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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

ORLANDO HEALTH ST CLOUD HOSPITAL

Saint Cloud, FL · CCN 100302 · Rates published

12,172 distinct procedures filed
37 distinct payers
260,399 rate rows
2026-04-01 last MRF observed
Data quality

188,150 of 260,399 rate rows are consumer-grade (72.3%)

72,249 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 60,862
template filing: same amount across many unrelated codes — excluded 11,337
placeholder amount (≤ $0.02) — excluded from medians 50
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://hospitalpricedisclosure.com/download.aspx?pi=SoRAGcrfU7IdykPOHI4HYg*-*&f=p22CpYLrWLxCnt4HoK7iZA*-*
Found on page https://www.orlandohealth.com/patients-and-visitors/patient-financial-resources/financial-information-prior-to-care/pricing-transparency-guide
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-19
Content fingerprint ecc38139fcea91d6… · 61,789,373 bytes · first seen 2026-05-17

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 6 $4,432,920.00 $4,820,350.00 $4,685,200.00 nat. median
$4,505,000
1.0× median
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $3,626,302.40 $4,238,056.67 $3,869,530.00 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $3,263,399.19 $3,813,931.98 $3,482,285.72 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 6 $3,196,470.58 $3,735,712.57 $3,410,868.00 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 7 $2,898,608.16 $4,868,633.01 $3,122,484.40 nat. median
$3,004,655
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,415,828.84 $4,738,363.47 $2,626,968.35 nat. median
$2,468,984
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 8 $2,294,688.00 $4,500,760.00 $2,495,240.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 9 $758,290.08 $2,465,984.00 $886,213.00 nat. median
$824,563
1.1× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 9 $582,258.58 $1,893,523.84 $680,485.13 nat. median
$753,246
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 9 $556,815.04 $1,810,780.62 $650,749.29 nat. median
$674,867
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 9 $553,537.57 $1,800,122.19 $646,918.91 nat. median
$673,137
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 9 $548,400.85 $1,783,417.39 $640,915.62 nat. median
$625,184
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 9 $524,698.49 $1,706,336.55 $613,214.70 nat. median
$634,303
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 9 $481,475.73 $1,565,774.75 $562,700.30 nat. median
$619,808
0.9× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 25 $207,073.94 $847,386.69 $350,298.75 nat. median
$265,286
1.3× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 25 $110,095.49 $1,305,761.51 $343,149.34 nat. median
$370,174
0.9× median
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 9 $273,798.00 $890,400.00 $319,987.50 nat. median
$324,450
1.0× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 25 $119,706.40 $641,807.60 $265,315.00 nat. median
$202,976
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 25 $158,000.54 $645,596.42 $247,277.26 nat. median
$206,474
1.2× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 25 $67,390.59 $624,278.24 $173,142.50 nat. median
$133,161
1.3× median
7
MS_DRG 		Lung Transplant 25 $96,228.23 $391,588.15 $150,601.10 nat. median
$122,708
1.2× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 25 $89,372.49 $363,397.26 $150,223.75 nat. median
$117,357
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 1 $149,749.00 $149,749.00 $149,749.00 nat. median
$87,428
1.7× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 25 $84,327.20 $618,149.06 $141,647.50 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 25 $84,231.59 $345,664.83 $141,485.00 nat. median
$98,047
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $2,635.04 $333,259.05 $137,765.00 nat. median
$98,894
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 25 $80,961.45 $328,926.41 $135,926.25 nat. median
$102,358
1.3× median
J7330
HCPCS 		Cultured Chondrocytes Implnt 2 $82,553.84 $130,327.56 $130,327.56 nat. median
$76,329
1.7× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 25 $63,310.81 $335,354.87 $128,881.25 nat. median
$100,136
1.3× median
215
MS_DRG 		Other Heart Assist System Implant 25 $31,720.54 $355,715.22 $124,462.50 nat. median
$99,019
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 $72,936.49 $295,812.31 $122,285.00 nat. median
$93,672
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 25 $67,250.70 $272,432.28 $112,620.00 nat. median
$82,711
1.4× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 1 $112,127.00 $112,127.00 $112,127.00 nat. median
$62,372
1.8× median
850
MS_DRG 		Acute Leukemia With Other Procedures 25 $64,676.21 $281,322.21 $108,243.75 nat. median
$83,470
1.3× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 25 $62,987.83 $254,903.32 $105,373.75 nat. median
$79,312
1.3× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 25 $62,792.96 $254,102.01 $105,042.50 nat. median
$81,118
1.3× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 25 $58,861.73 $237,936.77 $98,360.00 nat. median
$77,570
1.3× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 $57,460.88 $232,176.44 $95,978.75 nat. median
$74,915
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 $57,217.47 $231,175.56 $95,565.00 nat. median
$73,807
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 25 $57,031.43 $230,410.54 $95,154.00 nat. median
$72,135
1.3× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 25 $54,080.43 $218,276.03 $90,232.50 nat. median
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 25 $53,023.00 $216,978.82 $89,696.25 nat. median
$68,884
1.3× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 25 $53,462.73 $215,736.03 $89,182.50 nat. median
$71,271
1.3× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 25 $53,431.85 $215,609.04 $89,130.00 nat. median
$68,886
1.3× median
0100T
HCPCS 		Prosth Retina Receive&Gen 1 $88,839.00 $89,169.00 $89,004.00 nat. median
$11,210
outlier · 7.9×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 2 $85,000.00 $90,480.00 $87,740.00 nat. median
$65,393
1.3× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 $87,629.00 $87,629.00 $87,629.00 nat. median
$48,483
1.8× median
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 25 $51,575.07 $207,973.94 $85,973.75 nat. median
$65,950
1.3× median
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 25 $50,495.56 $203,535.00 $84,138.75 nat. median
$64,732
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 25 $53,742.90 $216,888.10 $84,109.83 nat. median
$64,023
1.3× median

Other procedures at this hospital

Browse this hospital's 12,172 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
             
0100T HCPCS Prosth Retina Receive&Gen 2 1 — — $88,839.00 $89,169.00 $89,004.00 2026-04-01
0266T HCPCS Implt/rpl Crtd Sns Dev Total 2 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0268T HCPCS Implt/rpl Crtd Sns Dev Gen 2 1 — — $61,909.00 $62,139.00 $62,024.00 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 13 9 — — $32,254.27 $104,891.94 $37,695.54 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 13 9 — — $32,254.27 $104,891.94 $37,695.54 2026-04-01
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 13 9 — — $36,100.00 $147,189.80 $48,756.62 2026-04-01
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 13 9 — — $31,708.46 $103,116.95 $37,057.65 2026-04-01
0686T HCPCS Histotripsy Mal Hepatcel Tis 13 9 — — $28,126.13 $114,481.32 $37,921.94 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 11 8 — — $31,708.46 $103,116.95 $34,479.73 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 11 8 — — $31,708.46 $103,116.95 $34,479.73 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 13 9 — — $32,254.27 $104,891.94 $37,695.54 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 13 9 — — $27,882.12 $90,673.57 $32,585.81 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 13 9 — — $27,882.12 $90,673.57 $32,585.81 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 43 25 — — $207,073.94 $847,386.69 $350,298.75 2026-04-01
10 MS_DRG Pancreas Transplant 43 25 — — $53,023.00 $216,978.82 $89,696.25 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 43 25 — — $41,105.04 $164,921.08 $68,176.25 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 43 25 — — $32,000.57 $127,483.41 $52,700.00 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 43 25 — — $22,189.41 $117,828.62 $36,022.50 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 43 25 — — $89,372.49 $363,397.26 $150,223.75 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 45 25 — — $2,249.99 $128,974.14 $41,373.41 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 43 25 — — $18,775.83 $113,289.69 $36,342.02 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 43 25 — — $44,602.40 $245,649.61 $74,121.25 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 47 25 — — $20,797.58 $135,520.67 $52,249.08 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 44 25 — — $19,558.30 $98,017.97 $31,645.91 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 46 25 — — $14,430.74 $113,020.57 $46,721.25 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 43 25 — — $40,944.72 $245,649.61 $67,903.75 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 43 25 — — $22,885.07 $93,907.43 $37,205.00 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 43 25 — — $110,095.49 $1,305,761.51 $343,149.34 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 43 25 — — $53,462.73 $215,736.03 $89,182.50 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 43 25 — — $84,327.20 $618,149.06 $141,647.50 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 43 25 — — $58,861.73 $237,936.77 $98,360.00 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 19 9 — — $11,194.00 $90,673.57 $28,335.49 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 47 25 — — $2,245.02 $194,572.46 $73,680.00 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 49 25 — — $7,998.29 $119,874.74 $34,358.75 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 43 25 — — $84,231.59 $345,664.83 $141,485.00 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 43 25 — — $39,926.25 $220,506.85 $66,172.50 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 43 25 — — $80,961.45 $328,926.41 $135,926.25 2026-04-01
21243 HCPCS Reconstruction Of Jaw Joint 19 9 — — $12,145.00 $90,673.57 $28,335.49 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 43 25 — — $42,964.02 $174,283.02 $71,336.25 2026-04-01
215 MS_DRG Other Heart Assist System Implant 44 25 — — $31,720.54 $355,715.22 $124,462.50 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 — — $72,936.49 $295,812.31 $122,285.00 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 — — $49,349.87 $239,459.35 $82,191.25 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 43 25 — — $49,349.87 $239,459.35 $82,191.25 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 25 — — $57,460.88 $232,176.44 $95,978.75 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 43 25 — — $24,363.13 $220,506.85 $39,717.50 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 25 — — $40,213.05 $173,449.30 $66,660.00 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 43 25 — — $38,061.39 $173,449.30 $63,002.50 2026-04-01
22558 HCPCS Lumbar Spine Fusion 20 10 — — $12,145.00 $90,673.57 $29,468.90 2026-04-01
22630 HCPCS Lumbar Spine Fusion 20 10 — — $12,145.00 $90,673.57 $29,468.90 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 19 9 — — $12,145.00 $90,673.57 $29,752.26 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 43 25 — — $37,378.97 $168,957.02 $61,842.50 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 43 25 — — $24,157.97 $168,957.02 $39,368.75 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 43 25 — — $43,136.09 $173,272.81 $71,628.75 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 43 25 — — $62,987.83 $254,903.32 $105,373.75 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 43 25 — — $45,579.69 $227,197.94 $75,782.50 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 44 25 — — $57,217.47 $231,175.56 $95,565.00 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 44 25 — — $41,168.28 $165,181.12 $68,283.75 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 43 25 — — $44,153.09 $177,454.73 $73,357.50 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 43 25 — — $31,800.55 $126,660.93 $52,360.00 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 43 25 — — $36,563.45 $148,822.36 $58,203.84 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 44 25 — — $14,991.79 $136,139.81 $48,898.75 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 43 25 — — $21,959.25 $86,193.42 $35,631.25 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 43 25 — — $24,476.38 $96,543.89 $39,910.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 44 25 — — $3,078.57 $137,957.85 $55,549.39 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 43 25 — — $34,432.39 $137,483.11 $56,833.75 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 45 25 — — $24,870.37 $105,479.22 $43,603.75 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 44 26 — — $3,425.08 $94,539.58 $32,445.00 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 43 25 — — $20,833.42 $81,563.98 $33,717.50 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 43 25 — — $19,625.79 $95,010.82 $35,701.24 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 43 25 — — $23,861.62 $103,447.81 $38,865.00 2026-04-01
263 MS_DRG Vein Ligation And Stripping 45 25 — — $4,609.40 $92,449.66 $29,365.14 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 45 25 — — $25,077.59 $101,013.06 $40,007.51 2026-04-01
265 MS_DRG Aicd Lead Procedures 43 25 — — $27,604.59 $109,407.13 $45,227.50 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 43 25 — — $46,063.56 $274,606.69 $76,605.00 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 43 25 — — $36,006.79 $206,190.17 $59,510.00 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 43 25 — — $51,575.07 $207,973.94 $85,973.75 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 43 25 — — $31,295.33 $127,701.12 $50,165.04 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 43 25 — — $19,550.21 $99,902.23 $31,536.25 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 46 25 — — $37,613.16 $159,544.76 $65,953.75 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 47 25 — — $26,969.56 $126,968.95 $44,453.75 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 43 25 — — $19,771.55 $77,197.61 $31,912.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 43 25 — — $31,335.07 $124,746.87 $49,767.00 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 43 25 — — $23,080.39 $99,534.42 $36,469.61 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 43 25 — — $53,431.85 $215,609.04 $89,130.00 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 43 25 — — $45,167.89 $181,627.57 $75,082.50 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 43 25 — — $34,960.38 $152,404.88 $57,731.25 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 19 9 — — $12,145.00 $90,673.57 $28,335.49 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 43 25 — — $41,929.37 $168,310.76 $69,577.50 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 25 — — $3,034.54 $109,050.32 $45,080.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 43 25 — — $41,816.52 $181,678.98 $70,709.15 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 43 25 — — $20,898.12 $81,954.46 $33,827.50 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 43 25 — — $26,085.34 $103,159.96 $42,645.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 45 25 — — $119,706.40 $641,807.60 $265,315.00 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 43 25 — — $30,835.44 $135,481.36 $53,126.23 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 43 25 — — $50,167.59 $202,186.39 $83,581.25 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 44 25 — — $18,809.70 $73,971.57 $30,369.54 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 43 25 — — $33,816.16 $134,949.17 $55,786.25 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 43 25 — — $18,685.43 $72,731.46 $30,066.25 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 51 25 — — $21,005.49 $87,790.46 $34,010.00 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 46 25 — — $29,228.83 $130,851.92 $54,092.50 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 44 25 — — $23,909.44 $95,279.94 $39,387.50 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 44 25 — — $21,491.26 $97,076.08 $40,130.00 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 46 25 — — $33,183.35 $150,809.00 $62,342.50 2026-04-01
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 44 25 — — $18,971.48 $132,902.67 $30,552.50 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 48 25 — — $34,698.00 $138,988.97 $57,456.25 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 46 25 — — $18,625.86 $110,918.99 $30,056.10 2026-04-01
332 MS_DRG Rectal Resection With Mcc 43 25 — — $27,622.98 $109,482.73 $45,258.75 2026-04-01
33225 HCPCS L Ventric Pacing Lead Add-on 2 1 — — $51,860.00 $52,053.00 $51,956.50 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 19 9 — — $12,145.00 $104,891.94 $34,417.67 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 19 9 — — $12,145.00 $104,891.94 $34,417.67 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 19 9 — — $12,145.00 $104,891.94 $34,417.67 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 19 9 — — $12,145.00 $104,891.94 $34,417.67 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 13 9 — — $45,260.86 $147,189.80 $52,896.33 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 19 9 — — $12,145.00 $103,116.95 $33,835.25 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 19 9 — — $12,145.00 $95,850.96 $31,451.10 2026-04-01
333 MS_DRG Rectal Resection With Cc 43 25 — — $18,221.42 $84,788.48 $29,277.50 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 44 25 — — $27,256.77 $107,976.87 $44,636.25 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 43 25 — — $24,423.08 $117,042.23 $44,427.99 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 44 25 — — $8,069.09 $78,098.71 $31,995.81 2026-04-01
35 MS_DRG Carotid Artery Stent Procedures With Cc 43 25 — — $18,576.59 $72,283.94 $29,881.25 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 44 25 — — $15,568.96 $75,350.07 $29,280.79 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 43 25 — — $18,638.96 $87,750.68 $33,906.10 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 43 25 — — $33,300.68 $132,829.49 $53,161.00 2026-04-01
357 MS_DRG Other Digestive System O.r. Procedures With Cc 44 25 — — $18,098.61 $93,266.11 $29,068.75 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 43 25 — — $26,283.89 $105,011.41 $42,982.50 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 43 25 — — $18,751.62 $73,730.31 $30,178.75 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 43 25 — — $22,827.18 $99,546.52 $39,449.33 2026-04-01
37233 HCPCS Tibper Revasc W/ather Add-on 2 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 19 9 — — $12,145.00 $210,196.21 $65,686.31 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 45 25 — — $14,166.22 $72,416.99 $29,936.25 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 45 25 — — $67,390.59 $624,278.24 $173,142.50 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 47 25 — — $21,535.28 $176,596.00 $48,075.54 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 43 25 — — $30,562.94 $121,571.88 $50,256.25 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 43 25 — — $41,225.63 $165,416.98 $68,381.25 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 43 25 — — $22,324.72 $141,087.13 $36,252.50 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 44 25 — — $27,217.79 $107,816.61 $44,705.49 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 43 25 — — $25,288.95 $99,885.19 $41,291.25 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 43 25 — — $27,195.73 $107,725.90 $44,532.50 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 48 25 — — $17,971.73 $72,159.96 $29,830.00 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 45 25 — — $2,255.58 $103,023.89 $42,588.75 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 43 25 — — $31,537.29 $125,578.41 $51,912.50 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 45 25 — — $2,635.04 $333,259.05 $137,765.00 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 25 — — $54,080.43 $218,276.03 $90,232.50 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 43 25 — — $42,339.70 $169,998.04 $70,275.00 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 43 25 — — $67,250.70 $272,432.28 $112,620.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 43 25 — — $43,406.71 $174,385.57 $72,088.75 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 43 25 — — $50,131.56 $204,754.83 $83,520.00 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 43 25 — — $32,182.93 $128,233.31 $53,010.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 43 25 — — $40,189.51 $161,156.44 $66,620.00 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 43 25 — — $24,752.87 $97,680.84 $40,380.00 2026-04-01
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
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $112,127.00 $112,127.00 $112,127.00 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
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 25 — — $62,792.96 $254,102.01 $105,042.50 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 25 — — $44,848.00 $180,312.22 $74,538.75 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 43 25 — — $31,681.42 $154,951.83 $52,157.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 2 2 — — $85,000.00 $90,480.00 $87,740.00 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 2 2 — — $48,000.00 $55,082.00 $51,541.00 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 43 25 — — $41,152.70 $167,004.47 $65,124.00 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 43 25 — — $20,558.39 $91,821.61 $33,250.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 45 25 — — $2,032.52 $172,341.48 $67,155.27 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 43 25 — — $23,902.06 $97,740.07 $38,933.75 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 45 25 — — $3,881.22 $157,400.89 $53,693.35 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 43 25 — — $26,931.00 $106,637.33 $44,082.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 43 25 — — $21,205.51 $83,094.02 $34,350.00 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 43 25 — — $23,302.74 $91,717.90 $37,915.00 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 44 26 — — $31,820.91 $146,010.23 $57,509.45 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 44 26 — — $22,662.25 $89,084.17 $36,826.25 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 44 26 — — $18,950.16 $73,820.03 $30,516.25 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 43 25 — — $26,603.42 $129,808.71 $48,394.24 2026-04-01
475 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc 43 25 — — $17,732.41 $68,812.62 $28,446.25 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 43 25 — — $26,401.55 $104,460.19 $41,951.00 2026-04-01
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 45 25 — — $17,028.51 $74,361.29 $30,740.00 2026-04-01
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 48 25 — — $19,864.89 $88,062.13 $31,785.74 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 43 25 — — $21,381.26 $83,816.71 $33,462.54 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 43 25 — — $24,728.60 $97,581.05 $40,338.75 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 43 25 — — $21,213.48 $111,021.84 $38,589.41 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 43 25 — — $24,889.81 $109,633.92 $39,328.70 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 43 25 — — $18,611.58 $91,222.00 $32,702.00 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 44 25 — — $63,310.81 $335,354.87 $128,881.25 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 45 25 — — $20,777.55 $95,697.22 $34,391.26 2026-04-01
5094 OTHER Level 4 Breast/Lymphatic Surgery And Related Procedures 10 7 — — $19,321.72 $170,333.23 $76,403.10 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 43 25 — — $24,432.99 $96,365.48 $39,836.25 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 44 26 — — $25,000.00 $113,008.48 $46,716.25 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 45 25 — — $22,104.11 $86,789.11 $35,877.50 2026-04-01
5378 OTHER Level 8 Urology And Related Services 1 1 — — $31,259.93 $31,259.93 $31,259.93 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 46 26 — — $7,052.32 $109,849.61 $29,867.21 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 11 7 — — $12,975.80 $65,654.73 $32,153.05 2026-04-01
5594 OTHER Level 4 Nuclear Medicine And Related Services 1 1 — — $44,798.49 $44,798.49 $44,798.49 2026-04-01
570 MS_DRG Skin Debridement With Mcc 44 25 — — $22,625.48 $201,824.00 $36,086.77 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 43 25 — — $28,154.16 $198,101.23 $52,972.12 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 43 25 — — $26,525.09 $104,968.19 $41,512.84 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 43 25 — — $22,987.32 $148,202.49 $47,541.64 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 44 25 — — $20,490.00 $80,151.87 $32,600.72 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 25 — — $21,635.40 $97,925.76 $36,538.57 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 43 25 — — $35,096.42 $335,354.87 $57,962.50 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 43 25 — — $21,272.42 $83,369.19 $34,463.75 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 43 25 — — $26,642.74 $105,452.00 $43,592.50 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 19 9 — — $12,145.00 $103,116.95 $33,835.25 2026-04-01
61886 HCPCS Implant Neurostim Arrays 19 9 — — $12,145.00 $103,116.95 $33,835.25 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 19 9 — — $12,145.00 $103,116.95 $33,835.25 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 44 26 — — $22,230.59 $87,309.20 $36,046.25 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 43 25 — — $26,784.09 $107,623.09 $42,523.30 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 43 25 — — $13,102.57 $91,321.78 $29,234.98 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 43 25 — — $28,403.19 $112,690.98 $46,251.00 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 19 9 — — $12,145.00 $103,116.95 $33,835.25 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 13 9 — — $45,260.86 $147,189.80 $52,896.33 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 19 9 — — $12,145.00 $103,116.95 $33,835.25 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 17 8 — — $12,145.00 $103,116.95 $33,190.77 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 43 25 — — $35,570.00 $142,160.93 $58,767.50 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 43 25 — — $28,248.76 $112,055.98 $46,322.50 2026-04-01
652 MS_DRG Kidney Transplant 43 25 — — $24,746.25 $101,627.68 $40,368.75 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 43 25 — — $39,210.02 $157,128.74 $64,955.00 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 43 25 — — $21,582.74 $102,174.33 $34,991.25 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 43 25 — — $24,410.20 $96,271.74 $39,797.50 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 44 25 — — $19,682.58 $76,831.73 $31,761.25 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 46 25 — — $3,052.36 $92,573.64 $33,118.76 2026-04-01
665 MS_DRG Prostatectomy With Mcc 43 25 — — $17,776.68 $94,378.85 $32,337.52 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 48 25 — — $29,495.49 $127,047.98 $46,380.10 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 52 26 — — $15,507.95 $70,714.59 $29,232.50 2026-04-01
69930 HCPCS Implant Cochlear Device 13 9 — — $33,881.18 $110,182.70 $39,596.91 2026-04-01
7 MS_DRG Lung Transplant 43 25 — — $96,228.23 $391,588.15 $150,601.10 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 43 25 — — $27,283.24 $108,085.73 $44,681.25 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 43 25 — — $20,964.38 $108,336.71 $38,136.27 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 44 25 — — $19,878.92 $77,639.09 $32,095.00 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 43 25 — — $44,703.88 $179,719.55 $74,293.75 2026-04-01
791 MS_DRG Prematurity With Major Problems 43 25 — — $30,846.05 $122,736.04 $49,687.00 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 43 25 — — $6,995.43 $126,080.36 $34,104.59 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 43 25 — — $34,301.50 $136,944.88 $56,611.25 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 43 25 — — $42,211.75 $178,347.76 $70,057.50 2026-04-01
800 MS_DRG Splenic Procedures With Cc 43 25 — — $21,657.01 $103,502.78 $35,117.50 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 43 25 — — $24,952.77 $120,471.22 $43,670.00 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 43 25 — — $44,125.15 $177,339.82 $73,198.74 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 43 25 — — $34,712.57 $138,635.18 $57,310.00 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 44 26 — — $17,658.14 $168,436.17 $28,406.10 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 25 — — $35,396.45 $141,447.32 $58,472.50 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 43 25 — — $17,993.45 $91,430.71 $28,890.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 43 25 — — $24,235.18 $95,552.08 $39,500.00 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 43 25 — — $41,368.29 $166,003.60 $68,623.75 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 43 25 — — $36,326.67 $149,292.96 $60,053.75 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 46 25 — — $23,862.20 $97,816.91 $36,472.63 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 43 25 — — $64,676.21 $281,322.21 $108,243.75 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 57 26 — — $34,179.13 $149,333.39 $61,732.50 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 43 25 — — $34,447.10 $137,543.59 $56,858.75 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 49 25 — — $22,208.53 $208,999.01 $55,300.38 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 45 25 — — $29,418.72 $116,866.85 $47,210.00 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 43 25 — — $28,477.17 $126,896.79 $49,858.92 2026-04-01
90288 HCPCS Botulism Ig IV 1 1 — — $56,497.80 $56,497.80 $56,497.80 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 43 25 — — $26,459.71 $111,067.20 $43,834.13 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 49 25 — — $29,230.47 $169,719.00 $41,192.38 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 43 25 — — $158,000.54 $645,596.42 $247,277.26 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 43 25 — — $53,742.90 $216,888.10 $84,109.83 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 43 25 — — $24,682.27 $97,390.55 $38,628.76 2026-04-01
92925 HCPCS Prq Card Angio/athrect Addl 2 1 — — $36,100.00 $36,234.00 $36,167.00 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 43 25 — — $20,522.29 $117,752.82 $37,773.74 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 13 9 — — $26,858.49 $87,344.69 $31,389.50 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 13 9 — — $26,858.49 $87,344.69 $31,389.50 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 13 9 — — $26,858.49 $87,344.69 $31,389.50 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 43 25 — — $16,373.76 $109,718.58 $35,196.45 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 43 25 — — $26,878.06 $106,419.62 $43,992.50 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 44 25 — — $19,964.22 $84,788.48 $32,338.01 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 43 25 — — $50,495.56 $203,535.00 $84,138.75 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 44 25 — — $28,669.39 $113,785.59 $47,037.50 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 43 25 — — $57,031.43 $230,410.54 $95,154.00 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 43 25 — — $31,985.12 $161,514.66 $52,673.75 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 43 25 — — $22,647.54 $161,514.66 $36,801.25 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 43 25 — — $19,964.22 $84,788.48 $32,240.00 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 43 25 — — $21,101.08 $82,664.64 $34,172.50 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 43 25 — — $46,011.35 $185,095.87 $76,516.25 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 44 25 — — $9,216.57 $109,213.61 $44,715.54 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 43 25 — — $20,392.20 $158,695.91 $32,967.50 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 46 26 — — $12,571.41 $176,077.23 $35,425.33 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 43 25 — — $17,873.59 $84,788.48 $28,686.25 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 49 25 — — $31,252.45 $141,870.65 $58,647.50 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 45 25 — — $18,720.64 $118,356.95 $30,731.25 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 46 25 — — $26,161.08 $103,667.96 $42,587.35 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 14 10 — — $55,915.36 $181,838.56 $79,554.37 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 2 1 — — $74,614.73 $74,614.73 $74,614.73 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 13 9 — — $27,659.61 $89,949.96 $32,325.77 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 6 — — $3,626,302.40 $4,238,056.67 $3,869,530.00 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 6 — — $3,263,399.19 $3,813,931.98 $3,482,285.72 2026-04-01
J3391 HCPCS Inj, Atidarsagene Autotemcel 6 6 — — $4,432,920.00 $4,820,350.00 $4,685,200.00 2026-04-01
J3392 HCPCS Inj, Exagamglogene Autotem 11 8 — — $2,294,688.00 $4,500,760.00 $2,495,240.00 2026-04-01
J3393 HCPCS Inj, Betibeglogene Autotemce 9 7 — — $2,898,608.16 $4,868,633.01 $3,122,484.40 2026-04-01
J3394 HCPCS Inj, Lovotibeglogene Autotem 7 6 — — $3,196,470.58 $3,735,712.57 $3,410,868.00 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 11 8 — — $2,415,828.84 $4,738,363.47 $2,626,968.35 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 3 2 — — $82,553.84 $130,327.56 $130,327.56 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 14 10 — — $62,328.81 $202,695.30 $80,574.31 2026-04-01
J9226 HCPCS Supprelin La Implant 14 10 — — $44,300.32 $144,066.08 $51,998.85 2026-04-01
J9266 HCPCS Pegaspargase Injection 14 10 — — $27,969.27 $90,956.99 $36,951.28 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 14 10 — — $23,840.77 $77,530.94 $31,178.70 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 13 9 — — $524,698.49 $1,706,336.55 $613,214.70 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 13 9 — — $582,258.58 $1,893,523.84 $680,485.13 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 10 — — $54,387.97 $176,871.44 $71,854.01 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 13 9 — — $481,475.73 $1,565,774.75 $562,700.30 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 13 9 — — $553,537.57 $1,800,122.19 $646,918.91 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 13 9 — — $548,400.85 $1,783,417.39 $640,915.62 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 13 9 — — $556,815.04 $1,810,780.62 $650,749.29 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 13 9 — — $758,290.08 $2,465,984.00 $886,213.00 2026-04-01
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 13 9 — — $273,798.00 $890,400.00 $319,987.50 2026-04-01
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