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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

Craig Hospital

Englewood, CO · CCN 062011 · Rates published

10,736 distinct procedures filed
30 distinct payers
248,026 rate rows
2025-06-04 last MRF observed · ⚠ 12 mo old
Data quality

247,754 of 248,026 rate rows are consumer-grade (99.9%)

272 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
per-diem day rate — not a per-procedure price 124
template filing: same amount across many unrelated codes — excluded 124
placeholder amount (≤ $0.02) — excluded from medians 18
exceeds 10× this hospital's gross charge — excluded from medians 6

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 12 months old. CMS requires hospitals to refresh these files at least annually, so newer rates may exist that we haven't ingested yet. The prices below are exactly as last filed.

Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8622/840404233_craig-hospital_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/CraigHospital/8622
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-18
Content fingerprint 553a2f8a08a03296… · 78,834,636 bytes · first seen 2026-05-09

Top 50 most expensive offerings

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

Code Description Payers Min $ Max $ Avg median vs national
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 3 $3,153,500.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 3 $3,153,500.00 $3,710,000.00 $3,710,000.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $2,823,514.28 $3,321,781.51 $3,321,781.51 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $2,714,050.00 $3,193,000.00 $3,193,000.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 3 $2,522,800.00 $2,968,000.00 $2,968,000.00 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 3 $2,042,939.94 $2,403,458.75 $2,403,458.75 nat. median
$2,469,189
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 3 $1,982,200.00 $2,332,000.00 $2,332,000.00 nat. median
$2,448,600
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 3 $480,780.26 $565,623.84 $565,623.84 nat. median
$754,974
0.7× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 3 $468,620.59 $551,318.34 $551,318.34 nat. median
$675,122
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 3 $449,065.57 $528,312.43 $528,312.43 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 3 $439,013.07 $516,485.97 $516,485.97 nat. median
$674,188
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 3 $416,089.58 $489,517.15 $489,517.15 nat. median
$634,511
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 3 $414,843.78 $488,051.51 $488,051.51 nat. median
$620,080
0.8× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 3 $158,291.57 $186,225.38 $186,225.38 nat. median
$202,986
0.9× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 3 $117,218.77 $137,904.43 $137,904.43 nat. median
$133,176
1.0× median
164
MS_DRG 		Major Chest Procedures With Cc 3 $107,446.48 $126,407.62 $126,407.62 nat. median
$25,707
outlier · 4.9×
165
MS_DRG 		Major Chest Procedures Without Cc/mcc 3 $107,446.48 $126,407.62 $126,407.62 nat. median
$19,862
outlier · 6.4×
163
MS_DRG 		Major Chest Procedures With Mcc 3 $107,446.48 $126,407.62 $126,407.62 nat. median
$44,938
outlier · 2.8×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $100,542.19 $118,284.93 $118,284.93 nat. median
$46,084
outlier · 2.6×
987
MS_DRG 		Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 $96,664.10 $113,722.47 $113,722.47 nat. median
$33,847
outlier · 3.4×
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 3 $94,108.46 $110,715.84 $110,715.84 nat. median
$37,476
outlier · 3.0×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 3 $94,108.46 $110,715.84 $110,715.84 nat. median
$40,208
outlier · 2.8×
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 3 $84,999.94 $99,999.93 $99,999.93 nat. median
$111,989
0.9× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 3 $82,794.68 $97,405.50 $97,405.50 nat. median
$66,526
1.5× median
K1007
HCPCS 		Bil Hkaf Pc S/d Micro Sensor 3 $79,234.20 $93,216.70 $93,216.70 nat. median
$96,983
1.0× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 3 $78,316.22 $92,136.73 $92,136.73 nat. median
$62,134
1.5× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 $68,714.31 $80,840.36 $80,840.36 nat. median
$48,170
1.7× median
574
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Cc 3 $63,014.82 $74,135.08 $74,135.08 nat. median
$33,675
outlier · 2.2×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 3 $63,014.82 $74,135.08 $74,135.08 nat. median
$59,793
1.2× median
240
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$28,136
outlier · 2.6×
253
MS_DRG 		Other Vascular Procedures With Cc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$26,081
outlier · 2.8×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$47,740
1.6× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$38,489
1.9× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$57,424
1.3× median
241
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$15,000
outlier · 4.9×
243
MS_DRG 		Permanent Cardiac Pacemaker Implant With Cc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$22,669
outlier · 3.3×
27
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$25,625
outlier · 2.9×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$34,274
outlier · 2.2×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$32,829
outlier · 2.3×
26
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Cc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$31,109
outlier · 2.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$55,929
1.3× median
12
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$40,916
1.8× median
244
MS_DRG 		Permanent Cardiac Pacemaker Implant Without Cc/mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$19,105
outlier · 3.9×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$45,125
1.6× median
265
MS_DRG 		Aicd Lead Procedures 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$35,445
outlier · 2.1×
13
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$27,767
outlier · 2.7×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$54,066
1.4× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$73,807
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$79,312
0.9× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 $62,998.59 $74,115.99 $74,115.99 nat. median
$77,576
1.0× median

Other procedures at this hospital

Browse this hospital's 10,736 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
             
100 MS_DRG Seizures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
102 MS_DRG Headaches With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
113 MS_DRG Orbital Procedures With Cc/mcc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
114 MS_DRG Orbital Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
115 MS_DRG Extraocular Procedures Except Orbit 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
116 MS_DRG Intraocular Procedures With Cc/mcc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
117 MS_DRG Intraocular Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
136 MS_DRG Sinus And Mastoid Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
137 MS_DRG Mouth Procedures With Cc/mcc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
138 MS_DRG Mouth Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
139 MS_DRG Salivary Gland Procedures 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
140 MS_DRG Major Head And Neck Procedures With Mcc 6 3 — — $94,108.46 $110,715.84 $110,715.84 2025-06-04
141 MS_DRG Major Head And Neck Procedures With Cc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
157 MS_DRG Dental And Oral Diseases With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
163 MS_DRG Major Chest Procedures With Mcc 6 3 — — $107,446.48 $126,407.62 $126,407.62 2025-06-04
164 MS_DRG Major Chest Procedures With Cc 6 3 — — $107,446.48 $126,407.62 $126,407.62 2025-06-04
165 MS_DRG Major Chest Procedures Without Cc/mcc 6 3 — — $107,446.48 $126,407.62 $126,407.62 2025-06-04
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 6 3 — — $94,108.46 $110,715.84 $110,715.84 2025-06-04
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 6 3 — — $61,375.97 $72,207.02 $72,207.02 2025-06-04
168 MS_DRG Other Respiratory System O.r. Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
196 MS_DRG Interstitial Lung Disease With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
199 MS_DRG Pneumothorax With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
204 MS_DRG Respiratory Signs And Symptoms 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
205 MS_DRG Other Respiratory System Diagnoses With Mcc 6 3 — — $59,432.87 $69,921.02 $69,921.02 2025-06-04
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 6 3 — — $78,316.22 $92,136.73 $92,136.73 2025-06-04
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 6 3 — — $43,198.45 $50,821.71 $50,821.71 2025-06-04
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
215 MS_DRG Other Heart Assist System Implant 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
228 MS_DRG Other Cardiothoracic Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
231 MS_DRG Coronary Bypass With Ptca With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
232 MS_DRG Coronary Bypass With Ptca Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
245 MS_DRG Aicd Generator Procedures 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
252 MS_DRG Other Vascular Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
253 MS_DRG Other Vascular Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
254 MS_DRG Other Vascular Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
259 MS_DRG Cardiac Pacemaker Device Replacement Without Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
263 MS_DRG Vein Ligation And Stripping 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
264 MS_DRG Other Circulatory System O.r. Procedures 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
265 MS_DRG Aicd Lead Procedures 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
271 MS_DRG Other Major Cardiovascular Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 6 3 — — $49,226.53 $57,913.56 $57,913.56 2025-06-04
28 MS_DRG Spinal Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 6 3 — — $158,291.57 $186,225.38 $186,225.38 2025-06-04
30 MS_DRG Spinal Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
307 MS_DRG Cardiac Congenital And Valvular Disorders Without Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
31 MS_DRG Ventricular Shunt Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
32 MS_DRG Ventricular Shunt Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
330 MS_DRG Major Small And Large Bowel Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
34 MS_DRG Carotid Artery Stent Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
35 MS_DRG Carotid Artery Stent Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
357 MS_DRG Other Digestive System O.r. Procedures With Cc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
36 MS_DRG Carotid Artery Stent Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
368 MS_DRG Major Esophageal Disorders With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
37 MS_DRG Extracranial Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
38 MS_DRG Extracranial Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
38240 CPT Transplt Allo Hct/donor 6 3 — — $49,912.05 $58,720.05 $58,720.05 2025-06-04
39 MS_DRG Extracranial Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
393 MS_DRG Other Digestive System Diagnoses With Mcc 6 3 — — $45,762.22 $53,837.90 $53,837.90 2025-06-04
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And … 6 3 — — $117,218.77 $137,904.43 $137,904.43 2025-06-04
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 6 3 — — $50,776.14 $59,736.63 $59,736.63 2025-06-04
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $55,757.61 $65,597.19 $65,597.19 2025-06-04
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $43,218.74 $50,845.58 $50,845.58 2025-06-04
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
500 MS_DRG Soft Tissue Procedures With Mcc 6 3 — — $55,818.45 $65,668.77 $65,668.77 2025-06-04
501 MS_DRG Soft Tissue Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
503 MS_DRG Foot Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
504 MS_DRG Foot Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
505 MS_DRG Foot Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
506 MS_DRG Major Thumb Or Joint Procedures 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 6 3 — — $47,502.48 $55,885.27 $55,885.27 2025-06-04
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 6 3 — — $47,502.48 $55,885.27 $55,885.27 2025-06-04
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
52 MS_DRG Spinal Disorders And Injuries With Cc/mcc 6 3 — — $43,973.26 $51,733.25 $51,733.25 2025-06-04
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 6 3 — — $43,064.59 $50,664.22 $50,664.22 2025-06-04
545 MS_DRG Connective Tissue Disorders With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
553 MS_DRG Bone Diseases And Arthropathies With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
554 MS_DRG Bone Diseases And Arthropathies Without Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
570 MS_DRG Skin Debridement With Mcc 6 3 — — $53,356.12 $62,771.90 $62,771.90 2025-06-04
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $63,014.82 $74,135.08 $74,135.08 2025-06-04
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 6 3 — — $63,014.82 $74,135.08 $74,135.08 2025-06-04
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 6 3 — — $61,473.33 $72,321.56 $72,321.56 2025-06-04
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 6 3 — — $49,133.22 $57,803.79 $57,803.79 2025-06-04
597 MS_DRG Malignant Breast Disorders With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
606 MS_DRG Minor Skin Disorders With Mcc 6 3 — — $46,281.45 $54,448.77 $54,448.77 2025-06-04
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 6 3 — — $58,950.14 $69,353.10 $69,353.10 2025-06-04
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
618 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
619 MS_DRG O.r. Procedures For Obesity With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
620 MS_DRG O.r. Procedures For Obesity With Cc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 6 3 — — $57,473.54 $67,615.93 $67,615.93 2025-06-04
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 6 3 — — $58,950.14 $69,353.10 $69,353.10 2025-06-04
653 MS_DRG Major Bladder Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
662 MS_DRG Minor Bladder Procedures With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
665 MS_DRG Prostatectomy With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 6 3 — — $53,157.34 $62,538.05 $62,538.05 2025-06-04
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
687 MS_DRG Kidney And Urinary Tract Neoplasms With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
711 MS_DRG Testes Procedures With Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
735 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
743 MS_DRG Uterine And Adnexa Procedures For Non-malignancy Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
747 MS_DRG Vagina, Cervix And Vulva Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
748 MS_DRG Female Reproductive System Reconstructive Procedures 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&C 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
784 MS_DRG Cesarean Section With Sterilization With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
786 MS_DRG Cesarean Section Without Sterilization With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
787 MS_DRG Cesarean Section Without Sterilization With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
796 MS_DRG Vaginal Delivery With Sterilization And/or D&C With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
797 MS_DRG Vaginal Delivery With Sterilization And/or D&C With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
798 MS_DRG Vaginal Delivery With Sterilization And/or D&C Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
799 MS_DRG Splenic Procedures With Mcc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
800 MS_DRG Splenic Procedures With Cc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
801 MS_DRG Splenic Procedures Without Cc/mcc 6 3 — — $60,430.78 $71,095.04 $71,095.04 2025-06-04
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
81 MS_DRG Nontraumatic Stupor And Coma Without Mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
811 MS_DRG Red Blood Cell Disorders With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 6 3 — — $54,974.69 $64,676.11 $64,676.11 2025-06-04
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $54,974.69 $64,676.11 $64,676.11 2025-06-04
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 6 3 — — $68,714.31 $80,840.36 $80,840.36 2025-06-04
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 6 3 — — $62,998.59 $74,115.99 $74,115.99 2025-06-04
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 6 3 — — $54,049.79 $63,587.99 $63,587.99 2025-06-04
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 6 3 — — $50,638.21 $59,574.37 $59,574.37 2025-06-04
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 6 3 — — $82,794.68 $97,405.50 $97,405.50 2025-06-04
901 MS_DRG Wound Debridements For Injuries With Mcc 6 3 — — $52,443.39 $61,698.10 $61,698.10 2025-06-04
902 MS_DRG Wound Debridements For Injuries With Cc 6 3 — — $52,443.39 $61,698.10 $61,698.10 2025-06-04
903 MS_DRG Wound Debridements For Injuries Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
905 MS_DRG Skin Grafts For Injuries Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 6 3 — — $54,974.69 $64,676.11 $64,676.11 2025-06-04
908 MS_DRG Other O.r. Procedures For Injuries With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
919 MS_DRG Complications Of Treatment With Mcc 6 3 — — $44,212.60 $52,014.82 $52,014.82 2025-06-04
935 MS_DRG Non-extensive Burns 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 6 3 — — $53,721.21 $63,201.42 $63,201.42 2025-06-04
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 6 3 — — $48,545.02 $57,111.79 $57,111.79 2025-06-04
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 6 3 — — $53,721.21 $63,201.42 $63,201.42 2025-06-04
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 6 3 — — $53,721.21 $63,201.42 $63,201.42 2025-06-04
955 MS_DRG Craniotomy For Multiple Significant Trauma 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 6 3 — — $42,159.97 $49,599.97 $49,599.97 2025-06-04
963 MS_DRG Other Multiple Significant Trauma With Mcc 6 3 — — $42,285.72 $49,747.91 $49,747.91 2025-06-04
964 MS_DRG Other Multiple Significant Trauma With Cc 6 3 — — $42,285.72 $49,747.91 $49,747.91 2025-06-04
965 MS_DRG Other Multiple Significant Trauma Without Cc/mcc 6 3 — — $42,285.72 $49,747.91 $49,747.91 2025-06-04
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 6 3 — — $54,690.73 $64,342.04 $64,342.04 2025-06-04
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 6 3 — — $54,690.73 $64,342.04 $64,342.04 2025-06-04
974 MS_DRG HIV With Major Related Condition With Mcc 6 3 — — $57,473.54 $67,615.93 $67,615.93 2025-06-04
975 MS_DRG HIV With Major Related Condition With Cc 6 3 — — $54,690.73 $64,342.04 $64,342.04 2025-06-04
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 6 3 — — $54,690.73 $64,342.04 $64,342.04 2025-06-04
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $100,542.19 $118,284.93 $118,284.93 2025-06-04
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 6 3 — — $50,191.99 $59,049.40 $59,049.40 2025-06-04
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 3 — — $96,664.10 $113,722.47 $113,722.47 2025-06-04
A9543 HCPCS Y90 Ibritumomab, Rx 6 3 — — $48,300.87 $56,824.55 $56,824.55 2025-06-04
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 3 — — $3,153,500.00 $3,710,000.00 $3,710,000.00 2025-06-04
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $2,823,514.28 $3,321,781.51 $3,321,781.51 2025-06-04
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 3 — — $3,153,500.00 $3,710,000.00 $3,710,000.00 2025-06-04
J3392 HCPCS Inj, Exagamglogene Autotem 6 3 — — $1,982,200.00 $2,332,000.00 $2,332,000.00 2025-06-04
J3393 HCPCS Inj, Betibeglogene Autotemce 6 3 — — $2,522,800.00 $2,968,000.00 $2,968,000.00 2025-06-04
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $2,714,050.00 $3,193,000.00 $3,193,000.00 2025-06-04
J3399 HCPCS Inj Onase Abepar-xioi Treat 6 3 — — $2,042,939.94 $2,403,458.75 $2,403,458.75 2025-06-04
J9029 HCPCS Instill Adstiladrin, Tx Dose 6 3 — — $53,891.73 $63,402.04 $63,402.04 2025-06-04
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 6 3 — — $79,234.20 $93,216.70 $93,216.70 2025-06-04
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 6 3 — — $57,334.76 $67,452.66 $67,452.66 2025-06-04
Q0480 HCPCS Driver Pneumatic Vad, Rep 6 3 — — $84,999.94 $99,999.93 $99,999.93 2025-06-04
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 6 3 — — $416,089.58 $489,517.15 $489,517.15 2025-06-04
Q2042 HCPCS Tisagenlecleucel Car-pos T 6 3 — — $480,780.26 $565,623.84 $565,623.84 2025-06-04
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 6 3 — — $47,206.03 $55,536.50 $55,536.50 2025-06-04
Q2053 HCPCS Brexucabtagene Car Pos T 6 3 — — $414,843.78 $488,051.51 $488,051.51 2025-06-04
Q2054 HCPCS Lisocabtagene Mara Car Pos T 6 3 — — $439,013.07 $516,485.97 $516,485.97 2025-06-04
Q2055 HCPCS Idecabtagene Vicleucel Car 6 3 — — $449,065.57 $528,312.43 $528,312.43 2025-06-04
Q2056 HCPCS Ciltacabtagene Car-pos T 6 3 — — $468,620.59 $551,318.34 $551,318.34 2025-06-04
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