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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

EAST LOS ANGELES DOCTORS HOSPITAL

Los Angeles, CA · CCN 050641 · Rates published

15,788 distinct procedures filed
27 distinct payers
489,598 rate rows
2026-02-04 last MRF observed
Data quality

488,838 of 489,598 rate rows are consumer-grade (99.8%)

760 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 369
per-diem day rate — not a per-procedure price 160
exceeds 10× this hospital's gross charge — excluded from medians 115
placeholder amount (≤ $0.02) — excluded from medians 72
percent-of-charges filed in the dollar field — excluded from medians 44
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8429/760594559_pipeline-health-system-holdings,-llc_standardcharges.csv
Found on page https://www.eladoctorshospital.com/cms-hpt.txt
Discovered viaCMS hospital list
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-05-18
Content fingerprint 5261c365e20842a4… · 318,238,192 bytes · first seen 2026-05-17

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 15 $3,121,965.00 $4,774,770.00 $3,856,545.00 nat. median
$3,710,000
1.0× median
C9172
HCPCS 		Apc 15 $3,064,250.00 $4,686,500.00 $3,785,250.00 nat. median
$3,570,000
1.1× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 17 $2,826,636.54 $4,988,182.14 $3,491,727.49 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 17 $2,793,100.00 $4,929,000.00 $3,450,300.00 nat. median
$3,286,000
1.1× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 17 $2,522,800.00 $4,452,000.00 $3,116,400.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 20 $2,030,322.10 $4,777,228.46 $2,627,475.65 nat. median
$2,469,189
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 20 $86,886.87 $1,058,385.71 $582,112.14 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 20 $86,227.85 $1,054,246.87 $579,835.78 nat. median
$675,122
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 20 $98,876.82 $1,053,175.19 $579,246.35 nat. median
$625,184
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 20 $96,666.11 $1,033,452.15 $568,398.68 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 20 $91,690.31 $978,911.92 $538,401.55 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 20 $91,685.76 $921,060.80 $506,583.44 nat. median
$620,080
0.8× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 $388,460.99 $800,950.50 $440,522.78 nat. median
$370,174
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $290,417.76 $598,799.50 $329,339.73 nat. median
$265,286
1.2× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $244,752.60 $504,644.54 $277,554.50 nat. median
$206,368
1.3× median
5834
APR_DRG 		Neonate With Ecmo 1 $251,555.97 $251,555.97 $251,555.97 nat. median
$309,665
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 16 $221,216.88 $456,117.28 $250,864.50 nat. median
$202,986
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $206,343.94 $206,343.94 $206,343.94 nat. median
$246,434
0.8× median
5833
APR_DRG 		Neonate With Ecmo 1 $199,237.03 $199,237.03 $199,237.03 nat. median
$244,017
0.8× median
1614
APR_DRG 		Implantable Heart Assist Systems 1 $197,289.02 $197,289.02 $197,289.02 nat. median
$207,730
0.9× median
24
APR_DRG 		Heart And/or Lung Transplant 1 $190,390.26 $190,390.26 $190,390.26 nat. median
$234,738
0.8× median
4
MS_DRG 		Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And… 16 $146,213.22 $301,470.56 $165,808.81 nat. median
$133,176
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $135,651.34 $279,693.48 $153,831.41 nat. median
$117,303
1.3× median
7
MS_DRG 		Lung Transplant 16 $135,312.35 $278,994.54 $153,447.00 nat. median
$122,708
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 1 $151,144.53 $151,144.53 $151,144.53 nat. median
$119,796
1.3× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 $149,772.43 $149,772.43 $149,772.43 nat. median
$150,721
1.0× median
5832
APR_DRG 		Neonate With Ecmo 1 $146,918.09 $146,918.09 $146,918.09 nat. median
$156,126
0.9× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 1 $139,128.87 $139,128.87 $139,128.87 nat. median
$160,267
0.9× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 1 $134,575.75 $134,575.75 $134,575.75 nat. median
$151,838
0.9× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $132,934.83 $132,934.83 $132,934.83 nat. median
$182,736
0.7× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 1 $130,168.23 $130,168.23 $130,168.23 nat. median
$145,336
0.9× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 1 $129,955.42 $129,955.42 $129,955.42 nat. median
$164,279
0.8× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $129,787.40 $129,787.40 $129,787.40 nat. median
$117,173
1.1× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $114,263.55 $235,594.94 $129,577.22 nat. median
$108,660
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 $129,126.56 $129,126.56 $129,126.56 nat. median
$162,982
0.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $112,971.28 $232,930.48 $128,111.76 nat. median
$102,358
1.3× median
5831
APR_DRG 		Neonate With Ecmo 1 $126,963.87 $126,963.87 $126,963.87 nat. median
$145,122
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $110,459.74 $227,752.04 $125,263.62 nat. median
$100,136
1.3× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 1 $124,817.05 $124,817.05 $124,817.05 nat. median
$187,294
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 16 $109,898.89 $226,595.64 $124,627.60 nat. median
$99,019
1.3× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 $123,965.79 $123,965.79 $123,965.79 nat. median
$122,924
1.0× median
44
APR_DRG 		Tracheostomy With Mv >96 Hours With Extensive Procedure 1 $123,631.63 $123,631.63 $123,631.63 nat. median
$105,658
1.2× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $108,672.38 $224,066.76 $123,236.72 nat. median
$98,905
1.2× median
14
APR_DRG 		Liver Transplant And/or Intestinal Transplant 1 $121,708.83 $121,708.83 $121,708.83 nat. median
$129,535
0.9× median
1612
APR_DRG 		Implantable Heart Assist Systems 1 $121,355.07 $121,355.07 $121,355.07 nat. median
$85,406
1.4× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 1 $121,038.64 $121,038.64 $121,038.64 nat. median
$164,834
0.7× median
23
APR_DRG 		Heart And/or Lung Transplant 1 $117,734.41 $117,734.41 $117,734.41 nat. median
$93,528
1.3× median
1611
APR_DRG 		Implantable Heart Assist Systems 1 $115,287.97 $115,287.97 $115,287.97 nat. median
$76,806
1.5× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $100,204.97 $206,608.18 $113,634.50 nat. median
$93,672
1.2× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 20 $84,999.92 $199,999.82 $109,999.90 nat. median
$111,989
1.0× median

Other procedures at this hospital

Browse this hospital's 15,788 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
             
0266T CPT Apc 22 20 — — $3,153.00 $118,021.91 $64,912.05 2026-02-04
0268T CPT Apc 22 20 — — $3,153.00 $77,595.37 $42,677.45 2026-02-04
0408T CPT Insj/rplc Cardiac Modulj Sys 22 20 — — $3,153.00 $82,210.47 $45,215.76 2026-02-04
0571T CPT Insj/rplcmt Icds Ss Eltrd 22 20 — — $4,387.00 $82,210.47 $45,215.76 2026-02-04
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 16 16 — — $290,417.76 $598,799.50 $329,339.73 2026-02-04
10 MS_DRG Pancreas Transplant 16 16 — — $82,967.17 $171,066.34 $94,086.49 2026-02-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 16 16 — — $56,494.62 $116,483.76 $64,066.07 2026-02-04
11 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $52,360.01 $52,360.01 $52,360.01 2026-02-04
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $63,884.70 $63,884.70 $63,884.70 2026-02-04
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $129,787.40 $129,787.40 $129,787.40 2026-02-04
12 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $58,973.15 $58,973.15 $58,973.15 2026-02-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 16 16 — — $43,220.85 $89,115.16 $49,013.34 2026-02-04
1204 APR_DRG Major Respiratory And Chest Procedures 1 1 — — $44,267.43 $44,267.43 $44,267.43 2026-02-04
13 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $70,363.43 $70,363.43 $70,363.43 2026-02-04
1304 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours 1 1 — — $42,009.53 $42,009.53 $42,009.53 2026-02-04
14 MS_DRG Allogeneic Bone Marrow Transplant 16 16 — — $135,651.34 $279,693.48 $153,831.41 2026-02-04
14 APR_DRG Liver Transplant And/or Intestinal Transplant 1 1 — — $121,708.83 $121,708.83 $121,708.83 2026-02-04
140 MS_DRG Major Head And Neck Procedures With Mcc 16 16 — — $44,510.02 $91,773.24 $50,475.28 2026-02-04
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 16 16 — — $63,068.85 $130,038.86 $71,521.37 2026-02-04
1603 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $44,813.47 $44,813.47 $44,813.47 2026-02-04
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 1 1 — — $83,481.43 $83,481.43 $83,481.43 2026-02-04
1611 APR_DRG Implantable Heart Assist Systems 1 1 — — $115,287.97 $115,287.97 $115,287.97 2026-02-04
1612 APR_DRG Implantable Heart Assist Systems 1 1 — — $121,355.07 $121,355.07 $121,355.07 2026-02-04
1613 APR_DRG Implantable Heart Assist Systems 1 1 — — $151,144.53 $151,144.53 $151,144.53 2026-02-04
1614 APR_DRG Implantable Heart Assist Systems 1 1 — — $197,289.02 $197,289.02 $197,289.02 2026-02-04
1622 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $42,709.58 $42,709.58 $42,709.58 2026-02-04
1623 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $53,889.85 $53,889.85 $53,889.85 2026-02-04
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 1 1 — — $78,680.02 $78,680.02 $78,680.02 2026-02-04
163 MS_DRG Major Chest Procedures With Mcc 16 16 — — $48,413.47 $99,821.58 $54,901.87 2026-02-04
1633 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $44,571.72 $44,571.72 $44,571.72 2026-02-04
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 1 1 — — $66,951.85 $66,951.85 $66,951.85 2026-02-04
1653 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $45,219.50 $45,219.50 $45,219.50 2026-02-04
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 1 1 — — $61,226.37 $61,226.37 $61,226.37 2026-02-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 16 16 — — $40,617.89 $83,748.22 $46,061.52 2026-02-04
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 1 1 — — $55,190.08 $55,190.08 $55,190.08 2026-02-04
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 1 1 — — $60,223.90 $60,223.90 $60,223.90 2026-02-04
1694 APR_DRG Major Abdominal Vascular Procedures 1 1 — — $51,655.29 $51,655.29 $51,655.29 2026-02-04
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 16 16 — — $63,068.85 $130,038.86 $71,521.37 2026-02-04
1764 APR_DRG Insertion, Revision And Replacements Of Pacemaker And Other Cardiac Devices 1 1 — — $41,958.20 $41,958.20 $41,958.20 2026-02-04
1782 APR_DRG External Heart Assist Systems 1 1 — — $45,839.27 $45,839.27 $45,839.27 2026-02-04
1783 APR_DRG External Heart Assist Systems 1 1 — — $49,200.45 $49,200.45 $49,200.45 2026-02-04
1784 APR_DRG External Heart Assist Systems 1 1 — — $66,505.68 $66,505.68 $66,505.68 2026-02-04
1794 APR_DRG Defibrillator Implants 1 1 — — $54,182.94 $54,182.94 $54,182.94 2026-02-04
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 16 16 — — $388,460.99 $800,950.50 $440,522.78 2026-02-04
1814 APR_DRG Lower Extremity Arterial Procedures 1 1 — — $42,709.58 $42,709.58 $42,709.58 2026-02-04
1834 APR_DRG Percutaneous Structural Cardiac Procedures 1 1 — — $56,751.65 $56,751.65 $56,751.65 2026-02-04
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 16 — — $82,497.72 $170,098.40 $93,554.12 2026-02-04
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 16 — — $114,263.55 $235,594.94 $129,577.22 2026-02-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 16 — — $83,872.15 $172,932.26 $95,112.74 2026-02-04
204 APR_DRG Open Craniotomy For Trauma 1 1 — — $44,472.78 $44,472.78 $44,472.78 2026-02-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 16 16 — — $67,499.25 $139,173.72 $76,545.55 2026-02-04
21 APR_DRG Heart And/or Lung Transplant 1 1 — — $74,900.68 $74,900.68 $74,900.68 2026-02-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 16 16 — — $57,844.40 $119,266.80 $65,596.74 2026-02-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 16 16 — — $112,971.28 $232,930.48 $128,111.76 2026-02-04
214 APR_DRG Open Craniotomy Except Trauma 1 1 — — $48,204.51 $48,204.51 $48,204.51 2026-02-04
215 MS_DRG Other Heart Assist System Implant 16 16 — — $109,898.89 $226,595.64 $124,627.60 2026-02-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $100,204.97 $206,608.18 $113,634.50 2026-02-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $67,403.72 $138,976.74 $76,437.21 2026-02-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 16 — — $62,179.26 $128,204.66 $70,512.56 2026-02-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $80,548.05 $166,078.46 $91,343.15 2026-02-04
22 APR_DRG Heart And/or Lung Transplant 1 1 — — $87,371.84 $87,371.84 $87,371.84 2026-02-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 16 16 — — $37,331.81 $76,972.80 $42,335.04 2026-02-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $55,475.61 $114,382.70 $62,910.49 2026-02-04
2204 APR_DRG Major Stomach, Esophageal And Duodenal Procedures 1 1 — — $45,660.06 $45,660.06 $45,660.06 2026-02-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 16 — — $48,242.94 $99,469.98 $54,708.49 2026-02-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 16 16 — — $52,256.30 $107,744.94 $59,259.72 2026-02-04
23 APR_DRG Heart And/or Lung Transplant 1 1 — — $117,734.41 $117,734.41 $117,734.41 2026-02-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 16 — — $59,670.80 $123,032.58 $67,667.92 2026-02-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 16 16 — — $88,112.53 $181,675.32 $99,921.43 2026-02-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 16 16 — — $63,816.66 $131,580.74 $72,369.41 2026-02-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 16 — — $81,358.53 $167,749.54 $92,262.25 2026-02-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 16 16 — — $55,717.01 $114,880.44 $63,184.24 2026-02-04
234 APR_DRG Spinal Procedures 1 1 — — $48,874.69 $48,874.69 $48,874.69 2026-02-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 16 16 — — $61,510.55 $126,825.88 $69,754.23 2026-02-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 16 — — $43,307.13 $89,293.06 $49,111.18 2026-02-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 16 16 — — $52,806.90 $108,880.20 $59,884.11 2026-02-04
24 APR_DRG Heart And/or Lung Transplant 1 1 — — $190,390.26 $190,390.26 $190,390.26 2026-02-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 16 16 — — $40,118.65 $82,718.86 $45,495.37 2026-02-04
245 MS_DRG Aicd Generator Procedures 16 16 — — $51,265.03 $105,701.10 $58,135.61 2026-02-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 16 16 — — $47,007.20 $96,922.06 $53,307.13 2026-02-04
2604 APR_DRG Major Pancreas, Liver And Shunt Procedures 1 1 — — $47,591.27 $47,591.27 $47,591.27 2026-02-04
2614 APR_DRG Major Biliary Tract Procedures 1 1 — — $41,832.19 $41,832.19 $41,832.19 2026-02-04
264 MS_DRG Other Circulatory System O.r. Procedures 16 16 — — $36,969.19 $76,225.14 $41,923.83 2026-02-04
265 MS_DRG Aicd Lead Procedures 16 16 — — $37,709.81 $77,752.18 $42,763.70 2026-02-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 16 16 — — $62,605.57 $129,083.64 $70,996.00 2026-02-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 16 16 — — $49,394.47 $101,844.26 $56,014.34 2026-02-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 16 16 — — $69,557.82 $143,418.18 $78,880.00 2026-02-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 16 — — $43,806.37 $90,322.42 $49,677.33 2026-02-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 16 — — $53,794.07 $110,915.60 $61,003.58 2026-02-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 16 16 — — $36,448.38 $75,151.30 $41,333.22 2026-02-04
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 16 16 — — $41,234.21 $85,018.98 $46,760.44 2026-02-04
274 APR_DRG Other Open Craniotomy 1 1 — — $42,489.30 $42,489.30 $42,489.30 2026-02-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 16 16 — — $73,660.53 $151,877.38 $83,532.56 2026-02-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 16 — — $64,696.98 $133,395.84 $73,367.71 2026-02-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 16 16 — — $48,852.09 $100,725.96 $55,399.28 2026-02-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 16 16 — — $52,461.74 $108,168.54 $59,492.70 2026-02-04
28 MS_DRG Spinal Procedures With Mcc 16 16 — — $63,516.72 $130,962.30 $72,029.27 2026-02-04
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 16 16 — — $221,216.88 $456,117.28 $250,864.50 2026-02-04
3032 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $41,379.49 $41,379.49 $41,379.49 2026-02-04
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $56,954.20 $56,954.20 $56,954.20 2026-02-04
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 1 1 — — $75,220.84 $75,220.84 $75,220.84 2026-02-04
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 1 1 — — $57,735.46 $57,735.46 $57,735.46 2026-02-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 16 16 — — $44,113.50 $90,955.68 $50,025.62 2026-02-04
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 1 1 — — $51,284.73 $51,284.73 $51,284.73 2026-02-04
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 16 16 — — $64,614.81 $133,226.42 $73,274.53 2026-02-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 16 16 — — $46,190.55 $95,238.24 $52,381.03 2026-02-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 16 16 — — $44,820.25 $92,412.88 $50,827.08 2026-02-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 16 16 — — $53,239.36 $109,771.88 $60,374.53 2026-02-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 16 16 — — $48,235.75 $99,455.16 $54,700.34 2026-02-04
332 MS_DRG Rectal Resection With Mcc 16 16 — — $36,698.00 $75,665.98 $41,616.29 2026-02-04
33231 CPT Insrt Pulse Gen W/mult Leads 23 20 — — $331.02 $82,210.47 $45,215.76 2026-02-04
33249 CPT Insj/rplcmt Defib W/lead(s) 23 20 — — $912.91 $82,210.47 $45,215.76 2026-02-04
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 23 20 — — $331.63 $82,210.47 $45,215.76 2026-02-04
33270 CPT Ins/rep Subq Defibrillator 23 20 — — $519.11 $82,210.47 $45,215.76 2026-02-04
33276 CPT Insj Phrnc Nrv Stim Sys 21 20 — — $50,159.31 $118,021.91 $64,912.05 2026-02-04
33287 CPT Rmv&rplcmt Phrnc Nrv Stim Pg 21 20 — — $37,633.75 $77,595.37 $42,677.45 2026-02-04
335 MS_DRG Peritoneal Adhesiolysis With Mcc 16 16 — — $38,287.11 $78,942.50 $43,418.38 2026-02-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 16 16 — — $41,012.33 $84,561.50 $46,508.83 2026-02-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 16 16 — — $44,884.95 $92,546.28 $50,900.45 2026-02-04
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 1 1 — — $43,431.10 $43,431.10 $43,431.10 2026-02-04
38240 CPT Transplt Allo Hct/donor 23 20 — — $106.32 $136,552.90 $75,104.10 2026-02-04
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 16 16 — — $146,213.22 $301,470.56 $165,808.81 2026-02-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 16 16 — — $39,814.59 $82,091.94 $45,150.57 2026-02-04
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 16 16 — — $41,253.74 $85,059.26 $46,782.59 2026-02-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 16 16 — — $56,831.55 $117,178.46 $64,448.15 2026-02-04
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 16 16 — — $37,032.87 $76,356.44 $41,996.04 2026-02-04
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 16 16 — — $37,058.55 $76,409.38 $42,025.16 2026-02-04
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $58,166.69 $58,166.69 $58,166.69 2026-02-04
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 16 16 — — $37,322.53 $76,953.68 $42,324.52 2026-02-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 16 16 — — $42,847.97 $88,346.34 $48,590.49 2026-02-04
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 16 — — $108,672.38 $224,066.76 $123,236.72 2026-02-04
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 16 — — $74,027.24 $152,633.48 $83,948.41 2026-02-04
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 16 — — $57,606.07 $118,775.40 $65,326.47 2026-02-04
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 16 16 — — $86,743.24 $178,852.04 $98,368.62 2026-02-04
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $84,604.31 $84,604.31 $84,604.31 2026-02-04
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 16 16 — — $57,260.92 $118,063.76 $64,935.07 2026-02-04
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 1 1 — — $123,631.63 $123,631.63 $123,631.63 2026-02-04
4403 APR_DRG Kidney Transplant 1 1 — — $47,136.70 $47,136.70 $47,136.70 2026-02-04
4404 APR_DRG Kidney Transplant 1 1 — — $71,509.64 $71,509.64 $71,509.64 2026-02-04
4414 APR_DRG Major Bladder Procedures 1 1 — — $48,196.11 $48,196.11 $48,196.11 2026-02-04
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 16 — — $69,938.91 $144,203.94 $79,312.17 2026-02-04
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 16 16 — — $43,013.36 $88,687.34 $48,778.04 2026-02-04
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 16 16 — — $53,969.71 $111,277.76 $61,202.77 2026-02-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $88,064.24 $181,575.76 $99,866.67 2026-02-04
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $60,023.13 $123,759.04 $68,067.47 2026-02-04
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 16 — — $45,422.19 $93,654.00 $51,509.70 2026-02-04
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 16 — — $64,104.28 $132,173.78 $72,695.58 2026-02-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 16 16 — — $56,547.01 $116,591.78 $64,125.48 2026-02-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 16 — — $53,399.61 $110,102.28 $60,556.25 2026-02-04
471 MS_DRG Cervical Spinal Fusion With Mcc 16 16 — — $50,962.00 $105,076.28 $57,791.95 2026-02-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 16 16 — — $47,134.57 $97,184.68 $53,451.57 2026-02-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 16 16 — — $36,392.92 $75,036.94 $41,270.32 2026-02-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 16 16 — — $37,545.45 $77,413.30 $42,577.32 2026-02-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 16 16 — — $37,231.13 $76,765.22 $42,220.87 2026-02-04
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 16 16 — — $110,459.74 $227,752.04 $125,263.62 2026-02-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 16 16 — — $37,882.39 $78,108.02 $42,959.41 2026-02-04
52 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $43,916.47 $43,916.47 $43,916.47 2026-02-04
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $59,998.02 $59,998.02 $59,998.02 2026-02-04
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 1 1 — — $81,475.55 $81,475.55 $81,475.55 2026-02-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 16 16 — — $64,325.14 $132,629.16 $72,946.04 2026-02-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 16 16 — — $36,658.97 $75,585.50 $41,572.03 2026-02-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 16 16 — — $56,488.45 $116,471.04 $64,059.07 2026-02-04
5831 APR_DRG Neonate With Ecmo 1 1 — — $126,963.87 $126,963.87 $126,963.87 2026-02-04
5832 APR_DRG Neonate With Ecmo 1 1 — — $146,918.09 $146,918.09 $146,918.09 2026-02-04
5833 APR_DRG Neonate With Ecmo 1 1 — — $199,237.03 $199,237.03 $199,237.03 2026-02-04
5834 APR_DRG Neonate With Ecmo 1 1 — — $251,555.97 $251,555.97 $251,555.97 2026-02-04
5881 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $85,682.39 $85,682.39 $85,682.39 2026-02-04
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $130,168.23 $130,168.23 $130,168.23 2026-02-04
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $132,934.83 $132,934.83 $132,934.83 2026-02-04
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 1 1 — — $206,343.94 $206,343.94 $206,343.94 2026-02-04
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $76,133.70 $76,133.70 $76,133.70 2026-02-04
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 1 1 — — $129,955.42 $129,955.42 $129,955.42 2026-02-04
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $68,591.83 $68,591.83 $68,591.83 2026-02-04
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $86,541.11 $86,541.11 $86,541.11 2026-02-04
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 1 1 — — $134,575.75 $134,575.75 $134,575.75 2026-02-04
6 MS_DRG Liver Transplant Without Mcc 16 16 — — $50,878.80 $104,904.74 $57,697.61 2026-02-04
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $58,038.81 $58,038.81 $58,038.81 2026-02-04
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $76,064.63 $76,064.63 $76,064.63 2026-02-04
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $96,464.09 $96,464.09 $96,464.09 2026-02-04
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $52,641.89 $52,641.89 $52,641.89 2026-02-04
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 1 1 — — $108,176.39 $108,176.39 $108,176.39 2026-02-04
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $44,632.39 $44,632.39 $44,632.39 2026-02-04
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $57,640.25 $57,640.25 $57,640.25 2026-02-04
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $74,092.36 $74,092.36 $74,092.36 2026-02-04
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $44,679.06 $44,679.06 $44,679.06 2026-02-04
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 1 1 — — $46,912.68 $46,912.68 $46,912.68 2026-02-04
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $64,330.86 $64,330.86 $64,330.86 2026-02-04
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 1 1 — — $129,126.56 $129,126.56 $129,126.56 2026-02-04
61 APR_DRG Pancreas Transplant 1 1 — — $51,571.28 $51,571.28 $51,571.28 2026-02-04
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 1 1 — — $56,304.55 $56,304.55 $56,304.55 2026-02-04
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 1 1 — — $53,841.31 $53,841.31 $53,841.31 2026-02-04
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 1 1 — — $52,824.84 $52,824.84 $52,824.84 2026-02-04
6144 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 1 1 — — $42,451.03 $42,451.03 $42,451.03 2026-02-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 16 16 — — $40,768.88 $84,059.54 $46,232.75 2026-02-04
61886 CPT Implant Neurostim Arrays 24 21 — — $386.20 $77,595.37 $42,677.45 2026-02-04
62 APR_DRG Pancreas Transplant 1 1 — — $65,607.75 $65,607.75 $65,607.75 2026-02-04
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 1 1 — — $44,172.22 $44,172.22 $44,172.22 2026-02-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 16 16 — — $39,505.39 $81,454.42 $44,799.93 2026-02-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 16 16 — — $41,597.83 $85,768.72 $47,172.80 2026-02-04
63 APR_DRG Pancreas Transplant 1 1 — — $75,576.46 $75,576.46 $75,576.46 2026-02-04
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $45,913.95 $45,913.95 $45,913.95 2026-02-04
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $72,366.50 $72,366.50 $72,366.50 2026-02-04
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 1 1 — — $149,772.43 $149,772.43 $149,772.43 2026-02-04
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $47,606.20 $47,606.20 $47,606.20 2026-02-04
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 1 1 — — $123,965.79 $123,965.79 $123,965.79 2026-02-04
63685 CPT Ins/rplc Spi Npg/rcvr Pocket 24 21 — — $385.83 $77,595.37 $42,677.45 2026-02-04
64 APR_DRG Pancreas Transplant 1 1 — — $107,482.88 $107,482.88 $107,482.88 2026-02-04
64568 CPT Opn Impltj Crnl Nrv Nea&pg 23 20 — — $560.90 $77,595.37 $42,677.45 2026-02-04
64582 CPT Opn Mpltj Hpglsl Nstm Ary Pg 23 20 — — $754.93 $77,595.37 $42,677.45 2026-02-04
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 16 16 — — $48,393.95 $99,781.34 $54,879.74 2026-02-04
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 16 16 — — $36,737.01 $75,746.42 $41,660.53 2026-02-04
653 MS_DRG Major Bladder Procedures With Mcc 16 16 — — $58,330.27 $120,268.60 $66,147.73 2026-02-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 16 16 — — $44,103.23 $90,934.50 $50,013.98 2026-02-04
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $53,958.92 $53,958.92 $53,958.92 2026-02-04
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 1 1 — — $46,011.02 $46,011.02 $46,011.02 2026-02-04
6904 APR_DRG Acute Leukemia 1 1 — — $44,042.48 $44,042.48 $44,042.48 2026-02-04
6954 APR_DRG Chemotherapy For Acute Leukemia 1 1 — — $41,450.43 $41,450.43 $41,450.43 2026-02-04
69930 CPT Implant Cochlear Device 24 21 — — $1,149.87 $83,798.30 $46,089.06 2026-02-04
7 MS_DRG Lung Transplant 16 16 — — $135,312.35 $278,994.54 $153,447.00 2026-02-04
71 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $51,232.46 $51,232.46 $51,232.46 2026-02-04
72 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $57,537.58 $57,537.58 $57,537.58 2026-02-04
73 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $73,557.52 $73,557.52 $73,557.52 2026-02-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 16 16 — — $41,514.63 $85,597.18 $47,078.45 2026-02-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 16 16 — — $41,959.44 $86,514.30 $47,582.87 2026-02-04
74 APR_DRG Allogeneic Bone Marrow Transplant 1 1 — — $124,817.05 $124,817.05 $124,817.05 2026-02-04
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 1 1 — — $46,982.69 $46,982.69 $46,982.69 2026-02-04
7594 APR_DRG Eating Disorders 1 1 — — $43,963.14 $43,963.14 $43,963.14 2026-02-04
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 15 — — $62,133.04 $128,109.36 $70,460.15 2026-02-04
791 MS_DRG Prematurity With Major Problems 15 15 — — $42,770.94 $88,187.50 $48,503.13 2026-02-04
793 MS_DRG Full Term Neonate With Major Problems 15 15 — — $43,907.04 $90,529.98 $49,791.49 2026-02-04
799 MS_DRG Splenic Procedures With Mcc 16 16 — — $49,909.10 $102,905.36 $56,597.95 2026-02-04
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 16 16 — — $56,958.92 $117,441.08 $64,592.59 2026-02-04
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 16 16 — — $37,890.61 $78,124.96 $42,968.73 2026-02-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 16 — — $60,874.69 $125,514.82 $69,033.15 2026-02-04
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 16 16 — — $49,135.60 $101,310.52 $55,720.79 2026-02-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 16 16 — — $50,121.72 $103,343.76 $56,839.07 2026-02-04
834 MS_DRG Acute Leukemia With Mcc 16 16 — — $57,844.40 $119,266.80 $65,596.74 2026-02-04
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 16 16 — — $52,501.81 $108,251.16 $59,538.14 2026-02-04
84 APR_DRG Autologous Bone Marrow Transplant 1 1 — — $63,139.84 $63,139.84 $63,139.84 2026-02-04
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $51,058.85 $51,058.85 $51,058.85 2026-02-04
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 1 1 — — $139,128.87 $139,128.87 $139,128.87 2026-02-04
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 1 1 — — $70,312.09 $70,312.09 $70,312.09 2026-02-04
850 MS_DRG Acute Leukemia With Other Procedures 16 16 — — $95,693.42 $197,306.02 $108,518.31 2026-02-04
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 1 1 — — $48,999.77 $48,999.77 $48,999.77 2026-02-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 16 16 — — $52,441.20 $108,126.18 $59,469.40 2026-02-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 16 16 — — $47,410.89 $97,754.42 $53,764.93 2026-02-04
8634 APR_DRG Neonatal Aftercare 1 1 — — $55,199.41 $55,199.41 $55,199.41 2026-02-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 16 16 — — $72,525.45 $149,537.00 $82,245.35 2026-02-04
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 16 16 — — $41,432.45 $85,427.74 $46,985.26 2026-02-04
894 APR_DRG Major Cranial Or Facial Bone Procedures 1 1 — — $45,350.17 $45,350.17 $45,350.17 2026-02-04
901 MS_DRG Wound Debridements For Injuries With Mcc 16 16 — — $46,577.81 $96,036.72 $52,820.20 2026-02-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 16 16 — — $40,728.82 $83,976.94 $46,187.32 2026-02-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 16 16 — — $41,988.19 $86,573.58 $47,615.47 2026-02-04
9104 APR_DRG Craniotomy For Multiple Significant Trauma 1 1 — — $54,521.76 $54,521.76 $54,521.76 2026-02-04
9114 APR_DRG Extensive Abdominal Or Thoracic Procedures For Multiple Significant Trauma 1 1 — — $51,508.75 $51,508.75 $51,508.75 2026-02-04
9124 APR_DRG Musculoskeletal And Other Procedures For Multiple Significant Trauma 1 1 — — $50,045.17 $50,045.17 $50,045.17 2026-02-04
914 APR_DRG Other Major Head And Neck Procedures 1 1 — — $51,015.91 $51,015.91 $51,015.91 2026-02-04
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 16 16 — — $244,752.60 $504,644.54 $277,554.50 2026-02-04
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 16 16 — — $69,673.88 $143,657.48 $79,011.61 2026-02-04
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $55,785.58 $55,785.58 $55,785.58 2026-02-04
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 16 16 — — $45,513.61 $93,842.50 $51,613.38 2026-02-04
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 1 1 — — $121,038.64 $121,038.64 $121,038.64 2026-02-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 16 16 — — $38,546.99 $79,478.34 $43,713.09 2026-02-04
9504 APR_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis 1 1 — — $44,904.01 $44,904.01 $44,904.01 2026-02-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 16 16 — — $71,208.56 $146,821.78 $80,751.98 2026-02-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 16 — — $40,331.28 $83,157.28 $45,736.50 2026-02-04
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 16 16 — — $77,740.66 $160,290.02 $88,159.51 2026-02-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 16 16 — — $43,283.51 $89,244.36 $49,084.40 2026-02-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 16 16 — — $66,031.34 $136,147.10 $74,880.91 2026-02-04
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 16 16 — — $37,888.53 $78,120.68 $42,966.37 2026-02-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 16 — — $49,899.86 $102,886.30 $56,587.47 2026-02-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 16 — — $37,047.25 $76,386.08 $42,012.34 2026-02-04
A9543 HCPCS Y90 Ibritumomab, Rx Per Tx Dose 55 27 $130,422.08 $130,422.08 $1,053.00 $130,953.16 $74,992.70 2026-02-04
C1721 HCPCS Imp Covalt Vr MRI Emem Defib 170 27 $114,210.00 $114,210.00 $6,545.68 $111,648.34 $54,249.75 2026-02-04
C1722 HCPCS Intica 7 Vr-t Cx Df-1 Promri 170 27 $128,782.50 $128,782.50 $9,659.70 $127,935.19 $59,229.51 2026-02-04
C1820 HCPCS Imp Neurostimulator Surescan 38 27 $106,680.00 $106,680.00 $16,002.00 $85,344.00 $50,673.00 2026-02-04
C1822 HCPCS Itrevia 7 Hf-t 38 27 $158,905.59 $158,905.59 $23,835.84 $127,124.47 $75,480.15 2026-02-04
C1882 HCPCS Pacemaker Vigilant X4 Crt-d Is-1 Df4 Is4 60 27 $173,250.00 $173,250.00 $25,987.50 $160,880.80 $82,467.00 2026-02-04
C9172 HCPCS Apc 15 15 — — $3,064,250.00 $4,686,500.00 $3,785,250.00 2026-02-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 15 15 — — $3,121,965.00 $4,774,770.00 $3,856,545.00 2026-02-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 17 17 — — $2,826,636.54 $4,988,182.14 $3,491,727.49 2026-02-04
J3393 HCPCS Inj, Betibeglogene Autotemce 17 17 — — $2,522,800.00 $4,452,000.00 $3,116,400.00 2026-02-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 17 17 — — $2,793,100.00 $4,929,000.00 $3,450,300.00 2026-02-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 21 20 — — $2,030,322.10 $4,777,228.46 $2,627,475.65 2026-02-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 22 20 — — $15,300.00 $126,709.55 $69,690.25 2026-02-04
J9226 HCPCS Supprelin La Implant 22 20 — — $38,547.68 $90,700.43 $49,885.24 2026-02-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 21 20 — — $77,377.14 $182,063.86 $100,135.12 2026-02-04
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 21 20 — — $32,501.72 $76,474.64 $42,061.05 2026-02-04
L7180 HCPCS Electronic Elbow Sequential 22 20 — — $16,636.20 $84,935.76 $46,714.67 2026-02-04
L7181 HCPCS Electronic Elbo Simultaneous 21 20 — — $39,189.05 $92,209.52 $50,715.24 2026-02-04
L8682 HCPCS Imp Freedom 8a Stim/receiv Kit 53 27 $140,000.00 $140,000.00 $6,122.56 $112,000.00 $59,061.28 2026-02-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 21 20 — — $55,990.98 $131,743.48 $72,458.91 2026-02-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 21 20 — — $84,999.92 $199,999.82 $109,999.90 2026-02-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 22 20 — — $91,690.31 $978,911.92 $538,401.55 2026-02-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 22 20 — — $86,886.87 $1,058,385.71 $582,112.14 2026-02-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 22 20 — — $46,762.94 $110,030.45 $60,516.75 2026-02-04
Q2053 HCPCS Brexucabtagene Car Pos T 22 20 — — $91,685.76 $921,060.80 $506,583.44 2026-02-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 22 20 — — $96,666.11 $1,033,452.15 $568,398.68 2026-02-04
Q2055 HCPCS Idecabtagene Vicleucel Car 22 20 — — $98,876.82 $1,053,175.19 $579,246.35 2026-02-04
Q2056 HCPCS Ciltacabtagene Car-pos T 22 20 — — $86,227.85 $1,054,246.87 $579,835.78 2026-02-04
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