Price Transparency Hospital negotiated rates

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

Export CSV
Hospital

ORLANDO HEALTH MELBOURNE HOSPITAL

Melbourne, FL · CCN 100291 · Rates published

12,178 distinct procedures filed
65 distinct payers
248,059 rate rows
2026-04-01 last MRF observed
Data quality

176,610 of 248,059 rate rows are consumer-grade (71.2%)

71,449 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 57,356
template filing: same amount across many unrelated codes — excluded 14,039
placeholder amount (≤ $0.02) — excluded from medians 54
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=K1PKLo31nox8yduJLcFWgw*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/financial-information-prior-to-care/pricing-transparency-guide
Discovered viaCMS hospital list
Last fetch not_modified · 2026-05-19
Content fingerprint 37528137ff52d002… · 48,279,722 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
J3391
HCPCS 		Inj, Atidarsagene Autotemcel 5 $4,432,920.00 $4,820,350.00 $4,640,150.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,626,302.40 $4,238,056.67 $3,832,677.33 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,263,399.19 $3,813,931.98 $3,449,121.10 nat. median
$3,325,455
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 10 $2,415,828.84 $4,787,465.68 $3,434,683.97 nat. median
$2,469,189
1.4× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,196,470.58 $3,735,712.57 $3,378,383.54 nat. median
$3,286,000
1.0× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 10 $2,294,688.00 $4,547,400.00 $3,264,800.00 nat. median
$2,448,600
1.3× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,898,608.16 $4,868,633.01 $3,122,484.40 nat. median
$3,006,423
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 10 $758,290.08 $1,502,709.00 $1,078,868.00 nat. median
$824,563
1.3× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 10 $582,258.58 $1,153,866.09 $817,360.34 nat. median
$754,974
1.1× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 10 $556,815.04 $1,103,444.44 $781,912.18 nat. median
$675,122
1.2× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 10 $553,537.57 $1,096,949.46 $770,308.88 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 10 $548,400.85 $1,086,769.97 $766,997.68 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 10 $524,698.49 $1,039,798.83 $746,395.44 nat. median
$634,511
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 10 $481,475.73 $954,143.99 $685,369.15 nat. median
$620,080
1.1× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 22 $110,095.49 $1,305,761.51 $543,066.89 nat. median
$370,174
1.5× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $206,418.18 $847,386.69 $386,057.25 nat. median
$265,286
1.5× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 10 $273,798.00 $542,587.50 $383,053.12 nat. median
$324,450
1.2× median
9312
OTHER 		Inj., Ravulizumab-cwvz 10 Mg 3 $280,217.29 $280,217.29 $280,217.29 nat. median
$229
outlier · 1222.1×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 23 $157,436.15 $645,596.42 $279,993.16 nat. median
$206,368
1.4× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 21 $156,516.47 $641,807.60 $276,332.09 nat. median
$202,986
1.4× median
9489
OTHER 		Inj, Nusinersen, 0.1mg 2 $257,011.77 $257,011.77 $257,011.77 nat. median
$1,280
outlier · 200.8×
9257
OTHER 		Inj., Emicizumab-kxwh 0.5 Mg 1 $197,486.36 $197,486.36 $197,486.36 nat. median
$56
outlier · 3497.8×
1809
OTHER 		Injection, Alemtuzumab 1 $181,845.95 $181,845.95 $181,845.95 nat. median
$2,465
outlier · 73.8×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 11 $90,480.00 $175,562.60 $175,562.60 nat. median
$65,381
outlier · 2.7×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 21 $46,857.34 $418,838.63 $173,668.85 nat. median
$133,176
1.3× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 23 $88,935.90 $522,963.92 $164,123.10 nat. median
$117,303
1.4× median
7
MS_DRG 		Lung Transplant 21 $95,778.88 $391,588.15 $161,877.50 nat. median
$122,708
1.3× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 21 $83,900.00 $615,011.66 $153,227.45 nat. median
$108,660
1.4× median
209
MS_DRG 		Complex Aortic Arch Procedures 21 $83,804.58 $343,910.42 $153,052.43 nat. median
$98,017
1.6× median
9394
OTHER 		Inj. Inebilizumab-cdon, 1 Mg 1 $150,277.95 $150,277.95 $150,277.95 nat. median
$505
outlier · 297.3×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $149,749.00 $149,749.00 $149,749.00 nat. median
$87,411
1.7× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 $72,803.63 $333,259.05 $149,305.30 nat. median
$98,905
1.5× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 22 $80,540.53 $328,811.04 $146,800.35 nat. median
$102,358
1.4× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 24 $72,530.51 $403,905.92 $142,997.15 nat. median
$93,672
1.5× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 21 $76,403.77 $333,652.78 $139,477.38 nat. median
$100,136
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 21 $29,389.98 $353,909.79 $131,266.20 nat. median
$99,019
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $82,553.84 $130,327.56 $130,327.56 nat. median
$76,377
1.7× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 26 $56,840.76 $231,175.56 $130,144.24 nat. median
$73,807
1.8× median
9331
OTHER 		Inj, Polatuzumab Vedotin 1mg 2 $126,544.80 $126,544.80 $126,544.80 nat. median
$137
outlier · 920.6×
850
MS_DRG 		Acute Leukemia With Other Procedures 22 $64,285.61 $406,606.11 $117,595.62 nat. median
$83,442
1.4× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 21 $66,855.30 $272,432.28 $117,024.58 nat. median
$82,712
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 14 $112,127.00 $114,766.01 $114,766.01 nat. median
$62,270
1.8× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 23 $62,600.37 $254,903.32 $114,512.87 nat. median
$79,312
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 $61,250.01 $254,102.01 $114,157.06 nat. median
$81,118
1.4× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 29 $11,777.92 $159,544.76 $113,266.33 nat. median
$51,307
outlier · 2.2×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $961.46 $361,855.41 $109,862.36 nat. median
$68,090
1.6× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 27 $34,098.11 $160,911.80 $109,820.99 nat. median
$45,125
outlier · 2.4×
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 27 $42,785.60 $173,272.81 $108,632.54 nat. median
$55,929
1.9× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 27 $35,669.58 $205,143.65 $107,689.62 nat. median
$47,651
outlier · 2.3×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 21 $58,481.95 $237,936.77 $105,118.17 nat. median
$77,576
1.4× median

Other procedures at this hospital

Browse this hospital's 12,178 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
             
J3391 HCPCS Inj, Atidarsagene Autotemcel 5 5 — — $4,432,920.00 $4,820,350.00 $4,640,150.00 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 6 — — $3,626,302.40 $4,238,056.67 $3,832,677.33 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 6 — — $3,263,399.19 $3,813,931.98 $3,449,121.10 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 6 — — $3,196,470.58 $3,735,712.57 $3,378,383.54 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 8 7 — — $2,898,608.16 $4,868,633.01 $3,122,484.40 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 12 10 — — $2,415,828.84 $4,787,465.68 $3,434,683.97 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 12 10 — — $2,294,688.00 $4,547,400.00 $3,264,800.00 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 12 10 — — $758,290.08 $1,502,709.00 $1,078,868.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 10 — — $582,258.58 $1,153,866.09 $817,360.34 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 12 10 — — $556,815.04 $1,103,444.44 $781,912.18 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 12 10 — — $553,537.57 $1,096,949.46 $770,308.88 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 10 — — $548,400.85 $1,086,769.97 $766,997.68 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 10 — — $524,698.49 $1,039,798.83 $746,395.44 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 12 10 — — $481,475.73 $954,143.99 $685,369.15 2026-04-01
9312 OTHER Inj., Ravulizumab-cwvz 10 Mg 4 3 — — $280,217.29 $280,217.29 $280,217.29 2025-11-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 12 10 — — $273,798.00 $542,587.50 $383,053.12 2026-04-01
9489 OTHER Inj, Nusinersen, 0.1mg 2 2 — — $257,011.77 $257,011.77 $257,011.77 2025-11-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 49 25 — — $206,418.18 $847,386.69 $386,057.25 2026-04-01
9257 OTHER Inj., Emicizumab-kxwh 0.5 Mg 1 1 — — $197,486.36 $197,486.36 $197,486.36 2025-11-01
1809 OTHER Injection, Alemtuzumab 1 1 — — $181,845.95 $181,845.95 $181,845.95 2025-11-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 41 23 — — $157,436.15 $645,596.42 $279,993.16 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 36 21 — — $156,516.47 $641,807.60 $276,332.09 2026-04-01
9394 OTHER Inj. Inebilizumab-cdon, 1 Mg 1 1 — — $150,277.95 $150,277.95 $150,277.95 2025-11-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $149,749.00 $149,749.00 $149,749.00 2026-04-01
9331 OTHER Inj, Polatuzumab Vedotin 1mg 5 2 — — $126,544.80 $126,544.80 $126,544.80 2025-11-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 28 14 — — $112,127.00 $114,766.01 $114,766.01 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 45 22 — — $110,095.49 $1,305,761.51 $543,066.89 2026-04-01
7 MS_DRG Lung Transplant 36 21 — — $95,778.88 $391,588.15 $161,877.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 14 11 — — $90,480.00 $175,562.60 $175,562.60 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 48 23 — — $88,935.90 $522,963.92 $164,123.10 2026-04-01
0100T HCPCS Prosth Retina Receive&Gen 2 1 — — $88,839.00 $89,169.00 $89,004.00 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $87,629.00 $87,629.00 $87,629.00 2026-04-01
1233 OTHER Inj, Vasopressin, 1 Unit 1 1 — — $84,935.85 $84,935.85 $84,935.85 2025-11-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 36 21 — — $83,900.00 $615,011.66 $153,227.45 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 36 21 — — $83,804.58 $343,910.42 $153,052.43 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $82,553.84 $130,327.56 $130,327.56 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 37 22 — — $80,540.53 $328,811.04 $146,800.35 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 36 21 — — $76,403.77 $333,652.78 $139,477.38 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 47 24 — — $72,803.63 $333,259.05 $149,305.30 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 24 — — $72,530.51 $403,905.92 $142,997.15 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 36 21 — — $66,855.30 $272,432.28 $117,024.58 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 39 22 — — $64,285.61 $406,606.11 $117,595.62 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 23 — — $62,600.37 $254,903.32 $114,512.87 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 13 11 — — $62,328.81 $123,517.45 $88,305.00 2026-04-01
0268T HCPCS Hb Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only 2 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0266T HCPCS Hb Im/Repl Cartd Sinus Baroreflx Activ Dev Tot Syst 2 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 25 — — $61,250.01 $254,102.01 $114,157.06 2026-04-01
9378 OTHER Daratumumab, Hyaluronidase 14 10 — — $60,395.84 $60,395.84 $60,395.84 2025-11-01
5166 OTHER Cochlear Implant Procedure 7 5 — — $59,480.46 $59,480.46 $59,480.46 2025-11-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 36 21 — — $58,481.95 $237,936.77 $105,118.17 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 21 — — $57,083.71 $232,176.44 $96,270.52 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 55 26 — — $56,840.76 $231,175.56 $130,144.24 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 36 21 — — $56,655.06 $230,410.54 $95,248.75 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 13 11 — — $55,915.36 $110,807.87 $93,760.51 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 29 17 — — $55,082.00 $61,665.01 $61,665.01 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 11 — — $54,387.97 $107,781.03 $80,144.86 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 56 26 — — $53,372.66 $216,888.10 $100,831.85 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 36 21 — — $53,093.01 $215,736.03 $92,564.50 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 36 21 — — $53,062.18 $215,609.04 $96,279.70 2026-04-01
10 MS_DRG Pancreas Transplant 36 21 — — $53,023.00 $216,978.82 $91,226.67 2026-04-01
9236 OTHER Eculizumab Injection 5 2 — — $52,109.25 $52,109.25 $52,109.25 2025-11-01
33225 HCPCS Hb Bi-v Lead Insert Time Of Impl 2 1 — — $51,860.00 $52,053.00 $51,956.50 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 25 — — $50,131.37 $203,535.00 $90,869.85 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 36 21 — — $49,768.04 $203,715.60 $90,620.35 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 37 21 — — $49,482.72 $207,973.94 $85,973.75 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 22 — — $48,987.81 $238,243.98 $88,766.55 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 38 21 — — $46,857.34 $418,838.63 $173,668.85 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 36 21 — — $45,707.62 $273,212.93 $83,172.45 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 40 23 — — $45,655.49 $185,095.87 $82,760.86 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 12 10 — — $45,260.86 $89,693.78 $66,695.38 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 10 — — $45,260.86 $89,693.78 $66,695.38 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 38 23 — — $45,224.65 $226,044.81 $80,858.51 2026-04-01
9111 OTHER Inj Teclistamab Cqyv 0.5 Mg 1 1 — — $44,482.02 $44,482.02 $44,482.02 2025-11-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 36 21 — — $44,350.46 $179,719.55 $77,445.77 2026-04-01
J9226 HCPCS Supprelin La Implant 13 11 — — $44,300.32 $87,790.27 $52,223.95 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 49 24 — — $44,249.17 $244,402.82 $100,941.28 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 36 21 — — $43,800.71 $177,454.73 $78,561.86 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 44 24 — — $43,772.82 $211,879.53 $79,623.51 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 38 21 — — $43,546.60 $181,627.57 $79,648.74 2026-04-01
9276 OTHER Cabazitaxel Injection 2 1 — — $42,921.47 $42,921.47 $42,921.47 2025-11-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 60 27 — — $42,785.60 $173,272.81 $108,632.54 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 36 21 — — $42,613.85 $173,398.45 $77,497.66 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 36 21 — — $42,559.54 $172,341.48 $71,243.75 2026-04-01
9150 OTHER Inj Mosunetuzumab-axgb, 1 Mg 1 1 — — $42,553.72 $42,553.72 $42,553.72 2025-11-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 36 21 — — $41,862.98 $177,442.56 $75,706.55 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 53 26 — — $41,816.52 $181,678.98 $82,770.34 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 41 23 — — $41,581.12 $168,310.76 $73,950.17 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 23 — — $41,152.70 $273,186.98 $70,171.12 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 56 26 — — $41,021.09 $267,400.46 $89,032.05 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 36 21 — — $40,878.70 $165,416.98 $73,194.17 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 57 26 — — $40,821.45 $165,181.12 $101,551.22 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 36 21 — — $40,758.32 $164,921.08 $68,383.51 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 36 21 — — $40,598.31 $244,402.82 $72,769.17 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 36 21 — — $39,868.00 $172,568.97 $71,586.90 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 38 22 — — $39,844.51 $161,156.44 $70,675.55 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 42 24 — — $39,581.74 $219,387.67 $75,281.16 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 46 23 — — $38,866.84 $157,128.74 $71,341.74 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 45 23 — — $38,705.92 $174,385.57 $78,760.44 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 53 25 — — $38,614.68 $169,998.04 $77,448.67 2026-04-01
9472 OTHER Inj Talimogene Laherparepvec 1 1 — — $37,758.08 $37,758.08 $37,758.08 2025-11-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 45 24 — — $37,720.34 $172,568.97 $73,984.00 2026-04-01
1488 OTHER Injection, Ramucirumab 1 1 — — $36,398.21 $36,398.21 $36,398.21 2025-11-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 12 10 — — $36,100.00 $89,693.78 $48,756.62 2026-04-01
92925 HCPCS Hb Cath Prq Trluml Coronary Angio/Atherec Addl Art/Brnch - Lc 2 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
37233 HCPCS Hb Vasc Revascularize Tibial/Peron Artery,Angioplasty/Atherectomy Ea Add 2 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 55 25 — — $35,988.87 $148,535.22 $82,935.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 57 27 — — $35,669.58 $205,143.65 $107,689.62 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 36 21 — — $35,233.59 $142,160.93 $58,946.15 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 42 23 — — $35,060.36 $141,447.32 $63,642.56 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 36 21 — — $34,760.90 $333,652.78 $63,093.26 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 37 21 — — $34,561.50 $148,822.36 $61,521.25 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 36 21 — — $34,377.76 $138,635.18 $57,484.22 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 60 27 — — $34,112.79 $137,543.59 $58,827.63 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 67 27 — — $34,098.11 $160,911.80 $109,820.99 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 44 23 — — $33,980.71 $157,400.89 $54,910.46 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 42 23 — — $33,967.45 $213,165.77 $61,637.87 2026-04-01
69930 HCPCS Implant Cochlear Device 12 10 — — $33,881.18 $89,169.00 $49,926.54 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 66 29 — — $33,621.74 $135,520.67 $78,374.26 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 37 22 — — $33,483.02 $134,949.17 $55,786.25 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 61 27 — — $33,241.69 $151,631.35 $93,877.82 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 28 — — $32,968.50 $132,829.49 $75,214.63 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 50 27 — — $32,488.47 $183,749.95 $65,207.82 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 12 10 — — $32,254.27 $89,169.00 $47,529.16 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 12 10 — — $32,254.27 $89,169.00 $47,529.16 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 12 10 — — $32,254.27 $89,169.00 $47,529.16 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 69 28 — — $31,876.47 $138,988.97 $98,673.07 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 50 25 — — $31,820.91 $146,010.23 $65,674.17 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 12 10 — — $31,708.46 $62,836.89 $46,724.87 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 47 26 — — $31,670.81 $127,483.41 $61,539.89 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 36 21 — — $31,655.39 $160,694.90 $56,592.67 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 34 18 — — $31,539.12 $103,336.71 $103,336.71 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 61 27 — — $31,471.16 $126,660.93 $89,920.97 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 56 26 — — $31,295.33 $127,701.12 $58,104.93 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 54 25 — — $31,232.50 $128,233.31 $64,127.42 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 36 21 — — $31,208.40 $125,578.41 $55,784.12 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 36 21 — — $31,006.55 $124,746.87 $51,568.75 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 23 — — $30,835.44 $274,638.77 $56,274.88 2026-04-01
791 MS_DRG Prematurity With Major Problems 36 21 — — $30,518.45 $122,736.04 $50,737.50 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 36 21 — — $29,495.49 $127,047.98 $49,443.49 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 47 23 — — $29,438.74 $135,448.83 $58,338.97 2026-04-01
215 MS_DRG Other Heart Assist System Implant 39 21 — — $29,389.98 $353,909.79 $131,266.20 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 41 24 — — $29,093.77 $116,866.85 $45,392.04 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 53 27 — — $29,066.61 $116,754.97 $48,780.75 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 36 21 — — $28,477.17 $126,896.79 $51,998.02 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 53 25 — — $28,345.83 $116,727.18 $55,597.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 55 26 — — $28,160.13 $172,099.00 $63,626.87 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 39 21 — — $28,157.20 $113,008.48 $48,851.66 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 41 23 — — $28,154.16 $198,101.23 $58,988.06 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 12 10 — — $28,126.13 $69,762.05 $37,921.93 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 48 25 — — $28,080.13 $112,690.98 $51,366.10 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 11 — — $27,969.27 $55,426.92 $41,214.89 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 36 21 — — $27,925.99 $112,055.98 $49,846.71 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 12 10 — — $27,882.12 $62,139.00 $41,086.46 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 12 10 — — $27,882.12 $62,139.00 $41,086.46 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 12 10 — — $27,659.61 $89,169.00 $40,758.57 2026-04-01
332 MS_DRG Rectal Resection With Mcc 38 22 — — $27,301.37 $109,482.73 $47,044.09 2026-04-01
265 MS_DRG Aicd Lead Procedures 41 24 — — $27,283.02 $109,407.13 $49,456.17 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 45 24 — — $27,236.05 $109,213.61 $49,756.16 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 25 — — $27,134.29 $109,050.32 $49,715.65 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 41 23 — — $26,962.27 $108,085.73 $48,255.75 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 41 23 — — $26,896.94 $111,751.35 $49,201.72 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 39 23 — — $26,874.92 $107,725.90 $47,795.84 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 12 10 — — $26,858.49 $53,225.67 $39,578.07 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 12 10 — — $26,858.49 $53,225.67 $39,578.07 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 10 — — $26,858.49 $53,225.67 $39,578.07 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 40 21 — — $26,828.68 $126,324.52 $46,218.82 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 41 23 — — $26,784.09 $107,623.09 $47,751.46 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 46 24 — — $26,603.42 $129,808.71 $55,658.22 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 42 23 — — $26,557.84 $106,419.62 $47,793.95 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 42 24 — — $26,459.71 $111,067.20 $45,690.32 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 44 25 — — $26,322.96 $105,452.00 $47,561.16 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 40 22 — — $26,205.52 $104,968.19 $43,957.37 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 49 24 — — $26,138.80 $107,976.87 $49,272.88 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 45 24 — — $26,082.21 $104,460.19 $47,590.57 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 52 27 — — $25,889.91 $103,667.96 $46,596.29 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 57 26 — — $25,766.60 $103,159.96 $49,219.07 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 41 23 — — $25,733.57 $103,023.89 $47,073.60 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 40 21 — — $25,612.73 $104,478.42 $46,299.15 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 36 21 — — $25,245.46 $101,013.06 $41,757.50 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 36 21 — — $24,971.69 $99,885.19 $44,502.79 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 38 23 — — $24,952.77 $120,471.22 $41,447.91 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 36 21 — — $24,469.64 $97,816.91 $40,436.25 2026-04-01
652 MS_DRG Kidney Transplant 36 21 — — $24,430.00 $101,111.88 $44,043.92 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 41 24 — — $24,423.08 $117,042.23 $48,677.92 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 44 24 — — $24,412.39 $97,581.05 $44,556.67 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 45 24 — — $24,366.14 $97,390.55 $43,480.80 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 42 24 — — $24,289.81 $97,076.08 $39,798.53 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 56 27 — — $24,160.63 $96,543.89 $55,877.90 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 47 26 — — $24,094.57 $96,271.74 $44,075.43 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 36 21 — — $24,047.59 $219,387.67 $43,333.38 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 50 25 — — $23,919.88 $165,694.57 $46,620.51 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 36 21 — — $23,842.81 $168,099.48 $42,952.88 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 36 21 — — $23,547.01 $102,922.76 $41,925.75 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 37 21 — — $23,490.16 $97,243.99 $42,048.45 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 65 28 — — $23,080.39 $99,534.42 $42,253.97 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 41 24 — — $22,987.32 $148,202.49 $61,265.00 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 57 24 — — $22,964.89 $194,572.46 $94,059.69 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 56 27 — — $22,856.72 $95,279.94 $49,972.27 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 42 24 — — $22,827.18 $106,804.24 $41,960.22 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 42 24 — — $22,572.28 $93,430.80 $41,689.15 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 41 23 — — $22,335.20 $160,694.90 $40,857.07 2026-04-01
570 MS_DRG Skin Debridement With Mcc 41 24 — — $22,313.18 $88,932.98 $39,683.00 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 39 21 — — $22,208.53 $208,999.01 $54,909.11 2026-04-01
5231 OTHER Level 1 Icd And Similar Procedures 24 16 — — $22,083.92 $56,865.75 $54,182.44 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 37 21 — — $22,014.35 $97,925.76 $38,150.02 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 51 24 — — $22,012.98 $140,371.04 $49,370.10 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 23 — — $21,919.02 $87,309.20 $38,980.95 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 60 29 — — $21,908.75 $87,266.87 $48,412.65 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 40 22 — — $21,877.92 $117,230.59 $39,860.13 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 51 25 — — $21,765.07 $95,697.22 $43,820.33 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 45 25 — — $21,648.19 $86,193.42 $36,362.21 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 55 25 — — $21,403.89 $97,680.84 $49,221.70 2026-04-01
800 MS_DRG Splenic Procedures With Cc 40 22 — — $21,346.51 $133,400.76 $39,048.50 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 39 21 — — $21,272.39 $101,655.75 $38,563.16 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 36 21 — — $21,213.48 $111,021.84 $41,387.79 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 60 27 — — $21,182.71 $88,062.13 $46,687.68 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 39 23 — — $20,964.38 $128,029.12 $44,785.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 44 25 — — $20,962.64 $108,654.05 $37,883.90 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 40 22 — — $20,524.45 $81,563.98 $36,290.57 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 41 24 — — $20,522.29 $117,752.82 $48,677.50 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 41 23 — — $20,249.93 $91,355.57 $37,042.56 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 39 22 — — $20,084.05 $157,890.46 $36,332.82 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 37 21 — — $19,881.02 $141,870.65 $61,815.82 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 43 21 — — $19,722.61 $87,344.88 $36,384.96 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 48 25 — — $19,656.88 $84,358.14 $38,754.40 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 42 21 — — $19,601.60 $89,084.17 $37,464.61 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 54 28 — — $19,464.57 $77,197.61 $41,016.40 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 57 28 — — $19,375.76 $78,492.93 $52,968.09 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 44 21 — — $19,365.45 $149,333.39 $61,732.50 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 61 26 — — $19,251.71 $97,520.49 $45,662.14 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 59 27 — — $19,243.64 $99,395.18 $54,168.38 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 56 27 — — $19,084.57 $82,664.64 $40,848.14 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 38 22 — — $18,777.11 $81,830.08 $36,575.19 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 45 23 — — $18,775.83 $113,289.69 $47,117.24 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 41 23 — — $18,611.58 $91,222.00 $37,710.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 25 — — $18,273.51 $98,358.17 $42,329.51 2026-04-01
33967 HCPCS Insert I-aort Percut Device 3 2 — — $17,849.00 $62,139.00 $61,909.00 2026-04-01
33968 HCPCS Remove Aortic Assist Device 3 2 — — $17,849.00 $62,139.00 $61,909.00 2026-04-01
33824 HCPCS Revise Major Vessel 3 2 — — $17,849.00 $52,053.00 $51,860.00 2026-04-01
33820 HCPCS Revise Major Vessel 3 2 — — $17,849.00 $52,053.00 $51,860.00 2026-04-01
32652 HCPCS Thoracoscopy Rem Totl Cortex 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32650 HCPCS Thoracoscopy W/pleurodesis 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63290 HCPCS Bx/exc Xdrl/idrl Lsn Any Lvl 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63287 HCPCS Bx/exc Idrl Imed Lesn Thrlmb 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63282 HCPCS Bx/exc Idrl Spine Lesn Lmbr 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32651 HCPCS Thoracoscopy Remove Cortex 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63272 HCPCS Excise Intrspinl Lesion Lmbr 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63252 HCPCS Revise Spine Cord Vsl Thrlmb 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63277 HCPCS Bx/exc Xdrl Spine Lesn Lmbr 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63200 HCPCS Release Spinal Cord Lumbar 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63185 HCPCS Incise Spine Nrv Half Segmnt 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63190 HCPCS Incise Spine Nrv >2 Segmnts 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
63191 HCPCS Incise Spine Accessory Nerve 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56637 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56634 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56631 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56632 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
56633 HCPCS Extensive Vulva Surgery 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
32656 HCPCS Thoracoscopy W/pleurectomy 3 2 — — $17,849.00 $36,234.00 $36,100.00 2026-04-01
665 MS_DRG Prostatectomy With Mcc 39 23 — — $17,776.68 $94,378.85 $39,015.00 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 63 28 — — $17,596.02 $105,479.22 $70,235.51 2026-04-01
82 MS_DRG Traumatic Stupor And Coma >1 Hour With Mcc 62 30 — — $17,501.88 $69,111.97 $36,384.89 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 63 27 — — $17,343.73 $94,059.75 $55,556.18 2026-04-01
614 MS_DRG Adrenal And Pituitary Procedures With Cc/Mcc 54 25 — — $16,813.40 $110,424.99 $36,841.59 2026-04-01
5464 OTHER Level 4 Neurostimulator And Related Procedures 21 12 — — $16,581.43 $37,073.36 $37,073.36 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 41 24 — — $16,373.76 $109,718.58 $45,356.25 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 39 21 — — $15,910.51 $150,809.00 $62,721.54 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 56 27 — — $15,749.01 $116,092.75 $56,989.21 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 68 28 — — $15,485.10 $106,637.33 $63,769.65 2026-04-01
165 MS_DRG Major Chest Procedures Without Cc/Mcc 62 28 — — $14,775.84 $97,520.49 $51,721.10 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 66 28 — — $14,009.87 $94,211.67 $45,170.98 2026-04-01
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 55 25 — — $13,674.68 $78,392.02 $36,136.26 2026-04-01
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/Mcc 51 25 — — $13,306.40 $117,756.23 $36,794.44 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 41 23 — — $13,102.57 $91,321.78 $37,751.25 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 84 31 — — $12,968.58 $93,845.43 $48,964.44 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 70 31 — — $12,729.11 $132,218.05 $44,966.49 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 18 10 — — $12,323.00 $128,088.31 $65,160.82 2026-04-01
5224 OTHER Level 4 Pacemaker And Similar Procedures 12 9 — — $12,230.49 $54,837.62 $54,837.62 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 67 29 — — $11,777.92 $159,544.76 $113,266.33 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 75 28 — — $11,710.04 $50,887.53 $36,126.81 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 104 39 — — $10,083.61 $58,737.32 $41,080.24 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 22 — — $9,920.49 $202,186.39 $89,420.98 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 37 21 — — $8,823.17 $168,099.48 $66,789.90 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 74 30 — — $7,407.37 $60,808.62 $50,874.28 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 36 18 — — $6,938.13 $50,622.18 $50,622.18 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 58 26 — — $6,929.17 $91,717.90 $43,614.06 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 67 29 — — $6,711.52 $119,266.32 $63,899.96 2026-04-01
245 MS_DRG Aicd Generator Procedures 38 22 — — $4,587.68 $137,957.85 $57,030.00 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 41 24 — — $2,465.98 $128,974.14 $53,316.25 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 56 26 — — $2,443.32 $180,312.22 $87,722.55 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 62 25 — — $961.46 $361,855.41 $109,862.36 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 56 28 — — $667.00 $121,571.88 $60,849.60 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 37 21 — — $310.00 $154,165.38 $56,330.10 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 37 21 — — $295.00 $238,243.98 $87,257.00 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 69 27 — — $295.00 $83,094.02 $41,409.46 2026-04-01
5116 OTHER Level 6 Musculoskeletal Procedures 49 23 — — $285.00 $95,650.52 $66,317.91 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 75 30 — — $200.00 $83,816.71 $44,825.16 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 45 25 — — $149.89 $102,558.92 $37,756.25 2026-04-01
See an error in this hospital's data? Submit a correction