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

CHRISTIANA HOSPITAL

Newark, DE · CCN 080001 · Rates published

1,092 distinct procedures filed
30 distinct payers
26,653 rate rows
2025-01-01 last MRF observed · ⚠ 17 mo old
Data quality

7,497 of 26,653 rate rows are consumer-grade (28.1%)

19,156 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 18,980
professional (physician) fee — not the facility price 176

⚠ Possibly outdated The most recent machine-readable file we have for this hospital is 17 months old.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://documents.christianacare.org/Finance/510103684_christianacare_standardcharges.json
Found on page https://billing.christianacare.org/transparency/chargemaster
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 8132a5eb796528c0… · 17,567,775 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
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 4 $861,663.83 $861,663.83 $861,663.83 nat. median
$265,286
outlier · 3.2×
9394
OTHER 		Inj. Inebilizumab-cdon, 1 Mg 1 $655,956.95 $655,956.95 $655,956.95 nat. median
$505
outlier · 1297.7×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 $441,061.80 $441,061.80 $441,061.80 nat. median
$370,174
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 6 $357,103.32 $357,103.32 $357,103.32 nat. median
$117,303
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $308,980.52 $308,980.52 $308,980.52 nat. median
$93,672
outlier · 3.3×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 11 $251,025.90 $251,025.90 $251,025.90 nat. median
$66,526
outlier · 3.8×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 12 $250,497.35 $250,497.35 $250,497.35 nat. median
$77,576
outlier · 3.2×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 4 $239,349.90 $239,349.90 $239,349.90 nat. median
$45,278
outlier · 5.3×
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 3 $205,144.35 $205,144.35 $205,144.35 nat. median
$229
outlier · 894.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 11 $188,051.11 $188,051.11 $188,051.11 nat. median
$73,807
outlier · 2.5×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $177,617.39 $177,617.39 $177,617.39 nat. median
$102,358
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 11 $174,976.00 $174,976.00 $174,976.00 nat. median
$72,138
outlier · 2.4×
28
MS_DRG 		Spinal Procedures With Mcc 5 $164,562.48 $164,562.48 $164,562.48 nat. median
$57,823
outlier · 2.8×
463
MS_DRG 		Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective… 9 $160,269.65 $160,269.65 $160,269.65 nat. median
$52,753
outlier · 3.0×
21
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 4 $158,341.80 $158,341.80 $158,341.80 nat. median
$54,066
outlier · 2.9×
9261
OTHER 		Ustekinumab Sub Cu Inj, 1 Mg 1 $157,821.51 $157,821.51 $157,821.51 nat. median
$163
outlier · 967.6×
215
MS_DRG 		Other Heart Assist System Implant 5 $157,203.05 $157,203.05 $157,203.05 nat. median
$99,019
1.6× median
17
MS_DRG 		Autologous Bone Marrow Transplant Without Cc/Mcc 1 $153,832.83 $153,832.83 $153,832.83 nat. median
$53,805
outlier · 2.9×
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 8 $152,362.30 $152,362.30 $152,362.30 nat. median
$52,857
outlier · 2.9×
22
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 $144,110.23 $144,110.23 $144,110.23 nat. median
$34,274
outlier · 4.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 12 $139,935.29 $139,935.29 $139,935.29 nat. median
$74,915
1.9× median
9054
OTHER 		Lutetium Lu 177 Vipivotide 4 $137,878.35 $137,878.35 $137,878.35 nat. median
$259
outlier · 531.7×
405
MS_DRG 		Pancreas, Liver And Shunt Procedures With Mcc 10 $136,892.49 $136,892.49 $136,892.49 nat. median
$52,836
outlier · 2.6×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 6 $131,722.67 $131,722.67 $131,722.67 nat. median
$87,411
1.5× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 8 $130,875.96 $130,875.96 $130,875.96 nat. median
$68,887
1.9× median
956
MS_DRG 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 12 $130,207.60 $130,207.60 $130,207.60 nat. median
$37,664
outlier · 3.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $128,971.99 $128,971.99 $128,971.99 nat. median
$52,278
outlier · 2.5×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 12 $123,986.74 $123,986.74 $123,986.74 nat. median
$51,307
outlier · 2.4×
9067
OTHER 		Lutetium Lu 177 Dotatat Ther 6 $122,523.66 $122,523.66 $122,523.66 nat. median
$321
outlier · 382.0×
96
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 3 $121,562.57 $121,562.57 $121,562.57 nat. median
$24,796
outlier · 4.9×
31
MS_DRG 		Ventricular Shunt Procedures With Mcc 3 $121,105.70 $121,105.70 $121,105.70 nat. median
$42,896
outlier · 2.8×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 9 $119,857.12 $119,857.12 $119,857.12 nat. median
$65,381
1.8× median
9110
OTHER 		Inj, Tremelimumab-actl, 1 Mg 4 $116,705.56 $116,705.56 $116,705.56 nat. median
$143
outlier · 814.8×
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 $113,466.06 $113,466.06 $113,466.06 nat. median
$47,311
outlier · 2.4×
323
MS_DRG 		Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 3 $111,716.73 $111,716.73 $111,716.73 nat. median
$41,311
outlier · 2.7×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 5 $111,394.24 $111,394.24 $111,394.24 nat. median
$46,109
outlier · 2.4×
56
MS_DRG 		Degenerative Nervous System Disorders With Mcc 9 $110,221.49 $110,221.49 $110,221.49 nat. median
$22,354
outlier · 4.9×
274
MS_DRG 		Percutaneous And Other Intracardiac Procedures Without Mcc 10 $109,693.91 $109,693.91 $109,693.91 nat. median
$32,270
outlier · 3.4×
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 9 $109,096.04 $109,096.04 $109,096.04 nat. median
$52,879
outlier · 2.1×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 $107,454.82 $107,454.82 $107,454.82 nat. median
$55,929
1.9× median
242
MS_DRG 		Permanent Cardiac Pacemaker Implant With Mcc 5 $107,132.35 $107,132.35 $107,132.35 nat. median
$32,829
outlier · 3.3×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 4 $105,780.40 $105,780.40 $105,780.40 nat. median
$40,166
outlier · 2.6×
652
MS_DRG 		Kidney Transplant 4 $103,655.56 $103,655.56 $103,655.56 nat. median
$31,494
outlier · 3.3×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 11 $103,067.82 $103,067.82 $103,067.82 nat. median
$46,084
outlier · 2.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 9 $100,016.07 $100,016.07 $100,016.07 nat. median
$62,270
1.6× median
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 3 $99,897.57 $99,897.57 $99,897.57 nat. median
$56,920
1.8× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 9 $99,654.26 $99,654.26 $99,654.26 nat. median
$62,134
1.6× median
227
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 $99,467.45 $99,467.45 $99,467.45 nat. median
$39,020
outlier · 2.5×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 6 $96,716.51 $96,716.51 $96,716.51 nat. median
$59,099
1.6× median
24
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 $96,670.76 $96,670.76 $96,670.76 nat. median
$38,489
outlier · 2.5×

Other procedures at this hospital

Browse this hospital's 1,092 published procedures. Use the slice to choose what to show, then sort or filter any column.

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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
             
265 MS_DRG Aicd Lead Procedures 2 2 — — $29,134.78 $29,134.78 $29,134.78 2025-01-01
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 2 1 — — $29,297.96 $29,297.96 $29,297.96 2025-01-01
915 MS_DRG Allergic Reactions With Mcc 8 7 — — $29,354.71 $29,354.71 $29,354.71 2025-01-01
897 MS_DRG Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without Mcc 27 15 — — $29,389.83 $29,389.83 $29,389.83 2025-01-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 1 1 — — $29,471.33 $29,471.33 $29,471.33 2025-01-01
385 MS_DRG Inflammatory Bowel Disease With Mcc 12 8 — — $29,487.80 $29,487.80 $29,487.80 2025-01-01
181 MS_DRG Respiratory Neoplasms With Cc 9 7 — — $29,531.35 $29,531.35 $29,531.35 2025-01-01
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 7 6 — — $29,597.34 $29,597.34 $29,597.34 2025-01-01
539 MS_DRG Osteomyelitis With Mcc 11 8 — — $29,611.96 $29,611.96 $29,611.96 2025-01-01
734 MS_DRG Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/Mcc 5 5 — — $29,621.43 $29,621.43 $29,621.43 2025-01-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 10 — — $29,742.29 $29,742.29 $29,742.29 2025-01-01
9492 OTHER Inj., Durvalumab, 10 Mg 15 9 — — $29,902.11 $29,902.11 $29,902.11 2025-01-01
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 11 10 — — $30,006.17 $30,006.17 $30,006.17 2025-01-01
740 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Cc 5 5 — — $30,112.24 $30,112.24 $30,112.24 2025-01-01
592 MS_DRG Skin Ulcers With Mcc 7 6 — — $30,348.63 $30,348.63 $30,348.63 2025-01-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 11 9 — — $30,624.78 $30,624.78 $30,624.78 2025-01-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 7 5 — — $30,790.31 $30,790.31 $30,790.31 2025-01-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 4 4 — — $30,957.03 $30,957.03 $30,957.03 2025-01-01
522 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture Without Mcc 13 10 — — $30,973.73 $30,973.73 $30,973.73 2025-01-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 15 11 — — $31,004.15 $31,004.15 $31,004.15 2025-01-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 4 4 — — $31,077.01 $31,077.01 $31,077.01 2025-01-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 5 4 — — $31,092.76 $31,092.76 $31,092.76 2025-01-01
665 MS_DRG Prostatectomy With Mcc 2 2 — — $31,252.45 $31,252.45 $31,252.45 2025-01-01
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 19 10 — — $31,259.53 $31,259.53 $31,259.53 2025-01-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 9 8 — — $31,295.31 $31,295.31 $31,295.31 2025-01-01
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/Mcc 5 5 — — $31,399.71 $31,399.71 $31,399.71 2025-01-01
666 MS_DRG Prostatectomy With Cc 2 2 — — $31,446.74 $31,446.74 $31,446.74 2025-01-01
507 MS_DRG Major Shoulder Or Elbow Joint Procedures With Cc/Mcc 3 3 — — $31,460.40 $31,460.40 $31,460.40 2025-01-01
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/Mcc 11 7 — — $31,512.24 $31,512.24 $31,512.24 2025-01-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 12 8 — — $31,524.01 $31,524.01 $31,524.01 2025-01-01
575 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc 2 2 — — $31,644.30 $31,644.30 $31,644.30 2025-01-01
849 MS_DRG Radiotherapy 1 1 — — $31,703.66 $31,703.66 $31,703.66 2025-01-01
9483 OTHER Inj, Atezolizumab,10 Mg 12 8 — — $31,815.22 $31,815.22 $31,815.22 2025-01-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 9 7 — — $32,091.92 $32,091.92 $32,091.92 2025-01-01
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $32,116.19 $32,116.19 $32,116.19 2025-01-01
154 MS_DRG Other Ear, Nose, Mouth And Throat Diagnoses With Mcc 7 6 — — $32,132.76 $32,132.76 $32,132.76 2025-01-01
505 MS_DRG Foot Procedures Without Cc/Mcc 5 4 — — $32,155.81 $32,155.81 $32,155.81 2025-01-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 8 7 — — $32,178.19 $32,178.19 $32,178.19 2025-01-01
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/Mcc 3 3 — — $32,417.22 $32,417.22 $32,417.22 2025-01-01
800 MS_DRG Splenic Procedures With Cc 1 1 — — $32,445.20 $32,445.20 $32,445.20 2025-01-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 7 6 — — $32,469.40 $32,469.40 $32,469.40 2025-01-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 6 6 — — $32,553.49 $32,553.49 $32,553.49 2025-01-01
5377 OTHER Level 7 Urology And Related Services 2 2 — — $32,622.83 $32,622.83 $32,622.83 2025-01-01
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 11 8 — — $32,630.06 $32,630.06 $32,630.06 2025-01-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 6 4 — — $32,664.67 $32,664.67 $32,664.67 2025-01-01
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 13 9 — — $32,884.79 $32,884.79 $32,884.79 2025-01-01
415 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 4 4 — — $32,932.59 $32,932.59 $32,932.59 2025-01-01
300 MS_DRG Peripheral Vascular Disorders With Cc 17 12 — — $32,976.45 $32,976.45 $32,976.45 2025-01-01
9269 OTHER C-1 Esterase, Berinert 2 2 — — $33,103.22 $33,103.22 $33,103.22 2025-01-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 5 5 — — $33,241.65 $33,241.65 $33,241.65 2025-01-01
0737 OTHER Inj, Cipaglucosidase, 5 Mg 1 1 — — $33,289.84 $33,289.84 $33,289.84 2025-01-01
393 MS_DRG Other Digestive System Diagnoses With Mcc 19 10 — — $33,477.38 $33,477.38 $33,477.38 2025-01-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 4 3 — — $33,485.44 $33,485.44 $33,485.44 2025-01-01
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 15 9 — — $33,676.04 $33,676.04 $33,676.04 2025-01-01
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/Mcc 4 4 — — $33,692.60 $33,692.60 $33,692.60 2025-01-01
32 MS_DRG Ventricular Shunt Procedures With Cc 6 5 — — $33,710.43 $33,710.43 $33,710.43 2025-01-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 12 — — $33,784.77 $33,784.77 $33,784.77 2025-01-01
397 MS_DRG Appendix Procedures With Mcc 4 4 — — $34,237.29 $34,237.29 $34,237.29 2025-01-01
386 MS_DRG Inflammatory Bowel Disease With Cc 16 11 — — $34,319.57 $34,319.57 $34,319.57 2025-01-01
355 MS_DRG Hernia Procedures Except Inguinal And Femoral Without Cc/Mcc 6 5 — — $34,483.37 $34,483.37 $34,483.37 2025-01-01
514 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures Without Cc/Mcc 1 1 — — $34,846.99 $34,846.99 $34,846.99 2025-01-01
1413 OTHER Lumizyme Injection 1 1 — — $35,023.41 $35,023.41 $35,023.41 2025-01-01
503 MS_DRG Foot Procedures With Mcc 3 2 — — $35,310.72 $35,310.72 $35,310.72 2025-01-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 4 4 — — $35,440.13 $35,440.13 $35,440.13 2025-01-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 11 8 — — $35,491.47 $35,491.47 $35,491.47 2025-01-01
504 MS_DRG Foot Procedures With Cc 10 7 — — $35,539.39 $35,539.39 $35,539.39 2025-01-01
496 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 5 5 — — $35,566.01 $35,566.01 $35,566.01 2025-01-01
387 MS_DRG Inflammatory Bowel Disease Without Cc/Mcc 13 8 — — $35,756.94 $35,756.94 $35,756.94 2025-01-01
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 3 3 — — $35,793.39 $35,793.39 $35,793.39 2025-01-01
140 MS_DRG Major Head And Neck Procedures With Mcc 8 8 — — $35,802.49 $35,802.49 $35,802.49 2025-01-01
9347 OTHER Inj Luspatercept-aamt 0.25mg 3 3 — — $35,906.44 $35,906.44 $35,906.44 2025-01-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 10 9 — — $35,953.69 $35,953.69 $35,953.69 2025-01-01
562 MS_DRG Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Wit… 8 8 — — $35,996.49 $35,996.49 $35,996.49 2025-01-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 10 — — $36,765.42 $36,765.42 $36,765.42 2025-01-01
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 9 8 — — $36,929.08 $36,929.08 $36,929.08 2025-01-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 1 1 — — $36,930.33 $36,930.33 $36,930.33 2025-01-01
9414 OTHER Inj, Cabote Rilpivir 2mg 3mg 4 3 — — $37,063.09 $37,063.09 $37,063.09 2025-01-01
70 MS_DRG Nonspecific Cerebrovascular Disorders With Mcc 12 9 — — $37,076.10 $37,076.10 $37,076.10 2025-01-01
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/Mcc 15 10 — — $37,180.82 $37,180.82 $37,180.82 2025-01-01
9353 OTHER Inj Fam-trastu Deru-nxki 1mg 4 4 — — $37,372.72 $37,372.72 $37,372.72 2025-01-01
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc 3 3 — — $37,389.86 $37,389.86 $37,389.86 2025-01-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 6 5 — — $37,831.88 $37,831.88 $37,831.88 2025-01-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 4 4 — — $37,847.54 $37,847.54 $37,847.54 2025-01-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 11 — — $38,331.19 $38,331.19 $38,331.19 2025-01-01
241 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe Without Cc… 2 1 — — $38,809.43 $38,809.43 $38,809.43 2025-01-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 15 10 — — $38,912.13 $38,912.13 $38,912.13 2025-01-01
9111 OTHER Inj Teclistamab Cqyv 0.5 Mg 4 3 — — $38,912.32 $38,912.32 $38,912.32 2025-01-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 8 6 — — $39,572.47 $39,572.47 $39,572.47 2025-01-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 3 3 — — $39,617.32 $39,617.32 $39,617.32 2025-01-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 9 7 — — $39,631.39 $39,631.39 $39,631.39 2025-01-01
906 MS_DRG Hand Procedures For Injuries 5 5 — — $39,914.26 $39,914.26 $39,914.26 2025-01-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 2 2 — — $39,981.69 $39,981.69 $39,981.69 2025-01-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 9 — — $39,997.12 $39,997.12 $39,997.12 2025-01-01
9390 OTHER Pertuzu, Trastuzu, 10 Mg 12 7 — — $40,142.46 $40,142.46 $40,142.46 2025-01-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 3 3 — — $40,246.73 $40,246.73 $40,246.73 2025-01-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 17 10 — — $40,269.97 $40,269.97 $40,269.97 2025-01-01
5471 OTHER Implantation Of Drug Infusion Device 10 8 — — $40,302.29 $40,302.29 $40,302.29 2025-01-01
114 MS_DRG Orbital Procedures Without Cc/Mcc 2 2 — — $40,473.32 $40,473.32 $40,473.32 2025-01-01
621 MS_DRG O.r. Procedures For Obesity Without Cc/Mcc 14 11 — — $40,493.44 $40,493.44 $40,493.44 2025-01-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 12 7 — — $40,654.18 $40,654.18 $40,654.18 2025-01-01
9431 OTHER Inj, Dostarlimab-gxly, 10 Mg 1 1 — — $40,678.29 $40,678.29 $40,678.29 2025-01-01
347 MS_DRG Anal And Stomal Procedures With Mcc 4 4 — — $41,079.81 $41,079.81 $41,079.81 2025-01-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 1 1 — — $41,142.14 $41,142.14 $41,142.14 2025-01-01
157 MS_DRG Dental And Oral Diseases With Mcc 5 4 — — $41,374.13 $41,374.13 $41,374.13 2025-01-01
557 MS_DRG Tendonitis, Myositis And Bursitis With Mcc 10 8 — — $41,519.50 $41,519.50 $41,519.50 2025-01-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 13 9 — — $41,571.85 $41,571.85 $41,571.85 2025-01-01
85 MS_DRG Traumatic Stupor And Coma <1 Hour With Mcc 15 10 — — $41,624.62 $41,624.62 $41,624.62 2025-01-01
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 13 9 — — $41,686.88 $41,686.88 $41,686.88 2025-01-01
5212 OTHER Level 2 Electrophysiologic Procedures 10 7 — — $42,121.19 $42,121.19 $42,121.19 2025-01-01
472 MS_DRG Cervical Spinal Fusion With Cc 19 11 — — $42,137.56 $42,137.56 $42,137.56 2025-01-01
1488 OTHER Injection, Ramucirumab 7 6 — — $42,309.49 $42,309.49 $42,309.49 2025-01-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 3 — — $42,555.06 $42,555.06 $42,555.06 2025-01-01
977 MS_DRG HIV With Or Without Other Related Condition 8 7 — — $42,828.42 $42,828.42 $42,828.42 2025-01-01
585 MS_DRG Breast Biopsy, Local Excision And Other Breast Procedures Without Cc/Mcc 10 5 — — $43,090.35 $43,090.35 $43,090.35 2025-01-01
9241 OTHER Inj Sirolimus Prot Part 1 Mg 1 1 — — $43,308.14 $43,308.14 $43,308.14 2025-01-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 7 5 — — $43,334.82 $43,334.82 $43,334.82 2025-01-01
902 MS_DRG Wound Debridements For Injuries With Cc 6 5 — — $43,485.39 $43,485.39 $43,485.39 2025-01-01
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/Mcc 6 5 — — $43,526.27 $43,526.27 $43,526.27 2025-01-01
5116 OTHER Level 6 Musculoskeletal Procedures 22 12 — — $43,576.14 $43,576.14 $43,576.14 2025-01-01
5092 OTHER Level 2 Breast/Lymphatic Surgery And Related Procedures 31 14 — — $43,599.74 $43,599.74 $43,599.74 2025-01-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 9 6 — — $43,873.36 $43,873.36 $43,873.36 2025-01-01
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 8 7 — — $44,018.43 $44,018.43 $44,018.43 2025-01-01
9364 OTHER Inj Enfort Vedo-ejfv 0.25mg 6 6 — — $44,276.43 $44,276.43 $44,276.43 2025-01-01
54 MS_DRG Nervous System Neoplasms With Mcc 15 10 — — $44,288.78 $44,288.78 $44,288.78 2025-01-01
9010 OTHER Inj Efgartigimod 2mg 3 3 — — $44,338.82 $44,338.82 $44,338.82 2025-01-01
653 MS_DRG Major Bladder Procedures With Mcc 1 1 — — $44,508.12 $44,508.12 $44,508.12 2025-01-01
314 MS_DRG Other Circulatory System Diagnoses With Mcc 18 11 — — $44,600.41 $44,600.41 $44,600.41 2025-01-01
141 MS_DRG Major Head And Neck Procedures With Cc 11 8 — — $44,669.15 $44,669.15 $44,669.15 2025-01-01
9302 OTHER Inj Daunorubicin, Cytarabine 2 2 — — $44,721.53 $44,721.53 $44,721.53 2025-01-01
142 MS_DRG Major Head And Neck Procedures Without Cc/Mcc 10 9 — — $44,904.47 $44,904.47 $44,904.47 2025-01-01
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 2 2 — — $45,016.11 $45,016.11 $45,016.11 2025-01-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 9 7 — — $45,054.06 $45,054.06 $45,054.06 2025-01-01
901 MS_DRG Wound Debridements For Injuries With Mcc 4 4 — — $45,170.11 $45,170.11 $45,170.11 2025-01-01
964 MS_DRG Other Multiple Significant Trauma With Cc 12 9 — — $45,289.54 $45,289.54 $45,289.54 2025-01-01
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/Mcc 2 2 — — $45,375.67 $45,375.67 $45,375.67 2025-01-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 8 8 — — $45,651.18 $45,651.18 $45,651.18 2025-01-01
908 MS_DRG Other O.r. Procedures For Injuries With Cc 16 12 — — $45,765.39 $45,765.39 $45,765.39 2025-01-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 7 7 — — $45,830.20 $45,830.20 $45,830.20 2025-01-01
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 3 3 — — $45,853.11 $45,853.11 $45,853.11 2025-01-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 18 12 — — $45,971.92 $45,971.92 $45,971.92 2025-01-01
245 MS_DRG Aicd Generator Procedures 3 3 — — $46,267.25 $46,267.25 $46,267.25 2025-01-01
38 MS_DRG Extracranial Procedures With Cc 13 8 — — $46,533.21 $46,533.21 $46,533.21 2025-01-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 19 10 — — $46,781.94 $46,781.94 $46,781.94 2025-01-01
83 MS_DRG Traumatic Stupor And Coma >1 Hour With Cc 10 9 — — $46,853.42 $46,853.42 $46,853.42 2025-01-01
445 MS_DRG Disorders Of The Biliary Tract With Cc 19 11 — — $46,941.75 $46,941.75 $46,941.75 2025-01-01
374 MS_DRG Digestive Malignancy With Mcc 16 11 — — $47,121.40 $47,121.40 $47,121.40 2025-01-01
754 MS_DRG Malignancy, Female Reproductive System With Mcc 5 4 — — $47,229.77 $47,229.77 $47,229.77 2025-01-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 5 4 — — $47,241.97 $47,241.97 $47,241.97 2025-01-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 11 — — $47,545.19 $47,545.19 $47,545.19 2025-01-01
975 MS_DRG HIV With Major Related Condition With Cc 13 8 — — $47,579.85 $47,579.85 $47,579.85 2025-01-01
2616 OTHER Brachytx, Non-str,yttrium-90 7 6 — — $47,628.49 $47,628.49 $47,628.49 2025-01-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 6 5 — — $47,646.21 $47,646.21 $47,646.21 2025-01-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 6 4 — — $48,015.31 $48,015.31 $48,015.31 2025-01-01
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 8 7 — — $48,073.50 $48,073.50 $48,073.50 2025-01-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 2 2 — — $48,188.63 $48,188.63 $48,188.63 2025-01-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 25 14 — — $48,296.46 $48,296.46 $48,296.46 2025-01-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 14 9 — — $48,466.14 $48,466.14 $48,466.14 2025-01-01
723 MS_DRG Malignancy, Male Reproductive System With Cc 4 3 — — $48,544.56 $48,544.56 $48,544.56 2025-01-01
196 MS_DRG Interstitial Lung Disease With Mcc 11 7 — — $48,858.68 $48,858.68 $48,858.68 2025-01-01
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 21 13 — — $48,974.33 $48,974.33 $48,974.33 2025-01-01
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/Mcc 6 6 — — $49,001.48 $49,001.48 $49,001.48 2025-01-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 5 4 — — $49,065.88 $49,065.88 $49,065.88 2025-01-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 18 12 — — $49,157.21 $49,157.21 $49,157.21 2025-01-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 8 6 — — $49,347.50 $49,347.50 $49,347.50 2025-01-01
880 MS_DRG Acute Adjustment Reaction And Psychosocial Dysfunction 19 10 — — $49,373.37 $49,373.37 $49,373.37 2025-01-01
0963 OTHER Albumin (human), 5%, 250 Ml 2 2 — — $49,625.73 $49,625.73 $49,625.73 2025-01-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 26 14 — — $49,853.94 $49,853.94 $49,853.94 2025-01-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 10 7 — — $50,120.71 $50,120.71 $50,120.71 2025-01-01
9237 OTHER Inj, Lanreotide Acetate 2 2 — — $50,886.08 $50,886.08 $50,886.08 2025-01-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 5 4 — — $52,117.77 $52,117.77 $52,117.77 2025-01-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 3 — — $52,176.38 $52,176.38 $52,176.38 2025-01-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 3 3 — — $52,548.43 $52,548.43 $52,548.43 2025-01-01
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 1 1 — — $52,641.04 $52,641.04 $52,641.04 2025-01-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 5 — — $52,792.65 $52,792.65 $52,792.65 2025-01-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 2 — — $52,848.64 $52,848.64 $52,848.64 2025-01-01
555 MS_DRG Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 5 5 — — $53,080.46 $53,080.46 $53,080.46 2025-01-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 2 2 — — $53,458.93 $53,458.93 $53,458.93 2025-01-01
380 MS_DRG Complicated Peptic Ulcer With Mcc 8 7 — — $53,970.12 $53,970.12 $53,970.12 2025-01-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 20 12 — — $54,221.67 $54,221.67 $54,221.67 2025-01-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 3 — — $54,576.54 $54,576.54 $54,576.54 2025-01-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 13 8 — — $54,895.21 $54,895.21 $54,895.21 2025-01-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 7 4 — — $55,076.47 $55,076.47 $55,076.47 2025-01-01
91 MS_DRG Other Disorders Of Nervous System With Mcc 18 12 — — $55,428.28 $55,428.28 $55,428.28 2025-01-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 16 10 — — $55,975.82 $55,975.82 $55,975.82 2025-01-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 3 — — $55,993.53 $55,993.53 $55,993.53 2025-01-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 12 9 — — $56,124.10 $56,124.10 $56,124.10 2025-01-01
5231 OTHER Level 1 Icd And Similar Procedures 13 9 — — $56,497.90 $56,497.90 $56,497.90 2025-01-01
9284 OTHER Ipilimumab Injection 8 6 — — $56,684.54 $56,684.54 $56,684.54 2025-01-01
845 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 2 2 — — $56,738.63 $56,738.63 $56,738.63 2025-01-01
5378 OTHER Level 8 Urology And Related Services 9 7 — — $56,878.54 $56,878.54 $56,878.54 2025-01-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 1 1 — — $56,901.47 $56,901.47 $56,901.47 2025-01-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 3 3 — — $57,061.96 $57,061.96 $57,061.96 2025-01-01
501 MS_DRG Soft Tissue Procedures With Cc 15 10 — — $57,145.90 $57,145.90 $57,145.90 2025-01-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 14 9 — — $57,432.69 $57,432.69 $57,432.69 2025-01-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 5 5 — — $57,582.69 $57,582.69 $57,582.69 2025-01-01
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/Mcc 4 3 — — $57,821.07 $57,821.07 $57,821.07 2025-01-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 16 13 — — $57,859.01 $57,859.01 $57,859.01 2025-01-01
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 1 1 — — $58,025.19 $58,025.19 $58,025.19 2025-01-01
843 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 6 5 — — $58,148.36 $58,148.36 $58,148.36 2025-01-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 4 4 — — $58,213.00 $58,213.00 $58,213.00 2025-01-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 6 4 — — $58,651.48 $58,651.48 $58,651.48 2025-01-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 5 4 — — $59,749.24 $59,749.24 $59,749.24 2025-01-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 8 — — $59,847.56 $59,847.56 $59,847.56 2025-01-01
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 11 9 — — $60,617.26 $60,617.26 $60,617.26 2025-01-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 10 8 — — $62,271.64 $62,271.64 $62,271.64 2025-01-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 12 8 — — $62,724.98 $62,724.98 $62,724.98 2025-01-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 20 13 — — $63,053.45 $63,053.45 $63,053.45 2025-01-01
9204 OTHER Inj Tisotu Vedotin-tftv, 1mg 4 4 — — $63,057.61 $63,057.61 $63,057.61 2025-01-01
9109 OTHER Inj, Elahere, 1 Mg 2 2 — — $63,588.92 $63,588.92 $63,588.92 2025-01-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 11 9 — — $63,689.50 $63,689.50 $63,689.50 2025-01-01
9057 OTHER Inj Nivol Relatlimab 3mg/1mg 6 6 — — $64,638.21 $64,638.21 $64,638.21 2025-01-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 4 4 — — $64,767.72 $64,767.72 $64,767.72 2025-01-01
471 MS_DRG Cervical Spinal Fusion With Mcc 10 8 — — $65,345.81 $65,345.81 $65,345.81 2025-01-01
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/Mcc 6 6 — — $66,461.02 $66,461.02 $66,461.02 2025-01-01
9480 OTHER Injection Trabectedin 0.1mg 1 1 — — $68,117.53 $68,117.53 $68,117.53 2025-01-01
280 MS_DRG Acute Myocardial Infarction, Discharged Alive With Mcc 18 10 — — $69,329.96 $69,329.96 $69,329.96 2025-01-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 13 7 — — $69,839.41 $69,839.41 $69,839.41 2025-01-01
247 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent Without Mcc 17 11 — — $70,197.35 $70,197.35 $70,197.35 2025-01-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 10 9 — — $72,656.12 $72,656.12 $72,656.12 2025-01-01
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 5 5 — — $73,500.01 $73,500.01 $73,500.01 2025-01-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 9 8 — — $73,656.52 $73,656.52 $73,656.52 2025-01-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 7 7 — — $75,827.74 $75,827.74 $75,827.74 2025-01-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 21 14 — — $77,107.34 $77,107.34 $77,107.34 2025-01-01
37 MS_DRG Extracranial Procedures With Mcc 7 6 — — $77,161.99 $77,161.99 $77,161.99 2025-01-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 10 8 — — $77,458.49 $77,458.49 $77,458.49 2025-01-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 — — $77,597.93 $77,597.93 $77,597.93 2025-01-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 9 6 — — $77,598.78 $77,598.78 $77,598.78 2025-01-01
253 MS_DRG Other Vascular Procedures With Cc 14 10 — — $79,074.26 $79,074.26 $79,074.26 2025-01-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 1 1 — — $79,178.80 $79,178.80 $79,178.80 2025-01-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 3 — — $79,401.42 $79,401.42 $79,401.42 2025-01-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 11 10 — — $80,323.08 $80,323.08 $80,323.08 2025-01-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 11 8 — — $80,598.83 $80,598.83 $80,598.83 2025-01-01
835 MS_DRG Acute Leukemia With Cc 7 7 — — $81,558.98 $81,558.98 $81,558.98 2025-01-01
251 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 7 4 — — $82,596.57 $82,596.57 $82,596.57 2025-01-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 4 4 — — $83,703.52 $83,703.52 $83,703.52 2025-01-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 18 10 — — $85,827.52 $85,827.52 $85,827.52 2025-01-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 5 3 — — $86,253.48 $86,253.48 $86,253.48 2025-01-01
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 4 3 — — $86,673.06 $86,673.06 $86,673.06 2025-01-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 21 12 — — $87,042.20 $87,042.20 $87,042.20 2025-01-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 5 5 — — $87,750.55 $87,750.55 $87,750.55 2025-01-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 18 12 — — $87,795.43 $87,795.43 $87,795.43 2025-01-01
9281 OTHER Injection, Pegloticase 2 2 — — $91,388.46 $91,388.46 $91,388.46 2025-01-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 8 7 — — $92,928.74 $92,928.74 $92,928.74 2025-01-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 3 — — $93,264.49 $93,264.49 $93,264.49 2025-01-01
163 MS_DRG Major Chest Procedures With Mcc 15 9 — — $93,978.04 $93,978.04 $93,978.04 2025-01-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 19 12 — — $94,011.72 $94,011.72 $94,011.72 2025-01-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 7 7 — — $94,231.10 $94,231.10 $94,231.10 2025-01-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 4 4 — — $94,603.43 $94,603.43 $94,603.43 2025-01-01
5194 OTHER Level 4 Endovascular Procedures 15 9 — — $95,414.78 $95,414.78 $95,414.78 2025-01-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 4 3 — — $96,260.89 $96,260.89 $96,260.89 2025-01-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 7 — — $96,670.76 $96,670.76 $96,670.76 2025-01-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 8 6 — — $96,716.51 $96,716.51 $96,716.51 2025-01-01
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 3 3 — — $99,467.45 $99,467.45 $99,467.45 2025-01-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 15 9 — — $99,654.26 $99,654.26 $99,654.26 2025-01-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 4 3 — — $99,897.57 $99,897.57 $99,897.57 2025-01-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 15 9 — — $100,016.07 $100,016.07 $100,016.07 2025-01-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 17 11 — — $103,067.82 $103,067.82 $103,067.82 2025-01-01
652 MS_DRG Kidney Transplant 4 4 — — $103,655.56 $103,655.56 $103,655.56 2025-01-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 5 4 — — $105,780.40 $105,780.40 $105,780.40 2025-01-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 7 5 — — $107,132.35 $107,132.35 $107,132.35 2025-01-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — $107,454.82 $107,454.82 $107,454.82 2025-01-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 9 — — $109,096.04 $109,096.04 $109,096.04 2025-01-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 14 10 — — $109,693.91 $109,693.91 $109,693.91 2025-01-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 13 9 — — $110,221.49 $110,221.49 $110,221.49 2025-01-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 8 5 — — $111,394.24 $111,394.24 $111,394.24 2025-01-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 5 3 — — $111,716.73 $111,716.73 $111,716.73 2025-01-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 3 3 — — $113,466.06 $113,466.06 $113,466.06 2025-01-01
9110 OTHER Inj, Tremelimumab-actl, 1 Mg 5 4 — — $116,705.56 $116,705.56 $116,705.56 2025-01-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 12 9 — — $119,857.12 $119,857.12 $119,857.12 2025-01-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 4 3 — — $121,105.70 $121,105.70 $121,105.70 2025-01-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 5 3 — — $121,562.57 $121,562.57 $121,562.57 2025-01-01
9067 OTHER Lutetium Lu 177 Dotatat Ther 7 6 — — $122,523.66 $122,523.66 $122,523.66 2025-01-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 21 12 — — $123,986.74 $123,986.74 $123,986.74 2025-01-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 6 — — $128,971.99 $128,971.99 $128,971.99 2025-01-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 16 12 — — $130,207.60 $130,207.60 $130,207.60 2025-01-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 14 8 — — $130,875.96 $130,875.96 $130,875.96 2025-01-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 8 6 — — $131,722.67 $131,722.67 $131,722.67 2025-01-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 14 10 — — $136,892.49 $136,892.49 $136,892.49 2025-01-01
9054 OTHER Lutetium Lu 177 Vipivotide 5 4 — — $137,878.35 $137,878.35 $137,878.35 2025-01-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 12 — — $139,935.29 $139,935.29 $139,935.29 2025-01-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 2 2 — — $144,110.23 $144,110.23 $144,110.23 2025-01-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 9 8 — — $152,362.30 $152,362.30 $152,362.30 2025-01-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 1 1 — — $153,832.83 $153,832.83 $153,832.83 2025-01-01
215 MS_DRG Other Heart Assist System Implant 7 5 — — $157,203.05 $157,203.05 $157,203.05 2025-01-01
9261 OTHER Ustekinumab Sub Cu Inj, 1 Mg 1 1 — — $157,821.51 $157,821.51 $157,821.51 2025-01-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 6 4 — — $158,341.80 $158,341.80 $158,341.80 2025-01-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 11 9 — — $160,269.65 $160,269.65 $160,269.65 2025-01-01
28 MS_DRG Spinal Procedures With Mcc 6 5 — — $164,562.48 $164,562.48 $164,562.48 2025-01-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 18 11 — — $174,976.00 $174,976.00 $174,976.00 2025-01-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 2 2 — — $177,617.39 $177,617.39 $177,617.39 2025-01-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 15 11 — — $188,051.11 $188,051.11 $188,051.11 2025-01-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 3 3 — — $205,144.35 $205,144.35 $205,144.35 2025-01-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 4 4 — — $239,349.90 $239,349.90 $239,349.90 2025-01-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 12 — — $250,497.35 $250,497.35 $250,497.35 2025-01-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 11 — — $251,025.90 $251,025.90 $251,025.90 2025-01-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 9 7 — — $308,980.52 $308,980.52 $308,980.52 2025-01-01
14 MS_DRG Allogeneic Bone Marrow Transplant 6 6 — — $357,103.32 $357,103.32 $357,103.32 2025-01-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 2 2 — — $441,061.80 $441,061.80 $441,061.80 2025-01-01
9394 OTHER Inj. Inebilizumab-cdon, 1 Mg 1 1 — — $655,956.95 $655,956.95 $655,956.95 2025-01-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 5 4 — — $861,663.83 $861,663.83 $861,663.83 2025-01-01
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