Price Transparency Hospital negotiated rates

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

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Hospital

TORRANCE MEMORIAL MEDICAL CENTER

Torrance, CA · CCN 050351 · Rates published

20,803 distinct procedures filed
24 distinct payers
289,483 rate rows
2025-11-26 last MRF observed
Data quality

182,458 of 289,483 rate rows are consumer-grade (63.0%)

107,025 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 79,195
exceeds 10× this hospital's gross charge — excluded from medians 17,793
per-diem day rate — not a per-procedure price 9,868
placeholder amount (≤ $0.02) — excluded from medians 120
template filing: same amount across many unrelated codes — excluded 49
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.torrancememorial.org/app/files/public/72290ad6-2a3d-4b7e-acf0-1daa4ba8ba5e/951644042_TORRANCE-MEMORIAL-MEDICAL-CENTER_standardcharges.csv
Found on page https://www.torrancememorial.org/patients-visitors/billing-insurance/price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 11fd92f6dbc7b2dd… · 308,737,600 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 1 $4,905,698.71 $4,905,698.71 $4,905,698.71 nat. median
$3,746,358
1.3× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 1 $4,414,759.55 $4,972,276.37 $4,693,517.96 nat. median
$3,316,463
1.4× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 1 $3,268,157.77 $3,680,876.26 $3,474,517.01 nat. median
$2,588,981
1.3× median
9194
OTHER 		Tisagenlecleucel Car-pos T 1 $787,685.32 $1,526,861.96 $1,526,861.96 nat. median
$566,531
outlier · 2.7×
9498
OTHER 		Ciltacabtagene Car-pos T 1 $753,265.04 $1,460,141.13 $1,460,141.13 nat. median
$587,650
outlier · 2.5×
9413
OTHER 		Lisocabtagene Car Pos T 1 $748,831.25 $1,451,546.60 $1,451,546.60 nat. median
$562,201
outlier · 2.6×
9422
OTHER 		Idecabtagene Vicleucel Car 1 $741,882.23 $1,438,076.51 $1,438,076.51 nat. median
$558,082
outlier · 2.6×
9035
OTHER 		Axicabtagene Ciloleucel Car+ 1 $709,817.44 $1,375,921.61 $1,375,921.61 nat. median
$532,192
outlier · 2.6×
9391
OTHER 		Brexucabtagene Car Pos T 1 $651,345.26 $1,262,578.20 $1,262,578.20 nat. median
$489,450
outlier · 2.6×
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $203,003.35 $393,504.98 $393,504.98 nat. median
$153,199
outlier · 2.6×
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 1 $203,003.35 $393,504.98 $393,504.98 nat. median
$152,962
outlier · 2.6×
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $183,035.87 $354,799.70 $354,799.70 nat. median
$137,903
outlier · 2.6×
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 1 $183,035.87 $354,799.70 $354,799.70 nat. median
$138,020
outlier · 2.6×
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $163,068.40 $316,094.42 $316,094.42 nat. median
$119,935
outlier · 2.6×
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 1 $163,068.40 $316,094.42 $316,094.42 nat. median
$120,174
outlier · 2.6×
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $143,100.92 $277,389.14 $277,389.14 nat. median
$105,693
outlier · 2.6×
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 1 $143,100.92 $277,389.14 $277,389.14 nat. median
$105,172
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $1.00 $537,324.43 $263,911.80 nat. median
$265,286
1.0× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $126,461.35 $245,134.73 $245,134.73 nat. median
$95,288
outlier · 2.6×
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 1 $126,461.35 $245,134.73 $245,134.73 nat. median
$95,360
outlier · 2.6×
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 1 $113,149.71 $219,331.22 $219,331.22 nat. median
$85,390
outlier · 2.6×
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 1 $113,149.71 $219,331.22 $219,331.22 nat. median
$85,322
outlier · 2.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $1.00 $409,532.02 $201,145.39 nat. median
$206,474
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M… 9 $1.00 $289,681.53 $199,966.89 nat. median
$202,976
1.0× median
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 1 $99,838.06 $193,527.71 $193,527.71 nat. median
$75,284
outlier · 2.6×
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 1 $99,838.06 $193,527.71 $193,527.71 nat. median
$75,344
outlier · 2.6×
1596
OTHER 		New Technology - Level 45 ($60,001-$70,000) 1 $86,526.40 $167,724.17 $167,724.17 nat. median
$65,191
outlier · 2.6×
1582
OTHER 		New Technology - Level 45 ($60,001-$70,000) 1 $86,526.40 $167,724.17 $167,724.17 nat. median
$65,571
outlier · 2.6×
0717
OTHER 		Instill Adstiladrin, Tx Dose 1 $84,319.04 $163,445.40 $163,445.40 nat. median
$63,342
outlier · 2.6×
5244
OTHER 		Level 4 Blood Product Exchange And Related Services 1 $78,729.09 $152,609.75 $152,609.75 nat. median
$63,188
outlier · 2.4×
1643
OTHER 		Y90 Ibritumomab, Rx 1 $75,642.86 $146,627.34 $146,627.34 nat. median
$61,939
outlier · 2.4×
9273
OTHER 		Sipuleucel-t Auto Cd54+ 1 $73,576.60 $142,622.07 $142,622.07 nat. median
$56,092
outlier · 2.5×
1595
OTHER 		New Technology - Level 44 ($50,001-$60,000) 1 $73,214.75 $141,920.66 $141,920.66 nat. median
$55,161
outlier · 2.6×
1581
OTHER 		New Technology - Level 44 ($50,001-$60,000) 1 $73,214.75 $141,920.66 $141,920.66 nat. median
$55,106
outlier · 2.6×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major… 10 $1.00 $265,927.86 $130,612.90 nat. median
$133,161
1.0× median
7
MS_DRG 		Lung Transplant 10 $1.00 $248,670.31 $122,136.69 nat. median
$122,708
1.0× median
1142
OTHER 		Supprelin La Implant 1 $59,929.92 $116,169.13 $116,169.13 nat. median
$45,345
outlier · 2.6×
1580
OTHER 		New Technology - Level 43 ($40,001-$50,000) 1 $59,903.09 $116,117.13 $116,117.13 nat. median
$45,289
outlier · 2.6×
1594
OTHER 		New Technology - Level 43 ($40,001-$50,000) 1 $59,903.09 $116,117.13 $116,117.13 nat. median
$45,133
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $1.00 $230,817.21 $113,367.98 nat. median
$117,357
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $1.00 $217,678.72 $106,914.89 nat. median
$108,660
1.0× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $1.00 $198,121.32 $97,309.10 nat. median
$100,136
1.0× median
1579
OTHER 		New Technology - Level 42 ($30,001-$40,000) 1 $46,591.45 $90,313.62 $90,313.62 nat. median
$35,350
outlier · 2.6×
1593
OTHER 		New Technology - Level 42 ($30,001-$40,000) 1 $46,591.45 $90,313.62 $90,313.62 nat. median
$35,103
outlier · 2.6×
A9543
HCPCS 		Wp Radiopharm ,drug And Vaccine Fee Schedule 1 $87,679.69 $104,585.74 $87,679.69 nat. median
$62,507
1.4× median
429
MS_DRG 		Combined Anterior/posterior Spinal Fusion With Cc 10 $1.00 $173,209.71 $85,073.53 nat. median
$82,711
1.0× median
J9029
HCPCS 		Wp Radiopharm ,drug And Vaccine Fee Schedule 1 $82,756.38 $98,713.14 $82,756.38 nat. median
$69,774
1.2× median
5232
OTHER 		Level 2 Icd And Similar Procedures 1 $42,679.74 $82,731.09 $82,731.09 nat. median
$32,531
outlier · 2.5×
5166
OTHER 		Cochlear Implant Procedure 1 $42,341.94 $82,076.30 $82,076.30 nat. median
$33,509
outlier · 2.4×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 10 $1.00 $161,601.27 $79,371.94 nat. median
$81,118
1.0× median

Other procedures at this hospital

Browse this hospital's 20,803 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
             
00160KB OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
00164KB OTHER Bariatric Surgery 1 1 — — $35,344.05 $35,344.05 $35,344.05 2025-11-26
00168KB OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
02H633Z OTHER Cardiac Procedures (level Of Care (days 7 - 999) 4 1 — — $67,975.19 $67,975.19 $67,975.19 2025-11-26
06H03DZ OTHER Cardiac Procedures (level Of Care (days 7 - 999) 4 1 — — $67,975.19 $67,975.19 $67,975.19 2025-11-26
0713 OTHER Inj Roctavian Ml 2x10^13vc G 6 1 — — $16,711.06 $32,392.99 $32,392.99 2025-11-26
0714 OTHER Inj Delandistrogene Mox Rokl 2 1 — — $4,414,759.55 $4,972,276.37 $4,693,517.96 2025-11-26
0717 OTHER Instill Adstiladrin, Tx Dose 6 1 — — $84,319.04 $163,445.40 $163,445.40 2025-11-26
0800 RC Outpatient Procedure Grouper 2 1 $17,243.00 $14,139.26 $33,475.00 $35,148.75 $34,311.88 2025-11-26
0843 OTHER Pegaspargase Injection 6 1 — — $37,837.12 $73,344.09 $73,344.09 2025-11-26
0856 OTHER Porfimer Sodium Injection 6 1 — — $32,252.02 $62,517.85 $62,517.85 2025-11-26
0D16079 OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D1607A OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D160J9 OTHER Bariatric Surgery 9 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160JA OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D160JB OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160JL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160K4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D160K9 OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160KA OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D160KB OTHER Ip Baritric Surgery 8 3 — — $28,032.53 $34,271.96 $31,036.00 2025-11-26
0D160KL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160Z4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D160Z9 OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160ZA OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D160ZB OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D160ZL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D163J4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D16474 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D16479 OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D1647A OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D1647B OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D1647L OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164J4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D164J9 OTHER Bariatric Surgery 9 3 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164JA OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164JB OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164JL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164K4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D164K9 OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164KA OTHER Bariatric Surgery 8 3 — — $28,032.53 $33,661.00 $31,036.00 2025-11-26
0D164KB OTHER Ip Baritric Surgery 7 2 — — $28,032.53 $31,036.00 $31,036.00 2025-11-26
0D164KL OTHER Bariatric Surgery 9 3 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164Z4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D164Z9 OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164ZA OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164ZB OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D164ZL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D16874 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D16879 OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D1687A OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D1687B OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D1687L OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D168J4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D168J9 OTHER Bariatric Surgery 9 4 — — $28,032.53 $34,271.96 $31,036.00 2025-11-26
0D168JA OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D168JB OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D168JL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D168K4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D168K9 OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D168KA OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D168KB OTHER Ip Baritric Surgery 8 3 — — $28,032.53 $34,271.96 $31,036.00 2025-11-26
0D168KL OTHER Bariatric Surgery 9 4 — — $28,032.53 $34,271.96 $31,036.00 2025-11-26
0D168Z4 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D168Z9 OTHER Bariatric Surgery 8 3 — — $28,032.53 $34,271.96 $31,036.00 2025-11-26
0D168ZA OTHER Bariatric Surgery 11 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0D168ZB OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D168ZL OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0D18074 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D18078 OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D1807H OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D1807K OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D1807L OTHER Ip Baritric Surgery 4 1 — — $31,036.00 $31,036.00 $31,036.00 2025-11-26
0D760DZ OTHER Bariatric Surgery 1 1 — — $33,661.00 $33,661.00 $33,661.00 2025-11-26
0D760ZZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D763DZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D763ZZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D764DZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D764ZZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D767DZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D767ZZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0D768DZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0DB64Z3 OTHER Bariatric Surgery 10 5 — — $24,077.00 $34,271.96 $31,036.00 2025-11-26
0DL67ZZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0DL68DZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0DP643Z OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
0DQ60ZZ OTHER Bariatric Surgery 10 4 — — $28,032.53 $35,344.05 $31,036.00 2025-11-26
0DQ63ZZ OTHER Ip Baritric Surgery 7 3 — — $31,036.00 $35,344.05 $31,036.00 2025-11-26
0DQ64ZZ OTHER Ip Baritric Surgery 7 4 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
0DQ67ZZ OTHER Ip Baritric Surgery 7 3 — — $31,036.00 $35,344.05 $31,036.00 2025-11-26
0DQ68ZZ OTHER Ip Baritric Surgery 7 3 — — $31,036.00 $35,344.05 $31,036.00 2025-11-26
0DV64CZ OTHER Bariatric Surgery 10 5 — — $24,077.00 $35,344.05 $31,036.00 2025-11-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 10 — — $1.00 $537,324.43 $263,911.80 2025-11-26
10 MS_DRG Pancreas Transplant 14 10 — — $1.00 $138,091.40 $67,824.85 2025-11-26
11 MS_DRG Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Mcc 14 10 — — $1.00 $105,123.59 $51,632.41 2025-11-26
1142 OTHER Supprelin La Implant 6 1 — — $59,929.92 $116,169.13 $116,169.13 2025-11-26
12 MS_DRG Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Cc 14 10 — — $1.00 $81,414.57 $39,987.51 2025-11-26
14 MS_DRG Allogeneic Bone Marrow Transplant 14 10 — — $1.00 $230,817.21 $113,367.98 2025-11-26
140 MS_DRG Major Head And Neck Procedures With Cc/mcc Or Major Device 14 10 — — $1.00 $82,358.64 $40,451.20 2025-11-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc/mcc 14 10 — — $1.00 $72,425.78 $35,572.59 2025-11-26
1575 OTHER New Technology - Level 38 ($10,001-$15,000) 6 1 — — $16,640.23 $32,255.70 $32,255.70 2025-11-26
1576 OTHER New Technology - Level 39 ($15,001-$20,000) 6 1 — — $23,296.06 $45,157.46 $45,157.46 2025-11-26
1577 OTHER New Technology - Level 40 ($20,001-$25,000) 6 1 — — $29,951.88 $58,059.21 $58,059.21 2025-11-26
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 6 1 — — $36,607.71 $70,960.98 $70,960.98 2025-11-26
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 6 1 — — $46,591.45 $90,313.62 $90,313.62 2025-11-26
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 6 1 — — $59,903.09 $116,117.13 $116,117.13 2025-11-26
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 6 1 — — $73,214.75 $141,920.66 $141,920.66 2025-11-26
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 6 1 — — $86,526.40 $167,724.17 $167,724.17 2025-11-26
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 6 1 — — $99,838.06 $193,527.71 $193,527.71 2025-11-26
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 6 1 — — $113,149.71 $219,331.22 $219,331.22 2025-11-26
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 6 1 — — $126,461.35 $245,134.73 $245,134.73 2025-11-26
1589 OTHER New Technology - Level 38 ($10,001-$15,000) 6 1 — — $16,640.23 $32,255.70 $32,255.70 2025-11-26
1590 OTHER New Technology - Level 39 ($15,001-$20,000) 6 1 — — $23,296.06 $45,157.46 $45,157.46 2025-11-26
1591 OTHER New Technology - Level 40 ($20,001-$25,000) 6 1 — — $29,951.88 $58,059.21 $58,059.21 2025-11-26
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 6 1 — — $36,607.71 $70,960.98 $70,960.98 2025-11-26
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 6 1 — — $46,591.45 $90,313.62 $90,313.62 2025-11-26
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 6 1 — — $59,903.09 $116,117.13 $116,117.13 2025-11-26
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 6 1 — — $73,214.75 $141,920.66 $141,920.66 2025-11-26
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 6 1 — — $86,526.40 $167,724.17 $167,724.17 2025-11-26
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 6 1 — — $99,838.06 $193,527.71 $193,527.71 2025-11-26
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 6 1 — — $113,149.71 $219,331.22 $219,331.22 2025-11-26
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 6 1 — — $126,461.35 $245,134.73 $245,134.73 2025-11-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc Or T-cell Immunotherapy 14 10 — — $1.00 $114,231.10 $56,105.65 2025-11-26
163 MS_DRG Major Chest Procedures With Mcc 14 10 — — $1.00 $86,504.51 $42,487.48 2025-11-26
1643 OTHER Y90 Ibritumomab, Rx 6 1 — — $75,642.86 $146,627.34 $146,627.34 2025-11-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 14 10 — — $1.00 $72,255.35 $35,488.88 2025-11-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 14 10 — — $1.00 $104,706.13 $51,427.37 2025-11-26
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 6 1 — — $143,100.92 $277,389.14 $277,389.14 2025-11-26
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 6 1 — — $143,100.92 $277,389.14 $277,389.14 2025-11-26
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 6 1 — — $163,068.40 $316,094.42 $316,094.42 2025-11-26
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 6 1 — — $163,068.40 $316,094.42 $316,094.42 2025-11-26
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 6 1 — — $183,035.87 $354,799.70 $354,799.70 2025-11-26
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 6 1 — — $183,035.87 $354,799.70 $354,799.70 2025-11-26
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 6 1 — — $203,003.35 $393,504.98 $393,504.98 2025-11-26
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 6 1 — — $203,003.35 $393,504.98 $393,504.98 2025-11-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 10 — — $1.00 $217,678.72 $106,914.89 2025-11-26
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Mcc 14 10 — — $1.00 $151,363.94 $74,343.78 2025-11-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 14 10 — — $1.00 $123,901.61 $60,855.41 2025-11-26
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Cc 14 10 — — $1.00 $102,053.92 $50,124.72 2025-11-26
215 MS_DRG Other Heart Assist System Implant 20 10 — — $1.00 $191,351.96 $67,975.19 2025-11-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $1.00 $188,016.12 $67,975.19 2025-11-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 20 10 — — $1.00 $126,594.03 $62,177.81 2025-11-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 18 10 — — $1.00 $126,594.03 $62,177.81 2025-11-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $1.00 $147,715.95 $67,975.19 2025-11-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 20 10 — — $1.00 $102,800.75 $53,989.26 2025-11-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 — — $1.00 $97,197.60 $47,809.03 2025-11-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 — — $1.00 $95,420.53 $52,059.29 2025-11-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 20 10 — — $1.00 $67,975.19 $37,055.19 2025-11-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Mcc Or Chemot… 15 10 — — $1.00 $110,412.69 $54,230.20 2025-11-26
230 MS_DRG Cardiac Procedures (level Of Care (days 7 - 999) 4 1 — — $67,975.19 $67,975.19 $67,975.19 2025-11-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 18 9 — — $1.00 $115,051.28 $67,975.19 2025-11-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 18 9 — — $1.00 $82,742.36 $57,421.32 2025-11-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 18 9 — — $1.00 $104,341.69 $67,975.19 2025-11-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 18 9 — — $1.00 $74,554.93 $54,600.15 2025-11-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 18 9 — — $1.00 $80,094.65 $56,508.99 2025-11-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 18 9 — — $1.00 $67,975.19 $47,778.29 2025-11-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 14 10 — — $1.00 $94,928.38 $46,624.94 2025-11-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx Without Mcc 15 10 — — $1.00 $75,591.20 $37,127.31 2025-11-26
245 MS_DRG Aicd Generator Procedures 15 11 — — $1.00 $88,047.96 $43,245.56 2025-11-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $1.00 $87,747.31 $43,097.90 2025-11-26
252 MS_DRG Other Vascular Procedures With Mcc 16 10 — — $1.00 $67,479.46 $33,143.15 2025-11-26
2616 OTHER Brachytx, Non-str,yttrium-90 6 1 — — $23,275.82 $45,118.23 $45,118.23 2025-11-26
264 MS_DRG Other Circulatory System O.r. Procedures 14 10 — — $1.00 $64,651.08 $31,753.97 2025-11-26
265 MS_DRG Aicd Lead Procedures 14 10 — — $1.00 $69,966.99 $34,364.92 2025-11-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 10 — — $1.00 $118,036.11 $57,974.51 2025-11-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 10 — — $1.00 $91,847.23 $45,111.60 2025-11-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 10 — — $1.00 $132,388.68 $65,023.91 2025-11-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 10 — — $1.00 $81,552.44 $40,055.23 2025-11-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 10 — — $1.00 $101,718.80 $49,960.12 2025-11-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 10 — — $1.00 $68,781.63 $33,782.73 2025-11-26
28 MS_DRG Spinal Procedures With Mcc 14 10 — — $1.00 $115,736.25 $56,844.92 2025-11-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 10 — — $1.00 $66,010.69 $32,421.76 2025-11-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M… 15 9 — — $1.00 $289,681.53 $199,966.89 2025-11-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 14 10 — — $1.00 $86,479.62 $42,475.25 2025-11-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 10 — — $1.00 $86,142.58 $42,309.72 2025-11-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 10 — — $1.00 $96,186.51 $47,242.88 2025-11-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 14 10 — — $1.00 $88,700.96 $43,566.29 2025-11-26
332 MS_DRG Rectal Resection With Mcc 14 10 — — $1.00 $70,014.86 $34,388.44 2025-11-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 14 10 — — $1.00 $69,061.21 $33,920.05 2025-11-26
34 MS_DRG Carotid Artery Stent Procedure With Mcc 14 10 — — $1.00 $74,802.24 $36,739.80 2025-11-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 14 10 — — $1.00 $84,800.20 $41,650.39 2025-11-26
37 MS_DRG Extracranial Procedures With Mcc 14 10 — — $1.00 $63,722.33 $31,297.80 2025-11-26
3E0G3GC OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major … 14 10 — — $1.00 $265,927.86 $130,612.90 2025-11-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 14 10 — — $1.00 $74,620.32 $36,650.45 2025-11-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $1.00 $105,437.64 $51,786.66 2025-11-26
408 MS_DRG Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.d.e. With … 14 10 — — $1.00 $68,959.72 $33,870.20 2025-11-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 14 10 — — $1.00 $63,936.80 $31,403.14 2025-11-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 14 10 — — $1.00 $68,902.27 $33,841.98 2025-11-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 14 10 — — $1.00 $65,924.52 $32,379.43 2025-11-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 14 10 — — $1.00 $80,208.15 $39,394.96 2025-11-26
429 MS_DRG Combined Anterior/posterior Spinal Fusion With Cc 14 10 — — $1.00 $173,209.71 $85,073.53 2025-11-26
430 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 14 10 — — $1.00 $111,117.39 $54,576.32 2025-11-26
4438 OTHER Bariatric Surgery (Case Rate) 1 1 — — $34,271.96 $34,271.96 $34,271.96 2025-11-26
4439 OTHER Bariatric Surgery (Case Rate) 1 1 — — $34,271.96 $34,271.96 $34,271.96 2025-11-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 14 10 — — $1.00 $161,601.27 $79,371.94 2025-11-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 14 10 — — $1.00 $114,870.70 $56,419.79 2025-11-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 14 10 — — $1.00 $80,583.48 $39,579.31 2025-11-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 14 10 — — $1.00 $106,442.99 $52,280.45 2025-11-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn… 14 10 — — $1.00 $109,822.88 $53,940.51 2025-11-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 14 10 — — $1.00 $100,361.10 $49,293.27 2025-11-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 14 10 — — $1.00 $68,212.89 $33,503.38 2025-11-26
471 MS_DRG Cervical Spinal Fusion With Mcc 14 10 — — $1.00 $93,147.48 $45,750.24 2025-11-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 14 10 — — $1.00 $82,887.17 $40,710.79 2025-11-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 14 10 — — $1.00 $66,834.12 $32,826.19 2025-11-26
485 MS_DRG Knee Procedures With Pdx Of Infection With Mcc 14 10 — — $1.00 $62,477.61 $30,686.45 2025-11-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 10 — — $1.00 $70,989.57 $34,867.18 2025-11-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 14 10 — — $1.00 $70,110.61 $34,435.46 2025-11-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 14 10 — — $1.00 $198,121.32 $97,309.10 2025-11-26
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 6 1 — — $23,160.34 $44,894.38 $44,894.38 2025-11-26
5115 OTHER Level 5 Musculoskeletal Procedures 6 1 — — $17,128.05 $33,201.30 $33,201.30 2025-11-26
5116 OTHER Level 6 Musculoskeletal Procedures 6 1 — — $24,480.46 $47,453.32 $47,453.32 2025-11-26
5166 OTHER Cochlear Implant Procedure 6 1 — — $42,341.94 $82,076.30 $82,076.30 2025-11-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 14 10 — — $1.00 $72,247.69 $35,485.11 2025-11-26
5194 OTHER Level 4 Endovascular Procedures 6 1 — — $23,903.63 $46,335.18 $46,335.18 2025-11-26
5200 OTHER Implantation Wireless Pa Pressure Monitor 6 1 — — $37,843.22 $73,355.91 $73,355.91 2025-11-26
5213 OTHER Level 3 Electrophysiologic Procedures 6 1 — — $32,656.91 $63,302.68 $63,302.68 2025-11-26
5224 OTHER Level 4 Pacemaker And Similar Procedures 6 1 — — $25,387.15 $49,210.87 $49,210.87 2025-11-26
5231 OTHER Level 1 Icd And Similar Procedures 6 1 — — $29,879.92 $57,919.73 $57,919.73 2025-11-26
5232 OTHER Level 2 Icd And Similar Procedures 6 1 — — $42,679.74 $82,731.09 $82,731.09 2025-11-26
5244 OTHER Level 4 Blood Product Exchange And Related Services 6 1 — — $78,729.09 $152,609.75 $152,609.75 2025-11-26
5377 OTHER Level 7 Urology And Related Services 6 1 — — $17,295.25 $33,525.40 $33,525.40 2025-11-26
5378 OTHER Level 8 Urology And Related Services 6 1 — — $26,794.74 $51,939.37 $51,939.37 2025-11-26
5463 OTHER Level 3 Neurostimulator And Related Procedures 6 1 — — $16,600.23 $32,178.16 $32,178.16 2025-11-26
5464 OTHER Level 4 Neurostimulator And Related Procedures 6 1 — — $28,546.34 $55,334.69 $55,334.69 2025-11-26
5465 OTHER Level 5 Neurostimulator And Related Procedures 6 1 — — $40,565.83 $78,633.46 $78,633.46 2025-11-26
5471 OTHER Implantation Of Drug Infusion Device 6 1 — — $23,527.43 $45,605.95 $45,605.95 2025-11-26
5494 OTHER Level 4 Intraocular Procedures 6 1 — — $19,021.64 $36,871.85 $36,871.85 2025-11-26
5495 OTHER Level 5 Intraocular Procedures 6 1 — — $20,453.35 $39,647.11 $39,647.11 2025-11-26
5496 OTHER Level 6 Intraocular Procedures 6 1 — — $21,853.24 $42,360.67 $42,360.67 2025-11-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $1.00 $126,136.36 $61,953.02 2025-11-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 14 10 — — $1.00 $67,155.84 $32,984.20 2025-11-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 14 10 — — $1.00 $94,535.82 $46,432.13 2025-11-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 14 10 — — $1.00 $62,695.91 $30,793.67 2025-11-26
5881 OTHER Ancillary Outpatient Services When Patient Dies 6 1 — — $17,987.96 $34,868.16 $34,868.16 2025-11-26
6 MS_DRG Liver Transplant Without Mcc 14 10 — — $1.00 $89,476.52 $43,947.21 2025-11-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 14 10 — — $1.00 $67,462.23 $33,134.69 2025-11-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 14 10 — — $1.00 $68,837.16 $33,810.00 2025-11-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 14 10 — — $1.00 $72,046.62 $35,386.36 2025-11-26
652 MS_DRG Kidney Transplant 14 10 — — $1.00 $62,523.57 $30,709.02 2025-11-26
653 MS_DRG Major Bladder Procedures With Mcc 14 10 — — $1.00 $100,188.76 $49,208.62 2025-11-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 10 — — $1.00 $81,138.82 $39,852.07 2025-11-26
7 MS_DRG Lung Transplant 14 10 — — $1.00 $248,670.31 $122,136.69 2025-11-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 14 10 — — $1.00 $69,130.15 $33,953.91 2025-11-26
739 MS_DRG Uterine, Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mcc 14 10 — — $1.00 $69,289.09 $34,031.97 2025-11-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 14 10 — — $1.00 $114,495.36 $56,235.44 2025-11-26
791 MS_DRG Prematurity With Major Problems 14 10 — — $1.00 $78,408.09 $38,510.85 2025-11-26
793 MS_DRG Full Term Neonate With Major Problems 14 10 — — $1.00 $80,526.03 $39,551.10 2025-11-26
799 MS_DRG Splenectomy With Mcc 14 10 — — $1.00 $87,406.45 $42,930.48 2025-11-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 14 10 — — $1.00 $108,005.59 $53,047.93 2025-11-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 14 10 — — $1.00 $76,973.79 $37,806.38 2025-11-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedure With Mcc 14 10 — — $1.00 $112,988.30 $55,495.23 2025-11-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedure With Mcc 14 10 — — $1.00 $88,476.91 $43,456.24 2025-11-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 14 10 — — $1.00 $90,257.82 $44,330.95 2025-11-26
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Mcc 14 10 — — $1.00 $105,809.14 $51,969.13 2025-11-26
837 MS_DRG Chemotherapy With Acute Leukemia As Sdx Or With High Dose Chemotherapy Agent Wit… 14 10 — — $1.00 $92,680.23 $45,520.74 2025-11-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 14 10 — — $1.00 $62,626.97 $30,759.81 2025-11-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedure With Mcc 14 10 — — $1.00 $95,252.01 $46,783.90 2025-11-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedure With Mcc 14 10 — — $1.00 $87,785.61 $43,116.71 2025-11-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 10 — — $1.00 $133,037.84 $65,342.75 2025-11-26
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 14 10 — — $1.00 $74,691.17 $36,685.25 2025-11-26
901 MS_DRG Wound Debridements For Injuries With Mcc 14 10 — — $1.00 $81,043.07 $39,805.04 2025-11-26
9035 OTHER Axicabtagene Ciloleucel Car+ 6 1 — — $709,817.44 $1,375,921.61 $1,375,921.61 2025-11-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 14 10 — — $1.00 $71,018.29 $34,881.28 2025-11-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 10 — — $1.00 $74,200.94 $36,444.47 2025-11-26
9138 OTHER Inj, Hemgenix, Per Tx Dose 1 1 — — $4,905,698.71 $4,905,698.71 $4,905,698.71 2025-11-26
9141 OTHER Inj Onase Abepar-xioi Treat 2 1 — — $3,268,157.77 $3,680,876.26 $3,474,517.01 2025-11-26
9194 OTHER Tisagenlecleucel Car-pos T 6 1 — — $787,685.32 $1,526,861.96 $1,526,861.96 2025-11-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 14 10 $13,464.00 $11,040.48 $1.00 $409,532.02 $201,145.39 2025-11-26
9273 OTHER Sipuleucel-t Auto Cd54+ 6 1 — — $73,576.60 $142,622.07 $142,622.07 2025-11-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 14 10 $13,464.00 $11,040.48 $1.00 $138,033.95 $67,796.64 2025-11-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 14 10 $13,464.00 $11,040.48 $1.00 $62,356.97 $30,627.19 2025-11-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 14 10 $13,464.00 $11,040.48 $1.00 $75,252.25 $36,960.83 2025-11-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 14 10 — — $1.00 $70,164.23 $34,461.80 2025-11-26
9391 OTHER Brexucabtagene Car Pos T 6 1 — — $651,345.26 $1,262,578.20 $1,262,578.20 2025-11-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 14 10 — — $1.00 $68,075.01 $33,435.66 2025-11-26
9413 OTHER Lisocabtagene Car Pos T 6 1 — — $748,831.25 $1,451,546.60 $1,451,546.60 2025-11-26
9422 OTHER Idecabtagene Vicleucel Car 6 1 — — $741,882.23 $1,438,076.51 $1,438,076.51 2025-11-26
9498 OTHER Ciltacabtagene Car-pos T 6 1 — — $753,265.04 $1,460,141.13 $1,460,141.13 2025-11-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 14 10 — — $1.00 $129,577.53 $63,643.19 2025-11-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 14 10 — — $1.00 $72,739.84 $35,726.83 2025-11-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 10 — — $1.00 $146,597.62 $72,002.76 2025-11-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 14 10 — — $1.00 $81,374.35 $39,967.76 2025-11-26
969 MS_DRG HIV With Extensive O.r. Procedure With Mcc 14 10 — — $1.00 $117,900.15 $57,907.74 2025-11-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 14 10 — — $1.00 $69,844.43 $34,304.73 2025-11-26
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 14 10 — — $1.00 $90,525.91 $44,462.63 2025-11-26
987 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 14 10 — — $1.00 $66,332.41 $32,579.77 2025-11-26
A9543 HCPCS Wp Radiopharm ,drug And Vaccine Fee Schedule 6 1 — — $87,679.69 $104,585.74 $87,679.69 2025-11-26
J9029 HCPCS Wp Radiopharm ,drug And Vaccine Fee Schedule 6 1 — — $82,756.38 $98,713.14 $82,756.38 2025-11-26
J9226 HCPCS Wp Radiopharm ,drug And Vaccine Fee Schedule 9 2 — — $57,736.37 $71,201.15 $59,691.64 2025-11-26
J9266 HCPCS Wp Radiopharm ,drug And Vaccine Fee Schedule 9 2 $30,636.12 $25,121.62 $33,304.05 $41,180.73 $34,523.95 2025-11-26
ODL64CZ OTHER Bariatric Surgery 1 1 — — $33,661.00 $33,661.00 $33,661.00 2025-11-26
ODV63CZ OTHER Bariatric Surgery 2 1 — — $33,661.00 $35,344.05 $34,502.53 2025-11-26
Q2043 HCPCS Wp Radiopharm ,drug And Vaccine Fee Schedule 6 1 — — $71,543.64 $85,338.40 $71,543.64 2025-11-26
T2000XA OTHER Ip Burn Care Unit 5 2 $13,464.00 $11,040.48 $20,423.83 $30,627.19 $30,627.19 2025-11-26
T2000XD OTHER Ip Burn Care Unit 5 2 $13,464.00 $11,040.48 $20,423.83 $30,627.19 $30,627.19 2025-11-26
T20011A OTHER Ip Burn Care Unit 5 2 $13,464.00 $11,040.48 $20,423.83 $30,627.19 $30,627.19 2025-11-26
T20011D OTHER Ip Burn Care Unit 5 2 $13,464.00 $11,040.48 $20,423.83 $30,627.19 $30,627.19 2025-11-26
T20012A OTHER Ip Burn Care Unit 5 2 $13,464.00 $11,040.48 $20,423.83 $30,627.19 $30,627.19 2025-11-26
T20012D OTHER Ip Burn Care Unit 5 2 $13,464.00 $11,040.48 $20,423.83 $30,627.19 $30,627.19 2025-11-26
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