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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

FLOYD CHEROKEE MEDICAL CENTER

Centre, AL · CCN 010022 · Rates published

15,884 distinct procedures filed
13 distinct payers
291,898 rate rows
2025-11-19 last MRF observed
Data quality

291,275 of 291,898 rate rows are consumer-grade (99.8%)

623 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 302
per-diem day rate — not a per-procedure price 97
percent-of-charges filed in the dollar field — excluded from medians 97
exceeds 10× this hospital's gross charge — excluded from medians 78
placeholder amount (≤ $0.02) — excluded from medians 49
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/11220/825207287_floyd-cherokee-medical-center-llc_standardcharges.csv
Found on page https://www.atriumhealthfloydharbin.org/patients-visitors/billing-payment/price-estimates
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 1042dcae089601e8… · 978,696,874 bytes · first seen 2026-05-13

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 8 $4,369,850.00 $4,640,150.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $3,500,000.00 $3,795,824.67 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 11 $3,200,000.00 $4,974,693.88 $3,316,462.59 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 10 $3,150,992.34 $4,872,668.57 $3,248,445.72 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 10 $2,857,367.80 $4,418,610.00 $2,945,740.00 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 11 $2,322,044.36 $4,296,443.56 $2,455,110.61 nat. median
$2,468,984
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,262,040.00 $4,081,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $747,501.40 $1,348,585.00 $770,620.00 nat. median
$824,563
0.9× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $573,974.41 $1,035,520.85 $591,726.20 nat. median
$753,246
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $507,495.55 $990,270.65 $565,868.95 nat. median
$674,867
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $474,060.62 $984,441.82 $562,538.19 nat. median
$673,137
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $484,690.30 $975,306.38 $557,317.93 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $517,233.27 $933,152.80 $533,230.17 nat. median
$634,303
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $449,440.00 $856,283.06 $489,304.61 nat. median
$619,808
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $237,590.64 $499,855.37 $333,236.91 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $269,902.50 $486,937.50 $278,250.00 nat. median
$324,450
0.9× median
J3403
HCPCS 		Revakinagene, Per Implant 10 $249,775.00 $450,625.00 $257,500.00 nat. median
$265,000
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $252,058.47 $252,058.47 $252,058.47 nat. median
$207,730
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $177,460.29 $374,288.66 $249,525.77 nat. median
$265,286
0.9× median
5834
APR_DRG 		Neonate With Ecmo 1 $240,735.23 $240,735.23 $240,735.23 nat. median
$309,665
0.8× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $217,002.95 $217,002.95 $217,002.95 nat. median
$164,834
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $149,453.64 $315,804.03 $210,536.02 nat. median
$206,474
1.0× median
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 10 $199,470.80 $359,870.00 $205,640.00 nat. median
$209,753
1.0× median
5833
APR_DRG 		Neonate With Ecmo 1 $190,633.76 $190,633.76 $190,633.76 nat. median
$244,017
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 10 $135,019.08 $285,661.17 $190,440.78 nat. median
$202,976
0.9× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $184,584.36 $184,584.36 $184,584.36 nat. median
$119,796
1.5× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $181,637.21 $181,637.21 $181,637.21 nat. median
$105,658
1.7× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $181,482.09 $181,482.09 $181,482.09 nat. median
$150,721
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $177,914.50 $177,914.50 $177,914.50 nat. median
$246,434
0.7× median
J9029
HCPCS 		Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 13 $40,976.54 $228,047.50 $144,030.00 nat. median
$69,774
outlier · 2.1×
24
APR_DRG 		Heart And/or Lung Transplant 1 $143,091.66 $143,091.66 $143,091.66 nat. median
$234,729
0.6× median
5832
APR_DRG 		Neonate With Ecmo 1 $140,609.85 $140,609.85 $140,609.85 nat. median
$156,126
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $133,164.43 $133,164.43 $133,164.43 nat. median
$160,267
0.8× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $130,372.40 $130,372.40 $130,372.40 nat. median
$164,289
0.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 10 $125,651.41 $226,690.70 $129,537.54 nat. median
$111,989
1.2× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $127,192.58 $127,192.58 $127,192.58 nat. median
$182,665
0.7× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 10 $89,019.00 $189,601.89 $126,401.26 nat. median
$133,161
0.9× median
54
APR_DRG 		Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 $125,951.68 $125,951.68 $125,951.68 nat. median
$68,217
1.8× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $124,555.66 $124,555.66 $124,555.66 nat. median
$145,336
0.9× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $124,167.88 $124,167.88 $124,167.88 nat. median
$117,173
1.1× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $123,547.43 $123,547.43 $123,547.43 nat. median
$162,982
0.8× median
5831
APR_DRG 		Neonate With Ecmo 1 $121,530.96 $121,530.96 $121,530.96 nat. median
$144,745
0.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $82,541.34 $176,074.98 $117,383.32 nat. median
$117,357
1.0× median
7
MS_DRG 		Lung Transplant 10 $82,333.44 $175,640.85 $117,093.90 nat. median
$122,708
1.0× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $116,102.01 $116,102.01 $116,102.01 nat. median
$85,444
1.4× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $114,628.44 $114,628.44 $114,628.44 nat. median
$187,061
0.6× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 10 $108,504.24 $195,755.07 $111,860.04 nat. median
$96,983
1.2× median
1611
APR_DRG 		Implantable Heart Assist Systems 1 $110,285.28 $110,285.28 $110,285.28 nat. median
$76,806
1.4× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $107,958.59 $107,958.59 $107,958.59 nat. median
$151,838
0.7× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 $103,537.86 $103,537.86 $103,537.86 nat. median
$109,499
0.9× median

Other procedures at this hospital

Browse this hospital's 15,884 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
             
00097 EAPG Aicd And Related Cardiac Device Insertion Or Replacement 1 1 — — $40,115.10 $40,115.10 $40,115.10 2025-11-19
00120 EAPG Car T-cell Immunotherapy 1 1 — — $68,654.00 $68,654.00 $68,654.00 2025-11-19
00246 EAPG Class IV Therapeutic Radiopharmaceuticals 1 1 — — $64,682.80 $64,682.80 $64,682.80 2025-11-19
00250 EAPG Cochlear Device Implantation 1 1 — — $43,580.38 $43,580.38 $43,580.38 2025-11-19
00466 EAPG Class Xiv Combined Chemotherapy And Pharmacotherapy 1 1 — — $42,962.84 $42,962.84 $42,962.84 2025-11-19
0266T CPT Apc 13 10 — — $1,992.95 $77,654.66 $44,374.09 2025-11-19
03060 EAPG Ventricular Assist Device Procedures 1 1 — — $56,479.28 $56,479.28 $56,479.28 2025-11-19
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 12 10 — — $177,460.29 $374,288.66 $249,525.77 2025-11-19
10 MS_DRG Pancreas Transplant 12 10 — — $50,229.90 $108,600.87 $72,400.58 2025-11-19
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $50,101.46 $50,101.46 $50,101.46 2025-11-19
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 12 10 — — $33,994.17 $74,696.73 $49,797.82 2025-11-19
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $61,114.48 $61,114.48 $61,114.48 2025-11-19
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $124,167.88 $124,167.88 $124,167.88 2025-11-19
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $94,541.32 $94,541.32 $94,541.32 2025-11-19
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 12 10 — — $25,853.31 $57,696.65 $38,464.43 2025-11-19
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $38,545.55 $38,545.55 $38,545.55 2025-11-19
1214 APR_DRG Other Respiratory And Chest Procedures 1 1 — — $37,925.11 $37,925.11 $37,925.11 2025-11-19
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $94,541.32 $94,541.32 $94,541.32 2025-11-19
1302 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $46,456.32 $46,456.32 $46,456.32 2025-11-19
1303 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $56,693.76 $56,693.76 $56,693.76 2025-11-19
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $59,873.58 $59,873.58 $59,873.58 2025-11-19
14 MS_DRG Allogeneic Bone Marrow Transplant 12 10 — — $82,541.34 $176,074.98 $117,383.32 2025-11-19
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $94,541.32 $94,541.32 $94,541.32 2025-11-19
140 MS_DRG Major Head And Neck Procedures With Mcc 12 10 — — $26,643.96 $59,347.74 $39,565.16 2025-11-19
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 12 10 — — $38,026.17 $83,116.52 $55,411.01 2025-11-19
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $52,505.72 $52,505.72 $52,505.72 2025-11-19
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $85,854.99 $85,854.99 $85,854.99 2025-11-19
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $110,285.28 $110,285.28 $110,285.28 2025-11-19
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $116,102.01 $116,102.01 $116,102.01 2025-11-19
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $184,584.36 $184,584.36 $184,584.36 2025-11-19
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $252,058.47 $252,058.47 $252,058.47 2025-11-19
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $47,697.22 $47,697.22 $47,697.22 2025-11-19
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $89,189.92 $89,189.92 $89,189.92 2025-11-19
163 MS_DRG Major Chest Procedures With Mcc 12 10 — — $29,037.96 $64,346.99 $42,897.99 2025-11-19
1632 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $37,769.99 $37,769.99 $37,769.99 2025-11-19
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $53,901.74 $53,901.74 $53,901.74 2025-11-19
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $86,475.45 $86,475.45 $86,475.45 2025-11-19
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $46,921.65 $46,921.65 $46,921.65 2025-11-19
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $69,102.80 $69,102.80 $69,102.80 2025-11-19
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $55,840.65 $55,840.65 $55,840.65 2025-11-19
1673 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $41,182.48 $41,182.48 $41,182.48 2025-11-19
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $53,901.74 $53,901.74 $53,901.74 2025-11-19
1693 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $38,080.21 $38,080.21 $38,080.21 2025-11-19
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $41,104.92 $41,104.92 $41,104.92 2025-11-19
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 12 10 — — $38,026.17 $83,116.52 $55,411.01 2025-11-19
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $40,019.13 $40,019.13 $40,019.13 2025-11-19
1781 APR_DRG External Heart Assist Systems 1 1 — — $39,088.46 $39,088.46 $39,088.46 2025-11-19
1782 APR_DRG External Heart Assist Systems 1 1 — — $43,043.83 $43,043.83 $43,043.83 2025-11-19
1783 APR_DRG External Heart Assist Systems 1 1 — — $47,774.78 $47,774.78 $47,774.78 2025-11-19
1784 APR_DRG External Heart Assist Systems 1 1 — — $58,477.57 $58,477.57 $58,477.57 2025-11-19
1792 APR_DRG Defibrillator Implants 1 1 — — $38,235.33 $38,235.33 $38,235.33 2025-11-19
1793 APR_DRG Defibrillator Implants 1 1 — — $38,235.33 $38,235.33 $38,235.33 2025-11-19
1794 APR_DRG Defibrillator Implants 1 1 — — $52,428.16 $52,428.16 $52,428.16 2025-11-19
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 12 10 — — $237,590.64 $499,855.37 $333,236.91 2025-11-19
1824 APR_DRG Other Peripheral Vascular And Related Procedures 1 1 — — $52,195.49 $52,195.49 $52,195.49 2025-11-19
1833 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $49,015.68 $49,015.68 $49,015.68 2025-11-19
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $50,023.91 $50,023.91 $50,023.91 2025-11-19
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 12 10 — — $49,941.99 $107,999.64 $71,999.76 2025-11-19
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 12 10 — — $69,424.11 $148,683.02 $99,122.01 2025-11-19
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 10 — — $50,784.93 $109,759.89 $73,173.26 2025-11-19
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $39,321.12 $39,321.12 $39,321.12 2025-11-19
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 12 10 — — $40,743.36 $88,790.69 $59,193.79 2025-11-19
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $68,404.79 $68,404.79 $68,404.79 2025-11-19
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 12 10 — — $34,821.99 $76,425.42 $50,950.28 2025-11-19
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 12 10 — — $68,631.57 $147,027.99 $98,018.66 2025-11-19
213 APR_DRG Open Craniotomy Except Trauma 1 1 — — $39,321.12 $39,321.12 $39,321.12 2025-11-19
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $64,914.75 $64,914.75 $64,914.75 2025-11-19
215 MS_DRG Other Heart Assist System Implant 12 10 — — $66,747.24 $143,093.07 $95,395.38 2025-11-19
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $60,801.93 $130,677.81 $87,118.54 2025-11-19
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $40,684.77 $88,668.33 $59,112.22 2025-11-19
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 10 — — $37,480.59 $81,977.24 $54,651.49 2025-11-19
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $48,746.25 $105,502.65 $70,335.10 2025-11-19
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $68,404.79 $68,404.79 $68,404.79 2025-11-19
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $33,369.21 $73,391.67 $48,927.78 2025-11-19
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $55,375.31 $55,375.31 $55,375.31 2025-11-19
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 10 — — $28,933.38 $64,128.60 $42,752.40 2025-11-19
228 MS_DRG Other Cardiothoracic Procedures With Mcc 12 10 — — $31,394.79 $69,268.59 $46,179.06 2025-11-19
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $89,500.14 $89,500.14 $89,500.14 2025-11-19
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 12 10 — — $35,942.13 $78,764.57 $52,509.71 2025-11-19
2304 APR_DRG Major Small Bowel Procedures 1 1 — — $42,811.16 $42,811.16 $42,811.16 2025-11-19
231 MS_DRG Coronary Bypass With Ptca With Mcc 12 10 — — $53,385.57 $115,190.67 $76,793.78 2025-11-19
2314 APR_DRG Major Large Bowel Procedures 1 1 — — $39,941.57 $39,941.57 $39,941.57 2025-11-19
232 MS_DRG Coronary Bypass With Ptca Without Mcc 12 10 — — $38,484.81 $84,074.27 $56,049.51 2025-11-19
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 12 10 — — $49,243.32 $106,540.65 $71,027.10 2025-11-19
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 12 10 — — $33,517.26 $73,700.82 $49,133.88 2025-11-19
234 APR_DRG Spinal Procedures 1 1 — — $38,855.79 $38,855.79 $38,855.79 2025-11-19
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 12 10 — — $37,070.46 $81,120.80 $54,080.53 2025-11-19
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 12 10 — — $25,906.23 $57,807.17 $38,538.11 2025-11-19
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 12 10 — — $31,732.47 $69,973.77 $46,649.18 2025-11-19
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $143,091.66 $143,091.66 $143,091.66 2025-11-19
245 MS_DRG Aicd Generator Procedures 12 10 — — $30,786.84 $67,999.07 $45,332.71 2025-11-19
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 12 10 — — $28,175.49 $62,545.94 $41,697.29 2025-11-19
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $44,284.74 $44,284.74 $44,284.74 2025-11-19
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $40,019.13 $40,019.13 $40,019.13 2025-11-19
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 10 — — $37,742.04 $82,523.19 $55,015.46 2025-11-19
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 12 10 — — $29,639.61 $65,603.36 $43,735.57 2025-11-19
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 10 — — $42,005.88 $91,427.12 $60,951.41 2025-11-19
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 12 10 — — $26,212.41 $58,446.54 $38,964.36 2025-11-19
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 12 10 — — $32,337.90 $71,238.06 $47,492.04 2025-11-19
274 APR_DRG Other Open Craniotomy 1 1 — — $40,639.58 $40,639.58 $40,639.58 2025-11-19
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 12 10 — — $44,522.10 $96,681.60 $64,454.40 2025-11-19
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 12 10 — — $39,024.72 $85,201.76 $56,801.17 2025-11-19
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 12 10 — — $29,306.97 $64,908.72 $43,272.48 2025-11-19
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 12 10 — — $31,520.79 $69,531.72 $46,354.48 2025-11-19
28 MS_DRG Spinal Procedures With Mcc 12 10 — — $38,300.85 $83,690.13 $55,793.42 2025-11-19
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 12 10 — — $135,019.08 $285,661.17 $190,440.78 2025-11-19
303 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $38,312.88 $38,312.88 $38,312.88 2025-11-19
3031 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $53,746.62 $53,746.62 $53,746.62 2025-11-19
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $53,746.62 $53,746.62 $53,746.62 2025-11-19
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $53,746.62 $53,746.62 $53,746.62 2025-11-19
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $66,776.10 $66,776.10 $66,776.10 2025-11-19
304 APR_DRG Percutaneous Intracranial And Extracranial Vascular Procedures 1 1 — — $52,040.38 $52,040.38 $52,040.38 2025-11-19
3043 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $40,794.69 $40,794.69 $40,794.69 2025-11-19
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $48,240.12 $48,240.12 $48,240.12 2025-11-19
31 MS_DRG Ventricular Shunt Procedures With Mcc 12 10 — — $26,400.78 $58,839.92 $39,226.61 2025-11-19
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $49,093.23 $49,093.23 $49,093.23 2025-11-19
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 12 10 — — $38,974.32 $85,096.50 $56,731.00 2025-11-19
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 12 10 — — $27,674.64 $61,500.03 $41,000.02 2025-11-19
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 12 10 — — $26,834.22 $59,745.03 $39,830.02 2025-11-19
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 12 10 — — $31,997.70 $70,527.63 $47,018.42 2025-11-19
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 10 — — $28,928.97 $64,119.39 $42,746.26 2025-11-19
33276 CPT Insj Phrnc Nrv Stim Sys 12 10 — — $43,042.87 $77,654.66 $44,817.83 2025-11-19
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 12 10 — — $26,873.91 $59,827.91 $39,885.27 2025-11-19
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $40,251.80 $40,251.80 $40,251.80 2025-11-19
38240 CPT Transplt Allo Hct/donor 13 10 — — $6,675.00 $102,058.37 $58,319.07 2025-11-19
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 12 10 — — $89,019.00 $189,601.89 $126,401.26 2025-11-19
4014 APR_DRG Adrenal Procedures 1 1 — — $38,390.45 $38,390.45 $38,390.45 2025-11-19
4044 APR_DRG Thyroid, Parathyroid And Thyroglossal Procedures 1 1 — — $37,692.44 $37,692.44 $37,692.44 2025-11-19
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 12 10 — — $34,200.81 $75,128.25 $50,085.50 2025-11-19
41 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $37,149.54 $37,149.54 $37,149.54 2025-11-19
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $56,150.87 $56,150.87 $56,150.87 2025-11-19
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 12 10 — — $25,624.62 $57,219.09 $38,146.06 2025-11-19
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $65,995.02 $141,522.24 $94,348.16 2025-11-19
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $44,747.01 $97,151.27 $64,767.51 2025-11-19
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 12 10 — — $34,675.83 $76,120.23 $50,746.82 2025-11-19
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 12 10 — — $52,545.78 $113,436.98 $75,624.65 2025-11-19
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $74,221.53 $74,221.53 $74,221.53 2025-11-19
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 12 10 — — $34,464.15 $75,678.17 $50,452.11 2025-11-19
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $181,637.21 $181,637.21 $181,637.21 2025-11-19
4403 APR_DRG Kidney Transplant 1 1 — — $52,350.61 $52,350.61 $52,350.61 2025-11-19
4404 APR_DRG Kidney Transplant 1 1 — — $54,754.85 $54,754.85 $54,754.85 2025-11-19
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 12 10 — — $42,239.61 $91,915.22 $61,276.81 2025-11-19
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 12 10 — — $25,726.05 $57,430.91 $38,287.27 2025-11-19
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 12 10 — — $32,445.63 $71,463.02 $47,642.01 2025-11-19
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $53,355.96 $115,128.84 $76,752.56 2025-11-19
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $36,158.22 $79,215.78 $52,810.52 2025-11-19
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 12 10 — — $27,203.40 $60,515.96 $40,343.97 2025-11-19
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 12 10 — — $38,661.21 $84,442.65 $56,295.10 2025-11-19
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $34,026.30 $74,763.84 $49,842.56 2025-11-19
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 12 10 — — $32,095.98 $70,732.88 $47,155.25 2025-11-19
471 MS_DRG Cervical Spinal Fusion With Mcc 12 10 — — $30,600.99 $67,610.96 $45,073.97 2025-11-19
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 12 10 — — $28,253.61 $62,709.06 $41,806.04 2025-11-19
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 12 10 — — $67,091.22 $143,811.39 $95,874.26 2025-11-19
5104 APR_DRG Pelvic Evisceration, Radical Hysterectomy And Other Radical Gynecological Proced… 1 1 — — $39,166.01 $39,166.01 $39,166.01 2025-11-19
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $40,562.03 $40,562.03 $40,562.03 2025-11-19
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $98,341.58 $98,341.58 $98,341.58 2025-11-19
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $125,951.68 $125,951.68 $125,951.68 2025-11-19
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 12 10 — — $38,796.66 $84,725.49 $56,483.66 2025-11-19
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 12 10 — — $33,990.39 $74,688.84 $49,792.56 2025-11-19
5831 APR_DRG Neonate With Ecmo 1 1 — — $121,530.96 $121,530.96 $121,530.96 2025-11-19
5832 APR_DRG Neonate With Ecmo 1 1 — — $140,609.85 $140,609.85 $140,609.85 2025-11-19
5833 APR_DRG Neonate With Ecmo 1 1 — — $190,633.76 $190,633.76 $190,633.76 2025-11-19
5834 APR_DRG Neonate With Ecmo 1 1 — — $240,735.23 $240,735.23 $240,735.23 2025-11-19
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $81,977.18 $81,977.18 $81,977.18 2025-11-19
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $124,555.66 $124,555.66 $124,555.66 2025-11-19
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $127,192.58 $127,192.58 $127,192.58 2025-11-19
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $177,914.50 $177,914.50 $177,914.50 2025-11-19
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 1 1 — — $38,545.55 $38,545.55 $38,545.55 2025-11-19
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $38,778.22 $38,778.22 $38,778.22 2025-11-19
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $72,825.51 $72,825.51 $72,825.51 2025-11-19
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $130,372.40 $130,372.40 $130,372.40 2025-11-19
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $67,706.78 $67,706.78 $67,706.78 2025-11-19
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $93,222.85 $93,222.85 $93,222.85 2025-11-19
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $107,958.59 $107,958.59 $107,958.59 2025-11-19
6 MS_DRG Liver Transplant Without Mcc 12 10 — — $30,549.96 $67,504.41 $45,002.94 2025-11-19
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $63,286.06 $63,286.06 $63,286.06 2025-11-19
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $68,792.58 $68,792.58 $68,792.58 2025-11-19
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $76,393.11 $76,393.11 $76,393.11 2025-11-19
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $47,464.55 $47,464.55 $47,464.55 2025-11-19
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $50,411.70 $50,411.70 $50,411.70 2025-11-19
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $103,537.86 $103,537.86 $103,537.86 2025-11-19
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $43,586.73 $43,586.73 $43,586.73 2025-11-19
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $49,403.46 $49,403.46 $49,403.46 2025-11-19
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $54,056.85 $54,056.85 $54,056.85 2025-11-19
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $42,733.60 $42,733.60 $42,733.60 2025-11-19
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $44,905.18 $44,905.18 $44,905.18 2025-11-19
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $53,126.17 $53,126.17 $53,126.17 2025-11-19
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $123,547.43 $123,547.43 $123,547.43 2025-11-19
61 APR_DRG Pancreas Transplant 1 1 — — $47,542.11 $47,542.11 $47,542.11 2025-11-19
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $53,901.74 $53,901.74 $53,901.74 2025-11-19
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $40,639.58 $40,639.58 $40,639.58 2025-11-19
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $50,566.80 $50,566.80 $50,566.80 2025-11-19
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $40,639.58 $40,639.58 $40,639.58 2025-11-19
62 APR_DRG Pancreas Transplant 1 1 — — $47,542.11 $47,542.11 $47,542.11 2025-11-19
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $42,268.26 $42,268.26 $42,268.26 2025-11-19
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 12 10 — — $24,857.91 $55,618.02 $37,078.68 2025-11-19
63 APR_DRG Pancreas Transplant 1 1 — — $53,513.95 $53,513.95 $53,513.95 2025-11-19
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $95,859.77 $95,859.77 $95,859.77 2025-11-19
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $181,482.09 $181,482.09 $181,482.09 2025-11-19
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $81,511.84 $81,511.84 $81,511.84 2025-11-19
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 1 1 — — $81,046.50 $81,046.50 $81,046.50 2025-11-19
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 1 1 — — $79,107.58 $79,107.58 $79,107.58 2025-11-19
64 APR_DRG Pancreas Transplant 1 1 — — $102,839.86 $102,839.86 $102,839.86 2025-11-19
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 12 10 — — $29,025.99 $64,321.98 $42,881.32 2025-11-19
6514 APR_DRG Other Procedures Of Blood And Blood-forming Organs 1 1 — — $38,080.21 $38,080.21 $38,080.21 2025-11-19
653 MS_DRG Major Bladder Procedures With Mcc 12 10 — — $35,119.98 $77,047.70 $51,365.13 2025-11-19
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 12 10 — — $26,394.48 $58,826.76 $39,217.84 2025-11-19
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $46,223.65 $46,223.65 $46,223.65 2025-11-19
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $43,509.17 $43,509.17 $43,509.17 2025-11-19
6903 APR_DRG Acute Leukemia 1 1 — — $47,929.89 $47,929.89 $47,929.89 2025-11-19
6904 APR_DRG Acute Leukemia 1 1 — — $47,929.89 $47,929.89 $47,929.89 2025-11-19
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $39,864.02 $39,864.02 $39,864.02 2025-11-19
7 MS_DRG Lung Transplant 12 10 — — $82,333.44 $175,640.85 $117,093.90 2025-11-19
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $49,015.68 $49,015.68 $49,015.68 2025-11-19
7104 APR_DRG Infectious And Parasitic Diseases Including HIV With O.r. Procedure 1 1 — — $49,868.79 $49,868.79 $49,868.79 2025-11-19
7114 APR_DRG Post-operative, Post-trauma, Other Device Infections With O.r. Procedure 1 1 — — $65,147.42 $65,147.42 $65,147.42 2025-11-19
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $51,575.04 $51,575.04 $51,575.04 2025-11-19
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $62,975.84 $62,975.84 $62,975.84 2025-11-19
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 12 10 — — $25,079.67 $56,081.09 $37,387.39 2025-11-19
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $114,628.44 $114,628.44 $114,628.44 2025-11-19
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $44,982.75 $44,982.75 $44,982.75 2025-11-19
7594 APR_DRG Eating Disorders 1 1 — — $42,035.60 $42,035.60 $42,035.60 2025-11-19
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 12 10 — — $37,452.24 $81,918.03 $54,612.02 2025-11-19
791 MS_DRG Prematurity With Major Problems 12 10 — — $25,577.37 $57,120.44 $38,080.29 2025-11-19
793 MS_DRG Full Term Neonate With Major Problems 12 10 — — $26,274.15 $58,575.47 $39,050.31 2025-11-19
799 MS_DRG Splenic Procedures With Mcc 12 10 — — $29,955.24 $66,262.49 $44,174.99 2025-11-19
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 12 10 — — $34,278.93 $75,291.38 $50,194.25 2025-11-19
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 12 10 — — $36,680.49 $80,306.43 $53,537.62 2025-11-19
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 10 — — $29,480.85 $65,271.86 $43,514.57 2025-11-19
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 12 10 — — $30,085.65 $66,534.80 $44,356.53 2025-11-19
83 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $61,347.15 $61,347.15 $61,347.15 2025-11-19
834 MS_DRG Acute Leukemia With Mcc 12 10 — — $34,821.99 $76,425.42 $50,950.28 2025-11-19
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 12 10 — — $31,545.36 $69,583.04 $46,388.69 2025-11-19
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $61,347.15 $61,347.15 $61,347.15 2025-11-19
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $48,860.56 $48,860.56 $48,860.56 2025-11-19
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $133,164.43 $133,164.43 $133,164.43 2025-11-19
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $66,620.99 $66,620.99 $66,620.99 2025-11-19
850 MS_DRG Acute Leukemia With Other Procedures 12 10 — — $58,034.97 $124,899.74 $83,266.49 2025-11-19
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 12 10 — — $31,508.19 $69,505.41 $46,336.94 2025-11-19
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 10 — — $28,423.08 $63,062.96 $42,041.97 2025-11-19
8634 APR_DRG Neonatal Aftercare 1 1 — — $52,815.95 $52,815.95 $52,815.95 2025-11-19
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 12 10 — — $43,825.95 $95,227.88 $63,485.25 2025-11-19
893 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $48,783.01 $48,783.01 $48,783.01 2025-11-19
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $48,783.01 $48,783.01 $48,783.01 2025-11-19
901 MS_DRG Wound Debridements For Injuries With Mcc 12 10 — — $27,912.15 $61,996.02 $41,330.68 2025-11-19
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 12 10 — — $25,097.31 $56,117.93 $37,411.95 2025-11-19
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $73,523.52 $73,523.52 $73,523.52 2025-11-19
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $43,586.73 $43,586.73 $43,586.73 2025-11-19
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $58,710.24 $58,710.24 $58,710.24 2025-11-19
913 APR_DRG Other Major Head And Neck Procedures 1 1 — — $50,721.92 $50,721.92 $50,721.92 2025-11-19
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $51,342.38 $51,342.38 $51,342.38 2025-11-19
92 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $38,933.34 $38,933.34 $38,933.34 2025-11-19
924 APR_DRG Facial Bone Procedures Except Major Cranial Or Facial Bone Procedures 1 1 — — $38,623.12 $38,623.12 $38,623.12 2025-11-19
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 12 10 — — $149,453.64 $315,804.03 $210,536.02 2025-11-19
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 12 10 — — $42,077.07 $91,575.81 $61,050.54 2025-11-19
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $53,358.84 $53,358.84 $53,358.84 2025-11-19
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 12 10 — — $27,259.47 $60,633.05 $40,422.03 2025-11-19
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $217,002.95 $217,002.95 $217,002.95 2025-11-19
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $79,728.03 $79,728.03 $79,728.03 2025-11-19
955 MS_DRG Craniotomy For Multiple Significant Trauma 12 10 — — $43,018.29 $93,541.28 $62,360.85 2025-11-19
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 12 10 — — $47,024.46 $101,907.14 $67,938.09 2025-11-19
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 12 10 — — $25,891.74 $57,776.90 $38,517.93 2025-11-19
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 12 10 — — $39,843.09 $86,910.71 $57,940.47 2025-11-19
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 10 — — $29,949.57 $66,250.64 $44,167.09 2025-11-19
A9543 HCPCS Y90 Ibritumomab, Rx 11 10 — — $55,119.81 $99,442.96 $56,824.55 2025-11-19
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 9 9 — — $3,500,000.00 $3,795,824.67 $3,685,266.67 2025-11-19
J1413 HCPCS Inj Delandistrogene Mox Rokl 11 11 — — $3,200,000.00 $4,974,693.88 $3,316,462.59 2025-11-19
J3391 HCPCS Inj, Atidarsagene Autotemcel 8 8 — — $4,369,850.00 $4,640,150.00 $4,505,000.00 2025-11-19
J3392 HCPCS Inj, Exagamglogene Autotem 11 10 — — $2,262,040.00 $4,081,000.00 $2,332,000.00 2025-11-19
J3393 HCPCS Inj, Betibeglogene Autotemce 10 10 — — $2,857,367.80 $4,418,610.00 $2,945,740.00 2025-11-19
J3394 HCPCS Inj, Lovotibeglogene Autotem 10 10 — — $3,150,992.34 $4,872,668.57 $3,248,445.72 2025-11-19
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 11 — — $2,322,044.36 $4,296,443.56 $2,455,110.61 2025-11-19
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 11 10 — — $199,470.80 $359,870.00 $205,640.00 2025-11-19
J3403 HCPCS Revakinagene, Per Implant 11 10 — — $249,775.00 $450,625.00 $257,500.00 2025-11-19
J9029 HCPCS Nadofaragene Firadenovec-vncg 3x10exp11 Vp/ml Intravesical Suspension 32 13 $240,050.00 $120,025.00 50% off $40,976.54 $228,047.50 $144,030.00 2025-11-19
J9118 HCPCS Calaspargase Pegol-mknl 750 Unit/ml Intravenous Solution 32 13 $100,182.50 $50,091.25 50% off $72.88 $95,173.38 $60,109.50 2025-11-19
J9226 HCPCS Supprelin La Implant 12 11 — — $43,670.03 $78,786.14 $45,020.65 2025-11-19
J9228 HCPCS Ipilimumab 200 Mg/40 Ml (5 Mg/ml) Intravenous Solution 36 13 $142,084.90 $71,042.45 50% off $172.71 $134,980.66 $71,042.45 2025-11-19
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg(0.25 Mg/ml Initial Concentration) IV Soln 32 13 $91,682.00 $45,841.00 50% off $2,580.14 $87,097.90 $55,009.20 2025-11-19
J9266 HCPCS Pegaspargase 750 Unit/ml Injection Solution 32 13 $74,455.55 $37,227.78 50% off $18,613.89 $70,732.77 $44,673.33 2025-11-19
J9269 HCPCS Tagraxofusp-erzs 1,000 Mcg/ml Intravenous Solution 32 13 $135,076.60 $67,538.30 50% off $326.65 $128,322.77 $81,045.96 2025-11-19
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5 Ml Intravenous Solution 32 13 $81,970.00 $40,985.00 50% off $208.93 $77,871.50 $49,182.00 2025-11-19
J9281 HCPCS Mitomycin 40 Mg X 2 Intra-pyelocalyceal Kit 32 13 $88,490.00 $44,245.00 50% off $300.59 $84,065.50 $53,094.00 2025-11-19
J9347 HCPCS Tremelimumab-actl 20 Mg/ml Intravenous Solution 36 13 $162,352.40 $81,176.20 50% off $135.75 $154,234.78 $81,176.20 2025-11-19
J9359 HCPCS Loncastuximab Tesirine-lpyl 10 Mg Intravenous Solution 32 13 $111,115.60 $55,557.80 50% off $200.49 $105,559.82 $66,669.36 2025-11-19
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 11 10 — — $108,504.24 $195,755.07 $111,860.04 2025-11-19
L7180 HCPCS Electronic Elbow Sequential 11 10 — — $50,709.56 $91,486.33 $52,277.90 2025-11-19
L7181 HCPCS Electronic Elbo Simultaneous 11 10 — — $55,886.07 $100,825.39 $57,614.51 2025-11-19
L8701 HCPCS Ewh S/d Uprt Micro Sensor 11 10 — — $39,907.09 $71,997.33 $41,141.33 2025-11-19
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 11 10 — — $78,514.89 $141,650.58 $80,943.19 2025-11-19
Q0480 HCPCS Driver Pneumatic Vad, Rep 11 10 — — $125,651.41 $226,690.70 $129,537.54 2025-11-19
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 10 — — $517,233.27 $933,152.80 $533,230.17 2025-11-19
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 10 — — $573,974.41 $1,035,520.85 $591,726.20 2025-11-19
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 12 11 — — $53,614.15 $96,726.57 $55,362.94 2025-11-19
Q2053 HCPCS Brexucabtagene Car Pos T 12 11 — — $449,440.00 $856,283.06 $489,304.61 2025-11-19
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 11 — — $474,060.62 $984,441.82 $562,538.19 2025-11-19
Q2055 HCPCS Idecabtagene Vicleucel Car 12 11 — — $484,690.30 $975,306.38 $557,317.93 2025-11-19
Q2056 HCPCS Ciltacabtagene Car-pos T 12 11 — — $507,495.55 $990,270.65 $565,868.95 2025-11-19
Q2057 HCPCS Afamitresgene Autoleucel 11 10 — — $747,501.40 $1,348,585.00 $770,620.00 2025-11-19
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 11 10 — — $269,902.50 $486,937.50 $278,250.00 2025-11-19
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