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

NICKLAUS CHILDREN'S HOSPITAL

Miami, FL · CCN 103301 · Rates published

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You selected 27447 (HCPCS)

Total knee arthroplasty

This hospital’s price: $25,330 across 3 payers · range $14,578-$78,200

Source: https://www.nicklauschildrens.org/NCH/media/docs/pdf/Finance/590638499_1871540237_nicklaus-childrens-hospital_standardcharges.zip · observed 2026-04-01

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

16,591 distinct procedures filed
43 distinct payers
168,384 rate rows
2026-04-01 last MRF observed
Data quality

79,352 of 168,384 rate rows are consumer-grade (47.1%)

89,032 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 76,039
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 9,186
template filing: same amount across many unrelated codes — excluded 3,757
placeholder amount (≤ $0.02) — excluded from medians 41
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 7
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nicklauschildrens.org/NCH/media/docs/pdf/Finance/590638499_1871540237_nicklaus-childrens-hospital_standardcharges.zip
Found on page https://www.nicklauschildrens.org/patient-resources/patient-financial-services/pricing-and-estimates
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 17489fe0205a9ea1… · 1,506,596 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 6 $192,271.69 $4,013,138.27 $1,025,591.50 nat. median
$370,165
outlier · 2.8×
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $901,625.40 $2,042,143.00 $1,001,806.00 nat. median
$809,151
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $718,591.55 $1,501,307.95 $798,435.05 nat. median
$691,418
1.2× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $688,538.93 $1,557,271.36 $765,043.25 nat. median
$631,793
1.2× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 3 $275,554.00 $1,295,572.92 $750,802.31 nat. median
$261,939
outlier · 2.9×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $657,845.18 $1,489,833.29 $730,939.09 nat. median
$624,417
1.2× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $654,943.86 $1,478,916.58 $727,715.41 nat. median
$610,161
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $622,263.47 $1,410,309.44 $691,403.85 nat. median
$588,565
1.2× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $572,470.00 $1,297,043.03 $636,077.78 nat. median
$577,541
1.1× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 2 $472,892.22 $987,054.97 $610,261.34 nat. median
$205,166
outlier · 3.0×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $200,000.00 $2,420,805.80 $481,659.89 nat. median
$199,832
outlier · 2.4×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $129,093.84 $1,904,430.53 $395,914.57 nat. median
$132,706
outlier · 3.0×
7
MS_DRG 		Lung Transplant 2 $286,833.98 $598,700.70 $370,155.57 nat. median
$122,690
outlier · 3.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $92,400.00 $760,219.71 $334,288.73 nat. median
$114,305
outlier · 2.9×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $240,850.44 $502,720.52 $310,814.40 nat. median
$100,978
outlier · 3.1×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $216,679.24 $503,277.54 $309,630.51 nat. median
$92,900
outlier · 3.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 3 $250,988.04 $523,880.45 $303,595.92 nat. median
$108,240
outlier · 2.8×
209
MS_DRG 		Complex Aortic Arch Procedures 3 $166,002.00 $523,279.44 $303,247.63 nat. median
$96,134
outlier · 3.2×
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $244,108.56 $509,521.10 $295,274.48 nat. median
$96,835
outlier · 3.0×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 2 $228,367.26 $476,664.73 $294,705.02 nat. median
$99,646
outlier · 3.0×
215
MS_DRG 		Other Heart Assist System Implant 3 $220,537.59 $460,322.07 $287,226.46 nat. median
$98,002
outlier · 2.9×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $237,174.89 $534,422.90 $263,527.66 nat. median
$209,736
1.3× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $199,553.63 $416,522.82 $241,380.70 nat. median
$81,124
outlier · 3.0×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 11 $33,225.11 $1,181,867.83 $237,323.93 nat. median
$51,433
outlier · 4.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $163,015.00 $389,722.71 $225,849.66 nat. median
$79,040
outlier · 2.9×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $174,286.05 $363,782.49 $224,913.91 nat. median
$77,385
outlier · 2.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 11 $26,450.43 $2,010,361.19 $224,160.40 nat. median
$74,472
outlier · 3.0×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $221,874.56 $221,874.56 $221,874.56 nat. median
$75,807
outlier · 2.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 2 $168,773.17 $352,275.60 $217,799.60 nat. median
$71,485
outlier · 3.0×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $96,189.00 $329,645.52 $212,050.62 nat. median
$68,581
outlier · 3.1×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 8 $4,778.51 $410,442.34 $205,867.32 nat. median
$55,867
outlier · 3.7×
10
MS_DRG 		Pancreas Transplant 2 $158,934.58 $331,739.79 $205,103.03 nat. median
$67,750
outlier · 3.0×
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 2 $158,868.13 $331,601.09 $205,017.28 nat. median
$62,911
outlier · 3.3×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $158,024.26 $329,839.69 $203,928.27 nat. median
$69,153
outlier · 2.9×
217
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 3 $145,636.32 $303,982.69 $196,061.90 nat. median
$63,840
outlier · 3.1×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $34,995.70 $400,337.34 $194,838.75 nat. median
$81,364
outlier · 2.4×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 3 $159,884.77 $333,723.10 $193,397.12 nat. median
$66,640
outlier · 2.9×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $149,087.13 $311,185.48 $192,395.03 nat. median
$64,357
outlier · 3.0×
218
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 2 $145,636.32 $303,982.69 $187,941.80 nat. median
$60,895
outlier · 3.1×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $145,106.96 $302,877.77 $187,258.67 nat. median
$59,159
outlier · 3.2×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 9 $12,033.94 $388,497.59 $186,126.91 nat. median
$80,459
outlier · 2.3×
268
MS_DRG 		Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 5 $58,499.34 $317,972.19 $184,269.26 nat. median
$65,792
outlier · 2.8×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 4 $16,199.90 $353,445.24 $181,573.50 nat. median
$73,475
outlier · 2.5×
317
MS_DRG 		Concomitant Left Atrial Appendage Closure And Cardiac Ablation 3 $148,099.29 $309,123.58 $179,141.36 nat. median
$59,832
outlier · 3.0×
447
MS_DRG 		Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 3 $147,990.76 $308,897.05 $179,010.09 nat. median
$62,262
outlier · 2.9×
64656
HCPCS 		Revj/rplcmt Bat Mod Sys Pg 1 $169,329.94 $187,952.79 $178,641.36 nat. median
$32,123
outlier · 5.6×
C8011
HCPCS 		Opn Mplnt Hpgls Ns Ary Rec 1 $169,329.94 $187,952.79 $178,641.36 nat. median
$37,520
outlier · 4.8×
C8007
HCPCS 		Opn Mplnt Hpgls Ns Ary Ps Gn 1 $169,329.94 $187,952.79 $178,641.36 nat. median
$37,520
outlier · 4.8×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 8 $25,877.29 $493,632.19 $175,892.47 nat. median
$65,958
outlier · 2.7×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $110,465.92 $965,086.26 $175,110.85 nat. median
$48,124
outlier · 3.6×

Other procedures at this hospital

Browse this hospital's 16,591 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
             
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 12 6 — — $192,271.69 $4,013,138.27 $1,025,591.50 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $901,625.40 $2,042,143.00 $1,001,806.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $718,591.55 $1,501,307.95 $798,435.05 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $688,538.93 $1,557,271.36 $765,043.25 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 8 3 — — $275,554.00 $1,295,572.92 $750,802.31 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 2 — — $657,845.18 $1,489,833.29 $730,939.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $654,943.86 $1,478,916.58 $727,715.41 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $622,263.47 $1,410,309.44 $691,403.85 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $572,470.00 $1,297,043.03 $636,077.78 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 7 2 — — $472,892.22 $987,054.97 $610,261.34 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 11 — — $200,000.00 $2,420,805.80 $481,659.89 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 9 — — $129,093.84 $1,904,430.53 $395,914.57 2026-04-01
7 MS_DRG Lung Transplant 7 2 — — $286,833.98 $598,700.70 $370,155.57 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $92,400.00 $760,219.71 $334,288.73 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 2 — — $240,850.44 $502,720.52 $310,814.40 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 4 — — $216,679.24 $503,277.54 $309,630.51 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 8 3 — — $250,988.04 $523,880.45 $303,595.92 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 8 3 — — $166,002.00 $523,279.44 $303,247.63 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 3 — — $244,108.56 $509,521.10 $295,274.48 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 2 — — $228,367.26 $476,664.73 $294,705.02 2026-04-01
215 MS_DRG Other Heart Assist System Implant 8 3 — — $220,537.59 $460,322.07 $287,226.46 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 2 — — $237,174.89 $534,422.90 $263,527.66 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 8 3 — — $199,553.63 $416,522.82 $241,380.70 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 26 11 — — $33,225.11 $1,181,867.83 $237,323.93 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 3 — — $163,015.00 $389,722.71 $225,849.66 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 7 2 — — $174,286.05 $363,782.49 $224,913.91 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 26 11 — — $26,450.43 $2,010,361.19 $224,160.40 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $221,874.56 $221,874.56 $221,874.56 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 7 2 — — $168,773.17 $352,275.60 $217,799.60 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 10 3 — — $96,189.00 $329,645.52 $212,050.62 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 8 — — $4,778.51 $410,442.34 $205,867.32 2026-04-01
10 MS_DRG Pancreas Transplant 7 2 — — $158,934.58 $331,739.79 $205,103.03 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 7 2 — — $158,868.13 $331,601.09 $205,017.28 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 2 — — $158,024.26 $329,839.69 $203,928.27 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 8 3 — — $145,636.32 $303,982.69 $196,061.90 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 7 — — $34,995.70 $400,337.34 $194,838.75 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 3 — — $159,884.77 $333,723.10 $193,397.12 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 2 — — $149,087.13 $311,185.48 $192,395.03 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 2 — — $145,636.32 $303,982.69 $187,941.80 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 7 2 — — $145,106.96 $302,877.77 $187,258.67 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 9 — — $12,033.94 $388,497.59 $186,126.91 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 5 — — $58,499.34 $317,972.19 $184,269.26 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 10 4 — — $16,199.90 $353,445.24 $181,573.50 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 8 3 — — $148,099.29 $309,123.58 $179,141.36 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 8 3 — — $147,990.76 $308,897.05 $179,010.09 2026-04-01
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 2 1 — — $169,329.94 $187,952.79 $178,641.36 2026-04-01
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 2 1 — — $169,329.94 $187,952.79 $178,641.36 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 2 1 — — $169,329.94 $187,952.79 $178,641.36 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 8 — — $25,877.29 $493,632.19 $175,892.47 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 6 — — $110,465.92 $965,086.26 $175,110.85 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 7 2 — — $135,580.67 $282,993.82 $174,965.12 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 3 2 — — $50,470.00 $191,188.07 $172,244.67 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 3 2 — — $50,470.00 $191,188.07 $172,244.67 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 3 2 — — $50,470.00 $191,188.07 $172,244.67 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 11 — — $24,051.77 $387,386.26 $170,792.77 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 3 2 — — $37,764.00 $187,952.79 $169,329.94 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 3 2 — — $8,105.00 $187,952.79 $169,329.94 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 3 2 — — $8,105.00 $187,952.79 $169,329.94 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 3 — — $134,280.53 $280,280.06 $168,151.15 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 8 3 — — $115,095.06 $1,060,309.25 $164,468.66 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 11 4 — — $126,920.41 $975,314.01 $163,789.16 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 6 — — $103,918.68 $490,976.23 $162,889.91 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 2 — — $124,136.29 $259,106.26 $160,196.28 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 11 — — $7,582.65 $1,081,602.02 $159,339.78 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 9 3 — — $101,548.74 $355,545.98 $159,175.09 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 3 — — $129,983.62 $271,311.25 $157,228.60 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 8 3 — — $62,666.45 $271,135.57 $157,126.79 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 7 2 — — $120,802.86 $252,148.50 $155,894.54 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 2 — — $120,320.01 $251,140.66 $155,271.43 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 8 3 — — $127,735.50 $266,618.80 $154,509.26 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 15 — — $24,000.00 $2,521,499.45 $154,376.00 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 19 7 — — $7,181.89 $314,099.59 $153,210.00 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 8 3 — — $126,402.13 $263,835.69 $152,896.41 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 8 3 — — $53,292.80 $263,493.58 $152,698.15 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 7 2 — — $117,252.38 $244,737.67 $151,312.69 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 10 — — $64,207.34 $750,356.89 $150,812.48 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 8 3 — — $105,446.96 $220,096.54 $150,681.70 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 8 3 — — $124,521.68 $259,910.68 $150,621.82 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 9 3 — — $78,622.00 $277,691.12 $150,165.00 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 3 — — $64,774.00 $257,330.99 $149,126.85 2026-04-01
0956T OTHER Prt Crn Ch Cr&tun Elt S-sclp 3 2 — — $37,764.00 $165,272.01 $148,896.44 2026-04-01
0960T OTHER Rpl S-sclp Eltr Ra Rcvr&tlmt 3 2 — — $37,764.00 $165,272.01 $148,896.44 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 8 3 — — $83,867.00 $255,333.81 $147,969.46 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 9 2 — — $93,380.18 $194,909.90 $146,371.09 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 8 3 — — $114,890.00 $252,546.08 $146,353.92 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 25 9 — — $26,192.50 $876,672.77 $145,681.20 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 20 10 — — $23,960.15 $2,228,215.09 $145,481.53 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 2 — — $100,310.61 $384,733.66 $143,341.95 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 8 3 — — $118,045.31 $246,392.74 $142,787.98 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 7 2 — — $109,010.73 $227,535.11 $140,676.95 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 7 2 — — $108,556.68 $226,587.38 $140,091.00 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 2 — — $88,936.24 $277,769.72 $139,312.41 2026-04-01
791 MS_DRG Prematurity With Major Problems 24 8 — — $8,055.10 $627,249.91 $137,295.17 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 2 — — $121,166.10 $252,906.69 $136,762.50 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 8 3 — — $33,355.82 $233,013.49 $135,034.52 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 3 — — $51,127.21 $454,818.15 $134,998.88 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 2 — — $104,131.31 $217,350.42 $134,380.12 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 12 — — $38,258.78 $1,881,722.55 $134,061.80 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 7 2 — — $103,608.59 $216,259.37 $133,705.56 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 8 — — $8,335.29 $259,226.81 $133,320.00 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 7 2 — — $102,704.91 $214,373.15 $132,539.37 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 3 — — $78,622.00 $213,517.87 $132,010.59 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 4 — — $30,310.44 $368,283.03 $130,015.49 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $129,549.13 $129,549.13 $129,549.13 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 1 1 — — $127,765.14 $127,765.14 $127,765.14 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 10 3 — — $89,050.05 $185,871.74 $127,250.83 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $123,742.09 $123,742.09 $123,742.09 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 7 2 — — $95,847.58 $200,060.03 $123,690.07 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 10 3 — — $24,658.15 $240,650.85 $123,628.25 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 7 2 — — $95,083.44 $198,465.06 $122,703.96 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $115,962.71 $129,343.03 $122,652.87 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 3 — — $92,777.73 $193,652.41 $121,705.24 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 9 4 — — $51,212.09 $223,235.63 $120,717.50 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 7 2 — — $93,333.67 $194,812.81 $120,445.90 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 7 2 — — $92,950.49 $194,013.01 $119,951.42 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 7 2 — — $91,984.80 $191,997.34 $118,705.20 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 2 — — $75,463.86 $157,513.64 $116,871.74 2026-04-01
265 MS_DRG Aicd Lead Procedures 8 3 — — $80,139.51 $167,273.00 $114,517.84 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 11 4 — — $78,110.66 $170,078.07 $113,861.72 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 3 — — $79,091.86 $165,086.28 $113,020.77 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 2 — — $71,649.80 $149,552.66 $112,309.26 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 13 6 — — $19,182.04 $487,836.11 $112,012.50 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 7 2 — — $86,644.67 $180,851.05 $111,813.84 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 5 — — $41,898.34 $206,324.33 $111,572.50 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 7 2 — — $86,252.64 $180,032.76 $111,307.92 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 10 — — $15,844.34 $3,106,317.22 $111,118.50 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 2 — — $85,732.13 $178,946.33 $110,636.22 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 9 3 — — $7,390.20 $203,083.54 $109,820.00 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 8 — — $31,013.23 $184,313.13 $109,344.34 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 8 3 — — $75,935.63 $402,455.43 $108,510.58 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 7 2 — — $83,346.69 $173,967.25 $107,557.83 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 4 — — $15,378.86 $289,522.03 $106,740.01 2026-04-01
0817T OTHER Opn Insj/rplcmt Ins Ptn Subf 3 2 — — $23,320.00 $118,165.16 $106,457.05 2026-04-01
0680T OTHER Insj/rplcmt Pg Only Isdss 3 2 — — $23,320.00 $118,165.16 $106,457.05 2026-04-01
0816T OTHER Opn Insj/rplcmt Ins Ptn Subq 3 2 — — $23,320.00 $118,165.16 $106,457.05 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 9 — — $19,694.43 $1,975,389.31 $106,410.44 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 9 4 — — $71,273.84 $196,056.42 $106,020.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 4 — — $53,354.53 $190,725.99 $105,948.71 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 2 — — $82,079.76 $171,322.84 $105,922.88 2026-04-01
0823T OTHER Tcat Ins 1chmbr Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0525T OTHER Insj/rplcmt Compl Iims 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0802T OTHER Tcat Rmv&rpl2chmb Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0795T OTHER Tcat Ins 2chmbr Ldls Pm Cmpl 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0796T OTHER Tcat Ins 2chmbr Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0797T OTHER Tcat Ins 2chmbr Ldls Pm Rv 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0801T OTHER Tcat Rmv&rpl 2chmbr Ldls Pm 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0803T OTHER Tcat Rmv&rpl2chmb Ldls Pm Rv 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0825T OTHER Tcat Rmv&rpl1chmb Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 44 19 — — $2,452.63 $225,743.80 $105,407.28 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 9 3 — — $3,642.13 $194,244.17 $105,040.00 2026-04-01
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $98,884.27 $110,293.99 $104,589.13 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 7 2 — — $80,305.63 $167,619.74 $103,633.38 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 2 — — $80,194.88 $167,388.58 $103,490.47 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 8 3 — — $22,172.95 $177,494.68 $102,860.61 2026-04-01
245 MS_DRG Aicd Generator Procedures 11 5 — — $861.61 $210,924.31 $102,654.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 7 2 — — $79,355.44 $165,636.43 $102,407.17 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 7 2 — — $79,171.60 $165,252.71 $102,169.93 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 7 2 — — $78,974.47 $164,841.25 $101,915.54 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 7 2 — — $78,908.03 $164,702.56 $101,829.80 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 7 2 — — $78,832.72 $164,545.38 $101,732.61 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 4 — — $57,105.78 $164,411.31 $101,649.72 2026-04-01
668 MS_DRG Transurethral Procedures With Mcc 9 4 — — $64,675.08 $323,715.14 $101,376.56 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $95,450.06 $105,947.62 $100,698.84 2026-04-01
0238T OTHER Trluml Perip Athrc Iliac Art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
0645T OTHER Tcat Impltj C Sins Rdctj Dev 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9797 HCPCS Vasc Emb/occ W/prs Cath 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9775 HCPCS Revasc Lith-sten-ath Tib/per 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9773 HCPCS Revasc Lithotr-stent Tib/per 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9774 HCPCS Revasc Lithotr-ather Tib/per 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9766 HCPCS Revasc Intra Lithotrip-ather 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9765 HCPCS Revasc Intra Lithotrip-stent 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
C9767 HCPCS Revasc Lithotrip-stent-ather 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
0632T OTHER Perq Tcat US Abltj Nrv P-art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 3 2 — — $37,764.00 $111,657.15 $100,593.87 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 3 2 — — $29,353.00 $111,657.15 $100,593.87 2026-04-01
93580 HCPCS Transcath Closure Of Asd 3 2 — — $29,353.00 $111,657.15 $100,593.87 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 3 2 — — $29,353.00 $111,657.15 $100,593.87 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 3 2 — — $37,764.00 $111,657.15 $100,593.87 2026-04-01
0793T OTHER Prq Tcat Thrm Ablt Nrv P-art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 7 — — $35,644.22 $195,242.76 $100,198.40 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 8 3 — — $29,239.08 $172,293.69 $99,846.56 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 7 2 — — $77,242.42 $161,225.99 $99,680.35 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 19 10 — — $3,007.97 $351,484.30 $99,267.39 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 7 2 — — $76,888.04 $160,486.29 $99,223.03 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 9 4 — — $19,054.77 $641,241.04 $98,742.83 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 8 3 — — $64,774.00 $166,727.48 $96,620.86 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 2 — — $23,320.00 $106,797.66 $96,215.87 2026-04-01
0656T OTHER Vrt Bdy Tethering Ant 3 2 — — $8,105.00 $106,797.66 $96,215.87 2026-04-01
0657T OTHER Vrt Bdy Tethering Ant 8+ Seg 3 2 — — $8,105.00 $106,797.66 $96,215.87 2026-04-01
0790T OTHER Revj Rplcmt/rmvl Vrt Tethrg 3 2 — — $8,105.00 $106,797.66 $96,215.87 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 9 4 — — $21,080.13 $207,005.71 $95,484.37 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 2 — — $73,164.79 $152,714.86 $94,418.22 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $20,743.85 $162,705.38 $94,290.01 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 7 2 — — $72,916.72 $152,197.08 $94,098.09 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 11 5 — — $20,451.44 $766,295.60 $93,442.50 2026-04-01
570 MS_DRG Skin Debridement With Mcc 8 3 — — $65,142.42 $137,639.86 $93,087.29 2026-04-01
652 MS_DRG Kidney Transplant 7 2 — — $71,530.20 $149,303.01 $92,308.80 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 2 — — $71,477.04 $149,192.06 $92,240.20 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 8 3 — — $74,427.00 $158,969.92 $92,125.25 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 9 3 — — $46,152.00 $169,741.74 $91,790.00 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 2 — — $71,107.15 $148,420.00 $91,762.86 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 6 — — $4,484.25 $536,026.83 $91,703.50 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 9 3 — — $70,717.33 $147,606.34 $91,259.80 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 7 2 — — $70,517.99 $147,190.26 $91,002.56 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 7 2 — — $70,376.23 $146,894.38 $90,819.62 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 9 4 — — $12,103.18 $167,749.18 $90,712.50 2026-04-01
0308T OTHER Insj Ocular Telescope Prosth 3 2 — — $37,764.00 $100,262.12 $90,327.90 2026-04-01
J9183 HCPCS Gemcitabine Intravesical Sys 2 1 — — $85,513.26 $95,014.74 $90,264.00 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 7 2 — — $69,791.50 $145,673.88 $90,065.03 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 2 — — $69,131.46 $144,296.20 $89,213.26 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $27,371.39 $172,779.12 $88,760.88 2026-04-01
662 MS_DRG Minor Bladder Procedures With Mcc 7 2 — — $67,809.16 $141,536.21 $87,506.85 2026-04-01
263 MS_DRG Vein Ligation And Stripping 7 2 — — $67,718.35 $141,346.66 $87,389.66 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 4 — — $22,296.00 $169,811.09 $87,236.12 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 8 3 — — $38,635.00 $150,380.20 $87,147.39 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $22,141.77 $149,719.09 $86,764.27 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 5 — — $15,122.83 $149,344.62 $86,547.26 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 7 2 — — $66,901.05 $139,640.74 $86,334.95 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 3 — — $37,041.07 $139,622.24 $86,323.52 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 8 3 — — $17,451.12 $148,900.80 $86,290.07 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 5 — — $4,379.99 $178,678.19 $86,281.96 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 7 2 — — $65,924.28 $137,601.95 $85,074.44 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 23 9 — — $12,949.71 $426,271.55 $84,298.50 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 8 3 — — $36,292.00 $145,262.43 $84,181.57 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 7 2 — — $65,208.87 $136,108.69 $84,151.21 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $75,210.29 $170,328.19 $83,566.99 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 19 7 — — $29,769.70 $1,710,003.00 $83,317.51 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 7 2 — — $64,276.40 $134,162.36 $82,947.87 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 2 — — $63,953.02 $133,487.39 $82,530.55 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 7 2 — — $63,922.01 $133,422.67 $82,490.54 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 7 2 — — $63,828.99 $133,228.50 $82,370.49 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 7 2 — — $63,135.72 $131,781.47 $81,475.84 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 6 — — $33,377.06 $152,178.58 $81,118.57 2026-04-01
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 8 3 — — $27,633.64 $139,469.68 $80,824.60 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 5 — — $15,634.33 $166,977.13 $80,631.63 2026-04-01
800 MS_DRG Splenic Procedures With Cc 9 2 — — $62,225.40 $129,881.37 $80,301.08 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 8 3 — — $58,916.34 $122,974.46 $79,948.89 2026-04-01
503 MS_DRG Foot Procedures With Mcc 7 2 — — $61,820.07 $129,035.34 $79,778.01 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 8 — — $23,698.42 $177,087.21 $79,765.46 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 9 — — $18,039.45 $205,734.44 $79,672.50 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 8 3 — — $60,865.45 $127,042.79 $79,655.54 2026-04-01
483 MS_DRG Major Joint Or Limb Reattachment Procedures Of Upper Extremities 7 2 — — $61,394.81 $128,147.71 $79,229.22 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 8 3 — — $39,782.00 $136,201.15 $78,930.44 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 7 2 — — $61,067.01 $127,463.49 $78,806.19 2026-04-01
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 2 — — $60,550.94 $126,386.31 $78,140.21 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 13 5 — — $20,491.55 $143,995.70 $77,867.50 2026-04-01
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 14 5 — — $42,723.21 $154,115.90 $77,754.99 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 8 3 — — $43,766.74 $134,079.15 $77,700.71 2026-04-01
849 MS_DRG Radiotherapy 7 2 — — $60,012.72 $125,262.89 $77,445.64 2026-04-01
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 4 — — $53,799.23 $125,110.33 $77,351.31 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 6 — — $33,033.12 $455,643.82 $77,262.36 2026-04-01
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 7 2 — — $59,744.71 $124,703.50 $77,099.78 2026-04-01
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 8 3 — — $53,452.00 $132,692.22 $76,896.96 2026-04-01
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 9 4 — — $22,497.15 $140,227.87 $75,830.00 2026-04-01
L8702 HCPCS Pow Ue Rom Dev Ewhf Uprt Cus 2 1 — — $71,553.78 $79,809.98 $75,681.88 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 7 2 — — $58,415.77 $121,929.64 $75,384.80 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $9,678.60 $146,311.87 $75,164.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 33 12 — — $6,200.85 $164,119.21 $74,911.64 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 8 3 — — $60,263.00 $125,785.30 $74,652.82 2026-04-01
C9734 HCPCS U/s Trtmt, Not Leiomyomata 2 1 — — $70,451.58 $78,199.82 $74,325.70 2026-04-01
1003T OTHER Arthrp 1st Crp/mtcrpl Prostc 2 1 — — $70,451.58 $78,199.82 $74,325.70 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 9 4 — — $17,369.53 $119,239.00 $73,721.27 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 7 2 — — $56,869.77 $118,702.72 $73,389.71 2026-04-01
654 MS_DRG Major Bladder Procedures With Cc 18 9 — — $14,293.46 $261,437.58 $73,278.86 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 8 3 — — $51,190.77 $144,554.27 $73,150.64 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $65,834.95 $144,170.89 $73,149.95 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 9 4 — — $21,822.35 $118,027.74 $72,972.40 2026-04-01
0582T OTHER Trurl Abltj Mal Prst8 Tiss 3 2 — — $8,105.00 $80,360.74 $72,398.39 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 3 — — $53,274.99 $111,199.42 $72,171.05 2026-04-01
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 8 3 — — $53,649.31 $111,980.73 $71,830.37 2026-04-01
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 8 3 — — $53,474.33 $111,615.50 $71,717.47 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 8 3 — — $22,795.13 $122,544.51 $71,016.23 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 12 5 — — $8,418.38 $109,736.06 $70,969.01 2026-04-01
0220T OTHER Plmt Post Facet Implt Thor 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
0627T OTHER Perq Njx Algc Fluor Lmbr 1st 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
C9781 HCPCS Arthro/shoul Surg; W/spacer 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
0219T OTHER Plmt Post Facet Implt Cerv 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
C9757 HCPCS Spine/lumbar Disk Surgery 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
0737T OTHER Xenograft Impltj Artclr Surf 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
0202T OTHER Post Vert Arthrplst 1 Lumbar 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
0629T OTHER Perq Njx Algc CT Lmbr 1st 3 2 — — $23,109.00 $78,199.82 $70,451.58 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 6 — — $33,715.62 $116,983.25 $70,408.95 2026-04-01
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