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

WELLSTAR COBB MEDICAL CENTER

Austell, GA · CCN 110143 · Rates published

14,069 distinct procedures filed
21 distinct payers
220,465 rate rows
2026-04-01 last MRF observed
Data quality

140,015 of 220,465 rate rows are consumer-grade (63.5%)

80,450 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 80,392
placeholder amount (≤ $0.02) — excluded from medians 48
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.wellstar.org/wellstar-cobb-hospital_standard-charges
Found on page https://www.wellstar.org/financial-policy-and-privacy-info/hospital-pricing-transparency
Discovered viaCMS hospital list
Last fetch not_modified · 2026-09-21
Content fingerprint 3a2779fe24435fc5… · 56,096,668 bytes · first seen 2026-05-05

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
J1411
HCPCS 		Inj, Hemgenix, Per Tx Dose 6 $0.03 $14,370,309.57 $5,332,379.29 nat. median
$3,685,267
1.4× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 6 $0.03 $12,932,196.87 $4,798,739.96 nat. median
$3,325,455
1.4× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 7 $0.03 $9,573,445.45 $3,798,956.08 nat. median
$2,455,111
1.5× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $166,876.40 $859,436.74 $832,689.89 nat. median
$145,435
outlier · 5.7×
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 16 $334,086.80 $1,512,329.86 $650,071.09 nat. median
$168,055
outlier · 3.9×
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $0.03 $1,159,783.35 $626,092.78 nat. median
$621,313
1.0× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.03 $1,152,532.70 $601,343.51 nat. median
$579,571
1.0× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.03 $1,178,375.50 $599,084.79 nat. median
$574,037
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.03 $1,120,267.47 $572,539.32 nat. median
$562,501
1.0× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $0.03 $1,109,103.13 $549,458.76 nat. median
$599,737
0.9× median
Q2053
HCPCS 		Brexucabtagene Car+ Tecartus 7 $0.03 $1,120,791.00 $533,812.62 nat. median
$513,770
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 16 $218,649.51 $1,129,585.31 $458,640.17 nat. median
$186,516
outlier · 2.5×
500
MS_DRG 		Soft Tissue Procedures With Mcc 16 $29,343.76 $127,069.52 $320,222.50 nat. median
$22,181
outlier · 14.4×
820
MS_DRG 		Lymphoma And Leukemia With Major O.r. Procedures With Mcc 16 $49,904.67 $233,481.48 $318,216.00 nat. median
$40,726
outlier · 7.8×
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 15 $235,544.87 $355,377.59 $287,542.30 nat. median
$2,106
outlier · 136.6×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 16 $167,830.58 $951,379.17 $274,861.50 nat. median
$131,925
outlier · 2.1×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 16 $110,723.81 $566,633.43 $272,601.57 nat. median
$97,418
outlier · 2.8×
276
MS_DRG 		Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 16 $50,984.49 $248,404.18 $233,347.00 nat. median
$43,533
outlier · 5.4×
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 15 $176,293.17 $265,981.76 $215,210.56 nat. median
$2,106
outlier · 102.2×
7
MS_DRG 		Lung Transplant 16 $103,861.04 $524,075.06 $214,894.25 nat. median
$70,649
outlier · 3.0×
14
MS_DRG 		Allogeneic Bone Marrow Transplant 16 $96,761.44 $525,398.49 $209,022.88 nat. median
$72,715
outlier · 2.9×
428
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $48,055.71 $220,780.54 $205,938.83 nat. median
$10,799
outlier · 19.1×
870
MS_DRG 		Septicemia Or Severe Sepsis With Mv >96 Hours 16 $57,877.73 $278,983.48 $202,870.45 nat. median
$48,611
outlier · 4.2×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 15 $162,577.37 $245,288.10 $198,466.95 nat. median
$2,106
outlier · 94.3×
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 16 $91,536.69 $441,934.05 $184,657.97 nat. median
$65,418
outlier · 2.8×
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 16 $88,051.23 $436,856.88 $180,416.04 nat. median
$74,509
outlier · 2.4×
277
MS_DRG 		Cardiac Defibrillator Implant Without Mcc 16 $40,413.91 $186,571.83 $175,679.00 nat. median
$33,459
outlier · 5.3×
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 16 $83,759.33 $427,051.45 $174,349.10 nat. median
$69,922
outlier · 2.5×
958
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Cc 16 $37,332.82 $164,807.39 $166,828.00 nat. median
$29,495
outlier · 5.7×
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 16 $60,214.05 $284,686.26 $164,687.58 nat. median
$9,905
outlier · 16.6×
849
MS_DRG 		Radiotherapy 16 $25,876.59 $107,113.77 $163,387.00 nat. median
$18,565
outlier · 8.8×
824
MS_DRG 		Lymphoma And Non-acute Leukemia With Other Procedures With Cc 16 $22,496.22 $88,200.73 $162,665.00 nat. median
$16,009
outlier · 10.2×
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $36,995.00 $387,019.64 $156,371.19 nat. median
$69,822
outlier · 2.2×
95
MS_DRG 		Bacterial And Tuberculous Infections Of Nervous System With Cc 16 $24,884.33 $96,129.29 $155,471.50 nat. median
$17,673
outlier · 8.8×
850
MS_DRG 		Acute Leukemia With Other Procedures 16 $71,186.72 $369,409.98 $149,712.24 nat. median
$2,633
outlier · 56.9×
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 15 $122,421.45 $184,702.98 $149,446.46 nat. median
$2,106
outlier · 71.0×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $268,781.36 $142,195.61 nat. median
$65,477
outlier · 2.2×
457
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $50,653.23 $230,156.86 $137,225.75 nat. median
$42,674
outlier · 3.2×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $36,995.00 $339,817.23 $136,997.40 nat. median
$60,505
outlier · 2.3×
790
MS_DRG 		Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 16 $50,503.98 $238,418.28 $136,669.91 nat. median
$40,584
outlier · 3.4×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 16 $65,165.42 $323,258.29 $133,510.66 nat. median
$56,428
outlier · 2.4×
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $253,689.00 $128,174.71 nat. median
$66,211
1.9× median
10
MS_DRG 		Pancreas Transplant 16 $59,887.36 $319,733.15 $128,075.35 nat. median
$23,080
outlier · 5.5×
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 16 $59,574.38 $317,892.38 $127,365.70 nat. median
$45,605
outlier · 2.8×
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 16 $54,244.54 $259,380.64 $126,517.00 nat. median
$47,121
outlier · 2.7×
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $36,995.00 $313,444.84 $125,989.52 nat. median
$55,935
outlier · 2.3×
270
MS_DRG 		Other Major Cardiovascular Procedures With Mcc 16 $45,423.15 $205,845.81 $122,771.69 nat. median
$37,725
outlier · 3.3×
901
MS_DRG 		Wound Debridements For Injuries With Mcc 16 $37,201.07 $177,668.74 $122,760.00 nat. median
$28,755
outlier · 4.3×
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 16 $69,236.48 $339,624.73 $122,167.00 nat. median
$59,651
outlier · 2.0×
356
MS_DRG 		Other Digestive System O.r. Procedures With Mcc 16 $38,695.17 $171,059.60 $120,113.88 nat. median
$30,674
outlier · 3.9×

Other procedures at this hospital

Browse this hospital's 14,069 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
             
288 MS_DRG Acute And Subacute Endocarditis With Mcc 51 16 — — $25,851.46 $109,536.06 $48,524.83 2026-04-01
835 MS_DRG Acute Leukemia With Cc 51 16 — — $21,127.02 $85,654.12 $59,853.00 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 51 16 — — $71,186.72 $369,409.98 $149,712.24 2026-04-01
949 MS_DRG Aftercare With Cc/Mcc 51 16 — — $14,303.08 $43,268.21 $42,983.50 2026-04-01
245 MS_DRG Aicd Generator Procedures 51 16 — — $39,986.70 $195,968.20 $81,357.49 2026-04-01
265 MS_DRG Aicd Lead Procedures 51 16 — — $32,796.47 $143,046.96 $62,530.51 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 51 16 — — $96,761.44 $525,398.49 $209,022.88 2026-04-01
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 51 16 — — $26,950.32 $116,782.85 $77,798.29 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 51 16 — — $42,722.82 $201,983.80 $84,283.45 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 51 16 — — $57,619.57 $267,381.39 $53,874.00 2026-04-01
509 MS_DRG Arthroscopy 34 15 — — $46,689.53 $70,442.68 $57,331.66 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 51 16 — — $50,398.89 $242,047.69 $101,367.49 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 51 16 — — $46,611.11 $242,047.69 $98,067.39 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 12 7 $2,705,774.23 $1,055,251.95 61% off $0.03 $1,120,267.47 $572,539.32 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 51 16 — — $33,703.44 $143,724.72 $69,864.83 2026-04-01
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 51 16 — — $24,884.33 $96,129.29 $155,471.50 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 51 16 — — $32,044.10 $146,315.43 $40,239.00 2026-04-01
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 51 16 — — $24,884.33 $96,129.29 $103,857.67 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 51 16 — — $47,301.81 $246,106.22 $99,632.58 2026-04-01
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 51 16 — — $25,499.64 $114,841.81 $49,477.79 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 51 16 — — $31,550.63 $137,909.64 $102,734.75 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
2638 OTHER Brachytx, Stranded, I-125 28 16 — — — — $55,055.00 2026-04-01
Q2053 HCPCS Brexucabtagene Car+ Tecartus 12 7 $2,705,774.23 $1,055,251.95 61% off $0.03 $1,120,791.00 $533,812.62 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 51 16 — — $59,542.40 $283,394.92 $119,148.81 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 51 16 — — $50,984.49 $248,404.18 $233,347.00 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 51 16 — — $40,413.91 $186,571.83 $175,679.00 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 51 16 — — $30,013.90 $136,626.31 $55,969.00 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 16 — — $36,995.00 $387,019.64 $156,371.19 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 16 — — $36,995.00 $258,967.57 $106,760.41 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 52 16 — — $36,995.00 $238,582.71 $102,115.00 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 16 — — $36,995.00 $212,402.82 $102,175.25 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 16 — — $36,995.00 $310,284.65 $88,072.50 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 52 16 — — $36,995.00 $184,169.60 $79,937.51 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 51 16 — — $34,719.30 $155,944.40 $67,267.39 2026-04-01
36 MS_DRG Carotid Artery Stent Procedures Without Cc/Mcc 51 16 — — $20,038.05 $73,510.63 $54,949.50 2026-04-01
472 MS_DRG Cervical Spinal Fusion With Cc 51 16 — — $27,678.33 $116,181.29 $49,452.47 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 51 16 — — $42,014.61 $194,785.13 $93,875.00 2026-04-01
473 MS_DRG Cervical Spinal Fusion Without Cc/Mcc 51 16 — — $23,834.20 $94,934.19 $82,720.25 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 51 16 — — $41,828.80 $200,792.71 $84,107.66 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 51 16 — — $334,086.80 $1,512,329.86 $650,071.09 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 51 16 — — $32,373.07 $140,508.37 $61,559.02 2026-04-01
412 MS_DRG Cholecystectomy With C.d.e. With Cc 51 16 — — $21,254.19 $85,481.68 $46,527.75 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 51 16 — — $30,398.46 $109,740.59 $100,163.00 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $0.03 $1,109,103.13 $549,458.76 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 51 16 — — $20,231.48 $78,567.75 $43,313.31 2026-04-01
5166 OTHER Cochlear Implant Procedure 28 16 — — — — $44,173.17 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 51 16 — — $73,852.79 $334,467.36 $67,569.00 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 51 16 — — $49,160.67 $219,372.89 $108,756.00 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 34 15 — — $162,577.37 $245,288.10 $198,466.95 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 34 15 — — $235,544.87 $355,377.59 $287,542.30 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 34 15 — — $122,421.45 $184,702.98 $149,446.46 2026-04-01
20696 HCPCS Comp Multiplane Ext Fixation 12 7 — — $5,809.00 $107,468.84 $41,819.13 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 44 16 — — $91,437.69 $179,217.87 $112,468.36 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 51 16 — — $88,051.23 $436,856.88 $180,416.04 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 51 16 — — $56,162.03 $248,083.34 $107,821.37 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 52 16 — — $36,995.00 $313,444.84 $125,989.52 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 52 16 — — $36,995.00 $213,349.27 $89,278.16 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 52 16 — — $36,995.00 $339,817.23 $136,997.40 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 52 16 — — $36,995.00 $244,967.26 $100,304.40 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 52 16 — — $36,995.00 $235,963.92 $97,017.02 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 52 16 — — $36,995.00 $164,899.63 $70,123.33 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 51 16 — — $38,197.14 $170,810.96 $49,402.20 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 51 16 — — $29,238.67 $128,132.28 $44,429.17 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 51 16 — — $29,691.01 $114,777.65 $49,073.00 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 51 16 — — $28,920.36 $122,654.07 $40,686.60 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 51 16 — — $39,867.14 $179,345.09 $80,622.62 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 51 16 — — $56,501.67 $273,826.10 $55,497.00 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 16 — — $35,033.04 $152,451.35 $114,362.00 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 51 16 — — $48,880.43 $228,781.29 $96,895.34 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $117,940.04 $117,940.04 $117,940.04 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 51 16 — — $22,934.09 $100,420.42 $43,707.85 2026-04-01
57 MS_DRG Degenerative Nervous System Disorders Without Mcc 51 16 — — $15,109.53 $53,526.81 $51,816.75 2026-04-01
146 MS_DRG Ear, Nose, Mouth And Throat Malignancy With Mcc 51 16 — — $21,367.66 $91,994.57 $72,322.00 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 51 16 — — $166,876.40 $859,436.74 $832,689.89 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 44 16 — — $48,702.23 $95,456.37 $59,903.74 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 51 16 — — $51,912.02 $240,239.00 $102,256.46 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 51 16 — — $41,497.54 $188,665.26 $80,940.23 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 51 16 — — $167,830.58 $951,379.17 $274,861.50 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 51 16 — — $34,898.25 $173,517.98 $71,594.92 2026-04-01
982 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Cc 51 16 — — $23,965.18 $98,194.64 $68,484.17 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 51 16 — — $40,972.10 $190,666.45 $48,613.10 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 51 16 — — $50,503.98 $238,418.28 $136,669.91 2026-04-01
503 MS_DRG Foot Procedures With Mcc 51 16 — — $26,497.98 $106,135.24 $48,280.83 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 51 16 — — $59,864.52 $267,834.56 $71,880.13 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 51 16 — — $29,770.21 $127,538.74 $43,193.40 2026-04-01
93653 HCPCS Hc Ablation Supraventricular Tachycardia 12 7 $51,383.00 $20,039.37 61% off $9,000.00 $103,523.37 $45,834.09 2026-04-01
93654 HCPCS Hc Ablation Ventricular Tachycardia 12 7 $51,383.00 $20,039.37 61% off $9,000.00 $103,523.37 $45,834.09 2026-04-01
0620T OTHER Hc Endovascular Venous Arterialization Tibl/Prnl Vn 12 7 $64,847.00 $25,290.33 61% off $6,389.00 $174,453.45 $72,719.15 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 51 16 — — $218,649.51 $1,129,585.31 $458,640.17 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 51 16 — — $91,536.69 $441,934.05 $184,657.97 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 51 16 — — $31,188.91 $141,535.04 $60,771.03 2026-04-01
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 51 16 — — $27,342.50 $117,617.01 $86,458.50 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 10 6 — — $6,389.00 $135,686.45 $61,057.77 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 51 16 — — $51,857.95 $253,613.69 $107,770.00 2026-04-01
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 51 16 — — $25,327.53 $106,403.93 $47,324.85 2026-04-01
974 MS_DRG HIV With Major Related Condition With Mcc 51 16 — — $27,220.66 $119,750.54 $65,503.57 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 34 15 — — $41,099.54 $62,008.80 $41,790.60 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 12 7 $2,897,167.68 $1,129,895.40 61% off $0.03 $1,178,375.50 $599,084.79 2026-04-01
69930 HCPCS Implant Cochlear Device 13 8 — — $3,721.00 $130,591.61 $51,668.56 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 8 — — $1,937.00 $122,217.09 $48,176.69 2026-04-01
0268T OTHER Implt/rpl Crtd Sns Dev Gen 1 1 — — $56,095.00 $56,095.00 $56,095.00 2026-04-01
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $56,095.00 $56,095.00 $56,095.00 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 7 — — $4,714.00 $174,453.45 $77,422.24 2026-04-01
758 MS_DRG Infections, Female Reproductive System With Cc 51 16 — — $12,698.57 $40,878.01 $54,017.00 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 51 16 — — $42,851.51 $200,580.16 $100,088.52 2026-04-01
855 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures Without Cc/Mcc 51 16 — — $16,644.74 $65,189.05 $47,197.00 2026-04-01
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 51 16 — — $24,219.53 $97,043.66 $44,137.56 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 12 6 — — $0.03 $12,932,196.87 $4,798,739.96 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 13 7 — — $0.03 $9,573,445.45 $3,798,956.08 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 6 — — $63,342.28 $253,689.00 $128,174.71 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 12 6 — — $0.03 $14,370,309.57 $5,332,379.29 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 12 7 $74,091.00 $28,895.49 61% off $5,809.00 $124,320.85 $57,227.97 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 7 — — $5,809.00 $88,099.41 $42,565.43 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $9,000.00 $124,320.85 $57,518.06 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 12 7 $151,096.00 $58,927.44 61% off $5,809.00 $174,453.45 $77,521.78 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 12 7 $52,394.00 $20,433.66 61% off $6,389.00 $88,099.41 $42,618.16 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 12 7 $66,436.00 $25,910.04 61% off $9,000.00 $88,099.41 $42,855.52 2026-04-01
0408T OTHER Insj/rplc Cardiac Modulj Sys 12 7 $66,436.00 $25,910.04 61% off $9,000.00 $124,320.85 $57,518.06 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 12 7 $74,468.00 $29,042.52 61% off $9,000.00 $124,320.85 $57,518.06 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 12 7 $104,382.00 $40,708.98 61% off $9,000.00 $124,320.85 $57,518.06 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 12 7 $26,197.00 $10,216.83 61% off $5,809.00 $88,099.41 $42,565.43 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 12 7 $37,235.00 $14,521.65 61% off $5,809.00 $124,320.85 $57,227.97 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 8 — — $1,694.00 $122,217.09 $46,934.77 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 8 — — $1,694.00 $122,217.09 $46,934.77 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 51 16 — — $45,556.42 $221,666.84 $92,310.47 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 51 16 — — $65,165.42 $323,258.29 $133,510.66 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 51 16 — — $29,439.71 $141,583.16 $59,258.46 2026-04-01
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 51 16 — — $15,933.49 $56,334.09 $67,617.00 2026-04-01
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 51 16 — — $26,239.07 $108,409.13 $59,179.00 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 51 16 — — $18,624.68 $71,417.20 $41,436.78 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 51 16 — — $29,488.45 $130,646.80 $109,026.00 2026-04-01
652 MS_DRG Kidney Transplant 51 16 — — $29,836.46 $123,167.40 $55,232.58 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 51 16 — — $41,045.20 $184,759.13 $79,618.89 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 51 16 — — $33,463.56 $139,249.11 $62,210.18 2026-04-01
486 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Cc 51 16 — — $21,167.38 $85,048.55 $58,723.00 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 51 16 — — $29,818.19 $129,279.25 $56,667.50 2026-04-01
487 MS_DRG Knee Procedures With Principal Diagnosis Of Infection Without Cc/Mcc 51 16 — — $17,170.19 $63,368.33 $67,758.00 2026-04-01
488 MS_DRG Knee Procedures Without Principal Diagnosis Of Infection With Cc/Mcc 51 16 — — $18,713.78 $78,816.39 $118,785.00 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $5,809.00 $122,217.09 $50,625.45 2026-04-01
5232 OTHER Level 2 Icd And Similar Procedures 28 16 — — — — $62,606.90 2026-04-01
5213 OTHER Level 3 Electrophysiologic Procedures 28 16 — — — — $45,688.63 2026-04-01
5463 OTHER Level 3 Neurostimulator And Related Procedures 28 16 — — — — $45,119.00 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 28 16 — — — — $50,556.33 2026-04-01
5378 OTHER Level 8 Urology And Related Services 28 16 — — — — $59,566.00 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 51 16 — — $33,899.15 $153,285.51 $117,306.75 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $0.03 $1,152,532.70 $601,343.51 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 51 16 — — $83,759.33 $427,051.45 $174,349.10 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 51 16 — — $40,554.79 $194,460.29 $81,494.49 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 51 16 — — $32,853.59 $141,178.11 $62,136.65 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 51 16 — — $33,203.12 $142,409.30 $98,862.50 2026-04-01
22630 HCPCS Lumbar Spine Fusion 11 7 — — $8,245.00 $107,468.84 $45,772.32 2026-04-01
22558 HCPCS Lumbar Spine Fusion 11 7 — — $8,245.00 $107,468.84 $45,772.32 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 7 — — $8,245.00 $107,468.84 $47,362.59 2026-04-01
7 MS_DRG Lung Transplant 51 16 — — $103,861.04 $524,075.06 $214,894.25 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 51 16 — — $49,904.67 $233,481.48 $318,216.00 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 51 16 — — $29,877.59 $127,907.70 $41,665.00 2026-04-01
824 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Cc 51 16 — — $22,496.22 $88,200.73 $162,665.00 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 51 16 — — $40,157.28 $187,654.64 $82,736.25 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 51 16 — — $44,814.70 $223,547.72 $98,153.00 2026-04-01
164 MS_DRG Major Chest Procedures With Cc 51 16 — — $24,463.98 $100,933.75 $53,758.50 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 51 16 — — $39,372.91 $184,835.33 $70,801.58 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 51 16 — — $37,724.23 $169,599.82 $73,126.96 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 51 16 — — $23,498.38 $94,793.82 $49,494.63 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 51 16 — — $40,246.37 $184,145.54 $66,248.65 2026-04-01
722 MS_DRG Malignancy, Male Reproductive System With Mcc 51 16 — — $19,024.48 $69,331.80 $76,350.00 2026-04-01
583 MS_DRG Mastectomy For Malignancy Without Cc/Mcc 51 16 — — $18,374.90 $65,870.82 $90,576.00 2026-04-01
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 51 16 — — $24,911.75 $108,056.22 $50,750.00 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 16 — — $48,055.71 $220,780.54 $205,938.83 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 16 — — $60,214.05 $284,686.26 $164,687.58 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 51 16 — — $89,171.42 $420,354.09 $79,077.50 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 51 16 — — $56,124.72 $268,865.24 $53,419.50 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 51 16 — — $37,537.66 $163,752.65 $81,942.56 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 51 16 — — $40,865.48 $191,504.62 $81,063.55 2026-04-01
827 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 51 16 — — $22,843.47 $94,633.41 $42,366.52 2026-04-01
1519 OTHER New Technology - Level 19 ($1701-$1800) 28 16 — — — — $42,130.00 2026-04-01
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 51 16 — — $22,719.35 $86,989.59 $40,443.89 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 51 16 — — $32,747.74 $143,764.82 $68,828.00 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 7 — — $5,063.00 $106,611.20 $49,991.24 2026-04-01
600 MS_DRG Non-malignant Breast Disorders With Cc/Mcc 51 16 — — $13,175.28 $38,387.55 $53,153.33 2026-04-01
619 MS_DRG O.r. Procedures For Obesity With Mcc 51 16 — — $27,231.32 $109,339.55 $73,641.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 51 16 — — $34,675.13 $157,584.66 $67,618.27 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $4,714.00 $122,217.09 $50,525.91 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 7 — — $4,714.00 $122,217.09 $55,001.91 2026-04-01
113 MS_DRG Orbital Procedures With Cc/Mcc 51 16 — — $23,147.32 $90,498.69 $41,649.75 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 52 16 — — $36,995.00 $199,834.22 $43,049.50 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 51 16 — — $30,682.51 $140,159.47 $111,815.92 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 51 16 — — $38,695.17 $171,059.60 $120,113.88 2026-04-01
144 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Cc 51 16 — — $18,439.63 $70,446.69 $46,923.00 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 51 16 — — $33,774.26 $132,411.38 $60,857.73 2026-04-01
629 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Cc 51 16 — — $21,835.23 $90,238.01 $60,688.00 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 51 16 — — $39,228.99 $176,156.82 $75,994.49 2026-04-01
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 51 16 — — $23,560.06 $92,824.72 $42,561.50 2026-04-01
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 51 16 — — $24,796.00 $103,805.19 $57,671.50 2026-04-01
215 MS_DRG Other Heart Assist System Implant 51 16 — — $81,067.38 $424,869.80 $48,440.50 2026-04-01
424 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Cc 51 16 — — $21,904.52 $91,561.44 $40,819.24 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 51 16 — — $36,869.05 $163,106.98 $58,385.00 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 51 16 — — $23,052.13 $92,572.06 $56,218.55 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 51 16 — — $37,239.15 $168,035.76 $78,934.00 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 51 16 — — $32,325.09 $138,134.22 $52,653.91 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 51 16 — — $45,423.15 $205,845.81 $122,771.69 2026-04-01
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 51 16 — — $24,684.82 $100,340.21 $68,969.00 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 51 16 — — $34,480.18 $159,754.28 $67,564.44 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 51 16 — — $37,332.82 $164,807.39 $166,828.00 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 51 16 — — $63,270.01 $299,324.22 $80,763.33 2026-04-01
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 51 16 — — $27,663.10 $106,022.94 $49,269.28 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 51 16 — — $35,582.86 $143,756.80 $55,790.00 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 51 16 — — $33,706.48 $154,440.50 $79,881.71 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 51 16 — — $29,905.00 $130,702.95 $61,172.57 2026-04-01
581 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures Without Cc/Mcc 51 16 — — $16,232.76 $57,713.67 $65,531.00 2026-04-01
253 MS_DRG Other Vascular Procedures With Cc 51 16 — — $25,009.22 $102,381.50 $70,635.92 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 51 16 — — $31,807.26 $137,564.74 $60,335.77 2026-04-01
10 MS_DRG Pancreas Transplant 51 16 — — $59,887.36 $319,733.15 $128,075.35 2026-04-01
406 MS_DRG Pancreas, Liver And Shunt Procedures With Cc 51 16 — — $27,328.80 $112,620.05 $45,148.50 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 51 16 — — $46,902.01 $217,700.55 $107,732.50 2026-04-01
543 MS_DRG Pathological Fractures And Musculoskeletal And Connective Tissue Malignancy With… 51 16 — — $13,071.71 $42,542.32 $42,496.57 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $28,424.06 $105,832.89 $55,844.77 2026-04-01
709 MS_DRG Penis Procedures With Cc/Mcc 51 16 — — $22,964.55 $90,113.69 $51,459.00 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 51 16 — — $36,659.64 $156,806.64 $44,154.50 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 51 16 — — $25,962.64 $114,164.06 $65,309.00 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 51 16 — — $34,646.95 $151,264.27 $64,183.50 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 51 16 — — $21,301.40 $84,715.69 $44,793.33 2026-04-01
337 MS_DRG Peritoneal Adhesiolysis Without Cc/Mcc 51 16 — — $16,932.59 $61,559.64 $52,116.67 2026-04-01
243 MS_DRG Permanent Cardiac Pacemaker Implant With Cc 51 16 — — $21,470.46 $90,342.28 $47,581.40 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 51 16 — — $29,556.99 $136,032.77 $60,502.40 2026-04-01
186 MS_DRG Pleural Effusion With Mcc 51 16 — — $17,111.55 $63,364.32 $40,973.00 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $24,228.42 $94,476.17 $55,051.03 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 51 16 — — $39,882.37 $180,921.18 $89,700.64 2026-04-01
791 MS_DRG Prematurity With Major Problems 51 16 — — $36,153.23 $162,826.25 $49,502.30 2026-04-01
175 MS_DRG Pulmonary Embolism With Mcc Or Acute Cor Pulmonale 51 16 — — $15,703.51 $56,510.55 $47,264.29 2026-04-01
849 MS_DRG Radiotherapy 51 16 — — $25,876.59 $107,113.77 $163,387.00 2026-04-01
27702 HCPCS Reconstruct Ankle Joint 11 7 — — $8,245.00 $107,468.84 $45,619.23 2026-04-01
332 MS_DRG Rectal Resection With Mcc 51 16 — — $32,815.51 $139,100.72 $61,610.35 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 51 16 — — $17,143.53 $64,828.12 $83,617.88 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 51 16 — — $26,175.10 $107,643.15 $41,714.50 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 51 16 — — $54,244.54 $259,380.64 $126,517.00 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 7 — — $5,809.00 $122,217.09 $51,521.00 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 51 16 — — $32,098.92 $137,352.19 $69,711.67 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 51 16 — — $44,883.24 $204,301.81 $87,601.83 2026-04-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 51 16 — — $26,169.77 $105,200.81 $69,672.50 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 6 — — $31,342.58 $122,217.09 $60,468.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 12 7 $113,866.00 $44,407.74 61% off $5,809.00 $122,217.09 $55,101.45 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 12 7 $66,436.00 $25,910.04 61% off $9,000.00 $88,099.41 $42,855.52 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 12 7 $66,746.00 $26,030.94 61% off $5,809.00 $88,099.41 $42,565.43 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 12 7 $92,753.00 $36,173.67 61% off $5,809.00 $124,320.85 $57,227.97 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 12 7 $51,050.00 $19,909.50 61% off $5,809.00 $88,099.41 $42,565.43 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $5,809.00 $88,099.41 $42,565.43 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 12 7 $74,255.00 $28,959.45 61% off $8,245.00 $88,099.41 $42,786.88 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $4,714.00 $122,217.09 $50,525.91 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 51 16 — — $57,877.73 $278,983.48 $202,870.45 2026-04-01
511 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Cc 51 16 — — $21,078.28 $78,659.99 $87,530.00 2026-04-01
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 51 16 — — $28,244.90 $114,617.23 $51,816.29 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 51 16 — — $47,923.20 $218,197.84 $93,549.05 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 51 16 — — $59,574.38 $317,892.38 $127,365.70 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 51 16 — — $35,860.05 $157,576.64 $72,979.00 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 51 16 — — $45,829.04 $206,523.57 $77,060.50 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 51 16 — — $29,843.32 $123,752.92 $53,402.15 2026-04-01
135 MS_DRG Sinus And Mastoid Procedures With Cc/Mcc 51 16 — — $21,768.21 $96,686.73 $41,917.12 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $55,272.32 $219,316.44 $114,528.97 2026-04-01
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 51 16 — — $25,428.82 $106,780.91 $52,319.90 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 51 16 — — $42,566.71 $216,357.07 $76,578.33 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 51 16 — — $31,678.57 $138,948.33 $42,112.17 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 51 16 — — $55,133.23 $246,952.41 $43,338.33 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 51 16 — — $29,343.76 $127,069.52 $320,222.50 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 34 15 — — $176,293.17 $265,981.76 $215,210.56 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 16 — — $50,653.23 $230,156.86 $137,225.75 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 16 — — $69,236.48 $339,624.73 $122,167.00 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 51 16 — — $37,018.31 $173,157.04 $65,332.75 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 34 15 — — $97,230.64 $146,696.42 $118,694.68 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 51 16 — — $31,223.18 $134,609.08 $71,147.25 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 51 16 — — $50,997.44 $243,796.23 $47,475.00 2026-04-01
800 MS_DRG Splenic Procedures With Cc 51 16 — — $26,637.34 $116,847.01 $50,945.01 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 51 16 — — $39,731.59 $190,674.47 $79,878.59 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 51 16 — — $43,223.13 $203,676.18 $72,884.00 2026-04-01
J9226 HCPCS Supprelin La Implant 13 7 — — $45,020.65 $182,984.23 $94,148.06 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 12 7 $32,897.00 $12,829.83 61% off $9,000.00 $113,605.23 $53,180.35 2026-04-01
711 MS_DRG Testes Procedures With Cc/Mcc 51 16 — — $21,111.79 $76,622.70 $62,832.00 2026-04-01
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 51 16 — — $28,241.85 $114,974.16 $45,483.00 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 12 7 $2,705,774.23 $1,055,251.95 61% off $0.03 $1,159,783.35 $626,092.78 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 51 16 — — $37,348.81 $164,562.75 $71,604.18 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 51 16 — — $46,777.12 $216,385.14 $92,120.23 2026-04-01
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 51 16 — — $27,188.68 $106,267.58 $48,914.01 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 51 16 — — $110,723.81 $566,633.43 $272,601.57 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 12 7 $131,976.00 $51,470.64 61% off $6,760.00 $249,130.41 $102,544.04 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 12 7 $38,155.00 $14,880.45 61% off $9,000.00 $103,523.37 $45,834.09 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 51 16 — — $47,630.78 $200,636.30 $89,125.51 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 51 16 — — $32,706.61 $128,501.24 $57,920.00 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 51 16 — — $27,909.07 $123,055.11 $49,605.00 2026-04-01
256 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Cc 51 16 — — $18,173.10 $67,920.13 $48,945.00 2026-04-01
671 MS_DRG Urethral Procedures With Cc/Mcc 51 16 — — $18,912.53 $69,123.25 $63,367.00 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 51 16 — — $32,526.90 $159,641.99 $66,234.99 2026-04-01
737 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Cc 51 16 — — $20,935.12 $80,139.82 $44,548.60 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 51 16 — — $32,463.69 $157,901.48 $62,180.00 2026-04-01
738 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy Without Cc/Mcc 51 16 — — $16,426.19 $60,829.75 $44,193.00 2026-04-01
746 MS_DRG Vagina, Cervix And Vulva Procedures With Cc/Mcc 51 16 — — $18,471.62 $67,154.15 $65,926.50 2026-04-01
263 MS_DRG Vein Ligation And Stripping 51 16 — — $28,525.90 $107,554.92 $79,362.00 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 16 — — $48,645.88 $216,589.67 $73,989.00 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 51 16 — — $28,962.24 $118,250.65 $57,903.57 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 51 16 — — $37,201.07 $177,668.74 $122,760.00 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $56,824.55 $268,781.36 $142,195.61 2026-04-01
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