Price Transparencybeta 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

CEDAR-SINAI MARINA DEL REY HOSPITAL

Marina Del Rey, CA · CCN 050740 · Rates published

17,595 distinct procedures filed
13 distinct payers
147,385 rate rows
2025-11-26 last MRF observed
Data quality

126,522 of 147,385 rate rows are consumer-grade (85.8%)

20,863 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 12,155
per-diem day rate — not a per-procedure price 6,040
exceeds 10× this hospital's gross charge — excluded from medians 2,518
template filing: same amount across many unrelated codes — excluded 136
placeholder amount (≤ $0.02) — excluded from medians 14
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.marinahospital.com/administration/media/files/201645949_CEDARS-SINAI-MARINA-HOSPITAL_standardcharges.csv
Found on page https://www.marinahospital.com/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 07fa55de1d60cf43… · 170,043,453 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
9138
OTHER 		Inj, Hemgenix, Per Tx Dose 2 $4,573,451.01 $4,905,698.71 $4,739,574.86 nat. median
$3,746,358
1.3× median
0714
OTHER 		Inj Delandistrogene Mox Rokl 2 $4,140,816.36 $4,972,276.37 $4,414,759.55 nat. median
$3,316,463
1.3× median
9141
OTHER 		Inj Onase Abepar-xioi Treat 2 $2,974,273.78 $3,680,876.26 $3,268,157.77 nat. median
$2,588,981
1.3× median
J3399
HCPCS 		Outpatient Pharmaceuticals 1 $3,255,228.00 $3,255,228.00 $3,255,228.00 nat. median
$2,468,984
1.3× median
Q2056
HCPCS 		Outpatient Pharmaceuticals 1 $712,320.51 $1,933,319.42 $1,933,319.42 nat. median
$674,867
outlier · 2.9×
C9098
HCPCS 		Outpatient Pharmaceuticals 1 $1,933,319.34 $1,933,319.34 $1,933,319.34 nat. median
$57,174
outlier · 33.8×
Q2055
HCPCS 		Outpatient Pharmaceuticals 1 $642,620.33 $1,744,145.16 $1,744,145.16 nat. median
$625,184
outlier · 2.8×
Q2054
HCPCS 		Outpatient Pharmaceuticals 1 $628,527.10 $1,705,894.50 $1,705,894.50 nat. median
$673,137
outlier · 2.5×
Q2053
HCPCS 		Outpatient Pharmaceuticals 1 $571,388.26 $1,550,813.15 $1,550,813.15 nat. median
$619,808
outlier · 2.5×
Q2041
HCPCS 		Outpatient Pharmaceuticals 2 $571,388.24 $1,550,813.11 $1,550,813.11 nat. median
$634,303
outlier · 2.4×
9194
OTHER 		Tisagenlecleucel Car-pos T 2 $658,944.59 $887,157.96 $787,685.32 nat. median
$566,531
1.4× median
9498
OTHER 		Ciltacabtagene Car-pos T 2 $656,367.77 $848,390.92 $753,265.04 nat. median
$587,650
1.3× median
9413
OTHER 		Lisocabtagene Car Pos T 2 $643,421.11 $843,397.22 $748,831.25 nat. median
$562,201
1.3× median
9422
OTHER 		Idecabtagene Vicleucel Car 2 $655,700.55 $835,570.64 $741,882.23 nat. median
$558,082
1.3× median
9035
OTHER 		Axicabtagene Ciloleucel Car+ 2 $609,464.69 $799,456.56 $709,817.44 nat. median
$532,192
1.3× median
Q2042
HCPCS 		All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein 2 $1,372.22 $1,406,385.44 $703,878.83 nat. median
$753,246
0.9× median
9391
OTHER 		Brexucabtagene Car Pos T 2 $573,446.93 $733,600.24 $651,345.26 nat. median
$489,450
1.3× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $156,575.53 $281,202.41 $281,202.41 nat. median
$98,894
outlier · 2.8×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 8 $268,234.14 $734,961.54 $268,234.14 nat. median
$265,286
1.0× median
A9543
HCPCS 		Outpatient Pharmaceuticals 1 $85,134.77 $231,065.50 $231,065.50 nat. median
$62,507
outlier · 3.7×
J7330
HCPCS 		Outpatient Pharmaceuticals 1 $217,246.96 $217,246.96 $217,246.96 nat. median
$76,329
outlier · 2.8×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 8 $204,462.82 $560,228.14 $204,462.82 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… 8 $203,265.45 $556,947.34 $203,265.45 nat. median
$202,976
1.0× median
1908
OTHER 		New Technology - Level 52 ($145,001-$160,000) 2 $189,891.79 $228,639.58 $203,003.35 nat. median
$152,962
1.3× median
1907
OTHER 		New Technology - Level 52 ($145,001-$160,000) 2 $189,891.79 $228,639.58 $203,003.35 nat. median
$153,199
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $106,163.72 $190,665.58 $190,665.58 nat. median
$68,090
outlier · 2.8×
1905
OTHER 		New Technology - Level 51 ($130,001-$145,000) 2 $171,213.97 $206,150.51 $183,035.87 nat. median
$137,903
1.3× median
1906
OTHER 		New Technology - Level 51 ($130,001-$145,000) 2 $171,213.97 $206,150.51 $183,035.87 nat. median
$138,020
1.3× median
447
MS_DRG 		Multiple Level Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or… 1 $100,216.52 $179,981.27 $179,981.27 nat. median
$63,724
outlier · 2.8×
J9029
HCPCS 		All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein 1 $168,371.95 $168,371.95 $168,371.95 nat. median
$69,774
outlier · 2.4×
1904
OTHER 		New Technology - Level 50 ($115,001-$130,000) 2 $152,536.15 $183,661.45 $163,068.40 nat. median
$120,174
1.4× median
1903
OTHER 		New Technology - Level 50 ($115,001-$130,000) 2 $152,536.15 $183,661.45 $163,068.40 nat. median
$119,935
1.4× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $82,269.60 $147,752.82 $147,752.82 nat. median
$54,210
outlier · 2.7×
1901
OTHER 		New Technology - Level 49 ($100,001-$115,000) 2 $133,858.33 $161,172.39 $143,100.92 nat. median
$105,693
1.4× median
1902
OTHER 		New Technology - Level 49 ($100,001-$115,000) 2 $133,858.33 $161,172.39 $143,100.92 nat. median
$105,172
1.4× median
450
MS_DRG 		Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically… 1 $76,979.07 $138,248.65 $138,248.65 nat. median
$51,319
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major… 8 $132,801.08 $363,874.97 $132,801.08 nat. median
$133,161
1.0× median
Q2043
HCPCS 		Outpatient Pharmaceuticals 2 $47,488.06 $146,208.72 $128,888.03 nat. median
$66,682
1.9× median
1585
OTHER 		New Technology - Level 48 ($90,001-$100,000) 2 $118,293.48 $142,431.49 $126,461.35 nat. median
$95,360
1.3× median
1599
OTHER 		New Technology - Level 48 ($90,001-$100,000) 2 $118,293.48 $142,431.49 $126,461.35 nat. median
$95,288
1.3× median
7
MS_DRG 		Lung Transplant 8 $124,189.17 $340,278.34 $124,189.17 nat. median
$122,708
1.0× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 8 $115,280.07 $315,867.40 $115,280.07 nat. median
$117,357
1.0× median
1584
OTHER 		New Technology - Level 47 ($80,001-$90,000) 2 $105,841.60 $127,438.79 $113,149.71 nat. median
$85,390
1.3× median
1598
OTHER 		New Technology - Level 47 ($80,001-$90,000) 2 $105,841.60 $127,438.79 $113,149.71 nat. median
$85,322
1.3× median
448
MS_DRG 		Multiple Level Anterior And Posterior Spinal Fusion Except Cervical Without Mcc 1 $61,036.24 $109,618.46 $109,618.46 nat. median
$41,164
outlier · 2.7×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 $108,723.67 $297,902.86 $108,723.67 nat. median
$108,660
1.0× median
402
MS_DRG 		Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 1 $58,475.64 $105,019.71 $105,019.71 nat. median
$39,414
outlier · 2.7×
1597
OTHER 		New Technology - Level 46 ($70,001-$80,000) 2 $93,389.72 $112,446.08 $99,838.06 nat. median
$75,284
1.3× median
1583
OTHER 		New Technology - Level 46 ($70,001-$80,000) 2 $93,389.72 $112,446.08 $99,838.06 nat. median
$75,344
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 8 $98,964.08 $271,161.58 $98,964.08 nat. median
$100,136
1.0× median

Other procedures at this hospital

Browse this hospital's 17,595 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
             
9138 OTHER Inj, Hemgenix, Per Tx Dose 2 2 — — $4,573,451.01 $4,905,698.71 $4,739,574.86 2025-11-26
0714 OTHER Inj Delandistrogene Mox Rokl 3 2 — — $4,140,816.36 $4,972,276.37 $4,414,759.55 2025-11-26
9141 OTHER Inj Onase Abepar-xioi Treat 3 2 — — $2,974,273.78 $3,680,876.26 $3,268,157.77 2025-11-26
J3399 HCPCS Outpatient Pharmaceuticals 1 1 — — $3,255,228.00 $3,255,228.00 $3,255,228.00 2025-11-26
Q2056 HCPCS Outpatient Pharmaceuticals 5 1 — — $712,320.51 $1,933,319.42 $1,933,319.42 2025-11-26
C9098 HCPCS Outpatient Pharmaceuticals 3 1 — — $1,933,319.34 $1,933,319.34 $1,933,319.34 2025-11-26
Q2055 HCPCS Outpatient Pharmaceuticals 5 1 — — $642,620.33 $1,744,145.16 $1,744,145.16 2025-11-26
Q2054 HCPCS Outpatient Pharmaceuticals 5 1 — — $628,527.10 $1,705,894.50 $1,705,894.50 2025-11-26
Q2053 HCPCS Outpatient Pharmaceuticals 5 1 — — $571,388.26 $1,550,813.15 $1,550,813.15 2025-11-26
Q2041 HCPCS Outpatient Pharmaceuticals 7 2 — — $571,388.24 $1,550,813.11 $1,550,813.11 2025-11-26
9194 OTHER Tisagenlecleucel Car-pos T 3 2 — — $658,944.59 $887,157.96 $787,685.32 2025-11-26
9498 OTHER Ciltacabtagene Car-pos T 3 2 — — $656,367.77 $848,390.92 $753,265.04 2025-11-26
9413 OTHER Lisocabtagene Car Pos T 3 2 — — $643,421.11 $843,397.22 $748,831.25 2025-11-26
9422 OTHER Idecabtagene Vicleucel Car 3 2 — — $655,700.55 $835,570.64 $741,882.23 2025-11-26
9035 OTHER Axicabtagene Ciloleucel Car+ 3 2 — — $609,464.69 $799,456.56 $709,817.44 2025-11-26
Q2042 HCPCS All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein 4 2 $1,008.66 $655.63 35% off $1,372.22 $1,406,385.44 $703,878.83 2025-11-26
9391 OTHER Brexucabtagene Car Pos T 3 2 — — $573,446.93 $733,600.24 $651,345.26 2025-11-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $156,575.53 $281,202.41 $281,202.41 2025-11-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 10 8 — — $268,234.14 $734,961.54 $268,234.14 2025-11-26
A9543 HCPCS Outpatient Pharmaceuticals 5 1 — — $85,134.77 $231,065.50 $231,065.50 2025-11-26
J7330 HCPCS Outpatient Pharmaceuticals 3 1 — — $217,246.96 $217,246.96 $217,246.96 2025-11-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 8 — — $204,462.82 $560,228.14 $204,462.82 2025-11-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck With M… 10 8 — — $203,265.45 $556,947.34 $203,265.45 2025-11-26
1908 OTHER New Technology - Level 52 ($145,001-$160,000) 3 2 — — $189,891.79 $228,639.58 $203,003.35 2025-11-26
1907 OTHER New Technology - Level 52 ($145,001-$160,000) 3 2 — — $189,891.79 $228,639.58 $203,003.35 2025-11-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $106,163.72 $190,665.58 $190,665.58 2025-11-26
1906 OTHER New Technology - Level 51 ($130,001-$145,000) 3 2 — — $171,213.97 $206,150.51 $183,035.87 2025-11-26
1905 OTHER New Technology - Level 51 ($130,001-$145,000) 3 2 — — $171,213.97 $206,150.51 $183,035.87 2025-11-26
447 MS_DRG Multiple Level Anterior And Posterior Spinal Fusion Except Cervical With Mcc Or … 4 1 — — $100,216.52 $179,981.27 $179,981.27 2025-11-26
J9029 HCPCS All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein 2 1 — — $168,371.95 $168,371.95 $168,371.95 2025-11-26
1903 OTHER New Technology - Level 50 ($115,001-$130,000) 3 2 — — $152,536.15 $183,661.45 $163,068.40 2025-11-26
1904 OTHER New Technology - Level 50 ($115,001-$130,000) 3 2 — — $152,536.15 $183,661.45 $163,068.40 2025-11-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 — — $82,269.60 $147,752.82 $147,752.82 2025-11-26
1901 OTHER New Technology - Level 49 ($100,001-$115,000) 3 2 — — $133,858.33 $161,172.39 $143,100.92 2025-11-26
1902 OTHER New Technology - Level 49 ($100,001-$115,000) 3 2 — — $133,858.33 $161,172.39 $143,100.92 2025-11-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 4 1 — — $76,979.07 $138,248.65 $138,248.65 2025-11-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Pdx Except Face, Mouth And Neck Without Major … 10 8 — — $132,801.08 $363,874.97 $132,801.08 2025-11-26
Q2043 HCPCS Outpatient Pharmaceuticals 7 2 — — $47,488.06 $146,208.72 $128,888.03 2025-11-26
1599 OTHER New Technology - Level 48 ($90,001-$100,000) 3 2 — — $118,293.48 $142,431.49 $126,461.35 2025-11-26
1585 OTHER New Technology - Level 48 ($90,001-$100,000) 3 2 — — $118,293.48 $142,431.49 $126,461.35 2025-11-26
7 MS_DRG Lung Transplant 10 8 — — $124,189.17 $340,278.34 $124,189.17 2025-11-26
14 MS_DRG Allogeneic Bone Marrow Transplant 10 8 — — $115,280.07 $315,867.40 $115,280.07 2025-11-26
1598 OTHER New Technology - Level 47 ($80,001-$90,000) 3 2 — — $105,841.60 $127,438.79 $113,149.71 2025-11-26
1584 OTHER New Technology - Level 47 ($80,001-$90,000) 3 2 — — $105,841.60 $127,438.79 $113,149.71 2025-11-26
448 MS_DRG Multiple Level Anterior And Posterior Spinal Fusion Except Cervical Without Mcc 4 1 — — $61,036.24 $109,618.46 $109,618.46 2025-11-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 8 — — $108,723.67 $297,902.86 $108,723.67 2025-11-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 4 1 — — $58,475.64 $105,019.71 $105,019.71 2025-11-26
1597 OTHER New Technology - Level 46 ($70,001-$80,000) 3 2 — — $93,389.72 $112,446.08 $99,838.06 2025-11-26
1583 OTHER New Technology - Level 46 ($70,001-$80,000) 3 2 — — $93,389.72 $112,446.08 $99,838.06 2025-11-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 10 8 — — $98,964.08 $271,161.58 $98,964.08 2025-11-26
215 MS_DRG Other Heart Assist System Implant 10 8 — — $95,586.02 $261,905.69 $95,586.02 2025-11-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $93,921.36 $257,344.51 $93,921.36 2025-11-26
429 MS_DRG Combined Anterior/posterior Spinal Fusion With Cc 18 10 — — $14,165.42 $237,099.38 $86,532.62 2025-11-26
1582 OTHER New Technology - Level 45 ($60,001-$70,000) 3 2 — — $80,937.84 $97,453.37 $86,526.40 2025-11-26
1596 OTHER New Technology - Level 45 ($60,001-$70,000) 3 2 — — $80,937.84 $97,453.37 $86,526.40 2025-11-26
0717 OTHER Instill Adstiladrin, Tx Dose 3 2 — — $78,888.60 $94,967.25 $84,319.04 2025-11-26
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 4 1 — — $46,126.94 $82,840.57 $82,840.57 2025-11-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 8 — — $80,992.98 $221,920.77 $80,992.98 2025-11-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 18 10 — — $14,165.42 $221,226.90 $80,739.75 2025-11-26
5244 OTHER Level 4 Blood Product Exchange And Related Services 3 2 — — $73,643.32 $88,671.38 $78,729.09 2025-11-26
J7311 HCPCS Outpatient Pharmaceuticals 7 2 — — $886.26 $75,877.74 $75,877.74 2025-11-26
1643 OTHER Y90 Ibritumomab, Rx 3 2 — — $18,397.33 $85,195.40 $75,642.86 2025-11-26
20 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Mcc 10 8 — — $75,631.08 $207,229.17 $75,631.08 2025-11-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $73,810.66 $202,241.20 $73,810.66 2025-11-26
9273 OTHER Sipuleucel-t Auto Cd54+ 3 2 — — $68,504.30 $82,868.20 $73,576.60 2025-11-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 10 8 — — $73,494.35 $201,374.52 $73,494.35 2025-11-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 8 — — $73,252.58 $200,712.08 $73,252.58 2025-11-26
1595 OTHER New Technology - Level 44 ($50,001-$60,000) 3 2 — — $68,485.96 $82,460.66 $73,214.75 2025-11-26
1581 OTHER New Technology - Level 44 ($50,001-$60,000) 3 2 — — $68,485.96 $82,460.66 $73,214.75 2025-11-26
10 MS_DRG Pancreas Transplant 10 8 — — $69,007.79 $189,081.34 $69,007.79 2025-11-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 8 — — $68,979.12 $189,002.79 $68,979.12 2025-11-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 8 — — $68,574.90 $187,895.23 $68,574.90 2025-11-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 10 8 — — $66,485.95 $182,171.50 $66,485.95 2025-11-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 8 — — $66,162.00 $181,283.88 $66,162.00 2025-11-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 8 — — $64,759.17 $177,440.13 $64,759.17 2025-11-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $63,270.34 $173,360.73 $63,270.34 2025-11-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 8 — — $63,270.34 $173,360.73 $63,270.34 2025-11-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $63,041.95 $172,734.94 $63,041.95 2025-11-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 10 8 — — $61,926.76 $169,679.32 $61,926.76 2025-11-26
J9226 HCPCS Outpatient Pharmaceuticals 9 3 — — $22,339.80 $120,522.95 $60,632.78 2025-11-26
1142 OTHER Supprelin La Implant 3 2 — — $56,469.54 $67,498.16 $59,929.92 2025-11-26
1594 OTHER New Technology - Level 43 ($40,001-$50,000) 3 2 — — $56,034.08 $67,467.94 $59,903.09 2025-11-26
1580 OTHER New Technology - Level 43 ($40,001-$50,000) 3 2 — — $56,034.08 $67,467.94 $59,903.09 2025-11-26
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture W Mcc 4 1 — — $33,410.67 $59,357.39 $59,357.39 2025-11-26
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 8 — — $58,999.74 $161,659.29 $58,999.74 2025-11-26
969 MS_DRG HIV With Extensive O.r. Procedure With Mcc 10 8 — — $58,931.89 $161,473.39 $58,931.89 2025-11-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 8 — — $58,370.95 $159,936.41 $58,370.95 2025-11-26
28 MS_DRG Spinal Procedures With Mcc 14 9 — — $14,165.42 $158,514.65 $57,852.06 2025-11-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 8 — — $57,835.82 $158,470.14 $57,835.82 2025-11-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 18 10 — — $14,165.42 $157,331.15 $57,420.13 2025-11-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 10 8 — — $57,232.83 $156,817.95 $57,232.83 2025-11-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc Or T-cell Immunotherapy 10 8 — — $57,100.96 $156,456.62 $57,100.96 2025-11-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 8 — — $56,517.08 $154,856.80 $56,517.08 2025-11-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedure With Mcc 10 8 — — $56,480.77 $154,757.31 $56,480.77 2025-11-26
430 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 18 10 — — $14,165.42 $152,199.17 $55,547.14 2025-11-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx With Mcc Or Chemot… 10 8 — — $55,195.48 $151,235.62 $55,195.48 2025-11-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn… 12 9 — — $22,023.81 $150,429.16 $54,901.15 2025-11-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 10 8 — — $53,994.29 $147,944.34 $53,994.29 2025-11-26
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 16 10 — — $22,023.81 $145,807.76 $53,214.51 2025-11-26
834 MS_DRG Acute Leukemia Without Major O.r. Procedure With Mcc 10 8 — — $52,898.21 $144,941.09 $52,898.21 2025-11-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 8 — — $52,712.82 $144,433.13 $52,712.82 2025-11-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 10 8 — — $52,638.28 $144,228.89 $52,638.28 2025-11-26
11 MS_DRG Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Mcc 10 8 — — $52,556.10 $144,003.72 $52,556.10 2025-11-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 10 8 — — $52,347.78 $143,432.91 $52,347.78 2025-11-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $51,396.95 $140,827.65 $51,396.95 2025-11-26
21 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage With Cc 10 8 — — $51,024.27 $139,806.49 $51,024.27 2025-11-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 8 — — $50,857.04 $139,348.28 $50,857.04 2025-11-26
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 4 1 — — $28,494.94 $50,621.41 $50,621.41 2025-11-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 16 10 — — $22,023.81 $137,491.86 $50,179.51 2025-11-26
653 MS_DRG Major Bladder Procedures With Mcc 10 8 — — $50,093.51 $137,256.21 $50,093.51 2025-11-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 8 — — $48,600.85 $133,166.34 $48,600.85 2025-11-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 8 — — $48,096.29 $131,783.85 $48,096.29 2025-11-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 8 — — $47,714.05 $130,736.50 $47,714.05 2025-11-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedure With Mcc 10 8 — — $47,629.96 $130,506.09 $47,629.96 2025-11-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 8 — — $47,468.46 $130,063.59 $47,468.46 2025-11-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 8 — — $47,272.56 $129,526.82 $47,272.56 2025-11-26
1593 OTHER New Technology - Level 42 ($30,001-$40,000) 3 2 — — $43,582.20 $52,475.24 $46,591.45 2025-11-26
1579 OTHER New Technology - Level 42 ($30,001-$40,000) 3 2 — — $43,582.20 $52,475.24 $46,591.45 2025-11-26
471 MS_DRG Cervical Spinal Fusion With Mcc 18 10 — — $14,165.42 $127,628.51 $46,579.75 2025-11-26
837 MS_DRG Chemotherapy With Acute Leukemia As Sdx Or With High Dose Chemotherapy Agent Wit… 10 8 — — $46,346.58 $126,989.64 $46,346.58 2025-11-26
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 8 — — $45,930.89 $125,850.65 $45,930.89 2025-11-26
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 10 8 — — $45,271.53 $124,043.98 $45,271.53 2025-11-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 8 — — $45,137.74 $123,677.41 $45,137.74 2025-11-26
6 MS_DRG Liver Transplant Without Mcc 10 8 — — $44,747.86 $122,609.12 $44,747.86 2025-11-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 8 — — $44,571.07 $122,124.73 $44,571.07 2025-11-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 8 — — $44,360.84 $121,548.69 $44,360.84 2025-11-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedure With Mcc 10 8 — — $44,249.03 $121,242.34 $44,249.03 2025-11-26
245 MS_DRG Aicd Generator Procedures 10 8 — — $44,034.97 $120,655.83 $44,034.97 2025-11-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedure With Mcc 10 8 — — $43,904.06 $120,297.12 $43,904.06 2025-11-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 8 — — $43,884.94 $120,244.75 $43,884.94 2025-11-26
799 MS_DRG Splenectomy With Mcc 10 8 — — $43,714.85 $119,778.68 $43,714.85 2025-11-26
163 MS_DRG Major Chest Procedures With Mcc 10 8 — — $43,264.76 $118,545.44 $43,264.76 2025-11-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 8 — — $43,252.33 $118,511.40 $43,252.33 2025-11-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 8 — — $43,084.15 $118,050.57 $43,084.15 2025-11-26
5232 OTHER Level 2 Icd And Similar Procedures 3 2 — — $39,922.69 $48,069.54 $42,679.74 2025-11-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 8 — — $42,414.27 $116,215.10 $42,414.27 2025-11-26
5166 OTHER Cochlear Implant Procedure 3 2 — — $39,606.72 $47,689.08 $42,341.94 2025-11-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 8 — — $41,459.62 $113,599.36 $41,459.62 2025-11-26
140 MS_DRG Major Head And Neck Procedures With Cc/mcc Or Major Device 10 8 — — $41,195.87 $112,876.69 $41,195.87 2025-11-26
0DL78ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL78DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV60ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D164KA OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV60DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL77DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DB67Z3 OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL74ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D164KL OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV63CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL73ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL77ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D164KB OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D760ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL73DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL74DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL70DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DP643Z OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
3E0G3GC OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL68DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D767ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL73CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D760DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D764ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL70CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL64DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DB60ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL74CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL64CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D763DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL64ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL67ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL63CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL63DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL67DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DP64CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV67ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL60ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL60DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D767DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D763ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D764DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV64ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL63ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DH64DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL60CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV64DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DH67DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DH60DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV68ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DB67ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DH68DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D164J9 OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV63DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DB63Z3 OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DB63ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DH63DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DB60Z3 OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV60CZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D768ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DV63ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0D768DZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL68ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
0DL70ZZ OTHER Bariatric Surgery 4 1 — — $22,759.40 $40,874.61 $40,874.61 2025-11-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 8 — — $40,793.56 $111,774.37 $40,793.56 2025-11-26
12 MS_DRG Tracheostomy For Face, Mouth & Neck Diagnoses Or Laryngectomy With Cc 10 8 — — $40,724.76 $111,585.84 $40,724.76 2025-11-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 8 — — $40,704.69 $111,530.86 $40,704.69 2025-11-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 8 — — $40,587.15 $111,208.80 $40,587.15 2025-11-26
5465 OTHER Level 5 Neurostimulator And Related Procedures 3 2 — — $37,945.35 $45,688.68 $40,565.83 2025-11-26
901 MS_DRG Wound Debridements For Injuries With Mcc 10 8 — — $40,539.37 $111,077.88 $40,539.37 2025-11-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 8 — — $40,464.84 $110,873.65 $40,464.84 2025-11-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature Or Malignancy Or Infection O… 18 10 — — $14,165.42 $110,449.48 $40,310.03 2025-11-26
793 MS_DRG Full Term Neonate With Major Problems 10 8 — — $40,281.36 $110,370.93 $40,281.36 2025-11-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 8 — — $40,122.73 $109,936.28 $40,122.73 2025-11-26
273 MS_DRG Percutaneous Intracardiac Procedures With Mcc 10 8 — — $39,859.94 $109,216.23 $39,859.94 2025-11-26
791 MS_DRG Prematurity With Major Problems 10 8 — — $39,224.46 $107,475.02 $39,224.46 2025-11-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 8 — — $38,508.71 $105,513.88 $38,508.71 2025-11-26
5200 OTHER Implantation Wireless Pa Pressure Monitor 3 2 — — $35,398.62 $42,622.24 $37,843.22 2025-11-26
0843 OTHER Pegaspargase Injection 3 2 — — $33,707.90 $42,615.37 $37,837.12 2025-11-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Pdx Without Mcc 10 8 — — $37,818.77 $103,623.42 $37,818.77 2025-11-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 10 8 — — $37,649.63 $103,159.97 $37,649.63 2025-11-26
A9572 HCPCS Outpatient Pharmaceuticals 3 1 — — $37,450.50 $37,450.50 $37,450.50 2025-11-26
34 MS_DRG Carotid Artery Stent Procedure With Mcc 10 8 — — $37,425.06 $102,544.66 $37,425.06 2025-11-26
876 MS_DRG O.r. Procedure With Principal Diagnoses Of Mental Illness 10 8 — — $37,369.63 $102,392.79 $37,369.63 2025-11-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 8 — — $37,334.28 $102,295.92 $37,334.28 2025-11-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 8 — — $37,125.00 $101,722.50 $37,125.00 2025-11-26
1592 OTHER New Technology - Level 41 ($25,001-$30,000) 3 2 — — $34,243.29 $41,230.70 $36,607.71 2025-11-26
1578 OTHER New Technology - Level 41 ($25,001-$30,000) 3 2 — — $34,243.29 $41,230.70 $36,607.71 2025-11-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 8 — — $36,395.87 $99,724.69 $36,395.87 2025-11-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc/mcc 10 8 — — $36,239.15 $99,295.28 $36,239.15 2025-11-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 8 — — $36,154.10 $99,062.24 $36,154.10 2025-11-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 18 10 — — $14,165.42 $99,051.77 $36,150.28 2025-11-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 8 — — $36,049.94 $98,776.84 $36,049.94 2025-11-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 8 — — $35,536.78 $97,370.79 $35,536.78 2025-11-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 14 9 — — $27,831.04 $97,331.51 $35,522.45 2025-11-26
0DW643Z OTHER Bariatric Surgery 7 2 — — $22,759.40 $40,874.61 $35,129.00 2025-11-26
0DW64CZ OTHER Bariatric Surgery 7 2 — — $22,759.40 $40,874.61 $35,129.00 2025-11-26
0DB68Z3 OTHER Bariatric Surgery 7 2 — — $22,759.40 $40,874.61 $35,129.00 2025-11-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 8 — — $35,110.58 $96,203.00 $35,110.58 2025-11-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 8 — — $35,083.83 $96,129.69 $35,083.83 2025-11-26
332 MS_DRG Rectal Resection With Mcc 10 8 — — $35,036.05 $95,998.77 $35,036.05 2025-11-26
265 MS_DRG Aicd Lead Procedures 10 8 — — $35,012.16 $95,933.31 $35,012.16 2025-11-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 8 — — $34,951.00 $95,765.73 $34,951.00 2025-11-26
739 MS_DRG Uterine, Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mcc 10 8 — — $34,673.87 $95,006.41 $34,673.87 2025-11-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 8 — — $34,594.56 $94,789.09 $34,594.56 2025-11-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 8 — — $34,560.16 $94,694.83 $34,560.16 2025-11-26
408 MS_DRG Biliary Tract Procedure Except Only Cholecystectomy With Or Without C.d.e. With … 10 8 — — $34,509.51 $94,556.05 $34,509.51 2025-11-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 8 — — $34,480.84 $94,477.50 $34,480.84 2025-11-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 8 — — $34,448.35 $94,388.48 $34,448.35 2025-11-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 8 — — $34,420.64 $94,312.55 $34,420.64 2025-11-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 16 10 — — $22,023.81 $93,534.89 $34,136.82 2025-11-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 8 — — $34,068.02 $93,346.37 $34,068.02 2025-11-26
252 MS_DRG Other Vascular Procedures With Mcc 10 8 — — $33,770.83 $92,532.06 $33,770.83 2025-11-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 8 — — $33,762.23 $92,508.50 $33,762.23 2025-11-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 8 — — $33,609.33 $92,089.56 $33,609.33 2025-11-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 8 — — $33,448.79 $91,649.68 $33,448.79 2025-11-26
987 MS_DRG Non-extensive O.r. Procedure Unrelated To Principal Diagnosis With Mcc 12 9 — — $22,023.81 $90,963.67 $33,198.42 2025-11-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 9 — — $14,165.42 $90,523.78 $33,037.88 2025-11-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 8 — — $32,994.88 $90,405.96 $32,994.88 2025-11-26
5213 OTHER Level 3 Electrophysiologic Procedures 3 2 — — $30,547.33 $36,780.98 $32,656.91 2025-11-26
264 MS_DRG Other Circulatory System O.r. Procedures 10 8 — — $32,359.40 $88,664.75 $32,359.40 2025-11-26
0856 OTHER Porfimer Sodium Injection 3 2 — — $29,722.81 $36,324.96 $32,252.02 2025-11-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 8 — — $32,002.96 $87,688.10 $32,002.96 2025-11-26
J1412 HCPCS All Drugs Or Drug Agents Without Specific Rate Set Forth Above Or Herein 2 1 — — $31,912.02 $31,912.02 $31,912.02 2025-11-26
37 MS_DRG Extracranial Procedures With Mcc 10 8 — — $31,895.93 $87,394.85 $31,895.93 2025-11-26
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 10 8 — — $31,892.11 $87,384.37 $31,892.11 2025-11-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 8 — — $31,520.38 $86,365.83 $31,520.38 2025-11-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 8 — — $31,383.73 $85,991.41 $31,383.73 2025-11-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 8 — — $31,349.32 $85,897.15 $31,349.32 2025-11-26
652 MS_DRG Kidney Transplant 10 8 — — $31,297.72 $85,755.76 $31,297.72 2025-11-26
485 MS_DRG Knee Procedures With Pdx Of Infection With Mcc 12 9 — — $22,023.81 $85,692.92 $31,274.79 2025-11-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 8 — — $31,214.58 $85,527.96 $31,214.58 2025-11-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 8 — — $30,947.01 $84,794.82 $30,947.01 2025-11-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 8 — — $30,890.63 $84,640.34 $30,890.63 2025-11-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 8 — — $30,861.01 $84,559.17 $30,861.01 2025-11-26
22 MS_DRG Intracranial Vascular Procedures With Pdx Hemorrhage Without Cc/mcc 10 8 — — $30,799.85 $84,391.59 $30,799.85 2025-11-26
500 MS_DRG Soft Tissue Procedures With Mcc 10 8 — — $30,679.45 $84,061.68 $30,679.45 2025-11-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 8 — — $30,633.58 $83,936.00 $30,633.58 2025-11-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 8 — — $30,533.24 $83,661.07 $30,533.24 2025-11-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 8 — — $30,462.52 $83,467.31 $30,462.52 2025-11-26
665 MS_DRG Prostatectomy With Mcc 10 8 — — $30,262.80 $82,920.08 $30,262.80 2025-11-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal System And Conn… 12 9 — — $22,023.81 $82,749.88 $30,200.69 2025-11-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 8 — — $30,148.13 $82,605.87 $30,148.13 2025-11-26
1591 OTHER New Technology - Level 40 ($20,001-$25,000) 3 2 — — $28,017.35 $33,734.35 $29,951.88 2025-11-26
1577 OTHER New Technology - Level 40 ($20,001-$25,000) 3 2 — — $28,017.35 $33,734.35 $29,951.88 2025-11-26
5231 OTHER Level 1 Icd And Similar Procedures 3 2 — — $27,949.73 $33,653.30 $29,879.92 2025-11-26
662 MS_DRG Minor Bladder Procedures With Mcc 10 8 — — $29,692.31 $81,356.92 $29,692.31 2025-11-26
263 MS_DRG Vein Ligation And Stripping 10 8 — — $29,653.13 $81,249.57 $29,653.13 2025-11-26
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 16 10 — — $22,023.81 $80,615.92 $29,421.87 2025-11-26
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 8 — — $29,300.51 $80,283.39 $29,300.51 2025-11-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 8 — — $29,296.69 $80,272.92 $29,296.69 2025-11-26
498 MS_DRG Local Excision And Removal Internal Fixation Devices Of Hip And Femur With Cc/mc… 10 8 — — $29,265.15 $80,186.51 $29,265.15 2025-11-26
472 MS_DRG Cervical Spinal Fusion With Cc 18 10 — — $14,165.42 $78,335.33 $28,589.54 2025-11-26
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 8 — — $28,570.43 $78,282.97 $28,570.43 2025-11-26
5464 OTHER Level 4 Neurostimulator And Related Procedures 3 2 — — $26,702.30 $32,151.31 $28,546.34 2025-11-26
570 MS_DRG Skin Debridement With Mcc 10 8 — — $28,541.76 $78,204.42 $28,541.76 2025-11-26
668 MS_DRG Transurethral Procedures With Mcc 10 8 — — $28,340.13 $77,651.94 $28,340.13 2025-11-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 12 9 — — $22,023.81 $77,450.33 $28,266.54 2025-11-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 8 — — $28,168.12 $77,180.64 $28,168.12 2025-11-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 8 — — $28,150.92 $77,133.51 $28,150.92 2025-11-26
S3865 HCPCS Laboratory Services 2 1 — — $28,080.39 $28,080.39 $28,080.39 2025-11-26
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