Hospital

Highlands Rehabilitation Hospital

El Paso, TX · CCN 453086 · Rates published

36,027 distinct procedures filed

61 distinct payers

1,803,610 rate rows

2026-03-01 last MRF observed

Data quality

1,714,419 of 1,803,610 rate rows are consumer-grade (95.1%)

89,191 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reason	Rows
template filing: same amount across many unrelated codes — excluded	55,928
no usable negotiated amount (only an out-of-band fallback) — excluded from medians	17,613
per-diem day rate — not a per-procedure price	15,295
placeholder amount (≤ $0.02) — excluded from medians	323
exceeds 10× this hospital's gross charge — excluded from medians	32

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

Source MRF file	https://stctrprodsnsvc00455826e6.blob.core.windows.net/pt-final-posting-files/74-2499952_DEL-SOL-REHAB-EAST_standardcharges.json?si=pt-json-access-policy&spr=https&sv=2024-11-04&sr=c&sig=o5IofreS%2F7ETlsnhPakPWCwHVVUZRobywQ5wUKGjVuQ%3D
Found on page	https://www.laspalmasdelsolhealthcare.com/cms-hpt.txt
Discovered via	Discovered by HANK (automated)
Last fetch	Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint	b5487a974758e88d… · 928,378,214 bytes · first seen 2026-05-15

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	22	$5,892.44	$4,955,500.00	$4,640,150.00	nat. median $9,966 outlier · 465.6×
00845 OTHER	Inj, Atidarsagene Autotem	1	$4,505,000.00	$4,505,000.00	$4,505,000.00	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	23	$3,611,561.66	$4,975,110.45	$3,795,825.01	nat. median $3,746,358 1.0× median
09138 OTHER	Inj, Hemgenix, Per Tx Dos	1	$3,685,267.00	$3,685,267.00	$3,685,267.00	nat. median $3,574,709 1.0× median
908 OTHER	Topi Adm Prad Zami Per Tr	24	$10,669.09	$4,503,357.00	$3,435,894.60	nat. median $22,747 outlier · 151.0×
714 OTHER	Inj Delandistrogene Mox R	25	$6,930.30	$4,492,611.00	$3,427,695.80	nat. median $13,041 outlier · 262.8×
748 OTHER	Inj, Lovotibeglogene Auto	25	$13,191.75	$4,390,885.80	$3,350,083.24	nat. median $17,963 outlier · 186.5×
00908 OTHER	Topi Adm Prad Zami Per Tr	1	$3,335,820.00	$3,335,820.00	$3,335,820.00	nat. median $12,675 outlier · 263.2×
00714 OTHER	Inj Delandistrogene Mox R	1	$3,327,860.00	$3,327,860.00	$3,327,860.00	nat. median $3,228,024 1.0× median
906 OTHER	Inj Elivaldogene Autoteme	24	$9,427.40	$4,929,000.00	$3,275,400.00	nat. median $20,756 outlier · 157.8×
00748 OTHER	Inj, Lovotibeglogene Auto	1	$3,252,508.00	$3,252,508.00	$3,252,508.00	nat. median $3,187,420 1.0× median
00906 OTHER	Inj Elivaldogene Autoteme	1	$3,180,000.00	$3,180,000.00	$3,180,000.00	nat. median $21 outlier · 153697.4×
746 OTHER	Inj, Betibeglogene Autote	25	$12,202.51	$4,556,951.95	$3,057,567.76	nat. median $21,896 outlier · 139.6×
00746 OTHER	Inj, Betibeglogene Autote	1	$2,939,969.00	$2,939,969.00	$2,939,969.00	nat. median $2,878,960 1.0× median
9141 OTHER	Inj Onase Abepar-xioi Tre	23	$2,537,201.38	$4,012,920.55	$2,666,650.43	nat. median $2,588,981 1.0× median
09141 OTHER	Inj Onase Abepar-xioi Tre	1	$2,588,981.00	$2,588,981.00	$2,588,981.00	nat. median $2,457,321 1.1× median
824 OTHER	Inj, Exagamglogene Autote	26	$14,288.83	$4,780,600.00	$2,401,960.00	nat. median $25,250 outlier · 95.1×
00824 OTHER	Inj, Exagamglogene Autote	1	$2,332,000.00	$2,332,000.00	$2,332,000.00	nat. median $2,332,000 1.0× median
Q2057 HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	2	$1,113,880.32	$1,905,321.60	$1,722,117.60	nat. median $824,563 outlier · 2.1×
Q2058 HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells,…	2	$459,112.50	$1,375,920.00	$1,243,620.00	nat. median $324,450 outlier · 3.8×
Q2056 HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	4	$553,169.00	$1,204,164.00	$969,621.79	nat. median $675,122 1.4× median
Q2054 HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	4	$516,442.00	$1,062,512.88	$927,632.05	nat. median $674,188 1.4× median
Q2055 HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	4	$527,622.00	$1,086,337.20	$920,834.85	nat. median $625,184 1.5× median
2067 OTHER	Afamitresgene Autoleucel	26	$755,207.60	$1,579,771.00	$809,151.00	nat. median $786,032 1.0× median
Q2053 HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	4	$489,399.00	$965,920.80	$807,592.83	nat. median $620,080 1.3× median
Q2042 HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	4	$578,771.00	$998,894.00	$788,832.50	nat. median $754,974 1.0× median
Q2041 HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	5	$502,841.00	$921,310.00	$712,075.50	nat. median $634,511 1.1× median
C9301 HCPCS	Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc…	1	$422,940.00	$723,450.00	$653,887.50	nat. median $459,112 1.4× median
9498 OTHER	Ciltacabtagene Car-pos T	25	$575,896.61	$1,204,681.68	$611,155.58	nat. median $587,650 1.0× median
9194 OTHER	Tisagenlecleucel Car-pos	25	$555,200.67	$1,161,389.17	$589,192.55	nat. median $566,531 1.0× median
09498 OTHER	Ciltacabtagene Car-pos T	1	$587,649.60	$587,649.60	$587,649.60	nat. median $554,552 1.1× median
9413 OTHER	Lisocabtagene Car Pos T	25	$550,957.18	$1,152,512.46	$584,689.25	nat. median $562,201 1.0× median
9422 OTHER	Idecabtagene Vicleucel Ca	25	$546,920.16	$1,144,067.69	$580,405.07	nat. median $558,082 1.0× median
09194 OTHER	Tisagenlecleucel Car-pos	1	$566,531.30	$566,531.30	$566,531.30	nat. median $538,205 1.1× median
09413 OTHER	Lisocabtagene Car Pos T	1	$562,201.20	$562,201.20	$562,201.20	nat. median $534,091 1.1× median
09422 OTHER	Idecabtagene Vicleucel Ca	1	$558,081.80	$558,081.80	$558,081.80	nat. median $530,178 1.1× median
9035 OTHER	Axicabtagene Ciloleucel C	25	$521,548.36	$1,090,994.01	$553,479.89	nat. median $532,192 1.0× median
09035 OTHER	Axicabtagene Ciloleucel C	1	$532,192.20	$532,192.20	$532,192.20	nat. median $505,583 1.1× median
9391 OTHER	Brexucabtagene Car Pos T	25	$479,661.20	$1,003,372.91	$509,028.21	nat. median $489,450 1.0× median
09391 OTHER	Brexucabtagene Car Pos T	1	$489,450.20	$489,450.20	$489,450.20	nat. median $464,978 1.1× median
18 MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	21	$318,299.85	$644,546.47	$371,349.83	nat. median $370,174 1.0× median
5834 APR_DRG	Neonate With Ecmo	10	$345,402.06	$431,752.58	$345,402.06	nat. median $309,665 1.1× median
74 APR_DRG	Allogeneic Bone Marrow Transplant	10	$336,007.44	$588,013.00	$336,007.44	nat. median $187,294 1.8× 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
24 APR_DRG	Heart And/or Lung Transplant	11	$281,351.48	$492,365.00	$292,605.53	nat. median $234,738 1.2× median
5833 APR_DRG	Neonate With Ecmo	10	$292,473.77	$365,592.21	$292,473.77	nat. median $244,017 1.2× median
831 OTHER	Obecbtge Autol Up To 400	26	$4,034.88	$570,412.50	$286,597.50	nat. median $12,362 outlier · 23.2×

Other procedures at this hospital

Browse this hospital's 36,027 published procedures. Use the slice to choose what to show, then sort or filter any column.

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code	Type	Description	Rate rows	Payers	Gross	Cash	Min $	Max $	Avg median	Last observed

9138	OTHER	Inj, Hemgenix, Per Tx Dos	37	23	—	—	$3,611,561.66	$4,975,110.45	$3,795,825.01	2026-03-01
845	OTHER	Inj, Atidarsagene Autotem	36	22	—	—	$5,892.44	$4,955,500.00	$4,640,150.00	2026-03-01
906	OTHER	Inj Elivaldogene Autoteme	39	24	—	—	$9,427.40	$4,929,000.00	$3,275,400.00	2026-03-01
J3393	HCPCS	Injection, Betibeglogene Autotemcel, Per Treatment	2	1	—	—	$4,850,948.67	$4,850,948.67	$4,850,948.67	2026-03-01
824	OTHER	Inj, Exagamglogene Autote	41	26	—	—	$14,288.83	$4,780,600.00	$2,401,960.00	2026-03-01
746	OTHER	Inj, Betibeglogene Autote	42	25	—	—	$12,202.51	$4,556,951.95	$3,057,567.76	2026-03-01
00845	OTHER	Inj, Atidarsagene Autotem	1	1	—	—	$4,505,000.00	$4,505,000.00	$4,505,000.00	2026-03-01
908	OTHER	Topi Adm Prad Zami Per Tr	38	24	—	—	$10,669.09	$4,503,357.00	$3,435,894.60	2026-03-01
714	OTHER	Inj Delandistrogene Mox R	41	25	—	—	$6,930.30	$4,492,611.00	$3,427,695.80	2026-03-01
748	OTHER	Inj, Lovotibeglogene Auto	41	25	—	—	$13,191.75	$4,390,885.80	$3,350,083.24	2026-03-01
J3399	HCPCS	Injection, Onasemnogene Abeparvovec-xioi, Per Treatment, Up To 5x10°15 Vector Ge…	2	1	—	—	$4,271,819.03	$4,271,819.03	$4,271,819.03	2026-03-01
9141	OTHER	Inj Onase Abepar-xioi Tre	38	23	—	—	$2,537,201.38	$4,012,920.55	$2,666,650.43	2026-03-01
J3392	HCPCS	Injection, Exagamglogene Autotemcel, Per Treatment	2	1	—	—	$3,847,800.00	$3,847,800.00	$3,847,800.00	2026-03-01
09138	OTHER	Inj, Hemgenix, Per Tx Dos	1	1	—	—	$3,685,267.00	$3,685,267.00	$3,685,267.00	2026-03-01
00908	OTHER	Topi Adm Prad Zami Per Tr	1	1	—	—	$3,335,820.00	$3,335,820.00	$3,335,820.00	2026-03-01
00714	OTHER	Inj Delandistrogene Mox R	1	1	—	—	$3,327,860.00	$3,327,860.00	$3,327,860.00	2026-03-01
00748	OTHER	Inj, Lovotibeglogene Auto	1	1	—	—	$3,252,508.00	$3,252,508.00	$3,252,508.00	2026-03-01
00906	OTHER	Inj Elivaldogene Autoteme	1	1	—	—	$3,180,000.00	$3,180,000.00	$3,180,000.00	2026-03-01
00746	OTHER	Inj, Betibeglogene Autote	1	1	—	—	$2,939,969.00	$2,939,969.00	$2,939,969.00	2026-03-01
09141	OTHER	Inj Onase Abepar-xioi Tre	1	1	—	—	$2,588,981.00	$2,588,981.00	$2,588,981.00	2026-03-01
00824	OTHER	Inj, Exagamglogene Autote	1	1	—	—	$2,332,000.00	$2,332,000.00	$2,332,000.00	2026-03-01
Q2057	HCPCS	Afamitresgene Autoleucel, Including Leukapheresis And Dose Preparation Procedure…	7	2	—	—	$1,113,880.32	$1,905,321.60	$1,722,117.60	2026-03-01
2067	OTHER	Afamitresgene Autoleucel	43	26	—	—	$755,207.60	$1,579,771.00	$809,151.00	2026-03-01
Q2058	HCPCS	Obecabtagene Autoleucel, 10 Up To 400 Million Cd19 Car-positive Viable T Cells, …	7	2	—	—	$459,112.50	$1,375,920.00	$1,243,620.00	2026-03-01
9498	OTHER	Ciltacabtagene Car-pos T	40	25	—	—	$575,896.61	$1,204,681.68	$611,155.58	2026-03-01
Q2056	HCPCS	Ciltacabtagene Autoleucel, Up To 100 Million Autologous B-cell Maturation Antige…	11	4	—	—	$553,169.00	$1,204,164.00	$969,621.79	2026-03-01
9194	OTHER	Tisagenlecleucel Car-pos	40	25	—	—	$555,200.67	$1,161,389.17	$589,192.55	2026-03-01
9413	OTHER	Lisocabtagene Car Pos T	40	25	—	—	$550,957.18	$1,152,512.46	$584,689.25	2026-03-01
9422	OTHER	Idecabtagene Vicleucel Ca	40	25	—	—	$546,920.16	$1,144,067.69	$580,405.07	2026-03-01
9035	OTHER	Axicabtagene Ciloleucel C	40	25	—	—	$521,548.36	$1,090,994.01	$553,479.89	2026-03-01
Q2055	HCPCS	Idecabtagene Vicleucel, Up To 510 Million Autologous B-cell Maturation Antigen (…	11	4	—	—	$527,622.00	$1,086,337.20	$920,834.85	2026-03-01
Q2054	HCPCS	Lisocabtagene Maraleucel, Up To 110 Million Autologous Anti-cd19 Car-positive Vi…	11	4	—	—	$516,442.00	$1,062,512.88	$927,632.05	2026-03-01
9391	OTHER	Brexucabtagene Car Pos T	40	25	—	—	$479,661.20	$1,003,372.91	$509,028.21	2026-03-01
Q2042	HCPCS	Tisagenlecleucel, Up To 600 Million Car-positive Viable T Cells, Including Leuka…	13	4	—	—	$578,771.00	$998,894.00	$788,832.50	2026-03-01
Q2053	HCPCS	Brexucabtagene Autoleucel, Up To 200 Million Autologous Anti-cd19 Car Positive V…	11	4	—	—	$489,399.00	$965,920.80	$807,592.83	2026-03-01
Q2041	HCPCS	Axicabtagene Ciloleucel, Up To 200 Million Autologous Anti-cd19 Car Positive Via…	16	5	—	—	$502,841.00	$921,310.00	$712,075.50	2026-03-01
C9301	HCPCS	Obecabtagene Autoleucel, Up To 400 Million Cd19 Car-positive Viable T Cells, Inc…	5	1	—	—	$422,940.00	$723,450.00	$653,887.50	2026-03-01
18	MS_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	34	21	—	—	$318,299.85	$644,546.47	$371,349.83	2026-03-01
74	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$336,007.44	$588,013.00	$336,007.44	2026-03-01
09498	OTHER	Ciltacabtagene Car-pos T	1	1	—	—	$587,649.60	$587,649.60	$587,649.60	2026-03-01
831	OTHER	Obecbtge Autol Up To 400	41	26	—	—	$4,034.88	$570,412.50	$286,597.50	2026-03-01
09194	OTHER	Tisagenlecleucel Car-pos	1	1	—	—	$566,531.30	$566,531.30	$566,531.30	2026-03-01
09413	OTHER	Lisocabtagene Car Pos T	1	1	—	—	$562,201.20	$562,201.20	$562,201.20	2026-03-01
09422	OTHER	Idecabtagene Vicleucel Ca	1	1	—	—	$558,081.80	$558,081.80	$558,081.80	2026-03-01
897	OTHER	Revakinagene, Per Implant	40	25	—	—	$259,700.00	$543,250.00	$275,600.00	2026-03-01
248063	CDM	Kit Cath Rt Heart	52	34	$563,750.00	$563,750.00	$31,570.00	$535,562.50	$265,808.12	2026-03-01
09035	OTHER	Axicabtagene Ciloleucel C	1	1	—	—	$532,192.20	$532,192.20	$532,192.20	2026-03-01
927	MS_DRG	Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft	56	28	—	—	$10,949.00	$516,212.39	$182,710.10	2026-03-01
3	MS_DRG	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	65	29	—	—	$80,627.00	$513,182.89	$184,290.64	2026-03-01
24	APR_DRG	Heart And/or Lung Transplant	12	11	—	—	$281,351.48	$492,365.00	$292,605.53	2026-03-01
09391	OTHER	Brexucabtagene Car Pos T	1	1	—	—	$489,450.20	$489,450.20	$489,450.20	2026-03-01
1	MS_DRG	Heart Transplant Or Implant Of Heart Assist System With Mcc	46	24	—	—	$129,000.00	$461,351.40	$235,289.21	2026-03-01
C1767	HCPCS	Gen Nrstm 45x32x6.9mm	592	25	$236,913.00	$236,913.00	$6,391.44	$434,597.45	$111,966.47	2026-03-01
5834	APR_DRG	Neonate With Ecmo	11	10	—	—	$345,402.06	$431,752.58	$345,402.06	2026-03-01
J9029	HCPCS	Intravesical Instillation, Nadofaragene Firadenovec-vncg, Per Therapeutic Dose	11	4	—	—	$63,235.60	$416,000.00	$106,053.40	2026-03-01
886	OTHER	Inj. Remestemcel-l-rknd/	41	26	—	—	$8,828.99	$413,421.45	$207,719.07	2026-03-01
L8614	HCPCS	Cochlear Device, Includes All Internal And External Components	112	47	$434,419.50	$434,419.50	$23,221.59	$412,699.95	$89,055.99	2026-03-01
5833	APR_DRG	Neonate With Ecmo	11	10	—	—	$292,473.77	$365,592.21	$292,473.77	2026-03-01
437822	CDM	Valve Tavor Aor 23mm	37	25	$377,700.00	$377,700.00	$40,791.60	$358,815.00	$188,850.00	2026-03-01
471441	CDM	Valve Tavor Aor 34mm	37	25	$377,700.00	$377,700.00	$40,791.60	$358,815.00	$188,850.00	2026-03-01
471443	CDM	Valve Tavor Aor 26mm	37	25	$377,700.00	$377,700.00	$40,791.60	$358,815.00	$188,850.00	2026-03-01
471442	CDM	Valve Tavor Aor 29mm	37	25	$377,700.00	$377,700.00	$40,791.60	$358,815.00	$188,850.00	2026-03-01
4	MS_DRG	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	65	29	—	—	$104,119.29	$334,899.15	$121,472.51	2026-03-01
J3402	HCPCS	Injection, Remestemcel-l-rknd, Per Therapeutic Dose	2	1	—	—	$332,753.88	$332,753.88	$332,753.88	2026-03-01
254667	CDM	Cath Vasc Assist Strl	52	34	$343,750.00	$343,750.00	$19,250.00	$326,562.50	$162,078.12	2026-03-01
265596	CDM	Kit Lo Prfl Comp Shth 7f	52	34	$343,750.00	$343,750.00	$19,250.00	$326,562.50	$162,078.12	2026-03-01
426	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	58	30	—	—	$83,452.87	$312,715.53	$97,361.68	2026-03-01
1908	OTHER	New Technology - Level 52	43	26	—	—	$146,948.65	$307,392.58	$157,444.98	2026-03-01
1907	OTHER	New Technology - Level 52	43	26	—	—	$146,948.65	$307,392.58	$157,444.98	2026-03-01
00831	OTHER	Obecbtge Autol Up To 400	1	1	—	—	$278,250.00	$278,250.00	$278,250.00	2026-03-01
1905	OTHER	New Technology - Level 51	43	26	—	—	$132,494.73	$277,157.34	$141,958.64	2026-03-01
1906	OTHER	New Technology - Level 51	43	26	—	—	$132,494.73	$277,157.34	$141,958.64	2026-03-01
C1824	HCPCS	Gen Pls Card Mod Sys	74	25	$259,965.00	$259,965.00	$24,878.88	$275,091.50	$130,306.50	2026-03-01
5884	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$218,633.83	$273,292.29	$218,633.83	2026-03-01
1614	APR_DRG	Implantable Heart Assist Systems	12	11	—	—	$212,308.45	$265,385.56	$220,800.93	2026-03-01
00897	OTHER	Revakinagene, Per Implant	1	1	—	—	$265,000.00	$265,000.00	$265,000.00	2026-03-01
212	MS_DRG	Concomitant Aortic And Mitral Valve Procedures	59	31	—	—	$10,949.00	$262,913.99	$96,108.53	2026-03-01
462517	CDM	Kit Implant Crnmxf Xlg	37	25	$275,659.00	$275,659.00	$29,771.17	$261,876.05	$137,829.50	2026-03-01
473202	CDM	Set Pump Asst 2.5in	52	34	$275,000.00	$275,000.00	$15,400.00	$261,250.00	$129,662.50	2026-03-01
850	MS_DRG	Acute Leukemia With Other Procedures	58	30	—	—	$10,949.00	$257,091.90	$77,242.11	2026-03-01
429	MS_DRG	Combined Anterior And Posterior Cervical Spinal Fusion With Mcc	58	30	—	—	$68,763.99	$255,638.39	$80,224.65	2026-03-01
94	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	12	11	—	—	$198,899.59	$248,624.49	$201,883.29	2026-03-01
1903	OTHER	New Technology - Level 50	43	26	—	—	$118,040.80	$246,922.09	$126,472.29	2026-03-01
1904	OTHER	New Technology - Level 50	43	26	—	—	$118,040.80	$246,922.09	$126,472.29	2026-03-01
215	MS_DRG	Other Heart Assist System Implant	66	31	—	—	$52,547.00	$244,353.05	$88,295.64	2026-03-01
20	MS_DRG	Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc	68	30	—	—	$60,433.76	$239,229.19	$70,841.79	2026-03-01
456	MS_DRG	Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex…	68	30	—	—	$64,337.45	$238,438.07	$75,060.36	2026-03-01
018	OTHER	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	1	1	—	—	$237,905.20	$237,905.20	$237,905.20	2026-03-01
216	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	67	32	—	—	$35,280.00	$236,528.54	$86,811.62	2026-03-01
Q0480	HCPCS	Driver For Use With Pneumatic Ventricular Assist Device, Replacement Only	44	27	—	—	$109,262.16	$228,558.60	$117,066.60	2026-03-01
C1820	HCPCS	Ipg Nrstm 5.55cm 4.95cm	681	34	$193,959.00	$193,959.00	$833.06	$223,482.75	$86,399.10	2026-03-01
C2624	HCPCS	System Mntr 2x15mm 4.5cm	37	25	$232,915.00	$232,915.00	$25,154.82	$221,269.25	$116,457.50	2026-03-01
877388	CDM	Kit Pt Specific Tmj Comp	37	25	$232,664.00	$232,664.00	$25,127.71	$221,030.80	$116,332.00	2026-03-01
424881	CDM	Graft Stnt 38mm 207mm	37	25	$229,548.00	$229,548.00	$24,791.18	$218,070.60	$114,774.00	2026-03-01
C1882	HCPCS	Crt-d Hf-t Df4	407	25	$191,700.00	$191,700.00	$12,837.74	$218,000.30	$91,701.00	2026-03-01
7	MS_DRG	Lung Transplant	44	24	—	—	$97,538.58	$216,752.40	$113,795.01	2026-03-01
1901	OTHER	New Technology - Level 49	43	26	—	—	$103,586.88	$216,686.84	$110,985.94	2026-03-01
1902	OTHER	New Technology - Level 49	43	26	—	—	$103,586.88	$216,686.84	$110,985.94	2026-03-01
229036	CDM	Occluder Cardiac Lt 16mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229031	CDM	Occluder Cardiac Lt 18mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229026	CDM	Occluder Cardiac Lt 2mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229028	CDM	Occluder Cardiac Lt 2mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229025	CDM	Occluder Cardiac Lt 31mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229023	CDM	Occluder Cardiac Lt 34mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229029	CDM	Occluder Cardiac Lt 22mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
229030	CDM	Occluder Cardiac Lt 20mm	37	25	$226,620.00	$226,620.00	$24,474.96	$215,289.00	$113,310.00	2026-03-01
C1823	HCPCS	Generator Pulse Implnt	74	25	$185,685.00	$185,685.00	$15,707.52	$214,633.50	$89,445.60	2026-03-01
453	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Mcc Pediatric	5	1	—	—	$110,283.56	$212,637.88	$181,995.90	2026-03-01
422236	CDM	Generator Nrstm 7 Ipg	37	25	$222,781.00	$222,781.00	$24,060.35	$211,641.95	$111,390.50	2026-03-01
339477	CDM	Graft Evas 40x40x10cm	37	25	$221,584.00	$221,584.00	$23,931.07	$210,504.80	$110,792.00	2026-03-01
473088	CDM	Stent 20fr 31x31mm 10cm	37	25	$221,584.00	$221,584.00	$23,931.07	$210,504.80	$110,792.00	2026-03-01
483550	CDM	Stnt Thorac 26x26mm 10cm	37	25	$221,584.00	$221,584.00	$23,931.07	$210,504.80	$110,792.00	2026-03-01
473093	CDM	Stent Gft Thor Act 37x37	37	25	$221,584.00	$221,584.00	$23,931.07	$210,504.80	$110,792.00	2026-03-01
001	OTHER	Heart Transplant Or Implant Of Heart Assist System With Mcc	1	1	—	—	$209,122.50	$209,122.50	$209,122.50	2026-03-01
73	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$118,564.19	$207,487.00	$118,564.19	2026-03-01
427	MS_DRG	Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit…	58	30	—	—	$55,685.94	$204,820.56	$64,966.93	2026-03-01
231	MS_DRG	Coronary Bypass With Ptca With Mcc	67	32	—	—	$27,563.00	$203,818.12	$75,286.12	2026-03-01
6304	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	10	—	—	$162,678.15	$203,347.69	$162,678.15	2026-03-01
480582	CDM	Device Clsr 20mm	37	25	$214,030.00	$214,030.00	$23,115.24	$203,328.50	$107,015.00	2026-03-01
480580	CDM	Device Clsr 27mm	37	25	$214,030.00	$214,030.00	$23,115.24	$203,328.50	$107,015.00	2026-03-01
480577	CDM	Device Clsr 35mm	37	25	$214,030.00	$214,030.00	$23,115.24	$203,328.50	$107,015.00	2026-03-01
480578	CDM	Device Clsr 31mm	37	25	$214,030.00	$214,030.00	$23,115.24	$203,328.50	$107,015.00	2026-03-01
480581	CDM	Device Clsr 24mm	37	25	$214,030.00	$214,030.00	$23,115.24	$203,328.50	$107,015.00	2026-03-01
00886	OTHER	Inj. Remestemcel-l-rknd/	1	1	—	—	$201,669.00	$201,669.00	$201,669.00	2026-03-01
14	MS_DRG	Allogeneic Bone Marrow Transplant	44	24	—	—	$90,730.89	$201,624.20	$105,852.71	2026-03-01
6094	APR_DRG	Neonate Birth Weight 1500-2499 Grams With Major Procedure	11	10	—	—	$161,236.53	$201,545.66	$161,236.53	2026-03-01
2	MS_DRG	Heart Transplant Or Implant Of Heart Assist System Without Mcc	46	24	—	—	$85,720.90	$200,000.00	$100,007.72	2026-03-01
33270	CPT	Ins/rpl Sq Defib With Elec	53	34	$206,720.00	$206,720.00	$948.00	$196,384.00	$67,793.54	2026-03-01
K1007	HCPCS	Bilateral Hip, Knee, Ankle, Foot Device, Powered, Includes Pelvic Component, Sin…	49	27	—	—	$93,179.38	$194,916.05	$99,835.05	2026-03-01
253234	CDM	Cath Ablat Rf 100cm	52	34	$204,188.00	$204,188.00	$11,434.53	$193,978.60	$96,274.64	2026-03-01
880409	CDM	Set Implant Peek Crnl	37	25	$203,014.00	$203,014.00	$21,925.51	$192,863.30	$101,507.00	2026-03-01
452473	CDM	Pump Controls Urn Sys	37	25	$201,818.00	$201,818.00	$21,796.34	$191,727.10	$100,909.00	2026-03-01
1599	OTHER	New Technology - Level 48	43	26	—	—	$91,542.00	$191,490.91	$98,080.71	2026-03-01
1585	OTHER	New Technology - Level 48	43	26	—	—	$91,542.00	$191,490.91	$98,080.71	2026-03-01
852767	CDM	Stent Eprsth 40mm 15cm	37	25	$199,867.00	$199,867.00	$21,585.64	$189,873.65	$99,933.50	2026-03-01
E0767	HCPCS	Intrabuccal, Systemic Delivery Of Amplitude-modulated, Radiofrequency Electromag…	5	1	—	—	$110,844.09	$188,817.17	$170,470.57	2026-03-01
219	MS_DRG	Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter…	67	32	—	—	$30,870.00	$186,477.04	$68,883.16	2026-03-01
C2616	HCPCS	Brachytx Ns Yttrium 90	36	22	$196,186.00	$196,186.00	$17,929.00	$186,376.70	$94,169.28	2026-03-01
233	MS_DRG	Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc	65	30	—	—	$58,801.01	$184,845.65	$68,601.18	2026-03-01
957	MS_DRG	Other O.r. Procedures For Multiple Significant Trauma With Mcc	68	30	—	—	$58,616.27	$184,233.94	$68,711.29	2026-03-01
222	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	5	1	—	—	$95,435.85	$184,009.99	$157,493.41	2026-03-01
5832	APR_DRG	Neonate With Ecmo	11	10	—	—	$145,733.00	$182,166.25	$145,733.00	2026-03-01
868358	CDM	Cannula Perf 24mm 26fr	52	34	$191,700.00	$191,700.00	$10,735.20	$182,115.00	$90,386.55	2026-03-01
875507	CDM	Cannula W Dilatr 20d Ang	52	34	$191,700.00	$191,700.00	$10,735.20	$182,115.00	$90,386.55	2026-03-01
875506	CDM	Can Prfsn 22fr Vsn 20d	52	34	$191,700.00	$191,700.00	$10,735.20	$182,115.00	$90,386.55	2026-03-01
227284	CDM	Kit Device Guided 3cm	52	34	$191,700.00	$191,700.00	$10,735.20	$182,115.00	$90,386.55	2026-03-01
480381	CDM	Implant Crnl Custm	37	25	$189,692.00	$189,692.00	$20,486.74	$180,207.40	$94,846.00	2026-03-01
872929	CDM	Kit Implant Crnmxf Med	37	25	$188,611.00	$188,611.00	$20,369.99	$179,180.45	$94,305.50	2026-03-01
14	APR_DRG	Liver Transplant And/or Intestinal Transplant	12	11	—	—	$100,785.00	$176,374.00	$104,816.62	2026-03-01
84	APR_DRG	Autologous Bone Marrow Transplant	11	10	—	—	$100,381.16	$175,667.00	$100,381.16	2026-03-01
880563	CDM	Impl Crnl Cstm Xl Peek	37	25	$184,388.00	$184,388.00	$19,913.90	$175,168.60	$92,194.00	2026-03-01
224	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	5	1	—	—	$90,251.76	$174,014.53	$148,938.33	2026-03-01
5	MS_DRG	Liver Transplant With Mcc Or Intestinal Transplant	46	24	—	—	$78,263.28	$173,918.40	$91,307.16	2026-03-01
114	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	10	—	—	$138,383.02	$172,978.77	$138,383.02	2026-03-01
444375	CDM	Kit Impl Crnl Cstm Lg	37	25	$181,659.00	$181,659.00	$19,619.17	$172,576.05	$90,829.50	2026-03-01
233599	CDM	Device Embl 3.25mm 16mm	37	25	$181,108.00	$181,108.00	$19,559.66	$172,052.60	$90,554.00	2026-03-01
1598	OTHER	New Technology - Level 47	43	26	—	—	$81,906.04	$171,334.06	$87,756.47	2026-03-01
1584	OTHER	New Technology - Level 47	43	26	—	—	$81,906.04	$171,334.06	$87,756.47	2026-03-01
572470	CDM	Plate Cranial Lf Ft	37	25	$179,031.00	$179,031.00	$19,335.35	$170,079.45	$89,515.50	2026-03-01
209	MS_DRG	Complex Aortic Arch Procedures	55	28	—	—	$14,158.00	$168,944.41	$97,042.78	2026-03-01
204057	CDM	Valv Aor Bvn Pricrd 27mm	37	25	$176,260.00	$176,260.00	$19,036.08	$167,447.00	$88,130.00	2026-03-01
484234	CDM	Valve Aor 25mm	37	25	$176,260.00	$176,260.00	$19,036.08	$167,447.00	$88,130.00	2026-03-01
427515	CDM	Impl Crnl Pmma Cstm Xl	37	25	$171,583.00	$171,583.00	$18,530.96	$163,003.85	$85,791.50	2026-03-01
724413	CDM	Cage Spnl 35-52mm 22mm V	37	25	$170,006.00	$170,006.00	$18,360.65	$161,505.70	$85,003.00	2026-03-01
64	APR_DRG	Pancreas Transplant	12	11	—	—	$92,258.53	$161,452.00	$95,948.88	2026-03-01
2004	APR_DRG	Cardiac Structural And Valvular Disorders	11	10	—	—	$128,595.94	$160,744.92	$128,595.94	2026-03-01
5831	APR_DRG	Neonate With Ecmo	11	10	—	—	$128,320.80	$160,401.00	$128,320.80	2026-03-01
J9266	HCPCS	Pegaspargase Singl Vial	46	28	$168,804.00	$168,804.00	$9,453.02	$160,363.80	$75,961.80	2026-03-01
873576	CDM	Patch Wndcls 40x20cm	52	34	$168,696.00	$168,696.00	$9,446.98	$160,261.20	$79,540.17	2026-03-01
747118	CDM	Graft Bn Fem Hemi Cndyl	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
481638	CDM	Graft Evas 34x34x10cm	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
871257	CDM	Impl Crnl Pmma Cstm Sm	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
263465	CDM	Plate Cranial Lg	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
861162	CDM	Graft Ostchnd Tochlr Lt	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
462971	CDM	Implant Crnl Sz18	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
436688	CDM	Graft Cartiform 25x20mm	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
872152	CDM	Kit Implant Crnmxf Lg	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
285902	CDM	Implant Crnl 22.0mm	37	25	$167,724.00	$167,724.00	$18,114.19	$159,337.80	$83,862.00	2026-03-01
Q2043	HCPCS	Sipuleucel-t, Minimum Of 50 Million Autologous Cd54+ Cells Activated With Pap-gm…	11	4	—	—	$57,017.10	$158,309.29	$89,766.78	2026-03-01
455211	CDM	Implant Crnl Ips Ti Ns	37	25	$166,023.00	$166,023.00	$17,930.48	$157,721.85	$83,011.50	2026-03-01
459	MS_DRG	Spinal Fusion Except Cervical With Mcc Pediatric	5	1	—	—	$80,822.20	$155,833.39	$133,377.17	2026-03-01
93654	CPT	Ep Repos Ele Vt 3d Map	45	28	$161,324.00	$161,324.00	$5,591.00	$153,257.80	$72,595.80	2026-03-01
744885	CDM	Cage Spnl 28mm 12mm	37	25	$160,650.00	$160,650.00	$17,350.20	$152,617.50	$80,325.00	2026-03-01
226	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc Pediatric	5	1	—	—	$78,799.70	$151,933.80	$130,039.52	2026-03-01
424321	CDM	Liner R3 Constrain 46mm	37	25	$159,775.00	$159,775.00	$17,255.70	$151,786.25	$79,887.50	2026-03-01
873379	CDM	Kit Implant Unilat Tmj M	37	25	$159,315.00	$159,315.00	$17,206.02	$151,349.25	$79,657.50	2026-03-01
1583	OTHER	New Technology - Level 46	43	26	—	—	$72,270.09	$151,177.23	$77,432.24	2026-03-01
1597	OTHER	New Technology - Level 46	43	26	—	—	$72,270.09	$151,177.23	$77,432.24	2026-03-01
37227	CPT	Rvs O Or P Fem/pop Stnt	86	34	$156,597.00	$156,597.00	$8,541.66	$148,767.15	$70,468.65	2026-03-01
37231	CPT	Stent/ath/tib/peron Ini	86	34	$156,597.00	$156,597.00	$8,541.66	$148,767.15	$70,468.65	2026-03-01
877605	CDM	Compnt Shldr Sz2 Mtphs	37	25	$155,247.00	$155,247.00	$16,766.68	$147,484.65	$77,623.50	2026-03-01
003	OTHER	Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth…	1	1	—	—	$147,393.80	$147,393.80	$147,393.80	2026-03-01
424421	CDM	Stem Humeral 130mm 13mm	37	25	$154,699.00	$154,699.00	$16,707.49	$146,964.05	$77,349.50	2026-03-01
5883	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$117,311.76	$146,639.70	$117,311.76	2026-03-01
5882	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$116,775.58	$145,969.48	$116,775.58	2026-03-01
44	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	10	—	—	$116,473.62	$145,592.02	$116,473.62	2026-03-01
471473	CDM	Frame Exfx 180mm	52	34	$152,939.00	$152,939.00	$8,564.58	$145,292.05	$72,110.74	2026-03-01
8414	APR_DRG	Extensive Third Degree Burns With Skin Graft	11	10	—	—	$115,972.92	$144,966.15	$115,972.92	2026-03-01
624666	CDM	Rod Spn 3d Axial	37	25	$151,106.00	$151,106.00	$16,319.45	$143,550.70	$75,553.00	2026-03-01
6314	APR_DRG	Neonate Birth Weight > 2499 Grams With Other Major Procedure	11	10	—	—	$114,814.62	$143,518.27	$114,814.62	2026-03-01
276804	CDM	Impl Ips Mndb Crib Mesh	37	25	$150,890.00	$150,890.00	$16,296.12	$143,345.50	$75,445.00	2026-03-01
01907	OTHER	New Technology - Level 52	1	1	—	—	$143,194.90	$143,194.90	$143,194.90	2026-03-01
01908	OTHER	New Technology - Level 52	1	1	—	—	$143,194.90	$143,194.90	$143,194.90	2026-03-01
422684	CDM	Icd Iperia 7 Vr-t Dx Hm	37	25	$150,466.00	$150,466.00	$16,250.33	$142,942.70	$75,233.00	2026-03-01
221425	CDM	Frame Ex Fix Foot 180mm	52	34	$149,929.00	$149,929.00	$8,396.02	$142,432.55	$70,691.52	2026-03-01
157508	CDM	Valve Pulmonary >23mm	37	25	$149,821.00	$149,821.00	$16,180.67	$142,329.95	$74,910.50	2026-03-01
A9543	HCPCS	Yttrium Y-90 Ibritumomab Tiuxetan, Therapeutic, Per Treatment Dose, Up To 40 Mil…	10	3	—	—	$76,999.04	$141,791.81	$93,760.51	2026-03-01
L8702	HCPCS	Powered Upper Extremity Range Of Motion Assist Device, Elbow, Wrist, Hand, Finge…	44	27	—	—	$67,425.67	$141,043.48	$72,241.79	2026-03-01
454	MS_DRG	Combined Anterior And Posterior Spinal Fusion With Cc Pediatric	5	1	—	—	$73,135.48	$141,012.61	$120,692.12	2026-03-01
231830	CDM	Device Trgt Thrd Pst Gam	52	34	$147,837.00	$147,837.00	$8,278.87	$140,445.15	$69,705.15	2026-03-01
423241	CDM	Model Lf Vsp Bndl Recon	52	34	$147,264.00	$147,264.00	$8,246.78	$139,900.80	$69,434.98	2026-03-01
8504	APR_DRG	Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal…	11	10	—	—	$111,789.95	$139,737.44	$111,789.95	2026-03-01
72	APR_DRG	Allogeneic Bone Marrow Transplant	11	10	—	—	$79,661.89	$139,408.00	$79,661.89	2026-03-01
633855	CDM	Model Train Skl Vw Adult	52	34	$146,708.00	$146,708.00	$8,215.65	$139,372.60	$69,172.82	2026-03-01
422500	CDM	Stnt Aaa 28x100 Afx2	37	25	$145,793.00	$145,793.00	$15,745.64	$138,503.35	$72,896.50	2026-03-01
5914	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	10	—	—	$110,788.55	$138,485.69	$110,788.55	2026-03-01
1613	APR_DRG	Implantable Heart Assist Systems	12	11	—	—	$110,658.03	$138,322.54	$115,084.46	2026-03-01
J7330	HCPCS	Autologous Cultured Chondrocytes, Implant	10	3	—	—	$58,032.08	$138,148.31	$89,720.65	2026-03-01
5881	APR_DRG	Neonate Birth Weight < 1500 Grams With Major Procedure	11	10	—	—	$110,073.20	$137,591.50	$110,073.20	2026-03-01
716492	CDM	Implant Axailif Spinal S	37	25	$143,640.00	$143,640.00	$15,513.12	$136,458.00	$71,820.00	2026-03-01
282585	CDM	Oca Fresh Ostchnd 20mm	37	25	$143,552.00	$143,552.00	$15,503.62	$136,374.40	$71,776.00	2026-03-01
424366	CDM	Cage Spnl 50x22x14mm	37	25	$142,842.00	$142,842.00	$15,426.94	$135,699.90	$71,421.00	2026-03-01
223	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock…	5	1	—	—	$69,600.60	$134,197.00	$114,858.67	2026-03-01
731487	CDM	Bit Drl 2.7 Qc Shrt	52	34	$141,186.00	$141,186.00	$7,906.42	$134,126.70	$66,569.20	2026-03-01
468805	CDM	Implant Midface Ips	37	25	$140,868.00	$140,868.00	$15,213.74	$133,824.60	$70,434.00	2026-03-01
431692	CDM	Kit Ex Fix Clamp Strl	52	34	$139,903.00	$139,903.00	$7,834.57	$132,907.85	$65,964.26	2026-03-01
857117	CDM	System Cth Trevo Provue4	52	34	$139,846.00	$139,846.00	$7,831.38	$132,853.70	$65,937.39	2026-03-01
477527	CDM	Cage Spnl C 30-45x20mm	37	25	$139,152.00	$139,152.00	$15,028.42	$132,194.40	$69,576.00	2026-03-01
865360	CDM	Dvc Revasc 6mm 31mm	52	34	$138,983.00	$138,983.00	$7,783.05	$132,033.85	$65,530.49	2026-03-01
717	OTHER	Instill Adstiladrin, Tx D	44	27	—	—	$13,080.79	$131,763.32	$67,488.53	2026-03-01
4404	APR_DRG	Kidney Transplant	11	10	—	—	$75,255.63	$131,697.00	$79,018.41	2026-03-01
225602	CDM	Valve Aortic 29mm	37	25	$138,490.00	$138,490.00	$14,956.92	$131,565.50	$69,245.00	2026-03-01
1582	OTHER	New Technology - Level 45	43	26	—	—	$62,634.14	$131,020.40	$67,108.01	2026-03-01
1596	OTHER	New Technology - Level 45	43	26	—	—	$62,634.14	$131,020.40	$67,108.01	2026-03-01
435086	CDM	Cap Fh Reverse Shoulder	37	25	$136,950.00	$136,950.00	$14,790.60	$130,102.50	$68,475.00	2026-03-01
225	MS_DRG	Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh…	5	1	—	—	$67,430.45	$130,012.75	$111,277.38	2026-03-01
5244	OTHER	Level 4 Blood Product Exc	43	26	—	—	$61,923.99	$129,534.89	$66,347.14	2026-03-01
01905	OTHER	New Technology - Level 51	1	1	—	—	$129,110.20	$129,110.20	$129,110.20	2026-03-01
01906	OTHER	New Technology - Level 51	1	1	—	—	$129,110.20	$129,110.20	$129,110.20	2026-03-01
880133	CDM	Anchor Nucleus Sz1 Mtphs	37	25	$134,513.00	$134,513.00	$14,527.40	$127,787.35	$67,256.50	2026-03-01
275844	CDM	Graft Bn Rt Hum Hd Algrf	37	25	$131,226.00	$131,226.00	$14,172.41	$124,664.70	$65,613.00	2026-03-01
6814	APR_DRG	Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	11	10	—	—	$98,597.56	$123,246.95	$98,597.56	2026-03-01
1604	APR_DRG	Major Cardiothoracic Repair Of Heart Anomaly	12	11	—	—	$98,542.53	$123,178.16	$102,484.33	2026-03-01
10	MS_DRG	Pancreas Transplant	46	24	—	—	$55,372.68	$123,050.40	$64,601.46	2026-03-01
93	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	12	11	—	—	$97,718.94	$122,148.68	$99,184.97	2026-03-01
23	APR_DRG	Heart And/or Lung Transplant	12	11	—	—	$69,296.79	$121,269.00	$72,068.67	2026-03-01
227	MS_DRG	Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc Pediat…	5	1	—	—	$62,560.84	$120,623.63	$103,241.28	2026-03-01
2464	APR_DRG	Gastrointestinal Vascular Insufficiency	11	10	—	—	$95,558.79	$119,448.49	$95,558.79	2026-03-01
6034	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition	11	10	—	—	$95,065.82	$118,832.28	$95,065.82	2026-03-01
83	APR_DRG	Autologous Bone Marrow Transplant	11	10	—	—	$67,850.17	$118,738.00	$67,850.17	2026-03-01
5891	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	11	10	—	—	$92,251.26	$115,314.07	$92,251.26	2026-03-01
004	OTHER	Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec…	1	1	—	—	$115,102.90	$115,102.90	$115,102.90	2026-03-01
01904	OTHER	New Technology - Level 50	1	1	—	—	$115,025.50	$115,025.50	$115,025.50	2026-03-01
01903	OTHER	New Technology - Level 50	1	1	—	—	$115,025.50	$115,025.50	$115,025.50	2026-03-01
5934	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	10	—	—	$91,975.21	$114,969.01	$91,975.21	2026-03-01
5892	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	11	10	—	—	$89,410.31	$111,762.89	$89,410.31	2026-03-01
455	MS_DRG	Combined Anterior And Posterior Spinal Fusion Without Cc/mcc Pediatric	5	1	—	—	$57,389.94	$110,653.63	$94,707.99	2026-03-01
1624	APR_DRG	Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis	12	11	—	—	$85,961.80	$107,452.25	$89,400.24	2026-03-01
6024	APR_DRG	Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other…	11	10	—	—	$84,551.11	$105,688.89	$84,551.11	2026-03-01
5893	APR_DRG	Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational	11	10	—	—	$83,864.86	$104,831.07	$83,864.86	2026-03-01
651	OTHER	Kidney Transplant With Hemodialysis Without Mcc	1	1	—	—	$103,155.90	$103,155.90	$103,155.90	2026-03-01
01901	OTHER	New Technology - Level 49	1	1	—	—	$100,940.80	$100,940.80	$100,940.80	2026-03-01
01902	OTHER	New Technology - Level 49	1	1	—	—	$100,940.80	$100,940.80	$100,940.80	2026-03-01
6214	APR_DRG	Neonate Birth Weight 2000-2499 Grams With Major Anomaly	11	10	—	—	$80,290.83	$100,363.54	$80,290.83	2026-03-01
1612	APR_DRG	Implantable Heart Assist Systems	12	11	—	—	$79,545.92	$99,432.40	$82,727.76	2026-03-01
113	APR_DRG	Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies	11	10	—	—	$78,636.38	$98,295.48	$78,636.38	2026-03-01
8634	APR_DRG	Neonatal Aftercare	11	10	—	—	$77,416.69	$96,770.86	$77,416.69	2026-03-01
6303	APR_DRG	Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure	11	10	—	—	$76,673.14	$95,841.43	$76,673.14	2026-03-01
J9226	HCPCS	Histrelin Implant (supprelin La), 50 Mg	11	4	—	—	$45,212.00	$95,547.45	$71,255.81	2026-03-01
1611	APR_DRG	Implantable Heart Assist Systems	12	11	—	—	$75,442.08	$94,302.60	$78,459.79	2026-03-01
54	APR_DRG	Tracheostomy With Mv >96 Hours Without Extensive Procedure	12	11	—	—	$74,911.82	$93,639.78	$76,035.51	2026-03-01
43	APR_DRG	Tracheostomy With Mv >96 Hours With Extensive Procedure	11	10	—	—	$74,886.36	$93,607.95	$74,886.36	2026-03-01
0915T	CPT	Insertion Of Permanent Cardiac Contractility Modulation-defibrillation System Co…	7	2	—	—	$15,036.00	$93,299.20	$67,329.32	2026-03-01
6804	APR_DRG	Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms	11	10	—	—	$72,954.04	$91,192.55	$72,954.04	2026-03-01
5913	APR_DRG	Neonate Birth Weight 500-749 Grams Without Major Procedure	11	10	—	—	$72,954.04	$91,192.55	$72,954.04	2026-03-01
460	MS_DRG	Spinal Fusion Except Cervical Without Mcc Pediatric	5	1	—	—	$47,180.19	$90,968.19	$77,859.31	2026-03-01
6084	APR_DRG	Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition	11	10	—	—	$72,747.12	$90,933.90	$72,747.12	2026-03-01
01599	OTHER	New Technology - Level 48	1	1	—	—	$89,203.57	$89,203.57	$89,203.57	2026-03-01
01585	OTHER	New Technology - Level 48	1	1	—	—	$89,203.57	$89,203.57	$89,203.57	2026-03-01
4414	APR_DRG	Major Bladder Procedures	11	10	—	—	$71,219.10	$89,023.88	$71,219.10	2026-03-01
007	OTHER	Lung Transplant	1	1	—	—	$88,464.44	$88,464.44	$88,464.44	2026-03-01
C8004	HCPCS	Simulation Angiogram With Use Of A Pressure-generating Catheter (e.g., One-way V…	5	1	—	—	$37,537.29	$85,394.49	$69,404.29	2026-03-01
1784	APR_DRG	External Heart Assist Devices	11	10	—	—	$66,704.61	$83,380.76	$66,704.61	2026-03-01
5933	APR_DRG	Neonate Birth Weight 750-999 Grams Without Major Procedure	11	10	—	—	$65,690.47	$82,113.09	$65,690.47	2026-03-01
C7564	HCPCS	Percutaneous Transluminal Mechanical Thrombectomy, Vein(s), Including Intraproce…	7	2	—	—	$6,459.00	$82,092.81	$66,720.85	2026-03-01
6114	APR_DRG	Neonate Birth Weight 1500-1999 Grams With Major Anomaly	11	10	—	—	$65,614.98	$82,018.72	$65,614.98	2026-03-01
1674	APR_DRG	Other Cardiothoracic And Thoracic Circulatory Procedures	12	11	—	—	$65,324.84	$81,656.05	$67,937.84	2026-03-01
6904	APR_DRG	Acute Leukemia	11	10	—	—	$64,738.19	$80,922.74	$64,738.19	2026-03-01
92	APR_DRG	Extracorporeal Membrane Oxygenation (ecmo)	12	11	—	—	$64,269.32	$80,336.65	$65,233.36	2026-03-01
01584	OTHER	New Technology - Level 47	1	1	—	—	$79,813.77	$79,813.77	$79,813.77	2026-03-01
01598	OTHER	New Technology - Level 47	1	1	—	—	$79,813.77	$79,813.77	$79,813.77	2026-03-01
002	OTHER	Heart Transplant Or Implant Of Heart Assist System Without Mcc	1	1	—	—	$78,405.59	$78,405.59	$78,405.59	2026-03-01
A9699	HCPCS	Radiopharmaceutical, Therapeutic, Not Otherwise Classified	2	1	—	—	$77,046.96	$77,046.96	$77,046.96	2026-03-01
014	OTHER	Allogeneic Bone Marrow Transplant	1	1	—	—	$75,512.67	$75,512.67	$75,512.67	2026-03-01
005	OTHER	Liver Transplant With Mcc Or Intestinal Transplant	1	1	—	—	$74,717.29	$74,717.29	$74,717.29	2026-03-01
01583	OTHER	New Technology - Level 46	1	1	—	—	$70,423.97	$70,423.97	$70,423.97	2026-03-01
01597	OTHER	New Technology - Level 46	1	1	—	—	$70,423.97	$70,423.97	$70,423.97	2026-03-01
423	OTHER	Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc	1	1	—	—	$70,022.91	$70,022.91	$70,022.91	2026-03-01
474	OTHER	Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc	1	1	—	—	$67,631.78	$67,631.78	$67,631.78	2026-03-01
216	OTHER	Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza…	1	1	—	—	$64,985.70	$64,985.70	$64,985.70	2026-03-01

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