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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

NEMOURS CHILDREN'S HOSPITAL, DELAWARE

Wilmington, DE · CCN 083300 · Rates published

4,834 distinct procedures filed
42 distinct payers
328,187 rate rows
2026-03-10 last MRF observed
Data quality

327,706 of 328,187 rate rows are consumer-grade (99.9%)

481 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
percent-of-charges filed in the dollar field — excluded from medians 356
per-diem day rate — not a per-procedure price 97
exceeds 10× this hospital's gross charge — excluded from medians 22
placeholder amount (≤ $0.02) — excluded from medians 4
exceeds 3× this hospital's gross charge for a DRG stay — excluded 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nemours.org/content/dam/nemours/nemours-org/en/documents/590634433-1467505073_Nemours-Childrens-Hospital_standardcharges.csv
Found on page https://www.nemours.org/patientfamily/hospital-charges.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 4ac6d80a2345297e… · 111,220,220 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 1 $2,530,853.20 $2,530,853.20 $2,530,853.20 nat. median
$265,286
outlier · 9.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $1,770,834.54 $1,770,834.54 $1,770,834.54 nat. median
$133,161
outlier · 13.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $1,277,916.32 $1,277,916.32 $1,277,916.32 nat. median
$370,174
outlier · 3.5×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $1,170,805.40 $1,170,805.40 $1,170,805.40 nat. median
$202,976
outlier · 5.8×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 1 $755,644.88 $755,644.88 $755,644.88 nat. median
$42,444
outlier · 17.8×
239
MS_DRG 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $746,951.26 $746,951.26 $746,951.26 nat. median
$47,740
outlier · 15.6×
350
MS_DRG 		Inguinal And Femoral Hernia Procedures With Mcc 1 $743,572.56 $743,654.54 $743,572.56 nat. median
$24,405
outlier · 30.5×
353
MS_DRG 		Hernia Procedures Except Inguinal And Femoral With Mcc 1 $641,427.80 $641,427.80 $641,427.80 nat. median
$28,775
outlier · 22.3×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 $627,859.86 $627,859.86 $627,859.86 nat. median
$93,672
outlier · 6.7×
423
MS_DRG 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $620,622.62 $620,622.62 $620,622.62 nat. median
$40,166
outlier · 15.5×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 1 $589,539.84 $589,539.84 $589,539.84 nat. median
$52,303
outlier · 11.3×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $494,787.56 $494,787.56 $494,787.56 nat. median
$56,696
outlier · 8.7×
335
MS_DRG 		Peritoneal Adhesiolysis With Mcc 1 $489,282.20 $489,282.20 $489,282.20 nat. median
$35,058
outlier · 14.0×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 1 $399,722.08 $399,722.08 $399,722.08 nat. median
$51,307
outlier · 7.8×
116
MS_DRG 		Intraocular Procedures With Cc/mcc 1 $379,558.96 $379,558.96 $379,558.96 nat. median
$17,976
outlier · 21.1×
351
MS_DRG 		Inguinal And Femoral Hernia Procedures With Cc 1 $365,173.80 $365,173.80 $365,173.80 nat. median
$15,589
outlier · 23.4×
2
APR_DRG 		Heart And/or Lung Transplant,extreme 2 $302,348.26 $400,823.23 $351,585.74 nat. median
$136,483
outlier · 2.6×
292
MS_DRG 		Heart Failure And Shock With Cc 1 $349,553.82 $349,553.82 $349,553.82 nat. median
$9,635
outlier · 36.3×
J2326
HCPCS 		Nusinersen 12 Mg/5ml Intrathecal Soln 38 $1,119.60 $621,771.00 $348,191.76 nat. median
$2,675
outlier · 130.1×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 $332,409.60 $332,409.60 $332,409.60 nat. median
$68,886
outlier · 4.8×
628
MS_DRG 		Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 1 $322,708.52 $322,708.52 $322,708.52 nat. median
$37,234
outlier · 8.7×
140
MS_DRG 		Major Head And Neck Procedures With Mcc 1 $318,372.44 $318,372.44 $318,372.44 nat. median
$40,208
outlier · 7.9×
344
MS_DRG 		Minor Small And Large Bowel Procedures With Mcc 1 $305,953.48 $305,953.48 $305,953.48 nat. median
$25,891
outlier · 11.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 1 $287,228.76 $287,228.76 $287,228.76 nat. median
$59,099
outlier · 4.9×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $287,011.84 $287,011.84 $287,011.84 nat. median
$62,134
outlier · 4.6×
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 1 $286,959.06 $286,959.06 $286,959.06 nat. median
$45,125
outlier · 6.4×
651
MS_DRG 		Kidney Transplant With Hemodialysis Without Mcc 1 $283,701.78 $283,701.78 $283,701.78 nat. median
$35,527
outlier · 8.0×
976
MS_DRG 		HIV With Major Related Condition Without Cc/mcc 1 $270,745.74 $270,745.74 $270,745.74 nat. median
$10,373
outlier · 26.1×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 1 $261,129.92 $261,129.92 $261,129.92 nat. median
$64,732
outlier · 4.0×
821
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 $259,567.16 $259,585.96 $259,567.16 nat. median
$22,649
outlier · 11.5×
430
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 1 $257,283.36 $257,283.36 $257,283.36 nat. median
$54,592
outlier · 4.7×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $252,287.82 $252,287.82 $252,287.82 nat. median
$81,118
outlier · 3.1×
650
MS_DRG 		Kidney Transplant With Hemodialysis With Mcc 1 $252,155.00 $252,155.00 $252,155.00 nat. median
$45,278
outlier · 5.6×
PX-9029732
CDM 		Hvad Sterile Implant Set 37 $87,055.34 $436,149.00 $248,604.93 nat. median
$248,605
1.0× median
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 1 $248,576.98 $248,576.98 $248,576.98 nat. median
$66,526
outlier · 3.7×
850
MS_DRG 		Acute Leukemia With Other Procedures 1 $247,834.00 $247,834.00 $247,834.00 nat. median
$83,470
outlier · 3.0×
609
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 2 $211,178.29 $279,959.16 $245,568.72 nat. median
$95,296
outlier · 2.6×
791
MS_DRG 		Prematurity With Major Problems 1 $243,982.80 $243,982.80 $243,982.80 nat. median
$35,271
outlier · 6.9×
9
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo),extreme 2 $208,094.68 $275,871.21 $241,982.95 nat. median
$167,999
1.4× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $227,022.44 $227,022.44 $227,022.44 nat. median
$68,090
outlier · 3.3×
834
MS_DRG 		Acute Leukemia With Mcc 1 $221,025.24 $221,025.24 $221,025.24 nat. median
$53,172
outlier · 4.2×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 1 $218,890.26 $218,890.26 $218,890.26 nat. median
$48,178
outlier · 4.5×
824
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 $218,734.82 $218,734.82 $218,734.82 nat. median
$22,782
outlier · 9.6×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 $218,092.76 $218,092.76 $218,092.76 nat. median
$77,570
outlier · 2.8×
614
MS_DRG 		Adrenal And Pituitary Procedures With Cc/mcc 1 $218,040.56 $218,040.56 $218,040.56 nat. median
$22,640
outlier · 9.6×
80
MS_DRG 		Nontraumatic Stupor And Coma With Mcc 1 $217,883.96 $217,883.96 $217,883.96 nat. median
$18,931
outlier · 11.5×
58
MS_DRG 		Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 $212,898.28 $212,898.28 $212,898.28 nat. median
$17,928
outlier · 11.9×
408
MS_DRG 		Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 $210,196.06 $210,196.06 $210,196.06 nat. median
$34,943
outlier · 6.0×
630
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,extreme 2 $177,266.12 $235,001.77 $206,133.95 nat. median
$108,527
1.9× median
11
MS_DRG 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $206,026.44 $206,026.44 $206,026.44 nat. median
$52,857
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 4,834 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
             
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 3 1 $4,263,208.00 $4,263,208.00 $2,530,853.20 $2,530,853.20 $2,530,853.20 2026-03-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 3 1 $2,920,816.00 $2,920,816.00 $1,770,834.54 $1,770,834.54 $1,770,834.54 2026-03-10
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 3 1 $2,203,304.00 $2,203,304.00 $1,277,916.32 $1,277,916.32 $1,277,916.32 2026-03-10
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 3 1 $2,018,630.00 $2,018,630.00 $1,170,805.40 $1,170,805.40 $1,170,805.40 2026-03-10
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 3 1 $1,302,915.00 $1,302,915.00 $755,644.88 $755,644.88 $755,644.88 2026-03-10
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 3 1 $1,287,847.00 $1,287,847.00 $746,951.26 $746,951.26 $746,951.26 2026-03-10
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 3 1 $1,285,896.00 $1,285,896.00 $743,572.56 $743,654.54 $743,572.56 2026-03-10
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 3 1 $1,105,910.00 $1,105,910.00 $641,427.80 $641,427.80 $641,427.80 2026-03-10
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 1 $1,087,131.00 $1,087,131.00 $627,859.86 $627,859.86 $627,859.86 2026-03-10
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 3 1 $1,082,744.00 $1,082,744.00 $620,622.62 $620,622.62 $620,622.62 2026-03-10
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 4 1 $1,016,448.00 $1,016,448.00 $589,539.84 $589,539.84 $589,539.84 2026-03-10
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 3 1 $921,651.00 $921,651.00 $494,787.56 $494,787.56 $494,787.56 2026-03-10
335 MS_DRG Peritoneal Adhesiolysis With Mcc 3 1 $850,899.00 $850,899.00 $489,282.20 $489,282.20 $489,282.20 2026-03-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 4 1 $689,176.00 $689,176.00 $399,722.08 $399,722.08 $399,722.08 2026-03-10
116 MS_DRG Intraocular Procedures With Cc/mcc 3 1 $654,412.00 $654,412.00 $379,558.96 $379,558.96 $379,558.96 2026-03-10
351 MS_DRG Inguinal And Femoral Hernia Procedures With Cc 3 1 $629,919.00 $629,919.00 $365,173.80 $365,173.80 $365,173.80 2026-03-10
2 APR_DRG Heart And/or Lung Transplant,extreme 2 2 $4,263,208.00 — $302,348.26 $400,823.23 $351,585.74 2026-03-10
292 MS_DRG Heart Failure And Shock With Cc 3 1 $602,679.00 $602,679.00 $349,553.82 $349,553.82 $349,553.82 2026-03-10
J2326 HCPCS Nusinersen 12 Mg/5ml Intrathecal Soln 51 38 $621,771.00 $621,771.00 $1,119.60 $621,771.00 $348,191.76 2026-03-10
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 1 $574,237.00 $574,237.00 $332,409.60 $332,409.60 $332,409.60 2026-03-10
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 3 1 $564,544.00 $564,544.00 $322,708.52 $322,708.52 $322,708.52 2026-03-10
140 MS_DRG Major Head And Neck Procedures With Mcc 3 1 $548,918.00 $548,918.00 $318,372.44 $318,372.44 $318,372.44 2026-03-10
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 3 1 $537,037.00 $537,037.00 $305,953.48 $305,953.48 $305,953.48 2026-03-10
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 3 1 $495,222.00 $495,222.00 $287,228.76 $287,228.76 $287,228.76 2026-03-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 3 1 $494,912.00 $494,912.00 $287,011.84 $287,011.84 $287,011.84 2026-03-10
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 3 1 $495,045.00 $495,045.00 $286,959.06 $286,959.06 $286,959.06 2026-03-10
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 3 1 $491,631.00 $491,631.00 $283,701.78 $283,701.78 $283,701.78 2026-03-10
976 MS_DRG HIV With Major Related Condition Without Cc/mcc 3 1 $466,803.00 $466,803.00 $270,745.74 $270,745.74 $270,745.74 2026-03-10
955 MS_DRG Craniotomy For Multiple Significant Trauma 3 1 $454,852.00 $454,852.00 $261,129.92 $261,129.92 $261,129.92 2026-03-10
821 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Cc 3 1 $447,562.00 $447,562.00 $259,567.16 $259,585.96 $259,567.16 2026-03-10
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 3 1 $447,197.00 $447,197.00 $257,283.36 $257,283.36 $257,283.36 2026-03-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 $441,805.00 $441,805.00 $252,287.82 $252,287.82 $252,287.82 2026-03-10
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 3 1 $434,750.00 $434,750.00 $252,155.00 $252,155.00 $252,155.00 2026-03-10
PX-9029732 CDM Hvad Sterile Implant Set 48 37 $436,149.00 $436,149.00 $87,055.34 $436,149.00 $248,604.93 2026-03-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 3 1 $430,316.00 $430,316.00 $248,576.98 $248,576.98 $248,576.98 2026-03-10
850 MS_DRG Acute Leukemia With Other Procedures 3 1 $427,332.00 $427,332.00 $247,834.00 $247,834.00 $247,834.00 2026-03-10
609 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure,extreme 2 2 $4,249,733.00 — $211,178.29 $279,959.16 $245,568.72 2026-03-10
791 MS_DRG Prematurity With Major Problems 3 1 $434,524.00 $434,524.00 $243,982.80 $243,982.80 $243,982.80 2026-03-10
9 APR_DRG Extracorporeal Membrane Oxygenation (ecmo),extreme 2 2 $2,140,516.00 — $208,094.68 $275,871.21 $241,982.95 2026-03-10
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 4 1 $398,404.00 $398,404.00 $227,022.44 $227,022.44 $227,022.44 2026-03-10
834 MS_DRG Acute Leukemia With Mcc 4 1 $379,449.00 $379,449.00 $221,025.24 $221,025.24 $221,025.24 2026-03-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 3 1 $377,397.00 $377,397.00 $218,890.26 $218,890.26 $218,890.26 2026-03-10
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 3 1 $377,129.00 $377,129.00 $218,734.82 $218,734.82 $218,734.82 2026-03-10
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 3 1 $377,203.00 $377,203.00 $218,092.76 $218,092.76 $218,092.76 2026-03-10
614 MS_DRG Adrenal And Pituitary Procedures With Cc/mcc 3 1 $387,265.00 $387,265.00 $218,040.56 $218,040.56 $218,040.56 2026-03-10
80 MS_DRG Nontraumatic Stupor And Coma With Mcc 3 1 $385,670.00 $385,670.00 $217,883.96 $217,883.96 $217,883.96 2026-03-10
58 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Mcc 3 1 $367,194.00 $367,194.00 $212,898.28 $212,898.28 $212,898.28 2026-03-10
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 1 $362,409.00 $362,409.00 $210,196.06 $210,196.06 $210,196.06 2026-03-10
630 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure,extreme 2 2 $904,511.00 — $177,266.12 $235,001.77 $206,133.95 2026-03-10
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 3 1 $355,218.00 $355,218.00 $206,026.44 $206,026.44 $206,026.44 2026-03-10
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 3 1 $349,575.00 $349,575.00 $202,753.50 $202,753.50 $202,753.50 2026-03-10
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 5 2 $1,632,052.00 $1,632,052.00 $202,650.00 $1,441,265.13 $202,650.00 2026-03-10
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 3 1 $343,949.00 $343,949.00 $199,490.42 $199,490.42 $199,490.42 2026-03-10
583 APR_DRG Neonate With Ecmo,moderate 3 2 $2,018,630.00 — $199,247.63 $264,142.68 $199,247.63 2026-03-10
564 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 4 1 $336,796.00 $336,796.00 $195,341.68 $195,341.68 $195,341.68 2026-03-10
PX-9047464 CDM Hvad Implant Kit 48 37 $339,045.00 $339,045.00 $67,673.38 $339,045.00 $193,255.65 2026-03-10
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 3 1 $326,016.00 $326,016.00 $188,850.90 $188,850.90 $188,850.90 2026-03-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 1 $311,261.00 $311,261.00 $179,946.16 $179,946.16 $179,946.16 2026-03-10
835 MS_DRG Acute Leukemia With Cc 3 1 $305,661.00 $305,661.00 $177,283.38 $177,283.38 $177,283.38 2026-03-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 1 $309,245.00 $309,245.00 $176,760.22 $176,760.22 $176,760.22 2026-03-10
141 MS_DRG Major Head And Neck Procedures With Cc 3 1 $304,688.00 $304,688.00 $174,739.50 $174,739.50 $174,739.50 2026-03-10
410 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 1 $299,956.00 $299,956.00 $173,974.48 $173,974.48 $173,974.48 2026-03-10
187 MS_DRG Pleural Effusion With Cc 3 1 $297,981.00 $297,981.00 $172,828.98 $172,828.98 $172,828.98 2026-03-10
560 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue With Cc 3 1 $292,714.00 $292,714.00 $169,774.12 $169,774.12 $169,774.12 2026-03-10
181 MS_DRG Respiratory Neoplasms With Cc 3 1 $293,323.00 $293,323.00 $168,147.80 $168,147.80 $168,147.80 2026-03-10
137 MS_DRG Mouth Procedures With Cc/mcc 3 1 $284,111.00 $284,111.00 $164,784.38 $164,784.38 $164,784.38 2026-03-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 3 1 $282,387.00 $282,387.00 $163,784.46 $163,784.46 $163,784.46 2026-03-10
471 MS_DRG Cervical Spinal Fusion With Mcc 3 1 $283,141.00 $283,141.00 $162,223.68 $162,223.68 $162,223.68 2026-03-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 1 $279,623.00 $279,623.00 $160,183.24 $160,183.24 $160,183.24 2026-03-10
271 MS_DRG Other Major Cardiovascular Procedures With Cc 3 1 $279,224.00 $279,224.00 $159,951.82 $159,951.82 $159,951.82 2026-03-10
14 MS_DRG Allogeneic Bone Marrow Transplant 3 1 $1,071,003.00 $1,071,003.00 $157,967.00 $157,967.00 $157,967.00 2026-03-10
591 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure,extreme 2 2 $1,356,634.00 — $135,243.40 $179,292.23 $157,267.82 2026-03-10
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 4 1 $266,878.00 $266,878.00 $154,789.24 $154,789.24 $154,789.24 2026-03-10
589 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 2 2 $95,246.00 — $132,019.14 $175,017.83 $153,518.48 2026-03-10
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 3 1 $263,031.00 $263,031.00 $152,557.98 $152,557.98 $152,557.98 2026-03-10
717 MS_DRG Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 3 1 $265,678.00 $265,678.00 $152,113.70 $152,113.70 $152,113.70 2026-03-10
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 3 1 $258,861.00 $258,861.00 $150,120.82 $150,120.82 $150,120.82 2026-03-10
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 3 1 $260,041.00 $260,041.00 $148,631.38 $148,631.38 $148,631.38 2026-03-10
602 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 2 2 $2,393,368.00 — $127,112.43 $168,513.00 $147,812.71 2026-03-10
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 1 $257,952.00 $257,952.00 $147,632.62 $147,632.62 $147,632.62 2026-03-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 1 $255,275.00 $255,275.00 $146,079.96 $146,079.96 $146,079.96 2026-03-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 3 1 $298,195.00 $298,195.00 $142,797.16 $142,797.16 $142,797.16 2026-03-10
347 MS_DRG Anal And Stomal Procedures With Mcc 3 1 $242,935.00 $242,935.00 $140,902.30 $140,902.30 $140,902.30 2026-03-10
38240 CPT Infusion-allogeneic 54 39 $245,914.00 $245,914.00 $262.34 $245,914.00 $140,170.98 2026-03-10
593 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure,major 2 2 $960,384.00 — $117,630.21 $155,942.42 $136,786.32 2026-03-10
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 3 1 $234,499.00 $234,499.00 $135,990.86 $135,990.86 $135,990.86 2026-03-10
288 MS_DRG Acute And Subacute Endocarditis With Mcc 3 1 $234,057.00 $234,057.00 $135,586.02 $135,586.02 $135,586.02 2026-03-10
631 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure,extreme 4 2 $378,887.50 — $54,174.94 $261,536.34 $134,550.68 2026-03-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 3 1 $230,764.00 $230,764.00 $133,768.88 $133,768.88 $133,768.88 2026-03-10
675 MS_DRG Other Kidney And Urinary Tract Procedures Without Cc/mcc 3 1 $228,798.00 $228,798.00 $132,702.84 $132,702.84 $132,702.84 2026-03-10
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 3 1 $228,135.00 $228,135.00 $132,299.74 $132,299.74 $132,299.74 2026-03-10
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 3 1 $225,749.00 $225,749.00 $130,915.86 $130,915.86 $130,915.86 2026-03-10
252 MS_DRG Other Vascular Procedures With Mcc 3 1 $223,141.00 $223,141.00 $129,366.10 $129,366.10 $129,366.10 2026-03-10
265 MS_DRG Aicd Lead Procedures 3 1 $222,178.00 $222,178.00 $128,863.24 $128,863.24 $128,863.24 2026-03-10
686 MS_DRG Kidney And Urinary Tract Neoplasms With Mcc 3 1 $216,366.00 $216,366.00 $125,492.28 $125,492.28 $125,492.28 2026-03-10
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 3 1 $219,605.00 $219,605.00 $125,391.36 $125,391.36 $125,391.36 2026-03-10
799 MS_DRG Splenic Procedures With Mcc 3 1 $229,377.00 $229,377.00 $125,120.50 $125,120.50 $125,120.50 2026-03-10
5 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure,extreme 2 2 $2,907,446.00 — $106,721.87 $141,481.23 $124,101.55 2026-03-10
264 MS_DRG Other Circulatory System O.r. Procedures 3 1 $213,637.00 $213,637.00 $123,064.40 $123,064.40 $123,064.40 2026-03-10
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 1 $213,313.00 $213,313.00 $121,649.20 $121,649.20 $121,649.20 2026-03-10
J9226 HCPCS Histrelin Acetate (cpp) 50 Mg Subcutaneous Kit 50 37 $213,272.00 $213,272.00 $42,569.09 $213,272.00 $121,565.04 2026-03-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 4 1 $204,951.00 $204,951.00 $118,871.58 $118,871.58 $118,871.58 2026-03-10
41 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 3 1 $204,884.00 $204,884.00 $118,814.16 $118,814.16 $118,814.16 2026-03-10
769 MS_DRG Postpartum And Post Abortion Diagnoses With O.r. Procedures 3 1 $204,966.00 $204,966.00 $118,750.36 $118,750.36 $118,750.36 2026-03-10
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 4 1 $203,789.00 $203,789.00 $118,197.62 $118,197.62 $118,197.62 2026-03-10
42 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures Without Cc/mcc 3 1 $201,505.00 $201,505.00 $116,835.78 $116,835.78 $116,835.78 2026-03-10
7 APR_DRG Allogeneic Bone Marrow Transplant,major 2 2 $1,299,885.00 — $100,472.23 $133,196.07 $116,834.15 2026-03-10
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 4 1 $196,766.00 $196,766.00 $113,941.58 $113,941.58 $113,941.58 2026-03-10
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 3 1 $3,162,681.00 $3,162,681.00 $113,663.00 $113,663.00 $113,663.00 2026-03-10
53 MS_DRG Spinal Disorders And Injuries Without Cc/mcc 3 1 $194,866.00 $194,866.00 $113,022.28 $113,022.28 $113,022.28 2026-03-10
570 MS_DRG Skin Debridement With Mcc 3 1 $194,790.00 $194,790.00 $111,743.96 $111,743.96 $111,743.96 2026-03-10
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 3 1 $192,434.00 $192,434.00 $111,611.72 $111,611.72 $111,611.72 2026-03-10
465 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 1 $189,879.00 $189,879.00 $110,129.82 $110,129.82 $110,129.82 2026-03-10
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 3 1 $193,200.00 $193,200.00 $110,039.34 $110,039.34 $110,039.34 2026-03-10
J0801 HCPCS Corticotropin 80 Unit/ml Inj Gel 50 37 $192,542.00 $192,542.00 $38,431.38 $192,542.00 $109,748.94 2026-03-10
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 3 1 $185,247.00 $185,247.00 $107,424.70 $107,424.70 $107,424.70 2026-03-10
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 3 1 $184,948.86 $184,948.86 $107,270.34 $107,270.34 $107,270.34 2026-03-10
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 3 1 $182,641.00 $182,641.00 $105,913.22 $105,913.22 $105,913.22 2026-03-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 3 1 $182,511.00 $182,511.00 $105,856.38 $105,856.38 $105,856.38 2026-03-10
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 3 1 $182,250.00 $182,250.00 $105,537.96 $105,537.96 $105,537.96 2026-03-10
607 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 2 2 $1,538,183.00 — $89,513.23 $118,667.73 $104,090.48 2026-03-10
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 3 1 $178,325.00 $178,325.00 $103,428.50 $103,428.50 $103,428.50 2026-03-10
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 1 $176,427.00 $176,427.00 $101,661.24 $101,661.24 $101,661.24 2026-03-10
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 3 1 $175,068.00 $175,068.00 $101,539.44 $101,539.44 $101,539.44 2026-03-10
652 MS_DRG Kidney Transplant 3 1 $568,899.00 $568,899.00 $100,800.00 $100,800.00 $100,800.00 2026-03-10
348 MS_DRG Anal And Stomal Procedures With Cc 3 1 $179,264.00 $179,264.00 $99,884.12 $99,884.12 $99,884.12 2026-03-10
901 MS_DRG Wound Debridements For Injuries With Mcc 3 1 $169,573.00 $169,573.00 $98,129.62 $98,129.62 $98,129.62 2026-03-10
611 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly,extreme 2 2 $2,173,331.00 — $83,922.95 $111,256.69 $97,589.82 2026-03-10
407 MS_DRG Pancreas, Liver And Shunt Procedures Without Cc/mcc 3 1 $167,828.00 $167,828.00 $97,321.68 $97,321.68 $97,321.68 2026-03-10
192 MS_DRG Chronic Obstructive Pulmonary Disease Without Cc/mcc 3 1 $167,763.00 $167,763.00 $97,283.98 $97,283.98 $97,283.98 2026-03-10
653 MS_DRG Major Bladder Procedures With Mcc 3 1 $167,679.00 $167,679.00 $97,253.82 $97,253.82 $97,253.82 2026-03-10
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 3 2 $252,414.00 — $82,812.41 $94,361.48 $94,361.48 2026-03-10
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/mcc 3 1 $157,624.00 $157,624.00 $91,421.92 $91,421.92 $91,421.92 2026-03-10
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 3 1 $157,302.00 $157,302.00 $91,235.16 $91,235.16 $91,235.16 2026-03-10
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 3 1 $156,562.00 $156,562.00 $90,713.16 $90,713.16 $90,713.16 2026-03-10
682 MS_DRG Renal Failure With Mcc 3 1 $152,513.00 $152,513.00 $88,457.54 $88,457.54 $88,457.54 2026-03-10
190 MS_DRG Chronic Obstructive Pulmonary Disease With Mcc 3 1 $149,926.00 $149,926.00 $86,957.08 $86,957.08 $86,957.08 2026-03-10
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 3 1 $149,906.00 $149,906.00 $86,926.92 $86,926.92 $86,926.92 2026-03-10
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 3 1 $149,684.00 $149,684.00 $86,816.72 $86,816.72 $86,816.72 2026-03-10
142 MS_DRG Major Head And Neck Procedures Without Cc/mcc 3 1 $149,032.00 $149,032.00 $86,438.56 $86,438.56 $86,438.56 2026-03-10
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 3 1 $146,860.00 $146,860.00 $85,160.24 $85,160.24 $85,160.24 2026-03-10
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 3 2 $1,461,061.00 — $74,059.67 $84,388.09 $84,388.09 2026-03-10
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 3 1 $148,671.00 $148,671.00 $84,285.60 $84,285.60 $84,285.60 2026-03-10
792 MS_DRG Prematurity Without Major Problems 4 1 $144,941.00 $144,941.00 $84,065.78 $84,065.78 $84,065.78 2026-03-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 3 1 $144,655.00 $144,655.00 $83,899.90 $83,899.90 $83,899.90 2026-03-10
500 MS_DRG Soft Tissue Procedures With Mcc 4 1 $143,756.00 $143,756.00 $83,378.48 $83,378.48 $83,378.48 2026-03-10
196 MS_DRG Interstitial Lung Disease With Mcc 3 1 $143,043.00 $143,043.00 $82,964.94 $82,964.94 $82,964.94 2026-03-10
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 2 $297,277.00 — $77,217.84 $87,986.70 $82,602.27 2026-03-10
513 MS_DRG Hand Or Wrist Procedures, Except Major Thumb Or Joint Procedures With Cc/mcc 3 1 $142,246.00 $142,246.00 $82,502.68 $82,502.68 $82,502.68 2026-03-10
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 3 1 $140,584.00 $140,584.00 $81,538.72 $81,538.72 $81,538.72 2026-03-10
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 3 1 $138,013.00 $138,013.00 $80,047.54 $80,047.54 $80,047.54 2026-03-10
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 3 1 $137,421.00 $137,421.00 $79,685.62 $79,685.62 $79,685.62 2026-03-10
308 MS_DRG Cardiac Arrhythmia And Conduction Disorders With Mcc 3 1 $137,593.00 $137,593.00 $79,655.46 $79,655.46 $79,655.46 2026-03-10
336 MS_DRG Peritoneal Adhesiolysis With Cc 3 1 $136,112.00 $136,112.00 $78,889.28 $78,889.28 $78,889.28 2026-03-10
PX-9006982 CDM Berlin Heart Pump 48 37 $137,490.00 $137,490.00 $27,443.00 $137,490.00 $78,369.30 2026-03-10
253 MS_DRG Other Vascular Procedures With Cc 3 1 $136,919.00 $136,919.00 $77,996.66 $77,996.66 $77,996.66 2026-03-10
409 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 3 1 $134,589.00 $134,589.00 $77,894.58 $77,894.58 $77,894.58 2026-03-10
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 3 1 $135,085.00 $135,085.00 $77,056.48 $77,056.48 $77,056.48 2026-03-10
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 3 1 $132,705.00 $132,705.00 $76,950.34 $76,950.34 $76,950.34 2026-03-10
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 3 1 $128,633.00 $128,633.00 $74,607.14 $74,607.14 $74,607.14 2026-03-10
472 MS_DRG Cervical Spinal Fusion With Cc 3 1 $130,181.00 $130,181.00 $73,396.68 $73,396.68 $73,396.68 2026-03-10
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 3 1 $126,343.00 $126,343.00 $73,260.38 $73,260.38 $73,260.38 2026-03-10
433 MS_DRG Cirrhosis And Alcoholic Hepatitis With Cc 3 1 $129,959.00 $129,959.00 $72,698.36 $72,698.36 $72,698.36 2026-03-10
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 3 1 $126,824.00 $126,824.00 $72,693.72 $72,693.72 $72,693.72 2026-03-10
PX-9064223 CDM Cside Panel 48 39 $126,534.00 $126,534.00 $25,256.19 $126,534.00 $72,124.38 2026-03-10
446 MS_DRG Disorders Of The Biliary Tract Without Cc/mcc 3 1 $126,136.00 $126,136.00 $71,592.88 $71,592.88 $71,592.88 2026-03-10
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 3 1 $123,256.00 $123,256.00 $71,469.92 $71,469.92 $71,469.92 2026-03-10
783 MS_DRG Cesarean Section With Sterilization With Mcc 3 1 $123,013.00 $123,013.00 $71,347.54 $71,347.54 $71,347.54 2026-03-10
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 3 1 $122,733.00 $122,733.00 $71,166.58 $71,166.58 $71,166.58 2026-03-10
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 3 1 $122,281.00 $122,281.00 $70,922.98 $70,922.98 $70,922.98 2026-03-10
PX-9032125 CDM Melody Transcatheter Pulmonary Valve 48 37 $123,330.00 $123,330.00 $24,616.67 $123,330.00 $70,298.10 2026-03-10
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 54 38 $123,404.00 $123,404.00 $24,631.44 $123,404.00 $69,723.26 2026-03-10
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 3 1 $119,903.00 $119,903.00 $69,543.74 $69,543.74 $69,543.74 2026-03-10
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 1 $118,825.00 $118,825.00 $68,918.50 $68,918.50 $68,918.50 2026-03-10
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/mcc 3 1 $119,078.00 $119,078.00 $68,898.20 $68,898.20 $68,898.20 2026-03-10
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 3 1 $129,135.00 $129,135.00 $68,829.76 $68,829.76 $68,829.76 2026-03-10
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 1 $118,291.00 $118,291.00 $68,608.78 $68,608.78 $68,608.78 2026-03-10
503 MS_DRG Foot Procedures With Mcc 3 1 $117,904.00 $117,904.00 $68,347.20 $68,347.20 $68,347.20 2026-03-10
566 MS_DRG Other Musculoskeletal System And Connective Tissue Diagnoses Without Cc/mcc 3 1 $117,291.00 $117,291.00 $68,028.78 $68,028.78 $68,028.78 2026-03-10
314 MS_DRG Other Circulatory System Diagnoses With Mcc 3 1 $117,217.00 $117,217.00 $67,985.86 $67,985.86 $67,985.86 2026-03-10
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 4 1 $117,089.00 $117,089.00 $67,893.06 $67,893.06 $67,893.06 2026-03-10
542 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 3 1 $117,042.00 $117,042.00 $67,828.68 $67,828.68 $67,828.68 2026-03-10
910 APR_DRG Craniotomy For Multiple Significant Trauma,extreme 2 2 $454,852.00 — $58,078.23 $76,994.33 $67,536.28 2026-03-10
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 1 $115,848.00 $115,848.00 $67,117.60 $67,117.60 $67,117.60 2026-03-10
163 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis,extreme 4 2 $264,317.00 — $46,906.75 $93,861.37 $66,492.82 2026-03-10
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 3 1 $114,892.00 $114,892.00 $66,454.66 $66,454.66 $66,454.66 2026-03-10
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 3 1 $113,083.00 $113,083.00 $65,569.58 $65,569.58 $65,569.58 2026-03-10
33240 CPT Insertion Of Implantable Defib Pulse Generator W/Existing Sngle Lead 53 39 $114,932.00 $114,932.00 $392.06 $114,932.00 $65,511.24 2026-03-10
787 MS_DRG Cesarean Section Without Sterilization With Cc 3 1 $112,818.00 $112,818.00 $65,434.44 $65,434.44 $65,434.44 2026-03-10
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 3 1 $112,809.00 $112,809.00 $65,429.22 $65,429.22 $65,429.22 2026-03-10
561 MS_DRG Aftercare, Musculoskeletal System And Connective Tissue Without Cc/mcc 4 1 $112,316.00 $112,316.00 $65,143.28 $65,143.28 $65,143.28 2026-03-10
287 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization Without Mcc 3 1 $112,268.00 $112,268.00 $64,985.52 $64,985.52 $64,985.52 2026-03-10
793 MS_DRG Full Term Neonate With Major Problems 4 1 $111,523.00 $111,523.00 $64,683.34 $64,683.34 $64,683.34 2026-03-10
786 MS_DRG Cesarean Section Without Sterilization With Mcc 3 1 $110,441.00 $110,441.00 $64,055.78 $64,055.78 $64,055.78 2026-03-10
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 3 1 $110,272.00 $110,272.00 $63,939.20 $63,939.20 $63,939.20 2026-03-10
422 MS_DRG Hepatobiliary Diagnostic Procedures Without Cc/mcc 3 1 $110,311.00 $110,311.00 $63,887.58 $63,887.58 $63,887.58 2026-03-10
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 3 1 $109,876.00 $109,876.00 $63,728.08 $63,728.08 $63,728.08 2026-03-10
497 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 3 1 $109,218.00 $109,218.00 $63,327.88 $63,327.88 $63,327.88 2026-03-10
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 3 1 $113,668.00 $113,668.00 $63,320.34 $63,320.34 $63,320.34 2026-03-10
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 3 1 $109,062.00 $109,062.00 $63,218.84 $63,218.84 $63,218.84 2026-03-10
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 3 1 $108,904.00 $108,904.00 $63,124.65 $63,164.32 $63,124.65 2026-03-10
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 3 1 $108,669.00 $108,669.00 $63,028.02 $63,028.02 $63,028.02 2026-03-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 3 1 $108,288.00 $108,288.00 $62,769.92 $62,769.92 $62,769.92 2026-03-10
93653 CPT Ep Eval With Ablation Supravent Arrhythmia 59 39 $109,468.00 $109,468.00 $899.23 $109,468.00 $62,396.76 2026-03-10
37182 CPT Insertion Of Transvenous Intrahepatic Portosystemic Shunts 52 39 $109,468.00 $109,468.00 $866.62 $109,468.00 $62,396.76 2026-03-10
33745 CPT Transcatheter Intracardiac Shunt Cardiac Anomalies, Initial Shunt 52 39 $109,468.00 $109,468.00 $1,156.77 $109,468.00 $62,396.76 2026-03-10
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 3 1 $107,652.00 $107,652.00 $62,382.48 $62,382.48 $62,382.48 2026-03-10
69 MS_DRG Transient Ischemia Without Thrombolytic 3 1 $106,554.00 $106,554.00 $61,745.64 $61,745.64 $61,745.64 2026-03-10
654 MS_DRG Major Bladder Procedures With Cc 3 1 $106,132.00 $106,132.00 $61,449.26 $61,449.26 $61,449.26 2026-03-10
744 MS_DRG D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 3 1 $104,915.00 $104,915.00 $60,850.70 $60,850.70 $60,850.70 2026-03-10
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 3 1 $104,876.00 $104,876.00 $60,828.08 $60,828.08 $60,828.08 2026-03-10
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 3 2 $189,258.00 — $53,208.79 $60,629.32 $60,629.32 2026-03-10
179 APR_DRG Defibrillator Implants,extreme 2 2 $495,222.00 — $51,901.17 $68,805.41 $60,353.29 2026-03-10
784 MS_DRG Cesarean Section With Sterilization With Cc 3 1 $103,301.00 $103,301.00 $59,914.58 $59,914.58 $59,914.58 2026-03-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 3 1 $103,238.00 $103,238.00 $59,878.04 $59,878.04 $59,878.04 2026-03-10
869 MS_DRG Other Infectious And Parasitic Diseases Diagnoses Without Cc/mcc 3 1 $103,642.00 $103,642.00 $59,728.40 $59,728.40 $59,728.40 2026-03-10
296 MS_DRG Cardiac Arrest, Unexplained With Mcc 3 1 $103,940.00 $103,940.00 $59,581.66 $59,581.66 $59,581.66 2026-03-10
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 3 1 $101,722.00 $101,722.00 $58,980.20 $58,980.20 $58,980.20 2026-03-10
160 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly,extreme 6 2 $279,623.00 — $37,552.32 $167,770.20 $58,584.14 2026-03-10
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 3 1 $100,767.00 $100,767.00 $58,444.86 $58,444.86 $58,444.86 2026-03-10
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 3 1 $100,268.00 $100,268.00 $58,118.32 $58,118.32 $58,118.32 2026-03-10
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 3 1 $100,102.00 $100,102.00 $58,059.16 $58,059.16 $58,059.16 2026-03-10
785 MS_DRG Cesarean Section With Sterilization Without Cc/mcc 3 1 $98,827.00 $98,827.00 $57,319.66 $57,319.66 $57,319.66 2026-03-10
73 MS_DRG Cranial And Peripheral Nerve Disorders With Mcc 3 1 $97,973.00 $97,973.00 $56,824.34 $56,824.34 $56,824.34 2026-03-10
425 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures Without Cc/mcc 3 1 $97,716.00 $97,716.00 $56,675.28 $56,675.28 $56,675.28 2026-03-10
91 MS_DRG Other Disorders Of Nervous System With Mcc 3 1 $97,660.00 $97,660.00 $56,642.80 $56,642.80 $56,642.80 2026-03-10
755 MS_DRG Malignancy, Female Reproductive System With Cc 3 1 $96,846.00 $96,846.00 $56,170.68 $56,170.68 $56,170.68 2026-03-10
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 3 1 $96,739.00 $96,739.00 $56,108.62 $56,108.62 $56,108.62 2026-03-10
612 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 2 2 $315,051.00 — $47,986.54 $63,615.78 $55,801.16 2026-03-10
473 MS_DRG Cervical Spinal Fusion Without Cc/mcc 3 1 $95,855.00 $95,855.00 $55,595.90 $55,595.90 $55,595.90 2026-03-10
788 MS_DRG Cesarean Section Without Sterilization Without Cc/mcc 3 1 $95,699.00 $95,699.00 $55,505.42 $55,505.42 $55,505.42 2026-03-10
33901 CPT Perc Pulm Art Revsc Stent Place, Initial, Normal Native, Bilateral Facility Fee 50 38 $97,327.00 $97,327.00 $838.73 $97,327.00 $55,476.39 2026-03-10
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 3 1 $95,518.00 $95,518.00 $55,363.32 $55,363.32 $55,363.32 2026-03-10
963 MS_DRG Other Multiple Significant Trauma With Mcc 3 1 $96,299.00 $96,299.00 $54,557.70 $54,557.70 $54,557.70 2026-03-10
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 4 1 $93,919.00 $93,919.00 $54,473.02 $54,473.02 $54,473.02 2026-03-10
814 MS_DRG Reticuloendothelial And Immunity Disorders With Mcc 3 1 $100,612.00 $100,612.00 $54,377.32 $54,377.32 $54,377.32 2026-03-10
836 MS_DRG Acute Leukemia Without Cc/mcc 3 1 $93,534.00 $93,534.00 $54,231.16 $54,231.16 $54,231.16 2026-03-10
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 3 1 $92,895.00 $92,895.00 $53,879.10 $53,879.10 $53,879.10 2026-03-10
56 MS_DRG Degenerative Nervous System Disorders With Mcc 3 1 $93,036.00 $93,036.00 $53,868.08 $53,868.08 $53,868.08 2026-03-10
C1722 HCPCS Impl Card-defib Entrust Vr--d154vrc 98 37 $94,278.00 $94,278.00 $17,133.66 $102,716.00 $53,821.68 2026-03-10
164 MS_DRG Major Chest Procedures With Cc 3 1 $92,618.00 $92,618.00 $53,699.88 $53,699.88 $53,699.88 2026-03-10
93580 CPT Perc Transcath Clos Cong Inter Comm 56 39 $94,176.00 $94,176.00 $1,049.31 $94,176.00 $53,680.32 2026-03-10
93654 CPT Ep Eval With Ablation Vent Arrhythmia & 3d Mapping 51 38 $94,158.00 $94,158.00 $1,083.82 $94,158.00 $53,670.06 2026-03-10
C1721 HCPCS Impl Card-defib Secura Dr D224drg 194 38 $115,098.00 $115,098.00 $13,562.62 $119,708.00 $53,659.11 2026-03-10
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 3 1 $92,151.00 $92,151.00 $53,447.58 $53,447.58 $53,447.58 2026-03-10
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 3 1 $92,049.00 $92,049.00 $53,388.42 $53,388.42 $53,388.42 2026-03-10
33263 CPT Remove Imp Defib Pulse Generator W/Replace Imp Defib Dual Lead 54 40 $93,331.00 $93,331.00 $421.38 $93,331.00 $53,198.67 2026-03-10
70 MS_DRG Other Cerebrovascular Disorders With Mcc 3 1 $91,305.00 $91,305.00 $52,919.78 $52,919.78 $52,919.78 2026-03-10
535 MS_DRG Fractures Of Hip And Pelvis With Mcc 3 1 $92,022.00 $92,022.00 $52,785.22 $52,785.22 $52,785.22 2026-03-10
416 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. Without Cc/mcc 3 1 $90,830.00 $90,830.00 $52,681.40 $52,681.40 $52,681.40 2026-03-10
626 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Cc 3 1 $90,738.00 $90,738.00 $52,628.04 $52,628.04 $52,628.04 2026-03-10
93582 CPT Percutaneous Transcatheter Closure Patent Ductus Arteriosus 53 38 $91,809.00 $91,809.00 $711.83 $91,809.00 $52,331.13 2026-03-10
36906 CPT Intro Needle/Cath Transcath Plac Stent And Angi Within Dialysis Cir 53 39 $91,639.00 $91,639.00 $544.42 $91,639.00 $52,234.23 2026-03-10
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 3 1 $96,267.00 $96,267.00 $51,857.22 $51,857.22 $51,857.22 2026-03-10
303 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back,major 10 2 $372,632.00 — $32,709.13 $101,387.68 $51,297.08 2026-03-10
397 MS_DRG Appendix Procedures With Mcc 3 1 $88,397.00 $88,397.00 $51,270.26 $51,270.26 $51,270.26 2026-03-10
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 3 1 $88,381.00 $88,381.00 $51,184.19 $51,223.86 $51,184.19 2026-03-10
64590 CPT Insrt/Repl Periph/Sacral/Gastr Neurostim Plse Gen/Recvr Facility Fee 59 39 $89,166.00 $89,166.00 $685.80 $89,166.00 $50,824.62 2026-03-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 3 1 $87,792.00 $87,792.00 $50,789.44 $50,789.44 $50,789.44 2026-03-10
388 MS_DRG Gastrointestinal Obstruction With Mcc 3 1 $87,299.00 $87,299.00 $50,522.06 $50,522.06 $50,522.06 2026-03-10
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 4 1 $86,229.00 $86,229.00 $49,994.26 $49,994.26 $49,994.26 2026-03-10
657 MS_DRG Kidney And Ureter Procedures For Neoplasm With Cc 3 1 $86,155.00 $86,155.00 $49,969.90 $49,969.90 $49,969.90 2026-03-10
380 MS_DRG Complicated Peptic Ulcer With Mcc 3 1 $85,768.00 $85,768.00 $49,615.52 $49,615.52 $49,615.52 2026-03-10
501 MS_DRG Soft Tissue Procedures With Cc 3 1 $84,973.00 $84,973.00 $49,284.34 $49,284.34 $49,284.34 2026-03-10
831 MS_DRG Other Antepartum Diagnoses Without O.r. Procedures With Mcc 3 1 $84,857.00 $84,857.00 $49,217.06 $49,217.06 $49,217.06 2026-03-10
805 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Mcc 3 1 $84,857.00 $84,857.00 $49,217.06 $49,217.06 $49,217.06 2026-03-10
768 MS_DRG Vaginal Delivery With O.r. Procedures Except Sterilization And/or D&c 3 1 $84,704.00 $84,704.00 $49,128.32 $49,128.32 $49,128.32 2026-03-10
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 3 1 $85,735.00 $85,735.00 $49,059.30 $49,059.30 $49,059.30 2026-03-10
806 MS_DRG Vaginal Delivery Without Sterilization Or D&c With Cc 3 1 $84,040.00 $84,040.00 $48,724.64 $48,724.64 $48,724.64 2026-03-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 3 1 $83,793.00 $83,793.00 $48,599.94 $48,599.94 $48,599.94 2026-03-10
505 MS_DRG Foot Procedures Without Cc/mcc 3 1 $83,612.00 $83,612.00 $48,494.96 $48,494.96 $48,494.96 2026-03-10
332 MS_DRG Rectal Resection With Mcc 3 1 $83,481.00 $83,481.00 $48,418.98 $48,418.98 $48,418.98 2026-03-10
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 3 1 $83,242.00 $83,242.00 $48,280.36 $48,280.36 $48,280.36 2026-03-10
668 MS_DRG Transurethral Procedures With Mcc 3 1 $86,424.00 $86,424.00 $48,146.38 $48,146.38 $48,146.38 2026-03-10
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 3 1 $85,758.00 $85,758.00 $47,760.10 $47,760.10 $47,760.10 2026-03-10
748 MS_DRG Female Reproductive System Reconstructive Procedures 3 1 $81,740.00 $81,740.00 $47,372.08 $47,372.08 $47,372.08 2026-03-10
756 MS_DRG Malignancy, Female Reproductive System Without Cc/mcc 3 1 $81,326.00 $81,326.00 $47,169.08 $47,169.08 $47,169.08 2026-03-10
291 MS_DRG Heart Failure And Shock With Mcc 3 1 $80,857.00 $80,857.00 $46,897.06 $46,897.06 $46,897.06 2026-03-10
698 MS_DRG Other Kidney And Urinary Tract Diagnoses With Mcc 3 1 $80,659.00 $80,659.00 $46,782.22 $46,782.22 $46,782.22 2026-03-10
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 3 1 $80,602.00 $80,602.00 $46,749.16 $46,749.16 $46,749.16 2026-03-10
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 4 1 $80,948.00 $80,948.00 $44,878.05 $46,731.18 $46,731.18 2026-03-10
198 MS_DRG Interstitial Lung Disease Without Cc/mcc 3 1 $80,538.00 $80,538.00 $46,712.04 $46,712.04 $46,712.04 2026-03-10
499 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur Without… 3 1 $80,419.00 $80,419.00 $46,643.02 $46,643.02 $46,643.02 2026-03-10
193 MS_DRG Simple Pneumonia And Pleurisy With Mcc 4 1 $80,414.00 $80,414.00 $46,640.12 $46,640.12 $46,640.12 2026-03-10
304 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back,moderate 2 2 $313,659.00 — $39,969.00 $52,986.92 $46,477.96 2026-03-10
800 MS_DRG Splenic Procedures With Cc 3 1 $80,132.00 $80,132.00 $46,476.56 $46,476.56 $46,476.56 2026-03-10
729 MS_DRG Other Male Reproductive System Diagnoses With Cc/mcc 3 1 $79,769.00 $79,769.00 $46,266.02 $46,266.02 $46,266.02 2026-03-10
964 MS_DRG Other Multiple Significant Trauma With Cc 3 1 $79,750.00 $79,750.00 $46,217.88 $46,217.88 $46,217.88 2026-03-10
J3590 HCPCS Dinutuximab 17.5 Mg/5ml IV Soln 49 37 $80,951.00 $80,951.00 $16,157.82 $80,951.00 $46,142.07 2026-03-10
294 MS_DRG Deep Vein Thrombophlebitis With Cc/mcc 3 1 $79,223.00 $79,223.00 $45,949.34 $45,949.34 $45,949.34 2026-03-10
130 APR_DRG Respiratory System Diagnosis With Ventilator Support > 96 Hours,major 9 2 $494,912.00 — $21,688.12 $60,869.10 $45,914.67 2026-03-10
354 MS_DRG Hernia Procedures Except Inguinal And Femoral With Cc 3 1 $78,992.00 $78,992.00 $45,796.80 $45,796.80 $45,796.80 2026-03-10
113 MS_DRG Orbital Procedures With Cc/mcc 3 1 $78,788.00 $78,788.00 $45,697.04 $45,697.04 $45,697.04 2026-03-10
33274 CPT Transcath Insert/Replace Perm Pacemaker Right Ventricular Inclu Image 53 39 $80,102.00 $80,102.00 $518.72 $80,102.00 $45,658.14 2026-03-10
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 3 1 $78,478.00 $78,478.00 $45,443.00 $45,443.00 $45,443.00 2026-03-10
636 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection,extreme 2 2 $511,742.00 — $38,877.86 $51,540.40 $45,209.13 2026-03-10
0795T HCPCS Transcatheter Insert Prem Dual Chamber Leadless Pcmkr- Complete 49 37 $79,298.00 $79,298.00 $15,827.88 $79,298.00 $45,199.86 2026-03-10
0796T HCPCS Transcatheter Insert Rt Atrial Component For Dual Chamber Leadless Pcmkr When Rt… 49 37 $79,298.00 $79,298.00 $15,827.88 $79,298.00 $45,199.86 2026-03-10
0797T HCPCS Transcatheter Insert Rt Ventricular Component For Dual Chamber Leadless Pcmkr Wh… 49 37 $79,298.00 $79,298.00 $15,827.88 $79,298.00 $45,199.86 2026-03-10
229 OTHER Other Cardiothoracic Procedures Without Mcc 2 2 $245,059.00 — $42,200.37 $48,085.67 $45,143.02 2026-03-10
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