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Hospital

MEMORIAL CARE MILLER CHILDREN'S & WOMEN'S HOSP LB

Long Beach, CA · CCN 053309 · Rates published

15,408 distinct procedures filed
38 distinct payers
404,965 rate rows
2026-04-01 last MRF observed
Data quality

344,196 of 404,965 rate rows are consumer-grade (85.0%)

60,769 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 60,316
placeholder amount (≤ $0.02) — excluded from medians 376
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 56
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 21
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.memorialcare.org/sites/default/files/_images/content/Patient-Financial-Services/953527031-1962442012_memorialcare-miller-children-_s-%26-women-_s-hospital-long-beach_standardcharges.json
Found on page https://www.memorialcare.org/patients-visitors/patient-financial-tools-and-resources#MRF
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-08-04
Content fingerprint 730bdfcdca55c76f… · 86,338,570 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
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $2,111,489.71 $4,996,037.08 $3,618,220.38 nat. median
$3,286,000
1.1× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $2,395,423.33 $4,606,583.33 $3,570,000.00 nat. median
$3,710,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $1,914,731.00 $4,772,098.80 $3,475,926.53 nat. median
$2,997,086
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $2,155,700.68 $4,145,578.24 $3,264,000.00 nat. median
$3,324,572
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 7 $1,515,800.00 $4,990,480.00 $2,775,061.52 nat. median
$2,405,851
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $1,595,821.89 $3,977,279.18 $2,393,732.83 nat. median
$2,460,273
1.0× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 5 $456,934.49 $2,017,043.18 $951,843.16 nat. median
$370,165
outlier · 2.6×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 5 $341,292.27 $1,506,564.40 $710,948.10 nat. median
$261,939
outlier · 2.7×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $367,814.81 $1,606,734.70 $707,336.18 nat. median
$631,793
1.1× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $365,649.82 $1,597,277.31 $703,172.73 nat. median
$624,417
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $362,256.66 $1,582,454.87 $696,647.42 nat. median
$610,161
1.1× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $346,599.61 $1,514,059.80 $666,537.71 nat. median
$588,565
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $1,303.66 $1,680,154.09 $659,083.14 nat. median
$691,418
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $318,048.00 $1,389,337.06 $611,630.76 nat. median
$577,541
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $287,449.17 $1,268,885.13 $598,787.19 nat. median
$205,166
outlier · 2.9×
5834
OTHER 		Description Not Available 13 $585,149.26 $585,149.26 $585,149.26 nat. median
$376,382
1.6× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 5 $259,669.73 $1,146,258.54 $540,919.68 nat. median
$199,832
outlier · 2.7×
5884
OTHER 		Description Not Available 13 $479,980.67 $479,980.67 $479,980.67 nat. median
$247,377
1.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 5 $171,202.30 $755,737.30 $356,632.61 nat. median
$132,706
outlier · 2.7×
5833
OTHER 		Description Not Available 13 $352,624.36 $352,624.36 $352,624.36 nat. median
$246,994
1.4× median
6304
OTHER 		Description Not Available 13 $348,388.58 $348,388.58 $348,388.58 nat. median
$177,388
2.0× median
7
MS_DRG 		Lung Transplant 5 $158,343.74 $698,975.84 $329,846.86 nat. median
$122,690
outlier · 2.7×
5934
OTHER 		Description Not Available 13 $313,039.27 $313,039.27 $313,039.27 nat. median
$151,842
outlier · 2.1×
5914
OTHER 		Description Not Available 13 $302,291.83 $302,291.83 $302,291.83 nat. median
$167,487
1.8× median
6094
OTHER 		Description Not Available 13 $300,363.81 $300,363.81 $300,363.81 nat. median
$167,902
1.8× median
6314
OTHER 		Description Not Available 13 $288,359.24 $288,359.24 $288,359.24 nat. median
$159,704
1.8× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 5 $133,525.70 $589,421.71 $278,148.25 nat. median
$108,240
outlier · 2.6×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 5 $129,029.09 $569,572.32 $268,781.31 nat. median
$99,646
outlier · 2.7×
215
MS_DRG 		Other Heart Assist System Implant 5 $128,369.92 $566,662.57 $267,408.20 nat. median
$98,002
outlier · 2.7×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $11,959.15 $560,639.82 $264,566.07 nat. median
$96,835
outlier · 2.7×
5832
OTHER 		Description Not Available 13 $260,026.45 $260,026.45 $260,026.45 nat. median
$184,745
1.4× median
6034
OTHER 		Description Not Available 13 $251,631.22 $251,631.22 $251,631.22 nat. median
$102,445
outlier · 2.5×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $116,933.90 $516,180.60 $243,585.75 nat. median
$92,900
outlier · 2.6×
5883
OTHER 		Description Not Available 13 $235,277.84 $235,277.84 $235,277.84 nat. median
$168,056
1.4× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $19,788.11 $492,694.01 $232,502.42 nat. median
$81,364
outlier · 2.9×
5882
OTHER 		Description Not Available 13 $230,381.31 $230,381.31 $230,381.31 nat. median
$139,074
1.7× median
5831
OTHER 		Description Not Available 13 $224,710.00 $224,710.00 $224,710.00 nat. median
$150,754
1.5× median
6024
OTHER 		Description Not Available 13 $224,387.01 $224,387.01 $224,387.01 nat. median
$113,815
2.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 4 $101,055.78 $446,089.92 $210,509.94 nat. median
$81,124
outlier · 2.6×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $123,090.99 $700,740.94 $207,969.49 nat. median
$114,305
1.8× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 5 $96,047.82 $423,983.33 $200,077.83 nat. median
$69,153
outlier · 2.9×
1614
OTHER 		Description Not Available 13 $199,529.50 $199,529.50 $199,529.50 nat. median
$189,554
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $97,669.08 $431,140.02 $198,803.35 nat. median
$77,385
outlier · 2.6×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $93,749.23 $413,836.66 $195,289.62 nat. median
$74,472
outlier · 2.6×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $20,886.00 $582,650.13 $188,638.04 nat. median
$100,978
1.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 $100,076.20 $452,968.48 $186,187.55 nat. median
$80,459
outlier · 2.3×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 6 $90,437.65 $399,218.39 $185,439.26 nat. median
$71,485
outlier · 2.6×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 $86,014.95 $379,695.27 $180,896.17 nat. median
$66,640
outlier · 2.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 5 $85,624.78 $377,972.95 $178,365.53 nat. median
$68,581
outlier · 2.6×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 6 $84,291.91 $372,089.27 $175,589.02 nat. median
$65,958
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 15,408 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
             
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 19 9 — — $26,241.36 $114,630.80 $65,401.55 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 21 5 — — $341,292.27 $1,506,564.40 $710,948.10 2026-04-01
10 MS_DRG Pancreas Transplant 21 5 — — $84,305.39 $426,438.43 $169,828.62 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 35 16 — — $52,954.62 $288,599.85 $91,482.40 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 35 16 — — $49,720.90 $219,482.66 $70,141.82 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 35 16 — — $32,107.63 $141,732.50 $71,162.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 35 16 — — $123,090.99 $700,740.94 $207,969.49 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 22 6 — — $37,206.07 $226,200.75 $96,763.58 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 36 12 — — $2,055.00 $176,601.33 $59,295.45 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 21 5 — — $27,795.19 $122,696.12 $57,900.33 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 5 — — $73,132.15 $322,826.82 $152,342.06 2026-04-01
1604 OTHER Description Not Available 14 13 — — $84,429.47 $84,429.47 $84,429.47 2026-04-01
1611 OTHER Description Not Available 14 13 — — $116,597.22 $116,597.22 $116,597.22 2026-04-01
1612 OTHER Description Not Available 14 13 — — $122,733.22 $122,733.22 $122,733.22 2026-04-01
1613 OTHER Description Not Available 14 13 — — $152,860.98 $152,860.98 $152,860.98 2026-04-01
1614 OTHER Description Not Available 14 13 — — $199,529.50 $199,529.50 $199,529.50 2026-04-01
1624 OTHER Description Not Available 14 13 — — $79,573.54 $79,573.54 $79,573.54 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 23 5 — — $55,846.04 $246,520.84 $116,333.24 2026-04-01
1634 OTHER Description Not Available 14 13 — — $67,712.18 $67,712.18 $67,712.18 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 21 5 — — $30,496.07 $134,618.60 $63,526.55 2026-04-01
1654 OTHER Description Not Available 14 13 — — $61,921.68 $61,921.68 $61,921.68 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 21 5 — — $46,662.57 $205,982.29 $97,203.09 2026-04-01
1674 OTHER Description Not Available 14 13 — — $60,907.82 $60,907.82 $60,907.82 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 21 5 — — $73,132.15 $322,826.82 $152,342.06 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 21 5 — — $37,179.80 $164,122.58 $77,449.48 2026-04-01
1784 OTHER Description Not Available 14 13 — — $67,260.94 $67,260.94 $67,260.94 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 21 5 — — $456,934.49 $2,017,043.18 $951,843.16 2026-04-01
1834 OTHER Description Not Available 14 13 — — $57,396.14 $57,396.14 $57,396.14 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 21 5 — — $96,047.82 $423,983.33 $200,077.83 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 5 — — $133,525.70 $589,421.71 $278,148.25 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 5 — — $97,669.08 $431,140.02 $198,803.35 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 25 7 — — $7,874.91 $345,944.34 $158,676.76 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 24 6 — — $32,523.24 $143,567.14 $65,349.84 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 35 16 — — $66,974.29 $295,644.22 $105,250.85 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 35 16 — — $20,886.00 $582,650.13 $188,638.04 2026-04-01
215 MS_DRG Other Heart Assist System Implant 21 5 — — $128,369.92 $566,662.57 $267,408.20 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 5 — — $116,933.90 $516,180.60 $243,585.75 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 5 — — $78,244.32 $345,393.41 $162,991.23 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 21 5 — — $72,085.24 $318,205.46 $150,161.23 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 5 — — $93,749.23 $413,836.66 $195,289.62 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 35 16 — — $42,777.86 $188,834.04 $88,364.06 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 21 5 — — $64,175.27 $283,288.49 $133,683.91 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 35 16 — — $11,186.40 $245,632.94 $81,415.58 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 27 7 — — $12,810.02 $266,525.36 $100,849.58 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 5 — — $37,636.61 $166,139.08 $78,401.07 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 37 16 — — $52,591.56 $305,132.99 $119,071.44 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 36 16 — — $13,151.81 $453,225.22 $142,898.05 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 35 16 — — $18,030.40 $326,720.75 $104,183.78 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 21 5 — — $71,294.00 $314,712.69 $148,513.00 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 21 5 — — $49,822.68 $219,931.96 $103,785.94 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 21 5 — — $61,027.27 $269,392.31 $127,126.30 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 35 16 — — $46,061.56 $203,329.28 $134,406.10 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 21 5 — — $35,284.70 $155,757.06 $73,501.79 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 35 16 — — $10,963.62 $181,431.30 $60,512.62 2026-04-01
245 MS_DRG Aicd Generator Procedures 22 6 — — $8,220.00 $261,369.11 $113,713.20 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 25 6 — — $54,187.22 $239,198.34 $112,877.75 2026-04-01
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 21 5 — — $28,022.99 $123,701.70 $58,374.86 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 27 8 — — $10,690.16 $183,474.54 $77,036.79 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 22 6 — — $12,330.00 $136,549.52 $61,518.26 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 21 5 — — $31,701.71 $139,940.65 $66,038.03 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 21 5 — — $33,993.03 $150,055.24 $70,811.10 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 7 — — $2,594.01 $163,587.70 $63,469.51 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 21 5 — — $41,280.20 $182,222.92 $85,991.04 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 35 16 — — $37,480.58 $186,935.21 $59,256.03 2026-04-01
265 MS_DRG Aicd Lead Procedures 21 5 — — $43,220.13 $190,786.35 $90,032.12 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 21 5 — — $72,585.68 $320,414.52 $151,203.69 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 21 5 — — $57,003.21 $251,628.95 $118,743.76 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 21 5 — — $80,786.46 $356,615.19 $168,286.80 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 21 5 — — $50,411.57 $222,531.48 $105,012.66 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 21 5 — — $29,899.91 $131,986.99 $62,284.69 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 25 5 — — $62,194.14 $274,543.21 $129,557.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 35 16 — — $13,779.57 $184,234.07 $60,531.89 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 35 16 — — $26,062.90 $209,138.08 $68,252.06 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 21 5 — — $85,624.78 $377,972.95 $178,365.53 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 21 5 — — $75,052.70 $331,304.67 $156,342.75 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 21 5 — — $56,370.71 $248,836.87 $117,426.18 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 5 — — $60,620.14 $267,595.12 $126,278.20 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 21 5 — — $38,825.29 $171,386.25 $80,877.21 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 23 5 — — $53,267.43 $325,158.90 $138,419.52 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 21 5 — — $33,095.16 $146,091.77 $68,940.74 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 21 5 — — $40,670.71 $179,532.47 $84,721.42 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 5 — — $259,669.73 $1,146,258.54 $540,919.68 2026-04-01
3033 OTHER Description Not Available 14 13 — — $57,600.99 $57,600.99 $57,600.99 2026-04-01
3034 OTHER Description Not Available 14 13 — — $76,075.07 $76,075.07 $76,075.07 2026-04-01
3044 OTHER Description Not Available 14 13 — — $58,391.12 $58,391.12 $58,391.12 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 5 — — $50,773.87 $224,130.77 $100,162.83 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 17 6 — — $18,236.66 $330,876.77 $156,140.83 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 21 5 — — $53,223.92 $234,946.04 $110,871.09 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 21 5 — — $28,046.01 $123,803.32 $58,422.82 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 21 5 — — $34,493.46 $152,264.29 $71,853.55 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 21 5 — — $51,608.73 $227,816.09 $107,506.47 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 21 5 — — $38,713.82 $170,894.16 $80,645.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 21 5 — — $34,678.85 $153,082.66 $72,239.74 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 24 5 — — $48,255.87 $271,649.51 $113,636.56 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 22 6 — — $12,046.86 $129,874.21 $59,326.47 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 26 6 — — $13,357.85 $245,600.85 $97,770.23 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 22 5 — — $25,550.10 $126,429.59 $57,074.65 2026-04-01
332 MS_DRG Rectal Resection With Mcc 21 5 — — $42,027.81 $185,523.13 $87,548.41 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 27 11 — — $1,303.66 $160,855.86 $66,847.44 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 22 6 — — $38,495.77 $193,835.16 $86,794.30 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 21 5 — — $47,116.95 $207,988.09 $98,149.63 2026-04-01
347 MS_DRG Anal And Stomal Procedures With Mcc 23 7 — — $8,667.54 $126,584.70 $58,552.83 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 21 5 — — $27,561.33 $121,663.80 $57,413.18 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 22 5 — — $19,802.26 $129,430.26 $58,103.08 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 21 5 — — $35,536.74 $156,869.61 $74,026.80 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 23 5 — — $15,494.40 $228,147.72 $98,281.74 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 21 5 — — $40,236.92 $177,617.60 $83,817.79 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 32 13 — — $2,761.00 $229,712.20 $70,084.14 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 5 — — $171,202.30 $755,737.30 $356,632.61 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 22 5 — — $45,702.90 $201,746.04 $95,204.00 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 22 5 — — $65,775.92 $290,354.26 $131,736.34 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 21 5 — — $34,026.96 $150,205.00 $70,881.78 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 21 5 — — $42,422.83 $187,266.84 $88,371.27 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 35 16 — — $12,895.98 $187,400.56 $61,740.35 2026-04-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 37 16 — — $11,868.30 $94,005.16 $58,827.25 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 21 5 — — $42,763.32 $188,769.85 $89,080.54 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 17 — — $9,414.51 $217,541.04 $68,726.59 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 5 — — $11,959.15 $560,639.82 $264,566.07 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 4 — — $86,014.95 $379,695.27 $180,896.17 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 4 — — $66,706.51 $294,462.14 $138,956.75 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 4 — — $101,055.78 $446,089.92 $210,509.94 2026-04-01
43 MS_DRG Hyphema 14 13 — — $85,565.10 $85,565.10 $85,565.10 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 15 4 — — $66,281.20 $292,584.71 $138,070.79 2026-04-01
44 MS_DRG Acute Major Eye Infections 14 13 — — $125,035.63 $125,035.63 $125,035.63 2026-04-01
4404 OTHER Description Not Available 14 13 — — $72,321.73 $72,321.73 $72,321.73 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 16 5 — — $26,160.86 $358,594.25 $169,220.71 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 15 4 — — $49,476.13 $218,402.20 $103,064.05 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 15 4 — — $62,398.91 $275,447.15 $129,983.58 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 2 — — $80,662.48 $162,490.17 $89,993.42 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 26 6 — — $100,076.20 $452,968.48 $186,187.55 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 5 — — $69,539.46 $306,967.63 $144,858.10 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 21 5 — — $52,317.57 $230,945.14 $108,983.07 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 2 — — $116,158.10 $233,994.18 $129,595.14 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 2 — — $64,064.46 $129,054.37 $71,475.36 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 35 16 — — $5,358.14 $328,239.81 $116,855.04 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 21 5 — — $61,727.63 $272,483.92 $128,585.23 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 21 5 — — $41,499.51 $183,191.05 $86,447.90 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 23 6 — — $7,250.13 $140,309.72 $61,320.71 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 23 6 — — $7,753.48 $174,825.53 $76,485.51 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 35 16 — — $5,461.98 $259,791.22 $86,151.37 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 36 16 — — $12,737.39 $239,861.59 $75,696.12 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 22 5 — — $41,667.94 $183,934.53 $82,092.34 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 21 5 — — $28,334.39 $125,076.34 $59,023.55 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 26 5 — — $26,318.24 $157,308.21 $63,379.23 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 21 5 — — $39,060.36 $172,423.92 $81,366.89 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 21 5 — — $42,655.48 $188,293.81 $88,855.89 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 21 5 — — $30,591.79 $135,041.15 $63,725.95 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 21 5 — — $129,029.09 $569,572.32 $268,781.31 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 21 5 — — $38,392.71 $169,476.73 $79,976.11 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 23 5 — — $17,675.43 $152,868.70 $62,492.18 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 28 7 — — $7,655.00 $165,395.59 $59,925.71 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 27 8 — — $11,715.41 $191,690.29 $69,621.57 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 2 2 — — $67,072.69 $100,305.57 $83,689.13 2026-04-01
570 MS_DRG Skin Debridement With Mcc 21 5 — — $36,477.02 $161,020.28 $75,985.51 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 35 16 — — $9,796.83 $329,368.41 $108,903.80 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 35 16 — — $16,191.49 $185,319.87 $59,649.18 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 21 5 — — $65,370.00 $288,562.41 $136,172.67 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 21 5 — — $32,262.72 $142,417.15 $67,206.69 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 23 5 — — $17,065.75 $174,322.74 $76,770.33 2026-04-01
5831 OTHER Description Not Available 14 13 — — $224,710.00 $224,710.00 $224,710.00 2026-04-01
5832 OTHER Description Not Available 14 13 — — $260,026.45 $260,026.45 $260,026.45 2026-04-01
5833 OTHER Description Not Available 14 13 — — $352,624.36 $352,624.36 $352,624.36 2026-04-01
5834 OTHER Description Not Available 14 13 — — $585,149.26 $585,149.26 $585,149.26 2026-04-01
5881 OTHER Description Not Available 14 13 — — $151,646.99 $151,646.99 $151,646.99 2026-04-01
5882 OTHER Description Not Available 14 13 — — $230,381.31 $230,381.31 $230,381.31 2026-04-01
5883 OTHER Description Not Available 14 13 — — $235,277.84 $235,277.84 $235,277.84 2026-04-01
5884 OTHER Description Not Available 14 13 — — $479,980.67 $479,980.67 $479,980.67 2026-04-01
5891 OTHER Description Not Available 14 13 — — $71,351.53 $71,351.53 $71,351.53 2026-04-01
5892 OTHER Description Not Available 14 13 — — $59,234.11 $59,234.11 $59,234.11 2026-04-01
5912 OTHER Description Not Available 14 13 — — $71,701.76 $71,701.76 $71,701.76 2026-04-01
5913 OTHER Description Not Available 14 13 — — $134,747.03 $134,747.03 $134,747.03 2026-04-01
5914 OTHER Description Not Available 14 13 — — $302,291.83 $302,291.83 $302,291.83 2026-04-01
5932 OTHER Description Not Available 14 13 — — $121,398.87 $121,398.87 $121,398.87 2026-04-01
5933 OTHER Description Not Available 14 13 — — $153,166.83 $153,166.83 $153,166.83 2026-04-01
5934 OTHER Description Not Available 14 13 — — $313,039.27 $313,039.27 $313,039.27 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 21 5 — — $58,754.12 $259,357.96 $122,391.08 2026-04-01
6022 OTHER Description Not Available 14 13 — — $102,721.36 $102,721.36 $102,721.36 2026-04-01
6023 OTHER Description Not Available 14 13 — — $134,624.78 $134,624.78 $134,624.78 2026-04-01
6024 OTHER Description Not Available 14 13 — — $224,387.01 $224,387.01 $224,387.01 2026-04-01
6033 OTHER Description Not Available 14 13 — — $93,169.50 $93,169.50 $93,169.50 2026-04-01
6034 OTHER Description Not Available 14 13 — — $251,631.22 $251,631.22 $251,631.22 2026-04-01
6072 OTHER Description Not Available 14 13 — — $78,993.68 $78,993.68 $78,993.68 2026-04-01
6073 OTHER Description Not Available 14 13 — — $102,015.96 $102,015.96 $102,015.96 2026-04-01
6074 OTHER Description Not Available 14 13 — — $172,347.68 $172,347.68 $172,347.68 2026-04-01
6082 OTHER Description Not Available 14 13 — — $58,375.07 $58,375.07 $58,375.07 2026-04-01
6083 OTHER Description Not Available 14 13 — — $79,076.28 $79,076.28 $79,076.28 2026-04-01
6084 OTHER Description Not Available 14 13 — — $109,124.51 $109,124.51 $109,124.51 2026-04-01
6093 OTHER Description Not Available 14 13 — — $113,857.49 $113,857.49 $113,857.49 2026-04-01
6094 OTHER Description Not Available 14 13 — — $300,363.81 $300,363.81 $300,363.81 2026-04-01
6113 OTHER Description Not Available 14 13 — — $64,907.08 $64,907.08 $64,907.08 2026-04-01
6114 OTHER Description Not Available 14 13 — — $130,971.13 $130,971.13 $130,971.13 2026-04-01
6123 OTHER Description Not Available 14 13 — — $67,016.68 $67,016.68 $67,016.68 2026-04-01
6124 OTHER Description Not Available 14 13 — — $125,241.33 $125,241.33 $125,241.33 2026-04-01
6133 OTHER Description Not Available 14 13 — — $60,965.41 $60,965.41 $60,965.41 2026-04-01
6134 OTHER Description Not Available 14 13 — — $122,876.89 $122,876.89 $122,876.89 2026-04-01
6143 OTHER Description Not Available 14 13 — — $57,638.28 $57,638.28 $57,638.28 2026-04-01
6144 OTHER Description Not Available 14 13 — — $98,746.18 $98,746.18 $98,746.18 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 21 5 — — $46,830.99 $206,725.77 $97,553.94 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 21 5 — — $33,035.79 $145,829.68 $68,817.06 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 35 16 — — $21,577.95 $95,251.43 $66,035.45 2026-04-01
6214 OTHER Description Not Available 14 13 — — $102,749.87 $102,749.87 $102,749.87 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 24 6 — — $34,123.18 $200,259.07 $82,221.71 2026-04-01
6224 OTHER Description Not Available 14 13 — — $81,100.83 $81,100.83 $81,100.83 2026-04-01
6234 OTHER Description Not Available 14 13 — — $74,430.91 $74,430.91 $74,430.91 2026-04-01
6254 OTHER Description Not Available 14 13 — — $68,568.67 $68,568.67 $68,568.67 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 21 5 — — $47,817.32 $211,079.69 $99,608.56 2026-04-01
6302 OTHER Description Not Available 14 13 — — $81,261.88 $81,261.88 $81,261.88 2026-04-01
6303 OTHER Description Not Available 14 13 — — $128,079.56 $128,079.56 $128,079.56 2026-04-01
6304 OTHER Description Not Available 14 13 — — $348,388.58 $348,388.58 $348,388.58 2026-04-01
6313 OTHER Description Not Available 14 13 — — $84,256.96 $84,256.96 $84,256.96 2026-04-01
6314 OTHER Description Not Available 14 13 — — $288,359.24 $288,359.24 $288,359.24 2026-04-01
6334 OTHER Description Not Available 14 13 — — $93,389.83 $93,389.83 $93,389.83 2026-04-01
6344 OTHER Description Not Available 14 13 — — $71,575.78 $71,575.78 $71,575.78 2026-04-01
6364 OTHER Description Not Available 14 13 — — $59,254.22 $59,254.22 $59,254.22 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 36 16 — — $22,846.71 $108,703.49 $70,498.23 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 32 13 — — $1,714.00 $160,855.86 $61,332.08 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 16 8 — — $25,797.30 $112,691.00 $62,667.15 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 21 5 — — $55,823.02 $246,419.22 $116,285.29 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 21 5 — — $42,072.65 $185,721.03 $87,641.80 2026-04-01
652 MS_DRG Kidney Transplant 21 5 — — $37,213.73 $164,272.35 $77,520.16 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 21 5 — — $67,542.58 $298,152.81 $140,698.38 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 21 5 — — $34,192.96 $150,937.79 $71,227.58 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 21 5 — — $39,473.55 $174,247.86 $82,227.61 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 22 5 — — $24,618.83 $138,223.69 $62,347.41 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 22 6 — — $10,376.00 $166,850.47 $73,785.49 2026-04-01
665 MS_DRG Prostatectomy With Mcc 21 5 — — $41,602.51 $183,645.70 $86,662.45 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 21 5 — — $35,334.38 $155,976.36 $73,605.28 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 21 5 — — $50,770.23 $224,114.72 $105,759.79 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 21 5 — — $27,969.67 $123,466.35 $58,263.80 2026-04-01
7 MS_DRG Lung Transplant 21 5 — — $158,343.74 $698,975.84 $329,846.86 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 22 5 — — $24,812.47 $210,598.30 $94,335.18 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 21 5 — — $48,234.14 $212,919.68 $100,476.85 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 21 5 — — $31,363.64 $138,448.34 $65,333.80 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 32 9 — — $11,253.24 $1,051,779.39 $155,649.33 2026-04-01
791 MS_DRG Prematurity With Major Problems 39 9 — — $4,914.00 $297,654.05 $107,754.56 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 21 5 — — $57,610.28 $254,308.70 $120,008.33 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 21 5 — — $65,926.17 $291,017.51 $137,331.23 2026-04-01
800 MS_DRG Splenic Procedures With Cc 21 5 — — $35,304.09 $155,842.64 $73,542.18 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 21 5 — — $43,434.60 $191,733.08 $90,478.89 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 21 5 — — $70,543.96 $311,401.79 $146,950.58 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 35 16 — — $8,088.19 $250,281.05 $79,335.84 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 5 — — $57,861.10 $255,415.90 $120,530.82 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 21 5 — — $28,592.48 $126,215.63 $59,561.19 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 23 5 — — $37,363.98 $164,935.60 $77,833.15 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 24 5 — — $11,851.44 $295,622.83 $134,056.76 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 26 5 — — $33,467.03 $267,803.72 $104,109.67 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 22 5 — — $38,645.96 $170,594.63 $76,144.74 2026-04-01
8414 OTHER Description Not Available 14 13 — — $140,708.86 $140,708.86 $140,708.86 2026-04-01
8424 OTHER Description Not Available 14 13 — — $71,110.58 $71,110.58 $71,110.58 2026-04-01
849 MS_DRG Radiotherapy 21 5 — — $32,363.30 $142,861.10 $67,416.19 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 17 5 — — $19,788.11 $492,694.01 $232,502.42 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 23 6 — — $41,536.39 $267,520.23 $126,242.86 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 24 6 — — $24,776.00 $241,300.41 $95,177.39 2026-04-01
8633 OTHER Description Not Available 14 13 — — $62,685.14 $62,685.14 $62,685.14 2026-04-01
8634 OTHER Description Not Available 14 13 — — $128,400.43 $128,400.43 $128,400.43 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 23 6 — — $84,291.91 $372,089.27 $175,589.02 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 21 5 — — $47,612.54 $210,175.75 $99,181.99 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 21 5 — — $53,680.73 $236,962.54 $111,822.68 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 22 5 — — $46,782.53 $206,511.82 $86,123.95 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 25 6 — — $24,871.52 $213,069.45 $76,750.09 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 21 5 — — $287,449.17 $1,268,885.13 $598,787.19 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 21 5 — — $80,923.38 $357,219.61 $168,572.02 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 21 5 — — $38,534.48 $170,102.54 $80,271.43 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 21 5 — — $52,426.62 $231,426.53 $106,971.99 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 22 5 — — $38,456.93 $169,760.21 $80,109.89 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 37 16 — — $44,207.66 $195,145.62 $122,413.20 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 22 6 — — $29,044.45 $128,210.74 $57,633.88 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 21 5 — — $82,733.66 $365,210.72 $172,343.02 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 22 5 — — $46,313.60 $204,441.83 $92,779.20 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 23 6 — — $90,437.65 $399,218.39 $185,439.26 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 21 5 — — $49,794.81 $219,808.94 $103,727.89 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 21 5 — — $32,033.71 $141,406.23 $66,729.63 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 21 5 — — $29,044.45 $128,210.74 $60,502.68 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 21 5 — — $32,917.04 $145,305.50 $68,569.70 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 21 5 — — $76,626.70 $338,252.76 $159,621.56 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 29 9 — — $5,897.30 $191,743.78 $69,337.50 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 21 5 — — $32,148.82 $141,914.36 $66,969.42 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 36 16 — — $6,974.27 $254,298.00 $81,816.26 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 21 5 — — $42,445.85 $187,368.46 $88,419.22 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 23 8 — — $36,935.96 $161,348.27 $87,394.89 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 7 — — $2,395,423.33 $4,606,583.33 $3,570,000.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 7 — — $2,155,700.68 $4,145,578.24 $3,264,000.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 10 7 — — $1,515,800.00 $4,990,480.00 $2,775,061.52 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — — $1,914,731.00 $4,772,098.80 $3,475,926.53 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 8 6 — — $2,111,489.71 $4,996,037.08 $3,618,220.38 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 14 8 — — $1,595,821.89 $3,977,279.18 $2,393,732.83 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 8 2 — — $45,741.71 $70,816.85 $57,294.42 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 33 11 — — $41,172.48 $179,854.79 $76,010.74 2026-04-01
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 22 8 — — $25,959.76 $113,400.69 $58,480.69 2026-04-01
L7180 HCPCS Electronic Elbow Sequential 22 8 — — $28,831.95 $125,947.34 $64,950.99 2026-04-01
L7181 HCPCS Electronic Elbo Simultaneous 22 8 — — $31,301.08 $136,733.27 $70,513.28 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 22 8 — — $44,721.11 $195,356.36 $100,745.18 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 15 8 — — $70,358.18 $307,347.40 $166,475.86 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 23 10 — — $346,599.61 $1,514,059.80 $666,537.71 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 28 10 — — $1,303.66 $1,680,154.09 $659,083.14 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 30 10 — — $35,927.01 $156,940.86 $73,931.68 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 23 10 — — $318,048.00 $1,389,337.06 $611,630.76 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 23 10 — — $365,649.82 $1,597,277.31 $703,172.73 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 23 10 — — $362,256.66 $1,582,454.87 $696,647.42 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 23 10 — — $367,814.81 $1,606,734.70 $707,336.18 2026-04-01
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