Price Transparencybeta 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

MOUNT SINAI MEDICAL CENTER OF FLORIDA, INC

Miami Beach, FL · CCN 100034 · Rates published

4,841 distinct procedures filed
74 distinct payers
1,363,129 rate rows
2026-08-01 last MRF observed
Data quality

1,282,031 of 1,363,129 rate rows are consumer-grade (94.1%)

81,098 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-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 32,994
per-diem day rate — not a per-procedure price 22,265
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 13,770
exceeds 10× this hospital's gross charge — excluded from medians 4,865
placeholder amount (≤ $0.02) — excluded from medians 4,224
template filing: same amount across many unrelated codes — excluded 2,039
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 728
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 213
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.msmc.com/wp-content/uploads/2026/03/590624424-mount-sinai-medical-center-of-florida-standardcharges.csv.zip
Found on page https://www.msmc.com/patients-visitors/patient-information/price-transparency/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-12
Content fingerprint ab3064e218697dff… · 18,877,629 bytes · first seen 2026-05-18

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
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 39 $2,055.06 $1,173,724.70 $450,445.77 nat. median
$168,055
outlier · 2.7×
7
MS_DRG 		Lung Transplant 38 $2,055.06 $788,536.08 $291,854.87 nat. median
$70,649
outlier · 4.1×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 39 $2,055.06 $676,777.19 $222,027.49 nat. median
$186,516
1.2× median
5884
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $221,000.00 $247,520.00 $221,000.00 nat. median
$286,698
0.8× median
5833
APR_DRG 		Neonate With Ecmo 10 $221,000.00 $247,520.00 $221,000.00 nat. median
$268,208
0.8× median
5834
APR_DRG 		Neonate With Ecmo 10 $221,000.00 $247,520.00 $221,000.00 nat. median
$390,362
0.6× median
6304
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $179,071.67 $236,652.05 $211,296.47 nat. median
$187,567
1.1× median
6314
APR_DRG 		Neonate Birth Weight > 2499 Grams With Other Major Procedure 10 $186,976.63 $221,149.87 $197,455.24 nat. median
$181,762
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 39 $2,055.06 $548,352.52 $179,519.16 nat. median
$131,925
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 39 $2,055.06 $512,588.58 $170,196.19 nat. median
$145,435
1.2× median
6094
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $165,000.00 $184,800.00 $165,000.00 nat. median
$198,578
0.8× median
113
APR_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 10 $131,545.36 $229,594.52 $147,330.80 nat. median
$68,335
outlier · 2.2×
5832
APR_DRG 		Neonate With Ecmo 10 $138,429.14 $162,761.49 $145,322.76 nat. median
$201,678
0.7× median
5883
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $132,000.00 $147,840.00 $132,000.00 nat. median
$173,134
0.8× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 39 $2,055.06 $337,798.82 $127,623.66 nat. median
$97,418
1.3× median
5934
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $121,000.00 $135,520.00 $121,000.00 nat. median
$168,439
0.7× median
5914
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $120,000.00 $134,400.00 $120,000.00 nat. median
$171,497
0.7× median
24
APR_DRG 		Heart And/or Lung Transplant 9 $111,047.26 $133,464.42 $119,164.66 nat. median
$225,531
0.5× median
5882
APR_DRG 		Neonate Birth Weight < 1500 Grams With Major Procedure 10 $108,772.56 $123,925.69 $110,647.94 nat. median
$152,383
0.7× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 39 $2,055.06 $302,827.30 $100,771.94 nat. median
$72,715
1.4× median
6024
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $100,000.00 $112,000.00 $100,000.00 nat. median
$124,731
0.8× median
5933
APR_DRG 		Neonate Birth Weight 750-999 Grams Without Major Procedure 10 $99,000.00 $110,880.00 $99,000.00 nat. median
$114,205
0.9× median
6074
APR_DRG 		Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 10 $97,101.66 $110,795.74 $98,924.77 nat. median
$100,752
1.0× median
1614
APR_DRG 		Implantable Heart Assist Systems 10 $88,926.10 $106,587.14 $95,167.09 nat. median
$202,242
outlier · 0.5×
6303
APR_DRG 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 10 $95,000.00 $106,400.00 $95,000.00 nat. median
$95,499
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 39 $2,055.06 $273,662.97 $94,668.11 nat. median
$65,418
1.4× median
3034
APR_DRG 		Dorsal And Lumbar Fusion Procedure For Curvature Of Back 10 $78,865.22 $103,173.78 $92,119.45 nat. median
$75,821
1.2× median
5913
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $91,000.00 $101,920.00 $91,000.00 nat. median
$120,079
0.8× median
8414
APR_DRG 		Extensive Third Degree Burns With Skin Graft 10 $79,102.08 $101,043.30 $90,217.23 nat. median
$173,018
0.5× median
6023
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 10 $88,854.73 $100,659.03 $89,874.13 nat. median
$95,757
0.9× median
969
MS_DRG 		HIV With Extensive O.r. Procedures With Mcc 39 $2,055.06 $228,056.37 $88,710.47 nat. median
$41,943
outlier · 2.1×
5893
APR_DRG 		Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational… 10 $87,000.00 $97,440.00 $87,000.00 nat. median
$77,096
1.1× median
212
MS_DRG 		Hip & Femur Procedures Except Major Joint Age 0-17 42 $2,055.06 $262,609.52 $85,730.41 nat. median
$74,509
1.2× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 38 $2,055.06 $248,998.57 $84,579.35 nat. median
$69,922
1.2× median
94
APR_DRG 		Extracorporeal Membrane Oxygenation (ecmo) 10 $75,232.49 $97,637.58 $84,260.39 nat. median
$152,792
0.6× median
6114
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Major Anomaly 10 $78,699.03 $92,150.20 $82,276.96 nat. median
$85,322
1.0× median
8634
APR_DRG 		Neonatal Aftercare 10 $80,469.81 $90,575.83 $80,871.28 nat. median
$79,210
1.0× median
215
MS_DRG 		Other Heart Assist System Implant 42 $2,055.06 $244,884.93 $80,804.95 nat. median
$73,023
1.1× median
6034
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 $80,000.00 $89,600.00 $80,000.00 nat. median
$115,963
0.7× median
5831
APR_DRG 		Neonate With Ecmo 10 $69,493.60 $91,557.76 $77,832.83 nat. median
$173,909
outlier · 0.4×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 39 $33,717.00 $236,254.62 $77,595.69 nat. median
$69,822
1.1× median
5912
APR_DRG 		Neonate Birth Weight 500-749 Grams Without Major Procedure 10 $68,150.11 $89,600.00 $76,328.12 nat. median
$85,835
0.9× median
74
APR_DRG 		Allogeneic Bone Marrow Transplant 9 $70,159.56 $84,684.73 $75,611.37 nat. median
$149,836
0.5× median
6093
APR_DRG 		Neonate Birth Weight 1500-2499 Grams With Major Procedure 10 $71,110.29 $79,759.80 $71,214.11 nat. median
$78,775
0.9× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 40 $2,055.06 $273,655.62 $70,365.93 nat. median
$2,106
outlier · 33.4×
6033
APR_DRG 		Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 10 $53,002.38 $78,077.38 $69,711.95 nat. median
$53,823
1.3× median
1613
APR_DRG 		Implantable Heart Assist Systems 10 $64,392.40 $77,987.07 $69,631.31 nat. median
$155,539
outlier · 0.4×
6124
APR_DRG 		Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 10 $64,812.32 $77,682.12 $69,359.04 nat. median
$71,851
1.0× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 39 $28,000.00 $203,582.08 $69,035.75 nat. median
$60,505
1.1× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 38 $25,308.00 $202,942.11 $68,910.65 nat. median
$59,651
1.2× median

Other procedures at this hospital

Browse this hospital's 4,841 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
             
0408T CPT Insj/rplc Cardiac Modulj Sys 189 73 $68,938.00 $68,938.00 $129.72 $81,946.83 $36,342.28 2026-08-01
0409T CPT Insj/rplc Car Modulj Pls Gn 189 73 $68,938.00 $68,938.00 $129.72 $68,938.00 $27,874.20 2026-08-01
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 189 73 $57,046.00 $57,046.00 $129.72 $58,071.25 $26,038.38 2026-08-01
0483T CPT Tmvi Percutaneous Approach 112 37 $52,803.82 $52,803.82 $129.72 $52,804.00 $39,602.72 2026-08-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 84 39 — — $2,055.06 $676,777.19 $222,027.49 2026-08-01
10 MS_DRG Pancreas Transplant 82 38 — — $2,055.06 $184,286.65 $61,358.72 2026-08-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 84 39 — — $2,055.06 $131,716.52 $44,429.24 2026-08-01
112 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — — $48,895.78 $56,000.00 $50,000.00 2026-08-01
113 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — — $131,545.36 $229,594.52 $147,330.80 2026-08-01
114 APR_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 19 10 — — $50,021.00 $56,023.52 $50,021.00 2026-08-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 84 39 — — $2,055.06 $101,816.40 $34,397.26 2026-08-01
12 APR_DRG Liver Transplant And/or Intestinal Transplant 18 9 — — $25,269.81 $29,806.60 $26,613.04 2026-08-01
13 APR_DRG Liver Transplant And/or Intestinal Transplant 18 9 — — $31,456.60 $38,568.91 $34,436.53 2026-08-01
14 MS_DRG Allogeneic Bone Marrow Transplant 84 39 — — $2,055.06 $302,827.30 $100,771.94 2026-08-01
14 APR_DRG Liver Transplant And/or Intestinal Transplant 18 9 — — $66,329.56 $75,311.73 $67,242.62 2026-08-01
140 MS_DRG Major Head And Neck Procedures With Mcc 84 39 — — $2,055.06 $103,006.99 $35,116.00 2026-08-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 78 36 — — $21,846.33 $90,480.39 $30,671.33 2026-08-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/mcc 84 39 — — $2,055.06 $143,202.26 $48,842.65 2026-08-01
1604 APR_DRG Major Cardiothoracic Repair Of Heart Anomaly 19 10 — — $51,048.39 $62,186.47 $55,523.63 2026-08-01
1611 APR_DRG Implantable Heart Assist Systems 19 10 — — $49,247.34 $57,383.09 $51,234.90 2026-08-01
1612 APR_DRG Implantable Heart Assist Systems 19 10 — — $51,234.90 $57,891.50 $51,688.84 2026-08-01
1613 APR_DRG Implantable Heart Assist Systems 19 10 — — $64,392.40 $77,987.07 $69,631.31 2026-08-01
1614 APR_DRG Implantable Heart Assist Systems 19 10 — — $88,926.10 $106,587.14 $95,167.09 2026-08-01
1624 APR_DRG Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 19 10 — — $34,306.45 $42,453.29 $37,904.72 2026-08-01
163 MS_DRG Major Chest Procedures With Mcc 84 39 — — $2,055.06 $116,151.31 $44,178.59 2026-08-01
1634 APR_DRG Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 19 10 — — $30,019.36 $35,363.44 $31,574.50 2026-08-01
1654 APR_DRG Coronary Bypass With Ami Or Complex Principal Diagnosis 19 10 — — $26,969.52 $33,025.93 $29,487.44 2026-08-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 78 36 — — $25,303.82 $90,265.45 $32,193.15 2026-08-01
1664 APR_DRG Coronary Bypass Without Ami Or Complex Principal Diagnosis 19 10 — — $24,042.94 $28,921.39 $25,822.67 2026-08-01
1674 APR_DRG Other Cardiothoracic And Thoracic Vascular Procedures 19 10 — — $26,425.10 $35,603.79 $31,789.10 2026-08-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/mcc 84 39 — — $2,055.06 $139,510.58 $46,825.86 2026-08-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 84 39 — — $2,055.06 $71,880.06 $25,456.71 2026-08-01
1784 APR_DRG External Heart Assist Systems 19 10 — — $28,546.00 $33,889.11 $30,258.13 2026-08-01
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 84 39 — — $2,055.06 $1,173,724.70 $450,445.77 2026-08-01
1834 APR_DRG Percutaneous Structural Cardiac Procedures 19 10 — — $25,692.01 $29,533.35 $26,369.06 2026-08-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 84 39 — — $2,055.06 $183,225.67 $61,015.97 2026-08-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 84 39 — — $2,055.06 $273,662.97 $94,668.11 2026-08-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 84 39 — — $2,055.06 $190,031.52 $64,654.21 2026-08-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 84 39 — — $2,055.06 $160,855.45 $60,923.31 2026-08-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 84 39 — — $2,055.06 $127,845.27 $44,406.66 2026-08-01
21 APR_DRG Heart And/or Lung Transplant 19 10 — — $41,730.88 $48,656.59 $43,443.38 2026-08-01
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 92 42 — — $2,055.06 $262,609.52 $85,730.41 2026-08-01
215 MS_DRG Other Heart Assist System Implant 100 42 — — $2,055.06 $244,884.93 $80,804.95 2026-08-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 94 39 — — $33,717.00 $236,254.62 $77,595.69 2026-08-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 94 39 — — $33,717.00 $158,793.49 $54,021.60 2026-08-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 94 39 — — $33,717.00 $158,793.50 $52,522.70 2026-08-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 94 39 — — $32,419.00 $185,430.95 $63,985.63 2026-08-01
22 APR_DRG Heart And/or Lung Transplant 18 9 — — $45,376.96 $55,051.54 $49,153.16 2026-08-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 84 39 — — $2,055.06 $81,605.20 $28,471.06 2026-08-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 94 39 — — $32,419.00 $128,787.12 $44,547.35 2026-08-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 94 39 — — $29,983.81 $121,720.83 $40,664.23 2026-08-01
2234 APR_DRG Other Small And Large Bowel Procedures 19 10 — — $25,727.95 $28,815.30 $25,727.95 2026-08-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 98 41 — — $2,055.06 $119,479.71 $41,195.18 2026-08-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 98 41 — — $2,055.06 $76,060.43 $27,230.78 2026-08-01
23 APR_DRG Heart And/or Lung Transplant 18 9 — — $62,352.43 $72,700.53 $64,911.19 2026-08-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 39 — — $2,055.06 $138,386.74 $46,744.38 2026-08-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 94 39 — — $28,000.00 $203,582.08 $69,035.75 2026-08-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 94 39 — — $28,000.00 $146,411.79 $50,848.75 2026-08-01
2324 APR_DRG Gastric Fundoplication 19 10 — — $33,765.46 $59,929.11 $53,508.13 2026-08-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 94 39 — — $28,000.00 $184,631.58 $63,927.96 2026-08-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 94 39 — — $28,000.00 $131,924.20 $44,772.81 2026-08-01
2344 APR_DRG Appendectomy Without Complex Principal Diagnosis 19 10 — — $23,502.84 $29,872.95 $26,672.28 2026-08-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 94 39 — — $24,897.00 $141,726.69 $49,143.40 2026-08-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 94 39 — — $24,897.00 $101,159.52 $34,882.15 2026-08-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 84 39 — — $2,055.06 $118,859.06 $40,960.98 2026-08-01
24 APR_DRG Heart And/or Lung Transplant 18 9 — — $111,047.26 $133,464.42 $119,164.66 2026-08-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 84 39 — — $2,055.06 $94,472.39 $32,001.88 2026-08-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 96 40 — — $6,510.00 $78,406.08 $27,424.65 2026-08-01
245 MS_DRG Aicd Generator Procedures 100 42 — — $2,055.06 $112,951.45 $37,457.24 2026-08-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 84 39 — — $2,055.06 $109,802.81 $37,164.61 2026-08-01
252 MS_DRG Other Vascular Procedures With Mcc 88 37 — — $6,510.00 $84,242.45 $29,419.92 2026-08-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 96 40 — — $2,055.06 $75,881.71 $26,001.64 2026-08-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 84 39 — — $2,055.06 $75,087.18 $25,897.58 2026-08-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 96 40 — — $2,055.06 $78,748.18 $27,534.17 2026-08-01
263 MS_DRG Vein Ligation And Stripping 84 39 — — $2,055.06 $73,836.21 $25,347.35 2026-08-01
264 MS_DRG Other Circulatory System O.r. Procedures 84 39 — — $2,055.06 $80,784.61 $28,617.46 2026-08-01
265 MS_DRG Aicd Lead Procedures 96 40 — — $2,055.06 $87,379.53 $29,679.46 2026-08-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 84 36 — — $38,799.04 $148,000.86 $50,426.76 2026-08-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 86 37 — — $12,500.00 $114,973.32 $39,717.21 2026-08-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 90 37 — — $24,897.00 $166,101.29 $58,316.53 2026-08-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 90 37 — — $24,897.00 $101,990.28 $35,544.65 2026-08-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 90 37 — — $24,897.00 $127,422.65 $43,566.13 2026-08-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 92 38 — — $6,510.00 $85,884.64 $29,995.97 2026-08-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 90 37 — — $11,554.00 $99,630.82 $33,598.28 2026-08-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 92 38 — — $6,510.00 $79,494.56 $27,157.29 2026-08-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 90 39 — — $36,000.00 $172,199.16 $59,302.44 2026-08-01
276 MS_DRG Non-maligant Breast Disorders 90 39 — — $36,000.00 $145,059.39 $51,449.38 2026-08-01
277 MS_DRG Cellulitis Age >17 W Cc 90 39 — — $30,357.66 $111,536.77 $39,286.39 2026-08-01
278 MS_DRG Cellulitis Age >17 Without Cc 88 39 — — $2,055.06 $134,423.73 $44,727.54 2026-08-01
279 MS_DRG Cellulitis Age 0-17 88 39 — — $2,055.06 $87,094.56 $29,588.31 2026-08-01
28 MS_DRG Spinal Procedures With Mcc 84 39 — — $2,055.06 $145,100.45 $49,325.32 2026-08-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 84 39 — — $2,055.06 $82,390.14 $28,270.61 2026-08-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 84 39 — — $2,055.06 $512,588.58 $170,196.19 2026-08-01
3033 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 10 — — $23,693.65 $30,436.80 $27,175.71 2026-08-01
3034 APR_DRG Dorsal And Lumbar Fusion Procedure For Curvature Of Back 19 10 — — $78,865.22 $103,173.78 $92,119.45 2026-08-01
3044 APR_DRG Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 19 10 — — $24,077.44 $31,315.27 $27,960.06 2026-08-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 84 39 — — $2,055.06 $108,204.07 $36,340.61 2026-08-01
3124 APR_DRG Skin Graft, Except Hand, For Musculoskeletal And Connective Tissue Diagnoses 19 10 — — $20,791.86 $29,326.01 $26,183.94 2026-08-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 90 39 — — $2,055.06 $107,779.04 $37,172.38 2026-08-01
323 MS_DRG Urinary Stones W Cc, &/or Esw Lithotripsy 90 41 — — $2,055.06 $104,506.71 $35,157.94 2026-08-01
324 MS_DRG Urinary Stones Without Cc 90 41 — — $2,055.06 $76,096.65 $26,070.41 2026-08-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 90 41 — — $2,055.06 $77,531.16 $26,529.26 2026-08-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 78 36 — — $33,050.40 $120,445.71 $42,325.73 2026-08-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 78 36 — — $29,979.38 $111,005.47 $38,761.51 2026-08-01
332 MS_DRG Rectal Resection With Mcc 84 39 — — $2,055.06 $87,439.90 $29,698.77 2026-08-01
33231 CPT Insrt Pulse Gen W/mult Leads 189 73 $62,400.00 $62,400.00 $129.72 $81,946.83 $32,778.73 2026-08-01
33249 CPT Eltrd/insert Pace-defib 185 71 $52,760.00 $52,760.00 $912.99 $81,946.83 $32,778.73 2026-08-01
33264 CPT Rmvl & Rplcmt Dfb Gen Mlt Ld 189 73 $52,057.00 $52,057.00 $129.72 $81,946.83 $32,778.73 2026-08-01
33266 CPT Ablate Atria X10sv Endo 57 38 $44,520.00 $44,520.00 $129.72 $44,520.00 $31,164.00 2026-07-31
33270 CPT Ins/rep Subq Defibrillator 189 73 $87,201.00 $87,201.00 $129.72 $87,201.00 $34,547.14 2026-08-01
33340 CPT Perq Clsr Tcat L Atr Apndge 110 36 $49,546.96 $49,546.96 $789.78 $49,547.00 $35,178.35 2026-08-01
33418 CPT Repair Tcat Mitral Valve 110 36 $34,924.23 $34,924.23 $1,805.17 $40,237.00 $26,193.35 2026-08-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 84 39 — — $2,055.06 $86,237.24 $29,976.31 2026-08-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 84 39 — — $2,055.06 $93,477.40 $32,210.20 2026-08-01
34702 CPT Evasc Rpr A-ao Ndgft Rpt 57 38 $41,786.00 $41,786.00 $129.72 $41,786.00 $29,250.20 2026-07-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 84 39 — — $2,055.06 $106,086.12 $35,735.01 2026-08-01
3614 APR_DRG Skin Graft For Skin And Subcutaneous Tissue Diagnoses 19 10 — — $20,229.47 $28,414.11 $25,369.74 2026-08-01
37 MS_DRG Extracranial Procedures With Mcc 84 39 — — $2,055.06 $79,504.21 $27,677.52 2026-08-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 84 39 — — $2,055.06 $337,798.82 $127,623.66 2026-08-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 84 39 — — $2,055.06 $93,247.98 $31,686.40 2026-08-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 78 36 — — $35,255.16 $132,112.58 $45,624.33 2026-08-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 84 39 — — $2,055.06 $86,109.24 $29,449.97 2026-08-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 80 37 — — $6,510.00 $79,774.70 $27,246.88 2026-08-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 80 37 — — $6,510.00 $86,036.79 $29,877.00 2026-08-01
42 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 10 — — $25,840.64 $33,065.46 $28,941.52 2026-08-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 84 39 — — $2,055.06 $82,281.46 $29,019.06 2026-08-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 78 36 — — $26,672.59 $100,294.95 $34,517.46 2026-08-01
43 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 10 — — $41,876.47 $51,742.78 $46,198.91 2026-08-01
44 APR_DRG Tracheostomy With Mv >96 Hours With Extensive Procedure 19 10 — — $66,782.14 $75,035.70 $66,996.16 2026-08-01
4404 APR_DRG Kidney Transplant 18 9 — — $33,592.77 $39,673.72 $35,422.96 2026-08-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 88 40 — — $2,055.06 $273,655.62 $70,365.93 2026-08-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 88 40 — — $2,055.06 $132,311.87 $49,033.30 2026-08-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 88 40 — — $2,055.06 $146,158.35 $37,307.01 2026-08-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 38 — — $25,308.00 $202,942.11 $68,910.65 2026-08-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 38 — — $25,805.00 $144,008.86 $47,976.43 2026-08-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 90 38 — — $25,805.00 $100,768.29 $36,284.60 2026-08-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 90 41 — — $2,055.06 $176,973.88 $52,963.03 2026-08-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 90 41 — — $2,055.06 $80,852.10 $29,986.13 2026-08-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 98 42 — — $2,055.06 $141,849.82 $46,728.10 2026-08-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 84 39 — — $2,055.06 $137,642.92 $45,757.26 2026-08-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 84 39 — — $2,055.06 $75,220.00 $25,789.99 2026-08-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 96 41 — — $2,055.06 $125,710.41 $41,940.38 2026-08-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 96 41 — — $2,055.06 $85,167.39 $28,971.85 2026-08-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 94 40 — — $6,510.00 $75,551.38 $26,445.97 2026-08-01
471 MS_DRG Cervical Spinal Fusion With Mcc 90 38 — — $12,500.00 $116,613.11 $40,217.47 2026-08-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 84 39 — — $2,055.06 $103,673.54 $36,310.86 2026-08-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 84 39 — — $2,055.06 $83,428.59 $28,786.39 2026-08-01
4834 APR_DRG Penis, Testes And Scrotal Procedures 19 10 — — $33,407.40 $38,876.28 $34,710.96 2026-08-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 84 39 — — $2,055.06 $77,934.46 $27,018.26 2026-08-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 92 39 — — $6,510.00 $88,669.14 $30,091.96 2026-08-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 80 37 — — $6,510.00 $87,560.65 $30,056.08 2026-08-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 82 38 — — $2,055.06 $248,998.57 $84,579.35 2026-08-01
500 MS_DRG Soft Tissue Procedures With Mcc 82 38 — — $6,510.00 $76,429.92 $26,819.17 2026-08-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 80 37 — — $6,510.00 $76,963.63 $26,562.40 2026-08-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 94 40 — — $6,510.00 $90,255.79 $30,599.48 2026-08-01
53 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 10 — — $30,089.90 $37,935.82 $33,700.69 2026-08-01
5394 APR_DRG Cesarean Section With Sterilization 19 10 — — $24,871.88 $28,380.34 $25,339.59 2026-08-01
54 APR_DRG Tracheostomy With Mv >96 Hours Without Extensive Procedure 19 10 — — $43,560.21 $52,272.44 $46,671.82 2026-08-01
5474 APR_DRG Antepartum With O.r. Procedure 19 10 — — $25,163.23 $31,908.74 $28,182.82 2026-08-01
5484 APR_DRG Postpartum And Post Abortion Diagnosis With O.r. Procedure 19 10 — — $29,263.53 $35,985.80 $32,130.18 2026-08-01
570 MS_DRG Skin Debridement With Mcc 84 39 — — $2,055.06 $147,930.91 $51,780.51 2026-08-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 78 36 — — $39,854.44 $158,216.31 $52,338.08 2026-08-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 80 37 — — $6,510.00 $83,834.31 $29,467.08 2026-08-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 84 39 — — $2,055.06 $124,703.11 $42,207.66 2026-08-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 80 37 — — $6,510.00 $78,209.77 $27,743.64 2026-08-01
5831 APR_DRG Neonate With Ecmo 19 10 — — $69,493.60 $91,557.76 $77,832.83 2026-08-01
5832 APR_DRG Neonate With Ecmo 19 10 — — $138,429.14 $162,761.49 $145,322.76 2026-08-01
5833 APR_DRG Neonate With Ecmo 19 10 — — $221,000.00 $247,520.00 $221,000.00 2026-08-01
5834 APR_DRG Neonate With Ecmo 19 10 — — $221,000.00 $247,520.00 $221,000.00 2026-08-01
5881 APR_DRG Female Reproductive System Reconstructive Procedures 19 10 — — $50,000.00 $56,000.00 $50,000.00 2026-08-01
5882 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 10 — — $108,772.56 $123,925.69 $110,647.94 2026-08-01
5883 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 10 — — $132,000.00 $147,840.00 $132,000.00 2026-08-01
5884 APR_DRG Neonate Birth Weight < 1500 Grams With Major Procedure 19 10 — — $221,000.00 $247,520.00 $221,000.00 2026-08-01
5891 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 10 — — $48,983.85 $66,593.76 $54,861.91 2026-08-01
5892 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 10 — — $33,354.00 $37,356.48 $33,354.00 2026-08-01
5893 APR_DRG Neonate Birth Weight < 500 Grams, Or Birth Weight 500-999 Grams And Gestational … 19 10 — — $87,000.00 $97,440.00 $87,000.00 2026-08-01
5912 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 10 — — $68,150.11 $89,600.00 $76,328.12 2026-08-01
5913 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 10 — — $91,000.00 $101,920.00 $91,000.00 2026-08-01
5914 APR_DRG Neonate Birth Weight 500-749 Grams Without Major Procedure 19 10 — — $120,000.00 $134,400.00 $120,000.00 2026-08-01
5932 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 10 — — $63,775.17 $73,663.15 $65,770.67 2026-08-01
5933 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 10 — — $99,000.00 $110,880.00 $99,000.00 2026-08-01
5934 APR_DRG Neonate Birth Weight 750-999 Grams Without Major Procedure 19 10 — — $121,000.00 $135,520.00 $121,000.00 2026-08-01
6 MS_DRG Liver Transplant Without Mcc 82 38 — — $2,055.06 $174,079.07 $67,739.57 2026-08-01
6022 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $46,718.58 $52,967.90 $47,292.77 2026-08-01
6023 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $88,854.73 $100,659.03 $89,874.13 2026-08-01
6024 APR_DRG Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $100,000.00 $112,000.00 $100,000.00 2026-08-01
6032 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 10 — — $25,576.51 $31,871.08 $28,456.32 2026-08-01
6033 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 10 — — $53,002.38 $78,077.38 $69,711.95 2026-08-01
6034 APR_DRG Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 19 10 — — $80,000.00 $89,600.00 $80,000.00 2026-08-01
6072 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $32,666.46 $37,333.52 $33,333.50 2026-08-01
6073 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $67,217.52 $75,963.75 $67,824.78 2026-08-01
6074 APR_DRG Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $97,101.66 $110,795.74 $98,924.77 2026-08-01
6083 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 10 — — $48,704.91 $54,711.73 $48,849.76 2026-08-01
6084 APR_DRG Neonate Birth Weight 1250-1499 Grams With Or Without Significant Condition 19 10 — — $56,423.25 $68,711.23 $61,349.31 2026-08-01
6092 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 10 — — $25,815.83 $34,245.34 $28,913.73 2026-08-01
6093 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 10 — — $71,110.29 $79,759.80 $71,214.11 2026-08-01
6094 APR_DRG Neonate Birth Weight 1500-2499 Grams With Major Procedure 19 10 — — $165,000.00 $184,800.00 $165,000.00 2026-08-01
6114 APR_DRG Neonate Birth Weight 1500-1999 Grams With Major Anomaly 19 10 — — $78,699.03 $92,150.20 $82,276.96 2026-08-01
6123 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $43,210.73 $50,268.14 $44,882.27 2026-08-01
6124 APR_DRG Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $64,812.32 $77,682.12 $69,359.04 2026-08-01
6133 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 19 10 — — $44,052.16 $53,747.31 $47,988.67 2026-08-01
6134 APR_DRG Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection 19 10 — — $62,000.00 $69,440.00 $62,000.00 2026-08-01
6143 APR_DRG Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition 19 10 — — $36,736.42 $43,538.56 $38,873.71 2026-08-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 84 39 — — $2,055.06 $89,337.16 $30,575.85 2026-08-01
62 APR_DRG Pancreas Transplant 18 9 — — $27,515.76 $32,240.38 $28,786.05 2026-08-01
6214 APR_DRG Neonate Birth Weight 2000-2499 Grams With Major Anomaly 19 10 — — $63,560.52 $74,615.88 $66,621.32 2026-08-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 84 39 — — $2,055.06 $86,542.56 $30,460.63 2026-08-01
6224 APR_DRG Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other… 19 10 — — $41,444.54 $47,073.62 $42,030.02 2026-08-01
6233 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 19 10 — — $34,148.97 $41,782.70 $37,305.98 2026-08-01
6234 APR_DRG Neonate Birth Weight 2000-2499 Grams With Congenital Or Perinatal Infection 19 10 — — $45,404.40 $52,276.96 $46,675.86 2026-08-01
6253 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 19 10 — — $25,879.44 $30,367.71 $27,114.03 2026-08-01
6254 APR_DRG Neonate Birth Weight 2000-2499 Grams With Other Significant Condition 19 10 — — $55,399.71 $63,102.00 $56,341.07 2026-08-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 84 39 — — $2,055.06 $91,218.72 $31,891.70 2026-08-01
63 APR_DRG Pancreas Transplant 18 9 — — $33,389.74 $38,488.05 $34,364.33 2026-08-01
6302 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 10 — — $29,601.20 $42,549.95 $37,991.03 2026-08-01
6303 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 10 — — $95,000.00 $106,400.00 $95,000.00 2026-08-01
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 19 10 — — $179,071.67 $236,652.05 $211,296.47 2026-08-01
6313 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 10 — — $56,144.55 $64,999.56 $58,035.32 2026-08-01
6314 APR_DRG Neonate Birth Weight > 2499 Grams With Other Major Procedure 19 10 — — $186,976.63 $221,149.87 $197,455.24 2026-08-01
6334 APR_DRG Neonate Birth Weight > 2499 Grams With Major Anomaly 19 10 — — $64,642.15 $73,864.43 $65,950.38 2026-08-01
6344 APR_DRG Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Ma… 19 10 — — $39,210.14 $43,925.45 $39,219.15 2026-08-01
6364 APR_DRG Neonate Birth Weight > 2499 Grams With Congenital Or Perinatal Infection 19 10 — — $22,967.42 $33,025.70 $29,487.23 2026-08-01
6394 APR_DRG Neonate Birth Weight > 2499 Grams With Other Significant Condition 19 10 — — $27,300.58 $32,401.66 $28,930.05 2026-08-01
64 APR_DRG Pancreas Transplant 18 9 — — $43,326.23 $54,177.49 $48,372.76 2026-08-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 84 39 — — $2,055.06 $113,538.81 $38,307.85 2026-08-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 84 39 — — $2,055.06 $89,495.07 $30,356.15 2026-08-01
652 MS_DRG Kidney Transplant 82 38 — — $2,055.06 $77,992.42 $26,676.80 2026-08-01
653 MS_DRG Major Bladder Procedures With Mcc 84 36 — — $18,105.00 $128,847.63 $44,195.50 2026-08-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 88 38 — — $6,510.00 $76,888.77 $27,001.25 2026-08-01
662 MS_DRG Minor Bladder Procedures With Mcc 88 38 — — $6,510.00 $73,935.23 $25,970.22 2026-08-01
665 MS_DRG Prostatectomy With Mcc 92 40 — — $2,055.06 $79,363.04 $27,172.09 2026-08-01
668 MS_DRG Transurethral Procedures With Mcc 86 37 — — $6,510.00 $70,518.00 $25,125.61 2026-08-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 90 39 — — $2,055.06 $101,468.64 $34,186.16 2026-08-01
6804 APR_DRG Major O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 19 10 — — $24,899.28 $32,273.46 $28,815.59 2026-08-01
6814 APR_DRG Other O.r. Procedures For Lymphatic, Hematopoietic Or Other Neoplasms 19 10 — — $20,831.03 $29,407.74 $26,256.91 2026-08-01
6904 APR_DRG Acute Leukemia 19 10 — — $22,256.59 $29,131.55 $26,010.31 2026-08-01
7 MS_DRG Lung Transplant 82 38 — — $2,055.06 $788,536.08 $291,854.87 2026-08-01
71 APR_DRG Allogeneic Bone Marrow Transplant 19 10 — — $27,738.54 $31,529.86 $28,151.66 2026-08-01
72 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $29,633.02 $35,194.15 $31,423.35 2026-08-01
73 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $36,953.93 $49,976.71 $43,005.23 2026-08-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 92 40 — — $2,055.06 $91,010.69 $30,466.15 2026-08-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 92 40 — — $2,055.06 $92,013.88 $30,737.90 2026-08-01
74 APR_DRG Allogeneic Bone Marrow Transplant 18 9 — — $70,159.56 $84,684.73 $75,611.37 2026-08-01
7404 APR_DRG Mental Illness Diagnosis With O.r. Procedure 21 11 — — $21,092.28 $31,379.32 $26,149.43 2026-08-01
7544 APR_DRG Depression Except Major Depressive Disorder 21 11 — — $24,934.80 $42,913.97 $35,761.64 2026-08-01
7574 APR_DRG Organic Mental Health Disturbances 21 11 — — $22,620.91 $30,276.35 $25,230.29 2026-08-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 84 39 — — $2,055.06 $143,535.53 $48,535.51 2026-08-01
791 MS_DRG Prematurity With Major Problems 84 39 — — $2,055.06 $98,024.85 $33,631.42 2026-08-01
793 MS_DRG Full Term Neonate With Major Problems 84 39 — — $2,055.06 $100,695.84 $34,506.02 2026-08-01
799 MS_DRG Splenectomy With Mcc 78 36 — — $31,006.42 $109,900.27 $38,863.43 2026-08-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 82 38 — — $2,055.06 $170,163.61 $65,848.61 2026-08-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 84 39 — — $2,055.06 $96,216.01 $32,505.99 2026-08-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 84 39 — — $2,055.06 $141,634.92 $47,739.33 2026-08-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 84 39 — — $2,055.06 $110,722.92 $38,161.62 2026-08-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 84 39 — — $2,055.06 $112,968.87 $38,908.97 2026-08-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 84 39 — — $2,055.06 $76,314.00 $26,195.65 2026-08-01
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 86 39 — — $2,055.06 $132,581.08 $44,753.00 2026-08-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 86 39 — — $2,055.06 $120,586.29 $45,665.78 2026-08-01
84 APR_DRG Autologous Bone Marrow Transplant Or T-cell Immunotherapy 19 10 — — $31,204.86 $41,973.38 $37,476.23 2026-08-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 84 39 — — $2,055.06 $78,122.84 $26,910.22 2026-08-01
8413 APR_DRG Extensive Third Degree Burns With Skin Graft 19 10 — — $32,950.10 $46,815.89 $41,799.90 2026-08-01
8414 APR_DRG Extensive Third Degree Burns With Skin Graft 19 10 — — $79,102.08 $101,043.30 $90,217.23 2026-08-01
8424 APR_DRG Burns With Skin Graft Except Extensive Third Degree Burns 19 10 — — $44,285.71 $51,747.77 $46,203.37 2026-08-01
8504 APR_DRG Procedure With Diagnosis Of Rehabilitation, Aftercare Or Other Contact With Heal… 19 10 — — $23,228.64 $33,321.44 $29,751.29 2026-08-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 84 39 — — $2,055.06 $119,267.19 $40,832.48 2026-08-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 84 39 — — $2,055.06 $109,851.10 $37,353.12 2026-08-01
8634 APR_DRG Neonatal Aftercare 19 10 — — $80,469.81 $90,575.83 $80,871.28 2026-08-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 84 39 — — $2,055.06 $166,919.97 $56,365.01 2026-08-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 86 40 — — $1,953.60 $93,337.33 $31,585.19 2026-08-01
901 MS_DRG Wound Debridements For Injuries With Mcc 84 39 — — $2,055.06 $102,404.07 $35,684.18 2026-08-01
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 84 39 — — $2,055.06 $89,244.70 $31,383.68 2026-08-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 84 39 — — $2,055.06 $92,719.09 $32,530.53 2026-08-01
9104 APR_DRG Craniotomy For Multiple Significant Trauma 19 10 — — $25,616.19 $29,895.69 $26,692.58 2026-08-01
914 APR_DRG Other Major Head And Neck Procedures 19 10 — — $23,591.23 $28,329.17 $25,293.90 2026-08-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 84 39 — — $2,055.06 $548,352.52 $179,519.16 2026-08-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 84 39 — — $2,055.06 $173,220.70 $57,137.54 2026-08-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/mcc 84 39 — — $2,055.06 $77,782.32 $26,821.01 2026-08-01
93 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 10 — — $32,422.49 $65,618.56 $36,313.19 2026-08-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 84 39 — — $2,055.06 $100,011.67 $34,004.35 2026-08-01
93583 CPT Hc Perq Transcath Septal Reduxn 114 37 $36,572.67 $36,572.67 $129.72 $36,573.00 $25,966.72 2026-08-01
93653 CPT Hc Ep And Ablate Supravent Arrhyt 191 72 $54,788.95 $54,788.95 $129.72 $68,238.05 $28,584.78 2026-08-01
93654 CPT Hc Ep And Ablate Ventric Tachy 191 72 $54,788.95 $54,788.95 $129.72 $68,238.05 $32,754.26 2026-08-01
93656 CPT Hc Tx Atrial Fib Pulm Vein Isol 187 70 $58,798.25 $58,798.25 $1,121.70 $68,238.05 $30,533.00 2026-08-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 84 39 — — $2,055.06 $87,628.27 $29,759.02 2026-08-01
94 APR_DRG Extracorporeal Membrane Oxygenation (ecmo) 19 10 — — $75,232.49 $97,637.58 $84,260.39 2026-08-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 84 39 — — $2,055.06 $84,993.51 $29,936.08 2026-08-01
954 APR_DRG Cleft Lip And Palate Repair 19 10 — — $27,307.51 $32,597.87 $29,105.24 2026-08-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 84 39 — — $2,055.06 $162,556.07 $55,144.36 2026-08-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 84 39 — — $2,055.06 $90,876.45 $31,522.78 2026-08-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 84 39 — — $2,055.06 $184,020.59 $61,129.19 2026-08-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 84 39 — — $2,055.06 $101,765.68 $34,413.81 2026-08-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 84 39 — — $2,055.06 $228,056.37 $88,710.47 2026-08-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 84 39 — — $2,055.06 $87,224.97 $29,983.47 2026-08-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 86 40 — — $2,055.06 $113,306.97 $38,585.72 2026-08-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 84 39 — — $2,055.06 $82,795.86 $28,935.93 2026-08-01
A9607 HCPCS Lutetium Lu177 Vipivotide Tetraxetan 27 Mciml 1000 178 70 $113,793.75 $113,793.75 $129.72 $113,793.75 $50,069.25 2026-08-01
C2616 HCPCS Hc Brachytx Yttrium 90 Per Source 335 73 $44,987.50 $44,987.50 $129.72 $44,987.50 $26,292.18 2026-08-01
J9029 HCPCS Nadofaragene Firadenovecvncg 3x10exp11 Vpml Intrav 93 70 $45,000.00 $45,000.00 $129.72 $80,343.49 $33,750.00 2026-07-31
J9359 HCPCS Loncastuximab Tesirinelpyl 10 Mg Intravenous Solut 184 71 $81,069.77 $81,069.77 $129.72 $81,069.77 $35,110.51 2026-08-01
Q2043 HCPCS Sipuleucelt In Lactated Ringers 50 Million Cell250 184 71 $76,549.37 $76,549.37 $129.72 $76,549.37 $54,404.11 2026-08-01
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