Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

GRIFFIN HOSPITAL

Derby, CT · CCN 070031 · Rates published

23,253 distinct procedures filed
14 distinct payers
396,415 rate rows
2025-11-26 last MRF observed
Data quality

226,150 of 396,415 rate rows are consumer-grade (57.0%)

170,265 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 168,508
exceeds 10× this hospital's gross charge — excluded from medians 685
template filing: same amount across many unrelated codes — excluded 426
per-diem day rate — not a per-procedure price 367
placeholder amount (≤ $0.02) — excluded from medians 254
percent-of-charges filed in the dollar field — excluded from medians 25
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://griffinhealth.pt.panaceainc.com/MRFDownload/griffinhealth/griffinhealth
Found on page https://www.griffinhealth.org/griffin-hospital/billing-insurance/cms-hospital-price-transparency/
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-17
Content fingerprint 8327f6b10c43e6aa… · 167,861,107 bytes · first seen 2026-05-05

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
J1414
HCPCS 		Inj, Beqvez, Per Tx Dose 6 $4,435,230.80 $4,435,230.80 $4,435,230.80 nat. median
$3,710,000
1.2× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 7 $2,193.33 $4,405,662.60 $4,405,662.60 nat. median
$3,710,000
1.2× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 7 $2,202.48 $3,974,459.22 $3,974,459.22 nat. median
$3,325,455
1.2× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,898,884.68 $3,898,884.68 $3,898,884.68 nat. median
$3,286,000
1.2× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 6 $3,527,486.90 $3,527,486.90 $3,527,486.90 nat. median
$3,006,423
1.2× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $3,726.06 $2,931,455.16 $2,931,455.16 nat. median
$2,469,189
1.2× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 6 $2,787,859.36 $2,787,859.36 $2,787,859.36 nat. median
$2,448,600
1.1× median
Q2057
HCPCS 		Afamitresgene Autoleucel 6 $921,260.80 $921,260.80 $921,260.80 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $5,784.95 $1,306,591.06 $691,375.47 nat. median
$754,974
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $5,816.98 $1,273,545.36 $661,553.32 nat. median
$675,122
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $5,807.83 $1,193,082.58 $647,514.60 nat. median
$674,188
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $5,812.41 $1,220,401.71 $647,066.04 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $5,780.38 $1,130,784.62 $637,282.27 nat. median
$634,511
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $5,803.26 $1,127,398.99 $585,450.47 nat. median
$620,080
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 10 $285,631.75 $643,842.83 $406,479.00 nat. median
$265,286
1.5× median
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $382,347.56 $862,001.47 $382,347.56 nat. median
$370,174
1.0× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 10 $240,584.85 $542,232.04 $353,079.72 nat. median
$206,368
1.7× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 6 $323,227.91 $323,227.91 $323,227.91 nat. median
$324,450
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 10 $217,367.79 $489,862.08 $319,804.50 nat. median
$202,986
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 10 $143,379.62 $322,969.41 $204,371.44 nat. median
$133,176
1.5× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 10 $111,862.50 $255,778.00 $191,834.00 nat. median
$108,660
1.8× median
7
MS_DRG 		Lung Transplant 10 $132,626.32 $298,713.56 $183,996.00 nat. median
$122,708
1.5× median
215
MS_DRG 		Other Heart Assist System Implant 10 $107,556.92 $242,165.34 $176,398.00 nat. median
$99,019
1.8× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 10 $132,960.72 $299,467.84 $174,600.00 nat. median
$117,303
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 10 $108,110.19 $243,413.34 $155,250.00 nat. median
$100,136
1.6× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $97,994.27 $220,595.19 $145,579.50 nat. median
$93,672
1.6× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 10 $81,882.57 $197,505.00 $142,907.18 nat. median
$77,576
1.8× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 4 $4,215.62 $203,403.14 $140,603.27 nat. median
$76,377
1.8× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $132,921.00 $132,921.00 $132,921.00 nat. median
$87,411
1.5× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $86,017.91 $193,580.50 $126,441.00 nat. median
$81,118
1.6× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 10 $86,065.53 $193,687.93 $121,728.00 nat. median
$79,312
1.5× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization With Mcc 10 $79,402.99 $178,659.45 $116,994.00 nat. median
$73,807
1.6× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $78,603.49 $176,856.04 $115,668.00 nat. median
$74,915
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve?procedures 8 $110,587.75 $249,001.87 $110,587.75 nat. median
$102,358
1.1× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 10 $75,834.10 $170,609.22 $108,487.50 nat. median
$72,138
1.5× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 7 $106,347.03 $239,436.22 $106,347.03 nat. median
$98,905
1.1× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 10 $70,689.50 $159,004.72 $104,473.50 nat. median
$66,526
1.6× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 10 $67,876.54 $152,659.62 $103,795.50 nat. median
$64,027
1.6× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 10 $67,762.03 $152,401.33 $102,820.50 nat. median
$65,950
1.6× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 10 $64,283.33 $144,554.53 $102,731.00 nat. median
$60,185
1.7× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 10 $65,731.35 $147,820.79 $101,543.06 nat. median
$62,134
1.6× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 1 $99,484.50 $99,484.50 $99,484.50 nat. median
$65,381
1.5× median
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 10 $56,207.21 $151,012.00 $97,987.97 nat. median
$54,066
1.8× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement W Mcc 10 $60,903.92 $136,931.72 $97,485.00 nat. median
$60,726
1.6× median
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 $65,637.11 $147,608.22 $95,479.50 nat. median
$64,510
1.5× median
461
MS_DRG 		Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 10 $62,382.35 $140,266.55 $95,226.28 nat. median
$55,736
1.7× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/mcc 10 $61,360.93 $137,962.57 $94,252.00 nat. median
$56,920
1.7× median
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $93,543.80 $210,556.40 $93,543.80 nat. median
$83,442
1.1× median
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 10 $62,600.21 $140,757.98 $93,271.50 nat. median
$59,793
1.6× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $91,744.50 $91,744.50 $91,744.50 nat. median
$62,270
1.5× median

Other procedures at this hospital

Browse this hospital's 23,253 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 15 10 — — $27,876.96 $62,433.90 $38,895.00 2025-11-26
850 MS_DRG Acute Leukemia With Other Procedures 8 7 — — $93,543.80 $210,556.40 $93,543.80 2025-11-26
835 MS_DRG Acute Leukemia Without Major O.r. Procedures With Cc 15 10 — — $21,841.66 $48,820.27 $33,532.50 2025-11-26
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 15 10 — — $56,207.21 $126,337.50 $83,985.00 2025-11-26
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 15 10 — — $23,291.71 $52,091.10 $33,786.00 2025-11-26
Q2057 HCPCS Afamitresgene Autoleucel 6 6 — $921,260.80 $921,260.80 $921,260.80 $921,260.80 2025-11-26
245 MS_DRG Aicd Generator Procedures 15 10 — — $49,716.93 $111,697.59 $71,290.00 2025-11-26
265 MS_DRG Aicd Lead Procedures 15 10 — — $36,345.23 $81,535.49 $53,011.50 2025-11-26
14 MS_DRG Allogeneic Bone Marrow Transplant 15 10 — — $132,960.72 $299,467.84 $174,600.00 2025-11-26
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 15 10 — — $29,708.02 $66,564.16 $42,138.00 2025-11-26
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 15 10 — — $51,237.91 $115,128.42 $72,102.00 2025-11-26
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 15 10 — — $22,058.51 $49,309.41 $32,170.50 2025-11-26
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 15 10 — — $45,642.39 $102,506.79 $64,542.00 2025-11-26
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 15 10 — — $39,362.88 $88,342.31 $59,365.50 2025-11-26
347 MS_DRG Anal And Stomal Procedures With Mcc 15 10 — — $24,181.40 $54,097.95 $38,236.50 2025-11-26
C1767 HCPCS Ans Pain Pump 3608 25 8 $76,883.00 — $3,200.00 $118,914.06 $45,952.70 2025-11-26
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 15 10 — — $67,762.03 $152,401.33 $102,820.50 2025-11-26
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 10 — — $42,359.25 $95,101.12 $62,379.00 2025-11-26
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 15 10 — — $61,360.93 $137,962.57 $94,252.00 2025-11-26
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 15 10 — — $60,880.00 $137,962.57 $78,736.77 2025-11-26
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 9 — $601,136.04 $5,780.38 $1,130,784.62 $637,282.27 2025-11-26
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 15 10 — — $36,515.47 $81,919.49 $54,777.00 2025-11-26
JO475 HCPCS Baclofen Inj 11 7 $128,053.11 — $3,200.00 $123,571.25 $86,858.42 2025-11-26
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 15 10 — — $24,489.45 $54,792.80 $35,763.00 2025-11-26
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 15 10 — — $37,171.08 $83,398.34 $54,340.50 2025-11-26
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 15 10 — — $24,489.45 $54,792.80 $32,695.50 2025-11-26
C1882 HCPCS Bi VicD Is1/df1 #25139 47 8 $43,919.64 — $3,200.00 $64,804.58 $39,487.57 2025-11-26
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 15 10 — — $62,382.35 $140,266.55 $95,226.28 2025-11-26
462 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity Without Mcc 15 10 — — $29,217.58 $65,457.88 $42,934.00 2025-11-26
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 10 — — $35,677.46 $80,029.21 $55,833.00 2025-11-26
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 10 — — $21,442.41 $47,919.70 $32,769.00 2025-11-26
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 10 — — $23,895.65 $53,453.38 $35,755.50 2025-11-26
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 10 — — $35,046.16 $78,605.22 $50,535.00 2025-11-26
90288 HCPCS Botulism Ig IV 1 1 — — $68,187.00 $68,187.00 $68,187.00 2025-11-26
Q2053 HCPCS Brexucabtagene Car Pos T 12 9 — $585,066.91 $5,803.26 $1,127,398.99 $585,450.47 2025-11-26
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 9 8 — — $71,809.21 $161,530.42 $71,809.21 2025-11-26
276 MS_DRG Cardiac Defibrillator Implant With Mcc 9 8 — — $62,967.03 $141,585.40 $62,967.03 2025-11-26
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 8 — — $47,336.65 $106,328.48 $47,336.65 2025-11-26
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 15 10 — — $28,626.81 $64,125.31 $41,871.00 2025-11-26
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 15 10 — — $34,713.79 $77,855.51 $50,644.00 2025-11-26
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $97,994.27 $220,595.19 $145,579.50 2025-11-26
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $65,637.11 $147,608.22 $95,479.50 2025-11-26
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 15 10 — — $60,483.40 $135,983.15 $85,450.50 2025-11-26
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $78,603.49 $176,856.04 $115,668.00 2025-11-26
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $53,870.51 $121,066.67 $78,669.00 2025-11-26
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 — — $46,735.76 $104,973.06 $69,729.00 2025-11-26
35 MS_DRG Carotid Artery Stent Procedures With Cc 15 10 — — $23,249.15 $51,995.10 $34,492.50 2025-11-26
34 MS_DRG Carotid Artery Stent Procedures With Mcc 15 10 — — $39,603.04 $88,884.02 $58,521.00 2025-11-26
472 MS_DRG Cervical Spinal Fusion With Cc 15 10 — — $29,556.02 $66,221.30 $44,331.00 2025-11-26
471 MS_DRG Cervical Spinal Fusion With Mcc 15 10 — — $49,418.00 $111,023.31 $73,785.00 2025-11-26
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 15 10 — — $24,187.48 $54,111.66 $36,909.00 2025-11-26
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 10 — — $50,936.96 $114,449.57 $82,008.00 2025-11-26
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 15 10 — — $26,076.30 $58,372.21 $36,660.00 2025-11-26
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 11 10 — — $382,347.56 $862,001.47 $382,347.56 2025-11-26
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 10 — — $35,702.79 $80,086.36 $52,878.00 2025-11-26
412 MS_DRG Cholecystectomy With C.d.e. With Cc 15 10 — — $21,798.09 $48,721.98 $32,539.00 2025-11-26
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 15 10 — — $27,926.61 $69,912.00 $48,510.90 2025-11-26
Q2056 HCPCS Ciltacabtagene Car-pos T 12 9 — $661,302.83 $5,816.98 $1,273,545.36 $661,553.32 2025-11-26
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 10 — — $22,625.97 $50,589.40 $32,334.00 2025-11-26
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 7 — — $84,714.79 $190,641.09 $84,714.79 2025-11-26
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 7 — — $55,631.65 $125,039.22 $55,631.65 2025-11-26
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $91,744.50 $91,744.50 $91,744.50 2025-11-26
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $132,921.00 $132,921.00 $132,921.00 2025-11-26
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $69,084.00 $69,084.00 $69,084.00 2025-11-26
93653 HCPCS Compre Ep Eval Tx Svt 16 9 — $29,327.87 $29,327.87 $44,977.00 $33,733.00 2025-11-26
93654 HCPCS Compre Ep Eval Tx Vt 16 9 — $29,327.87 $29,327.87 $44,977.00 $33,733.00 2025-11-26
212 MS_DRG Concomitant Aortic And Mitral Valve?procedures 9 8 — — $110,587.75 $249,001.87 $110,587.75 2025-11-26
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 7 — — $62,885.96 $141,402.54 $62,885.96 2025-11-26
545 MS_DRG Connective Tissue Disorders With Mcc 15 10 — — $25,803.72 $57,757.35 $37,398.00 2025-11-26
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 15 10 — — $79,402.99 $178,659.45 $116,994.00 2025-11-26
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 15 10 — — $54,108.63 $121,603.81 $77,968.50 2025-11-26
231 MS_DRG Coronary Bypass With Ptca With Mcc 15 10 — — $86,065.53 $193,687.93 $121,728.00 2025-11-26
232 MS_DRG Coronary Bypass With Ptca Without Mcc 15 10 — — $62,098.62 $139,626.56 $89,229.00 2025-11-26
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 15 10 — — $59,823.73 $134,495.16 $88,209.00 2025-11-26
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 15 10 — — $41,866.78 $93,990.27 $60,618.00 2025-11-26
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 9 8 — — $43,359.39 $97,357.11 $43,359.39 2025-11-26
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 9 8 — — $32,574.69 $73,030.40 $32,574.69 2025-11-26
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 15 10 — — $31,191.51 $69,910.42 $44,296.50 2025-11-26
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 15 10 — — $45,516.74 $102,223.36 $66,240.00 2025-11-26
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 15 10 — — $25,204.85 $56,406.50 $36,493.50 2025-11-26
955 MS_DRG Craniotomy For Multiple Significant Trauma 15 10 — — $69,390.43 $156,074.45 $91,353.00 2025-11-26
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $58,008.88 $130,401.47 $85,032.00 2025-11-26
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 — — $38,721.45 $86,895.46 $56,832.00 2025-11-26
J7330 HCPCS Cultured Chondrocytes Implnt 7 4 — — $4,215.62 $203,403.14 $140,603.27 2025-11-26
56 MS_DRG Degenerative Nervous System Disorders With Mcc 15 10 — — $25,572.68 $57,236.21 $35,910.00 2025-11-26
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 10 — — $217,367.79 $489,862.08 $319,804.50 2025-11-26
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 15 10 — — $60,903.92 $136,931.72 $97,485.00 2025-11-26
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 15 10 — — $47,871.68 $107,535.33 $77,693.00 2025-11-26
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 10 7 — $41,842.40 $6,343.00 $41,842.40 $41,842.40 2025-11-26
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 10 — — $240,584.85 $542,232.04 $353,079.72 2025-11-26
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 15 10 — — $42,986.00 $98,899.95 $45,480.00 2025-11-26
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 10 — — $25,007.25 $55,960.79 $37,290.00 2025-11-26
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $48,370.23 $108,659.89 $71,106.00 2025-11-26
37 MS_DRG Extracranial Procedures With Mcc 15 10 — — $33,849.44 $75,905.81 $50,634.00 2025-11-26
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 15 10 — — $60,437.80 $135,880.29 $90,001.50 2025-11-26
503 MS_DRG Foot Procedures With Mcc 15 10 — — $27,016.66 $60,493.34 $40,228.50 2025-11-26
793 MS_DRG Full Term Neonate With Major Problems 15 10 — — $42,458.56 $95,325.12 $63,139.50 2025-11-26
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 15 10 — — $67,876.54 $152,659.62 $103,795.50 2025-11-26
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 15 10 — — $32,425.73 $72,694.40 $48,232.50 2025-11-26
C1820 HCPCS Generator Neuro Rechg Bat Sys 49 8 $97,674.00 — $3,200.00 $168,113.62 $65,216.63 2025-11-26
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 15 10 — — $285,631.75 $643,842.83 $406,479.00 2025-11-26
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 10 — — $111,862.50 $255,778.00 $191,834.00 2025-11-26
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 15 10 — — $35,963.21 $80,673.78 $48,012.00 2025-11-26
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 15 10 — — $29,918.79 $67,039.58 $43,864.50 2025-11-26
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 10 — — $29,999.86 $67,222.44 $44,233.50 2025-11-26
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 15 10 — — $64,283.33 $144,554.53 $102,731.00 2025-11-26
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 15 10 — — $27,084.55 $60,646.48 $41,694.00 2025-11-26
974 MS_DRG HIV With Major Related Condition With Mcc 15 10 — — $30,457.87 $68,255.57 $43,747.50 2025-11-26
Q2055 HCPCS Idecabtagene Vicleucel Car 12 9 — $630,762.10 $5,812.41 $1,220,401.71 $647,066.04 2025-11-26
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 8 7 — $36,430.57 $8,119.00 $36,430.57 $36,430.57 2025-11-26
0266T HCPCS Implt/rpl Crtd Sns Dev Total 8 7 — $53,797.20 $8,119.00 $53,797.20 $53,797.20 2025-11-26
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 15 10 — — $50,877.17 $114,314.71 $74,989.50 2025-11-26
C1772 HCPCS Infusion Pump, Progra 07418 13 8 $72,411.00 — $3,200.00 $69,876.62 $37,640.09 2025-11-26
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 15 10 — — $24,707.31 $55,284.23 $36,000.00 2025-11-26
J1413 HCPCS Inj Delandistrogene Mox Rokl 8 7 — $3,971,950.38 $2,202.48 $3,974,459.22 $3,974,459.22 2025-11-26
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 7 — $2,896,804.92 $3,726.06 $2,931,455.16 $2,931,455.16 2025-11-26
J1414 HCPCS Inj, Beqvez, Per Tx Dose 6 6 — $4,435,230.80 $4,435,230.80 $4,435,230.80 $4,435,230.80 2025-11-26
J3393 HCPCS Inj, Betibeglogene Autotemce 6 6 — $3,524,530.07 $3,527,486.90 $3,527,486.90 $3,527,486.90 2025-11-26
J3392 HCPCS Inj, Exagamglogene Autotem 6 6 — $2,787,859.36 $2,787,859.36 $2,787,859.36 $2,787,859.36 2025-11-26
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 8 7 — $4,405,662.60 $2,193.33 $4,405,662.60 $4,405,662.60 2025-11-26
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — $3,928,347.28 $3,898,884.68 $3,898,884.68 $3,898,884.68 2025-11-26
33270 HCPCS Ins/rep Subq Defibrillator 16 9 — $38,328.98 $6,343.00 $70,633.00 $38,328.98 2025-11-26
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 8 7 — $38,328.98 $8,119.00 $38,328.98 $38,328.98 2025-11-26
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 9 — $53,797.20 $7,569.00 $53,797.20 $53,797.20 2025-11-26
0408T HCPCS Insj/rplc Cardiac Modulj Sys 10 7 — $38,328.98 $6,343.00 $38,328.98 $38,328.98 2025-11-26
33249 HCPCS Insj/rplcmt Defib W/lead(s) 16 9 — $38,328.98 $5,823.00 $70,633.00 $38,328.98 2025-11-26
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 10 7 — $38,328.98 $6,343.00 $38,328.98 $38,328.98 2025-11-26
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 15 10 — — $56,207.21 $151,012.00 $97,987.97 2025-11-26
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 10 — — $81,882.57 $197,505.00 $142,907.18 2025-11-26
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 15 10 — — $35,972.33 $90,015.00 $62,586.93 2025-11-26
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 15 10 — — $27,592.22 $61,791.61 $42,042.00 2025-11-26
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 15 10 — — $33,212.06 $74,468.11 $47,064.00 2025-11-26
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 15 10 — — $26,385.36 $59,069.35 $38,833.50 2025-11-26
652 MS_DRG Kidney Transplant 15 10 — — $31,321.22 $70,202.99 $46,336.00 2025-11-26
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 11 10 — — $46,884.72 $105,309.06 $46,884.72 2025-11-26
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 11 10 — — $35,385.62 $79,370.93 $35,385.62 2025-11-26
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 15 10 — — $32,819.91 $73,583.54 $49,410.00 2025-11-26
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 15 10 — — $24,279.69 $54,319.66 $34,767.00 2025-11-26
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 10 7 — $36,430.57 $6,343.00 $36,430.57 $36,430.57 2025-11-26
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 15 10 — — $38,931.21 $87,368.60 $58,173.00 2025-11-26
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 9 — $617,396.43 $5,807.83 $1,193,082.58 $647,514.60 2025-11-26
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 15 10 — — $108,110.19 $243,413.34 $155,250.00 2025-11-26
6 MS_DRG Liver Transplant Without Mcc 15 10 — — $49,335.92 $110,838.16 $72,553.50 2025-11-26
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 10 — — $35,873.03 $80,470.35 $53,718.00 2025-11-26
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 15 10 — — $25,783.45 $57,711.64 $39,165.00 2025-11-26
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 15 10 — — $24,527.96 $54,879.66 $36,025.50 2025-11-26
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 10 — — $36,183.10 $81,169.78 $51,931.50 2025-11-26
7 MS_DRG Lung Transplant 15 10 — — $132,626.32 $298,713.56 $183,996.00 2025-11-26
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 15 10 — — $22,819.51 $51,025.97 $33,481.50 2025-11-26
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 15 10 — — $59,196.49 $133,080.31 $90,700.50 2025-11-26
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 15 10 — — $32,512.88 $72,890.97 $46,878.00 2025-11-26
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 15 10 — — $22,485.11 $50,271.69 $33,493.50 2025-11-26
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 15 10 — — $47,616.33 $106,959.33 $67,528.50 2025-11-26
654 MS_DRG Major Bladder Procedures With Cc 15 10 — — $28,795.02 $64,504.74 $41,062.50 2025-11-26
653 MS_DRG Major Bladder Procedures With Mcc 15 10 — — $56,686.51 $127,418.63 $81,204.00 2025-11-26
164 MS_DRG Major Chest Procedures With Cc 15 10 — — $25,703.40 $57,531.07 $38,256.00 2025-11-26
163 MS_DRG Major Chest Procedures With Mcc 15 10 — — $46,903.97 $105,352.48 $70,704.00 2025-11-26
140 MS_DRG Major Head And Neck Procedures With Mcc 11 10 — — $43,053.37 $96,666.82 $43,053.37 2025-11-26
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 10 — — $23,406.22 $52,349.39 $32,851.50 2025-11-26
469 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity W Mcc 17 10 — — $33,320.49 $74,712.68 $48,801.00 2025-11-26
470 MS_DRG Major Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 17 10 — — $19,304.32 $43,096.87 $33,426.14 2025-11-26
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 15 10 — — $26,019.56 $58,244.21 $37,263.00 2025-11-26
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/mcc 15 10 — — $19,838.34 $44,301.44 $31,975.50 2025-11-26
595 MS_DRG Major Skin Disorders With Mcc 15 10 — — $21,630.89 $48,344.84 $32,625.00 2025-11-26
330 MS_DRG Major Small And Large Bowel Procedures With Cc 15 10 — — $24,149.99 $54,027.09 $35,581.50 2025-11-26
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 10 — — $46,728.66 $104,957.06 $67,752.00 2025-11-26
662 MS_DRG Minor Bladder Procedures With Mcc 15 10 — — $31,809.64 $71,304.70 $44,950.50 2025-11-26
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 15 10 — — $27,502.03 $61,588.19 $41,106.00 2025-11-26
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $106,347.03 $239,436.22 $106,347.03 2025-11-26
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $72,170.97 $162,346.41 $72,170.97 2025-11-26
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 7 — — $55,972.12 $125,807.21 $55,972.12 2025-11-26
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 7 — — $68,137.97 $153,249.33 $68,137.97 2025-11-26
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 8 7 — — $41,576.97 $93,336.56 $41,576.97 2025-11-26
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $48,589.11 $109,153.60 $69,415.50 2025-11-26
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 — — $24,111.48 $53,940.23 $34,758.00 2025-11-26
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 10 — — $31,446.87 $70,486.42 $47,307.00 2025-11-26
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 15 10 — — $22,180.11 $49,583.69 $32,317.50 2025-11-26
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 15 10 — — $36,521.55 $81,933.20 $54,553.50 2025-11-26
C9760 HCPCS Non-blind Interatrial Shunt 10 9 — $32,876.30 $7,569.00 $32,876.30 $32,876.30 2025-11-26
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 10 — — $35,691.64 $80,061.21 $50,650.50 2025-11-26
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 15 10 — — $20,340.94 $45,435.14 $33,130.50 2025-11-26
619 MS_DRG O.r. Procedures For Obesity With Mcc 18 10 — — $27,826.30 $62,442.73 $50,486.60 2025-11-26
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 15 10 — — $21,593.40 $48,260.27 $32,499.00 2025-11-26
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 15 10 — — $32,360.88 $72,548.12 $50,025.00 2025-11-26
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 15 10 — — $40,017.48 $89,818.87 $55,972.50 2025-11-26
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 6 6 — — $323,227.91 $323,227.91 $323,227.91 2025-11-26
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 16 9 — $36,430.57 $6,343.00 $44,977.00 $35,081.79 2025-11-26
C1824 HCPCS Optimizer Smart Ipg #24470 13 8 $88,780.00 — $3,200.00 $85,672.70 $34,799.86 2025-11-26
113 MS_DRG Orbital Procedures With Cc/mcc 15 10 — — $23,064.73 $51,579.11 $37,609.50 2025-11-26
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 13 8 — — $25,886.81 $57,944.78 $34,444.00 2025-11-26
228 MS_DRG Other Cardiothoracic Procedures With Mcc 15 10 — — $50,694.78 $114,738.00 $86,053.00 2025-11-26
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 15 10 — — $31,674.86 $74,923.00 $55,068.49 2025-11-26
264 MS_DRG Other Circulatory System O.r. Procedures 15 10 — — $35,614.63 $79,887.50 $48,990.00 2025-11-26
357 MS_DRG Other Digestive System O.r. Procedures With Cc 15 10 — — $23,018.12 $51,473.96 $32,952.00 2025-11-26
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 15 10 — — $43,423.23 $97,501.10 $64,180.50 2025-11-26
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 11 10 — — $33,656.91 $75,471.53 $33,656.91 2025-11-26
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 15 10 — — $22,988.73 $51,407.68 $33,942.00 2025-11-26
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 15 10 — — $40,180.63 $90,186.86 $60,217.50 2025-11-26
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 15 10 — — $44,711.16 $100,406.23 $65,428.50 2025-11-26
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 10 — — $23,654.48 $52,909.38 $33,390.00 2025-11-26
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 15 10 — — $26,428.93 $59,167.63 $37,758.00 2025-11-26
215 MS_DRG Other Heart Assist System Implant 15 10 — — $107,556.92 $242,165.34 $176,398.00 2025-11-26
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 15 10 — — $41,413.83 $92,968.56 $58,663.50 2025-11-26
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 15 10 — — $23,589.63 $52,763.10 $35,733.00 2025-11-26
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 15 10 — — $42,652.10 $95,761.69 $55,470.00 2025-11-26
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $35,100.88 $78,728.65 $51,843.00 2025-11-26
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 15 10 — — $52,211.71 $117,324.98 $75,853.50 2025-11-26
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 15 10 — — $25,553.43 $57,192.79 $36,592.50 2025-11-26
715 MS_DRG Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 15 10 — — $23,081.96 $51,617.96 $33,112.50 2025-11-26
963 MS_DRG Other Multiple Significant Trauma With Mcc 15 10 — — $27,726.99 $62,095.61 $41,014.50 2025-11-26
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 10 — — $31,534.01 $70,682.99 $47,422.50 2025-11-26
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 15 10 — — $40,565.69 $91,055.43 $55,792.50 2025-11-26
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 15 10 — — $41,843.48 $93,937.70 $60,672.00 2025-11-26
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 10 — — $75,834.10 $170,609.22 $108,487.50 2025-11-26
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/mcc 15 10 — — $26,989.30 $60,431.62 $38,336.00 2025-11-26
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 15 10 — — $36,523.57 $81,937.77 $51,462.00 2025-11-26
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 15 10 — — $39,213.92 $88,006.31 $60,867.00 2025-11-26
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 15 10 — — $33,226.25 $74,500.11 $50,133.00 2025-11-26
253 MS_DRG Other Vascular Procedures With Cc 15 10 — — $26,068.19 $58,353.92 $38,266.50 2025-11-26
252 MS_DRG Other Vascular Procedures With Mcc 15 10 — — $34,959.02 $78,408.65 $50,307.00 2025-11-26
10 MS_DRG Pancreas Transplant 15 10 — — $54,429.00 $182,238.86 $80,989.84 2025-11-26
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 15 10 — — $28,656.20 $64,191.60 $43,311.00 2025-11-26
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 15 10 — — $55,208.08 $124,083.80 $82,578.00 2025-11-26
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 15 10 — — $21,840.65 $48,817.98 $32,265.00 2025-11-26
J9266 HCPCS Pegaspargase Injection 17 9 — $32,362.28 $5,235.92 $83,653.35 $37,898.74 2025-11-26
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 15 10 — — $21,506.25 $48,063.70 $32,604.00 2025-11-26
709 MS_DRG Penis Procedures With Cc/mcc 15 10 — — $22,968.47 $51,361.96 $32,930.00 2025-11-26
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 10 — — $23,632.19 $52,859.10 $35,262.00 2025-11-26
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 18 10 — — $39,821.91 $89,377.73 $54,622.50 2025-11-26
274 MS_DRG Percutaneous Intracardiac Procedures Without Mcc 18 10 — — $31,823.82 $71,336.70 $47,196.00 2025-11-26
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 15 10 — — $23,080.94 $51,615.68 $33,460.50 2025-11-26
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 15 10 — — $38,421.51 $86,218.89 $57,757.50 2025-11-26
335 MS_DRG Peritoneal Adhesiolysis With Mcc 15 10 — — $36,914.71 $82,820.05 $55,373.00 2025-11-26
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 10 — — $23,026.22 $51,492.25 $34,625.00 2025-11-26
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 10 — — $34,569.90 $77,530.94 $51,826.50 2025-11-26
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 15 10 — — $22,277.39 $49,803.12 $32,035.50 2025-11-26
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 15 10 — — $45,914.97 $103,121.64 $66,426.00 2025-11-26
791 MS_DRG Prematurity With Major Problems 15 10 — — $41,337.83 $92,797.13 $61,465.50 2025-11-26
792 MS_DRG Prematurity Without Major Problems 15 10 — — $25,021.44 $55,992.79 $37,087.50 2025-11-26
665 MS_DRG Prostatectomy With Mcc 15 10 — — $34,991.44 $78,481.80 $46,336.50 2025-11-26
849 MS_DRG Radiotherapy 15 10 — — $27,264.92 $61,053.33 $37,635.16 2025-11-26
332 MS_DRG Rectal Resection With Mcc 15 10 — — $35,347.12 $79,284.08 $54,814.50 2025-11-26
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 15 10 — — $27,393.61 $61,343.62 $40,557.00 2025-11-26
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 10 — — $65,731.35 $147,820.79 $101,543.06 2025-11-26
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 17 10 — — $34,906.32 $78,289.80 $59,419.00 2025-11-26
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 17 10 — — $51,822.60 $116,447.27 $69,802.00 2025-11-26
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 17 10 — — $26,780.56 $59,960.77 $46,505.86 2025-11-26
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 9 — $36,430.57 $7,569.00 $36,430.57 $36,430.57 2025-11-26
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 16 9 — $38,328.98 $6,343.00 $70,633.00 $38,328.98 2025-11-26
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 15 10 — — $70,689.50 $159,004.72 $104,473.50 2025-11-26
510 MS_DRG Shoulder,elbow Or Forearm Proc,exc Major Joint Proc W Mcc 15 10 — — $29,159.82 $65,327.59 $40,809.00 2025-11-26
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 15 10 — — $55,333.73 $124,367.22 $78,925.50 2025-11-26
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 11 10 — — $80,526.76 $181,194.30 $80,526.76 2025-11-26
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 8 7 — — $39,841.17 $89,421.16 $39,841.17 2025-11-26
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 7 — — $52,384.99 $117,715.84 $52,384.99 2025-11-26
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 15 10 — — $24,630.30 $55,110.51 $39,781.50 2025-11-26
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 17 9 — $68,162.80 $5,789.53 $176,194.24 $79,823.94 2025-11-26
570 MS_DRG Skin Debridement With Mcc 15 10 — — $30,701.07 $68,804.14 $43,833.00 2025-11-26
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 15 10 — — $27,180.81 $60,863.62 $39,736.50 2025-11-26
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $54,869.63 $123,320.37 $85,246.50 2025-11-26
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 15 10 — — $35,308.61 $79,197.22 $51,087.00 2025-11-26
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 15 10 — — $62,600.21 $140,757.98 $93,271.50 2025-11-26
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 15 10 — — $38,116.50 $85,530.89 $57,384.00 2025-11-26
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 15 10 — — $39,323.36 $88,253.16 $48,843.00 2025-11-26
500 MS_DRG Soft Tissue Procedures With Mcc 15 10 — — $32,307.17 $72,426.98 $48,642.00 2025-11-26
459 MS_DRG Spinal Fusion Except Cervical With Mcc 1 1 — — $99,484.50 $99,484.50 $99,484.50 2025-11-26
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $86,017.91 $193,580.50 $126,441.00 2025-11-26
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $58,356.45 $131,185.47 $91,129.50 2025-11-26
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 10 — — $43,953.20 $98,696.53 $67,965.00 2025-11-26
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 1 1 — — $54,868.50 $54,868.50 $54,868.50 2025-11-26
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 15 10 — — $34,212.20 $76,724.09 $51,423.00 2025-11-26
28 MS_DRG Spinal Procedures With Mcc 15 10 — — $61,802.73 $138,959.13 $90,391.50 2025-11-26
30 MS_DRG Spinal Procedures Without Cc/mcc 15 10 — — $22,748.58 $50,865.97 $34,785.00 2025-11-26
800 MS_DRG Splenic Procedures With Cc 15 10 — — $29,724.23 $66,600.73 $42,265.50 2025-11-26
799 MS_DRG Splenic Procedures With Mcc 15 10 — — $48,379.35 $108,680.46 $74,319.00 2025-11-26
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 15 10 — — $24,802.57 $55,499.08 $37,461.00 2025-11-26
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 — — $51,664.52 $116,090.70 $76,185.00 2025-11-26
J9226 HCPCS Supprelin La Implant 17 9 — $54,050.09 $5,158.14 $139,714.25 $63,296.86 2025-11-26
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 15 10 — — $29,251.02 $65,533.30 $43,818.00 2025-11-26
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 9 — $691,909.30 $5,784.95 $1,306,591.06 $691,375.47 2025-11-26
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 15 10 — — $41,781.66 $93,798.27 $60,073.50 2025-11-26
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 15 10 — — $54,875.71 $123,334.09 $77,344.50 2025-11-26
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 15 10 — — $27,051.11 $60,571.05 $40,285.50 2025-11-26
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 10 — — $143,379.62 $322,969.41 $204,371.44 2025-11-26
668 MS_DRG Transurethral Procedures With Mcc 15 10 — — $29,749.57 $66,657.87 $42,270.00 2025-11-26
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 15 10 — — $23,159.98 $51,793.96 $34,092.00 2025-11-26
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 15 10 — — $23,709.20 $53,032.81 $34,174.50 2025-11-26
792299 CDM TrueLok Elevate Kit #26846 3 3 $54,500.00 — $28,955.85 $52,592.50 $34,607.50 2025-11-26
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $50,897.44 $114,360.43 $50,897.44 2025-11-26
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 9 8 — — $32,668.93 $73,242.97 $32,668.93 2025-11-26
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 15 10 — — $26,711.65 $59,805.34 $41,211.00 2025-11-26
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 15 10 — — $40,098.55 $90,001.72 $59,149.00 2025-11-26
739 MS_DRG Uterine,adnexa Proc For Non-ovarian/adnexal Malig W Mcc 15 10 — — $40,537.31 $90,991.43 $54,244.50 2025-11-26
263 MS_DRG Vein Ligation And Stripping 15 10 — — $27,376.38 $61,304.76 $41,763.74 2025-11-26
32 MS_DRG Ventricular Shunt Procedures With Cc 15 10 — — $21,838.62 $48,813.41 $32,307.00 2025-11-26
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 10 — — $42,662.23 $95,784.54 $61,749.00 2025-11-26
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $54,927.39 $123,450.66 $84,955.50 2025-11-26
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 15 10 — — $30,076.87 $67,396.15 $45,021.00 2025-11-26
901 MS_DRG Wound Debridements For Injuries With Mcc 15 10 — — $45,093.18 $101,267.94 $64,917.00 2025-11-26
A9543 HCPCS Y90 Ibritumomab, Rx 12 7 — $67,932.61 $587.40 $206,439.73 $67,932.61 2025-11-26
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