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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

NEMOURS CHILDRENS HOSPITAL, FLORIDA

Orlando, FL · CCN 103304 · Rates published

3,689 distinct procedures filed
25 distinct payers
131,460 rate rows
2026-03-10 last MRF observed
Data quality

127,454 of 131,460 rate rows are consumer-grade (97.0%)

4,006 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
per-diem day rate — not a per-procedure price 3,566
percent-of-charges filed in the dollar field — excluded from medians 359
exceeds 10× this hospital's gross charge — excluded from medians 77
placeholder amount (≤ $0.02) — excluded from medians 3
exceeds 3× this hospital's gross charge for a DRG stay — excluded 1
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.nemours.org/content/dam/nemours/nemours-org/en/documents/590634433-1245520386_Nemours-Childrens-Hospital_standardcharges.csv
Found on page https://www.nemours.org/patientfamily/hospital-charges.html
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint 5f45eb9281afd95c… · 46,724,664 bytes · first seen 2026-05-06

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
J3399
HCPCS 		Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit 17 $4,487.00 $2,443,750.00 $1,726,562.50 nat. median
$2,468,984
0.7× median
J1413
HCPCS 		Delandistrogene Moxeparvo-rokl 17 X 10 Ml IV Kit 17 $4,487.00 $3,680,000.00 $1,688,000.00 nat. median
$3,325,455
0.5× median
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $317,226.70 $317,226.70 $317,226.70 nat. median
$53
outlier · 6040.1×
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 9 $87,176.41 $538,752.91 $296,973.47 nat. median
$202,976
1.5× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 9 $46,671.82 $323,352.83 $172,622.43 nat. median
$133,161
1.3× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 7 $84,017.39 $210,784.45 $168,542.97 nat. median
$93,672
1.8× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 9 $20,120.95 $289,537.96 $154,570.32 nat. median
$102,358
1.5× median
J2326
HCPCS 		Nusinersen 12 Mg/5ml Intrathecal Soln 18 $1,119.60 $279,285.32 $144,196.23 nat. median
$2,675
outlier · 53.9×
850
MS_DRG 		Acute Leukemia With Other Procedures 10 $15,034.65 $247,634.30 $136,501.93 nat. median
$83,470
1.6× median
266
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 7 $96,349.28 $241,722.94 $124,844.93 nat. median
$60,726
outlier · 2.1×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $106,692.02 $106,692.02 $106,692.02 nat. median
$66,849
1.6× median
228
OTHER 		Other Cardiothoracic Procedures With Mcc 1 $102,513.18 $102,513.18 $102,513.18 nat. median
$48,497
outlier · 2.1×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $23,693.65 $178,731.91 $98,923.29 nat. median
$81,118
1.2× median
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 10 $17,232.10 $136,396.58 $95,153.19 nat. median
$58,020
1.6× median
220
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 7 $60,856.91 $152,679.01 $91,876.15 nat. median
$52,879
1.7× median
834
MS_DRG 		Acute Leukemia With Mcc 7 $42,135.67 $116,764.68 $91,334.05 nat. median
$53,172
1.7× median
267
MS_DRG 		Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 10 $7,831.04 $181,499.20 $88,074.80 nat. median
$47,651
1.8× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 7 $41,860.29 $105,039.08 $85,084.67 nat. median
$48,170
1.8× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $21,581.00 $163,309.76 $84,160.31 nat. median
$74,915
1.1× median
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 9 $9,391.00 $149,299.94 $82,297.69 nat. median
$52,303
1.6× median
25
MS_DRG 		Craniotomy And Endovascular Intracranial Procedures With Mcc 7 $36,295.99 $96,703.76 $81,890.40 nat. median
$45,125
1.8× median
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 10 $14,070.87 $147,961.22 $81,559.75 nat. median
$54,210
1.5× median
228
MS_DRG 		Other Cardiothoracic Procedures With Mcc 10 $16,773.21 $148,724.67 $80,463.12 nat. median
$50,672
1.6× median
221
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 10 $13,348.56 $152,679.01 $80,426.47 nat. median
$48,732
1.7× median
458
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 7 $54,366.84 $136,396.58 $78,615.96 nat. median
$42,730
1.8× median
448
MS_DRG 		Multiple Level Spinal Fusion Except Cervical Without Mcc 7 $43,754.70 $109,772.65 $78,454.80 nat. median
$41,164
1.9× median
856
MS_DRG 		Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 7 $41,860.29 $105,019.91 $78,367.28 nat. median
$43,963
1.8× median
458
OTHER 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 $77,541.70 $77,541.70 $77,541.70 nat. median
$39,932
1.9× median
33264
CPT 		Remove Imp Defib Pulse Generator W/Replace Imp Defib Multiple Lead 18 $4,487.00 $156,720.16 $74,953.12 nat. median
$31,873
outlier · 2.4×
33231
CPT 		Insert Of Impl Defib Pulse Generator Only With Exist Mult Leads 18 $4,487.00 $156,720.16 $74,953.12 nat. median
$30,121
outlier · 2.5×
C9293
HCPCS 		Glucarpidase 1000 Units IV Recon Soln 16 $4,487.00 $169,041.72 $73,863.88 nat. median
$21,216
outlier · 3.5×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 10 $14,940.86 $134,154.62 $73,697.40 nat. median
$46,109
1.6× median
235
MS_DRG 		Coronary Bypass Without Cardiac Catheterization With Mcc 9 $23,660.95 $137,044.44 $73,161.40 nat. median
$57,424
1.3× median
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 7 $44,548.68 $112,221.62 $72,900.62 nat. median
$51,307
1.4× median
837
MS_DRG 		Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 10 $10,371.32 $131,415.35 $72,439.27 nat. median
$47,311
1.5× median
823
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 6 $32,043.21 $97,514.11 $72,295.34 nat. median
$45,112
1.6× median
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 11 $331.28 $134,154.62 $71,618.67 nat. median
$59,099
1.2× median
229
MS_DRG 		Other Cardiothoracic Procedures Without Mcc 10 $12,302.84 $148,724.67 $67,446.32 nat. median
$33,143
outlier · 2.0×
981
MS_DRG 		Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 9 $20,120.95 $104,183.88 $66,147.85 nat. median
$46,084
1.4× median
23
MS_DRG 		Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 10 $9,433.04 $121,877.75 $66,057.16 nat. median
$55,916
1.2× median
319
MS_DRG 		Other Endovascular Cardiac Valve Procedures With Mcc 6 $28,903.71 $94,921.42 $65,212.06 nat. median
$43,757
1.5× median
326
MS_DRG 		Stomach, Esophageal And Duodenal Procedures With Mcc 10 $8,348.15 $116,987.78 $64,486.45 nat. median
$48,178
1.3× median
29
MS_DRG 		Spinal Procedures With Cc Or Spinal Neurostimulators 7 $32,736.47 $82,129.89 $63,114.60 nat. median
$33,835
1.9× median
97
MS_DRG 		Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 7 $29,749.13 $76,819.37 $62,225.90 nat. median
$35,069
1.8× median
907
MS_DRG 		Other O.r. Procedures For Injuries With Mcc 7 $27,113.24 $81,658.07 $61,172.42 nat. median
$38,112
1.6× median
451
MS_DRG 		Single Level Spinal Fusion Except Cervical Without Mcc 7 $33,066.49 $82,957.85 $59,762.40 nat. median
$31,714
1.9× median
485
MS_DRG 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 7 $29,450.18 $73,885.18 $59,701.35 nat. median
$32,024
1.9× median
166
MS_DRG 		Other Respiratory System O.r. Procedures With Mcc 7 $32,283.22 $80,992.78 $59,642.48 nat. median
$37,476
1.6× median
28
MS_DRG 		Spinal Procedures With Mcc 10 $21,149.78 $127,790.53 $59,565.71 nat. median
$57,822
1.0× median
271
MS_DRG 		Other Major Cardiovascular Procedures With Cc 10 $10,349.04 $111,764.60 $57,724.12 nat. median
$35,597
1.6× median

Other procedures at this hospital

Browse this hospital's 3,689 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
             
J3399 HCPCS Onasemnogene Abeparvovec-xioi 1x5.5ml & 2x8.3ml IV Kit 30 17 $2,656,250.00 $2,656,250.00 $4,487.00 $2,443,750.00 $1,726,562.50 2026-03-10
J1413 HCPCS Delandistrogene Moxeparvo-rokl 17 X 10 Ml IV Kit 24 17 $4,000,000.00 $4,000,000.00 $4,487.00 $3,680,000.00 $1,688,000.00 2026-03-10
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 $721,359.20 — $317,226.70 $317,226.70 $317,226.70 2026-03-10
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 15 9 $4,080,396.20 $4,080,396.20 $87,176.41 $538,752.91 $296,973.47 2026-03-10
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 14 9 $2,586,401.00 $2,586,401.00 $46,671.82 $323,352.83 $172,622.43 2026-03-10
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 12 7 $349,502.00 $349,502.00 $84,017.39 $210,784.45 $168,542.97 2026-03-10
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 14 9 $704,831.00 $704,831.00 $20,120.95 $289,537.96 $154,570.32 2026-03-10
J2326 HCPCS Nusinersen 12 Mg/5ml Intrathecal Soln 32 18 $303,571.00 $303,571.00 $1,119.60 $279,285.32 $144,196.23 2026-03-10
850 MS_DRG Acute Leukemia With Other Procedures 15 10 $437,220.00 $437,220.00 $15,034.65 $247,634.30 $136,501.93 2026-03-10
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 13 7 $277,198.00 $277,198.00 $96,349.28 $241,722.94 $124,844.93 2026-03-10
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 2 1 $222,772.00 — $106,692.02 $106,692.02 $106,692.02 2026-03-10
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 $681,352.00 — $102,513.18 $102,513.18 $102,513.18 2026-03-10
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 10 $326,831.00 $326,831.00 $23,693.65 $178,731.91 $98,923.29 2026-03-10
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 17 10 $251,199.00 $251,199.00 $17,232.10 $136,396.58 $95,153.19 2026-03-10
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 14 7 $286,220.00 $286,220.00 $60,856.91 $152,679.01 $91,876.15 2026-03-10
834 MS_DRG Acute Leukemia With Mcc 12 7 $461,218.40 $461,218.40 $42,135.67 $116,764.68 $91,334.05 2026-03-10
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 15 10 $161,315.00 $161,315.00 $7,831.04 $181,499.20 $88,074.80 2026-03-10
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 14 7 $424,746.00 $424,746.00 $41,860.29 $105,039.08 $85,084.67 2026-03-10
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 18 10 $319,816.00 $319,816.00 $21,581.00 $163,309.76 $84,160.31 2026-03-10
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 17 9 $370,387.00 $370,387.00 $9,391.00 $149,299.94 $82,297.69 2026-03-10
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 13 7 $350,362.00 $350,362.00 $36,295.99 $96,703.76 $81,890.40 2026-03-10
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 10 $371,264.00 $371,264.00 $14,070.87 $147,961.22 $81,559.75 2026-03-10
228 MS_DRG Other Cardiothoracic Procedures With Mcc 20 10 $280,688.00 $280,688.00 $16,773.21 $148,724.67 $80,463.12 2026-03-10
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 15 10 $216,646.00 $216,646.00 $13,348.56 $152,679.01 $80,426.47 2026-03-10
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 7 $206,335.00 $206,335.00 $54,366.84 $136,396.58 $78,615.96 2026-03-10
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 13 7 $145,060.00 $145,060.00 $43,754.70 $109,772.65 $78,454.80 2026-03-10
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 12 7 $171,188.00 $171,188.00 $41,860.29 $105,019.91 $78,367.28 2026-03-10
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 2 1 $203,446.00 — $77,541.70 $77,541.70 $77,541.70 2026-03-10
33264 CPT Remove Imp Defib Pulse Generator W/Replace Imp Defib Multiple Lead 23 18 $170,348.00 $170,348.00 $4,487.00 $156,720.16 $74,953.12 2026-03-10
33231 CPT Insert Of Impl Defib Pulse Generator Only With Exist Mult Leads 23 18 $170,348.00 $170,348.00 $4,487.00 $156,720.16 $74,953.12 2026-03-10
C9293 HCPCS Glucarpidase 1000 Units IV Recon Soln 22 16 $183,741.00 $183,741.00 $4,487.00 $169,041.72 $73,863.88 2026-03-10
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 15 10 $232,498.00 $232,498.00 $14,940.86 $134,154.62 $73,697.40 2026-03-10
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 14 9 $779,826.00 $779,826.00 $23,660.95 $137,044.44 $73,161.40 2026-03-10
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 16 7 $431,136.00 $431,136.00 $44,548.68 $112,221.62 $72,900.62 2026-03-10
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 15 10 $361,763.00 $361,763.00 $10,371.32 $131,415.35 $72,439.27 2026-03-10
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 12 6 $497,360.00 $497,360.00 $32,043.21 $97,514.11 $72,295.34 2026-03-10
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 11 $238,167.00 $238,167.00 $331.28 $134,154.62 $71,618.67 2026-03-10
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 18 10 $239,639.00 $239,639.00 $12,302.84 $148,724.67 $67,446.32 2026-03-10
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 16 9 $745,951.00 $745,951.00 $20,120.95 $104,183.88 $66,147.85 2026-03-10
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 15 10 $314,387.00 $314,387.00 $9,433.04 $121,877.75 $66,057.16 2026-03-10
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 13 6 $242,122.00 $242,122.00 $28,903.71 $94,921.42 $65,212.06 2026-03-10
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 15 10 $219,378.00 $219,378.00 $8,348.15 $116,987.78 $64,486.45 2026-03-10
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 13 7 $91,536.00 $91,536.00 $32,736.47 $82,129.89 $63,114.60 2026-03-10
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 12 7 $208,183.00 $208,183.00 $29,749.13 $76,819.37 $62,225.90 2026-03-10
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 14 7 $97,955.00 $97,955.00 $27,113.24 $81,658.07 $61,172.42 2026-03-10
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 13 7 $116,796.00 $116,796.00 $33,066.49 $82,957.85 $59,762.40 2026-03-10
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 13 7 $104,751.00 $104,751.00 $29,450.18 $73,885.18 $59,701.35 2026-03-10
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 13 7 $457,119.00 $457,119.00 $32,283.22 $80,992.78 $59,642.48 2026-03-10
28 MS_DRG Spinal Procedures With Mcc 16 10 $155,749.00 $155,749.00 $21,149.78 $127,790.53 $59,565.71 2026-03-10
271 MS_DRG Other Major Cardiovascular Procedures With Cc 15 10 $195,586.00 $195,586.00 $10,349.04 $111,764.60 $57,724.12 2026-03-10
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 16 9 $492,855.00 $492,855.00 $15,555.72 $136,859.63 $56,331.99 2026-03-10
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 11 6 $1,093,272.27 $1,093,272.27 $34,085.49 $85,514.33 $54,367.09 2026-03-10
33230 CPT Insert Of Impl Defib Pulse Generator Only With Exist Dual Leads 23 18 $122,523.00 $122,523.00 $4,487.00 $112,721.16 $53,910.12 2026-03-10
33240 CPT Insertion Of Implantable Defib Pulse Generator W/Existing Sngle Lead 23 18 $122,523.00 $122,523.00 $4,487.00 $112,721.16 $53,910.12 2026-03-10
33262 CPT Remove Imp Defib Pulse Generator W/Replace Imp Defib Single Lead 23 18 $122,523.00 $122,523.00 $4,487.00 $112,721.16 $53,910.12 2026-03-10
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 14 7 $198,259.00 $198,259.00 $36,295.99 $91,060.09 $53,857.35 2026-03-10
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 12 7 $124,986.00 $124,986.00 $34,293.36 $86,035.84 $53,661.61 2026-03-10
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 18 10 $96,380.00 $96,380.00 $7,271.17 $105,519.91 $53,612.21 2026-03-10
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 2 1 $183,666.00 — $52,579.73 $52,579.73 $52,579.73 2026-03-10
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 15 10 $418,083.00 $418,083.00 $7,449.77 $97,762.96 $52,354.96 2026-03-10
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 15 10 $177,945.00 $177,945.00 $8,646.06 $94,315.50 $51,988.95 2026-03-10
327 MS_DRG Stomach, Esophageal And Duodenal Procedures With Cc 17 10 $109,946.00 $109,946.00 $5,813.63 $116,987.78 $51,985.69 2026-03-10
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 12 7 $89,330.00 $89,330.00 $23,727.30 $67,210.04 $51,978.62 2026-03-10
654 MS_DRG Major Bladder Procedures With Cc 12 7 $46,483.00 $46,483.00 $35,849.18 $89,939.11 $50,681.82 2026-03-10
J9118 HCPCS Calaspargase Pegol-mknl 3750 Unit/5ml IV Soln 26 18 $126,489.00 $126,489.00 $4,487.00 $116,369.88 $50,595.60 2026-03-10
33263 CPT Remove Imp Defib Pulse Generator W/Replace Imp Defib Dual Lead 25 18 $122,523.00 $122,523.00 $4,487.00 $112,721.16 $49,499.29 2026-03-10
904 MS_DRG Skin Grafts For Injuries With Cc/mcc 12 7 $74,531.00 $74,531.00 $20,714.24 $78,123.16 $49,351.69 2026-03-10
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 12 7 $126,096.00 $126,096.00 $28,624.05 $71,812.57 $49,109.84 2026-03-10
27 MS_DRG Craniotomy And Endovascular Intracranial Procedures Without Cc/mcc 17 7 $73,703.00 $73,703.00 $35,051.98 $87,939.09 $48,474.12 2026-03-10
838 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 16 10 $89,377.00 $89,377.00 $10,371.32 $131,415.35 $48,389.13 2026-03-10
858 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures Without Cc/mcc 13 7 $83,072.00 $83,072.00 $22,226.51 $105,019.91 $47,950.84 2026-03-10
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 16 10 $119,631.00 $119,631.00 $7,800.14 $104,183.88 $47,712.51 2026-03-10
330 MS_DRG Major Small And Large Bowel Procedures With Cc 18 10 $100,182.00 $100,182.00 $7,186.72 $94,979.48 $47,519.02 2026-03-10
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 13 7 $183,666.00 $183,666.00 $20,967.11 $72,918.64 $47,305.64 2026-03-10
253 MS_DRG Other Vascular Procedures With Cc 12 7 $126,803.00 $126,803.00 $33,170.43 $83,218.61 $46,945.34 2026-03-10
163 MS_DRG Major Chest Procedures With Mcc 14 9 $694,062.00 $694,062.00 $20,865.17 $95,323.40 $46,060.97 2026-03-10
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 15 10 $247,082.00 $247,082.00 $9,375.55 $83,353.02 $45,946.17 2026-03-10
252 MS_DRG Other Vascular Procedures With Mcc 15 10 $80,819.00 $80,819.00 $7,654.24 $83,218.61 $45,872.08 2026-03-10
974 MS_DRG HIV With Major Related Condition With Mcc 11 6 $1,032,296.10 $1,032,296.10 $20,302.78 $61,382.33 $45,806.79 2026-03-10
164 MS_DRG Major Chest Procedures With Cc 16 10 $130,892.00 $130,892.00 $7,161.21 $86,280.47 $45,628.04 2026-03-10
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 18 10 $113,774.00 $113,774.00 $6,128.78 $105,019.91 $45,547.56 2026-03-10
357 MS_DRG Other Digestive System O.r. Procedures With Cc 13 7 $82,784.00 $82,784.00 $32,723.61 $82,097.63 $44,607.74 2026-03-10
33477 CPT Transcath Pulm Valve Implant Perc Incl Pre Stent 24 17 $104,028.00 $104,028.00 $4,487.00 $95,705.76 $43,899.82 2026-03-10
835 MS_DRG Acute Leukemia With Cc 16 10 $347,910.00 $347,910.00 $9,699.68 $105,710.78 $43,765.30 2026-03-10
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 15 10 $209,824.00 $209,824.00 $11,119.13 $105,019.91 $41,860.29 2026-03-10
33229 CPT Remove Perm Pacemaker With Replacement; Mult Lead 23 18 $94,500.00 $94,500.00 $4,487.00 $86,940.00 $41,580.00 2026-03-10
33221 CPT Insert/Repl Pulse Gen Only; With Exist Mult Leads 23 18 $94,500.00 $94,500.00 $4,487.00 $86,940.00 $41,580.00 2026-03-10
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 15 10 $350,750.00 $350,750.00 $13,562.38 $80,482.02 $41,567.31 2026-03-10
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 15 10 $424,724.00 $424,724.00 $5,552.02 $80,390.62 $41,520.10 2026-03-10
397 MS_DRG Appendix Procedures With Mcc 12 7 $59,409.00 $59,409.00 $24,072.32 $60,393.10 $41,260.54 2026-03-10
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/mcc 16 10 $134,475.00 $134,475.00 $5,545.91 $74,635.18 $41,148.49 2026-03-10
655 MS_DRG Major Bladder Procedures Without Cc/mcc 15 10 $42,337.00 $42,337.00 $5,082.70 $89,939.11 $41,065.12 2026-03-10
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 13 7 $91,765.00 $91,765.00 $26,378.19 $66,178.11 $40,545.14 2026-03-10
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 12 7 $219,155.00 $219,155.00 $23,090.83 $57,930.71 $40,290.57 2026-03-10
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 15 10 $198,044.00 $198,044.00 $10,349.04 $87,745.26 $39,971.56 2026-03-10
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 16 10 $109,966.00 $109,966.00 $5,508.18 $74,635.18 $39,844.12 2026-03-10
165 MS_DRG Major Chest Procedures Without Cc/mcc 12 7 $74,892.00 $74,892.00 $30,544.89 $86,280.47 $39,624.21 2026-03-10
32 MS_DRG Ventricular Shunt Procedures With Cc 13 7 $77,345.00 $77,345.00 $24,139.82 $60,562.46 $39,423.50 2026-03-10
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 15 10 $202,830.00 $202,830.00 $6,916.85 $83,353.02 $39,421.65 2026-03-10
J9348 HCPCS Naxitamab-gqgk 40 Mg/10ml IV Soln 24 18 $98,136.00 $98,136.00 $557.87 $90,285.12 $39,254.40 2026-03-10
949 OTHER Aftercare With Cc/mcc 2 1 $180,075.00 — $39,135.74 $39,135.74 $39,135.74 2026-03-10
336 MS_DRG Peritoneal Adhesiolysis With Cc 15 10 $173,765.00 $173,765.00 $6,234.07 $79,256.20 $39,010.95 2026-03-10
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 16 7 $161,060.00 $161,060.00 $18,754.46 $47,051.56 $38,748.25 2026-03-10
J9266 HCPCS Pegaspargase 750 Unit/ml Inj Soln 25 18 $94,531.00 $94,531.00 $4,487.00 $86,968.52 $38,190.52 2026-03-10
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 15 10 $241,991.00 $241,991.00 $7,737.97 $75,772.94 $38,153.39 2026-03-10
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 2 1 $71,481.00 — $37,711.07 $37,711.07 $37,711.07 2026-03-10
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 12 7 $142,695.00 $142,695.00 $26,123.17 $65,538.32 $37,123.69 2026-03-10
167 MS_DRG Other Respiratory System O.r. Procedures With Cc 16 10 $78,989.00 $78,989.00 $7,161.21 $80,992.78 $37,091.81 2026-03-10
519 MS_DRG Back And Neck Procedures Except Spinal Fusion With Cc 15 7 $125,969.00 $125,969.00 $17,645.46 $44,269.28 $37,003.70 2026-03-10
296 OTHER Cardiac Arrest, Unexplained With Mcc 2 1 $509,650.00 — $36,575.13 $36,575.13 $36,575.13 2026-03-10
983 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 15 10 $136,310.00 $136,310.00 $5,993.31 $104,183.88 $36,455.07 2026-03-10
791 MS_DRG Prematurity With Major Problems 17 9 $287,110.00 $287,110.00 $6,936.25 $86,330.87 $36,216.67 2026-03-10
33274 CPT Transcath Insert/Replace Perm Pacemaker Right Ventricular Inclu Image 22 16 $80,693.00 $80,693.00 $4,487.00 $74,237.56 $35,908.38 2026-03-10
208 OTHER Respiratory System Diagnosis With Ventilator Support <=96 Hours 2 1 $136,669.00 — $35,832.65 $35,832.65 $35,832.65 2026-03-10
516 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 18 10 $199,831.00 $199,831.00 $8,800.58 $56,304.35 $35,802.54 2026-03-10
0797T HCPCS Transcatheter Insert Rt Ventricular Component For Dual Chamber Leadless Pcmkr Wh… 22 17 $79,298.00 $79,298.00 $4,487.00 $72,954.16 $35,287.61 2026-03-10
0796T HCPCS Transcatheter Insert Rt Atrial Component For Dual Chamber Leadless Pcmkr When Rt… 22 17 $79,298.00 $79,298.00 $4,487.00 $72,954.16 $35,287.61 2026-03-10
0795T HCPCS Transcatheter Insert Prem Dual Chamber Leadless Pcmkr- Complete 22 17 $79,298.00 $79,298.00 $4,487.00 $72,954.16 $35,287.61 2026-03-10
908 MS_DRG Other O.r. Procedures For Injuries With Cc 15 10 $157,034.00 $157,034.00 $3,118.83 $68,022.21 $35,132.07 2026-03-10
36906 CPT Intro Needle/Cath Transcath Plac Stent And Angi Within Dialysis Cir 23 18 $78,622.00 $78,622.00 $4,487.00 $72,332.24 $34,593.68 2026-03-10
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 16 10 $368,224.00 $368,224.00 $11,604.98 $68,879.66 $34,569.25 2026-03-10
479 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue Without Cc/mcc 12 7 $86,461.00 $86,461.00 $24,828.80 $62,290.97 $34,362.96 2026-03-10
0823T CPT Transcath Insert Perm Pacemarker Right Atrial Inclu Image 22 17 $77,183.00 $77,183.00 $4,487.00 $71,008.36 $34,346.43 2026-03-10
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 15 10 $305,920.00 $305,920.00 $7,358.85 $73,475.89 $34,336.27 2026-03-10
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 15 10 $58,381.00 $58,381.00 $6,217.54 $62,290.97 $34,336.27 2026-03-10
99 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis Without Cc/mcc 13 7 $59,842.00 $59,842.00 $21,739.82 $74,635.18 $34,077.53 2026-03-10
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction With Mcc 2 1 $169,090.00 — $34,062.12 $34,062.12 $34,062.12 2026-03-10
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 15 10 $107,843.35 $107,843.35 $12,302.84 $89,823.24 $33,881.36 2026-03-10
264 MS_DRG Other Circulatory System O.r. Procedures 14 9 $2,686,473.00 $2,686,473.00 $16,666.12 $71,051.22 $33,799.47 2026-03-10
31 MS_DRG Ventricular Shunt Procedures With Mcc 15 10 $95,914.00 $95,914.00 $18,125.82 $95,295.75 $33,383.47 2026-03-10
93656 CPT Comp Ep Eval With Treatment Atrial Fib Pulm Vein Isolation 23 18 $75,388.00 $75,388.00 $4,487.00 $69,356.96 $33,170.72 2026-03-10
545 MS_DRG Connective Tissue Disorders With Mcc 13 7 $72,820.00 $72,820.00 $14,670.98 $52,783.28 $33,100.41 2026-03-10
737 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 2 1 $142,695.00 — $33,086.42 $33,086.42 $33,086.42 2026-03-10
93591 CPT Perc Transcath Closure Paravalvular Leak Initial Occ Dvce Aortic Valve 24 18 $78,622.00 $78,622.00 $4,487.00 $72,332.24 $33,021.24 2026-03-10
93590 CPT Perc Transcath Closure Paravalvular Leak Initial Occ Dvce Mitral Valve 24 18 $78,622.00 $78,622.00 $4,487.00 $72,332.24 $33,021.24 2026-03-10
75 MS_DRG Viral Meningitis With Cc/mcc 12 7 $28,852.00 $28,852.00 $15,614.97 $40,783.31 $32,913.89 2026-03-10
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 16 10 $255,818.00 $255,818.00 $9,075.13 $61,465.69 $32,813.57 2026-03-10
941 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services Without Cc/… 13 7 $27,716.01 $27,716.01 $12,818.35 $43,127.15 $32,158.94 2026-03-10
93583 CPT Percutaneous Transcatheter Septal Reduct Therapy Incl Temp Pcmkr Ins 23 18 $78,769.00 $78,769.00 $561.00 $72,467.48 $31,822.68 2026-03-10
93581 CPT Perc Transcath Clos Cong Vent Sept 24 18 $75,397.00 $75,397.00 $4,487.00 $69,365.24 $31,666.74 2026-03-10
908 OTHER Other O.r. Procedures For Injuries With Cc 2 1 $157,442.00 — $31,334.93 $31,334.93 $31,334.93 2026-03-10
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/mcc 15 7 $83,714.00 $83,714.00 $16,140.00 $40,492.36 $31,133.65 2026-03-10
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 15 10 $396,781.00 $396,781.00 $20,252.11 $67,782.18 $31,036.30 2026-03-10
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 14 9 $788,323.40 $788,323.40 $9,219.59 $89,363.83 $30,926.40 2026-03-10
90288 HCPCS Botulism Immune Globulin 100 Mg Inj Solr 22 17 $69,300.00 $69,300.00 $4,487.00 $63,756.00 $30,838.50 2026-03-10
161 OTHER Hip And Femur Procedures Except Major Joint Age 0-17 2 1 $55,705.00 — $30,749.51 $30,749.51 $30,749.51 2026-03-10
254 MS_DRG Other Vascular Procedures Without Cc/mcc 17 10 $156,543.00 $156,543.00 $7,654.24 $55,702.19 $30,704.38 2026-03-10
658 MS_DRG Kidney And Ureter Procedures For Neoplasm Without Cc/mcc 15 10 $224,209.00 $224,209.00 $6,280.79 $66,893.17 $30,542.62 2026-03-10
J0567 HCPCS Cerliponase Alfa 2 X 150 Mg/5ml Ve Kit 24 17 $76,233.00 $76,233.00 $102.66 $70,134.36 $30,493.20 2026-03-10
839 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Without Cc/mcc 14 10 $43,499.00 $43,499.00 $3,257.54 $118,181.91 $30,296.63 2026-03-10
493 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Cc 16 10 $79,324.00 $79,324.00 $7,111.98 $53,940.31 $30,217.62 2026-03-10
841 MS_DRG Lymphoma And Non-acute Leukemia With Cc 13 7 $386,706.00 $386,706.00 $19,907.40 $49,944.07 $30,180.90 2026-03-10
262 MS_DRG Cardiac Pacemaker Revision Except Device Replacement Without Cc/mcc 13 7 $111,010.00 $111,010.00 $14,305.60 $35,890.16 $30,153.15 2026-03-10
828 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 13 7 $66,659.00 $66,659.00 $13,314.46 $36,238.12 $30,039.86 2026-03-10
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/mcc 15 10 $71,670.00 $71,670.00 $4,025.48 $65,538.32 $29,924.01 2026-03-10
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 12 7 $169,090.00 $169,090.00 $12,488.33 $42,771.96 $29,753.47 2026-03-10
482 MS_DRG Hip And Femur Procedures Except Major Joint Without Cc/mcc 14 7 $135,477.00 $135,477.00 $13,110.87 $34,689.74 $29,580.53 2026-03-10
37236 CPT Transcath Place IV Stent For Occlusive Ds Open/Perc Incl Angio Initial Artery 24 17 $69,996.00 $69,996.00 $4,487.00 $64,396.32 $29,398.32 2026-03-10
93580 CPT Perc Transcath Clos Cong Inter Comm 26 18 $73,387.00 $73,387.00 $4,487.00 $67,516.04 $29,354.80 2026-03-10
93654 CPT Ep Eval With Ablation Vent Arrhythmia & 3d Mapping 25 18 $73,378.00 $73,378.00 $4,487.00 $67,507.76 $29,351.20 2026-03-10
33 MS_DRG Ventricular Shunt Procedures Without Cc/mcc 13 7 $107,528.00 $107,528.00 $12,876.22 $35,368.22 $29,051.10 2026-03-10
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/mcc 12 7 $63,627.00 $63,627.00 $12,752.99 $39,024.36 $29,025.50 2026-03-10
988 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 13 7 $66,279.00 $66,279.00 $20,967.11 $52,602.70 $28,995.86 2026-03-10
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/mcc 13 7 $49,110.00 $49,110.00 $16,655.40 $41,785.38 $28,974.70 2026-03-10
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 13 7 $81,774.00 $81,774.00 $12,818.35 $49,703.53 $28,920.55 2026-03-10
93582 CPT Percutaneous Transcatheter Closure Patent Ductus Arteriosus 26 18 $71,544.00 $71,544.00 $4,487.00 $65,820.48 $28,617.60 2026-03-10
830 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 16 10 $103,796.00 $103,796.00 $2,737.92 $59,527.50 $28,355.71 2026-03-10
615 MS_DRG Adrenal And Pituitary Procedures Without Cc/mcc 12 7 $111,775.00 $111,775.00 $22,328.63 $60,062.45 $28,274.53 2026-03-10
334 MS_DRG Rectal Resection Without Cc/mcc 12 7 $138,042.00 $138,042.00 $17,136.50 $42,992.38 $28,218.56 2026-03-10
199 MS_DRG Pneumothorax With Mcc 13 7 $105,453.00 $105,453.00 $12,883.72 $37,520.64 $28,149.74 2026-03-10
38 MS_DRG Extracranial Procedures With Cc 12 7 $164,941.00 $164,941.00 $17,870.48 $44,833.80 $27,954.97 2026-03-10
660 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Cc 16 10 $50,340.00 $50,340.00 $5,082.70 $66,178.11 $27,732.57 2026-03-10
PX-9036430 CDM Blood Pump Centrimag 16 16 $44,211.00 $44,211.00 $4,582.00 $40,674.12 $27,631.88 2026-03-10
520 MS_DRG Back And Neck Procedures Except Spinal Fusion Without Cc/mcc 16 7 $140,767.00 $140,767.00 $12,210.81 $31,773.76 $27,549.83 2026-03-10
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 18 10 $115,980.00 $115,980.00 $5,518.96 $43,618.73 $27,520.08 2026-03-10
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 16 10 $84,634.00 $84,634.00 $5,622.09 $50,756.34 $27,281.42 2026-03-10
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 15 9 $149,614.00 $149,614.00 $8,865.62 $49,368.79 $27,213.26 2026-03-10
919 MS_DRG Complications Of Treatment With Mcc 13 7 $29,739.00 $29,739.00 $10,845.72 $38,939.29 $27,209.96 2026-03-10
803 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 15 10 $58,708.00 $58,708.00 $2,944.55 $49,008.57 $27,014.70 2026-03-10
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 15 10 $86,503.00 $86,503.00 $4,543.31 $49,492.45 $26,992.86 2026-03-10
505 MS_DRG Foot Procedures Without Cc/mcc 13 7 $110,788.00 $110,788.00 $11,962.23 $38,131.06 $26,988.97 2026-03-10
93653 CPT Ep Eval With Ablation Supravent Arrhythmia 28 18 $73,378.00 $73,378.00 $4,487.00 $67,507.76 $26,988.11 2026-03-10
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 15 10 $57,995.00 $57,995.00 $6,329.66 $77,115.01 $26,946.53 2026-03-10
377 OTHER Gastrointestinal Hemorrhage With Mcc 2 1 $265,498.00 — $26,876.87 $26,876.87 $26,876.87 2026-03-10
444 MS_DRG Disorders Of The Biliary Tract With Mcc 12 7 $82,200.00 $82,200.00 $11,915.08 $35,538.37 $26,772.57 2026-03-10
33249 CPT Insert/Replace Perm Impl Defib Syst W/Transven Leads Sing/Dual Chamber 23 17 $59,059.00 $59,059.00 $4,487.00 $54,334.28 $26,576.55 2026-03-10
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 14 7 $107,036.00 $107,036.00 $14,570.26 $64,164.32 $26,511.35 2026-03-10
580 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 15 10 $99,506.00 $99,506.00 $6,913.61 $47,664.47 $26,273.80 2026-03-10
643 MS_DRG Endocrine Disorders With Mcc 13 7 $157,176.00 $157,176.00 $12,046.87 $35,010.90 $26,266.82 2026-03-10
33208 CPT Insert/Replace Perm Pcmkr Elecr W/Transven Electrodes Atrial&Ventricul 25 18 $64,470.00 $64,470.00 $4,487.00 $59,312.40 $26,045.88 2026-03-10
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 15 10 $171,269.00 $171,269.00 $10,368.80 $61,941.71 $25,935.95 2026-03-10
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 2 1 $198,409.00 — $25,901.17 $25,901.17 $25,901.17 2026-03-10
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 4 3 $94,908.00 $94,908.00 $20,673.89 $27,556.12 $25,762.36 2026-03-10
501 MS_DRG Soft Tissue Procedures With Cc 18 10 $73,531.00 $73,531.00 $4,099.51 $42,747.76 $25,729.01 2026-03-10
804 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs Without Cc/mcc 12 7 $53,546.00 $53,546.00 $19,534.52 $49,008.57 $25,661.35 2026-03-10
393 MS_DRG Other Digestive System Diagnoses With Mcc 15 7 $162,177.00 $162,177.00 $12,747.64 $34,015.51 $25,520.03 2026-03-10
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 13 7 $27,891.00 $27,891.00 $11,243.25 $38,788.28 $25,366.83 2026-03-10
177 MS_DRG Respiratory Infections And Inflammations With Mcc 17 10 $82,865.00 $82,865.00 $3,961.52 $45,952.09 $25,329.89 2026-03-10
33745 CPT Transcatheter Intracardiac Shunt Cardiac Anomalies, Initial Shunt 22 16 $56,665.00 $56,665.00 $4,487.00 $52,131.80 $25,215.92 2026-03-10
801 MS_DRG Splenic Procedures Without Cc/mcc 16 10 $147,090.00 $147,090.00 $5,548.07 $40,600.39 $25,204.15 2026-03-10
250 MS_DRG Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 15 10 $240,236.00 $240,236.00 $11,872.70 $46,419.59 $25,174.30 2026-03-10
662 MS_DRG Minor Bladder Procedures With Mcc 15 10 $34,916.00 $34,916.00 $7,786.84 $65,115.04 $25,036.49 2026-03-10
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 15 10 $134,166.00 $134,166.00 $10,349.04 $51,158.33 $24,987.59 2026-03-10
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 16 10 $165,132.00 $165,132.00 $10,349.04 $70,011.17 $24,987.59 2026-03-10
306 MS_DRG Cardiac Congenital And Valvular Disorders With Mcc 14 9 $481,853.00 $481,853.00 $9,780.65 $33,515.69 $24,841.47 2026-03-10
419 OTHER Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 2 1 $90,315.00 — $24,819.18 $24,819.18 $24,819.18 2026-03-10
789 MS_DRG Neonates, Died Or Transferred To Another Acute Care Facility 15 10 $454,531.00 $454,531.00 $331.28 $47,809.64 $24,692.69 2026-03-10
838 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis With Cc Or High Dose Che… 2 1 $111,040.00 — $24,668.46 $24,668.46 $24,668.46 2026-03-10
33206 CPT Insert/Replace Perm Pcmkr Electr W/Transvenous Electrodes Atrial 23 18 $55,998.00 $55,998.00 $4,487.00 $51,518.16 $24,639.12 2026-03-10
100 MS_DRG Seizures With Mcc 17 10 $70,796.00 $70,796.00 $4,673.76 $41,193.80 $24,590.81 2026-03-10
91 MS_DRG Other Disorders Of Nervous System With Mcc 15 7 $40,165.00 $40,165.00 $10,794.29 $37,352.62 $24,353.90 2026-03-10
663 MS_DRG Minor Bladder Procedures With Cc 15 10 $28,521.00 $28,521.00 $4,156.65 $45,419.83 $24,257.83 2026-03-10
989 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 13 7 $52,139.00 $52,139.00 $19,135.63 $52,602.70 $24,162.57 2026-03-10
33741 CPT Transcatheter Atrial Septostomy Cardiac Anomalies Inclde Imaging Guide 23 17 $54,907.00 $54,907.00 $4,487.00 $50,514.44 $24,159.08 2026-03-10
847 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Cc 16 7 $66,922.00 $66,922.00 $10,705.36 $27,824.11 $24,153.24 2026-03-10
371 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Mcc 16 10 $50,946.00 $50,946.00 $4,383.76 $37,712.06 $24,058.44 2026-03-10
494 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/mcc 15 7 $131,085.00 $131,085.00 $10,661.43 $42,676.25 $24,054.13 2026-03-10
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 17 10 $431,357.00 $431,357.00 $10,177.26 $147,007.07 $24,043.69 2026-03-10
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 18 10 $116,781.00 $116,781.00 $3,792.26 $36,876.73 $23,989.61 2026-03-10
268 OTHER Septicemia Or Severe Sepsis Age 0-17 2 1 $151,283.00 — $23,938.67 $23,938.67 $23,938.67 2026-03-10
476 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc… 15 10 $205,372.00 $205,372.00 $5,702.23 $52,250.54 $23,856.97 2026-03-10
61624 CPT Tcat Permanent Occlusion/Embolization Prq Cns 22 17 $53,564.00 $53,564.00 $4,487.00 $49,278.88 $23,835.98 2026-03-10
37239 CPT Transcath Place IV Stent Incl Angio Ea Addl Vein 22 17 $53,313.00 $53,313.00 $4,487.00 $49,047.96 $23,724.28 2026-03-10
189 MS_DRG Pulmonary Edema And Respiratory Failure 19 7 $61,243.00 $61,243.00 $15,303.16 $38,392.87 $23,697.44 2026-03-10
61626 CPT Tcat Permant Occlusion/Embolization Prq Non-cns 23 17 $53,564.00 $53,564.00 $4,487.00 $49,278.88 $23,568.16 2026-03-10
37237 CPT Transcath Place IV Stent For Occlusive Ds Open/Perc Incl Angio Ea Addl Artery 23 16 $53,313.00 $53,313.00 $3,424.05 $49,047.96 $23,457.72 2026-03-10
398 MS_DRG Appendix Procedures With Cc 18 10 $139,491.00 $139,491.00 $5,182.60 $40,680.53 $23,288.30 2026-03-10
33213 CPT Insertion Of Pcmkr Pulse Generator Only With Existing Dual Leads 23 18 $52,394.00 $52,394.00 $4,487.00 $48,202.48 $23,053.36 2026-03-10
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 15 10 $174,800.00 $174,800.00 $10,101.44 $78,091.26 $22,966.42 2026-03-10
135 MS_DRG Sinus And Mastoid Procedures With Cc/mcc 16 10 $213,811.00 $213,811.00 $9,115.73 $44,988.19 $22,953.23 2026-03-10
36905 CPT Intro Needle/Cath With Translum Ball Angioplasty Periph Dialysis Segm 23 18 $51,870.00 $51,870.00 $4,487.00 $47,720.40 $22,822.80 2026-03-10
61623 CPT Endovascular Temporary Balloon Arterial Occl Head/Neck Extra/Intracran 23 18 $51,870.00 $51,870.00 $4,487.00 $47,720.40 $22,822.80 2026-03-10
36903 CPT Intro Needle/Cath With Transcath Plac Intravascular Stent Perip Dialysis 23 18 $51,870.00 $51,870.00 $4,487.00 $47,720.40 $22,822.80 2026-03-10
92928 CPT Perc Transcath Plcmt Intracor Stnt W/Cor Angio Sgle Maj Cor Art/Branch 1 Lesion … 23 18 $51,870.00 $51,870.00 $4,487.00 $47,720.40 $22,822.80 2026-03-10
33214 CPT Upgrade Of Impl Pcmkr Sys Convert Single To Dual 23 18 $51,812.00 $51,812.00 $4,487.00 $47,667.04 $22,797.28 2026-03-10
37238 CPT Transcath Place IV Stent Incl Angio Initial Vein 25 18 $56,176.00 $56,176.00 $4,487.00 $51,681.92 $22,695.10 2026-03-10
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 12 7 $75,712.00 $75,712.00 $10,451.41 $29,049.20 $22,687.18 2026-03-10
J9042 HCPCS Brentuximab Vedotin 50 Mg IV Recon Soln 25 18 $55,974.00 $55,974.00 $213.65 $51,496.08 $22,389.60 2026-03-10
549 MS_DRG Septic Arthritis With Cc 13 7 $89,962.00 $89,962.00 $11,736.14 $29,443.85 $22,333.20 2026-03-10
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 13 7 $76,694.00 $76,694.00 $12,553.69 $31,494.95 $22,306.29 2026-03-10
642 MS_DRG Inborn And Other Disorders Of Metabolism 13 6 $157,286.00 $157,286.00 $9,882.44 $30,246.64 $22,296.60 2026-03-10
33212 CPT Insertion Of Pcmkr Pulse Generator Only With Existing Single Lead 23 18 $50,605.00 $50,605.00 $4,487.00 $46,556.60 $22,266.20 2026-03-10
157 MS_DRG Dental And Oral Diseases With Mcc 12 7 $97,648.00 $97,648.00 $9,279.19 $36,514.62 $22,107.68 2026-03-10
37242 CPT Vascular Embolization/Occlusion Arterial Other Than Hemorrhage/Tumor 23 17 $49,970.00 $49,970.00 $4,487.00 $45,972.40 $21,986.80 2026-03-10
37244 CPT Vascular Embolization/Occlusion Art/Venous Hemmorr/Lymph Extravasation 23 18 $49,970.00 $49,970.00 $4,487.00 $45,972.40 $21,986.80 2026-03-10
346 MS_DRG Minor Small And Large Bowel Procedures Without Cc/mcc 13 7 $58,175.00 $58,175.00 $12,474.40 $31,296.02 $21,944.70 2026-03-10
33270 CPT Insert/Replace Perm Subq Impl Defib W/Subq Electrode 25 18 $49,478.00 $49,478.00 $4,487.00 $45,519.76 $21,770.32 2026-03-10
399 MS_DRG Appendix Procedures Without Cc/mcc 14 7 $64,217.00 $64,217.00 $11,926.87 $29,922.35 $21,567.29 2026-03-10
578 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis Without Cc/mcc 12 7 $77,556.00 $77,556.00 $9,015.60 $34,166.52 $21,479.68 2026-03-10
33207 CPT Insert/Repl Perm Pcmkr Ventr 25 18 $53,160.00 $53,160.00 $4,487.00 $48,907.20 $21,476.64 2026-03-10
30 MS_DRG Spinal Procedures Without Cc/mcc 18 10 $82,628.00 $82,628.00 $6,533.06 $46,689.71 $21,459.43 2026-03-10
868 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Cc 15 10 $32,423.00 $32,423.00 $2,976.53 $49,368.79 $21,339.65 2026-03-10
92987 CPT Perc Balloon Valvuloplasty Mitral Valve 23 18 $48,423.00 $48,423.00 $4,487.00 $44,549.16 $21,306.12 2026-03-10
444 OTHER Disorders Of The Biliary Tract With Mcc 2 1 $82,200.00 — $21,244.80 $21,244.80 $21,244.80 2026-03-10
37243 CPT Vascular Embolization/Occlusion Tumors/Organ Ischemia/Infarction 24 18 $49,970.00 $49,970.00 $4,487.00 $45,972.40 $21,087.34 2026-03-10
37241 CPT Vascular Embolization/Occlusion Venous Other Than Hemorrhage 24 17 $49,970.00 $49,970.00 $4,487.00 $45,972.40 $20,987.40 2026-03-10
862 OTHER Postoperative And Post-traumatic Infections With Mcc 1 1 $27,891.00 — $20,962.40 $20,962.40 $20,962.40 2026-03-10
682 OTHER Renal Failure With Mcc 2 1 $137,641.00 — $20,944.95 $20,944.95 $20,944.95 2026-03-10
33228 CPT Remove Perm Pacemaker With Replacement; Dual Lead 25 18 $51,812.00 $51,812.00 $4,487.00 $47,667.04 $20,932.05 2026-03-10
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 15 10 $123,420.00 $123,420.00 $12,115.98 $47,064.04 $20,851.89 2026-03-10
205 MS_DRG Other Respiratory System Diagnoses With Mcc 13 7 $19,457.00 $19,457.00 $9,219.19 $38,943.54 $20,800.17 2026-03-10
56 MS_DRG Degenerative Nervous System Disorders With Mcc 6 6 $165,468.00 $165,468.00 $4,485.46 $49,410.01 $20,777.58 2026-03-10
822 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 12 7 $87,654.00 $87,654.00 $13,812.71 $34,653.59 $20,743.11 2026-03-10
540 MS_DRG Osteomyelitis With Cc 15 10 $53,115.00 $53,115.00 $3,743.39 $38,048.78 $20,685.06 2026-03-10
385 MS_DRG Inflammatory Bowel Disease With Mcc 16 10 $96,494.00 $96,494.00 $3,046.24 $33,653.94 $20,676.48 2026-03-10
489 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection Without Cc/mcc 13 7 $86,528.00 $86,528.00 $13,169.81 $33,040.67 $20,660.80 2026-03-10
885 MS_DRG Psychoses 13 7 $47,509.00 $47,509.00 $8,224.83 $29,708.54 $20,634.62 2026-03-10
884 OTHER Organic Disturbances And Intellectual Disability 2 1 $31,545.00 — $20,622.89 $20,622.89 $20,622.89 2026-03-10
33902 CPT Perc Pulm Art Revsc Stent Place, Initial, Abnormal Connect, Unilateral Facility … 23 18 $46,689.00 $46,689.00 $4,487.00 $42,953.88 $20,543.16 2026-03-10
178 MS_DRG Respiratory Infections And Inflammations With Cc 16 10 $98,483.00 $98,483.00 $2,684.02 $45,952.09 $20,478.92 2026-03-10
682 MS_DRG Renal Failure With Mcc 15 10 $105,480.00 $105,480.00 $4,543.31 $36,949.31 $20,367.34 2026-03-10
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 15 10 $78,490.00 $78,490.00 $6,052.96 $79,686.44 $20,327.33 2026-03-10
J9022 HCPCS Atezolizumab 1200 Mg/20ml IV Soln 25 18 $50,733.00 $50,733.00 $80.80 $46,674.36 $20,293.20 2026-03-10
546 MS_DRG Connective Tissue Disorders With Cc 17 10 $67,401.00 $67,401.00 $4,188.27 $36,806.83 $20,288.81 2026-03-10
983 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis Without Cc/mcc 1 1 $108,830.00 — $20,148.53 $20,148.53 $20,148.53 2026-03-10
33224 CPT Insert Pacing Electrode Cardiac Venous Sys Left Vent Pacing W/Attach Prev Placed… 23 18 $45,569.00 $45,569.00 $4,487.00 $41,923.48 $20,050.36 2026-03-10
872 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc 19 10 $47,914.00 $47,914.00 $2,976.53 $43,618.73 $20,035.86 2026-03-10
33227 CPT Remove Perm Pcmkr Pulse Gen W/Repl Single Lead 23 18 $45,293.00 $45,293.00 $4,487.00 $41,669.56 $19,928.92 2026-03-10
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Cc 15 10 $116,245.40 $116,245.40 $3,596.77 $40,209.04 $19,783.51 2026-03-10
348 MS_DRG Anal And Stomal Procedures With Cc 16 10 $125,561.00 $125,561.00 $3,046.24 $33,868.63 $19,776.86 2026-03-10
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 15 10 $77,530.00 $77,530.00 $4,579.61 $35,739.62 $19,700.53 2026-03-10
59 MS_DRG Multiple Sclerosis And Cerebellar Ataxia With Cc 13 7 $76,966.00 $76,966.00 $8,710.22 $26,392.70 $19,651.86 2026-03-10
145 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures Without Cc/mcc 16 10 $72,529.00 $72,529.00 $3,792.26 $36,400.92 $19,625.07 2026-03-10
844 MS_DRG Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 15 10 $140,191.00 $140,191.00 $2,737.92 $37,349.85 $19,426.05 2026-03-10
637 MS_DRG Diabetes With Mcc 12 7 $56,712.00 $56,712.00 $8,151.97 $30,557.17 $19,422.08 2026-03-10
815 MS_DRG Reticuloendothelial And Immunity Disorders With Cc 13 7 $71,965.00 $71,965.00 $14,017.36 $35,167.03 $19,384.91 2026-03-10
810 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 13 7 $49,926.00 $49,926.00 $13,605.91 $34,134.76 $19,362.10 2026-03-10
337 MS_DRG Peritoneal Adhesiolysis Without Cc/mcc 16 10 $46,186.00 $46,186.00 $4,958.01 $36,158.98 $19,303.53 2026-03-10
200 MS_DRG Pneumothorax With Cc 12 7 $36,903.00 $36,903.00 $12,883.72 $32,322.92 $19,077.10 2026-03-10
328 MS_DRG Stomach, Esophageal And Duodenal Procedures Without Cc/mcc 16 11 $58,750.00 $58,750.00 $137.96 $35,680.48 $19,048.08 2026-03-10
949 MS_DRG Aftercare With Cc/mcc 7 6 $115,515.00 $115,515.00 $4,251.88 $25,303.73 $18,984.04 2026-03-10
71 MS_DRG Other Cerebrovascular Disorders With Cc 13 7 $29,761.00 $29,761.00 $12,715.49 $31,900.87 $18,981.00 2026-03-10
811 MS_DRG Red Blood Cell Disorders With Mcc 18 10 $83,480.00 $83,480.00 $3,159.80 $29,868.06 $18,914.75 2026-03-10
372 MS_DRG Major Gastrointestinal Disorders And Peritoneal Infections With Cc 17 10 $44,002.00 $44,002.00 $2,121.63 $35,962.74 $18,888.50 2026-03-10
55 MS_DRG Nervous System Neoplasms Without Mcc 13 7 $34,361.00 $34,361.00 $9,076.68 $22,771.74 $18,862.60 2026-03-10
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 15 10 $75,076.00 $75,076.00 $5,292.21 $46,959.83 $18,815.90 2026-03-10
809 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 18 10 $65,438.00 $65,438.00 $3,345.59 $34,134.76 $18,815.90 2026-03-10
54 MS_DRG Nervous System Neoplasms With Mcc 15 10 $58,022.00 $58,022.00 $3,858.02 $34,113.26 $18,804.04 2026-03-10
813 MS_DRG Coagulation Disorders 17 10 $53,079.00 $53,079.00 $4,239.66 $34,062.18 $18,775.89 2026-03-10
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Cc Or Tpa In 24 Hours 13 7 $97,131.00 $97,131.00 $12,488.33 $31,330.97 $18,690.55 2026-03-10
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