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

NICKLAUS CHILDREN'S HOSPITAL

Miami, FL · CCN 103301 · Rates published

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

78,460 of 168,384 rate rows are consumer-grade (46.6%)

89,924 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 86,127
template filing: same amount across many unrelated codes — excluded 3,756
placeholder amount (≤ $0.02) — excluded from medians 41
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 Latest re-check couldn't be parsed — showing last good data · 2026-05-19
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
$370,174
outlier · 2.8×
Q2057
HCPCS 		Afamitresgene Autoleucel 2 $901,625.40 $2,042,143.00 $1,001,806.00 nat. median
$824,563
1.2× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 2 $718,591.55 $1,501,307.95 $798,435.05 nat. median
$754,974
1.1× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 11 $202,929.94 $2,420,805.80 $772,626.44 nat. median
$202,986
outlier · 3.8×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 2 $688,538.93 $1,557,271.36 $765,043.25 nat. median
$675,122
1.1× 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
$265,286
outlier · 2.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 2 $657,845.18 $1,489,833.29 $730,939.09 nat. median
$674,188
1.1× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 2 $654,943.86 $1,478,916.58 $727,715.41 nat. median
$625,184
1.2× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 2 $622,263.47 $1,410,309.44 $691,403.85 nat. median
$634,511
1.1× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $306,794.66 $1,016,762.19 $640,364.07 nat. median
$133,176
outlier · 4.8×
Q2053
HCPCS 		Brexucabtagene Car Pos T 2 $572,470.00 $1,297,043.03 $636,077.78 nat. median
$620,080
1.0× 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
$206,368
outlier · 3.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $93,639.92 $760,219.71 $385,189.68 nat. median
$117,303
outlier · 3.3×
7
MS_DRG 		Lung Transplant 2 $286,833.98 $598,700.70 $370,155.57 nat. median
$122,708
outlier · 3.0×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 2 $240,850.44 $502,720.52 $310,814.40 nat. median
$102,358
outlier · 3.0×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 4 $216,679.24 $452,268.63 $309,630.51 nat. median
$93,672
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
$108,660
outlier · 2.8×
209
MS_DRG 		Complex Aortic Arch Procedures 3 $166,002.00 $523,279.44 $303,247.63 nat. median
$98,017
outlier · 3.1×
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
$98,905
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
$100,136
outlier · 2.9×
215
MS_DRG 		Other Heart Assist System Implant 3 $220,537.59 $460,322.07 $287,226.46 nat. median
$99,019
outlier · 2.9×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 2 $237,174.89 $534,422.90 $263,527.66 nat. median
$209,753
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 10 $101,557.65 $461,089.65 $243,928.63 nat. median
$51,307
outlier · 4.8×
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 3 $199,553.63 $416,522.82 $241,380.70 nat. median
$82,712
outlier · 2.9×
16
MS_DRG 		Autologous Bone Marrow Transplant With Cc/Mcc 8 $4,778.51 $410,442.34 $233,342.56 nat. median
$56,920
outlier · 4.1×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 3 $163,015.00 $389,722.71 $225,849.66 nat. median
$79,312
outlier · 2.8×
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 6 $110,465.92 $965,086.26 $225,116.27 nat. median
$48,178
outlier · 4.7×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 2 $174,286.05 $363,782.49 $224,913.91 nat. median
$77,576
outlier · 2.9×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $221,874.56 $221,874.56 $221,874.56 nat. median
$76,377
outlier · 2.9×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 6 $74,321.31 $1,181,867.83 $219,641.86 nat. median
$52,278
outlier · 4.2×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 4 $80,314.77 $502,802.30 $219,468.85 nat. median
$74,915
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
$72,138
outlier · 3.0×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 11 $24,051.77 $346,216.33 $212,803.39 nat. median
$58,024
outlier · 3.7×
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 3 $96,189.00 $329,645.52 $212,050.62 nat. median
$68,887
outlier · 3.1×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 6 $103,918.68 $490,976.23 $206,640.95 nat. median
$46,084
outlier · 4.5×
10
MS_DRG 		Pancreas Transplant 2 $158,934.58 $331,739.79 $205,103.03 nat. median
$68,882
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
$64,027
outlier · 3.2×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 2 $158,024.26 $329,839.69 $203,928.27 nat. median
$71,240
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
$64,510
outlier · 3.0×
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
$68,090
outlier · 2.8×
955
MS_DRG 		Craniotomy For Multiple Significant Trauma 2 $149,087.13 $311,185.48 $192,395.03 nat. median
$64,732
outlier · 3.0×
850
MS_DRG 		Acute Leukemia With Other Procedures 7 $34,995.70 $400,337.34 $191,799.27 nat. median
$83,442
outlier · 2.3×
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 5 $8,220.34 $312,576.92 $191,750.73 nat. median
$60,726
outlier · 3.2×
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
$61,920
outlier · 3.0×
573
MS_DRG 		Skin Graft For Skin Ulcer Or Cellulitis With Mcc 2 $145,106.96 $302,877.77 $187,258.67 nat. median
$59,793
outlier · 3.1×
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
$73,807
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
$60,691
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
$63,738
outlier · 2.8×
C8011
HCPCS 		Opn Mplnt Hpgls Ns Ary Rec 1 $169,329.94 $187,952.79 $178,641.36 nat. median
$40,060
outlier · 4.5×
C8007
HCPCS 		Opn Mplnt Hpgls Ns Ary Ps Gn 1 $169,329.94 $187,952.79 $178,641.36 nat. median
$40,060
outlier · 4.5×

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.

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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 9 4 — — $53,799.23 $125,110.33 $77,351.31 2026-04-01
835 MS_DRG Acute Leukemia With Cc 15 7 — — $20,284.25 $200,528.86 $84,747.51 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 14 6 — — $28,406.10 $649,325.81 $142,786.97 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 15 7 — — $34,995.70 $400,337.34 $191,799.27 2026-04-01
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $901,625.40 $2,042,143.00 $1,001,806.00 2026-04-01
245 MS_DRG Aicd Generator Procedures 11 5 — — $861.61 $210,924.31 $102,654.00 2026-04-01
265 MS_DRG Aicd Lead Procedures 8 3 — — $80,139.51 $167,273.00 $114,517.84 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $93,639.92 $760,219.71 $385,189.68 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
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
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
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
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 12 5 — — $135,370.00 $317,972.19 $163,350.12 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 16 7 — — $62,380.62 $195,242.76 $100,198.40 2026-04-01
1003T HCPCS Arthrp 1st Crp/mtcrpl Prostc 2 1 — — $70,451.58 $78,199.82 $74,325.70 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 21 8 — — $4,778.51 $410,442.34 $233,342.56 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
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $622,263.47 $1,410,309.44 $691,403.85 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 10 5 — — $27,589.81 $172,779.12 $88,760.88 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
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 10 5 — — $77,951.19 $162,705.38 $87,327.16 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
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
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
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
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
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $95,450.06 $105,947.62 $100,698.84 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $572,470.00 $1,297,043.03 $636,077.78 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 3 — — $78,622.00 $213,517.87 $132,010.59 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
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
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 10 4 — — $216,679.24 $452,268.63 $309,630.51 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
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
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 4 — — $80,314.77 $502,802.30 $219,468.85 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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 2 — — $85,732.13 $178,946.33 $110,636.22 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
471 MS_DRG Cervical Spinal Fusion With Mcc 9 4 — — $51,212.09 $223,235.63 $120,717.50 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 23 9 — — $30,789.27 $1,975,389.31 $97,614.09 2026-04-01
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
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
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 7 2 — — $73,164.79 $152,714.86 $94,418.22 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $688,538.93 $1,557,271.36 $765,043.25 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
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
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
209 MS_DRG Complex Aortic Arch Procedures 8 3 — — $166,002.00 $523,279.44 $303,247.63 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
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
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
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
231 MS_DRG Coronary Bypass With Ptca With Mcc 8 3 — — $163,015.00 $389,722.71 $225,849.66 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
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 8 3 — — $129,983.62 $271,311.25 $157,228.60 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
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
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
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 7 2 — — $71,107.15 $148,420.00 $91,762.86 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 8 — — $8,314.61 $160,896.79 $77,730.00 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 27 12 — — $84,055.52 $1,881,722.55 $138,109.02 2026-04-01
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/Mcc 15 6 — — $24,311.97 $186,341.38 $72,112.05 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
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
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
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $221,874.56 $221,874.56 $221,874.56 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $115,962.71 $129,343.03 $122,652.87 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 28 11 — — $202,929.94 $2,420,805.80 $772,626.44 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
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 12 5 — — $8,220.34 $312,576.92 $191,750.73 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
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
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
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 15 6 — — $103,918.68 $490,976.23 $206,640.95 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 7 2 — — $72,916.72 $152,197.08 $94,098.09 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 13 6 — — $74,321.31 $1,181,867.83 $219,641.86 2026-04-01
503 MS_DRG Foot Procedures With Mcc 7 2 — — $61,820.07 $129,035.34 $79,778.01 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
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
J9183 HCPCS Gemcitabine Intravesical Sys 2 1 — — $85,513.26 $95,014.74 $90,264.00 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
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
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 9 2 — — $75,463.86 $157,513.64 $116,871.74 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
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 17 8 — — $23,621.65 $109,745.40 $72,716.85 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
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
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
974 MS_DRG HIV With Major Related Condition With Mcc 7 2 — — $63,922.01 $133,422.67 $82,490.54 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $654,943.86 $1,478,916.58 $727,715.41 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 2 — — $23,320.00 $106,797.66 $96,215.87 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 19 10 — — $109,291.90 $3,106,317.22 $119,221.84 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $75,210.29 $170,328.19 $83,566.99 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 2 — — $237,174.89 $534,422.90 $263,527.66 2026-04-01
0308T HCPCS Insj Ocular Telescope Prosth 3 2 — — $37,764.00 $100,262.12 $90,327.90 2026-04-01
0916T HCPCS Insj Perm Ccm-d Sys Pg Only 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 3 2 — — $50,470.00 $191,188.07 $172,244.67 2026-04-01
0515T HCPCS Insj Wcs Lv Compl Sys 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0409T HCPCS Insj/rplc Car Modulj Pls Gn 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0408T HCPCS Insj/rplc Cardiac Modulj Sys 3 2 — — $50,470.00 $191,188.07 $172,244.67 2026-04-01
0525T HCPCS Insj/rplcmt Compl Iims 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 3 2 — — $50,470.00 $191,188.07 $172,244.67 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 3 2 — — $23,320.00 $118,165.16 $106,457.05 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 6 — — $44,541.64 $116,983.25 $74,407.31 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
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
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
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
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
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 10 5 — — $56,278.39 $117,468.35 $87,207.99 2026-04-01
652 MS_DRG Kidney Transplant 7 2 — — $71,530.20 $149,303.01 $92,308.80 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
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 7 2 — — $82,079.76 $171,322.84 $105,922.88 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
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 3 2 — — $37,764.00 $187,952.79 $169,329.94 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
Q2054 HCPCS Lisocabtagene Mara Car Pos T 3 2 — — $657,845.18 $1,489,833.29 $730,939.09 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
6 MS_DRG Liver Transplant Without Mcc 7 2 — — $102,704.91 $214,373.15 $132,539.37 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
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
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
7 MS_DRG Lung Transplant 7 2 — — $286,833.98 $598,700.70 $370,155.57 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
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 9 2 — — $71,649.80 $149,552.66 $112,309.26 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
654 MS_DRG Major Bladder Procedures With Cc 18 9 — — $31,075.87 $261,437.58 $126,352.01 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
163 MS_DRG Major Chest Procedures With Mcc 19 10 — — $3,007.97 $207,198.10 $155,599.13 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 10 3 — — $94,472.13 $454,818.15 $167,969.65 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 19 8 — — $9,790.63 $269,123.37 $82,165.50 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
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 14 5 — — $42,723.21 $154,115.90 $84,660.41 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
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 12 4 — — $79,911.19 $2,228,215.09 $130,305.89 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
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
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
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
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
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
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
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
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 15 7 — — $46,030.37 $210,959.31 $79,000.00 2026-04-01
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 11 4 — — $39,916.93 $430,355.54 $79,374.29 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
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
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 2 — — $63,953.02 $133,487.39 $82,530.55 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
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 12 5 — — $5,456.08 $178,678.19 $86,281.96 2026-04-01
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 3 2 — — $8,105.00 $187,952.79 $169,329.94 2026-04-01
0817T HCPCS Opn Insj/rplcmt Ins Ptn Subf 3 2 — — $23,320.00 $118,165.16 $106,457.05 2026-04-01
0816T HCPCS Opn Insj/rplcmt Ins Ptn Subq 3 2 — — $23,320.00 $118,165.16 $106,457.05 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
228 MS_DRG Other Cardiothoracic Procedures With Mcc 31 15 — — $53,298.38 $2,521,499.45 $145,875.63 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 8 — — $65,225.48 $145,604.53 $107,663.18 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
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
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 14 6 — — $12,949.71 $426,271.55 $100,377.04 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 5 — — $41,898.34 $206,324.33 $100,415.25 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
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
215 MS_DRG Other Heart Assist System Implant 8 3 — — $220,537.59 $460,322.07 $287,226.46 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
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
271 MS_DRG Other Major Cardiovascular Procedures With Cc 9 4 — — $57,105.78 $164,411.31 $101,649.72 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 23 10 — — $101,557.65 $461,089.65 $243,928.63 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
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 2 — — $60,550.94 $126,386.31 $78,140.21 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 17 9 — — $20,473.55 $184,027.97 $110,642.79 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
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
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
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
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 10 4 — — $37,413.19 $289,522.03 $106,740.01 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 8 3 — — $29,994.73 $172,797.61 $100,138.59 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 10 5 — — $27,140.40 $149,719.09 $76,914.38 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 15 6 — — $64,774.00 $244,338.47 $153,635.20 2026-04-01
10 MS_DRG Pancreas Transplant 7 2 — — $158,934.58 $331,739.79 $205,103.03 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
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 9 2 — — $121,166.10 $252,906.69 $136,762.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 12 4 — — $79,390.47 $190,725.99 $104,804.25 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 6 — — $33,377.06 $152,178.58 $76,539.74 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
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
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
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 8 3 — — $53,649.31 $111,980.73 $71,830.37 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 12 6 — — $4,484.25 $284,446.91 $122,208.91 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 3 — — $79,091.86 $165,086.28 $113,020.77 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
0632T HCPCS Perq Tcat US Abltj Nrv P-art 3 2 — — $23,320.00 $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
93591 HCPCS Perq Transcath Cls Aortic 3 2 — — $37,764.00 $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
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 11 4 — — $32,093.59 $210,290.95 $157,921.77 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
791 MS_DRG Prematurity With Major Problems 12 4 — — $57,482.68 $627,249.91 $124,844.19 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 2 — — $69,131.46 $144,296.20 $89,213.26 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
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 3 2 — — $37,764.00 $165,272.01 $148,896.44 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $123,742.09 $123,742.09 $123,742.09 2026-04-01
849 MS_DRG Radiotherapy 7 2 — — $60,012.72 $125,262.89 $77,445.64 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 2 — — $80,194.88 $167,388.58 $103,490.47 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 28 13 — — $4,888.37 $272,374.32 $71,918.68 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 21 11 — — $7,582.65 $1,081,602.02 $144,780.75 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
C9775 HCPCS Revasc Lith-sten-ath 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
C9773 HCPCS Revasc Lithotr-stent Tib/per 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
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
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
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
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 3 2 — — $8,105.00 $106,797.66 $96,215.87 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
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
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 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
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 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
0414T HCPCS Rmvl & Rpl Car Modulj Pls Gn 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0923T HCPCS Rmvl&rplcmt Perm Ccm-d Pg 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0614T HCPCS Rmvl&rplcmt Ss Impl Dfb Pg 3 2 — — $50,470.00 $135,484.55 $122,060.39 2026-04-01
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 3 2 — — $37,764.00 $165,272.01 $148,896.44 2026-04-01
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 3 2 — — $8,105.00 $187,952.79 $169,329.94 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
37275 HCPCS Rvsc Evsc Fpvt 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
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
100 MS_DRG Seizures With Mcc 28 13 — — $656.29 $117,242.41 $72,181.94 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 14 8 — — $136,368.58 $493,632.19 $172,197.69 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
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 7 2 — — $124,136.29 $259,106.26 $160,196.28 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
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
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
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 12 5 — — $18,389.28 $149,344.62 $86,547.26 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 12 5 — — $48,063.33 $100,321.27 $83,760.26 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $65,834.95 $144,170.89 $73,149.95 2026-04-01
570 MS_DRG Skin Debridement With Mcc 8 3 — — $65,142.42 $137,639.86 $93,087.29 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
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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 4 — — $24,222.91 $169,811.09 $87,236.12 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 10 5 — — $11,619.95 $146,311.87 $75,164.00 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 34 11 — — $24,051.77 $346,216.33 $212,803.39 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 $167,734.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 23 12 — — $30,465.73 $225,743.80 $138,653.00 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 8 — — $31,586.51 $177,087.21 $76,162.26 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 12 2 — — $88,936.24 $277,769.72 $139,312.41 2026-04-01
800 MS_DRG Splenic Procedures With Cc 9 2 — — $62,225.40 $129,881.37 $85,633.96 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 8 2 — — $100,310.61 $384,733.66 $143,341.95 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 6 — — $110,465.92 $965,086.26 $225,116.27 2026-04-01
0981T HCPCS Tcat Impl Wrls Ivc Snr 2 1 — — $100,593.87 $111,657.15 $106,125.51 2026-04-01
0645T HCPCS Tcat Impltj C Sins Rdctj Dev 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
0823T HCPCS Tcat Ins 1chmbr Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0795T HCPCS Tcat Ins 2chmbr Ldls Pm Cmpl 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0796T HCPCS Tcat Ins 2chmbr Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0797T HCPCS Tcat Ins 2chmbr Ldls Pm Rv 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0802T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 2026-04-01
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 3 2 — — $23,320.00 $117,322.04 $105,697.47 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
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $718,591.55 $1,501,307.95 $798,435.05 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
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
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
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 15 9 — — $306,794.66 $1,016,762.19 $640,364.07 2026-04-01
93580 HCPCS Transcath Closure Of Asd 3 2 — — $29,353.00 $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
668 MS_DRG Transurethral Procedures With Mcc 9 4 — — $64,675.08 $323,715.14 $101,376.56 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
0582T HCPCS Trurl Abltj Mal Prst8 Tiss 3 2 — — $8,105.00 $80,360.74 $72,398.39 2026-04-01
C9734 HCPCS U/s Trtmt, Not Leiomyomata 2 1 — — $70,451.58 $78,199.82 $74,325.70 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
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
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
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
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
C9797 HCPCS Vasc Emb/occ W/prs Cath 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
263 MS_DRG Vein Ligation And Stripping 7 2 — — $67,718.35 $141,346.66 $87,389.66 2026-04-01
32 MS_DRG Ventricular Shunt Procedures With Cc 18 6 — — $18,060.30 $231,387.61 $75,302.76 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 3 — — $33,606.05 $487,836.11 $128,066.13 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 3 2 — — $8,105.00 $106,797.66 $96,215.87 2026-04-01
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 3 2 — — $8,105.00 $106,797.66 $96,215.87 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
901 MS_DRG Wound Debridements For Injuries With Mcc 7 2 — — $92,950.49 $194,013.01 $119,951.42 2026-04-01
See an error in this hospital's data? Submit a correction