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 →

Export CSV
Hospital

WELLSTAR DOUGLAS MEDICAL CENTER

Douglasville, GA · CCN 110184 · Rates published

46,729 distinct procedures filed
26 distinct payers
245,782 rate rows
2026-07-31 last MRF observed
Data quality

138,614 of 245,782 rate rows are consumer-grade (56.4%)

107,168 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 107,096
placeholder amount (≤ $0.02) — excluded from medians 48
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 14
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-douglas-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 · 2026-08-17
Content fingerprint 0b4f84da814fae18… · 54,414,415 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 4 $0.03 $3,943,235.33 $3,685,266.67 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 4 $0.03 $3,548,614.97 $3,316,462.59 nat. median
$3,324,572
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 6 $0.03 $4,812,016.79 $2,541,039.48 nat. median
$2,460,273
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 7 $0.03 $1,159,783.35 $621,312.51 nat. median
$691,418
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 7 $0.03 $1,152,532.70 $590,665.09 nat. median
$624,417
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 6 $0.03 $1,109,103.13 $585,674.35 nat. median
$631,793
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 7 $0.03 $1,178,375.50 $585,183.83 nat. median
$610,161
1.0× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 7 $0.03 $1,120,267.47 $559,891.68 nat. median
$588,565
1.0× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 7 $0.03 $1,120,791.00 $513,769.84 nat. median
$577,541
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 15 $333,754.18 $1,512,329.86 $357,116.97 nat. median
$370,165
1.0× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 3 $235,544.87 $355,377.59 $292,076.17 nat. median
$83,623
outlier · 3.5×
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 15 $217,933.45 $1,129,585.31 $233,188.79 nat. median
$261,939
0.9× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 3 $176,293.17 $265,981.76 $218,603.92 nat. median
$62,767
outlier · 3.5×
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 3 $162,577.37 $245,288.10 $201,596.30 nat. median
$57,648
outlier · 3.5×
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 17 $1,438.00 $1,533,915.00 $197,916.92 nat. median
$132,706
1.5× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 15 $166,945.71 $951,379.17 $178,631.91 nat. median
$205,166
0.9× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 16 $398.00 $859,436.74 $174,287.78 nat. median
$199,832
0.9× median
455
MS_DRG 		Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 3 $122,421.45 $184,702.98 $151,802.88 nat. median
$46,399
outlier · 3.3×
A9543
HCPCS 		Y90 Ibritumomab, Rx 7 $56,824.55 $240,299.05 $126,093.45 nat. median
$63,643
2.0× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 3 $97,230.64 $146,696.42 $120,566.21 nat. median
$37,051
outlier · 3.3×
J7330
HCPCS 		Cultured Chondrocytes Implnt 1 $117,940.04 $117,940.04 $117,940.04 nat. median
$75,807
1.6× median
J9029
HCPCS 		Inj, Adstiladrin, Per Tx Dos 6 $63,342.28 $226,806.00 $114,360.00 nat. median
$69,291
1.7× median
7
MS_DRG 		Lung Transplant 15 $102,763.69 $524,075.06 $109,957.15 nat. median
$122,690
0.9× median
Q2043
HCPCS 		Sipuleucel-t Auto Cd54+ 7 $55,272.32 $196,075.84 $105,852.57 nat. median
$65,655
1.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 15 $95,640.50 $525,398.49 $102,335.34 nat. median
$114,305
0.9× median
207
MS_DRG 		Respiratory System Diagnosis With Ventilator Support >96 Hours 17 $49,732.00 $548,126.00 $98,017.40 nat. median
$62,218
1.6× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 15 $90,398.39 $441,934.05 $96,726.28 nat. median
$108,240
0.9× median
209
MS_DRG 		Complex Aortic Arch Procedures 15 $90,299.07 $176,986.18 $94,814.02 nat. median
$96,134
1.0× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 15 $88,025.27 $420,354.09 $94,187.04 nat. median
$96,835
1.0× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 15 $86,901.36 $436,856.88 $92,984.46 nat. median
$100,978
0.9× median
90288
HCPCS 		Botulism Ig IV 1 $92,831.73 $92,831.73 $92,831.73 nat. median
$52,716
1.8× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 15 $82,595.21 $427,051.45 $88,376.87 nat. median
$99,646
0.9× median
J9226
HCPCS 		Supprelin La Implant 7 $45,020.65 $163,593.70 $86,268.99 nat. median
$55,200
1.6× median
215
MS_DRG 		Other Heart Assist System Implant 15 $7,176.00 $424,869.80 $85,486.91 nat. median
$98,002
0.9× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 16 $36,995.00 $387,019.64 $84,062.78 nat. median
$92,900
0.9× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 15 $72,655.75 $334,467.36 $77,741.65 nat. median
$81,124
1.0× median
853
MS_DRG 		Infectious And Parasitic Diseases With O.r. Procedures With Mcc 18 $19,483.00 $462,042.00 $76,016.00 nat. median
$47,707
1.6× median
850
MS_DRG 		Acute Leukemia With Other Procedures 15 $69,980.84 $369,409.98 $74,879.50 nat. median
$81,364
0.9× median
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 16 $36,995.00 $339,817.23 $73,002.45 nat. median
$79,040
0.9× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 15 $68,024.12 $339,624.73 $72,785.81 nat. median
$80,459
0.9× median
329
MS_DRG 		Major Small And Large Bowel Procedures With Mcc 17 $15,555.00 $237,280.00 $72,034.76 nat. median
$44,514
1.6× median
33276
HCPCS 		Insj Phrnc Nrv Stim Sys 7 $5,809.00 $168,376.52 $70,119.00 nat. median
$43,061
1.6× median
64568
HCPCS 		Inc For Vagus N Elect Impl 7 $4,714.00 $168,376.52 $70,119.00 nat. median
$27,651
outlier · 2.5×
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 15 $63,939.54 $323,258.29 $68,415.31 nat. median
$77,385
0.9× median
5465
OTHER 		Level 5 Neurostimulator And Related Procedures 7 $475.00 $127,241.00 $68,087.50 nat. median
$31,928
outlier · 2.1×
38240
HCPCS 		Transplt Allo Hct/donor 7 $6,760.00 $240,452.17 $67,747.04 nat. median
$13,835
outlier · 4.9×
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 16 $36,995.00 $310,284.65 $66,857.91 nat. median
$74,472
0.9× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 16 $36,995.00 $313,444.84 $66,587.31 nat. median
$73,475
0.9× median
673
MS_DRG 		Other Kidney And Urinary Tract Procedures With Mcc 17 $681.00 $168,035.76 $66,452.92 nat. median
$39,775
1.7× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 15 $62,037.83 $299,324.22 $66,380.48 nat. median
$71,485
0.9× median

Other procedures at this hospital

Browse this hospital's 46,729 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
             
0266T OTHER Implt/rpl Crtd Sns Dev Total 1 1 — — $56,095.00 $56,095.00 $56,095.00 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
0408T OTHER Insj/rplc Cardiac Modulj Sys 11 7 — — $9,000.00 $119,990.25 $55,607.90 2026-04-01
0409T OTHER Insj/rplc Car Modulj Pls Gn 11 7 — — $9,000.00 $85,030.54 $39,406.28 2026-04-01
0414T OTHER Rmvl & Rpl Car Modulj Pls Gn 11 7 — — $9,000.00 $85,030.54 $39,406.28 2026-04-01
0515T OTHER Insj Wcs Lv Compl Sys 11 7 — — $6,389.00 $85,030.54 $39,406.28 2026-04-01
0571T OTHER Insj/rplcmt Icds Ss Eltrd 11 7 — — $9,000.00 $119,990.25 $55,607.90 2026-04-01
0614T OTHER Rmvl&rplcmt Ss Impl Dfb Pg 11 7 — — $8,245.00 $85,030.54 $39,406.28 2026-04-01
0620T OTHER Evasc Ven Artlz Tibl/prnl Vn 11 7 — — $6,389.00 $168,376.52 $47,439.83 2026-04-01
0674T OTHER Laps Insj Nw/rpcmt Prm Isdss 11 7 — — $5,809.00 $117,959.76 $33,234.99 2026-04-01
0686T OTHER Histotripsy Mal Hepatcel Tis 10 6 — — $6,389.00 $130,959.93 $48,794.71 2026-04-01
0908T OTHER Opn Imp Int Nstm Sys Vgs Nrv 11 7 — — $4,714.00 $117,959.76 $33,234.99 2026-04-01
0909T OTHER Rplcmt Int Nstim Sys Vgs Nrv 11 7 — — $4,714.00 $117,959.76 $33,234.99 2026-04-01
0915T OTHER Insj Perm Ccm-d Sys Pg&eltrd 11 7 — — $9,000.00 $119,990.25 $55,607.90 2026-04-01
0916T OTHER Insj Perm Ccm-d Sys Pg Only 11 7 — — $5,809.00 $85,030.54 $39,406.28 2026-04-01
0923T OTHER Rmvl&rplcmt Perm Ccm-d Pg 11 7 — — $5,809.00 $85,030.54 $39,406.28 2026-04-01
0981T OTHER Tcat Impl Wrls Ivc Snr 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 24 15 — — $217,933.45 $1,129,585.31 $233,188.79 2026-04-01
10 MS_DRG Pancreas Transplant 24 15 — — $58,643.94 $319,733.15 $62,749.02 2026-04-01
1013T OTHER Lap Srg Imp/rpl Eso Nea&pg/r 9 6 — — $19,527.76 $74,160.84 $34,368.86 2026-04-01
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 25 15 — — $45,490.16 $216,385.14 $48,674.47 2026-04-01
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 24 15 — — $36,030.52 $164,562.75 $38,552.66 2026-04-01
14 MS_DRG Allogeneic Bone Marrow Transplant 24 15 — — $95,640.50 $525,398.49 $102,335.34 2026-04-01
140 MS_DRG Major Head And Neck Procedures With Mcc 24 15 — — $36,407.20 $169,599.82 $38,955.70 2026-04-01
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 24 15 — — $32,444.10 $132,411.38 $34,715.19 2026-04-01
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 24 15 — — $49,123.95 $242,047.69 $52,562.63 2026-04-01
163 MS_DRG Major Chest Procedures With Mcc 29 16 — — $20,905.00 $184,835.33 $40,725.64 2026-04-01
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 31 16 — — $30,419.00 $188,218.00 $56,981.94 2026-04-01
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 24 15 — — $45,323.59 $242,047.69 $48,496.24 2026-04-01
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 35 17 — — $25,894.00 $126,409.00 $52,056.48 2026-04-01
177 MS_DRG Respiratory Infections And Inflammations With Mcc 48 17 — — $8,652.00 $112,995.00 $30,019.24 2026-04-01
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 24 15 — — $333,754.18 $1,512,329.86 $357,116.97 2026-04-01
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 24 15 — — $58,329.92 $317,892.38 $62,413.01 2026-04-01
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 24 15 — — $90,398.39 $441,934.05 $96,726.28 2026-04-01
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 24 15 — — $63,939.54 $323,258.29 $68,415.31 2026-04-01
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 33 17 — — $49,732.00 $548,126.00 $98,017.40 2026-04-01
208 MS_DRG Respiratory System Diagnosis With Ventilator Support <=96 Hours 40 17 — — $7,974.00 $107,643.15 $44,799.56 2026-04-01
209 MS_DRG Complex Aortic Arch Procedures 17 15 — — $90,299.07 $176,986.18 $94,814.02 2026-04-01
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 24 15 — — $44,265.39 $221,666.84 $47,363.97 2026-04-01
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 24 15 — — $86,901.36 $436,856.88 $92,984.46 2026-04-01
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 17 15 — — $47,421.66 $92,946.45 $49,792.74 2026-04-01
215 MS_DRG Other Heart Assist System Implant 31 15 — — $7,176.00 $424,869.80 $85,486.91 2026-04-01
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $387,019.64 $84,062.78 2026-04-01
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $258,967.57 $57,840.58 2026-04-01
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 25 16 — — $36,995.00 $238,582.71 $57,840.58 2026-04-01
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $36,995.00 $310,284.65 $66,857.91 2026-04-01
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 24 15 — — $28,095.16 $141,583.16 $30,061.82 2026-04-01
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $36,995.00 $212,402.82 $47,682.81 2026-04-01
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 25 16 — — $36,995.00 $184,169.60 $45,290.72 2026-04-01
22633 HCPCS Lumbar Spine Fusion Combined 11 7 — — $8,245.00 $103,725.26 $34,203.00 2026-04-01
228 MS_DRG Other Cardiothoracic Procedures With Mcc 28 17 — — $36,995.00 $199,834.22 $44,532.05 2026-04-01
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 26 16 — — $26,414.00 $124,567.03 $29,833.73 2026-04-01
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — $47,600.45 $228,781.29 $50,932.48 2026-04-01
230 MS_DRG Other Cardiothoracic Procedures Without Cc/mcc 1 1 — — $36,995.00 $36,995.00 $36,995.00 2026-04-01
231 MS_DRG Coronary Bypass With Ptca With Mcc 25 16 — — $36,995.00 $339,817.23 $73,002.45 2026-04-01
232 MS_DRG Coronary Bypass With Ptca Without Mcc 25 16 — — $36,995.00 $244,967.26 $53,649.13 2026-04-01
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 25 16 — — $36,995.00 $313,444.84 $66,587.31 2026-04-01
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 25 16 — — $36,995.00 $213,349.27 $48,744.77 2026-04-01
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 25 16 — — $36,995.00 $235,963.92 $52,063.12 2026-04-01
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 25 16 — — $35,822.70 $164,899.63 $38,330.29 2026-04-01
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 25 15 — — $1,077.00 $201,983.80 $44,321.95 2026-04-01
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 24 15 — — $33,707.06 $152,451.35 $36,066.55 2026-04-01
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 26 15 — — $18,357.00 $136,032.77 $30,187.72 2026-04-01
245 MS_DRG Aicd Generator Procedures 24 15 — — $38,677.17 $195,968.20 $41,384.57 2026-04-01
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 24 15 — — $38,557.22 $179,345.09 $41,256.23 2026-04-01
252 MS_DRG Other Vascular Procedures With Mcc 24 15 — — $30,470.57 $137,564.74 $32,603.51 2026-04-01
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 24 15 — — $27,825.45 $112,507.76 $29,773.23 2026-04-01
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 24 15 — — $27,574.08 $122,654.07 $29,504.27 2026-04-01
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 24 15 — — $28,671.25 $136,626.31 $30,678.24 2026-04-01
264 MS_DRG Other Circulatory System O.r. Procedures 26 15 — — $3,914.00 $140,159.47 $31,396.03 2026-04-01
265 MS_DRG Aicd Lead Procedures 24 15 — — $31,463.06 $143,046.96 $33,665.47 2026-04-01
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 24 15 — — $50,642.11 $240,239.00 $54,187.06 2026-04-01
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 24 15 — — $40,193.04 $188,665.26 $43,006.55 2026-04-01
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 24 15 — — $56,368.62 $267,381.39 $60,314.42 2026-04-01
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 24 15 — — $36,085.53 $166,848.68 $38,611.52 2026-04-01
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 29 15 — — $14,343.00 $205,845.81 $47,220.90 2026-04-01
271 MS_DRG Other Major Cardiovascular Procedures With Cc 27 16 — — $30,990.12 $138,134.22 $47,494.50 2026-04-01
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 24 15 — — $35,339.06 $156,806.64 $37,812.79 2026-04-01
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 24 15 — — $28,968.46 $125,156.56 $30,996.25 2026-04-01
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 24 15 — — $58,297.83 $283,394.92 $62,378.68 2026-04-01
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 24 15 — — $49,711.50 $248,404.18 $53,191.30 2026-04-01
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 24 15 — — $39,105.80 $186,571.83 $41,843.21 2026-04-01
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $46,346.65 $200,636.30 $49,590.92 2026-04-01
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 24 15 — — $31,372.91 $128,501.24 $33,569.01 2026-04-01
28 MS_DRG Spinal Procedures With Mcc 24 15 — — $49,724.49 $243,796.23 $53,205.20 2026-04-01
286 MS_DRG Circulatory Disorders Except Ami, With Cardiac Catheterization With Mcc 56 17 — — $17,996.00 $115,997.00 $44,019.43 2026-04-01
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 24 15 — — $29,884.55 $134,609.08 $31,976.47 2026-04-01
294 MS_DRG Deep Vein Thrombophlebitis With Cc/Mcc 7 4 — — $32,638.81 $49,243.70 $37,861.07 2026-04-01
299 MS_DRG Peripheral Vascular Disorders With Mcc 37 17 — — $12,184.00 $73,152.00 $30,141.98 2026-04-01
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 31 16 — — $398.00 $859,436.74 $174,287.78 2026-04-01
31 MS_DRG Ventricular Shunt Procedures With Mcc 24 15 — — $38,051.42 $168,047.79 $40,715.02 2026-04-01
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 24 15 — — $54,906.24 $248,083.34 $58,749.68 2026-04-01
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 24 15 — — $37,916.95 $176,156.82 $40,571.14 2026-04-01
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 41 17 — — $608.00 $172,840.00 $45,522.08 2026-04-01
322 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device Without Mcc 51 17 — — $14,568.00 $120,539.00 $40,882.92 2026-04-01
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 34 15 — — $27,265.00 $238,801.00 $52,187.57 2026-04-01
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 33 16 — — $26,059.00 $167,687.00 $29,845.99 2026-04-01
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 27 16 — — $22,449.50 $114,777.65 $30,331.60 2026-04-01
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 26 15 — — $27,665.00 $203,676.18 $44,859.07 2026-04-01
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 43 17 — — $15,555.00 $237,280.00 $72,034.76 2026-04-01
330 MS_DRG Major Small And Large Bowel Procedures With Cc 46 17 — — $500.00 $94,793.82 $39,998.53 2026-04-01
331 MS_DRG Major Small And Large Bowel Procedures Without Cc/Mcc 43 17 — — $14,668.00 $66,211.70 $30,851.54 2026-04-01
332 MS_DRG Rectal Resection With Mcc 24 15 — — $31,482.17 $139,100.72 $33,685.92 2026-04-01
33230 HCPCS Insrt Pulse Gen W/dual Leads 11 7 — — $5,809.00 $85,030.54 $39,406.28 2026-04-01
33231 HCPCS Insrt Pulse Gen W/mult Leads 11 7 — — $5,809.00 $119,990.25 $55,607.90 2026-04-01
33240 HCPCS Insrt Pulse Gen W/singl Lead 12 8 — — $2,323.00 $85,030.54 $31,681.75 2026-04-01
33249 HCPCS Insj/rplcmt Defib W/lead(s) 11 7 — — $9,000.00 $119,990.25 $55,607.90 2026-04-01
33262 HCPCS Rmvl& Replc Pulse Gen 1 Lead 11 7 — — $5,809.00 $85,030.54 $39,406.28 2026-04-01
33263 HCPCS Rmvl & Rplcmt Dfb Gen 2 Lead 11 7 — — $5,809.00 $85,030.54 $39,406.28 2026-04-01
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 11 7 — — $5,809.00 $119,990.25 $55,607.90 2026-04-01
33270 HCPCS Ins/rep Subq Defibrillator 11 7 — — $5,809.00 $119,990.25 $55,607.90 2026-04-01
33274 HCPCS Tcat Insj/rpl Perm Ldls Pm 11 7 — — $6,389.00 $73,631.69 $34,123.64 2026-04-01
33276 HCPCS Insj Phrnc Nrv Stim Sys 11 7 — — $5,809.00 $168,376.52 $70,119.00 2026-04-01
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 11 7 — — $5,809.00 $117,959.76 $54,666.89 2026-04-01
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 11 7 — — $9,000.00 $109,647.89 $50,814.87 2026-04-01
335 MS_DRG Peritoneal Adhesiolysis With Mcc 28 16 — — $26,672.00 $145,332.89 $33,278.79 2026-04-01
336 MS_DRG Peritoneal Adhesiolysis With Cc 33 17 — — $16,620.00 $84,715.69 $35,076.47 2026-04-01
33967 HCPCS Hc Ip Only- Iabp Insertion 2 2 — — $5,063.00 $56,095.00 $30,579.00 2026-04-01
33968 HCPCS Hc Ip Only - Rem Iabp Assist Device Percutaneous 2 2 — — $3,391.00 $56,095.00 $29,743.00 2026-04-01
34 MS_DRG Carotid Artery Stent Procedures With Mcc 24 15 — — $33,392.28 $155,944.40 $35,729.74 2026-04-01
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 27 17 — — $37,381.35 $171,059.60 $65,791.18 2026-04-01
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 17 15 — — $30,090.84 $58,978.05 $31,595.38 2026-04-01
36906 HCPCS Thrmbc/nfs Dialysis Circuit 11 7 — — $9,000.00 $70,076.37 $32,475.97 2026-04-01
37 MS_DRG Extracranial Procedures With Mcc 24 15 — — $28,971.52 $133,173.35 $30,999.53 2026-04-01
37227 HCPCS Fem/popl Revasc Stnt & Ather 2 2 — — $6,389.00 $56,095.00 $31,242.00 2026-04-01
37231 HCPCS Hc Pta 1St Tib/Peroneal With Stent Plus Atherectomy 2 2 — — $6,389.00 $56,095.00 $31,242.00 2026-04-01
37271 HCPCS Revsc Evsc Fpvt Athrc Sf 1st 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37273 HCPCS Revsc Evsc Fpvt Athrc Cplx 1 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37275 HCPCS Rvsc Evsc Fpvt St Athrc Sf 1 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37277 HCPCS Rvsc Evsc Fpvt St Athr Cpx 1 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37284 HCPCS Revsc Evasc Tpvt St Sf 1st 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37286 HCPCS Revsc Evasc Tpvt St Cplx 1st 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37288 HCPCS Revsc Evsc Tpvt Athrc Sf 1st 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37290 HCPCS Revsc Evsc Tpvt Athrc Cplx 1 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37292 HCPCS Rvsc Evsc Tpvt St Athrc Sf 1 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
37294 HCPCS Rvsc Evsc Tpvt St Athr Cpx 1 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
377 MS_DRG Gastrointestinal Hemorrhage With Mcc 45 17 — — $2,230.00 $72,913.08 $30,811.00 2026-04-01
38240 HCPCS Transplt Allo Hct/donor 11 7 — — $6,760.00 $240,452.17 $67,747.04 2026-04-01
397 MS_DRG Appendix Procedures With Mcc 26 15 — — $22,116.51 $99,361.67 $31,294.86 2026-04-01
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 36 17 — — $1,438.00 $1,533,915.00 $197,916.92 2026-04-01
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 24 15 — — $33,319.69 $151,264.27 $35,652.07 2026-04-01
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 24 15 — — $34,536.82 $157,576.64 $36,954.40 2026-04-01
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 24 15 — — $45,615.46 $217,700.55 $48,808.54 2026-04-01
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 24 15 — — $31,061.18 $140,408.11 $33,235.46 2026-04-01
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 24 15 — — $29,057.09 $109,740.59 $31,091.09 2026-04-01
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 25 15 — — $31,038.26 $140,508.37 $33,210.94 2026-04-01
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 38 17 — — $607.00 $95,307.16 $40,795.40 2026-04-01
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Cc 43 17 — — $11,307.00 $66,512.48 $30,974.53 2026-04-01
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 24 15 — — $29,850.17 $141,535.04 $31,939.68 2026-04-01
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 25 15 — — $35,549.17 $163,106.98 $38,037.61 2026-04-01
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $88,025.27 $420,354.09 $94,187.04 2026-04-01
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $58,971.72 $284,686.26 $63,099.74 2026-04-01
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 24 15 — — $46,772.99 $220,780.54 $50,047.10 2026-04-01
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 24 15 — — $72,655.75 $334,467.36 $77,741.65 2026-04-01
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 24 15 — — $47,881.61 $219,372.89 $51,233.32 2026-04-01
432 MS_DRG Cirrhosis And Alcoholic Hepatitis With Mcc 46 17 — — $7,974.00 $82,027.00 $34,884.21 2026-04-01
435 MS_DRG Malignancy Of Hepatobiliary System Or Pancreas With Mcc 33 16 — — $390.00 $73,169.75 $31,523.00 2026-04-01
438 MS_DRG Disorders Of Pancreas Except Malignancy With Mcc 40 17 — — $356.00 $209,422.00 $31,001.71 2026-04-01
441 MS_DRG Disorders Of Liver Except Malignancy, Cirrhosis Or Alcoholic Hepatitis With Mcc 38 15 — — $7,991.00 $114,345.00 $30,171.00 2026-04-01
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 24 15 — — $54,868.80 $268,865.24 $58,709.62 2026-04-01
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 24 15 — — $36,220.01 $163,752.65 $38,755.41 2026-04-01
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 24 15 — — $44,538.92 $206,523.57 $47,656.64 2026-04-01
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 24 15 — — $28,500.10 $123,752.92 $30,495.11 2026-04-01
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 6 3 — — $235,544.87 $355,377.59 $292,076.17 2026-04-01
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 6 3 — — $162,577.37 $245,288.10 $201,596.30 2026-04-01
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 6 3 — — $122,421.45 $184,702.98 $151,802.88 2026-04-01
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 15 — — $68,024.12 $339,624.73 $72,785.81 2026-04-01
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 15 — — $49,379.14 $230,156.86 $52,835.68 2026-04-01
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 24 15 — — $35,698.93 $173,157.04 $38,197.86 2026-04-01
459 MS_DRG Spinal Fusion Except Cervical With Mcc 6 3 — — $176,293.17 $265,981.76 $218,603.92 2026-04-01
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 6 3 — — $97,230.64 $146,696.42 $120,566.21 2026-04-01
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 24 15 — — $46,016.58 $246,106.22 $49,237.74 2026-04-01
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 24 15 — — $47,365.12 $216,589.67 $50,680.68 2026-04-01
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 27 16 — — $27,616.10 $124,995.00 $47,305.00 2026-04-01
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 28 15 — — $31,290.75 $204,301.81 $46,641.28 2026-04-01
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 28 16 — — $2,689.00 $137,352.19 $32,916.62 2026-04-01
471 MS_DRG Cervical Spinal Fusion With Mcc 24 15 — — $40,711.82 $194,785.13 $43,561.65 2026-04-01
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 24 15 — — $36,618.07 $179,842.38 $39,181.33 2026-04-01
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 25 15 — — $18,550.00 $137,909.64 $32,328.01 2026-04-01
481 MS_DRG Hip And Femur Procedures Except Major Joint With Cc 36 17 — — $15,348.00 $92,589.00 $35,777.48 2026-04-01
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 25 16 — — $24,337.00 $129,279.25 $30,468.13 2026-04-01
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 24 15 — — $31,871.06 $142,409.30 $34,102.03 2026-04-01
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 24 15 — — $31,520.37 $141,178.11 $33,726.80 2026-04-01
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 24 15 — — $82,595.21 $427,051.45 $88,376.87 2026-04-01
500 MS_DRG Soft Tissue Procedures With Mcc 24 15 — — $27,998.89 $127,069.52 $29,958.81 2026-04-01
509 MS_DRG Arthroscopy 7 4 — — $46,689.53 $70,442.68 $54,159.92 2026-04-01
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 27 15 — — $661.00 $124,009.59 $30,139.48 2026-04-01
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 24 15 — — $32,373.04 $143,724.72 $34,639.15 2026-04-01
5194 OTHER Level 4 Endovascular Procedures 2 2 — — $18,498.00 $43,791.00 $31,144.50 2026-04-01
5378 OTHER Level 8 Urology And Related Services 15 9 — — $155.00 $84,345.00 $47,459.50 2026-04-01
545 MS_DRG Connective Tissue Disorders With Mcc 29 16 — — $22,779.70 $101,330.78 $40,092.27 2026-04-01
5465 OTHER Level 5 Neurostimulator And Related Procedures 12 7 — — $475.00 $127,241.00 $68,087.50 2026-04-01
56 MS_DRG Degenerative Nervous System Disorders With Mcc 33 17 — — $11,165.00 $100,420.42 $37,959.56 2026-04-01
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 24 15 — — $53,874.02 $246,952.41 $57,645.20 2026-04-01
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 24 15 — — $30,341.45 $138,948.33 $32,465.35 2026-04-01
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 24 15 — — $41,265.75 $216,357.07 $44,154.35 2026-04-01
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 25 15 — — $26,615.00 $130,702.95 $30,561.33 2026-04-01
6 MS_DRG Liver Transplant Without Mcc 24 15 — — $39,247.15 $194,460.29 $41,994.45 2026-04-01
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 26 16 — — $7,974.00 $154,997.95 $32,596.15 2026-04-01
617 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 37 15 — — $413.00 $77,488.95 $31,870.66 2026-04-01
61885 HCPCS Insrt/redo Neurostim 1 Array 13 8 — — $1,694.00 $117,959.76 $33,234.99 2026-04-01
61886 HCPCS Implant Neurostim Arrays 13 8 — — $1,937.00 $117,959.76 $33,234.99 2026-04-01
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 11 7 — — $5,809.00 $117,959.76 $33,234.99 2026-04-01
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 38 16 — — $50.00 $90,017.00 $31,125.78 2026-04-01
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 25 15 — — $31,012.28 $150,149.38 $33,183.14 2026-04-01
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 25 15 — — $22,631.00 $158,262.42 $34,553.32 2026-04-01
63685 HCPCS Insrt/redo Spine N Generator 13 8 — — $1,694.00 $117,959.76 $33,234.99 2026-04-01
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction With Mcc 49 18 — — $13,551.00 $79,770.87 $35,489.18 2026-04-01
64568 HCPCS Inc For Vagus N Elect Impl 11 7 — — $4,714.00 $168,376.52 $70,119.00 2026-04-01
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 11 7 — — $4,714.00 $117,959.76 $54,666.89 2026-04-01
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 9 6 — — $31,060.74 $117,959.76 $54,666.89 2026-04-01
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 24 15 — — $39,739.19 $184,759.13 $42,520.93 2026-04-01
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 24 15 — — $32,132.37 $139,249.11 $34,381.64 2026-04-01
652 MS_DRG Kidney Transplant 24 15 — — $28,493.22 $123,167.40 $30,487.75 2026-04-01
653 MS_DRG Major Bladder Procedures With Mcc 24 15 — — $43,521.21 $223,547.72 $46,567.69 2026-04-01
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 25 16 — — $23,933.00 $130,646.80 $30,114.14 2026-04-01
659 MS_DRG Kidney And Ureter Procedures For Non-neoplasm With Mcc 32 17 — — $12,734.00 $103,636.76 $38,056.50 2026-04-01
665 MS_DRG Prostatectomy With Mcc 24 15 — — $27,665.76 $137,693.07 $29,602.36 2026-04-01
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 40 17 — — $681.00 $168,035.76 $66,452.92 2026-04-01
674 MS_DRG Other Kidney And Urinary Tract Procedures With Cc 34 17 — — $493.00 $197,396.00 $38,341.99 2026-04-01
69930 HCPCS Implant Cochlear Device 13 8 — — $3,721.00 $126,042.57 $35,512.31 2026-04-01
7 MS_DRG Lung Transplant 24 15 — — $102,763.69 $524,075.06 $109,957.15 2026-04-01
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 24 15 — — $31,129.18 $157,901.48 $33,308.22 2026-04-01
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 24 15 — — $31,192.59 $159,641.99 $33,376.07 2026-04-01
742 MS_DRG Uterine And Adnexa Procedures For Non-malignancy With Cc/Mcc 31 17 — — $13.00 $77,397.00 $31,036.00 2026-04-01
77 MS_DRG Hypertensive Encephalopathy With Mcc 8 5 — — $11,631.00 $62,008.80 $45,520.90 2026-04-01
78 MS_DRG Hypertensive Encephalopathy With Cc 8 4 — — $8,886.00 $40,015.77 $29,375.74 2026-04-01
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 33 17 — — $22,677.00 $238,418.28 $52,675.45 2026-04-01
791 MS_DRG Prematurity With Major Problems 29 16 — — $2,094.00 $162,826.25 $37,269.14 2026-04-01
793 MS_DRG Full Term Neonate With Major Problems 36 16 — — $2,456.00 $167,257.74 $37,459.81 2026-04-01
799 MS_DRG Splenic Procedures With Mcc 24 15 — — $38,421.22 $190,674.47 $41,110.71 2026-04-01
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 24 15 — — $46,640.04 $218,197.84 $49,904.84 2026-04-01
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 24 15 — — $34,258.70 $143,756.80 $36,656.81 2026-04-01
808 MS_DRG Major Hematological And Immunological Diagnoses Except Sickle Cell Crisis And Co… 31 16 — — $11,580.00 $91,854.20 $36,410.44 2026-04-01
817 MS_DRG Other Antepartum Diagnoses With O.r. Procedures With Mcc 30 18 — — $21,250.85 $101,667.65 $39,314.07 2026-04-01
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 24 15 — — $48,628.09 $233,481.48 $52,032.06 2026-04-01
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 26 16 — — $35,394.00 $187,654.64 $41,567.70 2026-04-01
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 24 15 — — $39,558.88 $191,504.62 $42,328.00 2026-04-01
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 24 15 — — $27,962.21 $123,664.69 $29,919.56 2026-04-01
834 MS_DRG Acute Leukemia With Mcc 26 16 — — $38,663.00 $221,650.80 $48,967.14 2026-04-01
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 24 15 — — $40,525.40 $200,792.71 $43,362.18 2026-04-01
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 30 15 — — $23,238.00 $127,907.70 $30,531.89 2026-04-01
850 MS_DRG Acute Leukemia With Other Procedures 24 15 — — $69,980.84 $369,409.98 $74,879.50 2026-04-01
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 55 18 — — $19,483.00 $462,042.00 $76,016.00 2026-04-01
854 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Cc 49 19 — — $13,139.00 $80,135.81 $30,904.50 2026-04-01
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 27 16 — — $38,572.50 $180,921.18 $49,190.00 2026-04-01
857 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Cc 28 16 — — $20,180.42 $87,382.61 $36,425.66 2026-04-01
862 MS_DRG Postoperative And Post-traumatic Infections With Mcc 35 16 — — $15,245.00 $73,735.21 $32,629.00 2026-04-01
867 MS_DRG Other Infectious And Parasitic Diseases Diagnoses With Mcc 31 18 — — $19,187.00 $85,991.00 $31,416.50 2026-04-01
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 36 15 — — $26,610.00 $278,983.48 $60,591.56 2026-04-01
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours With Mcc 69 19 — — $7,180.00 $167,553.00 $50,439.00 2026-04-01
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 25 15 — — $33,347.96 $157,584.66 $35,682.32 2026-04-01
901 MS_DRG Wound Debridements For Injuries With Mcc 24 15 — — $35,882.30 $177,668.74 $38,394.06 2026-04-01
90288 HCPCS Botulism Ig IV 2 1 — — $92,831.73 $92,831.73 $92,831.73 2026-04-01
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 24 15 — — $31,882.53 $154,837.53 $34,114.31 2026-04-01
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 31 16 — — $31,364.00 $159,754.28 $41,173.00 2026-04-01
919 MS_DRG Complications Of Treatment With Mcc 35 17 — — $390.00 $73,125.63 $33,047.50 2026-04-01
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 24 15 — — $166,945.71 $951,379.17 $178,631.91 2026-04-01
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 24 15 — — $58,621.02 $267,834.56 $62,724.49 2026-04-01
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 24 15 — — $28,426.75 $127,538.74 $30,416.62 2026-04-01
92930 HCPCS Prq Tcat Plmt Ntrac St 2+les 9 6 — — $18,452.25 $70,076.37 $32,475.97 2026-04-01
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 24 15 — — $33,571.83 $173,517.98 $35,921.86 2026-04-01
93580 HCPCS Transcath Closure Of Asd 11 7 — — $9,842.00 $70,076.37 $32,475.97 2026-04-01
93581 HCPCS Transcath Closure Of Vsd 11 7 — — $9,842.00 $70,076.37 $32,475.97 2026-04-01
93582 HCPCS Perq Transcath Closure Pda 11 7 — — $9,842.00 $70,076.37 $32,475.97 2026-04-01
93590 HCPCS Perq Transcath Cls Mitral 11 7 — — $9,842.00 $70,076.37 $32,475.97 2026-04-01
93591 HCPCS Perq Transcath Cls Aortic 11 7 — — $9,842.00 $70,076.37 $32,475.97 2026-04-01
93653 HCPCS Ep & Ablate Supravent Arrhyt 11 7 — — $9,000.00 $99,917.22 $34,203.00 2026-04-01
93654 HCPCS Ep & Ablate Ventric Tachy 11 7 — — $9,000.00 $99,917.22 $34,203.00 2026-04-01
93656 HCPCS Tx Atrial Fib Pulm Vein Isol 11 7 — — $9,000.00 $99,917.22 $34,203.00 2026-04-01
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 24 15 — — $31,541.76 $127,282.08 $33,749.68 2026-04-01
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 24 15 — — $30,708.19 $146,315.43 $32,857.76 2026-04-01
955 MS_DRG Craniotomy For Multiple Significant Trauma 24 15 — — $55,247.00 $273,826.10 $59,114.29 2026-04-01
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 28 15 — — $26,201.00 $153,285.51 $34,849.26 2026-04-01
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 24 15 — — $62,037.83 $299,324.22 $66,380.48 2026-04-01
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 24 15 — — $36,014.48 $164,807.39 $38,535.49 2026-04-01
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 24 15 — — $50,587.86 $253,613.69 $54,129.01 2026-04-01
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 28 16 — — $27,614.00 $143,764.82 $36,613.08 2026-04-01
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 32 17 — — $23,464.00 $190,666.45 $42,442.46 2026-04-01
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 30 16 — — $9,052.00 $140,484.31 $32,113.81 2026-04-01
A9543 HCPCS Y90 Ibritumomab, Rx 15 7 — — $56,824.55 $240,299.05 $126,093.45 2026-04-01
C9758 HCPCS Interatrial Shunt Ide 10 7 — — $17,242.19 $65,480.90 $31,122.16 2026-04-01
C9760 HCPCS Non-blind Interatrial Shunt 11 7 — — $5,063.00 $102,897.49 $47,686.48 2026-04-01
C9782 HCPCS Blind Myocar Trpl Bon Marrow 11 7 — — $5,063.00 $65,480.90 $30,346.26 2026-04-01
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 7 4 — — $0.03 $3,943,235.33 $3,685,266.67 2026-04-01
J1413 HCPCS Inj Delandistrogene Mox Rokl 7 4 — — $0.03 $3,548,614.97 $3,316,462.59 2026-04-01
J3399 HCPCS Inj Onase Abepar-xioi Treat 10 6 — — $0.03 $4,812,016.79 $2,541,039.48 2026-04-01
J7310 HCPCS Ganciclovir Long Act Implant 2 1 — — $32,325.76 $32,325.76 $32,325.76 2026-04-01
J7330 HCPCS Cultured Chondrocytes Implnt 2 1 — — $117,940.04 $117,940.04 $117,940.04 2026-04-01
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 12 6 — — $63,342.28 $226,806.00 $114,360.00 2026-04-01
J9226 HCPCS Supprelin La Implant 13 7 — — $45,020.65 $163,593.70 $86,268.99 2026-04-01
J9266 HCPCS Pegaspargase Injection 13 7 — — $28,424.06 $94,617.96 $51,596.43 2026-04-01
J9600 HCPCS Porfimer Sodium Injection 15 7 — — $24,228.42 $92,012.59 $45,342.71 2026-04-01
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 11 7 — — $0.03 $1,120,267.47 $559,891.68 2026-04-01
Q2042 HCPCS Tisagenlecleucel Car-pos T 11 7 — — $0.03 $1,159,783.35 $621,312.51 2026-04-01
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 13 7 — — $55,272.32 $196,075.84 $105,852.57 2026-04-01
Q2053 HCPCS Brexucabtagene Car Pos T 11 7 — — $0.03 $1,120,791.00 $513,769.84 2026-04-01
Q2054 HCPCS Lisocabtagene Mara Car Pos T 11 7 — — $0.03 $1,152,532.70 $590,665.09 2026-04-01
Q2055 HCPCS Idecabtagene Vicleucel Car 11 7 — — $0.03 $1,178,375.50 $585,183.83 2026-04-01
Q2056 HCPCS Ciltacabtagene Car-pos T 10 6 — — $0.03 $1,109,103.13 $585,674.35 2026-04-01
See an error in this hospital's data? Submit a correction