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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

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.

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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
             
Q2057 HCPCS Afamitresgene Autoleucel 3 2 — — $901,625.40 $2,042,143.00 $1,001,806.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 3 2 — — $688,538.93 $1,557,271.36 $765,043.25 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 3 2 — — $654,943.86 $1,478,916.58 $727,715.41 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
Q2053 HCPCS Brexucabtagene Car Pos T 3 2 — — $572,470.00 $1,297,043.03 $636,077.78 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 3 2 — — $65,834.95 $144,170.89 $73,149.95 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 3 2 — — $718,591.55 $1,501,307.95 $798,435.05 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 3 2 — — $622,263.47 $1,410,309.44 $691,403.85 2026-04-01
Q0480 HCPCS Driver Pneumatic Vad, Rep 2 1 — — $115,962.71 $129,343.03 $122,652.87 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
K1007 HCPCS Bil Hkaf Pc S/d Micro Sensor 2 1 — — $98,884.27 $110,293.99 $104,589.13 2026-04-01
J9183 HCPCS Gemcitabine Intravesical Sys 2 1 — — $85,513.26 $95,014.74 $90,264.00 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 3 2 — — $75,210.29 $170,328.19 $83,566.99 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 1 1 — — $221,874.56 $221,874.56 $221,874.56 2026-04-01
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 3 2 — — $237,174.89 $534,422.90 $263,527.66 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
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
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
C9734 HCPCS U/s Trtmt, Not Leiomyomata 2 1 — — $70,451.58 $78,199.82 $74,325.70 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
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 2 1 — — $169,329.94 $187,952.79 $178,641.36 2026-04-01
C8003 HCPCS Imp Extar Knee Shck Absrb 3 2 — — $23,320.00 $106,797.66 $96,215.87 2026-04-01
C2616 HCPCS Brachytx, Non-str,yttrium-90 2 1 — — $95,450.06 $105,947.62 $100,698.84 2026-04-01
A9699 HCPCS Radiopharm Rx Agent Noc 1 1 — — $123,742.09 $123,742.09 $123,742.09 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
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
974 MS_DRG HIV With Major Related Condition With Mcc 7 2 — — $63,922.01 $133,422.67 $82,490.54 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
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
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
963 MS_DRG Other Multiple Significant Trauma With Mcc 7 2 — — $60,550.94 $126,386.31 $78,140.21 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
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
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
955 MS_DRG Craniotomy For Multiple Significant Trauma 7 2 — — $149,087.13 $311,185.48 $192,395.03 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
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
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
93582 HCPCS Perq Transcath Closure Pda 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
93580 HCPCS Transcath Closure Of Asd 3 2 — — $29,353.00 $111,657.15 $100,593.87 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
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 2 1 — — $100,593.87 $111,657.15 $106,125.51 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
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
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
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
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 10 4 — — $24,222.91 $169,811.09 $87,236.12 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
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
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
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
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
850 MS_DRG Acute Leukemia With Other Procedures 15 7 — — $34,995.70 $400,337.34 $191,799.27 2026-04-01
849 MS_DRG Radiotherapy 7 2 — — $60,012.72 $125,262.89 $77,445.64 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
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
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
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
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
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
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
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
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
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
800 MS_DRG Splenic Procedures With Cc 9 2 — — $62,225.40 $129,881.37 $85,633.96 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
799 MS_DRG Splenic Procedures With Mcc 8 2 — — $100,310.61 $384,733.66 $143,341.95 2026-04-01
791 MS_DRG Prematurity With Major Problems 12 4 — — $57,482.68 $627,249.91 $124,844.19 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
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
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
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
7 MS_DRG Lung Transplant 7 2 — — $286,833.98 $598,700.70 $370,155.57 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
668 MS_DRG Transurethral Procedures With Mcc 9 4 — — $64,675.08 $323,715.14 $101,376.56 2026-04-01
665 MS_DRG Prostatectomy With Mcc 7 2 — — $69,131.46 $144,296.20 $89,213.26 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
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
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
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
652 MS_DRG Kidney Transplant 7 2 — — $71,530.20 $149,303.01 $92,308.80 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
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 7 2 — — $104,131.31 $217,350.42 $134,380.12 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
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 14 6 — — $44,541.64 $116,983.25 $74,407.31 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
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 9 3 — — $37,041.07 $139,622.24 $86,323.52 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
619 MS_DRG O.r. Procedures For Obesity With Mcc 7 2 — — $63,953.02 $133,487.39 $82,530.55 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
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
6 MS_DRG Liver Transplant Without Mcc 7 2 — — $102,704.91 $214,373.15 $132,539.37 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
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
570 MS_DRG Skin Debridement With Mcc 8 3 — — $65,142.42 $137,639.86 $93,087.29 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
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
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
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
503 MS_DRG Foot Procedures With Mcc 7 2 — — $61,820.07 $129,035.34 $79,778.01 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
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 7 2 — — $228,367.26 $476,664.73 $294,705.02 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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
37 MS_DRG Extracranial Procedures With Mcc 7 2 — — $72,916.72 $152,197.08 $94,098.09 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
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
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
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
34 MS_DRG Carotid Artery Stent Procedures With Mcc 7 2 — — $85,732.13 $178,946.33 $110,636.22 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 8 3 — — $79,091.86 $165,086.28 $113,020.77 2026-04-01
332 MS_DRG Rectal Resection With Mcc 7 2 — — $80,194.88 $167,388.58 $103,490.47 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
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 14 6 — — $110,465.92 $965,086.26 $225,116.27 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
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
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
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
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 10 3 — — $53,274.99 $111,199.42 $72,171.05 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
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 5 — — $41,898.34 $206,324.33 $100,415.25 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
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
31 MS_DRG Ventricular Shunt Procedures With Mcc 9 3 — — $33,606.05 $487,836.11 $128,066.13 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
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 18 8 — — $31,586.51 $177,087.21 $76,162.26 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
28 MS_DRG Spinal Procedures With Mcc 12 2 — — $88,936.24 $277,769.72 $139,312.41 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
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
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 9 3 — — $78,622.00 $213,517.87 $132,010.59 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
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
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 17 6 — — $33,377.06 $152,178.58 $76,539.74 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
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 9 4 — — $21,822.35 $118,027.74 $72,972.40 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
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
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
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
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
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
265 MS_DRG Aicd Lead Procedures 8 3 — — $80,139.51 $167,273.00 $114,517.84 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
263 MS_DRG Vein Ligation And Stripping 7 2 — — $67,718.35 $141,346.66 $87,389.66 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
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 17 8 — — $8,314.61 $160,896.79 $77,730.00 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
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
252 MS_DRG Other Vascular Procedures With Mcc 15 6 — — $64,774.00 $244,338.47 $153,635.20 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
245 MS_DRG Aicd Generator Procedures 11 5 — — $861.61 $210,924.31 $102,654.00 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
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
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
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
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 8 3 — — $92,777.73 $193,652.41 $121,705.24 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
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
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
232 MS_DRG Coronary Bypass With Ptca Without Mcc 8 3 — — $134,280.53 $280,280.06 $168,151.15 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
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
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 21 8 — — $65,225.48 $145,604.53 $107,663.18 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
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
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
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
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
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
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
215 MS_DRG Other Heart Assist System Implant 8 3 — — $220,537.59 $460,322.07 $287,226.46 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
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 7 2 — — $240,850.44 $502,720.52 $310,814.40 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
209 MS_DRG Complex Aortic Arch Procedures 8 3 — — $166,002.00 $523,279.44 $303,247.63 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
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
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
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 7 2 — — $158,024.26 $329,839.69 $203,928.27 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
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
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 7 2 — — $120,320.01 $251,140.66 $155,271.43 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
163 MS_DRG Major Chest Procedures With Mcc 19 10 — — $3,007.97 $207,198.10 $155,599.13 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
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
140 MS_DRG Major Head And Neck Procedures With Mcc 10 3 — — $94,472.13 $454,818.15 $167,969.65 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 17 9 — — $93,639.92 $760,219.71 $385,189.68 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
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
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
1003T HCPCS Arthrp 1st Crp/mtcrpl Prostc 2 1 — — $70,451.58 $78,199.82 $74,325.70 2026-04-01
100 MS_DRG Seizures With Mcc 28 13 — — $656.29 $117,242.41 $72,181.94 2026-04-01
10 MS_DRG Pancreas Transplant 7 2 — — $158,934.58 $331,739.79 $205,103.03 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
0981T HCPCS Tcat Impl Wrls Ivc Snr 2 1 — — $100,593.87 $111,657.15 $106,125.51 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
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 3 2 — — $37,764.00 $165,272.01 $148,896.44 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
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
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 3 2 — — $8,105.00 $187,952.79 $169,329.94 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
0825T HCPCS Tcat Rmv&rpl1chmb Ldls Pm Ra 3 2 — — $23,320.00 $117,322.04 $105,697.47 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
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
0803T HCPCS Tcat Rmv&rpl2chmb Ldls Pm Rv 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
0801T HCPCS Tcat Rmv&rpl 2chmbr Ldls Pm 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
0796T HCPCS Tcat Ins 2chmbr 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
0793T HCPCS Prq Tcat Thrm Ablt Nrv P-art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
0790T HCPCS Revj Rplcmt/rmvl Vrt Tethrg 3 2 — — $8,105.00 $106,797.66 $96,215.87 2026-04-01
0680T HCPCS Insj/rplcmt Pg Only Isdss 3 2 — — $23,320.00 $118,165.16 $106,457.05 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
0657T HCPCS Vrt Bdy Tethering Ant 8+ Seg 3 2 — — $8,105.00 $106,797.66 $96,215.87 2026-04-01
0656T HCPCS Vrt Bdy Tethering Ant 3 2 — — $8,105.00 $106,797.66 $96,215.87 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
0632T HCPCS Perq Tcat US Abltj Nrv P-art 3 2 — — $23,320.00 $111,657.15 $100,593.87 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
0582T HCPCS Trurl Abltj Mal Prst8 Tiss 3 2 — — $8,105.00 $80,360.74 $72,398.39 2026-04-01
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 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
0515T HCPCS Insj Wcs Lv Compl Sys 3 2 — — $50,470.00 $135,484.55 $122,060.39 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
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
0308T HCPCS Insj Ocular Telescope Prosth 3 2 — — $37,764.00 $100,262.12 $90,327.90 2026-04-01
0238T HCPCS Trluml Perip Athrc Iliac Art 3 2 — — $23,320.00 $111,657.15 $100,593.87 2026-04-01
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