin, Human, For Intravenous Use 6 1 — — $294,713.96 $416,525.16 $329,245.80 2026-03-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $120,606.76 $161,786.86 $147,159.85 2026-03-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 6 1 — — $111,669.08 $149,747.89 $136,254.42 2026-03-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc Pediatric 6 1 — — $100,826.98 $135,174.40 $123,025.30 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
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 6 1 — — $82,204.96 $110,251.62 $100,303.41 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
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
J3392 HCPCS Injection, Exagamglogene Autotemcel, Per Treatment 3 1 — — $3,847,800.00 $3,847,800.00 $3,847,800.00 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
00845 OTHER Inj, Atidarsagene Autotem 2 2 — — $4,369,850.00 $4,505,000.00 $4,437,425.00 2026-03-01
09138 OTHER Inj, Hemgenix, Per Tx Dos 2 2 — — $3,574,708.99 $3,685,267.00 $3,629,988.00 2026-03-01
00908 OTHER Topi Adm Prad Zami Per Tr 2 2 — — $3,235,745.40 $3,335,820.00 $3,285,782.70 2026-03-01
00714 OTHER Inj Delandistrogene Mox R 2 2 — — $3,228,024.20 $3,327,860.00 $3,277,942.10 2026-03-01
00748 OTHER Inj, Lovotibeglogene Auto 2 2 — — $3,154,932.76 $3,252,508.00 $3,203,720.38 2026-03-01
00906 OTHER Inj Elivaldogene Autoteme 2 2 — — $3,084,600.00 $3,180,000.00 $3,132,300.00 2026-03-01
00746 OTHER Inj, Betibeglogene Autote 2 2 — — $2,851,769.93 $2,939,969.00 $2,895,869.46 2026-03-01
09141 OTHER Inj Onase Abepar-xioi Tre 2 2 — — $2,511,311.57 $2,588,981.00 $2,550,146.29 2026-03-01
00824 OTHER Inj, Exagamglogene Autote 2 2 — — $2,262,040.00 $2,332,000.00 $2,297,020.00 2026-03-01
09498 OTHER Ciltacabtagene Car-pos T 2 2 — — $570,020.11 $587,649.60 $578,834.85 2026-03-01
09194 OTHER Tisagenlecleucel Car-pos 2 2 — — $549,535.36 $566,531.30 $558,033.33 2026-03-01
09413 OTHER Lisocabtagene Car Pos T 2 2 — — $545,335.16 $562,201.20 $553,768.18 2026-03-01
09422 OTHER Idecabtagene Vicleucel Ca 2 2 — — $541,339.35 $558,081.80 $549,710.57 2026-03-01
09035 OTHER Axicabtagene Ciloleucel C 2 2 — — $516,226.43 $532,192.20 $524,209.31 2026-03-01
09391 OTHER Brexucabtagene Car Pos T 2 2 — — $474,766.69 $489,450.20 $482,108.45 2026-03-01
00831 OTHER Obecbtge Autol Up To 400 2 2 — — $269,902.50 $278,250.00 $274,076.25 2026-03-01
30260X1 OTHER Transfusion Of Nonautologous Cord Blood Stem Cells Into Central Artery, Open App… 2 1 — — $244,860.00 $278,250.00 $261,555.00 2026-03-01
30253X1 OTHER Transfusion Of Nonautologous Cord Blood Stem Cells Into Peripheral Artery, Percu… 2 1 — — $244,860.00 $278,250.00 $261,555.00 2026-03-01
30263X1 OTHER Transfusion Of Nonautologous Cord Blood Stem Cells Into Central Artery, Percutan… 2 1 — — $244,860.00 $278,250.00 $261,555.00 2026-03-01
30250X1 OTHER Transfusion Of Nonautologous Cord Blood Stem Cells Into Peripheral Artery, Open … 2 1 — — $244,860.00 $278,250.00 $261,555.00 2026-03-01
00897 OTHER Revakinagene, Per Implant 2 2 — — $257,050.00 $265,000.00 $261,025.00 2026-03-01
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 2 2 — — $214,466.22 $221,099.20 $217,782.71 2026-03-01
00886 OTHER Inj. Remestemcel-l-rknd/ 2 2 — — $195,618.93 $201,669.00 $198,643.96 2026-03-01
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 2 2 — — $188,519.31 $194,349.80 $191,434.55 2026-03-01
01908 OTHER New Technology - Level 52 2 2 — — $142,262.92 $146,662.80 $144,462.86 2026-03-01
01907 OTHER New Technology - Level 52 2 2 — — $142,262.92 $146,662.80 $144,462.86 2026-03-01
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 2 2 — — $132,872.15 $136,981.60 $134,926.88 2026-03-01
01906 OTHER New Technology - Level 51 2 2 — — $128,269.89 $132,237.00 $130,253.45 2026-03-01
01905 OTHER New Technology - Level 51 2 2 — — $128,269.89 $132,237.00 $130,253.45 2026-03-01
01904 OTHER New Technology - Level 50 2 2 — — $114,276.86 $117,811.20 $116,044.03 2026-03-01
01903 OTHER New Technology - Level 50 2 2 — — $114,276.86 $117,811.20 $116,044.03 2026-03-01
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 2 2 — — $103,762.65 $106,971.80 $105,367.23 2026-03-01
01902 OTHER New Technology - Level 49 2 2 — — $100,283.84 $103,385.40 $101,834.62 2026-03-01
01901 OTHER New Technology - Level 49 2 2 — — $100,283.84 $103,385.40 $101,834.62 2026-03-01
30233X4 OTHER Transfusion Of Allogeneic Unspecified Cord Blood Stem Cells Into Peripheral Vein… 1 1 — — $244,860.00 $244,860.00 $244,860.00 2026-03-01
30240X4 OTHER Transfusion Of Allogeneic Unspecified Cord Blood Stem Cells Into Central Vein, O… 1 1 — — $244,860.00 $244,860.00 $244,860.00 2026-03-01
30243X4 OTHER Transfusion Of Allogeneic Unspecified Cord Blood Stem Cells Into Central Vein, P… 1 1 — — $244,860.00 $244,860.00 $244,860.00 2026-03-01
30230X4 OTHER Transfusion Of Allogeneic Unspecified Cord Blood Stem Cells Into Peripheral Vein… 1 1 — — $244,860.00 $244,860.00 $244,860.00 2026-03-01
02HA3QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA3RS OTHER Insertion Of Biventricular External Heart Assist System Into Heart, Percutaneous… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA4RS OTHER Insertion Of Biventricular External Heart Assist System Into Heart, Percutaneous… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA0RS OTHER Insertion Of Biventricular External Heart Assist System Into Heart, Open Approac… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA4QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Percutaneous Endoscopic… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02WA0QZ OTHER Revision Of Implantable Heart Assist System In Heart, Open Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA0RZ OTHER Insertion Of External Heart Assist System Into Heart, Open Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA0QZ OTHER Insertion Of Implantable Heart Assist System Into Heart, Open Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02WA4RZ OTHER Revision Of External Heart Assist System In Heart, Percutaneous Endoscopic Appro… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02WA3QZ OTHER Revision Of Implantable Heart Assist System In Heart, Percutaneous Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02WA3RZ OTHER Revision Of External Heart Assist System In Heart, Percutaneous Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02WA4QZ OTHER Revision Of Implantable Heart Assist System In Heart, Percutaneous Endoscopic Ap… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02HA4RZ OTHER Insertion Of External Heart Assist System Into Heart, Percutaneous Endoscopic Ap… 1 1 — — $116,595.00 $116,595.00 $116,595.00 2026-03-01
02WA0RZ OTHER Revision Of External Heart Assist System In Heart, Open Approach 1 1 — — $116,595.00 $116,595.00 $116,595.00 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
See an error in this hospital's data? Submit a correction