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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

MEMORIALCARE SADDLEBACK MEDICAL CENTER

Laguna Hills, CA · CCN 050603 · Rates published

15,449 distinct procedures filed
28 distinct payers
870,536 rate rows
2026-04-01 last MRF observed
Data quality

761,874 of 870,536 rate rows are consumer-grade (87.5%)

108,662 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 107,942
placeholder amount (≤ $0.02) — excluded from medians 720
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/952585792_memorialcare-saddleback-medical-center_standardcharges.json
Found on page https://www.memorialcare.org/patients-visitors/patient-financial-tools-and-resources#MRF
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8af718ece37a3134… · 89,384,047 bytes · first seen 2026-05-08

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 9 $0.03 $4,975,110.00 $3,611,561.33 nat. median
$3,710,000
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 9 $0.03 $4,385,401.72 $3,407,097.13 nat. median
$3,286,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 9 $0.03 $4,477,224.49 $3,264,000.00 nat. median
$3,325,455
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 9 $0.03 $3,976,749.00 $3,089,607.52 nat. median
$3,006,423
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 9 $0.03 $4,990,480.00 $2,658,461.52 nat. median
$2,448,600
1.1× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 9 $0.03 $4,839,659.72 $2,455,110.60 nat. median
$2,469,189
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 11 $0.03 $2,059,337.44 $673,379.56 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 11 $0.03 $2,047,215.97 $669,415.98 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 11 $0.03 $2,028,218.19 $663,203.93 nat. median
$625,184
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 11 $0.03 $1,940,556.84 $634,539.68 nat. median
$634,511
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 11 $0.03 $2,153,438.40 $621,312.51 nat. median
$754,974
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 11 $0.03 $1,780,700.82 $582,268.60 nat. median
$620,080
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 $374,720.17 $1,934,898.67 $501,206.27 nat. median
$370,174
1.4× median
5834
MS_DRG 		Description Not Available 2 $452,800.74 $452,800.74 $452,800.74 —
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 21 $243,178.32 $1,445,209.25 $374,359.62 nat. median
$265,286
1.4× median
5884
MS_DRG 		Description Not Available 2 $371,419.09 $371,419.09 $371,419.09 —
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 $185,269.66 $1,217,209.51 $315,299.73 nat. median
$206,368
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $163,273.71 $1,099,576.92 $276,095.15 nat. median
$202,986
1.4× median
6304
MS_DRG 		Description Not Available 2 $269,590.38 $269,590.38 $269,590.38 —
5833
MS_DRG 		Description Not Available 2 $249,046.29 $249,046.29 $249,046.29 —
5934
MS_DRG 		Description Not Available 2 $242,236.34 $242,236.34 $242,236.34 —
5914
MS_DRG 		Description Not Available 2 $233,919.75 $233,919.75 $233,919.75 —
6094
MS_DRG 		Description Not Available 2 $232,427.80 $232,427.80 $232,427.80 —
6314
MS_DRG 		Description Not Available 2 $223,138.42 $223,138.42 $223,138.42 —
1614
MS_DRG 		Description Not Available 2 $197,289.02 $197,289.02 $197,289.02 —
6034
MS_DRG 		Description Not Available 2 $194,717.51 $194,717.51 $194,717.51 —
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $95,424.72 $724,959.74 $187,789.87 nat. median
$133,176
1.4× median
5832
MS_DRG 		Description Not Available 2 $183,647.62 $183,647.62 $183,647.62 —
7
MS_DRG 		Lung Transplant 21 $112,375.79 $670,509.90 $173,685.46 nat. median
$122,708
1.4× median
6024
MS_DRG 		Description Not Available 2 $173,635.36 $173,635.36 $173,635.36 —
5883
MS_DRG 		Description Not Available 2 $166,168.54 $166,168.54 $166,168.54 —
14
MS_DRG 		Allogeneic Bone Marrow Transplant 22 $104,285.73 $672,203.12 $163,661.65 nat. median
$117,303
1.4× median
5882
MS_DRG 		Description Not Available 2 $162,710.29 $162,710.29 $162,710.29 —
5831
MS_DRG 		Description Not Available 2 $158,704.84 $158,704.84 $158,704.84 —
1613
MS_DRG 		Description Not Available 2 $151,144.53 $151,144.53 $151,144.53 —
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $98,332.07 $565,417.39 $146,462.83 nat. median
$108,660
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $89,469.70 $546,376.36 $141,530.54 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 21 $86,402.20 $543,585.12 $140,807.51 nat. median
$99,019
1.4× median
8414
MS_DRG 		Description Not Available 2 $139,128.87 $139,128.87 $139,128.87 —
6074
MS_DRG 		Description Not Available 2 $133,366.25 $133,366.25 $133,366.25 —
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $20,651.48 $558,921.58 $129,242.51 nat. median
$102,358
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $10,687.43 $173,355.57 $128,986.54 nat. median
$87,411
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 $60,396.67 $495,159.03 $128,263.47 nat. median
$93,672
1.4× median
44
MS_DRG 		Acute Major Eye Infections 2 $123,631.63 $123,631.63 $123,631.63 nat. median
$17,483
outlier · 7.1×
1612
MS_DRG 		Description Not Available 2 $121,355.07 $121,355.07 $121,355.07 —
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 $6,660.99 $537,807.65 $120,062.19 nat. median
$98,905
1.2× median
1611
MS_DRG 		Description Not Available 2 $115,287.97 $115,287.97 $115,287.97 —
L8702
HCPCS 		Pow Ue Rom Dev Ewhf Uprt Cus 10 $44,721.11 $250,386.49 $113,883.70 nat. median
$70,825
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 22 $13,004.13 $434,767.53 $112,619.96 nat. median
$79,312
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 $55,530.52 $434,521.24 $112,556.16 nat. median
$81,118
1.4× median

Other procedures at this hospital

Browse this hospital's 15,449 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
14 MS_DRG Allogeneic Bone Marrow Transplant 98 22 — — $104,285.73 $672,203.12 $163,661.65 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 108 22 — — $20,651.48 $558,921.58 $129,242.51 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 88 22 — — $6,660.99 $537,807.65 $120,062.19 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 102 22 — — $13,004.13 $434,767.53 $112,619.96 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 86 22 — — $24,181.77 $472,628.95 $109,078.69 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 122 22 — — $10,909.75 $401,026.28 $103,879.80 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 112 22 — — $21,815.89 $356,935.86 $92,458.84 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 98 22 — — $9,686.83 $315,954.81 $81,843.32 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 98 22 — — $17,827.94 $313,414.98 $81,185.42 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 110 22 — — $1,419.00 $331,855.68 $81,054.18 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 100 22 — — $5,297.98 $314,872.17 $77,960.64 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 112 22 — — $39,684.56 $292,706.39 $75,821.17 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 86 22 — — $10,494.45 $317,401.74 $74,955.76 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 100 22 — — $45,937.13 $283,604.05 $73,463.34 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 104 22 — — $6,747.32 $364,232.10 $72,406.04 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 98 22 — — $47,328.13 $276,846.56 $71,712.92 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 100 22 — — $9,105.69 $272,962.42 $69,758.62 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 108 22 — — $9,337.15 $261,386.95 $66,180.34 2026-04-01
245 MS_DRG Aicd Generator Procedures 96 22 — — $7,760.72 $250,724.80 $64,827.43 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 104 22 — — $9,853.84 $255,671.05 $62,917.02 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 108 22 — — $6,895.96 $243,941.66 $61,144.64 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 98 22 — — $11,060.79 $235,629.49 $61,036.26 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 106 22 — — $7,997.37 $240,088.30 $59,980.57 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 102 22 — — $12,594.37 $230,093.17 $59,602.16 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 112 22 — — $6,585.88 $277,108.24 $57,168.73 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 100 22 — — $20,409.60 $218,538.23 $55,559.39 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 98 22 — — $36,584.48 $210,544.18 $54,538.29 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 116 22 — — $3,250.00 $213,992.19 $53,976.74 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 118 22 — — $5,400.65 $249,211.16 $53,784.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 102 22 — — $8,822.95 $216,988.68 $53,727.50 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 100 22 — — $9,308.80 $208,681.64 $53,184.38 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 114 22 — — $10,221.66 $201,606.03 $52,223.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 106 22 — — $16,115.39 $197,593.62 $51,183.64 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 98 22 — — $33,945.64 $195,048.66 $50,524.41 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 102 22 — — $21,675.60 $187,198.27 $48,490.88 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 100 22 — — $14,255.72 $181,143.73 $46,922.55 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 98 22 — — $12,751.18 $179,768.63 $46,566.35 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 96 22 — — $6,740.91 $181,082.16 $46,149.13 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 98 22 — — $16,009.68 $177,772.68 $46,049.33 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 100 22 — — $13,624.84 $176,731.10 $45,288.08 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 120 22 — — $1,394.00 $200,620.89 $43,927.25 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 108 22 — — $17,610.63 $179,322.24 $42,213.64 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 94 21 — — $374,720.17 $1,934,898.67 $501,206.27 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 94 21 — — $243,178.32 $1,445,209.25 $374,359.62 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 94 21 — — $185,269.66 $1,217,209.51 $315,299.73 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 100 21 — — $163,273.71 $1,099,576.92 $276,095.15 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 102 21 — — $95,424.72 $724,959.74 $187,789.87 2026-04-01
7 MS_DRG Lung Transplant 94 21 — — $112,375.79 $670,509.90 $173,685.46 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 94 21 — — $98,332.07 $565,417.39 $146,462.83 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 94 21 — — $89,469.70 $546,376.36 $141,530.54 2026-04-01
215 MS_DRG Other Heart Assist System Implant 96 21 — — $86,402.20 $543,585.12 $140,807.51 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 102 21 — — $60,396.67 $495,159.03 $128,263.47 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 98 21 — — $55,530.52 $434,521.24 $112,556.16 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 106 21 — — $44,762.59 $413,581.76 $107,132.11 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 84 21 — — $78,181.10 $427,922.81 $105,951.36 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 94 21 — — $61,910.72 $406,716.52 $105,353.77 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 120 21 — — $48,226.37 $515,123.96 $102,832.47 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 96 21 — — $39,594.62 $382,960.13 $99,200.04 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 96 21 — — $61,874.28 $362,579.92 $93,920.85 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 94 21 — — $62,241.34 $342,671.76 $88,763.94 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 94 21 — — $58,409.34 $350,337.43 $88,648.95 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 98 21 — — $37,409.10 $342,091.97 $88,613.76 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 94 21 — — $57,057.38 $331,327.19 $85,825.30 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 90 21 — — $57,979.80 $343,990.42 $84,164.22 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 94 21 — — $53,117.78 $324,477.35 $84,050.95 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 94 21 — — $47,138.97 $309,679.63 $80,217.83 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 94 21 — — $51,455.17 $309,679.63 $80,217.83 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 94 21 — — $57,057.38 $305,246.48 $79,069.49 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 100 21 — — $51,574.92 $305,036.11 $79,015.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 104 21 — — $41,124.06 $317,812.22 $78,993.05 2026-04-01
10 MS_DRG Pancreas Transplant 94 21 — — $62,267.37 $409,071.63 $78,557.95 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 120 21 — — $36,130.67 $301,895.95 $78,201.59 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 98 21 — — $19,717.22 $298,719.88 $77,378.87 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 110 21 — — $42,262.54 $307,365.57 $77,195.89 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 94 21 — — $51,745.00 $294,466.31 $76,277.05 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 106 21 — — $20,163.75 $311,916.74 $75,683.07 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 94 21 — — $45,091.93 $286,010.47 $74,086.69 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 98 21 — — $18,661.59 $283,583.53 $73,458.03 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 94 21 — — $48,634.10 $279,165.76 $72,313.67 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 98 21 — — $19,980.12 $278,529.52 $72,148.86 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 96 21 — — $42,530.32 $276,810.65 $71,703.62 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 94 21 — — $46,275.54 $271,751.51 $70,393.12 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 102 21 — — $30,682.56 $263,362.38 $68,220.04 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 98 21 — — $47,964.98 $282,470.11 $66,706.51 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 94 21 — — $41,689.47 $256,897.36 $66,545.38 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 94 21 — — $48,300.88 $256,697.25 $66,493.54 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 84 21 — — $46,247.77 $264,229.51 $64,766.39 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 100 21 — — $39,865.38 $258,421.25 $64,467.96 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 94 21 — — $40,237.72 $248,795.56 $64,446.73 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 102 21 — — $16,432.55 $245,014.03 $63,467.18 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 96 21 — — $39,299.68 $243,951.92 $63,192.06 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 88 21 — — $48,563.17 $280,669.14 $62,736.63 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 94 21 — — $41,312.00 $241,381.31 $62,526.18 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 94 21 — — $40,077.19 $238,702.94 $61,832.39 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 110 21 — — $22,543.67 $260,586.52 $61,538.61 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 94 21 — — $40,796.55 $236,383.74 $61,231.64 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 120 21 — — $33,407.75 $229,456.93 $59,437.35 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 94 21 — — $36,416.13 $227,312.19 $58,881.79 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 104 21 — — $17,962.47 $231,473.40 $58,628.51 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 94 21 — — $38,726.96 $225,377.81 $58,380.72 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 94 21 — — $36,207.88 $221,539.85 $57,386.55 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 94 21 — — $36,646.96 $213,468.83 $55,295.88 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 128 21 — — $22,574.32 $236,481.23 $55,156.98 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 94 21 — — $36,348.45 $210,975.18 $54,649.93 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 94 21 — — $36,566.25 $210,857.17 $54,619.36 2026-04-01
791 MS_DRG Prematurity With Major Problems 114 21 — — $2,814.30 $208,322.47 $53,962.79 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 52 21 — — $30,896.47 $119,810.84 $53,249.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 108 21 — — $14,365.78 $215,002.99 $53,233.57 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 110 21 — — $21,309.53 $214,987.60 $52,807.44 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 94 21 — — $31,089.86 $204,248.48 $52,638.86 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 100 21 — — $32,339.43 $202,483.43 $52,450.27 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 94 21 — — $33,537.80 $201,616.30 $52,225.66 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 102 21 — — $14,103.86 $202,021.64 $50,834.64 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 96 21 — — $36,322.68 $209,507.73 $50,704.75 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 104 21 — — $18,326.68 $204,392.15 $50,653.07 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 108 21 — — $3,559.00 $218,856.35 $50,141.01 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 98 21 — — $33,505.69 $193,529.89 $50,130.99 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 128 21 — — $2,673.25 $256,625.41 $49,675.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 94 21 — — $33,792.05 $222,001.64 $49,227.55 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 104 21 — — $6,015.16 $198,306.82 $49,099.69 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 98 21 — — $31,341.51 $183,934.98 $47,645.58 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 98 21 — — $16,272.87 $183,924.71 $47,642.92 2026-04-01
265 MS_DRG Aicd Lead Procedures 96 21 — — $31,397.05 $183,016.53 $47,407.67 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 102 21 — — $23,434.80 $196,115.90 $47,400.32 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 96 21 — — $31,873.44 $198,101.58 $47,089.89 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 128 21 — — $11,759.45 $235,598.70 $46,791.35 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 94 21 — — $31,462.13 $180,625.50 $46,788.31 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 94 21 — — $30,940.61 $179,640.36 $46,533.12 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 94 21 — — $32,157.21 $178,157.51 $46,149.01 2026-04-01
332 MS_DRG Rectal Resection With Mcc 94 21 — — $31,418.74 $177,967.66 $46,099.83 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 94 21 — — $30,602.19 $175,730.56 $45,520.35 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 116 21 — — $1,494.00 $183,883.67 $45,496.24 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 112 21 — — $16,220.50 $176,002.50 $45,444.62 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 94 21 — — $28,226.28 $174,801.85 $45,279.78 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 104 21 — — $7,133.09 $192,103.48 $45,099.62 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 102 21 — — $14,537.93 $185,941.19 $44,980.56 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 112 21 — — $16,407.48 $199,517.73 $44,768.36 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 94 21 — — $29,604.27 $172,220.97 $44,611.24 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 104 21 — — $21,584.48 $176,443.76 $44,610.34 2026-04-01
665 MS_DRG Prostatectomy With Mcc 98 21 — — $14,822.91 $176,166.69 $44,112.35 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 100 21 — — $15,497.18 $169,409.20 $43,882.89 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 102 21 — — $16,824.48 $179,737.84 $43,185.57 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 96 21 — — $20,715.14 $165,401.92 $42,844.87 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 94 21 — — $31,294.66 $164,406.51 $42,587.02 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 94 21 — — $27,342.90 $163,934.46 $42,464.75 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 94 21 — — $27,948.60 $163,175.08 $42,268.04 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 102 21 — — $28,442.55 $162,846.69 $42,182.98 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 48 20 — — $98,219.26 $237,627.25 $105,612.11 2026-04-01
69930 HCPCS Implant Cochlear Device 72 14 — — $3,329.00 $154,331.98 $45,588.23 2026-04-01
61886 HCPCS Implant Neurostim Arrays 72 14 — — $1,669.00 $144,435.05 $42,664.76 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 70 13 — — $2,862.00 $294,420.06 $79,283.32 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 70 13 — — $1,754.00 $206,167.51 $59,483.69 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 70 13 — — $2,222.00 $146,921.26 $44,408.46 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 70 13 — — $2,222.00 $146,921.26 $44,408.46 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 70 13 — — $3,513.00 $146,921.26 $44,408.46 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 70 13 — — $2,222.00 $146,921.26 $44,408.46 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 66 12 — — $1,299.98 $206,167.51 $55,518.11 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 50 12 — — $4,295.00 $125,992.15 $43,275.47 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 66 12 — — $1,299.98 $160,353.02 $43,180.89 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 66 12 — — $1,299.98 $146,921.26 $42,389.89 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 66 12 — — $4,209.47 $146,921.26 $42,389.89 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 56 11 — — $0.03 $2,059,337.44 $673,379.56 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 56 11 — — $0.03 $2,047,215.97 $669,415.98 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 56 11 — — $0.03 $2,028,218.19 $663,203.93 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 56 11 — — $0.03 $1,940,556.84 $634,539.68 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 66 11 — — $0.03 $2,153,438.40 $621,312.51 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 56 11 — — $0.03 $1,780,700.82 $582,268.60 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 74 11 — — $41,172.48 $230,518.27 $86,930.54 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 68 11 — — $35,927.01 $201,149.70 $76,146.10 2026-04-01
J9226 HCPCS Supprelin La Implant 74 11 — — $29,263.42 $163,841.31 $62,058.45 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 60 11 — — $1,299.98 $206,167.51 $60,899.96 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 44 11 — — $26,241.36 $146,921.26 $55,902.65 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 44 11 — — $2,392.00 $144,435.05 $47,228.60 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 44 11 — — $2,392.00 $144,435.05 $47,228.60 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 44 11 — — $18,595.82 $104,115.09 $45,059.10 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 44 11 — — $18,595.82 $104,115.09 $45,059.10 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 60 11 — — $1,299.98 $144,435.05 $42,664.76 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 60 11 — — $1,299.98 $144,435.05 $42,664.76 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 52 10 — — $44,721.11 $250,386.49 $113,883.70 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 52 10 — — $31,301.08 $175,249.81 $79,709.14 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 52 10 — — $36,935.96 $206,798.63 $77,912.14 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 52 10 — — $28,831.95 $161,425.58 $73,421.46 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 52 10 — — $25,959.76 $145,344.65 $66,107.36 2026-04-01
L8701 HCPCS Pow Ue Rom Dev Ewh Uprt Cust 52 10 — — $22,730.58 $127,264.98 $57,884.14 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 38 10 — — $25,797.30 $144,435.05 $49,610.20 2026-04-01
L5856 HCPCS Elec Knee-shin Swing/stance 52 10 — — $18,753.30 $104,996.78 $47,755.85 2026-04-01
L6880 HCPCS Elec Hand Ind Art Digits 52 10 — — $18,664.75 $104,501.01 $47,530.36 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 34 9 — — $0.03 $4,975,110.00 $3,611,561.33 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 24 9 — — $0.03 $4,385,401.72 $3,407,097.13 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 34 9 — — $0.03 $4,477,224.49 $3,264,000.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 24 9 — — $0.03 $3,976,749.00 $3,089,607.52 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 32 9 — — $0.03 $4,990,480.00 $2,658,461.52 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 38 9 — — $0.03 $4,839,659.72 $2,455,110.60 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 20 8 — — $27,679.07 $123,257.39 $42,351.46 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 14 3 — — $10,687.43 $173,355.57 $128,986.54 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 14 3 — — $16,065.68 $119,653.18 $89,028.86 2026-04-01
5834 MS_DRG Description Not Available 4 2 — — $452,800.74 $452,800.74 $452,800.74 2026-04-01
5884 MS_DRG Description Not Available 4 2 — — $371,419.09 $371,419.09 $371,419.09 2026-04-01
6304 MS_DRG Description Not Available 4 2 — — $269,590.38 $269,590.38 $269,590.38 2026-04-01
5833 MS_DRG Description Not Available 4 2 — — $249,046.29 $249,046.29 $249,046.29 2026-04-01
5934 MS_DRG Description Not Available 4 2 — — $242,236.34 $242,236.34 $242,236.34 2026-04-01
5914 MS_DRG Description Not Available 4 2 — — $233,919.75 $233,919.75 $233,919.75 2026-04-01
6094 MS_DRG Description Not Available 4 2 — — $232,427.80 $232,427.80 $232,427.80 2026-04-01
6314 MS_DRG Description Not Available 4 2 — — $223,138.42 $223,138.42 $223,138.42 2026-04-01
1614 MS_DRG Description Not Available 4 2 — — $197,289.02 $197,289.02 $197,289.02 2026-04-01
6034 MS_DRG Description Not Available 4 2 — — $194,717.51 $194,717.51 $194,717.51 2026-04-01
5832 MS_DRG Description Not Available 4 2 — — $183,647.62 $183,647.62 $183,647.62 2026-04-01
6024 MS_DRG Description Not Available 4 2 — — $173,635.36 $173,635.36 $173,635.36 2026-04-01
5883 MS_DRG Description Not Available 4 2 — — $166,168.54 $166,168.54 $166,168.54 2026-04-01
5882 MS_DRG Description Not Available 4 2 — — $162,710.29 $162,710.29 $162,710.29 2026-04-01
5831 MS_DRG Description Not Available 4 2 — — $158,704.84 $158,704.84 $158,704.84 2026-04-01
1613 MS_DRG Description Not Available 4 2 — — $151,144.53 $151,144.53 $151,144.53 2026-04-01
8414 MS_DRG Description Not Available 4 2 — — $139,128.87 $139,128.87 $139,128.87 2026-04-01
6074 MS_DRG Description Not Available 4 2 — — $133,366.25 $133,366.25 $133,366.25 2026-04-01
44 MS_DRG Acute Major Eye Infections 4 2 — — $123,631.63 $123,631.63 $123,631.63 2026-04-01
1612 MS_DRG Description Not Available 4 2 — — $121,355.07 $121,355.07 $121,355.07 2026-04-01
1611 MS_DRG Description Not Available 4 2 — — $115,287.97 $115,287.97 $115,287.97 2026-04-01
5933 MS_DRG Description Not Available 4 2 — — $108,176.39 $108,176.39 $108,176.39 2026-04-01
5881 MS_DRG Description Not Available 4 2 — — $107,102.98 $107,102.98 $107,102.98 2026-04-01
6114 MS_DRG Description Not Available 4 2 — — $101,348.20 $101,348.20 $101,348.20 2026-04-01
8634 MS_DRG Description Not Available 4 2 — — $99,358.94 $99,358.94 $99,358.94 2026-04-01
6124 MS_DRG Description Not Available 4 2 — — $96,914.36 $96,914.36 $96,914.36 2026-04-01
5913 MS_DRG Description Not Available 4 2 — — $95,167.13 $95,167.13 $95,167.13 2026-04-01
6134 MS_DRG Description Not Available 4 2 — — $95,084.71 $95,084.71 $95,084.71 2026-04-01
6023 MS_DRG Description Not Available 4 2 — — $95,080.79 $95,080.79 $95,080.79 2026-04-01
6303 MS_DRG Description Not Available 4 2 — — $90,458.13 $90,458.13 $90,458.13 2026-04-01
5932 MS_DRG Description Not Available 4 2 — — $85,739.79 $85,739.79 $85,739.79 2026-04-01
43 MS_DRG Hyphema 4 2 — — $84,604.31 $84,604.31 $84,604.31 2026-04-01
6084 MS_DRG Description Not Available 4 2 — — $84,442.83 $84,442.83 $84,442.83 2026-04-01
1604 MS_DRG Description Not Available 4 2 — — $83,481.43 $83,481.43 $83,481.43 2026-04-01
6093 MS_DRG Description Not Available 4 2 — — $80,413.58 $80,413.58 $80,413.58 2026-04-01
6214 MS_DRG Description Not Available 4 2 — — $79,510.00 $79,510.00 $79,510.00 2026-04-01
1624 MS_DRG Description Not Available 4 2 — — $78,680.02 $78,680.02 $78,680.02 2026-04-01
6144 MS_DRG Description Not Available 4 2 — — $76,411.86 $76,411.86 $76,411.86 2026-04-01
3034 MS_DRG Description Not Available 4 2 — — $75,220.84 $75,220.84 $75,220.84 2026-04-01
6022 MS_DRG Description Not Available 4 2 — — $72,548.52 $72,548.52 $72,548.52 2026-04-01
6334 MS_DRG Description Not Available 4 2 — — $72,267.00 $72,267.00 $72,267.00 2026-04-01
6073 MS_DRG Description Not Available 4 2 — — $72,050.31 $72,050.31 $72,050.31 2026-04-01
4404 MS_DRG Description Not Available 4 2 — — $71,509.64 $71,509.64 $71,509.64 2026-04-01
8424 MS_DRG Description Not Available 4 2 — — $70,312.09 $70,312.09 $70,312.09 2026-04-01
1634 MS_DRG Description Not Available 4 2 — — $66,951.85 $66,951.85 $66,951.85 2026-04-01
1784 MS_DRG Description Not Available 4 2 — — $66,505.68 $66,505.68 $66,505.68 2026-04-01
6033 MS_DRG Description Not Available 4 2 — — $65,802.37 $65,802.37 $65,802.37 2026-04-01
6224 MS_DRG Description Not Available 4 2 — — $62,757.52 $62,757.52 $62,757.52 2026-04-01
1654 MS_DRG Description Not Available 4 2 — — $61,226.37 $61,226.37 $61,226.37 2026-04-01
1674 MS_DRG Description Not Available 4 2 — — $60,223.90 $60,223.90 $60,223.90 2026-04-01
6313 MS_DRG Description Not Available 4 2 — — $59,507.75 $59,507.75 $59,507.75 2026-04-01
3044 MS_DRG Description Not Available 4 2 — — $57,735.46 $57,735.46 $57,735.46 2026-04-01
6234 MS_DRG Description Not Available 4 2 — — $57,596.19 $57,596.19 $57,596.19 2026-04-01
6302 MS_DRG Description Not Available 4 2 — — $57,392.43 $57,392.43 $57,392.43 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 16 2 — — $53,286.46 $82,174.38 $57,294.42 2026-04-01
3033 MS_DRG Description Not Available 4 2 — — $56,954.20 $56,954.20 $56,954.20 2026-04-01
1834 MS_DRG Description Not Available 4 2 — — $56,751.65 $56,751.65 $56,751.65 2026-04-01
6083 MS_DRG Description Not Available 4 2 — — $55,848.82 $55,848.82 $55,848.82 2026-04-01
6072 MS_DRG Description Not Available 4 2 — — $55,790.48 $55,790.48 $55,790.48 2026-04-01
6344 MS_DRG Description Not Available 4 2 — — $55,386.84 $55,386.84 $55,386.84 2026-04-01
1664 MS_DRG Description Not Available 4 2 — — $55,190.08 $55,190.08 $55,190.08 2026-04-01
9104 MS_DRG Description Not Available 4 2 — — $54,521.76 $54,521.76 $54,521.76 2026-04-01
1794 MS_DRG Description Not Available 4 2 — — $54,182.94 $54,182.94 $54,182.94 2026-04-01
6804 MS_DRG Description Not Available 4 2 — — $53,958.92 $53,958.92 $53,958.92 2026-04-01
1623 MS_DRG Description Not Available 4 2 — — $53,889.85 $53,889.85 $53,889.85 2026-04-01
6254 MS_DRG Description Not Available 4 2 — — $53,059.87 $53,059.87 $53,059.87 2026-04-01
1694 MS_DRG Description Not Available 4 2 — — $51,655.29 $51,655.29 $51,655.29 2026-04-01
9114 MS_DRG Description Not Available 4 2 — — $51,508.75 $51,508.75 $51,508.75 2026-04-01
3124 MS_DRG Description Not Available 4 2 — — $51,284.73 $51,284.73 $51,284.73 2026-04-01
8413 MS_DRG Description Not Available 4 2 — — $51,058.85 $51,058.85 $51,058.85 2026-04-01
5912 MS_DRG Description Not Available 4 2 — — $50,640.45 $50,640.45 $50,640.45 2026-04-01
5891 MS_DRG Description Not Available 4 2 — — $50,393.10 $50,393.10 $50,393.10 2026-04-01
9124 MS_DRG Description Not Available 4 2 — — $50,045.17 $50,045.17 $50,045.17 2026-04-01
1783 MS_DRG Description Not Available 4 2 — — $49,200.45 $49,200.45 $49,200.45 2026-04-01
8504 MS_DRG Description Not Available 4 2 — — $48,999.77 $48,999.77 $48,999.77 2026-04-01
214 MS_DRG No Longer Valid 4 2 — — $48,204.51 $48,204.51 $48,204.51 2026-04-01
4414 MS_DRG Description Not Available 4 2 — — $48,196.11 $48,196.11 $48,196.11 2026-04-01
2604 MS_DRG Description Not Available 4 2 — — $47,591.27 $47,591.27 $47,591.27 2026-04-01
6123 MS_DRG Description Not Available 4 2 — — $47,331.55 $47,331.55 $47,331.55 2026-04-01
4403 MS_DRG Description Not Available 4 2 — — $47,136.70 $47,136.70 $47,136.70 2026-04-01
7404 MS_DRG Description Not Available 4 2 — — $46,982.69 $46,982.69 $46,982.69 2026-04-01
6814 MS_DRG Description Not Available 4 2 — — $46,011.02 $46,011.02 $46,011.02 2026-04-01
6364 MS_DRG Description Not Available 4 2 — — $45,852.15 $45,852.15 $45,852.15 2026-04-01
6113 MS_DRG Description Not Available 4 2 — — $45,841.61 $45,841.61 $45,841.61 2026-04-01
1782 MS_DRG Description Not Available 4 2 — — $45,839.27 $45,839.27 $45,839.27 2026-04-01
2204 MS_DRG Description Not Available 4 2 — — $45,660.06 $45,660.06 $45,660.06 2026-04-01
1653 MS_DRG Description Not Available 4 2 — — $45,219.50 $45,219.50 $45,219.50 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 4 2 — — $26,481.80 $63,761.38 $45,121.59 2026-04-01
9504 MS_DRG Description Not Available 4 2 — — $44,904.01 $44,904.01 $44,904.01 2026-04-01
1603 MS_DRG Description Not Available 4 2 — — $44,813.47 $44,813.47 $44,813.47 2026-04-01
1633 MS_DRG Description Not Available 4 2 — — $44,571.72 $44,571.72 $44,571.72 2026-04-01
8633 MS_DRG Description Not Available 4 2 — — $44,272.33 $44,272.33 $44,272.33 2026-04-01
1204 MS_DRG Description Not Available 4 2 — — $44,267.43 $44,267.43 $44,267.43 2026-04-01
6904 MS_DRG Description Not Available 4 2 — — $44,042.48 $44,042.48 $44,042.48 2026-04-01
7594 MS_DRG Description Not Available 4 2 — — $43,963.14 $43,963.14 $43,963.14 2026-04-01
3614 MS_DRG Description Not Available 4 2 — — $43,431.10 $43,431.10 $43,431.10 2026-04-01
6133 MS_DRG Description Not Available 4 2 — — $43,057.74 $43,057.74 $43,057.74 2026-04-01
1814 MS_DRG Description Not Available 4 2 — — $42,709.58 $42,709.58 $42,709.58 2026-04-01
1622 MS_DRG Description Not Available 4 2 — — $42,709.58 $42,709.58 $42,709.58 2026-04-01
1304 MS_DRG Description Not Available 4 2 — — $42,009.53 $42,009.53 $42,009.53 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 10 1 — — $94,709.24 $129,747.68 $107,682.02 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 10 1 — — $65,767.97 $90,099.35 $74,776.52 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 10 1 — — $52,234.81 $71,559.50 $59,389.66 2026-04-01
L8614 HCPCS Cochlear Device 14 1 — — $33,581.40 $77,774.18 $42,128.27 2026-04-01
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