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

MC DONOUGH DISTRICT HOSPITAL

Macomb, IL · CCN 140089 · Rates published

Your selected procedure

You selected 807 (MS_DRG)

VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

This hospital’s price: $4,797 across 9 payers · range $4,023-$6,742

Source: https://www.mdh.org/documents/376016777_mcdonough-county-hospital-district_standardcharges.csv · observed 2026-05-24

This is the facility’s filed rate for this code. The comparison board’s estimate also adds the surgeon and anesthesia fees, so it is usually higher.

34,088 distinct procedures filed
32 distinct payers
1,451,234 rate rows
2026-07-31 last MRF observed
Data quality

1,416,206 of 1,451,234 rate rows are consumer-grade (97.6%)

35,028 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
placeholder amount (≤ $0.02) — excluded from medians 17,016
template filing: same amount across many unrelated codes — excluded 8,080
no usable negotiated amount (only an out-of-band fallback) — excluded from medians 7,414
per-diem day rate — not a per-procedure price 1,556
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 514
percent-of-charges filed in the dollar field — excluded from medians 440
below 25% of the Medicare reference for this DRG — likely a mislabeled per-diem; excluded from rankings 8
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://www.mdh.org/documents/376016777_mcdonough-county-hospital-district_standardcharges.csv
Found on page https://www.mdh.org/patients-visitors/financial-services/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint 0d63042ced8bed7d… · 144,999,553 bytes · first seen 2026-05-09

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
J3391
HCPCS 		Inj- Atidarsagene Autotemcel 8 $4,505,000.00 $4,505,000.00 $4,505,000.00 nat. median
$4,505,000
1.0× median
J3399
HCPCS 		Inj Onase Abepar-xioi Treat 8 $2,455,110.61 $2,455,110.61 $2,455,110.61 nat. median
$2,460,273
1.0× median
Q2057
HCPCS 		Afamitresgene Autoleucel 20 $56,281.85 $770,620.00 $616,496.00 nat. median
$809,151
0.8× median
Q2042
HCPCS 		Tisagenlecleucel Car-pos T 21 $56,281.85 $591,726.20 $591,726.20 nat. median
$691,418
0.9× median
Q2056
HCPCS 		Ciltacabtagene Car-pos T 21 $56,281.85 $565,868.95 $565,868.95 nat. median
$631,793
0.9× median
Q2054
HCPCS 		Lisocabtagene Mara Car Pos T 21 $56,281.85 $562,538.19 $562,538.19 nat. median
$624,417
0.9× median
Q2055
HCPCS 		Idecabtagene Vicleucel Car 21 $56,281.85 $557,317.93 $557,317.93 nat. median
$610,161
0.9× median
Q2041
HCPCS 		Axicabtagene Ciloleucel Car+ 21 $56,281.85 $533,230.17 $533,230.17 nat. median
$588,565
0.9× median
Q2053
HCPCS 		Brexucabtagene Car Pos T 21 $56,281.85 $489,304.61 $489,304.61 nat. median
$577,541
0.8× median
633
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 1 $325,996.97 $325,996.97 $325,996.97 nat. median
$7,400
outlier · 44.1×
18
MS_DRG 		Chimeric Antigen Receptor (car) T-cell Immunotherapy 9 $307,281.58 $431,828.00 $307,281.58 nat. median
$370,165
0.8× median
612
MS_DRG 		Neonate- Birth Weight <750 Grams- Discharged Alive 1 $298,731.17 $298,731.17 $298,731.17 nat. median
$53,038
outlier · 5.6×
Q2058
HCPCS 		Obecbtge Autol Up To 400 Mil 8 $278,250.00 $278,250.00 $278,250.00 nat. median
$302,242
0.9× median
J3403
HCPCS 		Revakinagene- Per Implant 8 $257,500.00 $257,500.00 $257,500.00 nat. median
$265,000
1.0× median
631
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Discharged Alive 1 $216,612.84 $216,612.84 $216,612.84 nat. median
$77,861
outlier · 2.8×
J3402
HCPCS 		Inj. Remestemcel-l-rknd/ Td 11 $123,384.00 $205,640.00 $205,640.00 nat. median
$209,736
1.0× median
1
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System With Mcc 9 $199,413.38 $368,197.56 $199,413.38 nat. median
$261,939
0.8× median
636
MS_DRG 		Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 1 $191,550.37 $191,550.37 $191,550.37 nat. median
$8,001
outlier · 23.9×
927
MS_DRG 		Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 9 $151,926.59 $252,256.11 $151,926.59 nat. median
$205,166
0.7× median
3
MS_DRG 		Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 9 $151,034.97 $247,677.96 $151,034.97 nat. median
$199,832
0.8× median
0024
RC 		Heart And/or Lung Transplant 4 $132,985.16 $132,985.16 $132,985.16 nat. median
$26,905
outlier · 4.9×
681
MS_DRG 		Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 1 $130,470.06 $130,470.06 $130,470.06 nat. median
$29,070
outlier · 4.5×
5834
OTHER 		Neonate With Ecmo 14 $117,715.01 $175,708.64 $117,715.01 nat. median
$376,382
outlier · 0.3×
634
MS_DRG 		Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 1 $116,847.70 $116,847.70 $116,847.70 nat. median
$13,790
outlier · 8.5×
Q0480
HCPCS 		Driver Pneumatic Vad- Rep 8 $108,727.20 $108,727.22 $108,727.22 nat. median
$111,503
1.0× median
632
MS_DRG 		Neonate- Birth Weight 750-999 Grams- Died 1 $106,309.05 $106,309.05 $106,309.05 nat. median
$65,117
1.6× median
4
MS_DRG 		Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 9 $98,564.24 $158,919.92 $98,564.24 nat. median
$132,706
0.7× median
5884
OTHER 		Neonate Birth Weight < 1500 Grams With Major Procedure 14 $96,558.28 $144,128.74 $96,558.28 nat. median
$247,377
outlier · 0.4×
5833
OTHER 		Neonate With Ecmo 14 $93,232.53 $139,164.60 $93,232.53 nat. median
$246,994
outlier · 0.4×
365
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $92,612.92 $92,612.92 $92,612.92 nat. median
$17,293
outlier · 5.4×
1614
OTHER 		Implantable Heart Assist Systems 14 $92,321.14 $137,804.19 $92,321.14 nat. median
$189,554
outlier · 0.5×
7
MS_DRG 		Lung Transplant 9 $92,151.46 $129,502.00 $92,151.46 nat. median
$122,690
0.8× median
0114
RC 		Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 4 $90,655.25 $90,655.25 $90,655.25 nat. median
$1,063
outlier · 85.2×
24
OTHER 		Heart And/or Lung Transplant 10 $89,092.60 $89,092.60 $89,092.60 nat. median
$27,882
outlier · 3.2×
0074
OTHER 		Allogeneic Bone Marrow Transplant 4 $87,182.94 $87,182.94 $87,182.94 nat. median
$146,633
0.6× median
0044
OTHER 		Tracheostomy With Mv >96 Hours With Extensive Procedure 4 $86,355.10 $86,355.10 $86,355.10 nat. median
$156,384
0.6× median
14
MS_DRG 		Allogeneic Bone Marrow Transplant 9 $85,517.37 $120,179.00 $85,517.37 nat. median
$114,305
0.7× median
0014
OTHER 		Liver Transplant And/or Intestinal Transplant 4 $85,012.34 $85,012.34 $85,012.34 nat. median
$88,049
1.0× median
0094
OTHER 		Extracorporeal Membrane Oxygenation (ecmo) 4 $84,543.87 $84,543.87 $84,543.87 nat. median
$119,231
0.7× median
0023
RC 		Heart And/or Lung Transplant 4 $82,236.08 $82,236.08 $82,236.08 nat. median
$83,522
1.0× median
2
MS_DRG 		Heart Transplant Or Implant Of Heart Assist System Without Mcc 9 $80,635.19 $117,178.20 $80,635.19 nat. median
$108,240
0.7× median
209
MS_DRG 		Kidney And Urinary Tract Signs And Symptoms Age 0-17 9 $5,096.41 $113,188.00 $80,542.69 nat. median
$96,134
0.8× median
426
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 9 $19,453.54 $110,212.00 $78,425.02 nat. median
$96,835
0.8× median
212
MS_DRG 		Testes Procedures Age 0-17 9 $77,378.28 $115,839.91 $77,378.28 nat. median
$100,978
0.8× median
0064
OTHER 		Pancreas Transplant 4 $75,075.77 $75,075.77 $75,075.77 nat. median
$82,494
0.9× median
5
MS_DRG 		Liver Transplant With Mcc Or Intestinal Transplant 9 $73,367.79 $130,567.78 $73,367.79 nat. median
$99,646
0.7× median
215
MS_DRG 		Other Heart Assist System Implant 9 $70,852.35 $101,608.28 $70,852.35 nat. median
$98,002
0.7× median
1613
OTHER 		Implantable Heart Assist Systems 14 $70,727.56 $105,572.17 $70,727.56 nat. median
$78
outlier · 907.5×
366
MS_DRG 		Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 1 $70,485.68 $70,485.68 $70,485.68 nat. median
$9,359
outlier · 7.5×
6304
OTHER 		Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 14 $70,085.59 $104,613.99 $70,085.59 nat. median
$177,388
outlier · 0.4×

Other procedures at this hospital

Browse this hospital's 34,088 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
             
J3391 HCPCS Inj- Atidarsagene Autotemcel 16 8 — — $4,505,000.00 $4,505,000.00 $4,505,000.00 2026-05-24
J3399 HCPCS Inj Onase Abepar-xioi Treat 16 8 — — $2,455,110.61 $2,455,110.61 $2,455,110.61 2026-05-24
Q2057 HCPCS Afamitresgene Autoleucel 44 20 — — $56,281.85 $770,620.00 $616,496.00 2026-05-24
Q2042 HCPCS Tisagenlecleucel Car-pos T 46 21 — — $56,281.85 $591,726.20 $591,726.20 2026-05-24
Q2056 HCPCS Ciltacabtagene Car-pos T 46 21 — — $56,281.85 $565,868.95 $565,868.95 2026-05-24
Q2054 HCPCS Lisocabtagene Mara Car Pos T 46 21 — — $56,281.85 $562,538.19 $562,538.19 2026-05-24
Q2055 HCPCS Idecabtagene Vicleucel Car 46 21 — — $56,281.85 $557,317.93 $557,317.93 2026-05-24
Q2041 HCPCS Axicabtagene Ciloleucel Car+ 46 21 — — $56,281.85 $533,230.17 $533,230.17 2026-05-24
Q2053 HCPCS Brexucabtagene Car Pos T 46 21 — — $56,281.85 $489,304.61 $489,304.61 2026-05-24
633 MS_DRG Neonate- Birth Weight 1000-1499 Grams- With Significant O.r. Procedures- Dischar… 2 1 — — $325,996.97 $325,996.97 $325,996.97 2026-05-24
18 MS_DRG Chimeric Antigen Receptor (car) T-cell Immunotherapy 22 9 — — $307,281.58 $431,828.00 $307,281.58 2026-05-24
612 MS_DRG Neonate- Birth Weight <750 Grams- Discharged Alive 2 1 — — $298,731.17 $298,731.17 $298,731.17 2026-05-24
Q2058 HCPCS Obecbtge Autol Up To 400 Mil 16 8 — — $278,250.00 $278,250.00 $278,250.00 2026-05-24
J3403 HCPCS Revakinagene- Per Implant 16 8 — — $257,500.00 $257,500.00 $257,500.00 2026-05-24
631 MS_DRG Neonate- Birth Weight 750-999 Grams- Discharged Alive 2 1 — — $216,612.84 $216,612.84 $216,612.84 2026-05-24
J3402 HCPCS Inj. Remestemcel-l-rknd/ Td 26 11 — — $123,384.00 $205,640.00 $205,640.00 2026-05-24
1 MS_DRG Heart Transplant Or Implant Of Heart Assist System With Mcc 22 9 — — $199,413.38 $368,197.56 $199,413.38 2026-05-24
636 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- With Mu… 2 1 — — $191,550.37 $191,550.37 $191,550.37 2026-05-24
927 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours With Skin Graft 22 9 — — $151,926.59 $252,256.11 $151,926.59 2026-05-24
3 MS_DRG Ecmo Or Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth… 22 9 — — $151,034.97 $247,677.96 $151,034.97 2026-05-24
0024 RC Heart And/or Lung Transplant 8 4 — — $132,985.16 $132,985.16 $132,985.16 2026-05-24
681 MS_DRG Neonate- Birth Weight >2499 Grams- With Significant O.r. Procedures- With Multip… 2 1 — — $130,470.06 $130,470.06 $130,470.06 2026-05-24
5834 OTHER Neonate With Ecmo 28 14 — — $117,715.01 $175,708.64 $117,715.01 2026-05-24
634 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Without Significant O.r. Procedures- Disc… 2 1 — — $116,847.70 $116,847.70 $116,847.70 2026-05-24
Q0480 HCPCS Driver Pneumatic Vad- Rep 16 8 — — $108,727.20 $108,727.22 $108,727.22 2026-05-24
632 MS_DRG Neonate- Birth Weight 750-999 Grams- Died 2 1 — — $106,309.05 $106,309.05 $106,309.05 2026-05-24
4 MS_DRG Tracheostomy With Mv >96 Hours Or Principal Diagnosis Except Face- Mouth And Nec… 22 9 — — $98,564.24 $158,919.92 $98,564.24 2026-05-24
5884 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 28 14 — — $96,558.28 $144,128.74 $96,558.28 2026-05-24
5833 OTHER Neonate With Ecmo 28 14 — — $93,232.53 $139,164.60 $93,232.53 2026-05-24
365 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $92,612.92 $92,612.92 $92,612.92 2026-05-24
1614 OTHER Implantable Heart Assist Systems 28 14 — — $92,321.14 $137,804.19 $92,321.14 2026-05-24
7 MS_DRG Lung Transplant 22 9 — — $92,151.46 $129,502.00 $92,151.46 2026-05-24
0114 RC Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $90,655.25 $90,655.25 $90,655.25 2026-05-24
24 OTHER Heart And/or Lung Transplant 20 10 — — $89,092.60 $89,092.60 $89,092.60 2026-05-24
0074 OTHER Allogeneic Bone Marrow Transplant 8 4 — — $87,182.94 $87,182.94 $87,182.94 2026-05-24
0044 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 8 4 — — $86,355.10 $86,355.10 $86,355.10 2026-05-24
14 MS_DRG Allogeneic Bone Marrow Transplant 22 9 — — $85,517.37 $120,179.00 $85,517.37 2026-05-24
0014 OTHER Liver Transplant And/or Intestinal Transplant 8 4 — — $85,012.34 $85,012.34 $85,012.34 2026-05-24
0094 OTHER Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $84,543.87 $84,543.87 $84,543.87 2026-05-24
0023 RC Heart And/or Lung Transplant 8 4 — — $82,236.08 $82,236.08 $82,236.08 2026-05-24
2 MS_DRG Heart Transplant Or Implant Of Heart Assist System Without Mcc 22 9 — — $80,635.19 $117,178.20 $80,635.19 2026-05-24
209 MS_DRG Kidney And Urinary Tract Signs And Symptoms Age 0-17 22 9 — — $5,096.41 $113,188.00 $80,542.69 2026-05-24
426 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $19,453.54 $110,212.00 $78,425.02 2026-05-24
212 MS_DRG Testes Procedures Age 0-17 22 9 — — $77,378.28 $115,839.91 $77,378.28 2026-05-24
0064 OTHER Pancreas Transplant 8 4 — — $75,075.77 $75,075.77 $75,075.77 2026-05-24
5 MS_DRG Liver Transplant With Mcc Or Intestinal Transplant 22 9 — — $73,367.79 $130,567.78 $73,367.79 2026-05-24
215 MS_DRG Other Heart Assist System Implant 22 9 — — $70,852.35 $101,608.28 $70,852.35 2026-05-24
1613 OTHER Implantable Heart Assist Systems 28 14 — — $70,727.56 $105,572.17 $70,727.56 2026-05-24
366 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $70,485.68 $70,485.68 $70,485.68 2026-05-24
6304 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 14 — — $70,085.59 $104,613.99 $70,085.59 2026-05-24
216 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 9 — — $69,612.77 $109,950.30 $69,612.77 2026-05-24
5832 OTHER Neonate With Ecmo 28 14 — — $68,750.05 $102,620.55 $68,750.05 2026-05-24
L8702 HCPCS Ewhf S/d Uprt Micro Sensor 16 8 — — $67,452.66 $67,452.66 $67,452.66 2026-05-24
647 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 2 1 — — $65,169.89 $65,169.89 $65,169.89 2026-05-24
8414 OTHER Extensive Third Degree Burns With Skin Graft 28 14 — — $65,105.29 $97,180.01 $65,105.29 2026-05-24
635 MS_DRG Neonate- Birth Weight 1000-1499 Grams- Died 2 1 — — $65,033.86 $65,033.86 $65,033.86 2026-05-24
429 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion With Mcc 22 9 — — $64,110.81 $90,096.00 $64,110.81 2026-05-24
J9029 HCPCS Instill Adstiladrin- Tx Dose 46 21 — — $26,951.36 $63,342.28 $63,342.28 2026-05-24
5934 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 28 14 — — $62,974.22 $93,999.37 $62,974.22 2026-05-24
5883 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 28 14 — — $62,206.47 $92,853.22 $62,206.47 2026-05-24
850 MS_DRG Acute Leukemia With Other Procedures 22 9 — — $61,619.55 $91,887.73 $61,619.55 2026-05-24
0022 RC Heart And/or Lung Transplant 8 4 — — $61,028.10 $61,028.10 $61,028.10 2026-05-24
5882 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 28 14 — — $60,912.19 $90,921.35 $60,912.19 2026-05-24
5914 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 28 14 — — $60,812.21 $90,771.92 $60,812.21 2026-05-24
114 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 10 — — $60,734.04 $60,734.04 $60,734.04 2026-05-24
646 MS_DRG Neonate- Birth Weight 1500-1999 Grams- With Significant O.r. Procedures- Without… 2 1 — — $60,682.75 $60,682.75 $60,682.75 2026-05-24
6094 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 14 — — $60,424.16 $90,192.90 $60,424.16 2026-05-24
231 MS_DRG Coronary Bypass With Ptca With Mcc 22 9 — — $56,753.15 $84,299.00 $59,985.76 2026-05-24
456 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 9 — — $59,797.19 $84,034.00 $59,797.19 2026-05-24
5831 OTHER Neonate With Ecmo 28 14 — — $59,412.39 $88,682.70 $59,412.39 2026-05-24
0043 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 8 4 — — $59,095.15 $59,095.15 $59,095.15 2026-05-24
74 OTHER Allogeneic Bone Marrow Transplant 20 10 — — $58,407.76 $58,407.76 $58,407.76 2026-05-24
6314 OTHER Neonate Birth Weight > 2499 Grams With Other Major Procedure 28 14 — — $58,009.80 $86,589.16 $58,009.80 2026-05-24
44 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 10 — — $57,853.07 $57,853.07 $57,853.07 2026-05-24
14 OTHER Liver Transplant And/or Intestinal Transplant 20 10 — — $56,953.59 $56,953.59 $56,953.59 2026-05-24
0054 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 4 — — $56,909.79 $56,909.79 $56,909.79 2026-05-24
1612 OTHER Implantable Heart Assist Systems 28 14 — — $56,788.14 $84,765.32 $56,788.14 2026-05-24
94 OTHER Extracorporeal Membrane Oxygenation (ecmo) 20 10 — — $56,639.74 $56,639.74 $56,639.74 2026-05-24
C9301 HCPCS Obecabtagene Car Pos T 20 10 — — $56,281.85 $56,281.85 $56,281.85 2026-05-24
J3394 HCPCS Inj, Lovotibeglogene Autotem 36 18 — — $56,281.85 $3,248,445.72 $56,281.85 2026-05-24
J3393 HCPCS Inj, Betibeglogene Autotemce 36 18 — — $56,281.85 $2,945,740.00 $56,281.85 2026-05-24
C9073 HCPCS Brexucabtagene Autoleucel Ca 20 10 — — $56,281.85 $56,281.85 $56,281.85 2026-05-24
J3392 HCPCS Inj, Exagamglogene Autotem 36 18 — — $56,281.85 $2,332,000.00 $56,281.85 2026-05-24
C9076 HCPCS Lisocabtagene Car Pos T 20 10 — — $56,281.85 $56,281.85 $56,281.85 2026-05-24
C9098 HCPCS Ciltacabtagene Car Pos T 20 10 — — $56,281.85 $56,281.85 $56,281.85 2026-05-24
C9081 HCPCS Idecabtagene Car Pos T 20 10 — — $56,281.85 $56,281.85 $56,281.85 2026-05-24
20 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Mcc 22 9 — — $55,993.06 $124,762.46 $55,993.06 2026-05-24
23 OTHER Heart And/or Lung Transplant 20 10 — — $55,093.52 $55,093.52 $55,093.52 2026-05-24
219 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $54,637.50 $76,783.00 $54,637.50 2026-05-24
233 MS_DRG Coronary Bypass With Cardiac Catheterization With Mcc 22 9 — — $54,401.96 $76,452.00 $54,401.96 2026-05-24
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Mcc 22 9 — — $54,221.93 $76,199.00 $54,221.93 2026-05-24
367 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 2 1 — — $54,011.43 $54,011.43 $54,011.43 2026-05-24
1611 OTHER Implantable Heart Assist Systems 28 14 — — $53,948.43 $80,526.75 $53,948.43 2026-05-24
0063 OTHER Pancreas Transplant 8 4 — — $52,789.33 $52,789.33 $52,789.33 2026-05-24
0021 OTHER Heart And/or Lung Transplant 8 4 — — $52,317.26 $52,317.26 $52,317.26 2026-05-24
403 MS_DRG Concomitant Left Atrial Appendage Closure And Cardiac Ablation 2 1 — — $51,665.36 $51,665.36 $51,665.36 2026-05-24
0073 OTHER Allogeneic Bone Marrow Transplant 8 4 — — $51,379.23 $51,379.23 $51,379.23 2026-05-24
427 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $14,583.21 $72,186.00 $51,366.35 2026-05-24
10 MS_DRG Pancreas Transplant 22 9 — — $51,061.08 $84,780.54 $51,061.08 2026-05-24
928 MS_DRG Full Thickness Burn With Skin Graft Or Inhalation Injury With Cc/mcc 22 9 — — $32,958.07 $71,727.00 $51,039.73 2026-05-24
19 MS_DRG Simultaneous Pancreas And Kidney Transplant With Hemodialysis 22 9 — — $50,768.62 $84,294.85 $50,768.62 2026-05-24
275 MS_DRG Cardiac Defibrillator Implant With Cardiac Catheterization And Mcc 22 9 — — $50,738.73 $71,304.00 $50,738.73 2026-05-24
6034 OTHER Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition 28 14 — — $50,620.70 $75,559.73 $50,620.70 2026-05-24
691 MS_DRG Urinary Stones W Esw Lithotripsy W Cc/mcc 2 1 — — $50,339.52 $50,339.52 $50,339.52 2026-05-24
64 OTHER Pancreas Transplant 20 10 — — $50,296.53 $50,296.53 $50,296.53 2026-05-24
870 MS_DRG Septicemia Or Severe Sepsis With Mv >96 Hours 22 9 — — $49,183.21 $72,964.91 $49,183.21 2026-05-24
0013 OTHER Liver Transplant And/or Intestinal Transplant 8 4 — — $49,148.14 $49,148.14 $49,148.14 2026-05-24
268 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon With Mcc 22 9 — — $14,454.84 $68,779.00 $48,941.99 2026-05-24
L7181 HCPCS Electronic Elbo Simultaneous 16 8 — — $48,370.76 $48,370.76 $48,370.76 2026-05-24
Q2043 HCPCS Sipuleucel-t Auto Cd54+ 50 22 — — $26,951.36 $55,272.32 $48,125.58 2026-05-24
955 MS_DRG Craniotomy For Multiple Significant Trauma 22 9 — — $47,897.38 $95,892.06 $47,897.38 2026-05-24
317 MS_DRG Endovascular Cardiac Valve Replacement And Supplement Procedures With Mcc 22 9 — — $47,580.02 $68,559.19 $47,580.02 2026-05-24
447 MS_DRG Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomicall… 22 9 — — $47,545.15 $102,649.59 $47,545.15 2026-05-24
L7180 HCPCS Electronic Elbow Sequential 16 8 — — $46,980.38 $46,980.38 $46,980.38 2026-05-24
217 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 9 — — $46,788.73 $65,753.00 $46,788.73 2026-05-24
218 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures With Cardiac Catheteriza… 22 9 — — $46,788.73 $65,753.00 $46,788.73 2026-05-24
573 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis With Mcc 22 9 — — $46,618.67 $65,514.00 $46,618.67 2026-05-24
0062 OTHER Pancreas Transplant 8 4 — — $45,826.34 $45,826.34 $45,826.34 2026-05-24
207 MS_DRG Respiratory System Diagnosis With Ventilator Support >96 Hours 22 9 — — $45,788.25 $64,423.63 $45,788.25 2026-05-24
648 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 2 1 — — $45,428.96 $45,428.96 $45,428.96 2026-05-24
A9543 HCPCS Y90 Ibritumomab, Rx 36 18 — — $45,156.22 $56,824.55 $45,156.22 2026-05-24
A9513 HCPCS Lutetium Lu 177 Dotatat Ther 36 18 — — $316.99 $45,156.22 $45,156.22 2026-05-24
A9607 HCPCS Lutetium Lu 177 Vipivotide 36 18 — — $255.84 $45,156.22 $45,156.22 2026-05-24
6024 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 14 — — $45,140.07 $67,378.93 $45,140.07 2026-05-24
0113 RC Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 8 4 — — $44,622.94 $44,622.94 $44,622.94 2026-05-24
361 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 2 1 — — $44,592.65 $44,592.65 $44,592.65 2026-05-24
0084 OTHER Autologous Bone Marrow Transplant 8 4 — — $44,102.25 $44,102.25 $44,102.25 2026-05-24
266 MS_DRG Endovascular Cardiac Valve Replacement W Mcc 22 9 — — $40,239.62 $61,284.00 $43,608.67 2026-05-24
969 MS_DRG HIV With Extensive O.r. Procedures With Mcc 22 9 — — $43,558.15 $67,249.65 $43,558.15 2026-05-24
232 MS_DRG Coronary Bypass With Ptca Without Mcc 22 9 — — $43,140.45 $64,957.22 $43,140.45 2026-05-24
677 MS_DRG Neonate- Birth Weight 2000-2499 Grams- Without Significant O.r. Procedures- With… 2 1 — — $43,032.11 $43,032.11 $43,032.11 2026-05-24
28 MS_DRG Spinal Procedures With Mcc 22 9 — — $42,585.70 $60,083.00 $42,754.06 2026-05-24
276 MS_DRG Cardiac Defibrillator Implant With Mcc Or Carotid Sinus Neurostimulator 22 9 — — $36,091.60 $60,066.00 $42,741.96 2026-05-24
457 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 9 — — $42,432.42 $60,825.49 $42,432.42 2026-05-24
790 MS_DRG Extreme Immaturity Or Respiratory Distress Syndrome- Neonate 22 9 — — $7,036.31 $59,435.00 $42,292.95 2026-05-24
16 MS_DRG Autolous Bone Marrow Transplant With Cc/mcc 22 9 — — $42,194.75 $59,297.00 $42,194.75 2026-05-24
0053 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 4 — — $41,907.53 $41,907.53 $41,907.53 2026-05-24
613 MS_DRG Neonate- Birth Weight <750 Grams- Died 2 1 — — $41,882.54 $41,882.54 $41,882.54 2026-05-24
235 MS_DRG Coronary Bypass Without Cardiac Catheterization With Mcc 22 9 — — $41,759.98 $58,686.00 $41,759.98 2026-05-24
820 MS_DRG Lymphoma And Leukemia With Major O.r. Procedures With Mcc 22 9 — — $41,732.94 $58,648.00 $41,732.94 2026-05-24
362 MS_DRG Cardiac Defibrillator Implant Without Mcc 2 1 — — $41,591.32 $41,591.32 $41,591.32 2026-05-24
396 MS_DRG Major Head And Neck Procedures With Mcc 2 1 — — $41,347.04 $41,347.04 $41,347.04 2026-05-24
0012 OTHER Liver Transplant And/or Intestinal Transplant 8 4 — — $41,192.04 $41,192.04 $41,192.04 2026-05-24
430 MS_DRG Combined Anterior And Posterior Cervical Spinal Fusion Without Mcc 22 9 — — $41,037.72 $57,671.00 $41,037.72 2026-05-24
59379 OTHER Amputation Finger/th 40 17 $45,530.00 $27,318.00 40% off $10,927.20 $45,530.00 $40,977.00 2026-05-24
22 OTHER Heart And/or Lung Transplant 20 10 — — $40,885.47 $40,885.47 $40,885.47 2026-05-24
23 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 9 — — $40,775.86 $60,634.85 $40,775.86 2026-05-24
0042 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 8 4 — — $40,628.14 $40,628.14 $40,628.14 2026-05-24
213 MS_DRG Splenic Procedures Age 0-17 22 9 — — $17,669.80 $57,069.00 $40,609.35 2026-05-24
463 MS_DRG Wound Debridement And Skin Graft Except Hand For Musculoskeletal And Connective … 22 9 — — $40,556.69 $56,995.00 $40,556.69 2026-05-24
5933 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 28 14 — — $40,496.64 $60,447.64 $40,496.64 2026-05-24
J9226 HCPCS Supprelin La Implant 50 22 — — $26,951.36 $45,020.65 $40,225.59 2026-05-24
0072 OTHER Allogeneic Bone Marrow Transplant 8 4 — — $40,189.20 $40,189.20 $40,189.20 2026-05-24
5881 OTHER Neonate Birth Weight < 1500 Grams With Major Procedure 28 14 — — $40,094.71 $59,847.73 $40,094.71 2026-05-24
428 MS_DRG Multiple Level Combined Anterior And Posterior Spinal Fusion Except Cervical Wit… 22 9 — — $11,080.86 $56,220.00 $40,005.21 2026-05-24
8 MS_DRG Simultaneous Pancreas/kidney Transplant 22 9 — — $39,881.40 $57,857.69 $39,881.40 2026-05-24
278 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 22 9 — — $31,261.51 $55,662.00 $39,608.15 2026-05-24
43 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 10 — — $39,590.41 $39,590.41 $39,590.41 2026-05-24
461 MS_DRG Bilateral Or Multiple Major Joint Procs Of Lower Extremity W Mcc 22 9 — — $39,300.74 $65,254.19 $39,300.74 2026-05-24
834 MS_DRG Acute Leukemia Without Major O.r. Procedures With Mcc 22 9 — — $39,065.21 $87,238.69 $39,065.21 2026-05-24
1604 OTHER Major Cardiothoracic Repair Of Heart Anomaly 28 14 — — $39,065.08 $58,310.89 $39,065.08 2026-05-24
0093 OTHER Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $38,965.63 $38,965.63 $38,965.63 2026-05-24
405 MS_DRG Pancreas- Liver And Shunt Procedures With Mcc 22 9 — — $38,927.16 $54,705.00 $38,927.16 2026-05-24
234 MS_DRG Coronary Bypass With Cardiac Catheterization Without Mcc 22 9 — — $38,871.66 $61,659.88 $38,871.66 2026-05-24
11 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Mcc 22 9 — — $38,810.46 $63,128.45 $38,810.46 2026-05-24
L2006 HCPCS Kaf Sng/dbl Swg/stn Mcpr Cus 16 8 — — $38,762.63 $38,762.63 $38,762.63 2026-05-24
17 MS_DRG Autolous Bone Marrow Transplant Without Cc/mcc 22 9 — — $38,655.34 $64,182.22 $38,655.34 2026-05-24
54 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 10 — — $38,126.31 $38,126.31 $38,126.31 2026-05-24
220 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $37,947.31 $53,328.00 $37,947.31 2026-05-24
450 MS_DRG Single Level Spinal Fusion Except Cervical With Mcc Or Custom-made Anatomically … 22 9 — — $37,924.54 $58,394.15 $37,924.54 2026-05-24
21 MS_DRG Intracranial Vascular Procedures With Principal Diagnosis Hemorrhage With Cc 22 9 — — $37,669.80 $52,938.00 $37,669.80 2026-05-24
270 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 9 — — $3,498.51 $52,763.00 $37,545.27 2026-05-24
404 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 2 1 — — $37,471.08 $37,471.08 $37,471.08 2026-05-24
466 MS_DRG Revision Of Hip Or Knee Replacement With Mcc 22 9 — — $37,040.76 $52,054.00 $37,040.76 2026-05-24
0454T CPT Insj/rplcmt Subq Electrode 20 10 — — $37,031.81 $37,031.81 $37,031.81 2026-05-24
0459T CPT Relocaj Rplcmt Aortic Ventr 20 10 — — $37,031.81 $37,031.81 $37,031.81 2026-05-24
0451T CPT Insj/rplcmt Aortic Ventr Sys 20 10 — — $37,031.81 $37,031.81 $37,031.81 2026-05-24
0452T CPT Insj/rplcmt Dev Vasc Seal 20 10 — — $37,031.81 $37,031.81 $37,031.81 2026-05-24
0453T CPT Insj/rplcmt Mech-elec Ntrfce 20 10 — — $37,031.81 $37,031.81 $37,031.81 2026-05-24
653 MS_DRG Major Bladder Procedures With Mcc 22 9 — — $34,996.64 $51,964.00 $36,976.71 2026-05-24
1624 OTHER Cardiac Valve Procedures With Ami Or Complex Principal Diagnosis 28 14 — — $36,818.15 $54,957.05 $36,818.15 2026-05-24
0011 OTHER Liver Transplant And/or Intestinal Transplant 8 4 — — $36,573.21 $36,573.21 $36,573.21 2026-05-24
0061 OTHER Pancreas Transplant 8 4 — — $36,021.56 $36,021.56 $36,021.56 2026-05-24
221 MS_DRG Cardiac Valve And Other Major Cardiothoracic Procedures Without Cardiac Catheter… 22 9 — — $35,865.22 $50,402.00 $35,865.22 2026-05-24
0071 OTHER Allogeneic Bone Marrow Transplant 8 4 — — $35,785.35 $35,785.35 $35,785.35 2026-05-24
0914 RC Other Major Head And Neck Procedures 8 4 — — $35,633.75 $35,633.75 $35,633.75 2026-05-24
5913 OTHER Neonate Birth Weight 500-749 Grams Without Major Procedure 28 14 — — $35,626.64 $53,178.58 $35,626.64 2026-05-24
6023 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 14 — — $35,594.11 $53,129.97 $35,594.11 2026-05-24
326 MS_DRG Stomach- Esophageal And Duodenal Procedures With Mcc 22 9 — — $35,489.50 $49,874.00 $35,489.50 2026-05-24
608 MS_DRG Bpd And Other Chronic Respiratory Diseases Arising In Perinatal Period 2 1 — — $35,440.18 $35,440.18 $35,440.18 2026-05-24
63 OTHER Pancreas Transplant 20 10 — — $35,365.96 $35,365.96 $35,365.96 2026-05-24
228 MS_DRG Other Cardiothoracic Procedures With Mcc 22 9 — — $35,204.87 $61,900.33 $35,204.87 2026-05-24
3034 OTHER Dorsal And Lumbar Fusion Procedure For Curvature Of Back 28 14 — — $35,199.32 $52,540.51 $35,199.32 2026-05-24
853 MS_DRG Infectious And Parasitic Diseases With O.r. Procedures With Mcc 22 9 — — $35,142.25 $49,386.00 $35,142.25 2026-05-24
21 OTHER Heart And/or Lung Transplant 20 10 — — $35,049.74 $35,049.74 $35,049.74 2026-05-24
239 MS_DRG Amputation For Circulatory System Disorders Except Upper Limb And Toe With Mcc 22 9 — — $35,021.99 $49,217.00 $35,021.99 2026-05-24
576 MS_DRG Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc 22 9 — — $34,876.12 $57,371.04 $34,876.12 2026-05-24
6074 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 14 — — $34,671.61 $51,753.00 $34,671.61 2026-05-24
73 OTHER Allogeneic Bone Marrow Transplant 20 10 — — $34,421.25 $34,421.25 $34,421.25 2026-05-24
471 MS_DRG Cervical Spinal Fusion With Mcc 22 9 — — $34,360.22 $48,287.00 $34,360.22 2026-05-24
L8701 HCPCS Ewh S/d Uprt Micro Sensor 16 8 — — $34,284.44 $34,284.44 $34,284.44 2026-05-24
837 MS_DRG Chemotherapy With Acute Leukemia As Secondary Diagnosis Or With High Dose Chemot… 22 9 — — $34,186.59 $48,740.67 $34,186.59 2026-05-24
0234 RC Spinal Procedures 8 4 — — $34,138.31 $34,138.31 $34,138.31 2026-05-24
267 MS_DRG Endovascular Cardiac Valve Replacement Without Mcc 22 9 — — $3,876.91 $47,608.00 $33,877.06 2026-05-24
6303 OTHER Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure 28 14 — — $33,863.78 $50,547.07 $33,863.78 2026-05-24
364 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $33,815.46 $33,815.46 $33,815.46 2026-05-24
0214 RC Open Craniotomy Except Trauma 8 4 — — $33,670.56 $33,670.56 $33,670.56 2026-05-24
4404 OTHER Kidney Transplant 28 14 — — $33,463.04 $49,948.97 $33,463.04 2026-05-24
650 MS_DRG Kidney Transplant With Hemodialysis With Mcc 22 9 — — $25,348.90 $47,014.00 $33,454.38 2026-05-24
981 MS_DRG Extensive O.r. Procedures Unrelated To Principal Diagnosis With Mcc 22 9 — — $33,386.06 $53,625.37 $33,386.06 2026-05-24
826 MS_DRG Myeloproliferative Disorders Or Poorly Differentiated Neoplasms With Major O.r. … 22 9 — — $33,286.44 $50,102.90 $33,286.44 2026-05-24
6 MS_DRG Liver Transplant Without Mcc 22 9 — — $32,996.12 $63,520.26 $32,996.12 2026-05-24
13 OTHER Liver Transplant And/or Intestinal Transplant 20 10 — — $32,926.60 $32,926.60 $32,926.60 2026-05-24
8424 OTHER Burns With Skin Graft Except Extensive Third Degree Burns 28 14 — — $32,902.40 $49,112.13 $32,902.40 2026-05-24
277 MS_DRG Other Major Cardiovascular Procedures With Mcc 22 9 — — $32,864.47 $51,324.32 $32,864.47 2026-05-24
329 MS_DRG Major Small And Large Bowel Procedures With Mcc 22 9 — — $32,707.92 $45,965.00 $32,707.92 2026-05-24
823 MS_DRG Lymphoma And Non-acute Leukemia With Other Procedures With Mcc 22 9 — — $32,624.67 $50,937.30 $32,624.67 2026-05-24
245 MS_DRG Aicd Generator Procedures 22 9 — — $32,465.28 $51,963.28 $32,465.28 2026-05-24
856 MS_DRG Postoperative Or Post-traumatic Infections With O.r. Procedures With Mcc 22 9 — — $32,367.79 $45,487.00 $32,367.79 2026-05-24
25 MS_DRG Craniotomy And Endovascular Intracranial Procedures With Mcc 22 9 — — $32,353.56 $45,467.00 $32,353.56 2026-05-24
799 MS_DRG Splenic Procedures With Mcc 22 9 — — $32,226.89 $50,559.86 $32,226.89 2026-05-24
5932 OTHER Neonate Birth Weight 750-999 Grams Without Major Procedure 28 14 — — $32,097.35 $47,910.52 $32,097.35 2026-05-24
649 MS_DRG Neonate- Birth Weight 1500-1999 Grams- Without Significant O.r. Procedures- With… 2 1 — — $32,013.51 $32,013.51 $32,013.51 2026-05-24
163 MS_DRG Major Chest Procedures With Mcc 22 9 — — $31,891.74 $44,818.00 $31,891.74 2026-05-24
31 MS_DRG Ventricular Shunt Procedures With Mcc 22 9 — — $23,692.57 $44,805.00 $31,882.49 2026-05-24
319 MS_DRG Other Endovascular Cardiac Valve Procedures With Mcc 22 9 — — $31,757.25 $46,710.72 $31,757.25 2026-05-24
0894 OTHER Major Cranial/facial Bone Procedures 8 4 — — $31,677.13 $31,677.13 $31,677.13 2026-05-24
72318 OTHER Guselkumab 200 Mg/20 Ml Sol [mdh] 40 17 $34,959.46 $20,975.68 40% off $8,390.27 $34,959.46 $31,463.51 2026-05-24
1634 OTHER Cardiac Valve Procedures Without Ami Or Complex Principal Diagnosis 28 14 — — $31,329.99 $46,765.09 $31,329.99 2026-05-24
356 MS_DRG Other Digestive System O.r. Procedures With Mcc 22 9 — — $31,165.71 $43,928.00 $31,258.43 2026-05-24
1784 OTHER External Heart Assist Systems 28 14 — — $31,120.89 $46,452.89 $31,120.89 2026-05-24
0204 RC Open Craniotomy For Trauma 8 4 — — $31,063.54 $31,063.54 $31,063.54 2026-05-24
692 MS_DRG Urinary Stones W Esw Lithotripsy Without Cc/mcc 2 1 — — $30,949.21 $30,949.21 $30,949.21 2026-05-24
676 MS_DRG Neonate- Birth Weight 2000-2499 Grams- With Significant O.r. Procedures- Without… 2 1 — — $30,935.80 $30,935.80 $30,935.80 2026-05-24
363 MS_DRG Ultrasound Accelerated And Other Thrombolysis Of Peripheral Vascular Structures … 2 1 — — $30,926.22 $30,926.22 $30,926.22 2026-05-24
323 MS_DRG Coronary Intravascular Lithotripsy With Intraluminal Device With Mcc 22 9 — — $30,793.05 $50,667.15 $30,793.05 2026-05-24
62 OTHER Pancreas Transplant 20 10 — — $30,701.10 $30,701.10 $30,701.10 2026-05-24
0052 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 8 4 — — $30,675.37 $30,675.37 $30,675.37 2026-05-24
474 MS_DRG Amputation For Musculoskeletal System And Connective Tissue Disorders With Mcc 22 9 — — $30,547.56 $55,259.67 $30,547.56 2026-05-24
140 MS_DRG Major Head And Neck Procedures With Mcc 22 9 — — $4,993.91 $42,653.00 $30,351.16 2026-05-24
448 MS_DRG Multiple Level Spinal Fusion Except Cervical Without Mcc 22 9 — — $30,176.82 $42,408.00 $30,176.82 2026-05-24
6093 OTHER Neonate Birth Weight 1500-2499 Grams With Major Procedure 28 14 — — $30,103.56 $44,934.41 $30,103.56 2026-05-24
269 MS_DRG Aortic And Heart Assist Procedures Except Pulsation Balloon Without Mcc 22 9 — — $6,570.73 $42,232.00 $30,051.58 2026-05-24
12 MS_DRG Tracheostomy For Facemouth & Neck Diagnoses W Cc 22 9 — — $30,000.35 $42,160.00 $30,000.35 2026-05-24
958 MS_DRG Other O.r. Procedures For Multiple Significant Trauma With Cc 22 9 — — $29,985.41 $49,529.08 $29,985.41 2026-05-24
673 MS_DRG Other Kidney And Urinary Tract Procedures With Mcc 22 9 — — $28,450.82 $42,016.00 $29,897.88 2026-05-24
113 OTHER Chimeric Antigen Receptor (car) T-cell And Other Immunotherapies 20 10 — — $29,894.86 $29,894.86 $29,894.86 2026-05-24
901 MS_DRG Wound Debridements For Injuries With Mcc 22 9 — — $29,862.30 $41,966.00 $29,862.30 2026-05-24
S2235 HCPCS Implant Auditory Brain Imp 22 11 — — $14,086.02 $29,857.85 $29,857.85 2026-05-24
236 MS_DRG Coronary Bypass Without Cardiac Catheterization Without Mcc 22 9 — — $29,806.80 $46,821.85 $29,806.80 2026-05-24
458 MS_DRG Spinal Fusion Except Cervical With Spinal Curvature- Malignancy- Infection Or Ex… 22 9 — — $29,691.52 $46,821.85 $29,691.52 2026-05-24
0274 RC Other Open Craniotomy 8 4 — — $29,678.65 $29,678.65 $29,678.65 2026-05-24
793 MS_DRG Full Term Neonate With Major Problems 22 9 — — $29,670.18 $44,347.41 $29,670.18 2026-05-24
72222 OTHER Risankizumab Rzaa 60 mg/mL Sol [mdh] 40 17 $32,941.04 $19,764.62 40% off $7,905.85 $32,941.04 $29,646.94 2026-05-24
423 MS_DRG Other Hepatobiliary Or Pancreas O.r. Procedures With Mcc 22 9 — — $29,552.05 $58,534.02 $29,552.05 2026-05-24
84 OTHER Autologous Bone Marrow Transplant 20 10 — — $29,546.10 $29,546.10 $29,546.10 2026-05-24
273 MS_DRG Percutaneous Intracardiac Procedures W Mcc 22 9 — — $29,356.37 $47,930.22 $29,356.37 2026-05-24
L5856 HCPCS Elec Knee-shin Swing/stance 16 8 — — $28,980.18 $28,980.18 $28,980.18 2026-05-24
L6700 HCPCS Ue Add Ext Power Myoel 16 8 — — $28,931.56 $28,931.56 $28,931.56 2026-05-24
791 MS_DRG Prematurity With Major Problems 22 9 — — $2,778.12 $40,590.00 $28,883.16 2026-05-24
L6880 HCPCS Elec Hand Ind Art Digits 16 8 — — $28,843.34 $28,843.34 $28,843.34 2026-05-24
1654 OTHER Coronary Bypass With Ami Or Complex Principal Diagnosis 28 14 — — $28,650.58 $42,765.61 $28,650.58 2026-05-24
402 MS_DRG Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical 22 9 — — $11,816.59 $40,205.00 $28,609.21 2026-05-24
J9266 HCPCS Pegaspargase Injection 30 12 — — $17,054.44 $28,424.06 $28,424.06 2026-05-24
0092 OTHER Extracorporeal Membrane Oxygenation (ecmo) 8 4 — — $28,420.15 $28,420.15 $28,420.15 2026-05-24
802 MS_DRG Other O.r. Procedures Of The Blood And Blood Forming Organs With Mcc 22 9 — — $28,350.19 $39,841.00 $28,350.19 2026-05-24
104 MS_DRG Craniotomy- Ventricular Shunt And Endovascular Intracranial Procedures Age 0-17 2 1 — — $28,239.10 $28,239.10 $28,239.10 2026-05-24
0924 RC Facial Bone Procedures Except Major Cranial/facial Bone Procedures 8 4 — — $28,189.69 $28,189.69 $28,189.69 2026-05-24
1674 OTHER Other Cardiothoracic And Thoracic Vascular Procedures 28 14 — — $28,181.60 $42,065.61 $28,181.60 2026-05-24
53 OTHER Tracheostomy With Mv >96 Hours Without Extensive Procedure 20 10 — — $28,075.66 $28,075.66 $28,075.66 2026-05-24
24 MS_DRG Craniotomy With Major Device Implant Or Acute Complex Cns Principal Diagnosis Wi… 22 9 — — $27,836.43 $39,119.00 $27,836.43 2026-05-24
0915T CPT Insj Perm Ccm-d Sys Pg&eltrd 36 18 — — $27,818.07 $35,794.57 $27,818.07 2026-05-24
0520T CPT Rmv&rplcmt Pg Wcs Lv Battery 36 18 — — $10,909.27 $27,818.07 $27,818.07 2026-05-24
33231 OTHER Insrt Pulse Gen W/mult Leads 66 22 — — $196.29 $35,794.57 $27,818.07 2026-05-24
0409T CPT Insj/rplc Car Modulj Pls Gn 34 17 — — $25,059.64 $27,818.07 $27,818.07 2026-05-24
0614T CPT Rmvl&rplcmt Ss Impl Dfb Pg 34 17 — — $25,059.64 $27,818.07 $27,818.07 2026-05-24
33249 OTHER Insj/rplcmt Defib W/lead(s) 66 22 — — $447.34 $35,794.57 $27,818.07 2026-05-24
0923T CPT Rmvl&rplcmt Perm Ccm-d Pg 36 18 — — $23,398.36 $27,818.07 $27,818.07 2026-05-24
0571T CPT Insj/rplcmt Icds Ss Eltrd 34 17 — — $27,818.07 $35,794.57 $27,818.07 2026-05-24
33270 OTHER Ins/rep Subq Defibrillator 66 22 — — $274.94 $35,794.57 $27,818.07 2026-05-24
33289 OTHER Tcat Impl Wrls P-art Prs Snr 66 22 — — $196.62 $31,738.29 $27,818.07 2026-05-24
0916T CPT Insj Perm Ccm-d Sys Pg Only 36 18 — — $23,398.36 $27,818.07 $27,818.07 2026-05-24
G0448 HCPCS Place Perm Pacing Cardiovert 20 10 — — $27,818.07 $27,818.07 $27,818.07 2026-05-24
0414T CPT Rmvl & Rpl Car Modulj Pls Gn 34 17 — — $25,059.64 $27,818.07 $27,818.07 2026-05-24
33264 OTHER Rmvl & Rplcmt Dfb Gen Mlt Ld 66 22 — — $197.72 $35,794.57 $27,818.07 2026-05-24
0083 OTHER Autologous Bone Marrow Transplant 8 4 — — $27,770.55 $27,770.55 $27,770.55 2026-05-24
933 MS_DRG Extensive Burns Or Full Thickness Burns With Mv >96 Hours Without Skin Graft 22 9 — — $27,710.48 $46,010.45 $27,710.48 2026-05-24
12 OTHER Liver Transplant And/or Intestinal Transplant 20 10 — — $27,596.36 $27,596.36 $27,596.36 2026-05-24
609 MS_DRG Other Respiratory Problems After Birth 2 1 — — $27,572.36 $27,572.36 $27,572.36 2026-05-24
34 MS_DRG Carotid Artery Stent Procedures With Mcc 22 9 — — $27,543.25 $41,350.87 $27,543.25 2026-05-24
876 MS_DRG O.r. Procedures With Principal Diagnosis Of Mental Illness 22 9 — — $27,501.98 $38,649.00 $27,501.98 2026-05-24
40 MS_DRG Peripheral- Cranial Nerve And Other Nervous System Procedures With Mcc 22 9 — — $27,475.65 $47,931.18 $27,475.65 2026-05-24
907 MS_DRG Other O.r. Procedures For Injuries With Mcc 22 9 — — $27,319.82 $38,393.00 $27,319.82 2026-05-24
42 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 20 10 — — $27,218.63 $27,218.63 $27,218.63 2026-05-24
6022 OTHER Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other… 28 14 — — $27,159.51 $40,539.92 $27,159.51 2026-05-24
0041 OTHER Tracheostomy With Mv >96 Hours With Extensive Procedure 8 4 — — $27,131.04 $27,131.04 $27,131.04 2026-05-24
3044 OTHER Dorsal And Lumbar Fusion Procedure Except For Curvature Of Back 28 14 — — $27,017.07 $40,327.47 $27,017.07 2026-05-24
6073 OTHER Neonate Birth Weight 1250-1499 Grams With Respiratory Distress Syndrome Or Other… 28 14 — — $26,972.63 $40,260.86 $26,972.63 2026-05-24
J1414 HCPCS Inj, Beqvez, Per Tx Dose 20 10 — — $26,951.36 $26,951.36 $26,951.36 2026-05-24
J1411 HCPCS Inj, Hemgenix, Per Tx Dose 36 18 — — $26,951.36 $3,685,266.67 $26,951.36 2026-05-24
See an error in this hospital's data? Submit a correction