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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

CHILDREN'S HOSPITAL COLORADO - COLORADO SPRINGS

Colorado Springs, CO · CCN 063303 · Rates published

10,804 distinct procedures filed
39 distinct payers
911,115 rate rows
2026-04-17 last MRF observed
Data quality

895,608 of 911,115 rate rows are consumer-grade (98.3%)

15,507 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
professional (physician) fee — not the facility price 11,767
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 2,005
percent-of-charges filed in the dollar field — excluded from medians 750
per-diem day rate — not a per-procedure price 506
placeholder amount (≤ $0.02) — excluded from medians 439
exceeds 10× this hospital's gross charge — excluded from medians 40
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://sthpiprd.blob.core.windows.net/machine-readable-files/8525/840166760-1336637438_childrens-hospital-colorado_standardcharges.csv
Found on page https://search.hospitalpriceindex.com/hpi2/machineReadable/ChildrensHospitalCOSouthernCO/8525
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b85607af312298d2… · 837,867,427 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
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 39 $800,000.00 $4,906,666.66 $3,200,000.00 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Hb=lovotibeglogene Autotemcel Per Tx 39 $775,000.00 $4,753,333.34 $3,100,000.00 nat. median
$3,286,000
0.9× median
J3393
HCPCS 		Hb=betibeglogene Autotemcel Per Tx 39 $700,000.00 $4,293,333.34 $2,800,000.00 nat. median
$3,004,655
0.9× median
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 39 $610,937.56 $3,747,083.69 $2,322,044.00 nat. median
$2,468,984
0.9× median
C9399
HCPCS 		Unclassified Drugs Or Biolog 1 $2,200,000.00 $2,200,000.00 $2,200,000.00 nat. median
$2,475
outlier · 888.8×
J3392
HCPCS 		Hb=exagamglogene Autotemcel Per Tx 39 $550,000.00 $3,373,333.34 $2,200,000.00 nat. median
$2,448,600
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 5 $155,469.73 $1,559,935.47 $1,045,705.47 nat. median
$370,174
outlier · 2.8×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 1 $550,792.50 $550,792.50 $550,792.50 nat. median
$674,867
0.8× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 1 $525,843.25 $525,843.25 $525,843.25 nat. median
$625,184
0.8× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 1 $522,662.71 $522,662.71 $522,662.71 nat. median
$673,137
0.8× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 1 $516,856.00 $516,856.00 $516,856.00 nat. median
$619,808
0.8× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 1 $516,856.00 $516,856.00 $516,856.00 nat. median
$634,303
0.8× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 5 $97,803.17 $635,130.52 $492,841.17 nat. median
$206,474
outlier · 2.4×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mo… 5 $88,351.36 $614,320.96 $451,084.53 nat. median
$202,976
outlier · 2.2×
Q2042
HCPCS 		Hb=car-t Agent (pall) 39 $62,730.45 $807,968.84 $430,331.23 nat. median
$753,246
0.6× median
5834
APR_DRG 		Neonate W Ecmo 4 $306,122.98 $331,812.81 $313,776.05 nat. median
$309,665
1.0× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And… 5 $58,250.75 $400,901.07 $295,928.57 nat. median
$133,161
outlier · 2.2×
209
MS_DRG 		Complex Aortic Arch Procedures 2 $133,527.88 $327,600.03 $283,456.71 nat. median
$98,047
outlier · 2.9×
5884
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $251,104.39 $272,177.07 $257,382.00 nat. median
$246,434
1.0× median
5833
APR_DRG 		Neonate W Ecmo 4 $242,455.54 $262,802.41 $248,516.93 nat. median
$244,017
1.0× median
1614
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $240,085.63 $260,233.60 $246,087.77 nat. median
$207,730
1.2× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 5 $44,909.53 $314,729.08 $230,170.66 nat. median
$102,358
outlier · 2.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 5 $43,213.02 $318,986.59 $227,248.66 nat. median
$98,894
outlier · 2.3×
215
MS_DRG 		Other Heart Assist System Implant 5 $43,677.24 $288,185.45 $220,094.51 nat. median
$99,019
outlier · 2.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 5 $39,786.19 $283,143.58 $205,456.73 nat. median
$93,672
outlier · 2.2×
J3402
HCPCS 		Hb=remestemcel-l-rknd Per Tx Dose 39 $48,500.00 $297,466.66 $194,000.00 nat. median
$209,753
0.9× median
850
MS_DRG 		Acute Leukemia With Other Procedures 5 $37,975.89 $250,631.91 $191,364.76 nat. median
$83,470
outlier · 2.3×
1613
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $183,930.56 $199,366.01 $188,528.83 nat. median
$119,796
1.6× median
6304
APR_DRG 		Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 $182,261.15 $197,556.50 $186,817.68 nat. median
$150,721
1.2× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 5 $34,383.74 $260,764.85 $183,303.34 nat. median
$82,711
outlier · 2.2×
5832
APR_DRG 		Neonate W Ecmo 4 $178,787.33 $193,791.16 $183,257.02 nat. median
$156,126
1.2× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv &gt;96 Hours 5 $28,679.91 $249,681.86 $179,155.64 nat. median
$66,526
outlier · 2.7×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 5 $34,933.71 $243,986.60 $178,745.33 nat. median
$79,312
outlier · 2.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 5 $34,913.92 $243,219.61 $178,419.27 nat. median
$81,118
outlier · 2.2×
8414
APR_DRG 		Extensive 3rd Degree Burns W Skin Graft 4 $169,309.21 $183,517.63 $173,541.94 nat. median
$160,267
1.1× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 5 $33,231.43 $227,746.68 $168,479.74 nat. median
$77,570
outlier · 2.2×
5934
APR_DRG 		Neonate Birthwt 750-999g Without Major Procedure 4 $163,767.24 $177,510.58 $167,861.42 nat. median
$151,838
1.1× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 5 $26,664.71 $232,447.10 $166,678.85 nat. median
$62,134
outlier · 2.7×
5883
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $161,770.46 $175,346.23 $165,814.72 nat. median
$182,665
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 5 $32,222.59 $221,275.02 $163,523.17 nat. median
$73,807
outlier · 2.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 5 $31,897.72 $222,233.04 $163,014.65 nat. median
$74,915
outlier · 2.2×
5882
APR_DRG 		Neonate Bwt <1500g W Major Procedure 4 $158,405.25 $171,698.61 $162,365.38 nat. median
$145,336
1.1× median
5914
APR_DRG 		Neonate Birthwt 500-749g Without Major Procedure 4 $158,144.60 $171,416.09 $162,098.21 nat. median
$164,289
1.0× median
114
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $157,941.35 $171,195.79 $161,889.89 nat. median
$117,173
1.4× median
6094
APR_DRG 		Neonate Bwt 1500-2499g W Major Procedure 4 $157,136.12 $170,322.98 $161,064.52 nat. median
$162,982
1.0× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 5 $30,770.97 $220,542.77 $159,458.68 nat. median
$72,135
outlier · 2.2×
5831
APR_DRG 		Neonate W Ecmo 4 $154,504.78 $167,470.81 $158,367.40 nat. median
$144,745
1.1× median
6314
APR_DRG 		Neonate Birthwt >2499g W Other Major Procedure 4 $150,857.19 $163,517.13 $154,628.62 nat. median
$122,924
1.3× median
44
APR_DRG 		Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 $150,449.92 $163,075.68 $154,211.17 nat. median
$105,658
1.5× median
1612
APR_DRG 		Cardiac Defibrillator & Heart Assist Implant 4 $147,680.49 $160,073.84 $151,372.50 nat. median
$85,444
1.8× median

Other procedures at this hospital

Browse this hospital's 10,804 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
             
0320 RC Hb=ir Purchased Services 68 39 $115,226.00 $74,896.90 35% off $17,283.90 $106,007.92 $69,135.60 2026-04-17
0811 RC Qor=living Donor 68 39 $103,857.00 $67,507.05 35% off $15,578.55 $95,548.44 $62,314.20 2026-04-17
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 10 5 — — $22,244.71 $157,858.02 $114,711.51 2026-04-17
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $77,742.66 $84,266.82 $79,686.23 2026-04-17
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 4 — — $157,941.35 $171,195.79 $161,889.89 2026-04-17
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 10 5 — — $16,917.29 $122,023.69 $87,943.89 2026-04-17
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 10 5 — — $10,924.46 $83,407.94 $58,438.71 2026-04-17
140 MS_DRG Major Head And Neck Procedures With Mcc 10 5 — — $17,435.11 $123,450.58 $89,810.52 2026-04-17
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 10 5 — — $13,612.08 $108,437.84 $74,428.18 2026-04-17
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 4 4 — — $101,590.80 $110,116.30 $104,130.57 2026-04-17
1611 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $140,295.34 $152,068.93 $143,802.72 2026-04-17
1612 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $147,680.49 $160,073.84 $151,372.50 2026-04-17
1613 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $183,930.56 $199,366.01 $188,528.83 2026-04-17
1614 APR_DRG Cardiac Defibrillator & Heart Assist Implant 4 4 — — $240,085.63 $260,233.60 $246,087.77 2026-04-17
1623 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $65,578.89 $71,082.26 $67,218.36 2026-04-17
1624 APR_DRG Cardiac Valve Procedures W Ami Or Complex Pdx 4 4 — — $95,747.07 $103,782.16 $98,140.74 2026-04-17
163 MS_DRG Major Chest Procedures With Mcc 10 5 — — $19,001.34 $129,716.74 $96,153.79 2026-04-17
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Pdx 4 4 — — $81,474.80 $88,312.16 $83,511.67 2026-04-17
1654 APR_DRG Coronary Bypass W Ami Or Complex Pdx 4 4 — — $74,507.00 $80,759.63 $76,369.68 2026-04-17
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 10 5 — — $15,876.71 $108,180.25 $80,268.52 2026-04-17
1664 APR_DRG Coronary Bypass Without Ami Or Complex Pdx 4 4 — — $67,161.42 $72,797.60 $68,840.46 2026-04-17
1674 APR_DRG Other Cardiothoracic & Thoracic Vascular Procedures 4 4 — — $73,287.52 $79,437.81 $75,119.71 2026-04-17
1694 APR_DRG Major Abdominal Vascular Procedures 4 4 — — $62,860.66 $68,135.92 $64,432.18 2026-04-17
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 10 5 — — $12,650.25 $86,145.95 $63,938.51 2026-04-17
1783 APR_DRG External Heart Assist Devices 4 4 — — $59,872.46 $64,896.96 $61,369.27 2026-04-17
1784 APR_DRG External Heart Assist Devices 4 4 — — $80,931.00 $87,722.73 $82,954.27 2026-04-17
1794 APR_DRG Defibrillator Implants 4 4 — — $65,936.51 $71,469.90 $67,584.92 2026-04-17
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 5 — — $155,469.73 $1,559,935.47 $1,045,705.47 2026-04-17
1834 APR_DRG Percutaneous Structural Cardiac Procedures 4 4 — — $69,062.01 $74,857.69 $70,788.56 2026-04-17
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 5 — — $33,231.43 $227,746.68 $168,479.74 2026-04-17
207 MS_DRG Respiratory System Diagnosis With Ventilator Support &gt;96 Hours 10 5 — — $26,664.71 $232,447.10 $166,678.85 2026-04-17
208 MS_DRG Respiratory System Diagnosis With Ventilator Support &lt;=96 Hours 10 5 — — $11,065.87 $99,294.04 $70,192.88 2026-04-17
209 MS_DRG Complex Aortic Arch Procedures 5 2 — — $133,527.88 $327,600.03 $283,456.71 2026-04-17
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 5 — — $22,787.68 $153,218.45 $114,829.66 2026-04-17
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 10 5 — — $44,909.53 $314,729.08 $230,170.66 2026-04-17
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 5 2 — — $67,324.30 $165,174.81 $142,917.90 2026-04-17
214 APR_DRG Craniotomy Except For Trauma 4 4 — — $58,661.51 $63,584.39 $60,128.05 2026-04-17
215 MS_DRG Other Heart Assist System Implant 10 5 — — $43,677.24 $288,185.45 $220,094.51 2026-04-17
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $39,786.19 $283,143.58 $205,456.73 2026-04-17
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $26,622.25 $190,308.91 $137,781.12 2026-04-17
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 5 — — $24,526.65 $190,308.91 $132,291.48 2026-04-17
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $31,897.72 $222,233.04 $163,014.65 2026-04-17
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 10 5 — — $14,554.96 $94,519.40 $73,344.06 2026-04-17
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $21,835.32 $154,347.23 $112,383.86 2026-04-17
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 5 — — $18,932.90 $145,878.51 $101,752.83 2026-04-17
228 MS_DRG Other Cardiothoracic Procedures With Mcc 10 5 — — $20,543.25 $143,192.60 $105,011.01 2026-04-17
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 10 5 — — $12,805.67 $91,155.98 $66,136.90 2026-04-17
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $23,519.05 $165,852.07 $120,907.90 2026-04-17
231 MS_DRG Coronary Bypass With Ptca With Mcc 10 5 — — $34,933.71 $243,986.60 $178,745.33 2026-04-17
232 MS_DRG Coronary Bypass With Ptca Without Mcc 10 5 — — $25,182.99 $175,469.83 $128,705.43 2026-04-17
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 5 — — $32,222.59 $221,275.02 $163,523.17 2026-04-17
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 10 5 — — $21,932.62 $158,106.93 $113,982.94 2026-04-17
234 APR_DRG Spinal Procedures 4 4 — — $59,476.83 $64,468.12 $60,963.75 2026-04-17
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 5 — — $24,257.44 $169,854.89 $124,273.32 2026-04-17
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 10 5 — — $16,951.92 $121,236.44 $87,753.14 2026-04-17
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 10 5 — — $20,764.23 $142,448.76 $105,323.95 2026-04-17
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 5 — — $15,672.22 $113,222.12 $81,535.46 2026-04-17
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 10 5 — — $12,005.45 $82,502.02 $60,946.57 2026-04-17
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 10 5 — — $13,984.37 $92,409.21 $70,468.80 2026-04-17
245 MS_DRG Aicd Generator Procedures 10 5 — — $20,145.82 $132,049.54 $101,517.04 2026-04-17
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 10 5 — — $18,436.94 $131,595.14 $95,346.85 2026-04-17
252 MS_DRG Other Vascular Procedures With Mcc 10 5 — — $14,141.86 $100,961.87 $73,143.09 2026-04-17
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 10 5 — — $11,565.96 $90,941.80 $62,812.77 2026-04-17
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 10 5 — — $12,609.02 $89,989.58 $65,204.72 2026-04-17
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 10 5 — — $14,045.38 $94,145.79 $70,776.27 2026-04-17
2604 APR_DRG Major Pancreas, Liver & Shunt Procedures 4 4 — — $57,915.24 $62,775.49 $59,363.12 2026-04-17
263 MS_DRG Vein Ligation And Stripping 10 5 — — $11,056.80 $88,490.33 $60,602.49 2026-04-17
264 MS_DRG Other Circulatory System O.r. Procedures 10 5 — — $14,408.60 $96,686.99 $72,606.55 2026-04-17
265 MS_DRG Aicd Lead Procedures 10 5 — — $14,705.44 $104,721.56 $75,963.65 2026-04-17
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 10 5 — — $24,696.92 $177,374.28 $128,113.01 2026-04-17
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 5 — — $19,395.07 $137,791.83 $100,072.28 2026-04-17
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 5 — — $27,487.20 $199,067.06 $143,178.27 2026-04-17
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 10 5 — — $17,152.29 $122,232.08 $88,633.99 2026-04-17
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 10 5 — — $21,161.25 $152,711.95 $110,033.39 2026-04-17
271 MS_DRG Other Major Cardiovascular Procedures With Cc 10 5 — — $14,200.40 $102,929.99 $74,000.11 2026-04-17
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 5 — — $16,119.95 $119,404.35 $84,918.68 2026-04-17
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 10 5 — — $12,866.28 $95,271.67 $67,767.15 2026-04-17
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 5 — — $29,133.41 $206,375.17 $150,103.58 2026-04-17
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 10 5 — — $25,536.31 $173,849.02 $129,051.49 2026-04-17
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 10 5 — — $19,179.86 $133,673.25 $98,036.00 2026-04-17
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $20,625.71 $161,102.53 $111,630.36 2026-04-17
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 10 5 — — $13,210.12 $104,380.04 $71,924.39 2026-04-17
28 MS_DRG Spinal Procedures With Mcc 10 5 — — $25,062.61 $173,898.23 $127,828.17 2026-04-17
288 MS_DRG Acute And Subacute Endocarditis With Mcc 10 5 — — $11,260.47 $97,758.77 $70,242.64 2026-04-17
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 10 5 — — $13,838.01 $98,741.94 $71,553.43 2026-04-17
3 MS_DRG Ecmo Or Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mo… 10 5 — — $88,351.36 $614,320.96 $451,084.53 2026-04-17
3033 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $69,308.70 $75,125.08 $71,041.42 2026-04-17
3034 APR_DRG Dorsal & Lumbar Fusion Proc For Curvature Of Back 4 4 — — $91,537.07 $99,218.85 $93,825.49 2026-04-17
3044 APR_DRG Dorsal & Lumbar Fusion Proc Except For Curvature Of Back 4 4 — — $70,258.99 $76,155.12 $72,015.46 2026-04-17
31 MS_DRG Ventricular Shunt Procedures With Mcc 10 5 — — $17,275.56 $129,679.11 $91,619.45 2026-04-17
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal & Connective Tissue Diagnoses 4 4 — — $62,409.17 $67,646.54 $63,969.40 2026-04-17
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 10 5 — — $25,503.33 $193,527.37 $136,000.70 2026-04-17
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 5 2 — — $28,574.69 $70,105.73 $60,659.15 2026-04-17
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 10 5 — — $18,109.18 $129,169.71 $93,621.09 2026-04-17
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 10 5 — — $11,736.23 $78,748.11 $59,140.19 2026-04-17
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 10 5 — — $17,559.62 $125,247.94 $90,779.29 2026-04-17
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 10 5 — — $13,172.19 $91,199.39 $67,112.55 2026-04-17
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 10 5 — — $11,799.31 $92,918.61 $64,130.82 2026-04-17
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 10 5 — — $20,938.21 $144,350.32 $106,459.57 2026-04-17
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 10 5 — — $18,930.43 $133,036.50 $105,641.24 2026-04-17
332 MS_DRG Rectal Resection With Mcc 10 5 — — $14,299.76 $104,793.92 $74,926.80 2026-04-17
335 MS_DRG Peritoneal Adhesiolysis With Mcc 10 5 — — $14,940.43 $103,352.56 $76,089.80 2026-04-17
34 MS_DRG Carotid Artery Stent Procedures With Mcc 10 5 — — $16,031.31 $112,029.67 $82,049.80 2026-04-17
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 10 5 — — $12,091.20 $83,992.59 $61,704.14 2026-04-17
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 10 5 — — $17,585.18 $127,140.81 $91,523.01 2026-04-17
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 5 2 — — $40,565.16 $99,523.40 $86,112.86 2026-04-17
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 5 2 — — $28,481.50 $69,877.08 $60,461.31 2026-04-17
37 MS_DRG Extracranial Procedures With Mcc 10 5 — — $13,690.42 $95,283.25 $69,930.21 2026-04-17
4 MS_DRG Tracheostomy With Mv &gt;96 Hours Or Principal Diagnosis Except Face, Mouth And … 10 5 — — $58,250.75 $400,901.07 $295,928.57 2026-04-17
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 10 5 — — $15,550.19 $111,754.71 $80,691.14 2026-04-17
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 5 — — $16,199.11 $116,365.33 $84,039.49 2026-04-17
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 10 5 — — $22,379.94 $158,332.68 $115,235.46 2026-04-17
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 10 5 — — $11,577.51 $83,940.49 $60,339.83 2026-04-17
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 10 5 — — $14,434.16 $103,199.16 $74,708.71 2026-04-17
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 10 5 — — $11,281.49 $95,607.41 $63,735.67 2026-04-17
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 10 5 — — $14,444.47 $103,112.33 $74,704.67 2026-04-17
42 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $70,783.40 $76,723.54 $72,552.99 2026-04-17
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 10 5 — — $14,550.01 $98,611.70 $73,372.03 2026-04-17
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 10 5 — — $16,767.64 $120,200.28 $86,899.93 2026-04-17
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 — — $43,213.02 $318,986.59 $227,248.66 2026-04-17
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 — — $29,266.17 $208,927.94 $151,364.04 2026-04-17
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 5 — — $22,696.56 $162,717.55 $117,632.62 2026-04-17
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 10 5 — — $34,383.74 $260,764.85 $183,303.34 2026-04-17
43 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $102,956.90 $111,597.04 $105,530.82 2026-04-17
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 10 5 — — $22,551.85 $166,917.18 $118,755.03 2026-04-17
44 APR_DRG Tracheostomy W Mv 96+ Hours W Extensive Procedure Or Ecmo 4 4 — — $150,449.92 $163,075.68 $154,211.17 2026-04-17
4414 APR_DRG Major Bladder Procedures 4 4 — — $58,651.43 $63,573.46 $60,117.71 2026-04-17
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 10 5 — — $27,639.74 $193,385.55 $141,546.55 2026-04-17
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 10 5 — — $16,834.01 $122,741.47 $87,982.36 2026-04-17
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 10 5 — — $21,230.93 $154,254.61 $110,767.46 2026-04-17
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 10 5 — — $12,721.98 $93,497.47 $66,754.82 2026-04-17
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $34,913.92 $243,219.61 $178,419.27 2026-04-17
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $23,660.46 $172,590.00 $123,687.36 2026-04-17
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 5 — — $17,800.80 $120,767.56 $89,809.23 2026-04-17
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 10 5 — — $25,300.08 $164,297.87 $127,489.95 2026-04-17
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 10 5 — — $11,805.91 $76,988.38 $59,491.29 2026-04-17
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $22,265.74 $164,960.63 $117,305.99 2026-04-17
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 10 5 — — $12,156.34 $90,148.76 $64,075.79 2026-04-17
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 5 — — $21,002.53 $150,659.89 $108,883.92 2026-04-17
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 10 5 — — $14,120.01 $102,070.38 $73,482.17 2026-04-17
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 10 5 — — $13,475.21 $87,789.91 $67,903.09 2026-04-17
471 MS_DRG Cervical Spinal Fusion With Mcc 10 5 — — $20,024.20 $139,757.06 $102,422.99 2026-04-17
472 MS_DRG Cervical Spinal Fusion With Cc 10 5 — — $11,943.61 $85,268.97 $61,773.85 2026-04-17
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 10 5 — — $18,488.06 $124,249.40 $93,163.41 2026-04-17
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 5 — — $14,177.31 $99,986.49 $72,887.24 2026-04-17
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 10 5 — — $12,125.01 $84,290.70 $61,899.28 2026-04-17
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 10 5 — — $13,290.10 $93,401.96 $68,208.91 2026-04-17
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 10 5 — — $14,639.89 $106,267.12 $76,344.51 2026-04-17
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 10 5 — — $14,513.32 $104,938.64 $75,537.99 2026-04-17
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 10 5 — — $10,408.71 $87,315.24 $58,484.60 2026-04-17
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $13,062.93 $91,598.81 $66,969.15 2026-04-17
503 MS_DRG Foot Procedures With Mcc 10 5 — — $10,910.86 $80,782.81 $57,464.51 2026-04-17
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 10 5 — — $11,782.82 $87,422.33 $62,122.54 2026-04-17
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 10 5 — — $12,748.37 $92,238.45 $66,373.80 2026-04-17
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $14,775.11 $108,168.67 $77,378.62 2026-04-17
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 10 5 — — $12,016.17 $83,072.20 $61,178.51 2026-04-17
53 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $73,012.13 $79,139.31 $74,837.43 2026-04-17
54 APR_DRG Tracheostomy W Mv 96+ Hours Without Extensive Procedure 4 4 — — $99,149.51 $107,470.13 $101,628.25 2026-04-17
545 MS_DRG Connective Tissue Disorders With Mcc 10 5 — — $10,416.95 $89,648.93 $64,696.76 2026-04-17
56 MS_DRG Degenerative Nervous System Disorders With Mcc 10 5 — — $10,323.37 $87,762.70 $62,482.31 2026-04-17
570 MS_DRG Skin Debridement With Mcc 10 5 — — $12,411.13 $85,124.26 $62,946.82 2026-04-17
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $25,387.07 $189,617.17 $134,298.12 2026-04-17
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 10 5 — — $14,284.09 $100,472.73 $73,340.80 2026-04-17
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 10 5 — — $22,241.82 $144,437.66 $112,079.05 2026-04-17
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $13,436.45 $93,731.91 $68,710.28 2026-04-17
5831 APR_DRG Neonate W Ecmo 4 4 — — $154,504.78 $167,470.81 $158,367.40 2026-04-17
5832 APR_DRG Neonate W Ecmo 4 4 — — $178,787.33 $193,791.16 $183,257.02 2026-04-17
5833 APR_DRG Neonate W Ecmo 4 4 — — $242,455.54 $262,802.41 $248,516.93 2026-04-17
5834 APR_DRG Neonate W Ecmo 4 4 — — $306,122.98 $331,812.81 $313,776.05 2026-04-17
5881 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $104,267.92 $113,018.08 $106,874.62 2026-04-17
5882 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $158,405.25 $171,698.61 $162,365.38 2026-04-17
5883 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $161,770.46 $175,346.23 $165,814.72 2026-04-17
5884 APR_DRG Neonate Bwt <1500g W Major Procedure 4 4 — — $251,104.39 $272,177.07 $257,382.00 2026-04-17
5891 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $113,749.92 $123,295.81 $116,593.67 2026-04-17
5892 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $103,409.94 $112,088.09 $105,995.19 2026-04-17
5893 APR_DRG Neonate Bwt <500g Or Ga <24 Weeks 4 4 — — $94,009.38 $101,898.65 $96,359.62 2026-04-17
5913 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $92,648.72 $100,423.80 $94,964.94 2026-04-17
5914 APR_DRG Neonate Birthwt 500-749g Without Major Procedure 4 4 — — $158,144.60 $171,416.09 $162,098.21 2026-04-17
5932 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $83,470.81 $90,475.68 $85,557.58 2026-04-17
5933 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $105,313.63 $114,151.54 $107,946.47 2026-04-17
5934 APR_DRG Neonate Birthwt 750-999g Without Major Procedure 4 4 — — $163,767.24 $177,510.58 $167,861.42 2026-04-17
6022 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $70,629.80 $76,557.05 $72,395.54 2026-04-17
6023 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $92,564.16 $100,332.14 $94,878.26 2026-04-17
6024 APR_DRG Neonate Bwt 1000-1249g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $117,388.97 $127,240.25 $120,323.70 2026-04-17
6033 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $64,060.74 $69,436.72 $65,662.26 2026-04-17
6034 APR_DRG Neonate Birthwt 1000-1249g W Or Without Other Significant Condition 4 4 — — $131,641.07 $142,688.38 $134,932.10 2026-04-17
6073 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $70,143.41 $76,029.84 $71,896.99 2026-04-17
6074 APR_DRG Neonate Bwt 1250-1499g W Resp Dist Synd/oth Maj Resp Or Maj Anom 4 4 — — $90,164.76 $97,731.39 $92,418.88 2026-04-17
6084 APR_DRG Neonate Bwt 1250-1499g W Or Without Other Significant Condition 4 4 — — $57,089.07 $61,879.98 $58,516.29 2026-04-17
6093 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $78,285.69 $84,855.42 $80,242.83 2026-04-17
6094 APR_DRG Neonate Bwt 1500-2499g W Major Procedure 4 4 — — $157,136.12 $170,322.98 $161,064.52 2026-04-17
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 10 5 — — $11,144.62 $99,597.48 $70,546.84 2026-04-17
6114 APR_DRG Neonate Birthwt 1500-1999g W Major Anomaly 4 4 — — $68,518.21 $74,268.25 $70,231.17 2026-04-17
6124 APR_DRG Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond 4 4 — — $65,520.71 $71,019.20 $67,158.73 2026-04-17
6134 APR_DRG Neonate Birthwt 1500-1999g W Congenital/perinatal Infection 4 4 — — $64,284.16 $69,678.88 $65,891.26 2026-04-17
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 10 5 — — $15,934.02 $103,474.97 $80,293.30 2026-04-17
619 MS_DRG O.r. Procedures For Obesity With Mcc 10 5 — — $11,240.27 $83,570.02 $59,323.93 2026-04-17
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 10 5 — — $15,435.58 $103,013.93 $77,781.60 2026-04-17
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 10 5 — — $11,819.51 $87,410.75 $62,214.51 2026-04-17
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 10 5 — — $16,269.61 $107,864.77 $81,984.39 2026-04-17
6303 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $88,064.03 $95,454.36 $90,265.63 2026-04-17
6304 APR_DRG Neonate Birthwt >2499g W Major Cardiovascular Procedure 4 4 — — $182,261.15 $197,556.50 $186,817.68 2026-04-17
6313 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $57,933.08 $62,794.83 $59,381.40 2026-04-17
6314 APR_DRG Neonate Birthwt >2499g W Other Major Procedure 4 4 — — $150,857.19 $163,517.13 $154,628.62 2026-04-17
653 MS_DRG Major Bladder Procedures With Mcc 10 5 — — $22,981.03 $150,399.41 $115,804.01 2026-04-17
654 MS_DRG Major Bladder Procedures With Cc 10 5 — — $11,633.99 $81,020.14 $59,443.68 2026-04-17
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 10 5 — — $13,430.68 $92,148.72 $68,129.12 2026-04-17
662 MS_DRG Minor Bladder Procedures With Mcc 10 5 — — $12,860.51 $88,608.99 $65,369.92 2026-04-17
665 MS_DRG Prostatectomy With Mcc 10 5 — — $14,155.05 $91,922.42 $71,328.89 2026-04-17
668 MS_DRG Transurethral Procedures With Mcc 10 5 — — $12,022.35 $84,513.56 $61,710.04 2026-04-17
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 10 5 — — $17,274.32 $121,606.91 $88,730.15 2026-04-17
6804 APR_DRG Major O.r. Procedures For Lymphatic/hematopoietic/other Neoplasms 4 4 — — $65,663.44 $71,173.92 $67,305.02 2026-04-17
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 10 5 — — $16,232.50 $105,413.33 $81,797.41 2026-04-17
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 10 5 — — $16,411.43 $106,575.28 $82,699.04 2026-04-17
7404 APR_DRG Mental Illness Diagnosis W O.r. Procedure 4 4 — — $57,173.62 $61,971.63 $58,602.96 2026-04-17
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 8 4 — — $24,509.75 $187,570.92 $136,776.62 2026-04-17
791 MS_DRG Prematurity With Major Problems 8 4 — — $16,738.78 $128,097.98 $93,410.72 2026-04-17
793 MS_DRG Full Term Neonate With Major Problems 8 4 — — $17,194.34 $131,588.41 $95,952.99 2026-04-17
799 MS_DRG Splenic Procedures With Mcc 10 5 — — $19,601.61 $131,079.95 $98,774.74 2026-04-17
800 MS_DRG Splenic Procedures With Cc 10 5 — — $12,012.04 $81,312.46 $60,538.55 2026-04-17
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 5 — — $14,778.41 $115,311.81 $79,941.14 2026-04-17
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 10 5 — — $9,442.75 $80,276.23 $58,102.33 2026-04-17
82 MS_DRG Traumatic Stupor And Coma &gt;1 Hour With Mcc 10 5 — — $9,565.19 $82,565.01 $59,495.67 2026-04-17
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 10 5 — — $24,002.24 $169,744.91 $123,565.47 2026-04-17
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 10 5 — — $19,291.17 $132,697.87 $97,978.87 2026-04-17
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 10 5 — — $19,686.96 $135,389.57 $99,978.04 2026-04-17
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 10 5 — — $12,712.91 $91,459.88 $66,002.56 2026-04-17
834 MS_DRG Acute Leukemia With Mcc 10 5 — — $22,786.03 $198,317.15 $142,318.76 2026-04-17
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 5 — — $20,641.78 $175,483.33 $126,722.39 2026-04-17
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 10 5 — — $13,149.10 $116,857.53 $82,999.49 2026-04-17
8413 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $62,134.55 $67,348.88 $63,687.92 2026-04-17
8414 APR_DRG Extensive 3rd Degree Burns W Skin Graft 4 4 — — $169,309.21 $183,517.63 $173,541.94 2026-04-17
8424 APR_DRG Burns With Skin Graft Except Extensive 3rd Degree Burns 4 4 — — $85,564.56 $92,745.13 $87,703.67 2026-04-17
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 10 5 — — $10,527.85 $93,651.47 $66,485.93 2026-04-17
849 MS_DRG Radiotherapy 10 5 — — $11,011.45 $97,877.98 $69,512.76 2026-04-17
85 MS_DRG Traumatic Stupor And Coma &lt;1 Hour With Mcc 10 5 — — $9,341.74 $82,070.12 $58,623.44 2026-04-17
850 MS_DRG Acute Leukemia With Other Procedures 10 5 — — $37,975.89 $250,631.91 $191,364.76 2026-04-17
8504 APR_DRG Procedure W Diag Of Rehab, Aftercare Or Oth Contact W Health Service 4 4 — — $59,628.88 $64,632.93 $61,119.60 2026-04-17
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 10 5 — — $20,619.93 $142,937.90 $105,120.83 2026-04-17
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 5 — — $18,598.96 $131,653.02 $95,791.99 2026-04-17
8634 APR_DRG Neonatal Aftercare 4 4 — — $67,173.05 $72,810.22 $68,852.38 2026-04-17
870 MS_DRG Septicemia Or Severe Sepsis With Mv &gt;96 Hours 10 5 — — $28,679.91 $249,681.86 $179,155.64 2026-04-17
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 10 5 — — $16,199.93 $111,861.80 $82,431.51 2026-04-17
901 MS_DRG Wound Debridements For Injuries With Mcc 10 5 — — $18,264.61 $121,462.19 $92,037.40 2026-04-17
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 10 5 — — $15,917.53 $106,310.53 $80,210.20 2026-04-17
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 10 5 — — $16,422.97 $111,120.86 $82,757.21 2026-04-17
9104 APR_DRG Craniotomy For Multiple Significant Trauma 4 4 — — $110,138.02 $119,380.80 $112,891.47 2026-04-17
9114 APR_DRG Extensive Abdominal/thoracic Procedures For Mult Significant Trauma 4 4 — — $104,052.26 $112,784.32 $106,653.57 2026-04-17
9124 APR_DRG Musculoskeletal & Other Procedures For Multiple Significant Trauma 4 4 — — $101,096.65 $109,580.67 $103,624.07 2026-04-17
914 APR_DRG Other Major Head & Neck Procedures 4 4 — — $62,081.80 $67,291.70 $63,633.85 2026-04-17
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours With Skin Graft 10 5 — — $97,803.17 $635,130.52 $492,841.17 2026-04-17
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 5 — — $27,533.79 $207,599.46 $146,350.90 2026-04-17
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 10 5 — — $13,111.17 $93,219.61 $67,675.00 2026-04-17
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $67,886.75 $73,583.80 $69,583.92 2026-04-17
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv &gt;96 Hours Without Skin Graft 10 5 — — $17,837.90 $151,646.51 $107,964.14 2026-04-17
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 10 5 — — $13,084.78 $105,019.68 $71,824.76 2026-04-17
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 4 4 — — $147,294.17 $159,655.09 $150,976.53 2026-04-17
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $15,041.44 $127,872.77 $92,583.24 2026-04-17
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 10 5 — — $9,882.23 $93,171.02 $64,308.56 2026-04-17
955 MS_DRG Craniotomy For Multiple Significant Trauma 10 5 — — $28,149.72 $194,818.23 $143,394.74 2026-04-17
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 10 5 — — $15,757.98 $108,912.51 $80,219.29 2026-04-17
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 5 — — $30,770.97 $220,542.77 $159,458.68 2026-04-17
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 10 5 — — $16,942.44 $121,962.91 $87,988.04 2026-04-17
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 10 5 — — $10,899.31 $85,211.09 $59,017.50 2026-04-17
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 10 5 — — $9,882.23 $93,171.02 $64,308.56 2026-04-17
963 MS_DRG Other Multiple Significant Trauma With Mcc 10 5 — — $11,199.86 $98,755.79 $70,414.46 2026-04-17
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 10 5 — — $26,071.86 $177,168.79 $131,641.33 2026-04-17
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 10 5 — — $14,779.23 $130,472.66 $92,974.38 2026-04-17
974 MS_DRG HIV With Major Related Condition With Mcc 10 5 — — $12,310.53 $104,656.31 $75,846.67 2026-04-17
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 10 5 — — $8,942.66 $82,900.97 $57,684.68 2026-04-17
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $19,600.79 $135,794.77 $99,897.18 2026-04-17
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 10 5 — — $14,441.99 $99,228.18 $73,309.49 2026-04-17
C9293 HCPCS Glucarpidase 1000 Units IV Recon Soln 68 39 $207,528.40 $134,893.46 35% off $274.28 $190,926.13 $124,517.04 2026-04-17
C9399 HCPCS Unclassified Drugs Or Biolog 1 1 — — $2,200,000.00 $2,200,000.00 $2,200,000.00 2026-04-17
J0638 HCPCS Canakinumab 150 Mg/ml Sc Solution 68 39 $102,654.88 $66,725.68 35% off $139.74 $94,442.49 $61,592.93 2026-04-17
J0801 HCPCS Corticotropin 80 Unit/ml Inj Gel 119 39 $163,373.20 $106,192.58 35% off $24,505.98 $200,071.66 $114,361.24 2026-04-17
J1413 HCPCS Delandistrogene Moxeparvo-rokl 10 X 10 Ml IV Kit 67 39 — $3,466,666.67 $800,000.00 $4,906,666.66 $3,200,000.00 2026-04-17
J1951 HCPCS Leuprolide Acetate (ped)(6mon) 45 Mg Sc Kit 68 39 $131,736.72 $85,628.87 35% off $159.63 $121,197.78 $79,042.03 2026-04-17
J2326 HCPCS Nusinersen 12 Mg/5ml It Solution 67 39 $228,174.95 $148,313.72 35% off $34,226.24 $209,920.95 $136,904.97 2026-04-17
J2350 HCPCS Ocrelizumab 300 Mg/10ml IV Solution 68 39 $99,091.60 $64,409.54 35% off $70.63 $91,164.27 $59,454.96 2026-04-17
J3316 HCPCS Triptorelin Pamoate ER (cpp) 22.5 Mg IM Rec Susp ER 68 39 $107,043.80 $69,578.47 35% off $3,591.17 $98,480.30 $64,226.28 2026-04-17
J3392 HCPCS Hb=exagamglogene Autotemcel Per Tx 68 39 $3,666,666.67 $2,383,333.34 35% off $550,000.00 $3,373,333.34 $2,200,000.00 2026-04-17
J3393 HCPCS Hb=betibeglogene Autotemcel Per Tx 68 39 $4,666,666.67 $3,033,333.34 35% off $700,000.00 $4,293,333.34 $2,800,000.00 2026-04-17
J3394 HCPCS Hb=lovotibeglogene Autotemcel Per Tx 68 39 — $3,358,333.34 $775,000.00 $4,753,333.34 $3,100,000.00 2026-04-17
J3399 HCPCS Onasemnogene Abeparvovec-xioi 2x8.3 Ml IV Kit 63 39 $4,072,917.05 $2,647,396.09 35% off $610,937.56 $3,747,083.69 $2,322,044.00 2026-04-17
J3401 HCPCS Beremagene Geperpavec-svdt (vyjuvek) (5x10^9 Pfu/2.5 Ml) Topical Solution 67 39 $121,114.00 $78,724.10 35% off $18,167.10 $111,424.88 $72,668.40 2026-04-17
J3402 HCPCS Hb=remestemcel-l-rknd Per Tx Dose 67 39 $323,333.33 $210,166.67 35% off $48,500.00 $297,466.66 $194,000.00 2026-04-17
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Solution 67 39 $139,403.44 $90,612.24 35% off $20,910.52 $128,251.16 $83,642.06 2026-04-17
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Sc Kit 68 39 $240,876.76 $156,569.90 35% off $36,131.51 $221,606.62 $144,526.06 2026-04-17
J9229 HCPCS Inotuzumab Ozogamicin 0.9 Mg IV Recon Soln 68 39 $114,826.56 $74,637.27 35% off $2,908.98 $105,640.44 $68,895.94 2026-04-17
J9266 HCPCS Pegaspargase 750 Unit/ml Inj Solution 68 39 $128,742.72 $83,682.77 35% off $19,311.41 $118,443.30 $77,245.63 2026-04-17
J9274 HCPCS Tebentafusp-tebn 100 Mcg/0.5ml IV Solution 68 39 $100,782.00 $65,508.30 35% off $234.40 $92,719.44 $60,469.20 2026-04-17
J9348 HCPCS Naxitamab-gqgk 40 Mg/10ml IV Solution 68 39 $125,131.32 $81,335.36 35% off $666.60 $115,120.81 $75,078.79 2026-04-17
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 1 1 — — $516,856.00 $516,856.00 $516,856.00 2026-04-17
Q2042 HCPCS Hb=car-t Agent (pall) 119 39 $878,227.00 $570,847.55 35% off $62,730.45 $807,968.84 $430,331.23 2026-04-17
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 1 1 — — $61,021.81 $61,021.81 $61,021.81 2026-04-17
Q2053 HCPCS Brexucabtagene Car Pos T 1 1 — — $516,856.00 $516,856.00 $516,856.00 2026-04-17
Q2054 HCPCS Lisocabtagene Mara Car Pos T 1 1 — — $522,662.71 $522,662.71 $522,662.71 2026-04-17
Q2055 HCPCS Idecabtagene Vicleucel Car 1 1 — — $525,843.25 $525,843.25 $525,843.25 2026-04-17
Q2056 HCPCS Ciltacabtagene Car-pos T 1 1 — — $550,792.50 $550,792.50 $550,792.50 2026-04-17
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