Price Transparency 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

SAINT FRANCIS MEDICAL CENTER

Peoria, IL · CCN 140067 · Rates published

17,072 distinct procedures filed
17 distinct payers
263,278 rate rows
2026-03-31 last MRF observed
Data quality

218,990 of 263,278 rate rows are consumer-grade (83.2%)

44,288 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 44,268
placeholder amount (≤ $0.02) — excluded from medians 20
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://osf-p-001.sitecorecontenthub.cloud/api/public/content/370662569_osf-saint-francis-medical-center_standardcharges.json
Found on page https://www.osfhealthcare.org/patients-visitors/billing-insurance/price-transparency
Discovered viaDiscovered by HANK
Last fetch not_modified · 2026-05-15
Content fingerprint b67805a083956c0a… · 34,268,419 bytes · first seen 2026-05-08

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 3 $3,691,450.00 $3,765,279.00 $3,728,364.50 nat. median
$3,710,000
1.0× median
J1413
HCPCS 		Inj Delandistrogene Mox Rokl 3 $3,321,376.38 $3,387,803.91 $3,354,590.14 nat. median
$3,325,455
1.0× median
J3394
HCPCS 		Inj, Lovotibeglogene Autotem 3 $3,245,381.39 $3,310,289.02 $3,277,835.20 nat. median
$3,286,000
1.0× median
J3393
HCPCS 		Inj, Betibeglogene Autotemce 4 $2,938,320.00 $4,864,551.99 $2,982,394.80 nat. median
$3,006,423
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 4 $2,587,087.26 $3,998,166.53 $2,625,893.56 nat. median
$2,469,189
1.1× median
J3392
HCPCS 		Inj, Exagamglogene Autotem 4 $2,332,000.00 $3,847,800.00 $2,366,980.00 nat. median
$2,448,600
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 5 $770,620.00 $2,619,815.62 $786,032.40 nat. median
$824,563
1.0× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 5 $614,180.81 $2,087,981.72 $626,464.42 nat. median
$754,974
0.8× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 5 $588,494.81 $2,000,659.07 $600,264.70 nat. median
$675,122
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 5 $562,260.84 $1,911,473.52 $573,506.05 nat. median
$674,188
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 5 $559,781.08 $1,903,043.29 $570,976.70 nat. median
$625,184
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 5 $531,849.12 $1,808,085.21 $542,486.10 nat. median
$634,511
0.9× median
18
MS_DRG 		Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 13 $391,970.08 $978,306.33 $525,081.26 nat. median
$370,174
1.4× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 5 $489,290.60 $1,663,402.40 $499,076.41 nat. median
$620,080
0.8× median
C9301
HCPCS 		Obecabtagene Car Pos T 1 $459,112.50 $459,112.50 $459,112.50 nat. median
$459,112
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 13 $126,145.69 $2,536,010.95 $338,220.45 nat. median
$265,286
1.3× median
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 13 $194,133.09 $483,695.58 $259,611.40 nat. median
$206,368
1.3× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 13 $1,800.00 $1,043,943.09 $244,302.05 nat. median
$202,986
1.2× median
7
MS_DRG 		Lung Transplant 13 $118,012.39 $293,386.78 $157,467.96 nat. median
$122,708
1.3× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 13 $54,030.21 $353,160.76 $151,853.70 nat. median
$133,176
1.1× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 13 $109,564.20 $272,265.52 $146,131.66 nat. median
$117,303
1.2× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 13 $103,346.99 $256,721.93 $137,789.02 nat. median
$108,660
1.3× median
209
MS_DRG 		Complex Aortic Arch Procedures 13 $103,229.19 $256,427.41 $137,630.95 nat. median
$98,017
1.4× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $100,532.44 $249,685.29 $134,012.28 nat. median
$98,905
1.4× median
212
MS_DRG 		Concomitant Aortic And Mitral Valve Procedures 13 $99,199.47 $1,301,488.55 $133,207.73 nat. median
$102,358
1.3× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 13 $94,092.31 $233,584.38 $125,370.52 nat. median
$100,136
1.3× median
453
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Mcc 9 $64,005.15 $200,755.02 $121,113.18 nat. median
$87,411
1.4× median
215
MS_DRG 		Other Heart Assist System Implant 13 $78,005.49 $607,173.55 $120,171.03 nat. median
$99,019
1.2× median
216
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 13 $46,600.57 $339,045.45 $119,839.30 nat. median
$93,672
1.3× median
222
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 9 $88,127.47 $173,460.27 $111,954.80 nat. median
$63,570
1.8× median
Q0480
HCPCS 		Driver Pneumatic Vad, Rep 4 $78,725.89 $113,119.80 $110,901.76 nat. median
$111,989
1.0× median
429
MS_DRG 		Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 13 $82,303.99 $204,112.49 $109,552.23 nat. median
$82,712
1.3× median
850
MS_DRG 		Acute Leukemia With Other Procedures 13 $79,131.51 $196,180.97 $105,295.20 nat. median
$83,442
1.3× median
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma With Mcc 14 $57,459.18 $368,471.70 $104,144.99 nat. median
$72,138
1.4× median
224
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 9 $81,596.69 $160,605.83 $103,658.28 nat. median
$54,196
1.9× median
1848
OTHER 		Artiss Fibrin Sealant 1 $102,306.90 $102,306.90 $102,306.90 nat. median
$145
outlier · 704.3×
0795
OTHER 		Inj, Lidocaine In D5w, 1 Mg 1 $85,282.10 $119,194.50 $102,238.30 nat. median
$10,641
outlier · 9.6×
231
MS_DRG 		Coronary Bypass With Ptca With Mcc 13 $65,637.10 $190,979.38 $101,740.46 nat. median
$79,312
1.3× median
233
MS_DRG 		Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 13 $59,367.01 $463,619.24 $101,604.71 nat. median
$73,807
1.4× median
456
MS_DRG 		Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 13 $65,155.26 $190,379.03 $101,420.63 nat. median
$81,118
1.3× median
459
MS_DRG 		Spinal Fusion Except Cervical With Mcc 9 $52,556.52 $163,344.50 $96,977.49 nat. median
$65,381
1.5× median
20
MS_DRG 		Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 13 $61,818.53 $987,273.00 $96,392.80 nat. median
$77,576
1.2× median
226
MS_DRG 		Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 9 $73,674.36 $145,012.39 $93,593.96 nat. median
$49,935
1.9× median
219
MS_DRG 		Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 13 $1,951.14 $343,232.49 $88,377.23 nat. median
$74,915
1.2× median
427
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 13 $66,074.55 $163,537.38 $87,774.57 nat. median
$68,090
1.3× median
10
MS_DRG 		Pancreas Transplant 13 $65,685.81 $162,565.48 $87,252.93 nat. median
$68,882
1.3× median
928
MS_DRG 		Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 13 $65,658.62 $162,497.52 $87,216.45 nat. median
$64,027
1.4× median
19
MS_DRG 		Simultaneous Pancreas And Kidney Transplant With Hemodialysis 13 $65,313.37 $161,634.36 $86,753.17 nat. median
$71,240
1.2× median
275
MS_DRG 		Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 13 $3,031.02 $348,736.84 $84,063.85 nat. median
$68,887
1.2× median
454
MS_DRG 		Combined Anterior And Posterior Spinal Fusion With Cc 12 $21,549.96 $253,826.83 $82,313.17 nat. median
$62,270
1.3× median

Other procedures at this hospital

Browse this hospital's 17,072 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
             
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 74 14 — — $19,326.12 $347,501.70 $46,322.24 2026-03-31
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 68 13 — — $245.00 $223,772.45 $47,516.23 2026-03-31
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 66 13 — — $1,951.14 $343,232.49 $88,377.23 2026-03-31
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 66 14 — — $18,985.94 $638,707.55 $79,554.82 2026-03-31
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 66 13 — — $21,152.45 $106,292.73 $44,041.09 2026-03-31
321 MS_DRG Percutaneous Cardiovascular Procedures With Intraluminal Device With Mcc Or 4+ A… 66 13 — — $16,570.86 $193,526.50 $32,837.34 2026-03-31
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 64 13 — — $32,966.19 $327,603.75 $67,970.87 2026-03-31
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 64 13 — — $600.17 $148,924.30 $48,032.98 2026-03-31
271 MS_DRG Other Major Cardiovascular Procedures With Cc 64 13 — — $23,880.87 $345,487.60 $41,927.00 2026-03-31
26 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Cc 64 13 — — $8,670.53 $82,400.40 $32,600.08 2026-03-31
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 62 14 — — $28,053.35 $956,988.85 $74,063.40 2026-03-31
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 62 13 — — $34,080.84 $341,824.42 $60,730.21 2026-03-31
267 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures Without Mcc 62 13 — — $24,755.86 $260,948.89 $44,678.85 2026-03-31
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 60 14 — — $57,459.18 $368,471.70 $104,144.99 2026-03-31
326 MS_DRG Stomach, Esophageal And Duodenal Procedures With Mcc 60 13 — — $650.00 $245,942.25 $63,689.10 2026-03-31
40 MS_DRG Peripheral, Cranial Nerve And Other Nervous System Procedures With Mcc 60 13 — — $8,499.73 $381,623.65 $36,185.68 2026-03-31
464 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 60 13 — — $1,478.89 $304,094.76 $32,657.16 2026-03-31
472 MS_DRG Cervical Spinal Fusion With Cc 60 13 — — $16,664.87 $147,467.03 $31,271.67 2026-03-31
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth… 58 13 — — $1,800.00 $1,043,943.09 $244,302.05 2026-03-31
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face, Mouth And Nec… 58 13 — — $54,030.21 $353,160.76 $151,853.70 2026-03-31
233 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation With Mcc 58 13 — — $59,367.01 $463,619.24 $101,604.71 2026-03-31
163 MS_DRG Major Chest Procedures With Mcc 58 13 — — $21,159.50 $594,919.25 $51,585.52 2026-03-31
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 58 13 — — $15,813.16 $245,647.59 $45,025.97 2026-03-31
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 58 13 — — $12,044.32 $180,416.95 $41,277.46 2026-03-31
252 MS_DRG Other Vascular Procedures With Mcc 58 13 — — $15,925.06 $142,263.05 $39,156.34 2026-03-31
793 MS_DRG Full Term Neonate With Major Problems 58 14 — — $4,352.85 $94,462.29 $38,830.00 2026-03-31
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 58 13 — — $17,355.35 $86,979.34 $36,161.52 2026-03-31
467 MS_DRG Revision Of Hip Or Knee Replacement With Cc 58 13 — — $250.00 $170,832.41 $32,945.08 2026-03-31
987 MS_DRG Non-extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 58 13 — — $7,471.06 $81,837.06 $32,363.61 2026-03-31
963 MS_DRG Other Multiple Significant Trauma With Mcc 58 13 — — $8,647.56 $174,824.50 $31,466.04 2026-03-31
480 MS_DRG Hip And Femur Procedures Except Major Joint With Mcc 58 14 — — $22,123.16 $67,797.76 $29,913.53 2026-03-31
478 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Cc 58 13 — — $1,197.36 $102,059.35 $28,305.39 2026-03-31
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 56 13 — — $39,356.44 $242,693.50 $69,187.86 2026-03-31
405 MS_DRG Pancreas, Liver And Shunt Procedures With Mcc 56 13 — — $15,171.95 $1,031,835.40 $64,494.46 2026-03-31
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 56 14 — — $1,860.00 $359,574.96 $56,710.67 2026-03-31
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 56 13 — — $30,074.88 $473,987.90 $55,673.16 2026-03-31
956 MS_DRG Limb Reattachment, Hip And Femur Procedures For Multiple Significant Trauma 56 13 — — $27,723.61 $192,062.29 $48,053.51 2026-03-31
29 MS_DRG Spinal Procedures With Cc Or Spinal Neurostimulators 56 13 — — $4,018.42 $679,059.90 $43,566.13 2026-03-31
240 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc 56 13 — — $26,492.30 $261,890.77 $34,660.65 2026-03-31
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. With Mcc 56 13 — — $10,314.60 $112,744.15 $28,134.46 2026-03-31
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 54 13 — — $126,145.69 $2,536,010.95 $338,220.45 2026-03-31
834 MS_DRG Acute Leukemia With Mcc 54 13 — — $334.63 $846,863.75 $66,257.60 2026-03-31
234 MS_DRG Coronary Bypass With Cardiac Catheterization Or Open Ablation Without Mcc 54 13 — — $34,222.70 $306,314.40 $65,929.33 2026-03-31
228 MS_DRG Other Cardiothoracic Procedures With Mcc 54 14 — — $38,543.53 $123,210.91 $56,944.57 2026-03-31
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 54 13 — — $1,860.00 $211,838.50 $52,355.54 2026-03-31
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 54 13 — — $27,732.39 $359,534.85 $50,709.11 2026-03-31
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 54 13 — — $28,970.78 $252,044.25 $49,411.28 2026-03-31
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 54 13 — — $26,515.36 $200,022.24 $48,609.03 2026-03-31
471 MS_DRG Cervical Spinal Fusion With Mcc 54 13 — — $15,760.51 $158,340.13 $45,306.44 2026-03-31
166 MS_DRG Other Respiratory System O.r. Procedures With Mcc 54 13 — — $24,811.82 $331,311.70 $45,110.30 2026-03-31
652 MS_DRG Kidney Transplant 54 13 — — $1,765.51 $295,396.07 $38,976.84 2026-03-31
264 MS_DRG Other Circulatory System O.r. Procedures 54 13 — — $14,810.32 $201,686.40 $37,327.02 2026-03-31
829 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Other Proce… 54 13 — — $6,261.91 $661,775.40 $36,371.60 2026-03-31
229 MS_DRG Other Cardiothoracic Procedures Without Mcc 54 14 — — $22,346.54 $71,351.92 $33,350.21 2026-03-31
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 52 13 — — $3,031.02 $348,736.84 $84,063.85 2026-03-31
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome, Neonate 52 13 — — $29,807.59 $195,615.80 $72,269.99 2026-03-31
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 52 13 — — $47,311.93 $271,082.83 $70,814.82 2026-03-31
266 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 52 13 — — $36,614.05 $138,838.90 $57,038.46 2026-03-31
11 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Mcc 52 13 — — $41,559.98 $146,717.73 $56,931.82 2026-03-31
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 52 14 — — $12,756.87 $108,841.42 $56,640.29 2026-03-31
277 MS_DRG Cardiac Defibrillator Implant Without Mcc 52 13 — — $34,358.92 $222,757.29 $56,158.65 2026-03-31
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 52 13 — — $22,764.80 $323,193.85 $47,911.57 2026-03-31
492 MS_DRG Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc 52 13 — — $8,494.99 $83,180.10 $43,286.33 2026-03-31
242 MS_DRG Permanent Cardiac Pacemaker Implant With Mcc 52 13 — — $11,541.45 $228,576.20 $33,467.56 2026-03-31
654 MS_DRG Major Bladder Procedures With Cc 52 13 — — $11,628.23 $198,208.31 $29,384.42 2026-03-31
545 MS_DRG Connective Tissue Disorders With Mcc 52 13 — — $19,723.47 $94,307.82 $29,258.00 2026-03-31
215 MS_DRG Other Heart Assist System Implant 50 13 — — $78,005.49 $607,173.55 $120,171.03 2026-03-31
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 50 13 — — $46,600.57 $339,045.45 $119,839.30 2026-03-31
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 50 13 — — $61,818.53 $987,273.00 $96,392.80 2026-03-31
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 50 13 — — $38,951.02 $171,947.10 $56,648.77 2026-03-31
12 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy With Cc 50 13 — — $29,071.23 $189,230.20 $51,646.00 2026-03-31
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 50 13 — — $31,821.12 $344,902.90 $50,554.63 2026-03-31
273 MS_DRG Percutaneous And Other Intracardiac Procedures With Mcc 50 13 — — $30,678.48 $239,288.55 $47,484.51 2026-03-31
97 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Mcc 50 13 — — $11,180.41 $175,011.41 $41,966.09 2026-03-31
94 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Mcc 50 13 — — $1,500.00 $96,305.54 $40,508.29 2026-03-31
791 MS_DRG Prematurity With Major Problems 50 14 — — $2,460.55 $91,956.65 $39,466.33 2026-03-31
274 MS_DRG Percutaneous And Other Intracardiac Procedures Without Mcc 50 13 — — $16,570.86 $74,573.46 $37,887.47 2026-03-31
974 MS_DRG HIV With Major Related Condition With Mcc 50 13 — — $15,235.32 $98,164.11 $34,831.13 2026-03-31
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic A… 50 13 — — $14,078.52 $214,779.40 $31,734.22 2026-03-31
846 MS_DRG Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc 50 14 — — $13,348.81 $75,928.13 $31,288.88 2026-03-31
98 MS_DRG Non-bacterial Infection Of Nervous System Except Viral Meningitis With Cc 50 13 — — $20.00 $215,622.75 $28,112.53 2026-03-31
357 MS_DRG Other Digestive System O.r. Procedures With Cc 50 13 — — $10,989.05 $100,307.05 $28,066.46 2026-03-31
454 MS_DRG Combined Anterior And Posterior Spinal Fusion With Cc 48 12 — — $21,549.96 $253,826.83 $82,313.17 2026-03-31
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 48 13 — — $34,811.47 $155,818.82 $72,002.20 2026-03-31
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 48 14 — — $17,512.05 $185,418.10 $70,301.96 2026-03-31
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 48 13 — — $23,083.95 $117,928.34 $54,351.19 2026-03-31
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 48 13 — — $32,909.85 $128,384.94 $51,017.88 2026-03-31
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 48 12 — — $19,647.16 $178,031.15 $49,228.02 2026-03-31
904 MS_DRG Skin Grafts For Injuries With Cc/Mcc 48 13 — — $9,377.97 $269,403.95 $44,663.06 2026-03-31
622 MS_DRG Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disor… 48 13 — — $90.00 $80,633.68 $41,961.18 2026-03-31
420 MS_DRG Hepatobiliary Diagnostic Procedures With Mcc 48 13 — — $15,905.50 $120,124.05 $40,168.01 2026-03-31
515 MS_DRG Other Musculoskeletal System And Connective Tissue O.r. Procedures With Mcc 48 13 — — $24,120.73 $72,199.22 $37,571.96 2026-03-31
324 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device Without Mcc 48 13 — — $24,882.69 $179,141.10 $37,148.71 2026-03-31
22 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage Without Cc/… 48 13 — — $5,743.03 $71,984.00 $33,307.76 2026-03-31
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/Mcc 48 13 — — $19,606.12 $113,607.79 $32,601.81 2026-03-31
397 MS_DRG Appendix Procedures With Mcc 48 13 — — $18,724.18 $128,182.35 $29,120.79 2026-03-31
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/Mcc 48 13 — — $20,515.10 $62,255.94 $28,852.11 2026-03-31
28 MS_DRG Spinal Procedures With Mcc 46 13 — — $27,822.52 $136,118.04 $69,155.53 2026-03-31
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 46 13 — — $14,538.00 $129,122.17 $65,601.25 2026-03-31
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 46 13 — — $32,397.52 $260,389.95 $63,890.87 2026-03-31
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 46 13 — — $36,838.00 $212,988.85 $57,303.05 2026-03-31
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 46 14 — — $30,869.14 $94,530.25 $50,359.11 2026-03-31
518 MS_DRG Back And Neck Procedures Except Spinal Fusion With Mcc Or Disc Device Or Neurost… 46 13 — — $34,528.18 $145,430.95 $49,668.72 2026-03-31
628 MS_DRG Other Endocrine, Nutritional And Metabolic O.r. Procedures With Mcc 46 13 — — $30,656.15 $197,975.33 $44,978.75 2026-03-31
143 MS_DRG Other Ear, Nose, Mouth And Throat O.r. Procedures With Mcc 46 13 — — $7,805.91 $84,879.22 $43,123.37 2026-03-31
335 MS_DRG Peritoneal Adhesiolysis With Mcc 46 13 — — $17,745.36 $80,898.74 $43,097.19 2026-03-31
616 MS_DRG Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With… 46 13 — — $14,075.70 $121,739.74 $42,089.43 2026-03-31
477 MS_DRG Biopsies Of Musculoskeletal System And Connective Tissue With Mcc 46 13 — — $27,519.61 $78,263.96 $41,693.57 2026-03-31
37 MS_DRG Extracranial Procedures With Mcc 46 13 — — $25,849.65 $82,852.62 $39,732.35 2026-03-31
579 MS_DRG Other Skin, Subcutaneous Tissue And Breast Procedures With Mcc 46 13 — — $30,008.22 $160,909.65 $39,671.63 2026-03-31
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement With Mcc 46 13 — — $25,951.67 $73,692.18 $37,439.73 2026-03-31
353 MS_DRG Hernia Procedures Except Inguinal And Femoral With Mcc 46 13 — — $580.80 $93,098.15 $35,549.50 2026-03-31
521 MS_DRG Hip Replacement With Principal Diagnosis Of Hip Fracture With Mcc 46 13 — — $20,411.54 $65,024.38 $33,036.00 2026-03-31
503 MS_DRG Foot Procedures With Mcc 46 13 — — $1,860.00 $63,232.37 $32,125.56 2026-03-31
749 MS_DRG Other Female Reproductive System O.r. Procedures With Cc/Mcc 46 13 — — $20,609.10 $331,842.49 $31,453.10 2026-03-31
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 44 13 — — $60,245.18 $148,963.42 $77,519.50 2026-03-31
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 44 13 — — $18,061.52 $138,678.05 $72,167.07 2026-03-31
653 MS_DRG Major Bladder Procedures With Mcc 44 13 — — $21,613.96 $117,724.44 $61,262.96 2026-03-31
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 44 13 — — $9,692.00 $357,036.67 $57,166.68 2026-03-31
140 MS_DRG Major Head And Neck Procedures With Mcc 44 13 — — $24,197.71 $96,630.37 $51,863.92 2026-03-31
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 44 13 — — $34,946.71 $94,086.22 $48,961.79 2026-03-31
34 MS_DRG Carotid Artery Stent Procedures With Mcc 44 13 — — $31,346.92 $95,199.30 $47,065.78 2026-03-31
279 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 44 13 — — $11,105.39 $81,702.99 $42,517.65 2026-03-31
840 MS_DRG Lymphoma And Non-acute Leukemia With Mcc 44 13 — — $11,395.77 $73,286.66 $38,137.85 2026-03-31
656 MS_DRG Kidney And Ureter Procedures For Neoplasm With Mcc 44 13 — — $25,271.38 $72,128.99 $37,535.41 2026-03-31
500 MS_DRG Soft Tissue Procedures With Mcc 44 13 — — $24,708.24 $71,698.54 $37,311.41 2026-03-31
13 MS_DRG Tracheostomy For Face, Mouth And Neck Diagnoses Or Laryngectomy Without Cc/Mcc 44 13 — — $20,660.42 $189,167.56 $35,041.25 2026-03-31
668 MS_DRG Transurethral Procedures With Mcc 44 13 — — $4,854.26 $66,152.60 $34,425.34 2026-03-31
577 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Cc 44 13 — — $21,264.52 $60,051.61 $31,250.43 2026-03-31
212 MS_DRG Concomitant Aortic And Mitral Valve Procedures 42 13 — — $99,199.47 $1,301,488.55 $133,207.73 2026-03-31
231 MS_DRG Coronary Bypass With Ptca With Mcc 42 13 — — $65,637.10 $190,979.38 $101,740.46 2026-03-31
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature, Malignancy, Infection Or Ex… 42 13 — — $65,155.26 $190,379.03 $101,420.63 2026-03-31
955 MS_DRG Craniotomy For Multiple Significant Trauma 42 13 — — $52,462.24 $152,493.07 $81,237.65 2026-03-31
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 42 13 — — $39,650.94 $148,421.97 $79,068.85 2026-03-31
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 42 13 — — $53,806.87 $235,336.70 $71,843.80 2026-03-31
245 MS_DRG Aicd Generator Procedures 42 13 — — $42,004.96 $139,355.90 $55,889.40 2026-03-31
799 MS_DRG Splenic Procedures With Mcc 42 13 — — $37,544.11 $102,602.23 $54,659.29 2026-03-31
31 MS_DRG Ventricular Shunt Procedures With Mcc 42 13 — — $32,491.96 $101,505.73 $54,075.15 2026-03-31
939 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Mcc 42 13 — — $33,542.27 $106,375.65 $44,449.13 2026-03-31
414 MS_DRG Cholecystectomy Except By Laparoscope Without C.d.e. With Mcc 42 13 — — $32,945.11 $200,748.60 $43,641.85 2026-03-31
739 MS_DRG Uterine And Adnexa Procedures For Non-ovarian And Non-adnexal Malignancy With Mc… 42 13 — — $30,799.14 $81,168.33 $43,240.81 2026-03-31
736 MS_DRG Uterine And Adnexa Procedures For Ovarian Or Adnexal Malignancy With Mcc 42 13 — — $30,460.58 $80,980.30 $43,140.64 2026-03-31
408 MS_DRG Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.d.e. With… 42 13 — — $27,246.62 $80,778.67 $43,033.23 2026-03-31
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Cc 42 13 — — $32,118.68 $90,681.50 $42,524.65 2026-03-31
411 MS_DRG Cholecystectomy With C.d.e. With Mcc 42 13 — — $21,363.01 $74,836.26 $39,867.53 2026-03-31
325 MS_DRG Coronary Intravascular Lithotripsy Without Intraluminal Device 42 13 — — $22,587.66 $72,731.61 $38,746.32 2026-03-31
665 MS_DRG Prostatectomy With Mcc 42 13 — — $26,728.12 $70,710.79 $37,669.76 2026-03-31
662 MS_DRG Minor Bladder Procedures With Mcc 42 13 — — $24,272.44 $69,358.28 $36,949.24 2026-03-31
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity With Mcc… 42 13 — — $21,885.50 $68,717.15 $36,607.69 2026-03-31
570 MS_DRG Skin Debridement With Mcc 42 13 — — $150.00 $66,630.62 $35,496.14 2026-03-31
288 MS_DRG Acute And Subacute Endocarditis With Mcc 42 13 — — $25,184.70 $61,308.96 $33,150.95 2026-03-31
255 MS_DRG Upper Limb And Toe Amputation For Circulatory System Disorders With Mcc 42 13 — — $10,572.40 $61,109.60 $32,554.92 2026-03-31
96 MS_DRG Bacterial And Tuberculous Infections Of Nervous System Without Cc/Mcc 42 13 — — $24,033.87 $121,312.10 $31,595.20 2026-03-31
350 MS_DRG Inguinal And Femoral Hernia Procedures With Mcc 42 13 — — $23,242.78 $56,453.99 $30,074.74 2026-03-31
783 MS_DRG Cesarean Section With Sterilization With Mcc 42 13 — — $9,517.33 $55,620.29 $29,630.60 2026-03-31
320 MS_DRG Other Endovascular Cardiac Valve Procedures Without Mcc 42 13 — — $19,339.80 $54,492.07 $29,029.57 2026-03-31
333 MS_DRG Rectal Resection With Cc 42 13 — — $21,886.25 $53,062.54 $28,691.95 2026-03-31
940 MS_DRG O.r. Procedures With Diagnoses Of Other Contact With Health Services With Cc 42 13 — — $1,200.00 $52,942.47 $28,204.05 2026-03-31
347 MS_DRG Anal And Stomal Procedures With Mcc 42 13 — — $21,463.98 $69,808.50 $28,121.10 2026-03-31
18 MS_DRG Chimeric Antigen Receptor (Car) T-cell And Other Immunotherapies 40 13 — — $391,970.08 $978,306.33 $525,081.26 2026-03-31
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 40 13 — — $194,133.09 $483,695.58 $259,611.40 2026-03-31
7 MS_DRG Lung Transplant 40 13 — — $118,012.39 $293,386.78 $157,467.96 2026-03-31
14 MS_DRG Allogeneic Bone Marrow Transplant 40 13 — — $109,564.20 $272,265.52 $146,131.66 2026-03-31
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 40 13 — — $103,346.99 $256,721.93 $137,789.02 2026-03-31
209 MS_DRG Complex Aortic Arch Procedures 40 13 — — $103,229.19 $256,427.41 $137,630.95 2026-03-31
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $100,532.44 $249,685.29 $134,012.28 2026-03-31
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 40 13 — — $94,092.31 $233,584.38 $125,370.52 2026-03-31
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 40 13 — — $82,303.99 $204,112.49 $109,552.23 2026-03-31
850 MS_DRG Acute Leukemia With Other Procedures 40 13 — — $79,131.51 $196,180.97 $105,295.20 2026-03-31
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $66,074.55 $163,537.38 $87,774.57 2026-03-31
10 MS_DRG Pancreas Transplant 40 13 — — $65,685.81 $162,565.48 $87,252.93 2026-03-31
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/Mcc 40 13 — — $65,658.62 $162,497.52 $87,216.45 2026-03-31
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 40 13 — — $65,313.37 $161,634.36 $86,753.17 2026-03-31
317 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 40 13 — — $61,252.84 $151,482.66 $81,304.50 2026-03-31
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 40 13 — — $61,208.44 $151,371.65 $81,244.92 2026-03-31
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 40 13 — — $60,245.18 $148,963.42 $79,952.36 2026-03-31
232 MS_DRG Coronary Bypass With Ptca Without Mcc 40 13 — — $55,599.27 $137,348.20 $73,718.18 2026-03-31
16 MS_DRG Autologous Bone Marrow Transplant With Cc/Mcc 40 13 — — $54,394.97 $134,337.35 $72,102.19 2026-03-31
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 40 13 — — $52,921.55 $130,653.65 $70,125.05 2026-03-31
213 MS_DRG Endovascular Abdominal Aorta With Iliac Branch Procedures 40 13 — — $52,376.03 $129,289.82 $69,393.05 2026-03-31
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 40 13 — — $51,606.70 $127,366.41 $68,360.71 2026-03-31
8 MS_DRG Simultaneous Pancreas And Kidney Transplant 40 13 — — $51,449.03 $126,972.21 $68,149.14 2026-03-31
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 40 13 — — $51,101.06 $126,102.26 $67,682.21 2026-03-31
461 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity With Mcc 40 13 — — $50,709.59 $125,123.57 $67,156.92 2026-03-31
17 MS_DRG Autologous Bone Marrow Transplant Without Cc/Mcc 40 13 — — $49,887.70 $123,068.76 $66,054.05 2026-03-31
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 40 13 — — $48,957.07 $120,742.09 $64,805.27 2026-03-31
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 40 13 — — $46,334.62 $114,185.73 $61,286.31 2026-03-31
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 40 13 — — $45,075.05 $111,036.69 $59,596.14 2026-03-31
6 MS_DRG Liver Transplant Without Mcc 40 13 — — $42,680.96 $105,051.24 $56,383.60 2026-03-31
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 40 13 — — $41,103.32 $101,107.00 $54,266.63 2026-03-31
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $39,090.73 $96,075.32 $51,566.01 2026-03-31
901 MS_DRG Wound Debridements For Injuries With Mcc 40 13 — — $38,690.20 $95,073.97 $51,028.56 2026-03-31
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 40 13 — — $37,094.44 $91,084.43 $48,887.27 2026-03-31
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 40 13 — — $36,764.60 $90,259.79 $48,444.67 2026-03-31
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 40 13 — — $35,949.95 $88,223.10 $47,351.52 2026-03-31
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 40 13 — — $35,684.45 $87,559.31 $46,995.26 2026-03-31
651 MS_DRG Kidney Transplant With Hemodialysis Without Mcc 40 13 — — $34,242.74 $83,954.90 $45,060.68 2026-03-31
495 MS_DRG Local Excision And Removal Of Internal Fixation Devices Except Hip And Femur Wit… 40 13 — — $33,516.90 $82,140.23 $44,086.70 2026-03-31
332 MS_DRG Rectal Resection With Mcc 40 13 — — $33,471.59 $82,026.96 $44,025.90 2026-03-31
265 MS_DRG Aicd Lead Procedures 40 13 — — $33,448.94 $81,970.32 $43,995.50 2026-03-31
359 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device With Mcc 40 13 — — $31,821.46 $77,901.48 $41,811.65 2026-03-31
451 MS_DRG Single Level Spinal Fusion Except Cervical Without Mcc 40 13 — — $29,934.82 $73,184.71 $39,280.05 2026-03-31
485 MS_DRG Knee Procedures With Principal Diagnosis Of Infection With Mcc 40 13 — — $29,904.92 $73,109.95 $39,239.93 2026-03-31
929 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury Without Cc/Mcc 40 13 — — $29,847.83 $72,967.22 $39,163.32 2026-03-31
258 MS_DRG Cardiac Pacemaker Device Replacement With Mcc 40 13 — — $29,134.68 $71,184.28 $38,206.37 2026-03-31
263 MS_DRG Vein Ligation And Stripping 40 13 — — $28,367.15 $69,265.40 $37,176.46 2026-03-31
510 MS_DRG Shoulder, Elbow Or Forearm Procedures, Except Major Joint Procedures With Mcc 40 13 — — $28,032.78 $68,429.43 $36,727.77 2026-03-31
625 MS_DRG Thyroid, Parathyroid And Thyroglossal Procedures With Mcc 40 13 — — $28,029.15 $68,420.37 $36,722.91 2026-03-31
498 MS_DRG Local Excision And Removal Of Internal Fixation Devices Of Hip And Femur With Cc… 40 13 — — $27,999.25 $68,345.60 $36,682.78 2026-03-31
173 MS_DRG Ultrasound Accelerated And Other Thrombolysis With Principal Diagnosis Pulmonary… 40 13 — — $27,633.16 $67,430.34 $36,191.54 2026-03-31
959 MS_DRG Other O.r. Procedures For Multiple Significant Trauma Without Cc/Mcc 40 13 — — $27,340.47 $66,698.59 $35,798.79 2026-03-31
619 MS_DRG O.r. Procedures For Obesity With Mcc 40 13 — — $26,826.67 $65,414.05 $35,109.34 2026-03-31
800 MS_DRG Splenic Procedures With Cc 40 13 — — $26,119.86 $63,646.96 $34,160.90 2026-03-31
849 MS_DRG Radiotherapy 40 13 — — $25,214.60 $61,383.72 $32,946.17 2026-03-31
462 MS_DRG Bilateral Or Multiple Major Joint Procedures Of Lower Extremity Without Mcc 40 13 — — $24,766.05 $60,262.30 $32,344.27 2026-03-31
970 MS_DRG HIV With Extensive O.r. Procedures Without Mcc 40 13 — — $24,561.25 $59,750.30 $32,069.47 2026-03-31
344 MS_DRG Minor Small And Large Bowel Procedures With Mcc 40 13 — — $24,066.49 $58,513.33 $31,405.56 2026-03-31
95 MS_DRG Bacterial And Tuberculous Infections Of Nervous System With Cc 40 13 — — $24,033.87 $58,431.78 $31,361.78 2026-03-31
318 MS_DRG Percutaneous Coronary Atherectomy Without Intraluminal Device 40 13 — — $22,611.18 $54,874.94 $29,452.74 2026-03-31
360 MS_DRG Percutaneous Coronary Atherectomy With Intraluminal Device Without Mcc 40 13 — — $22,539.60 $54,695.97 $29,356.68 2026-03-31
709 MS_DRG Penis Procedures With Cc/Mcc 40 13 — — $21,749.42 $52,720.45 $28,296.38 2026-03-31
455 MS_DRG Combined Anterior And Posterior Spinal Fusion Without Cc/Mcc 38 11 — — $18,153.57 $133,682.60 $62,755.91 2026-03-31
453 MS_DRG Combined Anterior And Posterior Spinal Fusion With Mcc 32 9 — — $64,005.15 $200,755.02 $121,113.18 2026-03-31
5232 OTHER Level 2 Icd And Similar Procedures 32 9 — — $32,757.85 $137,104.09 $37,654.16 2026-03-31
459 MS_DRG Spinal Fusion Except Cervical With Mcc 28 9 — — $52,556.52 $163,344.50 $96,977.49 2026-03-31
5465 OTHER Level 5 Neurostimulator And Related Procedures 28 8 — — $26,321.63 $163,681.10 $34,589.32 2026-03-31
222 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 24 9 — — $88,127.47 $173,460.27 $111,954.80 2026-03-31
224 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 24 9 — — $81,596.69 $160,605.83 $103,658.28 2026-03-31
226 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization With Mcc 24 9 — — $73,674.36 $145,012.39 $93,593.96 2026-03-31
223 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization With Ami, Hf Or Shock… 24 9 — — $60,067.24 $118,229.65 $76,307.83 2026-03-31
225 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization Without Ami, Hf Or Sh… 24 9 — — $58,214.13 $114,582.19 $73,953.69 2026-03-31
227 MS_DRG Cardiac Defibrillator Implant Without Cardiac Catheterization Without Mcc 24 9 — — $57,788.26 $113,743.96 $73,412.68 2026-03-31
248 MS_DRG Percutaneous Cardiovascular Procedures With Non-drug-eluting Stent With Mcc Or 4… 24 9 — — $34,642.80 $68,187.02 $44,009.29 2026-03-31
246 MS_DRG Percutaneous Cardiovascular Procedures With Drug-eluting Stent With Mcc Or 4+ Ar… 24 9 — — $34,477.05 $67,860.79 $43,798.74 2026-03-31
338 MS_DRG Appendectomy With Complicated Principal Diagnosis With Mcc 24 9 — — $30,576.32 $60,183.01 $38,843.35 2026-03-31
341 MS_DRG Appendectomy Without Complicated Principal Diagnosis With Mcc 24 9 — — $26,001.09 $51,177.65 $33,031.10 2026-03-31
999 MS_DRG Ungroupable 24 8 — — $5,390.62 $293,279.04 $28,682.94 2026-03-31
5464 OTHER Level 4 Neurostimulator And Related Procedures 22 7 — — $4,836.62 $89,443.45 $28,389.77 2026-03-31
5661 OTHER Therapeutic Nuclear Medicine 18 8 — — $809.27 $118,008.55 $49,623.08 2026-03-31
33249 HCPCS Insj/rplcmt Defib W/lead(s) 18 6 — — $1,030.41 $114,352.67 $33,636.89 2026-03-31
64568 HCPCS Inc For Vagus N Elect Impl 18 6 — — $710.77 $160,465.57 $30,023.00 2026-03-31
33270 HCPCS Ins/rep Subq Defibrillator 18 6 — — $635.50 $114,352.67 $30,023.00 2026-03-31
33264 HCPCS Rmvl & Rplcmt Dfb Gen Mlt Ld 18 6 — — $452.97 $114,352.67 $30,023.00 2026-03-31
33231 HCPCS Insrt Pulse Gen W/mult Leads 18 6 — — $448.93 $114,352.67 $30,023.00 2026-03-31
69930 HCPCS Implant Cochlear Device 18 6 — — $1,319.07 $120,120.63 $30,023.00 2026-03-31
61886 HCPCS Implant Neurostim Arrays 18 6 — — $952.51 $112,417.58 $30,023.00 2026-03-31
93653 HCPCS Ep & Ablate Supravent Arrhyt 18 6 — — $947.57 $95,222.74 $28,009.82 2026-03-31
A9543 HCPCS Y90 Ibritumomab, Rx 14 6 — — $51,382.74 $193,181.91 $57,392.79 2026-03-31
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 14 6 — — $41,905.82 $191,293.90 $56,831.88 2026-03-31
J9226 HCPCS Supprelin La Implant 14 6 — — $31,333.15 $139,974.03 $41,585.16 2026-03-31
0408T HCPCS Insj/rplc Cardiac Modulj Sys 14 6 — — $4,983.00 $114,352.67 $33,636.89 2026-03-31
33289 HCPCS Tcat Impl Wrls P-art Prs Snr 14 6 — — $370.02 $104,496.23 $30,737.62 2026-03-31
J9266 HCPCS Pegaspargase Injection 14 6 — — $14,810.03 $96,631.02 $28,708.30 2026-03-31
5166 OTHER Cochlear Implant Procedure 12 6 — — $32,507.37 $100,518.94 $60,512.57 2026-03-31
Q2057 HCPCS Afamitresgene Autoleucel 10 5 — — $770,620.00 $2,619,815.62 $786,032.40 2026-03-31
Q2042 HCPCS Tisagenlecleucel Car-pos T 10 5 — — $614,180.81 $2,087,981.72 $626,464.42 2026-03-31
Q2056 HCPCS Ciltacabtagene Car-pos T 10 5 — — $588,494.81 $2,000,659.07 $600,264.70 2026-03-31
Q2054 HCPCS Lisocabtagene Mara Car Pos T 10 5 — — $562,260.84 $1,911,473.52 $573,506.05 2026-03-31
Q2055 HCPCS Idecabtagene Vicleucel Car 10 5 — — $559,781.08 $1,903,043.29 $570,976.70 2026-03-31
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 10 5 — — $531,849.12 $1,808,085.21 $542,486.10 2026-03-31
Q2053 HCPCS Brexucabtagene Car Pos T 10 5 — — $489,290.60 $1,663,402.40 $499,076.41 2026-03-31
Q0480 HCPCS Driver Pneumatic Vad, Rep 10 4 — — $78,725.89 $113,119.80 $110,901.76 2026-03-31
J9029 HCPCS Inj, Adstiladrin, Per Tx Dos 10 5 — — $64,282.30 $218,535.43 $65,567.94 2026-03-31
L7181 HCPCS Electronic Elbo Simultaneous 10 4 — — $35,014.84 $50,324.94 $49,338.18 2026-03-31
L7180 HCPCS Electronic Elbow Sequential 10 4 — — $31,771.52 $48,878.39 $47,919.99 2026-03-31
33276 HCPCS Insj Phrnc Nrv Stim Sys 10 5 — — $30,023.00 $160,465.57 $47,673.03 2026-03-31
0620T HCPCS Evasc Ven Artlz Tibl/prnl Vn 10 5 — — $21,651.00 $160,465.57 $47,673.03 2026-03-31
0870T HCPCS Imp Subq Prtl Ascts Pmp Sys 10 5 — — $5,543.00 $124,806.95 $37,079.14 2026-03-31
0915T HCPCS Insj Perm Ccm-d Sys Pg&eltrd 10 5 — — $30,023.00 $114,352.67 $33,973.26 2026-03-31
0571T HCPCS Insj/rplcmt Icds Ss Eltrd 10 5 — — $30,023.00 $114,352.67 $33,973.26 2026-03-31
33287 HCPCS Rmv&rplcmt Phrnc Nrv Stim Pg 10 5 — — $23,867.00 $112,417.58 $33,398.36 2026-03-31
0909T HCPCS Rplcmt Int Nstim Sys Vgs Nrv 10 5 — — $5,543.00 $112,417.58 $33,398.36 2026-03-31
64582 HCPCS Opn Mpltj Hpglsl Nstm Ary Pg 10 5 — — $23,867.00 $112,417.58 $33,398.36 2026-03-31
61891 HCPCS Rev/rplcmt Sk-mnt Crnl Nstm 10 5 — — $21,651.00 $112,417.58 $33,398.36 2026-03-31
0908T HCPCS Opn Imp Int Nstm Sys Vgs Nrv 10 5 — — $5,543.00 $112,417.58 $33,398.36 2026-03-31
0674T HCPCS Laps Insj Nw/rpcmt Prm Isdss 10 5 — — $5,543.00 $112,417.58 $33,398.36 2026-03-31
L5856 HCPCS Elec Knee-shin Swing/stance 10 4 — — $21,008.90 $30,150.98 $29,559.78 2026-03-31
C9760 HCPCS Non-blind Interatrial Shunt 10 5 — — $28,845.27 $98,062.99 $29,422.18 2026-03-31
L6880 HCPCS Elec Hand Ind Art Digits 10 4 — — $20,884.52 $30,008.61 $29,420.21 2026-03-31
0956T HCPCS Prt Crn Ch Cr&tun Elt S-sclp 10 5 — — $23,867.00 $98,851.86 $29,368.10 2026-03-31
0960T HCPCS Rpl S-sclp Eltr Ra Rcvr&tlmt 10 5 — — $23,867.00 $98,851.86 $29,368.10 2026-03-31
0871T HCPCS Rplcmt Subq Prtl Ascites Pmp 10 5 — — $5,543.00 $98,062.99 $29,133.73 2026-03-31
J3393 HCPCS Inj, Betibeglogene Autotemce 8 4 — — $2,938,320.00 $4,864,551.99 $2,982,394.80 2026-03-31
J3399 HCPCS Inj Onase Abepar-xioi Treat 8 4 — — $2,587,087.26 $3,998,166.53 $2,625,893.56 2026-03-31
J3392 HCPCS Inj, Exagamglogene Autotem 8 4 — — $2,332,000.00 $3,847,800.00 $2,366,980.00 2026-03-31
C8007 HCPCS Opn Mplnt Hpgls Ns Ary Ps Gn 8 4 — — $33,067.68 $112,417.58 $33,563.70 2026-03-31
C8011 HCPCS Opn Mplnt Hpgls Ns Ary Rec 8 4 — — $33,067.68 $112,417.58 $33,563.70 2026-03-31
64656 HCPCS Revj/rplcmt Bat Mod Sys Pg 8 4 — — $33,067.68 $112,417.58 $33,563.70 2026-03-31
2616 OTHER Brachytx, Non-str,yttrium-90 8 4 — — $28,721.61 $60,560.20 $28,782.22 2026-03-31
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 6 3 — — $3,691,450.00 $3,765,279.00 $3,728,364.50 2026-03-31
J1413 HCPCS Inj Delandistrogene Mox Rokl 6 3 — — $3,321,376.38 $3,387,803.91 $3,354,590.14 2026-03-31
J3394 HCPCS Inj, Lovotibeglogene Autotem 6 3 — — $3,245,381.39 $3,310,289.02 $3,277,835.20 2026-03-31
0795 OTHER Inj, Lidocaine In D5w, 1 Mg 4 1 — — $85,282.10 $119,194.50 $102,238.30 2026-03-31
0788 OTHER Inj Cefazolin Sodium, Hikma 4 2 — — $5,417.98 $108,473.40 $56,945.69 2026-03-31
0792 OTHER Inj, Glycopyrrolate, 0.1 Mg 4 2 — — $12.80 $102,134.20 $51,073.50 2026-03-31
J7330 HCPCS Cultured Chondrocytes Implnt 4 1 — — $30,813.16 $30,813.16 $30,813.16 2026-03-31
C9301 HCPCS Obecabtagene Car Pos T 2 1 — — $459,112.50 $459,112.50 $459,112.50 2026-03-31
1848 OTHER Artiss Fibrin Sealant 2 1 — — $102,306.90 $102,306.90 $102,306.90 2026-03-31
5376 OTHER Level 6 Urology And Related Services 2 1 — — $66,580.95 $66,580.95 $66,580.95 2026-03-31
5200 OTHER Implantation Wireless Pa Pressure Monitor 2 1 — — $32,433.12 $32,433.12 $32,433.12 2026-03-31
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