Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

NORTHSIDE HOSPITAL CHEROKEE

Canton, GA · CCN 110008 · Rates published

16,407 distinct procedures filed
68 distinct payers
1,773,980 rate rows
2026-02-14 last MRF observed
Data quality

1,570,479 of 1,773,980 rate rows are consumer-grade (88.5%)

203,501 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 78,922
template filing: same amount across many unrelated codes — excluded 65,280
per-diem day rate — not a per-procedure price 41,710
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 13,045
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 2,822
exceeds 10× this hospital's gross charge — excluded from medians 1,096
placeholder amount (≤ $0.02) — excluded from medians 626
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.northside.com/docs/default-source/billing-and-insurance-documents/transparency/581954432_northsidehospitalcherokee_standardcharges.json
Found on page https://www.northside.com/patients-visitors/billing-and-insurance/pricing-transparency-information
Discovered viaDiscovered by HANK
Last fetch Latest re-check couldn't be parsed — showing last good data · 2026-10-10

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
018
OTHER 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 $3,109,557.48 $3,109,557.48 $3,109,557.48 nat. median
$297,123
outlier · 10.5×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 48 $278,250.00 $3,465,000.00 $2,182,950.00 nat. median
$319,951
outlier · 6.8×
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 56 $391,961.08 $3,506,913.00 $1,960,364.37 nat. median
$640,950
outlier · 3.1×
681
OTHER 		Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 $1,958,775.63 $1,958,775.63 $1,958,775.63 nat. median
$1
Q2055
HCPCS 		Idecabtagene Vicleucel Car T 56 $389,720.07 $3,486,862.50 $1,949,156.14 nat. median
$623,527
outlier · 3.1×
Q2056
HCPCS 		Ciltacabtagene Car-pos T 56 $385,104.49 $3,445,566.50 $1,926,071.67 nat. median
$646,415
outlier · 3.0×
166
OTHER 		Other Respiratory System O.r. Procedures With Mcc 1 $1,833,832.37 $1,833,832.37 $1,833,832.37 nat. median
$39,056
outlier · 47.0×
Q2053
HCPCS 		Brexucabtagene Tecartus T-cell 56 $340,803.35 $3,049,200.00 $1,704,502.80 nat. median
$592,235
outlier · 2.9×
Q2042
HCPCS 		Kymriah T-cell Susp For Infusion 56 $337,071.53 $3,015,811.00 $1,685,838.35 nat. median
$739,658
outlier · 2.3×
001
OTHER 		Heart Transplant Or Implant Of Heart Assist System With Mcc 1 $1,444,364.36 $1,444,364.36 $1,444,364.36 nat. median
$214,523
outlier · 6.7×
Q2041
HCPCS 		Yescarta T-cell Susp For Infusion 56 $275,150.76 $2,461,800.00 $1,376,146.20 nat. median
$608,239
outlier · 2.3×
955
OTHER 		Craniotomy For Multiple Significant Trauma 1 $841,183.96 $841,183.96 $841,183.96 nat. median
$61,896
outlier · 13.6×
266
OTHER 		Acute Leukemia Without Major O.r. Procedures Age 0-17 1 $839,859.61 $839,859.61 $839,859.61 nat. median
$60,180
outlier · 14.0×
007
OTHER 		Lung Transplant 1 $837,725.40 $837,725.40 $837,725.40 nat. median
$93,583
outlier · 9.0×
633
OTHER 		Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 $831,502.63 $831,502.63 $831,502.63 nat. median
$6,213
outlier · 133.8×
004
OTHER 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 $806,040.57 $806,040.57 $806,040.57 nat. median
$118,265
outlier · 6.8×
636
OTHER 		Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 $763,553.77 $763,553.77 $763,553.77 nat. median
$76
outlier · 9981.1×
835
OTHER 		Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 $722,750.09 $722,750.09 $722,750.09 nat. median
$188
outlier · 3836.3×
423
OTHER 		Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 $721,864.05 $721,864.05 $721,864.05 nat. median
$39,010
outlier · 18.5×
215
OTHER 		Other Heart Assist System Implant 1 $720,710.30 $720,710.30 $720,710.30 nat. median
$75,013
outlier · 9.6×
622
OTHER 		Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 $695,314.01 $695,314.01 $695,314.01 nat. median
$35,346
outlier · 19.7×
634
OTHER 		Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 $690,425.17 $690,425.17 $690,425.17 nat. median
$191
outlier · 3621.6×
414
OTHER 		Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 $682,886.57 $682,886.57 $682,886.57 nat. median
$33,951
outlier · 20.1×
927
OTHER 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 $682,125.86 $682,125.86 $682,125.86 nat. median
$2
outlier · 403624.8×
974
OTHER 		HIV With Major Related Condition With Mcc 1 $587,125.50 $587,125.50 $587,125.50 nat. median
$28,618
outlier · 20.5×
613
OTHER 		Neonate, Birth Weight <750 Grams, Died 1 $545,173.70 $545,173.70 $545,173.70 nat. median
$41,003
outlier · 13.3×
003
OTHER 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 $522,581.79 $522,581.79 $522,581.79 nat. median
$165,355
outlier · 3.2×
005
OTHER 		Liver Transplant With Mcc Or Intestinal Transplant 1 $521,499.80 $521,499.80 $521,499.80 nat. median
$78,930
outlier · 6.6×
515
OTHER 		Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 $511,616.59 $511,616.59 $511,616.59 nat. median
$30,460
outlier · 16.8×
969
OTHER 		HIV With Extensive O.r. Procedures With Mcc 1 $487,614.00 $487,614.00 $487,614.00 nat. median
$245
outlier · 1990.3×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 28 $297,174.15 $2,860,061.00 $481,050.89 nat. median
$359,244
1.3× median
052
OTHER 		Spinal Disorders And Injuries With Cc/mcc 1 $458,752.10 $458,752.10 $458,752.10 nat. median
$17,079
outlier · 26.9×
239
OTHER 		Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 $439,057.98 $439,057.98 $439,057.98 nat. median
$46,546
outlier · 9.4×
207
OTHER 		Respiratory System Diagnosis With Ventilator Support >96 Hours 1 $411,405.01 $411,405.01 $411,405.01 nat. median
$64,908
outlier · 6.3×
595
OTHER 		Major Skin Disorders With Mcc 1 $407,849.50 $407,849.50 $407,849.50 nat. median
$19,720
outlier · 20.7×
632
OTHER 		Neonate, Birth Weight 750-999 Grams, Died 1 $392,917.20 $392,917.20 $392,917.20 nat. median
$4,380
outlier · 89.7×
904
OTHER 		Skin Grafts For Injuries With Cc/mcc 1 $390,551.41 $390,551.41 $390,551.41 nat. median
$2,146
outlier · 182.0×
956
OTHER 		Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 $378,552.81 $378,552.81 $378,552.81 nat. median
$39,193
outlier · 9.7×
411
OTHER 		Cholecystectomy With C.d.e. With Mcc 1 $374,445.34 $374,445.34 $374,445.34 nat. median
$27,434
outlier · 13.6×
853
OTHER 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 $369,224.57 $369,224.57 $369,224.57 nat. median
$16,628
outlier · 22.2×
485
OTHER 		Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 $364,507.50 $364,507.50 $364,507.50 nat. median
$31,597
outlier · 11.5×
011
OTHER 		Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 $361,762.00 $361,762.00 $361,762.00 nat. median
$45,985
outlier · 7.9×
J2326
HCPCS 		Spinraza(nusinersen)12mg/5ml Soln 56 $6,149.45 $816,348.50 $360,744.41 nat. median
$2,492
outlier · 144.8×
288
OTHER 		Acute And Subacute Endocarditis With Mcc 1 $332,372.40 $332,372.40 $332,372.40 nat. median
$27,270
outlier · 12.2×
820
OTHER 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 $328,140.93 $328,140.93 $328,140.93 nat. median
$325
outlier · 1009.7×
455
OTHER 		Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 $326,261.51 $326,261.51 $326,261.51 nat. median
$44,798
outlier · 7.3×
7
MS_DRG 		Lung Transplant 28 $102,981.20 $2,162,847.20 $325,441.87 nat. median
$117,977
outlier · 2.8×
862
OTHER 		Postoperative And Post-traumatic Infections With Mcc 1 $323,570.07 $323,570.07 $323,570.07 nat. median
$2,877
outlier · 112.5×
228
OTHER 		Other Cardiothoracic Procedures With Mcc 1 $323,023.27 $323,023.27 $323,023.27 nat. median
$49,117
outlier · 6.6×
014
OTHER 		Allogeneic Bone Marrow Transplant 1 $320,060.06 $320,060.06 $320,060.06 nat. median
$85,837
outlier · 3.7×

Other procedures at this hospital

Browse this hospital's 16,407 published procedures. Use the slice to choose what to show, then sort or filter any column.

Slice
Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
001 OTHER Heart Transplant Or Implant Of Heart Assist System With Mcc 1 1 — — $1,444,364.36 $1,444,364.36 $1,444,364.36 2026-02-14
003 OTHER Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 1 1 — — $522,581.79 $522,581.79 $522,581.79 2026-02-14
004 OTHER Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 1 1 — — $806,040.57 $806,040.57 $806,040.57 2026-02-14
005 OTHER Liver Transplant With Mcc Or Intestinal Transplant 1 1 — — $521,499.80 $521,499.80 $521,499.80 2026-02-14
006 OTHER Liver Transplant Without Mcc 1 1 — — $256,350.28 $256,350.28 $256,350.28 2026-02-14
007 OTHER Lung Transplant 1 1 — — $837,725.40 $837,725.40 $837,725.40 2026-02-14
011 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 1 1 — — $361,762.00 $361,762.00 $361,762.00 2026-02-14
012 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 1 1 — — $208,391.97 $208,391.97 $208,391.97 2026-02-14
013 OTHER Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/mcc 1 1 — — $301,981.88 $301,981.88 $301,981.88 2026-02-14
014 OTHER Allogeneic Bone Marrow Transplant 1 1 — — $320,060.06 $320,060.06 $320,060.06 2026-02-14
016 OTHER Autologous Bone Marrow Transplant With Cc/mcc 1 1 — — $126,937.50 $126,937.50 $126,937.50 2026-02-14
018 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 1 1 — — $3,109,557.48 $3,109,557.48 $3,109,557.48 2026-02-14
020 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 1 1 — — $222,724.27 $222,724.27 $222,724.27 2026-02-14
021 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 1 1 — — $233,496.37 $233,496.37 $233,496.37 2026-02-14
022 OTHER Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 1 1 — — $131,544.96 $131,544.96 $131,544.96 2026-02-14
023 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $289,647.20 $289,647.20 $289,647.20 2026-02-14
024 OTHER Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 1 1 — — $139,847.60 $139,847.60 $139,847.60 2026-02-14
025 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Mcc 1 1 — — $187,528.57 $187,528.57 $187,528.57 2026-02-14
026 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 With Cc 1 1 — — $225,422.98 $225,422.98 $225,422.98 2026-02-14
027 OTHER Craniotomy And Endovascular Intracranial Procedures Age >17 Without Cc/mcc 1 1 — — $189,250.92 $189,250.92 $189,250.92 2026-02-14
028 OTHER Spinal Procedures With Mcc 1 1 — — $281,687.00 $281,687.00 $281,687.00 2026-02-14
029 OTHER Spinal Procedures With Cc Or Spinal Neurostimulators 1 1 — — $250,807.31 $250,807.31 $250,807.31 2026-02-14
031 OTHER Ventricular Shunt Procedures Age >17 With Mcc 1 1 — — $97,979.06 $97,979.06 $97,979.06 2026-02-14
032 OTHER Ventricular Shunt Procedures Age >17 With Cc 1 1 — — $114,287.70 $114,287.70 $114,287.70 2026-02-14
033 OTHER Ventricular Shunt Procedures Age >17 Without Cc/mcc 1 1 — — $82,708.66 $82,708.66 $82,708.66 2026-02-14
035 OTHER Carotid Artery Stent Procedures With Cc 1 1 — — $152,200.59 $152,200.59 $152,200.59 2026-02-14
036 OTHER Carotid Artery Stent Procedures Without Cc/mcc 1 1 — — $83,451.26 $83,451.26 $83,451.26 2026-02-14
040 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 1 1 — — $107,988.46 $107,988.46 $107,988.46 2026-02-14
041 OTHER Peripheral, Cranial Nerve And Other Nervous System Procedures With Cc Or Periphe… 1 1 — — $103,954.73 $103,954.73 $103,954.73 2026-02-14
052 OTHER Spinal Disorders And Injuries With Cc/mcc 1 1 — — $458,752.10 $458,752.10 $458,752.10 2026-02-14
058 OTHER Multiple Sclerosis And Cerebellar Ataxia With Mcc 1 1 — — $199,223.64 $199,223.64 $199,223.64 2026-02-14
061 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $117,964.38 $117,964.38 $117,964.38 2026-02-14
062 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 1 1 — — $106,509.30 $106,509.30 $106,509.30 2026-02-14
067 OTHER Nonspecific Cva And Precerebral Occlusion Without Infarction With Mcc 1 1 — — $255,660.29 $255,660.29 $255,660.29 2026-02-14
071 OTHER Nonspecific Cerebrovascular Disorders With Cc 1 1 — — $99,261.30 $99,261.30 $99,261.30 2026-02-14
078 OTHER Hypertensive Encephalopathy With Cc 1 1 — — $288,170.51 $288,170.51 $288,170.51 2026-02-14
080 OTHER Nontraumatic Stupor And Coma With Mcc 1 1 — — $128,623.80 $128,623.80 $128,623.80 2026-02-14
086 OTHER Traumatic Stupor And Coma <1 Hour Age >17 With Cc 1 1 — — $105,138.10 $105,138.10 $105,138.10 2026-02-14
092 OTHER Other Disorders Of Nervous System With Cc 1 1 — — $114,979.50 $114,979.50 $114,979.50 2026-02-14
094 OTHER Bacterial And Tuberculous Infections Of Nervous System With Mcc 1 1 — — $193,804.47 $193,804.47 $193,804.47 2026-02-14
095 OTHER Bacterial And Tuberculous Infections Of Nervous System With Cc 1 1 — — $93,078.78 $93,078.78 $93,078.78 2026-02-14
098 OTHER Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 1 1 — — $288,184.60 $288,184.60 $288,184.60 2026-02-14
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 31 28 — — $201,763.97 $846,592.03 $211,852.16 2026-02-14
100 OTHER Seizures Age >17 With Mcc 1 1 — — $94,494.40 $94,494.40 $94,494.40 2026-02-14
104 OTHER Craniotomy, Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 1 1 — — $95,528.87 $95,528.87 $95,528.87 2026-02-14
105 OTHER Traumatic Stupor And Coma <1 Hour Age 0-17 1 1 — — $82,233.20 $82,233.20 $82,233.20 2026-02-14
106 OTHER Concussion Age 0-17 1 1 — — $90,839.30 $90,839.30 $90,839.30 2026-02-14
114 OTHER Orbital Procedures Without Cc/mcc 1 1 — — $100,700.14 $100,700.14 $100,700.14 2026-02-14
116 OTHER Intraocular Procedures With Cc/mcc 1 1 — — $122,599.97 $122,599.97 $122,599.97 2026-02-14
135 OTHER Sinus And Mastoid Procedures Age >17 With Cc/mcc 1 1 — — $84,418.16 $84,418.16 $84,418.16 2026-02-14
136 OTHER Sinus And Mastoid Procedures Age >17 Without Cc/mcc 1 1 — — $91,128.27 $91,128.27 $91,128.27 2026-02-14
137 OTHER Mouth Procedures With Cc/mcc 1 1 — — $95,808.35 $95,808.35 $95,808.35 2026-02-14
14 MS_DRG Allogeneic Bone Marrow Transplant 31 28 — — $38,882.04 $226,879.83 $92,141.98 2026-02-14
147 OTHER Ear, Nose, Mouth And Throat Malignancy With Cc 1 1 — — $175,122.50 $175,122.50 $175,122.50 2026-02-14
157 OTHER Dental And Oral Diseases Age >17 With Mcc 1 1 — — $156,489.91 $156,489.91 $156,489.91 2026-02-14
1614 APR_DRG Implantable Heart Assist Systems 3 3 — — $164,420.26 $169,352.87 $164,420.26 2026-02-14
162 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age 0-17 1 1 — — $136,630.60 $136,630.60 $136,630.60 2026-02-14
163 OTHER Major Chest Procedures With Mcc 1 1 — — $197,423.90 $197,423.90 $197,423.90 2026-02-14
164 OTHER Major Chest Procedures With Cc 1 1 — — $208,579.79 $208,579.79 $208,579.79 2026-02-14
166 OTHER Other Respiratory System O.r. Procedures With Mcc 1 1 — — $1,833,832.37 $1,833,832.37 $1,833,832.37 2026-02-14
167 OTHER Other Respiratory System O.r. Procedures With Cc 1 1 — — $80,043.41 $80,043.41 $80,043.41 2026-02-14
173 OTHER Urethral Procedures Age 0-17 1 1 — — $83,386.68 $83,386.68 $83,386.68 2026-02-14
18 MS_DRG Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 30 28 — — $297,174.15 $2,860,061.00 $481,050.89 2026-02-14
183 OTHER Major Chest Trauma With Mcc 1 1 — — $111,985.60 $111,985.60 $111,985.60 2026-02-14
187 OTHER Pleural Effusion With Cc 1 1 — — $125,578.00 $125,578.00 $125,578.00 2026-02-14
197 OTHER Interstitial Lung Disease With Cc 1 1 — — $93,379.30 $93,379.30 $93,379.30 2026-02-14
199 OTHER Pneumothorax With Mcc 1 1 — — $116,614.02 $116,614.02 $116,614.02 2026-02-14
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 31 28 — — $86,834.44 $752,886.92 $105,148.48 2026-02-14
203 OTHER Bronchitis And Asthma Age >17 Without Cc/mcc 1 1 — — $104,682.50 $104,682.50 $104,682.50 2026-02-14
207 OTHER Respiratory System Diagnosis With Ventilator Support >96 Hours 1 1 — — $411,405.01 $411,405.01 $411,405.01 2026-02-14
212 MS_DRG Hip & Femur Procedures Except Major Joint Age 0-17 30 28 — — $79,607.04 $148,868.05 $83,587.39 2026-02-14
213 OTHER Splenic Procedures Age 0-17 1 1 — — $143,508.14 $143,508.14 $143,508.14 2026-02-14
215 OTHER Other Heart Assist System Implant 1 1 — — $720,710.30 $720,710.30 $720,710.30 2026-02-14
216 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $309,608.10 $309,608.10 $309,608.10 2026-02-14
217 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $278,357.00 $278,357.00 $278,357.00 2026-02-14
218 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 1 1 — — $81,194.61 $81,194.61 $81,194.61 2026-02-14
219 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $270,662.70 $270,662.70 $270,662.70 2026-02-14
220 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $226,957.19 $226,957.19 $226,957.19 2026-02-14
221 OTHER Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 1 1 — — $132,795.17 $132,795.17 $132,795.17 2026-02-14
228 OTHER Other Cardiothoracic Procedures With Mcc 1 1 — — $323,023.27 $323,023.27 $323,023.27 2026-02-14
229 OTHER Other Cardiothoracic Procedures Without Mcc 1 1 — — $248,568.18 $248,568.18 $248,568.18 2026-02-14
231 OTHER Coronary Bypass With Ptca With Mcc 1 1 — — $214,611.90 $214,611.90 $214,611.90 2026-02-14
233 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 1 1 — — $294,643.73 $294,643.73 $294,643.73 2026-02-14
234 OTHER Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 1 1 — — $189,085.87 $189,085.87 $189,085.87 2026-02-14
235 OTHER Coronary Bypass Without Cardiac Catheterization With Mcc 1 1 — — $154,389.32 $154,389.32 $154,389.32 2026-02-14
236 OTHER Coronary Bypass Without Cardiac Catheterization Without Mcc 1 1 — — $158,397.92 $158,397.92 $158,397.92 2026-02-14
239 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 1 1 — — $439,057.98 $439,057.98 $439,057.98 2026-02-14
240 OTHER Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 1 1 — — $101,873.59 $101,873.59 $101,873.59 2026-02-14
242 OTHER Permanent Cardiac Pacemaker Implant With Mcc 1 1 — — $116,282.50 $116,282.50 $116,282.50 2026-02-14
245 OTHER Aicd Generator Procedures 1 1 — — $146,462.69 $146,462.69 $146,462.69 2026-02-14
250 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc 1 1 — — $248,321.08 $248,321.08 $248,321.08 2026-02-14
251 OTHER Percutaneous Cardiovascular Procedures Without Intraluminal Device Without Mcc 1 1 — — $87,659.60 $87,659.60 $87,659.60 2026-02-14
253 OTHER Other Vascular Procedures With Cc 1 1 — — $184,894.20 $184,894.20 $184,894.20 2026-02-14
255 OTHER Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 1 1 — — $141,809.42 $141,809.42 $141,809.42 2026-02-14
258 OTHER Cardiac Pacemaker Device Replacement With Mcc 1 1 — — $178,009.00 $178,009.00 $178,009.00 2026-02-14
259 OTHER Cardiac Pacemaker Device Replacement Without Mcc 1 1 — — $85,261.50 $85,261.50 $85,261.50 2026-02-14
260 OTHER Cardiac Pacemaker Revision Except Device Replacement With Mcc 1 1 — — $96,778.79 $96,778.79 $96,778.79 2026-02-14
264 OTHER Other Circulatory System O.r. Procedures 1 1 — — $182,727.00 $182,727.00 $182,727.00 2026-02-14
265 OTHER Aicd Lead Procedures 1 1 — — $222,153.50 $222,153.50 $222,153.50 2026-02-14
266 OTHER Acute Leukemia Without Major O.r. Procedures Age 0-17 1 1 — — $839,859.61 $839,859.61 $839,859.61 2026-02-14
271 OTHER Poisoning And Toxic Effects Of Drugs Age 0-17 1 1 — — $120,591.70 $120,591.70 $120,591.70 2026-02-14
273 OTHER Percutaneous And Other Intracardiac Procedures With Mcc 1 1 — — $133,377.97 $133,377.97 $133,377.97 2026-02-14
274 OTHER Percutaneous And Other Intracardiac Procedures Without Mcc 1 1 — — $89,810.16 $89,810.16 $89,810.16 2026-02-14
275 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 1 1 — — $212,011.02 $212,011.02 $212,011.02 2026-02-14
276 OTHER Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 1 1 — — $137,368.11 $137,368.11 $137,368.11 2026-02-14
277 OTHER Other Major Cardiovascular Procedures With Mcc 1 1 — — $160,401.47 $160,401.47 $160,401.47 2026-02-14
278 OTHER Other Major Cardiovascular Procedures With Cc 1 1 — — $90,919.88 $90,919.88 $90,919.88 2026-02-14
279 OTHER Other Major Cardiovascular Procedures Without Cc/mcc 1 1 — — $145,050.46 $145,050.46 $145,050.46 2026-02-14
286 OTHER Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 1 1 — — $105,014.57 $105,014.57 $105,014.57 2026-02-14
288 OTHER Acute And Subacute Endocarditis With Mcc 1 1 — — $332,372.40 $332,372.40 $332,372.40 2026-02-14
289 OTHER Acute And Subacute Endocarditis With Cc 1 1 — — $155,805.42 $155,805.42 $155,805.42 2026-02-14
299 OTHER Peripheral Vascular Disorders With Mcc 1 1 — — $105,071.00 $105,071.00 $105,071.00 2026-02-14
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 28 — — $153,337.27 $645,099.41 $161,004.13 2026-02-14
302 OTHER Atherosclerosis With Mcc 1 1 — — $128,877.03 $128,877.03 $128,877.03 2026-02-14
308 OTHER Cardiac Arrhythmia And Conduction Disorders With Mcc 1 1 — — $101,365.51 $101,365.51 $101,365.51 2026-02-14
314 OTHER Other Circulatory System Diagnoses With Mcc 1 1 — — $268,438.74 $268,438.74 $268,438.74 2026-02-14
317 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 1 1 — — $150,945.46 $150,945.46 $150,945.46 2026-02-14
318 OTHER Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 1 1 — — $206,653.39 $206,653.39 $206,653.39 2026-02-14
319 OTHER Other Endovascular Cardiac Valve Procedures With Mcc 1 1 — — $113,318.16 $113,318.16 $113,318.16 2026-02-14
322 OTHER Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 1 1 — — $109,692.92 $109,692.92 $109,692.92 2026-02-14
326 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Mcc 1 1 — — $103,506.98 $103,506.98 $103,506.98 2026-02-14
327 OTHER Stomach, Esophageal And Duodenal Procedures Age >17 With Cc 1 1 — — $116,275.70 $116,275.70 $116,275.70 2026-02-14
329 OTHER Major Small And Large Bowel Procedures With Mcc 1 1 — — $190,080.26 $190,080.26 $190,080.26 2026-02-14
330 OTHER Major Small And Large Bowel Procedures With Cc 1 1 — — $151,764.15 $151,764.15 $151,764.15 2026-02-14
332 OTHER Rectal Resection With Mcc 1 1 — — $135,577.36 $135,577.36 $135,577.36 2026-02-14
333 OTHER Rectal Resection With Cc 1 1 — — $161,378.93 $161,378.93 $161,378.93 2026-02-14
334 OTHER Rectal Resection Without Cc/mcc 1 1 — — $93,390.71 $93,390.71 $93,390.71 2026-02-14
335 OTHER Peritoneal Adhesiolysis With Mcc 1 1 — — $92,424.48 $92,424.48 $92,424.48 2026-02-14
337 OTHER Peritoneal Adhesiolysis Without Cc/mcc 1 1 — — $111,903.76 $111,903.76 $111,903.76 2026-02-14
344 OTHER Minor Small And Large Bowel Procedures With Mcc 1 1 — — $102,214.40 $102,214.40 $102,214.40 2026-02-14
350 OTHER Inguinal And Femoral Hernia Procedures Age >17 With Mcc 1 1 — — $128,949.73 $128,949.73 $128,949.73 2026-02-14
352 OTHER Inguinal And Femoral Hernia Procedures Age >17 Without Cc/mcc 1 1 — — $136,656.20 $136,656.20 $136,656.20 2026-02-14
356 OTHER Other Digestive System O.r. Procedures With Mcc 1 1 — — $120,177.19 $120,177.19 $120,177.19 2026-02-14
360 OTHER Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 1 1 — — $299,616.54 $299,616.54 $299,616.54 2026-02-14
362 OTHER Cardiac Defibrillator Implant Without Mcc 1 1 — — $180,668.28 $180,668.28 $180,668.28 2026-02-14
377 OTHER Gastrointestinal Hemorrhage With Mcc 1 1 — — $162,120.84 $162,120.84 $162,120.84 2026-02-14
380 OTHER Complicated Peptic Ulcer With Mcc 1 1 — — $87,928.23 $87,928.23 $87,928.23 2026-02-14
381 OTHER Complicated Peptic Ulcer With Cc 1 1 — — $129,393.00 $129,393.00 $129,393.00 2026-02-14
396 OTHER Major Head And Neck Procedures With Mcc 1 1 — — $106,096.29 $106,096.29 $106,096.29 2026-02-14
397 OTHER Major Head And Neck Procedures With Cc 1 1 — — $102,189.45 $102,189.45 $102,189.45 2026-02-14
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 31 28 — — $111,343.38 $949,211.27 $139,179.23 2026-02-14
402 OTHER Other Ear, Nose, Mouth And Throat O.r. Procedures Age >17 Without Cc/mcc 1 1 — — $102,420.10 $102,420.10 $102,420.10 2026-02-14
405 OTHER Pancreas, Liver And Shunt Procedures With Mcc 1 1 — — $304,038.68 $304,038.68 $304,038.68 2026-02-14
407 OTHER Pancreas, Liver And Shunt Procedures Without Cc/mcc 1 1 — — $95,054.97 $95,054.97 $95,054.97 2026-02-14
408 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $99,192.48 $99,192.48 $99,192.48 2026-02-14
409 OTHER Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 1 1 — — $163,785.51 $163,785.51 $163,785.51 2026-02-14
411 OTHER Cholecystectomy With C.d.e. With Mcc 1 1 — — $374,445.34 $374,445.34 $374,445.34 2026-02-14
414 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 1 1 — — $682,886.57 $682,886.57 $682,886.57 2026-02-14
415 OTHER Cholecystectomy Except By Laparoscope Without C.d.e. With Cc 1 1 — — $88,543.61 $88,543.61 $88,543.61 2026-02-14
417 OTHER Laparoscopic Cholecystectomy Without C.d.e. With Mcc 1 1 — — $121,439.36 $121,439.36 $121,439.36 2026-02-14
419 OTHER Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 1 1 — — $99,383.14 $99,383.14 $99,383.14 2026-02-14
420 OTHER Hepatobiliary Diagnostic Procedures With Mcc 1 1 — — $147,811.73 $147,811.73 $147,811.73 2026-02-14
423 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 1 1 — — $721,864.05 $721,864.05 $721,864.05 2026-02-14
424 OTHER Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 1 1 — — $126,722.81 $126,722.81 $126,722.81 2026-02-14
435 OTHER Malignancy Of Hepatobiliary System Or Pancreas With Mcc 1 1 — — $137,554.82 $137,554.82 $137,554.82 2026-02-14
438 OTHER Disorders Of Pancreas Except Malignancy With Mcc 1 1 — — $279,769.91 $279,769.91 $279,769.91 2026-02-14
453 OTHER Combined Anterior And Posterior Spinal Fusion With Mcc 1 1 — — $224,768.07 $224,768.07 $224,768.07 2026-02-14
454 OTHER Combined Anterior And Posterior Spinal Fusion With Cc 1 1 — — $264,520.84 $264,520.84 $264,520.84 2026-02-14
455 OTHER Combined Anterior And Posterior Spinal Fusion Without Cc/mcc 1 1 — — $326,261.51 $326,261.51 $326,261.51 2026-02-14
456 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $123,013.39 $123,013.39 $123,013.39 2026-02-14
457 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $175,743.06 $175,743.06 $175,743.06 2026-02-14
458 OTHER Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 1 1 — — $102,855.14 $102,855.14 $102,855.14 2026-02-14
459 OTHER Spinal Fusion Except Cervical With Mcc 1 1 — — $209,717.05 $209,717.05 $209,717.05 2026-02-14
460 OTHER Spinal Fusion Except Cervical Without Mcc 1 1 — — $119,359.56 $119,359.56 $119,359.56 2026-02-14
462 OTHER Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 1 1 — — $162,678.50 $162,678.50 $162,678.50 2026-02-14
463 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $139,060.51 $139,060.51 $139,060.51 2026-02-14
464 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $125,556.79 $125,556.79 $125,556.79 2026-02-14
465 OTHER Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 1 1 — — $84,743.18 $84,743.18 $84,743.18 2026-02-14
467 OTHER Revision Of Hip Or Knee Replacement With Cc 1 1 — — $87,836.85 $87,836.85 $87,836.85 2026-02-14
468 OTHER Revision Of Hip Or Knee Replacement Without Cc/mcc 1 1 — — $87,478.50 $87,478.50 $87,478.50 2026-02-14
469 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 1 1 — — $92,870.69 $92,870.69 $92,870.69 2026-02-14
470 OTHER Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without … 1 1 — — $94,401.34 $94,401.34 $94,401.34 2026-02-14
471 OTHER Cervical Spinal Fusion With Mcc 1 1 — — $124,031.05 $124,031.05 $124,031.05 2026-02-14
472 OTHER Cervical Spinal Fusion With Cc 1 1 — — $141,976.23 $141,976.23 $141,976.23 2026-02-14
474 OTHER Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 1 1 — — $148,287.89 $148,287.89 $148,287.89 2026-02-14
477 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $91,578.47 $91,578.47 $91,578.47 2026-02-14
478 OTHER Biopsies Of Musculoskeletal System And Connective Tissue With Cc 1 1 — — $123,340.01 $123,340.01 $123,340.01 2026-02-14
481 OTHER Hip And Femur Procedures Except Major Joint Age >17 With Cc 1 1 — — $138,735.00 $138,735.00 $138,735.00 2026-02-14
483 OTHER Major Joint Or Limb Reattachment Procedures Of Upper Extremities 1 1 — — $114,736.16 $114,736.16 $114,736.16 2026-02-14
485 OTHER Knee Procedures With Principal Diagnosis Of Infection With Mcc 1 1 — — $364,507.50 $364,507.50 $364,507.50 2026-02-14
493 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age >17 With C… 1 1 — — $149,627.88 $149,627.88 $149,627.88 2026-02-14
494 OTHER Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Age >17 Withou… 1 1 — — $137,175.96 $137,175.96 $137,175.96 2026-02-14
500 OTHER Soft Tissue Procedures With Mcc 1 1 — — $169,504.90 $169,504.90 $169,504.90 2026-02-14
503 OTHER Foot Procedures With Mcc 1 1 — — $183,224.88 $183,224.88 $183,224.88 2026-02-14
505 OTHER Foot Procedures Without Cc/mcc 1 1 — — $142,397.24 $142,397.24 $142,397.24 2026-02-14
511 OTHER Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 1 1 — — $103,038.93 $103,038.93 $103,038.93 2026-02-14
515 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 1 1 — — $511,616.59 $511,616.59 $511,616.59 2026-02-14
516 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures With Cc 1 1 — — $134,822.35 $134,822.35 $134,822.35 2026-02-14
517 OTHER Other Musculoskeletal System And Connective Tissue O.r. Procedures Without Cc/mc… 1 1 — — $97,130.96 $97,130.96 $97,130.96 2026-02-14
518 OTHER Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 1 1 — — $85,849.60 $85,849.60 $85,849.60 2026-02-14
539 OTHER Osteomyelitis With Mcc 1 1 — — $175,338.60 $175,338.60 $175,338.60 2026-02-14
542 OTHER Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 1 1 — — $108,059.50 $108,059.50 $108,059.50 2026-02-14
545 OTHER Connective Tissue Disorders With Mcc 1 1 — — $128,927.17 $128,927.17 $128,927.17 2026-02-14
555 OTHER Signs And Symptoms Of Musculoskeletal System And Connective Tissue With Mcc 1 1 — — $134,822.01 $134,822.01 $134,822.01 2026-02-14
562 OTHER Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Age… 1 1 — — $89,026.50 $89,026.50 $89,026.50 2026-02-14
564 OTHER Other Musculoskeletal System And Connective Tissue Diagnoses With Mcc 1 1 — — $88,075.40 $88,075.40 $88,075.40 2026-02-14
573 OTHER Skin Graft For Skin Ulcer Or Cellulitis With Mcc 1 1 — — $195,180.57 $195,180.57 $195,180.57 2026-02-14
575 OTHER Skin Graft For Skin Ulcer Or Cellulitis Without Cc/mcc 1 1 — — $97,376.14 $97,376.14 $97,376.14 2026-02-14
579 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 1 1 — — $112,261.60 $112,261.60 $112,261.60 2026-02-14
580 OTHER Other Skin, Subcutaneous Tissue And Breast Procedures With Cc 1 1 — — $95,109.27 $95,109.27 $95,109.27 2026-02-14
582 OTHER Mastectomy For Malignancy With Cc/mcc 1 1 — — $125,073.96 $125,073.96 $125,073.96 2026-02-14
583 OTHER Mastectomy For Malignancy Without Cc/mcc 1 1 — — $117,308.65 $117,308.65 $117,308.65 2026-02-14
595 OTHER Major Skin Disorders With Mcc 1 1 — — $407,849.50 $407,849.50 $407,849.50 2026-02-14
597 OTHER Malignant Breast Disorders With Mcc 1 1 — — $161,136.35 $161,136.35 $161,136.35 2026-02-14
608 OTHER Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 1 1 — — $250,107.03 $250,107.03 $250,107.03 2026-02-14
613 OTHER Neonate, Birth Weight <750 Grams, Died 1 1 — — $545,173.70 $545,173.70 $545,173.70 2026-02-14
615 OTHER Adrenal And Pituitary Procedures Without Cc/mcc 1 1 — — $89,157.02 $89,157.02 $89,157.02 2026-02-14
617 OTHER Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 1 1 — — $91,974.73 $91,974.73 $91,974.73 2026-02-14
619 OTHER O.r. Procedures For Obesity With Mcc 1 1 — — $142,082.74 $142,082.74 $142,082.74 2026-02-14
622 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $695,314.01 $695,314.01 $695,314.01 2026-02-14
623 OTHER Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 1 1 — — $146,527.68 $146,527.68 $146,527.68 2026-02-14
625 OTHER Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 1 1 — — $101,445.62 $101,445.62 $101,445.62 2026-02-14
629 OTHER Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 1 1 — — $273,872.05 $273,872.05 $273,872.05 2026-02-14
6304 APR_DRG Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 3 3 — — $100,895.08 $103,921.93 $100,895.08 2026-02-14
631 OTHER Neonate, Birth Weight 750-999 Grams, Discharged Alive 1 1 — — $81,149.40 $81,149.40 $81,149.40 2026-02-14
632 OTHER Neonate, Birth Weight 750-999 Grams, Died 1 1 — — $392,917.20 $392,917.20 $392,917.20 2026-02-14
633 OTHER Neonate, Birth Weight 1000-1499 Grams, With Significant O.r. Procedures, Dischar… 1 1 — — $831,502.63 $831,502.63 $831,502.63 2026-02-14
634 OTHER Neonate, Birth Weight 1000-1499 Grams, Without Significant O.r. Procedures, Disc… 1 1 — — $690,425.17 $690,425.17 $690,425.17 2026-02-14
635 OTHER Neonate, Birth Weight 1000-1499 Grams, Died 1 1 — — $243,438.80 $243,438.80 $243,438.80 2026-02-14
636 OTHER Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $763,553.77 $763,553.77 $763,553.77 2026-02-14
640 OTHER Miscellaneous Disorders Of Nutrition, Metabolism, Fluids And Electrolytes Age >1… 1 1 — — $99,121.20 $99,121.20 $99,121.20 2026-02-14
647 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $161,896.92 $161,896.92 $161,896.92 2026-02-14
648 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $123,640.70 $123,640.70 $123,640.70 2026-02-14
650 OTHER Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With… 1 1 — — $154,545.30 $154,545.30 $154,545.30 2026-02-14
651 OTHER Neonate, Birth Weight 2000-2499 Grams, With Significant O.r. Procedures, With Mu… 1 1 — — $273,336.00 $273,336.00 $273,336.00 2026-02-14
652 OTHER Kidney Transplant 1 1 — — $170,085.45 $170,085.45 $170,085.45 2026-02-14
653 OTHER Major Bladder Procedures With Mcc 1 1 — — $91,730.59 $91,730.59 $91,730.59 2026-02-14
654 OTHER Major Bladder Procedures With Cc 1 1 — — $206,681.77 $206,681.77 $206,681.77 2026-02-14
656 OTHER Kidney And Ureter Procedures For Neoplasm With Mcc 1 1 — — $108,373.72 $108,373.72 $108,373.72 2026-02-14
657 OTHER Kidney And Ureter Procedures For Neoplasm With Cc 1 1 — — $136,224.17 $136,224.17 $136,224.17 2026-02-14
659 OTHER Kidney And Ureter Procedures For Non-neoplasm With Mcc 1 1 — — $101,485.68 $101,485.68 $101,485.68 2026-02-14
662 OTHER Minor Bladder Procedures With Mcc 1 1 — — $85,660.50 $85,660.50 $85,660.50 2026-02-14
665 OTHER Prostatectomy With Mcc 1 1 — — $142,508.43 $142,508.43 $142,508.43 2026-02-14
667 OTHER Prostatectomy Without Cc/mcc 1 1 — — $99,357.81 $99,357.81 $99,357.81 2026-02-14
673 OTHER Other Kidney And Urinary Tract Procedures With Mcc 1 1 — — $276,918.50 $276,918.50 $276,918.50 2026-02-14
674 OTHER Other Kidney And Urinary Tract Procedures With Cc 1 1 — — $99,643.98 $99,643.98 $99,643.98 2026-02-14
677 OTHER Neonate, Birth Weight 2000-2499 Grams, Without Significant O.r. Procedures, With… 1 1 — — $90,288.52 $90,288.52 $90,288.52 2026-02-14
681 OTHER Neonate, Birth Weight >2499 Grams, With Significant O.r. Procedures, With Multip… 1 1 — — $1,958,775.63 $1,958,775.63 $1,958,775.63 2026-02-14
691 OTHER Kidney Transplant With Hemodialysis With Mcc 1 1 — — $100,734.74 $100,734.74 $100,734.74 2026-02-14
7 MS_DRG Lung Transplant 31 28 — — $102,981.20 $2,162,847.20 $325,441.87 2026-02-14
712 OTHER Testes Procedures Age >17 Without Cc/mcc 1 1 — — $80,344.87 $80,344.87 $80,344.87 2026-02-14
715 OTHER Other Male Reproductive System O.r. Procedures For Malignancy With Cc/mcc 1 1 — — $124,123.47 $124,123.47 $124,123.47 2026-02-14
717 OTHER Other Male Reproductive System O.r. Procedures Except Malignancy With Cc/mcc 1 1 — — $88,444.93 $88,444.93 $88,444.93 2026-02-14
734 OTHER Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy With Cc/mcc 1 1 — — $317,122.01 $317,122.01 $317,122.01 2026-02-14
737 OTHER Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 1 1 — — $80,313.61 $80,313.61 $80,313.61 2026-02-14
739 OTHER Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 1 1 — — $166,033.63 $166,033.63 $166,033.63 2026-02-14
744 OTHER D&c, Conization, Laparoscopy And Tubal Interruption With Cc/mcc 1 1 — — $83,613.03 $83,613.03 $83,613.03 2026-02-14
747 OTHER Vagina, Cervix And Vulva Procedures Without Cc/mcc 1 1 — — $128,160.71 $128,160.71 $128,160.71 2026-02-14
749 OTHER Other Female Reproductive System O.r. Procedures With Cc/mcc 1 1 — — $133,931.10 $133,931.10 $133,931.10 2026-02-14
799 OTHER Splenic Procedures Age >17 With Mcc 1 1 — — $271,833.50 $271,833.50 $271,833.50 2026-02-14
802 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 1 1 — — $141,298.74 $141,298.74 $141,298.74 2026-02-14
803 OTHER Other O.r. Procedures Of The Blood And Blood Forming Organs With Cc 1 1 — — $214,609.59 $214,609.59 $214,609.59 2026-02-14
820 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Mcc 1 1 — — $328,140.93 $328,140.93 $328,140.93 2026-02-14
821 OTHER Lymphoma And Leukemia With Major O.r. Procedures With Cc 1 1 — — $138,115.50 $138,115.50 $138,115.50 2026-02-14
822 OTHER Lymphoma And Leukemia With Major O.r. Procedures Without Cc/mcc 1 1 — — $157,581.17 $157,581.17 $157,581.17 2026-02-14
824 OTHER Lymphoma And Non-acute Leukemia With Other Procedures With Cc 1 1 — — $120,853.50 $120,853.50 $120,853.50 2026-02-14
826 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $181,905.91 $181,905.91 $181,905.91 2026-02-14
827 OTHER Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 1 1 — — $122,491.67 $122,491.67 $122,491.67 2026-02-14
834 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Mcc 1 1 — — $123,983.10 $123,983.10 $123,983.10 2026-02-14
835 OTHER Acute Leukemia Without Major O.r. Procedures Age >17 With Cc 1 1 — — $722,750.09 $722,750.09 $722,750.09 2026-02-14
837 OTHER Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 1 1 — — $266,673.23 $266,673.23 $266,673.23 2026-02-14
840 OTHER Lymphoma And Non-acute Leukemia With Mcc 1 1 — — $297,355.81 $297,355.81 $297,355.81 2026-02-14
843 OTHER Other Myeloproliferative Disorders Or Poorly Differentiated Neoplastic Diagnoses… 1 1 — — $100,633.07 $100,633.07 $100,633.07 2026-02-14
849 OTHER Radiotherapy 1 1 — — $132,727.50 $132,727.50 $132,727.50 2026-02-14
853 OTHER Infectious And Parasitic Diseases With O.r. Procedures With Mcc 1 1 — — $369,224.57 $369,224.57 $369,224.57 2026-02-14
855 OTHER Infectious And Parasitic Diseases With O.r. Procedures Without Cc/mcc 1 1 — — $82,844.05 $82,844.05 $82,844.05 2026-02-14
856 OTHER Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 1 1 — — $106,557.60 $106,557.60 $106,557.60 2026-02-14
862 OTHER Postoperative And Post-traumatic Infections With Mcc 1 1 — — $323,570.07 $323,570.07 $323,570.07 2026-02-14
870 OTHER Septicemia Or Severe Sepsis With Mv >96 Hours 1 1 — — $239,666.09 $239,666.09 $239,666.09 2026-02-14
871 OTHER Septicemia Or Severe Sepsis Without Mv >96 Hours Age >17 With Mcc 1 1 — — $131,330.20 $131,330.20 $131,330.20 2026-02-14
898 OTHER Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Age >21 Without… 1 1 — — $84,748.40 $84,748.40 $84,748.40 2026-02-14
904 OTHER Skin Grafts For Injuries With Cc/mcc 1 1 — — $390,551.41 $390,551.41 $390,551.41 2026-02-14
905 OTHER Skin Grafts For Injuries Without Cc/mcc 1 1 — — $156,292.16 $156,292.16 $156,292.16 2026-02-14
907 OTHER Other O.r. Procedures For Injuries With Mcc 1 1 — — $153,099.72 $153,099.72 $153,099.72 2026-02-14
927 OTHER Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 1 1 — — $682,125.86 $682,125.86 $682,125.86 2026-02-14
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 32 29 — — $10,000.00 $465,667.50 $161,941.26 2026-02-14
950 OTHER Aftercare Without Cc/mcc 1 1 — — $171,285.80 $171,285.80 $171,285.80 2026-02-14
955 OTHER Craniotomy For Multiple Significant Trauma 1 1 — — $841,183.96 $841,183.96 $841,183.96 2026-02-14
956 OTHER Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 1 1 — — $378,552.81 $378,552.81 $378,552.81 2026-02-14
957 OTHER Other O.r. Procedures For Multiple Significant Trauma With Mcc 1 1 — — $317,473.36 $317,473.36 $317,473.36 2026-02-14
969 OTHER HIV With Extensive O.r. Procedures With Mcc 1 1 — — $487,614.00 $487,614.00 $487,614.00 2026-02-14
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 31 28 — — $49,835.04 $740,885.64 $94,496.08 2026-02-14
970 OTHER HIV With Extensive O.r. Procedures Without Mcc 1 1 — — $92,794.02 $92,794.02 $92,794.02 2026-02-14
974 OTHER HIV With Major Related Condition With Mcc 1 1 — — $587,125.50 $587,125.50 $587,125.50 2026-02-14
975 OTHER HIV With Major Related Condition With Cc 1 1 — — $163,608.76 $163,608.76 $163,608.76 2026-02-14
976 OTHER HIV With Major Related Condition Without Cc/mcc 1 1 — — $82,684.56 $82,684.56 $82,684.56 2026-02-14
977 OTHER HIV With Or Without Other Related Condition 1 1 — — $194,213.80 $194,213.80 $194,213.80 2026-02-14
981 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $130,348.61 $130,348.61 $130,348.61 2026-02-14
982 OTHER Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 1 1 — — $199,477.99 $199,477.99 $199,477.99 2026-02-14
987 OTHER Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 1 1 — — $88,910.49 $88,910.49 $88,910.49 2026-02-14
J2326 HCPCS Spinraza(nusinersen)12mg/5ml Soln 128 56 $816,348.50 $612,261.38 25% off $6,149.45 $816,348.50 $360,744.41 2026-02-14
J9266 HCPCS Oncaspar 3750u/5ml Sd Vial 184 56 $149,629.00 $112,221.75 25% off $16,723.75 $390,830.85 $97,258.85 2026-02-14
Q2041 HCPCS Yescarta T-cell Susp For Infusion 113 56 $2,461,800.00 $1,846,350.00 25% off $275,150.76 $2,461,800.00 $1,376,146.20 2026-02-14
Q2042 HCPCS Kymriah T-cell Susp For Infusion 113 56 $3,015,811.00 $2,261,858.25 25% off $337,071.53 $3,015,811.00 $1,685,838.35 2026-02-14
Q2043 HCPCS Provenge(sipuleucel-t) Auto Cd54 147 56 $311,483.00 $233,612.25 25% off $34,813.87 $311,483.00 $169,740.82 2026-02-14
Q2053 HCPCS Brexucabtagene Tecartus T-cell 113 56 $3,049,200.00 $2,286,900.00 25% off $340,803.35 $3,049,200.00 $1,704,502.80 2026-02-14
Q2054 HCPCS Lisocabtagene Mara Car Pos T 113 56 $3,506,913.00 $2,630,184.75 25% off $391,961.08 $3,506,913.00 $1,960,364.37 2026-02-14
Q2055 HCPCS Idecabtagene Vicleucel Car T 113 56 $3,486,862.50 $2,615,146.88 25% off $389,720.07 $3,486,862.50 $1,949,156.14 2026-02-14
Q2056 HCPCS Ciltacabtagene Car-pos T 113 56 $3,445,566.50 $2,584,174.88 25% off $385,104.49 $3,445,566.50 $1,926,071.67 2026-02-14
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 105 48 $3,465,000.00 $2,598,750.00 25% off $278,250.00 $3,465,000.00 $2,182,950.00 2026-02-14
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